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CLINICAL DIRECTORY
ETC.
DE RUDDOCK.
T
ARTES
1837
LIBRARY
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VERITAS
OF THE
UNIVERSITY OF MICHIGAN
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HOMOEOPATHIC
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1
F
THE
1822-1870
CLINICAL DIRECTORY,
CHAPTER ON POISONS,
ETC.;
BEING PART V. OF THE FIFTH EDITION OF
DR. RUDDOCK'S "HOMEOPATHIC VADE MECUM OF
MODERN MEDICINE AND SURGERY.”
Adapted for Professional Use.
LONDON:
THE HOMOEOPATHIC PUBLISHING COMPANY,
2, FINSBURY CIRCUS, E. C.,
And all Homeopathic Chemists and Booksellers.
1874.
SUGGESTIONS FOR MARGINAL NOTES.
IN preparing a future edition of this Directory, the Author is
desirous of securing the co-operation of other Medical Practitioners,
whose aid, according to the results of their personal experience,
is earnestly solicited. The Author wishes distinctly to state that he
does not desire any additions to this Directory except such as have
been well ascertained by the writer's own observations.
following are the chief points:-
The
1.--To underline all remedies prescribed in the Directory,
the utility of which they have repeatedly verified; and
to erase any recommended, but which have been found
useless in practice.
2. To insert additional well-tried remedies, stating one or
two leading indications for them.
3.—Brief cases which strikingly illustrate the value of remedies
prescribed will also be acceptable.
4.—The dilution-decimal (x), or centesimal (c), of the
medicines prescribed.
5.-Special accessory treatment, considered necessary in
any case, may also be briefly stated.
6. The suggestion of diseases or symptoms not included in
the present list. Other practical hints or general obser-
vations may be recorded on blank pages.
Lastly.-Notes should be legibly written, and marginal
additions should be carefully connected with that portion
of the text to which they are intended to belong. In
previous editions many notes have been lost from neglect
of these instructions.
As a New Edition will probably be required at an early date,
the Author will be happy to receive notes for it as soon as con-
venient.
PART V.
CHAPTER I.
CLINICAL DIRECTORY.
IN the preparation of this enlarged edition of the Clinical
Directory, we have to acknowledge the valuable aid of several
homoeopathic physicians. In addition to those whose names.
were mentioned in the previous edition, the following gentle-
men have contributed to the present:--Dr. E. M. Hale,
Chicago; Dr. W. Johnson, M.B., Malvern; Dr. J. H.
Mackechnie, London; Dr. J. Moore, Liverpool; Dr. J. M.
Moore, Liverpool; J. H. Nankivell, Esq., York; Dr. J. L.
Newton, Cambridge; Dr. H. Wheeler, London.
In the next edition, we hope again to render this portion
of the Manual much more complete; and in the meantime
shall much value notes and practical hints, results of the
personal experience of practitioners using it. Such notes
should be sent as early as convenient to the author, who will
be happy to forward interleaved copies of the present edition.
to any who are willing thus to co-operate with him.
It will be at once obvious that a ready and successful use
of this Clinical Directory necessitates a previous knowledge
of Materia Medica, as well as professional skill in diagnosing
discuse, and can only be of service to refresh the memory of the
B
6
CLINICAL DIRECTORY.
initiated. Varied knowledge, observation, and tact, are essen-
tial in the art of prescribing, the perfection of which lies
in the power of concentration on individual cases, and of
bringing into one focus the circumstances of descent, habits
of life, tendencies to diseased action, idiosyncrasics, etc., that
may complicate the separate cases. To the qualifications just
mentioned must be added that of long practice. The Clinical
Directory will, however, be found generally useful if con-
sulted in connexion with the preceding Materia Medica.
As a set-off to many shortcomings, we may state that the
Clinical Directory is almost exclusively the result of the
personal observation of the author and other practitioners
who have been associated with him in the work; and, there-
fore, includes prescriptions that have been abundantly tested
and confirmed by long and varied experiences.
A few abbreviations are used, the chief of which are the
following :—alt., for alternately or in alternation with; int., for
internally or internal use; ext., for externally or local use; the
letter F., with a number attached, refers to the Appendix of
Formula which follows the Directory, as (F. 28).
A list of the medicines prescribed, with their names in full,
their abbreviations, and the dilutions in most general use as
far as the author's observations extend, follow the Appendix
of Formulæ.
CLINICAL DIRECTORY,
7
The Clinical Directory.
Abdomen: DISTENDED-Sil., Sulph.
1x trit., Ars. 3x trit. (in scro-
fulous children); Cin. (from
worms); Iod., Phyto., Ferr. -Mur.
m. ij. ter die, Calc., Ars. -Iod. 3x,
Merc.-Iod. (mesenteric); Bapt.
(typhoid condition); Dig., Tereb.,
Ars. (dropsy: sec Ascites)
Chin., Carbo V. 3x trit., Iris;
Coloc., or Nux V. (tympanitis)
Cimic. (pains shooting across).
PAIN IN-see Bowels.
Abscess: Acute-Acon. or Bell. alt.
Hep.; Arn. (early stage, and
from an injury); Merc. -Sol.
Also Tomato or other poultices.
CHRONIC-Sil. alt. China (in 3
to 5 drop doses), Phos., Bary.-C.
3x, Sulph., Hep.-S., Calc.;
Phos. -Ac., Sil., or Aur. (from
diseased bone).
OF LIVER-sce Liver.
MAMMARY-see Breast.
SCROFULOUS Calc.-Iod., Calc.,
Sil., Sulph., Aur. 3x, Ars.-Iod.,
Carbol. -Ac.
Acidity (Heartburn): Nux V., Bry.,
Puls., Carbo V.; Lyc. (in elderly
persons); Calc. or Robinia (chronic
acidity). (See F. 52.) See also
Dyspepsia.
Acne (Pimples): HARD-Bell. (in the
plethoric); K.-Brom,. K.-Hyd. ;
Borax or Sulph. int. and ext.,
Calc., Sep. 3x trit.; Phos. -Ac.
(from onanism); Baryt. or Calc.
(maggot-pimples); Ars., K.-
Brom., Dros. Mr. Clifton re-
commends Rumex int., and
Rumex and Sulph. ointment ext.
(F. 46.)
ROSACEA-Ant. -Crud., Rhus Rad.,
Ars., Apis, Carbo An.; Agar.
int. and ext., Nux V. or Opi.
(if from spirit-drinking); Rhus
3x, Merc. 3x (young persons);
Bell., Ars. (severe and chronic
cases); locally Hypochloride of
Sulph. Sec F. 42.
STROPHULOSA (white gum-rash)——
Ant. -Crud., Puls., Hep.-S., Calc.
VULGARIS-Sarza. (especially at
the time of puberty).
After-pains see Labour.
:
Ague China or Sulph.-Quin. 1x
trit.; Ars. (chronic and undefined
cases); Ced., Nat.-Mur., Carbo
V.; Ipec. (much gastric disturb-
ance, with nausea); Nux V.,
Verat. (chill predominating)
Ars. alt. Ipec. (dumb-ague);
Verat.-Alb. (sercre and obstinate
cases); Bry. (chill stage); Gels.
(hot stage); Sulph. -Quin. or Ars.
(in the apyrexia); Cit. of Iron
and Quin. gr. j. thrice daily
(enlarged spleen following ague).
Albuminuria: see Bright's Disease.
Alcohol EFFECTS OF-Nux V., Bell.,
Caps. (in large doses), Agar.,
Opi., Ars.; Dig., K.-Brom.,
Strych., or Sulph.-Quin. (with
trcmors); Ant.-Tart. (gastric
irritation); Chloroform int. See
also Delirium Tremens in Chap.
on POISONS, pp. 76-78.
Alopecia (loss of hair): see Hair.
Amaurosis: ORGANIC (blindness with
a sluggish or immovable pupil)--
Zinc., Merc.-Cor., Bell., Phos.,
Sant., Ferr.-Mur. (from anœ-
mia in the young); Cann.; Sola-
num Nig., Gels. (desire for light).
Amblyopia (impaired vision from any
cause except that of optical defect;
incipient amaurosis): Phos. -Ac.,
Chin., Ferr., Ars., Anacard., or
CLINICAL DIRECTORY.
Phos. (from debilitating causes);
Arn., Ruta, Nux V. 1x, Gels 1x,
or Macrot. 1x trit. (from over-use
of the eyes); Cimic. (aching in
eye-balls); Spig. (great pain in
the eyes); Bell., or Spig. (con-
gested appearance of the eyes);
Cactus (hyperemia of the optic
nerve); Lith. (partial or threat-
ened Hemiopia). Warm fomen-
tations at night relieve the dis-
comfort in and about the eyes.
Besides appropriate remedies, a
nourishing diet and sufficient
rest and sleep should also be
prescribed (Dr. Angell). Eye
douche, cold, one to three
minutes. The eye should be held
over a small rising jet of water ;
forehead and temples should also
be bathed in the same way.
See also Sight.
Amenorrhoea (delayed, suppressed, or
deficient menstruation): see Men-
struation.
Auæmia :
Ferr.-Red.,
Ferr.-Pyro-
phos., Chin. (from hæmor-
rhage); Helon. 1x, Phos. -Ac.,
Ars., Iod., Merc., Macrot. Cold
sponging.
Anasarca: see Dropsy: GENERAL.
Aneurism K.-Hyd. in large doses,
Calc. -Phos., Iod., Lyc.; Acon., or
Ver.-Vir.(for arterial excitement);
Dig. 4 (as a palliative). Surgi-
cal treatment is often necessary.
Anger: EFFECTS OF-Acon. (palpi-
tation and arterial excitement);
Cham. (bilious derangement);
Bry. (headache); Bell. or Hyos.
(brain disturbance).
Mr. Nankivell, of York, has communi-
cated to us a case of partial paralysis of
the tongue, with thick speech and slow
utterance, the effect of anger, rapidly
cured by Acon.
Angina see Throat, Croup, etc.
Angina Pectoris: Ars., Cac., Dig.,
Verat. -Vir., Verat. -Alb., Hep.-S.,
Iod., Strych., Naja, Chin.,
Puls. p.
PAROXYSM OF-Dig. (very slow,
labouring pulse); Hydrate of
Chloral, grs. x to xx, Chloric
Ether, Hydroc. -Ac., Acon.,
Cimic., Spig. Nitrite of Amyl.,
inhalation of 3 to 5 drops.
Brandy should not be forgotten.
ANKLES SPRAINED-Arn. int. and
ext., rest, and careful strapping.
SWOLLEN-Apis, Ars., Puls., Ferr.,
Chin. Also REST in the hori-
zontal posture.
WEAK-Calc. - Phos. 3x trit. al-
most specific; Calc.-Iod., Calc.,
Phos., Sulph.
Antigalactics (medicines for dimin.
ishing the secretion of milk) :
Calc.-C., Bry., Bell., Phos., Puls.
Anus CONSTRICTED-Nux V. (spas-
modic closure of the sphincter
ani); Plumb, Bell., Graph.
Dilatation may be necessary.
FISSURED AND SORE-Esculus,
K.-Hyd. 1x, Glycerole of Hy-
drast. or Calendula, locally.
FISTULA OF-Silic., Caust. 3,
Graph. 3x and 12, Sulph. 3 and
12, Calc.; Ham. with Glyc.
(F. 5) ext.; Injection of Ham.-
lotion (F. 35) (associated with
piles); Merc. -Precip. -Rub. 3x,
and Glycerole of Starch (F. 1)
medicated with the same (F. 2).
ITCHING CF-Sulph., Nit.-Ac.,
Ign. 6x, Thuja, Ars. Also for
ext. use, to be applied three or
four times daily, Formula 10,
31, 41, or 6.
ITCHING OF FROM WORMS-Cin.,
Ign. 6, Teuc. See also Worms.
PAIN IN-Esculus.
PROLAPSED-Podoph. (at each stool
with squirting diarrhœa); Ruta
or Nux V. (with constipation);
Graph. (with constipation and
piles); Aloes (with piles and great
irritation); Ign. (in children);
Merc., Nit. -Ac., Esculus, Ham.
extract with Glyc. and water
CLINICAL DIRECTORY.
(F. 5) as an injection, or Phyto.
1x int. and Phyto. 3j. and
Glyc. of Starch (F. 1). Dr. H.
Wheeler uses an injection of
Ferr.-Mur. 3j, ad aquæ Zviij.
Anxiety, Care, Grief, etc. EFFECTS
OF Ign., Phos. -Ac., Anac.,
Chin., Acon., Gels., Nux V.
Aphonia Caust., K.-Hyd. (syphi-
litic); Phyto. (complete or partial
loss of voice); Acon., Bell.,
Merc., or Carbo V. (catarrhal);
Ant. -Tart. (from cold, with
bronchial rûles); Ign. or Nux
V. (nervous and hysterical). Gal-
vanism of the tongue.
CHRONIC Phos., Carbo V., K.-
Bich., Hep.-S. (wheezing).
FROM OVER-USE OF THE VOICE-
Caust. (high voice), K.-Bich.
(tenor), Phos. (bass), Arn.,
Bary.-C.
Aphthæ Bor., K.-Chlor., Merc.;
Ant.-Tart. (with vomiting of milk
after nursing); Ars. (ulcerous);
Sulphs. -Ac. 1x (ulcerous in
adults); Borax, Hydras., Car-
bolic Ac. 1x, or Sanguinaria, one
part of any, to about twelve to
fifteen parts of water, as a wash ;
or (F. 4); Sulphurous Acid Spray;
or (F.7) (ulcerous aphtha).
Apoplexy: EARLY SYMPTOMS-Acon.
alt. Bell. every hour, and fomen-
tations to the head of hot waterl
every two hours; Glon. (throb-
bing headache in temples and full
sensation), Amyl.-Nit., Acon.,
Nux V., Bell., Gels.
FIT OF-Acon. (full, quick, strong
pulse); Bell. (great redness of the
face, and convulsive movements);
Opi. (bloated, dusky-red face, stu-
por, and stertor); Phos., Cocc.,
Rhus, Lyc., or Arn. (after effects).
In the body of the work we have
recommended cold applications to the
head; but since that was printed off,
several co-workers in this portion have
recommended hot. See under
cephalitis," p. 761.
"En-
TENDENCY TO-Nux V., Acon.,
Phos., Merc.; also, Avoidance of
stimulating food and drink (es-
pecially beer), over-eating, ex-
citement, haste, exposure to the
hot sun, heated rooms, etc.
Ophthalmoscopic examination of the
nervous tissues of the eyes is serviceable
in diagnosis.
Appetite DEPRAVED-Ars., Chin.,
Calc., Ferr., Nux V., Nit. -Ac.
EXCESSIVE-Cina (from worms);
Chin. or Phos.-Ac. (after illness);
Merc., Sil., Calc., Gels., Ign.
Patients with excessive appetite
should eat slowly.
LOST OR DEFICIENT-Chin., Ferr.,
Macrot. 1x trit., Phos. -Ac., Stil-
lingin 1x trit., Nux V. 1x, Ars.,
Merc., Puls. The cause should
be removed.
VARIABLE-Cina, Chin., Iod., Cale.
Arteries DISEASE OF-Phos., Lyc.
Arthritis: see Gout.
Articular Rheumatism: see Rheuma-
tism.
Ascarides: see Worms.
Ascites Apocy.-C. 1x, Digitaline 1x
with caution, Apis, Ars., Eupat. -
Pur. as an infusion; infusion
of Dig. in 3ss doses; Nux V.,
Chin., Lyc. Crot.-Tig. is the
most reliable remedy in Ascites
from Cirrhosis of the liver.
Asiatic Cholera : sec Cholera : MALIG-
NANT.
Asthenopia (weak-sightedness from
muscular fatigue; temporary
asthenopia may occur after severe
fevers or other exhausting dis-
eases) The use of proper con-
cave glasses. Good air and food,
cold-water douche, frequent rest
of the eyes, and one or more of
the remedies prescribed under
Amblyopia, if from exhausting
causes.
Asthma: Nux V., Ars., Gels. 2x,
10
CLINICAL DIRECTORY.
Ipec., Cocc., Plumb., Cact., Lob.,
Cup.-Met.
PAROXYSM OF-Acon. (arterial ex-
citement; and when arising from
cold); Ver.-Vir. (laboured breath-
ing with cold sweat on the face);
Ipec. gtt. j. every half-hour
(spasmodic, with retching); Bell.
(nightly spasm); Nux V. alt.
Carbo V. (with dyspepsia, flatu-
lence, etc.); Cup., Hydroc. - Ac.,
Lob. in large doses. Nux V. or
Ars. (between the attacks). Also in-
halation of chloroform or oxygen.
CHILDREN'S Samb. (profuse per-
spiration); Ipec. (retching or
sickness); Ant.-T., Ars.
Atrophy: GENERAL Ars., Zinc.,
Iod., Calc., Phos., Sulph. Also
frictions, and exercise alternated
with perfect rest.
Back ACHING OF-Arn. (from over-
exertion); Rhus, Bry., Nux V.,
Gels.
PAIN IN-Cimic. (crick-in-the-back);
Ant.-Tart., Acon., Canth., or
Tereb. (from the kidneys), Ham.,
Acon., Nux V., or Escul.-Hip.
(from piles); see also Lumbago,
Menstruation: PAINFUL.
WEAKNESS OF-Sil., Rhus, Phcs.,
Ign., Chin. (from nervous cx-
haustion).
Baker's Itch: see Lichen.
Balanitis (Inflammation of the glans
and lining of the prepuse, with
muco-purulent discharge): Merc.
3x; Calend. ext.
Baldness: see Hair: FALLING OFF.
Barber's Itch: see Beard: ACNE Of.
Beari: ACNE OF-Lyc., Graph. 2x
trit., Merc.-S. 3x trit., Ant. -T.,
Merc.-Iod., or Sulph. int. and as
an ointment or lotion (F. 25, 38,
44). "I first use Lyc. and Graph.,
then resort to Sulph.-Iod., both
int. and ext. The last with epi-
lation is certain of success
(Dr. J. L. Newton).
Bed-sores: Glycerine-cream, or Ca-
lend.-lotion; Calend.- or Arn.-
plaster for protection. In tedious
cases, a water or air bed if pos-
sible.
PREVENTION OF--Frequent wash-
ing of the parts exposed to pres-
sure with soap-and-water, and,
after drying with a soft towel, a
little Glycerine or Glycerine of
Starch (F. 1) should be gently
rubbed over the parts. If red-
ness of the skin appear, the
parts should be bathed with
brandy and water in equal pro-
portions. Exposing abraded parts
to the air has also a good effect.
Belching: see Eructations.
Bilious-Fever: see Remittent-Fever.
Biliousness: Leptand. 1x trit., Nux
V., Merc., Bry., Podoph., Hep.-
S., Ipec., Iris, Leptand. alt.
Podoph.
ATTACK OF-Bry. or Puls. (from
indigestible food; vomiting of bile
and mucus); Acon. (from cold or
excitement); Cham. (in females,
and from worry or passion);
Verat.-Alb., Iris ("sick-head-
ache," with vomiting or diar-
rhea); Nux V. (from stimu-
lants, over-feeding, etc., with con-
stipation).
See also Liver, Constipation, Diar-
rhœa, etc.
Bites of Insects, etc.: see Stings.
Black-Eye: Tinct. Arn. ext. (if the
lotion can be applied immedi-
ately); Ham. (broken skin, and if
discoloration has taken place).
Bladder : ATONY OF-Nux V.
P, with
Φ,
electricity; K.-Hyd. (with en-
larged prostate).
CATARRHAL INFLAMMATION OF-
Acon. alt. Canth. (from cold);
Dulc., Uva Ursi 1x (from damp);
Cann., Canth., Apis, K.-Hyd.,
Chim.-Umb. (with much mucous
CLINICAL DIRECTORY.
11
discharge, or albuminous); Eup.-
Pur. 2x, Ainm. - Mur., Ant.-C.,
Puls., Tereb., Zinc., Eryng.-
Aquat., Sulph.
IRRITABILITY OF-Ferr. (diurnal);
Bell., Canth., or Sulph. (noctur-
nal); Nux V. (with spasm, and
in gouty persons); Lyc. (with
gravel); Benz. -Ac. (strongly
scented, high-coloured urine).
For irritability with pain at neck
of bladder, a full bath, 95º for
ten minutes, followed or not by a
douche of two pails of cold water.
PARALYSIS
-Cann.,
OF
Bary.-C., Acon., Nux V.
Iod., Sil., Fluor. -Ac., Symph.,
Phos., Ars., Asaf.
NODES-Sil., K.-Hyd., K.-Bich.
(cranial); Merc. -Cor. 6x (tibi-
al); Staph., Rhus (soft nodes);
Aur.-M. (hard nodes).
PAIN IN-Aur., Asaf., Merc., Ruta,
Nit. -Ac., Fluor. -Ac., Phos. -Ac.,
Staph., Phyto.; Eupatorium
Purpureum (Influenza bone-
pains).
PERIOSTITIS-Sil., Aur.-M., Mez.,
K.-Hyd.
Phos. -
SOFTENING OF-Calc., Sil.,
Bell.,
Ac., Calc. -Phos., Phos., Merc.,
Sulph.
See also Calculus, Hæmorrhage,
Strangury, Urine, etc.
Bleeding see Hæmorrhage.
Blindness: see Amaurosis, Amblyopia,
Sight, etc.
Blister see Burns and Scalds.
Blood: SPITTING OF-see Hæmoptysis.
VOMITING OF-see Hæmatemesis.
Bloody Flux: see Dysentery.
Blotches: Ant.-C., Graph., Lyc.,
Clem., Ars., Apis.
Boils Bell. or Arn. alt. Acon. (when
forming); Sulph. alt. Bell., and
hot poultices (when formed); Sil.,
Hep. (when suppuration has oc-
curred, but is torpid); Muriate of
Calc. lotion (F. 28) (when very
painful).
TENDENCY TO-Sulph., Hep.-S.,
K.-Brom., Chin., Sulph.
Bone: CONTUSION OF Ruta 3x and
Ruta lotion ext.
EXOSTOSIS
lod., Sil.
INFLAMMATION AND CARIES OR
ULCERATION OF Asaf. 12,
Merc., Aur., Arg. -Met., Fluor. -
Ac., Sil., Phos. -Ac., Phos. ; also
Phyto. and (F. 9).
Aur.-M. 3x, Merc.-
NECROSIS Merc. - Prot, - Iod., Ars.-
:
Bowels see Constipation, Diarrhea,
Hernia, Anus, Enteritis, etc.
CONSUMPTION OF-see Tabes Mes-
enterica.
Or
PAIN IN-Camph. (severe, with
chilliness); Acon. (feverishness
or excitement); see also Colic.
Brain CONCUSSION OF-Arn. alt.
Acon. or Bell., Cicuta Vir.
CONGESTION OF-Bell 3x,
Atropiæ Sulph. 3x. Bell. should
be given first, then if necessary
Atr.-S. If these fail, Apis 3x
(cerebral depression), or Glon.
(cerebral exaltation); Acon., Nux
V., Bry.; Sulph.-Quin. (inter-
mittent). In congestion fron
tubercular disease, or from teeth-
ing, with convulsions, speedy
relief may be obtained by apply-
ing to the head flannels wrung
out of hot water. "I have fre-
quently relieved children in
violent convulsions by the above
means. The fomentations should
be continued for half-an-hour or
more according to the severity
of the case, and most frequently
the child falls into a quiet sleep
during the process (Dr.
Wheeler).
DROPSY OF-Hell., Dig., Merc.,
Calc., Sulph., Ferr.-Iod., Arnica
1x, Apis, Apoc. -Can., Sil.
12
CLINICAL DIRECTORY.
INFLAMMATION OF-Acon. alt. Bell.
or Bry.; Stram. (from tubercular
deposit, with convulsions); Verat.-
Vir., Gels., Sulph. In cerebral
Congestion, with much mental
excitement, flushed face, etc.,
great and speedy relief may fre-
quently be given by packing the
legs (from the loins to the feet
inclusive) in large towels wrung
tightly out of mustard ("mus-
tard bran) and hot water for
twenty to thirty minutes, the
towels well covered with blankets.
Plenty of mustard should be used,
and, after the pack, the parts
should be quickly wiped down
with tepid damp towels (Dr.
Dalzell). Hot fomentations to
the head, as just recommended
for Congestion, are also applicable
for Inflammation, and may su-
persede the somewhat harsh
mustard-pack.
SOFTENING OF-Merc. alt. Bell. ;
Phos. -Ac., Nux V., Zint., Ars.,
Phos., Zinc.-Phos. 1x; Hyperi-
cum (pain and other nerve
symptoms).
:
Brain-fag Nux V. o, Phos. -Ac.,
Gels., Strych.-Phos. oo, Calc.,
Sil., Anac., Staph., Zinc., Asar.-
Europ.
Brain-Fever: see Typhus-Fever; or
Brain INFLAMMATION OF.
:
Branny-Tetter: Ars., Graph., Lyc.,
Sulph.
Breast: ABSCESS OF-Bry. (for
earliest symptoms); Bell. (shining
red and swollen) alt. Phos. int.,
and Phos. gtt. v. to gill of hot
water ext. (during formation);
Phyto. 1x int. and (F. 9), and
spongio-piline over the breast, if
Bry. and Phos. fail; Sil. or Hep.-S.
(for torpidity, or imperfect sup-
puration); Phyto. (caked breast).
CONTUSION OF-Coni.
EXCORIATION OF-Sulph.; Hydras,
or Calend. ext. Glycerole of
Starch and Phyto. (F. 9) are also
recommended.
HARDNESS, PAINFULNESS, or SWEL-
LING OF—Bry. ; Bell.(shining-red
swelling).
:
Breast-Pang see Angina Pectoris.
Breath FŒTID-Merc., Carbo V.,
Chin.-Sulph., Ant.-C., Aur., Nit. -
Ac., Acon., Carbolic Ac. A gargle
of Thompson and Capper's Denti-
frice Water, used once or twice
daily, is valuable.
Breathing: SHORT OF DIFFICULT-
Acon., Hydroc.-Ac. ; Ars. (tight-
ness and debility); Ipec. (wheez-
ing, [dry} and with nausea);
Ant.-T. (rattling [moist]); Iod.
(emaciation); Ferr. (anæmia);
Hep.-S., Cup., Squill., Spong.
Friction over the chest with cod-
liver-oil, or with Glycerine, often
relieves difficult breathing. See
also Croup and Asthma.
Bright's Disease: Ars., Phos., Canth.
(casts from fatty degeneration);
Merc., Phyto., Kreas., Nux V.,
Phos. -Ac., Tereb., Hot-air baths.
Dr. Donkin relates in the Lancet,
May 6th, 1871, some striking cases
of cure from an exclusive diet
of skim-milk, six to eight pints
daily, not boiled, no medicine
whatever having been prescribed.
See H. World, June, 1871.
Bronchial Catarrh ("cold on the
chest"): Bry., preceded by a few
doses of Acon., Ars., or K.-Hyd.,
Camph. or Kreas. (at the outset).
Bronchitis: ACUTE-Acon., Ant. -Tart.
2x, K.-Bich., Bry., Ipec., Phos.
IN CHILDREN-Acon., Ant. -Tart.,
Phos., Ipec., Verat. - Vir.
IN OLD PERSONS-Ant.-T., Amm. -
Carb. (difficult expulsion of
mucus); Coni., Carbo V. 12,
Phos., Hydras., K.-Bich.
CHRONIC-Ant. -T., K.-Bich. 6, Ars.
3, Merc., Hydras., Phos., Scilla,
Stan., Senega, Sulph., K.-Hyd.
See also Cough.
CLINICAL DIRECTORY.
13
Bronchocele: see Goitre.
Brow-Ague: Sulph.-Quin., Glon.,
Bell., Nux V., K.-Bich, Chel.,
Ars.
Bruise: see Contusion.
Bubo Merc., Nit.-Ac., Merc. -Bin-
iod., Aur.-M.; Phyto. int. and
ext. Calendula on poultices.
:
Bunion Arn., Ruta, Verat. -Vir. ext.
(if inflamed); Hep.-S. or Sil. ;
and Calend. or Acet. -Ac. lot, ext.
(if suppurating).
Burns and Scalds : Cotton-wool satu-
rated with Lotion of Urtica Ur.
(simple injury); Canth. (blisters),
or Krea. Olive oil and Carbolic
Acid (F. 29) to be applied on
layers of cotton wool. On renew-
ing the application, the lowest
layer should not be removed, but
re-soaked. Or a thick lather made
with soft water and Castile soap,
"In
often applied, is excellent.
extensive burns and scalds, the
transplanting of healthy skin is
of the utmost importance. When
the true skin is destroyed to a
large extent a cicatrix cannot
form. Many years ago I saw a
girl die whose whole back had
been deeply burned, who I now
think might have lived had new
skin been freely transplanted.
Whilst on this subject I would
add, that taking skin from the
patient is a very cruel proceed-
ing. The friends or relatives
should each furnish a patch of
nature's clothing to the worse
than naked sufferer" (J. H.
Nankivell, Esq.).
ULCERS FROM-Calend., Glyc.
Cerate, or Urtica Urens (sce
F. 39), ext., and Sulph., Phos.,
or Ars. int.
:
Vir.
Cæcum INFLAMMATION OF-Ver.-
It may be applied locally
as a lotion (concentrated tincture
3j, ad aq. Živ).
Calculus Phos. -Ac., Lyc., Berb. 4,
Canth., Podoph. (biliary cal-
culus). Surgical measures. A
course of Friedrichshall and Carls-
bad water is also recommended.
SPASM WHILST PASSING-Nux V.,
Gels., Acon., Cham. Hot hip-
baths or fomentations. Morphia
or Chloroforin is also recom-
mended.
See also Gravel.
Cancer Ars., Hydras. (large doses),
Phyto., or Coni. (of the breast);
Phos. (of the stomach); Thuja
(epithelial); Aur. (of bone). Hy-
dras. locally. Several cases of
cancer of the lip have been cured
by Hydrastis ext. with Ars. ad-
ministered internally at the same
time.
