i9 ^im. *> V ** v \ #% -.1 5^ ;^s^; .v^. ,* mm. m € V* T * 'Sate.* >*\^*\ o° 4 > »»i^- ^ V v ..♦»•* %, 4,9* .- DISEASES OF THE LIVER. THE Diseases of the Liver : JAUNDICE. GALL-STONES, ENLARGEMENTS, TUMOURS, AND CANCER : AND THEIR TREATMENT. BY J. COMPTON BURNETT, M. D. Second, Revised and Enlarged Edition. 1 Das ist eben das wahre Geheimniss, das Allen vor Augen Liegt, eueh ewig unigibt, aber von Keinem gesehen." Sehiller. BOERICKE & TAFEI,. 1 SEP T 6 < H 33S j PHILADELPHIA '. J[r ntevyg* / 7 h . KM 3 •3 3 Copyright, 1895, by BOERICKE & TAFEL. PREFACE TO FIRST EDITION. ^pO those accustomed to treat diseases of the liver with remedies having an elective affinity for the organ itself, the contents of this volume must appear more or less self-evident. I refer more par- ticularly to the practitioners of scientific therapeutics usually called homoeopaths. But the practitioners of traditional medi- cine will find in my pages a great deal to interest them, and not a little that is new; new at least to them. Those of my readers who have a taste for the more strictly doctrinal part of my subject, I would refer to my small work entitled * ' Diseases of the Spleen and their Remedies Clinically Illustrated," to which this is intended to be a companion volume. vi Preface to First Edition, The prevailing ignorance of good organ-remedies is lamentable. Not long since a lady came to me for a chronic liver affection of nine years' standing, and, though her physician is a man of high standing in the profession, and a doctor of medicine of the University of London, his sole treatment had consisted in giving the accursed morphia to lull the pains. He had never even tried one single good organ-remedy, and this not- withstanding the fact that patient has long been profoundly jaundiced. And this, too, is I fear, a fair sample of the every- day work of the men of light and leading in the profession. The pain being the outcome of the disease, the treatment should have been directed to the causal complaint, and not to the effect — the pain. Had this been done, the lady would, in all probability, have been cured of the fundamental dis- ease; as it is, her disease has become Preface to First Edition. vii formidable, and probably incurable, and she herself is a hopeless, helpless, will- less morphia eater. It is in the hope of throwing a little light into this dismal darkness that these pages are sent to the Press. October 2, 18 go. PREFACE TO SECOND EDITION. J^HE first edition of this work being exhausted, this second edition gives me an opportunity of saying by way of one word, that my little treatise ' ' Diseases of the Spleen" contains much that, in justice to my subject, ought to have ap- peared in "Diseases of the Liver," I refer more particularly to the theoretical considerations on the place of organopathy in the homoeopathic edifice. Attention was called to this, but most of my review- ers have clearly overlooked the point and hence it has come to pass that I feel that my dear little bantling has not had quite fair play. It has, so to speak, been dotting about the world on one leg much to my parental concern. My stand-point in Diseases of the Liver is a scientific and doctrinal one and x Preface to Second Edition. one moreover of great practical impor- tance and my little book is not merely an omnium gatherum of hepatic odds and ends. For my justification I now add Part /, which ought to have appeared in the first edition. J. COMPTON BURNETT, M. D. 86 Wimpole Street, Lo?tdon, W. Midsummer, 1895. ■ ■**>£*&r& ®o tf|e 3Hemorg OF THE RESUSCITATOR OF PARACELSIC ORGANOPATHY THESE PAGES ARE GRATEFULLY DEDICATED ®fte ^utfior* PART I. The Autonomy and Hegemony of the Organ in the Organism : Bei?ig Remarks In- troductory to the Cure of Organ Diseases by Organ Remedies in Reference to Dis- eases of the Liver, The Diseases of the Liver: The Antomony and Hegemony of the Organ in the Organism. T^HE interaction of the human organism with its environment has generally been recognized in every age according to the views current at the time, the relations of the microcosm to the macrocosm used to be a big chapter in medical doctrine. That man acts upon his environ- ment has been well demonstrated by the changes that have been wrought in physical nature in the United States, Canada and Aus- tralia since they have become in- 2 Environment, habited. The differences in the American, Canadian, and Aus- tralian shew clearly that nature reacts back on man who is moulded and formed by his climate. I am personally acquainted with a gen- tleman, now resident in London, who at twenty years of age left England for Eastern Europe, and there remained till he was thirty years of age when he returned to this country. When he went he had an abundance of light curly hair. On his return his hair was abundant and curly but nearly black, so that his own mother did not know him and his own brother who went on board the steamer by which this gentlemen returned and hunted for him amongst the pas- sengers entirely failed to recognize Maternity. 3 him though he stood close by him for some time, he was looking for a light-haired man. After ten years further residence in Bngland his hair had almost returned to its original light color. When the spermatozoon and the ovule meet and marry their inter- action comes to a complete organic union resulting in a new organism, thus of dual origin, and finding a suitable habitat in the womb sets up a connection with the mother. Here the maternal organism and the foetus interact with one another: the influence of the foetal organism upon the mother's organism is very curious: her breasts grow, her back widens, her shoulders broaden, her gait alters. Yet not- 2 4 Organs. withstanding the dependence of the foetns upon the mother and the maternal changes npon the foetns the two lead independent lives and may even have certain diseases in- dependently of one another. In this way we come np to what we may conceive to be the natnre of the physiological position of the varions organs of the body to the organism itself; what the macro- cosm is to the microcosm that the microcosm is to the separate organs. Although the crasis of all the fluids of the body and the stroma of all its organs and parts must in the main be about the same, both physiologically and pathologically, still there is a certain individual life and equality being inherent in Organs. 5 each organ and part and I surmise that there are many kinds of blood corpuscles. For the present, confining our- selves to the organs only, we wish to enquire somewhat into the ques- tion of how and how far a given organ is to be considered therapeu- tically apart from the organism of which it forms a part and without which it has no existence. This idea has swam more or less before my mind for nianj^ years, and I have given expression to it in several of my writings, particu- larly in my " Diseases of the Spleen" and in the second part of this work, and its importance in my daily clinical work increases with time. 6 Question of Dose. The question of the independent existence of the organ, or rather of the existence of a something in each organ (and I believe in each region and part) deserves the most care- ful study and consideration because of its bearing upon treatment, and upon the question of the dose, viz: whether to use high, low or me- dium dilutions, and this quite apart from organotherapy. On this peculiar something in each organ the Rademacherian practice of medicine is largely based but nothwithstanding its practica utility it has thus far not been scientifically elucidated so little in deed that but few regard it as o: any particular importance ; in fact we may say that it has barely an} Signatures. 7 recognized existence at all. And yet there it is, and for a number of years has been of so much help to me in my clinical work that I feel impelled to dwell upon the subject here a little more at large. Brown- Sequard's work in the later years of his life has physiologically taught us that there is in the very deed a real "self" in each organ and that such organ has a func- tional importance for its organ- ism to whose entirety it belongs. The effects of spaying and castra- ting are well known and really prove the point so far as ovaries and testicles are concerned — this has been recognized all along. The old doctrine of signatures is laughed at by almost all physi- cians, inclusive of the homoeopaths, 8 Signatures. and yet it is not without consider- able foundation in fact; and, in- deed, facts in great numbers may be drawn from homoeopathic liter- ature in support of its real practical value. It has often helped me and I have long since ceased to ridicule it. Of course, it can easily be turned upside down and made to look silly, but still there it is and in the long run will most certainly be justified by science. I am very certain Hahnemann believed in it for it is manifest that he drew very numerous indications from it for his remedies. That Constantine Hering also believed in it seems pretty certain, and Hering knew his Hohenheim, of whose works he made a splendid collection. Von Grauvogl, too, shows that he was Signatures. 9 not uninfluenced by it. Rade- macher ever made merry over it, and yet many of his remedies came into use through it, Chelidonium to wit. Von Grauvogl years ago recommended Pulmones vulpecu- larum in asthma and I have fol- lowed his recommendation with advantage, he was laughed at a good deal at the time, but now science comes along and puts a stop to the ridicule so long cast upon Paracelsic organ feeding. There is a peculiar disease con- sisting in an enlargement of the hands and feet, face, head an ex- tremities, called Marie's Disease, or Acromegaly, with which and en- largement of the pituitary gland — is commonly associated — here it io Thyroid Gland. would appear that the nutrition of the extremities is directly influ- enced by the pituitary gland. The enlargement of the pituitary gland is said to be a true hypertrophy of its substance and not a neoplastic process. That the influence of the pitui- tary gland affects development and nutrition is also shewn by the other overgrowth and undergrowth tendencies connected with pituitary disease. The autonomy and hegemony of the individual organ is even more clearly demonstrated by modern research in regard to the thyroid gland. As is well known Goitre, or Derbyshire neck, is exceedingly Goitre. 1 1 common in Switzerland. Some dozen years ago Dr. Kocher, of Berne, communicated to the Ger- man Surgical Congress the results of a hundred extirpations of Goitre and shewed that there arose in some of his observations an affec- tion consecutive to the total abla- tion of the thyroid gland which he described as cachexia strumipriva. In English medical language struma is synonymous with scrof- ula while botanists understand by struma the swelling or protruber- ance of any organ. In Central Europe struma is used as a syn- onym of Derbyshire neck and of other not necessarily strumous swellings. The next step was the recogni- 12 Feeding Thyroid. tion of the similarity of the arti- fact cachexia strumipriva with the idiopathic malady known as myx- oedema and reasoning that inas- much as as the artifact disease arose in consequence of the total ablation of the thyroid it might be that myxoedema was likewise due to a lack of the thyroid organ- influence on the organism. Feed- ing the myxoedematous with ani- mal thyroids soon shewed that the reasoning was sound, and this nutritional therapeutics is now the recognized treatment of my xcedema due to simple thyroid atrophy. And very pretty it all is. Kocher finding that the total ablation of the thyroid led to myx- oedema afterwards modified his Operating. 1 3 mode of operating and adopted the plan of leaving a portion of the gland capable of functional activity instead of totally ablating it. And lie tells us that he has since oper- ated on 900 cases of Goitre in this manner and in no case has any cachexia strumipriva supervened. Furthermore, Kocher has hunted up a number of his old cases of total ablation in whom the cachexia had appeared and fed them with thj^roids with the most satisfactory results. It has been found that overfeed- ing with thyroids acts poisonously upon the organism generally and specifically, and this will no doubt be called thyroidism, if it has not alread}^ received that name. 14 Experimental Feeding. Lanz and Trachewski have made experiments with thyroid feeding under the immediate supervision of Kocher himself and produced in dogs mi tons les symptomes de la maladie de Basedow" and what is positively startling ' ' ce mode de traitement pent amener a la longue une atrophie complete des parties saines de la glande thyroide" ! ! Now, the fates are distinctly un- kind to our allopathic friends who had begun to score one by their cure of myxcedema with thyroid glands added to the food of the sufferers : the place of the atrophied thyroid being supplied by the thy- roid food, and here comes experi- mental science and shews that the thyroid feeding in the long run Thyroid Dose. 15 contingently produces atrophy and not only atrophy, but complete atrophy of the healthy parts of the thyroid gland. So that in future the dose of the thyroid extract must be lessened because this new therapeutic acquisition of allopathy over which we homoeopaths had certainly become not a little jeal- ous, is after all not only pure homoeopathy but its symptomatic and pathologic homoeopathicity is demonstrated all ready for us in their own laboratories. Now our allopathic friends must do as they did in regard to tuberculinum, viz: admit the efficacy of small doses and with it the truth of the homoeo- pathic law, or officially drop the thyroid business, as they did with tuberculinum. They will go out 1 6 Functions of the Liver. of the thyroid business in time confused by their own work, be- cause without the light of the homoeopathic law it must end in confusion. So after all Paracelsus was right in recommending his lung-to-lung and kidney-to-kidney homoeopathy, and the dignity of the organ has risen to university rank and fellowship. What I in this volume am really concerned with is the importance of the organ, its complete auton- omy and hegemony, as bearing on the diseases of the liver. The functions of the liver are too large a chapter for me now to touch upon, but the newest data of science in regard to goitre and Three Points. 