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PATHOGENETIC 
 
 PRACTICE OF MEDICINE 
 
 EMBRACING 
 
 CHEMICO-PATHOLOGY AND THE 
 
 SYMPTOMS AND TREATMENT 
 
 Of Chronic Diseases by Pathogenetic Remedies. 
 
 DESIGNED FOR THE USE OF PATIENTS. 
 
 *3T DE3. -STV. TUOKBH, IMC. X> . , 
 
 Author of the "Pathogenetic Practice of Medicine," 8 mo. 
 
 SANDUSKY, OHIO: 
 
 PRINTED BY HENRY D. COOKE & COMPANY. 
 
 1858. 
 

 I 
 
 -ftM-W 1 
 
 Entered according to Act of Congress, in 1858, by 
 
 E. W. TUCKER, M. D., 
 
 In the Clerk's Office of the Northern District of Ohio. 
 
PREFACE. 
 
 In presenting my patients and the public with this first edi- 
 tion of the Pathogenetic Practice of Medicine, a few state- 
 ments introductory rnay properly be made. 
 
 For the last ten years the author has been actively engaged 
 in the local practice of medicine, as has been elsewhere stated. 
 During that time he has directed his reading and practice to 
 the elucidation of a new theory and treatment of Chronic Dis- 
 eases. The great success of the new practice induced him to 
 devote his time exclusively to the treatment of the particular 
 diseases described in the body of this little work. 
 
 Patients reasonably desire to know what effects are expected 
 from the use of the medicines I prescribe, also how they may 
 be advantageously changed or varied to meet the changing 
 symptoms of each case. This I had not time to do, nor 
 would it have been acurrately remembered if I had. Infor- 
 mation, too, of this kind, is quite essential to the successful 
 treatment of patients whom we cannot see oftener than once 
 
in four or six weeks, and those we treat by correspondence not 
 at all. 
 
 Again, many who only read a single copy of the Advocate 
 do not get sufficient knowledge of my theory of practice to 
 overcome their piejudice against any new method, or against 
 the itinerant manner of introducing it. 
 
 Therefore, it seemed quite necessary that patients and inva- 
 lids should have an abridgement, at least, of the general features 
 of my system. This I have given in a very condensed form in 
 the following pages, and in such plain and familiar language, 
 that no one of ordinary intelligence can fail to fully understand 
 its application. I have avoided medical terms and language, 
 using that only with which every one is acquainted. The 
 style is not satisfactory to myself, but I choose to sacrifice taste 
 to usefulness. 
 
 In the first part we have traced the relation between 
 diseases of the Liver, Stomach and Lungs, to show one 
 important fact, viz: that Consumption is, in the majority of 
 cases, only a constitutional termination of disease in the fiver 
 and stomach, by which the nutritive function is impaired, 
 and fife destroyed. This fact is equally important for the phys- 
 ician and patient to observe ; and if rightly understood by the 
 former, and well attended to by the latter, eight cases out of 
 ten of Pulmonary disease would be prevented. 
 
 In the second part of this work I have endeavored to set 
 forth the effects which my numbers have upon the human sys- 
 tem — not the laws governing their action, but the result of that 
 
action — the indications they are intended to fill as medical 
 agents — also, their preparation — the doses — time of taking, and 
 such incidental circumstances as are necessary for the patient 
 to understand. 
 
 The third part embraces a condensed summary of the 
 symptoms of individual diseases, not in detail, but those which 
 are positive indications of disease of a particular organ, in or- 
 der that the reader even may decide with a sufficient degree of 
 accuracy to select such a number as is indicated in his case. Some 
 of the symptoms of obscure disease it requires great skill and 
 experience to detect. My object has been more to define the 
 meaning of certain symptoms and signs of disease of a particu- 
 lar organ than to trace mere sympathetic pains, or bad feel- 
 ings, many of which occur remote from the part affected, and 
 are not material to know in the treatment of the case. I have 
 noticed only those remarkable symptoms which will be readily 
 recognized and understood. In addition to that, I have desig- 
 nated the numbers to be used, and the changes that may be- 
 come necessary in the treatment. 
 
 That the work is free from literary errors I have not the van- 
 ity to claim; and should another edition be needed, I will 
 promise the addition of much valuable matter; for in this I did 
 not intend to " write a book," but to afford many useful sugges- 
 tions, and furnish my patients with information for which I 
 have frequently been asked. How far my efforts may be ac- 
 ceptible to the public, and how far this little volume may con- 
 trol the health and fives of the sick or well, cannot now be 
 
6 
 
 determined ; but if it subserves the interest of humanity, and 
 saves any of my fellow creatures from suffering or an untimely 
 grave, the author will feel fully rewarded. 
 
 New York, December, 1858. 
 
PAKT I. 
 
 PATHOGENY; 
 
 OR, 
 
 The Cause, Course and Symptoms of Disease Explained 
 and Treated from the Changes in the Elements of the 
 Blood, Saliva, Gastric Juice, and other Secretions and 
 Excretions — Based upon Latest Discoveries in Animal 
 Chemistry, and Chemico- Pathology. 
 
 This elementary treatise upon Pathogeny is only an abridge- 
 ment of MS. papers for a larger volume, and as this is de- 
 signed only for a guide to patients unacquainted with profes- 
 sional literature, I shall present the pathogenetic theory of dis- 
 ease, disencumbered of much that the medical student might 
 desire or expect. 
 
 Pathogeny, properly defined, relates to the generation, pro- 
 duction and development of disease ; to the earliest, as also the 
 successive changes in the blood, and other fluids of the human 
 system, which characterize the origin, course and termination 
 of every generic departure from health. Certain elements are 
 known to be essential to life and health, and they must exist in 
 certain definite and uniform proportions ; a greater or less pro- 
 
8 
 
 portion of any one of them constitutes disease, in its origin. 
 The first elemental change in all inflamatory diseases is an in- 
 crease of fibrin in the blood — the elemental changes in anema, 
 (or thinning of the blood,) is a marked deficiency of the red 
 globules, or carbonate of iron. Therefore the name of my sys- 
 tem is not arbitrary, but expresses just what is desired, viz : ele- 
 mental changes from Nature's divine scale of proportion — and 
 that is disease, by whatever other name called. 
 
 There are external and internal causes of disease. The ex- 
 ternal can only be guarded against, but not altogether avoided 
 or controlled. The internal can be reached only so far as to 
 restore the diminished or enfeebled elements, and reduce that 
 which has accumulated in excess. Nearer the true course of 
 physical disease or pathogenetic changes in the human system 
 we can never arrive. From that point onward the varying 
 conditions of health and disease are to be investigated. 
 
 Allopathy claims to treat the cause of disease, but it does not 
 reach it — the effects only are treated. Pathogeny goes beyond, 
 and studies disease in the elemental condition of those fluids — 
 the result of which is the phenomena of life, and the purity ol 
 which maintains the function in the organ producing them. 
 The fountain imbitters the stream, and the stream indicates the 
 condition of the fountain. 
 
 Pathogenetic is derived from the Greek word pathos — dis- 
 ease ; and genos — I make ; hence its application and significance 
 in regard to the elemental changes marking disease. One who 
 endorses this theory may be called a pathogenist, and pathoge- 
 netic, being the adjective of pathogeny, properly characterizes 
 the system of medical practice based upon it. In like manner 
 other systems of medicine are known, viz : Allopathic — Allo- 
 pathist and Allopathy; also Homcepathy, Hydropathy, <fec. 
 
9 
 
 This explanation is .sufficient to enable the reader to understand 
 our position, and was necessary, this being the first treatise ever 
 published upon Pathogeny, and the pathogenetic system of 
 Medicine. 
 
 THE BASIS OF PATHOGENY. 
 
 1st. Before the science of Chemistry attained a reliable degree 
 of certainty, the morbid changes in the fluids of the body were 
 left to mere conjecture, although all external and other manifest- 
 ations or signs of those changes were as palpable as now. Every 
 step in the improvement and advance in the knowledge of inor- 
 ganic chemistry, threw additional fight upon the metallic and 
 earthy compounds of which the human body is composed. The 
 blood was found to contain many of them in a fluid state — 
 a most wonderful revelation — a condition that the chemist 
 never has been able to imitate, except by the aid of great heat, 
 and in others not at all. The further application of chemistry to 
 organized matter enabled medical men to analize compounds, 
 and separate their simple elements, thus developing the relative 
 proportion of each substance of which they were composed. In 
 this manner the bones were found to contain certain elemental 
 principles, such as phosphorus, carbonate of lime, amonia, &c, 
 Every tissue of the body has thus by eminent men been subjec- 
 ted to rigid and repeated chemical tests, so that the accuracy of 
 these experiments at the present day does not admit of a doubt. 
 Indeed, the results of the labratory are admitted as conclusive- 
 testimony in every court in the civilized world. So perfect have 
 these results been, that chemically the labratory can furnish the 
 earthy part of man in the different proportions of his body. 
 
 At this point chemistry was for a long time instatu quo. 
 Another great field of enquiry was yet unexplored; the other 
 
10 
 
 continent of chemical truth was undiscovered ; these were vege- 
 table and animal chemistry. These two latter branches fill 
 the measure of all human knowledge concerning the elemental 
 parts of inorganic, vegetable and animal organic matters, — the 
 first (the earthy) unpossessed of the life principle, but capable 
 of imparting it first to the vegetable, and that in turn to the 
 animal. A sublime and incomprehensible ascension of dead 
 matter, to stationary, inconscious life, up to the firm, delicate, 
 mysterious structures of the human frame ; and at each remove 
 we find the dead earth in combination with living organic , 
 structures, till at last intelligence is superadded ! 
 
 When Chemistry first revealed the fact that the red globules 
 of the blood were composed of carbonate of iron, and that in 
 certain diseases it was less in quantity than in health ; and that 
 in other diseases the iron carbonate was greatly increased, two 
 important facts were established, and the effort to increase the 
 amount in one instance and to diminish it in the other, was at 
 once decided as the only reasonable and scientific mode and 
 means of cure. That was Pathogeny and the treatment purely 
 Pathogenetic; and no physician can pronounce it unscientific, 
 or " quakery," for the principle was developed and applied long- 
 before any one now living was born. We throw in this latter 
 remark en passant to those who will try to induce the public to 
 believe that pathogeny is a "humbug," when every dose of the 
 preparations of iron given to a pale, "bloodless" female, or a 
 dose of Soda for sour stomach, is in principle pathogenetic. 
 
 Why is it that certain vegetable remedies possess a direct cu- 
 rative influence in certain diseases ? The " learned doctors " 
 cannot tell you the scientific reason of the well known effect of 
 their own remedies. It is an established fact in organic chem- 
 istry that animal tissues, in their elemental constitution, are iden- 
 
11 
 
 tical with the vegetable, having been metamorphosed under 
 the life principle, and endowed with a new and higher grade 
 of vitality. Certain names are given to the substances and the 
 changes they undergo ; but a greater amount of chemical 
 knowledge is requisite to understand them than the common 
 reader is supposed to possess, therefore I will only state the mere 
 facts, it being sufficient for my purpose. 
 
 Medicine does not possess an arbitrary power over chronic 
 disease, however much it may be concluded to have in the ac- 
 cute form. Vegetable remedies then, affect the human system 
 just as the earthy and mineral ones do, by uniting with similar 
 elements in the body to increase that which may be deficient, or 
 by the power of neutralizing another which may be in excess. 
 This theory of the operation of remedies is not only reasona- 
 ble, but it is chemically and demonstrably true. 
 
 The farmer even, unconsciously practices pathogeny every 
 day. He well knows by certain signs when his stock needs 
 salt — he knows that if they are not supplied with this sub- 
 stance that their hair becomes rough, the animal droops, and 
 does not thrive ; experience has taught him that salt and ashes 
 will change the bodily condition of the animal ; yet ask the 
 farmers the philosophy, or rather the reason for all this, and he 
 cannot tell you. The blood of that animal is deficient in the 
 compounds of sodium ; the life principle in the animal converts 
 the chloride of sodium, which is common salt, and the alkali 
 into the required elements, and their health is restored. Is 
 there any "quackery" about the piinciple here? Can an 
 intelligent person, or even one of common observation, deny 
 the evident relation between cause and effect in this case ? Il- 
 lustrations of this kind sufficient to fill a volume mio-ht be col- 
 lected, both from animals and the human species, wherein cer- 
 
12 
 
 tain abnormal or unhealthy conditions have been removed bv 
 particular substances which admit of no other explanation than 
 the one given above. All of these facts will be fully treated of 
 in a large volume designed for medical readers. 
 
 Without the aid of organic chemistry we at best could only 
 grasp at what is known to be established truth, and the patho- 
 genetic practice is founded on acknowledged and well established 
 principles of Chemico- Pathology. Certain facts have long 
 been known, but never before systematized, elucidated, and so 
 arranged as to form a useful consistent whole, and applied to 
 the treatment of disease. 
 
 Even an intelligent nurse has advanced far enough in ob- 
 servation to practice pathogeny. If the child under her care 
 becomes weakly, looses its appetite, has " watery stomach," can- 
 not retain its food, vomits frequently, and the skin becomes 
 rough and dry, why, she know r s better what to do than many 
 physicians ; she will give the little urchin salt — freely as you 
 would a calf, till there is sufficient muriatic acid generated in the 
 stomach to digest the food. Wherefore is gelatine given to an 
 emaciated patient convalescent from typhoid fever? Because 
 that is just w T hat he has lost during the fever; our bodies are 
 made for what we eat. 
 
 Vegetable albumen, fibrin, gelatine, &c, we have said in their 
 elements are identical with the animal elements of the same 
 name, but are in a lower state of organization, and the stomach 
 must do more work to convert the vegetable into animal tissues 
 than would be required to transpose animal food (which is al- 
 ready organized) into human flesh and bone and blood; for 
 this is all that is done when animal food is used. Muscles or 
 flesh is eaten to make muscles of, but if the iron in the blood 
 be deficient, there will be a ratio of deficiency of fibrin, because 
 
13 
 
 the iron is necessary to generate the fibrin, to which condition 
 the muscle must be reduced before it can be assimilated or ap- 
 plied to the purposes of nutrition. Therefore, by reason of 
 this correspondence between the vegetable and animal elements, 
 is it that vegetable remedies derive then* medicinal power. 
 Pathogenetic remedies are as abundant in the vegetable king- 
 dom as in the mineral, and are indicated just in proportion as 
 those of vegetable origin preponderate over those of the earth- 
 ly. This is the union God ordained ; hence the folly of those 
 who would " put asunder what He has joined together." 
 
 The correctness of the pathogenetic principle is supported by 
 every known law in nature, unl.ke homoeopathy, which is di- 
 rectly in opposition to all her known laws. 
 
 The intelligent agriculturalist doctors his farm upon the fun- 
 damental principles here advocated. Particular elements are 
 known to be fertilizers of a particular soil : now, when by pro- 
 tracted tillage a special element is exhausted, the farmer feeds the 
 debilitated soil with the elements known to be deficient. Ag- 
 ricultural Chemistry has taught him this, and he profits by the 
 instruction. 
 
 These familiar examples and illustrations have been adduced 
 to show not only the reasonableness of pathogeny, but that it 
 is daily observed and practiced upon by all classes, though un- 
 consciously, even from the servant girl in the pantry who uses 
 salseratus to remove the excess of acid from her bread, — the 
 farmer in caring for both his stock and the fruitfulness of his farm, 
 up to the intelligent physician who is guided by a full knowl- 
 edge of the symptoms that point to excesses or deficiencies which 
 exist in the human system, and administers such agents as 
 chemistry tells him will equalize and harmonize those unnatu- 
 ral proportions. 
 
14 
 
 2. Chronic constitutional disease, and all the morbid changes 
 in the fluids, and secretions and excretions, admit of no satisfac- 
 tory explanation, except upon the principle of pathogeny. 
 Morbific agem* operate both within and without the system. 
 They reived directly into the system with the food 
 
 we eat, or fluids we drink : may be inhaled with the air breathed, 
 or absorbed by the skin and mi ogled with the circulation. All 
 the ae&e&s&Fy elements for the support of life must enter the 
 system in the above manner; hence, the liability of noxious 
 agents invading the sanctuary of life through the same chan- 
 nels. Should any unnatural circumstances intervene to pre- 
 vent the ingress of necessary elements, .disease is inevitable. 
 Nature requires in her scale of supply equal and exact weight 
 and measure in quality, as well as quantity, corresponding with 
 the waste or expenditures of the system in performing the func- 
 tions of animal life. 
 
 The cause of most diseases, with the p: mt high degree of 
 perfection attained in animal chemisry and < J hemico- Pathology, 
 may now be thus explained. Every succeeding medical jour- 
 nal brings news of further and more brilliant discoveries tend- 
 ing to establish the correctness of this means of diagnosis. 
 True it is that a few diseases have thus far eluded the keen and 
 vigilant eye of chemical science, — like an adroit enemy con- 
 cealed the means of invasion and particular mode of operation. 
 The same obscurity once invested many diseases now fully un- 
 derstood ; therefore it is reasonable to believe from the rapidly 
 accumulating evidence before us that by the aid and guidance 
 of unerring chemical science the hitherto mysterious and inex- 
 plicable causes of certain known maladies will be fully discov- 
 ered, and a more scientific and successful mode of treatment 
 introduced for their cure. The laws of life and health have 
 
15 
 
 undergone an intelligent, rigid and patient investigation; every 
 advance in their knowledge s marked by a corresponding en- 
 lightenment in the causes of disease, which knowledge is indis- 
 pensible to the successful appliance of remedial means. Every 
 science is progressive — none, more so than medicine, and no 
 part of that more than pathology which means the cause and 
 nature of any particular disease. 
 
 3d. Already has this theory found advocates. Professors 
 Jackson and Churchill, of Philadelphia, Baron Liebig, of Ger- 
 many, and many distinguished physicians in America and Eu- 
 rope endorse it, as the only truly scientific mode of removing 
 disease. 
 
 Lately an effort his been made to prepare in the laboratory a 
 compound consisting of those elements that naturally exist in 
 the blood, and which are found by careful analysis to be defi- 
 cient in certain chronic diseases. That preparation has received 
 the significant name of "chemical food," and is composed of 
 the phosphates of iron, soda, lime, ifce., in the same propor- 
 tions found in the blood of a healthy person. The same prin- 
 ciple applies to vegetable and animal substances; and has long 
 been the diet of the sick. The instincts of appetite sug- 
 gest to those in health, the same principle pertaining to diet, 
 and is universally, though unconsciously obeyed. 
 
 A cold climate requires an increased production of animal 
 heat, because its consumption or waste is greater than in a warm 
 climate; hence the appetite is quickened, and craves the most 
 highly carbonized food — such as fat meat or even pure oil. 
 Such substances are the most highly carbonized, therefore they 
 produce an increased amount of animal heat. In certain forms 
 of chronic disease deficient animal heat is the first svmptom 
 noticed — an increased susceptibility to cold, and in such cases 
 
16 
 
 the stomach has lost in a degree its power to use carbon in 
 that form; then highly carbonated medicines are called for, and 
 are the only substitute. 
 
 On this principle alone can the often prompt action of Cod- 
 Liver-Oil be explained; it matters not whether that article be 
 cold food or medicine. Prepared charcoal or other carbonized 
 substances will produce the same effects before the fatty por- . 
 tions of the body are consumed. A given amount of carbon 
 in the blood is requisite to the healthy combustion produced by 
 the oxygen which enters that fluid in the lungs. The amount 
 of oxygen depends much upon the condition of the air breathed. 
 If it be heated or rarified the oxygen is expelled, and is like- 
 wise removed by respiration, becoming unfit to be breathed 
 again : in that condition it is insufficient to support life. When, 
 however, the oxygen is in excess of the carbon, a pernicious 
 effect must be produced upon that portion of the lungs where 
 this change or combination takes place. Herein is the key to 
 the elemental causes of pulmonary disease, because deficiency of 
 carbon is only another name for deficient nutrition, as stated 
 elsewhere in this treatise, and advocated in the first issue of the 
 " Pathogenetic Advocate " and since by the " Medical Times " 
 and other journals, and is the true cause of pulmonary con- 
 sumption. 
 
 It will be noticed that constitutional changes or diseases have 
 been particularly the subject of enquiry. Acute diseases are 
 g3nerally the result of excesses and consequent obstruction in 
 the fluids of the system. Certain medical agents, having an 
 arbitrary influence over the functions of particular organs, will 
 be required to remove such accumulations, the suddenness of 
 the attack being such that the organ is overpowered and its 
 functions temporarily suspended. Hereby is explained the use- 
 
17 
 
 fulness of evacuents of every kind — purges, emetics, diaphoret- 
 ics, diuretics, and bleeding. These have their application in 
 the varied forms of acute disease, caused by excesses in the 
 fluids, the suddenness of which may be sufficient to cause death 
 without their immediate aid. These being used, if the organs 
 involved have not became too much prostrated they will imme- 
 diately resume a healthy, normal action, and no further treat- 
 ment be required. A timely dose of physic, an emetic, a 
 " sweat," or perad venture bleeding, may prevent the advent of 
 a fever,the rise of inflammation or other serious or even fatal mal- 
 adies. Common observation has long since given authority to 
 such a mode of procedure. 
 
 Treatment being delayed, not efficient or appropriate, the 
 constitution becomes involved, and then the subsequent treat- 
 ment is truly pathogenetic. If my professional brethren take 
 issue upon this, I will ask whether they give ten or twenty grains 
 of calomel when first called to see a patient sick of certain in- 
 flammatory diseases, and only half a grain subsequently ? In 
 addition to its evacuating power it can only subdue inflammation 
 by diminishing the red globules in the blood, thereby prevent- 
 ing the increase of fibrin. For the same reason no intelligent 
 physician would give that remedy to a patient where the blood 
 already deficient in red globules, as in dropsy, anema, or con- 
 sumption. No principles in pathology or practice are better 
 established than this. 
 
 4th. The coincidence or harmony between certain signs 
 and symptoms indicative of special pathological conditions, and 
 the evidence of the same afforded by chemical analysis, 
 may be called chemical diagnosis. A difference exists be- 
 tween signs and symptoms of disease. Symptoms are di- 
 rect manifestations of morbid or altered conditions of the sys- 
 
18 
 
 tern, as pain, heat and swelling are symptoms of inflammation. 
 Frequent and bloody discharges from the bowels are symptoms 
 of inflammation, &c. Symptoms constitute the legitimate lan- 
 guage of disease; are uniform. Signs are only attending 
 phenomena, but not essential to the disease; varying, may or 
 may not be present; such as a patient sleeping with half 
 closed eye% or one shut, and the other partly open, a ten- 
 dency to slide down in bed, the impression of being away from 
 home, which is often observed in the delirium attending fevers, 
 some peculiar expression of countenance, &c. But since par- 
 ticular signs usually attend particular symptoms, they may 
 assist some in the diagnosis and also influence the prognosis 
 in a given case. 
 
 Symptomatology , then, gives in urinary calculi or gravel the 
 following: — A sandy or gravelly deposit in the urine, present- 
 ing in different cases two distinct colors, with the many other 
 symptoms and also the mechanical result of it. It has been 
 ascertained that alkalies for red, and acids for the white gravel, 
 are proper and useful remedies. Chemical diagnosis confirms 
 correctness of the remedy, and faithfully assigns the reasons 
 therefor, viz ; the one is produced by an excess of acid ; the 
 other by an excess of alkali in the system; or that the gravelly 
 deposits respectively present an acid and alkaline an base. 
 
 In like manner chemical diagnosis assists symptomatology 
 concerning every disease of the fluids, secretions and excretions, 
 affording the only scientific reasons for the administration of a 
 particular remedy. 
 
 Another patient has the following group of symptoms — a dry, 
 rough -skin, acid, or fresh taste in the mouth, high-colored 
 urine, the fauces are light-colored, bowels confined, and 
 some of the earlier symptoms of indigestion; in such cases 
 
19 
 
 we give the alkalies, salts in the various proportions of 
 potassium, with such other remedies as concurrent symptoms 
 indicate, until these peculiar conditions disappear from the 
 system. Why did these effect a cure ? Chemical diagnosis 
 explains it. The fluids of the body were deficient in the com- 
 pounds of sodium of acids or alkalies. This parallel might be 
 continued till every form of chronic or constitutional disease is 
 shown to present a perfect correspondence between the promi- 
 nent symptoms and chemical diagnosis, but it is not in accord- 
 ance with the design of this work. 
 