PALLIATIVES IN-Acon. (from root)
int. and ext., Ars. (for pain);
Coni. ext., Verat.-Vir. int. and
ext.; Carbo A., Carbolic Ac.,
Condy's Fluid, or Charcoal (as
deodorisers).
Cancrum Oris: see Mouth: CANKER
of.
Carbuncle Bell. alt. Hep.-S. (form-
ing-stage and simple cascs); Apis
(much crysipelatoid swelling); Sil.
(indolent); Ars. or Lach. (severe
or malignant). Tomato poultice.
Carcinoma: scc Cancer.
Cardialgia (Mordens): see Heartburn.
Carditis: see Heart: INFLAMMATION
OF.
Caries (unhealthy inflammation of
bone, with softening and molecu
lar disintegration, from Scrofula,
Syphilis, Mercury, etc.): see Bone,
Teeth, Jaw, etc.
Catalepsy: Cann. - Ind., Opi., Cup.-M.,
Cicuta. Cold douche.
Cataract Bell. (from inflammation);
Cale. (in the strumous); Sil.,
Coni., Euphr., Phos., Sulph.
Catarrh
see Cold.
Chafing see Excoriation.
14
CLINICAL DIRECTORY.
Chancre: Merc., Nit.-Ac., Hep.-S.,
K.-Hyd.; Phyto. int. and ext.
Change of Life: sce Menstruation-
CESSATION of.
Chapped-Hands: see Hands.
Phos.,
Chest: ACHING, BURNING, OR WEAK-
NESS OF-Acon., Ars.,
Phos.-Ac., Sulph., Bry.
DROPSY OF-Bry.,
Apis, Arn.
alt. Hep. or Ars. (following
pleurisy); Iod., K.-Hyd. (in the
scrofulous); Dig. or Apocy. (con-
sequent on heart-disease).
PAINS IN-Arn. (stitch-in-the-side
when walking); Bry. (pain catch-
ing the breath); Phos. (slight
wandering pains); Acon. (shoot-
ing and severe); Puls. or Cimic.
(left side in women).
SORENESS, RAWNESS, OR EXCORI-
ATION IN--Ars., Phos., Bry.,
Hep.-S. (rawness); Sulph., K.-
Hyd.
TIGHTNESS, OPPRESSION, or WEIGHT
-Ars., Acon., Crotalus, Ign.,
Phos., Bry., Cactus, Ipec.,
Sulph., Camph.
See also Lungs, Heart, Pleurisy,
Breathing, Cough, etc.
Chicken-pox: Acon. alt. Rhus; Bell.
(head-symptoms); Apis (excessive
itching); sometimes Canth.
Inunction with camphorated oil
relieves itching and allays inflam-
mation. See (F. 21).
Chilblain: SIMPLE-Agar., Tamus,
Rhus, Arn., or Puls., int. and
ext. Glycerole of Sulphurous
Ac. (F. 12); Ham. lotion (F.
35); or Carbolic Ac. ext.
INFLAMED-Bell., Ver.-Vir., ΟΥ
Rhus int. and ext.
BROKEN-Petrol., Agar., Rhus;
Calend. ext. or Glycerole of
Starch and Calend. (F. 2).
ULCERATED-Ars., Petrol., Phos.,
Kreas., Nit.-Ac. A cerate or
lotion of Calend., Rhus, Petrol.,
or Glyc., is a beneficial adjunct.
TENDENCY TO-Sulph., Calc.-C.,
Phos.
Child-bed Fever: see Puerperal Fever.
Child-Crowing sec Croup.
Chilliness and Coldness: FITS OF--
Camph., Acon., Bry.
CONSTANT-Chin., Merc., Sep.,
Sulph., Hep.-S.
See also Shiverings.
Chin-cough sec HOOPING-COUGH.
Chin-whelk: see Beard: ACNE OF.
Chlorosis: Ferr., Ferr.-Iod., Puls.,
Calc., Sep., Nat. - Mur., Helon.
See also Menstruation: SCANTY.
Cholera SIMPLE, ENGLISH, or Spo-
RADIC-Camph. (strong chills) ;
Chin. (simple, with griping);
Verat.-Alb., Acon. Φ, Ars.
(sudden and violent vomiting and
purging); Iris (bilious motions,
and colicky pains); Cup., Verat. -
Alb. (cramps and blueness);
Acon. or Ars. (collapse).
ASIATIC, MALIGNANT, CHOLERAIC
DIARRHEA, CHOLERINE, or CHO-
LERA MORBUS-Rubini's Camph.
(eurly stage), or Acon. in drop-
doses of the strong tincture;
Ars. (when developed); Verat.
(vomiting and diarrhœa predomi-
nant); Cupr. (severe cramps);
Phos., Ars., or Carbo V. (typhoid
conditions); Chin. or Phos. -Ac.
(convalescence); Acon., Ars., or
Verat.-Alb. (collapse).
INFANTUM-Apoc.-Can., Ars.
Chordee Acon. int. and ext., Gels.,¹
Canth., Bell., Hydrate of Chlo-
ral,2 or Camphor lotion.
:
1 Dr. Douglas has communicated to
us several cases of violent painful noc-
turnal erections, in which relief was
rapid and permanent after a short
course of Gels. 9, in drop-doses, re-
peated hourly, for several times.
2 In a desperate case of Chordee,
occurring in the first stage of Gonor-
CLINICAL DIRECTORY.
15
Chorea Cup., Bell., Agar., Stram.,
Ars., Ign. (from fright; recent
and simple); Cina, Sant., Merc.
(from worms); Verat. -Vir.,
Strych. (from cerebral irrita-
tion); Aur. (with Otorrhea after
Scarlatina); Cinic. or Spig. (in
rheumatic patients); Ars., Zinc.,
or Iod. (chronic cases). Cold or
tepid baths.
Circulation: LANGUID
――
Leptand.
(from liver disease); Dig. (from
enfeebled heart); Sep. or Ferr.
(females with scanty or deranged
period); Sulph., Bell. Also daily
active exercise in the open air,
the morning bath, and vigorous
frictions. Sponging with cold
water to which sea-salt is added,
is often preferable to the bath.
Ling's specific movements-
active and passive - Swedish
movement cure. Icy coldness
of the legs and feet has been
quickly relieved by the spinal
ice-bag, used half-an-hour to an
hour once or twice a day.
Cirrhosis:
Merc.-Cor., Merc. -Iod.,
Dig., Nit. -Ac., Ars., Phos.,
Phyto.; Crot.-Tig. (with Ascites).
Clap see Gonorrhea.
Clergyman's Sore Throat: see Throat.
Cold IN THE HEAD¹-Camph., Gels.,
(incipient cold with chills); Acon.
:
rhoea, in which there was much hard-
ness and congestion of the penis, and
the pain so severe as almost to drive
the patient to desperation, Dr. E. M.
Hale gave 15 grs. of chloral, which
produced immediate relief and sleep;
the dose was repeated on the following
evening, and the Chordee did not
return.
A correspondent in the Medical
Press and Circular, Feb. 28, 1872, re-
commends the following remedy for
Coryza :-Nitrate of Silver in powder,
one part, Sugar of Milk nine parts.
The whole should be reduced (tritu-
rated) to an impalpable powder, and
about half a pinch drawn up the nos-
(early stage with feverishness);
Dulc. (from damp, wet, etc.);
Ars. (thin acrid discharge, with
influenza taint); Merc. 6 (sneez-
ing, thick discharge, sore throat,
chilliness, and perspirations);
K.-Hyd. 3x (sneezing and simple
fluid discharge); Puls. (in females
and children, thick fætid discharge,
and loss of taste and smell); Nux
V. (“stuffy-cold"); Euphr. 3x
(acrid fluent coryza and profuse
lachrymation); K.-Bich. (chronic
catarrh, with tough sputa, diges-
tive derangement, etc.). Turkish
baths.
ON THE CHEST-sec Bronchial Ca-
tarrh, also Bronchitis.
SENSITIVENESS TO-Camph., Ru-
mex, Iod., Hep.-S., K.-Hyd.,
Sulph., Sep. (females); Dule.
(best prophylactic against cold from
damp); Ars., Merc., Sil., Nit.-
Ac. (habitual); Gels., Nux V.,
Phos., Sabad. Turkish baths.
Colic Coloc. (paroxysmal with diar-
rhaa; Dios. (bilious); Plumb.
(with constipation); Ver. -Alb.
(Colic, with or without diarrhea,
if accompanied by vomiting of
bilious matter); Iris, Collin.
(obstinate cases, with flatulence);
Colch. (in gouty patients); Nux
V. (tendency to colic; also from
indulgence in food; and from
fatigue). A hot sitz-bath (deep),
98° to 100°, for ten to fifteen
minutes, followed by friction of
the abdomen for a minute or two
with a cold, wet hand, is very
useful.
IN CHILDREN-Cham., Bry., Coloc.,
Cina, Nux V., Ipec.
FEMALES
IN NERVOUS
Cocc.,
trils three or four times daily. In two
days it is said to avert cold in the head
and its consequences. During the treat-
ment sneezing and blowing the nose must
as much as possible be avoided, so as
not to shake the partitions of the nasal
fosse too much.
16
CLINICAL DIRECTORY.
Plat., Sec., Cauloph., Ign.
(uterine).
FROM LEAD-sce Lead-Colic.
Coma: see Sleep: COMATOSE.
Concussion: see Brain, Spine, etc.
Condylomata (syphilitic watery excres-
cences): Thuja, Nit. -Ac., Merc.,
or Sab., int. and ext. Also
Phyto. and Glycerine (F. 9); or
Iodide of Potash ointment (F. 43),
ext.
Congestion: see Brain, Liver, Lungs,
etc.
Conjunctivitis: Arg. -Nit., Merc. -Cor.,
Bell., Nux, Euphr., Ars., K.-
Bich., Sulph.; Gels., int. and
ext. Dr. Mackechnie adds,
"For
simple catarrhal conjunctivitis
Nux V. is before all others."
See also Eyes: INFLAMMATION OF.
Constipation: CHRONIC-Sulph. 6;
Nux V. 6 (irregular action); Bry.
or Opi. (torpor); Plumb. (obsti-
nate cases with passage of hard
and small balls); Lyc. (with
flatulence); Hydras. (simple cuses
unith debility); Escul. (with piles
and much pain); Collin. 1x trit.
(simple cases, and those compli-
cated by piles or uterine disturb-
ance); Alum., Graph., Podoph.,
Nat. -Mur., Sep. Also shallow
sitz-baths for five to ten minutes,
cold or 60° to 75°, according to
reactive power.
Friction of
abdomen with the hand, after
dipping it in cold water, for fifteen
minutes in the morning.
RECENT-Acon. (with fever); Bry.,
Nux V., Sulph.
IN CHILDREN-Bry., Sulph., Nux
V., Caust., Esculus, Kreas. (in
emaciated children, with teething
troubles); Alum., Opi., Sil.,
Collin.
IN OLD PERSONS-Ant.-C., Opi.,
Hydras., Collin.
DURING PREGNANCY: see Preg-
nancy.
Consumption: see Phthisis Pulmo-
nalis.
OF THE BOWELS-see Tabes Mesen-
terica.
Contusion: Arn. lotion; Coni. (of the
female breast); Ruta (of the tibia);
Ham. (with discoloration).
Convulsions: INFANTILE-Bell. alt.
Acon. frequently; Bell. (red,
swollen face); Cham. (from indi-
gestion, colic, etc.); Ign. or Cina
(from worms); Cup., Verat.-
Alb. (with cramps); Opi. (from
fright); Gels. (rigidity); Verat.-
Vir., Hyd. -Chloral. Also a warm
bath, and, above all things,
enemata of warm water. Dr.
Newton adds: "Often these all
fail, I then resort to two drops
of chloroform in gum-water,
every fifteen minutes. This has
saved many lives in my hands."
EPILEPTIC-See Epilepsy.
HYSTERIC-See Hysteria.
PUERPERAL-Ver.-Vir.
Cornea: SPECKS ON THE-Merc. -Cor.
and K.-Hyd. administered on
alternate weeks, also using the
same remedy as a lotion. Hy.
drast. lotion is also recommended.
Dr. Wheeler informs us that he
has removed many opacities by a
steady course of Phos. 6x and
Sil. 6x.
Corns HAKD—Arn. or Ruta int. and
ext.; Sulph., Calc., Sil. 3 and
30 int.
INFLAMED-Alternate hot and cold
water as applications. Verat..
Vir. as a paint.
SOFT-Arnica-plaster.
Corpulency: see Obesity.
Coryza (Cold-in-the-head): see Cold.
Cough: DRY-Bell. (spasmodic, with
cerebral congestion); Bry. (irrita-
ting, shaking the whole body, with
burning soreness under the breast-
bone, and stilches in the chest);
Caust. (with hoarseness, and in-
CLINICAL DIRECTORY.
17
voluntary urination); Lauro.,
Hyos. (worst at night, on lying
down); Sulph., Iod., Spong., or
Sulphs. -Ac. spray (laryngeal, with
tickling); Lach. ("throat-cough");
Rumex (worse when talking and
in cold air, with soreness under
breastbone); Ipec. (wheezing, dry,
with nausea or vomiting); Phos.
(short, with tendency to lung dis-
ease, and soreness in the chest);
Graph, (with gruff voice); Acon.
(recent, with burning dryness in
the throat, and feverishness); Gels.
(severe, in children); Senega, Ver-
bas., Coni. (short, hard).
MOIST-Ant.-T. (profuse and easy
expectoration); K.-Bich. (tough,
stringy mucus, expectorated with
difficulty); Puls. (loose, in females
and children); Merc., Stan. (chro-
nic with purulent sputa); Hep.
(chronic, with chronic indigestion);
Phos. (from lung disease); Sulph.
(following the disappearance of
eruptions, asthmatic cough): Ars.
(with debility, tightness of chest,
asthmatic symptoms, difficult
breathing at night); Stan. (pro-
fusc, green, and sweet tasting
sputa, with night-sweats); Sep.,
K-Carb., Lyc., Coccus, Scilla,
Crotalus, Naja, Samb., Senega,
Sticta. See also Hæmoptysis.
NERVOUS and HYSTERIC-Hyos.,
Ign., Ambra, Agar., Coral., Coni.,
Cup., Rum., Nux V.
SPASMODIC-Dros., K.-Brom. (with
tickling retching, worse at night,
like hooping-cough except the
hoop"); Ipec. (with vomiting);
Nux V. (causing headache as if
bruised; “stomach cough" coming
on after meals); Coral., Nit. -Ac.,
Cup., Verat., Bell. See also
Hooping-Cough.
Coup-de-Soleil: see Sun-stroke.
Courses: see Menstruation.
Cracks in the Skin: OF THE HANDS
FINGERS Merc. -Cor.,'
AND
C
A professional correspondent in-
forms us of the cure of an old-standing
Petrol., Caust., Graph., Sil.,
Hep., Glyc. of Starch (F. 1), or
Calend.-cerate (if deep and bleed-
ing); Glyc. of Aloes (F. 3).
LIPS AND NOSE-Merc., Graph.,
Calc., Ars., Ant.-T., Sep. Glyc.
of Starch (F. 1) or Aloes (F. 3).
Cramp see Spasm.
Crick-in-the-Back:
Acon., Arn.
(recent); Ant. -Tart., Rhus (chro-
nic); Cimic., Bry., Nux V. See
Lumbago.
NECK-Acon. (from cold), either
alone or alt. Bell., Ant. -Tart. ;
Dulc. (from damp); Bry., Nux
V., Phyto.
Critical Age: see Menstruation: CES-
SATION OF.
Croup CATARRHAL-A con.
:
alt.
Spong., and hot-water applica-
tions to the throat.
MEMBRANOUS-Iod., Hep., K.-
Bich., Brom. Inhalation of
vapour from slaking lime; or
tinct. of Iod. or Brom. dropped
in hot water, the patient to inhale
the vapour; or a tent may be
formed over the patient's bed,
and the steam conducted under
it by a tube.
SPASMODIC-Acon.
alt. Spong.,
Bell. Gels., K.-Brom. (with con-
vulsions); Mosch. by inhalation;
Cup., Coral.
Crusta Lactea: Viola Tric., Crot., Sep.,
Sulph., Calc., Rhus.
Cuts see Wounds: INCIsed.
Cyanosis: Dig., Cup., Lach., Ars.,
Verat., Laur. The treatment
can only be expected to be palli-
ative.
Cynanche Tonsillaris: see Quinsy.
case by Merc.-Cor. 3x trit., after Ars.
and Hep.-S. had done nothing; avoid-
ance of scrubbing and washing clothes
was enjoined till the cure was effected.
18
CLINICAL DIRECTORY.
Cystitis: see Bladder: CATARRHAL
INFLAMMATION OF.
Dandriff: Ars., Graph., Sulph., Lyc.,
Rhus. Lotion of Borax, with
Camphor, etc. (F. 27).
Deafness: RECENT, FROM COLD-
Acon., Bell., Merc., Gels., Dulc.,
or Puls. (especially when caused by
draughts or wet while travelling).
CHRONIC (from enlarged tonsils)—
Bar.-Iod., Iod. -Sulph., Merc. -
Iod., Iod., Bell., K.-Hyd., Calc.-
Phos., or Bary.-Carb.; Turkish
Baths.
AFTER ERUPTIVE FEVERS-Sulph.,
Bell., Merc., Chel. (with deranged
liver).
FROM NERVOUS CAUSES-Phos.,
Petrol. (with noises in the ear);
Phos.-Ac.; Chin. or Sulph. -Quin.
(periodic, or with roaring and
buzzing noises in the head).
Debility: CONSTITUTIONAL-Iod.,
(with tendency to faint, or to
glandular enlargements); Ars.,
Merc., Phos. -Ac., Calc., Ferr.-
Phos. (debility, especially of chil-
dren). In some cases, mild water
cure.
FROM LOSS OF ANIMAL FLUIDS
Chin., Phos. -Ac.; Ferr. (anæmic).
Glycerine, or Cod-liver oil.
NERVOUS Phos. - Ac.,
(with feeble pulse, cold extremities,
dejection, etc.); Ign, Nux V.
(from bad habits); Chin.
1
Moschus
Delirium Tremens: Opi., Bell. 4,
Agar., Stram., Nux V., Hyos.,
Ars., K.-Brom.43ss. Capsicum
or strong coffee in large doses.
Dentition: DISORDERS DURING
Cham. (fretfulness and sour diar-
rhæa); Acon. (feverishness); Bell.,
Verat.-Vir., or Gels. (head symp-
¹ Dr. Dalzell reports Stram. lx, in
drop doses, every one or two hours,
has acted splendidly in two very bad
cases, characterised by violent, noisy
delirium, and complete Insomnia.
toms, and convulsions, with red-
ness of the face); Kreas. (emacia-
tion, great irritability, wakeful-
ness, and constipation); Calc. (too
early or too late); Phyto.
Depression of Spirits: Ars. (with ema-
ciation); Merc. Nux V. or Podoph.
(with biliousness or liver derange-
ment); Ign. (from nervous causes
and mental emotion); Plat. or
Cimic. (in females, with deranged
menstruation); Aur., K.-Brom.
(suicidal tendency); Phos. -Ac.
(with nervous debility); Sec.,
Sulph., Chin., Lyc. Warm baths,
for short periods.
Derbyshire-Neck: see Goitre.
Diabetes: Uran. - Nit., Phos. -Ac., Ars.,
Nux V., Merc., Helon., Gentian.
Diarrhea: FROM INDIGESTIBLE FOOD
-Puls., Nux V., Ant.-C., Ipec.
FROM COLD-Camph. (sudden, with
chilliness); Acon., Merc., Dulc.;
Coloc. (with colic).
CHRONIC-Chin., Ars., Merc.-C.,
Podoph.; Puls. (nocturnal); Lep-
tand., Aloes (dysenteric, with
piles). Ol. ric. pgttij. Milk diet.
DYSENTERIC Leptand., Merc.-
Cor.; Aloes (with piles); Merc.-
Dulcis 1x trit. iii.-v. grs. for
adults (from disease of the liver).
MORNING-Apis, Rumex, Phos. -
.Ac., Nuphar.
SUMMER-Chin., Iris, Verat., Ars.
IN CHILDREN-Cham., Merc.,
Rheum, Calc., Iod., Iris, Ars. ;
Chin., Ferr. or Pepsin (passage
of undigested food). See also Tabes
Mesenterica.
IN THE AGED-Aut.-C., Phos., Ars.
Diplopia see Sight: DOUBle.
Diphtheria: Bell., Phyto. (mild, simple
cases); Bapt. (typhoid symptoms);
Merc.-Iod. (much swelling of the
glands); K.-Bich., Iod.; Mur.-
Ac., Calc.-chlorin., Ars. alt. Am. -
Carb. (malignant with great pros-
CLINICAL DIRECTORY.
19
tration and severe typhoid condi-
tion); Mur.-Ac. or Nit.-Ac.;
Gargle of Phyto., or K.-Permang.
Sulphs. -Acid spray; and inhala-
tion of vapour of slaking lime
continuously.
Alcohol applied
by brush or atomizer. Gargle:-
Brom. 3j., Glyc. 3j., mixed with
water, or as a paint to the throat.
In an epidemic that recently oc-
curred in Melbourne, Dr. Gunst
found the following gargle of the
greatest service-One dram of
Milk-of-Sulphur suspended in a
pint of water.
SEQUELE Phyto. (hoarseness, etc.);
Dig. (enfeebled heart); Gels.,
Ign., Coni. or Strych. (paralysis);
Chin. or Sulph.-Quin. (debility);
Phos., Rhus, Sulph., Secale (diar-
rhea); Ars. (albuminuria).
Dizziness: see Vertigo.
Dropsy: GENERAL-Dig. (from heart
disease); Ars., Elat., Apis, Hell.,
Chin., Apoc.-C.; Acon. (recent
febrile).
LOCAL-Apoc., Ars., Apis, etc.
(in the abdomen: see Ascites);
Ars., Bry., Dig., or Hell. (in the
chest); Ars., Apis, Ferr., Sulph. -
Quin., or Chin. (in the extremi-
ties); Apis or Ars. (in the face);
Hell., Apoc., Bell., Sulph., Calc.,
or Silic. (in the head); Acon.,
Iod., Puls., or Bry. (in the joints);
lod., Rhod., Aur. (in the scro-
tum). Dropsy from kidney-dis-
ease is said to be greatly helped
by skim-milk diet, as recom-
mended in Bright's Disease.
POST-SCARLATINAL-Ars., Apis,
Apoc., Canth., Tereb., Sulph.,
Zinc. Great attention to the
skin, smart sponging with hot
saline water, and towel rubbings,
followed by inunction of olive or
cod-liver-oil.
Drowsiness: MORBID-Acon. (with
yawning and general weariness);
Lyc. (with atony of the digestive
organs); Opi. (preceded by excite-
ment). See also Sleep: COMATOSE.
Dumb-Ague: Ipec., Carbo V., Cedron.
Dysentery Acon. 0 alt. Merc.-Cor.
3x; Coloc. (much colic); Ham.
1x (much blood); Carbo V.
(chronic in the strumous); Bapt.
1x (passive); Ipec., Podoph.
CHRONIC-Aloes (much straining,
also when piles are present);
Sulph. -Quin.(periodic); Nit.-Ac.,
Merc.-Cor., Nux V., Ars.
Dysmenorrhea: see Menstruation :
PAINFUL.
Dyspepsia: ACUTE-Nux V. (from
indigestible food; pain, spasms,
etc.; or after mental exertion);
Puls. or Ant.-C. (from rich,
fatty food, especially in children,
the aged, and females); Ipec.,
Coff., Acon., Bry.
CHRONIC Nux V. (pain after
food, headache, flatulence, and
constipation with urging, piles,
etc.); Bry. (sense of pressure, as
of a stone in the stomach, with
tenderness; congestive headache ;
head and stomach symptoms, worse
with every movement; constipation
without inclination to stool); Puls.
(nausea, heart-burn, flatulence,
and vomiting of mucus, or diar-
rhea); Carbo V. (oppression of
the chest, with fluttering" or
palpitation of the heart from ex-
cessive flatulence, - 12th dil. :
foul flatulence, acidity, and
offensive diarrhea); Lyc. (weak-
ness, much flatulence, sleepiness
after even light meals, and chronic
constipation; acid risings, especi-
ally in old persons; lithic acid
depos. in urine); Merc. (depraved
taste, offensive breath, waterbrash,
oppression after food, 'bilious-
ness," costiveness, pale stools, and
depression of spirits); Pepsin 1x
trit. (distress after food, regur-
gitation of wind, retching, see
F. 50); K.-Bich. (chilliness,
sense of coldness in the stomach,
yellow-coated or red tongue, heat
of the hands, dryness of the mouth,
etc.); Robinia (acidity with
20
CLINICAL DIRECTORY.
gaseous eructations); Ign., Nux.
V. (from grief, care, etc., with
nervous symptoms); Cham. (in
children and in females, from
worry, or from cold, with "bili-
ous" headache, irritability, etc.);
Hydras. (atonic or aceous dys-
pepsia, flatulence, torpidity of the
liver, constipation, and languid
circulation; sense of "goneness,
also Gels.); Sulph. (chronic con-
stipation, piles, eruptions, etc.;
strumous dyspepsia; also as an in-
tercurrent remedy, and frequently
alt. Nux V.); Hep.-S. (obstinate
cases; also when Mercury has
injured the patient); Chin. or
Sulph. -Quin. (flatulence, ano-
rexia, drovsiness, and oppression
after eating); Ant. -Tart., Ipec.
(retchings and vomitings); Aĉon.
or Ars. (from cold); Cale.-C. 3
and 30 alt. (indigestion with
gulping up of food soon after it is
swallowed a kind of rumnina-
tion); Arn. (from over-exertion);
Ars., Rhus., Bismuth, Arg. -Nit.,
Zine.
The abdominal compress
is a valuable adjunct. The ex-
cessive use of tea or other hot
beverage twice a day, is often
a cause of indigestion, and has
sometimes to be entirely given
up. 1
-
1 The following case from the au
thor's note-book may be worth record-
ing: June 29th, 1872. Mrs. A.,
aged 46, consulted me for frequently-
recurring sick - headaches-bilious
attacks"-in which she brings up a
great deal of bile, and the paroxysms
are so severe and prostrating as, during
the last twelve months, to keep her
in bed two and often three days a
week. Any exertion-driving, or a
short railway journey, or even an
emotional disturbance-brings on an
attack. Besides prescribing Iris, I
recommended the entire disuse of tea,
or any hot beverage, for the morning
and evening meals.
July 11th. As the patient lived at a
distance, she wrote, stating that no
attack of indigestion had occurred
Mo!!
CONSTITUTIONAL or DYSCRATIC—
Calc. alt. Puls. or Robinia (chro-
nic acidity, etc., with tendency to
diarrhea); Sulph. alt. Nux V.
(flatulence, biliousness, and ten-
dency to constipation); Ferr.,
Helon. (anaemic patients); Phos.,
Iod., Ars., Sil.
Dyspnoea see Breathing: DIFFICULT.
Ear: ACHING OF-Puls.,
Bell.,
Cham., Merc.-S., Verat. -Vir.,
Gels. (with toothache); China
(periodic).
INFLAMMATION
OF-Acon. alt.
Bell. or Puls.; Bell., Merc.-S.
DISCHARGE FROM AND SORENESS
OF-Merc., Carbolic Ac. locally
(thick, bloody, and fœtid dis-
charge); Puls., K.-Bich. (thin
discharge; and when it follows
Measles); Aur. (yellow fœtid dis-
charge); Mur.-Ac. (Eczema, wilh
burning itching; and when fol-
lowing Scarlatina); Cale., Ars.,
Hep., or Sulphi. (chronic cases).
NOISES IN-Sulph. -Quin., or Phos. -
Ac. (with deafness); Nux V. or
Ign. (sensitiveness to sound);
Bell., Verat.-Vir. (ringing noises
from congestion, with nausea,
etc.); Mosch., Puls.. Acon.,
Macrot., Graph. (roaring thun-
dering.)
Ecchymosis (discoloration from extra-
vasation of blood under the skin,
as from a bruise); Arn. (when
quite recent); Ham. (much dis-
coloration); Rhus, Ruta; Mur.-
since she consulted me, and that she
was in other respects much better.
July 17th. Mrs. A. again visited me
to report continued improvement. No
attack, not even a slight one, since she
came under treatment. Her appetite
has wonderfully increased, her spirits
are excellent and uniform, and all her
friends remark her now healthy appear-
ance. She takes walks and drives, and
even railway journeys, without any
discomfort. She has entirely relin-
quished tea and coffee.
CLINICAL DIRECTORY.
21
1
E
Ac. (petechia).
See also Pur-
pura Hæmorrhagica.
Ecthyma (a cutaneous pustula d is-
ease) Ant.-T., Ars., Merc.,
Rhus.
"It
Eczema: SIMPLE-Acon. alt. Rhus,
Sep., Ledum, Croton or Sulph,
("heat spots"); Clem. Pro-
fessor Wilson's ointment of Ben-
zoated zinc has a most admirable
effect in healing Eczema.
does not drive the cruption in,
as it is termed" (Dr. Johnson).
General bathing is of great value
in Eczema, as it promotes the
functional activity of healthy
skin, and so compensates for the
defective action of diseased
portions. For this purpose, pure
soft water is best. Patients
should eat daily a little unboiled
vegetables on account of the
potash salts they contain.
RUBRUM-(great redness and burn-
iny)-Ars., Ant.-T., Nux Jug-
lans, Rhus, Crot. -Tig., Merc.,
K.-Bich.
SCALLED HEAD and MILK-CRUST-
Merc. -Cor., Rhus, Graph., Viola
T., Ant.-T., Calc., K.-Bich.,
Sil., Hep., Nux Jug. Lotions
of Carbolic Acid.
