A 575038




ýFl
Ono*






cii
4$',        -
Its"
t
K2 'KS
Vt
9




S




, 757ý


TAN






U. ** *
'K








CONSUMPTIO1I
TREATED HOM(EOPATHICALLY.
*ROM TH3 GiBBMLNA. 1-,
BY
A. BECKER, M.D.
NEW-YORK:  4
WILLIAM RADDE, 322 BROADWAY,
18471.




Entered, according to Act of Congress, in the year 1847, by
WILLIAMt RADDE.
fn the Clerk's Office, of the District Court, for the Southern District
of New-York.


R&. Ludwig& Vdetar,
70 Ysss)-u5




PREFACE.
TnE number of medicines which have been tested
for the purposes of homoeopathic cure, is already
very large, and in consequence of the rapid growth
of the new school, we may fairly expect that many
more will yet be added.
It is highly desirable to have abundance of welltested drugs at hand at the bedside, the pathogenetic effects of which have been investigated not
by a few, but many enquirers, according to a certain and well-approved method.
The larger, however, the number of remedies,
the greater the difficulty in selecting the right one
at the bedside.
Aware of this, many distinguished men have
sought in various ways to obviate this difficulty.
Not one has been entirely successful: some have
individualized the groups of symptoms too much;
others again, who presented a shorter totality, were
deficient in special particulars.
In consequence of this, Dr. Hartmann wrote his
admirable work on "Acute Diseases," which, however, includes a few of a chronic character. According to my opinion, more works of this kind
should appear, which would be for the future more
valuable than additions to the Materia Medica.
I may be permitted to submit to the beginners in
homoeopathy my ideas regarding the manner in




iv.                PREFACE.
which a homceopathic therapia ought to be modelled, if it is to correspond with the spirit of this
mode of treatment, i. c. if everything is to be
based on facts, if every conclusion is to be drawn
from observations before us, enabling the reader to
search for the truth of such conclusions.
To carry out this idea, I have chosen a chronic
disease: consumption of the respiratory organs.
I have omitted the pathology of this species of
disease, because it is to be found in all the therapeutical works of the old school. I, therefore,
submit fragments only.
In so far I would bespeak the leniency of critics,
is to remind them that a physician, in full practice,
nust steal the time for literary labors; while I.vould also desire that they should faithfully expose
tvhatever they may find deviating from pure experience. Bandying words is worse than useless; but
pointing out errors can only be productive of good,
both to the author and to science.
DR. RUCKERT.




INTRODUCTION,
No disease more frequently undermiines the
young life in its first bloom; no disease is
so generally diffused amongst mankindamongst all nations, ranks, and ages, as consumption in its various forms, which is more
destructive and fatal than the much-dreaded
Asiatic cholera. The fifth part of mankind
is sacrificed to it!
There is hardly a disease against which
more remedies, more different modes of
treatment have been invented, and in none
has the result been less favorable than in
this; and yet, what disease is the young
physician more frequently called upon to
treat than consumption?
Hardly has he had time to select the field
of his labors, and settle down, when those
wretched objects, who could find relief nowhere, approach to seek it of him. It is
very discouraging to him that he should have
to build up his professional reputation on the
treatment of such patients, knowing, as he
does beforehand, that he will reap very little
glory for his labors.


I




vi.


INTRODUCTION.


It should, therefore, be the constant endeavor of practitioners to elevate the present
standard of the therapeutics of this disease.
Wiih this view, I herewith attempt to
contribute a few stones towards the erection
of the future great edifice, in the hope of
possibly rendering assistance to practical beginners in their new career.
But I am disposed to shrink from the undertaking, when I consider what eminent
men in ancient and modern times have
worked at this edifice, and when I look
back at the experience and investigations of
such men as Bayle, Lorinser, Louis, Berends,
Laennec, Autenrieth, Philipp and many
others.
A Laennec dares to form an accurate diagnosis of the abnormal condition of the
thoracic viscera, by examining the voice,
respiration, and circulation in a small compass; dares to declare, by means of his
stethoscope, whether tubercles or ulcers exist in the lungs,,qid even determines their
form and size, and whether they are on the
increase or decrease.
Laennec has, also, attempted to render
more complete and practical the means of
diagnozing by percussion.
I-ow invaluable to pathological anatomy
are the labors of Bayle, Laennec, Hastings,
Louis, etc.!