17 thyroid feeding bring out into a clear light these points :■ — 1. That the organ in the organ- ism does indeed possess not only autonomy but hegemony, z. e. the organ is an independent state in itself and in and on the organism exercises an important influence. 2. That both a plus and a minus of a given organ results in disease of the organism. 3. That the organ-to-organ ho- moeopathy of Paracelsus is a scien- tific iact. And we thus see that organ- remedies by restoring the disturbed organ to health cures the organism itself. I have for years fought for the 1 8 Organopathy. recognition of the organ in the organism from the clinical side and maintained that organopathy lies at the very root of homoeopathy in its simplest and most elementary form, and now that orthodoxy is officially proclaiming "organo- theraphy" (Paracelsic organ -to - organ homoeopathy) and now that physiologists firmly and faithfully believe that all the glands have a creative, formative, directing, con- trolling, nutritive, antitoximal in- ternal secretion, surely I need fight no longer the cause of the organ in the organism. By the way, it seems to me that Hale's Law of Dose is amply con- firmed by the clinical results of organotherapy, the law may not Org anopathy. 19 be of universal application but it and it only, explains many of the phenomena of homoeopathic cures. Iron produces plethora and anaemia and who amongst us can deny the splendid cures of anaemia by iron in full dose? We all see them daily. And who would for a mo- ment think of using full doses of iron in plethora? and certainly we use with much advantage infinites- imal doses of iron for many symp- toms of plethQra. We may say that the full doses are nutritional only, but it seems to me that that is not all. The newer facts of organotherapy, pres- ently to come may, perhaps, clear the matter up^. PART II. The Diseases of the Liver: Jaundice > Gall-stones, Enlargements, Tumours, a?id Cancer, and their Treatment, JAUNDICE. TF anyone shall maintain that Jaundice is not a greater dis- ease of the liver, but a minor one, I shall reply, Then such a one has never had the curious complaint. Jaundice was the indirect efforts at independent thought in medicine ; it was in this wise: — A student was working with Professor H 24 Jaundice. with the microscope while he had a bad cold in his head — in the hot trickling dewdrop stage — and find- ing that microscopizing nnder the circumstances was not an easy matter, he said to his professorial friend, u What's good for a cold in the head ?" "Oh," said he, " sniff up cold water into your nostrils — that'll cure it quickly." Studiosus set his microscope aside ; went home. Once there, forthwith sniffed cold water most diligently into his nostrils, and cured the said coryza there and then. A sweet cure ! as the sequel | shewed. Jaundice, 25 The next da) 7 lie had the begin- ning symptoms of catarrhal jaun- dice, and in two days the affection was well-established. Professor H. was again con- sulted, and said he must give up hospital work at once, and take a holiday in the hills. Being conversant with all the facts of the case, it occurred to me that as catarrhal jaundice was due to a catarrh of the gall-ducts, just as the coryza was a catarrh of the nose, so if we could only get at the gall-ducts as readily as at the nostrils, we might wash them out also, and thus cure the jaundice, as the coryza had been cured. 26 Colds. I have had a certain number of colds in the head to treat during the years that have since elapsed, but I have never recommended Professor H.'s plan of sniffing cold water into the nostrils, believing a catarrh of the nose to be less bad than a corresponding state of the gall-ducts. This simple narration really touches at the very founda- tions of all curing: The young man was not well; nature sought to rid his organism of something harmful to his organismic self; she set up a watery discharge from a small portion of the mucous lining of the body, near the sur- face and not otherwise too much functionally occupied. This hot Fluxes. 27 running from the nose was really a curative expression of the organ- ism. (The young man had been long living and working in the most foul atmosphere of dissecting rooms and hospital wards.) The cold water stopped it (the flux, not the disease,) and then nature fell back upon the liver, as she so often does. Centrifugal fluxes and discharges should not be lightly stopped. Why the flux ? Whence the dis- charge ? Let the questions of the why ? and whence ? be answered as we go along. Here I merely insist upon the elementary truth that a morbid process having a, perhaps, time-honored name, may be never- 28 Fluxes, theless no disease at all, but merely a means of cure set up by nature herself, and that there are diseases which it is disadvantageous or dan- gerous to cure, that is to cure in the sense in which the verb to cure is commonly used in English by the thoughtless. Of course to ef- fect a really radical cure of any primary disease can never be other than a gain to the individual. " Yaller Janders." 29 Case of Catarrhal Jaundice cured by Cheltdonium majus. A good many years since I was summoned to see a country gentle- man for sudden indisposition. It was a rather tedious railway jour- ney, and a humble friend of the family, anxious to enlighten me, told me that the squire had the " Ye Her Janders" Yellow the patient was, indeed, and the colour was from jaundice! There were the usual sjanptoms — constipation, scanty urine of a dark yellow browny colour, and debility with depression of spirits. Chelidonium majus in small material doses, put matters right in a few days, leaving the patient, however, weak. 30 Chelidonium. " What medicine have you been giving my husband ?" " A new remedy." " What's it's name." " Chelidonium majus" " What's the English of that?" " The greater Celandine." " Then it is not by any means a new remedy, for it is in my old Herbal, in which it is recommended for jaundice." And so it was: the use of the greater Celandine in jaundice has trickled down to us through the ages from the primary source of the doctrine of signatures. Of Chelidonium majus, I would say that it is in this country the greatest liver medicine we have, Chelidonium . 3 1 and there is, in all conscience, no lack of hepatics. Some of my early success in practice was due to my use of Chelidonium. It came about thus: I went to see an important lady for a well- known physician in the north, he being too busy to attend, but said lady strongly objected to new doctors. She took a look at me — as I subsequently learned — from a position where she herself was in- visible to me, and did not like the look of me. So I was sent away with many apologies from the daughter. Her hepatalgia was easier just at that moment: she would wait till her own physician would come. 32 Chelidonium. A few days later the pain in her right side became unbearable, and said physician again sent me. This time I was admitted and fonnd her in very great pain in the hepatic region: she had had it at intervals for very many years — abont thirty years, if I remember rightly. The liver was very mnch enlarged and the pains very acute ; there was no jaundice, the tongue mapped, I mixed some Chelidonium majus and had it given pretty frequently : it eased the pain more promptly than ever the pain had been re- lieved before, and finally cured it altogether. Her whole life was changed. To make amends for having refused to see me on my Chelidonium. 33 first calling upon her she presented me with a piece of plate, and sent me subsequently very many of her suffering friends. So einflusserich was this vener- able dame that I feel her practical influence to this very day. This cure, and its gratifying re- sults to a struggling young doctor, fixed my attention a good deal upon Chelidonium, and upon liver affections, which are everywhere so common; and it has been my lot to relieve or cure a very large number of liver diseases — and from this wide experience I now write. My first real acquaintance with Chelzdonzum was from Dr. Richard 34 Pharmacodynamics, Hughes's " Pharmacodynamics," a work to which I owe so much, and which I sincerely commend to all who wish to understand the actions of drugs. I would not be too sure of my botanic knowledge, but I have an idea that Chelidonium is the only plant, indigenous to this country, which possesses a yellow juice. That the colour of this juice led to its use in liver diseases on the lines of the doctrine of Signatures the historically competent will hardly deny. That it has a specific affinity for the great gall-organ anyone may verify for himself if he will take a few drachms of the mother tincture in divided doses. It is kindly and gentle in its ac- Rademacher. 35 tion, which action is fully set up with only a very minute dose, but inasmuch as my more intimate knowledge of it comes to me from the Rademacherians, I have gen- erally used it in small material doses. It will be interesting to give Rademacher's experience with Chelidonium. He used it as an organ remedy, or in other words on the homoeo- pathic principle in its elementary form of specificity of seat* * I have entered so fully into the question of the identity of the organopathy of the Hohen- heimians and the specificity of seat of the homoeopaths, in my work entitled " Diseases of the Spleen and Their Remedies Clinically Illus- trated ' ' that I may fairly refer my readers hereto in lieu of going over the same ground again here. 4 36 Rademacher* s Use Rademacher's Use of Chelidonium. Rademacher, with the charming simplicity of really great knowl- edge, tells us in regard to Cheli- donium, that he had long despised it is worthless, and confessedly to his shame, for he remarks that it was a celebaated hepatic remedy in olden times. (See his Erfarh- rungsheillehre, p. 163.) He then enters into a long dis- sertation upon its action and comes to the conclusion that it affects the " inner liver." He says a physician need have no great experience to know that the disease of the liver, of Chelzdonzum. 37 that in its perfected form shews itself as jaundice, has endless gra- dations that in every-day life and in medical speech are not regarded as jaundice. Still the very slight- est degree of the jaundice-affection shews itself in the urine by its pale gold colour, and in the skin, par- ticularly in that of the face, by its more or less dirty look. And where there is but little gall in the motions and no icteric discolour- ation of the skin, it follows that we have in such cases to deal with not merely an obstruction to the outflow of the gall into the duo- lenum, but with that unknown Drgan by which the gall is pre- Dared from the blood; this gall- tnaking organ is ill, so that bile is 38 Radetnacher* s Use not duly prepared at all, and there- fore none can be either poured out or absorbed into the skin, or cast out by the urine. This is what Rademacher calls the " inner liver," not indeed as an anatomical ex- pression, but as a figure of speech to convey to the mind a more or less accurate and concrete concep- tion of the sphere of action of the Chelidonium majus. This conception of the true sphere of action of Chelidonium is, I think, correct. The cases cited by Rademachei are mostly " bilious fevers." Where the gall ducts are alone implicated he considers Nux vomica the right remedy. Hence CheliX of Chelidonium. 39 donzum would be indicated in alcholia as well as in jaundice when the affection is primary to the " inner liver/' Rademacher's favorite mode of using it is the simple juice of the plant with just as much alcohol as will clarify and preserve it. His dose was at one time one scruple of his tincture a day, but in chronic cases of liver affections he subse- quently came down to two or three drops a dose, given four or five times a day. He even came down to one-drop doses diluted in half-a- cupful of water, till at last he thinks he might be accused of copying the homoeopathic posology of " Mr. Hahneman I" He tells us, 40 Rademacher* s Dose however, (" Erfarhrungsheillehre" p. 176), that he first appreciated the curative value of small doses from Helmont,* who roused in his soul the thought that small doses of drugs might have great curative effects. But Rademacher confesses that he at first did not clearly perceive the importance of the small dose until he had got rid of his earlier and more gross views, and came from diligent observation to get concise views of primary organ- diseases as they really exist in nature. In a foot-note (p. 176) he protests that the small dose can- not be correctly spoken of as * Opera omnia, p. 552, in the chapter with the superscription Butler. of Chelidonium. 41 "homoeopathic," but as being the property of Paracelsus, and refers to the eleventh chapter of the fifth book of Hohenheim's "Chirurg- ische Schriften," De Causzs et origine hits Galliccz, which he rec- ommends his readers to peruse at- tentively, and concludes thus . . . "wenn sie dieses gethan, werden sie wol nicht mehr von homoo- pathischen Arzeneigaben sprechen , sondern sie werden begreifen, dass die Wahrheit — unwdg und unmess- bare Arzeneigaben konnen, wenn das durch Krankheit vei'anderte Verhaltniss des Korpers zur Aus- senwelt sich dazu eigene, wunder- volle Heihvir kungen mtssern — mit der sogenannten homoopathischen 42 The Small Dose. Theorie gar nicht in Beriihrung kommt." In other words . . . unweighable and nnmeasnrable doses of reme- dies can produce wonderfully cura- tive effects when the condition of the body in regard to its environ- ment have been altered by disease and thus rendered susceptible thereto, and thus have nothing at all to do with the so-called homoeo- pathic theory. But this only by the way, I am writing of the Diseases of the Liver ; still it is pretty evident that Rademacher in his later days had become conscious that his own practice and teachings were Homoeopath-wards. 43 leading hiin, nilly- willy, homoeo- path-wards. 44 Enlci7 r ged Liver. Case of Enlargement of the Liver with Jaundice cured by Chelidonium. A lady of seventy, stout, and given to very little exercise, came under my observation, and on ex- amination I found her severe and frequent right-sided pains were due to a swelled liver, which was tender in pressure. Skin and con- junctivae subicteric, motions con- taining but very little bile ; urine on the contrary loaded with it. She was at the seaside and this it was, she said, that had upset her liver. Tongue coated, giddy, low- spirited, pulse intermittent, in- Chelidonium. 