 Chemical diagnosis has been diligently and successfully pre- 
 sented by men eminent for their integrity and learning, and 
 the results have been given to the world as authentic scien- 
 tific truth, as all know who are acquainted with medical science, 
 and if not they can possess the knowledge by studying Liebig. 
 
 Since, then, the correspondence or uniform coincidence found 
 to exist between modern symptomatology and chemical diag- 
 nosis has been fully established in theory, and further confirmed 
 by practice, the analysis of fluids, &c, in patients applying for 
 treatment is unnecessary. That work has been done, and is be- 
 ing performed under more favorable circumstances than are 
 ordinarily had, nevertheless their results are received and ac- 
 credited, as are other ascertained facts. It is not necessary for 
 the practitioner to wait for personal autopsies ; or where he is 
 called to a pale, white-lipped patient, or finds a particular sedi- 
 ment in the mine, to delay his prescriptions for the revelations 
 of the laboratory. That has been made, and he should be in 
 possession of it as much as he is supposed to be of physical 
 symptoms and indications of cure. I cannot better illustrate 
 this idea than by referring to the crude narrow-mindedness 
 (ignorance would be appropriate) of some members of the pro- 
 
20 
 
 fession. Conversing with one of such, who " held sway" in his 
 little village, while presenting the claims of pathogeny and the 
 new speciality of practice, he gravely enquired: " Can you car- 
 ry a laboratory sufficient for these purposes V " Oh yes !" said 
 I, " it is very conveniently packed in a brain of ordinary size !"- 
 This ended the conversation. 
 
 Medical learning, experience and skill are requisite to pre- 
 pare a remedy capable of curing a particular disease, yet the 
 most illiterate might recognize the symptoms indicating its use. 
 The patient having acidity of the stomach, constipation of the 
 bowels, a dry, rough skin, yellowness of the eyes, &c, can, by 
 consulting this work, find his remedy all prepared, with direc- 
 tions for using it. The intellectual work has all been done for 
 him. No benefit could otherwise be had by the common rea- 
 der from this work. Its whole arrangement was planned with 
 reference to the availability and use of patients and invalids, as 
 its title imports. 
 
 The amplitude of the above facts thus obtained constitute the 
 foundation of pathogeny, and furnish the necessary instructions 
 for preparing pathcgenetic remedies. This was distinctly sta- 
 ted in the first and subsequent issues of the Pathogenetic Advo- 
 cate, and 1 claim the authorship of pathogeny on the ground 
 of systematizing and arranging the vast amount of scattering, 
 isolated materials in a practical form. 
 
 5th. Of the relation of diseases of the liver and stomach to 
 those affecting the respiratory organs, I shall speak quite fre- 
 quently in subsequent .pages, therefore much need not be said 
 here. 
 
 This relation, or organic sympathy, has been disregarded 
 both by writers and practitioners of medicine. The mere de- 
 rangement of the liver or deficiency of bile receives perhaps the 
 
21 
 
 compliment of a few blue pills, et cetera, and the patient is al- 
 lowed to linger unconscious of his danger till a dry cough 
 reveals it to him. 
 
 Bile is not a mere excrement to be thrown out of the system. 
 It is ascertained to be not only an essential agent in preparing 
 the chyme for absorption, but performs an important part in sus- 
 taining respiration and the maintenance of animal heat. There- 
 fore any deficiency in this secretion deprives the animal economy 
 of a fundamental principle of life. That secretion being retarded 
 or obstructed endangers the lungs in the ratio of such deficien- 
 cy. No fact in disease has been more fully demonstrated in 
 my observation than this : — that diseases of the stomach and 
 liver conjointly produce more than eight- tenths of the cases of 
 consumption. Before dyspepsia was so general consumption 
 was far less frequent. Consumption, by the well-ascertained 
 laws of life, is the legitimate effect of protracted diseases of the 
 liver and stomach. Neither do the lungs become affected 
 through mechanical agencies, as one would suppose — by the en- 
 larged liver pressing against the lungs, thereby compressing 
 them, and inducing irritation and a cough — but from constitu- 
 tional results, whereby the standard of vitality is reduced. Pa- 
 thogeny investigates these facts, and points out remedies calcu- 
 lated to thwart that sad result, by supplying the deficient ele- 
 ments till the organ shall have recovered the power of furnish- 
 ing the same, according to Nature's established laws. 
 
 A change may occur in the chemical proportions of the ele- 
 ments constituting the saliva, gastric juice, or bile, either in 
 quantity or quality — a corresponding change therefore in the 
 products of digestion is the inevitable result, and the constitu- 
 tional result is impoverishment or impurity of its fluids, and 
 consequent declension of the general health, The means of de- 
 
22 
 
 termining these several alternatives is by the coincidence of 
 symptomatology with chemical diagnosis as before stated. The 
 sensible and physical symptoms to which I attach importance 
 are the taste of the month, aroma of the breath, changes in the 
 mine and alterations in the color and character of the stools. 
 The several kinds of taste, such as a sour, salt } bitter or nauseous 
 freshness, each have their special indications ; so also has the 
 several kinds of fetor, or aroma of the breath. These are 
 symptoms to which bnt little attention has hitherto been paid 
 by medical men. 
 
 Whatever morbid change takes place in either the bile or the 
 agents of the chymefication produces an effect npon the blood, 
 for healthy chyme and chyle must make pure blood as surely 
 as syrup will make sugar. Any agent which is claimed to act 
 upon the blood, independent of primary changes in digestion, 
 is a delusion; hence the failure of endeavoring to purify 
 the blood without due attention to the stomach and liver, 
 in their influence and agency over the blood-making pro- 
 cess. Likewise all morbid growths are due to defective diges- 
 tion and perverted nutrition. Gravel in the urinary passages 
 is spoken of as a kidney disease, but it may with equal propri- 
 ety be said of the yellow tinge observed in the coats of the 
 eye, from the absorption of bile, that such is an eye disease. 
 The local symptoms of impaired digestion are usually pain in 
 the stomach, acidity, flatulence, acrid eructations, or " belching 
 of wind," constipation of the bowels, bloating or contraction of 
 the same, a voracious, capricious, or entire loss of appetite, with 
 an indefinite train of nervous symptoms, refered to different 
 parts of the body, producing great depression of spirits and 
 despondency. The existence and continuance of these dyspep- 
 tic conditions of the stomach have a disastrous effect, sapping the 
 
23 
 
 foundation of health. The whole system is deprived of the re- 
 quired amount of nutriment, the blood becomes impoverished, 
 and that state of the constitution induced which gives rise to con- 
 sumption of the lungs, or other local organic diseases. Gener- 
 ally the first signs of failing health are an unnatural feeling or 
 derangement of the stomach. The patient is physiologically in 
 the same condition of a person living upon one-half or less of 
 nutriment necessary for the healthy maintenance of his system. 
 In such a case the strength fails, the countenance becomes pale, 
 pulse quick, the mouth dry, and a slow fever ensues. This is 
 precisely the sum of the constitutional disturbances observed as 
 preceding consumption, occurring as the result of a primary 
 disease of the liver or stomach. These views are not only sus- 
 tained by the most learned in medicine, but may be proved by 
 concurrent, daily observation. Such persons bear evident signs 
 of failing health, to use their own langwe are " neither sick or 
 well," are suffering from the above primary constitutional chan- 
 ges incident to impaired nutrition ; hence the uniform relation 
 between diseases of the liver, stomach and respiratory organs. 
 Early treatment for the former affection is quite as important as 
 in the latter. Organic changes in the liver are as difficult to 
 arrest as those in the lungs, and dropsy is then* usual termi- 
 nation. 
 
 OBSERVATIONS 
 
 ON THE 
 
 True Cause and Reasonable Treatment of Consumption. 
 
 The best talent in the medical profession for many years has 
 been employed in studying the causes and elucidating the treats 
 
24 
 
 inent of pulmonary disease, and at no period have such investi- 
 gations been more faithfully, ably and patiently prosecuted than 
 at the present. The abundance of such information, accessible 
 to every reader, as well as the practical observations elsewhere 
 made in this work, render it only necessary here to present a 
 brief summary of general symptoms. 
 
 First: As I have said in the preceding article, healthy blood 
 will alone preserve the body in a state of health. 
 
 Secondly : Blood deficient in any of the elements of nutri- 
 tion, or mixed with any impure ingredients must produce, a 
 corresponding change in the health of the person. 
 
 Thirdly : According to Dr. Cless, Dr. Lewis, Dr. Latour, Dr. 
 Dupasquier, Dr. Pereira, Sir James Clark, and Dr. De Vittis, 
 and, m fact, every intelligent author who has written upon Con- 
 sumption, deficient nutrition is given as a prime cause of, or a 
 universal attendant upon this disease. 
 
 Fourthly: Never, until Professor Liebig, of Giessen, Ger- 
 many, directed his attention to animal chemistry, and laid the 
 foundation for the only rational practice of medicine (see Pre- 
 face to his work), was known the true mode of detecting and 
 also of curing these changes in the gastric juice and bile; and 
 for the truth of this remark, I refer to the Appendix of his 
 work. 
 
 Fifthly : Consumption is fully developed in the system, long 
 before there is cough. Reader, bear this in mind, long before 
 there is any cough all the changes have occurred which produce 
 the disease. The blood is thin, deficient in red globules and 
 fibrin, showing that the vital forces have lost their energy. 
 The red globules, in healthy blood, are a hundred and twenty- 
 seven, and the several stages of Consumption are marked by a 
 regular decrease, till they descend to seventy-two. The blood, 
 
25 
 
 in this condition, can not furnish fibrin or vitality, the result of 
 which is a lower degree of organization, like half-ripe fruit: 
 hence the softness of the flesh, wrinkling of the skin, pale or 
 sallow hue, sunken eyes, and coldness of the extremities. All 
 the new growths in this case (or the supply of waste,) possess 
 a lower degree of vitality, and a lower degree of organization, 
 unnatural to the parts, and, when accumulated to a certain ex- 
 tent, still change in character, and, by accumulation, act as a 
 foreign substance and local irritant. This change may occur 
 in the nutrition of any part of the body. When it falls upon 
 the lungs, it is called Consumption, and this matter of low or- 
 ganization is called Tubercle. The same change occurs in the 
 mesenteric glands and peritoneum. Andrei found Tubercles in 
 the latter localities in every case of Tubercles of the lungs. 
 
 Sixthly: You will now see the reasonableness of my first 
 proposition, that Consumption has its origin in indigestion, 
 even in the stomach, from a change in the gastric juice and 
 bile, which are the acknowledged agents in furnishing healthy 
 chyme and healthy blood. The first indication of this change 
 in the blood, is, in many cases, detected even by the fetor of 
 the breath — the unnatural condition of the blood, undergoing 
 the usual change in the lungs during respiration, gives out un- 
 natural gases, which is the cause of the fetor. Reader, notice 
 this fact, that a bad breath is a positive symptom, although the 
 lungs may not become affected, in some instances, for several 
 years. The bile acts mostly on the fatty substance of our 
 food, — the soda it contains being alone capable of dissolving 
 the fat' taken in our food, and preparing it for absorption. 
 Persons often say, they eat heartily, but their food seems to do 
 them no good ; they still feel weak and faint, and sensible of 
 failing strength. All these symptoms depend upon the above 
 
26 
 
 causes. Whenever these symptoms are present, it is at the 
 peril of the patient if he allows them to continue; for time will 
 as surely develop Tubercles in the lungs as the standard of 
 health is allowed to sink from poor digestion, and deficient 
 nourishment of the system. 
 
 Seventhly: Whenever Tubercles have been allowed to form, 
 cough occurs, indicating the more serious stages of Consump- 
 tion. It is then, and during the subsequent stages of the dis- 
 ease, that Medicated Inhalation is an important remedy in the 
 treatment. After local disease has manifested itself, it must be 
 treated locally. At the same time that we direct our reme- 
 dies to correct that condition of the system which has caused 
 the local disease, at this stage, we have two diseases, in the 
 room of one, to treat. Inhalation applies the remedy directly 
 to the part diseased, as washes or ointments are applied to an 
 ulcer or an inflamed surface. One cause of failure in treating 
 internal lesions, or disease of the intestines, bladder and stom- 
 ach, is, that we cannot apply our remedies directly to the parts 
 affected; but the medicated vapor is carried to every air cell in 
 the twenty thousand square inches of surface which the lungs 
 contain, mixed wdth three hundred and ninety cubic inches of 
 atmospheric air, which they are capable of containing. Estima- 
 ting eighteen respirations per minute, there will be three thou- 
 sand six hundred square inches of medicated vapor brought 
 in contact with the blood and surface of the lungs every ten 
 minutes. The application of medicine by Inhalation is so rea- 
 sonable, that it needs no further argument. In no other way 
 can we correct or destroy the poisonous gases and putrescence 
 which are continually mixing with the blood. The decay of 
 animal tissues out of the body, are often the cause of malig- 
 nant disease, but especially so when they mix with the fluids of 
 
27 
 
 the living body. No poison is more deadly in its nature than 
 the blood of a dead person, or the secretions of a gangrenous 
 sore, when mixed with the blood of another person. 
 
 Inhalation, adapted to the several stages of Consumption, is 
 the only reasonable hope of relief, and connected with a thor- 
 ough constitutional treatment, based upon the above proposi- 
 tions, will cure nine out of ten, even when the disease is in the 
 second stage. Persons predisposed to Consumption w.ll find 
 the Pathogenetic remedies to afford prompt relief, and effectu- 
 ally prevent the occurrence of Tubercles. We say, prevent, 
 because, as we have said before, the true cause of the disease 
 exists long before the lungs are affected. See to it, then, you 
 who are feeble, dyspeptic, having the symptoms above set furth, 
 and be treated for the true cause before the luugs become dis- 
 
 The inhalants which we use have all been thoroughly tested 
 and approved at the celebrated Hospital of Giessen, Germany, 
 and, although but recently introduced into this country, have 
 proved to be far superior to those of the English Hospitals, or 
 any similar institutions in the world; and, indeed, so rapidly 
 has the system advanced, that the Eastern Continent is now 
 enjoying the rewards of scientific investigation and years of 
 laborious research ! 
 
 TO CORRESPONDENTS. 
 
 Any person who may desire to consult the author of this 
 work for any of the diseases herein enumerated can do so by 
 letter. The following questions, intelligently answered, will 
 
28 
 
 afford sufficient information of the patient's condition for me 
 to send the medicines required in the treatment of any case. 
 
 Questions to be Answered. 
 
 1st. Is the taste in the mouth salt, fresh, sour, or bitter? 
 
 2d. Is the tongue coated ? If so, what is the color ? 
 
 3d. What is the condition of the appetite ? 
 
 4th. Do you have pain in the stomach after meals ? — or an 
 increase of pain when the stomach is empty ? 
 
 5th. Have you acidity of the stomach? or eructations of 
 " wind ? " or spitting up of food ? or watery stomach ? 
 
 6th. Is the stomach bloated or tender, externally? 
 
 7th. Does the stomach feel full and uncomfortable after 
 taking but a small quantity of food ? 
 
 8th. Have you constipation of the bowels ? and what are 
 the color of the discharges ? 
 
 9th. What is the color of the urine? — is it diminished or 
 increased in quantity ? 
 
 10th. Is there sediment in the urine? If so, what is its 
 color. 
 
 llth. What is the complexion ? 
 
 1 2th. Is it changed from natural ? 
 
 13th. Is the skin dry and rough? 
 
 14th. Have you pain or a sensation of soreness in the right 
 or left side, under the short ribs ; or the same across the small 
 of the back ? 
 
 1 5th. Have you a sensation of heaviness in any part of the 
 head — a hot or cold sensation on the top of the head — or do 
 you often feel dizzy and " light headed ?" Do you have head 
 ache ? If so, in what part ? 
 
29 
 
 16th. Do you sleep unnaturally sound, and wake unrefresh- 
 ed ? or, is your sleep disturbed and partial ? 
 
 1 7th. Are your feelings variable, sometimes elated with hope, 
 and suddenly depressed and discouraged about your case ? 
 
 18th. Can you endure reading, study or mental exercise of 
 any kind ? or are your stomach symptoms increased by such ef- 
 forts ? State the condition of your mind and feelings generally. 
 
 19th. What kind of food causes distress in the stomach, or 
 seems to disagree with you ? 
 
 20th. Have you a sensation of numbness, coldness or prick- 
 ling in the hands and feet ? 
 
 21st. After meals, have you throbbing in the temples, 
 a beating in the stomach, with flushed countenance and increased 
 thirst? 
 
 22d. Is the breath feted and bad ? 
 
 Questions to those having Disease of the I/iings. 
 
 Such as desire to consult me for disease of the lungs, will 
 answer the following questions, and add such other infor- 
 mation as they may think important for a correct understand- 
 ing of their case : — 
 
 1st. How long since your health first began to fail before 
 you had cough ? 
 
 2d. How long have you had cough ? 
 
 3d. Do you cough hard and frequently ? 
 
 4th. Are you hoarse, or is the voice changed ? 
 
 5th. Have you much pain in the chest ? And if so, at what 
 point ? 
 
 6th. Have you sore throat, or soreness in swallowing. 
 
 7th. Is the matter you raise thick and yellow ? or white and 
 frothy ? or tenacious — somewhat like the white of an egg ? 
 
30 
 
 8tL Have you chills and night sweats ? 
 
 9th. ■ Are your feet swollen? 
 
 10th. What is the condition of your bowels? 
 
 1 lth. Is consumption hereditary ?. 
 
 12th. Are you emaciated? Give a general description ot 
 your present condition. 
 
 13th. Have you had hemorrhage of the lungs? 
 
 The above questions should be answered plainly, using the 
 common language of patients in such cases, as we have done 
 in asking the questions. 
 
 Persons desiring treatment can address me, inclosing a postage 
 stamp to secure attention, giving their post-office, county and 
 State plainly, and, in our answer, an opinion of the case and 
 terms, will be made known. Address, 
 
 E. W. TUCKER, M. D. 
 
 Sandusky City, Ohio. 
 
 5F. B. The popularity of the pathogenetic practice, and the 
 concise and peculiar questions I have asked those persons having 
 disease of the stomach and liver, has induced some itinerant 
 physicians to copy them in their papers, when they neither un- 
 derstand why they are put, or the Pathogenetic meaning of 
 the answers, and mere ridiculous than all, have no medicines 
 to fill their indications ! 
 
 The public may know when these questions or any part of 
 this work have been used without my permission, by noticing 
 the following: — 
 
 Any person whom I shall authorize to use the Pathogenetic 
 practice, either the medicines or any article in this book, will 
 have a printed certificate from me attached to every such paper 
 
31 
 
 and a copy of the same in my hand writing. The observance 
 of either of these will be a sure means of detecting such fraud. 
 
 END OF PART FIRST. 
 
PAET II. 
 
 THE DISEASES TREATED, 
 
 WITH A CONDENSED SUMMARY OF 
 
 THE CHARACTERISTIC SYMPTOMS OF EACH. 
 
 ALSO, 
 
 THEIR PATHOGENETIC REMEDIES, 
 
 AND MANNER OP PRESCRIBING THEM. 
 
PAET II. 
 
 PATHOGENETIC MEDICINES 
 
 AND THEIR USES. 
 
 In the following pages I design to present a condensed 
 synopsis of the uses of my remedies — the order in which they 
 should be taken, and particular directions for each number. Pa- 
 tients need explications and directions of this character, in or- 
 der that they may select and apply such numbers as their symp- 
 toms require. A change of symptoms may occur during the 
 use of the remedies, indicating a change of medicine, in the ab- 
 sence of the physician. I shall therefore notice every symptom 
 of disease, and remark upon all leading or important effects of 
 the remedies in such a plain manner as will enable any person 
 of clear mind and ordinary judgment and understanding to se- 
 lect and administer Pathogenetic medicines with entire saftty 
 and absolute success in all curable cases.. 
 
 It will not be within the scope of this work to trace the ther- 
 rapeutical operation of the remedies. This could only be com- 
 pressed in a large volume, and a great amount of previous 
 anatomical and physiological knowledge would be necessary to 
 fully understand it. The unmedical reader needs only an expla- 
 nation of the sensible and more obvious results of the remedies, 
 and not a knowledge of how, or in what way these effect3 are 
 
36 
 
 produced. Any person can see when the eye has a yellow 
 tinge, the skin a dingy, sallow hue, with a general unheal- 
 thy look or expression of the countenance, without any knowl- 
 edge of the laws governing the internal organism of the human 
 system which have produced them. 
 
 To render, then, this synopsis of pathogeny a safe and intel- 
 ligent guide to patients using my medicines, is all that is in- 
 tended. 
 
 PATHOGENETIC INHALANTS. 
 
 The administration of medicine by means of medicated vapor 
 is no new fact in regular practice, and the weight of medical 
 testimony is in its favor, but which are the most efficient reme- 
 dies to inhale is not so satisfactorily settled. The reason is that 
 one inhalent is not adapted to all cases, any more than quinine 
 is admissable in all stages of fever, when it is acknowledged to 
 be essential in a particular stage. The indiscriminate use of in- 
 halents as a remedy for a cough, or an ulcerated throat, without 
 regard to the stage of the disease— the degree of inflammation 
 — amount of debility, and the character of the expectoration — 
 affords an obvious reason for its unsuccessful employment by 
 those who use one combination in the treatment of diseases of 
 the respiratory organs, without proper attention to those impor- 
 tant distinctions. 
 
 Pathogenetic inhalents are not liable to these objections, for 
 we have numbers suited to every stage in the progress of the 
 disease, and three different preparations of each number. These 
 
37 
 
 arrangements give as great a variety of remedies as is useful, 
 and fully removes the very common objection that one medi- 
 cine is given for all affections requiring inhalants. Our system, 
 then, in this respect, is superior to any now practiced. 
 
 No. 1 A. is to be used in the inilamatory stages, when the ex- 
 pectoration is " frothy" or " phlegmy," or thick and tenacious. 
 It reduces the inilamation by disolving chemically this secre- 
 tion, freeing the glands or mucus follicles of their engorgements 
 and quieting the morbid irritation. Excessive secretion from 
 any membrane is the result of local irritation or inflamatory 
 action — the increased flow of blood to the part, and an obstruc- 
 tion of its passage from it. No. 1 A. also acts upon the tuber- 
 culous deposit in the lung, first promoting its absorption and 
 changing the elements of the secretion, which if allowed to re- 
 main upou the surface of the air cells of the lungs, will form tu- 
 bercles. I wish this point to be especially noticed, as it ex- 
 plains the necessity of using inhalents as soon as constitutional 
 symptoms indicate that the lungs are taking on this morbid 
 action called the "incipient stage" of Consumption. It is well 
 known that that dreaded disease may invade the pulmonary 
 structure unattended by either pain or cough, although they 
 are the usual warnings of it. Hence this inhalant is often 
 indicated in cases where there is no cough, but only a sensation 
 of weight across the chest or occasional pain, with shortness 
 of breath and a frequent accumulation of phlegm in the throat 
 or fauces. In the early stage the most marked improvement of 
 the general health has followed its use. 
 
 No. 1 B. is indicated when ulceration has taken place, and 
 thick, yellow or greenish matter is coughed up. In this stage 
 there is deep seated pain in one or both sides, and transcient pain 
 
38 
 
 through the breast, shoulders and back, and often diarrhoea, 
 night sweats, and chilis and fever. 
 
 No. 1 C. is indicated when chills and fever have occurred, and 
 debility, with a dry, hard cough and an alteration of the voice, 
 also hoarseness and loss of voice. At this stage the patient can 
 not speak above a whisper, and only with great exertion. The 
 vocal cords are now inflamed and thickened, and can no longer 
 perform their office. The term Laryngitis is applied to this 
 affection. It is always a very obstinate and dangerous disease. 
 Inhalant No. 1 C. is to be perseveringly used in this disease, 
 with other treatment, both local and constitutional, as will be 
 hereafter explained. 
 
 The inhalents No. 2 correspond with the above numbers, and 
 are likewise varied to meet the different stages of the several 
 diseases spoken of. What is said of No. 1 A. B. and C. apply 
 equally to No. 2 A. B. and C. A careful reading of the above 
 remarks will enable any person to select the inhalents required 
 in their case. 
 