INTRODUCTION.          vii.
As manifold as these pathologico-anatomical results, are the views entertained respecting the formation of tubercles in the
lungs, the origin of the various forms of
pulmonary consumption, and their nosological order. Amongst the many writers on
the subject, every one entertains his own
views with regard to those points.
The majority of physicians agree as to
the existence of a phthisical disposition in
the system, and the possibility of its transmission in a family, from generation to generation, yet some deny this; Louis and Denis,
for instance.
Gomden is of opinion, that the respiratory
organs are by no means the only seat of
pulmonary phthisis; they are merely its
hot-bed, the scene of the development of its
higher grades, and of the climax of its
growth. The organic seat of its formation
is in the arterial system.
Some observers lay a great stress on the
occult, partial inflammations of the respiratory organs in the formation of tubercles and
evolution of phthisis; others, again, doubt
this.
We must all acknowledge the laborious
research on the part of so many great men,
for the immediate and remote causes of
consumption, but, unfortunately, we find no
unity in the results, although every one of




viii.        INTRODUCTION.
them has abundance of proofs to adduce in
support of his views.
I think it important to allude, in particular, to that form which is called by Philipp,
phthisis dyspeptica. According to him, it
comnmences with imnperfect'digestion, which
is followed by symptoms of disease in the
respiratory organs, and finally succeeded by
ascites abdomninalis.  Alcohol-drinkers are
frequently subject to this form of consumption. In these cases, we find, after death,
the liver and spleen diseased, and only those
parts of the lungs which are nearest the
liver, in a state of suppuration.
Not Philipp only, but previously to him,
Stoll, Portal, and others, have expressed
their opinions, that consumption, originating
in previous disorders of the digestive organs,
is much more frequent than it is usually
supposed to 1)e.
Autenrieth attributed the origin of some
consumptions to suppressed eruptions of the
skin, and mentions positive-,signs by which
he thinks he can easily distinguish this from
others, which is disputed by other writers.
Many have endeavored to gain a firmer
foundation for the diagnosis, from close examninations of the sputa-called pus proofbut the results have not been satisfactory.
It is not my intention to allude any farther
to the opinions and experience of writers on




INTRODUCTION.


ix.


consumption, but it remains for me to
answer the question, What have the therapeutics of this disease gained thereby?
As regards auscultation and percussion, it
is very desirable that they shuuld be more
generally resorted to in diagnosis, which
frequently is so difficult. But will this be of
any benefit to the treatment?
We may be ever so certain that the tubercles have softened, and to what degree;
or that a vomica has formed, and that this
is empty or full of pus, and we may yet
remain as ignorant as we were before with
regard to the means to be employed against
those various conditions. At least, from
France, where the stethoscope is mostly
used, we have heard of no improvements
in the treatment.
The prognosis can derive' most benefit
from all the latest observations and experience. Richter* says: " Pathological anatomy has given us the means of correctly
diagnozing pulmonary diseases, but it is to
be regretted, that it has had no influence on
the treatment, which is about the same since
as it was before."  He says, again: " The
treatment of suppuration in the lungs has
gained nothing by the late careful pathological investigations. How meagre in this respect are the works of Laennec and Louis.
"* A  distinguished allopathio writcr..,




X.


INTRODUCTION.


At the best, they have led us to the conclusion, that the large array of medicines, recommended now and of old, are not only
powerless in the treatment of these diseases,
but do even more harm than good."
These are, certainly, confessions humiliating to sulffering mankind, as well as to the
practitioner, and especially so to the young
physician.
Thus by this means-the endeavor to
penetrate into the interior of nature, and to
discover the character, the origin, and development of disease-we cannot reach the
main object in view: the cure.
This Las been the fate of the old school
from time immemorial.
What means does homeopathy rely on?
She looks at the outward appearance of the
disease, directs her attention to all the recoginizable symptoms, weighs well all atiological circumstances, for the purpose of
forming a correct view of the commencement, progress and development of the
disease, without entering into any further
investigations respecting its nature and character. She tries all drugs, wlhich the Creator
has given us, on the healthy system, for the
purpose of becoming acquainted with their
action and effects, in order then to administer
them at the bedside of the patient in confonrity with the immutable law of nature:




INTRODUCTION.


xi.


" Similia similibus curantur."  This is a
different way, a laborious one, and totally
opposed to that of the old school.
But since the means adopted by the latter
have been unproductive of any benefit to
the treatment, it is the bounden duty of the
profession to investigate, and very seriously
too, not in their closet, but at the bedside,
whether homoeopathy presents better results
of treatment than allopathy, or not.
I will attempt to answer the. following
questions: V What can homaeopathy accomplish against pulmonary phthisis? What has
she accomplished? and What does she promise to accomplish in future?"
In reply, I sliall: 1. relate cases from my
own experience and that of others; 2. attempt todraw conclusions from them. and to
find out indications for the remedies employed; 3. present a general view of pulmonary phthisis in separate groups of symptoms, and name the medicines which cover
each group.
In what order shall I relate the cases?
Shall I speak separately of phthisis tuberculosa, pituitosa, purulenta, etc.? If I did,
I should give rise to critical objections, first,
because many modern writers* do not vie\v
some of the above forms of phthisis as distinctive, but merely as changes of one and
* For instance, Lacnncc.




xii.


