º NITTTTTT º quadRis-PENIN *º º *:: T A K I N G C O L D (THE CAUSE OF HALF OUR DISEASEs); §ts 3 lature, Causes, prebention, & Curt; ITS FREQUENCY AS A CAUSE OF OTHER DISEASES, AND THE DISEASES OF WHICH IT IS THE CAUSE, WITH THEIR DIAGNOSIS AND THEATMENT. Jºº. JOHN W. HAYWARD, M.D., M.R.C.S., L.S.A., Author of “Allopathy and Homoeopathy Contrasted"; “The Vale or Conway Spa’”; “The Guide to Trefriw”; “Some of the Sanitary Necessities of Housebuilding ”; and joint Author with Dr. Drysdale of “Health and Comfort in Bousebuilding.” “ The knowledge of the cause of the disease is the key to the symptoms and treatment.” FIFTH EDITION, ENLARGED AND IMPROVEL). HENRY TURNER & CO., of LoNDON, 77, FLEET STREET THOMPSON & CAPPER, LIVERPOOL AND BIRKENHEAD. BOERICKE & TAFEL, NEw York, 145, GRAND STREET. 1875. Price Eighteen pence. C O N T E N T S. PREFACE. PART I. — DESCRIPTION, SYMptoms, CAUSFs, MEANs of PREVENTION, AND TREATMENT OF A CoLD. :- The number of diseases.—The causes of disease: predisposing, exciting.—Taking cold the most pro- lific cause of disease.-Nature of a cold.—Stages of cold.—In a cold the weak part suffers.-Example of partial exposure.-Example of general exposure.— Explanation of the results of taking cold.—Physio- logy of a cold.--Causes of taking cold: insufficient and improper clothing, falling to sleep in waking clothing, draught of air, cold air, damp air, chill after exertion; damp clothes, boots, seats.-The causes of cold are constantly in operation.— All persons exposed to them.—It is a wonder we are ever free from cold.—Diagnosis of a cold.—Evidence of having taken a cold.—Sameness of all the primary effects of taking cold.—Pathology of a cold.—De- ranged nervous tension.—Check of cell-growth, iv. CONTENTS. Check of nervous circulation.—Check of blood cir- culation.—Congestion. — Inflammation.— Fever.— Nature's cure, vis medicatria natura.-Same treat- ment required for all the primary effects of cold.— Key to the symptoms and treatment of the majority of diseases.—Leading idea to be kept in mind.- Single diseased state requires a single remedy.— Results of taking cold.—Taking cold the cause of most diseases.—List of diseases caused by taking cold.—Prevention of taking cold.—Means of pre- vention.—Proper clothing.—When to alter clothing. —The parts to be covered.—Proper food.-Not to be exposed when hungry.-Washing in cold water.— Turkish baths.-Respirators: best, improper.—The medicine to be used as a preventive after exposure. —What to do after exposure.—What to do when a * person's peculiar illness shows itself—The prevent- ive medicine or antidote.—Treatment of a cold.- Domestic treatment.—Professional treatment.—Two stages of a cold.-The medicine that corresponds— The proper medicine.--The medicines that do not correspond.—Improper medicines.—Aconite is the medicine.—Symptoms and pathology of aconite and of a cold compared.—Dr. Hempel's recommendation of aconite.--Dr. Reil's explanation of the sphere and power of aconite.—The treatment recommended.— Advice to use aconite at once and alone.—To use aconite for the beginning of all diseases.—Benefit of this advice.—One pathological state should be met by one medicine.—Dr. Dudgeon's eulogy of aconite. –Tribute to Hahnemann.--Supplementary direc- tions for treatment, ‘. . . . ; CONTENTS. V PART II.-DESCRIPTION, SYMPTOMs, AND TREAT- MENT OF DISEASEs BROUGHT ON By “TAKING JoDD.” Catarrh : description of parts involved, varieties, symptoms, and treatment.*–Cold in the eyes.- Jold in the nose.--Influenzal catarrh.-Specific in- fluenza.-Cold in the throat: description of regions and parts involved, varieties, symptoms, and treat- ment.—Common sore throat.—Faucial catarrh.- Pharyngeal catarrh.-Quinsy.--Diphtheria.-La- ryngeal catarrh. — Acute laryngitis. – Croup.– Tracheal catarrh. — Asthma. – Consumption. — Pleurisy.— Peritonitis. – Gastric catarrh. — Diar- rhoea.—Bilious attack.--Jaundice.—Tabesmesenteri- ca.-Mesenteric disease.-Glandular enlargements. —Diseases of bones.—Congestion of the kidneys.- Congestion of the bladder.—Suppression of menses, checked monthly.— Mammary abscess.-Rheuma- tism, rheumatic fever. —Erysipelas. – Congestion of the brain, infantile convulsions.—Hydrocephalus. – Dropsy. — Sciatica. — Chilblains. – Cough. — Hoarseness.-INDEX. * Mucous membrane; serous membrane ; fibrous mem- brane, localities and description of, and effects of inflam- mation of. PREFACE TO FIFTH EDITION. & wººxºsºwºw:3& THIS Essay was originally published under the convic- tion that, by attention to the direc- tions it contains, persons may not only very frequently avoid taking cold, but may themselves frequently cure a cold at its onset, and thereby prevent the development of many of those serious diseases that would otherwise follow. The favourable reception it has met with is a suffi- cient testimony that it has been found useful. The present edition has been care- fully revised, and several typogra- phical errors have been corrected. G Rove STREET, LIVERPool. December, 1874. PART I. DESCRIPTION, SYMPTOMS, CAUSES, MEANS OF PREVENTION, AND TREATMENT OF A COLD. ~ *º-º-º-º- DISEASES AND THEIR CAUSEs. The health of man- kind is deranged and destroyed in a great variety of ways, and by a vast number of means. The ways in which the health is deranged are termed “DISEASEs,” and the means producing these derangements are the “CAUSEs " of disease. - DISEASEs. The general recog- nised diseases are about ninety in number; and these produced, in Eng- 2 TAKING Cold As A CAUSE OF DISEASE. land alone, in the year 1861, 427,460 deaths. The causes of these ninety kinds of disease are, of course, various, and not always single ; sometimes many causes contribute to produce one disease, and sometimes many dis- eases result from one cause. THE CAUSEs of DISEASE. The causes of dis- ease are of two kinds, viz., predis- posing and exciting. sº The predisposing causes are those which induce a pre- disposition or susceptibility to disease, and are such as hereditary constitu- tion, general weakness, weakness of some particular organ, unhealthy states of the air, irregular and per- nicious habits, and so on. are those which excite the disease into activity, and are such as infection, fright, mental emotions, fatigue, im- proper diet, taking cold, and so on. Now, of all the DISEASES CAUSED BY TAKING COLD. 3 causes of diseases, the most important, the most general, and most prolific, is TAKING COLD. Taking cold is, in fact, the cause of more numerous and more serious dis- eases than is any other single known cause ; indeed, it alone is the cause of one-half the diseases that afflict Olli’ I’a C6. To give an idea of how frequently taking cold is the cause of disease, and of what a great number, and of what serious ailments it is the cause, I need only refer to those very common diseases, catarrh, influenza, bronchitis, pneumonia, con- sumption, asthma, quinsy, sore- throat, croup, pleurisy, rheumatism, erysipelas, neuralgia, tic-douloureux, toothache, headache, and the like, which form the bulk of the daily work of the physician, and which plainly arise from taking cold; and many other diseases also, in which the cause is the same, though less evidently so; for taking cold acts not only as an 4 DISEASES CAUSED BY TAKING COLD. exciting, but also as a predisposing cause ; that is, it not only brings on disease immediately in a person pre- disposed, but it reduces the power of resistance, and thereby predisposes a person to become the victim of epi- demic and other diseases. Of some diseases, as pneumonia, it is always the cause ; of others, as ery- sipelas and diarrhoea, it is sometimes the cause. Of some, as catarrh and bronchitis, it is the sole cause; of others, as phthisis, tabes, and dropsy, it is only a partial cause. Of some, as rheumatism, erysipelas, and dia- betes, it is an exciting cause ; and of others, as asthma, diabetes, and the fevers generally, it is a predisposing cause. Indeed, of all the numerous and varied influences that throw man into a state of disease, none are more potent or more general than those that induce the state known as § 3. … . ; ğ. “ A. CoLD.” . This brings us to the consideration of THE NATURE OF A COLD. B, THE NATURE OF A CoID. ^ “A cold '' is a dis- eased state brought on by the body being exposed to cold, or having its heat abstracted suddenly by cold air, a draught of air, damp, or other means. The precise nature of this condition is, primarily, check or arrest of the vital processes going on either in some particular part of the body or of the body as a whole, inducing chills or shivering ; and, secondarily, exces- sive and perverted action, inducing inflammation or fever. Localised excessive and perverted action constitutes in- flammation ; in this case the part becomes hot, red, swollen, and pain- ful, as in erysipelas, or the commence- ment of a boil. General excessive and perverted action constitutes fever; in this case the whole system appears to be in commotion and out of order; there is, as it were, general heat, red- ness, and painfulness, and feeling of 6 THE SYMPTOM'S AND STAGES of A cold. general swelling, as in the beginning of rheumatic fever, typhus fever, scarlet fever, measles, smallpox, &c. … ? THE SYMPTOMs AND STAGES OF A Cold. The symptoms and stages of a cold are—after the cause, after exposure to cold—first, the direct LOCAL effect, viz., a check or obstruction of the vital processes * going on in the cells of the part, with constriction or diminution in size of the blood-vessels, diminishing the supply of blood and producing pale- ness, with chilliness and diminished sensibility; then the direct CONSTITU- TIONAL effect, viz., general chills, shivers or rigors, with “goose-flesh” condition of the skin, and a disposi- tion to put on extra clothing, to creep towards the fire, to have stimulants, and to drink hot drinks; this is the stage of depression : after these there the blood-vessels relax, open, and THE SYMPTOMS AND STAGES OF A COLD. 7 enlarge, and admit too much blood; this stimulates the cells to renewed and excessive action, and there result redness, heat, swelling, and increased sensibility; then the indirect CONSTITU- TIONAL effect follows, viz., flushes of heat, with thirst, loss of appetite, headache, &c., and disposition to throw off the clothes, and to seek cool places, and to drink cold water; this is the stage of reaction. This constitutional depression and reaction recur again and again ; like a dis- turbed magnet of a compass oscillat- ing over the magnetic meridian first to the east and then to the west, and only by degrees settling with its point to the north ; so these vital actions keep oscillating from chills to heats and from heats to chills, inducing the state called fever ; the heart at the same time beats quickly, laboriously, and perhaps somewhat irregularly. * ..w . If the part exposed be sufficiently strong to recover its natural action shortly, or if it be 8 THE PARTS AFFECTED IN A cold. assisted by appropriate treatment to do so, and no other organ be so weak as to be excessively deranged by the commotion, there will be a gradual settling down to the state of health ; but if any particular organ be so weak that its vessels remained relaxed and enlarged, it will become hot, red, swollen, and tender, in fact, inflamed, and a local disease will be the result ; if it be the nervous system generally, or the vascular system generally, that is morbidly weak, then the constitu- tional chills and heats will continue, and the morbid action will continue general, without settling in any par- ticular organ as inflammation, and the state known as a “fever” will be in- duced. THE PARTS AFFECTED IN A Cold. By exposure of the whole body to cold, a draught, or damp, a person’s weak part or organ will be very likely to suffer; and there- ore, after any and every exposure, a THE PARTS AFFECTED IN A COLD. 9 man should fear and be on the look-out for the evil consequences, and be ready to combat them promptly and appro- priately. Should anyone have put on damp boots, or coat, or other clothing; should he have forgotten to put on his neck-tie, or flannel; should he have sat in a draught, or stood still whilst perspiring after exertion; should he have fallen asleepin his waking clothes; should he have got his clothes wet with rain ; or should he have been sub- jected to any other kind of exposure, he should be on the look-out for the appearance of the ailment to which he is most liable—he should fear that his weak part will suffer, and he should be prepared promptly and efficiently to assist it to recover its natural state: for here emphatically “a stitch in time saves nine;” and prompt attention may prevent the onset of a most dan- gerous illness; but, if neglected, a cold may end in the most serious conse- quences. 10 ILLUSTRATIONs of TARING cold. ILLUSTRATIONS OF TAKING Col.B. º, ; : : º º º - The following case affords an example of the effects of a partial exposure producing a local disease:–A lady riding home in the evening felt the wind through a broken window of the car beating on the right side of herface, which became thereby cold, and slightly numb and stiff; but, as the journey was short, she did not alter her position. After being in a warm room a short time, the right cheek and side of the face began to prick and burn; these increased during the night, and ended in an attack of erysipelas of the face and head. This was cured by aconite and The following case affords an example of the effects of a leneral exposure producing a local ase:–A gentleman walked home from a - a dance on a cold night; he felt chilled, and shivered a good deal, and had a contracted sensation about the ILLUSTRATIONS OF TAKING COLD. 11 chest. After having got home he became hot, and suffered headache; in the morning feverish symptoms were present; cough supervened, and an attack of inflammation of the lungs was the result. This was cured by aconite and phosphorus. -- . And the following case gives an example of a general ex- posure producing a general disease—a continued fever:-A married gentle- man, aged thirty-five, a cotton-broker, had been much overworked both bodily and mentally for three years, and kept in continual mental strain by the ex- cited state of the market, was exposed to wet and cold one morning going from Liverpool to Manchester; he felt chilly during the day, and in the evening had some headache; next day he went to his office, but felt occa- sional chills and heats, had but little appetite, and was rather thirsty. These symptoms gradually increased, and on getting out of bed during the next night he had a distinct shiver or 12 THE PHYSIOLOGY A COLD. rigor; after getting into bed again this was followed by a great heat of body and intense throbbing headache, with much thirst. A severe attack of typhus fever followed, and he died on the thirteenth day. In this case the nervous and vascular systems, espe- cially the former, were the weak parts, from having been exhausted by con- tinual strain. THE PHYSIOLOGY OF A CoI.D. - - An explanation of these results of exposure to cold will be found in the following facts, namely, “All the processes of life result from the operation of the nervous fluid; the nervous fluid is analogous to the electric fluid—some philosophers think them identical—it acts in similar ways , and under similar conditions, that is, as positive and negative, and under the stimulus of heat and cold. The application of heat attracts the positive and repels the negative, and the appli- cation of cold attracts the negative IMPROPER CLOTHING AS A CAUSE. 13 and repels the positive. The surface of the body is generally positive, and the internal parts negative (taking the body as a whole). Therefore exposure to cold deranges the state of the ner- vous fluid, throwing the skin, which ought to be positive, into a negative state, and thereby some internal part, which, in reference to the skin, ought to be negative, into a positive state.” Hence the derangements in the vital processes, and the shivering, the con- gestion, the inflammation, and the fever, that result. THE CAUSES OF A COLD. The causes of “a cold" may be classified under three heads, namely, clothing, air, and water. IMPROPER CLOTHING AS A CAUSE. The clothing may be either insufficient or improper; and this insufficiency or impropriety may be either constant, as in leaving un- covered the abdomen, thighs, and legs 14 IMPROPER CLOTHING As A CAUSE. of young children, and the neck, - chest, and arms of children and young girls, and in the neglecting to put on flannels and extra clothing in winter; or it may be only occasional, as in the adoption of muslin and low-bodied dresses by ladies, and thinner neck- ties, vests, and boots by gentlemen for evening parties; and in the neg- lecting to add more clothing during sleep. . x The frequency with which disease results in children from the insane practice of leaving their digestive, genital, and respira- tory organs, and their extremities, exposed to the chilling blasts and varying temperatures of our atmo- sphere, is unfortunately too well known to need that I should enter into any proof; nor need Imore than protest against the cruelty, to say nothing of the absurdity, of leaving those parts naked in children that we find it absolutely necessary to clothe the most warmly in adolescence and IMPROPER CLOTHING AS A CAUSE. 15 adult life; and more especially when we reflect that in childhood the bodily growth is in progress, and that growth is retarded and checked by cold and favoured by warmth; and still more especially inasmuch as there is absence of reason and experience to teach how to keep up the warmth of the parts exposed; whilst in adolescence and adult life the growth is complete, and reason and expe- rience possessed. For myself, I am convinced that very many of the cases of infantile diarrhoea, cholera, constipation, remittent fever, dropsy after scarlatina, marasmus or tabes, consumption, catarrh, bronchitis, pneumonia, quinsy, sore-throat, hoarseness, and ophthalmia, result from this exposure; and that many a lovely child has been sacrificed to its mother's pride and her tyrant, Fashion. :* Very many cases of bronchitis, phthisis, pneumonia, and rheumatism, result from insufficient 16 THE AIR AS A CAUSE. clothing, especially the want of flannel in the winter. y And a great number of cases of catarrh, bronchitis, phthisis, sore-throat, quinsy, neuralgia, head- ache, and toothache, result from the alteration of the dress for evening par- ties, concerts, and theatres. And a still greater number of cases of neuralgia, head- ache, toothache, rheumatism, sore- throat, catarrh, quinsy, and bronchitis, result from sleeping in the waking clothes, as, for instance, in the after- noon nap. On this last cause I wish to lay particular stress, because I have myself known it to induce and keep up, in spite of all treatment, neuralgia, rheumatism, catarrh, and bronchitis, to the induction of confirmed paralysis, asthma, and consumption. It is a very dangerous practice. THE AIR As A CAUSE. … ... : ... ." § The atmosphere may be the cause of taking cold under THE AIR AS A CAUSE. 17 three conditions, namely, when too cold, when in too rapid motion, and when too moist. The air may be too cold though sufficiently still, as in a cold room without a fire in winter; at formal morning calls, especially when wanting food or flannel clothing; or by going into a cold bedroom to dress or sleep ; from breathing too cold air when the bronchial mucous mem- brane is irritable and susceptible, as in bronchitic, emphysematous, and asth- matic subjects; in these cases it may be avoided by the use of a respirator. I need not ask how many young ladies have suffered from these causes, bring- ing on catarrh, bronchitis, phthisis; painful, difficult, and suppressed “ monthly; ” and the various neural- gias. The air may be too much in motion, though ordinarily warm, as when coming in a current from an open window, door, or ventilator towards the fireplace. The air may be suitably still and warm whilst the body is driven through it too 2 18 WATER AS A CAUSE, Tapidly, as when riding in an open or partially open carriage, inducing face- ache, erysipelas, rheumatism, &c. The air may be of ordinary warmth and stillness, but the body too warm, as after a Turkish or other hot bath, and after too violent exercise, as running, cricket, &c. The air may be ordi- marily still and warm, but the body too still, as sitting a long time in one posture, as reading, writing, drawing, painting. Or the air may be damp, as in a mist, a damp house or room, or a house with a damp cellar; espe- cially amongst the poor, who rushinto new houses even before they are finished building. WATER As A CAUSE. cause of cold by being applied to the body either wholly or partially, as damp air, mist, rain, snow, damp bed- ding and clothing, especially boots and coats not properly dried from the pre- THE DIAGNOSIS OF A COLD. 19 on a damp seat, as in a car, railway carriage, or on the ground at pic- nics, &c. * : Now, these unfa- vourable states of the clothing, air, and water, being in constant opera- tion, and no person being exempt from them, it is not to be wondered at that they should be such frequent and prolific causes of disease. The wonder is, not that we should so fre- quently take cold, but that we should ever be free from it. THE DIAGNOSIS OF A CoED. . The symptoms or the evidence of having taken a cold is in most cases the occurrence or coming on of the peculiar derangement, illness, or disease to which the individual is liable; if, for instance, a person liable to bronchitis finds himself with rough- ness, scraping, or dryness in the throat, he may be sure he has taken cold, even though he cannot remember a cause or discover a reason. Does a 20 THE DIAGNoSIs of A cold. person subject to catarrh find himself sneezing and sniffing P he has taken cold, though he cannot tell how or when. Does a person subject to quinsy find his tonsil swollen and his throat painful on swallowing P he has taken cold, though he may protest ever so against the possibility. Does a person subject to rheumatism find pain and stiffness in the back or one or more joints P he has taken cold most cer- tainly. Does a person subject to diar- rhoea find his bowels suddenly relaxed without a dietetic cause P. he has taken cold in all probability. Is a person attacked with headache, toothache, tic-douloureux, or other neuralgia? ninety-nine chances to one he has taken cold, though he may not think so, and may attribute it to his stomach, his liver, or his bowels. In short, whenever the peculiar weakness of the individual shows itself, he may con- clude he has taken cold, and ninety-nine times in the hundred he will be right. In the early stages THE PATHOLOGY OF A COLD. 21 of all these various diseases the pa- thological state is the same, namely, congestion or inflammation; and the symptoms are those of these states, namely, a feeling of coldness, chill, creepings or rigors, followed by or alternated with a feeling of warmth or flushing of heat or feverishness; and it is only afterwards that a specific disease makes itself manifest. THE PATHOLOGY OF A COLD. The diseased states produced by taking cold are—local congestion and inflammation, and general fever. The first effect of a general exposure is to derange the nervous tension of the skin and some internal organ ; the second to check, arrest, or pervert the cell-growth of the parts affected, and thus obstruct the circulation of the nervous fluid, and produce a recoil of the nerve- wave, and thereby the chill, shiver, or rigor, and the coldness and numbness of the part. At the same time the 22. THE PATHOLOGY OF A COLD. capillaries of the part are constringed; this diminishes the supply of blood to the part, hence pallor and shrinking. After the withdrawal of the chilling constringing influence the capillaries relax, open, and admit too much blood; this stimulates the cells to renewed and excessive action, and there result redness, heat, swelling, and pain, with flushes of heat, thirst, loss of appetite, headache, &c. If the ganglionic nervous centres remain intact, their influence, as a regulating force, is sometimes suffi- cient to overcome this check and re- store the normal action—this is Nature's cure, the vis medicatria, Naturae—sometimes it is only able to un the action off, at a tangent, as it were, and produce some perverted action, hence the different inflamma- tions and fevers (see p. 5). Such I THE RESULTS OF TARING CorID. 