Emaciation: Ars., Iod., Ferr., Merc.,
Chin., K.-Hyd., Cal.-C.
Emissions see Spermatorrhoea.
Encephalitis (inflammation within
the cranium): Acon. alt. Aru.
(if from an injury); Bell., Ver. -
Vir., Hyos., Opi. (for the brain
symptoms); Bry., Hell., Apis
(effusion). "In Encephalitis and
every form of inflammation of
the brain and its membranes,"
writes Mr. Nankivell, "I apply
clothes wrung out of hot water,
renewing them as soon as cool.
This is more homoeopathic and
beneficial than cold."
Endocarditis: see Heart : INFLAMMA-
TION OF ITS MEMBRANES.
Enteralgia see Bowels: PAIN IN;
also Colic.
Enteric-fever (Typhoid Fever); Bapt.
(earliest symptoms); Ars. (devel-
oped discase) alt. Ipec. (ex-
cessive diarrhea); Ver. -Alb.
(involuntary diarrhea); Ars.,
Mur.-Ac., or Rhus (extreme pro-
stration); Tereb. or Nit.-Ac.
(intestinal hæmorrhage); Phos.,
Bry. (lung complication); Hyos.,
Bell. or Opi. (brain disturb-
ance); Phos. -Ac., Chin., Am-
mon.-Carb., or Nux V. (debility
following).
Enteritis (Inflammation of the bow-
els); Acon. alt. Merc.-Cor., Co-
loc.. Ars. Also hot fomenta-
tions, and a wet compress.
Enuresis see Urine: INCONTINENCE
OF.
Epilepsy RECENT-Ign. (in children
and females); Hydroc. -Ac., K.-
Hyd., Bell., Verat. - Vir.
CHRONIC-Bell., Cup., Arg. -Nit.,
Hyos., Stram., Zinc., Calc.,
Sulph.; Opi. (fits in sleep); Cina,
Teuc. or Ign. (from worms);
Nux V., Agar., Opi., or Cocc.
(from alcohol); Phos., Phos.-
Ac., Chin., Nuph.-Lut., Arg.-
Nit. or Ferr. (from sexual ex-
cesses); Plumb., Ars., Cicuta,
Zizia, Scutel. K.-Brom. is pal-
liative when other remedies fail.
Epistaxis: see Nose: BLEEDING FROM.
Erections ABNORMAL Phos. -Ac.,
Lyc., or Nuphar (feeble and
painful); Acon., Bell., or Gels.
(spasmodic). See also Chordee.
Eructations: Nux V., Bry., Arg. -
Nit., Lyc., Puls., Arn., Robinia,
Iris, Sulphs.-Ac., Calc.-C., Ars.,
Carbo V. See Dyspepsia.
Eruptions: GENERAL-Rhus (vesicu-
C
+
22
CLINICAL DIRECTORY.
lar, with much itching); Sulph.
or Merc. (non-vesicular, with ex-
cessive itching, worse in warmth);
Bry. (papular, burning itching);
Acon. (recent burning itching
with dryness of the skin); Ars, or
Phyto. (chronic, with much burn-
ing, and the formation of scales);
Ant.-T., or Senecio ( pustular);
Apis or Ledum (similar to bee-
stings, with stinging itching, and
ædematous swelling); Canth.
( patchy eruption, with superficial
redness, and burning); Bell.
(bright red patches); Puls. (simi-
lar to Measles); Calc., Rhus,
Viola T., or Graph. (formation
of scabs); Hep.-S., Sil., Sep.,
Phyto., Lyc., Staph., Phos.,
Clem.
SUPPRESSED Sulph., Bry., Ant.-
T., Camph., Puls.
See also Eczema, Psoriasis, Herpes,
Acne, Nettle-rash, etc.
Erysipelas Acon. or Verat.-Vir. int.
and ext. (at the commencement,
and occasionally during its
course); Bell. (bright redness with
very little swelling; also when
the brain is involved); Apis
(much swelling); Rhus (simple
resicular); Canth. int. and as
a lotion (F. 24) (vesicular with
much burning; also for Arnica-
erysipelas); Verat.-Vir. (vesicu-
lar, with severe head symptoms);
Ars. or Lach. (much prostration ;
and when the disease assumes a
low type); Sulph. (chronic cases).
Also Verat.-Vir. p ext., 10 to 20
drops to eight ounces of water,
or the pure tinct. as a paint.¹
¹ Professor E. Wilson recommends.
the following as a specific in Erysipelas,
even in severe cases, and when involv-
ing the head-twenty-minim doses of
tinct. of the perchloride of iron, ad-
ministered every two hours, preceded
by a clearance of the prima vie, and
the regulation of the functions of diges-
tion and assimilation.
Mr. Nankivell adds a note :--" In
dangerous cases of Erysipelas of
the scalp, with delirium, I be-
lieve it to be good practice to
make a great many fine punc-
tures, or scarifications, with a
good lancet, and then use soap
and hot water.
Erythema (a superficial inflammatory
redness of the skin): Bell., Acon.,
Apis, K.-Bich., Nux V., Ferr.,
Rhus (E. nodosum).
Excitement: MENTAL-EFFECTS OF
-Acon. or Bell. (headache and
palpitation); Coff. (sleeplessness);
Cham. (with bilivus derange-
ment); Nux V.
Excoriation: Cham. (in infants);
Lyc., Sulph. or Calc. (unhealthy
subjects); Calend. or Hydras.
ext.
PREVENTION OF-Tepid washing,
careful drying, and Calend. Lot.,
morning and night for the
earliest symptoms. Starch pow-
der, or a weak solution of Borax
(F. 26). Bismuth powder.
Excrescences: IN WOUNDS, ETC.—
Nit.-Ac., Carbo An., Sil., or
Carbolic Ac. ext. (for "proud
flesh"); Ars., Ant.-C., Phos.,
Lach., Thuja, Phyto. Sugar, or
Soap and Sugar, locally applied.
Sce also Warts.
Expectoration see Cough: MOIST.
Exhaustion and Fatigue: MENTAL-
Phos.-Ac., Nux V., Gels., Calc.,
Ign., Anac., Sil.
MUSCULAR or PHYSICAL
Ruta, Rhus, Hydras.
Arn.,
Exophthalmic Bronchocele: see Goitre.
Extremities: see Hands, Feet, etc.
Eyes: ACHING OF, and PAIN IN-
Spig., Cimic.; Ruta, Euphr., or
Arn. int. and ext. (from over-
use); Nux V. (over-use, especi-
ally by artificial light); Gels.
(pain in the eyes with dizziness);
CLINICAL DIRECTORY.
23
Euphr. (profuse lachrymation);
Acon., Bell. (burning in eye-balls,
with frontal headache).
BLACK-Arn. or Ham. ext.
BLEAR-EYES-see Eyelids: GRAN-
ULAR.
BLOOD-SHOT-Acon. (recent, from
cold); Arn. (from mechanical
causes-sneezing, foreign bodies,
etc.); Ars. (chronic cases; also
with ulceration of cornea); Spig.,
Cactus, Sulph. (scrofulous Oph-
thalmia).
INFLAMMATION OF-Acon., Euphr.,
Merc., Arg. -Nit., Macrot., or
Sulph. (catarrhal); Merc.-Cor.,
Bell., Coni., Nux V., Spig., or
Gels. (great intolerance of light);
Ars., Ant. -Tart. (grcat intoler-
ance, with strumous Ophthalmia);
Clem., Calc., Hep.-S., Iod.,
Hydras., or Sulph. (chronic and
strumous). In strumous Oph-
thalmia, the instillation of
Atropine-gr. j. ad aq. des. 3j.
-giving Bell. internally at the
same time, and afterwards Sulph.
or Ars., is almost invariably suc-
cessful. Merc., Nit.-Ac., Aur.,
K.-Hyd., or Thuja (syphilitic)
Arg. -Nit. or Calc. (in infants);
Ars. (corneal ulceration); Puls.,
Bell., Merc., Ant. -T., or Sulph.
following the eruptive fevers).
Also Calend. ext. (for soreness);
Euphr. (profuse discharge of
tears). Poultice.-An excellent
poultice may be made by mixing
a pinch of powdered alum with a
tablespoonful of cream,
clotting the whole by means of
a gentle heat. This not only
relieves the pain, but also re-
duces the inflammation and pre-
vents agglutination of the eye-
lids.
OVER-USE OF-see above.
and
SPECKS or SPOTS FLOATING BEFORE
-Hyos., Bell., C'occ., Coni.,
Merc., Ruta, Chel., Solanum
(rings and gauze before the cyes);
Ferri. et. Q. cit. (from Anemia).
WEAKNESS OF-Ruta int. and ext.;
Sulph., Phos., Iod.; Verat. -Vir.
(dimness from congestion).
WOUNDS OF-Acon. alt. Arn.; Arn.
or Calend. ext.-in weak lotion.
See also Sight.
Eyelids AGGLUTINATION OF-Merc.-
Cor., K.-Bich., Calc., Hep.-S.
2x, Sulph., or Puls.; see also
Eyes: INFLAMMATION OF.
GRANULAR-Merc. -Cor., Ars., K.-
Bich., Graph., Hep.-S.. Sulph.,
Calc., Puls., Phyto., Zinc.
STYE ON-Puls. alt. Acon.; Hep.-
S., Sulph., Calc., Apis, Merc.-
Iod., and ointment of (F. 44):
Thuja (chronic); Sulph. or Staph.
(to prevent recurrence).
VESICLES ON-Rhus, Hep.-S. Also
Calend. or Euphr. ext.
Face ACHE-Acon. (from cold or
depressing influences); Bell. (with
redness of the face and brain-dis-
turbance); Cham. 3x and Merc. -
S. 5x alt. every two or three
hours (one-sided face-ache from
cold); Coloc., Cimic. (severe neu-
ralgic shooting or cutting pains);
Ars. (periodical); Spig. (pain
extending to the orbits); Gels.
(with twitching of the face); Chel.
(morning neuralgia; or from
hepatic disorder); Cimic. (with
uterine derangement); Cham.
(with swelling and irritability);
Chin. -Sulph., 1 or 1x trit. (face-
ache relieved by pressing a cold
object on the cheek, or by walking
up and down a room). Sce also
Gumboil, Toothache, and Near-
algia.
PALE AND SUNKEN-Ars. (emacia-
tion); Ferr., Helon. (ancemia ;
see also Anæmia); Calc., Iod.,
Phos. -Ac.; Chin., or Cina (from
worms).
REDNESS OF Nux V. (flushing
after meals); Acon. (from excite-
ment), or Bell. (scarlet redness);
Sep. (Aushes); Ferr.
፦
24
CLINICAL DIRECTORY.
SALLOW-Merc., Chin., Bry., Po-
doph., Ars.
SWELLING OF-Bell. (with bright
redness); Cham. (with tooth-ache);
Apis (puffy swelling). Local
applications of hot and moist
chamomile, or elder flowers in
flanuel. See also Gum-boil.
Fæces: Bry. (very large); Merc. (pale
and costive, with depressed spirits);
Nux V., Collin. 1x trit. (hard
and large, and expelled only after
frequent effort); Nux. V. (when
the difficulty arises from irritable
spasm of sphincter); Sulph.
(knotty); Plumb. (dark, hard,
small balls); Opi. (dark and
knotty, with great torpor of the
bowels); Alum. (soft but difficult);
Dig. (white); Graph. (hard and
knotty); Ars., Chin., or Ferr.
(containing undigested food); Ars.,
Verat. (watery); Sec., Phos., or
Phos. -Ac. (passed involuntarily);
Puls., Cham., Caps., or Merc.
(mucous); Leptand. (black).
See also Diarrhoea, Dysentery, etc.
Fainting Mosch. or Camph. by ol-
faction; Acon. or Opi. (from
fright); Nux V., Nux Mosch.
Also the HORIZONTAL POSTURE.
"I have seen a patient nearly dead
from neglect of this. The case
was desperate, and the syncope
so intense that I had to place
the head much lower than the
body before the brain responded
and sent nerve-power to the
heart" (J. H. Nankivell, Esq.)
TENDENCY TO-Iod. (from constitu-
tional causes); Chin. (from loss
of fluids); Ars. (great debility);
Verat.-Alb. (coldness and blueness
of the skin, with clammy sweat);
Cham., Cocc., or Ign. (hysterical).
Faintness: SENSE OF AT EPIGASTRIUM
-Cimic.
Falls and Stuns: see Contusion and
Concussion.
Famine-Fever: see Relapsing Fever.
Fatigue see Exhaustion.
Fear or Fright: EFFECTS OF-Acon.
(palpitation or quickened circula-
tion); Coff. (extreme nervous irri-
tability); Opi. (stupor); Hyos.
or Bell. (brain disturbance); Ign.
(convulsive__movements) ; Gels.
(affecting the bowels or bladder);
Anacard., Cham., Nux V.
Febricula Acon.; Camph. (sudden
chilliness); Bell. (headache); Ars.
(with prostration).
Feet: ACHING, BLISTERED, and SORE
-Arn. int., and ext. as a bath
(from over-walking); Arg. M.
See also Myalgia.
BURNING IN-Canth. (in the soles
at night in hysteric females);
Calc., Graph., Phos., Phos. -Ac.,
Led.
CHILBLAINS ON-see Chilblains.
COLDNESS OF-Sulph. (with__hot
hands and face); Ferr., Sil., Nat. -
M., Sep., Puls., Graph. Daily use
of the skipping-rope, walking, or
other active exercise; also suffi-
cient meat and other stimulating
diet. Washing the feet with but
not in cold water every morning.
See also Circulation: LANGUID.
GOUT
IN-Rhus, Led., Rhod.,
Sulph., Sab., Arn., Lyc. Fric-
tion with oil for twenty minutes
morning and night.
PAINS IN-Bry. or Led. (rheumatic
or gouty); Rhod. (neuralgic).
Frictions with oil.
PERSPIRATION OF-Sil. (suppressed
or excessive); Calc., Graph., Pe-
trol., Nit.-Ac.
SWELLING OF (EDEMATOUS)—Ars.
(with emaciation); Chin. (with
simple debility); Ferr. (with ana-
mia); Sil., Apis, Phos., Puls.,
Caust., Sulph. Frictions with
oil.
WEAKNESS OF-Chin., Sulph.; see
Ankles. Frictions with oil.
CLINICAL DIRECTORY.
25
Felon Sil., Carbolic Ac. 3x, Apis ;
see Whitlow.
Fester Nit.-Ac. int. and locally.
TENDENCY TO-Petrol.
-
Fever: SIMPLE, andSIMPLECONTINUED
-Acon. (full, bounding, quick
pulse, aching pains in the limbs,
without brain-symptoms); Verat. -
Vir. (same as A con., but with gas-
tric and brain disturbance); Bell.
(brain-disturbance, red face,
throbbing temples, etc., and mode-
rate pulse); Gels. (with remittency,
or passing off without perspira-
tion; inward fever"); Bry.
(heavy stupifying headache, shoot-
ing pains in the limbs); Ars. (pro-
longed cases, occurring in feeble
patients); Bapt., Ars., Mur. -Ac.
("low fever;" typhoid symptoms).
In simple continued fever, Bapt.
should be given early, especially
when Acon. does little good.
Finger GATHERED-sec Whitlow.
Fissures: see Cracks.
Fistula: Sil., Calc., Fluor. -Ac., Caust.,
Sulph., Phyto., Lyc. Surgical
measures are sometimes neces-
sary. See Anus, etc.
Fits: see Epilepsy, Hysteria, Fainting,
Apoplexy, Convulsions, etc.
Flatulence: Nux. V., Carbo V., Asaf.,
Chin., Lyc., Tereb., Collin., Arg. -
Nit. See also Dyspepsia.
Flatulent distension: Chloroform in
drop doses.
Flooding see Labour and Menstrua-
tion.
Fluor Albus see Leucorrhoea.
Flushing of Heat: Nux. V. (in the face
after meals); Acon. or Bell. (from
excitement); Cimic., Sep., Apis,
Lach. (flushes at the climacteric
period; see Menses: CESSATION
oF). Flushes should suggest en-
quiry for irritation of the spine.
Fætid Breath: see Breath: OFFEN-
SIVE.
Fracture: TO PROMOTE ADHESION IN
-Ruta, Symph., Calc., Sil.
Freckles: Phos., Graph., Sulph., Nit. -
Ac., Sep., Natr., Canth.
Fright see Fear.
Frog see Aphthæ.
:
Frost-bite Rubbing the part with
snow, afterwards with cold water,
and avoiding exposure to heat, so
as to prevent too sudden reaction.
See also Chilblain.
Fungus see Excrescences.
Furunculus: see Boil.
Gall-Stones: Podoph., Merc., Nux V.
Chel. expels and prevents.
Berb. or Acon. (during their
passage); Sulph. (to prevent re-
formation). ij. to živ. of olive
oil facilitates their expulsion.
Ganglion Ruta., Arn., Sil., Cale.,
Benz. -Ac., Hep.-S. Also (F. 10
and 44) ext.
Gangrene: Ars., Lach., Chin., Carbo
Veg., Sec. Carbol. -Ac. int. and
ext., or a yeast poultice.
Gastric-Fever: see Enteric-Fever.
Gastritis: see Stomach: INFLAMMA-
TION OF.
Gastrodynia and Gastralgia: Ars. 2x,
Bismuth, Nux. V. See Stomach:
PAIN IN.
Gathering: see Breast, Whitlow, Boil,
etc.
Giddiness: see Vertigo.
Gin-colic Acon., Merc., Bry.
Glandular Swellings: ACUTE-Bary. -
Carb., Bell., Rhus; Hep.-S.,
Merc. or Sil. (when suppuration
is threatened); Hot fomentations
or poultices. CHRONIC--Merc.-
Iod., Iod., Calc., Calc.-Phos.,
K.-Hyd., Sulph., Bary. Carb.
Phyto. int. and ext. (hard swell-
ings); Coni. Compress of linen
26
CLINICAL DIRECTORY.
dipped in lotion of K.-Hyd.
Frictions with oil for thirty
minutes twice daily.
Glaucoma (excessive serous infiltration,
usually affecting pale unhealthy
persons, beyond middle life, caus-
ing intra-ocular pressure, with
hardness and tension of the
globe, and, without timely inter-
ference, generally terminating in
blindness, and destruction of the
tissues of the eye): K.-Hyd. (con-
gestion and inflammation of the
choroid); Merc. (hepatic, uterine,
or hæmorrhoidal complications) ;
Nux V., Ham., or Collin. (co-
cxisting hæmorrhoids); Spig.,
Bry., Colch. (rheumatic or arth-
ritic symptoms); Bell., Spig.,
Merc., Cham. (ciliary neuralgia).
Hot-water fomentations, medi-
cated with Bell. or Opi., are often
useful to mitigate pain. Surgical
measures-iredectomy, etc.-are
We can only
often necessary.
be sure that the treatment is
proving of real service when we
find that it reduces the hardness
of the globe. Whatever will
reduce the tension of the eyeball
in Glaucoma will cure it. It is
probably the intra-ocular pres-
sure that, long continued, pro-
duces blindness (Dr. C. H.
Angell).
Treatment of the premonitory
symptoms holds out the most
rational hope of cure. These are
variable, but chiefly the follow-
ing-Intermittent dimness of
sight, especially during the latter
part of the day; a candle or gas
appears encircled by a halo of
prismatic colours; the surface of
the cornea is dull, like a steamed
glass, instead of presenting a
mirror-like smoothness; slight
redness, and watering of the
eyes; neuralgia of the ophthal-
mic division of the fifth nerve;
and increased hardness of the
eye-ball. This last sign is gene-
rally very marked, and goes on
:
increasing with the disease, so
that in the last stage of Glaucoma
the globe feels as hard as stone.
Gleet Cinnabar, Canu., Canth.,
Ferr., Puls., Nux V., Petrol.,
Petros., Chin., Sulph. 3x trit. Dr.
J. M. Moore, in a note, adds-
Petrol 2 or 3 has cured, in my
hands, many cases of long stand-
ing. Injection of Glycerine and
Hydras (F. 14). Sea-bathing.
Glossitis: see Tongue: INFLAMMA-
TION OF.
Goitre Spong., Merc. -Iod., Iod.,
Brom., Sulph. Merc. -Biniod.
ointment (F. 44) to the goitre,
and a hot iron held close to
scorch it in. See also Glandular
Swellings.
EXOPHTHALMIC-Bell.; Ferr. (an-
cemia); Ars., Chin., Phos. -Ac.
Gonorrhoea: Cann., Gels. (drop-
doses), Merc., Canth., Thuja,
Bell. Injections: Sulphate of
Zinc (F. 18); Glycerine of Tan-
nin (F. 17); Permang. Pot. (F.
15) is said to cure in two or
three days. The testicles should
be supported by a suspensory
bandage. See also Gleet.
Gout: ACUTE-Acon., Colch., Dig.,
Lyc., Arn.; also Arn., Acon.,
Led., or Acet. Ac. ext. 01.
Æscul. ext.
CHRONIC-Puls., Sulph., or Led.
(rheumatic gout); Nux V., Bry.,
Rhod., Rhus, K.-Hyd., Staph.,
Podoph. 1x, in two-grain doses,
morning and night, is valuable,
in addition to the more closely
indicated medicines. Frictions
with oil. Buxton Waters. A
course of Friedrichshall and Carls-
bad water is also recommended.
Gravel: Lyc., Sarsap., Phos. -Ac.,
Bry., Nux, Eup.-Pur.
Green-Sickness: see Chlorosis.
Grief: see Anxiety.
Gripes see Colic,
Grubs see Maggot-Pimple.
CLINICAL DIRECTORY.
27
1
Gum-boil: Acon. alt. Bell. (first
symptoms); Merc., Sil., or Hep.-
S. (suppurative stage); Merc. or
Phos. (to prevent recurrence).
Powdered alum, locally.
Gum-rash
Calc.
Cham., Ant.-C., Puls.,
Ars.,
Gum-scurvy: Merc.-Cor., Nit.-Ac.,
K.-Chlor., Carbo V.,
Sulph., Staph. Also Carb.-Ac.
wash.
Gutta Serena : see Amaurosis.
Hæmatemesis: Acon. (flushed face,
full pulse, and in plethoric per-
sons); Ipec. (bright-red blood,
with much sickness); Ham. (ve-
nous blood); Ham. 1x alt. Acon.
2x, or Puls. and Hip baths
(vicarious menstruation); Arn.
{from external violence or exer-
tion); Nit. -Ac., Acaliph. -In. 5x.
The stomach should rest, and the
patient be fed by the rectum.
Beef-tea and cream, essence of
meat, etc., form nourishing ene-
mata. Iced-water or lemonade
may be sipped.
Hæmoptysis: Ipec., Phos., Ham.
(venous); Mill. (arterial);_Aca-
liph.-In. 5x, Apoc., Ferr.,
Acon. (plethoric patients); Arn.
(from injury). Absolute rest of
mind and body. Rest on a mat-
tress with the head and shoulder
a little raised.
Hæmorrhage: From the BLADDER or
KIDNEYS-Canth., Tereb., Mill.,
Ham. .
BOWELS Tereb., Ham., Ipec.,
Ars., Ferr. -Phos., Erig.-C. See
also Hæmorrhoids and Dysentery.
LUNGS-see Hæmoptysis.
NOSE-see Nose: BLEEDING FROM.
STOMACH-see Hæmatemesis.
UTERUS-Croc., Sab., Sec., Ham.,
Caul., Ipec., Plat., Trill.
also Labour and Menstruation.
Hæmorrhoids: Nux V. alt. Sulph.
See
(for persons of sedentary habits);
Sulph., Esculus, or Nux .
(from, or with, constipation);
Collin. (constipation with uterine
difficulties); Acon. p (when in-
flamed); Aloes, Collin., or Nux
V. (during pregnancy).
BLEEDING-Ham. int. and ext.;
Trill.,Sulph. (dark blood); Acon.,
(excessive, bright blood, with much
pain).
CHRONIC-Ars. (with emaciation);
Ferr., Helon., or Hydras (cac-
hectic individuals); Nit.-Ac.,
Sulph., Hep.-S. Brown bread,
vegetables, fruits. Abdominal
compress.
SUPPRESSED-Acon., Puls., Sulph.
In the treatment and prevention of
piles, the use of wooden- or cane-
bottomed chairs, instead of soft
cushioned seats, is an important
adjunct. 1
Hair FALLING OFF OF-Canth. int.,
and ext. in pomade; Phos. -Ac.
(after illness, or from general de-
bility); Aloes, Fluor. -Ac., Iod.,
Ars.; Cale., Sil., or Sulph. (with
chronic headache). Decoction of
box-wood turnings. Frequent
shaving the scalp is recommended.
Hands CHAPPED-Arn.-, Calend.-
or Glyc.-cerate, or Glye. Starch
(F. 1); Petrol. 12, int., and Pe-
The course of the arterial circula-
tion of the buttocks and thighs appears
to be so arranged that when sitting on
hard seats the pressure is sustained by
the bones; on the contrary, on cushioned
seats the weight of the body is chiefly
sustained by the soft parts, and, con-
sequently, pressure is made on the
blood-vessels; hence soft seats favour
the production of piles, as also of
uterine disorders, by pressure on the
arteries as they emerge from the pelvis,
and so tend to drive the blood into the
interior of that cavity. This is well
demonstrated by Mr. Holden in St.
Bartholomew's Hospital Reports, vol.
vi., article, Medical and Surgical Land-
marks.
28
CLINICAL DIRECTORY.
trol. Soap ext., or Sulphs. -Ac.
and Glycerine (F. 12) ext. See
also Chilblains.
Coldness of Acon., Sep., Bary.-
Carb., Puls., Nat.-M., Sulph.
CRACKS IN-see Cracks.
DRYNIS AND BURNING OF-Phos.,
Sil., Sang., Lyc., Trill.
PAINS IN-Bry., Colch., Led. or
Caul. (rheumatic or gouty); Rhod.
(neuralgic); Arn. (aching from
over-use); Ruta, Puls. Gentle
friction with oil. See Gout, and
Rheumatism.
PERSPIRATION OF-Calc., Nat.-M.,
Sulph., Thuja.
PSORIASIS, ROUghness, and Red-
NESS OF—Merc., Petrol., Phyto.,
Bell., Hep.-S., Graph., Bary.-C.,
Ars., Alum.
SWELLING OF-Bell. (with much
redness); Apis (acute ædema);
Ars., Iod., Chin., or Ferr. (from
constitutional debility).
TREMBLING AND WEAKNESS OF
Phos., Sulph., Anac., Opi., Merc.,
Nux V., Sil., Arg. -Nit. 2-(non-
mercurial); Bell., Nux V., Nit.-
Ac. (mercurial).
Hay-Asthma: Sabad., Ipec., Hydoc.-
or
Ac., K.-Bich.; Euphr., Gels.
(profuse lachrymation); Ars.
(great debility); K.-Hyd. The
inhalation of Sulphs. -Ac.
Anthoxanth. is recommended.
Swedish movements when the
chest is contracted. Also resi-
dence by the sea or on a barren
common.
PROPHYLACTICS-Sabad., Ars., K.-
Bich.
Headache: BILIOUS and SICK-Chain.
(in females, from cold or worry);
Iris. (much vomiting of bile); Bry.
(worse with every movement; vom-
iting of bitter fluid); Gels. (blind
headache); Nux V. (nervous and
sick, with constipation); Ipec.
(intense sickly feeling, with much
retching); Verat. (pain in eye-
ball, coudness of the skin, and
prostration); Acon. (followed by
vomiting of bile, or from cold:
sce under Cham.); Sulph. 12,
Cimic., Lach. (at the critical
age); Cocc., Merc., Puls., Sep.,
Stan.
CATARRHAL-Acon.
(chills and
flushes of heat, throbbing temples);
Euphr., Gels. (profuse lachryma-
tion); Bry., Merc.-S. (in rheu-
matic patients); Merc., Nux. V.,
Cimic.
CONGESTIVE Bell. (redness of the
face, throbbing of arteries, and
sensitiveness to noise, light, etc.);
Bry. (frontal, with giddiness, in-
clination to vomit, and torpor of
the bowels); Acon. or Verat. -Vir.
(with plethora); Nux V. (pain at
the back of the head, with irrcgu-
lar action of the bowels); Hell. (at
night, in occiput and nape of neck:);
Sulph.-Quin. (periodic); Glon.
(more in the morning, with exces-
sive throbbing); Gels., Caet. (ach-
ing in eyeballs, and giddiness).
Hot fomentations.
NERVOUS-Ign. (weight at the back
of the head; sense as if a nail
were diven into the skull); Nux
V. (in persons of sedentary habits,
who study much); Bell. (see indi-
cations above); Coff. (with sleep-
lessness); Gels. (with giddiness);
Sulph.-Quin. 2x (periodic); Ars.
(periodic, in forehead and orbits);
Hell. (stunning, stupifying) ;
Cham., Spig., Coloc., Sep.,
Cimic.; Chin., Phos. -Ac.,
Ferr. (from debilitating losses).
"Sitz baths, tepid or cold, still
or running, for shorter or longer
periods" (Dr. Johnson).
RHEUMATIC-Acon., Bry., Cimic.,
Nit. -Ac., Rhus., Spig., Phyto.
or
CHRONIC AND OBSTINATE-Arg. -
N., Calc., Phos., Plat., Plumb.,
Sil., Stan., Zinc.
FROM HEART - DISEASE — Cact.,
I
CLINICAL DIRECTORY.
29
Lilium Tig., Acon., Dig., Gels.,
Bell.
FROM MENTAL CAUSES, OVER-
STUDY, ANXIETY, etc.-Nux V.,
Aur., Phos., Phos. -Ac., Anac.,
Cimic., Gels., Ign., Sil., Cale.
Hearing: HARDNESS OF-See Deaf-
ness.
MORBIDLY SENSITIVE-Ign., Nux
V., Cann.-Ind., Cup.-M., Coff.,
Bell., Aur., Chin., Cham.