INTRODUCTION.


the same disease, assuming the tubercles to
be the fundamental form; secondly, because
of the uncertainty, almost impossibility, of
diagnozing between a mucous and pus
phthisis; how very frequently the larynx is
affected simultaneously with the lungs, or
either sympathetically diseased only; thirdly, because for homceopathic treatment the
nosological definition is superfluous, but an
exact characteristic perception of the symptonis essential. Still some few cases are of
so decided a character as to admit of a nosological distinction.
Thus, for instance, we find Case 1 a phth.
trachealis; Cases 8, 21, and 22, phth. pituitosa; Cases 9, 10, 11, 12, 16, 17, and 20, in
which p. tuberculosa run, into exulcerata;
14, 15, 16, show a disposition to the formation of vomicae, which emptied themselves
frequently in quick succession. On the other
hand, again, other cases are so little marked
as to defy nosology.
The attention of those readers, who should
not be inclined to follow me through all the
cases, is especially drawn to the most interesting, such as 6, 9, 18, 19, 24, 25, and 27.




CONSUMPTION, ETC.
CASE 1,
A CASE of phthisis trachealis, in which
Acon. 15, China 12, and Drosera 6, acted
curatively, but which was still under treatment when entered upon the records.-Pract.
Mitth. 1826,p. 10.
CASE 2.
A lady, 36 years of age, married, but
without children, after having been allopathically treated without any benefit, called
upon me with a phlh. tuberculosa incipiens.
Symptoms:--The throat is sore and painful
from the constant coughing, burning sensation in the fauces, the tonsils, uvula, and
the whole soft palate are reddened, the salivary glands painfully swollen; it seems to
her as if she were swallowing a solid body,
a plug, without pain. Much talking causes
pain. The voice hoarse and rough, burning.2




14      CONSUMPTION TREATED


and tickling in the larynx, provoking to
cough. Taste in the mouth clean, but very
little appetite.  Stools hard and difficult, in
small, round, consistent pieces, or narrow
and squeezed, as if the rectum was much
contracted. Some time before the anus was
covered with haemorrhoidal excrescences,
and from time to time the rectum bled, affording her relief; a fortnight after menstruation
there generally appears a knob on the anus
which burns and feels sore. The catamenia
has intermitted two months, after having
previously for some time been very sparing,
and lasting only from one to two days. A
week before the appearance of the menses
they were ushered in by flashes of fever,
rush of blood to the head, heaviness of the
eyes, which are reddened. The menses are
followed by leucorrhmca, with lassitude in
the thighs, with a sensation as if something
descended from the upper to the lower part
of the abdomen, and was going to fall out.
This was succeeded by a feeling of emptiness in the belly. In both groins she feels
as if something was pushing forward, the
vagina burns on urinating, as if from something acrid, urine thick and having a sediment for a week past.-Cough dry, tickling,
every third or fourth cough brings up some
mucus. During the day she coughs but little, more, however, immediately before drop



HOMGEOPATHICALLY.


15


ping asleep and after waking. Respiration
is frequently difficult, particularly in going
up stairs; stitching pain under the right false
ribs, aggravated by coughing and shooting
backwards between the scapulae. Thie patient cannot lie on the right side. She does
not readily fall asleep; does not sleep soundly, and walkes in perspiration. The cough
is generally present from twelve to two in
the night. During the day frequent yawning. She feels best in the morning; at noon
she becomes tired, and towards the afternoon
and evening the flashes of fever which are
present during the day, accompanied by palpitation, alternating with chills, become
greater. Warmth and rest render her most
comfortable. The legs are weak, particularly
in the joints. She is capricious and wilful,
yet amiable and not quarrelsome.
Therapeutics.-I was agreeably surprised
to find nearly all the above symptoms covered by HIydr. Oxydul. Nigr. which I gave at
once in the first trituration, and ordered suitable diet. I am convinced now, however,
that the potence was too low.
Result.-During the first week after the
administration of the above dose all the
symptoms were aggravated, but on the 7th
day the relief commenced, and gradually
all the symptoms disappeared which M'erc.
could cure. There remained only the ab



16      CONSUMPTION TREATED


normal menstruation, some timidity, and
fever flashes, which called for Puls., but the
patient declined taking anything, having had
these symptoms for years without much inconvenience. Till now (eleven monthssince
I saw her first) she has continued perfectly
well.-Dr. H. Loscher in Liibers.
CASE 3.
A child of 4 years, which had been afflicted for two years with a scrofulous phthisis
pulmonalis, accompanied by constant night
cough, rattling in the throat, and sinking of
strength, being in an almost complete state
of apathy, was entirely cured in a few days
by one dose of Belladonna.   Singularly
enough the cure of the phthisis was succeeded by a swelling of the salivary glands.
-Dr. Stegemann in Dorpat.
CASE 4.
Is not a complete cure, but beautifully demonstrates the action of Calc. carb. X. in a
phthisical state, removing nearly all the
symptoms, and particularly changing a dry
cough into a moist, accompanied by expectoration.-Annalen, 1, p. 344.
CASE 5.
SAn old man, over 60, complained of severe
tension across the chest, dyspnea in walking




HOMCEOPATHIC ALLY.