23 congested and inflamed state is at the bottom, whatever the disease be, whe- ther bronchitis, catarrh, rheumatism, erysipelas, toothache, or tic-doulou- reux; whether convulsions, diar- rhoea, tabes, amenorrhoea, chlorosis, or fever; that the beginning of all that result from taking cold is the same, and requires the same treat- ment. This is the key to the symptoms and treatment of the majority of the diseases that afflict humanity; and this is the leading idea to which I wish to draw the attention of the public, namely, that as there is one common cause and dis- eased state, we should trust to one com- mon remedy. This single remedy I will presently mention. THE RESULTS OF TAKING COLD. The effects of tak- ing cold, or the diseases produced, are many and various, and frequently serious and incurable, and not seldom 24 THE RESULTs of TARING cold. fatal. Taking cold is mostly, if not always, the cause of the following diseases, namely, catarrh, bronchitis, pneumonia, pleurisy, emphysematous asthma, phthisis, and almost all other lung diseases; laryngitis, quinsy, sore- throat, and croup; rheumatism and lumbago; inflammation, hypertrophy, and dilatation of the heart; erysipelas, tic-douloureux, headache, toothache, sciatica, and other neuralgias; convul- sions, hydrocephalus, and paralysis; diarrhoea, dysentery, jaundice, bilious attacks, infantile cholera, and cholera morbus; ophthalmia, ozaena, polypus, otorrhoea, and deafness; ascites, and dropsies generally; inflammation of the liver, peritoneum, and kidneys; tabes; difficult, painful, and sup- pressed menstruation; abortion and chlorosis; almost all inflammations, properly so called; and many fevers, as bilious, catarrhal, rheumatic, infan- tile remittent, and milk fever, and sometimes puerperal—a rather formid- able list of diseases to result from one THE RESULTS OF TAKING COLD. 25 cause, and a very serious list too, seeing that these diseases caused, in round numbers, 339,000 of the 427,000, that is, eight-tenths, of the whole number of deaths given in the last report of the Registrar-General; and those of them that resulted exclu- sively from taking cold caused 73,399 deaths, that is, nearly one-sixth of the whole number; this is the number of deaths; but the number of diseases resulting from taking cold bears a greater proportion to the whole than do the deaths, because many of these diseases never do end in death ; for instance, chilblains, tic-douloureux, headache, toothache, and other neu- ralgias; Ophthalmia, Ozaena, polypus, deafness; dysmenorrhoea, and other disorders of menstruation. . Having examined all the cases I treated during one month, I find that those which without doubt resulted from taking cold form very nearly one-half of the whole. 26 CLOTHING AS A PREVENTIVE, | THE PREVENTION OF TAKING CoID, º, º ſº. The means of pre- venting taking cold are the following, namely, clothing, food, baths, and exercise, and the avoidance of the causes mentioned at pages 13–19. º. CLOTHING AS A PREVENTIVE. tº or At all times of the year, the clothing should be sufficient to protect from the influence of va- riations of the climate, and to keep the body up to a comfortable degree of warmth, and should be varied according to circumstances. Increase of clothing is always required in the evening and at night, both winter and summer, especially if the gir is damp; also when an east wind is blowing, and on going out of a warm room into cold air; and in this case extra clothing (overcoat, for in- stance) should be put on a few mi- ites before going out, in order that it may become warm, and not have to º . º BATHS AS A PREVENTIVE. 27 abstract heat from the body after hav- ing got out, by which it would assist to bring on a shiver; also invariably before falling asleep. A woollen gar- ment ought always to be worn next to the skin; always flannel in the winter; and the clothing should always over not only the vital regions—throat, chest, and abdomen—but the extre- mities also; and they should always be well-dried and well-aired. FooD As A PREVENTIVE. The food should be sufficient and varied, and con- tain flesh once or twice a day. Per- sons should never be exposed to cold or infection whilst hungry, for then there is a much gaeater susceptibility, the system being in a receptive, ab- sorbent condition, and less resistent to evil influences. : * : BATHS As A PREVENTIVE. , º, . *The daily use of cold water to the skin, all over, is per- 28 RESPIRATORS AS A PREVENTIVE. haps the most effectual means of pre- vention, if possible in the form of a shower-bath; also an occasional Turk- ish bath has a wonderfully invigorat- ing effect. Persons who cannot bear, or are unable to react after a cold bath, may substitute the daily use of a cold wet towel or sponging. ExERCISE As A PREVENTIVE. Also regular out- door exercise; a portion of every day should be spent out of doors. RESPIRATORS As A PREVENTIVE. -- » Much of the risk from the atmospheric causes may be avoided by the prudent use of a respi- rator, especially in persons subject to asthma, bronchitis, quinsy, or catarrh. I am convinced that I have prevented many attacks of bronchitis by order- ing a respirator to be put on before going out on a cold day, and before going into a cold bedroom. RESPIRATORS AS A PREVENTIVE. 29 Whilst on the sub- ject of respirators, I will record my testimony in favour of those manufac- tured by Jeffrey, and enter my pro- test against that shameful abuse of the name, to the deception, disap- pointment, and injury of the public by the so-called respirators, made of cork, hair, and such-like substances; and I would refer to the necessity of medical men enquiring of their patients what kind of respirators they use. I once asked a girl, and she said it was one of her own making, of layers of muslin ; and another that hers con- sisted of two small side-combs, co- vered with black muslin The ab- surdity and evil of all such appliances must be self-evident to every intelli- gent person. The object of a re- spirator is, not to retain the foul air that has been breathed, that it may be drawn in again, but to warm the fresh air as it is being drawn into the lungs: it must therefore be composed 30 THE ANTIDOTE TO TAKING Cold. of a material that will quickly take the warmth from the foul air that is being breathed out, and quickly give it up again to the fresh air that is being drawn in. This material is metal, and metal only. A respirator should afford a large surface of metal, and still it should be light, and should not obstruct the breathing; it must there- fore be composed of layers of very fine metallic wire; as is Jeffrey's. º THE ANTIDOTE TO TAKING CoID.º. as a If, however, not- withstanding every possible precau- tion, a person should unfortunately b exposed to any of the causes of cold, he should immediately and without hesitation take the antidote—ACONITE, a S. a precauti ILLUSTRATIVE CASES. 31 may prevent a sore-throat, a quinsy, a bronchitis, an inflammation of the lungs, a pleurisy, a rheumatic fever, and even a consumption, which a few hours' neglect might render in- evitable, as I have myself frequently witnessed. No person ought to be with- out a bottle of this invaluable pre- ventive, nor to neglect to take it on the slightest suspicion of cold. As taking bella- donna will prevent the development of scarlet fever, though a person has been exposed to the infection; so taking aconite will prevent the development of a cold, although a person has been exposed to its causes. It is a true antidote or prophylactic. ILLUSTRATIVE CASEs. The cases of pneu- monia and fever, given at pages 10, 11, show the dangerous consequences of neglecting the above-mentioned pre- caution. Had the persons, immedi- ately on arriving at home, taken aco- 32 ILLUSTRATIVE CASES. nite for a few hours, I feel sure neither of them would have had either pneu- monia or fever. - And the following case illustrates the advantage of attend- ing to this precaution:—A gentleman, recently married, was detained late in town one winter evening, and he rode home, a distance of four miles, on the outside of an omnibus. There was a cold, heavy rain falling; and before getting home, his clothes became wet through, and he felt cold and shivery. On arriving home, he told his wife that, from past experience, he felt sure he would be laid up with an attack of bronchitis, or rheumatism. She, being a homoeopath, prevailed upon him to go to bed, and to take aconite every hour. Though he had no belief in homoeopathy, he did so, as he said, to please her; and, having no appetite, he took only a cupful of tea and a little bread and butter. He perspired during the night, slept heavily, and rose next morning without any com- THE TREATMENT OF A COLD. 38 plaint whatever. And so convinced was he by this evidence of the power of aconite, that he has ever since been a staunch homoeopath. I could relatescores of such cases, from the various causes of taking cold; but this one will suf- fice as an illustration, and illustration rather than detail is my object. I could also furnish scores of cases in which even rhus, nux vomica, dulca- mara, bryonia, mercurius, and many other medicines have failed; and where stimulants, hot baths, hot drinks, &c., have not only failed to throw off the cold, but undoubtedly rendered that a very serious disease which might otherwise have been of little consequence. … Another recom- mendation of aconite is that, in the preparation and dose above-named, it is perfectly harmless to a healthy per- son ; and therefore it cannot do harm even if the person has not taken cold, although he should take it for some 3 34 THE TREATMENT OF A COLD. hours; and another is that its use is not confined to those who believe in homoeopathy, but may be taken ad- vantage of by the allopath, hydropath, and every other path as well, with like success and safety. 2. It has been objected that aconite has a lowering effect on the system ; so it has when taken in large doses, such as a drop of p, or even of 1 if frequently repeated and continued for some days; and par- ticularly if the person has no inflam- matory or febrile condition for it to remove ; but it has not any lowering effect when taken in the doses here recommended, or even in much larger doses when there is inflammatory or febrile condition to absorb its action. Of course, if it has no diseased con- dition to absorb its action, and it is in sufficient dose, it must produce its own diseased effects. As, however, from neglect or delay, colds generally run on to the second stage, it is necessary THE TREATMENT OF A COLD, 35 now to consider the management of a fully developed cold. THE TREATMENT OF A CoID. The treatment of a cold, or the effects of taking cold, is either domestic or professional. The domestic treat- ment has for its object the restoring the “positively” nervous state of the skin, and the urging of nature to en- force the return of the cells and capil- laries to their normal action, and con- sists in the use of a hot bath, or wrap- ping up in flannel, or some brisk ex- ercise; and increasing the power of the nervous centres by the use of sti- mulants and other forcing appliances, such as hot spirits-and-water, hot tea, gruel, wine whey, or posset; and such means do sometimes succeed in re- moving the obstruction and conges- tion, and preventing the return of the chills or collapse, and thus they cure the cold and restore health; but they are attended with considerable risk, 36 THE TREATMENT OF A COLD, and they not unfrequently do great harm. It is a kind of “hit or miss,” “kill or cure” practice. The professional treatment must, of course, consist in the use of the medicine or medicines whose symptoms and pathology corre- spond most closely with those of the case to be treated at the time the treatment is put into force. What, then, are the symptoms and pathology of a cold 2 . . . . . . * * * * * * * With respect to the treatment of colds, we may distinguish two stages—namely, first, the onset of the disease—the simple cold—pre- vious to the development of any spe- cial nosological (nameable) disease; and second, the particular nosological disease developed. Each stage is easily distinguishable by its own symp- The treatment here recommended is only for the first stage of a cold, as it ordinarily shows itself— the simple cold—leaving the details of THE SYMPTOMS OF A COLD. 37 the after treatment of the nosological disease, and of the exceptions to the general rule, to be regulated by the symptoms presented and the constitu- tion of the patient: this must not be forgotten. THE SYMPTOM'S OF A COLD. What, then, are the symptoms and pathology of a simple cold P. They are—whether the effect be general or only local—the symp- toms of depression of vitality followed by reaction. There is, first, check or arrest of the cell-growth and nervous and capillary circulation, producing a chill, shiver, or rigor or cold creeping, with pallor and shrinking of the part or parts; and then, secondly, excess of cell-action and capillary circulation in or around the part or parts, pro- ducing heat, pricking, tingling, with redness and swelling. The main and primary impress of the cause is felt by the nerves and capillaries of organic life, producing collapse. Against this 38 THE IMPROPER MEDICINEs. the organism reacts, the reaction being principally vascular (in the blood-vessels), and generally running on to fever, with inflammation of some distinct part (see p. 5). Now what medicine is it that most closely corresponds in its symptoms and pathology with this picture? Unquestionably it 1s ACONITUM, ACONITE, MONKSHOOD. * . . . . . . . It is certainly not belladonna, for its main impress is not on the ganglionic or sympathetic nerve, but on the cerebral nervous system, and especially the sensory sphere; and its primary action is excitement, its secondary depression, and its reaction is principally nervous (in the nerves), not vascular. It is not nur vomica– though unfortunately this is the medi. cine recommended by Curie, Laurie, others—for its main impress is on the pinal system of nerves, and its action §º ilant and secondarily THE PROPER MEDICINE. 39 exhaustive; and its reaction principally nervous, and specially of the motor sphere. Neither is it mercury, for its main impress is on the glandular and lymphatic system of nerves, and its reaction and fever nervous, not vas- cular. Nor is it bryonia, nor dulca- mara, nor tartar emetic, nor even cam- phor, nor any other medicine that does not expendits main force on the nerves of organic life distributed to the cells and capillaries, and that first as depres- sion and afterwards as reaction, princi- pally vascular. # A medicine to be curative of the effects of cold must ope- rate on the same parts and produce similar symptoms, in the same order and with similar conditions and con- comitants; this is the very essence of homoeopathy. Now of all the prov- ed medicines that operate on the same parts and produce similar symptoms as the causes of cold, none does so more characteristically than ACONITE, and no 40 THE PROPER MEDICINE. other medicine presents such a perfect resemblance to the picture presented by a cold; for aconite does not only operate on the same parts in the same way, and produce similar symptoms and pathological conditions, but these are presented in the same order and follow the same course and progress, and have the same conditions and con- comitants. The main action in both cases is on the nerves and capillaries of organic life, producing congestion, in- flammation, and fever; and the main symptoms those of these states. In both cases they resemble those of fright; the first symptom in each case is a chill, shiver, or rigor, with depression of vitality or col- lapse, and then reaction or flushing of heat, inflammation, and fever, with increase of vital action; in both cases the attendant fever begins with severe rigors, and is of an inflammatory cha- racter; in both cases the pains are as of a bruise; in both cases the symptoms are worse in the evening, in the open THE ACTION OF ACONITE. 41 air, by alteration of temperature, and by movement, and are relieved by rest and warmth; and in both the results are similar, namely, more to light up the diseased tendency of the individual than to produce any particular disease. In fact, I believe the correspondence between the action of aconite and of “cold "-producing influences is closer than it is between these influences and the effect of any other drug. As Dr. Hempel says, in his “Materia Medica,” “The first stage of an inflammatory fever is not a full and bounding pulse, a hot and dry skin, flushed face, and so forth. An opposite group of symp- toms occurs; the patient experiences a chill or cold creepings along the back; he looks pale, hollow-eyed; the hands and feet are cold; the pulse is thin, feeble, rather slower than natu- rally, or at any rate not much accele- rated. This condition is soon super- seded by the opposite group of phe- nomena generally designated as fever. The chill is the primary effect of the 42 THE ACTION of AconſtE. ºšš disease; the fever constitutes a secon- dary effect, or the reaction of the organism. In selecting a remedial agent for this derangement, it should be homoeopathic not only to the pri- mary chill, but also to the secondary group, fever. Aconite is such a remedy. Aconite is homoeopathic to the chill which marks the first invasion of the disease, and to the fever which marks the beginning of the organic reaction. We are seldom called to a patient during the primary invasion of the disease : the organic reaction is gene- rally fully established when we first see the patient. Nevertheless we prescribe aconite, knowing full well that the inflammatory stage must have been preceded by a chill. . . . The primary action of aconite upon the capil- lary nervous network of the intestinal mucous membrane is to induce torpor such as might be considered analogous to the torpor induced by cold.” And Dr. Reil, in his “Monograph on Aco- 2 nite,” says—“Wherever the various THE ACTION OF ACONITE. 43 forms of the preparations of aconite may be applied, the effect is every- where the same. There follows no particular pain or swelling, or, at most, a feeling of itching or pricking—a little like pain; but, instead of the feeling of pain there arises, soon after the itching and pricking, a sensation of dulness, and numbness, and local paralysis of the nerves of the affected parts. . . . . . Aconite's sphere of action is manifested principally in the ganglionic system, and exercises here its special influence upon the nerves of the capillary vessels, exciting fevers, congestions, and inflammations.” “Among the drugs of our Materia Medica,” says Dr. Mey- hoffer, “aconite, administered in large doses to a healthy individual, induces effects identical with those produced by section of the sympathetic cervical trunk on the arterial system, i.e., increase of caloric (dry, burning heat), dilatation of the capillaries (swelling, redness of the skin), frequency of 44 THE ACTION OF ACONITE. the pulse, local congestion and inflam- mation.” w Aconite is therefore THE remedy for the commencement of a cold, and the beginning of all dis- eases that result from taking cold; and it is in most cases of itself quite sufficient to remove all the evil and re- store health, and thus prevent the ne- cessity for any other medicine. Dr. Dudgeon, in the “Hahnemann Materia Medica,” says of aconite—“It may be looked upon as specific in catarrhal fever, and in the catarrhal symptoms occasioned by cold, damp, or the like, which it will even cut short.” ºn tº “Aconite,” says Dr. Meyhoffer, in the “Monthly Homoeo- pathic Review,” “administered in the beginning of any febrile affection, such as that caused by cold, will check the progress of the disease, and prevent the morbid localisation by re-establish- ing normal circulations; if, however, any organ be already the seat of in flammation, as was the case with our FIRST AND SECOND STAGE. 45 patient, this medicine will even then seldom fail in a few hours to relieve the febrile symptoms, reduce the fre- quency of the pulse, diminish the burning heat of the skin, and favour perspiration.” And Dr. Russell, in his “Lectures on Fever,” says—“Aco- mite is always successful in checking every case of pure fever, when the . blood is untainted.” If the treatment be commenced in the chill stage, whilst the patient is more shivery than fever- ish, ACONITE alone should be given, in the 3rd centesimal dilution, in dro doses, a dose every two hours; this will always moderate, generally com- pletely prevent, excessive reaction; and mostly obviate the development of any noSological disease what- ever, even though such had al- ways been the result following a similar onset before. And if excessive reaction has already set in, and the patient is feverish or in a high state of 46. TREATMENT OF THIRD STAGE. fever, with rapid, full, and bounding pulse, a hot, dry skin, flushed face, throbbing headache, and so forth, aconite alone should still be given; it will even then almost always have the same happy effect : in this case use the 1st decimal dilution; a drop every hour or two. * % All drugs have two effects—rapid or primary, and chronic or secondary; and as medicines they meet these two stages of disease, but with different doses. - º And even if some definite form of disease is already de- veloped, still use aconite, if the aconite symptoms are the most prominent and important, and perhaps alone even then for a short time, though more generally alternating with it some other medicine indicated by the other circumstances, as phosphorus for pneu- monia; belladonna for congestion and, inflammation of the brain, or throat; % mara or veratrum, or some other Mia for med THE ALTERNATION OF MEDICINEs. 