 The temperature of the water used to vaporize the inhalents 
 should not be warmer than you usually drink your tea or coffee, 
 This is the most convenient domestic rule that I can suggest. 
 When there is great soreness, irritation or inflammation, hop tea 
 is preferable : half a teap-cup full of hops added to a pint of hot 
 water, will be of sufficient strength. Sage or hoarhound tea 
 may be used when there is much debility or great expectora- 
 tion of yellow matter, and flax seed or .slippery elm when the 
 cough is tight, and the throat hot and dry. 
 
 When using the Inhaler, the first few breaths should be short, 
 and deeper and longer inspirations made as the medicines be- 
 come exhausted. 
 
 The amount or dose of the fluid to be used at one time can 
 
39 
 
 only be correctly ascertained by the patient. Enough may be 
 used to produce only a very slight L smarting" or stimulation of 
 the throat and lungs, but never so as to produce a spasmodic 
 cough or any unpleasant feelings. At first the dose should be 
 small, and gradually increased till the slight smarting of the 
 throat is produced, and whenever that occurs during the act of 
 inhaling, the breathing may be more moderate, No medicine 
 should be used on the plan that if a certain dose does good, a 
 larger one will do more good. Physicians usually have not 
 instructed then* patients sufficiently in the use of the inhaler. 
 The good or bad effects depend very much upon how it is 
 managed as well as what remedies are used. Patients who expec- 
 torate freely, generally require more than others with a dry 
 cough. The nervous systems of some likewise are more sus- 
 ceptible, and by this class it must be inhaled more moderately. 
 Aided by these few and plain directions any person of ordinary 
 discrimination, I think, may use the inhalants successfully. 
 
 Inhalation, properly used, is one of the most important reme- 
 dies of the age, and assisted by constitutional external and internal 
 treatment constitutes the only reasonable and successful remedy 
 for all diseases of the respiratory organs. As a medical agent 
 it may be employed in many other diseases with equal success : 
 in neuralgia, convulsions, spasmodic affections, and every form of 
 nervous irritation or debility, hysteria, epilepsy, &c. Many fe- 
 males suffer great pain in the chest, head, back &c, and as 
 they describe it, "flying pains " in different parts of the system; 
 are weak and nervous, yet find no relief from any medicines. 
 They have really no settled and definable disease, yet they are 
 scarcely ever free from pain, and are really great sufferers. 
 This class of patients will find inhalation a prompt and re- 
 liable remedy. Such patients are not cured by internal reme- 
 
40 
 
 dies alone. That has been unavailing, as every one knows who 
 has been thus affected. I have cured every case of this kind 
 that I have prescribed for — and inhalation is the remedy with 
 which I have done it. It acts directly upon the nervous centres 
 and meets the disease as promptly as do inhale nts the mucus 
 surface of the diseased respiratory organs. Weakly, nervous 
 females will find this remedy the amulet for all their afflictions 
 that stomach medication has heretofore failed to remove. 
 
 Inhalation is acknowledged by all to be a reasonable system, 
 howbeit there are some opposers. I will answer briefly their 
 objections. 
 
 1st. The strongest opposition from the medical profession 
 eminates from that portion who have never usedit, and are igno- 
 rant of the agents used. Is not this true ? 
 
 2d. A more moderate class of these opposers are those who 
 will tell you they have used it, and were disappointed in its effect. 
 But what did they use ? "Were they Pathogenetic inhalents ? 
 No : for no one but myself is in possession of them. They 
 might have employed such as are laid down in the books, viz : 
 iodine, the mineral acids, chlorine, nitrate of potash, <fec, but 
 all these have been tried before and found of doubtful utility. 
 Then they have not used proper inhalants, and that is one se- 
 cret of their failure. 
 
 3d. I find by conversing with those who say they have 
 tested it, <fcc, that their doses have been too large — the doses of 
 any medicine of the greatest moment, but especially so in this 
 treatment. Then they use the water too hot, and their instru- 
 ments are wrongly constructed. With these defects and errors, 
 of course they could not succeed. 
 
 4th. The sum of the professional opposition is just this: 
 they see it successful in the hands of those who understand it, 
 
41 
 
 and their patients will go from them where they can get relief. 
 Hence the opposition to the system, and uniform abuse of those 
 who practice it. The sick are often prevented from using 
 this important remedy because their physician declaims viru- 
 lently against it. The same opposition is encountered by pa- 
 tients who change physicians even in their own towns. This eve- 
 ry one knows. The war of words against an itinerant doctor is 
 no more violent than often between those practicing in the same 
 town, and invalids should receive these missels with a liberal 
 allowance for prejudice. I have no competition with any one, 
 neither do I suppose that our speciality in practice, treating chron- 
 ic disease of the Lungs, Stomach and Liver, ought to arouse the 
 ire of those who are more generally employed in treating ac- 
 cute disease. There is a spirit of Ishmaelism in the profession 
 much regretted by the educated and honorable part. But I in - 
 tended only to call the attention of invalids to these facts, not 
 to elaborate them. 
 
 There is one source of opposition which is more general and 
 I notice it as the 
 
 5th and last. It has failed to cure every case — failed to cure 
 those who were in the very last stage of consumption. That 
 is just what any common-sense man would expect. There 
 would arrive a stage in every disease, if uncontrolled, that would 
 be incurable. The fevers of our climate, inflammations, cholera, 
 <fec., become obstinate or perhaps utterly incurable by continu- 
 ance, when, if treated in the first stage, they would readily yield 
 to appropriate remedies. Is not this true ? Again, long be- 
 fore Inhalation was used perhaps in these unfavorable cases, 
 every physician of note had been employed — after that every 
 " patent medicine," from " Brandreth's Pills " down, including 
 every whim of the ignorant — then, forsooth, inhalation was 
 
42 
 
 also tried and failed ! And it always will fail, and everything 
 else, if deferred till this stage is reached. A teaspoonful of 
 hive syrup might cure the croup in a child, if given in time; 
 but if deferred till a false membrane is formed, that nor any 
 other remedy would be very certain to do so. 
 
 It should be remembered that not one patient in a thousand 
 uses inhalation as his first remedy, but most generally the last. 
 A physician claims he can cure Cholera; "give him a trial," 
 say the " brethren," " we have one here — a genuine case — been 
 in the collapsed state two or three hours." Would it be a fair- 
 test of the virtue of a remedy if it should fail in such a case as 
 this? On the same principle we here may say if Dr. Tucker 
 cures such a case of consumption, w r e will apply ! for our cases 
 are not so bad as this. While waiting thus for a period of one, 
 two or three months to see how other cases terminate, (when I 
 have given no encouragement,) those very cases may pass the 
 curable stages. Such is the strange medley of human reason- 
 ing when life and all its interests are pending upon a prompt 
 decision! 
 
 The insidious progress, however, of this disease — the uniform 
 indifference of its victims to the early warnings and premonito- 
 ry symptoms, is an apology for what otherwise would appear 
 even paradoxical. 
 
 Again, it is said that some have used inhalation, not so far 
 advanced in the disease, without being cured, or benefitted. 
 On enquiring I have found that they used it only a few weeks, 
 and it was not prescribed by one skillful in the practice, to- 
 gether with the many defects pointed out above, — too large 
 doses — vapor too hot, &c, and being unconnected with consti- 
 tutional treatment. Of course, under these circumstances, it 
 would fail to cure. Many patients are impatient for the cure 
 
43 
 
 of their disease, and if the symptoms are not readily better in' 
 a week or two, the remedy is exchanged for another which is 
 likewise discontinued before the nature of the case admits of 
 material improvement. [See " Reasons why Patients are not 
 cured."] 
 
 In presenting my constitutional remedies I shall explain them 
 in the order in which they are placed on the bills of directions, 
 after which the symptoms of each disease will be given in a 
 very plain and condensed manner, with the numbers indicated 
 for their cure. 
 
 "No. 3. This remedy is a gentle tonic and stimulent, well 
 suited to the ordinary forms of debility, unattended with in- 
 flammation, or irritation of the mucus membrane of the stom- 
 ach. Liquors however are not admissible in most cases of dys- 
 pepsia, and not at all in nervous diseases, when there is heat 
 across the top of the head, a burning sensation in the stomach, 
 or tenderness externally. This number may be used after in- 
 flammation and irritation has been subdued ; also in the advanced 
 stages of Consumpiton and Bronchitis, when the system is en- 
 feebled by excessive expectoration. This powder may be put 
 into one pint of Brandy or pure Rye Whiskey which will dis- 
 solve its medical properties. 
 
 Directions. — The usual dose is a tablespoonful, either be- 
 fore or after meals as best agrees with the patient. Those 
 who are very weak may use smaller doses, and oftener, or occa- 
 sionally between other medicines if they feel exhausted. When 
 Cod Liver Oil is prescribed, this Number may be. used with it. 
 
 The dose should always be mixed with a little water, and 
 sweetened when taken if preferred. 
 
 No, 4. Is designed to increase the nutritive powers of the 
 
44 
 
 System and supply the waste of the earthy elements, which in 
 the state of health are known to exist in the blood in a defi- 
 nite proportion. This, in combination with Cod Liver Oil con- 
 tains the elements deficient whenever tubercles are being form- 
 ed in the Lungs or elsewhere. They must be used together and 
 continued until the body begins to increase in weight, and for 
 four or eight weeks after. Using this combination a few weeks 
 only will do no permanent good, but months are required to 
 develope its powers over tubercle and emaciation. Salt or spir- 
 its conceal the nauseous taste, and when taken from one to two 
 hours after meals seldom disagrees with the stomach. 
 
 Directions. — Put this into a pint of Cod-Liver-Oil, and 
 shake well every time it is used. Dose of the oil — a table 
 spoonful to be taken three or four times a day, from one to two 
 hours after meals. 
 
 No. 5. This number is especially indicated in affections of 
 the throat, such as ulceration of the fauces, or upper part of 
 the throat, loss or weakness of the voice, dependant upon 
 chronic inflammation of the Lungs. Also in chronic Bronchi- 
 tis, when the expectoration is profuse and adhesive. It may 
 be used night and morning; about half a teaspoonful placed 
 upon the tongue and allowed to dissolve, swallowing slowly, so 
 that it may adhere to the diseased part. This is seldom used as 
 a single remedy, but usually in connection with other remedies. 
 When given without special direction, it is to be used from be- 
 ginning of treatment. In that form of u sore throat " which 
 attends the advanced stage of Consumption, it is not as benfi- 
 cialas No. 25 or No. 32. In bronchial diseases, attended with 
 hoarseness, or change of the voice, No. 5 is a valuable reme- 
 dy. It removes the soreness, assists expectoration and renders 
 
45 
 
 pain less frequent in the upper part of the chest. It should be 
 kept in a tight jar or bottle, a quinine bottle is convenient for 
 that purpose. When too much is taken it may produce a very- 
 slight nausea or dizziness; I mention this because the size of 
 teaspoons are so variable. The ordinary, or smaller size is al- 
 ways intended. 
 
 To prepare No. 5 for use, the contents of the vial should be 
 thoroughly mixed with three ounces of fresh butter and four 
 ounces of fine w T hite sugar, and be beaten well together. 
 
 Dose. — From one-half to one teaspoonful. 
 
 No. 5 B. P. is designed for an entire different class of 
 symptoms. It is applicable to the coughs of old people, atten- 
 ded with rattling in the lungs, and profuse expectoration, and 
 in every form of chronic bronchitis, unattended with inflamma- 
 tion ; also in Laryngetis it operates like the above No. 5, but is 
 more active. It should be prepared in the same way and taken 
 in the same doses as the above. 
 
 No. 6. This combination is peculiar in its effects, and may fill 
 a number of indications. It is intended to allay pain and all 
 irritation, to procure sleep, quiet cough, restrain profuse expec- 
 toration, check bleeding of the lungs and diarrhoea. All of 
 these effects may be obtained from these pills by varying the 
 time and dose. To procure sleep, take one at bed-time ; to al- 
 lay cough, take one every three, four or six hours; to check 
 hemorrhage of the lungs, take one every hour or two; to check 
 diarrhoea, take one every two hours; — if that is not sufficient, 
 take two every two or three hours. Thus by varying the time 
 and dose, No. 6 meets a variety of very important symptoms. 
 A little diluted vinegar, taken at intervals during their use, in- 
 creases their effect. 
 
46 
 
 While taking No. 6 for a diarrhoea, any other number you 
 may have been using should be omitted until the bowels be- 
 come regulated. The diet may be simple : a little toast, boiled 
 milk, &c. But no meats or solid food should be allowed. 
 
 No. 7 . Is a constitutional alterative, acting upon the 
 glandular system and secretions generally, especially upon the 
 liver, kidneys, spleen, blood and skin. It is indicated in chronic 
 inflamation, torpidity, or enlargement of the liver, in jaundice, 
 rheumatism, with swelling of the joints, all cutaneous affections 
 attended with ulceration, and in all depraved conditions of the 
 blood dependant upon a sympathetic taint, or other impurities, 
 — but not in scrofula, unless the liver is involved. No. 7 
 should be used with No. 12, whenever there is obstinate con- 
 stipation of the bowels. These numbers (7 and 12) are to be 
 taken at night, and therefore do not conflict with any others 
 which are used through the day. 
 
 Directions — Take one pill of No. 7 at bed-time. 
 
 No. 8. Is an efficient remedy in certain forms of bronchial 
 disease. In the cough of old people, which perhaps has ex- 
 isted for years, attended with a profuse expectoration of a thick, 
 giary or tenacious phlegm or mucus — a great effort being 
 required to raise it, — also in every form of asthma or 
 phthisic, where the patient is much debilitated, and in chron- 
 ic bronchitis unattended with accute pain in the chest or any 
 especial inflammatory action. It improves the appetite, assists 
 digestion, and invigorates the general health- — opperates favor- 
 ably upon the liver and urinary organs, and dissolves urinary 
 calculi (gravel) when the the sediment of the urine has a white 
 appearance, and feels like fine sand when the finger is rubbed 
 upon it. 
 
47 
 
 Directions — Take from 20 to 40 drops three times a day 
 in two teaspoonsful of water. 
 
 No. 9. This is a constitutional alterative, mild in its ac- 
 tion and certain in its results ; — -in these respects much resem- 
 bling No. 7. 
 
 It may be given in all glandular enlargements, or inflamma- 
 tion of the liver, spleen, kidneys, tonsils, <fcc. — in the early stage 
 of consumption, bronchitis, sore throat, jaundice, asthma, rheu- 
 matism, diseases of the skin. It is a positive remedy in consti- 
 tutional syphilis, scrofula, and all depraved conditions of the 
 secretions and blood, from whatever causes they originate. This 
 remedy is not admissible in cases of great debility, or when 
 night sweats or diarrhoea have supervened. This number forms 
 a valuable liniment for enlarged glands, swollen joints, tumors, 
 &c, by adding to it from one to three ounces of alchohol, and 
 applying it night and morning. Whatever effect it has upon 
 disease will be permanent. No sudden change should be ex- 
 pected from any constitutional remedy. Time is required to 
 change the action of deranged organs, and to free the system 
 from long existing impurities. This remark applies to every 
 general alterative. 
 
 No. 9 shonld not be given w T hen the stomach is irritable or 
 dyspepsia exists, but if indicated, first restore the stomach with 
 other remedies. 
 
 Directions — Dose from 5 to 1 drops three times a day in 
 a wine-glass full of sweetened water. 
 
 No. 10. The annals of medicine do not furnish a prepa- 
 ration equal to this. It is a remedy of general application in 
 chronic diseases of the stomach, liver, kidneys, bladder and bow- 
 
48 
 
 els. The product of its reaction in the stomach is a chemical 
 substitute for the grastric juice, and allays irritation of the mu- 
 cus membrane of that organ, not as an anodyne, but from its 
 soothing or healing properties. It prevents acidity, and neu- 
 tralizes calculi in the biliary ducts, or urinary passages, when 
 of the peculiar character, which is known by the sandy sedi- 
 ment in urine being reddish, or of brick color. When the liv- 
 er is the seat of sub-acute or chronic inflammation, with a defi- 
 cient secretion of bile, (which is often the case in dyspepsia,) 
 No. 10 is a powerful remedy, and operates effectually upon 
 both of these organs. And as disease of the kidneys is almost 
 invariably an attendant upon affections of the former organs, by 
 reason of their physiological connections, it likewise reaches 
 them and the bladder. No one remedy has more general ap- 
 plication in all diseases of the above organs than No. 10 given 
 in unison with No. 7. 
 
 It is impossible thai any bad or unpleasant effects should re- 
 sult from its use, even in triple the doses ordered. A safer 
 remedy, or more effectual, was never administered in the dis- 
 eases above refered to. Cases even of extreme debility will 
 bear it, as it cannot dirturb the most delicate nervous systems. 
 From a long series of observations, I fully believe that dyspep- 
 sia, with irritation of the stomach and chronic inflammation of 
 the liver, with deficient secretion of bile, would, in eight 
 cases out of ten, be radically cured by this remedy alone, if 
 persevered in. I have had personal experience with it, and know 
 that its virtues are not overrated. The full dose after the first 
 or second week may be used. 
 
 Directions — Put the contents of the box No. 10 into a 
 half pint of hot water and stir constantly until it is all dissolved, 
 and then add one pound of sugar, and raise to the boiling 
 
49 
 
 point. In cold weather one-half a pound of sugar is sufficient 
 to keep it from souring, but sufficient water should be added 
 so that it will measure just a pint when prepared. Dose — from 
 one-half to a table spoonful three times a day before meals ; to 
 be taken in a little cold water. 
 
 No. 11. This number is designed to fill a particular in- 
 dication although it will admit of a general application in dis- 
 eases dependent upon general debility. Cases occur where the 
 nervous system is debilitated and irritable, the blood deficient 
 in the carbonate of iron — there are transient, nervous chills, 
 frequently " hot flashes," mistaken for fever — spasms in a very 
 mild or severe form may occur ; the patients are always greatly 
 alarmed, constantly dwelling upon all the unfavorable symp- 
 toms and aspects of the case, &c. They generally complain of 
 a hot or cold sensation across the top of the head, with pains 
 and bad feelings " too numerous to mention." They have a 
 confusion of mind, loss of memory, &c. These are, for the 
 most part, female patients, but the affection is common to both 
 sexes. There is a wide difference between that peculiar condition 
 of the system which produces the above symptoms, and similar 
 symptoms attendant upon other diseases. Both physician and 
 patient often fail to discriminate or make this important distinc- 
 tion. I have no doubt but this fact alone has given currency 
 to the flimsy superstition that " nervous diseases are incurable." 
 Therefore, No. 1 1 is prepared with reference to this peculiar 
 condition of the nervous system. 
 
 It must be used for at least four or five weeks, and then fol- 
 lowed by 29 or 28. 
 
 Female patients having the above symptoms, frequently have 
 
50 
 
 also Leucorrhoea, deficient, excessive or painful menstruation for 
 which affections this remedy is likewise very efficacious. 
 
 Directions, — Put the contents of this vial in a four ounce 
 vial and fill it half full with water, then fill it up with molasses 
 and shake till well mixed. Dose from a half to a teaspoonful 
 three times a day. Shake before using. 
 
 No» 12. This pill has been prepared with special refer- 
 ence to the several distinct processes of nutrition, from the 
 time the food is taken into the mouth until it is ultimately de- 
 posited as " flesh and bone." Its effect upon the stomach and 
 liver is much the same as No. 10, but its action upon the bow- 
 else is quite different, It is designed in its sensible operations, 
 so far as the patients can at first perceive, to remove costive- 
 ness. I have not space to go further into detail of effects than 
 this. By cos'iveness I do not simply mean that the discharges 
 are hard. Some unacquainted with these matters think that 
 to be the meaning of the term. But by costiveness is under- 
 stood; that the evacuations are either, 1st, harder than natural, 
 or much less in quantity ; 2d, the bowels may move da'.ly yet 
 not have free or full movement; 3d they may not be regularly 
 moved, varying from two to eight or ten days. Hence quart- 
 tily and regularity are distinct points for observation. 
 
 These pills will positively cure constipation in any case not 
 dependent upon organic obstructions, if properly used. They 
 are not to be taken as physic. Purgatives irritate and weaken 
 the bowels, and increase the difficulty they are given to obviate. 
 
 Directions. — Begin with (me or two pills at bed-time — if 
 the bowels are moved during the next day, then take only one 
 pill for one or more nights,— then a half a one — then a quar- 
 ter of a pill, and continue until the evacuations are natural in 
 
51 
 
 quantity and occur daily. When two discharges are had in one 
 day the dose should be lessened. In very obstinate cases No. 
 7 may be used with No. 12. The latter can be used with any 
 other medicine. 
 
 No. 13. This number is designed for loss of tone of the 
 stomach, unattended by irritation. It improves the appetite 
 and aids digestion, and invigorates the general system. — 
 These drops destroy acidity and strengthen the stomach and 
 nerves — improve the natural functions and enrich the blood, 
 though they are not so well borne when the tongue is 
 " furred," or the stomach tender upon external pressure. They 
 are especially indicated in the " Whites," chronic irritation of 
 the urinary passages, and in that form of chronic diarrhoea, not 
 attended with pain. Also in chlorosis an anema of females, 
 deficient menstruation or obstruction of the courses. In all 
 such cases, No. 13 is a very prompt and efficient remedy. Pa- 
 tients who are pale, feeble, nervous and dyspeptic will often find 
 such symptoms entirely removed by this member alone. 
 
 Directions — Dose from 10 to 15 drops, three times a day 
 before meals, taken in a half a glass of sweetened water. 
 
 Nc. 14, This is the first Pathogenetic remedy I prepared, 
 and from the prompt, decided and permanent effects obtained, 
 I was induced to pursue the investigation. The principle once 
 established, every stage of investi.ation and trial was alike suc- 
 cessful, and has resulted in the elaboration and system atizati on of 
 the "Pathogenetic Practice of Medicine." I first prepared No. 
 14 in 1847, since which time I have used it as an anti-dyspeptic 
 remedy with the most extraordinary results. It is no arrogance 
 in me to say that I have since been favored with a larger local 
 
52 
 
 practice in medicine and surgery, than is often had short of that 
 period in professional life, when favorable collateral circumstan- 
 ces exert an influence and gray hairs command that respect 
 which gives to the title of the " Old Doctor" the supremacy of 
 confidence. During my practice, I have never prescribed this 
 number (for a faithful patient) without the most positive and 
 permanent benefit — curing cases which had resisted all other 
 treatment for many, even ten or twelve years. 
 
 This number cures acidity and bloating of the stomach, 
 " belching of wind, " allays irritation, restores tone to the digest- 
 ive organs, regulates the bowels, enriches the blood and strength- 
 ens the nervous system. It is especially suited to cases enfeebled 
 by long continuance of dyspepsia — who are pale and emaciated, 
 but without fever, except from mere nervous irritation. If the 
 tongue be dry, and unnaturally red, other numbers should be 
 be given first till these symptoms are removed. No. 14 will 
 not disagree with the most delicate stomach. At first there 
 may seem to be an increased fullness of the stomach or head, if 
 so, take a smaller dose for a few days, then the full dose will be 
 borne. 
 
 Directions — Dose, from a half to an even teaspoonful three 
 times a day, before meals, in cold water. 
 
 No. 15- This number is especially designed for the 
 "whites" or Leucorrhoea of females, chronic inflammation of the 
 vagina and neck of the womb. In these mucus discbarges no 
 remedies act with so great promptness. The whites can be 
 cured, and permanently so in a short time. Prolapsus, or fall- 
 ing of tho womb, depends upon chronic inflammation, and the re- 
 laxation of the broad ligaments occasioned thereby permits this 
 organ to change its natural position, merely from its own 
 
53 
 
 weight. Chronic inflammation is the true cause of Prolapsus, 
 and can only be cured by removing irritation, for strength can- 
 not be imparted to any organ or limb while any degree of in- 
 flammation be present. Medicines applied to the mouth or 
 neck of the womb, approache as near the seat of the disease as 
 is possible. The neck of the womb often becomes diseased from 
 polapsus, and requires local treatment, or, the inflammation be- 
 ginning there may extend to the ligaments, and thereby pro- 
 duce prolapsus. 
 