45 somnia, lethargic, loss of appetite, fear of death. Chelidonium majus in small ma- terial doses resulted in complete recovery in ten days, when she re- turned home with a regular pulse, clear eyes and skin, and all the functions normal, and very de- cidedly of opinion that life, even at seventy years of age, is not at all a bad thing. Enlarged Liver and Conges- tion of the Right Lung, cured by Chelidonium. A young officer in the Army was invalided home from India for liver and lung disease and came to me. 46 " Inner Liver" I found his liver large and tender, tlie right lung engorged, his skin very muddy, bowels costive, and he was dreadfully depressed and weak. He was quite sure he was in consumption. The lung affec- tion I regarded as consecutive to the engorgement of the liver, there being, in the words of Rademacher, a primary affection of the " inner " liver. Chelidonium in small mate- rial doses quite restored him to health in three weeks. In due course he returned to his regiment. Jaundice, 47 Case of Pronounced Jaundice CURED by Chelidoniiim. A middle-aged gentleman, a merchant, returned from the Kast Indies with very severe jaundice, which had resulted in considerable emaciation. The voyage home and a stay of some duration in the north had not mended matters. He was very depressed in spirits, almost the colour of mahogany, and the urine was very scant-and brown-yellow. His bowels very constipated. How quickly and pleasantly he was cured, he even now never tires of telling his Manchester friends. 48 Jaundice. I might tell of a lady who had severe and long-lasting jaundice and who was speedily cured by Chelidonium, and of a notable number of other cases of liver af- fections cured by it, but it is need- less. What I have already narrated will suffice. I would, however, just dwell upon the fact that Cke/tdomum will very frequently cure engorgements of the right lung even when it is a concomitant of true phthisis, but it has no influence over the general phthisical state, other than what pertains to, and results from, the lower half of the right lung and liver. As an intercurrent remedy in the hepatic complications of Not a Cure-all. 49 phthisis it is capable of rendering important service. Likewise as an intercurrent rem- edy in gall-stones it is useful, as is also Myrica cej ifera, but both stand far behind Hydrastes in this affec- tion. My own conception of its true seat of action is that it affects the liver cells : Rademacher's " inner" liver. There are numerous affections of the liver that Chelidonium will not touch curatively at all, and there- fore it must not be regarded as a liver cure-all, which it is not. 50 Chelidonium and For instance, it affects the left lobe of the liver much less than does Carduus Marice, to a consider- ation of which we will proceed after having first given a short account of Rademacher's use of a combination of Chelidonitim and Calcarea muriatica. Radkmachkr'S Usk OF Chelidonium and Liq. Calcarice muriat. Our author tells us he is con- vinced that there exists in nature a liver disease that can only be cured by a mixture of Chelidonium\ and Liq. Calcarice muriat. Liq. Calcaricz Murzat. 51 This is his formula: — R Liq. Calcariae muriat., §ii. Tinct. Chelidonii, 3L M. He administered fifteen drops in half-a-cupful of water five times a day. With this he cured many cases of grave fevers and hepatic affections that did not mend with either remedy by itself, but he tells us he knows of no reliable or char- acteristic indications for its choice. I might add that muriatic acid once had a seemingly well-founded reputation as a liver remedy ; and some still esteem it highly. 5 52 Carduus. The Curative Sphere of Carduus Marice in LjvER, Spleen, and Abdominal Affections. Certain remedies have very lim- ited special spheres of influence and our power to cure diseases is largely conditioned by our knowl- edge of such spheres. I am in- creasingly impressed with the importance of knowing where the remedy acts by special elective affinity. As I have dealt with spleen affections by themselves, without making any special refer- ence to Carduus marice (the seeds are the officinal part), I will at once exemplify its action here. Liver and Spleen. 53 Enlargement of Liver and Spleen Cured by Cardnns. A young lady, of sixteen sum- mers, was brought to me by her mother on the seventh of Septem- ber, 1887, for severe attacks of vomiting that had lasted for three months. She was often roused rudely from her sleep in the morn- ing with an attack of vomiting. Her constitution had been dam- aged by diphtheria, and eighteen months previously she had had varicella. I treated the case symp- tomatically with great relief to the vomiting, but the pains in the 54 Liver and Spleen. abdomen became rather worse than better. After I bad given her my old favorite Nat. mur. 6 she was still further improved, but there th< thing still was : I had relieved the symptoms but I had not cured the real primary seat of the same. I then did what might with advan- tage have been done before the treatment was begun, viz : I made a careful physical examination of the bare epigastrium and of the two hypochondria. With what result ? The note in my case book taken at the time will enlighten us ... . " Liver and spleen both very much enlarged so that they seem almost to fill the abdomen." Carduns. 55 Here I had to do with the severe and long-lasting vomiting which yielded partially to close symp- tomatic treatment but would not get quite well .... (Oh, how often are we in this unsatisfactory state) ; and a physical examination revealed the reason of my failure. I had treated the case with reme- dies that were homoeopathic to the superficial symptoms, but NOT homoeopathic to the cause of those symptoms; the degree of homoeo- pathicity was not adequate though it went a long way towards it. Here I fell back upon my Rade- macherian experience with Car- duus and gave five drops of the matrix tincture in a tablespoonful 56 Liver and Spleen. of water, night and morning, and this cured the enlargement both of Spleen and of Liver, and as this enlargement was the cause of the pains and vomiting, of course pains and vomiting likewise disappeared. The only further abnormality which I could discover in the young lady after taking the Carduus marice for about five weeks was an indurated condition of a few of the cervical glands of her left side : the side on which she had been vac- cinated; Thuja occidentalis 30, in infrequent doses, cured these and patient has had no vomiting or any of its concomitants since. She continues well to date. Although my own prescription Carduus. 57 of Carduus was from pure experi- ence, there can be hardly any doubt that an adequate proving would shew its homoeopathicity to the case, inclusive of the enlargements of liver and spleen. Riel's proving of Carduus shews it to produce pathogenetically : " nausea, uneasiness, pain, vomit- ing, with inflation of the abdomen, fee." The generally improved appear- ance of the young lady after she had been a month under the Car- duus was very striking, and repeat- edly remarked upon, by friends who were not acquainted with the circumstances of her ill-health and its treatment at all. 58 Carduus. The kind of liver enlargement wliicli Carduus cures is in the transverse measurement. By way of comparison I will now quite shortly exemplify the kind of enlargement of the liver which is cured by Chelidonium\ it will be seen that the comparison is crude and mechanical, yet withal, I sub- mit, not without practical value. Chelidonium. 59 Enlargement of the Liver in the Perpendicular Line cured by Chelidonium. An independent gentlemen of thirty, usually resident in Paris, came over to London to consult me in the early part of the year 1886, and that for his liver and for dyspepsia. He had twice had jaundice in previous times. His symptoms were waterbrash, indi- gestion, constipation, attacks of intra-abdominal chilliness ; he was very dusky, his urine had a strongly urinous smell. His liver reaches almost up to the right nipple. 60 Perpendicular Line. An ounce of the tincture brought the liver back to the normal; the dose was five drops in water, two or three times a day, and some- times once a day. But altogether he consumed nearly an ounce. This is the kind of hepatic enlargement which Chelidonium rights in small material doses. But it did not restore the patient to complete health; why? For the simple reason that the increase in the perpendicular measurement of the liver was only a part of his complaint, the other bearings ol the case being foreign to my pres- ent thesis. Suffice it to say that his liver was cured by the Cheli- donium, and patient continues well Organ Remedy. 61 in these (and now in the other) respects to the present time. It is well to realize that an organ- remedy while capable of cnring an organ-disease, and all the concomi- tant S}^mptoms which arise from the organ-disease, nevertheless can in the nature of things not cure the concomitant symptoms in the patient when these symptoms stand in no nexus with such organ-dis- ease. Thus I treated a young lady for a liver disease and gave her successively Cardials, Chelidoninm, Natrnm sulphuricum, Taraxacum. She had a mapped tongue and vomiting, with headaches and squinting. The liver was reduced to its right dimensions and the 62 Perpendicular Line. vomiting was cured, but the map- piness of the tongue remained, and patient did not feel well. But the tongue became normal after a month of Thuja 30. She had headaches which she herself termed bilious and the others neuralgic, and there was a third kind of headache called by another name and which seemed distinctly connected with the squinting. The bilious head- aches ceased after the use of the before-mentioned hepatics; the neu- ralgic headaches continued till after the Thuja, and disappeared simul- taneously with the mapped state of the tongue. The squint-headaches she still gets, and remedies like Glonoin and Gelsemium do them good. Appropriation Paracehi. 63 From these considerations it is manifest that there are cases that cannot possibly be cured by one remedy and inasmuch as the symp- toms form part respectively of groups of different causations, cov- ering the totality of all the symp- toms present in the patient would be a useless and fruitless task. Hence it is that Rademacherian organ-testing helps me so much in my e very-day practical clinical life; for, if I cure an organ with its Appropriation Paracehi, and cer- tain symptoms go while others remain I am enabled slowly to un- ravel the most complex groups of symptoms and finally find a simile or even the simillimum of the ground-evil. 64 Organ States. The adage Naturam morborum ostendunt curationes also comes in here as an auxiliary. With me it is an axiom to relieve uncomfort- able or dangerous organ-states with simple organ-remedies as promptly as possible, leaving the more re- mote and deeper- going to be after- wards considered, and treated, if possible, with its pathological si- millimum, or else astiologically , say according to Hahnemann in his Coethen phase. Cardials. 65 Carduns Maria in its Relation with Liver and the Skin. Perhaps it would be more correct to think of the matter as twigs of the same branch. Thus in my small work on the Skin* I men- tion the seeming connection be- tween the cutaneous surface of the sternum and other internal affec- tions, notably of the left lobe of the liver therewith. Subsequent experience has taught me that although the Carduus cures these cases very prompt^ and indeed brilliantly, * ' ' Diseases of the Skin from the Organismic Standpoint . ' ' — London , 1 886 . 66 " Sternal Patch." still the cutaneous eruption is apt to recur. In support of this con- nection; or, perhaps, it might be wiser to say concomitancy, I there give some Carduus cases thus :— The u Sternal Patch." One often meets with liver affec- tions connected with cutaneous manifestations. I would like particularly t o refer to a patch of eruption on the skin covering the lower part of the sternum which I have several times found co-exist with heart disease and swelling of the left lobe of the liver. In my case-takings r call it the " sternal patch." Carduus. 6j I have four such cases in my mind at this moment, the first I will narrate is that of a mayor of a large town in the north : — He had a patch of brownish eruption on the sternal portion of thorax of the size of a woman's palm; with it were associated an enlarged liver and a cardiac affection evidenced by palpitation, systolic murmur, and general uneasiness. He came to town to see me at odd intervals for about two years, and was then discharged cured. He has passed under my observation since, but though his liver gives no trouble the same cannot be said of his skin, and he has moreover pyorrhoea alveolai'ts. 68 " Sternal Patch." I treated him antipsorically and organopathically, the most notable benefit being derived from Carduus maricz in five drop doses of the strong tincture given three times a day. The second I remember was a Manchester merchant, with the same kind of cutaneous patch on the sternum, and very notable heart trouble with arcus senilis as a concomitant. Here the ease and comfort brought by the Carduus maricz were very striking. Under date of January 31, 1883, I find in my case book these words of the enthusiastic patient — "It had a most marvellous effect, soon made me right; the patch went away Carduus. 