47 lumbago or rheumatism; and so on, according to the symptoms; but as soon as the aconite symptoms have disappeared or become subordinate, relinquish the use of aconite, and con- tinue only the medicine homoeopathic to the particular disease. I think it a mistake to give up the use of aconite immediately on beginning the use of the more specific medicine, just as I think it wrong to withhold the appropriate medicine immediately any of its symptoms become at all promi- ment; for instance, in the case of a cold running on to pneumonia, one part of the lung may have advanced to the stage of phosphorus, whilst another has become invaded by the aconite stage : as, therefore, it would be wrong to withhold the phosphorus, so it would be wrong to relinquish the aconite. This is the key to the advantage derived from alternation in SOIme CaSeS. . . & But to return : so convinced am I that ACONITE is the 48 THE MEDICINEs For THE PUBLIC. medicine for the beginning of all colds, whatever form they assume or are to assume, that I impress on all my friends the necessity of always giving it at once and alone, on the least sus- picion of cold; and so confident am I the majority of diseases that afflict humanity result from taking cold, that I impress upon them the wisdom of always using aconite for the first signs of illness of any and every sort; and if that does not afford relief or check the symptoms, then to call in a pro- fessional man; and I am certain I have witnessed the beneficial results of this injunction, for it has prevented them from trifling with the use of mercurius, nua, vomica, pulsatilla, cha- momilla, belladonna, or arsenicum. 3. For the prima shivering stage of a cold, and indeed for rigors from whatever cause, Hah- nemann recommends camphor. And truly it is, for this condition, the most homoeopathic, and therefore the most effectual remedy known. . º, THE MEDICINES FOR THE PUBLIC. 49 mere chill stage of a cold, without reference to the reaction stage, it is the most homoeopathic remedy; and when given early enough will fre- quently so restore the cell-action and the nervous and blood-circulation as to prevent any excessive reaction. When, therefore, the treatment can be begun at the commencement of the chill stage, and especially when that threatens to be very marked or severe, camphor should be given, five drops every quar- ter of an hour on a bit of lump sugar until the shivering appears to be pass- ing off; then watch, and if the slightest appearance of reaction occur, give aco- mite, every hour or two. Though camphor is truly homoeopathic to the chill stage of a cold it is not so to the reactive stage, and it may well be asked: Why use a remedy that is only homoeopathic to one half of the symptoms and patho- logical condition, when we have one that is homoeopathic to the whole F Nua vomica is recommended when 4. 50 THE ADVICE TO THE PUBLIC. there is marked irritation of the mu- cous membrane of the nose, producing sneezing, &c.; but this symptom is quite a characteristic symptom of oconite. Arsenicum is recommended where there is much excoriating dis- charge from the nose and eyes; but this symptom also is quite a marked symptom of aconite. Though arseni- cum corresponds in many respects, both in primary depression and se- condary reaction, still its reaction does not sufficiently represent inflammatory fever or acute inflammation to indicate it for the general results of cold; there is also a marked periodicity about the action of arsenicum that there is not in the symptoms of a cold; and it is more suited to chronic diseases than acute diseases, such as result from taking cold. Having always one and the same cause for the morbid taste, and the earliest pathological condition and symptoms being always the same, and having one truly THE CURATIVE SPHERE OF ACONITE. 51 homoeopathic remedy, why should patients be allowed to lose time, and allow any serious disease to be deve- loped, whilst dallying with a long list of medicines amongst which they may be lost in choice? Why not recom- mend them to be content with one old and well-tried friend that will never betray their confidence? “In acute inflam- mation,” says Dr. Meyhoffer, “we can never have any doubt as to the medi- cine necessary to subdue it; the action of aconite on the arterial system has pointed to it since the time of Hahne- mann as the antiphlogistic par eacel- lence.” I cannot more ap- propriately close this part of my essay than with the excellent remarks of Dr. Dudgeon in the “Hahnemann Materia Medica.” He says of aconite—“It may be looked upon as specific in catarrhal fever, and in the catarrhal symptoms occasioned by cold, damp, or the like, which it will often cut 52 TRIBUTE To HAHNEMANN. short. . . . . Inflammation of all parts of the respiratory apparatus is espe- cially under its power, including croup, laryngitis, tracheitis, bronchitis, pneu- monia, and pleuritis. In fact, to enu- merate the diseases for which it is suitable would be to mention the acute inflammations of every possible organ and tissue in the body; and if it be not for all of these the sole remedy, it is almost always useful, either pre- vious to or in alternation with another remedy which has perhaps a more specific relation to the part affected.” The giving to this wonderful remedy its proper place amongst medicines, and so accurately demonstrating its true curative sphere, is of itself sufficient to add an immortal crown of glory to the head of Hahne- mann; and had he done nothing more, he would have earned the thanks and blessings of millions of his fellow- creatures throughout all time, and have been the instrument under Providence SUPPLEMENTARY DIRECTIONS. 53 one of the greatest blessings a bene- volent Creator has conferred on his frail and mortal creatures. He very justly places it the first and at the head of all medicines in his “Materia Medica,” not because of its name beginning with “A,” but because of its majestic power and important and extensive sphere of usefulness. He calls it a “precious plant,” whose “efficacy amounts almost to a mi- racle.” - The aconite, Nos. 3 and 1, both pilules and tincture, and the camphor tincture, may be obtained from any homoeopathic chemist at from ninepence to one shilling a bottle, and should always be in the house ready for use. SUPPLEMENTARY DIRECTIONs. M- . Desiring to be per- fectly understood in the subject of treatment, and with the object of mak- ing the matter as plain and complete as possible, I append the following 54 DIRECTIONS FOR TREATMENT. remarks, in addition to the directions given at pages 38, 48, et seq. I. The treatment during exposure to any of the cold-producing causes. - If a person is so unfortunately situated as to find him- self unavoidably exposed to cold-pro- ducing causes, he may very likely prevent them taking effect by the use of Aconite. In this case he should take Aconite No. 3, a pilule every two hours during the whole time of expo- sure, and for four or six hours after- wards. He may place the pilule dry on his tongue and let it dissolve there. II. The treatment after exposure to cold-producing causes, but before the appearance of any symptoms whatever. º In this case the person should take Aconite No. 3, a pilule every two hours for six or eight }. ; if no symptoms show them- selves within that time he may cease DIRECTIONS FOR TREATMENT. 55 taking the medicine, and conclude he has warded off a cold. III. The treatment for the first ap- pearance of any of the symptoms of a cold; whilst the person is more shivering than feverish. In this case the person should take Aconite No. 3, one pilule or one drop of the tincture, dissolved in a dessert-spoonful of cold water, every two hours for twelve to twenty-four hours. If after that time no fever, pain, or inflammation shows itself he may cease the medicine, and conclude that he has prevented a cold from becoming developed. In this stage camphor is a truly homoeopathic remedy, and may be taken instead of aconite, five drops on a bit of lump sugar every quarter of an hour, until the chilliness disappears. (See pp. 48, 49.) IV. The treatment for a fully developed cold: after the symptoms have exist- ed some time, and heat, fever, pain, or inflammation has supervened. 56 DIRECTIONS FOR TREATMENT. * . . . . . . . . . . . . . . . In this case the person should take Aconite No. 1, a pilule or a drop of the tincture, dis- solved in a dessert-spoonful of water, every two hours: he should go to bed, and keep himself quiet ; he should not take much food, but he may drink freely of water, if thirsty. This treat- ment may be continued for from six to twelve or even twenty-four hours. If perspiration breaks out, the other symptoms will usually soon disappear: if the heat, fever, headache, and pain disappear, the same treatment may be continued for four or six hours longer, and then given up, with the satisfaction that a cold has been cured; but if these symptoms continue or be- come aggravated, or other symptoms supervene, send for a homoeopathic physician; and send for him before the time of his leaving home for his visiting work, and before the morning visiting if possible: because, if busy, neighbourhood twice in one day, and DIRECTIONS FOR TREATMENT. 57 he may go that way in his morning round. Do not put off applying to him till evening, if you can possibly do so in the day, for he may be tired or otherwise unable to attend, and then time will be lost : nor put off until Sunday anything you can do on Satur- day, for a doctor likes to have a Sab- bath as well as do his patients, and though your case may not occupy him many minutes, yet half a dozen such would effectually spoil his day of rest. W. The treatment after the development of a specific disease, evidenced by the continuance or aggravation of the fever, or pain. 3. -. This should always be left to a professional man, if one can be obtained. If, however, a phy- sician cannot at once be obtained, the following observations should be re- ferred to. . PART II. DESCRIPTION, SYMPTOMs, AND TREATMENT OF DISEASEs BROUGHT ON BY TAKING COLD. *ºns - - Should a cold either have been neglected or have pro- gressed in spite of treatment, it will most probably induce one of the following morbid states, viz., catarrh, influenza, sore throat, laryngitis, quinsy, croup, bronchitis, pneumonia, pleurisy, rheumatism, rheumatic fever, lumbago, erysipelas, toothache, face- ache, bilious attack, diarrhoea, jaun- dice, suppression of urine, checked monthly, &c. I have therefore thought it advisable in this edition to make a few remarks on the diagnosis and treatment of these morbid states. CATARRH. 59 In doing this I have endeavoured so to describe them that most persons may recognise each and determine the proper manage- ment of its early stage; and I have indicated, as liberally as I dare, the length to which a domestic prac- titioner may trust himself with safety, and I have pointed out the symptoms that warn him to relinquish the management into professional hands. By following these directions, many diseases may be cut short and pre- vented from becoming at all serious, and by attending to the indications of obstinacy or danger, the domestic practitioner may avoid running any great risk of fatal delay. CATARRH. The “mucous mem- brane” is the part involved in common catarrh. The eyes, nose, mouth, throat, larynx, windpipe, bronchial tubes, air-cells of the lungs; the Oesophagus, stomach, bowels, liver, 60 THE KINDS OF MEMBRANES. kidneys, bladder, and womb, are all lined or covered inside by a thin, smooth, transparent skin, of a light crimson or dull pinkish red colour; in health, always kept moist and soft by its secreting on its own surface a clear, bland mucus, hence it is called the “mucous ” membrane.* * There are three great “membranes” subject to inflammation—the mucous, the serous, and the fibrous; and inflammation manifests peculiarities according to the membrane inflamed. emucous membrane covers internal surfaces that have an opening to the external surface, as in the breath- ing, the alimentary and the urinary passages; and it secretes “mucus” to keep soft and protect its surface. The serous membrane lines the closed sacs, thus it covers the lungs and lines the inside of the chest walls, covers the bowels and lines the inside of the abdominal walls, covers the brain and lines the inside of the skull, and covers the heart and lines the inside of the heart-bag or pericar- dium ; and it secretes serum to keep its surfaces lubricated that they may move easily on one an- other. The fibrous membrane sheathes the muscles and attaches them to the bones. In the joints the fibrous and the serous membranes are blended to- ether. Inflammation of the mucous membrane s increase and perversion of the mucous se- n, even to the extent of the production of pus lstead of mucus, as in the case of nasal and oph- thalmic catarrhs. Inflammation of the º membrane causes increase and perversion of the THE MUCOUS MEMBRAN.E. 61 The mucous mem- brane is made up of cells held together by meshes of fibres: the cells make the mucus, and for this purpose they are supplied with nourishment in the form of blood by the vessels, and animated or energised to use this blood for this purpose by the nervous influence con- veyed to them by the nerves. Its blood- vessels, which spread everywhere throughout it, are only faintly visible. This mucous membrane is the part on which a cold most readily fastens; particularly that of the eyes, nose, throat, larynx, windpipe, lungs, sto- mach, or bowels; in one person one part, in another a different one, accord- ing to the susceptibility of each per- son ; sometimes two, or three, or more of these parts may be attacked in serous secretion, even to the extent of the produc- tion of fibrine instead of serum, as in the case of pleurisy, hydrocephalus, dropsy, &c. Inflamma- tion of the fibrous membrane gives severe pain, as in lumbago and muscular rheumatism. And in- flammation of the fibro-serous membrane gives both pain and swelling, as in rheumatism of the joints. 62 CATARRH. succession; or, in severe cases, alto- gether. A cold settling on the mucous membrane produces the morbid state known as “a catarrh,” so called from the Greek word, katarrheo—“I flow from ‘’; because the mucous secretion then flows away in excessive quantity. According to the part affected this morbid state receives the name of cold in the eyes, cold in the nose, cold in the head, influenza, cold in the throat, or sore throat, cold in the windpipe, croup, cold in the chest or bronchial tubes, bronchitis, cold in the lungs, pneumonia, catarrh of the stomach, bilious attack, catarrh of the bowels, diarrhoea, catarrh of the liver, jaundice, catarrh of the bladder, &c. &c. A cold may begin in one of these parts and subsequently extend to others; for instance, it may begin in the nose and gradually creep down the throat and bronchial tubes to the lungs. The progress of the cold in these cases follows strictly the course described at p. 6. The first effect CATARRH. 63 of a cold settling on the mucous mem- brane is a check or arrest of the nervous and cell-action of the part, with constriction of the vessels and check or arrest of the secretion ; this check and constriction, however, soon give way and the vessels relax, and they and the cells run to the opposite extreme and produce excessive secre- tion ; and this “excessive ’’ soon be- comes also “perverted ” secretion; it first becomes thin, watery, acrid, scald- ing, and excoriating, and is accom- panied by general febrile symptoms, as already described when enumerat- ing the symptoms of a cold (p. 6..); then these symptoms pass off and are succeeded by the symptoms of debility and exhaustion, the secretion becomes thick and yellow or green, and in some cases the continuity of the mucous membrane gives way and ulcers result; these have to heal up by the ordinary process of growth, and must necessarily occupy some time, the length of which will of course 64 COLD IN THE EYES, vary with the reparative power of each individual. CoLD IN THE EYEs—OPHTHAIMIC CATARRH. º in cold in the eyes is the mucous membrane covering the eyeball and lining the inside and covering the edges of the lids. . . . . . Symptoms. – The first sign of a cold having settled in the eyes is a sensation of dry- ness, with irritation, tickling, itch- ing, and burning, as if sand were in them; and then very shortly the eyes begin to water and smart and look red; the discharge at first is thin and clear, acrid, scalding, and excoriating; the lids and cheeks are scalded and reddened by it, there is continual winking, with some dislike of light; the tear sac in the inner angle of the eye and the duct into the nose may be invaded by the inflammation and become blocked up so that the tears The part involved COLD IN THE EYE8. 65 cannot pass into the nostrils, which therefore become dry. There may be some shivering alternating with flushes of heat, dull, heavy, frontal headache, thirst, loss of appetite, &c. After two, three or four days the feverish symptoms subside and the discharge becomes thick and yellow, and per- haps green, and less irritating. Pus- tules or ulcers may form on the eye- ball, and if not properly managed may perforate the eye and destroy the sight. If this disease be neglected chronic ophthalmia may result. Treatment.—The best treatment for a cold that has settled in the eyes, as a general rule, is to continue the aconitum being given for the general cold, and give euphrasia 1 as well, a dose, two drops, every two hours alternately so long as the feverish symptoms remain and the discharge is thin and acrid; as soon as the febrile symptoms have subsided and the discharge has begun to assume the yellow colour, the 66 CoLD IN THE EYEs. aconitum and euphrasia should be relin- quished and mercurius corrosivus 3. be given in their stead, a dose, two drops, every two hours until the dis- charge has almost ceased; and then sulphur 6 should be given, two drops five times a day for a week or two, to bring up the tone of the parts to its natural degree. Bathing the eyes with hot water during the first day or the first and second days will afford great relief and expedite the cure, especially if a few drops of aconi- tum p be added to the water, after- wards bathing them with a weak solution of zincum sulphuricum. / (gr. ij to 8 oz. water). This latter should be used with an eye-glass and the eye opened into it, or the eyes may be sprayed with it. Currents of air, cold draughts and strong light should be avoided. Milk diet and no stimulants. If the aconitum and euphrasia do not check the inflammatory symptoms COLD IN THE NOSE. 67 the discharge within three days of its use, or if any spots or pustules appear, it will be better to call in professional aid than run any further risk of serious or chronic ophthalmia, as there may be something peculiar in the case requiring argentum nitricum, kali bichromicum, or some other medicine not usually supplied in domestic medicine chests. NASAL CATARRH. In nasal catarrh the part involved is the mucous mem- brane lining the nostrils and frontal sinuses (the cavities in the bone at the root of the nose) and covering the soft and convoluted bones and the cavities occupying the space between the face and the throat. &: 3 Symptoms. – The first sensation is that of dryness, with heat, irritation, tickling and itching. The dryness soon gives way to moisture, to “running nose,” with feeling of obstruction as from internal CoLD IN THE NOSE 68 COLD IN THE NOSE. swelling, soreness of the nostrils, and frequent sneezing, loss of smell, nasal voice, headache at the root of the nose, thirst, shivering, flushes of heat, pain in the back and limbs, and a feel- ing of weakness. The discharge is at first thin, clear, watery and acrid, ex- coriating the nostrils, which become red and perhaps ulcerated; in mild and well-managed cases the discharge soon becomes thick, yellow, and per- haps green, and less irritating, and the feverish symptoms pass off; but in severe or neglected cases ulcers of the bones may occur, producing a thick, offensive, green discharge, and establishing the diseasecalled “ozaena.” : Treatment. — The best treatment of a cold that has settled in the nose is, as a general rule, to continue the aconitum being given for the cold, and give arsenicum 6 as well, a dose, two drops, every two hours or every hour alternately as long as the feverish symptoms remain and the discharge continues COLD IN THE NOSE, 69 thin and acrid. As soon as the febrile symptoms have subsided and the dis- charge begun to assume a yellow colour the acomitum and arsenicum, may be relinquished and mercurius 6 given in their place, a dose, two drops, every two hours until the discharge has almost ceased; and then give hepar sulphuris 6, two drops, five times a day for one or two weeks, to bring up the tone of the parts to its natural degree. During the first day or two steaming the head and face will afford great relief, especially if a few drops of acomitum p be added to the water; and whilst giving the mercurius in- ternally the same medicine may be used as spray,” warm (5 gr. of trituration 1 to 8 oz. of water); the patient should be kept to one room, and the air should be kept warm, 65°, and moist by having steam continually escaping into it. If aconitum and * For the manner of using the spray see illus- trations at pp. 70, 71. 70 STEAM SPRAY PRODUCER. arsenicum do not check the inflam- matory symptoms within two or three days, or mercurius do not diminish the discharge considerably within three days of its use, or if the discharge come streaked with blood or offen- sive, call in professional aid, for t VULCANITE SPRAY PRODUCER. 71 § THE IMPHoved vulcanite spray producer, with INDESTRUCTIBLE RUBBER BELLOWS. 