 Again, the seat of that affection, known as the " whites " is 
 found to be at and around the neck of the womb, and often de- 
 pends upon ulceration of those parts. Ulceration is more fre- 
 quent than has been heretofore supposed. Never, till the spe- 
 culum was introduced for the treatment of vaginal and uterine 
 diseases was this fact fully established. A thick, yellow, or of- 
 fensive secretion, either with or without being tinged with blood, 
 is quite positive evidence of ulceration. 
 
 For all of these discharges, whether merely an increased se- 
 cretion of mucus or purulent matter, from an ulcerated surface, 
 the preparations of No. 15 will effect a radical cure, when pro- 
 perly and perseveringly used. The success of treatment, how- 
 ever, depends upon the adaptation of the instrument, and the 
 skill with w T hich it is employed. The " curved womb syringe " 
 — (glass) one that will hold from two to four ounces — is the 
 only suitable instrument. The curvature is adapted to the parts, 
 the point being carried up against the mouth of the womb. 
 The patient should use it only in the recumbent posture, lying 
 with the hips well raised, so that the fluid will reach and re- 
 main in contact with the diseased parts. This fluid may be 
 used either cold or slightly warm, (cold is generally best) and 
 retained a few minutes in the Vagina. 
 
54 
 
 These proportions of No. 1 5 will also cure any case of Gon- 
 orrhoea (or clap) in females. In this disease they must inva- 
 riably be used cold, and injected night and morning. The 
 parts must be kept constantly saturated with the liquid, by wet- 
 ting a small piece of cloth and laying it on the external orifice. 
 In using the syringe for the latter disease (Gonorrhoea) the 
 point of the instrument should not be introduced more than 
 one inch into the vagina. 
 
 Directions.— -Put the powder (No. 15) into a pint of rain- 
 water and keep it well corked. 
 
 No. 16. This powder has but one indication, viz; to 
 check uterine hemorrhage, and increased or too frequent men- 
 strual discharges. For hemorrhage, it may be used every two, 
 three or four hours, until the desired effect is obtained. In too 
 frequent or profuse menstrual discharges it may be used thus : 
 After the courses have been on two or three days, then be- 
 gin with the medicine, taking a dose every four, six or eight 
 hours, until they are stopped. Do the same way the next 
 month and the courses will then only appear at the usual pe- 
 riods, that is, once in a lunar month. No woman need have 
 her strength exhausted, and constitution destroyed by profuse 
 or too frequent menstruation, if she will use this remedy. 
 
 Directions. — Put this powder (No. 16) into one half a tea- 
 cupful of vinegar and fill the cup full of water. Stir till dis- 
 solved. Dose — One tablespoonful as above directed. 
 
 Wo. 17. In this number is combined very extraordinary 
 properties, and it will invariably produce the effects here ascribed 
 to it, possessing, as it does, anti-periodic and tonic properties, it 
 is indicated in the chills, and hectic fever attendant upon Con- 
 
55 
 
 sumption, and chills and fever of this type, from whatever cause 
 produced. There is often hectic fever without chihs, or at least 
 those well marked. In all such cases these pills are as effectual 
 in curing the fever as when attended with chills. 
 
 They are a potent remedy when there is great debility from 
 long continued disease of the lungs — Bronchitis, or common 
 ague, and intermittent diseases of this climate. They are tonic, 
 anti-periodic, and anti-spasmodic, enriching the blood and im- 
 proving digestion, and the nutritive function generally. Nor 
 do they contain quinine or anything which can affect the sys- 
 tem unfavorably. They will be borne when quinine or mineral 
 tonics cannot. 
 
 Directions. — For hectic chills and fever, take two pills three 
 times a day until the chills are broken. For chronic ague, or 
 chill-fever, two pills may be taken every three hours during the 
 intervals or well days, until eight pills are taken, and repeated in 
 the same way at each interval until the disease is removed. 
 
 No. 18. This plaster contains neither tartar emetic or 
 Spanish flies — is far less tedious to bear, and much more effec- 
 tual than either — discharges more than a blister, and may be 
 kept running for weeks without becoming, like tartar cores, hard 
 to heal. A more effectual counter irritant was never applied. 
 It may be used for any local pains, either in the sides, breast or 
 back. When there is pain in the region of the Liver, Spleen, 
 or Kidneys, this plaster should be constantly worn thereon, 
 changing it from place to place, as it becomes too sore. The 
 pain in the breast or chest in the incipient stage of Consump- 
 tion is not only relieved by it, but the disease itself may fre- 
 quently be arrested. It may be used in any stage when there 
 is pain either accute or less severe and more persistent. 
 
56 
 
 The same remarks apply to any stage of Bronchitis; for here 
 counter-irritation, rightly managed, is one of the most potent 
 remedies we possess. A marked improvement in the cough 
 and expectoration follows, when a free and continual discharge 
 has been produced from the upper portion of the chest. In all 
 diseases affecting the respiratory organs, its use cannot be too 
 strongly insisted upon — in Chronic Laryngitis, or inflamma- 
 tion of the larynx, known by a change in the voice, hoarseness 
 of every degree, from the slightest to a mere whisper, or total 
 loss of the power of speech. In this latter affection No. 18 is 
 in no case to be omitted. The very earliest symptoms of dis-' 
 ease of the respiratory organs demand immediate attention. 
 The neglect of this first warning of the approaching disease, 
 has co-t the lives of thousands. As I have elsewhere remark- 
 ed, Consumption is often " seated," (as is commonly expressed) 
 long before the patient feels any alarm. This fact alone fully 
 answers the oft asked question — " Why do so many die of lung 
 disease ? The slow and insidious progress of lung diseases appear 
 to induce stupidity and indifference in its marked victims. I re- 
 peat then — Why do so many die of diseases of the throat and 
 lungs ? The truthful answer is — the patient neglects to apply 
 for treatment in the first stages, aud not because physicians 
 are unskillful and their remedies powerless. I feel it my duty 
 to be emphatic upon this point, because patients so generally 
 overlook it. A few weeks may render a curable case an in- 
 curable one. Then the physician is censured for lack of skill, 
 and medicines discarded as useless, or even injurious, and the 
 ignorant will declare with due gravity that death was hasten- 
 ed by its use ; just as though they, or even a doctor could know 
 how long the patient would have lived without the use of 
 medicines ! When a physician fails to cure or benefit patients 
 
57 
 
 having a justly alarming malady, two accusations are sure to 
 be made by unmedical persons : 
 
 1st. That the doctor does not understand his profession and 
 the disease ; or, 
 
 2d. That his system or mode of practice is wrong or inju- 
 rious — when the real cause of its fatal termination was the neg- 
 lect and indifference of the patient to attend to his case before 
 it became " everlastingly too late." 
 
 Directions — Spread the plaster (No. 18) on thin leather, 
 two or three inches square, and apply it over the seat of pain, 
 or where there is tenderness. Renew the plaster every two or 
 three days until you have kept it discharging, till the part be- 
 comes too sore to be borne longer; then apply the slippery 
 elm poultice if necessary. 
 
 No. 1 9. This number is an anodyne, strengthening plas- 
 ter. It allays pain, supports and imparts tone or strength to 
 the part to which it is applied. It especially relieves that pain 
 in the back, hips and legs, of which females so frequently 
 complain. It may also be beneficially applied over the stom- 
 ach, or between the shoulders for pain or weakness in those 
 parts. 
 
 Directions — Warm and spread it on a piece of thin leather, 
 three or four inches square, renewing it occasionally. 
 
 No. 20. This is a tonic alterative, and a special stimu- 
 lent or promoter of the menstrual function. It is used for de- 
 ficient, irregular, suppressed or painful menstruation, and for 
 no other affections. When the courses are attended with great 
 pain, begin with these pills two or three days before they are 
 expected,J and omit them as soon as they appear. If the 
 
58 
 
 courses have longer intervals than natural, begin with the 
 pills three or four days before they should appear. For sup- 
 pression, No. 20 may be used until regularity is established. 
 Directions — Take two pills three times a day, before meals. . 
 
 No. 21. The medical properties of this number are sim- 
 ilar to No. 9, and differ only in this particular : It possesses 
 special tonic properties, superadded to the alterative qualities 
 of that number. In remarking upon No. 9, we said it was 
 not suited to the stages of debility in the severest types of 
 disease, requiring its employment, but should be given in the 
 febrile stage. The class of diseases there spoken of, often 
 reaches the stage of debility \ then No. 21 takes the place of 
 No. 9. The importance of this number (21) will be readily 
 perceived. It may be given early, even before there are night 
 sweats or obvious emaciation, In Consumption and Bronchitis, 
 as soon as puss is expectorated, (which may be generally 
 known by its sinking in water.) This remedy should be used 
 also in jaundice, enlargement of the liver or spleen, scrofula, 
 and in all those cases which show evident signs of failing 
 health, with a sallow, dingy skin, loss of appetite and enfeebled 
 digestion, Rheumatism and Dropsy ; in anema of females, known 
 by a peculiar pallid hue of the countenance, pale blue lips, 
 &c, in Leucorrhcea, deficient, suppressed, or irregular menstrua- 
 tion, &c. It seldom disagrees with the stomach, yet there are 
 peculiarities of constitution in which this number is not so well 
 borne. This fact is observable with many medicines, but I have 
 not found any other Pathogenetic remedy to disagree with the 
 most delicate stomach. When No. 21 is not well borne, there 
 is inflammation present, or great nervousness — a peculiar condi- 
 tion of the nervous system, similar to Hysteria. But in all other 
 
59 
 
 cases it is well borne — a marked improvement following its use. 
 Many cures, especially those where there exists a manifest defi- 
 ciency of red globules in the blood, require it for several weeks 
 at a time. 
 
 Directions — It should be taken in half a tumbler full of 
 sweetened water. Dose from 15 to 20 drops three times a day, 
 before meals. 
 
 Slo. 22. Is a constitutional alterative, specially stimulating 
 to the absorbant vessels, the muscular and sero -fibrous structures 
 — those tissue immediately surrounding and lining the joints and 
 investing the heart and brain. It is an anti- rheumatic preparation, 
 and designed for every form of this disease, after the acute stage 
 has passed. It may be used at any time after the ninth day's 
 existence of this affection. When the joints become swollen 
 stiff, with great weakness, or, when wandering rheumatic pains are 
 present, this number will be found to be an invaluable remedy. 
 
 Directions — Take two pills three times a day, for one week; 
 then omit a week, and so on. When they move the bowels too 
 much they should be omitted for a day or two. 
 
 NOi 23. This remedy was prepared in accordance with 
 new views of the cause of what is usually termed "night sweats" — 
 a profuse colliquative perspiration supervening the advanced stage 
 of Consumption, and commonly attending the stage of debility in 
 every constitutional disease ; and occurring during sleep, wheth- 
 er at night or day. Night sweats have generally been treated 
 by internal medicines of the most powerful nature, which often 
 not only fail to check or remove it, but injure the coats of the 
 stomach by being too long continued. Mineral acids never, in- 
 ternally or externally used, are reliable, prompt or permanent in 
 
60 
 
 their effect. I give no internal medicine for this peculiar affec- 
 tion. The contractile power of the cutaneous exhalants (or 
 pores in the skin) is merely relaxed — admitting an increase in 
 the flow of the watery part of the blood through them. With this 
 is evaporated a vast amount of animal heat which the vital 
 forces at this stage are inadequate to supply ; and consequently 
 rapid prostration ensues. The indication in these cases is to 
 strengthen the skin, contract the pores to nature's standard of 
 elimination, and restrain the serum of the blood and animal 
 heat within the system to aid in performing the function of life. 
 
 In No. 23 w T e have a specific for "night sweats." Never has 
 it been known to fail when properly and perseveringly used. I 
 believe that it so effectually protects the life-fire and life-water 
 of the system that it would prolong or add from three months 
 to a year to the lives of those who are incurable. 
 
 Directions — Dissolve the powder No. 23 in one quart of 
 rain water, and bathe or sponge the entire body, rubbing brisk- 
 ly, every six or eight hours, according to the urgency of the 
 symptoms, until perspiration subsides. The surface needs only 
 to be wet — more than this is not needed : it should be applied 
 while the patient is covered in bed, to prevent chilliness, and any 
 time, even when the patient is sweating ; nor ought the surface 
 to be wiped at all after the bathing. 
 
 No. 24. The primary action of this number is to remove 
 inflammation of particular structures. It effects this object by 
 stimulating the absorbents and facilitating the excretion of wa- 
 ter from the system. Hence its application in different forms of 
 dropsy, especially of the abdomen. In the early stage of 
 dropsical affection, more or less febrile or inflammatory action is 
 present. This remedy subdues the inflammation, and removes 
 
61 
 
 the effused fluid, in whatever cavity or tissue it may have accu- 
 mulated. In rheumatism of the joints, in the early stages, it 
 acts promptly and efficiently. Also in acute rheumatism, or 
 inflammatory disease of every kind, it is equally applicable and 
 efficacious. 
 
 Directions — Put the contents of this vial into one pint of 
 water, if there be marked fever present — if not, use the same 
 quantity of gin or rye whiskey. Dose from one-half to one table 
 spoonful, three times a day, in half a pint of water-gruel, or slip- 
 pery-elm water. If diarrhoea occurs, check it with laudanum 
 or omit the remedy a few days, It is seldom necessary to con- 
 tinue it more than a week at one time. 
 
 No. 25 • Gargling the throat is a useful mode of apply- 
 ing remedies in inflammation of the mouth, tonsils, palate or 
 uvula, and fauces or that part lying back of the palate. Inflam- 
 mation and ulceration are of frequent occurrence in these parts, 
 inducing cough, laryngitis, (loss of voice) and will invariably 
 terminate in bronchitis and a fatal affection of the lungs, if they 
 are permitted to progress or remain uncured. The frequency 
 of these throat affections is truly surprising, and their absolute 
 tendency to terminate in the disease above mentioned is a well- 
 established fact. 
 
 Consumption originating in dyspepsia invariably manifests 
 the first symptoms here. I have examined many thousands of 
 cases, and in all, when the digestive organs were primarily af- 
 fected, ulceration of the throat was present, and beginning there 
 rapidly extended from the continuity of surface to the respirato- 
 ry organs. This fact deserves the early attention of every per- 
 son having dyspepsia. Ulceration may exist without the least 
 pain, as we have found in repeated cases. When there is con- 
 
62 
 
 stant accumulation of phlegm in the throat, and an inclination 
 to u hauk," or clear that part, not really a cough, but com- 
 monly termed " hemming," that symptom calls for immediate 
 attention. Many cases that have terminated fatally, might have 
 been saved had this simple suggestion been observed. Within 
 the last three months I have examined many cases in whom 
 this symptom existed, and yet the patients had paid no atten- 
 tion to it, nor would they believe that it was the ueed of a fatal 
 malady ; or, if they did, they consoled themselves in the faith 
 that there was " time enough yet." Say they — " We have no 
 cough, only a little phlegm gathering in the .throat, and that 
 not much sore." Well, it will never feel much sore until con- 
 sumption is established. The low form of inflammation in 
 these parts is never productive of acute pain. We have known 
 •cases where the fauces were ulcerated as far as could be seen, 
 and yet the patient felt no special soreness, and was not at all 
 aware of the fact. If you would prevent the fruit, you must 
 destroy the bud ; it is an easy matter to change the channel of 
 a rivulet, but who can dictate the course of the mighty river ? 
 We know that these throat symptoms are small for so lengthy 
 observation, yet it were wrong in the physician not to give the 
 patient full warning of the ultimate tendency of disease, how- 
 ever mild the first symptoms might seem. 
 
 Directions — Put this powder (No. 25) into half a pint of 
 rain water, with two or three teaspoonfuls of vinegar — in cold 
 weather a little syrup or honey may be added ; in warm weath- 
 er, sweeten the dose when used, as otherwise it would soon 
 sour. Gargle the throat two or three times a day about one 
 hour after meals, and take no drink for a time afterwards, so 
 that the medicine may adhere to the affected part. It can do 
 do harm if swallowed, still its use is only local for the throat. 
 
63 
 
 This remedy is always to be used from commencement of treat- 
 ment, so likewise are all the remedies when not otherwise di- 
 rected. 
 
 No. 26 This ointment is designed for obstinate eruptive 
 diseases, unattended with acute inflammation, and may be re- 
 garded a sure remedy for "running tetter," scald head, salt 
 rheum, " ring worm," scrofulous ulcers and all chronic skin dis- 
 eases. 
 
 Directions — If there is a large surface diseased, apply it on 
 a part at a time, or on one place at night, and on another part 
 the next night, and in this manner until the sores are healed. 
 Apply it only once in twenty -four hours for a week, then omit 
 a few days, and if necessary use it again. When applied to the 
 hands they should be washed in the morning with warm, soft 
 water, and a little fresh butter or sweet oil applied, to keep the 
 skin soft. 
 
 No. 27. This number is tonic, anti-periodic and alterative. 
 It supplies a desideratum in remedies for certain types of ague 
 and intermittent neuralgia. The third day, and protracted agues 
 which have resisted the usual remedies — frequently returning 
 upon slight exposure, — this number speedily cures. 
 
 Directions. — The dose is from six to ten drops three times 
 a day, for five or six days — then omit the same length of time, 
 and take as before. Take it in half a glass full of sweetened 
 water. The bowels should be kept freely open during its use 
 with pills No. 12. 
 
 NOi 28. Many important indications are filled by this 
 number; it approaches as near a catholicon as any one com- 
 
64 
 
 pound can. Still the spirits used to dissolve it prevents its 
 use in certain forms of nervous diseases, in which it would oth- 
 erwise be a remedy of the greatest value. Neither is it borne 
 when there is a constant burning sensation in the stomach, 
 called " heart burn," nor if there be much irritation of the 
 mucus membrane. In some of these cases it is well borne, 
 however, affoiding prompt relief. I speak thus minutely, that 
 patients may know the exact nature and effect of the medicine. 
 It is an efficient remedy in cold habits, when there is deficient 
 nervous energy, especially in females, when the stomach and 
 bowels require a gentle carminative stimulant — in that peculiar 
 condition of the liver, irritable, inactive, and not performing its 
 functions of separating the bile from the blood. Therapeuti- 
 cally it is a deobstruent, that is, it removes all obstructions from 
 the liver, procuring a healthy secretion of bile, in quantity and 
 quality, thus regulating the bowels, removing inflammation (in 
 the liver) and establishing a healthy, vigorous action in the nu- 
 tritive function. 
 
 "Weakly females, with a languid circulation, cold feet and 
 hands, feeble digestion u irregular," or suppressed menstruation, 
 will find this a valuable remedy. It is one of the four great 
 liver remedies peculiar to the pathogenetic system. 
 
 Directions. — Proof spirits is necessary to dissolve the in- 
 gredients; diluted alcohol, therefore, must be employed. Pa- 
 tients will notice that " diluted alcohol " is simply alcohol, dilu- 
 ted with water in the proportion of one part of water to two 
 parts of alcohol ; this makes what is known as <; proof spirits." 
 When you get alcohol to prepare No. 28, ask for diluted alco- 
 hol, and any druggist will understand you. 
 
 The materials should remain in the liquor one week ; then 
 turn off the clear liquor, or strain it slowly through flannel, 
 
65 
 
 until no sediment or but little, remains after the process. The 
 dose is from a half to a teaspoonful, in a glass half full of wa- 
 ter, sweetened if preferred, to be taken three times a day be- 
 fore meals. Patients having piles should not use it when they 
 are much inflamed. 
 
 No. 29. In this pill we have remedies that act directly 
 upon the nervous system, and are especially designed to meet 
 those symptoms arisiog from an irregular distribution and gen- 
 eration of the nervous fluid. This fluid or substance, (by what- 
 ever name called) is subject to the same defects, or changes in 
 its distribution, as the blood ; and at times may be generated 
 in increased, at others in deficient quantities — the great nervous 
 centres not acting in harmony, or, from irritation, with increased 
 vigor, giving rise to numberless painful, annoying, and distress- 
 ing symptoms, or sensations. Spasms, or various forms of fits, 
 are thus produced. 
 
 To equalize or harmonize the distribution with the genera- 
 tion, or production of this fluid, is the single aim of this prepa- 
 ration. In every affection, therefore, wherein nervous symp- 
 toms predominate, these pills form an essential part of the 
 treatment. Hence, in neuralgia, hysterics, convulsions, spasms, 
 or fits, 5To. 29 is an efficient and reliable remedy. Many med- 
 icines are prescribed, and extensively sold, for what is com- 
 monly called u fits/' yet no remedy possesses as great power 
 over these obstinate affections of the human system, by what- 
 ever name called, as No. 29. I do not claim tor it any specific 
 powers in epilepsy, because many cases of long standing are 
 well known to be little benefitted by medicine. It is only re- 
 cent or mild cases that I do expect to cure. Some cases yield 
 readily — others are much relieved, that is, the fits become less 
 
66 
 
 frequent, and in others no improvement whatever is experienced. 
 This is the truth, however much others may boast of specifics 
 for Epilepsy. I have aimed to avoid investing any of the 
 Pathogenetic Remedies with virtues they do not possess, and 
 rely upon the good sense of the public to make that distinc- 
 tion between candor and truth, and braggardism and quackery , 
 which characterize the recommendation of either new or old 
 remedies. 
 
 In thus briefly giving the effects of our remedies for the 
 benefit of the sick, and the symptoms or diseases they are de- . 
 signed to cure, I have stated what I know, and have proved, 
 and long since demonstrated — and no more. 
 
 That there will be occasional failures, we must expect, and at 
 the same time let us carefully trace the cause of these failures. 
 1st, The disease may have passed the curable stage; 2d, The 
 patient may not have been faithful, either from neglect or the 
 occurrence of circumstances over which he had no control; 3d, 
 the remedy not being used a sufficient length of time, in the 
 nature of the laws of life, to subdue the disease. Here are 
 three important, yes, indispensible conditions essential to be 
 fully and intelligently decided, before a medicine or system can 
 be truthfully determined — before the patient or any one else 
 knows, or has a proper right to say, that the said medicine 
 would or would not have cured the disease for which it was 
 given. Although I say that any remedies for epilepsy will 
 not cure one case in ten that have existed for three, or perhaps 
 even two years yet I do know mine are as efficient as any 
 ever known. But this disparity does not apply to any other 
 disease I treat. In those of the stomach, liver, &c, they are 
 uniformly successful, when the three fundamental conditions 
 above referred to are complied with. 
 
67 
 
 Directions. — Dose of JVo. 29, one pill thres times a day, 
 the last dose to be at bed-time. 
 
 No. 30. A medicine capable of preventing the formation 
 of urinary calculi, (or white gravel) and also of dissolving it 
 when it has already accumulated, is combined in this number. 
 In addition to its property of dissolving gravel, it exercises other 
 decided influences over the system ; it allays the pain and spasms 
 attendant upon the passage of gravel. It also relieves pain and 
 spasms from whatever cause produced ; corrects all morbid se- 
 cretions, and invigorates the general health. It strengthens the 
 sexual organs, and imparts to the system one of the most abun- 
 dant single elements of the body. 
 
 This number will be found useful in allaying the distressing- 
 thirst of diabetes, and is also a remedy for that disease. It is 
 an efficacious consti utional invigorator; hence, is applicable in 
 all cases of great debility and nervous irritation. 
 
 Directions. — Dose, from 12 to 15 drops, to be taken in half 
 a glass full of sweetened water three times a day. 
 
 No. 31. Acidity of the stomach, — a frequent rising of 
 sour, acid gas or wind from the stomach, is a general, if not a 
 universal attendant upon dyspepsia. The most that has been 
 aimed at or accomplished, in treating the symptoms, is merely 
 neutralizing the acid by the use of alkalies, such as soda, lime- 
 water, lye from common ashes, &c. They afford a present relief, 
 but never effect one cure, and their continual use inevitably in- 
 jures the coats of the stomach. The most unyielding cases I 
 have treated were such as had made free use of soda or alkalies 
 in some form. Here let me remark, that any person, physician 
 or not, who prescribes or advises the use of soda in any form 
 
68 
 
 for this symptom, knows nothing about treating the disease; for 
 it only neutralizes the acid, and has no power to prevent its re- 
 accumulation. No. 31 contains no alkali or soda, yet it has 
 the peculiar power of preventing the excessive generation of acid 
 — this is a cure. Both Nos. 14 and 31 possess the property of cur- 
 ing acidity of the stomach, and both will move the bowels slightly 
 — 31 more than 14. I do not think it possible for a person to 
 have sour stomach while using either of these remedies, unless 
 they gorge that organ, and eat as long as food " tastes good." 
 " Stuffing" a weak, irritable stomach is a sure mode of defeating 
 the action of medicines, and an infallible means of perpetuating 
 the disease. It is the habit of some persons not only to Jill the 
 stomach, but, to use expressive, vulgar parlance, literally stuff, 
 and cram it, as if they were stuffing a wool-sack. Not only 
 this, but if the appetite flags, it must be, like a weary beast of 
 burden, coaxed, whipped, or spurred up to the same labor that it 
 is capable of performing in its refreshed and most natural state. 
 A little food will sustain life better than the amount usually ta- 
 ken. We eat as though the great objecL is to gratify taste, and 
 not the highest object of life. 
 