Heart: CONGESTION
OF-Acon.,
Cact.-G., Verat.-Vir., Asaf., Opi.,
Puls., Sulph.
DISEASE OF-Dig. (slow, or quick-
ened and feeble, irregular, and
intermittent pulse; dilatation);
Cactus (sensation as if the heart
were grasped firmly); Acon. (vio-
lent palpitation, as in hyper-
trophy); Lilium Tig. (with uter-
ine disorder); Spig., Ver.-Vir.
(cardiac debility, with diarrhea,
faintness, and collapse); Arn.
(induced by over-exertion); Col-
lin. (with dyspepsia or portal
congestion); Phos., Phos. -Ac.,
Cact.-G., Calc. (fatty degene-
ration); Ars. (great debility,
dyspnea, dropsy, etc.); Apis
(threatened dropsy); Camph. or
Mosch. (for various paroxysmal
sufferings); Naja, Lach.
INFLAMMATION OF, AND ITS MEM-
BRANES—Acon. alt. Spig., Cimic.
(violent action of the heart; rheu-
matic peri- and endo-carditis);
Acon., Bry., Asclepias-Tub.
(pericarditis); Bry. (rheumatic
patients, and when serous effusion
is threatened); Colch., Apis
(gouty patients); Ars. (great de-
bility, dropsy, etc.); Hot linseed-
meal poultices, frequently re-
newed.
PALPITATION OF-Acon. (from ex-
citement and organic disease);
Mosch. er Camph. (simple ncr-
vous); Ign. (from grief); Coff.
(from joy, with wakefulness);
Cham. (in children and females,
from worry or anger); Opi. or
Ver.-Vir. (from fright, etc.,
with fluttering, dyspnoea, etc.);
Bell. (pulsation extending to the
head); Chin., Phos. -Ac., Ver.-
Vir., or Ferr. (from debility);
Nux V., Gels. (from spinal irri-
tation); Cact., Spig., Gels., Dig.,
Puls., Iod. Cold compress over
heart.
See also Angina Pectoris, Dyspnea,
etc.
Heartburn Puls., Bismuth 3x trit.,
Iris, Bry., Caps., Nux V.; Carbo
V. 12, Calc. 12-30, Rob. (with
chronic acidity).
Heat-Spots: see Eczema: Simple.
Hectic-Fever: Chin., Phos. -Ac., Gels.,
Phos., Ars., Hep.-S., Sil., Sulph.
Helminthiasis: Cina, Santon., Merc.,
Teuc., Ign., Chin., Ferr., Ant.-C.
Mr. Nankivell advises Cina, Ign.
and Chin. to be given in mother
tincture, and the Santonine in
See also
powder, 1gr. doses.
Worms.
Hemicrania Bell., Nux V., Ign.,
Coff., Puls., Aur., Ars., Chelid.,
Cale. See also Headache: NER-
VOUS.
See
Hemiplegia: Baryt. -C., Nux V., Lye.
(right side); Arn., Cocc.
Paralysis.
Hepatitis: see Liver: INFLAMMATION
OF.
Hernia ACUTE PAIN FROM-Acon.
alt. Nux V., Bell. p. A proper
truss should be worn.
Herpes Acon. (fever, neuralgia,
etc.); Rhus (simple cases); Ars.
alt. Merc. (with neuralgia and
debility); Phyto., Iris, or Graph.
(ulcerous); Phos. (in phthisical
constitutions); Ran.-Bulb. (pleu-
rodynia); Graph., Nux Juglans
(chronic).
CIRCINNATUS-Tellur., Iris, Sep.,
Nit. -Ac.
30
CLINICAL DIRECTORY.
ZOSTER--Rhus, Ran. -Bulb., Cistus,
Ars.; Canth. lot. (for itching).
:
Hiccough Nux V. (simple spasm,
and in hard drinkers); Sulph.-
Ac., Rob. (acid eructations);
Acon., Ars., Bell., Ver. -Vir.,
Gels., or Hyos. (in brain affec-
tions); Hydrate of Chloral, in
five-grain doses, in solution, is
palliative and often curative,
where other treatment is unsuc-
cessful.
Hip-Joint Disease: Acon. (fever);
Coloc., Rhus, or Bell. alt. Merc.-
S. (pain); Sil., Calc.-P'hos.,
Calc., Ferr.-Iod., Hep.-S. Im-
mediate and perfect rest.
1
Hoarseness: see Voice: HOARSE.
Hooping Cough: Acon. (at commence-
ment); Ipec. (with gastric symp-
toms, vomiting of mucus, some-
times hæmorrhage); Dros. (severe
paroxysms of hoarse cough, even
with haemorrhage and vomiting);
Cup. (croup-like cough, with con-
vulsive movements; threatened
death from collapse of air-cells of
the lungs²); Bell. (sudden and
violent paroxysms, with sore
throat, brain symptoms, worse at
night); Petrol. 1x (great sickness
-also Ipec.); Phos. (lung com-
plication); Cina (worm symp-
toms); Coral., Verat., Gels. alt.
Ver. -Vir., Nux V.
Hordeolum
sce Eyelid STYE ON.
1 An important element in the diag-
nosis of this disease is furnished by a
comparative examination of the nates.
In health they are firm and globular,
from a large accumulation of fat over
the great muscle of each buttock.
Wasting of one compared with the
other is an early symptom of hip-joint
disease.
2 In this condition Dr. Dalzell re-
commends FRICTION Over the chest and
back with a cold wet towel every two
or three hours, for from three to five
minutes at a time.
Housemaid's Knee: Sil.; Puls. or
Puls. and Lyc. alt. Dr. Newton
writes, "Sil. 3x trit. never fails.'
Rest from kneeling is an im-
portant element in the treatment.
Hunger-pest see Relapsing-Fever.
Hydrocele see Dropsy: Local.
Hydrophobia Bell., Stram., Scutel.
[The likeliest remedies to prevent
the development of the poison;
one of them should be adminis-
tered in a low dilution directly
after infection, and the patient
kept under its influence for some
time.]
Hydrocephalus see Brain: INFLAM-
MATION OF, and DROPSY OF.
Hydrothorax: see Chest: DROPSY OF.
Hypochondriasis: Aur., Nux V.,
Anac. (chiefly in males); Cimic.,
Ign., Sep., Petrol., Plat. (chiefly
in uterine derangements, especially
at the change of life); Ars.,
Arg.-M., Lyc., Sulph. Sharp
discipline, change of air, scene,
nd treatment.
Hysteria Mosch. (with tendency to
fainting, headache, constriction of
the chest, and general chilliness);
Ign., Puls., Gels., Cimic., Plat.,
Cocc., Asaf., Caul., Zinc.-Val.,
Hyos., Bell., Nux M.
Hysteric Convulsions or Fits: Camph.
or Mosch. int. or by olfaction;
Acon. or Opi. (if caused by
fright). Cold douche to the face.
Impetigo Viola T., Ant.-T., Hep.-S.,
Ant.-C., K.-Bich., Clem., Ars.
Carbolic Ac. and Glycerine ext.
See also Eruptions.
:
Impotence: Phos., Coni., Dig., Chin.,
Phos. -Ac., Nux V., Ferr., Bary.-
C., Agnus, Sulph.; Iod. (atrophy
of the testicles); Caladium (with
coldness of the organs); Nuphar.
Incontinence of Urine : see Urine.
Indigestion see Dyspepsia.
f
I
CLINICAL DIRECTORY.
31
Influenza: Acon. or Gels. (at first)
Gels. (first and second stages);
Ars., K.-Hyd. (second and later
stages); Eupat.-Per. (bone pains);
K.-Bich. (troublesome cough);
Sulph. or Phos. (tedious cases,
with chest symptoms); Rhus,
Caust.
Insolation see Sun-stroke.
Intermittent-fever: see Ague.
Intertrigo see Excoriation.
Iritis: Arn. (traumatic); Bry., Gels.,
Merc.-Cor., Bell., or Acon.
(rheumatic); Cinn., Merc., Clem.,
Merc -Iod., K.-Hyd.(grain doses),
or Aur. (syphilitic). See also
Eyes: INFLAMMATION OF.
Irritation see Itching.
Itch see Scabies.
Itching of the Skin: Acon. (great itch-
ing, with feverishness); Sulph.,
Aur., Petrol. (with dry harsh skin,
worse in bed or in warmth—Rhus
Rad.); Ars. (burning-itching, with
debility); Ign. (fine pricking-
itching); Rumex (worse in bed);
Rhus, Crot.-Tig., Nux V., Arg. -
N., Mez., Merc., Iod. Cold com-
presses are recommended. In-
unction with Camphor liniment
(F. 21).
Of the SEAT: see Anus: ITCHING OF.
Jaundice ACUTE - Acon., Merc.,
China 2x alt. Merc.-S. 3x, Nux
V.; Cham. (from anger).
CHRONIC-Phos., Lep., Chelid.,
Podoph., Hydras. alt. Nux V.,
Dig., Ars.; Chin. (from miasm;
also in children); Hep.-S. or
Nit.-Ac. (from Mercury); Merc.
(from Bark or Quinine).
MALIGNANT-Phos., Ars.
Jaw: CARIES OR
NECROSIS OF—
Phos., Sil., Phos. -Ac., Aur.-M.
SPASM OF-see Tetanus.
PAINS IN-Acon.; Merc., Cimic.,
Bell. (with rigidity); Spig. (neu-
ralgic or rheumatic); Petrol. (as
though dislocated).
Joints: ACHING AND STIFFNESS OF—
Arn. (from exertion); Rhus
(from a strain); Bry., Rhus,
Phyto. (rheumatic); Ruta, Caust.,
Nux V., Petrol., Macrot. Also
frictions with oil.
DROPSY OF-Iod., Bry., K.-Hyd.,
Canth.
INFLAMMATION OF (Synovitis) -
Acon. (febrile symptoms); Bry.
(rheumatic patients); Ledum
(with constant chilliness); Merc.
Prot.-Iod. 3x (chronic and pain-
ful); Puls. (females and chil-
dren); Sil. or Hep.-S. (suppuru-
tion); Merc. (chronic cases);
Phyto. int. and ext. (strumous);
K.-Hyd. (syphilitic).
RHEUMATISM OF-Sec Rheumatism.
SWELLING OF-Sil., Calc. -Phos.
(“white-swelling "); Merc., Hep.-
S., Puls., Bell.; Phos. -Ac. ;
Sulph. and Calc. (as constitu-
tional remedies).
WEAKNESS IN Calc., Ruta,
Caust., K.-Carb., Merc., Lyc.,
Sulph.
See also Gout, Rheumatism, etc.
Joy: EFFECTS OF EXCESSIVE-Coff.,
Puls.
Kidneys CONGESTION OF-Tereb.3x.
INFLAMMATION OF Acon.,
Gels., Bell. (fever); Tereb. (sup-
pressed, or scanty, smoky, thick,
fætid, or even bloody urine);
Erigeron (with copious albumi-
nous discharge); Canth. (desqua-
mative); Ars., Apoc. -Can., Apis,
Hep.-S. (post-scarlatinal neph-
ritis, with scanty, albuminous, or
suppressed urine, debility, dropsy,
etc.); Cann., Apis, Chelid., Ferr.,
Nux V., Puls., Benz.-Ac., Zinc.
(pains in the kidneys).
See also Bright's Disease.
32
CLINICAL DIRECTORY.
Knee : INFLAMMATION IN-Acon.
alt. Puls.; Rhus, Bry., Sulph.
See also Joints.
Labour: TO PROMOTE NORMAL-
Cimic., Caul., Puls.
FALSE-PAINS-Puls., Cham., Sec.,
Nux V. See also Miscarriage.
ABNORMAL CONDITIONS OF-Gels.,1
Bell., or Caul. (rigidity of the os
uteri); Chin. (intermittent pains);
Puls. (irregular); Cham., Gels.,
or Coff. (excessive); Ign., Bell.,
or Hyos., Chloroform inhaled
(convulsions
and delirium);
Cocc., Nux V. (spasms, etc.);
Puls., Sec. 4, Cimic. p, Caul.
1x, three or four grains repeated
as often as required (pains ceas-
ing, or too weak); Cocc., Caul.
(paralysis)
RETAINED PLACENTA-Arn., Puls.,
Sec., Ign.
AFTER-PAINS-Arn., Gels., Cimic.,
Ign., Sec., Cham., Coff., Puls.,
Bell.
HÆMORRHAGE DURING OR AFTER-
Sec., Sab., Ipec., Eryng., Arn.,
Puls., Ign., Cimic.
Chin. or
Ferr. (for consequent debility).
Also injections of cool or cold
water. See also the Medicines
under Menstruation: PROFUSE.
RETENTION OF URINE AFTER-
Acon., Bell., Canth., Hyos.,
Rhus. The catheter may be
necessary.
CONSTIPATION AFTER Collin. ;
Bry., Opi., Lyc., or Plumb. ;
or enema of tepid water. See
Constipation; also Hæmorrhoids.
DIARRHEA-Puls., China, Hyos.
1 Dr. Douglas remarks, in a note,-
"No remedy can at all be compared
with Gels. p, one to five drops every
thirty minutes, to produce relaxation
of a rigid, unyielding os uteri." "This
remark of Dr. Douglas," writes Dr.
Newton, "I cordially substantiate."
LOCHIA ABNORMAL-Acon. (too
profuse and bright-red, in ple-
thoric patients); Bell., Cimic.
(scanty); Ver.-Vir. (scanty, with
headache); Kreas., Carbo An., or
Sec. (offensive); Sabi., Cimic.
(continuing red too long); Caul.,
Chin. or Calc. (too prolonged);
Acon. (suppressed); Hydras.
(offensive, with suppressed or
scanty urine). Warm water
lavement of vagina.
PUERPERAL-FEVER
Acon. alt.
Bell. or Ver.-Vir. (brain symp-
toms); Bry. or Merc. alt. Acon.
(Peritonitis); Coloc., Tereb. (much
tympanitis); Hyos. Bapt., Ars.,
or Lach. (very bad cases). Re-
peated fomentations and lave-
ment of vagina are valuable in
Puerperal-fever. There would
be fewer cases of this fever if the
parts were sponged with hot
water four times a day.
PUERPERAL MANIA-Hyos., Opi.,
K.-Brom., Stram., Cann.-Ind. ;
Cimic., Plat., Aur., Ars., Bapt.
(melancholy).
Lactation: FEVER-Acon. alt. Bry.,
or Bell. alt. Bry.
ABNORMAL CONDITIONS OF—Agnus
C., Asaf., Puls., Coni., Calc.-C.
Also
(absent, late, or scanty).
gruel as drink, and Syrp.
Lacto Phosphate of Lime; Calc.,
Sulph., Sil., Merc. (deteriorated);
if from the use of spirits, Nux V.;
Cham. (from anger); Calc.-C.,
K.-Hyd., Bry., Phos., Sil., Iod.
(excessive or too long-continued
flow); China (consequent de-
bility); Cimic. (mental dulness
and melancholy); Calc.-C., Iod.,
Sulph., Chin., Phos. -Ac. (menses
occurring during lartation). Un-
der this last condition, the child
should be weaned. See also
Breast, Nipples, etc.
Laryngismus Stridulus: see Croup:
SPASMODIC.
Laryngitis: ACUTE
Acon. alt.
}:
!
CLINICAL DIRECTORY.
33
Spong., Hep.-S., or K.-Bich. ;
Apis (ædema of the glottis).
Foment the larynx externally,
and steam internally. Laryn-
gotomy is sometimes necessary.
CHRONIC-Spong., K.-Bich., Hep.-
S., Caust., Carbo V., Selen. ;
Merc.-Bin.-Iod. or Nit. -Ac.
(syphilitic).
Larynx PAINFUL IRRITATION OF-
causing frequent hard cough,
Sulphs.-Ac. Spray, or inhalation
of vapour from a bottle of the
acid after removing the stopper.
Lead-Colic Plat., Opi., Alum., Bell.,
Sulph. -Ac.
Legs: CRAMPS IN-Verat., Nux V.,
Cup., Cham., Calc.
PARALYSIS OF-Cocc., Rhus., Coni.,
Phos. 1x, Bell., Nux. V., Oxal. -
Ac. Also Electricity.
SWELLING OF-see Dropsy.
ULCERS ON-Bell. (erysipelatous);
K.-Bich. (chronic); Merc.-S.
(eczematous); Phos. (debilitated
patients); Ham., Puls., Sil.,
Nit. -Ac., or Fluor Ac. (varicose).
Posture is important. See also
Veins VARICOSE.
:
WEAKNESS OF-Rhus Rad., Arg.-
Nit., Nux V.; Phos., Sulph., or
Bell. (trembling). Electricity.
WHITE-LEG see Phlegmasia Do-
lens.
Lepra and Leprosis: see Psoriasis.
Leucoma (white spec on the cornea):
:
Bell., Cann., Calc.-C., Euphr.,
Puls., Phos., Coni., K.-Hyd. 3x.
Leucorrhoea Puls., Helon., Sep.,
Nit.-Ac. (corrosive or excoriative);
Iod., Senec., Chin. alt. Sep.
3 or 6 (yellow-white); __ Ferr.,
Merc., Collin., Aloes, Xanth.,
Hydras., Caul. alt. Cimic.,
Kreas., Coni.; Calc. or Iod. (in
scrofulous females; also in
children). Frequent local ablu-
tions; injections of Hydrastis,
etc. Sitz baths. For children,
injections of Calendula lotion
are useful. Sea bathing.
Lichen Sulph., Ant.-C., Petrol.,
Ars., Nux Jug.; Apis or Ledum
("prickly-heat"). Also the use
of Petrol.-soap.
:
Lienteria Chin., Ferr., Phos., Phos. -
Ac., Puls.
:
Lips SORENESS, CRACKS, ETC., OF-
Merc., Graph., Sulph.; Calend.-
cerate, or Sulphs.-Ac., Hydrast.,
and Glyc. (F. 6).
Liver: CONGESTION AND CHRONIC
ENLARGEMENT OF-LIVER-COM-
PLAINT Merc., Leptand., Merc.-
Iod., Phos., Nit.-Ac., Agar.,
Nux V., Sulph., Podoph.,
Chel., Agar., Carbo V., Lyc.,
Ars.;
Chin. or Sulph. -Quin.
(consequent on Ague); K.-Brom.
The Abdominal Compress is a
valuable auxiliary. See also
Biliousness, etc.
HOB-NAILED-see Cirrhosis.
INFLAMMATION OF-Acon. alt.
Bry. or Merc.-Cor., Hep.-S.
(threatened abscess).
Liver-Spots
Lyc.
Sulph., Sep., Borax,
Lochia ABNORMAL-see under La-
bour.
Lock-Jaw see Tetanus.
Locomotor Ataxy: Bell., Atropine 3
trit., Ars.
Low-Fever see Enteric-Fever.
Lumbago: Acon. (recent); Rhus Rad.
(pains worse during rest and at
night; from a cold; chronic) ;
Arn. (from severe exertion); Ant.-
Tart. 1 to 3. According to Dr.
Newton, Ant. -T. is the best and
most rapidly curative remedy.
Acon., Arn., or Rhus liniments
(F. 19, 23), rubbed in before a
fire, or medicated compresses, are
very useful.
34
CLINICAL DIRECTORY.
Lungs ABSCESS IN-Iod., Ars.,
Chin., Sil., Hep.-S.
CONGESTION OF-Phos. 3x or 3;
Acon. 1x, K.-Bich. or Ver. - Vir.
1x (from chill); Ars. (cardiac
complications); Bell., Ant.-T.,
or Ver.-Vir. (from cold).
CONSUMPTION OF - see Phthisis
Pulmonalis.
GANGRENE OF-Ars., Chin., Lach.
HÆMORRHAGE FROM-Acon., Ham.,
Kreas., Ipec., Ferr., Millef. ;
Arn. (if from injury); Bry.
(vicarious of menstruation).
halation of Perchloride of Iron
Spray.
In-
INFLAMMATION OF Acon. alt.
Phos. or Bry. ; Ant.-T. (bron-
cho-pneumonia, and in children);
Sulph. 4, Chelid-see Pneumonia.
PARALYSIS OF-Phos., Opi., Ant.-
T., Bary.-C., Lach.
Lupus Ars., Phyto., Iod., or Hydras.,
int. and ext.; Marsden's Arseni-
cal Mucilage.
Lymphatic Glands: ENLARGED-
Merc.-Iod., Bary.-Carb., Dulc.,
Bell., Aur.-M., Coni.; Rhus
(indurated); Sulph., Sil., Calc.,
or Iod. (as constitutional rcme-
dies). Frictions with oil. Com-
presses dipped in, and lotions of,
K.-Hyd.
Maggot-Pimple: Bary.-C., Phos. -Ac.,
Calc.
Mammary Abscess: see Breast.
Masturbation see Spermatorrhea.
Measles Acon. (fever) alt. Puls. ;
Euphr.(lachrymation and coryza);
K.-Bich. (laryngeal cough); Gels.
or Bry. (when the eruption does
not come out well); Bell. (sore
throat or brain-symptoms); Ver.-
Vir. (with congestion of the lungs,
nausea, etc.); Merc. (glandular
swellings); Phos. (chest-symp-
toms) ; Ammon.-Carb. (malig-
nant); Sulph. (deficient eruption,
intense headache, and tendency to
coma; also during convalescence
to prevent sequela). Inunction
with oil morning and night.
FALSE (Roseola)-Acon. int. and
ext.; Rhus, Bell.
Megrim see Hemicrania.
Melancholia: see the Remedies under
Hypochondriasis.
Memory: WEAKNESS or Loss OF-
Phos. -Ac., Anac., Zinc., Alum.,
Aur., Ign., Verat.
Meningitis: SIMPLE-Acon. alt. Bell.
or Bry.
SYPHILITIC-Merc. or K.-Hyd.
TRAUMATIC-Acon. 1x alt. Arn. 1x.
TUBERCULAR¹- Bell.; Hell. alt.
Calc.-Phos. (when effusion has
taken place); Calc., Sulph.
Menopausia see Menstruation: CES-
SATION OF.
Menorrhagia : see Menstruation :
PROFUSE.
Menstruation: DELAY OF THE FIRST
-Puls., Ferr.,
Ferr., Sep., Cycla.,
Sulph., Phos. ; Acon. (disturbed
circulation).
MEMBRANOUSs-Borax grs. v. ter
die (profuse discharge at one time
and scanty at another, with severe
labour-like pains in the back,
hips, and hypogastric region).
1 A professional correspondent in-
forms us of the successful treatment
of, what he believes was, a case of
this almost incurable malady in an
infant of six months old, in whom
effusion had taken place before he was
called in. Hell. 3x alt. Calc.-Phos. 3x,
with an occasional dose of Sulph. 12,
were the remedies. The constitutional
symptoms gradually declined, and the
patient recovered. At present, four
months since, the child is plump,
active, and strong. Our correspon-
dent, however, furnishes no proof that
the case was one of tubercular menin-
gitis.
CLINICAL DIRECTORY.
35
E
}
PAINFUL-Sec. (expulsive, forcing
pain, with dark, coagulated, or
absent discharge); Collin. (with
piles, constipation, etc.); Senecio
for many days preceding menstru-
ation); Gels. or Caul. (spasmodic
pains); Cimic. (rheumatic pa-
tients); Cham., Coff., or Xan-
thox. (neuralgic pains); Cocc.
(colicky pain); Ham. (ovarian
irritation); Bell., Ign., Plat.,
Sab.; Macrot. 3x or Cimic. 2x
for a fortnight before the period
(habitually painful).
" K.-
Hyd. and K.-Brom. at the
intervals of the periods, and
Senec. or Gels. p at the periods,
Φ
I have found most reliable in vio-
Wash
lent cases (Dr. Moore). During
the interval sponge the bowels
and lower part of back with
water at 100° three minutes,
with cold water one minute,
morning and night. Sitz-baths
are also very useful, either hot
or cold or cold alone. Local
packing. Shower and needle
baths. Pail douches.
down (Dr. W. Johnson).
IRREGULAR or INFREQUENT-Chin.
(when profuse and consisting of
dark lumps); Puls., Cycla. (scun-
ty); Iod. or Phos. (gradually
diminishing); Sep., Nux V.,
Bell., Sulph., Senec. Dr. Moore
recommends Podoph. and Puls.,
in alternation, for infrequent and
retarded menstruation in bilious
patients and those subject to
constipation.
SCANTY-Puls. (simple cases); Ferr.,
Helon. (with anæmia); Bell. or
Acon. (in full-blooded patients);
Merc. (sallow complexion, lique-
faction of the blood, liver derange-
ment, etc.); Arg.-N. (watery dis-
charge); Graph. (constipation,
and unhealthy skin); Sep. (chlo-
rotic appearance, leucorrhœa,
etc.); Phos. (constitutional deli-
cacy; chronic diarrhea; tendency
to chest - disease); K. - Carb.,
Dulc., Sulph., Cycla., Plat.,
Nat.-M., Bary.-C.
EXCESSIVE-Sec. (dark or foul dis-
charge, in lumps, with severe
pains previous to their expulsion);
Croc. (dark and clotted, especially
in patients with dim sight); Sab.
(bright-red, with pain chiefly at
first); Calc.-C. (too early); Acon.
or Bell. (in plethoric patients);
Ham. (profuse venous); Ipec.
(simple profuse bright-red dis-
charge, with or without nausea);
Hyos. (nervous and hysteric pa-
tients); Phos. (mental and sexual
excitement, sensitiveness, etc.);
Senec., Ferr., Iod.; Chin. (after
excessive discharges).
RECURRING TOO LATE—see INFRE-
QUENT.
RECURRING TOO EARLY OR LASTING
TOO LONG-Calc. or Calc. -Phos.
(profuse); Sec., Sab. (painful);
Iod. (with emaciation); Trill. or
Plat. (every two weeks); Nux V.,
Ferr., Ign., Chin.
VICARIOUS
Senec.
Bry., Ham., Ferr.,
CESSATION OF CRITICAL AGE
Chin. or Ferr. (pressure and burn-
ing on the top of the head; pro-
fuse discharges); Lach. (head-
ache and sleeplessness; also flush-
es); Glon. (rush of blood to the
head, with throbbing and noises
in the head or ears, giddiness,
etc.); Cimic. or Hydroc.-Ac.
(sinking at the stomach); Sulph.
(piles; flushes of heat; mental
depression, etc.); Nit.-Amyl.,
Sang., Sulphs. -Ac., or Lach.
(flushes); Ambra (numbness and
stinging in the arms) ; Sep., Plat.,
Gels., Cocc., Apoc.-Cann.
See also Uterus, Miscarriage, etc.
Mentagra: sce Beard: ACNE OF.
Mental Weakness: Nux V., Sulph.,
K.- Brom., Phos. - Ac., Anac.,
Gels., Ign., Plumb., Zinc. See
also Memory, Hypochondriasis,
Brain-fag, etc.
Mesenteric Disease: see Tabes Mesen-
terica.
CLINICAL DIRECTORY.
36
Metritis: see Uterus: INFLAMMATION
OF.
Metrorrhagia: see Uterus: HÆMORR-
HAGE FROM.
Miliaria―Miliary Fever:
Bry., Merc.
Acon.,
Milk-crust: Viola Tri., Iris, Rhus ;
Sep., Phyto., Clem.; Calc. or
Sil. (chronic cases).
Milk-Fever: Acon. alt. Bry.; see
Lactation: ABNORMAL.
Milk-leg: see Phlegmasia Dolens.
Miner's Elbow see the Remedies for
Bunion.
Miscarriage: To PREVENT-Caul.,
Sab., Sep., Helon., Sec. ; Nux V.
(associated with constipation, pro-
ducing straining, etc.); Calc. or
Sulph. (for scrofulous patients).
The remedy should be taken once
or twice a day for one or two
months previous to the period
corresponding with that at which
the former miscarriage occurred.
If there be a tendency to consti-
pation the bowels should be kept
gently relaxed with olive oil,
fruits, or one of the above
remedies.
THREATENED-Sab. (free discharge
of blood); Caul. or Sec. (severe
expulsive pains); Cham. (if caused
byanger, fright, etc.); Arn. (if from
a fall, or other mechanical injury);
Acon., Puls., Cedron. A dose
every twenty or forty minutes
till the symptoms decline. Also
rest on a mattress in a cool room,
with quiet, avoidance of hot
drinks, excitement, etc. Special
care to be exercised at the times
when, had not pregnancy existed,
menstruation would have re-
curred.
Morbus Coxæ see Hip-joint Disease.
Morning-Sickness: see Pregnancy.
DISORDERS OF.
Mortification: see Gangrene.
Mouth:
INFLAMMATION OF-K..
Chlor. (simple cases, with ex-
udation); Merc., Bapt., Phyto.
CANKER OF-Merc., Ars., or Mur.-
Ac. (idiopathic); Nit. -Ac. or
Carbo V. (mercurial); Phyto.
(F. 24) or Carbolic Ac. (F. 31),
as a wash, or Glycerole of Mur. -
Ac. (F. 7).
ULCERS-Merc., with Nit. -Ac. as
a wash; Ars. ; Hydras. lot. or
gargle (F. 24).
ΟΥ
Mumps Acon. (fever); Merc. -Iod.,
Merc.-S. (swelling of the
glands); Bell. (brain impli
cation); Puls. (implication of
the testicles or breasts); ointment
of Bell. extract-gr. 1 to simple
cerate 1 oz.
Muscæ Volitantes (the débris of cells,
shreds of tissue or fibre. chiefly
caused by over-use of the eyes, and
appearing like transparent beads
or shreds, or as dark, singular-
shaped bodies, floating about in the
vitreous humor, and changing their
position with every movement of
the eye) Merc., Nit.-Ac. (froin
liver disorder); Dig. (weak, slow
beating of heart); Verat (weak,
irregular, or quick action of
heart); Phos. or Tereb. (kidney
disorder); Mosch. or Agar.