17


and lying down at night, loud rattling in the
chest on breathing, and a deep cough with
expectoration. Two doses Stannum, in one
week, acted very beneficially.
CASE 6.
A man of 33, of a delicate, weakly constitution, irritable, sanguine temperament, pale
countenance, and mainly occupied with mental labor, living naturally, was attacked
without any apparent cause with a severe
cough and expectoration, which remained
for some time unattended to, being considered in the light of a mere transient catarrh.
Finally, after it had lasted four weeks and
assumed a serious aspect, I was sent for. I
found the following symptoms:-Violent exhausting, shaking cough, now dry, or at least
with tenacious mucus, then again, with copious and easy expectoration, which is sometimes watery mucus, at others thick, tenacious, lumpy, yellowish-green, with a sweetish salt taste, floating on the surface of
water. Sometimes when he finds it difficult
to raise, he begins to choke, and this fills his
mouth with clear water, and occasionally
mucus. At night the cough is particularly
violent; in the morning most exhausting,
and accompanied by most profuse expectoration of tenacious mucus. Expectoration
amounts to 2 pounds in 24 hours. The
2*




CONSUMPTION TREATED


slightest irritation, laughing, singing, talking,
or a few drops of wvine, provoke the cough
at once, by causing a tickling in the trachea,
which soon extends over the whole chest,
and brings on a violent fit of coughing,
which makes the chest feel painful as if
it were raw and sore, occasionally caulsing a
violent stitch through it. Voice hoarse and
hollowv; talking very difficult, partially
owing to a peculiar oppression on the chest,
and partially owing to the hoarseness. The
trachea feels rough, and in the larynx there
is constantly tenacious mucus present. A
sensation throughout the whole chest, even
during, the intervals of the coughing fits, of
the utmost degree of weakness, as if everything within were dead. Want of appetite;
the previous inclination to eat utterly gone,
yet the taste is clean. Great languor, the
wvhole body feels numb, the slightest motion
exhausts him, causes flying heat and perspiration, and increases his weakness. Very
uneasy sleep, interrupted by fearful dreams.
He wakes after midnight, feels exhausted,
sweating, coughs a great deal, is uneasy and
tormented by the most painful excitement of
the mind. Frequent desire to urinate, but
very little urine passes, and that is sometimes clear, at others dark colored. Involuntary seminal discharges at night, which
he had not previously had, in consequence of




HOM(EOPATHICALLY.


19


lascivious dreams, which add to his weakness and throw his mind into a degree of
despair. Every evening, from six to nine,
fever, chills down the spine, palms of the
hands hot, dry mouth, and moderate thirst.
Pulse small, frequent, and irritable. During
the fever the cough is peculiarly exhausting,
the expectoration watery. Sweats night and
morning; the perspiration smells like rotten
straw. Countenance most miserable, hollow,
pale, and thin; dull, sunken eyes. Mind in
a very excited state; he feels and thinks
with unusual quickness, clearness, and acuteness. Timid, irritable, disposed to weep,
full of dark images of the future.-Hopelessness.-Believes in certain and near death.
Treatment.-These phenomena of disease
correspond to what nosologists would call
phth. pulm. pituitosa, and it may readily be
imagined gave me very little encouragement
for effecting a cure. Amongst all the remedies in the Mat. Med. Pura, I found none
more suitable to the case than Stannum,
though in some respects China seemed more
indicated to commence with. The patient's
mode of living having been such as to require
no change, I commenced the treatment at
once by giving a dose of China 12. Allowing this to act for a few days, I found at the
end of them no change, except a diminution
in the amount of perspiration, and even this




20      CONSUMPTION TREATED


change was very transient. Upon this I gave
Stann. 6.
Result.-The most marked success crowned my selection of Stannum. The next day
already the patient felt easier, freer, and in
brighter spirits, the cough became milder,
the oppression and other disagreeable feelings in the chest became gentler, the expectoration thicker and tasteless, the sweats disappeared, the evening fever lost much of its
violence. The succeeding night was passed
in a refreshing sleep, and though the patient
woke as usual just after midnight, he was
not tormented by either the cough or mental
excitement, and soon fell asleep again. The
appetite returned, the pulse gained in force
and quiet. Gradually, all the symptoms
diminished in violence, and in the same ratio strength and better looks returned. Two
weeks after he felt quite well, with the exception of a beating, pressing pain in the
left side of the chest, and a slight hoarseness.
Against these I gave Bell. 24, and in three
days even these last traces of his illness had
vanished. Ever since, until now (1 year),
he has enjoyed the most perfect health.
No reasonable mind will deny the importance and danger of the above case, or be unwilling, to admit that if left to nature alone,
the man would have died; if treated allopathically, at best he mighot have recovered after




HOM(EOP ATHICALLY.