 I have in another place asked the question why consumption 
 is so generally fatal ! We now ask why the prevalence of the 
 remark that u dyspepsia cannot be cured? " I answer, because 
 physicians will persist in giving alkalies, and tonics, neither of 
 which can cure a well-marked case, and, in nine out of ten, do 
 positive harm. Hence it has passed into a proverb that dyspep- 
 sia cannot be cured, when no conclusion was ever further from 
 the truth. Mr. Augustine Myers, whose certificate may be seen 
 in the Pathogenetic Advocate, asked me if I really pretended to 
 cure the dyspepsia, in cases that were of ten or twelve years' 
 standing. I told him I did. He took a prescription on the 
 
69 
 
 reasonableness of my explanation, and in thirty days voluntarily 
 gave me the certificate above referred to. It is now eight 
 months since, and he continues in good health. I treat the 
 stages of dyspepsia, varying the medicine to meet present path- 
 ological condirions. One preparation is not more suited to all 
 the stages of that disease, than is physic or an emetic suited to 
 the subsequent stages of a billious fever, because they are gen- 
 erally required at the beginning of treatment. No. 31 is indi- 
 cated in the more obstinate cases, where there is persistent acid- 
 ity of the stomach, a nauseous, bad taste iu the mouth, foetid 
 breath, and obstinate constipation, with bloating of the bowels, 
 and stomach, and a hot, burning sensation, by some called 
 " heart-burn." 
 
 Directions. — Take from a half to an even teaspoonful three 
 times a day, in cold water, about a half an hour before meals. 
 
 No. 32. In the preparation of this scientific compound 
 the greatest care and most diligent research has been had in 
 regard to the nature and treatment of scrofula. Heretofore 
 there has been no safe and reliable remedy offered to the public 
 for this obstinate and so generally fatal disease. The scrofulous 
 constitution is generally at the foundation of constitutional and 
 hereditary consumption. Physicians, as well as patients, have 
 long been satisfied of the inutility of the common remedies in 
 the treatment of this disease. 
 
 In the preparation of this compound the particular and va- 
 ried conditions of the scrofulous habit have been thoroughly 
 studied, and I am confident no combination is so well calculated 
 to correct the diseased humors of the blood as is 32. It is 
 truly a constitutional renovator and effects every emunctory of 
 the body in addition to its direct alterative effect upon the 
 
70 
 
 glandular system, producing the absorption of glandular 
 tumors and enlargements, and removing any inflammatory 
 action that may exist there. To adapt my language to the 
 more clear understanding of patients — it purifies .the blood, and 
 prevents those morbid changes which give rise to the local 
 manifestations of this dreaded and obstinate malady. In all dis- 
 eases dependent upon humors in the blood, no matter irom 
 what cause produced, No. 32 is superior to any other compound 
 ever proposed as a remedy. 
 
 This number is indicated in every form of scrofula, and in 
 consumption arising from that diathesis, tubercle of the mesen : 
 teric glands, in every form of cutaneous eruptions, or disease of 
 the skin — in blotches or pimples on the face- — ulcers — scaly 
 affections of the surface — and no remedy has a more beneficial 
 effect upon the blood in a syphilitic taint of the constitution. 
 In all cases requiring a constitutional alterative with an especial 
 reference to the glandular structure, it is a safe and reliable 
 remedy. In order to obtain its full effect, it should be contin- 
 ued from one to three months. 
 
 Directions. — Dissolve the contents of this box in half a 
 pint of hot water, and add a half pint of whiskey, and shake 
 well each time before using. Dose — a teaspoonful about an 
 hour after each meal in sweetened water. 
 
 No. 33. No chronic disease (not immediately dangerous) 
 is more troublesome and obstinate than piles, whether of 
 the bleeding, " blind," or external varieties. The difficulty 
 in curing these hemorrhoidal affections may be inferred from 
 the great variety of remedies which have been recommen- 
 ded and in their turn been found useless. Without entering 
 into the special details of the effects of my remedies for this 
 
71 
 
 disease, I will say that no better are put up. But no matter 
 what remedies are given, or applied, without due attention to 
 the regular action of the bowels, no remedy will do more than 
 afford present relief. Physic and constipation both irritate the 
 piles. 
 
 First. No. 33, A, is designed for irritable piles, when there 
 is great pain in going to stool, with slight discharges of blood, 
 great external soreness just at and within the margin of the 
 anus, either with or without tumors in those parts. 
 
 Directions — Apply a piece of this ointment, about the size 
 of a large pea, once or twice a day, introducing it well up. This 
 is also useful in healing scrofulous ulcers, salt-rheum, <fec. 
 
 No. 33, B. is especially des'gned for cases of great relaxation, 
 when the Piles "come down," or protrude, and remain in this 
 situation after the stool. This remedy may be applied when the 
 piles are thus protruded, or down, after which they should be 
 returned to their natural position. They must not be allowed 
 to remain down, at any time. This Pile oil corrugates the part, 
 preventing the piles from protruding, but is also a specific for 
 any form of hemorrhage from those parts. It may be applied 
 once or twice a day, just enough to oil the part affected. 
 
 The diet in these affections should be rigidly insisted upon. 
 Rye bread, or rye mush and molasses, is not only a proper food, 
 but is also a medicine, as any one will be convinced, if they try 
 it. The preparations of No. 33 will cure a large proportion of 
 ail forms of piles, and are the best remedies ever offered to those 
 afflicted with that disease. 
 
 No. 34. Dyspepsia, long continued, or more correctly speak- 
 ing, the chronic irritation and inflammation which cause dyspep- 
 sia, may result in ulceration of the villous coat, or mucus mem- 
 
72 
 
 brane of the stomach, and even the fibrous structure may also 
 become inflamed. In all such cases, No. 34 is a valuable rem- 
 edy, and is designed for that particular condition of the stom- 
 ach. This remedy acts with great certainty in all cases of de- 
 bility of the digestive organs, and in anaemia, or general debility 
 of females, who are pale, feeble, nervous and irregular, embrac- 
 ing that condition of the female system called chlorosis. 
 
 Directions — When used for the above affections of the stom- 
 ach, take one pill, three times a day, for a week, before meals, 
 then four during the day — the fourth at bed-time, for one or 
 two weeks more. In suppressed or deficient menstruation, take 
 one, three times a day, for a week ; then four a day, for two 
 weeks, and repeat them in the same manner, if necessary. 
 
 No. 35. There is a condition of the stomach, known as 
 " water brash," so called by patients, which is a sudden gush of a 
 warm, sickish fluid from the stomach, occasioning sickness and 
 vomiting. It generally comes on either at or shortly after ta- 
 king food, and the nausea induced causes the patient to vomit 
 up what food may have been taken. The patient becomes 
 weak and pale, with many other symptoms of derangement of 
 health merely from deficient nutrition. More or less disease of 
 the liver and stomach attend this affection, and dyspepsia is al- 
 most invariably present, with constipation of the bowels. 
 
 The cause of " water brash" is a weakened and irritable con- 
 dition of the mucus follicles, situated in the mouth, throat, and 
 stomach. The chemical constituents of the secretion are also 
 changed, being thin, watery, and deficient in the compounds of 
 sodium. The stimulus of the food causes these glands to throw 
 out their contents suddenly, and in too large quantities. To 
 cure this affection, the mouths of these glands must be corruga- 
 
73 
 
 ted — closed within nature's limits. Many have failed to cure 
 this disease because they did not understand its pathology or 
 cause. The medicine I prescribe (No. 35) for this symptom acts 
 directly upon these glands, and very soon checks the gushing- 
 out of this diluted secretion. 
 
 No. 35 is especially indicated in many of the diseases of fe- 
 males, such, as leucorrhoea, excessive menstruation, and in five 
 drop doses is an effectual remedy in chronic diarrhoea and dys- 
 entery, gleet, and disease of the coats of the bladder attended 
 with a mucus secretion, bloody urine, &c. 
 
 Directions. — Take from 10 to 15 drops of 35, three times 
 a day, in one half a glass full of sweetened water, just before 
 eating. Use salt freely with your food, and drink no coffee, and 
 as little of any fluid as possible while taking your meals, and for 
 two hours afterwards. 
 
 No. 36. These pills bold an important rank in treating 
 some forms of disease. They are not intended as an independ- 
 ent remedy, but to be given with other remedies, to qualify 
 their effect on very weak and irritable stomachs. It allays ir- 
 ritation, quiets pain, and in a great degree controls those rest- 
 less, anxious, and disagreeable nervous symptoms that attend 
 dyspepsia and liver affections. They relieve headache, and when 
 taken at bed-time, procure sleep. These pills never move the 
 bowels, nor can sicken or distress the stomach, but may be used 
 to remove those very symptoms. Whenever a medicine is re- 
 quired to relieve pain, or quiet the nerves, this number may be 
 used for that purpose. These pills, therefore, are an important 
 auxiliary in the treatment of a great variety of diseases, and as 
 they do not constipate the bowels, are a very desirable anodyne. 
 
 Directions. — Take from a half to a whole pill once, twice, or 
 
74 
 
 three times a day, just as the symptoms for which they are given 
 are controlled by them. They may be dissolved readily in a little 
 warm water if the patient prefers. The numbers 14, 31, and 
 28 generally are materially assisted by this,pill, given either with 
 such doses, or only at night and morning. 
 
 No. 37. This is expressly designed for pimples and blotch- 
 es on the face and hands, or any part of the body, but never 
 to be used internally. The contents of the vial No. 37 may 
 be added to one pint of rain-water, and a little piece of sponge 
 dipped in it, and the skin slightly moistened with it at night, 
 and oil or sweet cream applied to the part in the morning. If 
 the eruption be extensive, only a part of it should be wet at a 
 time; when that is cured apply to another part. (See use of 
 No. 26.) This number will cure "scald-head" — all scaly 
 eruptions, erysipelas, salt rheum, &c. 
 
 No. 38. This number is designed expressly for diseases 
 of the urinary organs, attended with gravel or calculous depos- 
 its, whether in the billiary ducts, kidneys, ureters, (those little 
 tubes which carry the urine from the kidneys to the bladder,) 
 or b' adder and urethra. But it is applicable to only one form 
 of gravelly disease, — that is of red, or brick colored variety. 
 In such cases, if the vessel be allowed to stand six or twelve 
 hours, the urine then being slowly turned off, and the vessel 
 then being allowed to dry, the sediment remaining will look 
 redisk, and feel like fine sand, when the finger is rubbed over 
 it. Cases of this kind require No. 38. It not only removes 
 the gravel, but the effects of it upon the mucus membrane of the 
 urinary passages, and the pain in discharging the urine. 
 
 Directions. — The contents of the vial No. 38 should be 
 
75 
 
 put into 24 teaspoonsful of water and shaken till all dissolved. 
 Dose — a teaspoonful in half a tumbler full of slippery-elm water, 
 from three to four times a day. 
 
 No. 39. Although many other numbers will be efficacious 
 in the treatment of Asthma, yet, No. 39 has been prepared 
 with particular reference to the radical cure of that affection, 
 and in connection with Inhalation is the general treatment of 
 this disease. It is especially intended to relieve the distressing- 
 symptoms attending a paroxysm or a sudden attack of asthma. 
 It relieves the spasm, promotes expectoration, induces per- 
 spiration, allays the cough and quiets the pam. 
 
 Directions. — Dose — from 25 to 40 drops three times a day, 
 to be taken in one- fourth of a glassful of sweetened water. 
 When the difficulty in breathing is very great, and the cough 
 tight, a dose may be taken every three hours until nausea is 
 induced. This remedy is very efficacious in every form of 
 bronchial disease, chronic coughs, and mucus expectoration, un- 
 attended with pain in the chest. 
 
 No. 40. Sick-headache is a very common and painful af- 
 fection, for the speedy cure of which this number is particularly 
 designed. It is supposed by many that this disease cannot be 
 permanently cured, but the faithful use of this number will con- 
 vince any one so affected to the contrary. I believe it to be as 
 near a specific for sick- headache as is ever obtained in medicine. 
 
 Directions. — Put this powder into one gill of brandy and 
 let it stand four days, shaking it occasionally. Dose — one tea- 
 spoonful, to be taken in a little water as soon as the first symp- 
 toms of the disease are felt, repeating the dose in one or two 
 hours, if necessary. This number will also be found to promptly 
 
76 
 
 relieve pain in the stomach, in dyspepsia, caused by gas or 
 u wind," called flatulency; also acidity, &c. To relieve the symp- 
 toms, a dose may be taken at any time. 
 
 No. 41. This is a tonic, alterative and anti-spasmodic pill, 
 and is designed for the cure of epilepsy, or "fits," as the disease 
 is often called. If perseveringiy used, this number will, in re- 
 cent cases, cure a large proportion of epileptic patients. They 
 are also useful in hysteria and in all debilitated, nervous, spas- 
 modic diseases. 
 
 Directions. — Dose — For epilepsy, one pill night and morn- 
 ing for one week; then use one three times a day for one week ; 
 then one pill/owr times a day for one week, if the disease is not 
 cured. Should it be necessary to take them longer, they must 
 then be omitted for one week, after which take them as at first. 
 
 END OF PART SECOND. 
 
PAET III. 
 
 SYMPTOMS OR DIAGNOSIS 
 
 OF CHRONIC DISEASES, 
 
 WITH THEIR PATHOGENETIC REMEDIES. 
 
PART III. 
 • __ 
 
 CONSUMPTION. 
 
 So varied are the premonitory and initiatory symptoms of 
 pulmonary consumption, in different patients, that to point out 
 all of the attending symptoms would be no less than a history 
 of individual cases. The more usual and significant signs, 
 those of which patients take notice, are such only as I design to 
 mention. 
 
 By consumption, is to be understood a slow, gradual, inflam- 
 matory action in the substance of the lungs, whereby the air is 
 first obstructed in its circulation through them, which increases 
 until there is no admission of it into the cells. The extent of 
 this obstruction is often very small, perhaps not larger than a 
 clime, and even less at first. The nucleus once formed, a like 
 change takes place in the part surrounding this hardened or im- 
 pervious portion of the lung which continues to extend in like 
 manner till a large surface is involved. This change or hard- 
 ening in the air cells is substantially the same, and its progress 
 the same, from whatever cause produced. 
 
 This has usually been described as the first stage of consump- 
 tion, but we regard it the second. The first stage consists of 
 those constitutional changes which produce this local inflamma- 
 tory condition of the lungs, for the local affection is the result 
 of constitutional changes in digestion or the nutritive functions, 
 which are very gradual in their approach, and may be operating 
 
80 
 
 for years before cough or expectoration announces that the sub- 
 stance of the lung is inflamed and the air-cells closed and hard- 
 ened. 
 
 The first stage of consumption dates from the time the stom- 
 ach fails to digest the fat or animal oils used|in food, which de- 
 prives the system of one of its principal elements of support. 
 Such being the case, the effect of this deficiency of animal fat 
 explains the very first symptom usually noticed — that is, ema- 
 ciation, and a slight feeling of weakness, with an uneasy sensa- 
 tion — not confined to any particular part — with an irritable con- 
 dition of the system — not a fever proper, but what is generally 
 called "feverishness." Now, are not all of these disturbances 
 of the general health just such as every person experiences* 
 while restricted to a less amount of food than the system re- 
 quires ? Are they not such as invariably attend "short rations," 
 or starvation? Precisely so, and in nearly every particular ; the 
 only difference being that the famishing person does not eat the 
 food at all, while the consumptive does, but from the impaired 
 condition of the digestive organs it is permitted to pass out of 
 the body unappropriated to its nourishment. Hence, we often 
 hear it said of certain invalids that they are not sick, but only 
 "spleeny;" that they "eat more than a laboring man" &c. 
 This fact proves our theory, for they eat like starving men, and 
 are, physiologically, such. The system is, in other words, con- 
 suming itself. Hence, the emaciation of consumptive persons 
 is caused by the consumption of the fat, which is deposited in 
 the adipose tissue beneath the skin, and between the muscles, 
 giving a full, plump figure to the body, and the failure of the 
 stomach to keep up a supply. The correctness of this theory is 
 further proved by the effect of Cod Liver Oil; for, if the stom- 
 ach has not wholly lost the power to digest oils, (of which this 
 
81 
 
 is the most easily digested,) patients very soon increase in weight 
 and strength, and in the same proportion the fever subsides. 
 Not only is this a true explanation of the symptoms, but a care- 
 ful analysis of the blood proves the same point. It is evident, 
 therefore, that Cod Liver Oil, being so readily assimilated, sup- 
 plies certain fat molecules, which are essential to the formation 
 of nuclei of the fat cells of the tissues, which has the physiolog- 
 ical power of coagulating the albumen around them. 
 
 The symptoms, then, in the first stage of consumption, are, 
 either a deficient or voracious appetite, with a consciousness on 
 the part of the patient that his "food seems to do him no good," 
 And, whether he eats much or little, the same feeling of faint- 
 ness, weakness, "goneness at the stomach," — "a feeling of being 
 neither sick nor well," by whatever name expressed — are often 
 the only warnings given of the approaching disease. As these 
 feelings progress, a feverish restlessness at night comes on, with 
 occasional head-ache, constipation, and a more manifest derange- 
 ment of the digestive organs. 
 
 The first visible symptoms are, a pale hue of the skin, attend- 
 ed with slight flushes of the cheeks, an evident softening of the 
 flesh, and a strange susceptibility to atmospheric changes — or a 
 feeling of having taken cold ; hence, the patient says, u I take 
 cold so easilv, every few days." But this is no cold, (properly) 
 at all ; — it is only the successive steps of the disease, in approach- 
 ing therespiratory organs; for all slight inflammations in those 
 organs will produce these very symptoms. Almost every con- 
 sumptive is deceived precisely at this point or stage of his affec- 
 tion. Such attribute to an ordinary cold the symptoms which 
 invariably mark the progress of this insidious and delusive 
 malady. 
 
 There is often, quite early, more or less pain in the upper por - 
 
82 
 
 tion of the chest and shoulders, and at or near the margin of the 
 short ribs, or, as some describe it to me, a feeling of pressure, 
 weight, or heaviness, a " tired feeling" with occasional shortness 
 of breath, with irregular, or at times a rapid beating of the 
 heart. Some say the feeling is like the gurgling of water in the 
 side ; others, a tightness, or nibbing sound and sensation. But 
 the difference is not so much in the real condition of the parts, 
 as in the mode of expressing it; for the sick sometimes do not 
 really comprehend the language used to convey their ideas or 
 feelings. The throat also becomes dry at night, the spittle frothy, 
 with a slight soreness in the throat, and when examined appears 
 either pale and relaxed, or u puffy,' 7 or quite red and inflamed, 
 with a c mstant accumulation of phlegm or mucus, and often ul- 
 cerated, looking rough and gorged, because the little glands are 
 swollen and enlarged — the uvula (or palate) becomes relaxed, 
 elongated, and there are occasional hot flashes passing over 
 parts of the body. 
 
 At the same time there is either coldness of the feet and 
 fingers, heat in the palms of the hands, with unnatural moist- 
 ure, or a "burning sensation" in these parts. 
 
 These are some of the more general premonitory and initial 
 symptoms and signs observed by patients before they apply to 
 physicians. " Their symptoms were mild — did not suffer much 
 pain, and really did not think their cases sufficiently urgent to 
 require any treatment." 
 
 Then comes on a sl'ght cough — dry — perhaps it can scarcely 
 be called a cough at first — " hack," in the language of patients. 
 This, even, often fails to arouse the person to a sense of the 
 real nature of his case. But I trust that all such as may atten- 
 tively read this little work, will be able to detect the early 
 symptoms, and to understand their tendency and progress so 
 
83 
 
 as to arrest them while they are in a curable state. What 
 has been usually called neglect or indifference in the patient 
 is fairly attributable to his want of proper information in ref- 
 erence to his case. 
 
 Wnen a cough is fully developed with a corresponding in- 
 crease of the above symptoms, the second stage is clearly 
 reached. 
 
 The treatment of this stage consists in improving the nutri- 
 tive function which may be effected by the following pathoge- 
 netic remedies. 
 
 First, Give No. 10 during the day and a pill of STo. V at 
 night; then use No. 14 with a pill of No. 36 — or, if there be 
 much soreness of the stomach or constipation, use No. 31 in 
 the same way. No. 38 may be also used when the eye or 
 skin is yellowish, urine scanty, and tongue furred. For the 
 hot flashes use No. 17 or 11 ; and 38 if there is red sediment 
 in the urine. No. 9 is a valuable remedy when the patient is 
 not much debilitated, and has an unnatural redness of the face, 
 indicating an unusual degree of fever. In the stage where de- 
 bility is early manifested No. 21 is better. 
 
 The use of the Salt bath is applicable in all cases where 
 there is an increase of the heat of the body. Cod-Liver-Oil 
 cannot be dispensed with when even the first signs of emacia- 
 tion appear, but should be used early in the disease. It should 
 be taken in large doses, and persevered in for months, or even 
 a year. A few weeks use of this remedy will do no good ; it 
 must be used until the nuclei of fat molecules are fully restored. 
 If there be much pain in any part, use No. 18, and when the 
 throat is affected inhalation, and gargling the throat with No. 
 25, are essential. 
 
 It is proper to state, that tuburcular consumption is rarely 
 
84 
 
 attended in this stage with pain; indeed, it is a well established 
 fact that consumption may run its whole course without pain or 
 even constant cough ; this has been abundantly proved by post 
 mortem examinations. But patients generally attach more im- 
 portance to the cough than any other symptom, whereas it is 
 the most deceptive of any. Merely quieting the cough is no 
 indication of a general improvement in the constitution. A 
 temporary subsidence of the cough is common, even to the 
 natural course of the disease. 
 
 The second stage is characterized by frequent cough, and 
 more or less expectoration of a frothy, or thick, tough phlegm 
 or mucus. The former symptoms are increased — there is more 
 fever — slight or quite hard chills — the digestive organs and 
 liver are in most cases more deranged, and the countenance 
 wears the unmistakeable appearance of organic disease. The 
 duration of this stage is variable — so also the first. The for- 
 mer or first stage may exist for several years, — the latter or 
 second stage for several months, or even one or two years be- 
 fore it passes to the third and last stage. 
 
 From these remarks the reader will discover the true reason 
 why consumption has hitherto proved so unmanageable; be- 
 cause medical aid is not procured until the first stage is fully 
 past, and perhaps the second existed quite too long to prevent 
 ulceration. 
 
 I have said nothing concerning certain physical signs — those 
 sounds obtained by putting the ear to the chest — and also those 
 which are heard by percussing, or tapping gently on the chest. 
 This the patient is unable to do, as it requires great study and 
 experience to obtain sufficient knowledge of those sounds to ap- 
 ply them, or to interpret them truthfully. The scope of this 
 
 
85 
 
 work is confined to those symptoms with which the patient has 
 to do. 
 
 So various and changing are the symptoms in the second 
 stage of consumption that I can but little more than give gen- 
 eral directions for using my remedies, for they must be varied 
 to meet the present indications of each case. The medicines are 
 so arranged that each patient has the benefit of a change of 
 remedies, as frequently as the pathological condition of the sys- 
 tem may require. This is an advantage I have over other itin- 
 erant physicians, and one that no invalid will fail to appreciate. 
 
 In all cases, the condition of the liver should be attended to, 
 remedies for which may be found under their respective titles, 
 and fully described in Part II, of this work. 
 
 Generally, Nos. 10 and 7, 28, 32, 21, 12, 31, given as the 
 symptoms require, will be found successful. Inhalation is al- 
 ways to be faithfully used, irrespective of other treatment. No. 
 18 should be applied over the seat of pain, and changed from 
 one part to another, until all local soreness and pain are re- 
 moved. 
 