(nervousness); Phos. or Phos. -
Ac. (sexual excesses); Phos.
(general debility); K.-Hyd. (ob-
stinate cases). Rest of the eye is
necessary, and the general health
should be improved. Neutral
tint glasses may be worn to
render the spots less visible, if
they are very troublesome.
also Amaurosis, Sight, Eyes, etc.
See
Myalgia (pain in the muscles): Ver.-
Vir. (prostration of the muscular
system, and muscular rheuma-
tism); Gels. (with feverishness,
etc.); Arn. (from over-exertion);
Bry., Gels., Rhus (with inflam-
mation); Cimic. An Arnica bath
is a noble remedy for great fatigue
of the body generally.
CLINICAL DIRECTORY.
37
:
Myopia (near-sightedness): Bell., Spig.,
Macrot., or Acon. (irritability,
congestion, or inflammation).
Suitable glasses should be worn.
Nævus Thuja o ext., or Kreasote-
water-one drop of Kreas. o to
80 of water. Solution of Ferr.-
Perchlor., applied daily.
:
Nails of the Fingers and Toes: DIS-
EASE -Merc., Sil., Graph.
For the local treatment of an in-
growing toe-nail, a piece of cotton
wool, saturated with Hydras.,
should be pressed into the ulcer
under the nail, and renewed as
often as necessary. Ör an in-
growing nail may be remedied by
softening it in warm water, and
then paring very thin those parts
which are most dense, and where
the nail begins to become verti-
cal, or making a V-shaped ex-
cision of the nail; but the in-
growing portion should not be
cut. The daily application of a
solution of Ferr.-Perchlor., ac-
cording to Mr. Clifton, never
fails.
Prevention:- Broad-toed
boots. A knowledge of the
causes is necessary for the cure
and prevention of this affection;
these are, chiefly small-toed
boots, and over-darned stockings.
It is not the nail but the skin
that is at fault. It is the mor-
bidly sensitive and rapidly-grow-
ing skin, which, becoming
thickened and ulcerated, overlaps
the nail, and occasions the pain.
Nausea Ipec., Nux V., Kreas.,
Ant.-T., Cocc,, Lob., Iris, Ta-
bac. See also Dyspepsia, Vomit-
ing, etc.
Neck STIFFNESS OF-Ant.-Tart. ;
Acon. (from a draught); Dule.
(from damp); Bry., Cimic.,
Bell., Phyto. See also Crick-in-
the-Neck and Wry-eck.
Necrosis: see Bone.
Nephritis see Kidneys: INFLAM-
MATION OF.
Nervous Debility: see Debility.
Nervousness: Coff. (with sleepless-
ness); Cham. (restlessness, irri-
tability, and sensitiveness, with-
out ideal disturbance); Ign. (ex-
treme sensitiveness, pains in va-
rious parts, hemicrania, sensation
as of a ball in the throat, etc.);
Hyos. (perverted brain-function;
restless, dreamful sleep, or sleep-
lessness); Agar. (pains as from
icy-cold points; twitchings, tre-
mors, etc.); Borax (noise intoler-
able); Acon. or Nux V. (from
anxiety, night-watching, etc., with
palpitation, in ligestion, etc.);
Puls., Bell., Ars., Phos. -Ac.,
Gels., Scutell., Cimic., Cyprid.,
K.-Brom., Zinc.-Val., Ambra.
Exercise and out-of-door air.
See also Hysteria, Hypochondriasis,
etc.
Nettle-Rash Acon. (feverishnes );
Rhus, Apis; Puls. (from food
which disagrees); Ars. (when
caused by an irritable stomach);
Ant.-C., Copaiba, Hydras.; Bry.
(sudden retrocession).
Neuralgia IN THE FACE AND HEAD
Bell. (redness of the affected
part, sensitiveness to noise, light,
etc., and ideal confusion); Ars.
(burning and tearing pains, in-
termittent or periodic, worse at
night or during rest, with extreme
restlessness and anguish; especially
in weak persons); Ver.-Vir.
(from cold); Acon. (facial neural-
gia, from cold, anxiety, etc., with
palpitation, quickened full pulse;
and in plethoric persons); Spig.
(head, face, eyes, and orbits in-
volved, aggravated by stooping and
movement); Coloc. (sudden vio-
lent lancinations, extending from
the point of origin to a distance,
chiefly on the left side); Cham.,
and Merc.-S. alt. (extreme sensi-
tiveness and irritability, especially
in children and females); Coff.
(nerve-pains, with restlessness and
sleeplessness); Chin. or Sulph. -
}}
38
CLINICAL DIRECTORY.
Quin. (from malaria, loss of ani-
mal fluids, etc.); Chelid. (with
liver derangement); Cimic., Gels.,
Sticta, Nit. of Strych., Nux V.,
Staph., Coni. ; Belladonna lini-
ment (F. 20). See also Tooth-
ache.
INTERCOSTAL-Cimic. (infra-mam-
mary pain, especially in females);
Ars. (in debilitated patients);
Ranun., Rhod., Arn.; Bella-
donna liniment (F. 20).
IN THE BONES-Zinc.
OF THE EXTREMITIES-Rhod., Ars.
See also Sciatica, Hemicrania, Lum-
bago, etc.
Nightmare: Nux V. (from indiges-
tion); Chin. (with oppression);
Sulph. (with palpitation); Acon.,
Puls. Also a light digestible
diet, out-of-door recreation, and
a quickly-taken sponge-bath,
with vigorous friction, daily; at
the same time, suppers or very
late dinners, stimulants, fatigue,
and too many or heavy bed-
clothes, are to be avoided.
Night-Sweats: Phos. -Ac., Calc.-C.,
Chin., Ars., Hep.-S., Samb.,
Sulph.; Merc. profuse sour
(
perspiration—not hectic). Spong-
ing with tepid water and vine-
gar. Nitre is recommended
by Celsus. Dr. Douglas, in a
note, recommends Bry, and Gels.,
for continued and profuse sweats,
and adds, "Nothing has answered
so well with me in the colliqua-
tive sweat of phthisis as the two
remedies above named." See
also Hectic-Fever.
Nipples: SORE-Sulph., Cham., Sil. ;
Phelland. (pain after each suck-
ling); Crot.-Tig. (shooting-pains
from nipple to shoulder-blade);
Calend. or Arn. lot. ext.; or
Glycerole of Ver.-Vir. (F. 13),
or Hydras. (F. 6), or Tinct. of
Benzoin, P. B., Benzoic Ac. lo-
tion (F. 34), frequently applied,
and not removed till next nurs-
ing the nipple to be washed
before applying the child.
:
Nodes Sil.; K.-Bich. (soft nodes on
the scalp); K.-Hyd., Phyto.
(syphilitic nodes, with nightly
pain); Aur.
Noise: IN THE EARS AND HEAD
Bell., Sulph. -Quin.
or Chin.
(with deafness); Nux V., Gels.,
Caust., Petrol., Graph., Sulph.
SENSITIVENESS TO-Bell., Cham.,
Coff., Ign., Cann. - Ind., Nux V.;
Borax (extreme cases).
Ipec.;
Nose : BLEEDING FROM
Sulph.-Ac., Arn. (from a blow)
Acon. (full pulse, and in the
plethoric); Croc. (stringy blood);
Bry. (preceded or accompanied
by severe headache); Ham.,
Mill., Chin. (frequent recur-
rence of); Phos.
CATARRH OF-Merc., Ars., Nux
V., Puls.; Teuc. by inhalation;
five drops into the hollow of the
hand, add a little water, and in-
hale this preparation two or three
times a day. See also Cold in
the Head.
FŒETOR FROM-Iod. (putrid ulcera-
tion of the lining membrane in
scrofulous patients); Elaps Coral.,
See
Merc.-Iod., Aur., K.-Bich.
also Ozæna.
INFLAMMATION
OF Bell.
alt.
Acon. (acute); Sulph. (chronic).
Sec also Ozæna.
REDNESS OF-see Acne: ROSACEA.
SORENESS OF-Ars., Merc., Graph.,
Sulph., Aur. See also Cold in
the Head.
Obesity: Ars., Calc., Ferr., K.-Hyd.
or Sulph., as auxiliary to a suit-
able dietary, the most important
feature in which is the exclusion
of articles of food and drink
which contain an excess of starch,
or saccharine elements. Daily
CLINICAL DIRECTORY.
39
3
open-air exercise is also neces-
sary.
Edema see Dropsy: LOCAL.
Esophagus: SPASM OF-Ver. -Vir.
Offensive Breath: see Breath: FŒTID.
Onanism: see Self-Abuse.
Ophthalmia :
CATARRHAL - Acon.,
Bell., Euphr., Merc.
NEONATORUM-Arg. -Nit. or Acon.,
and later, Puls., Merc. or Hep.-S.
Frequent ablutions with tepid
water are essential, and if effi-
ciently and early used will often
alone suffice.
Nit. -Ac.,
Arg.-Nit., Calc., Iod., Clem.,
Sulph.
PURULENT - Hep.-S.,
STRUMOUS Merc. -Cor., Bell.,
Euphr. (acute); Calc.-Carb.,
Clem., Hep.-S., Ars., Sulph.
(chronic).
SYPHILITIC-Merc., Nit.-Ac., Aur.
See also Eyes: INFLAMMATION OF.
Otorrhoea : see Ears:
FROM.
DISCHARGE
Ovaries: DROPSY OF-Iod., Apis,
Sep., Sulph., K.-Brom.
INFLAMMATION OF-Acon., Bell.,
Merc.-Iod., Puls., Ham., Coni.;
Plat. (with induration). Dr.
Moore, of Liverpool, recom-
mends Merc.-Sol. 3x and Bry. 1x
when the pain extends towards
the hip or upwards; Phos. when
the pain extends downwards
along the inner side of the thigh;
and Cimic. and Puls. when Pleu-
rodynia co-exists.
NEURALGIA OF Zinc.-Val. 3x,
Ham., Caul., Coloc.
Ozæna: Aur., K.-Hyd., K.-Bich.,
Hydrast., Phyto., Elaps Coral 6,
Ars., Merc.-Iod., Sang., Nit.-
Ac., Zinc. Injections of Per-
manganate of Potash.
Painter's-Colic: sec Lead-Colic.
Palpitation: see Heart: PALPITA-
TION OF.
Pancreatitis: Iod., Merc., Iris, K.
Hyd.
Paralysis: AGITANS (Shaking-palsy)
-Merc. and Rhus 1x alt.; Nit. -
Ac. or Nux V. (when caused by
Mercury).
DIPHTHERITIC--Gels., Ign. 4, Coni.
Electricity.
FACIAL Caust., Acon., Ign.
GENERAL-Phos., Coni., Gels.,
Cocc., Bary.-C.
GLOSSO-LARYNGEAL-Bell., Hyos.,
Caust.
HYSTERICAL-Ign., Galvanism.
INFANTILE-Gels., Bell., Sec.
OF ONE SIDE-Bary.-C., Nux V.,
Coce., Arn.
OF THE LOWER EXTREMITIES-
Phos., Strych., K.-Bich., Coni.,
Arg.-N., Rhus, Cauloph. (ute-
rinc); Cocc. Also Electricity.
In several forms of paralysis Gels.
is very serviceable.
PAINTER'S-Opi., Iod., Cup., Ars.,
Nux V.
RHEUMATIC-Acon., Rhus., Arn.,
Strych., Sulph.
Friction has
effected striking cures; and so
has galvanism.
WASTING-Bell., Phos., Plumb.
Parturition: sce Labour.
Pericarditis: see under Heart.
Periostitis: see under Bone.
Peritonitis:
SIMPLE Acon. alt.
Merc.-C. or Bry. Linseed poul-
tices over the abdomen.
PUERPERAL--see Puerperal-Fever.
TUBERCULAR-Ars., Calc., Sulph.
Perspiration: sce Sweat.
Pertussis sce Hooping-Cough.
Pharyngitis: sce Throat.
40
CLINICAL DIRECTORY.
Phlebitis see Veins: INFLAMMATION
OF.
Phlegmasia Dolens (milk-leg, white-
leg): Acon. alt. Puls. (simple
cases), or Ham. (varicose condi-
tion), int. and ext.; Phos., Ars.,
Lach. Compresses act remark-
ably in the active stage; and in
the chronic, douches-hot and
cold-have effected excellent
cures" (Dr. W. Johnson).
Dr. Moore states that he has seen
cures effected by Merc.-Sol. 1
and Bry. 1; the reason being,
he adds, that venous inflamma-
tion is the cause of the disease.
Photophobia (intolerance of light):
Ant.-T., Bell., Euphr., Merc.-
Cor., Nux V., Coni., Ars., Sulph.
See also Eyes: INFLAMMATION
OF; Sight, etc.
Phthisis (to waste away) Pulmonalis.
FOR THE CACHEXIA-Sulph.,
Hydras. 4, Calc., Iod., Ars.,
Phos., Ferr., Calc.-Iod.; Cod-
liver-oil, in suitable cases, a tea-
spoonful or more twice a day.
HEMOPTYSIS--Ham., Ipec., Dros.,
Ferr. -Acet., Trill., Arn., Acali-
pha In.
INDIGESTION-Calc.,
Lyc., Hy-
dras., Merc., K.-Bich., Puls.,
Nux V.
See also Cough, Breathing, Dys-
pepsia, Hectic-Fever, etc.
Phymosis Wrap the organ in a com-
press soaked with Hamamelis lo-
tion (F. 35).
Piles: see Hæmorrhoids.
Pimples: Sulph., Calc., Bell., Hep.-S.,
K.-Bich., Ant.-C. See also Acne.
Pityriasis (Branny Tetter-Dan-
driff): Ars., Graph., Lyc.,
Canth. Sulphur-baths.
Placenta: RETAINED-Sabi., Puls.,
Sec. See Labour.
Plethora: Ferr., Ars., or Calc., in
the higher potencies. Acon. or
Bell. (for sufferings from).
Pleurisy: Acon., Bry., Ver. -Vir.
(acute), also linseed-meal poul-
tices; K.-Hyd., Sulph. (chronic).
Pleurisy with pungent heat, rub the
heated parts gently with the
hand, dipped from time to time
in cold water, until the heat is
abated. Hot poultices and cold
compresses may be required (Dr.
W. Johnson).
FALSE
PLEURODYNIA-Ranun.-
B., Cimic., Arn., Acon.
Plica Polonica: Vinca M., Bor.,
Branc.
Pneumonia Phos. (simple, typhoid,
and in children) with or with-
out Acon., Bry.; Ver. -Vir. (early
congestive stage); Ver. -Vir., Lyc.
(Pleuro-pneumonia); Ant. -T.
(Broncho-pneumonia); Sulph. o
Chelid.
(scrofulous patients);
(liver derangement). Cold com-
presses act remarkably well.
Polypus: Calc., Merc. -Iod.; Teuc.
(by inhalation, as for catarrh of
the nose); K.-Bich., Thuja, Phos.,
Sang. or Tannin finely powdered
used as snuff.
Porrigo: CAPITIS-Calc., Sulph.,
Viola-T., Sil.
FAVUS-Sep., Rhus 2x, Merc.-
Cor., Ars., Iod. 1 or 3x; also
locally, Calendula cerate with
great cleanliness.
Pregnancy: DISORDERS OF-Cham.
(nervous restlessness, irritability,
fidgets," etc.); Acon. (circu-
latory disturbance, palpitation,
etc.); Coff. (sleeplessness); Gels.
COLIC-NUX V., Cham., Puls.,
Coloc.
CONSTIPATION-Nux V. alt. Sulph.;
Plumb., Opi., Alum., Collin.,
Aloes, Sep., Bry. See also
Hæmorrhoids.
CONVULSIONS-Bell., Ign., Ver.
Vir., Cicuta, Coff.
>
CLINICAL DIRECTORY.
41
COUGH AND DIFFICULT BREATH-
-Bell., Coni., Hyos., Nux V.
See also under Cough.
CRAMPS-Verat., Cham., Nux V.
DEPRESSION OF SPIRITS-Cimic.,
Ign., Puls., Plat.
M
DIARRHEA Puls., Phos. - Ac.,
Phos.
FALSE PAINS-Cham., Puls., Sec.,
Caul., Cimic.
HEADACHE-Bell., Bry., Nux V.,
Ver.-Vir., Puls., Coce.
HEARTBURN-Caps., Puls., Iris.,
Calc., Nux V., Sang.
MORBID APPETITE-Calc., Chin.,
Nat.-M., Carbo V.
MORNING-SICKNESS, NAUSEA, etc.
-Nux V., Ipec. p, Sep., K.-
Brom. 1x, Kreas., Puls., Coec.
PILES-see Hæmorrhoids.
PRURITUS VULVAE-Collin. 1x, Sep.;
Borax int. and ext.
SALIVATION—Iod., Merc., Hep.-S.,
Sulph., Natr.-M. Dr. Shipman
states that he has known the
chewing of coffee berries to cure
when all other remedies had
failed.
AND
TOOTHACHE
NEURALGIA-
Coloc., Cham. or Coff. (during the
attacks); Sep., Cimic., Nux M.
or Nux V. (in the intervals);
Merc., Kreas. or Staph. (from
decayed teeth).
URINARY DIFFICULTIES
Bell.,
Hyos. (suppressed urine);Camph.,
Nux. V., Canth., Cocc.
VARICOSE VEINS-see Veins.
Presbyopia (far-sight, from diminish-
ed power of accommodation, and
an indication of advancing age) :
Convex glasses should be worn
directly vision fails for ordinary
work. It is convenient to have
two pairs of glasses, using the
stronger for evening work.
would be useful in all cases of
failing sight, from age, to use two
It
or three powers, according to cir-
cumstances. Constitutional treat-
ment is often necessary, and,
locally, cold water douches.
Prickly-heat see Lichen.
Prolapsus see Anus and Uterus.
Prosopalgia: see Toothache and Neu-
ralgia.
Prostate ENLARGED-Cann.
:
"In-
a recent case of enlarged pro-
state, at the age of sixty-two,
with much irritation of the
bladder, Cann. had an excellent
effect, in fact cured it for the
time" (J. H. Nankivell, Esq.)
Prostatitis
(inflammation_of_the
prostate); Puls. (acute), K.-Hyd.
(chronic). Bell. extract is often
required to relieve the severe
pain. Opiate suppositories,
fomentations, and hot hip-baths,
are useful adjuncts.
Proud-Flesh see Excrescences, etc.
Prurigo see Itching.
:
Pruritus Ani : see Anus: ITCHING OF.
Psoriasis Merc., Iod., Nit.-Ac.,
Phyto., Sulph., Ars., Petrol.
PALMARIS-Hep.,
Graph.
Ars., Caust.,
Pterygium: Rhatan. 1x.
Ptosis (paralysis of the cyclid): Gels.
Bell., Stram., Spig., Verat.
Puerperal-Fever: Acon. alt. Bell. ;
Hyos., Stram., Merc., Bry., Ars.
PUERPERAL CONVULSIONS: Ver.-
Vir.
Purging see Diarrhea.
Purpura (a morbid state of the blood
and capillary vessels): Ver.-Vir.,
Acon. (simple cases); Chloral
Hyd., Bell., Arn., Merc.,
Sulph.-Ac., Rhus.
HÆMORRHAGICA-Ham. 1x, Merc.,
Ars., Phos., Sulph. -Ac., Tereb.
Purulent Ophthalmia: see Ophthalmia.
42
CLINICAL DIRECTORY.
Pyrosis Carbo V., Lyc., Sulph'.-
Ac., Nux V., Ars., Bry., Puls.
Sulphurous Ac. 20 to 30 drops in
water. Sec also Dyspepsia,
Heartburn, etc.
Quinsy Bary.-Carb. 3, Hep.-S.,
Calc., Arum. -Triph., Phyto.,
Phos., Bell., Merc.-Iod., Ars.
Bary.-Carb. is almost specific.
Rabies see Hydrophobia.
:
Rachitis Phos. -Ac., Sil., Sulph.,
Calc.-Phos., Asaf.
Ranula (a cyst under the tongue, of
variable size, containing albu-
minous fluid, perhaps a divated
orifice of a sub-lingual duct): Bell.
3x alt. Merc.-S. 3x (acute);
Calc.-Carb. 3x (chronic). Mr.
Skey recommends a thread of
silk to be passed by means of a
much-curved needle through
the centre of the tumour. In
a few days the Ranula will be
found much reduced in size, leav-
ing the thread at some distance
from it. The thread should then
be removed, and another applied
through the centre of the re-
maining tumour.
Rash:
see Nettle-rash, Itching, Ro-
seola, etc.
Red-gum: Cham., Puls., Calc., Ant.-C.
Relapsing Fever; Bry., with or with-
out Acon.; Bapt., Gels., Eup.-
Per., Podoph.
Remittent-Fever: Gels. or Camph.
(invasive stage); Acon. alt. Bell.
(hot stage); Cin. (during excacer-
bation); Ipec., Bry. (gastric dis-
turbance); Bapt. or Ars. (typhoid
symptoms); Hyos. or Bell. (brain
symptoms); Merc.-V. (during
remission). In cold stage, hot
fomentations of spine; in hot,
cold pack; during interval,
spinal washing at various tem-
peratures.
Retching sec Vomiting.
Rheumatism: ACUTE (Rheumatic
fever)-Acon., Bry., Rhus, Bell.;
Cimic. (mild cases); Colch. (when
the smaller joints are affected).
Pack, twenty or thirty minutes,
and tepid (70°) shallow bath one
or two minutes.
CHRONIC-Rhus, Bry., Arn., Lyc.,
Sulph., Phos., Cimic., Caust.,
Merc., Nit.-Ac., Phyto., Iod.,
K.-Bich. Frictions. Sulphur
springs.
OF THE CHEST (intercostal muscles)
-Bry., Arn., Rhod., Rhus R.,
Cimic. Belladonna liniment
(F. 20).
GONORRHOEAL-Merc. -Biniod.
HEART-Spig., Dig., Acon., Ver.-
Vir., Cimic., Cact., Bry.
JOINTS-Bry., Rhus, Ruta, Rhod.,
Lyc., Colch., Led., Caust., K.-
Hyd.; Puls. (wandering pains).
RHEUMATIC GOUT-Sabi. (in fc-
males with irritation of the uterus,
bladder, and bowel); Puls., Acon.,
Coloc., Macrot 1x trit.
See also Lumbago, Stiff neck, etc.
Rickets: see Rachitis.
:
Rigors Acon.; see Shiverings.
Ringworm : OF THE SCALP-Sep.,
Sulph., Sulphs.-Ac. ext. (F. 12).
VESICULAR (Herpes cincinnatus) —
Iris., Tellur., Rhus, Sulph.
Roseola (Rose-rash)—Acon., Rhus,
Bell.
Rupia (or, more correctly, Rhypia):
Merc. (simple); Nit. -Ac., K.-
Hyd., or Iod. (from Mercury);
Aur. (syphilitic).
Rupture see Hernia.
:
Salivation Merc., K.-Chlor. (idio-
pathic); Nit.-Ac., Iod.; Hep.-S.
(mercurial).
Sarcinæ VOMITING OF-Nux V. 1x
gr. j. thrice daily, and Ars. 2x
gr. j. morning and night.
Scabies (The Itch): Sulphur-oint-
CLINICAL DIRECTORY.
43
ment (F. 49) or Sulphur-baths;
Rumex-ointment (F. 48); and
Sulph. int.
:
Scald-head Viola T., Hep.-S., Ars.,
Staph., Calc., Rhus, Lyc., Sulph.
Scalds : sec Burns.
Scarlatina: SIMPLE-Acon. alt. Bell.,
Apis; Sulph. (during decline);
Ars. (during desquamation).
Before desquamation begins, in-
unction with Carbolic Ac. and
olive oil (F. 22) once or twice.
daily. Dr. W. Johnson says in-
unction with Camph. oil (F. 21)
all through the disease is better
than inunction with Carbolic
Acid.
ANGINOSA Canth. p or 1, Merc.,
Arum Triph. (ulceration of
throat); Apis (much swelling);
Ver.-Vir. (cerebral hyperæmia,
severe vomiting, and high fever).
MALIGNANT-Ailan. 1x, Ars., Bapt.,
Phyto., Apis, Carbolic Ac.,
Mur. -Ac.; also Spray of Sul-
phurous Ac., or Condy's Fluid
diluted-one part of either to
about twelve of water.
PROPHYLACTIC-Bell. Φ.
Sciatica Coloe., Acon.
(recent rheu-
matic with much pain); Rhus
and friction (chronic rheumatic) ;
Ars, (neuralgic); Senecio (of
the right side); Nux V., Phyto.
(chronic). Dr. Newton remarks,
"Coloc. and Staph. are the
only remedies I ever use.
Scirrhus: Ars., Hydras. -Can., Coni.,
17
Thuja, Phyto., all int. and ext.
Screams of Infants: Cham., Acon.,
Ver.-Vir., Bell.; K.-Brom. (night
screaming).
Scrofulous Affections: Iod., Calc.-
Iod., Merc.-lod., Sil., Phos.,
Sulph. Sea-bathing.
See also Glands, Hip-joint-disease,
Ophthalmia: SCROFULOUS; etc.
Scrotum: DROPSY OF-see Dropsy:
LOCAL.
Sea-Sickness: Petrol., Staph., Cocc.,
Tabac., Nux V.
Self-abuse: A professional correspon-
dent informs us that a strait-
jacket cured a case in which
nothing else had the slightest
effect.
Sensitiveness: Ign., Bell., Cham.
Serpent-bites: Ammonia, Ars. (rapid
prostration). A handkerchief
should be tied tightly above the
wound, between it and the heart,
to arrest the circulation of the
poison, the wound forcibly sucked
by a person whose inucous surface
is perfect; and, according to
Hill, alcohol largely drank by
the patient, as an antidote.
Shingles see Herpes Zoster.
Shiverings Camph., Acon., or Bry.
(cold); Gels., Ign. (nervous, with-
out coldness).
Sick-headache: Iris, Bry., Nux V.,
Verat., Ipec., Puls., Sep. Sec
Headache.
Sickness Ipec. (simple); Puls. or
Ant.-Crud. (from rich food);
Nux.-V. (from alcohol); Krea.
(chronic). Cold compress over
stomach. See also Vomiting, and
Sea-S ckness.
Side: LEFT-PAIN IN-Cimic., Puls.
(hysterical or uterine); Bry.
(right side, rheumatic, or from
liver); Ranun., Ars. (neuralgic
or anæmic); Arn. (muscular).
Sight: DIM-Sabi., Gels. ;
see the
Remedies under Amblyopia.
DOUBLE-Bell., Hyos., Nat.-M.,
Cic., Gels.
See also Eyes.
Sinking at the Stomach: Hydroc.-
Ac., Gels., Lauro., Hydras.,
Apoc.-Can.; Bapt. (from chronic
41
CLINICAL DIRECTORY.
dyspepsia); Sep., Cimic. (at the
critical age); Murex (with pro-
lapsus uteri).
Skin: see Eruptions.
Sleep: COMATOSE-Opi., Bell., Hyos.,
Hell., Gels. If from poison, the
patient should be walked about.
See also Drowsiness.
Sleepiness Opi., Bell., Lyc., Acon.
Sleeplessness: Coff. 3x or 3, Gels.,
Glon., Bell., Ign., Hyos.; Aron.
(from pain). In simple sleep-
lessness, one or two drops of
Gels. is invaluable.
A hop-
pillow; walking, riding, or driv-
ing in the open air; a well-venti-
lated bed-room; a cold bath on
rising; and an occasional warm
bath at bed-time are excellent
It is better to avoid
accessories.
wearing flannel next the skin in
bed. Hydrate of Chloral is a
justly favourite hypnotic; and,
in doses of 15 to 20 grains, gene-
rally succeeds, if administered
coincident with the usual hour
of sleep, and other favourable
conditions. But it should only
be used exceptionally. "K.-
Brom. is better than Chloral, as
a rule," writes Dr. W. Johnson,
"and very far less dangerous;
three to five grains, every half-
hour or hour, or, in some cases,
larger doses.
Small-pox: Ant. -Tart.; Apis (much
swelling and itching); Merc.
(during suppurative fever); Ars.
or Bapt. (typhoid symptoms); K.-
Brom., Acon., Bell., Sulph.
Itching is best allayed by dust-
ing the body with powder made
of violet powder eight parts and
Ant.-Tart. 1x one part.
TO PREVENT PITTING-The pustules
on the face should be pricked
with a needle after its inmersion
in Carbolic acid.
Smell: LosS OR PERVERSION OF-
Acon. (recent), Puls., Merc., Sep.,
Calc., I'lumb.
Sneezing Merc., Euphr., Ars., K.-
Hyd., Ipec. See also Cold.
Softening of the Brain:
Brain.
sce under
Soreness of Infants: sec Excoriations.
Somnambulism: Zinc., Opi. (heavy
sleep), Acon., Cup.-M., Phos.,
K.-Brom. 1x, 5 grains at bed-
time. Wearing a copper wire
from the body to the ground is
said to be very successful.
Spasms Coloc. (of the bowels); Nux
V. (of the stomach and bowels);
Ver.-Ver. (sudden spasms of chil-
dren from congestion, with nausea,
prostration, etc.); Gels., Cocc.,
Camph.
Specks before Eyes: see Muscæ Voli-
tantes.
Spermatorrhoea: Arg. -Met., Chin.,
Ferr., Gels., Dios. (with impo-
tence); Nuphar, Phos., Phos. -
Ac., Staph., Dig., Eryng., Iris.
Spina Bifida (cleft spine): Calc. - Phos.
The tumour should be protected
by a piece of leather or gutta-
percha moulded to the part.
Spinal Irritation: Chin., Ign., Agar.,
Cimic., Nux V., Gels., Macrot.
Hot and cold, or tepid washing
of the back.
Spine CONCUSSION OF-Arn., Dios.,
Hypericum, Cic.-V.
CONGESTION OF-Acon., Ver. -Vir.