21


much trouble, and the expenditure of much
time, strength, and money. Who will gainsay, that in this case homaoopathy accomplished a permanent cure in a sure, quick, simple,
and agreeable manner?-Dr. E. Stapf.
CASE 7.
A case of phth. Juberc. pituit., very similar to the preceding one, and cured by the
sam6 remedies in the course of four weeks.
-Archiv, II, 2, p. 86.
CASE 8.
On the 11th of December I was called to see
a lady of 24 years of age, tall, slender, pale,
and haggard countenance, who had been
confined to her bed for 19 weeks. The result of my inquiries was as follows:-The
patient was formerly enjoying good health,
a few years ago only she suffered with
spasms of the stomach; whilst she was under allopathic treatment for these, an inflammatory condition of the lungs made its appearance, which, according to the opinion of the
allopathic physicians, threatened to degenerate into consumption, and brought her very
near the grave. However, she rallied again,
and enjoyed tolerable health. Two years
ago she married, miscarried twice, and was
delivered of a full-grown child on the 4th of
July last, losing each time a great deal of




22      CONSUMPTION TREATED


blood. Six months ago one of her sisters
died in childbed with phthisical symptoms.
From that moment she firmly believed that
she should meet with a similar fate. The first
three weeks after her late confinement passed
off very well, then, however, she became feverish; chills, dry, burning heat, with violent,
almost unquenchable thirat and dryness in the
throat. This was succeeded byan eruption on
the skin, hoarseness, cough, expectoration,
and night sweats. The fever increased, returned every evening, her strength failed
visibly, and with it vanished her hopes of
recovery. Upon this she received quinine in
large quantities from her allopathic physician, under which treatment she merely
grew worse, when I was sent for and found
her in the following state:Chills every forenoon, lividity particularly
of the nails, frequent violent rigors lasting
for several hours at a time.
The chills accompanied by great thirstaltogether throughout the day unquenchable thirst.
Then dry burning heat with thirst. Previous to the sweating, oppression on the
chest, burning in the soles of the feet.
Perspiration, chiefly at night, soaking all
her clothes-not sour.
No appetite, disgust at all eatables. Clean
taste.




HOM(EOPATHIC ALLY.


Oppression in the epigastrium after partaking of food. Much talking brought on a
pulse-like motion in the abdomen.
Spasmodic and cutting pain in the -. uomen.
Bowels loose, with tenesmus, then griping in the rectum. Debility bordering on
pyncope.
Little urine.
No secretion from the Schneiderian membrane.
Tenacious, lumpy mucus in the trachea.
Tickling in the trachea causes her to cough.
Rawness, soreness in the throat.
Eating succeeded by burning in the throat..
Great weakness in the sacrum.
Spasms in the soles of the feet.
Sleep was good until she took the quinine;
since then very wakeful.
Weakness in the head. Cannot endure
any noise. Can hardly keep the head up.
Every motion of it painful. Several of these
symptoms had been aggravated by the
quinine.
Her previously gentle disposition is now
very sensitive, fretful, and she is easily offended.
Treatment. To antidote the quinine I gave
two doses Ipec. 1 and Arnica 2.
The 13th December, I gave Nux vom. 6,
which appeared to me to be indicated by the




24      CONSUMPTION TREATED


fever and the state of the nerves. The 19th,
the cough and the burning of the skin in
the evening before falling asleep have diminished. Sleep better.-The weakness of
the bowels has increased, the fever came yesterday, accompanied by a general chill of
two hours. I gave Chamn. 4, and a few days
after, Verat. 4, and on the 30th, Ars. 10.
No remedy did any good. The colliquative symptoms continued to increase, and she
shortly died, very much emaciated and debilitated.
I should be of opinion, that the antipsorics
might have done some good in this case, if I
had not learned that many members of the
family had died of consumption.-Dr. Th. L.
Riickert.
CASE 9.
A man of forty, scrofulous constitution,
yielding temperament, who, owing to poor
nourishment, had always been sickly, and
had from earliest childhood been troubled
with short breathing and a cough, had been
confined for six months with far-advanced
phthisis. During the last years his cough
had increased, and a suspicious expectoration had made its appearance; he had also
for some time been expectorating blood, and
his strength was daily diminishing. From
the beginning of this worse period he had




ROMEOPATatCALLY2


25


been attended by two clever allopathic physicians, who neglected nothing in their attempts to cure the poor fellow. But ultimately both declared that his case set all art
at defiance, and that he must die. It was
then December, that I was called and found
the following state of the case:Patient has been in bed six months, and
cannot rise.---Voice feeble, broken, low, and
has a sound of peculiar, diseased softness,
such as is often heard in cases of suppuration of the lungs. He breathes faintly and
with difficulty by the aid of all the respiratory muscles, scapulra, etc.) and complains
of a constant oppression which the slightest
motion renders quite intolerable. Independent of motion, however, this oppression occasionally increases until a violent hemorrhage from the lungs takes place, affording
him temporary relief, but adding materially
to his exhaustion. His usual expectoration
is pus, mixed with blood. He is very much
disposed to doze, but is frequently disturbed
by the cough which will not allow him to
rest, even at night. He cannot lie well on
the back, not at all on the left side, best on
the right. If he attempts to lie on the left,
he cannot get any breath, and the cough becomes then extremely violent. He has very
little appetite, his lips are constantly dry, and
he has considerable thirst; all he eats and
3