72 INFLUENZAL CATARRH, may be something in the case requiring rhus, kali bichromicum, cinnabaris, or some other particular drug. A cold may settle not only in the eyes or nose separately, but on both together. The attack is then named . INFLUENZAL CATARRH–COMMON INFLUENZA. : 3 In this case there is a combination or mixture of the symptoms of both ophthalmic and nasal catarrhs in different proportions in different cases; at one time the eye, at another the nose, symptoms predominate; in others both are about equally prominent; and in very severe cases the throat and windpipe, and even the chest, may be involved, and then the disease becomes serious, and closely resembles the specific or epi- Treatment. — Here the treatment likewise must be varied or alternated, according to the pre- INFLUENZAL CATARREI, 73 dominant symptoms. The acomitum should be continued, and euphrasia 1 should be alternated with it when the eye symptoms predominate, and arsenicum 6 when the nose symptoms are more prominent, and when both parts are pretty equally affected re- linquish the acomitum at once and give euphrasia and arsenicum alternately every hour until the discharge becomes yellow, and then give cinnabaris 6. every two hours until the discharge has almost ceased, and then give hepar sulphuris 6, two drops five times a day for a week or two. Steaming and spray impregnated with one of the medicines being given internally are, if possible, more indicated here than in either of the other diseases, and it is still more necessary to keep the air of the room warm and moist. If the symptoms do not give way rapidly, or if the throat or chest be implicated, or the breathing be much affected, hand over the case to professional management at once, because it may require rhus, kali hydriodicum, kali bichromicum, or tartarus emeticus. INFLUENZA (specific). Besides catarrhal influenza, which is simply a cold settled in the eyes and nose, there is also a special, specific, or real in- fluenza; this affects not only the eyes and nose, but the throat and chest also,and it does not necessarily depend upon taking cold, but it results from a special and peculiar state of the air, and it attacks a majority of the persons of a town or district sud- denly, almost simultaneously, as an epidemic, and it is perhaps less or more contagious, and in some cases ends fatally. . . - Symptoms. – Spe- comes on, not slowly as ld, but sud d at er and bain influenza SPECIFIC INFLUENZA. 75 and nose red and watery, hot and stinging, with heat about the throat, hoarseness, cough, and oppression of the breathing accompanied by sudden and extraordinary loss of strength, great debility, and much depression of spirits; pulse soft and weak, great thirst, diminished appetite. - Treatment. — The best treatment for epidemic influenza is first arsenicum 6, two drops every hour so long as the discharge from the eyes and nose remains watery and acrid, and then mercurius corrosivus 6, two drops every two hours until the discharge has almost disappeared, and after that give hepar sulphuris 6, two drops five times a day for a week or two. If symptoms of bronchitis or pneumonia supervene give tartarus emeticus 6, two drops every two hours; if the tonsils be much implicated, or rheumatic symptoms be very promi- ment, give rhus 1, two drops every two hours. Steaming the head and face and using the warm sprayimpregnated 76 FACEACHE, ETC. with the medicine being given inter- nally are also beneficial, and the air of the room should be kept warm, 65°, and moist, as directed for nasal catarrh. This disease should, however, always be under the manage- ment of a professional man. When a cold at- tacks or extends to the mouth or ear, or face, it may produce GUMBOIL, or Tooth ACHE (particularly if there are decayed teeth), INFLAMMATION OF THE PASSAGE OF THE EAR, EARACHE, or FACE- ACHE,TIC-DOULOUREUx, &c. These affec- tions generally require the same treat- ment as that required for the early stage of quinsy (see Quinsy, p. 86); at least, this is the case in gumboil and inflammation in the ear passage, because they both, when unchecked, run on to suppuration in the same way. For earache, faceache, tooth- ache, and tic-douloureux, if aconitum, belladonna, and mercurius do not cure them, give pulsatilla 3 for the earache, phosphorus 6 for the toothache, and COLD IN THE THROAT. 77 chamomilla 3 for the faceache if stomach symptoms are prominent, and Thus 3 if in a rheumatic subject, coffea 3 if nervous and wakeful, and colocynthis 3 if the pain be very sharp, darting. If none of these cure the case, consult a medical man. CoLD IN THE THROAT—SORE THROAT. Parts involved. — The “mouth '' terminates behind in the “fauces” or arched opening into the throat. This opening is formed by what is called the “veil or curtain'' of the “soft’’ palate (the “hard ” palate is the bony roof of the mouth) —a fold of mucous membrane which, hanging down from the top and sides, divides the mouth from the “throat,” protects and hides from view the back nostril and directs the food and drink downwards towards the stomach. From the centre of this curtain hangs the “uvula,” or little tongue; the curtain itself terminates on each side in two folds of mucous membrane 78 PARTS AFFECTED IN called the “pillars;” these commencing at the side of the arch, gradually separate as they pass downwards, one coming forwards and the other going backwards, until they are lost in the sides of the mouth and throat. Between these pillars on each side is a “tonsil "-a glandular body about the size and shape of an almond —placed point upwards between the pillars of the palate just inside the angle of the jaw; they are scarcely visible when of natural size, the space between the pillars being only just a little rounded. The cavity behind this arch (more exposed to view by at- tempting a deep inspiration and lifting the veil and uvula) and occupying the space between the back nostrils above, the fauces in front, and the entrances of the windpipe and oesophagus below, is called the “pharynx.” The passage from the pharynx to the stomach lies against and in front of the spine, and * ” and the ſo the is called the “oesophagus; passage from the pharynx º COMMON SORE THROAT. 79 lungs lies in front of the oesophagus, is visible in the front of the neck, and is called the “windpipe ’’ or “trachea; ” at the pit of the throat the trachea divides into two, which take the names of “bronchial tubes; ” these divide and subdivide again and again, until they form minute capillary ter- minations which are called “bronchial” or “pulmonary cells,” and these, with their connecting membrane, make up the substance of the “lungs.” The entrance into the windpipe is just behind and below the root of the tongue; this entrance is expanded into a kind of box, the inside of which is called the “larynx,” and the out- side the “Adam's apple.” Across the inside of the larynx are stretched cords or strings with muscles to tighten or slacken them ; these form the human lyre or musical instrument and organ of voice, the opening or passage through which these muscles can draw or close into a mere slit or chink—this entrance is called the “glottis,” anditis, 80 PARTS AFFECTED IN guarded or covered by a flap or lid of cartilage called the “epiglottis,” epi, “upon,” which is lifted up during breathing to allow the air to enter and escape, but is pressed down during swallowing to prevent food or drink entering the windpipe. All these parts are lined or covered with mucous mem- brane, which, when healthy, is thin, smooth, soft and moist, and of an almost uniform colour throughout, a pale crimson or dull pinkish-red, only faint- ly showing its blood-vessels. On the outside the “lungs” are covered by or enclosed in a membrane coarser and stronger — serous membrane — called the “pleura,” which also lines the inside of the chest walls or ribs. * In settling in the throat a cold may affect principally the fauces, or the pharynx, tonsils, or larynx, or all of these together. In any of these cases it is called common or catarrhal sore throat. If it falls principally on the larynx in a severe form it is a serious disease, and then’ COMMON SORE THROAT. 81 receives the name of “laryngitis;” if it affects principally the tonsils it pro- duces “quinsy;” if it goes lower down and attacks the windpipe it produces “ tracheal catarrh ; ” if still lower and attacks the bronchial tubes it pro- duces “bronchial catarrh or bron- chitis;” and if lower still, to the sub- stance of the lungs, it produces “ pneumonic catarrh or pneumonia.” COLD IN THE THROAT—COMMON SORE THROAT—FAUCIAL CATARRH. When it is on the mucous membrane of the fauces or arch that a cold settles principally there is first a feeling of dryness, burning, stinging, and roughness at the back of the mouth, with a sensa- tion of swelling and contraction as if the uvula and curtain were hanging down too low, or as if something were there that had to be hawked up or swallowed. There is sharp pain on swallowing; the uvula and arch are red or scarlet and somewhat mottled, 82 common sonE THROAT. and the blood-vessels are plainly visible; the uvula may be elongated and cause cough by reaching down into the throat on leaning backwards. At first the parts look dry and excori- ated, but afterwards there is a viscid clear mucus secreted, causing con- tinual hawking and scraping, which may cause the mucus got up to be streaked with bright red blood. The febrile symptoms of the cold will still be present during this stage. In favorable cases, after a day or two the febrile symptoms subside and the secretion becomes thick and yellow, and perhaps green, and less difficult of detachment; ulcers may form, soft, superficial and irregular, especially on the edge of the arch or on the uvula, and the phlegm in this stage may also be streaked with blood from the ulcers. The appearances within the throat differ greatly from those seen in diphtheria, where there is whitish-yellow substance upon the FAUCIAL CATARRH. 83 mucous membrane, especially of the tonsils. In severe cases, or when the inflammation has not been checked early, abscess may form in the arch or pillars; this will produce a state much resembling quinsy, and will require much the same management (see Quinsy, p. 86). w Treatment. — The best treatment for inflammation of the fauces, as a rule, is to continue the aconitum being given for the cold and give belladonna 3 as well, two drops alternately every hour or two as long as there are feverish symp- toms, or dryness, or clear tenacious phlegm, even although there be abra- sion or excoriation of the mucous mem- brane; after the subsidence of the fe- brile symptoms, or the phlegm changes to yellow, stop the aconitum and belladonna and give mercurius 6, two drops every two hours until the ulcers are healed and the discharge of phlegm stopped; after this give sulphur 6, two drops five times a day for a week or 84 common SoBE THROAT. two to restore the strength of the parts. Much present relief may be obtained in the early stage whilst the parts are dry, or the secretion is clear and viscid, by breathing steam through the mouth, especially if a few drops of aconitum p be added to the water; and after the discharge has become yellow or green the cure may be expe- dited by spraying the throat with a weak solution of mercurius (5 gr. of 1st trit. to 8 oz. of water). Ordinarily the patient should be careful to breathe through the nose, and to keep in one room with the air warm, 65°, and moistened with steam ; he should also apply a hydropathic compress round under the chin from one ear to the other, fastened with a handkerchief tied on the top of the head. . If the feverish and inflammatory symptoms do not give way within two or three days, or if the mercurius does not heal up the ulcers within three or four days of its use, it will be better to call in a professional PHARYNGEAL CATARRH. 85 man than run the risk of abscess or chronic sore throat; the casemaybe one requiring someless usual medicine, such as rhus, apis, lachesis, tartarus emeticus, kali bichromicum, or calcarea carbonica, and which it would want a practi- tioner's knowledge and tact to select. CoLD IN THE THROAT—CoMMON SORE THROAT—PHARYNGEAL CATARRH. When the mucous membrane of the pharynx is the part principally affected the symptoms are very similar to those enumerated as occurring when the fauces are affected, but they feel farther back, and the desire to swallow is more predominant than the desire to hawk; there is also sensation as of Something hanging from the back nostrils that had to be detached by forcible inspiration through the nose. On inspection the back of the throat will be seen to be in much the same state as that of the fauces just described. Treatment. — The 86 COMMON SORE THROAT. same treatment is required here as in faucial catarrh, except that the mer- curius may be resorted to a little earlier. The steaming, spraying, and hydropathic compress are also equally useful here. And the same remarks apply as to the calling in of profes- sional aid; some of these cases require pulsatilla, acidum muriaticum, tar- tarus emeticus, or kali bichromicum. CoLD IN THE THROAT—CoMMON SOR THROAT—QUINsy. When a cold set- tles principally on the tonsils they become tender, painful, swollen, and plainly visible, filling up the space between the pillars on the sides of the lowing and yawning, sticking or striking into the ear; and there is tenderness on pressure at the angle of the jaw. This affection is called “quinsy,” and that whether it go on wing and yawning is a very QUINSY. 87 marked symptom in quinsy, much more so than in any other affection of the throat, particularly when both ton- sils are inflamed—double quinsy—and the pain is much more aggravated by swallowing fluids than solids, and still more so on empty swallowing, to which there is a constant tendency caused by the tenacious mucus and the increase of saliva. There may also be redness and swelling of the mucous membrane covering the ton- sils and pillars of the palate, giving a general swollen and red appearance to that side of the throat. The symp- toms of fever will still be present. There may be much thirst, headache, and alternation of shivering and heat. If the inflammation continue, or be neglected for two or three days, the tonsils will very likely suppurate, and then the matter must be discharged by bursting. In this case the febrile symptoms continue, and the throat symptoms grow worse, the swelling and painfulness of Swallowing in- 88 QUINSY. crease, the breath becomes offensive, and speaking becomes difficult and swallowing almost impossible in double quinsy. This state may last one, two, or three days. When the bursting takes place the relief is immediate and marked, and the swal- lowing free and almost painless at once. Treatment. — The best treatment for quinsy, as a rule, is to continue the acomitum being given for the cold, and give belladonna 1 as well, two drops every hour or two alternately as long as the febrile symp- toms and the dryness or heat continue marked; after the fever has somewhat abated stop the aconitum but go on with the belladonna and give mer- curius solubilis 6 as well, two drops every two hours alternately. After the tenderness and swelling are gone give sulphur 6 five times a day for a week or two, to restore the tonsils to their natural state. If the tenderness and swelling continue or increase after the fever is somewhat subdued, and QUINSY. 89 particularly if renewedshivering occur, it is probable that suppuration is taking place; in this case cease the belladonna and mercurius and give silicea 6, two drops every two hours until the abscess bursts; and then give hepar sulphuris 6, two drops every two hours for a couple of days, and then five times a day for two weeks, in order to reduce the tonsils to their natural size and to prevent chronic enlargement. Breathing steam or holding very hot water in the back of the mouth will give considerable assist- ance and help to prevent the begin- ning of suppuration, and after suppura- tion has begun they will help the matter to the surface, and so will the hydropathic compress at the angle of the jaw covered with oil-silk with a handkerchief tied over the head, as recommended for faucial catarrh. In severe cases of inflamed tonsils it is better to call in profes- sional advice at once, because cases differ so much, and to check them 90 DIPHTHERIA. and prevent suppuration, or chronic enlargement, often requires, not bella- donna and mercurius, but baryta car- bonica, mercurius iodatus, lycopodium, or some other drug. DIPHTHERIA. Besides quinsy there is another inflammation of the tonsils not altogether dependent on taking cold, but of a specific character and infectious. In this case the attack is ushered in by a feeling of having suddenly and somewhat unaccountably taken a bad cold. There are much shi- vering and fever, severe pain in the back, limbs and head, as if threatened with rheumatic fever. In many cases the attack may be traced to a wetting the day before, or exposure to a foul odour, as from a drain. At the first there is no complaint made about the throat being sore, but on inspection after about twelve hours from the beginning of the illness the throat one of the tonsils. After about DIPEITHERIA. 91 twenty-four hours, however, there is pain on swallowing, and tenderness on pressure at the angle of the jaw of the affected side, and on inspection the tonsil may be seen to be swollen and red, and to have a mottly appear- ance as if yellow spots were coming through the mucous membrane; and within a few hours more yellow spots do show themselves at the surface, as if little points of cheese were issuing from the substance of the tonsil. These increase in number and size until by the third day they meet and coalesce into one patch or coating. This gradually increases, so that by the fourth day it has invaded the pillars and part of the arch and become much thicker by addition to its under surface ; this addition would appear to be at the expense of the substance of the tonsil and neigh- bouring parts, for on forcibly remov- ing it a red excavation remains, with angry dark red edges, somewhat in- verted. Though removed it will form 92 DIPHTHERIA. again as long as the disease remains in the system; it is not the membrane that forms the disease but the disease that forms the membrane, and so removing the membrane either by forceps or acids or solvents does nothing towards curing the disease. This must be done by constitutional means, by internally administered specifics. If left to itself, in mild attacks and vigorous constitutions, the exudation will, as a rule, not spread much further, but will remain much the same for the fifth and sixth days, and then gradually fall off, and the parts will gradually recover more or less perfectly. During the third day of the illness the same process shows itself on the other tonsil, and this goes through the same course. The tonsils become in some cases very large and very prominent at the angles of the jaw, and the whole fauces look very red, swollen, and angry, and swallowing is then very painful. In mild cases, and in most DIPHTHERIA. 93 cases under homoeopathic treatment, the febrile symptoms disappear during the third day, and the patient feels much better of himself, even though the throat looks worse and both ton- sils have become affected, for, as before stated, the throat affection is rather the result of the disease than the disease itself. By the end of the third day or the beginning of the fourth the tonsil first attacked begins to clean and heal; there is no true ulceration ; and on the fifth or sixth day amendment is visible in the other tonsil. In severe, neglected, or im- properly managed cases the progress is more rapid than that mentioned above, and all the symptoms more grave; the parts assume a boggy and livid appearance, and the exudation extends so as, in some cases, to in- volve the whole arch and uvula and invade the larynx and trachea; it also becomes tough, leathery, and mem- branous; indeed, the case assumes the aspect and characters of putrid 94 DIPHTHERIA. diphtheria, which is very serious and often fatal, at least in children. This disease is very prevalent in damp weather, and damp and badly drained situations, particularly badly drained houses, or where the drains are defec- tive or damaged, and there is escape into the house or foundations. It is a constitutional or blood disease, some- what resembling scarlatina, and may attack several members of a family at once or in succession. ---. --> --> Treatment.—If the attack has followed a wetting, give rhus topicodendrom, 1 ; if it has followed exposure to a foul odour, give acidum muriaticum 1, two drops every hour until the fever symptoms disappear; then give mercurius biniodatus 2, two grains dissolved in water every two hours until the exudation has been removed; and then give hepar sul- phuris 6, two drops five times a day - for a week or two to restore the natural tone. During the time the exudation is present spray the throat LARYNGEAL CATARRH. 95 frequently with warm muriatic acid spray (5 drops p to 8 oz. of water), and keep the hydropathic compress applied as recommended for faucial catarrh and quinsy. Isolation and ventilation are very necessary. It is much the best, however, to call in a medical man on the first appearance of exudation, because any case may turn out serious, and not to be checked except by croton, tartarus emeticus, kali bichromicum, apis, lachesis, or crotalus, or some other drug requiring the knowledge and tact of the physician to select. CoLD IN THE THROAT—COMMON SORE THROAT—LARYNGEAL CATARRH, IN ADULTS. When a cold set- tles on the mucous membrane of the larynx, as it is very apt to do in public speakers, singers, actors, and children, the result is laryngeal catarrh, or laryngitis, or croup. The parts involved in laryngeal catarrh are the vocal cords, the chink of the 96 LARYNGEAL CATARRH, glottis, and the epiglottis; also in some cases the neighbouring parts of the pharynx and root of the tongue. In laryngeal catarrh of adults, some- times called singer's or clergyman's Sore throat, the earliest and most marked symptoms are hoarseness and loss of voice, with frequent, irritable, dry, tickling cough and difficult breathing, especially in inspiration; tickling, pricking, dryness, and burn- ing behind and below the root of the tongue and at the upper part of the windpipe in the region of the Adam’s apple ; there may be some difficulty and pain in swallowing, and the food and drink may be apt to get into the larynx and produce spasmodic cough ; febrile symptoms will still be present. As in other regions, when the mucous membrane is inflamed it is at first dry; this is, however, soon followed by secretion of viscid tenacious mucus, which causes continued hawk- ing to clear it away. Though the principal part inflamed is out of the LARYNGEAL CATARRH. 97 range of sight, except by the aid of the laryngoscope, so much accompanying dryness, redness, and swelling, may usually be seen about the lower part of the fauces as to indicate the state of the parts below. In favourable or well-managed cases the febrile symp- toms will subside within three days, and the mucus become thick and yellow, and less difficult to detach ; as in the fauces and pharynx, how- ever, ulcers may form, these tend to keep up a continuous tickling, prick- ing, and coughing. In severe attacks, or if the inflammation be not speedily checked, the case may turn out to be a very serious disease, acute laryngitis or true croup, both of which are very dangerous diseases; or ulcers and granulations may remain and prolong the case into one of chronic laryngitis. Treatment. — The best treatment, as a rule, is to con- tinue the aconitum being given for the cold, and give spongia 1 as well, two drops every hour or two alternately 98 LARYNGEAL CATARRH. as long as the febrile symptoms or the dry irritable tickling cough or the viscid secretion continues. After the febrile symptoms have subsided, or the secretion has become yellow and easily detached, relinquish the aco- nitum and spongia, and give hepar sulphurus 6 instead, two drops every two hours until the cough and ex- pectoration cease. Breathing steam during the early stage is a great help, especially if a few drops of aconitum p be added to the water; and using the warm spray, impregnated with aco- nitum (10 drops of 4 to 8 oz. of water), whilst taking aconitum internally; and spray containing hepar (5 grs. of 3rd trituration to 8 oz. of water) whilst taking this medicine internally; or a spray containing argentum nitricum (10 grs. 1st decimal to 8 oz. of water) if ulcers or granulations become chronic, and having the throat encircled with a hydropathic compress changed every six hour: º ACUTE TARYNGITIS. 