(acute); Rhus (rheumatic); Gels.,
Nux V., Bell., Agar.
:
Spitting of Blood: see Hæmoptysis.
Spleen ENLARGEMENT OF-Merc.-
Biniod., Chin., Ferr., Agar.,
K.-Brom.
Sprain Rhus Tox. or Arn. int, and as
a compress or liniment. Ruta (of
ankles): Aron. lot., if applied
immediately after a sprain, gene-
rally cures at once. Dr. Dalzell
recommends kneading the part,
CLINICAL DIRECTORY.
45
softly at first, and more vigor-
ously as the pain subsides, using
a little oil to prevent the friction
from irritating the skin. Also
rest, and sometimes a roller and
splint. Good strapping is often
better than a roller, for it does
away with the necessity for rest.
The after-effects of sprain often
require either Iod., or K.-Hyd.,
int. and ext.
Squinting see Strabismus.
Stammering The patient should be
taught anew the use of language,
and deliberately to form his mouth
into the requisite shape. Medi-
cines according to the general
condition. See also Chorea.
St. Vitus' Dance: see Chorea.
Sterility IN THE FEMALE-Coni.,
Sep., Dig., Plat., Borax, Calc.,
Iod., Helon., Cimic.
Stiff-neck Acon. alt. Bell. (from
cold); Ant. Tart., Cimic., Bry.,
Bell.; Dulc. (from damp). Wrap
in cotton wool.
Stings Liq.-Ammonia, Led., or
Rhus, diluted, ext.
The appli-
cation of a fresh slice of onion to
a wasp or bee-sting, gives instant
and often permanent relief.
Stitch-in-the-Side or Chest: Bry.,
Ran.-B., Cimic., Acon., Arn.
See Pleurisy.
Stomach ACIDITY OF-Calc., Ro-
binia, Lyc. See also Dyspepsia.
INFLAMMATION OF-Acon. (acute),
Ant.-T., Ars. Small pieces of
ice to swallow; fomentations
and a compress.
PAIN OR SPASM OF-Acon., Nux V.
or Cham. (spasm), Bismuth (dull,
pressing pain), Ars. (pain and
vomiting). See also Dyspepsia.
Stomatitis: Merc. - Cor., Hydras.,
Bapt. (with much saliva); K.-
Chlor. int. and as a wash (F.
32), or Hydras.-Mur. (F. 33)
every three hours.
Stone see Calculus and Gravel.
Strabismus Gels., Bell., Hyos., or
Stram. (from cerebral causes);
Cina (worms); Bry. (rheumatic);
Nux V. (over-use of the eyes);
Spig. or Phos. (undetermined
causes). For optical defects,
spectacles are required. The
constant use of gutta-percha
goggles in which a hole the size
of a pea has been pierced, has
sometimes proved curative after
all other means had failed. By
their use the exercise of the sight
is prevented, except in a proper
direction.
Strain: see Sprain.
Strangury: Camph. (urgent and pain-
ful); Nux V. (spasm); Bell. (ner-
vous and in children); Acon.
(from cold); Canth., Apis., Co-
paiba 1x (in old women). Hot
sitz-baths.
Strophulus (red-gum rash); Cham.,
Puls. or Ant.-C. (gastric derange-
ment).
Stye: Puls., Merc.; Thuja, Sulph.
(to prevent recurrence); Merc. -
Iod. and Merc.-Iod. ointment
(F. 44) ext.
Suffocation: FEELING OF-Ign. or
Cimic (nervous); Acon., Dig.,
Cact., Lilium. -T., Hydroc. -Ac.
or Samb. (from heart-disease).
Sunstroke: Bell., Camph.. Gels.,
Ver. Vir., Glon. The last
remedy is valuable for suustroke
and its sequel.
-
Suppuration : Silic., Hep.-S., Merc.;
Calc.; Chin (for debility),
alt. Silic. (profuse discharge);
Calc.-Phos. (strumous cases).
:
Sweat Phos. -Ac., Phos., Verat.,
Samb., Calc.; Merc. (sour);
Petol. or Carbo Veg. (fætid).
TENDENCY ΤΟ Chin., Merc.,
Verat., Carbo V. See also Night-
sweats.
Sweating-Fever: Acon, Bry., Samb.
46
CLINICAL DIRECTORY.
:
Swellings see Glands, Gumboils,
Dropsy, etc.
Swooning see Fainting.
Sycosis: see Beard: ACNE OF. For
SYPHILITIC "SYCOSIS," see Con-
dylomata.
Syncope sec Fainting.
Synovitis (inflammation of the sy-
novial membrane): Merc. -Prot. -
Iod. 3x (very painful and chronic
cases).
:
Syphilis Merc., Thuja, K.-Hyd.,
K. - Bich.,
Nit.
-
Ac., Still,
Phyto., Arg. -Nit., Aur.
-
Tabes Mesenterica : Merc. Cor.
(when glands are in an inflam-
matory state); Iod., Hydras.,
Sulph., Agar., Ars., Lyc., Calc.
In cases of great accompanying
atrophy, inunction with olive
oil over the whole body every
evening. For or without consti-
pation, the abdominal wet band-
age, changing it two or three
times a day.
Tabes Dorsalis (wasting of posterior
columns of spinal cord, causing
paralysis): see under Paralysis.
Tape-worm see Worms.
Tarsal Ophthalmia: Hep.-S., Euphr.,
Clem., Sulph., Merc.-Precip. -
Rub. int. and ointment of (F.
45). Sometimes it is desirable
to alternate the last prescription,
week by week, with K.-Hyd.
3x, and an ointment of three
grains of the pure salt to 3j. of
simple ointment.
Taste Loss OF-Puls.; Merc. (de-
praved); Plumb., Sil.
Teeth CARIES AND DECAY
Merc., Kreas., Phos., Staph.,
Ars., Sil., Calc.-C. Frequent
washing and brushing the teeth,
and the use of Thompson and
Capper's Dentifrice Water, are
both preventive and curative.
SORENESS AND SENSITIVENESS OF
-Merc., Bell., Mang., Sulph.
See also Toothache and Dentition.
Tenesmus (straining, difficult evacu-
ation) Merc., Merc. -Cor. or
Aloes (dysenteric or with diar-
rhea); Sulph., Nux V., Alum.,
Podoph., Plumb. (with constipa-
tion); Arn.
Testicles: ENLARGEMENT AND IN-
FLAMMATION OF-Acon., Puls.,
Spong., Arn., Clem.
use of a suspender.
NEURALGIA OF-Aurum.
Also the
WASTING OF-Iod., Coni.
Dr.
Newton informs us that he has
cured three cases by K.-Hyd.
:
Tetanus Acon. (from cold); Cham.,
Ham., Coni., Rhod. ; Cin. or
Igu. (from worms).
TRAUMATIC Nux V. or Strych.,
Acon., Bell., Hydroc. - Ac.
Tetter DRY-see Psoriasis; MOIST
see Herpes :
BRANNY see
Pityriasis.
Thecal Abscess: sce Whitlow.
Thread-worms: Cina, Teuc., Merc.,
Sant., Chin., Urtica; Ign. (ner-
vous irritability).
Throat: SORE-Acon. and Bry. (sim-
ple acute, with dryness); Bell.
(scraped sensation, and bright
redness of the part); K.-Bich.
(dark red); Arum Tri. (burning
roughness and stinging); Merc.
(swollen sensation, salivation,
etc.); Hep.-S. (chronic cases);
Phyto. int. and as a gargle (F.
24), or Tannin (F. 24), when
much mucus adheres to the mem-
brane, seems to expedite the
Hot
Cold compresses.
water gargles are useful, but in-
halation of steam is often better;
sucking ice also gives relief.
RELAXED OR CLERGYMAN'S THROAT
cure.
-Calc., Phos., Phyto. (int. and
by inhalation), K.-Hyd., Caust.,
CLINICAL DIRECTORY.
47
K.-Bich., Nit. -Ac., Carbo V.;
Ars., Mur.-Ac. (angina gan-
grenous). According to V.
Grauvogl, Arn. is a most excel-
lent remedy. In a note Dr.
Dalzell remarks:-
"The ma-
jority of cases of clergyman's
sore throat are cured by learning
to use the vocal organs properly;
that is, speaking with the mouth,
and not in the throat with half
empty lungs."
See also Cold in the Head, Quinsy,
etc.
Throat Deafness: Puls. (recent); Iod.
3x (chronic).
Thrush see Aphthæ.
Tic Douloureux : see Neuralgia :
FACIAL.
1
Tongue COATED - Ant.-C. (milky-
white; offensive breath); K.-Bich.
(yellowish); Puls. (roughish
white); Nux V. (fore part clean,
back part thickly furred); Rhus
or Bry. (brownish); Merc. (thick,
whitish, slimy fur, offensive
breath).
The following arrangement is by
Mr. Clifton, Northampton, and Dr.
Clifton, Leicester:
Tongue: Arum-Triph., Bell., Ant.-T. (red
all over, with considerably raised pa-
pille) K.-Bich. (red and glistening);
Gels. (thick red); Phyto. (red tip, white
coat, blistered sides); Sulph., Rhus-
Ven., Zizzia (red sides, white centre);
Rhus T. (triangle redness); Rhus T.,
Bapt., Mur.-Ac. (red in centre patching
with white sides, symptoms of relapse);
Ars., Gymnocladus-Can., Dig., Mur.- Ac.
(bluish); (Bry., Dios., Eup.-Pér., Ham.,
Iris, Phos. (white middle); Rhus (white
on one side); Caust. (white on both
sides); Podoph., Bry., Ant.-C. (thick
white); Nat.-Mur., Lach., Sep. (cracked
and indented with lines); Escul.,
Asclep., Hydras, Xanth. (yellow);
Bapt., Rhus T., K.-Bich. 3x (dry,
heated, soft, and flabby); Merc.-S.,
Hydrast., Stram. (with marks of teeth);
Lach. (dry, red, cracked at tip); Bapt.
(large at back); Bry., Puls. (dry with-
out thirst); Acon., Dig. (clean and
bright).
CRACKED OR FISSURED-Merc.,
Nit.-Ac.; Hydras. int. and as a
wash.
DRYNESS OF-Acon., Ars., Bell.,
Tereb., Bry., Merc., Phos.
INFLAMMATION AND SWELLING OF
Acon. alt. Merc. (from cold);
Bell. alt. Hep.-S. (mercurial);
Apis, Arum Triph. (edema). In
acute glossitis, with great swell-
ing, Mr. Nankivell says he has
found scarification necessary.
ULCERS ON-Merc., Merc. -Cor.,
Merc.-Iod. (simple, non-mercu-
rial cases); Nit. -Ac. (mercurial);
Bapt. as a wash; Hydras. int.
and as a wash; Phyto.
:
Tonsils INFLAMMATION OE (ACUTE)
-see Quinsy.
CHRONIC ENLARGEMENT OF-Bary. -
Carb., Sep., Calc. -Phos., Merc.-
Iod.. Calc.-Iod., Silic. (strumous
patients); K.-Hyd. (syphilitic).
Toothache:¹ Acon. or Bell. (burning
¹ We are exclusively indebted to Dr.
Clifton, of Leicester, for the subjoined
arrangement :—
Toothache: Bell., Chin. (upper teeth);
Phos., Spig., Arn., Caust., Sil., Cham.
(lower); Cham., Merc. (left side);
Bell., Staph. (right side); Merc.-V.
2x trit. in tooth, Ant.-C. 2x trit.
in tooth, Cham. 6x, Staph. (hollow
teeth): Arg.-Nit. (sensitive); Staph.
(feeling of tooth growing into jaw);
Caust., Acon. (sensation as if too long);
Merc. (loose feeling); Bell., Gels.,
Hyos., Spig. (jumping pains); Ars. 3x,
Puls. 3x (intermittent); Merc., Phos.
(worse at night); Acon., Bell. (worse
cold); Puls., Phos. (better cold); Ars.,
Chin., Phos. (better after wine); Nux
V., Ferr.-Mur. (worse after wine);
Puls., Nux, Ant.-C.(worse after eating);
Phos.-Ac., Staph. (better after eating);
Phos., Phyto. (better whilst eating);
Puls., Chin. (women); Puls., Chin. (be-
fore cat.); Cimic., Cham., Bell., Ver.-
Vir. (at time); Cimic., Merc.-V. (preg-
nancy); Cham. 6x, Acon, Cina or Spig.
with worm symptoms (children); Puls.,
Staph., Phos. (better from cold or
drink): Nux V. (better from warmth);
Phos., Staph. (better from rest); Phyto.
(pressing on teeth).
When an abscess forms at root of
48
CLINICAL DIRECTORY.
throbbing); Merc. (gnawing, ach-
ing, swollen gums, decayed teeth,
flow of saliva, gum-buil, etc.);
Kreas. (from decayed teeth); Bry.
1x, Merc.-V. (worse at night,
and tender to touch); Glon. 3x
(pains extending to back of head
with stiffness); Cham. (neuralgic,
the pains being unbearable, with
swelling of the face, especially in
females and children); Coff. (re-
lieved by cold; nervous excita-
bility, etc.); Puls., Staph.;
Phos. or Ars. (tendency to).
DURING PREGNANCY-Bell.,
Cham., Coff., Nux V.
See also Face-ache, Neuralgia, etc.
Tooth-rash see Strophulus.
Torticollis see Wry-Neck.
Tracheitis (inflammation of the tra-
chea): see Croup.
Tremors: NERVOUS-Acon., Ign.,
Coff., Bell., Chin., Gels.
Trismus see Tetanus.
Tuberculosis Iod., Phos., Calc.-C.,
Ferr.-Iod., Calc. - Iod.
Tympanitis (distension of the bowels
with air): Coloc., Chin., Hyos.,
Iris, Tereb., Nux V., Ars., Lyc.,
Carbo Veg.
Typhoid-Fever see Enteric-Fever.
Typhus-Fever: Acon., Bry., Bapt.
(most stages; bewilderment; sink-
ing of the vital forces [also Ars.])
Ver.-Vir. (invasive stage); Hyos.,
Bell., Opi., or Rhus (brain symp-
toms); Phos.-Ac., Ars. (extreme
exhaustion); Phos. (lung-compli-
cations); Merc. -Biniod., Phyto.
(glandular enlargements); Ars.,
Bapt., Rhus, or Mur. -Ac. (much
toxæmia); Tereb. 1x (purplish
petechiae about the 12th day). In
tooth and discharges, or if there is
periodical swelling of the gums, ex-
traction is necessary. In such cases,
always look for stomach derangement.
true Typhus, Rhus is most fre-
quently indicated.
Ulceration and Ulcers: K.-Bich.,
Hydras., or Rhus, int. and ext.;
Ars. or Phos. (chronic and
with debility); Bell. (crysipela-
tous appearance); Caust., Sil.
(of lower extremities); Ham. int.
and ext. (varicose); Ars. (vari-
cose, with burning, debility, etc.);
Merc., Merc.-Iod., K.-Hyd.,
Nit.-Ác.; also local applications
of Nit.-Ac. lotion (F. 37) (sy-
philitic); Sil. (torpid); Merc.-
Iod., Phos., Sulph., or Calc.
(scrofulous). Carbolic Ac. wash
(F. 30), weak (torpid ulcers); or
Carbolic Ac. wash, strong (fun-
gous ulcers).
Urethra INFLAMMATION OF-Cann.,
Gels., etc. See also Gonorrhoea.
STRICTURE OF (spasmodic)-Paint-
ing under surface of urethra with
Bell. ; Gels., Camph. (espe-
cially when caused by blistering-
fly); Canth. (urging, with cut-
ting and tearing pains); Nux V.,
Acon., Clem.; also a hot-bath,
fomentation, or injections per
rectum. Cann., Hydras. (or-
ganic stricture, and after repeated
attacks of gonorrhea). When
passing catheter
catheter the patient
should sit on hot sponge.
Urine : ABNORMAL CONDITIONS OF-
Canth., Tereb., Ham. (bloody);
Tereb., Dulc., Nit. -Ac. (fætid);
Lye., Nux V., Ant.-C. (gra-
velly); Lyc. (lithates); Acon.
(with fever); Bry. (high coloured);
Phos.-Ac. (milky looking, espe-
cially in children); Chim.
(difficult urination, with mucous
sediment); Aur., Iod., Eup.-
Pur., Dulc., Ant.-C., Nit. -Ac.,
Puls. (mucous); Uva Ursi (thick
and ropy); Canth., Clem., Puls.,
Chim., Sabi. (purulent); Lyc.,
Puls. (purulent with nauseous
smell and gastric derangements);
Cina (thick and turbid, whitish,
worms, etc.); Merc., Phos. -Ac.
CLINICAL DIRECTORY.
49
(symptoms worse in the morning);
Sabad., Rhus, Chin., Phos.
EXCESSIVE-Scilla (pale, watery);
Murex Purp. (very pale and ex-
cessive); Ign. or Hyos. (hysteric
patients); Ars. or Phos.-Ac.
(diabetic); Bell., Phos.
BURNING OR SCALDING DURING
PASSAGE OF-Canth., Cann.,
Merc.-C., Gels., Acon., Bell.,
Apis, Lyc., Nux V.
INCONTINENCE OF-Cina (from
worms); Phos. -Ac. (especially in
old men): Podoph. (in women
with sense of prolapsus); Bell.'
(copious nocturnal discharges);
Beuz.-Ac. (in children with dry,
rough skin); Uran. - Nit., Gels.,
or Benz.-Ac. (in the aged);
Sulph., Phos. -Ac. (nocturnal in
children); Ferr. - Phos. (diurnal
only); Ars. (when caused by
iron); Acon., Canth., Arg. -Nit.,
Apis, Eup.-Pur., Lyc.
SCANTY-Acon., Bry., Canth.,
Apis, Colch., Dig., Hell., Ruta,
Staph. See also under Dropsy.
RETENTION OF-Camph. (sudden
spasmodic); Nux V. (spasmodic);
Gels., Ign. (hystericul); Canth.,
Opi., Arn., Hyos. (in typhoid).
SUPPRESSION OF-Tereb. or Acon.
(from cold).
Urticaria :
SIMPLE-Apis, Rhus,
Crot. -Tig., Urt.-Ur.; Ars. and
Apis alt., are recommended.
FROM COLD-Acon.; Dule. (from
damp).
FROM GASTRIC DISORDER-Ant. -
C., Nux V., Puls.
CHRONIC-Ars., Sulph.-Quin.,
Apis, Sulph.
:
Uterus ANTIVERSION OF-Lilium
Tig.
1 Dr. W. Johnson remarks, "Bell.
in large doses is a royal remedy for
those copious spasmodic night evacua-
tions which seem to have a certain
analogy with Epilepsy."
RETROVERSION
Sep., Aletris.
OF Ferr. -Iod.,
—
CONGESTION OF-Bell., Murex,
Lilium Tig., Verat. - Vir. and lo-
tion over the abdomen, or Sabi.
(arterial); Coni., Puls., or Sep.
(venous); Gels., Caul., Cimic. Dr.
Moore says,
"Merc.-Sol. and Se-
pia after Bell. are most reliable."
HÆMORRHAGE FROM-Ham., Ipec.,
Trill., Croc., Sec., Sabi., Chin.
See also Menstruation : PROFUSE.
INDURATION OF-Merc. -Cor., Plat.,
Aur., Iod., Sil.
INFLAMMATION OF-Acon., Bell.,
Nux V., Iod.
IRRITABILITY AND NEURALGIA OF
-Acon., Cimic., Bell., Plat.,
Xanth., Gels., Ver.-Vir., Caul.
PROLAPSUS OF-Podoph., Bell.,
Sep., Arn., Stan., Sec., Nux V.,
Aletris, Merc.-S.
SPASM OR COLIC OF-Cocc., Caul.,
Nux V., Ign., Sec., Cham., Gels.
ULCERATION OF-Merc.-C., Sep.,
Árs. Also local application of
Glyc. Hydras. (F. 6), or injec-
tions of Calend. lotion (F. 24),
or of Carbol. Glycer. (5j. ad. aq.
Zviij).
Varices: see Veins: VARICOSE.
Varicocele: Puls.; Ham. int. and
ext.; also a suspender.
Variola sec Small-pox.
Veins :
INFLAMMATION
OF-Acon.
alt. Puls.; Ham. (raricose con-
dition); Phos., Lach. Also Arn.
ext. (for pain); or Ham. ext.
(varicosis).
VARICOSE-Ham., Puls., Fluor.-
Ac., Sil., Ham. ext.
See also Ulcers: VARICOSE.
Venereal Disease: see Gonorrhea,
Syphilis, etc.
Vertigo: Gels., Nux V., Puls., Calc.,
50
CLINICAL DIRECTORY.
Bell.,1 Bry., Acon.; Hydroc. -
Ac. (with headache); Cact. (from
heart disorders); Cocc. (with
sickness); Iod. (in old persons);
Dig. (from feeble heart's action);
Glon., Sulph.; Phos.-Ac. (brain-
fag).
Vesicles: see Eruptions; Erysipelas :
VESICULAR; etc.
Vicarious Hæmorrhage: sec Men-
struation: VICARIOUS.
Voice: HOARSE, Loss of, WEAKNESS
OF, etc.-Caust. (recent, from
cold, or over-use of the voice);
Arn. (from over-use); Acon.
(acute cases, with dry hard
cough); Phyto. (constant dryness
and roughness, with cough, and
dark redness of the fauces); Hep.-
S. (chronic hoarseness, wheezing
breathing, loose cough, etc.); Nux
V. (from spinal irritation);
Graph. (dry, rough voice, cough,
etc.); Ant.-C. ("when heated");
K.-Bich (especially in tenor voices.
or in beer drinkers, with dark
redness of fauces); Phos., Carbo
V., Spong.
See also Aphonia.
Vomiting :
or
CHRONIC Kreas.
Ipec. (with retching); Ver.-Vir.
(violent prolonged vomiting and
hiccough, and sensation as of a
ball rising in the throat); Cocc.
or Petrol (from the motion of a
carriage; see Sea-sickness);
Hydras., Kreas., or Ars. (from
ulceration or cancer of the sto-
mach, with wasting; gastritis,
etc.); Zinc. (without retching)
Sulph. -Ac. (empty retching);
Coni. (chocolate-coloured in cancer
symptoms); Arg. -Nit. (with great
sourness); Lyc. (greenish masscs);
Ant. -T. (whitish rice-water
vomit, with diarrhea of similar
fluid); Nux V. (from gastric
When Bell. is indicated, but fails
to give relief, Atropia should be ad-
ministered.
causes preceded by spasmodic
pains); Verat. -Alb. (prostration
and cold sweats); Puls. (mucous);
Nux V. 1x alt. Ars. 1 (vomiting
of sarcina). Cold compress over
stomach. In obstinate vomiting
from spinal irritation Dr. Dalzell
has found Chapman's spinal ice-
bag give speedy and permanent
relief, applied an hour or more
morning and night.
OF BILE-Iris, Podoph., Ipec.,
Bry., Merc.
OF BLOOD-Ipec., Ham., Kreas. ;
sce Hæmatemesis.
OF MILK IN CHILDREN-Nux V.
1, Sulphs. -Ac., Ipec.
CURDLED Æthusa.
See also Dyspepsia; Sickness.
Vulva (for laceration of the posterior
commissure from labour, especi-
ally from instrumental delivery);
Glyc. of Hydras. (F. 6) should
be applied to the parts several
times a day. Some practitioners
prefer Calendula to Hydrastis.
Walking DELAY OF THE POWER OF
-Calc., Sil., Phos., Ver.-Vir.,
Caust., Sulph., Calc.-Phos.
Wakefulness: sec Sleeplessness.
Warts: Calc., Sil., Sulph. Thuja o
ф
or Rhus ext.
Wasting sce Emaciation.
Water-brash Lyc., Nux V., Iris,
Bry., Carbo V., Rob., Ars.,
Sulphurous Ac., a few drops in a
wineglass of water. See Heart-
burn, Dyspepsia, etc.
Weakness: see Debility.
Water-in-the-Head: see Brain: DROP-
SY OF.
Wens Bary.-C., K.-Hyd., Sil.,
Calc., Lyc. Dr. Clifton informs
us of the cure of a wen by Coni.
1 The prescriptions in the text are
not for vomiting from overfeeding.
CLINICAL DIRECTORY.
51
3x, which was administered for a
uterine ailment. He has also
cured several by puncturing with
a sub-cutaneous needle, letting
out a little of the contents, and
then filling with Phyto p. Dr.
Newton states that he has re-
moved several large wens with
Baryta C. 6. Dr. Murray Moore
adds, in a note, "Hep.-S. often
causes wens to suppurate spon-
taneously, discharge, and dis-
appear.
"}
Wetting-the-Bed: see Urine: INCON-
TINENCE of.
Whites: see Leucorrhoea.
White-Swelling: Iod., Sil., Calc.,
Sulph.; Bry. or Arn. (early
stage).
White-Leg scc Phlegmasia Dolens.
Whitlow Sil. alt. Bell. or Acon.;
Hep.-S., Merc. ;Stram. (intolerable
pain). Should the latter fail to
relieve the pain, a solution of
Phos. should be painted on the
finger. The thorough applica-
tion of a thick slice of lemon
around the whitlow is also cura-
tive. But if administered early,
Sil. 3x generally prevents the
development of a whitlow. Hot
fomentation or poulticing is
useful.
Whooping-Cough :
Cough.
Wind: see Flatulence.
Womb see Uterus.
see Hooping-
Worms: LONG or ROUND-Merc.,
Sant., Ign., Spig., Sulph.
TAPE-Fil.-Mas o in drop-doses,
morning and night for two or
three weeks; Kousso, Cin.,
Sulph., Haustus Filicis Maris
(F. 51). The draught early in
the morning after fasting or
taking only liquid nourishment
during the previous day. Dr. E.
M. Hale recommends "Pumpkin
seeds, bruised, 3j. at night; next
morning castor oil 3ss and ether
3j. mixed, will be followed by the
expulsion of the worms in 6 to 8
hours."
THREAD—Cin. (children); Samb.,
Fil.-Mas, Teuc. (adults); Ign.,
Sulph., Sant. Mr. Nankivell
thinks Sant. the best remedy, and
prefers it to Cina. Lime-water
injections for a week are recom-
mended. In obstinate cases a
large injection may be used, in
which a solution of Corrosive
Sublimate (gr. to 3ij.) is added.
Wounds Calend. (lac rated and in-
cised); Led. (punctured); Arn.
(contused); Ham. (much discolo-
ration)-all remedies should be
used int. and ext.
Wry-Neck
Cimic., Macrot., Ign.,
Bell., Nux V., Merc.
Yawning: Ign., Plat., or Rhus (con-
vulsive); Acon. (cxhausting, with
chilliness, and excessive and con-
tinually - recurring flatulence);
Nux V., Lyc., Zine.
Yellow-Fever Camph. (chill-stage);
Acon, alt. Bell. (fever); Phos.
Bry. or Ipec. (gastric symptoms);
Canth. (suppressed urine); Arg. -
Nit. (black-vomit).
Zona see Herpes ZosTER.
Appendix of Formulæ.
GLYCEROLES, INJECTIONS, LINIMENTS, LOTIONS, AND
I. GLYCEROLES.
1. GLYCER. AMYLI.
R. Pulv. Amyli opt. 3j.
Glycer. Zviij.
OINTMENTS.
Rub together till intimately mixed;
then transfer the mixture to a porce-
lain dish, and apply heat, gradually
raised to 240° F., stirring constantly
until the starch particles are com-
pletely broken, and a translucent
jelly is formed.
Used for broken chilblains; fistula ;
prolapsus ani; prevention of bed-
sores; irritation of the skin from any
cause; etc.
2. GLYCER. AMYLI MEDICAT.
B. Glycer. Amyli 3j.
Trit. vel. Tinct. 3j. M.
3. GLYCERIN. ALOES.
B. Tr. Aloes 3j.
Glycer. Zix. M.
Cracked skin, lips, nose, hands,
etc.; fissured and sore anus.
4. GLYCER. BORACIS.
B. Pulv. Boracis 3j.
Glycer Ziv. Solve.
Thrush; pruritus vulve.
5. GLYCER. EXTRACTI HAMAM.
R. Extracti Hamam. 3j.
Glycer.
Aq. Dest.
}
aa. Ziiss. M.
Fistula of anus; prolapsus.
6. GLYCER. HYDRAST.
R. Tr. Hydrastis Can. 3j.
Glycer. ad. 3ss. M.
Inflammation of uterus; sore nip-
ples; fissured anus; cracked lips; etc.
7. GLYCER. AC. MUR.
B. Acid. Hydrochlor. P. B. gtt. v.
Glycerin. 3ss.
M.
Ulcerous thrush; ulcerated throat.
8. GLYCER. AC. MUR. FORT.
R. Acid. Mur. Pur. gtt. x.
Glycer. 3ss. M.
Ulcerated throat; thrush; etc.
9. GLYCER. PHYTOLACCE.
R. Tr. Phyto. Decand. Baccæ & 3j.
Glycer. ad. 3ss. M.
Inflammation of bone; condylo-
muta; excoriation of breast, etc.
10. GLYCER. AMYLI C. AC. TANNIC.
B. Glycer. Amyli 3j.
Acid. Tannici 3j. M.
Itching of anus, etc.
11. GLYCER. ACIDI TANNICI.
R. Ac. Tannici 3j.
Glycer. Ziv.
Rub together in a mortar, then
transfer the mixture to a porcelain
dish, and apply a gentle heat until
completely dissolved.
12. GLYCER. AC. SULPHUROSI.
R. Ac. Sulphurosi Zij.
Glycer 3jss. M.
Chapped hands; chilblains; ring-
worm, etc.
13. GLYCER. VERAT. VIRID.
R. Tr. Verat. Vir. ø 3j.
Glycer. Zix.
Sore nipples.
M.
II.--INJECTIONS.
14. INJECTIO GLYCER. HYDRAST.
B. Hydrast. Can. ø 3j.
Glycerine ad. 3ss.