69 in a fortnight; had had it for years." This gentlemen has remained under my care, calling upon me at odd times when in town, and dur- ing the past two years has had besides the strong tincture of Car- duus, Bellis pe remits 1, Attrum Metallicum 4, Vanadium 6, and Acidum oxalicum 3*, and some other remedies, and I consider him vastly improved, and his life — speaking commercially — worth 40 per cent, more than previously. The third case was that of a New York merchant, who suffered from liver and had come over to Europe to consult a physician, as he seemed to get no better from 7<3 Carduus. the treatment of his New York advisers. I found his liver very much enlarged, and also the before- mentioned sternal patch of skin- disease. I gave him Carduus in like dose to the foregoing, and he came in a week declaring himself quite well. I advised him to re- main awhile under observation, to see if the cure proved permanent, but he hurried out of my room in great glee, and I never saw him again. The fourth case in which I found the sternal patch and enlarged liver, giddiness, and palpitations of the heart was that of a London lawyer. Here the liver got well, and the heart too, together with ( l Sternal Patch? ' 7 1 the giddiness, but it needed a course of antipsoric treatment to finish the cure of the patch of diseased skin. I might say the same of a fifth case, an officer in the Royal Navy, where this patch co-exists with hypertrophied liver, and in which the affair has a specific air about it, probably inherited, and it may be that when Sarcognomy is better understood, and when the relations of the various cutaneous regions will be recognized as con- stituting the ver}^ base of medi- cal and medicinal diagnosis, this sternal patch will be understood to indicate " liver and heart." But the following Case cured by Carduns is also instructive in 72 Carduus. considering its relationship to skin and liver. A city merchant, thirty years of age, unmarried, came to me in May, 1888, for windy dyspepsia, the probable ground-work of which proved to be an enlargement both of liver and spleen, and he had amongst other things very numer- ous sebaceous cysts strewn about his body, looking for all the world like the malva seeds (cases), chil- dren call cheeses. At first I gave Ceanothus Amer- icanus, believing it to be primarily a spleen affection, and then Pul- satilla, but they did no great good; when Carduus, given for a little Carduus. 73 over a month, brought the liver back to the normal and all the wee wens were gone. The enlargement of the liver and the wens disappeared simul- taneously, but the genuinely causal nature of both was neither hepatic nor cutaneous : That was scrofula. But as scrofula can only be treated in its manifestations, he who treats such manifestations successfully cures it. The general improve- ment under Cardials was most striking and lasting: patient got quite well and has since happily married. E. Stahl speaks in his Disserta- tions most highly of Carduus in those inflammations of the chest 74 Carduus. which are accompanied by gall fevers, and it was from him that Rademacher first learned its nse and never ceased to prize it, nota- bly in blood spitting from liver and spleen engorgements. No remedy, he declares, in our whole drug store can compare to Carduus when there are stitches in the side with bloody expectoration. He recommends his readers to note well where the last trace of pain is felt as it dies away, as that is likely to be the primary seat of the real disease. My r tea Cerifera. 75 Case of Jaundice in a New- born Babe Cured by Myrica Cerifera. An able accoucheur attended a lady who bore a jaundiced babe; said he, "I cannot give that wee thing any medicine, so } t ou had better send for your homoeopath (meaning me), as he can give some of his 'pips'!'' This was done and pilules of Myrica cerifera 3 X (crushed into a powder and rubbed on the baby's tongue) rapidly cured him, and he at once began to put on flesh, and has thriven ever since. Before taking the Myrica he was very weedy, thin, and leathery-looking. Myrica cerifera is one of the 76 Mynca Cerifera. very valuable additions to our materia medica that have come to us from America. I have often used it in liver disease, notably in bad cases of jaundice, with striking success; it produces jaundice in the healthy pathogenetically, and is very searching in its action. It was the great American Samuel Thomson, the botanic practitioner, who brought it into notice. A pale green wax is obtained from its berries, and hence it is called ceri- fems, or wax-bearing. Its powdered bark was Thomson's " canker powder," and he advised it in all discharges from the mucous sur- faces, especially in leucorrhoea, dysentery, and nasal catarrh. Myrica Cerifera. 77 Dr. Leland Walker's proving, as given in " Hale's New Rem- edies," shews an accurate picture of severe catarrhal jaundice ; we are, therefore, on indisputably scientific ground when we prescribe Myrica for catarrhal jaundice. No wonder that the old American botanists practised w r ith so much success. That Thomson was a close and accurate observer may be seen from the fact that he commends it to " disengage the thick viscid secretions of the mucous mem- brane," for we find Walker's patho- genetic Myrica-catarrh was of the same viscid quality ; he says : " throat and nasal organs filled with an offensive tenacious mucus." 78 Leptandra. IvEPTANDRA VlRGINICA Is another valuable contribution from America, effecting the liver, mucous membrane, lungs, and pleura. Roughly , it is the mercury of the eclectics. It has never been a favorite of mine, simply because I have not needed it, inasmuch as it closely resembles Cheltdonium in its effects. I once saw Dr. Reginald Jones, of Birkenhead, make a brilliant cure of a severe case of right-sided pneumonia with it — its prompt, decisive, curative action was unmistakeable. In the lazy livers of city men, I have used Leptandrin 3 X in six- Sanguznaria, Podophyllum. 79 grain doses with great satisfaction to the patients. Sanguinaria Canadensis is, in truth, a liver medicine, but not primarily or principally so, and is too great a remedy to be mentioned only in passing. Podophyllum peltatum is a great liver remedy, and has been greatly abused. Its use in " torpid liver " is not good practice, and has done much harm. Its true scientific homoeopathic use is in diarrhoea from overflowing bile, with much irritation, and even inflammation of the gut. It once stood me in good stead in a case of diarrhoea that threatened to end fatally — at any rate the allopathic 80 Podophyllum. family adviser had informed the lady's husband that he considered the patient would not recover, as nothing would check the diarrhoea, and the lady was seemingly sink- ing. I was telegraphed for and had to travel nearly 200 miles. On arriving, the family physician, although he had given the patient up as past recovery, declined to meet me because of nry homoeo- pathic creed, and this although he professed to be a friend of the family, and only lived two doors off. The stools were foul smelling, hot, bilious, excoriating, and passed out of the anus in a constant dribble. The patient had become too weak to be raised or even adequately helped, and things had Podophyllum. 81 o be just left. I studied the ease a short time, and finally decided upon Podophyllum 6. The next evening patient was convalescent, and I returned to town. The cure was complete and permanent. When the family physician had heard of my departure, he returned and very kindly watched the case : or me, still giving my remedy. ?Why," said he, "Podophyllum is one of our allopathic medicines it is not a homoeopathic medicine at all; they have stolen it from us." The poor ignoramus still knows not that the use of the remedy, i. e., the principle on which it is used, is the point at issue. 8 2 Dr. Grundy. It might be asked, why would this dapper medico not meet the writer over a supposedly dying patient, and would yet accept the more humble position of merely watching the case and giving my remedy after I had departed ? It was thus : He and another doctor in the place each consid- ered himself the first man there; and if his rival had heard that he had met a homoeopathic practi- tioner in proper consultation, he would have been denounced for unprofessional conduct, and his status lowered in the eyes of dear Mrs. and Dr. Grundy. He declared to the family that he personally should have been de- Picric Acid. 83 lighted to have met me, but that he had to consider his own posi- tion, Such is medical life here in Kngland to-day. Still, for all that, Podophyllum 6, humanly speaking, saved the lady's life; and I, having done my duty, have therein my reward, and I thank God for the privilege. In the debility from jaundice I have found Picric acid very helpful. I have commonly used it in the third dilution. I have found the Brassica murialis, which Dr. Heath tells me should be called Diplotaxis 7 84 Gallstones. tenuifolia, of good service in the lazy livers of relaxing climates , when patients feel as if they could scarcely crawl about from sheer goneness. It is homoeopathic to such, as I know from a fragment- ary proving made by myself in 1874. Gallstones. In the treatment of gallstones we have to consider the attacks of gall colic and the treatment of the stones themselves when they lie in the gall bladder giving no one any trouble. I have treated gallstones and gallstone colic a good many times with hepatics of various Gallstones. 85 kinds, and have found myself best in the painful attacks with Hydras- tis Canadensis, originally given from a suggestion of Dr. Henry Thomas. A great many remedies stand in good repute for the treat- ment of this almost unique com- plaint. I have used as much as ten-drop doses of the strong tincture of Hydrastis, given every half-hour in very warm water, and known it to succeed in a few hours after everything had failed. In one case the patient had lain for 40 hours in terrible agony, un- relieved by any known thing. It is odd that people who have been taking Hydrastis, not infrequently think they have been taking 86 Gallstones. Opium. After the attack of pain is over, it is best to set about curing the liver itself by a long course of homceopathically-indica- ted remedies, whose names are legion ; for it must be manifest that gallstones are a secondary affection, due to a previous con- dition either of the liver or of the gall, or of the gall-bladder, or of the linings of the ducts. In some cases I have thought the whole state had started originally in catarrhal jaundice. My own procedure I will ex- emplify by narrating a case in point at some length. Gallstones. 87 Case of Gallstones and Organic Disease of Liver. A lady of fifty years of age came under my observation early in the year 1888 with a very muddy complexion, subicteric whites of the eyes. She suffered very much from acidity and also from vomit- ing. She told me she had been a sufferer from her liver for many years ; severe bilious headaches and dyspepsia. She had been mercurialized for her liver till all her teeth fell out, and now her digestion had given in almost completely, and she had become so thin that her appearance was 88 Gallstones. quite cachectic. She had got so frightened of anything bringing on her attacks of gall colic that she avoided almost every article of food. Owing to her great emaciation and trim build I was able to make the diagnosis of gallstones from actually feeling them, a thing I am very rarely able to do myself. The region of the gall-bladder was, however, so tender that a very little feeling with my hands was as* much as she could bear. I treated her for close upon two years, and then she was a plump, bonny woman, enjoying her life and dining out with her friends. Her skin had become compara- Gallstones. 89 tively healthy looking, though not as clear as a healthy English lady's generally is. I chose the remedies on homoe- opathic indications, and here and there as Rademacher would have done ; and, when I the last few times examined the region of the gall-bladder, I entirely failed to find any stones. She had the following remedies seriatim, Ignatio amara i x , Cheli- donium i x and #, Nux vomica / x , Cholesterine 3 X , Hydrastis Can. ( P, Thuja occ. 30, Sanguinaria Can. 0, Carduus maricz #, and Bilirubin. 5. All these remedies did their portion of the good, and were given as they were indicated. 90 Gallstones. I have rarely seen a more satis- factory cure of a difficult, almost desperate, chronic case, and quite as rarely had a patient, with a worse family history. Which remedy cured the patient ? All of them. There is a Carduus case that should have come in earlier on, but I had mislaid the MS., and as it is short I will add it here, and principally because it neatly ex- emplifies the Carduus action. Five years have elapsed since the pa- tient was cured, and there has been no return of any of the symptoms, and he has continued otherwise in uninterruptedly good health. Hypertrophy. 91 Hypertrophy of Left Lobe of the Liver; Slight Hyper- trophy of the Heart; Sternal Patch. On January 27th, 1885, a j^oung gentleman, twenty-one 3-ears of age, and who had long been ailing of no one seemed to know what, was sent by his father to me " to be thoroughly overhauled and put right." The overhauling disclosed slight enlargement of the heart, considerable enlargement of the left lobe of the liver, and a very prominent sternal patch. Patient complained of suffering a good deal from giddiness. 92 Gallstones. 5? Carduus marice $, five drops in water night and morning. He was discharged permanently cured in six months. During a considerable portion of the time he was taking the Carduus, winch quite set heart and liver right, but the sternal patch I had to cure nosodically, of which . . . une autre fois. I often see members of this gentleman's family, including his parents, and know, as I said just now, that he has continued well ever since. We will now return to gall- stones. An elderly lady came under my observation early in the summer Gallstones. 93 of 1888, for gallstones, character- ized by frequent recurrent attacks of jaundice, colic, and vomiting, with the usual agonizing pains. She was under me a good many month — about eighteen, if I re- member rightly — and then dis- continued her treatment, and has since continued well. I strongly urged her to go on longer, lest there should still be present the remains of the old colic causing stones, but to no avail. Why should I continue taking medicines when I am well? She had in succession (and several repeatedly) , Kali bichromi- cum, Carduus maricz, Hydrastis Canadensis, Primus Virginiana, 94 Gallstone Colic. Cholesterine, iodoformum^n$i. final- ly Ferrum picricum 3 X . Tlie last named medicine does capital ser- vice in bilious debility. Case of Colic from Gallstones. A middle-aged gentleman brought bis wife to me three years since to be treated for gall- stones, and the usual attacks of colic with vomiting, that came on at odd intervals, from known and unknown causes. Patient had been long under their own doctor in the country, but to no good purpose; in fact, a chronic pain in the right side had been superadded to the before-mentioned colic at- Gallstone Colic. 