99 warm, 65°, and moist, as directed for laryngeal catarrh in children (p. 103). If the symptoms do not speedily subside under this treatment, call in professional assistance, because the case may require apis, causticum, kali bichromicum, lachesis, iodium or bro- mium, or some other drug. If the difficulty of breathing be at all a prominent symptom, call in profes- sional aid at once, because it may be a case of acute laryngitis from the beginning; this is a serious disease, and under the old system frequently fatal, though under homoeopathy nearly always, I may say always, curable. With the object of prevent- ing mistake or fatal delay I give a description of this disease next. . CoLD IN THE THROAT—ACUTE LARYNGITIS. This disease occurs most frequently in adults; it involves the same parts as common laryngeal catarrh, and the symptoms. 100 ACUTE TARYNGITIS. are very similar to those described under that heading, but much more severe; there are much more difficulty and pain on breathing and swallowing; inspiration is peculiarly protracted and wheezing or struggling, evi- dencing that the opening into the windpipe is much narrowed; the swelling is of an oedematous or puffy character, like that produced by the sting of a wasp when it has taken place in the mouth or throat. The cough has a peculiarly harsh, stridu- lous, husky, and abortive sound. The epiglottis being swollen and stiffened, does not properly close the glottis, and food and drink frequently pro- duce spasmodic cough by getting into the windpipe. Speech is a whisper with the lips, and there are great rest- lessness and anxiety about the patient, and great dread of falling to sleep because of the struggle for breath. intense is the inflammation in some and so dangerous the swelling is locality, that there is risk of ACUTE LARYNGITIS. 101 rapid and complete closure of the glottis and speedy death by suffocation unless averted by tracheotomy, that is, cutting an opening into the windpipe. Treatment. — This should in every case be resigned into professional hands; but should such not be immediately possible, pursue the following plan :—Continue the acomitum and give apis 3 as well, two drops every half-hour or hour alter- nately, and steam the throat continu- ally with water impregnated with aconitum p ; also encircle the throat with a flannel lifted out of boiling water, and cover this with several folds of dry flannel. Keep the air of the room warm, 65°, and moist, as recommended for croup (p. 103). After the symptoms have subsided consider- ably, spongia may be required, or iodium or kali bichromicum or some other drug, but these cases should always be resigned to a practitioner. If suf- focation appear imminent tracheotomy must be resorted to ; this prevents º º . . . . . . . . , ºr s ſ sº time for the medicine to operate. º Cold IN THE THROAT—LARYNGEAL CATARRH, IN CHILDREN-CROUP. tles in the larynx in children, as it is very apt to do during the prevalence of east winds and in damp situations, particularly in some children, it rapidly produces what is called croup. After a day or so of the symptoms of a common cold, such as sneezing, cough, hoarseness, sometimes so slight as scarcely to be noticed, the child may rent I amiss, but about midnight it at, and will start up as if from a h, dry, hollow, barking cough, rough a tin tube; it will throw le bed apparent great distress, repeating this cou CROUP. 103 and inspiration almost incessantly, apparently struggling for breath in danger of immediate suffocation. The countenance will be anxious and dis- tressed; the eyes looking wild and the face flushed; the head and skin burn- ing, dry, and hot ; the pulse will be rapid and strong; and there will be considerable thirst and fever. Treatment. — Aco- nitum is almost all the medicine that is required, at least for some hours. Drop thirty drops of acomitum 1 into a teacup, and add thirty teaspoonfuls of clean cold water to it, and then give the child, however young it is, a tea- spoonful every five minutes. Take up the child and carry it into a warm room, free from draughts; keep the room at or above 65° by a good fire, and keep the air moist by having steam continually escaping into it by keeping water boiling and frequently pouring some of it in a long stream into a tub or bath, and dipping flannels into this and raising them up into 104 CROUP. the air. Tear a strip of flannel two inches wide and about a yard long, wring this out of boiling water, and wrap it quickly round the neck, as hot as the child can bear it, and imme- diately wrap outside this dry flannel four inches wide and about a yard and a half long, and then wrap the child altogether in a warm blanket or shawl close up to the chin, and let the nurse keep it on her lap. Do not give the child a general hot bath, or undress it, or expose it in any way, or even change or remove the flannels from the neck for some hours; the flannels should remain until the cough is quite : . . . . . . loose and the fever gone ; then they may be removed, and the outer one made dry and hot and wrapped round the neck by itself. Continue this treatment until the fever is consider- ably diminished and the skin moist, free and easy, and then give the aco- nitum only every quarter of an hour for two hours, and if improvement the cough loose, and the inspiration TRACHEAL CATARRH, 105 continues after that give it only every hour for two hours more, and then stop it altogether and give spongia 1, two drops every two hours for twenty- four hours. Should a loose cough remain after that, give hepar sulphuris 6, two drops every two hours until it is gone. A medical man should be sent for as soon as possible, for some- times in predisposed children and the prevalence of east wind, or other un- favourable weather, unless promptly well managed, the parts do not thoroughly recover their healthy state, but remain weak and disposed to secrete plastic exudation, which ad- heres to the surface and forms a skin or membranous lining, constituting chronic or membranous croup, which is a serious and obstinate and often fatal disease. CoLD IN THE THROAT—CoMMON SORE THROAT—TRACHEAL CATARRH. - --- When a cold settles on the windpipe it produces rough, 106 TRACHEAL CATARRH. ºgº loud, deep, hollow cough, with hoarse- ness and roughness of voice, dryness, irritability, and tickling in the wind- pipe, and rough rasping breathing; then secretion of viscid mucus, which produces much plaguing, fatiguing cough, and hawking and scraping; the mucous membrane soon gives way, and ulcers result, and the secre- tion becomes yellow or green, with much rawness and Soreness on cough- ing. There are feverish heats and chills, and some obstruction and diffi- culty in breathing. In favorable and well-managed cases the fever subsides in three or four days, and the expecto- ration becomes easy; but in severe or mismanaged attacks the inflammation gradually extends downwards to the bronchial tubes, and perhaps to the lungs, producing bronchitis, or pneu- Treatment.— The best treatment of tracheal catarrh, as a rule, is to continue the aconitum being given for the cold, and give TRACHEAL CATARRH. 107 spongia 3 as well, two drops every hour or two alternately until the fever disappears or the phlegm be- comes yellow, and then relinquish these and give kali bichromicum 3, two drops every two hours until the ulceration heals, and the expectora- tion ceases, and after that give hepar sulphuris 6, two drops five times a day until the natural tone of the windpipe is re-established. Here, also, great benefit will be derived in the early stage from breathing steam, particularly if impregnated with aco- nitum p, and from the hydropathic com- press round the throat (not under the chin from ear to ear), and a warm moist atmosphere, and afterwards spray impregnated with kali bichro- micum (5 grs. of 1st trit. to 8 oz. water). If the feverish symptoms do not give way within three or four days, or if the inflammation extends to the bronchial tubes, call in professional aid, because tartarus emeticus, mer- curius, phosphorus, iodine, or some 108 BRONCHITIS, :* other drug, may be required to check the disease or complete the cure. CoLD IN THE CHEST — BRONCHIAL CATARRH–BRONCHITIs. - The next portion of the respiratory organs a cold is apt to attack is the bronchial tubes, and here the affection receives the name bronchial catarrh or bronchitis (from bronchos, throat, and itis, inflamma- tion), and this is one of the most common results of taking cold. It may attack the large tubes alone, and then it is properly named bronchial catarrh ; or the small tubes — ordi- nary acute bronchitis; or the capil- lary terminations — capillary bron- chitis, or all these together. The danger bears a direct proportion to the fineness of the tubes attacked, capillary bronchitis being a really serious disease, especially in children and old people. Bronchitis may occur in only one side of the chest, but it usually attacks both. : > BRONCHITIS. 109 A cold is known to be assuming the character of bron- chitis by the occurrence of tightness across the chest, and oppressed, diffi- cult, and rapid breathing, with feeling of heat, dryness, rawness, Soreness, and irritability within the chest, espe- cially to cold or dry air, which pro- vokes dry, spasmodic, fatiguing cough. There is considerable fever, with thirst and headache and rapid pulse, and dry, sonorous, whistling respira- tion. Within a day or two the dry- ness of the mucous membrane gives way to a viscid, clear, mucous secre- tion, difficult to get up, and the coughing and exertion to get it up mix it with air, so that it is dis- charged as frothy expectoration, per- haps streaked with bright red blood; the breathing has then acquired a moist sound, but the whistle is re- placed by a wheezing or rattling. In mild or well-managed cases the fever subsides by the third or fourth day, and by the fifth or sixth the 110 BRONCHITIS. expectoration begins to assume a yellow colour and thick consistence, and to be less difficult to detach; it may even be greenish and streaked with blood from ulceration of the surface of the membrane. In severe cases, unless very well managed, the symptoms increase, the difficulty of breathing becomes greater, the voice becomes a whisper, the face assumes a purplish and puffy appearance, great prostration supervenes, and cold per- spiration; the mental faculties be-, come dull, and death closes the scene within a week or ten days, as a rule. Even cases mild at first require prompt and energetic treatment, or they may become severe, or they may run on into “chronic bronchitis,” and keep up a perpetual cough, or induced asthma or consumption; neglected bronchitis is a very frequent cause of consumption and asthma. º ----- - § § the early stage of “ bronchial catarrh” t treatment, as a rule, is toº BRONCHITIS. 111 continue the aconitum being given for the cold, and give bryonia 3 as well; for the early stage of acute bronchitis aconitum and kali bichromicum 3, and of capillary bronchitis in old persons acomitum and tartarus emeticus 3, and in children aconitum and phosphorus 3, two drops every two hours or every hour alternately so long as the fever persists and the expectoration remains clear and viscid. After the fever has subsided, and the expectoration be- come yellow, cease the acomitum, but continue the bryonia, kali bichromicum, tartarus emeticus, or phosphorus, re- spectively, until the expectoration is considerably diminished and free from blood; and then give hepar sulphuris 6, five times a day for a week or two, to restore the tone of the parts. Breathing steam impregnated with acomitum p during the fever stage, and a large hot bran or oatmeal poultice should be kept on the front of the chest, or the chest enveloped in one, or in a hydropathic pack, and the 112 ASTHMA, patient should be kept in bed, and the air of the room kept warm (65°) and moist, as recommended in laryngeal catarrh. Steam or spray impregnated with the medicine being used inter- nally in the later stages will also assist the cure; talking should be avoided as much as possible. If the fever does not subside by the fourth or fifth day under the aconitum, bryonia, kali bichromicum, tartarus emeticus, or phosphorus, respectively, or if the breathing continues oppressed or short, call in professional assist- ance, because some other medicine may be required to meet the peculiari- ties of the case, such as belladonna, hyoscyamus, mercurius, in order to prevent it running into chronic bron- chitis, asthma, or consumption. Asthma. : ;....: '... . . . . . Attacks of bron- chitis frequently repeated, if they produce asthma and heart disease. ASTHMA. 113 Besides weakening the heart and lungs generally, bronchitis produces thickening of the mucous membrane lining the fine air-tubes leading to the air-cells of the lungs; this, less or more, closes these tubes and thereby obstructs the escape or expulsion of the air from the cells after inspiration has filled them, and this obstruction is increased by the phlegm that is secreted. The effort to expel the air in expiration stretches the air-cells, and this effort has to be increased to expel the phlegm by the act of coughing. The fine bronchial tubes, which are about the 1-50th of an inch in diameter, are composed of an ex- tremely thin layer of fibrous, elastic, and muscular tissues blended together, and lined with a very thin layer of transparent mucous membrane, the whole forming a membrane like very thin transparent tissue-paper. The walls of the air-cells are still thinner, being without any muscular substance at all. Between the mucous mem- 8 114 ASTHMA. brane layer and the fibro-elastic layer of the cells is spread (like the net of a balloon) the network of extremely fine blood-vessels that convey the blood through the lungs to expose it to the air contained within the cells. Cough- ing is the main cause of the over- stretching of the air-cells; the sudden inflation and the forced effort to empty the cells tend to destroy the resilient power of the fine elastic membrane, and, indeed, they do really destroy it eventually in some cases, leaving the cells permanently stretched and inelastic, so that instead of being about 1-200th of an inch in diameter they are made to be about 1-50th, or even very much larger, constituting permanent dilatation of the air-cells—emphysema of the lungs. This over-stretching also obliterates the fine capillary blood-vessels which envelop the cells, and so it prevents the blood from circulating through them, so that the blood does not become properly aerated, hence the ASTHMA. 115 feeling of want of breath—the asthma. This obstruction of the circulation throws extra work upon the heart in its endeavour to force the blood through the lungs, so that the same effect eventually becomes produced in the heart by its extra forcing to expel the blood that has already been pro- duced in the air-cells in their extra effort to expel the air—thinning and dilatation. Hence the pain and the palpitation of the heart that asthmatic persons suffer from, and the inability to bear exertion that exists, and the dropsy that follows. Every attack of bronchitis increases the susceptibility to future attacks; and when the attacks are brought on by much less exposure than usual, and are marked by more wheezing and difficulty of breathing, and are more prolonged and less amenable to treatment than usual, and the cough has more of a spas- modic character, and the cough and difficult breathing have a tendency to wake up the patient in the small 116 Asthma. hours of morning, the supervention of asthma may be dreaded. Subjects of bronchial emphysematous asthma are extremely liable to have bronchitis brought on by the least exposure to cold, cold air, night air, damp air, fog, damp clothes, over-exertion, &c., and especially so during the prevalence of east or north-east or south-east winds. They should, therefore, be very careful to avoid all these ; they should never venture out of doors when the air is at or below 45° without wearing a Jeffery's respirator or pneumo-clime; and when they do take cold they should lay up at once and commence the treatment recom- mended under “Bronchitis.” . Treatment. — The treatment of bronchial emphyse- matous asthma resolves itself into the treatment during the attack and the treatment during the interval. Dur- ing the attack the treatment is simply that of bronchitis, and requires aconitum, alternated with or followed PNEUMONIA. 117 by bryonia, phosphorus, belladonna, tartarus emeticus, kali bichromicum, ipecacuanha, &c., according to the prevailing phase and the stage of the attack. The selection should, how- ever, be made by a physician. The treatment during the interval consists in the use of the means of bracing up the nervous and muscular systems and the digestive organs, and includes change of air, mineral waters, cold baths, regular habits, regulated diet, and the administration of sulphur, hepar sulphuris, calcarea, ferrum, mua. womica, pulsatilla, arsenicum, &c. But the most suitable medicine and the special course in each case requires the knowledge of the physician for its selection. CoLD IN THE CHEST-PULMONARY CATARRH–PNEUMONIA. When a cold settles on the substance of the lungs the disease is called pneumonia, pneu- monitis (pneuma, the lung, and itis, 118 PNEUMONIA. inflammation). The bronchial cells are usually involved in this inflam- mation, particularly in children, and then it is named broncho-pneumonia, and the pleura, or outside covering, is frequently implicated, particularly in rheumatic adults, and then the disease is named pleuro-pneumonia. Inflam- mation of the lung usually attacks the lower part: when it occupies a part only of a lung it is “partial” pneumo- nia, when it occurs in only one lung it is “single” pneumonia, and when in both lungs “double” pneumonia. §: 3 gº The commencement of pneumonia is announced by the occurrence of a deep-seated dull pain in the part of the lung attacked, usually the side towards the back, accompanied by a feeling of tightness and inability to expand the lung there as if a weight lay on it, and every attempt to do so causes severe pain. There is at first a short, continuous, deep, hard, dull, dry cough, and by applying the ear to the part affected PNEUMONIA. 119 the breathing may be heard to be crepitant, and the part will be painful to pressure, and it will give out a dull, solid, non-resonant sound on being tapped, because the lung there is filled with blood instead of air, and the chest does not expand on that side equally with the other. At first there is no expectoration, but about the third day some mucus is secreted, and it is of a reddish colour from some of the blood oozing out also, making what is called “prune-juice ’’ expecto- ration ; this is somewhat difficult to get up. There are considerable fever and thirst, so much so as to give the name “lung fever * to this disease. In broncho-pneumonia the breathing is more interfered with, and in pleuro- pneumonia pain is much more promi- nent. In mild and favourable cases the fever gives way by the fifth or sixth day, the pain subsides, and the expectoration becomes yellow and less difficult to detach, and the breathing becomes free and easy, the appetite re- 120 PNEUMONIA. § º turns, and the health is re-established within a fortnight. In severe or neg- lected cases, however, all the symptoms increase, and breathing becomes very short and painful, and the strength fails rapidly, and the patient may die merely from the loss of lung room in the acute stage; or the lung may pro- ceed to suppuration or gangrene and wear away the strength by exhausting expectoration; or it may induce con- sumption, which, indeed, it is very apt to do if it occur in the upper part of the lung; pneumonia is, in fact, more frequently the cause of consumption than is any other disease. Treatment. — The best treatment for broncho-pneumonia is to continue the aconitum being given for the cold, and give phos- phorus 3 as well, and for pleuro-pneu- monia aconitum and bryonia 3, two drops every two hours alternately until the fever has been subdued and the expectoration begun to assume a yellow colour, and then cease the CONSUMPTION. 121 acomitum, but continue the phosphorus or bryonia respectively until the expec- toration is considerably diminished, and then give sulphur 6, two drops five times daily until healthy action is completely restored. In all cases of pneumonia the patient should be kept in bed in a warm room with moist air, and a large hot poultice or a partial hydropathic pack kept con- tinually applied to the affected side, at least so long as it is necessary to con- tinue the acomitum ; talking should be avoided as much as possible. If the fever does not give way, or the pain does not subside, or the expectora- tion turn yellow, or the breathing become easy and free, within six days, call in professional assistance, because the case may require veratrum viride, tartarus emeticus, lobelia, lycopodium, or sulphur, or perhaps sanguinaria. CONSUMPTION.—PHTHISIS. - Some persons have what is called a “consumptive consti- 122 CONSUMPTION. tution,” that is, they are liable to have consumption developed if much ex- posed to unfavourable conditions, such as deprivation, watching, constant anxiety, taking cold, &c. Such lia- bility is indicated by the presence of what is called a “nervous tempera- ment”—large nervous and small bony and muscular systems; small chest, nose, and throat ; whiteness, fineness, or clearness of skin; flaxen, or yellow, or brown hair; blue, or grey, or hazel eyes; and small, weak, and excitable pulse. Such persons are peculiarly liable to take cold, and this in them usually falls on the breathing appa- ratus — nose, throat, chest. These persons should be extremely careful to avoid all causes of exhaustion and debility, and to avail themselves of every means of husbanding their bodily strength and of bracing it up, and, if possible, of increasing it, for they have received but a small stock from their parents. They should very carefully avoid all the causes of taking ºlºgº.gººgº.gººgº CONSUMPTION. 