26      CONSUMPTION TREATED


drinks, however, appears to pass at once
through the whole alimentary canal, and to
increase his diarrhaea of long standing. His
skin is all the time covered with a cold
clammy sweat. The palms of the hands,
and soles of the feet, are suffering with a
pricking warmth, especially towards evening, which is preceded by chills. Pulse febrile, though small, faint, trembling. If there
has been some pause in the expectoration, he
cannot get breath.
Treatment.-Under these circumstances I
could only endorse the opinion of his two
previous attendants, because I did not recollect to have ever heard of the recovery of so
advanced a case of phthisis, either by allopathic or homeopathic means. Notwithstanding this, I was willing to at least make an
attempt, particularly as I had but recently
heard Hahnemann himself extol the power
of the antipsoric remedies in apparently
hopeless cases.
Dec. 15th. I administered Phos. Xo, and.rdered nourishing soups.
Result.-The above medicine caused the
patient various discomforts up to the 14th
January. He had much pain in the chest,
back and sacrum, and could hardly turn in
bed, or raise himself a little. His expectoration during that time had also been very
copious, pus and blood. But gradually the




HOM(EOPATHICALLY.


27


difficulties in the chest began to diminish, and
his strength to increase. He began leaving
the bed for a short time. The clammy
sweats disappeared, some appetite returned,
and the oppression grew less, the expectoration scarcer and free from blood. The pulse
returned to a more normal state. The patient could even lie occasionally on the left
side without inconvenience, and slept generally more quietly at night. But the diarrhoea had rather increased than diminished,
and obliged him to rise occasionally during
the night. All his limbs felt bruised, and
every part of his body was painful. This
was his condition on the 1st February.
I now administered Solut. calcareas IVo0.
But I soon discovered that this remedy,
owing to its being administered in too strong
a dose, acted much too powerfully, and thus
did more harm than good, because the
patient was very much exhausted by it.
He found his chest extremely oppressed, his
expectoration increased again, he could not
lie any more on the back and left side, lost
his appetite, and his strength failed utterly,
especially as the diarrhoea grew much worse,.and pus-like matter passed from him. Besides, he complained of most intolerable
thirst. His spirits, which had been raised,
now drooped totally, and he utterly despaired
of his recovery. Under these circumstances




28      CONSUMPTION TREATED


I thought prudent to administer some antipsoric which would meet the totality of the
symptoms, and gave Lycopodium IV~. The
result quite surpassed my expectations. I
had given it on the 1st of March, and by the
27th the phenomena of the disease had entirely changed in a most striking manner.
The patient could again lie on the back and
left side, only on lying down he coughed for
the moment. Thle diarrhea had entirely
left him, and in lieu thereof his evacuations
were natural. The thirst had also disappeared. The night-rest was but little disturbed; still he was troubled with a dry
cough at night for an hour. During the day
the cough was less, but attended with expectoration of pus. The patient had gained
strength and cheerfulness, was able to leave
the bed, and even employ himself a little.
Thus his recovery progressed until the middle of April, when a complete pause ensue4.
At this time I felt induced to give him Solut.
Sepias X~. This improved the chest symptoms until the middle of May; the patient
was able to lie equally well on the back and
both sides, and passed his nights entirely undisturbed by the cough. The latter did not
trouble him much during the day either, and
his expectoration was no longer pus, but
white bronchial mucus. His whole state
and appearance was so extraordinarily im



HOMcEOPATHICALLY.


29


proved, that it was difficult to recognize in
him the same dangerously and hopelessly
sick man. The two allopathic physicians,
who had attended him before me, had declared a few weeks ago that this striking
improvement was only a delusive one, and
could not last, as there was no instance
on record of a cure of so advanced a
stage of phthisis, found now, that the man
was really recovering, and tried,to save themselves, to make it out (though totally inconsistent with their previously-expressed opinion) that there could have been no suppuration of the lungs in this case. What a
conclusion! The patient now returned to
his flock and pasture, and in the course of
the summer recovered his health completely
and thoroughly.-Dr. Gross.
CASE 10.
A complete cure of suppuration of the
lungs by Ledum palustre.-Dr. Kammerer.
CASE 11.
A girl of twenty with the following symptoms:
Two years ago she caught a severe cold,
and has remained sickly ever since. During
the last four weeks violent cough, more by
day than at night, cough produced by a
tickling in the throat, dry and exhausting,
3*




30      CONSUMPTION TREATED


frequently accompanied by expectoration.
Tension of the chest on taking exercise.
Menses less than formerly, and extending
beyond the usual period. In the afternoon
chills alternating with heat, at night sour
sweats.
Nutrition poor. Aversion to food. Loss of
strength. Cheeks hectic flush, circumscribed.
I treated her from January to November,
and administered the following remedies:
Nux vorn., Ars., Puls., Merc., Stann., Dutc.all in vain-she died gently on the 10th of
November.-Dr. Riickert.
CASE 12.
A woman of thirty, who for many years
had pined in unrequited love, and it was said
had once had a forcible abortion. After
much allopathic treatment I was consulted.
The patient is emaciated nearly to bone
and skin.  Digestion destroyed.  Taking
food causes spasms of the stomach and retchinlg. Diarrhcea of twelve months' standing,
four to five evacuations from the bowels
every night. Cough, day and night, with
copious grayish expectoration like pus; pain
in the chest when coughing, pressure under
the sternum, stitches in the left side. Chills,
towards evening, night-sweats. Disposition
cross and irritable. Of course the prognosis
I gave was very unfavorable.   I gave




HOM(EOPATHICALLY.