 Cod-Liver-Oil is also an important remedy, combined with 
 No. 4, and is to be freely used, even while taking other medi- 
 cines. 
 
 When the stonfach and liver have been reo-ulated, or do not 
 require special treatment, then begin with the constitutional al- 
 teratives Nos, 9, 21, 32, 7, 28, 17, and 10. These must also be 
 arranged to meet the symptoms. If chills or fever occur, give 
 No. 17: when these are removed, use Nos. 3, 11, 32, 21, 18, 
 &c. Generally, in all cases, if there is much pain, sleep- 
 lessness, and general unrest, No. 36 may be used, with any of 
 the above remedies. For diarrhoea No. 6, or No. 35 may be 
 taken; one pill of 6 every two hours; and if it is quite obstinate 
 
86 
 
 two pills may be thus used, until the bowels are checked. Night 
 sweats can be positively cured by the use of No. 23. After they 
 are controlled this bath should be used, at bed-time, for several 
 weeks. 
 
 When the expectoration is very profuse, cough very frequent, 
 depriving the patient of sleep, No. 6 may be taken between the 
 doses of other medicine. 
 
 Third Stage. — This may be known by the presence of the 
 foregoing symptoms and the character of the matter coughed 
 up. The local hardening spoken of has now become ulcerated 
 and matter or pus formed, and cavities exist. The matter will 
 be thick, of a bright straw color and will sink in water. The 
 fever now is regular; the hot flashes spoken of have developed 
 their real nature; the night sweats are more profuse; the chills 
 recur regularly; there is diarrhoea, attended with constipation; 
 the tongue becomes deeply red at the tip, and heavily coated 
 further back; the throat is generally very sore, or even ulcera- 
 ted — with a manifest increase of previous symptoms ; and ema- 
 ciation progresses rapidly. Physical diagnosis, or the various 
 sounds of the chest are very important at this stage, in deciding 
 upon the particular location and extent of the disease, but can- 
 not influence the treatment, which is now very simple, viz : to 
 nourish the system and invigorate the nutritive function, while 
 inhalation is used at least three times a day. 
 
 Stimulants may be used — Rye Whiskey, Porter Ale, &c. 
 Nos. 3, 17, 11, 30, 32, 21 and Nos. 6 and 36 will be called 
 for. Tar water or tar syrup made thus : tar, one pint; Orleans 
 molasses and West India Rum, or good cider vinegar, one pint; 
 put them all in an earthen vessel and set it on the stove till it 
 slightly simmers, stirring it occasionally ; then set by to cool ; 
 when cold turn off a tablespoonful of the clear liquor for a dose, 
 
87 
 
 which may be repeated three times daily. Larger doses may 
 be used if the stomach will bear it. This is a valuable prescrip- 
 tion for coughs when pus is expectorated. 
 
 I am often asked if cavities or ulceratedlungs ever heal? Dr. 
 Bennett and other good authority say they do, and I have in 
 many cases had evidence of the same fact. Even after the for- 
 mation of cavities the disease may be kept in check for a long 
 time. This remark is also true of the second stage, and to a 
 far greater degree ; even when we are unable to remove the hard- 
 ened state of the lungs, and restore the air cells, we may keep 
 inflammation down, and defeat the exciting cause, retarding, 
 perhaps for many years, the ulceration of the part, and the for- 
 mation of cavities. 
 
 The above outline of the several stages and symptoms of 
 constitutional pulmonary consumption will be found substantially 
 correct ; and, if fully understood, will greatly assist patients in 
 deciding upon the meaning or cause of the symptoms present. 
 But for further information reference may be had to several 
 other articles in this book. . 
 
 There are other forms of consumption which, for convenience, 
 we shall call accidental or secondary. These depend upon en- 
 tirely different causes, and are of the most frequent occurrence. 
 
 1st. There are cases which result from acute inflammation of 
 the lung — that is, the lung becomes hepatized, and although the 
 patient recovers from the acute symptoms, yet the lung is in a 
 situation quite similar to what I have described as the second 
 stage. Ulceration finally takes place, cavities form, and the 
 same general symptoms supervene as in the other varieties, and 
 the same general treatment is required. The case, however, is 
 
88 
 
 far more likely to recover than that which primarily depends 
 upon constitutional causes. 
 
 2d. Other cases are the result of protracted Bronchitis, or 
 common cold — the inflammation extending from the bronchial 
 tubes by the continuity of surface, and when the air cells become 
 involved similar changes then take place as in the first variety 
 of lung diseases. 
 
 3d. Local inflammation of the Larynx — the result generally 
 of a common cold — may and generally does, terminate in the 
 same manner. In these cases there is obstinate hoarseness — a - 
 change, or even an entire loss of voice. This is denominated 
 Laryngial, the other Bronchial consumption. 
 
 A fourth variety is the result of catarrh, long continued, the 
 disease extending by degrees through the respiratory organs to 
 the substance of the lnngs. A fifth variety begins in the fau- 
 ces, the upper and back portion of the throat. Chronic inflam- 
 mation of that part is followed by ulceration, and from the con- 
 tinuity of surface extends, till in like manner as above the air 
 cells are reached. The former is called Catarrhal, the last Dys- 
 peptic consumption, because catarrh and primary dyspepsia are 
 regarded as the exciting causes. s 
 
 Of the treatment and symptoms of these several varieties we 
 shall speak under their appropriate heads, as follows: 
 
 First. Chronic Bronchitis. — This disease consists of chronic 
 irritation, or sub-acute inflammation of the mucus membrane 
 lining the bronchial tubes—that portion of the respiratory or- 
 gans situated between the windpipe, or trachea, and the air- 
 cells. A frequent, hoarse, distressing cough invariably attends 
 this affection, and is characteristic of it. The coughing spells 
 often continue till vomiting is provoked. In some cases, but 
 very little matter is raised at every very hard and pros- 
 
89 
 
 trated spell of coughing. This is true of the first stage. In 
 other cases there is profuse expectoration of a thick, tough, ad- 
 hesive mucus, which the patient calls "ropy phlegm." It is, 
 in the first stage, about the color and consistency of the white 
 of an egg. This invariably indicates bronchial inflammation. In 
 the early stages, the general health is not much disturbed. 
 More or less pain is experienced about the chest, with a peculiar 
 tightness, — a hot or burning sensation is felt along the middle 
 of the breast, under the breast bone, and often considerable pain 
 is complained of in that part, and in the sides and shoulders. 
 
 As the disease progresses, slight fever occurs, with night 
 sweats and chills. At this stage the lungs are frequently invol- 
 ved. The expectoration gradually assumes a yellowish color, 
 becomes thicker, but is more or less surrounded by thick, tough 
 mucus, before spoken of. The voice, too, is early changed, be- 
 comes hoarse, or reduced to a mere whisper. 
 
 Constitutional disturbances do not appear so early as in the 
 other forms of consumption ; still the liver, stomach and bowels, 
 often become affccted, and require treatment. After the lungs 
 are reached, the disease progresses in like manner, as before de- 
 scribed, and like treatment is required. But while the disease 
 is confined to the bronchial tubes, the mode of treatment is quite 
 different, except inhalation, which is in all of these affections an 
 indispensible auxiliary to other remedies. 
 
 If the patient is not reduced, and the stomach and liver not 
 deranged, give No. 9, 8, 32, 39, 11, and 5. No. 18 must be 
 worn upon the breast — first on one side, then on the other — so 
 long as any pain or soreness remains. If the cough is severe, 
 and expectoration profuse, No. 6 may be used several times 
 during the day. When the liver is involved, No. 10, 28, and 
 7; if dyspeptic symptoms are present, No. 14, 31, 11, 34, and 
 
90 
 
 3; if the bowels are costive, give No. 12. As a general rule, 
 but one number is to be used at one time ; but adjuncts or qual- 
 ifying remedies, such as No. 6, or 36, may be used with the 
 other numbers, as before stated. The ride is, treat the most 
 important symptoms first, then the others in their order, re- 
 membering that the nutritive function is the most essential in the 
 human system. For remedies to control special symptoms, 
 reference may be had to Part II, of this work. 
 
 Whatever remedies reduce the inflammatory condition of the 
 mucus membrane, will improve the case. One fortunate cir- 
 cumstance is, that the same treatment required for bronchitis is 
 also the special treatment for loss of voice, or hoarseness. 
 
 Expectorants, properly so called, are never to be used in this 
 stage, as they only increase the amount of secretion to be re- 
 moved, and will increase the disease, just as physic increases the 
 action of the bowels in diarrhoea. This is a new mode of prac- 
 tice, I well know ; but it is reasonable to suppose that expecto- 
 rants will act in this manner. The object is to diminish the se- 
 cretion by directing, as far as possible, the blooi and tiuids from 
 the part. Very much harm has been done by the too free use 
 of this class of remedies, indiscriminately, in coughs. For ex- 
 ample, a person has a dry cough; he will use expectorants, to 
 u help him raise." Now that is the very medicine to increase 
 the existing inflammation. Soothing, quieting, and alterative 
 remedies would perhaps 'prevent expectoration from taking- 
 place. This is on the same principle that an active purgative 
 may induce a diarrhoea. 
 
 CHRONIC LARYNGITIS. 
 
 This disease is becoming of frequent occurrence, as an indi- 
 vidual affection. It generally, sooner or later, comes on during 
 
91 
 
 consumption and bronchitis, as the result, or a part of those 
 diseases. But that form which I now propose to speak of, is a 
 primary or original affection, where the larynx is first diseased. 
 The larynx is that portion of the respiratory organs wherein 
 the voice is produced. It is situated just within that cartilagin- 
 ous substance which usually projects on the front of the neck 
 commonly called " Adam's Apple." It is known by a partial 
 loss of the power of speech. The patient is either extremely 
 hoarse, or unable to speak above a whimper. The slightest change 
 in the voice indicates a difficulty in these parts. This disease is 
 often mistaken for bronchitis, and pronounced so, even by phy- 
 sicians. I am frequently applied to by persons who say they 
 have bronchitis, when the affection is wholly laryngial. This 
 mistake is not a fatal one, but it does in one important particu- 
 lar change the early treatment. Laryngitis requires the use of 
 No. 9, 7, and 32, from the very beginning, and their continu- 
 ance a much longer time — from six to eight weeks, — while No. 
 18 is kept on the breast. 
 
 Chronic Laryngitis is seldom attended with much pain; 
 there is a tired feeling at first, which as the disease progresses, 
 settles into more or less pain, in the upper part of the chest, 
 shoulders and sides. Because of the absence of pain or suf- 
 fering, patients are but little alarmed at first, and sometimes a 
 strange indifference is manifested. But the fatal — the invaria- 
 ble fatal tendency of this disease must not be concealed. Un- 
 less promptly arrested, it will terminate in Laryngial Con- 
 sumption, and from one to two years is the average duration of 
 this latter disease before death. As yet, but few physicians 
 have learned how to treat it; there is really but one mode of 
 correct treatment. A great variety of medicines are not called 
 for. It has been regarded as a very unyielding affection, and 
 
92 
 
 truly it is, when treated in the usual way. But when submit- 
 ted to my mode, I have found it quite obedient to medicine. 
 If my system fails to cure it, no cure may ever be expected 
 from any other. 
 
 If this disease progresses till the lungs are affected, then the 
 usual symptoms of Bronchial Consumption are superadded to 
 the Laryngial. Indeed, it becomes bronchial, and then pul- 
 monary ; hence it will be noticed that a great extent of surface 
 is diseased before the lungs are involved. This fact accounts 
 for the obstinacy of Laryngitis when it has existed for any 
 considerable length of time. 
 
 The general treatment of Laryngitis may be summed up as 
 follows: — First, Inhalation; No. 18 constantly' worn on the 
 breast, changing the location when it becomes too sore to be 
 longer borne. A piece of cotton or linen cloth, of sufficient 
 length to reach twice around the neck, may be wet in beef 
 brine, wringing it gently till the brine will not drip from the 
 cloth, and placed around the neck, and then a flannel bandage, 
 of four thicknesses, put over it. A piece of oiled silk is a 
 great addition, as it effectually prevents escape of " steam " or 
 vapor which arises by the heat of the part. Unless the vapor 
 is retained it will do no good. This may be applied every 
 night till improvement is manifest. No. 9 should be perse- 
 vered in so long as there is no great debility. Other remedies, 
 such as No. 0, 8, 39, 80, 25, 7 &c, may be used as in the 
 judgment of the patient or physician may seem to be required. 
 When there is much debility, and especially if emaciation sets 
 in, No. 21, 11, 38, Cod- Liver Oil and No. 5 B. P. aie indica- 
 ted. During every stage the stomach, liver and bowels must 
 be strictly attended to. The patient must strictly avoid talk- 
 ing — too much use of the vocal organs will effectually defeat 
 
93 
 
 the actioii of any remedy, as much as the constant use of an 
 inflamed joint will keep up the inflammation. Cold, damp 
 weather is equally injurious, and more; avoid walking or ri- 
 ding against a strong wind. Unless these restrictions are rig- 
 idly adhered to, the remedies which are fully adequate to cure 
 will fail. The patient, in all diseases, has a duty and a respon- 
 sibility as well as the physician, but especially so in this dis- 
 ease. The temptation to converse is constant, and silence is 
 almost unbearable. The blessing and pleasure of speech is not, 
 nor cannot be fully appreciated until one is deprived of it; and 
 in this instance it may be truly said : 
 
 " Blessings brighten as they take their flight." 
 
 As to diet and exercise, this must be left to the sound discre- 
 tion of the patient. Riding or walking, when the weather is 
 dry and agreeable, is highly beneficial in all diseases where it 
 can be borne without much fatigue. 
 
 CATARRHAL CONSUMPTION. 
 
 This form of pulmonary disease as before stated begins in the 
 nasal passages and frontal sinuses, and at first is known as com- 
 mon catarrh in the head. From long continuance, and the con- 
 tinuity of surface affected, it gradually extends to the larynx, 
 bronchia and lungs. 
 
 There is in such cases a great susceptibility to taking cold, 
 with an increased and altered condition of the usual secretion 
 from those parts. In the advanced stages the matter ejected 
 from the nostrils and emitted from the throat, is thick, yellow, 
 crusted, and often very foetid. 
 
94 
 
 The treatment of this stage is by Inhalation. Fumes of tar, 
 injections of various substances and snuffs, have all been tried, 
 but with doubtful efficacy. No. 5 is a valuable remedy. As 
 constitutional remedies, Nos. 9, 21, 32, 8, and 28 may be 
 used. After bronchial and pulmonary symptoms are developed, 
 the treatment above pointed out for these affections must be 
 rigorously employed ; especially the tar syrup made with rum, 
 as previously explained, is an efficient remedy. This form of 
 disease being rather rare, and not differing essentially in treat- 
 ment from the foregoing cases, nothing further is needed to 
 point out the proper course of medication. 
 
 DYSPEPTIC CONSUMPTION. 
 
 This perhaps is an unscientific classification, but as some au- 
 thors have adopted it, and as patients will comprehend me bet- 
 ter, I shall retain it. This peculiar disease, so far as the exist- 
 ing cause is considered, properly ranks under the head of Dys- 
 pepsia, because, as its name imports, it is caused by it. 
 
 The primary symptoms are a soreness of the throat or fau- 
 ces, that portion situated immediately back of the palate, involv- 
 ing the palate or uvu^a and tonsils. The membrane in these 
 parts first appears red, inflamed, and sometimes swollen. The 
 little glands situated upon its surface become enla*ged, and the 
 blood-vessels are injected and also enlarged. The soreness is 
 quite slight at first, and at no time is very severe until deep and 
 extensive ulceration occurs. If allowed to progress, these glands 
 suppurate and become covered with a thick, white, or yellow 
 matter, which may easily be seen adhering to the parts. In- 
 deed, I have frequently discovered deep ulceration existing there 
 
95 
 
 without the patient being at all aware of the fact, or as yet hav- 
 ing felt any soreness. A slight difficulty in swallowing is now 
 experienced, and an occasional cough, or effort to clear the throat 
 occurs. As the patient expresses it, there is a constant accu- 
 mulation of phlegm in the throat which looks like matter at 
 times, yet evidently does not come from the lungs. There be- 
 ing no settled cough or pain, the patient feels no alarm. 
 
 There is another condition of these parts, quite the reverse of 
 what I have just described, and which still will terminate in the 
 same manner. The fauces present a dry, glassy or shrunken 
 appearance. In this case, there is a sensation of dryness of the 
 throat and mouth, which becomes very troublesome during the 
 night. The cough resulting from this species of throat disease 
 is dry and "hacking." 
 
 Both of these conditions of the throat will terminate in bron- 
 chitis and consumption, if permitted to continue. The frequency 
 of those diseases is to be attributed to the persistence of these 
 throat affections. From the many hundreds of cases of lung 
 diseases which I have examined, their history shows that a very 
 large proportion of them are clearly the result of inflammation 
 of the throat in one of the forms described. The most com- 
 mon exciting cause of this throat affection is derangement of 
 the stomach, or the different grades of dyspepsia, especially 
 those where there is frequent eructation or belching, or as some, 
 I notice, call it, "rifting," of a sour, acid gas from the stomach, 
 which produces a burning, painful, hot sensation in the throat. 
 The same feeling is experienced in the stomach, often called 
 "heart burn," but which is in reality an irritation of the mucus 
 membrane, produced by sour, acid gas before it rises into the 
 throat. Any food that disagrees with the stomach, or sours 
 upon it, gives rise to these symptoms, — hence its frequency in 
 
96 
 
 dyspepsia. This coincidence has given the name to this form 
 of consumption. Any disease, therefore, about the throat, de- 
 mands early attention and persevering treatment till cured. If 
 it cannot be radically cured, it may nearly always be controlled 
 and kept back by proper management. 
 
 In the treatment, the first object to attain is the removal of 
 the dyspeptic symptoms, for as long as these remain a constant 
 irritation is kept up. The treatment of dyspepsia will be given 
 under that head. 
 
 Local symptoms in the throat will require Inhalation— also, 
 the use of No. 25, 5, 13, 32, 29 and 34. If allowed to pro- 
 progress til a congh indicates that irritation has extended to the 
 respiratory passages, then tbe same treatment is to be had as in 
 other cases of diseases of those parts. A gargle of a decoction 
 of seneca snake root, sweetened, is a valuable remedy, but the 
 several gargles under No. 25 are designed for the ulcerated 
 stage. 
 
 DYSPEPSIA, AND ITS COMPLICATIONS. 
 
 A proper explanation of terms is necessary to a correct un- 
 derstanding of the subject treated. I have found that provin- 
 cialism is quite prevalent in our country, and even in the State 
 of Ohio. Different words are used in the North to express the 
 same idea from what are commonly used in the South, therefore 
 I shall use such words or phrases as are common with the vary- 
 ing localities. 
 
 Dyspepsia, and indigestion, mean the same thing — the loss 
 of the stomach's power to digest or prepare the food taken in it 
 for absorption and nutrition. Not an entire, but a partial loss, 
 
97 
 
 so far that certain kinds of food, or but a small quantity of any 
 is fully digested. There are three important points to be no- 
 ticed: 1st, the actual condition of the stomach in dyspepsia; 
 2d, the symptoms which result from this impaired condition of 
 the digestive apparatus; and 3d, the proper remedies calculated 
 to remove the deficient or various symptoms which this disease 
 gives rise to in its separate stages. 
 
 1st. The mildest form of dyspepsia is the occasional sort, 
 which is the result of "over eating," — taking more food than the 
 system requires, and more than a healthy stomach can digest. 
 This form readily subsides w r hen the individual consults his judg- 
 ment, and not his appetite. Another mild form of the disease 
 occurs in those who deny themselves the exercise which the body 
 requires to assist it in the performance of its functions. Inactiv- 
 ity and a sedentary life are the two primary causes of that dis- 
 ease, so far as the stomach alone is at fault. 
 
 Constipation of the bowels and a desponding state of the 
 mind — a suppression of the cheerful, mirthful, or laughing fac- 
 ulties, have a very decided tendency to restrain the healthful ac- 
 tion of both stomach and bowels. Much has been said by 
 hygienic, as w^ell as medical writers, against the use of "rich 
 food," and in praise of " bran bread," or bread made of unbolt- 
 ed wheat, &c, but it may all be summed up, even massive vol- 
 umes of dietetics, in the single phrase, viz : it is not the quality , 
 but the quantity, that produces so much mischief, loading down 
 the poor stomach, till, like an over burdened beast, it refuses to 
 do its work. This unnatural distension of the stomach, if con- 
 tinued for a length of time, produces irritation of its mucus 
 membrane, then the disease is fully established. Irritation, or 
 slight, and at times even a sub-acute form of inflammation su- 
 pervenes. This is nearly universally the case when the stomach 
 
98 
 
 is the primary seat of the disease, and is an important feature, 
 from whatever cause produced. Irritation of the mucus mem- 
 brane appears to be a primary and essential condition before the 
 process of digestion is interrupted. Hence the impropriety, even 
 injury, of using tonics, spirit bitters, &c. Though proper in 
 true debility, yet it will aggravate every symptom in the early 
 stages of the disease. No more prevalent error exists than that 
 indigestion is g nerally, or even in three per cent, of the cases, 
 dependent upon debility. This egregous error alone may ex- 
 plain the failure, hitherto, in treating it, because the remedies, 
 proper for debility are injurious, if irritation be present. The 
 effect of my medicines prove that irritation is the true cause 
 and attending condition of the membranes, for I do not give 
 either stimulants or alkalies, yet speedily remove and perma- 
 nently cure the disease. 
 
 Not only is the membrane irritated or 'inflamed, but this 
 condition often prevents a full secretion of gastric juice, the 
 quantity sufficient to digest the food, and from long continu- 
 ance there arise actual changes in its quantity, either an excess 
 of acid or a deficiency of the compounds of sodium, all of 
 which must exist in certain exact proportions, or it will not act 
 upon the food with prompt) ess or efficiency, and if the food is 
 al owed to ramaain in the stomach ind gested too great a time, 
 spont tneous decomposition or fermentation takes pi ice. The 
 gas thus produced is acrid, and produces irritation both from 
 its own acridness, and by distending the stomach, called H bloat- 
 ing" or "swelling" of that organ. These acrid gases induce 
 a state of irritation in the throat and even the mouth, as every 
 one knows who has li sour stomach." 
 
 That I may be better understood, the causes of dyspepsia 
 proper will be enumerated in the usual order. 1st. Overload- 
 
99 
 
 ing the stomach, whether with rich or poor food. 2d. Seden- 
 tary habits — not taking sufficient exercise to give the body the 
 necessary degree of excitation. 3d. Constipation of the bow- 
 els, which obstructs the passage of the digestive element into 
 the smaller intestines where absorption takes place. 4th, Dis- 
 poudency, or a gloomy state of mind — being habitually under 
 the influence of the depressing passions. These have a deep 
 and direct influence over the actions of the stomach, as most 
 persons have learned by experience. As this depression of 
 spirits increases, in the same ratio the stomach refuses to act, 
 and dyspepsia has a direct tendency to produce this gloomy 
 state of mind, the stomach being the great central organ of 
 sympathy; hence the condition of the stomach induces this 
 state of mind, and the mind reacts on the stomach. Especially 
 is this true when the liver is likewise affected. 
 
 The exhilerating, exciting, and pleasureable feelings resulting 
 from reasonable, whole-souled mirth, cheerful, natural, unaffec- 
 ted, unrestrained hilarity, is the language God has given to ex- 
 press the creature enjoyments, and pleasures of our being, and 
 is an absolute condition of health, taken in its general meaning. 
 Buckling down the face to certain prescribed limits, suppressing 
 every feeling of gayety and squeezing out of the heait every 
 feeling of mirth, in its ultimate effects is pa'pable suicide, and 
 as great a violation of the laws of the human constitution as 
 would be to make the cultivation of those feeling the exclusive 
 objects of pursuit. The effect of these two conditions of mind 
 all have known in some degree. One brings moisture in the 
 mouth, sends the blood rapidly through the body, swells out 
 the lungs with good, pure, fresh air, expels the drowsy, stupe- 
 fying carbonic acid from the brain, shakes up the stomach and 
 bowels, and seems to give a fresh impetus to the functions of 
 
100 
 
 life and health, while the desponding, foreboding, or what ex- 
 presses it better, habitual solemnity, has precisely the opposite 
 effect in every particular, producing dryness or feverishness in the 
 mouth and throat, confining the lungs and chest, retarding the se- 
 cretions especially of the liver,constipating the bowels, and redu- 
 cing the mind to a painful acute apprehension of future suffer- 
 ing or troubles. Mark the difference between this latter state 
 of mind, and that observed in consumptives: they seldom get 
 discouraged or out of hope till the last stage. But I have 
 digressed from the view of connected remarks, yet if the ex- 
 perience of invalids proves the truth of any thing I have said, 
 it will be in relation to the importance of attending to the con- 
 ditions of the mind. 
 