123 cold (see p. 13), and adopt every pos- sible means of prevention (see p. 26); and when they do take cold they should not neglect it even for a day, but attend to it at once, as directed at page 30. Whenever in such persons a cold shows unusual symptoms, or takes an unusual course, or lingers longer than usual, or produces more debility than usual, the beginnings of consumption should be suspected. And if in addition to these there is a short, dry, tickling cough, worse in the evening and aggravated by deep breathing, laughing, talking, or exer- tion; more hurry of the breathing than usual by exertion; a feeling as if smoke had got into the windpipe; a feeling of weight on the chest beneath the collar-bones; some little feverish- ness in the evenings, or burning of the palms of the hands; unusually quick pulse; tendency to perspire towards morning in bed; loss of appetite for breakfast; marked failure of strength, or perceptible loss of 124 CONSUMPTION. flesh, very grave suspicions may be entertained, and no time should be lost before seeking competent profes- sional advice. . . .. Treatment.—Imme- diately there is the slightest suspicion that consumption threatens, seek pro- fessional advice at once; lose no time, for it is only in the early stage that absolute cure is to be looked for; if, however, homoeopathic treatment be adopted and well directed and well carried out, before any great amount of deposit has taken place, complete cure may be expected, and restora- tion to perfect health anticipated. There is a marked contrast here be-, tween the activity of the new system of medicine and the supineness of the old—between the help rendered to the patient by homoeopathy and by the old system. Under the old system all that can be done is to take care of the patient and administer cod-liver oil / Allopathy has not one single medicine of any value whatever in checking the CONSUMPTION. 125 deposit of tubercle, or in assisting its absorption | Whereas, under homoeo- pathy, besides the necessary care and protection and the exhibition of cod- liver oil, absolutely effective remedies can be made use of Homoeopathy provides active remedial measures and absolutely curative medicines—medi- cines that can not only check the deposit of tubercle but also cause its absorption and removal—calcarea, hepar, sulphur, iodium, lycopodium, phosphorus, pulsatilla, kali, Sangui- maria, &c. &c., offer a powerful and effective armamentarium against many of the onslaughts of this dreadful foe to our race and fell destroyer of many of its most lovely and gifted representa- tives. It is probable that before any suspicion of incipient consumption has dawned upon the mind of the patient or his friends the aconitum will have been supplemented by belladonna, or byronia, or phosphorus ; at all events, in the absence of professional advice, whatever medicine is being adminis- 126 CONSUMPTION. tered (unless it be calcarea) it must be relinquished, and calcarea carbonica, 6 must be given in its place, two drops every two hours. The patient must be kept in one room, well-venti- lated and kept at a temperature of 65°, day and night : he must absolutely avoid all cold draughts and all alco- holic stimulants; he must have very little tea and no coffee; have milk, oat- meal gruel, beef tea, eggs, and other light, nourishing, and easily digested food, and some cod-liver oil; his drink must be black-currant tea, lemon-juice water, toast water, milk and water, or barley water. If the cough be very troublesome in the evening he may inhale steam or spray impregnated with belladonna ſp. - In all cases of threatened consumption have the assistance of a homoeopathic physician as soon as possible; possibly calcarea may not be the best medicine in any PLEURISY. 127 CoLD IN THE CHEST-PLEURISY. x The next part of the respiratory organs on which a cold is apt to settle is the pleura— the serous membrane covering the outside of the lungs and the inside of the ribs. . The onset of acute pleurisy is announced by the occur- rence of severe stitching pain in the side in the region of the ribs, i.e., the side of the chest, not in the soft part below the ribs. It is discovered in breathing, especially by taking a deep inspiration, which, indeed, it prevents and causes the hand to be placed on the part to prevent the lung from opening. (In health the two smooth moist surfaces of the pleura move easily on each other during respiration, but when inflamed they stick together, hence the sharp, stitching, tearing pain on attempting to move them on each other by breathing.) The sur- faces of the pleura first become dry, 128 PLEURISY, and then they pour out a fibrinous secretion which glues them together; or in some cases an immense quantity of serous fluid is poured out, forming “water in the chest,” particularly when the inflammation comes on slowly —“chronic pleurisy” (see Dropsy, p. 164). Hence, at the commencement of pleurisy, by placing the ear on the affected side a dry rubbing sound may be heard; when the parts have stuck together this ceases, and when fluid has appeared it bulges out the side and gives out a dull sound on being tapped. At the beginning there are usually severe shivering, great thirst, and considerable fever, so much so that this disease has received the name of “pleurisy fever.” This is a disease that requires prompt and skilful treatment, for even slight attacks are apt otherwise to do serious or permanent damage to the breathing apparatus, by either per- manently gluing the surfaces of the pleura together or pouring out PLEURISY. 129 fluid or pus between the lung and the ribs. § Treatment. — The best treatment for a cold that has run on to inflammation of the pleura is to continue the aconitum being given for the cold and give bryonia 1 as well, two drops every hour alternately until the fever and pain have been subdued, and then give sulphur 3 every two hours until the breathing is quite free and the chest can be expanded to the full extent. A large hot oatmeal poultice with a little mustard powder sprinkled on the surface applied to the affected part as soon as possible will not only afford temporary relief to the pain, but will really assist the cure; there should be two poultices in use at the same time, one to replace the other immediately it loses its heat; or the chest may be encircled in a hydropathic pack. If the febrile symptoms and the pain do not give way within two days, or the breathing do not become free within 130 PERITONITIS. four or five days, resign the treatment into professional hands, or it may end in one of the serious or permanent lesions before mentioned; that particu- lar case may require mercurius, senega, apis, arsenicum, or some other drug. CoLD IN THE ABDOMEN-PERITONITIS. a As the lungs are covered outside and the ribs or chest- walls are lined inside with “serous ” membrane, so also are the bowels covered outside and the abdominal walls lined inside with serous mem- brane. In the chest this membrane is called the “pleura” and in the abdomen it is called the “peritoneum” (see p. 60). In both places it forms a bag which in the healthy state is empty, with its sides pressed together, like the sinuses of the brain (see Hydrocephalus). The peritoneum, like the pleura, is liable to become in- flamed when a person takes cold, and, like it, is then apt to pour out serous fluid, sometimes in very large quan- PERITONITIS. % 131 tities, forming “dropsy of the abdo- men.” When a cold runs on to peritonitis the abdomen becomes ten- der to pressure, and hot even to the touch, and the patient is inclined to lie quite still on his back, and draw up his knees, and to breathe with his chest instead of his abdomen, and the breathing is short and rapid; there is great fever, with intense thirst, and perhaps vomiting, and the pulse be- comes very rapid and wiry, and the patient may die within two or three days, from the mere severity of the inflammation. When these symptoms come on suddenly or rapidly it is called “acute’” peritonitis, and when they come on slowly it is called “chronic ’’ peritonitis, and the acute is apt to degenerate into chronic if ne- glected or improperly treated. It is in the chronic form that dropsy most generally takes place (see Dropsy, p. 164). . Treatment. — Im- mediately there are signs of peri. 132 GASTRIC CATARRH. tonitis the patient should be confined to bed and the abdomen should be continuously fomented with very hot water, or a hydropathic compress applied and wrung out every eight hours. Continue the aconitum being given for the cold and give bryonia 3 as well, two drops every two hours alternately, so long as there is either fever, pain, or tenderness, and then give sulphur 6 every three hours for about a week to remove the effects of the inflammation. If the fever, pain, and tenderness do not disappear within thirty-six or forty-eight hours, call in a physician, or the patient may soon be beyond recovery, or dropsy may supervene. CoLD IN THE STOMACH-GASTRIC CATARRH. When a cold settles ncipally on the mucous membrane the stomach, the result generally is nausea and heartburn, and perhaps. incessant vomiting of mucus and of OI’ º -- #: GASTRIC CATARRH. 133 all food and drink; disgust of food, feverishness, headache, tenderness of the pit of the stomach, and intoler- ance of tight clothing—this is called “gastric catarrh.” The disease may spread through the small end of the stomach to the gall-duct and liver, and produce catarrh of those organs, which may either irritate the liver to excessive secretion and bring on bilious vomiting or diarrhoea (Eng- lish cholera), or the swelling may block up the gall-duct and produce jaundice. Treatment. — The best treatment for gastric catarrh is to continue the aconitum being given for the cold, and give kali bichromicum, 3 as well, two drops every two hours alternately as long as any feverish symptoms continue, and then stop the aconitum and continue the kali bichromicum alone every two hours. Drinking hot water, as suggested by my friend Dr. Gibson, of Stirling, is a very effectual help; the water should 134 GASTRIC CATARRH. be as hot as it can be drunk; a pint of it may be drunk every hour for four or five hours. Sucking or swal- lowing ice is not to be recommended; it may afford temporary relief, but it is only such relief as is afforded to a burn by the application of cold water, or to frost-bite by the application of heat, and at the risk of prolonging the disease. Hot fomentation to the stomach, mustard poultice, or hydro- pathic compress will not only afford temporary relief but really assist the cure. Like every other inflamed organ, the stomach should be left as much as possible at rest, the food should be seldom and in small quan- tities, and consist mainly of warm oatmeal gruel, diluted white of egg, skim-milk, roasted potato, and such nausea do not subside and the appetite somewhat return within three days, or if the symptoms of bilious vomiting call in a professional man, because DIARRHOEA. 135 the case may require arsenicum, phos- phorus, mercurius, or chamomilla. CoLD IN THE BOWELS-DIARRHOEA. When a cold settles on the bowels “diarrhoea’’ is the usual result, and the stools become watery, or mucus and slime and sometimes blood, with much straining. Diar- rhoea may result also from many other CallS6S. Treatment. —When diarrhoea results from a cold, and when there is much chilliness or shiver- ing, give camphor q, four drops on sugar every quarter hour until the shivering has disappeared, and then resume the aconitum and give dulcamara 3 as well, two drops every two hours alternately. If there is no considerable amendment within thirty- six or forty-eight hours, call in a phy- sician, or it may run into dysentery; the case may require chamomilla, ºveratrum, arsenicum, or mercurius. 136 BILIOUs ATTACK. CoLD IN THE LIVER AND STOMACH- º BILIOUS ATTACK. A cold frequently settles on the liver and stomach, con- gesting them and checking their action, and then there are loss of appetite, nausea at sight of food, thirst, headache, lassitude, foul tongue, bitter taste, jaundiced skin, fever, fulness at pit of stomach, constipation, stools dry and whitish colour, urine depositing sediment like clay or pow- dered brick. If neglected or im- properly treated complete jaundice may follow, or bilious vomiting and diarrhoea (English cholera) supervene. Treatment. — The best treatment for a bilious attack brought on by taking cold is to con- tinue the aconitum being given for the cold and give bryonia 3 as well, two drops every two hours alternately side and the headache and nausea are considerably diminished; if after this foul tongue and constipation until the feverishness and thirst sub- JAUNDICE. 137 remain, give nua, vomica 3 every two hours for three days; and if health be not then re-established, con- sult a medical practitioner in order to prevent jaundice or worse evil. Re- frain from aperients. CoLD IN THE LIVER—JAUNDICE. When a cold falls principally on the liver, as it frequently does, it then generally produces catarrh of the gall-duct; this checks or prevents the escape of the bile, which cannot, therefore, pass into the bowels, and the stools, not being changed by it, are white and offensive; the bile is ab- sorbed into the blood and taken by it to the eyes and skin, which it colours yellow; the kidneys separate a large quantity with the urine, which there- by becomes of a very dark colour, sometimes like porter. There are nausea, headache, want of appetite, constipation and feverishness, and yellow foul tongue, and the liver is generally swollen and tender. - 138. MESENTERIC DISEASE. Treatment. — The best treatment for jaundice brought on by taking cold is to continue the aconitum being given for the cold and give mercurius 6 as well, two drops. every two hours alternately. If the symptoms do not give way, as shown by improvement in the stools and urine, within three or four days, call in a physician, because the case may require bryonia, nua, vomica, chamo- milla, or china. - CoLD IN THE ABDOMINAL GLANDS—TABES MESENTERICA—MESENTERIC DISEASE. bowels are held together and held in their places by a thin transparent skin or membrane called the “mesentery.” This mesentery holds between its two layers the glands through which the digested food has to pass in its way m the stomach and bowels to the the pabulum in its progress from fºodººij. A gold"often fall on MESENTERIC DISEASE. 139 these glands, inflaming them, espe- cially in children, and particularly in scrofulous children—that is, children one or both of whose parents have been or are consumptive or scrofulous. Such children are known by their having either light hair, tending to be dry and stiff, grey eyes and pasty- looking skin; or by their having blue eyes and florid complexion, with yellow or reddish hair. They are often pretty and fat children. In such children, between one and five years old, a cold is very liable to bring on disease of the abdominal glands. These glands are much more liable to become inflamed if they are over- worked, as they are in over-fed chil- dren, and in some of these cases it may be preceded by ulceration of the glands of the mucous membrane of the bowels. Hence it is no uncommon thing to see a very fat child suddenly lose flesh and become very thin, from the in- flamed glands not allowing the food to pass into the blood—it consumes 140 MESENTERIC DISEASE. away from disease in the abdomen, hence the disease is called consumption of the bowels. If during a cold in a child with a constitution such as that referred to, the child becomes remark- ably irritable and cross, the abdomen becomes very hot and tender, the stools become putty-like and offensive, the urine of a deep saffron colour, and the tongue very foul, and the fever continues intense, though the breathing is free and there is little cough, mesenteric disease may be suspected; and this becomes a certainty if the constipation gives way to diarrhoea of light, offensive, undigested stools, and the abdomen becomes large and tym- panitic, and the child rapidly loses f esh At the onset the appetite is poor, but it soon becomes ravenous, and still the child loses flesh. Treatment.—Imme. aly mesenteric disease is suspect- the treatment should be resigned MESENTERIC DISEASE. 141 with, although under well-directed homoeopathic treatment it is usually curable; indeed, it is in this disease that homoeopathy has gained some of its best laurels, for it has cured an immense number of otherwise hopeless cases. One of the highest authorities in the old system, Sir Thomas Watson, says—“This is not only a very com- mon but a very fatal disease in chil- 3 * dren. If professional aid be not immediately obtainable, the best plan to pursueis the following:—Relinquish the aconitum and give belladonna 1 and mercurius 3 alternately every two hours, and cover the abdomen with a hydropathic compress, wrung out of warm water every eight hours. So long as constipation exists give thin well-sieved oatmeal gruel and Liebig's cold-made beef tea for food; after diarrhoea has supervened give only skimmed milk, white of eggs, and Liebig's beef tea. Procure professional attendance as soon as possible. It is very improper to attempt to remove 142 GLANDULAR ENLARGEMENTs. the constipation by aperients or check the diarrhoea by astringents. CoLD IN THE GLANDs of THE NECK– GLANDULAR ENLARGEMENTs. - ~~ The same children that are liable to mesenteric disease are also liable to having the glands of the neck inflamed by taking cold. In such constitutions, even up to adult life, it is no uncommon thing to find the lymphatic glands of the sides of the neck inflamed during a cold; they become tender, painful, and large, and unless well managed not unfrequently proceed to suppuration, and in that case often leave ugly marks. * Treatment.—Imme- diately the glands are found to be in- flamed a hydropathic compress should be applied to them and worn con- stantly, being wrung out every eight hours. The aconitum being given for the cold should be relinquished and jelladonna 3 and mercurius 6 given in ace alternately every two hours GLANDULAR ENLARGEMENTS. 143 until the tenderness and enlargement hove disappeared. Unless all tender- ness and painfulness subside within a week professional advice should be sought, in order to prevent suppura- tion. If the glands remain large after the subsidence of the painfulness and tenderness, cease the belladonna and mercurius and give silicea 6 instead, two drops every two or three hours until the glands are reduced to their natural size. Should suppuration take place it should be allowed to proceed until the whole gland is softened, but it should not be allowed to burst, it should be opened with a lancet; a clean straight cut with a lancet leaves scarcely any visible trace, but a burst makes a ragged opening which leaves a jagged and puckered scar, very unsightly in the neck, particularly in that of a young lady. 144 DISEASE of Bones. CoLD IN THE BONEs—DISEASE OF THE BoNEs. The same children that are subject to mesenteric disease and glandular swellings are also liable to have disease of the bones brought on by taking cold. In such children a cold may bring on inflam- mation and ulceration in the hip-joint —“hip-joint disease;” or inflamma- tion . suppuration, or softening of the knee—“white swelling;” inflam- mation, suppuration, and ulceration of the ankle—“scrofulous disease of the foot;” or inflammation and ulcera- tion of the bones of the spine— “spinal disease.” The occurrence of each of these diseases is announced by weakness, pain, and tenderness in the part affected, aggravated & by move- ment. Whenever, therefore, a child of this description complains of weak- ness or pain in the back, or joints, aggravated by movement or walking, disease of the bones should be sus- CONGESTION OF KIDNEYS. 145 pected and professional aid sought. Early appropriate treatment may save a joint, or limb, or even a life, that a little neglect would inevitably sacri- fice. 3. Treatment.—Imme- diately inflammation of the bones is suspected, absolute rest of the part must be enforced, and it must be maintained strictly until the inflam- mation has entirely subsided. No medicine can cure inflammation of a joint unless it be kept at rest. Mer- curius and phosphorus are the most generally indicated medicines, but the treatment should in all cases be placed in professional hands. … CoLD IN THE KIDNEYs—CONGESTION OF THE KIDNEYs. When a cold falls principally on the kidneys the result is congestion, with suppression of urine. The onset is marked by pain and tenderness in the back, in the neigh- bourhood of the lowest rib, not below 10 146 CONGESTION OF BIADDER. the ribs, as in lumbago. The urine is scanty and high coloured, or it may be totally suppressed. There are considerable fever and headache, and perhaps vomiting. . . . . - Treatment. — Con- tinue the acomitum being given for the cold, and give terebinthima 3 as well, two drops every two hours alternately; hot fomentation, or hot bran, or hot oatmeal poultice to the region of the kidneys, or a hot bath, will materially assist recovery. Should the action of the kidneys not be restored within twelve or twenty-four hours, call in professional assistance, because brain affection, or dropsy, or even death may be induced; the case may require dulcamara, byronia, apis, or arseni- cum. & CoLD IN THE BLADDER—CoNGESTION OF THE BLADDER. º and produce retention of urine. In | CHECKED “ MONTHLY.” 147 this case there is great pain in the region of the bladder, with feverish- ness, restlessness, and anxiety. Treatment. — Con- tinue the aconitum being given for the cold, and give cantharis 3 as well, a dose every half-hour alternately. A prolonged hot sitz-bath will afford great assistance. If the symptoms do not give way within twelve hours, call in professional aid, or great mis- chief may result. SUPPRESSION OF MENSEs—CHECKED “MONTHLY.” - A very common result of taking cold, in women, is check or suppression'of the “monthly.” Should a cold be taken shortly or immediately before the “period,” the flow may not appear at all, and if a cold be taken during the period, the flow may be arrested or injuri- ously diminished. In any such case very agonising pain may result, and severe headache, and perhaps con- 148 CHECKED “ Month Ly.” gestion of the brain, vomiting of blood, or haemorrhage from the lungs, or consumption, or some other danger- ous malady. º :: *- : * ~ * Treatment.—If there is great chilliness or shivering, admin- ister camphor tincture, four drops every quarter-hour until the shivering has passed off, and then give aco- nitum 3, two drops every two hours for at least two days unless the flow should be well established before that time. Bathe the feet in very hot water for some hours, and if convenient, apply Dr. Chapman's ice- bag to the spine below the loins (to the spot where the weakness and pain are usually felt). If aconitum be un- successful, give bryonia, two drops every two hours for the three suc- ceeding days; and if still no success, be content to allow that time to pass over, and direct the efforts towards the production of natural action fiext time; for this purpose give pulsa- tilla 3, night and morning, all the GATHERED BREAST. 