95 tacks, and patient had lost flesh a good deal. She paid me visits once a month for many months, nntil she was quite well and in a thoroughly thriving condition. However, I told the husband that I did not think the biliary calculi were really entirely gone, and that I thought it would be wise to continue with the use of gentle gall-medicines till we had sounder ground for believing that there would be no further relapses. But patient seemed and looked in such capital health that there really seemed, from their stand- point, no reason for continuing my treatment, so my warning was not regarded. g6 Gallstone Colic. The remedies that helped sc brilliantly in this case were Hy\ drastts, Carduus, Chelidonium andl Berberis, and two or three others! which I have not noted. It must be fully a year since I saw any of the family, but this morning I was prescribing for her brother-in-law, who told me that she is now lying in the country very ill with gallstones, and her attending physicians consider her case hopeless. So all experience goes to show that the after-treat- ment of gallstones should be carried on for a very long time, so as to get rid of the disease altogether. Iyong delay at the printers' enables me to add that Gallstone Colic. 97 after having been thus given up, this lady again placed herself under iny care, and has at last completely recovered her health, Euonymin md Thlaspi bursa pastoris 4> hav- ng helped most. How the biliary calculi are dis- solved I am unable to say; that they are eventually really and truly ot rid of by dissolution I infer from the fact that the sufferers get well and remain so. It might be asked: What is your indication for Bursa pastoris in Gallstones? Answer: When the original liver-ailing started primarily from the womb. I will refer to this again. 98 Biliousness. Chronic Biliousness and Emaci- ation Cured by Che/zdonzum. A strumous gentleman, about thirty years of age, came over from Ireland to consult me with regard to loss of flesh, dyspepsia, and biliousness. He was over six feet in height, and only weighed ten stone. Hair reddish; thorax flat; pronounced venous zig-zag; digestion very weak; poor appe- tite; a brownish rash across the epigastrium; cannot digest vege- tables. The state of the liver led me to prescribe Chelidonium 1 ; five drops in water night and morning. Biliousness. 99 Under this prescription (with :he same diet, occupation, and lace of abode as previously), he ncreased five pounds in weight in thirty-two days. In six months he had reached 10-stone 12 lbs. in weight, and he long after reported to me that he had " remained in very good health, indeed." Besides 3eing for some months under the influence of Chelidonium, he had inter-currently also Badiaga 3* and Psorinum 30, each during one month. The state of the skin caused me to interpose Psorinum, and some symptoms of indigestion led me to give the Badiaga. ioo Enlargement of Liver. But the strikingly great ame- lioration set in first under the sole influence of the Chelidonium, but this remedy did not extend its influence far enough or wide enough, and hence it had to be supplemented by the other two, but with the spheres of action of them we are here not concerned. Enlargement of Liver, producing Shortness of Breath and Palpitation, cured by Chelidonium majus 3 X . Some years since a retired mer- chant, sixty -eight years of age, consulted me for a supposed affec- tion of his heart. He complained Enlargement of Liver. 101 of obesity, fulness in the stomach, violent perspirations on moving about — so much so tbat he was in the habit of changing shirts during the forenoon already; feels puffy on going up a hill ; loses his breath from the stomach on the least hurry. Has a fresh healthy look. No ar- cus senilis. Is very active, and takes a good deal of exercise. After taking twenty drops of Chelidonium maj. 3 X per diem for a few weeks I noted, at his dictation: The pufiiness is much better ; I can walk with greater ease ; I feel as if something were gone from me." That is to say, his swelled liver had gone down and there w^as more playroom for his lungs and heart. 102 Enlargement of Liver. He weighed 15-stone 9 lbs., and under the action of Chelidonium this came down to 15-stone 6 lbs. He afterwards had Chelidonium 1, and also Euonymin 3*, and after 15 months' treatment he had gone down one stone in weight, and was able to go up hill and upstairs with comfort. I saw him a year ago for neural- gia, when Silicea 200 was follow- ed by the disappearance of the neuralgia. Gallstone Colic. 103 Case of Gall Colic cured by Myrica Cerifera 3 X . In the year 1889 a lady of some 30 odd years of age came to con- sult me for her liver. She seemed healthy and bright, but severe pains in her right side, pyrosis, and certain brown patches on her skin clearly implicated the liver. Patient took for a month Cheli- donium

five drops in a table-spoonful of water, for some weeks, I received a very grateful letter from her, in which she says : " That medicine has done me a great deal of good; I have lost all pain in my side, and have had only one headache, and no indigestion, and I walk six miles a day/' What the exact state of the gall- ducts was of course I could not tell ; I could not feel any calculi ; none had ever been passed, she thought. Right Organ Remedy. 105 Although Chelidonium and Hy- drastis both did much good, it was the Myrica that really hit the mark curatively. When a patient gets the right organ-remedy it is often really astonishing how their leeling of bien-etre is augmented: they not only become well, they very em- phatically feel it; they are, as it were aggressively well. Of course, a good complexion means health, more or less, but the liver is very specially involved in producing a clean skin and clear complexion; and I propose by- and-bye to dilate upon this point lo6 laivny Skin. somewhat, as I consider it impor- tant.* Case of Tawniness of Skin, Bronchial Catarrh, and Cough. The tawny skin is met with in greatest perfection in those who have lived in hot countries; and where this dirty-looking dinginess of the skin is not from constitu- tional disease, or inherited from phthisically-disposed parents * it is quite amenable to treatment. The tawny discoloration can be more or less removed. This tawniness I re- *See, on this subject, my "Five Years' Ex- perience in the New Cure of Consumption." Tawny Skin. 107 gard as chronic subicterism, and, indeed, the anti-icterics cure such cases beautifully. They generally take a good deal of time to be really and permanently cured, and a whole series of such remedies have to be brought into play in succession, one after the other, to- gether with here and there an inter-current nosode ; but at times they will mend quickly from one or two remedies only. Thus at the beginning of the current year a city merchant, fifty- five years of age, came to consult me for a cough, with a bronchial catarrh. The tawniness of his skin was very marked, and this he at- tributed to a twenty years' resi- 108 Tawny Skin. dence in Africa. The cough was habitual, and worse in the evening. There are a good many crescentic cutaneous efflorescences on his chest. iVo months of Hydrastis Cana- densis . He took altogether just an ounce, in small material doses. Cured the cough; reduced the catarrh of the bronchial lining to a minimum; and very materially lessened the tawniness of his skin; many of his friends remarking upon the very striking improvement in his seem- ingly dirty complexion. I should have followed up with some three or four other anti-icterics, but the gentleman considered he was well Skin and Liver. 109 enough, and would not come any more, even " please his wife." The Complexion of the Skin in its Relation to Liver Affections. That the complexion is more or less modified in certain affections of the liver is pretty patent to all the world, and the least observant readily remarks that " So-and-so's liver cannot be right." Neverthe- less, when people's skins are in an unhealthy state the}^ commonly treat the skin, or go to a skin doctor who is pretty sure to regard his specialty as the first, and treats I io Skin and Liver. the skin, generally cPen face, with washes and ointments and the like. I have tried to combat this view in my " Diseases of the Skin from the Organismic Standpoint/' but, I am afraid, with too little success. The skin gets its life from with- in ; it is fed from within from the blood, and it is from within that a good complexion must be obtained. One cannot make an unhealthy skin healthy by any washes or ointments whatsoever. I have preached this doctrine before and oft, but few will listen, and hence I am going to preach Varicose Vein. in it again, so that I may at least be able to say dixi et animam meant salvavi. Take a person whose skin is jaundiced. Does anyone propose to wash the yellow skin white? And if not, why not? It were almost as rational as to try to get a good complexion from any pow- ders and washes whatsoever, and yet the deluded apply such things daily in faith believing. Large Varicose Vein; Enlarge- ment of liver. It might be wondered at, that I hould give a case of varicosis in a work devoted to the main diseases ii2 Varicose Vein. of the liver, but, as a matter of fact, the case is so unique that I add it here lest it be lost, and because I hardly know where it would fit in better. At the beginning of 1889, a young lady was brought to me by her mother for a large varicose vein running from her right shoulder, over the right clavicle, and across the upper half of the right side of the chest. It varied in size somewhat, and at its largest was about the size of an ordinary quill. Being great society people this vein cast quite a shadow over their lives, it being " quite impossible, you know, to dress." Varicose Vein. 113 One sees the oddest things in the way of varicose veins in the lower half of the body, but not very often in the upper, as gravitation is enough to empty them when they are higher up. All kinds of treatment had been applied, or applied to, and quite lately the vein had been treated by that wonderful cure-nothing — electricity. I reasoned thus : Veins that dilate in that manner, steadily, slowly, increasingly, must do so from an obstruction in their pro- gression heartwards, just as the little rivulets higher up the stream must fill up when the stream is dammed up lower down. H4 Varicose Vein. From a rather careful physical survey of the parts involved, I found the liver very large — indeed huge, which was probably ac- counted for by the fact that patient had thrice had ague, or else three attacks of the same. Her skin was dirty dingy-looking, and the portion covering the lower end of the breast bone studded with wee flat warts, and the degree of anaemia was considerable. More- over, she had a disagreeable cough, and her sleep was not good. An ounce of Chelidonium #, spread over eleven weeks, restored the liver to its normal size, and the varicosis had almost entirely Gallstones. 115 disappeared, so that patient had again taken to evening dress — respectively, undress. Her skin at the same time became clearer, and her blood of evidently better quality. Case of Gallstones. The wife of a well-known clergy- man came under my observation on the 12th of June, 1889, for gall- stones. Competent medical men had attended her in these attacks, and had diagnosed gallstones. Patient had turned fifty, and is the mother of many children. Her attacks began with sharp agonizing pains in the pit of the stomach, extending to the arms, and with 9 n6 Gallstone and them severe vomiting; her breath is very short ; her bowels are cost- ive, and she is a martyr to flatulent dyspepsia. Being a rich woman, she had sought the best advice in London, but to no avail. Her physicians had stated that nothing more could be done. Her lower extremi- ties had begun to swell, and this, coupled with a loss of flesh, dys- pnoea, and a very darkly icteric coloration of the skin, seemed to corroborate the given prognosis, and the more so as patient's able physicians had long tried their best with such remedies as are current in the orthodox school of medicine. Dyspepsia.. 117 But knowing well their poverty in remedies, and in knowledge of remedies, I set about treating this lady precisely as if she had never had any medical treatment at all. Thirteen months later, while I am actually writing these notes, she is plump, healthy looking, and touring with her husband in Scot- land, and she has had no pains at all for just eleven months. Friends who have not seen her for some time barely able to recognize her because of her changed appearance. Her remedies were Hydrastis Canadensis, Bryonia alba , Thuja Occident., Helonium, Strophanthus, and intercurrently, for far-reaching n8 Cholesterinum and constitutional effects, two common nosodes in high dilutions. The change in this lady's dis- position is rather remarkable, as from being dull, taciturn, unen- gaging, and almost socially un- civil, she has become bright, affable and chatty. The fact is, our brightness and chatty sunniness in our social life do verily depend much upon the liver. Cholesterinum in Tumours of Liver. This is obtained from gall ; I believe from that of the bullock. I learned its use of the late Dr. Ameke, of Berlin, author of the Liver Tumour. 119 " History of Homoeopathy," trans- lated into English by (alas, also the late) Dr. Alfred Drysdale, some- time of Cannes. Ameke claimed to have derived much advantage from its use in cancer of the liver. This is a weighty statement, and is true. I believe I have twice cured cancer of the liver with it ; and in obstin- ate hepatic engorgements that, by reason of their obstinacy, make one thing interrogatively of cancer, the effects of Cholesterine are very satisfactory; at times even strik- ing. I commonly use the 3 X trit. in six-grain doses three times a day, but this will here and there act 120 Cholesterinum and very violently, and when this hap- pened I have found the third cen- tesimal trituration effective. Sometimes one meets with cases in which there appears to be a semi-malignant affection, involving the left lobe of the liver, and what lies between it and the pylorus and the pancreas, and here Cholesterine 3 X and lodoformum 3 X , in four- hourly alternation, have several times rendered me sound service. I may relate one such. Sum- moned 60 miles into the country late one afternoon, to a supposedly dying lady of 60 odd years of age, I found her icteric, vomiting, bathed in cold perspiration, very Liver Tumour. 121 thin, debile ; the pulse small and weak, and patient seemingly almost moribund. Nothing would stay on the stomach. The seat of the affection was the left lobe of the liver, extending to the left and towards the navel. That there were gallstones is probable, but, quite outside of the acute attack, there was a chronic affection of some kind in the region just named, evidenced by swelling and tenderness. Kalibich. 