31


China, Drosera, Stann., Ars., but they proved
fruitless, and she died in a few months.Dr. Riuckert.
CASE 13.
A woman of nineteen, married five weeks
to a large, powerful farmer. Her father was
a strong, muscular man, but psoric in a high
degree, the mother healthful. Patient ailed
a good deal as a child, and was frequently
a sufferer by chronic exanthemata, particularly itching pimples in the face and on the
back. For the last five years she has had a
cough with expectoration, which periodically
increases and diminishes, without its otherwise affecting her health and spirits. Apparently she has a strong constitution, her figure
is small but compact, dark hair, and previous
to her marriage she had a blooming complexion. Soon after her marriage she was
obliged to take several days' journey in January during a severe frost, omitted to dress
herself prudently, and caught a very heavy
cold. Upon this the former periodical cough
returned with greater violence than ever,
but remained neglected till she felt too ill to
attend to her domestic duties.
I was then sent for. I had known her as
a fresh, rosy-cheeked girl, and was not a
little shocked at her present appearance.
Wasted in the face, with a circumscribed




32      CONSUMPTION TREATED


hectic flush on the cheeks, sunken eyes with
a dull expression, emaciated over the whole
body, hardly able to walk about the room,
incessantly coughing with copious expectoration. Towards evening, hoarseness, constant tickling in the throat, which provokes
the cough, no rest at night owing to the
cough, is obliged to sit up in bed. The sputa
whitish-yellow, mucous. For some years
past dyspncea and oppression on the chest.
At night, when she does sleep, rattling in
the chest. During the day frequent chills.
At night dry heat, no sweat succeeding the
heat, nor is she at all inclined that way.
Much thirst during the day. Little appetite.
Empty eructations.-Bowels regular. Menses later, and less than formerly. Moral
symptoms: dejected, inclined to weep, silent.
I gave, of course, a very unfavorable prognosis to her friends, at the same time speaking encouragingly to her.
After regulating the diet I gave her successively, according to the indications, Puls.,
Acon., Bell., Sulph. X., Ars. X., Stann. II.,
China V., Bell. X., Sepia X., Lye. X., Sil. X.,
Ann. fol. IV., Phosph. X.
Sulph. and Ars. acted well, diminishing
the cough and expectoration, removing the
evening hoarseness, raising the spirits, and
improving the nutrition.
Stannum drove the fever away. Cough




HOMCEOPATHICALLY.


33


and expectoration continued to improve, she
could sleep better at night, and became cheerful. This continued for a fortnight; a diarrhena then set in, which she kept from me,
and which rendered her case more dangerous
again, though not hopeless.
It was then that the family insisted upon
her removal to a mineral spring. In spite of
my objections she was removed, the use of
the spring pulled her down completely and
she died soon, utterly worn out.
CASE 14.
On the 7th of March I was called to see
a man of 41, whom I found very low, and
expectorating blood and pus in very large
quantities.
The prognosis appeared to me very unfavorable, and I anticipated a speedy dissolution; therefore I did not note down any
other symptoms, and for the sake of doing
something I gave Lycop. X0000. Ten days
after I was informed that the man was better; and on the 31st of March, that the
cough and expectoration were still considerable, that the night-sweats continued, but
that he had a better appetite, and felt better
altogether. I allowed the Lycop. further
time to act.
On the 19th of April I was informed that
the night-sweats had ceased, and that he had




34      CONSUMPTION TREATED


been greatly relieved by several hemorrhages from the bowels. I now administered
Sulph. 8. I was not a little astonished on
the 8th of May to see the man walk into my
office, he having walked a great distance to
see me. I now entered upon a minute examnination of the case.
The patient is of a slender make and has
a flat chest, his occupation is that of a bricklayer and clarionetto player. For several
years he has had a cough, occasionally, too,
pain in the chest, and is accustomed to be
bled every year.  In February last his
cough became worse, and accompanied by
stitches and pressure in various parts of the
chest.
For several weeks he perspired profusely,
especially at night; the sweat had an offensivc smell. Towards the end of February
lie was suddenly attacked at night with a fit
of suffocation, probably in consequence of
the bursting of a vomica, which was followed by his throwing up an incredible quantity
of pus and dark blood, mixed with flakes
and knots like tubercles
After having expectorated pus and blood
for a fortnight, he received Li/cop. as stated
in the commencement, and says that imnmediately after, he had experienced a decided
alteration; he had felt better; the constant
internal heat, which was debilitating him so




HOM(EOPATHICALLY.