149 interval. If matters are not all right at the next period call in professional help, or some serious disease may be induced. - COLD IN THE BREAST-MAMMARY ABSCEss—GATHERED BREAST. w When a mother suckling takes cold, a very usual re- sult is abscess in the breast. After the reactive fever (succeeding the shivering stage of the cold) has set in, the breast feels tender and pain- ful, particularly in a small spot, which also feels hard; here, unless proper measures be adopted, a lump forms; this becomes painful, hard, hot, and throbbing, and after a few days a second shiver or rigor occurs; this indicates that suppuration is taking place, that is, that matter is forming; the formation of matter goes on, and the breast swells, the matter works its way (so to speak) towards the surface [that is, in the way of the least resistance], and, if left alone 150 GATHERED BREAST. even, will in time burst itself an opening and escape; if then it be properly managed the abscess will be gradually emptied and the place healed up—the whole process occu- pying from one to three months. § Treatment.—If after treating a cold with camphor and aconitum, inflammation of the breast set in, the best treatment is to con- tinue the aconitum and give bella- donna 3 as well, two drops every hour or two alternately until the fever is checked; at the same time avoid ex- :- posing the breast; let the child or the nurse keep it from being distended with milk; foment it with flannels wrung out of hot water, to which some belladonna p has been added. If when the fever has subsided, the breast still remains painful, stop the aconitum, but continue the belladonna, and give bryonia 3 as well, two drops every two hours alternately. If, notwithstanding this treatment, the second rigor should take place, RHEUMATISM. 151 change the bryonia to silicea 6 and apply hot oatmeal poultices. After the abscess has burst or been opened, give phosphorus 3 every two hours. It is, however, best to call in pro- fessional assistance immediately it is found that the cold has settled in the breast. CoLD IN THE FIBROUs MEMBRANEs— RHEUMATISM-RHEUMATIC FEVER. One of the most common results of taking cold is rheumatism. Some persons have a rheumatic constitution, and every cold they take brings on rheumatism in one form or another. Rheumatism is inflammation of the fibrous or fibro- serous membranes; its onset, there- fore, is evidenced by pain about the attachments of the muscles to the bones, or pain and swelling of the joints. When it attacks many of the large joints at once it produces con- siderable fever, and is then called 152 RHEUMATISM. rheumatic fever; the joints become painful, swollen, and red; when it attacks the large sheet of fibrous membrane attaching the muscles of the back to the haunch bones, it is called lumbago; in this case the pain occupies the loins or lower part of the back, below the ribs, and the at- tack is generally discovered in the morning on attempting to get out of bed or to straighten the back after putting on the stockings or boots; it gives a sudden catch, as if the back were broken. In all cases of acute rheumatism there is a great tendency to constipation and acid perspiration, and to the urine becoming dark colour and muddy. Whenever, therefore, these symptoms show themselves during the onset of a cold, it is well to look out for rheumatism. This muddiness of the urine does not indi- cate disease of the kidneys, but rheu- matic material in the blood, which the kidneys are separating and so over- the urine with it that it RHEUMATISM. 158 . Settles out on the urine standing and becoming cold. Treatment. — The best treatment for the early stage of acute rheumatism, whether in the form of muscular rheumatism, lum- bago, or rheumatic fever, is to con- tinue the aconitum being given for the cold and to give bryonia 3 as well, two drops every two hours alternately so long as there is feverishness, and then give rhus topicodendron 3 if the remaining rheumatism is relieved by motion, belladonna 3 if brain symp- toms arise, spigelia 3 if the heart be- come affected, and pulsatilla 1 if stomach symptoms become promi- nent. In every case of acute rheu- matism, however, it is much the best to commit the treatment to profes- sional hands as soon as possible, in order to avoid the risk of it settling on the heart, or brain, or stomach. Under well-managed homoeopathic treatment rheumatism very seldom indeed does affect these important 154 ERYSIPELAS. ºf . usually headache, thirst, and increa of fever. This disease should never organs, and rheumatic fever is only a matter of two or three weeks; under old-school treatment, however, the heart is very commonly attacked, and rheumatic fever is generally a matter of “six weeks, sir.” CoLD IN THE SKIN–ERYSIPELAs. º - When erysipelas is brought on by taking cold, it generally begins on the face or the ear, most frequently it begins on the bridge of the nose with a burning, stinging sensation and stiffness, and the part looks red and swollen, and there are º be left without treatment, because it is apt to spread over the whole face and neck, ears and scalp, and may strike inwards to the brain, and in this case may end fatally. ent. — The Treatm best treatment for erysipelas - brought taking cold is to continue the aco- :0 d, and gi ſ in being given for the CONWULSIONS. 155 belladonna 3 as well, two drops every two hours alternately. Arrow-root or flour is the best local application. If this treatment do not diminish the feverishness and check the inflam- mation within thirty-six hours, call in a physician, because the case may require some other medicine, such as Thus towicodendrom, veratrum viride, apis, or podophyllum, and, perhaps, the external application of veratrum viride in glycerine. CoLD ON THE BRAIN–CONGESTION OF THE BRAIN–INFANTILE CONVULSIONS. A very common result of infants taking cold during teething is convulsions—fits. The irritation produced by the teeth cut- ting through the gums keeps up a kind of febrile state that renders a child very susceptible to taking cold; a very little exposure is then sufficient. And the brain being proportionately the largest and most active and suscepti- ble organ at this time of life, a cold is 156 CONVULSIONs. very apt to produce in it congestion, and this brings on convulsions. This susceptibility is particularly marked in children of the nervous or cerebral temperament, that is, in children with large, rather square heads; thin, silky, scanty and light-coloured hair, and light blue or hazel eyes; great intelligence and precocity; strong mind, but weak body. After a day or two of the symptoms of a cold, with irritability of temper, and, perhaps, vomiting of food, twitching of the limbs and starting or sudden crying during sleep, the child suddenly goes off into convulsions; the thumbs are turned into the palms and the fingers clenched over them; the mouth, face, and eyes are twitched and worked about and distorted; and the limbs and even the whole body are jerked about. This enerally continues few minutes and then passes º his state gen only a few minutes and then pass frightened, with head hot and body out. T CONVULSIONs. 157 sure to return unless active measures be taken to prevent that occurrence; they may even return again and again after minutes, hours, days, weeks, or months, until the brain acquire a con- vulsive habit and true epilepsy be thus established. . * Treatment. — Here again may be seen the vast superiority of the homoeopathic over every other kind of medical treatment. I have no hesitation whatever in saying that for one cure of infantile convulsions by any and every other method of tréat- ment, homoeopathy can boast at least one hundred, and that even including pre-homoeopathic history. 3: First, what not to do :—Do not be alarmed; do not get into a hurry; do not straighten the fingers or limbs; do not put the child into a hot bath. . . . . . . . Second, what to do :—Act coolly, and with self-posses- sion; let the child’s limbs give way to the convulsions, only preventing them 15 CONWULSIONS. from being injured; let the nurse hold the child lying on its back with its head over the side of her knee, hold a wash bowl under the head, and, holding a jug of cold water about a foot above the head, pour the water in a continuous stream on to the forehead; at the same time order two pieces of flannel, each about a foot square, to be wrung out of boiling water and mustard, wrap up each foot separately in these, then put the feet together and fold them in an adult's flannel petticoat, dry and warm. As soon as the convulsions have passed off cease the cold stream. For medical treatment, immediately convulsions threaten, cease the aconi- tum being given for the cold and drop twenty drops of belladonna 1 into a tea- cup, add twenty teaspoonfuls of cold water and give the child a teaspoonful every five minutes, and at the same time send for a medical man. Cut a piece of rag nearly circular and of size sufficient to cover the head, dip this convulsions. 159 in spirit and cold water (one part to ten) mixed in a saucer, and cover the head with this on ceasing the cold stream ; have another little bit of rag in the spirit and water, take this out every half minute and trickle fresh spirit and water on the rag on the head; continue this as long as the head tends to become hot, the evapo- ration cools the head ; of course, a bladder of ice would be preferable. Renew the application to the feet, that is, keep it hot. Continue the evapo- rating lotion, or ice, until the head becomes cool, unless convulsions re- turn ; in that event repeat the cold stream. Continue the belladonna, but if no convulsions return within an hour give a dose only every quarter of an hour for another hour, and then only every hour or two hours, that is, in the absence of professional ad- vice. 160 HYDROCEPHALUS. HYDROCEPHALUs—DROPSY OF THE BRAIN š. —WATER IN THE HEAD. * - The same children that are liable to convulsions are also liable to have hydrocephalus brought on by taking cold, and still more so if they are also scrofulous. Within the head are certain cavities called “si- nuses ;” these are lined with serous membrane analogous to the perito- neum lining the abdomen and the pleura lining the chest, and like the peritoneum and pleura this membrane is subject to inflammation by taking cold, and like them also it sometimes pours out fluid when inflamed (see Dropsy, p. 164, and Pleurisy, p. 127). In the healthy state the sinuses have nothing in them ; they are flattened into mere slits by their sides lying together, but when distended they are capable of holding several ounces of fluid; the distension that takes place in some cases of hydrocephalus either causes the head to increase in size or HYDROCEPHALUS. 161 it compresses the brain and brings on fits, or stupor, and ultimately death. The brain is also invested externally with serous membrane, which when inflamed pours out fluid on the upper surface and beneath the brain. Dropsy of the brain, like dropsy of the abdo- men and chest, shows itself sometimes rapidly as an acute disease, and some- times slowly as a chronic disease, and unless properly treated, the acute is apt to run on into the chronic. The symptoms of the onset of acute hydro- cephalus are the same as those of acute congestion of the brain usher- ing in convulsions (see Convulsions, p. 155):-After the chilliness of the onset of a cold, especially in children teething, and particularly if they are scrofulous, or if they have an erup- tion on the scalp, there may be noticed an increased sensibility to external impressions, such as light and noise, causing the child to close its eyes and knit its brows, and to start on being quickly spoken to ; it is excitable and 11 162 HYDROCEPHALUS. peevish, fretful, irritable, cross, and sleepless, and when it does fall asleep there are twitchings, startings, grind- ings of the teeth, or moanings, or waking up suddenly screaming as if in a fright; there is evidence of pain in the head of a sharp, shooting cha- racter, causing sudden and apparently causeless screaming; the head is hot and the scalp tender to the comb and brush ; there is vomiting of food shortly after taking it, especially if moved or made to stand upright. After these symptoms have existed from a few hours to a few days, the increased gives way to the diminished sensibility to external impressions, and the excitement and vivacity to listless- ness and torpor, and there may be some unsteadiness of gait, apparently from either heaviness of head or un- certainty of step ; there may be some squinting and some boring of the perhaps some convulsions or paralysis, great loss of appetite, and marked HYDROCEPHALUS. 163 flattening of the abdomen. The invasion of chronic hydrocephalus is marked by similar symptoms, but they come on slowly and insidiously. It is especially in “ chronic hydro- cephalus” that large quantities of fluid are poured out, forming the ordinary “water in the head '' (see Dropsy, p. 164). Treatment.—Imme- diately there is the slightest reason for suspecting the approach of hydro- cephalus send for a physician at once, because this is a very serious and formidable disease. At the same time, endeavour to keep the head cool and the feet warm, by the means detailed under “ Convulsions. ' And if the symptoms are those of the acute form, continue the aconilum being given for the cold and give belladonna 3 as well, two drops every quarter-hour alternately until the arrival of the physician; if this be delayed, continue, the aconitum and belladonna as long as there is fever or heat of head. After 164 x DROPSY. the subsidence of the fever cease the aconitum and give belladonna alone every hour as long as there is in- creased sensibility or other sign of excitement. After the symptoms of excitement have been removed, cease. the belladonna and give helleborus niger 1 instead every hour. If the symptoms come on with little or no fever cease the aconitum being given for the cold, and give belladonna in- stead, two drops every half-hour as long as there is increased sensibility or other sign of excitement; and after the subsidence of all the symptoms of excitement, cease the belladonna and give helleborus niger instead, a dose every hour. 2. As soon as possible procure the assistance of a physician, either personally or through the post. DROPSY. . . Dropsy is an accu- mulation of fluid in a place or in a quantity that is not usual or natural. DROPSY. 165 Generally speaking, it is not itself a disease, it is only a sign or result of disease ; of disease of the kidneys, for instance, or of the heart, or liver, or of the serous membranes—the peri- toneum, the pleura, the lining mem- brane of the ventricles of the brain, or of the bag of the heart—the peri- cardium, &c. (see p. 60); and we notice it in this essay only because it is almost always, if not directly, at least indirectly, caused by taking cold. Scarlatinal dropsy, for instance, results directly from taking cold during or after scarlet fever ; general dropsy results from disease of the kidneys pri- marily brought on by taking cold, or from rheumatic disease of the heart brought on primarily by taking cold, so does dropsy of the pericardium ; abdominal dropsy results from peri- tonitis, especially in the chronic form, so does dropsy of the chest from pleurisy, and dropsy of the brain from inflammation of the serous membrane within the head. But, in fact, dropsy 166 DROPSY. is sometimes a direct result of a chill checking the power of absorption of the fluid naturally secreted to lubri- cate the serous membranes, or of the reactive congestion following the chill producing morbid increase of the secretion, or by both of these. The same results follow in mucous mem- branes on taking cold, as of the eyes, nose, lungs and bowels; but then the fluid passes off as discharge, or phlegm, or diarrhoea, and does not accumulate as it does in serous sacs. In these cases, therefore, dropsy is as truly a disease as is catarrh, bronchitis, or diarrhoea. z -- Treatment.—Imme- diately on the appearance of symptoms of dropsy anywhere, call the physi- cian's attention to it, for dropsy is not a matter to be neglected, or the treat- ment of which can be managed by a non-professional. Of course in the case of dropsy following other diseases a medical man will already have been in attendance; call his attention to SCIATTCA, 167 the first dropsical appearances; and if he has ceased attendance, re-summon him at once; do not lose any time, for dropsical symptoms are always of very serious import. SCIATICA–NEURALGIA OF THE HIP. Besides facial neu- ralgia, earache, toothache, and tic dou- loureux, many other neuralgias result from taking cold. The large nerve of the leg, coming from the lowest part of the spinal marrow and running down just behind the hip-joint and along the back of the thigh and leg to the foot, is frequently congested or inflamed by taking cold, especially when one side of the body is exposed to a draught of cold air, as in a person standing or sitting at a desk or table near an open door or window, or ordinary ventilator. In this case the pain in the course of the sciatic nerve is sometimes extremely severe; it may be worst about the hip-joint, or about the thigh or the calf; it may be con- 168 SCIATICA. tinuous or intermittent, burning, aching, bruised, gnawing, shooting, tearing, or, in fact, of any kind; it may be worse in the day or worse in the night, worse by warmth or by cold, or relieved by warmth or cold, or worse by movement or by rest, or relieved by movement or rest; in fact, its phases are infinite. The treatment, therefore, of fully established sciatica must accordingly include a considerable number of medicines, and must, therefore, of necessity be handed over to the physician. The treatment of the onset of sciatica, however, is similar to the treatment of the onset of other neuralgias. . - - Treatment.—When it is evident that a cold is settling on the sciatic nerve the patient should relinquish his employment, have ab- solute rest, and foment the lowest part of the spine and the region of the hip-joint, and perhaps the thigh also, with water as hot as he can bear, CHILBLAINS. 169 and with as much patience and per- severance as he can command. He should continue the aconitum being given for the cold and take belladonna 3 as well, two drops every two hours alternately for at least two or three days; after this, the medicine must be selected according to the prevailing characteristics of the attack; for in- stance, byronia 3 if the parts are very tender to pressure and the pain is aggravated by movement and relieved by rest; rhus topicodendron 3 if ag- gravated by rest and relieved by movement; colocynth 3 when the pain is of a sharp, shooting character, and arsenicum 6 when of a burning cha- racter, and so on. But all cases of fully established sciatica should be handed over to the physician, for it will require much knowledge and ex- perience to select the truly homoeo- pathic remedy in such cases. CHILBLAINs. Chilblains are an- 170 CHILBLAINS. other result of exposure to cold. Their predisposing cause is not, as Some people suppose, poor or weak circulation of the blood, but weakness of the organic, ganglionic, or sym- pathetic nerve, which controls the size of the blood-vessels. This nerve being weak, a cold, to some extent, • paralyses the branches supplied to the blood-vessels of the extremities, espe- cially the toes and fingers, so that the vessels enlarge, too much blood lingers in them, and the part becomes swollen and red or purple—congested; this results, in some cases, in inflam- mation, ulceration, and even mortifi- cation. Treatment. — Per- sons subject to chilblains should adopt every means possible for bracing up the nervous system, such as cold bathing, outdoor exercise, good food, regular habits, sufficient but not too much sleep, &c., and should avoid fatigue, late hours, depressing emo- tions, enervating habits, indulgence in - sº CHILBLAINS. 171 stimulants and smoking, &c. They should also adopt local bracing means, such as frequent friction of the hands and feet, dipping them into cold water followed by prolonged friction; protection with woollen stockings and clothes, and by warming the hands and feet by dipping them into cold water and rubbing them with a warm dry towel rather than warming them with fire or warm water. In cold weather, when chilblains threaten, besides the above means the person should oc- casionally (after extra exposure, for instance) pour a little aconitum 1 into the palm of the hand and rub the threatened parts with it, also take a dose of aconitum 3; this may be done several times a day. The above is also the best treatment for the chil- blains themselves, so long as they remain red; but if they become purple, hamamelis 1 is to be preferred, used in the same way; when mortification threatens secale cornutum 1 should be taken, two drops every two hours, and 172 COUGH-HOARSENESs. the parts should be rubbed with the strong tincture every two hours. Cough. • Cough is one of the most frequent results of taking cold, but it is not itself a disease, it is merely a symptom of disease; it is a symptom of a cold having fastened on some part of the respiratory apparatus, and its treatment is that of the disease of which it is a symptom (see Bron- chitis, Pneumonia, Sore Throat, &c.) HoARSENEss–Loss OF WOICE. Hoarseness is a very common result of taking cold, but, like cough, it is not itself a dis- ease; it is merely a symptom of laryn- gitis, and its treatment must be sought for in the treatment of that disease. 