 Many occasional causes of dyspepsia might be noticed, still 
 as the true condition of the digestive organs is essentially the 
 same, they may more conveniently be noticed in another place. 
 
 How far dyspepsia is independent of disease of the liver is a 
 question not easily answered. It is evident that the former 
 disease, if long continued, becomes complicated, involving the 
 liver and kidneys. Certain it is that some form of liver dis- 
 ease generally attends dyspepsia, either as a cause or a 
 consequence of it. Any particular organ does not remain 
 long diseased without involving others immediately connected 
 with it. The primary influence of the function of digestion 
 over other organs of the system is apparent, but how far any 
 deficiency therein may involve the other organs or conditions 
 of health cannot so readily be explained or defined. The stom- 
 ach is the fountain whence issues the stream or phenomena of 
 life; and if that be deranged, or in any wise impaired, corres- 
 ponding deterioration reasonably may occur in other parts or 
 conditions of the system. 
 
101 
 
 2d. The symptoms resulting from the above described con- 
 ditions of the digestive apparatus are "legion," and I have not 
 space to give anything like a detail. 
 
 The primary or first symptoms are a dull, heavy, uncomfort- 
 able sensation after meals, a feeling of a load or weight in the 
 stomach, some describe it as a "misery," others as a pain. This 
 varies from very slight feelings of discomfort, to extreme pain, 
 which is refeired to the pit of the stomach, at times in the 
 sides, or extending up into the chest. These feelings of distress 
 may come on soon after taking food, if there is much irritation. 
 In some cases an hour or more may elapse before pain is felt. 
 In some cases the stomach rejects the food, and the person 
 must leave the table in haste to vomit, or the vomiting may not 
 occur till a short time after meals are taken. 
 
 Other cases present different symptoms ; the food being "spit 
 up," that is, it seems to rise in the throat, without any nausea 
 or special effort, and is in the same condition as when swallowed. 
 The food remains for several hours in the stomach unacted upon 
 by the gastric juice, fermentation takes place, and creates a 
 great amount of acid, giving rise to those distressing and inju- 
 rious symptoms, "sour stomach," and frequent belching of acrid 
 gas, which has the very taste of the food when taken. Patients 
 often ask me, "where does the gas or ' wind ' in the stomach 
 come from] " I will tell you. If you mix flour and water there 
 is no gas at first; it is a heavy mass; but when it becomes 
 slightly warm, after a certain length of time bubbles of gas be- 
 gin to rise in it which increase until it quadruples its bulk. 
 This is the result of a certain degree of decomposition, or rotting 
 of the flour, whereby the gas in it is set free. Just so it is 
 when the gastric juice fails to act upon the food; the heat of 
 the stomach induces the fermentation process, and fills the stom- 
 
102 
 
 ach with an enormous amount of this acrid gas; this distends 
 or swells the stomach, producing great distress, and tenderness 
 externally. 
 
 Another distressing symptom of dyspepsia is a hot, burning 
 sensation extending from the stomach into the throat and mouth, 
 commonly called "heart burn," more appropriately stomach 
 burn. Nor are the symptoms confined to the stomach alone; 
 the same sort of feelings are experienced rather below that or- 
 gan, in the duodenum or second stomach; and irritation here 
 gives rise to the most painful and obstinate forms of dyspepsia, 
 occasioning obstinate diarrhoea alternating with constipat on. In 
 every form of dyspepsia, attended with "sour stomach," there 
 is also a painful distention of the bowels, or "bloating," with a 
 feeling of inaction, as though they were in some way obstructed, 
 all of which, however, are relieved, when a free evacuation oc- 
 curs. The appetite, too, is very changeable — at times capricious, 
 or quite deficient, not relishing well any kind of food. Again, 
 the appetite is voracious, can eat indiscriminately, and a great 
 amount, yet the stomach does not really feel full or uncomfort- 
 able ; the same feeling of faintness continues, followed by stu- 
 por or headache; nor does the system appear to be nourished 
 by it. Iu some cases there is an insatiable thirst, in others a 
 disgust for drinks. So varying and changeable are the symp- 
 toms attending upon protracted cases of dyspepsia that I cannot 
 presume to give more than a general outline, and as many of 
 them arise from the liver, I shall defer the mention of such till 
 speaking of diseases of that organ as the cause of some forms 
 of dyspepsia. 
 
 THIRD THE REMEDIES. 
 
 Begin the treatment with No. 10, during the day, and No. 7 
 
103 
 
 at night. If there is acute pain, or costiveness, or soreness in 
 any part, apply No. 18. No. 10 may be followed by No. 14 
 and 36, if much acidity be present; then No. 13 with 36, if 
 there is much pain or soreness and defective appetite. No. 31 
 is specially indicated in obstinate acidity and constipation with 
 bloating of the stomach and bowels, and fetor of the breath. 
 When there is an apparent want of activity in the circulation, a 
 cold or gloomy habit, No. 28 will be a useful remedy, especially 
 if the tongue be much coated with a yellow fur. If there is 
 much irritation, or chronic inflammation of the coats of the 
 stomach, give No. 34; this is well suited to cases of mere de- 
 bility of long continuance. In some patients a sensation of 
 chilliness, or a very great susceptibility to cold occurs. Such 
 will require No. 17. Whenever the nervous system is much 
 disturbed, and the patient subject to sudden alternation of ex- 
 hileration and depression of feelings, with pale urine, Nos. 11, 
 35 and 29 may be used after the more urgent symptoms are 
 subdu d. In all cases the bowels must be kept regular by the 
 use of No. 12. These pills not only act upon the bowels, but 
 upon the stomach and liver. 
 
 All of the numbers will require to be changed to meet pres- 
 ent or urgent symptoms, and continued a longer or shorter 
 time, according to the circumstances of each case. 
 
 Patients who discover one number to help them in a marked 
 degree should continue it, and omit such as may not agree with 
 them, after using it a sufficient time to decide that fact. They 
 should in all cases read the directions for preparing and using 
 them faithfully, for much depends upon their being properly 
 used. The regulation of the diet is of first importance, but 
 what should be eateu and what refused is a matter that the pa- 
 tient can better decide than any one else ; for in no instance is 
 
104 
 
 the old adage, "what is one man's meat is another's poison," 
 more truthful than in this disease. A kind of food agreeing 
 well with one person may disagree as much with another; 
 therefore, use that which you know will not disagree with you, 
 and ever remember that it is the amount you eat, more than 
 the quality, which causes pain in the stomach. Coffee is never 
 well borne by any dyspeptic. Never try frequent experiments 
 with the stomach, but select a mild, plain, and easily digestible 
 diet, and be contented until you are restored. 
 
 People often denounce the drunkard for drinking because he 
 has a strong appetite for liquor, yet forget that it is an equal 
 transgression of the laws of health to gorge the stomach for 
 the same, identical reason. 
 
 Mirth and conversation should be freely indulged in at every 
 meal ; not conversation that requires much thinking, but pleas- 
 ant, cheerful remarks, that the mind may be both diverted 
 and agreeably excited at the time. These directions may ap- 
 pear trivial to the uninformed, still they are based upon well- 
 estab'ished physiological laws of our natures, and need only to 
 be observed to satisfy all of their truthfulness. 
 
 Another rule is imperious, and should never be violated by 
 dyspeptics, that is, avoid too active exercise of the body soon 
 after taking meals, than which nothing is more injurious. Nei- 
 ther should the mind ever be actively employed during the 
 first stage of digestion. It is a well known fact that active 
 labor of the body or mind soon after meals, especially full 
 meals, will retard digestion for an hour or more, often till fer- 
 mentation takes place. In dismissing this part of my treatise 
 upon Dyspepsia, I trust that the plain and concise views and 
 directions given will enable patients to understand their case, 
 and how to use my remedies, and also how to regulate their 
 
105 
 
 own habits, diet, exercise, &c. ; how to avoid many things cal- 
 culated to aggravate the disease. The reader will find this 
 chapter of more practical value than any other of the hundreds 
 in print. 
 
 DISEASE OF THE LIVER—ITS COMPLICATIONS, 
 SYMPTOMS AND TREATMENT. 
 
 Any affection of the liver is frequently spoken of as " Liver 
 Complaint," but as that term conveys no special idea, and ap- 
 plies to no particular disease of that organ, I shall not use it. 
 
 There are certain affections of the liver quite distinctly 
 marked by symptoms which may be easily recognized, and 
 others very obscure which are not so readily distinguished, or 
 if so, only indicate fatal disorganization and changes that no 
 medicine can remedy. I shall speak of the most frequent first, 
 and the others in their order. 
 
 1st. Chronic irritation of the liver is by far the most com- 
 mon. By irritation is understood that condition of a part 
 which precedes inflammation ; it is a very mild form of inflam- 
 mation. Inflammation may be of different degrees of intensity, 
 and is designated by medical men as the acute, the sub-acute, 
 incipient, and chronic. Whenever I use the term inflammation 
 it should be understood as the mild and chronic that is re- 
 ferred to. 
 
 The liver becomes inflamed from various causes, still the ef- 
 fect is the same whether from obstruction or malaria. It then 
 becomes enlarged, and its function, secretion of bile, severely 
 interfered with. The condition is generally called torpor of 
 the liver ; though its function is torpid, yet this depends upon 
 
106 
 
 a degree of inflammation present, obstructing that function. 
 In such cases there is frequent pain, or a dull, heavy feeling in 
 one or both sides; more or less headache over the eyebrows 
 and forehead, or in the back part of the head ; a full, uncom- 
 fortable sensation in the stomach and bowels — thirst — tongue 
 some coated, and slight " flashes of heat " in the face, &c, with 
 impaired appetite ; in some cases diarrhoea, in others constipa- 
 tion, or thrse may alternate in the same case. 
 
 These are only initiatory or first symptoms, and treatment is 
 seldom had so early in the disease. The disease being allowed 
 to progress, in addition to these common symptoms, and merely 
 feeling unwell or " out of fix," " a little under the weather," 
 &c, the liver begins to manifest its disease more plainly by 
 the gradual increase of all former symptoms, with the devel- 
 opment of new and more severe ones. 
 
 These are a sallow or dingy color of the skin which feels 
 rough and dry — loose, shriveled or contracted; the eyes have a 
 dull expression, sometimes a linge of yellow ; the sleep is either 
 partial, very ptofound, or the patient is unable to sleep at night, 
 but rema ns very drowsy during the day ; more or less head- 
 ache, pain in the back part, and heat across the top of the head. 
 In some cases the pain is mos ly in the fore part of the head, 
 with dizzini ss and a sensation of coldness across the top. The 
 taste is changed, and becomes either bitter, sour, fresh, salty, or 
 there is a manifest loss of taste, all of which have special indi- 
 cations. 
 
 If the stomach has not long befoie this s f age become affec- 
 ted, it will now show some of the more obstinate symptoms of 
 dyspepsia, such as I have previously referred to as the result of 
 dis ase of the liver. This form of indigestion differs in nuth- 
 ing from the usual form, but the practical inference is that, as 
 
107 
 
 the disease is primarily in the liver, the treatment must be di- 
 rected to that organ first: the liver being restored, the dyspep- 
 sia either subsides or is soon removed by proper remedies. 
 Any one who fails t > make this distinction will fail to cure the 
 patient. If dyspepsia has existed so long that the liver has 
 also become affected, then the liver must be treated as a primary 
 disease. 
 
 The condition of the bowels is variable ; the discharges being 
 frequent and in small quantities either very dark or light clay 
 color — when constipated for several days, the evacuations are 
 mixed with or surrounded by a thick, tenacious mucus. As 
 this disease of the liver advances, the evacuations miy become 
 dark, hard, and lumpy. The urine is changed both in quality 
 and quantity; either thick and high colored, or very pale and 
 clear, and passed in much larger quantities than u-ual. 
 
 Disease of the liver is frequently complicated with affections 
 of the kidneys and spleen; and the whole glandular system is 
 influenced more or less. This explains the great diversity of 
 symptoms that arise during the continuance of chronic inflam- 
 mation of the liver. Enough has been said however, to enable 
 any one of ordinary powers of observation to detect the exist- 
 ence and distinguish the stages of "liver complaint." Many 
 additional remarks will be found in Part I, of this work, also in 
 Part II, where the liver becomes affected in consumpt on and 
 dyspepsia. A multitude of symptoms, aches, pains and bad 
 feelings, which result from hepatic or 1 ver diseases, have been 
 purposely omitted, as they are not essential to give in order 
 that patients may know the location of their malady and the 
 organ affected. 
 
 As connected with disease of the liver and the result of it in 
 connection with certain defects in digestion, is the production of 
 
108 
 
 gravel or stone, — like concretions called gall stones, similar in 
 formation to those fonnd in the urinary passages. They have 
 a nebulous origin in the small ducts of the liver, but are gene- 
 rally found in the larger ducts, which convey the bile to the 
 gall-bladder, and in that sack, as also in the duct which conveys 
 the gali into the second stomach, where it mixes with the chyme 
 as that flows down from the stomach, after the first stage of 
 dige-tion is performed. 
 
 The symptoms are those which generally mark liver disease, 
 jaundice, &c, in addition to frequent attacks of extreme pain 
 in the region of the liver (the right side,) and stomach. Pa- 
 tients often call it * cramp-chohc," &c. The characteristic 
 symptoms, however, are suddenness of the attack, great sever- 
 ity of the pain, the absence of the usual signs oi inflammation, 
 and sudden subsidence of the pain. The positive signs, of 
 course, are the presence of the gall-stones in the feces, or dis- 
 charges from the bowels. 
 
 The treatment is: the warm bath, hot applications over the 
 seat of the pain, such as warm vinegar with laudanum, smart- 
 weed, hops, &c. The following powder may be given every 
 hour or two, till the pain is relieved : 
 
 I? 
 
 ■"-*' Pulverized Opii Grs. hi. 
 
 Gum Camphor,. . , * xii. 
 
 Cayenne Pepper, ) Each lt m 
 
 Ippecac, J 
 
 Mix — make three powders. 
 
 The great pain is produced by these hard substances passing 
 through the ducts; and the subsequent treatment should be to 
 prevent a further accumulation of these calculus. Nos. 10, 28, 
 32, 38, 21, 7, and a free use of No. 12, will be found valuable 
 remedies for that purpose. 
 
109 
 
 Jaundice being only an external manifestation of the various 
 forms of disease of the liver, requires no additional directions for 
 treatment other than may be found in this article for disease of 
 the liver. 
 
 TREATMENT OF DISEASES OF THE LIVER. 
 
 In the first stage No. 9 and No. 7 are indicated, and No. 18 
 which should be worn on the short ribs of the right side, chang- 
 ing it to any other place that may be sore or painful. The 
 bowels are to be regulated by No. 12. If the skin remains yel- 
 low or sallow, use No. 21, and after it No. 28. No. 10 is a 
 remedy of great value, when a gentle tonic alterative is required* 
 also when there is deficient secretion of bile, and acidity of the 
 stomach. In the early stages, if much fever is present, the urine 
 thick and high colored, use Nos. 10 and 7. After the liver has 
 been corrected, then medicines for the stomach should be used 
 where dyspeptic symptoms are present, such as Nos. 11, 28, 31, 
 13, <fec. Nos. 3 and 17 may be used, the first as a gentle stim- 
 ulant and tonic, the latter if there is chilliness, a great suscepti- 
 bility to cold, or much debility. 
 
 Patients under treatment for disease of the liver of whatever 
 grade should use the salt bath faithfully. In cold weather the wa- 
 ter may be slightly warmed, and the room warmed also, to pre- 
 vent becoming chilly at the time of bathing. 
 
 In selecting numbers for any disease, Part II should be care- 
 fully consulted, for having therein dwelt fully upon the uses of 
 remedies, less is required here. 
 
 DISEASE OF THE KIDNEYS. 
 Uncomplicated disease of the kidneys is of rare occurrence. 
 
110 
 
 Chronic inflammation similar in its nature and progress to that 
 of the liver, may attack these organs, and is gen era 'ly manifested 
 by soreness, pain or a feeling of "lameness" and weakness in the 
 region of the back, opposite which the kidneys are located. 
 Disease of the liver and disordered digestion are the frequent 
 cause of nephrotic affections. The only positive signs of kidney 
 disease are to be obtained from the changes which occur in the 
 urine. Sweet urine indicates diabetes — urine which coagulates 
 when heated, shows a peculiar, granular or supposed disorgani- 
 zation of the structures of these glands, and is incurable. It is even 
 yetundecided by Pathologists whether these several conditions of 
 the urine depend upon a primary disease in the kidneys or upon 
 certain defects in the digestive process. Neither is that material 
 to the object of this little treatise, wherein symptoms and rem- 
 edies are the principal object of enquiry, merely to assist patients 
 in the use of Pathogenet c Remedies. 
 
 Gravelly urine has been referred to under No. 38 in Part II. 
 
 When the kidneys secrete very thin, pale, sweet urine it con- 
 tains a very large amount of sugar; this, with the enormous 
 amount of urine passed, are sufficient to decide upon the nature 
 of the disease. At first the constitution does not seem to suffer 
 much extreme weakness and insatiable thirst, a dull headache 
 being most the patient complains of. But, though there is no 
 great pain or suffering, the disease must be treated in the most 
 prompt and efficient manner. Half a tahlespoonful of lemon 
 juice and one of water, to which is added 8 or 10 grains of 
 Carbonate ef Soda, may be mixed together and swallowed 
 w T hile foaming. This dose may be repeated several times during 
 the day and night. No. 30 will be found to effectually allay 
 the morbid thirst in this disease. Nos. 21, 10, 41, 31, 38, 14, 
 and 32 may be used as constitutional treatment, according to 
 
Ill 
 
 the different symptoms present at different stages of the disease. 
 Also, No. 1 8 should be worn over the seat of pain in the back. 
 The salt bath, the acid and alkaline bath, should be used. The 
 food should consist of fish, or meat of any kind, but fruits and 
 sugar must be avoided. 
 
 The urinary passages are liable to certain gravelly and stone- 
 like concretions, of which I have spoken in Part II, No. 38, 
 anl is of two distinct kinds, — the white and the red gravel. 
 These may accumulate till a stone of an ounce weight is formed ; 
 in such cases an operation is necessary for its removal. While 
 the gravel is yet like fine sand, much benefit may be had from 
 proper remedies. No. 10, 38, 32, with 30, will be found to be 
 remedies of great power in such cases. The diet should be 
 mild — mush and molasses, griddle-cakes, &c, may be used, but 
 hio*h seasoned food or full meals must be avoided. 
 
 Having given the symptoms which pertain to the common 
 and intricate forms of disease of certain internal organs, I shall 
 not remark especially upon the symptoms of those affections 
 which are external, apparent, and with which every one may 
 be supposed to be well acquainted. For example, the nature 
 and symptoms of neuralgia, rheumatism, &c, are well known 
 to all sufferers therefrom, and therefore the treatment is all that 
 in this place may be required of us. 
 
 NEURALGIA. 
 
 That painful affection of the nerves, known as Neuralgia, is 
 of two kinJs — the continued, and intermittent. In the contin- 
 ued form, apply No. 18 to the part, and use internally Nos. 29, 
 
112 
 
 17, 27, 32, 41, 31 and 36. For particulars, refer to these num- 
 bers in their proper places. 
 
 The intermittent form comes on at or near a particular time 
 of day, increasing in severity for a length of time, then gradu- 
 ally subsiding. This regular recurrence of the pain every 
 twenty-four hours has given it the name here used. 
 
 The treatment is quite plain : First, correct all derangements 
 in the general health by the appropriate remedies, then use No. 
 27, 29, 17, 31 and 18, among which a sure remedy may be 
 found. 
 
 RHEUMATISM. 
 
 Chronic Rheumatism is an obstinate disease, when of the in- 
 flammatory type in the first stage. Alterations in the struc- 
 ture of the tissues about the joints is of frequent occurrence, 
 and the resu't of a high degree and long continued inflamma- 
 tion. The joints, having been greatly swoolen in the acute 
 stage, will seldom return to their natural size, unless early and 
 appropriate treatment is had. 
 
 During the acute stage, after an active purge and the warm 
 bath, No. 24 will be found an efficient remedy. Water should, 
 however, in that case be substituted for the liquor. In the ar- 
 ticular form of the disease, that is when the joints are particu- 
 larly affected, No. 24 may be used for one week unless diar- 
 rhoea occurs; in which case the medicine must be discontinued, 
 and full doses of laudanum or Dovers Powders given till the 
 bowels are checked; then use No. 22 for one week, then 24 
 again unless the disease is removed. 
 
 The swollen limb may be wrapped at night in a bandage 
 
113 
 
 wet in beef brine, which should be put twice around the limb, 
 or swollen joint, and over this should be applied a flannel 
 bandage of at least four thicknesses, bringing it well over the 
 edges of the wet one to prevent the evaporation of the vapor 
 produced by the heat of the part. The wet bandage may be 
 renewed twice a day. Should the part become sore, then use 
 rain-water in the same way instead of the brine. 
 
 No. 36 may be used to quiet pain and procure rest. Should 
 the swelling, however, not be fully reduced after the inflamma- 
 tion is subdued, a liniment may be made by reducing No. 9 
 three fourths with whiskey, and applying once a day ; this will 
 speedily produce absorption of the effused fluid. Many very 
 obstinate cases of several years standing have been speedily 
 cured by this treatment. 
 
 In Rheumatism affecting the back, called lumbago, No. 18 
 should be immediately applied and perseveringly used, and No. 
 22 taken internally. These pills will cure ordinary recent cases 
 in from one to two weeks. Other Lumbers in the more chronic 
 cases should be thoroughly used — such as 21, 30 and 38. 
 
 DROPSY OF THE LIMBS AND ABDOMEN. 
 
 Dropsy is often the result of organic disease of the liver, 
 and may supervene upon long continued disease of other or- 
 gans, and is the sequel of many forms of chronic disease. It 
 is an effusion of serum into the cavities of the body, as the ab- 
 domen, the chest, the membrane investing the heart and brain; 
 also in the cellular tissue between the skin and muscles, causing 
 the limbs, especially the feet and legs, to swell. Two objects 
 are to be aimed at in the treatment ; first to remove the waters 
 
114 
 
 in these cavities and secondly to prevent a future accumulation. 
 The fir t may generally be accomplished with No. 24, 10 and 
 28. The water being removed, No. 14, 31, 21, 11 and 25 
 should be perseveringly used to restore the tone of the sys- 
 tem. The bowels are to be kept regulated with No. 7 or 22. 
 These numbers should be alternated to meet the symptoms. If 
 the water accumulates, suspend the last and use the former 
 remedies, <fcc. During the whola treatment, half a glassful of 
 the following preparation may be used two or three times a 
 day. 
 
 Take two ounces of Horse Radish root bruised, Parsley root 
 the same, and a tablespoonful of mustard, and add these to two 
 quarts of good apple cider; let it stand four days and it will 
 be fit for use. This should be drank between meals — not at 
 the time of taking other medicines — in doses of about one gill; 
 it has often effected cures of its If. Diarrhoea must at all times 
 be controlled with appropriate remedies. 
 
 LEUCORRHCEA OR WHITES. 
 
 This affection may be radically cured by the use of No. 15 
 A. and A. B. when properly used, and with a suitable syringe, 
 — refer to No. 15, Part 11. During the use of these local 
 applications to the vagina and neck of the womb, Nos. 25, 13, 
 14, 81 and 21 may be taken internally. 
 
 The more obstinate forms of Leucorrhcea depend upon ulcer- 
 ation, generally of the margins of the mouth of the womb. When 
 the discharges are purulent, yellow, or have a very bad fetor, 
 ulceration may be known to exist. The same remedies are, 
 however, indicated, but if they fail after a reasonable trial, the 
 patent must be treated by the aid of a speculum, and direct 
 applications made to the diseased parts. 
 