5 relieved; Cholesterine 3 X and Iodof. 3 x cured in a month, and, the case being of long stand- ing, the cure converted several families to the contemned pathy of Samuel Hahnemann. 122 Cholesterinurn. But, allowing for all doubtful- ness and vagueness in what I here relate, Cholesterine is my sheet- anchor in organic liver disease in which the commoner hepatics — Chelid. , Carduus, Myrtca, Kalibich., Merc, and Diplotaxis tenuifolia have failed. I do not think that Chlosterine has any influence upon the u dis- position" to cancer, but it acts by reason of its elective affinity for the seat of the disease ; it effects therefore not a cure in the Hun- ternian sense, inasmuch as it only gets rid of the product of the dis- ease, but that is something, as there is then a temporary cure, which under favorable circum- Cholesterinum. 123 stances may become permanent proof of which permanence of cur- ative results I will presently ad- duce. In this case the cure has proved to be permanent, as now (two years since the lady is in capital health, and on a visit to her daughter in the North of England. 124 Curing the "Incurable" Curing the Incurable — The Insolence of Ignorance. "Le cancer est incurable parcequ' on ne le guerit pas ordinairement; on ne peut le guerir puisqu 'il est incurable, done quand on le guerit e'est qu'il n' existait pas." — Duparcque. The saying of Duparcque which stands at the head of this', pithily puts the whole question; the thing has not changed, dest alors comme alors. This I will dwell upon very briefly now, and at the same time bear the very highest testimony The Insolence of Ignorance. 125 to the virtues of Cholesterine in cancer of the liver. On January 30th, 1889, an American gentleman, confessing to sixty-five years of age, and on a visit to his daughter, married to an English clergyman in the north, was accompanied to rny rooms by the said daughter, so ill was he that had I thereafter heard of his immediate demise I should have been not in the very least aston- ished. The note taken at the time stands thus in my case book under the above date .... Thin, weak, debile; yellow conjunctivae, insomnia ; very nervous and ap- 126 Curing the "Incurable" prehensive. Been treated for en- larged liver and had lots of calomel and chloral. His skin is tawny, cachectic. There is a swelling of the liver or of the pancreas — prob- ably malignant disease of the left lobe of the liver. Always suffered from dyspepsia. Been a great ocean traveler. " I am very fond of salt, and eat a great deal." Is a practical teetotaler. Bones of the fingers very knobby. He is a spring-and-fall ailer. Has lost a stone weight since November. Never been ill but ailing, and has taken much medicine: bromides and chloral, urethran. Very chilly. He is very ill. Urine normal. Has had ague, ond been twice vac- cinated. Cholesterme. 127 I ordered him six grains of the third decimal trituration of Cholesternium every four hours, and requested him to call in a few days. The married daughter de- manded my candid opinion, and I said it was, in my judgment, can- cer of the liver, when she informed me that that was the unanimous opinion of all their medical advisers the most trusted of whom were quite sure the lethal end was not far off. That would also have been my opinion had I not seen Cholesterme bring back hope in several desper- ate cases of cancer of the liver. I therefore felt warranted in stating that I thought our remedies care- 128 Curing the "Incurable." fully and persistently applied might yet cure him. In a few days patient returned to me in company with his daughter, and I hardly like to say what the change was, so great was the amelioration. He looked vastly improved and walked firmly, and indeed already con- sidered himself on the high road to recovery, almost wondering what all the fuss had been about. When Mr. D. R. had retired, his daughter very anxiously said, "What do you think, now?" I said I had not altered my opinion; and that the improvement was due to the remedy and not natural recovery, and that the said improve- ment would have to be followed Cholesterine. 129 *■ up with close scientific treatment which might, and indeed most likely would, result in a positive nd direct art-cure. I also tried to explain that we had begun success- fully and rapidly to deal with the product of the disease, and that done we could proceed to deal with the disposition thereto. I ordered patient to go on another few days with the prescription which I had iven to him at first {Cholest.,) and then to report himself to me. In about half an hour thereafter the daughter returned with her husband, and the latter almost flew at me in very rage. u What," said he, "do you mean to tell me that 130 The Insolence of Ignorance. my wife's father has cancer?" "Yes." "And that you are going to cure him?" "Yes. I think I shall, but I am not sure." Here- upon he raised his voice somewhat and repeated his questions so offen- sively that I turned away from him and he left. I have never seen or heard of any of them since; nor have I ever since seen the wife's sister, Lady , whom I cured in 1886 of a thickening of the Cardia, but Lady 's cure was a truly Hunterian one, and she has been quite well for long. I have been so often amazed at the insolence of ignorance that I not infrequently find it hard to bear with equanimity. Thus here I was positively in- Job's Comforters. 131 suited, essentially because I knew more on a given point than certain others, viz., that Cholesterine will at any rate cnratively modify some cases that seem to be hepatic car- cinosis. Still, I thank God and take com- fort . . . they know not what they do. People who are sick of some chronic disease and are given over to their fate by those who ought at least to have the courage of hope- fulness, find not infrequently their greatest enemies in their nearest relations, who resent efforts at cure. These Job's comforters seem to re- gard determined efforts to cure their friends as personal insults. 10 132 Hopeless Case. This phenomenon I have observed so often that I have wondered what the explanation thereof might be : in nltimate analysis it wonld seem to be hnman vanity. They have pronounced the case hopeless, and therefore it is so and not otherwise. Ubi morbus ibi remedium. This idea is very old, and clings to mankind with wonderful tena- ciousness. On this is founded Ameke's conception which, had he been spared would, I think, have resulted at least in the discovery of notable remedies for which clinical experience would subse- quently have afforded fixed indi- cations. Liver Tumour. 133 Tumour of Liver of Great Size Cured by Cholesterinum. A country squire nearing seventy years of age came under my obser- vation in the early part of 1889 for a very large tumour clearly con- nected with the left lobe of the liver. Patient was so ill that he reached town with difficulty, and became so weak that it was impos- sible for him to return Orthodoxy well represented had given him up; and his profound adynamia and cachectic look war- ranted me in stating that I had but small hope. But he was a plucky 134 Large Tumour. fellow — a type of the British aris- tocrat (born to govern and fit therefor: because living out of doors and not reading books — Beaconsfield) and he was willing to obey to the letter. I advised him to go to the Grand Hotel and quarter himself in the sunny front high up out of the dirt and din, and there abide. He did so, and a very pleasant abode that is : the sun streaming in ; the quiet; and yet the outlook upon the seething mass below, which keeps from stagnation. A homoeopath for half a cen- tury he had boundless faith in Nux vomica, but I told him that Cholesterine. 135 I was sure Nux would not cure him, and as this visibly depressed him, I said I would give him my medicine, but in alternation with it he should have his Nux. Hence this was given in alternation with Cholesterine. The tumour slowly disappeared, the liver went down to the state it had been in for forty years, 1. e. the left lobe somewhat bulging, and patient returned to his country seat in about two months, and ever since he is not, as a rule, conscious of possessing a liver at all, though once in a way he feels a little uneasy in the hepatic region. This I know, as patient has long been worried with vesical catarrh, and for this I am now treating him, keeping all the 136 Liver Tumour, time a certain amount of attention directed to the hepatic region in case of any further explosion ; for I do not imagine that the cure thus far is a truly Hunterian one. True, the tumour is gone and may never recur, and the gentle- man has a very healthy look ; but, after all, the tumour is not itself the disease, but the disease-product. I would not be understood to maintain that a tumour which thus goes from drug action on the ubi morbus ibi remedmm idea must necessarily recur, but that it may. But I will continue on this same subject in my next chapter. At the time of going to press this gentleman continues well. Amekean Treatment. 137 Amekean Treatment oe Hepa- tic Tumours; Heptic Cancer. About five years ago, a gentle- man of 67 or thereabouts came under my observation for a swell- ing under the right ribs that com- petent authorities had diagnosed as of a cancerous nature. It had come a good many months subse- quent to an accident: a cab wheel having gone over the body at the part mentioned. He had been under a good West-end homoeo- pathic physician who had agreed, after a close examination, to the diagnosis, and declared positively to the gentleman's wife that he had no hope whatever of curing 138 Amekean Treatment. the case, and lie thought it his duty to say so. The whole thing was quite cured with the remedies in about a year ; the most striking, palpable result being observed after the use of Cholesterine in different dilutions, though numerous remedies were needed as well, notably Carduus marice 0, Chelidonium majus #, Myrica cerifera 3 X , Iodium 1, Kali bzck. 5, and Nat. mur. 6 trit. Five years have elapsed and there has been no recurrence of tumour, and during the whole of the five years the gentleman has only been away from his business for three weeks and that was to go to the seaside last August. Cholesterine Case. 139 A few days since I saw his wife on her own account, when she re- ported him " quite well." This certainly looks like a Hun- terian cure. I can now report on another and very similar case, as follows : — Another Cholesterinum Case. Nearly six years ago, indeed a little longer, as it was earty in the year 1876, I was required to treat a liver case almost exactly like the foregoing one. But patient was not much over fifty years of age then, and it arose primarily, it was thought, from adhesive peritonitis 140 Cholesterine Case. of long before. Eor years this gen- tlemen, a county man, had felt the jolting in a carriage at first un- comfortable, and latterly so painful that he had got into the habit of holding his hand against the swelled part to support it and pre- vent its feeling the effects of the shaking. With the sole addition of Me- dorrh. C. the treatment was as in the last case, and of about the same duration, viz., about a year, and with an equally satisfactory result: he got well, and has remained well to date, working very hard almost all the time. This I know, as he has come about four times a year to be assured that his old enemy Art-Cure. 141 had been, not merely scotched, but killed. In this case I myself originally gave a bad prognosis to the gen- tleman's wife, and it was the Cholesterine that brought life and hope into the matter. It is very difficult to cure a tumid mass of any kind with one remedy: one needs Organ opathy, Homoeopathy, Amekeanism, and empiricism, to- gether with theories no end, if the full extent of the possible is to be attained. In my judgment the full range of the art-cure of disease by reme- dies used on scientific lines starts from the due recognition of the primary seat of the disease, and of 142 Art- Cure. the remedies that electively affect such primary seat. This, I take it, is the homoeopathic specificity of seat. Experience teaches me that if we are to avoid false issues in treatment we must start with diag- nosing, if possible, where the mal- ady is primarily located. At any rate, I find this the shortest way to curing. If this be neglected we not infrequently cover and cure the symptoms, leaving the malady itself more or less untouched. No doubt — and on this I lay some stress— when the symptoms are scientifically (i. e. homoeopath- ically) covered and cured, the dis- ease causing the symptoms is at the same time often radically cured also; but also, and not seldom, the Covering Symptoms 143 symptoms are got rid of, but the disease remains. It lias been urged that any untrained person can treat homoeo- pathic ally by mechanically cover- ing the symptoms ; and no doubt, this is, to some extent, true. But such cures are not worth much; they do not reach very far, and are only of practical value when the malady and the symptoms are convertible terms. The simillimum of the symptoms may, or may not be the simillimum of the malady ; if of latter, we have an ideal therap}^ beyond which there is nought to be desired ; if of the symptoms only, we are apt to keep on curing our patients till they die. 144 Getting behind Symptoms. If homoeopathy is to go on advancing we must face the ques- tion of getting behind the symptoms, so that we may not only treat the symptoms homceopathically, but also the malady in its essence. In other words, it will not suffice to find the simillimum of the symptoms, but that being found, it will be needful to put this perti- nent question : Is this sympto- matic simillimum also homoeo- pathic to the anatomical essence of the malady itself ? In the simple and well-defined forms of disease affecting an isolated organ, Paracelsic homoeo- pathy or organopathy is a very Organopathy. 