M.
Gleet; inflammation of the womb.
15. INJECTIO POT. PERMANG.
B. Pot. Permang. Cryslls. grs.
v, vel. x.
Aq. Dest. 3j.
Gonorrhoea.
Solve.
LINIMENTS-LOTIONS.
53
16. INJECTIO LIQ. PLUMB.
R. Liq. Plumbi Diacet. 3ss.
Aq. Dest. Oj.
17. INJECTIO GLYC. AC. TANN.
B. Glyc. Ac. Tann. (F. 11) Ziij.
Ol. Oliv. Žžj.
Mucilage 3j.
Gonorrhoea.
18. INJECTIO ZINCI SULPH.
M.
R. Zinci Sulph. grs. viij.
Aq. Dest. Zviij.
Gonorrhea; gleet.
III. LINIMENTS.
19. LIN. ACON.
R. Tr. Acon. Rad. ø 3j.
Lin. Saponis 3j.
M.
Neuralgia; local forms of Rheuma-
tism.
20. LIN. BELLAD.
R. Chlorof. 3j.¹
1
Lin. Bell. P. B. Zvij. M.
Neuralgia; Rheumatism.
21. LIN. OL. CAMPHORATUM.
R. Camphoræ zj.
Ol. Oliv. opt. Ziv. Solve.
Scarlatina; Chicken-pox; itching.
22. LIN. ACID. CARBOL.
B. Acid. Carbol. Pur. 3j.
Ol. Oliv. opt. živ.
M.
To facilitate desquamation in scarlet
fever, measles, etc.
23. LIN. RHOIS TOX.
B. Tr. Rhois Tox. 3jss.
Lin. Saponis P. H. B. 3jss. M.
Lumbago, and other forms of local
rheumatism; strains;
strains; stiffness of
joints; etc.
1 "Chloroform has been proved by
Dr. A. Waller to give great power to
spirit to carry medicines through the
skin into the circulation. I take ad-
vantage of this fact and add Chloro-
form to all spirituous lotions, as Arn.,
Rhus, Bell., Opium, Cimic., etc. It
is frequently necessary to soften the
above chloroformized lotions by addi-
tions of oil" (Dr. W. Johnson).
IV. LOTIONS.
24. LOTIONES MEDICAT.
R. Tr. 3j.
Aq. Dest. ad. Zvj.
25. LOTIO ANT. TART.
R. Ant. Tart. Pulv. gr. j.
Ac. Calid. 3ss.
Glycer. 3ss.
M.
Dissolve the Antimony in the warm
water, and add the Glycerine.
Acne of the beard.
26. LOTIO BORACIS.
R. Pulv. Boracis gr. xx.
Aq. Dest. Zij. Solve.
Excoriations; pruritus vulvæ.
27. LOTIO BORACIS C. CAMPH.
R. Pulv. Boracis 3j.
Spt. Camph. 3j.
Lin. Saponis 3ij.
Glycer. 3ss.
Aq. Dest. 3xii.
M.
Ringworm, Dandriff, etc.
28. LOTIO CALC. MUR.
B. Tr. Calc. Mur. 1x 3j.
Aq. Dest. 3j.
Boils.
M.
29. LOTIO ACID. CARBOL. FORT.
B. Acid. Carbol. Pur. Zij.
Ol. Oliv. opt. Ziss.
M.
Burns and scalds; to prevent ex-
coriations, etc.
30. LOTIO ACID CARBOL.
B. Acid. Carbol. Pur. gr. x.
Aq. Dest. Žvj.
Solve.
Ulcers; inflammation of the mouth.
31. LOTIO CARBONIS DETERG.
R. Liq. Carb. Deterg. 3ss.
Aq. Dest. ad. Zviij. M.
Porrigo; Eczema; itching of anus.
32. LOTIO POTASSE CHLORATIS.
B. Potass. Chlor. 3ss.
Aq. Dest. 3vj. Solve.
Stomatitis.
33. LOTIO HYDRAST. MUR.
R. Hydrast. Mur. grs. iij.
Aq. Dest. Ziij. Solve.
Stomatitis.
D
54
CLINICAL DIRECTORY.
34. LOTIO ACID. BENZ.
R. Acid. Benz. Pur. grs. xv.
Aq. Dest. Zviij.
Sore nipples.
35. LOTIO HAMAM FORT.
R. Tr. Hamam.
Aq. Dest. 3j.
Solve.
3ij.
M.
Chilblains; fistula; phymosis.
36. LOTIO KALI HYD.
B. Kali Hyd. o 3j.
Aq. Dest. viij. Solve.
Glandular swellings.
37. LOTIO ACID. NIT.
R. Acid. Nit. Fort. gtt. xxiv.
Aq. Dest. Zvj.
M.
38. LOTIO SULPHURIS.
B. Tr. Sulph.
3j.
Aq. Dest. ad. Zj.
Ulcers; Beard, acne of.
M.
39. LOTIO URTICA URENS.
B. Tinet. Urt. Urens 3j.
Ol. Oliv. opt. viij. M.
Ulcerated burns.
V.-OINTMENTS.
40. UNG. HEP. SULPH.
R. Hep. Sulph. Pur. grs. iij.
Adipis Præparatæ 3j. M.
Ganglion.
41. UNG. HYDRARG. NIT. DIL.
R. Hydrarg. Nit. P. B. 3j.
Cerat. Cetacei 3j.
Itching of anus.
42. UNG. HYPOCHLORIDE.
M.
R. Hypochloride of Sulph. Zij.
Adipis 3j.
Acne Rosacea.
43. UNG. POTASSII IOD.
M.
B. Potassii Iod. grs. lxiv.
Potass. Carb. grs. iv.
Aq. Dest. 3j.
Adipis Præparatæ 3j.
Dissolve the Iodide of Potassium
and Carbonate of Potash in the water,
and mix thoroughly with the lard.
Condylomata.
44. UNG. MERC. BINIOD.
B. Biniod. Merc. grs. ij.
Adipis Præparatæ 3ij. M.
Stye; goître; acne of the beard;
ganglion.
45. UNG. MERC. PRECIP. RUB.
R. Merc. Precip. Rub. grs. iij,
Ung. Simpl. 3j.
Tarsal ophthalmia.
46. UNG. RUMICIS C. SULPH.
M.
B. Ung. Rumicis (see F. 47) Zj.
Sulph. Hypochlor. 3ij. M.
Acne of beard.
47. UNG. RUMICIS.
R. Extracti Rumicis (see F. 48) 3j.
Cerat. Simpl. P.H. B. 3j. M.
Itch.
48. EXTRACTUM RUMICIS.
R. Rad. Rumicis recentis živ.
Glycerin. Ziij.
Aq. Dest. 3xxvij.
Exhaust the root by percolation
with the glycerine and water mixed
together, and evaporate to the con-
sistency of syrup.
49. UNG. SULPHURIS.
R. Sulph. Sublimat. 3j.
Adipis Præparate živ. Misce bene.
Itch; fissured, sore anus; stye; etc.
VI. MISCELLANEOUS.
50. PEPSINE.
R. Dr. Beale's Pepsine, gr. xij.
Acid. Hydrochlor. dil. Zij.
Glycerine Zij.
Aq. Dest. Ziij.
Dose, one tablespoonful (=2 grs.).
Dyspepsia.
51. HAUSTUS FELIC. MARIS.
R. Ol. Felic. Maris 3j.1
Mucilag.
Glycer.
}
a a Zij.
M.
Aq. Destil 3j.
Tape-worm.
52. MISTURA HYDRAST.
R. Hydrast. Mur. gr. iij.
Acid Mur. dil. P. B. 3j.
Aq. Dest. ad. 3vj. M.
A tablespoonful three times a day,
ten minutes before a meal.
Acidity, etc.
55
CLINICAL
List of Remedies and Attenuations.
LIST OF THE CHIEF REMEDIES PRESCRIBED IN THE
DIRECTORY, THEIR ABBREVIATIONS, AND THE
ATTENUATIONS IN MOST FREQUENT USE.
NAME.
ACIDUM BENZOICUM
CARBOLICUM
>>
ABBREVIATION.
Benz. -Ac.
Carbol.-A c.
FLUORICUM
MURIATICUM
Fluor. -Ac.
Mur.-Ac.
ATTENUATION.
2, 3x (see F. 34).
to
1, 1x int. (one part of
100 of water for external
use; see also FF. 22, 29,
and 30).
3x, 3.
1x, 1, 3; as a gargle or
paint in affections of the
throat.
1x, 1, 3x, 3.
NITRICUM
Nit. -Ac.
PHOSPHORICUM
Phos.-Ac.
1x, 1, 3x, 3.
SULPHURICUM
Sulph. -Ac.
1, 6-12.
SULPHUROSUM
Sulphs. -Ac.
1x.
ACONITUM NAPELLUS
Acon.
ESCULUS HIPPOCASTANUM
Escul.
AGARICUS MUSCARIUS
Agar.
AILANTHUS GLANDULOSA
Ailan.
ALOES
Aloe.
ALUMINA
Alum.
AMMONIUM CARBONICUM
1x, 3x, 3, 6 (see F. 19).
2x or 3x is best according
to our experience, but Dr.
Hale states that it acts
well in almost any dilu-
tion.
4, 1x, 2x.
1x, 1.
1x, 1, 6 (see F. 3).
3x, 6x.
Ammon.-Carb. 1x, 2x.
MURIATICUM
Ammon. -Mur.
1x, 3x, 3, 30.
ANACARDIUM
Anac.
lx, 1, 3.
ANTIMONIUM CRUDUM
Ant.-C.
3, 5.
TARTARICUM
Ant. -T.
1, 3x, 3, 5.
APIS MELLIFICA
Apis
APOCYNUM CANNABINUM
Apoc.
p, 1x, 3x, 3.
(one to 5 drop-doses in
dropsy); 1x (catarrh).
ARGENTUM METALLICUM
NITRICUM
Arg. -Met.
3x, 6.
Arg. -Nit.
1, 3x.
56
LIST OF REMEDIES AND ATTENUATIONS.
ARNICA MONTANA
Arn.
ARSENICUM ALBUM
Ars.
1x, 3x, 3, 6 (6 said to be best
for hæmorrhage from the
lungs).
1, 3x, 3, 6, 200. The lower
dilutions act best in can-
cer, cholera, low fevers,
and skin affections; the
6 in nasal catarrh, influ-
enza, etc.; and the 6 to
12 for neuralgia, asthma,
etc.
1x, 3x (hysteric disorders);
6 to 12 (diseases of bone).
9, 1x.
ASAFETIDA
ASCLEPIAS TUBEROSA
Asaf.
Asclep.-Tub.
ATROPIA
Atrop.
2x, 3x.
AURUM
Aur.
1, 3x, 5, 6.
MURIATICUM
Aur. -Mur.
1, 3x, 3.
BAPTISIA
Bapt.
, 1x, 3x.
BARYTA CARBONICA
Bary.-Carb.
3x, 6, 12.
BELLADONNA
Bell.
1x, 1, 3x, 6-12.
BERBERIS
BISMUTHUM
BORAX
BOVISTA
BROMIUM
Berb.
p, 1x, 3x.
Bismuth.
1, 3x.
Bor.
1x, 1, 3x.
Bovis.
3x, 12.
Brom.
1x, 1.
BRYONIA ALBA
CALCAREA CARBONICA
Bry.
1x, 1, 3x, 6.
CACTUS GRANDIFLORUS
Cact.
4, 1x, 3x, 6.
Calc.-C.
3x, 3, 6, 12.
MURIATICA
Calc.-M.
,,
1x, 1.
PHOSPHORICA
Calc.-Phos.
1x, 3x, 3.
CALENDULA
Calend.
CAMPHORA
Camph.
(for external use).
p, lx.
CANNABIS INDICA
Cann. -Ind.
, 1x, 3x.
SATIVA
Cann. -Sat.
9, 1x, 3x.
CANTHARIS
Canth.
CAPSICUM
CARBO ANIMALIS
VEGETABILIS
1x, 1, 3x. (For external use,
Φ
one part of the tincture.
to about twenty of water).
1x, 3x, 3.
Caps.
Carbo An.
1x, 1, 3x.
Carbo Veg.
1, 3x, 6, 12.
CAULOPHYLLUM THALICTROIDES Caul.
1x, 2x, 3x, 6.
3x, 6; 2x for external use.
1x, 3x.
CAUSTICUM
Caust.
CEDRON
Ced.
CHAMOMILLA
Cham.
3x, 6, 12.
CHELIDONIUM MAJUS
Chel.
1x, 3x, 3.
LIST OF REMEDIES AND ATTENUATIONS.
57
CHIMAPHILA
Chim.
Φ.
CHINA
Chin.
p, 1x, 3x.
CHININUM SULPHURICUM (QUIN-
INE)
Chin.-Sulph.
1-6.
CICUTA VIROSA
Cic.
1, 3x.
CIMICIFUGA
Cimic.
p, 1x, 3x.
CINA
Cin.
1x, 3x, 6.
CISTUS CANADENSIS
Cist.-Can.
1x, 1.
CLEMATIS
Clem.
1x, 1, 3x.
COCCULUS INDICUS
Cocc
4, 1x, 3x.
COFFEA
Coff.
3x, 3, 6.
COLCHICUM
Colch.
4, 1x, 3x.
COLLINSONIA CANADENSIS
Collin.
P, 3x.
COLOCYNTHIS
Coloc.
1x, 3x, 6.
CONIUM
Coni.
, 1x, 3x, 6, 12.
COPAIBA
Copa.
1x, 1.
CORALLIA
Coral.
6, 12.
CROCUS SATIVUS
Croc.
3x, 3.
CROTON TIGLIUM
Crot. Tig.
•
1, 3x.
CUPRUM METALLICUM
Cup.-M.
CYCLAMEN
Cycla.
3x, 3, 6.
3x, 3.
DIGITALIS
Dig.
, 1x, 3x.
DIOSCOREA VILLOSA
Dios.
4, 1x, 3x.
DROSERA
Dros.
9, 1x, 3x, 3.
DULCAMARA
Dulc.
1x, 3x, 3.
ELATERIUM
Elat.
1, 3x.
ELAPS
Elaps
7 or 8 (lowest procurable).
EUPATORIUM PERFOLIATUM
Eup.-Per.
p, 1x, 3x.
PURPUREUM
Eup.-Pur.
1, 3x.
EUPHORBIUM
Euphor.
3x.
EUPHRASIA
Euphr.
1x, 3x, 6; o diluted for ext.
FERRUM METALLICUM
Ferr.-M.
MURIATICUM
PHOSPHORICUM
>>
5.
use.
Ferr.-Mur. 9, 1x, 3x.
Ferr.-Phos. 1, 3x.
REDACTUM
Ferr.-Red.
9, 1x.
GELSEMINUM
Gels.
9, 1x, 3x.
In facial neural-
gia, the
tincture acts
very quickly.
GLONOINE
GRAPHITES
Glon.
3x, 3.
Graph.
2, 6, 12.
HAMAMELIS VIRGINICA
Ham.
1x, 3x; & ext. (see F.F, 5
and 35).
HELLEBORUS NIGER
Hell,
1x, 3,
58
LIST OF REMEDIES AND ATTENUATIONS.
HELONIAS DIOICA
Helon.
Φ,
, 1x.
HEPAR SULPHURIS
Hep.-S.
2x, 3x, 3, 6.
HYDRASTIS CANADENSIS
Hydras.
4, 1x, 3x, 3 (see F. 33).
HYOSCYAMUS NIGER
Hyos.
4, 1x, 3x, 3.
HYPERICUM PERFORATUM
Hyper.
1x.
IGNATIA AMARA
Ign.
p, 1x, 3x, 3, 6.
IODIUM
Iod.
1x, 1, 3x.
IPECACUANHA
Ipec.
9, 1x, 3x.
IRIS VERSICOLOR
Iris.
p, 1x, 3x.
KALI BICHROMICUM
K.-Bich.
1, 3x, 3.
BROMIDUM
K.-Brom.
9, 1x.
CARBONICUM
K.-Carb.
6, 12.
CHLORATUM
K.-Chlor.
1, 3x, 3.
HYDRIODICUM
K.-Hyd.
p, 1x, 3x.
NITRICUM
K.-Nit.
1x, 3x.
PERMANGANICUM
KREASOTUM
K.-Permang.
Kreas.
(The salt as an injection-
F. 15; and as a gargle-
F. 24).
1, 3x, 6, 12. For external
use, one drop of pure
tincture to 80 of water.
6, 12.
LACHESIS
Lach.
LAUROCERASUS
Lauro.
1x, 3x.
LEDUM PALUSTRE
Led.-Pal.
1, 3x; & ext.
LEPTANDRA VIRGINICA
Leptand.
1x, 3x.
LOBELIA INFLATA
Lob.
p, 1x, 3x.
LYCOPODIUM
Lyc.
3x, 3, 5, 6, 12, 30.
MANGANUM
Mang.
1x, 3x, 3.
MERCURIUS BINIODATUS
Merc.-Biniod. 1, 3x.
CORROSIVUS
Merc.-Cor.
2x, 3x, 3.
IODATUS
Merc.-Iod.
2x, 3x.
SOLUBILIS
Merc.-S.
1, 3x, 5, 6.
VIVUS
Merc.-V.
1, 3x, 5, 6.
MEZEREUM
Mez.
1x, 3x.
MILLEFOLIUM
Mill.
, 1x.
MOSCHUS
Mosch.
p, 1x, 3x, 6.
MUREX PURPUREA
Murex
NAJA
Naja
NATRUM CARBONICUM
Nat. -Carb.
có có cô
3.
6.
5, 12.
NATRUM MURIATICUM
Nat.-Mur.
6, 12.
NUPHAR LUTEA
Nuph.
1x, 3x.
NUX MOSCHATA
Nux Mosch.
3x.
LIST OF REMEDIES AND ATTENUATIONS.
59
NUX VOMICA
OLEANDER
Nux V.
Olean.
Opi.
1x, 1, 3x, 3, 6. The 6th dil.
is much prescribed for fla-
tulence, constipation, etc.,
and 6 to 12 for asthma.
4, 1x, 3x.
OPIUM
PETROLEUM
PHOSPHORUS
1x, 3x, 3, 30.
Pet. or Petrol. 3x.
Phos.
3x, 3, 6.
PHYTOLACCA DECANDRA
PLATINA
Phyto.
, 1x, 3x.
Plat.
3x, 5, 6, 12.
PLUMBUM
PODOPHYLLUM
PULSATILLA
Plumb.
3x, 3, 5.
Podoph.
9, 1x, 3x.
Puls.
4, 1x, 3x, 3, 6.
QUININE, see SULPHAS QUINÆ.
RANUNCULUS BULBOSUS
Ran. -Bulb.
4, 1x, 3x, 3.
RATANIA
Ratan.
1, 3x.
RHEUM
Rheum
1, 3x.
RHODODENDRON
Rhod.
1, 3x, 3.
RHUS TOXICODENDRON
Rhus.
1x, 3x, 3; ext. (see F. 23).
ROBINIA
Rob.
1x, 3x.
RUMEX CRISPus
Rumex
Φ.
RUTA GRAVEOLENS
Ruta
1, 3x; ext.
SABADILLA
Sabad.
1, 3x, 3.
SABINA
Sabi.
1x, 3x.
SAMBUCUS NIGER
Samb.
, 1x, 3x, 3.
SANGUINARIA CANADENSIS
Sang.
1x, 1, 3x.
SANTONINUM
Sant.
lx, 1.
SARSAPARILLA
Sars.
p, 3x.
SARZA
Sarz.
, lx.
SECALE CORNUTUM
Sec.
4, 1x, 3x, 3.
SENECIO
Senec.
P, 3x.
SENEGA
Seneg.
9, 1x, 3x.
SEPIA
Sep.
3x, 6, 12.
SILICIA
Sil.
3x, 6, 12.
SPIGELIA
Spig.
1x, 3x, 3, 6.
SPONGIA
Spong.
1x, 3x, 3.
STANNUM
Stann.
5, 6, 12.
STAPHYSAGRIA
Staph.
1x, 3x, 3, 6.
STRAMONIUM
Stram.
4, 1x, 3x, 3.
STRYCHNIA
Strych.
1, 3x, 6.
SULPHAS QUINE
Sulph. -Quin.
1x, 2x.
SULPHUR
Sulph.
ø, 3, 6, 12.
TABACUM
Tabac.
3x, 3, 6.
TARAXACUM
Tarax.
P.
60
LIST OF REMEDIES AND ATTENUATIONS.
TELLURIUM
TEREBINTHINA
TEUCRIUM
Tellur.
Tereb.
Teuc.
5, 6, 30.
, 1x, 3x.
1x, 3x; ext. Also the
dried herb, finely pow-
dered, taken as snuff in
polypus, etc.
3x, 6, 12; o ext.
THUJA OCCIDENTALIS
URANIUM NITRICUM
Thuja.
Uran.-Nit.
1x, 3x.
URTICA URENS
Urt.-U.
Φ,
9, 1 ; ext.
ф
UVA URSI
Uva
9, 1x, 3x.
VALERIANA
Val.
9, 1x.
VERATRUM ALBUM
Ver.-Alb.
1x, 3x, 3.
VIRIDE
>>
Ver.-Vir.
1x, 3x, 3; & ext.
VERBASCUM
Verbas.
4, 1x, 3x, 3.
VINCA MINOR
Vinca M.
9, 1x, 3x.
VIOLA ODORATA
Viola O.
p, 1x, 3x.
TRICOLOR
XANTHOXYLUM FRAXINEUM
ZINCUM METALLICUM
Viola Tric.
o, 1x, 3x.
Xanth.
p, 3x.
Zinc.
3x, 5.
:
¡
61
CHAPTER II.
POISONS (Venena).
THE word poison seems to have been originally a variation
of potion, and has come now by general consent and usage
to designate any substance having a deadly or noxious
action upon living beings. Some poisons act in minute,
others in comparatively large doses. The former are termed
deadly, being rapidly fatal in small doses.
The most primitive use of poisons was for the purpose
of
anointing arrows: the Greek word which denotes poison
(TOĘKÓV) deriving its origin from (Tótov), which signifies a
bow. This custom dates from the earliest antiquity, when
men earned their means of subsistence by the bow. Among
savage tribes the custom is prevalent to the present time.
Poisons have been arranged by toxicologists into three
groups according to their action upon the animal economy,
as follows:
I. IRRITANT POISONS, or those which produce irritation or
inflammation; as, the mineral acids, oxalic acid, arsenic,
mercury, copper, antimony, zinc, lead, baryta, and cantharides.
II. NARCOTIC POISONS, or those which produce stupor,
delirium, and other affections of the brain and nervous
system; as, opium, hydrocyanic acid, and poisonous gases.
III. NARCOTICO-ACRID POISONS, or those which produce
sometimes irritation, sometimes narcotism, sometimes both
together; these are chiefly derived from the vegetable king-
dom, as, strychnia, monkshood, and poisonous fungi.
62
POISONS.
But it is to be remembered that the chief irritant poisons
have, like the narcotics, a specific remote poisonous effect
upon the blood, nervous system, and body generally, besides
their local irritant operation upon the part to which they
are immediately applied.
In our observations on the most common poisons, our aim
has been to embody such practical points as are most neces-
sary to be remembered, taking the poisons in the order in
which they occur in the Nomenclature of Diseases. The
following is the list included in this chapter, with the page
on which the separate poison may be found.
LIST OF POISONS.-
Acids (Mineral)
Aconite-see Monkshood.
Alcohol.
Antimony
•
Arsenic
Belladona-see Deadly Night-
ahade.
Brandy and other Spirits-see
Hydrocyanic Acid-see Prussic
Acid.
Laudanum-see Opium.
Page
71
75-78
69, 70
Lead
•
62-65
Mercury
Monkshood.
Morphia-see Opium.
Mushrooms, etc.—see Fungi.
Page
66-68
65, 66
79
Alcohol.
Nux Vomica
•
Cantharis-see Spanish Fly.
Opium
Chloroform
78, 79
Oxalic Acid
Colchicum
80, 81
Phosphorus
Copper
68, 69
Prussic Acid
Corrosive Sublimate-see Mer-
Spanish Fly
82,83
73-75
71, 72
70
81, 82
84
cury.
Deadly Nightshade.
80
Spirits of Wine-see Alcohol.
Strychnia-see Nux Vomica.
Digitalis-see Foxglove.
Ether
78, 79
Tartar Emetic-see Antimony.
Vegetable Poisons
79-84
Foxglove
80
Verdigris-see Copper.
Fungi-Poisonous
83, 84
Vitriol (Oil of)—see Acids.
1-Arsenic (Arsenicum).
White Arsenic, or Arsenious Acid, is an intense irritant
poison, two grains having been known to destroy life. When
criminally employed, it is more commonly used for murder
ARSENIC.
63
than for suicide, is generally taken crude in some article of
food, and, in small quantities, has no appreciable taste. It
is sparingly soluble in cold water, two and a half parts only
being taken up by 1,000 parts of water.
SYMPTOMS. These come on, if the dose has been mode-
rately large, in about an hour after the poison is taken; but
the time and also the severity of the symptoms vary accord-
ing to the state of repletion of the stomach at the time, and
the digestibility of the vehicle in which it is swallowed.
There is great pain and burning heat in the stomach, an
incessant desire for cold drinks, and violent vomiting. By
vomiting, much of the poison may be ejected, together with
the common contents of the stomach, and a great deal of
mucus, which is probably secreted as a defence. In fatal
cases the countenance becomes pale, sunken, and expresses
great torture and anxiety; the pulse becomes small, feeble,
rapid, and soon imperceptible. The pain spreads over the
abdomen, which becomes tense and tender, sometimes swollen,
sometimes drawn in at the navel; diarrhoea comes on with
severe tenesmus, and sometimes bloody evacuations; there is
also strangury, priapism, and congestion of the testicles.
Finally, difficulty of breathing supervenes, the conjunctivæ
become dry, red, and injected, and delirium, stupor, or con-
vulsions precede death, which usually occurs on the third
day, unless a large quantity has been taken, when the patient
sinks in twenty-four hours, and suffers much less.
If the patient survive the third day, or has had small doses.
frequently repeated, he will suffer from muco-enteritis and
gastritis. Even if he finally recover, he will long suffer from
pain in the abdomen, imperfect digestion, sickness, emacia-
tion, falling off of the hair, and other symptoms of chronic
arsenical poisoning.
TREATMENT.—Evacuate the contents of the stomach by an
emetic (3j zinci sulph.); this is better than the stomach-
64
POISONS.
pump, because arsenic is heavy and insoluble, and would not
probably be washed up. If, however, vomiting be already
severe, fluids (cold, never warm) are only necessary to be given
to assist in clearing the stomach; the best being milk, which
is bland, and may partly coagulate in the stomach and enve-
lope the poison. This may be given both before and after
the vomiting has begun. A dose of castor oil to clear away
any of the poison that has left the stomach and entered the
bowel, may be of service. Linseed tea and other farinaceous
decoctions are also useful; they may be thickened with
magnesia, with which arsenic forms an insoluble compound.
A chief source of danger in arsenical poisoning is the want
of any effectual antidote; the Hydrated Peroxide of Iron,
which may be produced in a moment by addition of Liq.
Ammonia to Tincture of Iron, has the most repute, but is so
little to be depended on that it should be postponed until
after the stomach has been cleared as far as possible by
vomiting. Poultices and fomentations should be applied
over the abdomen.
ARSENICAL WALL-PAPERS.-This subject is occupying much
public attention; and unquestionably a very large number of
affections have of late been clearly traced by the profession.
to this cause, while Dr. Stenhouse and others have, on
analysis, discovered in these papers quantities of arsenic,
varying from a trace to 14 grains to the square foot.
Flannels and other fabrics are also said to be coloured by
means of arsenic. The prominent symptoms induced are:
Eyes-bloodshot, sore, smarting; Nose-irritation of mucous
membrane; Mouth-soreness, ulcers; Face and Teeth-
neuralgic pains; Throat-soreness, dryness; Lungs-bron-
chial affections; Stomach and Bowels-indigestion, thirst,
retching, vomiting, diarrhoea, dysentery; Skin-irritation,
eruptions, boils; Muscles and Bones-sufferings simulating
rheumatic; Brain and Nervous System-irritation, occasion-
MERCURY.
65
ing great irritability of temper; depression of spirits;
neuralgia; general prostration, and slow emaciation. The
Turkish-bath is said to be a valuable agent in eliminating
the poison, but medical advice should be sought."
2.-Mercury (Hydrargyrus).
The most common mercurial poison is the bi-chloride-
corrosive sublimate. In its action it differs from arsenious acid
by being a chemical corrosive, combining with the albumen
of the tissues; but it has also, like arsenic, a specific remote
poisonous effect.
SYMPTOMS.-A horribly nauseous metallic taste, detected at
the time of swallowing, and great constriction of the fauces.
and œsophagus, rendering even the swallowing of the anti-
dote most difficult; the epithelium of the mouth and throat
becomes white, shrivelled, and detached. The pain in the
stomach, and vomiting, come on earlier than from arsenic,
and blood is more likely to be brought up; the countenance
becomes turgid and congested, whereas from arsenic it is pale,
contracted, and ghastly. Strangury, too, is a more marked
symptom, because the corrosive sublimate, being more soluble,
enters the circulation freely, and reaches the kidneys;
whereas arsenic, remaining in the alimentary canal, causes
its chief sufferings there; and, passing down to the rectum,
renders tenesmus a more prominent symptom. If recovery
take place from mercurial poisoning, salivation first occurs.
There is but little difference in the fatality of corrosive subli-
mate and arsenic-two or three grains of either may destroy
life.
TREATMENT. This differs radically from that of arsenic,
inasmuch as we have an effectual antidote, which should,
therefore, be administered immediately: this is the whites.
and yolks of eggs, beaten up together. They convert the
¹ Vide H. World, May, June, and July, 1871.