173 OPINIONS OF THE PRESS. From the British Journal of Homoeopathy. Vol. 32, p. 160. “This work originally appeared some years ago as a much smaller volume. It was then entirely devoted to the subject of ‘taking cold' as the most frequent cause of illness, and to the recommendation of aconite as the one specific remedy for this casualty. Its scope is more enlarged, to take in the diseases of which “taking cold’ is a cause, with their diag- nosis and treatment. This addition has rather spoilt the structure of the title, as may be seen above, but it has enhanced the value of the book. It is now one of the best manuals we have of the treatment of acute diseases, so far as this can be safely conducted by amateur hands. We think that both doctor and patient will have reason to be thankful to Dr. Hayward if he can impress upon all who follow homoeopathy the primary importance of aconite in these disorders.” From the Monthly Homoeopathie Review. Vol. 17, p. 711. “We gladly welcome this fourth edition of Dr. Hayward's brochure, not only because it is full of information, but because the information it contains is concisely put, and thoroughly adapted in its scope to the laymen to whom it is addressed. Dr. Hayward's first endeavour is to prevent disease, or rather, its cause, viz., ‘ catching cold,’ and we trust his wise words may prove truly prophylactic to all his docile readers. His remarks on the unwise methods of dressing children, on the foolish exposure or partial protection of delicate organs in so- called “evening dress,” and on the habit of ‘forty winks’ after dinner, will commend themselves to all thinking persons. . . Another point in which we think this little work excels is in the careful way in which professional advice is always insisted on wherever the effect of taking cold is passing out of the region of simple catarrh. Too often we find in works addressed to the laity, a complete diagnosis and treatment, say of acute hydrocephalus or malignant scarlet fever, without a word of counsel as to the paramount necessity of summoning profes- sional aid. . . . . The second part of the work consists of plain directions for the preliminary treatment of diseases arising out of “a cold.” Its brevity and simplicity commend it to both the professional and non-professional reader, the latter of whom is not puzzled with a complicated psu.edo-scientific diagnosis, nor bewildered with a long list of remedies. A copious index completes the work, and enables the reader to consult, without loss of time, the page that interests him.” From the North American Journal of Homoeopathy. Vol. 4 (new series), p. 419. *** Fourth Edition.” Thus this little volume has reviewed itself: the reading public has been the judge, and has given the credit practically. And, indeed, we cannot recommend it enough, as it shows the public some of the diseases which will be brought about by taking cold.” . : : . º : 174 From the Guernsey Mail, Nov. 8, 1873. “A more useful medical work than the one before us could not be offered to the public, and we are not surprised at a fourth edition being called for. In our variable climate, colds lay the foundation of a formidadle array of diseases, whose name is ‘Legion.” In the Registrar-General's last report the number of deaths resulting exclusively from taking cold was set down at 73,399; and this represented only a fraction of the actual mortality from the same cause. In writing a manual for popular use, Dr. Hayward has treated his subject in a thoroughly practical manner. The causes from which colds result are enumerated, and the physiology and pathology of a cold described in intelligent terms. Advice on the prevention of colds is given, and the most effectual method of curing the complaint if it has been contracted. ‘ Prevention is better than cure,” and by following Dr. Hayward’s advice the reader may in most instances check the development of a threatened cold. From the first stages of catarrh and coryza, Dr. Hay- ward prescribes aconitum, which he regards as the most appro- priate remedy. Other remedies are indicated for the various .# ments produced in the system by taking cold. In the second part of the work, the author treats, on the diseases originating in colds—sore throat, quinsy, diphtheria, asthma, pleurisy, rheumatism, &c. In every case the limits of amateur treatment are clearly defined; and as the services of a profes- sional man cannot always be immediately obtained, the do- mestic practitioner is instructed how to treat the first stages of the more serious disorders. The price of this invaluable little work is 1s. 6d., bound in cloth.” From the Liverpool Daily Courier, Oct. 13, 1873. “In the light of these facts a popular and practical treatise such as that before us becomes really valuable. Its object is to show how people may not only frequently avoid taking cold, but by curing a cold at its onset, may prevent the development of many of those serious diseases which would otherwise fol- low. It contains much that cannot fail to commend itself to the judgment of all, and in nothing will the author have more fully the sympathy of all persons of common sense than in his denunciation of the cruel absurdity of sending children into the streets half clad, in obedience to the requirements of fashion or for the gratification of parental vanity.” IN DE X. PAGE Abdomen, cold in . & # # # # & . 130 treatment of . & & {} . 131 Abscess in the breast . & & & # * . 149 treatment of # # # . 150 Aconite, a precious plant . # $. # # . 53 action of . 42, 43 advantage of the public keeping to it alone 48 antidote to taking cold . & & # - an old and well-tried medicine # # . 51 alone necessary for the early stage of a cold. 44 best medicine for the beginning of a cold 45–48 inflammatory fever 52 after taking cold . # # can cut short a cold, catarrh, inflammation, and inflammatory fever . # • ‘io, causes chills, congestion and inflammation, and fever . # g § # . 41– comparison of effects, and those of a cold 39–43 Dr. Dudgeon on . * # # . 44, 51 says it is the specific for catarrhal fever . . 44, 51 will cut short catarrhal fever 44, 51 Dr. Hempel on # # # # . 41 Dr. Hempel's comparison of it with inflam- matory fever $ # # # $ . 41 Dr. Meyhoffer on . § & # & . 4: t & Dr. Reil on # # # # # . 42 the sphere of action of # . 43 Dr. Russell on & . 45 dose of, for the chill stage of a cold . . 45 hot stage—stage of reaction. 46 efficacy of, amounts almost to a miracle .. 53 effect of, is to light up a person's peculiar ill- 11688 . # § & # # % . 41 effect of, on capillaries . # § # . 43 1191" We S . # # # 3. . 43 using it for chill stage of a cold . 45 > ot }} , 48 for inflammatory fever , , , , , 41 176 INDEX, PAGE. Aconite, Hempel on its chill and reaction or inflam- matory fever . # & § • * Hahnemann on . # # • * * . 52 in alternation with other medicines . . . 46 necessity of giving at once on supervention of any disease # § always. # & & . 48 on first feeling of illness . 48 no medicines equal to it for the beginning of a cold $ # § § # • *** * not to be given up at once on adopting another medicine. § • . . one of our greatest blessings. . # . 52 placed at head of Materia Medica . § . 53 primary symptoms of, are chills . . 40, 41 produces inflammatory fever . . . . 41 reaction of, is inflammatory fever . § . 41 º symptoms of, are heat and conges- LIOII . § # # & # § # sphere of action of . # & # # . 43 sufficient of itself, for the early stage of a cold, catarrh, inflammation, or inflam- § the antidote to the effects of cold . • . the medicine for the beginning of all diseases that result from taking .# # § .” the medicine for simple fever . . . § . 44 use of, prevents the necessity for other medicines . . . . * : * # & § when to alternate it with other medicines, 46, 47 Action of Aconite . " * * * . . 41–43 . sphere of . . . . . . 43 Belladonna . . . . . . . .38 Mercurius § % # # § % . 39 nervous fluid . . #. # . . 12, 13 º Nua, vomica . . & # * * . . 38 Air, damp, evil effects of . . . . . . 17 cause of cold . . . . . . § & All diseases resulting from taking cold are the same matory fever . 44, 52 # at first . # * # . . 21 Antidote to taking cold . . . . . . . . .30 Application of cold, effects of , . # , ºr . . . . . # . 12 . heat, effects of . . . #. . 13 Arsenicum not the medicine for a cold. . . . 50 41 * INDEX. 177 PAGE Arsenicum, sphere of action of . * # # . 50 Asthma. # & * & # * # # . 112 treatment of . # # & # & . 116 Bath, the cold, as a preventive of taking cold . . 27 Turkish * * » # . 28 Baths as preventives of taking cold . # # . 27 Belladonna, action of . # # * $ # * not the medicine for a cold . $ . 38 Beginning of a cold, the nature of * # & . 21 pathology of . & & . 21 Bilious attack & & § & {} & # . 136 treatment of . # & # § . 136 Bladder, congestion of . & § & § § . 146 treatment of . & # . 147 Body, the, electric condition of . * # # . 13 is a magnet # # # & # . 12 Bones, diseases of . º # $ º # # . 144 treatment of . * tº # . 145 Brain, congestion of . § & & # . . 155 . treatment of 4% # % . 157 dropsy of . $ # § # & # . 160 - treatment of . & # # . 163 Breast, gathered . # # # + # # . 149 treatment of . * # # , 150 Bronchial catarrh. & * # 4. # # ... 108 treatment of . * # # . 110 Bronchitis, description of . # 8. # # . 108 prevention of . & # # & 28 results from cold . 4. # . 3, 15, 16 treatment of . # # # # . 110 Bryonia for lumbago and rheumatism. # # . 46 not the medicine for a cold . # § . 39 Camphor for diarrhoea from cold. # # & . 135 is º medicine for the chill stage of a cold OI) # { # # # # # % not º medicine for a cold . # # . 49 Capillaries, effects of cold on . 4 4 * . 37 Cases illustrative. * # # & & . 10, 11, 32 Catarrh . # # . 59 bronchial. $ # # & # # ... 108 faucial . & # # $ # * . 81 gastric . # & # # # # . 132 12 178 INDEX. x- PAGE Catarrh, influenzal . § # # & & . 72 laryngeal, in adults. . $ . . . 95 in children . # § & ... 102 nasal # & & # & § # . 67 ophthalmic # # & § #. * * pharyngeal . & & 3% & . . 85 pulmonary . # § & % # . 117 . tracheal . # # § # & # . 105 Causes of a cold . 13, 18 those connected with the atmosphere 16 clothing . 13, 16 water or dampness 18 we are all constantly exposed to them 19 disease are numerous . § $ § ... 2 the most general and prolific . . 3 the one here treated of ... 3 Cell-growth, check of . # & § § . 21, 37 Cells, the growth of . § § # § . 21, 37 Chilblains § # # . 169 treatment . # # § • * . 170 Children, clothing of # # 3% # & # - require as much clothing as adults . . 15 Chill is the primary effect of Aconite . & inflammatory fever 40, 43 resulting from taking cold . . . . 21, 37 . sign of having taken cold . . . . 21, 37 Clothing, flannel, when necessary § . . 27 damp, a cause of cold . . . . . . . 18 improper, a cause of cold . § .13, 14, 15 disease . § .13, 14, 15 insufficient, a cause of disease . .13, 14, 15 preventive of taking cold . . . . 26 should cover whole body § # , § waking, sleeping in, a cause of cold . . 16 K.--& when extra to be put on . . . . . Cold bath, a preventive of taking cold . . . 27 effect of application of . . . . 13, 14 on capillaries . #. . . . . . § # . .. 6, 37 exposure to, changes the electro-nervous condi- tion of body . . . g . . . . . . … à . . . . § 2. . . . . . # % . what to do after § % . 9, 30 a, causes, of . . % # . . . . . . . * * . 13–18 condition of a part in . . . . 5–8, 21 § system in $ # # … # § 5, 6 INDEX. 179 Cold, evidence of having taken how to know we have taken may end in most serious consequences . nature of & g beginning of parts affected in # * pathology of beginning of PAGE 19, 20 19, 20 9, 25 . 5 21 8 21 simple stages of treatment of key to first or chill stage. second or stage of reaction . a, treatment of, domestic . object to be accomplished by . 35 remedies for professional 4. º object to be accomplished by, 36 of first stage . second stage two stages of what it is # & Cold in the abdomen # abdominal glands bladder # # bones bowels. brain breast . chest eyes . e8. PS & # # fibrous membrane fibro-serous membrane º of the neck idneys # # liver . # # liver and stomach # * in the mucous membranes . Ił080 . § § & serous membranes stomach # # stomach and liver skin . # # . 37 g 6, 37 .35 et seq. . 23 42, 45, 45 42, 46 35 35 36 .42, 45, 49 42, 46 . 36 ... 5 . 130 . 137 . 146 . 444 . 135 . 155 . 149 ... 108 64 . 76 . 151 . 151 . 142 . 145 . 137 . 132 59 . 67 . 165 . 132 . 136 . 154 180 INDEX. - º - PAGE Cold in the throat # # & § § & . 77 taking, antidote for . . . 30 necessity of possessing . . 31 collapse, as a result of . . # . 37 effect of, is to light up the person's pe- culiar disease # # # 9, 20, 41 evidence of having taken. 4. # 19, 20 taking, evidence of, its frequency as a cause of & other diseases % 3, 24 is the cause of half our diseases & 3, 25 most prolific cause of disease ... 3 list of diseases that result from . 3, 25 means of prevention of $ % prevention of # # . . pleurisy, pneumonia, consumption, bronchitis, &c., the result of . . 24 results of . § # # # # Collapse the result of taking cold . . . . 37 Coming on of person’s peculiar illness an evidence of having taken cold . # # # * . 19, 20 : Condition, electro-nervous, of the body . 13 surface of . # . 13 internal parts of . . 13 Condition of the system in a cold . . . 5, 6 part in a cold . $ # . 5, 6, 12 Conditions necessary for the curative action of a medicine & # * * * . . . 89 Congestion . . # * * # # # . 21 at bottom of all diseases that result from having taken cold - # * of the bladder . . . . . . 146 treatment of . . . . 147 brain # § § # # - * $ 155 treatment of . . . . 157 . . 145 kidneys . . . # treatment of . . . 146 produced by Aconite . . . . . 40 - º - - . cold & # - $. # a # 40 Constitutional condition in a cold . . . . 5, 6 Consumption. . . . . • * * * # ‘. . . . . * *. the result of taking cold . . . . . 24 revented § { * • * . treatment of . . . . . . 124 - Convulsions, infantile . . . . . . . 155 * INDEX. 181 PAGE Convulsions, infantile, treatment of . Ż & . 157 Cough . # & # É & & # § . 172 treatment of # § & & § # . 172 Croup . § § & § & # § & , 102 treatment . § & # # 3% § . 103 Curative action of a medicine, the condition neces- sary for . § § & Damp air, evil effects of . § £ & # . 17 clothing, evil effects of & $ & § . 18 seats, evil effects of . § & & Ž . 19 Diarrhoea as evidence of having taken cold. & . 20 from cold & # & 3% % . 135 3. treatment of. & & & (§ § . 135 Directions for treatment . # & % 35, 51 Disease of the bones & 3. & # § . 144 treatment of & § % . 145 joints . # # § 144 treatment of 145 Diseases brought on by taking cold, description of . 58 list of, that result from taking cold . 3, 25 most frequent and prolific cause of # # that result from taking cold . . . § 3, 25 . number of, that result from cold . § 3, 25 Diphtheria. . . . . . . . . . 90 : treatment of & § § 3. § . 94 Domestic treatment of a cold . § & & • 35 object to be accom- plished by . § 3% & š. $ § 35 remedies for a cold 3 § § § & . 35 Draught of cold air, evil effects of . § ... 10, 17 Dropsy . § # & % § § $ # . 164 treatment of . É. 3% # § & . 166 of the brain . § # % § & . 160 x treatment of . § 3. § . 163 Dudgeon, Dr., on Aconite 44, 51 recommends Aconite for a cold, a ca. tarrh, and all inflammations . 44, 51 Dulcamara, a remedy for diarrhoea from cold . . 135 Ear, inflammation of passage of . # * * treatment of . Earache # # # § # § # * . 76 treatment of . * # # # # 182 INDEX. PAGE Effects of application of cold . # . . 13, 14 taking cold . . . . . . 21—25 is to º up the person's pecu- liar illness . # .19, 20, 41 Electric condition of the body & & # . 13 Erysipelas . . # * * * & . . 154 produced by taking cold . . . 10, 154 treatment of. # & & # # . 154 Evidence of having taken cold 19,20 Evil results of dallying with improper medicines 33, 51 damp air § & # # § " damp clothes, boots, coats, &c. . . 18 draught of cold air # # #. # having several medicines to select # FOIn , # § § * § - s leaving part of the body uncovered, 13, 14, 15 . - sleeping in the waking clothes . 16 Exposure to cold changes electro-nervous condition of the body # * * * * § # & # &º general, example of effects of, 10, 11, 19 partial § § . 10 what to do after . . . 30, 54 during # * : # . 54 Faceache . . . . . . . 76 treatment of . . § {} § # . 76 Faucial catarrh . % § § § # § ... 81 treatment of . . . . . . 83 Fever, the medicine for. . . . . . . 45 inflammatory, Hempel on . . . . . 41 the medicine for . . . . 42 the result of having taken cold . . . . 11. rheumatic, prevention of . % • • - 31 a sign of having taken cold . . . . 11 Fever, simple, the medicine for # # * * * * * * Fibrous membrane. . # # § , footnote 60 First effects of having taken cold. . . . 21, 37 stage of a cold . § # % § * , 37 professional treatment for. 36, 45 Fits § • 3 & # * § • # § § 155 treatment of . . . . . . . . 157 gastric catarrh . . . . . . . . 182 . treatment of . . . . . . 133 INDEX. 183 PAGE Glands of abdomen, cold in . . . . . . 138 treatment . # * . 140 neck, enlargement of . . . 142 treatment of . . 142 Glandular enlargements . . . # . . 142 treatment of . . . . 142 Growth, warmth necessary for . . . . . 15 Gumboil # 76 treatment of . . 76 Hahnemann's services to mankind, one of . § . 52 opinion of Aconite. # & . 52, 53 Head, water in . $ & * # # % . 160 treatment of . * * * & . 163 Heat, effects of application of . º . . . 12 Hempel, Dr., on Aconite . # # * & . 41 * * inflammatory fever . # # . 41 Hip, neuralgia of . # $ º 4. $ % . 167 * treatment of . % & 4% . 168 Hip-joint, disease of . # # {} & # . 144 treatment of. & # # . 145 Hoarseness . # # & * * * 4. . 172 treatment of # & º & . 172 How to cure a cold . & % # . 30, 36,48, 53 know we have taken a cold § . . .19 Hydrocephalus . * & # % * # . 160 treatment of . º & & $ . 163 Illness, the coming on of a person's particular illness, an evidence of having taken cold . # . . . . . Illustrations, spray producers . 70, 71 Illustrative cases § . 10, 31, 32 Infantile convulsions . # # º º * . 155 treatment of . # # . 157 Inflammation of ear passage . . º . . 76 treatment of # . 76 at bottom of all the diseases that result from taking cold # # & & 4. 4. % prevented # # * 4. * . 31 produced by Aconife . * . 40, 41 result of taking cold . & * . 21 of lungs, prevented % {} . 31 Inflammatory fever, chill the primary symptom n . 41 Dr. Hempel on , * y . 41 184 . INDEx. PAGE Inflammatory fever, the medicine for . . 42 Influenzal catarrh * * # * , , § . 72 treatment of . § % § . 72 Influenza, common . § # § § & . 72 treatment of . # & & . 72 specific # # . . § # . 74 treatment of . & # & . 75 Internal organs, the nervous condition of . § , 13 Jaundice from cold . & § & % & . 137 treatment of . & # # . 138 Joints, diseases of § § # & & & & 3. treatment of . §§ & § . 145 Key to the symptoms and treatment of a cold . . 23 . of the majority of diseases . 23 Kidneys, congestion of & # $ & # . 145 x treatment of § § . 146 Laryngeal catarrh, in adults . . . . . . 95 :::: g § -- treatment of . # . 97 in children . § % § ... 102 º treatment of . ... 103 Laryngitis, acute § § # 99 gº & treatment of . & § . § §§ List of the diseases that result from taking cold . 24 Loss of voice # #. § 3% treatment of . # & # § & 172 Magnet, the body analogous to a & § & . 12 Mammary abscess # § § & § # § º treatment of & # # . 150 Means of preventing taking cold % # %. # . 26 Medicine that corresponds with inflammatory fever 38, # the, for a cold § # & for inflammations generally # # . 52 inflammatory fever 3. # § . 41 º simple fever . § $ § § . 45 Mesenteric disease . . . . . . . . 138 treatment of . § # § . 140 “Monthly,” check of . • * * % # . 147 suppression of 147 treatment of 3. 148 INDEX. 185 PAGE Mucous membrane & # * & . footnote 60 Nasal Catarrh . º # * * # # . 67 treatment of § % $% & . 68 Nature of a cold . # # & & * & . 5 the beginning of a cold . {} & . 21 - nervous fluid . * * & # . 12 Nature’s cure for a cold . 22 congestion, inflammation and fever 28 Negative condition of internal organs * # . 13 derangement of 13 - the skin 33 21 Nervous fluid, action of # º * * g . 13 nature of & & w • * . 12 Neuralgia . § # # º # & # . 76 treatment of & & º # # . 76 of hip . & # & º * # . 167 treatment of . * 4. * . 168 Nux vomica, action of # % & & * . 38 not the medicine for a cold . & . 38 Ophthalmic catarrh . # * 4. & * . 64 treatment of . * # # . 65 Organ, the one that suffers in a cold . # & 8, 20 Organs, internal, the nervous condition of $ . 13 Part that suffers in a cold . % * & & 8, 20 Pathology of a cold . & * * * & 5, 21 the beginning of a cold . §: § . 23 Peritonitis . * * # * - * * . 130 treatment of & 8: & & 4. . 131 Pharyngeal catarrh . . . . . . . . . 85 - treatment of w 4. #. . 85 Phosphorus for pneumonia or inflammation of the lungs g # & # # 4. & . 46, 120 Phthisis § g # # & & # & . 121 treatment of . # * & * º . 124 Pleurisy * * * * * 127 prevented $ & % {} * § . 31 - treatment of . * * º # . . 129 Pneumonia # # # º & 117 prevented . . . . . . . 81 produced by taking cold . . . 11, 117 186 INDEX. PAGE Pneumonia, treatment of . . . . . . . . 120 Positive electro-nervous condition of surface of body 18 Prevention of a cold . # # . . . . 26 Preventives of taking cold . . . . . 26, 30 Primary effect of Aconite is a chill . . 40, 41 in inflammatory fever is a chill . . . 41 stage of a cold, treatment for * 42, 45, 49 Professional treatment of a cold . . . 86, 44 objects of # . 36 of first stage of a cold 42, º, # Pulmonary catarrh . . . . treatment of . . . . 120 Quinsy % % & # & & § # . 86 : treatment of . . . . . . . 88 Remedies for a cold, domestic . & # . . ; professional # # ... 3 Respirators, the advantages of . . . . 28, 29 composition of # & # # ... 3 improper kinds of . % g § . 29 necessity for . . . . . 17, ; objects of # § # $ w persons for whom necessary . # . 28 proper kind of . # & # # time for using . . . . . 17, ; uses of . Results of taking cold. . . . . . . . 23, 37 w-...--> --> explanation of g . 5–12 Rheumatic fever . * # # # # # 151 º treatment of . 4. $ & . 153 Rheumatism # # # # º # & . 151 --- treatment of . # # # # . 153 Same treatment required for the beginning of all the diseases that result from taking cold . . 23 Sciatica • * $ § # # $. # . 167 treatment of . # # & $. # . 168 Secondary effect of taking cold . . . . . . . . 21 Serious consequences of taking cold . . . . . 24, 25 Serous membrane . . . . . footnote 60 Simple cold, a . . . . . . . . . . . .35 . treatment for 35 Skin, derangement of nervous condition of # , 13 INDEX. 187 PAGE Sore throat . . . § {} § # # . 77 Spray producers (illustrated) . § % . 70, 71 Stages of a cold . & g § § & & 6, 2 Supplementary directions # & § # Suppression of menses § & # § § . 147 treatment of . $ § . 148 urine . & § § # # . 145 treatment of . . . . 146 Suspicion of having taken cold, the medicine for . 48 the treatment for . 48 Symptoms of a cold, key to the . # # & . 23 Tabes mesenterica, # § & § . 138 treatment of . & § § . 140 Taking cold, antidote against . . § § . 30 is the most frequent cause of the disease 30 list of diseases that result from 24 part that suffers in . # # # ... 8 prevention of . # § $ & . 26 Tartar emetic not the medicine for a cold . $ . 39 Tic douloureux . § & # & # & . 76 treatment of . # & # . 76 Toothache . $ & § & § # % . 76 treatment of # § & # & . 76 Tracheal catarrh . § & # # § # ... 105 . treatment of . § & § ... 106 Treatment for the beginning of a cold. . 36, 44, 45, 54 a cold . # § & § § . 35 domestic . § § § . 35 professional # # # . 36 for the first or chill stage . 36, 44, 45, 54 for the second stage or reaction . 42, 55 a cold, after the development of another disease . § . . . 46, 57 suspicion of a cold # § & # having taken cold . . 48 inflammation of brain . # . 46, 157 diarrhoea, 135 San 10 required for the beginning of aii the diseases that result from taking cold . # § # z Two stages of a cold, the . & # § § 6, 21 188 INDEX. Urine, suppression of . . . . treatment of ck Wis medicatrix Naturae,” the Voice, loss of £ # $ treatment of . Water in the head # § & . treatment of . Weak organ or part, the, in a cold What to do after exposure to a cold White swelling $ # : treatment of on the suspicion of a cold. PAGE . 145 . 146 172 . 172 . 160 . 163 s 30, 54 14 . 145 J. oGoRN AND Co., PRINTERs, 172, st. John STREET, E. c. OTHER WORKS BY DR. HAYWARD. ALLOPATHY & HOMOEOPATHY CONTRASTED. PART I.-SEWED, THREE PENCE. Medicine—its Origin and Early History. Allopathy— what it is. Homoeopathy—what it is. PART II.-SEw ED, Two PENCE. The Origin and Early History of Allopathy and Homoeopathy. PART III.-SEWED, THREE PENCE. The Basis of the Old and New Systems. IN WRAPPER, ONE SHILLING. THE VALE OF CONWAY SPA: Its Nature, Property, and Uses; Mode of Administra- tion, and Season; Origin, Source, Locality, and Discovery (out of print). &xº~...~#~~~