145 valuable guide to cure, and helps to define the disease and to fix its cure with the pathalogic simile. This results from a recognition that certain organs of the body are, as it were, organisms within the organism ; minor systems with- in the general system. They have special individualism, both as to their functions and as to their diseases. Such an organ is the liver. It can be made ill by the organism, but, in its turn, it can make the organism ill. They act and re-act upon one another. Neither can exist without the other. Certain drugs have been discov- ered by man, almost in all places 146 Finding the Remedy. and at all times, that have an elective affinity for these organs, and these drngs have some of them received names indicative of their action, hence we have head medi- cines, spleen medicines, liver medi- cines. This smail volume is intended to shew that the greater or more common Diseases of the Liver can, for the most part, be readily cured by hepatics or liver medicines. Inasmuch as a large number of hepatics are well-known to us, our chief difficulty lies in finding out which remedy will cure a given case. How far I have succeeded in over- coming this difficulty is shewn in Paracelsus. 147 these pages, and where I fail, others, beginning where I leave off, may succeed. The cure of organ-diseases by organ-remedies is often called or- ganopathy, and this it was that very largely constituted the prac- tice of Paracelsus, and for which he was hounded to death. His success was so great that envy and hatred arose and fiercely attacked him. There can be no doubt that Paracelsus w r as foully muidered by the hired servants of his fellows- practitioners ; and oh ! the number of medical tomtits that have thrown dirt on his memory all through the after-living generations ! For all that, his great genius 11 148 Paracelsus. flames still bright above the hori- zon, lighting up the life-paths of such as have the power to see. It supplies light, but not eyes. I would remind those homoeo- pathic practitioners who throw their little handfuls of dirt at Para- celsus that it was he — Paracelsus — who planted the acorn from which the mighty oak of homoeopathy has grown. It was just as impossible for Paracelsus to work out a homoeo- pathic equation on the purely scientific ground of drug physiol- ogy or provings as did Hahne- mann, as it was impossible for the farmers in the time of Hahnemann Elementary Homoeopathy. 149 to use the steam plough 1. *. it was 11 ot there to be used. I have long mainted that organ- opathy is elemental homoeopathy — that in the very nature of things, homoeopathy necessarily includes organopathy. Paracelsus was an organopath, being the founder of organopathy. I think it most likely that he picked up its elements and ele- mentary principles on his travels, applied them in practice, and having made cures that have rarely been equalled, he systematized it. Personally I acknowledge my great indebtedness to Paracelsus, (largely through Rademacher) with all grat- itude. I am constantly and in- 150 Primary Seat. creasingly impressed with the im- portance of ascertaining the exact primary seat of any localised mal- ady, and I have been driven to this by certain of my failures in purely symptomatic treatment. To really and radically heal of disease, one must often dig down and find out where the fons et origo malt is, and to this end Paracelsic organ-testing is of the very greatest service; in- deed it often leads to the most im- portant clinical discovery. And what may the most important clin- ical discovery be? That which necdextrosum, nee sinistrosum leads straight to the goal of every true physician — mastery over disease, z. e., its direct art-cure. Gallstones and Asthma. i ■ Case of Gallstones axd Asthma. It must be nearly ten years ago that a widow lad} 7 from abroad came to consult me for asthma and biliary calculi: and I will relate her case, not only because it is apposite as a cure of a liver affec- tion, but because the lady has been more or less within my professional ken ever since, and at this present time she is in very good health, and for long has had neither Asthma nor Gallstone attacks. Another point of interest for me lies in the fact that four well- known homoeopathic physicians 152 Gallstones and had treated the case during over three years with only indifferent success. They treated the symp- toms without any physical diag- nosis, and after having prescribed for the symptoms and temporarily cured many of them, the patient remained pretty much where she was before. Had they gone into the case they would have found that the bronchial asthma, retch- ing and vomiting had their point de depart in the gall bladder. No doubt this had again its origin in the constitutional crasis of the individual, and hence I be- gan the treatment with very infre- quent doses of Psoricum 30. This much lessened the pain in the right Asthma. 153 side, and it greatly relieved the cough. Then during about five weeks patient was under the influ- ence of Chelidonium 1, and pain and cough quite disappeared. In a fortnight the pain starting from the gall bladder returned, and was accompanted with much retch- ing. Patient was of opinion that the side pain had originally come from taking such quantities of phosphorus for her cough j^ears ago. At any rate, she affirmed that she never felt pain in this re- gion before. There is no return of asthma since she left off the Chelidonium. I next prescribed Terebinthina 154 Gallstones and 3 X , four drops in water three times a day. The Tereb. rather upset her at first, and then she got better. After this an attack of gall colic came on from exertion. Thie duskiness of the skin, and the big brown patches on the fore- head, led me to give Nux. It did much good, and under its influence patient's skin became lighter and cleaner. Then followed Thuja 30, and subsequently at odd intervals, according to the symptoms, Mer- atrius vivus, Antimon. tart, 3, Pul- satilla 3 X , Cholesterine 2, Ipec, Alnus rub., Nat. SuL 6, and Calc. carb. 30. But these were mostly for the Asthma. 155 gallstones, as there had never been any return of the asthma after the Psoricum followed by the Cheli- donium, and that is more than nine years ago. This I consider the more re- markable, as both her own mother and her own son had asthma; and an asthmatic lady, daughter and mother of individuals similarly afflicted, would hardly have a tran- sitory or spurious kind of asthma. 156 Saffron. Rademacher's Hepatic. Rademacher's liver medicines are Quassia, Chelidonium, Liquor calc. mur., Nux vom., Crocus, and Carduus, though he does not reckon the last-named as solely an hepatic. These remedies have been already sufficiently considered, excepting Crocus and Quassia, and of this latter I have myself no experience, and will therefore pass it by. Of the former I will presently speak. Rademacher on the Influence of Saffron on the Liver. Crollius, in his treatise, De sig- naturis internis rerum, cites Saffron as a remedy for jaundice. Rade- Rademacher* s Hepatic. 157 macher had been treating liver dis- eases with Carduus, and finding the prevailing genius of disease alter (which he recognized from the fact that Carduus had ceased to cure the then prevailing liver affections) , he began to test afresh for the remedy, and believed he had found in it Quassia. A man of sixty years of age came under his observation for a painful chest affection, with fever, cough, and bloody expectoration — (we should now call such a case pneumonia, broncho-pneumonia, or pleuro-pneumonia, probably.) The action of Quassia was fair, but not so pronounced and rapid as Rademacher was accustomed to, 158 Crocus. and hence he concluded that he was not dealing with a real Quassia liver disease. Patient took the Aqua quassicz for a week with some obvious bene- fit, when, tiring of its taste, Saffron was added to colour and mask it. Result: rapid and complete cure. Subsequent observations shewed that the curative virtue lay in the Saffron, and not in the Quassia. Dysenteria Hepatic cured by Crocus. Fever, colic, vomiting, rectal tenesmus, slimy, sanguineous, non- foecal motions, easily and promptly Saffron. 159 cured with small doses of the tinc- ture of Saffron, because dependent upon a primary affection of the liver curable by Saffron. 11 In former years I should," says Rademacher, u have rushed into print in the medical journals and proclaimed Saffron as the greatest liver medicine extant, but since Paracelsus has broken my specta- cles I see nature with niy eyes alone, and it is now manifest to me that we cannot ascribe to any organ-remedy whatsoever absolute and unconditional curative power, but that the really clear and obvious revelation of the same depends upon the kind of the epidemic genius of disease that 160 Rademather* s Cure happens for the time-being to be prevailing." Those who know their Synden- ham will appreciate this. Rademacher's Cure of Gall- stones. Rademacher's observations are in all cases so reliable that I deem it a nsefnl undertaking to give, in short, the gist of his experience of the medicinal cure of Gallstones. Cardmts, he maintains, is facile princeps in the attack; nothing equals it, he says, He was once enabled to recognise the presence of biliary calculi in the following extraordinary manner : — of Gallstones. 161 An elderly man, who had form- erly complained of heartburn, ful- ness, and regurgitation after food, was seized with violent colic, and, as all the abdominal remedies were without effect, he concluded that the abdominal affection was symp- tomatic of some other primarily diseased organ. He was sent for at an unusual hour to hear from the good man's wife that a band- age with a knot in it at once stopped the pain. From this he concluded that only a mechanical affection could be thus mech anically helped. A slight and very peculiar feel- ing alone remained in the region of the gall bladder. Patient was 162 DurantPs Remedy. treated during six months with Durand's remedy, and was thereby completely cured of his supposed stomachic affection and of his colic. He remained quite well for twelve years. Then, after this long in- terval, the stony guest again put in an appearance, though under another guise. He again admin- istered Durand's remedy where- upon the troubler ceased and came no more, the patient dying long after at a great age of senile marasm. Rademacher relates how the symptoms of pleurisy and even of pneumonia may. be really those of biliary calculi, and he instances the case of the wife, or rather Sulphuric Acid. 163 widow of an admiral who was cured of an attack of gallstone colic with Durand's remedy by him, and, being seemingly well, travelled to Berlin, but fell ill of the same ofifection which was mis- taken for pleurisy, and treated as such in the old antiphlogistic fashion with venesection and plasters, and under these the seventy-year old lady died. Rademacher cites the case as a warning to the careless or inex- perienced. He then remarks that Sulphuric acid has the power of stirring up biliary calculi to activ- ity. Of the tincture of Carduus in the attacks of gallstone colic he reccom- 12 164 Durances Remedy. mends from 15 to 30 drops in a teacupful of water or milk five times a day. Mixture of Oil of Terpentine and Sulphuric ^Ether, or Durand's Remedy. Paracelsus says that tlie oil of turpentine was first discovered by the jatro-chemists, and lie strongly recommends physicians to try the curative effects of the oil in diseased human organisms. Rademacher remarks, however, that as a rule physicians are more concerned to gain over the patient- world by saying smooth thing to them than with the advancement Turpentine. 165 )f the healing art, and hence the *ecommendation was not followed md fell into oblivion. Paracelsus affirms that turpen- :ine with the right appropriate or 3rgan remedies is helpful in all ^durations. Those who know of turpentine only that it is good for tapeworm, and that it, combined with aether, will dissolve gallstones, know but very little of its virtues. He thus summarises: "All we can with certainty maintain is, that the symptoms which we ascribe to the presence of biliary calculi are not merely silenced by 1 66 Durand^s Remedy. turpentine in aether , but by its long continued use are got rid of so completely that patients remain thereafter free of their troubles for- ever, or, at any rate, for many years." He finally remained true, after many trials, to a mixture of sixteen parts of Spirit sulpk. ceth., and one of OL tereb. And as to dose : one must begin gently and cautiously with ten, and, in the very sensitive, with five drops of the mixture in half a cupful of water three times a day, and the dose must be slowly or rapidly increased occording to the tolerance of each individual case. Durand^s Remedy. 167 ; At first there is often a little 'ipain in the liver soon after the dose, lasting a few minutes. This .he declares is desirable, but the dose must not be increased till this pain has not been felt for a few days. Then the urine must be watched, and as soon as the urine ibegins to get darker in colour (in which case the patient at the same time is apt to complain of an un- comfortable sensation in the epi- gastrium), the said mixture must be temporarily stopped and Car- \duus administered till the discom- 'fort in the epigastrium has gone, ,'and until the urine has again be- come clear and of the colour of light straw. And then the mixture is to be resumed, but in a small 1 68 Podophyllum. dose — smaller than it was when left off, and the dose is not to be too hastily again angmented. Chronic Enlargement of the Liver cured by Podophyllum peltatum 6 X . In the month of Jnne of the year 1883, a widow lady came under my observation for diarrhoea. It was clearly of hepatic nature, and patient felt as if she were sinking into the earth; icy cold feet; pains in the abdomen; has piles; last year nearly had jaundice. A phys- ical examination revealed chronic enlargement of the liver; the pa- Chronic Enlargement. 169 tient looked ill, and in very ill- health. With an enlargement of the liver, tenderness of the hepatic re- gion, pains in the abdomen, piles, diarrhoea, and evident Aug eg riff en- sein of the organism, I think the ordination of Podophyllum pelt. 6 X may be fairly called scientific ; in fact, I maintain that the prescrip- tion was demonstrably and strictly scientific. It cnred the patient slowly — seven weeks — surely, and perma- nently, and not only subjectively but objectively, for her improved appearance was very pronounced. 170 Why? I often wonder in this age of science that its scientific spirit so much neglects the scientific thera- peutics of Samuel Hahnemann, particularly as Hahneman has been so long dead. It cannot now make any difference to him! And faith ! it makes no difference to me either. Then why do I stand up for homoeopathy so persistently if it makes no difference to me? Why, indeed? Only one reason. And what might that one reason be? Shall I confess, or let the black secret die with me ? Homoeopathy True. 171 Just this: Homoeopathy is true, tliafs all. And if true, why do people sneer at it? Fools always do sneer at what they do not understand. 