115 
 
 HEMORRHOIDES OR PILES. 
 
 [For the treatment of Piles the reader is referred to No. 33 
 in Part II. 
 
 DISEASE OF THE SKIN— ERUPTIONS, &c. 
 
 [For the treatment of scald-head, ringworm, eruptions and 
 pimples, blotches on the face, &c, the reader is referred to 32, 
 37, 26 and 33 in Part II. 
 
 CHRONIC AGUE-ENLARGEMENT OF THE SPLEEN. 
 
 Chronic Ague is a very obstinate, and frequent form of in- 
 termittent disease in the malarious portions of the country. In 
 all such cases the liver and spleen are in a state of chronic in- 
 flammation, and are enlarged. As the accompanying symptoms 
 are various, yet well understood, I shall only speak of the rem- 
 edies. 
 
 Begin the treatment with No. 17 during the day, and No. 7 
 at night. After a box of each are taken, if the chills or fever 
 continue, use No. 27 as directed, and during the interval use 17 
 and 7 as before, or Nos. 10, 9, 21, 32, 28, &c. 
 
 I have never had a case that did not yield to this treatment 
 in a few weeks. 
 
 GENERAL DEBILITY AND NERVOUS AFFECTIONS. 
 
 To properly define and explain the constitutional disturban- 
 
116 
 
 ces, grouped under the heading of this article is no easy matter, 
 but those who read the different articles in this book will be able 
 to appreciate the correctness of the following remarks. 
 
 By general debility is meant a manifest impairment of, health 
 without the presence of any symptoms indicating a special dis- 
 ease of any particular organ. A general failing of bodily 
 health without the special disturbance of any of its common 
 functions. The patient does not feel really sick, yet knows he 
 is not well — "that all is not right" — commonly expressed as 
 " breaking down of the constitution." The vigor of the body 
 is impaired, strength fails, the power of endurance is reduced, 
 the usual energy of body and mind are greatly below par, a 
 state often de^cribed as " being neither sick nor well," is expe- 
 rienced, yet the signs of failing health are too evident not to 
 cause reasonable anxiety. 
 
 Superadded to this loss of vigor and vitality is a train of 
 nervous symptoms to w r hich the term " nervous debility " has 
 long been applied. The only symptom of any disease of which 
 the patient takes notice is, perhaps, a slight derangement of the 
 stomach at times, or constipation, or it may be a tendency to 
 diarrhoea, headache, or restlessness at night, but none of these 
 disturbances are really severe, nor is the patient much alarmed. 
 It will be noticed that in all these cases there is a universal feel- 
 ing of faintness, weakness or a "gone sensation" in the stomach 
 — there is the central point of sympathy. 
 
 I will ask the question: are such persons sick? Yes, they 
 are sick, and require skillful treatment to arrest the develop- 
 ment of fatal organic disease. What organ would be most 
 likely to become affected? The lungs — the lungs, assuredly. 
 I have said that such persons were sick, and the disease is in 
 the nutritive function; the powers of nutrition are partially 
 
117 
 
 suspended ; the food does not nourish the body ; as the patient 
 says, "my food does not seem to do me any good;" and that 
 is the truth. The patient has conectly stated the fact, but per- 
 haps cannot explain the cause, nor does he foresee the sad re- 
 sults that must follow the continuance of defective nutrition. 
 
 The reader will not fail to notice the harmony between the 
 above statements and the positions taken at the beginning of 
 this work, that defective nutrition, the loss of power in the 
 stomach to appropriate the fat globules to the nourishment of 
 the system and the support of respiration, as being the primal 
 cause of consumption and many other forms of chronic dis- 
 ease. The proper nourishment being withdrawn, of course the 
 whole system sympathizes, and hence that variety of nervous 
 affections which are complained of in such cases, and among 
 them, 
 
 PALPITATION OF THE HEART. 
 
 Is perhaps the most frequent. It is a direct result from this 
 condition of the nutritive function. Many patients, especially 
 weakly females, are treated for palpitation or other diseases of 
 the heart, when no such disease exists, the palpitation being en- 
 tirely dependent upon and produced by impairment of the di- 
 gestive organs, whereby sufficient nutriment is not provided to 
 support the normal condition of a healthy system. 
 
 The treatment proposed for that condition of the system, 
 called •" general debility," will cure four-fifths of these cases of 
 1 palpitation," and other nervous affections of which females so 
 frequently complain. 
 
 I could report many cases illustrative of the truth of these 
 remarks. I recollect two cases in particular, who applied to 
 me eight years ago. One was a young man of twenty, the 
 
118 
 
 other about twenty-five; both had been treated by physicians 
 of high standing. The usual treatment had been faithfully 
 applied for over one year in the first, and three months in the 
 second case. Being consulted in these cases, I advised treat- 
 ment to invigorate the nutritive powers of the system, not, 
 however, with * tonic bitters," and trash usually given for that 
 purpose, but pathogenetic remedies, and in six weeks both of 
 these patients were well, and have remained free from "heart 
 disease" to this day. Cases of this kind are frequent, and may 
 be readily cured by directing medicines to the digestive organs, 
 with a view of improving the blood and general health, where- 
 as, if treated for genuine disease of the heart, they will result 
 in consumption or dropsical effusions. 
 
 Treatment. — This will vary in some degree with the age 
 and sex of the patient, and I can therefore only give general 
 rules. The following are the proper remedies, so changed and 
 varied as to meet any particular indication present in the dif- 
 ferent cases. Every function of the body must be considered 
 in prescribing; for a harmony of function is health, and to sus- 
 tain that, the elements of nutrition must be in definite propor- 
 tions, corresponding to the wai-te of these elements in the sup- 
 port of animal life. Among the remedies to prepare the sys- 
 tem for further treatment, either No. 10, 28 or 21 may be given 
 with 36. After that, proper numbers maybe selected from 21, 
 14, 32, 31, 35, 17, 34, 11, 38, 13, 30, &c. The salt bath will 
 be a valuable auxiliary, alternated with other baths mentioned 
 in bills of directions. 
 
 ASTHMA. 
 
 The symptoms of this disease are so well understood, so dis- 
 
119 
 
 tinct and readily recognized, that it is unnecessary to speak of 
 it only in regard to the treatment. 
 
 Among the remedies for asthma, Inhalation ranks first, and 
 may be used as directed for other lung diseases. While using 
 Inhalation, use also, during the day, No. 39, after which use 
 ISos. 8, 28, 11, 9, 32, &c. Treat the symptoms, correcting the 
 stomach, regulating the liver and bowels with other numbers 
 suited to these purposes. It will be proper to change or alter 
 the order of taking the numbers so as to fill present indications. 
 And it is expected that every patient will consult Part II of this 
 book concerning the effects and medicinal properties of each 
 number before it is used. 
 
 EPILEPSY AND SPASMODIC DISEASES. 
 
 With the u-ual symptoms of epilepsy or "fits" every person 
 is acquainted who has had the care of such patients, and it is 
 not within the design of this work to describe at length any 
 disease with w r hich the public are sufficiently acquainted to rec- 
 ognize the symptoms by the usual name. 
 
 In treating Epilepsy, every known cause of nervous and 
 mental excitement should be scrupulously avoided, and strict 
 attention should be given to the condition of the bowels and 
 other habits which tend to weaken the system. 
 
 No. 41 may be first used as directed under that number; 
 then 29, 32 and 36, varied as the symptoms require. The 
 general health, and all the functions of the system should be 
 carefully attended to. When the liver is torpid, Nos. 7, 10 or 
 28 may be required, but it must be distinctly observed that 
 each number is a separate prescription, therefore only the sev- 
 
120 
 
 eral doses of one number are to be taken during the day, except 
 when otherwise specially ordered. 
 
 MENORRHAGIA, 
 
 OR A TOO FREQUENT, OR TOO EXCESSIVE FLOW OF THE MENSES. 
 
 For the treatment of this affection, refer to No. 16. Dur- 
 ing the intervals, if the patient be pale, weekly or dyspeptic, use> 
 Nos. 11, 14, 10, 13, 35, or such numbers as improve the gen- 
 eral health, all of which will be found in Part II. 
 
 DYSMENORRHEA, 
 
 OR PAINFUL MENSTRUATION. 
 
 This affection may be successfully treated by referring to Nos. 
 20, 34, 28, 13, and 21. Under their several numbers will be 
 found directions for their use. 
 
 When the the '"courses" are obstructed or retained, the same 
 numbers as cited above are the only proper, safe and efficient 
 remedies to restore that function of the female system and no 
 one will be disappointed in their effects, when the obstruction is 
 not from natural causes. 
 
 COSTIVENESS, OR CONFINED BOWELS. 
 The remedies for this affection have been fully described un- 
 
121 
 
 der Nos. 7, 10, 12, 28, &c. Also under the article Dyspepsia, 
 Liver Diseases, &c. 
 
 SALT RHEUM, ERUPTIONS, &C. 
 
 All diseases of the skin, from whatever cause, should be 
 treated, 1st. Constitutionally, by Nos. 32, 7, 27, 21, 9, 11, (fee- 
 All of these are highly efficacious remedies and rank in im- 
 portance in the order here mentioned. The ulcers, sores, or 
 abrasions, require the local use of 26, 33, 37, <fcc. 
 
 SCROFULA. 
 
 This disease is also readily recognized by the common ob- 
 server ver, by the swelling of the glands of the neck, which often 
 ulcerate and become very difficult to heal, by enlargement 
 of the tonsils, the hue of the complexion, the temperament of 
 the patient, &c. For special remarks upon the treatment of 
 Scrofula, refer to Nos. 32, 21, 11, 9, &c. These remedies may 
 be used in the order here given; however, No. 32 should be 
 used from 4 to 6 weeks first. When the glands have suppu- 
 rated and ulcers are formed, apply 26, 33, &c. These internal 
 and external remedies will not fail to cure every curable case. 
 
 SICK-HEADACHE. 
 
 [The proper treatment for this affection will be found under 
 No. 40, in Part IL] 
 
122 
 
 HABITS OF INVALIDS. 
 
 Certain things, aside from mere food are necessary for the 
 development of the body and its preservation in health. These 
 consist of air, solar light, heat and muscular exercise. Atmos- 
 pheric air, in a pure, natural state, is necessary for health, al- 
 though life may exist for a length of time, even when very bad 
 air is respired. By pure air is meant out-door air, that which 
 is inhaled while the body is exercised in the free sunshine of 
 heaven. The air in tight rooms and crowded apartments is de- 
 cidedly unhealthy, as every one may readily be convinced by 
 the lassitude and depression experienced in such places. 
 
 HEAT. 
 
 One fact I wish distinctly noticed : persons in poor health 
 of every grade are more sensitive to cold— or rather this feel- 
 ing of chilliness is within themselves — there is a deficient sup- 
 ply of animal heat; and as they remain much "in-doors," are 
 not aware of the high temperature in which they habitually live. 
 I have often entered apartments of the sick which were really 
 suffocating, ranging from 100 to 110 degrees, and that in cold 
 weather! That in-door temperature should be higher in winter 
 than outside atmosphere is evident, but most persons, even in 
 winter, keep their rooms above summer heat. Heating rooms 
 above 60 or 70 degrees rarities or dispels the oxygen and ren- 
 ders it insufficient to support life. In the life principle it bears 
 the proportion of water gruel to new milk. The invalid may 
 feel cold, but that sensation cannot be cured by heating the room, 
 for that only increases the difficulty, by depriving the lungs of 
 oxygen. Those who live in-doors acquire the power of enduring 
 the heat, just as a resident in the tropics does, and will complain 
 
123 
 
 of the eold until they are "baked alive." The beat of the body 
 in such cases is kept down by hot air, and animal heat not in- 
 creased by it. In the cold weather the heat is kept up by an 
 abundance of oxygen in the highly condensed atmosphere 
 which induces an appetite for fatty and other highly carbonized 
 food. Nature's furnace for warming the body is in the body, 
 not in the hot-air furnaces, tight stoves, and air-tight rooms! 
 ''But what shall I do," says the invalid, "to keep me warm]" Save 
 the heat of the body — prevent it from too rapid evaporation 
 by dress, not by "heating," or ''burning" the life principle out 
 of the air you breathe. If your system does not furnish ani- 
 mal heat sufficient, if the powers of nutrition are too much en- 
 feebled to do this, then make warm clothes do it. Clothes are 
 only another name for food — their use is to protect the too 
 great evaporation of heat in cold or variable weather. The nat- 
 ural heat of the body varies only one or two degrees at the equa- 
 tor or the poles, yet how great is the difference in the atmos- 
 phere! In warm climates the extra heat of the body is evap- 
 orated by free perspiration and thin clothing, or none at all; in 
 extremely cold latitudes it is generated by a greater amount of 
 fatty food, and preserved by furs, or thick clothing. In this 
 way the atmosphere is not disturbed or impoverished. 
 
 SOLAR LIGHT. 
 
 Is as essential to health as proper food or clothing. The 
 effects of solar light, in its influence upon the human system, 
 are manifestly important, although we are unable to demonstrate 
 them. But this fact is well ascertained, that the blood and nu- 
 tritive functions are decidedly impaired by its exclusion ; and the 
 uniformly pale, unhealthy look of persons excluded from solar 
 light, is evidence that is necessary. Both the animal and vege- 
 
124 
 
 table kingdoms furnish further conclusive evidence of this fact. 
 Naturalists tell us, that, in the course of healthy development 
 a tadpole becomes a frog, and experiment proves that without 
 light a tadpole never can become a frog. If light be essen- 
 tial to the development of the form and growth of the body, 
 may we not infer that it has an important influence upon the 
 maintenance of a healthy existence? Children that are thus 
 excluded from the sun, never become healthy, and remain in 
 the tadpole state! Those who live in cellars become meagre, 
 rickety, and deformed in body, have a ghost-like palor of com- - 
 plexion, and are early victims of disease. The free sunlight is as 
 essential to the various changes constantly required in the sys- 
 tem, as it is for daguerreotyping or the ripening of fruit. The 
 tenderness and whiteness of celery depend upon its being grown 
 in the dark. A rose deprived of the rays of the sun grows 
 pale, wilt^, decays and dies. Analogous changes are observed 
 in animals, and the human species are no exception to the gen- 
 eral rule. The sun's rays are a powerful stimulant, aside from 
 their chemical action upon the blood and secretions; and chil- 
 dren must have it or become rickety, puny, and find early graves ; 
 the adult needs it to preserve the body in health. These sub- 
 jects might be very profitably extended ; but as I have frequenly 
 in the course of this work abridged or witheld much important 
 matter, the ecomomy of space must be observed here. 
 
 EXERCISE. 
 
 Has been amply discussed in lectures and health journ- 
 als ; information upon this point is abundant, so indeed is it 
 in reference to the subjects of air, heat and light; yet the 
 wide discrepancy between the theory and practice of most per- 
 
125 
 
 sons, is a sufficient reason for introducing them here, however 
 briefly it may be done. 
 
 The physiological effects of muscular exercise upon the liv- 
 ing tissues are numerous, and absolutely essential to the main- 
 taenance of health. The alternate contraction and relaxation of 
 the muscles play a highly important part in keeping up a free 
 healthy circulation of the blood and fluids, also favoring the 
 excretions, inducing perspiration, accelerating the motion of the 
 bowels, and forcing open the lungs, or forcing into them a plen- 
 tiful supply of pure, fresh air. 
 
 In taking exercise one rule is imperative, that is, diversion, 
 amusement, or call it what you will, must accompany it. The 
 mind must be pleasingly occupied at such times. I care not 
 for what the " stricter sect " may say of the " sin " of mirth, it 
 is a natural gift — it is & faculty, and must like every other faculty 
 be exercised. To the gloomy and desponding, and those even 
 who are reasonably depressed in feelings from a knowledge of 
 their condition, mirth is a medicine. Miserable counsellors are 
 they for the sick who come with solemn faces. Despondency 
 is a part of the disease, or the mental part — administer then 
 the proper antidote. Some cannot bear large doses at first, but 
 amuse them — take their thoughts away from themselves, that 
 the nerves may be relieved, and gain strength by a change of 
 subject. The invalid cannot make mirth; he "does not feel 
 like it;" then help him, as you would a feeble person to walk. 
 Their minds and sensibilities are morbidly acute — mirthfulness 
 is often repugnant to them, as is medicine when one is very 
 sick. I know from experience that invalids are often not aware 
 of the amount of time they spend in thinking of their case 
 and in watching their symptoms, nor appreciate its bad effect, 
 and the load of anxiety the mind is groaning beneath. "When 
 
126 
 
 did you have a hearty laugh ? Last week, last mouth, or last 
 year? I remember when for two years I saw nothing, nor 
 could find anything which prompted the compliment of scarcely 
 a moderate smile. When friends tried to interest me or divert 
 my mind, I really thought it trifling with solemn realities, still 
 had I been better informed I could have "taken the medicine 
 in confidence." In these suggestions I do not allude to those 
 who are fatally diseased, but such as are able to take exercise. 
 As a physician, it is my duty to caution the "well," who may 
 exercise the delicate office of friend and associate of invalids, 
 to avoid as conscientiously as they would the "unpardonable 
 sin," speaking h'ghtly of the value of human existence, or the 
 great event of death. This I have seen done, under the false 
 impression of lessening the patient's sensibilities upon that sub- 
 ject. But it is inhuman, rough, and unphilosophical to do so. 
 Neither can you divert or benefit an individual by speaking 
 lightly of his malady or sufferings, nor is it at all amusing or a 
 proper way of interesting the mind by dictating thus: "Why, 
 you should be cheerful; not gloomy, sad and cast down, and 
 always looking on the dark side of things," <fcc. Now, my 
 hearty, fresh faced friend, these are words of torture, not of 
 hope or comfort. You might with just as much propriety tell 
 the emaciated patient, scarcely convalescent from a fever, to get 
 up and walk, to get strength, in the room of taking him kindly 
 bv the shoulders and assisting him in taking a few steps, to ex- 
 ercise his muscles. You must cheer your feeble friend; he can 
 no more cheer himself than you can lift yourself. He has un- 
 consciously lost both the power and will to thus exercise the 
 mind. To tell him to use this is imposing an impossibility. 
 But you who are fat, well, and good natured, should allure the 
 mind, which has long been in darkness, from the thick fog of 
 
127 
 
 melancholy to the light of hope — then you do the work of a 
 friend and benefactor. I sincerely believe sensitive patients 
 have often been hurried to the grave, and others driven there, 
 by improper influences — -by a disregard of the feelings, acute 
 sensibilities, and peculiar " notions" of those whose minds and 
 nervous systems are really as weak, or weaker, than their bod- 
 ies. It may have been, too, well intended — done through igno- 
 rance or a false philosophy, nevertheless it has been fatal in its 
 results. 
 
 Those who would successfully "minister to a mind diseased" 
 must know the secret springs of human feelings, the natural 
 preponderance of hope or despondency, must be naturally kind, 
 generous and agreeable themselves, which, under the guidance 
 of good common sense, will enable them so to manage their 
 afflicted fellow beings as to avert a fatal malady; if not, they 
 may at least lengthen the journey, remove many of the thorns 
 by the wayside, or smooth that path which is rough and 
 gloomy, till the last kind office is done, which in turn must be 
 done for all. 
 
 THE END. 
 
CONTENTS. 
 
 PAGE. 
 
 Preface, 3 
 
 PART FIRST. 
 
 Pathogeny Defined, .__ 7 
 
 The Basis of Pathogeny, 9 
 
 Symptomatology, 18 
 
 Chemical Diagnosis, 19 
 
 Bile — its uses, 21 
 
 Observations on the causes and treatment of Consumption, 23 
 
 To Correspondents, 27 
 
 Questions to be answered, 28 
 
 Questions to those having disease of the Lungs, 29 
 
 Cautions to the sick, 30 
 
 PART SECOND. 
 
 Pathogenetic Medicines and their uses, 35 
 
 Pathogenetic Inhalents, 36 
 
 Pathogenetic Remedies, 43 
 
 Nos. 3,4, 43 
 
 No. 5, 44 
 
 No. 6, 45 
 
 Nos. 7, 8, 46 
 
 Nos. 9, 10, 47 
 
 No. 11, 49 
 
 No. 12, 50 
 
 Nos. 13, 14, 51 
 
 No. 15, 52 
 
 Nos. 16, 17, 54 
 
 No. 18, 55 
 
 Nos. 19, 20, 57 
 
 No. 21, 58 
 
130 
 
 Nos. 22, 23, 59 
 
 No. 24, 60 
 
 No. 25, 61 
 
 Nos. 26, 27, 28, 63 
 
 No. 29, 65 
 
 Nos. 30, 31, 67 
 
 No. 32, 69 
 
 No. 33, 70 
 
 No. 34, 71 
 
 No. 35, 72 
 
 No 36, .V 73 
 
 Nos. 37, 38, 74 
 
 Nos. 39, 40, 75' 
 
 No. 41, 76 
 
 PART THIRD. 
 
 Symptoms and treatment of Chronic Disease, 77 
 
 Consumption, , 79 
 
 First Stage, 80 
 
 Second Stage, 83 
 
 Third Stage, 86 
 
 Other Varieties of Consumption, 87 
 
 Chronic Bronchitis, ♦. 88 
 
 Chronic Laryngitis, 90 
 
 Catarrhal Consumption, . 93 
 
 Dyspeptic Consumption, 94 
 
 Dyspepsia, and its Complications, 96 
 
 The Remedies for Dyspepsia, 102 
 
 Disease of the Liver — its complications, 105 
 
 Treatment of Disease of the Liver, 109 
 
 Jaundice, 109 
 
 Disease of the Kidneys, 109 
 
 Neuralgia, Ill 
 
 Rheumatism, 112 
 
 Dropsy, 113 
 
 Leucorrhoea or Whites, 114 
 
 Hemorrhoides, 115 
 
 Disease of the skin — Eruptions, &c, 115 
 
 Chronic Ague, 115 
 
131 
 
 General Debility and Nervous Affections, 115 
 
 Palpitation of the Heart, 117 
 
 Asthma, 118 
 
 Epilepsy, 119 
 
 Too frequent or excessive Menstruation, 120 
 
 Painful Menstruation, 120 
 
 Costiveness, 120 
 
 Salt Rheum, Eruptions, &c, 121 
 
 Scrofula, 121 
 
 Sick-Headache, 121 
 
 Haoits of Invalids, 122 
 
 Heat, 122 
 
 Solar Light, 123 
 
 Exercise, 124 
 
 Advice to friends of the sick, 126 
 
APOLOGY. 
 
 As numerous typographical errors appear in this work, it is 
 but proper the reader should know that the author was absent 
 at the time of publication, and did not see the proof sheets. 
 The following is a correction of the more important perversions 
 of MS. 
 
 Page 8, seventh line from the bottom, the word " genos " 
 should read genao. 
 
 Page 17, sixteenth line from the top, the word "whether" 
 should read wherefore. 
 
 Page 1 9, first line, the words " alkalies, salts " should read 
 alkaline salts. 
 
 Page 54, first line, the word "proportions" should read 
 preparations. 
 
 Page 12, tenth line from the bottom, the word "for " should 
 read of 
 
 Page 1 2, second and third lines from the bottom, the wo rds 
 " muscles " should read muscle. 
 
 Page 13, eighth line from the top, the word "earthly " should 
 read earthy. 
 
 Page 88, the bottom line, the word u prostrated" should 
 read protracted. 
 
 Page 47, first line, the figures "40" should read 30. 
 
^f'Or^S 
 
 ££t* Persons who receive this book will please read and hand it to their inva- r <^ 
 
 d friends. ^§££ _>* 
 
 *&* 
 
 
 PATHOGENETIC 
 
 . 
 
 
 PRACTICE OF MEDICINE: 
 
 EMBRACING 
 
 CHEMICO-PATHOLOGY AND THE 
 
 SYMPTOMS AND TREATMENT 
 
 Of Chronic Diseases by Pathogenetic Remedies. 
 
 DESIGNED FOR THE USE OF PATIENTS. 
 
 BY 13. -X7W. TTJCElBR, TML. 3D., 
 
 Author of the " Pathogenetic Practice of Medicine," 8 mo. 
 
 
 SANDUSKY, OHIO: 
 
 PRINTED BY HENRY D. COOKE & COMPANY. 
 
 1858. 
 
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