66
POISONS.
bichloride of mercury into a double chloride of mercury and
albumen. If eggs cannot be had, a thin paste of flour and
water may be substituted,-the gluten acting for albumen.
Milk may also be given as a substitute. Afterwards, bland
fluids, and other treatment, according to the requirements
of the case.
For the Salivation which follows, we have several reme-
dies: Nitric Acid (two drops of the dilute acid in a little
water, two or three times daily; also gargles of lukewarm
water, acidulated with the acid); Sulphuric Acid (also inter-
nally and as a gargle); Alum in solution (3ij of the powder to
ziv of water, sweetened with a little honey) for a gargle. The
patient should be warmly covered, and have all the nourish-
ment he can take in the way of bread-and-milk, broths.
and soups. Chlorate of Potash is also recommended for its
beneficial influence in salivation, and is used both internally
and as a gargle. Hepar Sulph. is an efficient remedy for
chronic mercurial eruptions and ulcers; Nux V. for mercurial
tremor and paralysis; Ars., Iod., etc., for the affections of the
bowels; Aurum for mercurial cachexia, bone disease, etc.
The latter symptoms are those of chronic mercurial poison-
ing, such as occurs in looking-glass makers, or from any
other continued exposure to mercurial vapours.
3.-Lead (Plumbum).
The most common form of Lead-poisoning is the chronic, as
seen in house-painters, glaziers, and others who use lead in
their trades, or work in lead mines, or who habitually drink
water, cider, or other liquids contaminated with it. In the
case of painters, that variety of paint which gives a dead or
non-glistening surface is the most poisonous, from its being
mixed with a large quantity of turpentine, which, passing off
by evaporation, carries with it a portion of the lead; this
LEAD.
67
becomes inhaled or mixed with the saliva, received into the
stomach, or, settling on the skin, is absorbed. In such cases
the source of the lead may be little suspected. Cases are no
unfrequent among ships' cooks, who stand constantly with.
naked feet on a sheet of lead before the galley fire; and
charwomen may be affected from frequently washing stairs
covered with sheet-load, as in some inferior hotels.
SYMPTOMS. Habitual constipation, and occasional severe
colic; paralysis of the extensor muscles of the forearm, so that
the hands hang down by their own weight (drop-urist), the
patient having no power to raise them; there is also general
chilliness, pallor, and emaciation; the vessels are contracted,
and the blood becomes deficient in red corpuscles. The palsy
is at first local, but if the cause be not avoided, the patients
fall into a state of general cachexia, become miserable cripples,
and eventually sink under disease of some vital organ.
striking diagnostic sign of lead-poisoning is the existence of
a dark blue line round the edges of the gums, most marked in
the lower jaw. This line is probably caused by a deposit of
sulphuret-of-lead in the gum-tissue, the sulphuret being
produced by the sulphur evolved from fragments of food
becoming decomposed in the clefts of the teeth, and acting
on the salt of lead in the blood.
A
On dissection and analysis, the lead may be found in the
tissue of the nerves and muscles.
TREATMENT.-Iodide of Potassium¹ is useful to remove the
lead from the system in the form of the iodide in the urine;
for although iodide of lead is insoluble in water it is soluble
in urine and other fluids of the body. Another method is to
give frequent doses of Mag. Sulph. (Epsom Salts), with excess
1 'In cases of Lead-poisoning," writes Dr. Newton, I greatly prefer the
following treatment to the Iodide of Potassium: Merc. -Sol. 1, gr. ij morning
and night, and Nux V. 1 trit. gr. ij twice daily. By this method we avoid
the depression of spirits and loss of appetite which the Iodide brings on."
68
POISONS.
of Sulphuric Acid. For lead-colic-Opium, Alumina, Plat.,
Bell. or Sulph. Ac., with the warm bath, is the best treatment.
PREVENTIVE MEASURES are, chiefly, great cleanliness, using
soap and water at frequent intervals, especially for the face,
hands, and nails; and avoidance of taking food in the work-
rooms or mines; or food which has been allowed to remain
therein. The entrance of the poison into the air-passages
should be guarded against by working with the mouth closed,
or wearing a fine respirator; and the habitual use of a drink
resembling lemonade, but acidulated with Sulphurous Acid,
as provided for the artisans in some lead works, are probably
the best means of correcting the morbid influence via the
stomach.
The same antidote may also be used against Sugar-of-lead
-a salt not infrequently used for poisoning-the Magnesia
Sulphas in this instance forms an insoluble and inert sulphate
of lead.1
4.-Copper (Cuprum).
Poisoning from this metal usually occurs from food cooked
in imperfectly-cleaned copper or brass vessels; the metal
becomes oxidized, and then, not only the vegetable acids,
such as vinegar and pickles, but also oils and fats of greasy
foods, as hashes and stews, from the fatty acids they contain,
dissolve the metal, and form acrid, irritant, poisonous com-
pounds, such as Verdigris-the diacetate of copper, etc.
SYMPTOMS. They resemble those caused by arsenic and
corrosive sublimate, with some peculiar to the metal itself,
especially violent headache, then vomiting, and cutting pains
in the bowels, and afterwards cramps in the legs, pains in the
1
¹ It is important to remember that all substances which are insoluble are not
also inert; for although insoluble in water, they may be dissolved in the fluids
of the mouth, stomach, or other parts of the body. Of this, Calomel may be
cited as an illustration.
COPPER-ANTIMONY.
69
thighs, etc. Death is generally preceded by convulsions and
insensibility. A chronic form of poisoning has occurred from
the water on shipboard being contaminated by copper: in
such cases the perspiration of the infected person has stained
the linen of a greenish hue.
TREATMENT.—The best antidote in acute poisoning is
albumen-the whites and yolks of eggs, beaten up, and ad-
ministered, to form an insoluble compound with the copper
salt. In the absence of eggs, a thin paste of flour and
water may be used.
5.—Antimony (Antimonium).
Poisoning with antimony is uncommon, but it does some-
times occur in the allopathic employment of Tartar Emetic;
or from the antimonial wine being accidentally swallowed.
In consequence of the largest doses of antimony being power-
ful emetics, the poison in this form is generally rejected, and
little harm follows; it is the chronic form of poisoning, the
metal being continually taken in small doses, that is most to
be feared; and this insidious plan has sometimes been
adopted by slow poisoners, to produce symptoms analagous
to those of internal visceral disease, so that, when they
finally destroy their victims by arsenic or some other more
deadly means, less suspicion may arise. Suspicion should
therefore be always entertained when a patient is, without
evident cause, constantly sick on receiving his food or
medicine through the instrumentality of one particular
individual.
SYMPTOMS. From moderate doses, a strong metallic taste.
in the mouth; great heat and constriction of the throat,
violent burning pains in the stomach, followed by violent
vomiting and purging and extreme depression of the circula-
tion.
F
70
POISONS.
TREATMENT.-Large draughts of warm water, and tickling
the throat to induce vomiting; at the same time a decoction
of cinchonæ, oak-bark, tannin, or even strong tea, should
be prepared and diligently administered, to decompose the
poison.
6. Phosphorus (Phosphorus).
Vermin-poison is often a compound of Phosphorus and
common grease, and may be taken accidentally or by design.
SYMPTOMS.-Phosphorus is an irritant poison, speedily
producing pain in the stomach and vomiting, the matters
ejected having a garlicky smell, and if thrown up in the dark
are luminous. The pain spreads over the body, and, after
much suffering, the person usually dies within a few days.
On post-mortem, the liver is found in a state of fatty degene-
ration.
TREATMENT.-A speedy emetic, and directly afterwards
magnesia in linseed tea or other bland fluid, to neutralize
the phosphoric acid which is liable to form in the bowels;
with poultices to the region of the stomach and liver. It
should be observed that neither for phosphorus nor for can-
tharides should oils be given, as both are soluble in oils;
although, as a rule, olive-oil is one of the blandest of fluids.
that can be taken in cases of irritation of the bowels, and is
also slightly laxative.
The fumes of phosphorus sometimes cause, in lucifer-match
makers, necrosis of bone, especially of the lower jaw. In
these cases the fumes act through the blood, and not, as some
have fancied, through a hollow tooth. The treatment of this
and other forms of chronic poisoning should be confided to
professional skill.
ACIDS-OXALIC ACID.
71
7. Acids (Acida).
The chief of the strong mineral acids are the sulphuric,
often called oil of vitriol, the nitric, and the hydro-chloric or
muriatic (aqua fortis).
SYMPTOMS.-When attempted to be swallowed, the strong
acids are usually ejected spasmodically from the pharynx,
just as boiling water is; but they may still be quickly fatal
from asphyxia, caused by swelling of the larynx from effu-
sion under the mucous membrane; or the patient may die,
after weeks or months, from stricture of the upper part of
the œsophagus. If the acids reach the stomach they will
produce horrible pain, and vomiting of dark, altered blood,
and fœtid eructations. They are corrosive poisons, decom-
posing the tissues, causing rapid, small pulse, and such great
depression that the patient sinks and dies. They have, also,
a remote specific poisonous effect if taken persistently in
moderate doses; but with large doses the symptoms and
fatal effect are consequent on local injury.
If nitric acid have been taken, there will be yellowish stains
on the lips; if sulphuric, brownish, and the teeth will be
blackened; and in any case there will be a white, shrivelled,
and detached state of the epithelium of the mouth and fauces,
and probably dark red, corroded stains on the clothes.
TREATMENT.-Slaked lime, chalk, or magnesia; or in de-
fault of these, the plaster of the apartment may be scraped
down and made into thin paste with water. Afterwards
bland, mucilaginous, and oily fluids, and a poultice externally.
8.-Oxalic Acid (Acidum Oxalicum).
This is a common rapid poison, often mistaken for Epsom
salts and zinci sulph.; but it may be useful to know that the
three are readily distinguished by their taste-a crystal or
72
POISONS.
two, or a drop or two of the solution, being placed on the
tongue; for sulphate of magnesia is bitter, sulphate of zinc is
styptic, and oxalic acid is sour and nauseous. It is used as a
cleaner and bleacher, and to remove ironmould, etc., and is
far too readily sold in the shops to any purchaser. As a
poison it is usually taken, like Epsom salts, in large doses—
3ss or more, partially dissolved in water.
SYMPTOMS.-Excessive irritation, burning pain, and, gene-
rally, violent vomiting, by which often blood is brought up;
feebleness or total failure of the pulse; cold, clammy skin;
great anxiety, and occasionally convulsions, the patient dying
sometimes in half-an-hour, and generally within seven or
eight hours, suffering dreadfully all the time. It has a
remote specific poisonous effect.
TREATMENT.—Although a rapid and deadly poison, many
recover on account of the largeness of the dose, which leads to
a speedy and copious vomiting, so that much of it is ejected.
The antidote, too, is well known, readily available, and effec-
tual. It is carbonate of lime in any form it can be obtained
-creta preparata, plaster scraped from the ceiling, or common.
whitening, given mixed in a small quantity of water. It
should be observed that the limit to the quantity of water is
important, and applies to nearly all poisons, for too much.
diluent drink tends to dissolve a poison, to spread it over the
stomach, and to promote its absorption. In the absence of
carbonate of lime, magnesia might be used, but not the alka-
lies-potash or soda-which would only form soluble salts,
that would enter the circulation and prove poisonous. After
the antidote, bland mucilaginous fluids may be given, and
the abdomen covered with a poultice.
OPIUM.
73
!
9.-Opium (Opium).
It is important to distinguish between opium-poisoning
and primary apoplexy. The chief differences are tabulated
as follows:-
OPIUM-POISONING.
1. Occurs chiefly in young persons,
especially females, of violent passions.
2. If taken with a meal, as in
beer, the symptoms would not arise
for half-an-hour.
3. The symptoms come on grad-
ually.
4. The patient can be roused.
5. The face may be very pale and
sunken or bloated.
6. The breathing is deep but quiet.
7. Pulse small and of natural fre-
quency.
8. Is usually fatal between the
seventh and twelfth hours.
(Primary) APOPLEXY.
1. Occurs mostly in persons ad-
vanced in life, generally of full habit.
2. Is often the immediate con-
sequence of over-repletion of the
stomach.
3. The symptoms occur suddenly.
4. The patient cannot be roused.
5. The face is turgid and con-
gested.
6. The breathing is stertorous.
7. Pulse slow, full, and labouring.
8. Is usually fatal earlier or later
than opium-poisoning.
Morphia, the principal alkaloid of opium, acts similarly.
Narcotine is an excitant, increasing the frequency of the
pulse and raising the temperature. Thebaine excites the
upper portion of the cord, Narceine the lumbar portion
of it.
DIAGNOSIS is also to be made from Intoxication, which
produces similar symptoms, but here the odour of spirit can
generally be detected in the breath; also from the narcotism
of uremic poisoning from diseased kidneys: in the latter case
puffiness of the eyelids, and albumen in the urine, will dis-
tinguish the cases.
One of the most common uses of opium is for the quieting
of children : for this purpose it is usually given as Laudanum,
74
POISONS.
Paregoric, or soothing-syrup. Any mother, nurse, or baby-
farmer, using these substances, ought to be treated as a
criminal; if it were so, hundreds of children would be
saved who are now more or less slowly poisoned, either by
design, mistake, or over-dosing. The nervous irritability,
fretfulness, and sleeplessness for which these drugs are given,
find in homoeopathy certain and harmless remedies.
SYMPTOMS.-In addition to those stated in the table, the
person lies quite still, with free perspiration, insensibility to
external impressions, closed eyes, increasing slowness of res-
piration, the whole expression being indicative of deep and
perfect repose. The differences just tabulated are most
marked in the beginning of a case of poisoning by opium, for
afterwards congestion of the brain and effusion come on, with
even stertorous breathing, and the case then more resembles
one of apoplexy. If the patient recover, the sopor is attended.
by prolonged sleep-twenty-four to thirty-six hours-after
which nausea, vomiting, giddiness, and loathing of food, take
place.
TREATMENT.—The primary object is to remove the poison
from the stomach, and is best accomplished by washing it out
by the stomach-pump. This treatment is better adapted to
opium than to any other poison, because it is usually taken in
the liquid state of Laudanum, which narcotizes the nervous
system, and renders it almost insensible to emetics. A gag
should first be placed between the jaws, and the tongue
pressed back to place the epiglottis over the larynx, and then
a flexible but not elastic pipe, previously softened in warm
water, and lubricated with butter, passed down. About a
pint of warm water is to be pumped into the stomach, and
then nearly as much withdrawn; this should be repeated till
the water returns clear. In default of a stomach-pump, or
where solid opium has been taken, a non-nauseant emetic should
be given, as 3ss Zinci Sulph. It may be here mentioned
OPIUM-ALCOHOL.
75
that a suitable emetic may be readily found in common mus-
tard-flour, a dessert-spoonful of which may be given in cold
water; for this, as well as sulphate of zinc, is a direct emetic,
acting quickly, and without the preceding nausea that anti-
mony and ipecacuanha usually produce. For children, how-
ever, the proper emetic would be tartarized antimony, about
gr.-ss in a little water, and sweetened with syrup. The next
object is to keep the patient constantly roused, by dashing cold
water over the head and face, and by keeping him walking
between two strong persons; this both keeps him awake,
and, by promoting respiration and circulation, expedites the
elimination of the poison from the system. Considerable
time must elapse before the patient is allowed to sleep, and
then he should be wakened up as soon as he snores.
In desperate cases, artificial respiration (see pp. 601-3) has
properly been resorted to. When the poison has been re-
moved, a decoction of coffee, in oft-repeated doses, is useful to
revive the patient, and to mitigate sickness and headache.
Coffee is an excellent anti-narcotic, and helps to keep awake
patients poisoned with opium.
10.-Alcohol (Alcohol).
It is important to be able to detect poisoning by large
potations of alcohol from poisoning by opium, and from
apoplexy, as the immediate treatment differs in each case.
The odour of the breath, and the history and circumstances
of an unconscious patient, may point to drunkenness as the
cause; but it should always be remembered that a drunken
person may have sustained an injury and ruptured his cere-
bral blood-vessels; or a drunken debauch may coincide with
the final break-up of the vessels within the cranium.
TREATMENT.—Narcotic poisoning from large doses of
alcohol or spirits-of-wine require the use of the stomach-
76
POISONS.
pump, cold affusion over the face and head, and warmth to
the cardiac region and the stomach; the circulation in the
extremities should also be promoted. If bad cases are neg-
lected, they may prove fatal.
One of the chief symptoms of poisoning by alcohol is
Delirium Tremens, which requires a fuller notice.
DELIRIUM TREMENS.-The physical action of alcohol,
whether taken in large, or in frequently-repeated small,
doses, induces changes partly of a chemical and partly of a
vital nature; the general nutrition of the body suffers, and
if the habit be long persisted in, an incurable cachexia
results. The multiform evils which the use of alcohol pro-
duces are so great that it may truly be stated, if alcohol had
never been known, a vast amount of sin and crime, and a
yet larger proportion of the poverty and misery now in the
world, would never have existed. It may be observed that
although the sugar and consequent production of wine is a
natural phenomenon, due to ordinary causes alone, the art of
distillation, by which the ardent spirit is educed, is a purely
human invention.
SYMPTOMS OF DELIRIUM TREMENS.-The disease may only
appear after a long course of alcoholic stimulation, or it may
be suddenly developed after a protracted debauch. The
earliest symptom is one of great mental and physical depres-
sion. The patient fancies he is haunted by spectres, and is
afraid to be alone. A state of excitement and delirium
follows, in which he becomes the victim of various painful
delusions, chiefly having reference to his business, which he
thinks is irretrievably ruined, or to his friends, whom he
believes to be plotting against him. Haunted by spectral
illusions and imaginary horrors, he desires to get up, and
often makes violent efforts to escape from foes and danger.
Sleep almost wholly forsakes him; he becomes restless,
trembles, and is frequently endeavouring to change his
•
I
|
ALCOHOL.
77
posture; he declares that rats, mice, beetles, etc., are about
his bed, that strangers are in the room, or that listeners are
at the door or concealed behind the curtains. The patient is,
however, easily subdued, and induced to remain quiet for a
time. His eyes are restless, and the conjunctivæ red and
injected; the face usually pale, but sometimes flushed and
wild-looking; the skin is commonly moist or clammy; the
pulse weak and compressible, the action of the heart is often
violent, and the tongue foul, with entire loss of appetite.
PATHOLOGICAL CAUSE.-The delirious affection is caused
by the direct action of alcohol upon the nervous system, and
not the result of the sudden withdrawal of the accustomed
stimulant. The experience derived from hospital practice,
or from prison discipline, abundantly proves that a person
who indulges very freely in stimulants may suddenly
abandon them without any risk. Indeed, as with other
poisons, the great danger to be feared arises from their
continued employment.
"I dare say you are all impressed with the general belief that
delirium tremens depends mainly on abstracting stimulants from a
person largely addicted to them. I will not say that it never depends
on that; but what is more certain is, that it is much more likely to
ensue when a person who is largely addicted to the use of stimulants
leaves off food. So long as a man keeps up both the eating and the
drinking, he is in little risk of delirium tremens. When either
suddenly he leaves off eating and takes to drinking, or when gradually
he diminishes his food and increases his drink, he is in the greatest
danger of that disease. So that we come to this-which may seem
paradoxical and immoral too,—that a man who both eats and drinks
too much is in less danger than a man who commits only one of those
excesses. The double fault is less mischievous than the single: the
eating counteracts the harm that would ensue from the drinking.
If we look about in society we may see this very plainly. There are
still many persons habitually engaged in too great eating and drink-
ing, doing both to excess; and they are in danger of breaking down
in various defects of digestion and the consequent disturbances, but
78
POISONS.
they are in no danger of delirium tremens. The people who are in
that danger, and show the evil effects of drinking in the most marked
form, are they who drink largely and eat little."-Clinical Lecture
by James Paget, F.R.S., at St. Bartholomew's.
TREATMENT. The immediate cause of danger is exhaustion;
hence the importance of supporting the strength by nutri-
tious, digestible diet, in a fluid form,-beef-tea, soups, yolk-
of-eggs, cocoa, etc., in small quantities frequently repeated.
"The stimulus of such a spice as cayenne pepper, given in
soup, on the atonic stomach, will have a favourable influence
on absorption " (Aitken). A cup of coffee is sometimes useful
to quiet the nervous excitement. The patient should remain
in a quiet, darkened room, and everything be done to induce
sleep, and obviate mental irritation. Skilful nursing is of
great importance. If nourishments are not administered, and
sleep does not succeed, the patient will sink from exhaustion.
The following remedies are useful at different stages of the
disease according to the symptoms present:-Stram., Hyos.,
Bell., Opi., Nux V. Except in the homoeopathic form, Opium
is not to be administered.
11.-Chloroform, Ether (Chloroform, Etherum).
If during the inhalation of chloroform, especially at the
commencement, the vapour be not well diluted with atmo-
spheric air, dangerous symptoms may arise, as syncope or
apnoea, or both at the same time.
TREATMENT.-Immediate exposure of the patient to currents.
of fresh air and cold affusion, the tongue being drawn forwards
to open the windpipe. If not quickly successful, artificial
respiration should be performed (see pages 601-3). If this be
commenced whilst the pulse is perceptible it is nearly always
successful; even if the heart be too feeble for its impulse to
be felt in the pulse at the wrist, it is often sufficient to restore
CHLOROFORM-
79
-MONKSHOOD.
its failing energies. If chloroform have been swallowed, the
stomach-pump is necessary; and afterwards Ammonia should
be given, or ten minims of Liq. Ammoniæ, diluted with forty
minims of water, may be injected into a vein of the arm, as
is now done in Australia after bites from the most venomous
serpents. The treatment of ether poisoning is the same.
VEGETABLE POISONS (Venena Vegetabilia).
Our English vegetable poisons produce, in different degrees,
two classes of symptoms:-1st, Irritation of the stomach and
bowels; and, 2nd, Disorder of the nervous system; as, in-
sensibility, delirium or convulsions, or palpitation of the
heart, etc. The most important are Aconite, Belladonna,
etc., as follows:
12.-Monkshood-Aconite (Aconitum).
This poison may be taken accidentally, as when the root is
dug up and eaten by mistake for horse-radish; it differs,
however, by being a smaller root, sooner breaking up into
fibres, and being externally of a brownish colour.
SYMPTOMS. The first effects are numbness and tingling in
the lips, mouth, and fauces; tingling and loss of all proper
sensation soon extends to the limbs and body generally, for
Aconite and its alkaloid, Aconitia, are sedatives to the nerves
of sensation; then constriction of the throat comes on, with
difficult and hurried breathing, and convulsions often precede
death.
TREATMENT.-In all cases of poisoning by Aconite, and
most other vegetables, the stomach is to be first cleared out
by an emetic, and then castor-oil or other purgative to clear
the intestines. Subsequent treatment must be regulated by
the symptoms, and may include coffee as an anti-narcotic,
bland fluids and poultices for abdominal irritation.
80
POISONS.
13.-Deadly Nightshade-Belladonna (Belladonna).
The berries of this plant are often gathered and eaten by
children, or even cooked in tarts.
SYMPTOMS. Dilatation of the pupils, indistinct vision, a
gay delirium like intoxication, an unsteady gait, an eruption
on the skin resembling that of scarlet fever, and then con-
striction of the fauces and other symptoms follow.
TREATMENT.-Same as for Aconite.
14.- Foxglove-Digitalis (Digitalis).
Poisoning is most likely to arise from too long persistence.
in the use of this drug, under allopathic medication.
SYMPTOMS.-Faintings; irregular, intermitting, or slow
and feeble pulse; headache and vomiting, etc.
TREATMENT.—Similar to Aconite. If a large dose have
been swallowed, an emetic should be speedily given, and in
any case, the patient must be kept perfectly horizontal, and
wine or brandy given him.
15.-Colchicum (Colchicum).
Cases of poisoning by this medicine are most likely to
arise from taking too large doses of the wine or other pre-
parations of the drug, or from continued doses, producing
gradual toxication.
SYMPTOMS.-These much resemble those of tartarised anti-
mony, there being great nausea, sickness, purging, and
depression of the heart's action. Both these drugs are used
for insidious poisoning, because the symptoms closely resemble
PRUSSIC ACID.
81
those of natural illness. Antimony might, however, be
detected in the urine by Sulph. Hydrogen, which throws
down an orange-coloured precipitate.
TREATMENT.-Same as for Aconite.
16.-Prussic Acid (Acidum hydrocyanicum).
SYMPTOMS. This acts as a direct sedative, and is the most
rapid of all poisons, producing almost immediate insensibility
and very speedy death, with or without convulsions, and
without producing marked effect on any special organ. The
scream or shriek usually heard in animals directly its effects
begin have not been noticed in man. Death occurs by
paralysis of the muscles of inspiration, the heart struggling to
beat to the end. It is a potent sedative to the brain and
spinal cord, and especially on the respiratory ganglion and
tract; the former being in the Olivary bodies of the medulla
oblongata, and the latter extending thence through the
upper part of the spinal marrow. The poison reaches these
bodies through the circulation, little more than a quarter of
a minute being sufficient to diffuse it over the whole body
by the blood. It is also extremely volatile, and becoming
instantly gaseous by the heat of the stomach, it immediately
enters the blood by endosmosis.
2
On a post-mortem, the eyes have a remarkably bright life-
like appearance, and on first opening the abdomen the odour
1 Slow poisoners have often begun with Antimony or Colchicum, and then
finished off their victims with Arsenic.
A proof of the action of this acid being mainly on the medulla oblongata
and pneumogastric nerve-the incident nerve of inspiration, supplying the
stomach as well as the lungs-is its use in allaying hooping-cough and other
nervous coughs, too rapid breathing, and those palpitations of the heart or
arteries which are symptomatic of indigestion. It is, however, no direct
sedative to the heart, and would be useless, or have a mere evanescent action,
in organic cardiac disease, or aneurism.
:
82
POISONS.
of the acid, which resembles that of bitter almonds, may be
perceived; the blood is fluid, as after most sudden deaths,
and the mucous-membrane of the stomach is found of a rosy
appearance.
TREATMENT.—It is exceedingly rare for a person to recover
from a really dangerous dose; and the smallest fatal dose is
said to have been 40 minims; but if present when it is taken
we should immediately perform cold affusion by dashing water
over the face and head, and pouring it from a height from
a jug on the back of the head, neck, and spine; at the same
time Ammonia, in any form, should be administered; it acts
physiologically, counteracting the sedative effect of the poison,
and as the heart is not paralysed, if respiration can be re-
stored, the patient may survive. A chemical antidote is Aqua
Chlorinii, or the watery solution of Chlorine, which decom-
poses the acid by taking its hydrogen; another is, probably,
the Sulphate of Iron. Emetics are of no use, in consequence
of the volatility of the poison, which becomes a gas by the
heat of the body directly it enters the stomach, and so
instantly penetrates the blood.
The volatile oil of bitter almonds, and the cherry-laurel
water (Aqua Laurocerasi) contain Hydrocyanic Acid, and
also the Cyanide of Potassium-a white salt used in photogra-
phy-is a deadly poison, yielding Hydroc. Acid directly it
touches water. For this, a solution of Sulphate of Iron has
been found to be an efficient antidote.
17.-Nux Vomica-Strychnia (Nux Vomica).
Next to Prussic Acid, this is the most energetic of poisons,
except, perhaps, that of some venomous reptiles, as the Cobra.
SYMPTOMS.-A condition of spasm resembling tetanus, but
more convulsive and paroxysmal, with distressing sufferings,
opisthotonus, rigidity of the abdominal muscles, and death
NUX VOMICA-POISONOUS FUNGI.
83
in from twenty minutes to two hours, from spasm of the
diaphragm and other respiratory muscles.
TREATMENT.-If the patient be seen before the spasms set
in, the stomach should be cleared by an emetic; after the
spasms have commenced this will be scarcely possible, and
sedatives must be used-the inhalation of Chloroform; or
Tobacco enema, or extract of Indian Hemp, or of Calabar Bean.
Powdered Charcoal, it is said, will combine with the particles
of the alkaloid Strychnia, and prevent its absorption; and
cold may be applied to the spine by pounded ice in a bullock's
gut or an elastic tube. Dr. W. H. Burt records a case of
poisoning by Strychnine in which the spasms were most
frightful, and the respiration nearly suspended, cured by
Ver.-Vir., the tetanic spasms being soon relaxed, and the
patient well in three days. Nearly a teaspoonful was imme-
diately given, afterwards two drops every ten minutes.-
(The United States Med. & Surg. Journ., April, 1872.)
18. Poisonous Fungi (Fungi Venenati).
Poisoning from these substances is not often difficult to
detect: the symptoms occurring after a meal at which some
suspicious substance, as mushrooms, have been eaten; and if
several persons are attacked at the same time, after partaking
of some common meal, the suspicion of poison scarcely needs
further confirmation.
SYMPTOMS.-Chiefly those of bowel irritation, with great
depression. The symptoms do not often come on for several
hours after the poisonous substance has been eaten: the active
principle apparently not being digested till it reaches the
duodenum, so that it is absorbed by the bowels, and not by
the stomach.
TREATMENT.—If a patient be seen soon after the poison has
been ingested, emetics are of great value; if not till the poison
84
POISONS.
has passed the stomach, purgatives to expedite its removal.
from the system. Poultices, etc., may be applied to the
abdomen.
19.-Spanish Fly (Cantharis).
SYMPTOMS.-Poisonous doses of cantharides produce stran-
gury, bloody urine, priapism, sometimes aphrodisia, diminu-
tion or suppression of urine, and, finally, convulsions and
death.
TREATMENT.—If vomiting have not already taken place, an
emetic should be given, but no oils. To relieve the stran-
gury left after the poison has been ejected or eliminated,
oleaginous and demulcent injections into the bladder are
useful; a warm bath is also a valuable auxiliary. Subse-
quently, the administration of Camphor will remove the
urinary difficulties consequent on an over-dose of cantharides.
UNIV. C
DEC 19 1912
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