172 Modern French Practice. Practice of Modern French Physicians in the Treatment of Hepatic Colic. M. Germain See in " La Medecine Moderne" Nr. 6, 1890, treats of this subject, and shows a distinct advance on the common treatment of hepatic colic. He notes, that the Salicylate of Sodium is an excellent cholagogue; in watery solution the Salicylate of Sodium augments the biliary secretion, and particularly the watery part of the bile. And further, by a singular coincidence, this remedy, besides its action as Olive Oil. 173 a cholagogue, has a powerful anal- gesic action which, is of prime importance in the attack. He insists that in prescribing cholagogues great care should be taken in dissolving them in an ample quantity of fluid. Rademacher was clearly of the same view, for he gave each dose of Carduus in a teacupful of fluid. M. See speaks also with much satisfaction of the free use of Olive Oil in biliary attacks. He considers purgatives contra- indicated. He also condemns all substances that lessen the biliary secretion, such as the salts of 1 74 Large and Small Doses. potassium, calomel, iron, copper, morphia, atropine, and strychnine, But as M. See ignores the double and opposite actions of large and small doses, we can only regard him, in practical phar- macodynamics, as a half-educated man; and this, notwithstanding his pre-eminently leading position in the practice of modern medicine in France. But it is something to find anyone's practice addressed to the causes of the colic, rather than to silencing the pains, which are but effects, and which, being silenced, leave the morbid state of the sufferer as bad or even worse than it was before. Jaundice. 175 Remarkable Case of Jaundice of Nine Years' duration ; Gallstones of Large Size. I really finished writing this small treatise on Liver Diseases last autumn, and sent the MS. to the printers, on the day the date of which will be found at the foot of my preface. In this same preface mention is made of a case of chronic jaundice of long duration, which I then feared was hopelessly incurable. This work has been delayed at the printers until now, owing to want of time on ray part, and moreover, I have latterly de- layed it somewhat on purpose, and in order that I ma}^ narrate the 176 Remarkable Case before-mentioned case referred to in the preface, in which I reflect upon the treatment of the case fol- lowed by a distinguished represen- tative of old-chool medicine. I always hold that adverse criti- cism of co-practitioner's work should be in the abstract, because it is not in any sense a question of persons. I also hold that whoso- ever criticises the work of another adversely, the same is morally bound to point out a better, a more excellent way, if he knows one. The plan followed by my pre- decessor in the treatment of this case was to lull the pain with of Jaundice. 177 morphia. Now, quite apart from the deteriorating influence of the drug (a question I do not propose here to discuss), it must be mani- fest that the pain arose from the gallstones: and the lulling influence of the morphia not only did not cure, or even tend to cure, but actually tended to prevent nature from helping herself. The physician knew perfectly well that he only relieved the pain ; he was quite conscious that it was in no sense a cure. "The thing," said he, u is incurable; the pain is therefore, the legitimate object of palliative treatment." And I quite agree that a physician may not stand by and see pain without 178 Remarkable Case taking effective measures for its relief. But the patient's life comes frst, not the pain; and therefore, here everything hinges upon the ques- tion of curability or non-curability. Assuming that the case was really and truly incurable by medical art, then, of course, the lulling of the pain by morphia was right and proper, and moreover imperatively demanded on the ground of humanity alone; and where phy- sician cannot cure he is at least bound to relieve pain. I therefore attach no blame to this physician personally, his error lies in his scholastic conceptions of what are the actual possibilities of of Jaundice. 179 drugs in the direct art-cure of disease; and in the unquestioning belief that what he and his fellow- believers in school-physic know, covers the entire field of the known and of the knowable, in curative medicine. Paracelsus is ridiculed and contemned ; Rademacher is almost unknown in the wider sphere of medicine. Homoeopathy is not within earshot at all, z* e t) in the spheres that are deemed orthodox. It seems very odd, but all that is best in medicine, in so far as it relates to the art of healing is . . . on/side! Paracelsus is outsi&z ; Rade- macher is tfz/z'side; Hahnemann is 13 180 Remarkable Case outsxfe ; the physician who gave morphia for the case under study is . . . inside. I will now go on to the case in question by narrating that patient, a married lady, mother of a family, was brought to me by her husband with some difficulty, owing to her great weakness and loss of flesh. I noted as follows: — Mrs X., 38 years of age, eleven years married, mother of seven children, came under my observation on Septem- ber 29, 1890. During the past three months intensely jaundiced, and is given up as past all hope of recovery. of Jaundice. 1 8 1 During the past nine years her doctor has been giving her morphia to ease the pain in the right side, left side, and in the stomach, ab- domen, and hypogastrium respec- tively. At the present time she takes about a dozen quarter-grain pills of morphia a day ; she is emaciated to a painful degree. The spleen is very much hyper- trophied, and extends across to the mesial line and inferiorly down to the crest of the ilium; in fact, it practically fill the left half of the abdomen. It is very tender, and the contours of the big spleen can not only be felt but readily seen, as it rises above the surface. The liver is only very moderately en- larged, about an inch and a half 182 Remarkable Case beyond the ribs, towards the epi- kastrium. While I am examining her, patient appears very weak and faint, and hardly able to bear the undressing. Her eyes are lustrous, her tongue raw red. Urine is scanty ; loaded with bile ; bowels costive. The region of the gall- bladder and ducts very tender, but the greatest pain is in the pit of the stomach. Catamenia always scanty, and at present stopped. The motions are without bile, and moved with the very greatest diffi- culty. No appetite. In almost constant distress from the agoni- sing pains at the pit of the stomach. of Jaundice. 183 Patient had been twice vacci- nated, and years ago had severe ulceration of the womb, for which she lay in bed for three months, and during that period was six times cauterised. The cauteriza- tions, aided by many intro vaginal injections and much lying-up, were followed by the disappearance of said ulcerations. I did not really know where to begin at in this formidable case, but in view of the severity of the epigastric pain, jaundice, consti- pation, &c, I ordered Hydrastis Can. #, four drops in a tablespoon- ful of tepid water every four hours. This was the last day of Septem- ber, 1890. 184 Remarkable Case October 6th. — The urine has be- gun to improve ; it is more watery, and not quite so full of bile; the motions more natural, but the liver is very distinctly bigger than it was six days ago. I therefore feel justified in going on with the Hy- drastis. 13th. — Patient's jaundiced skin is not quite so intensely black- yellow ; the pain has altered. There is very distinct, though not great, improvement ; for the first time for very very long her period is full and free, which has much relieved her. The spleen is a trifle smaller; the tongue dry and glazed. I find on reference that a few doses of Thuja 30 were given inter- of Jaundice. 185 currently on the 6th instant. Con- tinue with both Hydrastis and the Thuja 30. 20th. — There is no longer any pain in the region of the gall- bladder; patient complains of cold shivers ; liver has gone down in size while the spleen is more swelled and very painful, and patient complains very much of chilliness. Ijk. Tc. UrticcB ttrentis 4>, seven drops in water three times a day. 27th. — No " spasms"; pains in the spleen worse ; the spleen is, however, softer to the feel ; liver larger. To alternate Cardites mar. with the Urtzca ) every three hours. 1 86 Remarkable Case Nov. 3rd. — Spleen and liver both bigger, which I take to mean that they are being acted upon by the remedies, particularly as patient is not so chilly and is in less pain. Patient has never ceased to take about a dozen morphia pills every day; some days many more. To continue with the Carduus and Urtica. 12th. — The jaundice is much worse; the pains in the region of the gall-bladder are atrocious. I try to persuade the patient to leave off the morphia, so as to give the remedies a chance, but she appeals to me not leave her unhelped in her agony; I could not resist, and of Jaundice. 187 so consented to the morphia pills being continued. We had made a little progress in the case, but not much, and I therefore made a further and very careful survey of the aetiological history of the case, and came to the conclusion that the whole thing was of uterine origin. As I have had a good deal of clinical experience of Bursa pas- tor is, tending to shew that it is a remedy specifically affecting the womb in like manner as Ckelt- donium does the liver, I at once determined to test for the right appropriation uteri, as I conceive Paracelsus or Rademacher might have done. 1 88 Remarkable Case I reasoned from the clinical data taken in historic sequence that the primary affection years ago was uterine, and the hepatic affection consecutive thereto, and starting therefrom. I saw clearly that the old ulcerated condition was at the bottom of it, or rather that was as far back as I could get for the present. For although the cause of the ulcers was presumably the fons et origo malt, yet the real dis- ease at present to be grappled with was the jaundice, the gallstones, and the colic. In this case getting rid of the primary constitutional cause would not necessarily have mended mat- ters, therefore I started with Bursa of Jaundice. 189 pas torts #, five drops in warm water every five hours. That was on the 12th, and by the 17th there was a very extra- ordinary change come over the face of the case; indeed it was at first blush almost incredible. There was much less jaundice, the liver had gone down in size almost to normality, and the spleen was fully an inch smaller. Moreover, there was no pain in the liver at all. My inkling that the start of the disease of the biliary apparatus was in the womb being thus confirmed, indeed, rendered certain, I con- tinued with the Bursa as before. Nov. 24th. — Although there has 190 Remarkable Case been no further spasms, there has not been any further progress* patient does not sleep so well; the liver has again begun to enlarge, and there is no further diminution in the size of the spleen. Still, I did not feel justified in leaving off with Bursa, and hence I alternated it with Chelidonium $. December. — Patient was very ill, and everybody gave her up, ex- cepting myself. I did not see my way out of the wood, but still I hold that the physician who gives up a case before the patient dies is on a par with the soldier who runs away from the enemy. So here, though I was absolutely alone in my view, I refused to surrender. of Jaundice. 191 The bowels had ceased to act; there was more jaundice again, and patient could no longer rise from her bed. I then gave Euonymin 3 X , six grains every two hours, just as a liver remedy. Under very great agony patient in the course of a week or two passed a handful of gallstones by the bowels, and her j aundice was gone ! A number of the largest were obtained from the stools, and on account of the great interest of the case I now present my readers with a photogravure of them, taken by Sprague, of London, and which gives them in their natural size. 192 Remarkable Case I have shewn these biliary cal- culi to certain medical friends, and amongst them to Dr. Robert T. Cooper, of London, as a curi- osity. I should explain that these biliary calculi were very much larger than here represented when they were first passed, but their outer layers were friable, and were washed, picked, and rubbed off be- fore the calculi were brought to me; it is really only the hard kernels of the calculi which are given in this photogravure. Notwithstanding the disappear- ance of the jaundice, and the passage of the gallstones as just ^escribed, patient had got very low, Ifel lllF 4 J $ f # 6 # * . ■• b % % # i p * # % i. of Jaundice, 193 and the spleen did not seem to be any better subjectively, and not much smaller, and there was no period. Here I gave Ceonothus Am. 1, five drops in water four times a day. 15th. — Patient has had severe rigors, seemingly caused by the Ceanothus, which is therefore dis- continued. She has no appetite, and the menstruation has not ap- peared. To have Pulsatilla 1, three drops in water every three hours. 20th. — Liver nearly normal ; has just menstruated; the spleen has 194 Remarkable Case gone down a little; the entire ab- domen very tender all over; has again had an awful attack of gall- stone colic, and passed a number of stones, one very large. There is still bile in the urine. To have Bursa pastoris , and Nux vom. i. 29th. — Another attack of colic; a further passage of biliary calculi — three large ones ; patient is low and weak, and prefers death to so much pain. It is to be remembered that large numbers of morphia pills are being taken all this time. To relieve the effects of the passage of the calculi, and the almost general feeling of bruisedness and tender- of Jaundice. 195 ness, I ordered Be His perennis 0, eight drops in water every four hours. 1891, Jan. 12th. — Great general improvement from the use of the Bellis perennis, but her liver and spleen are more swelled and greatly distress her. J$> Trit 3 X Cholesterin. Six grains dry on the tongue every four hours. 19th. — Spleen and liver seem larger than ever. No jaundice, however. No menses. Five drops of Pulsatilla

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