35


much, had disappeared, and the pains in the
chest had become diniiiiished.
At the time when the vomica burst, he
lost a good deal of blood per rectum. He
has frequently had diarrhea mixed with
blood, so acrid as to cause a burning sensation in the rectum.
In the course of March and beginning of
April, he coughed up a great deal of brightred blood, which smelt badly and coagulated
readily. On the 8th of April this occurred
in the most violent degree, but from that day
he felt better, his appetite improved, the
pains in the chest, cutting with every breath,
gradually diminished. Coughs less, and
expectorates mucus, no blood.  Vertigo.
Acon. 8. Coughs a little. Kali. Carb. X.
Quite well on the 23d of Mlay. -- Dr.
Riickert.
CASE 15.
A miller, 30, of small, delicate size, dark
hair and eyes, pale lace, much emaciated
and debilitated, with a flat chest. Formerly
had enjoyed good health. Sixteen years ago
he had the itch, which remained on himn
three months, and was thent driven in by
external remedies. After that lie coniinued
well until within the last few years, during
which he has been troubled by considerable
pain in the chest, so violent, indeed, when




86      CONs7IMPTION TREATED


moving his arms or sneezing, as to prevent
him from working. Dyspnaea at the same
time. A year and a half ago an abscess
formed below the left clavicle, which discharged a considerable quantity of pus, and
which was found to lead to a deep fistula
in the thorax in the direction of the sternum.
For several months under surgical treats
ment the wound remained open, discharging
more or less pus. The patient felt weak,
exhausted, and got a cough with expectoration. At last the abscess closed, the patient
gradually rallied, and was able to do a little
work; latterly, however, he has felt worse
again, coughs occasionally, expectorates but
little; complains of tightness and oppression
on the chest whenever he draws the arms
together forwards. Sneezing occasions him
severe pain in the chest as if the latter would
burst. At night he can sleep only on his
back or in a sitting posture. The old fistula
in the chest seems disposed to open again.
Patient feels weak, is wasting, and unfit for
work. Digestion tolerable.
As to the diagnosis, it was not difficult to
determine the accumulation of a large quantity of pus in the thorax, which by discharge
ing itself once through the abscess in a very
unusual spot, had at that time saved the
patient's life. The redness and partial eles




HOM(EOPATHICALLY.


37


vation of the cicatrix led me to anticipate a
fresh discharge.
Under these circumstances it was a difficult thing to make a prognosis, and to enjoin
upon the patient the necessary quiet.
I gave half a drop of Spirit. Vini Sulph.
X., assuming the suppressed itch to be the
cause of the disease.
27th July. On the whole the patient has
done pretty well; exercise and sneezing occasion less pain on the chest, and he feels
rather stronger. The old wound under the
clavicle was easily opened with the lancet,
discharged a little thick pus, but the probe
failed in discovering any passage into the
thorax. No change in the previous prescription.
15th Aug. The patient has been going
on satisfactorily. The wound has closed
again. Since yesterday he has noticed, on
breathing or sneezing, violent stitches in the
chest, and the pulse is more excited than
usual.  It is evident that a fresh inflamniation in the respiratory organs is forming.
I gave Aeon. 8, and left Sepia X0", to be
taken three days afterwards.
On the 22d of August the patient wrote
me word that the Aeon. had acted beneficially but that the Sepia had brought on a
new excitement, that sneezing caused him
pain in the chest, and exercise dyspncea.
4




38      CONSUMPTION TREATED


These symptoms existed in a very modified state on the 5th of September. I allowed the remedy to act till the beginning of
Oct. when I administered Phos. XOO~~~. On
the 15th of October the patient reported an
aggravation of all his chest symptoms, increase of cough, catarrh, and febrile action.
On the 1st of December I learned that he felt
easier about the chest, the wound had opened
of itself, but that he had had for a week a
considerable flow of saliva. This occasionally came on suddenly, totally unexpected,
generally more on the left side, this time on
the right, with a painful swelling of the
gums. This swelling lasted several days
and terminated in profuse salivation.
I gave Ac. Nitri. X.
On the 2d of January I heard that the patient was doing well, was free from all trouble about the chest, from cough and expectoration, but inclined to cough on taking
fresh cold. Another dose of Sepia restored
the man to perfect health.-Dr. Riickert.
CASE 16.
A farmer's wife, 36, formerly perfectly
well, of a strong constitution, had been confined eight times without any bad consequences until the last, six years ago, when
she got a cough, which she has not been able
to rid herself of since.




HOM(EOPATHICA LLY.


39


Last fall she had a panaritium which
troubled her for several weeks. She suffered
much with it, was exhausted by it, and recovered but gradually from it.
Five weeks ago she was taken down with
a tertiana, at first rather violently, against
which she used a week afterwards the
so-called fever-drops, probably containing
arsenic; they destroyed the fever, but the
cough became worse. Subsequent errors of
diet occasioned several relapses, which she
mitigated by fasting.
During this time the cough increased more
and more, accompanied by profuse expectoration. Nettlerash made its appearance frequently. The patient grew weaker, and
became thin, so much so that she could no
longer attend to her household affairs, and
was obliged to lie down a good deal. On
the 10th of June I was consulted and found
the following phenomena of disease:
Head feeling full, throbbing in it like the
ticking of a watch, and as if the brain would
burst out.
Gums swollen, undefinable pain in the
hollow teeth.
Little appetite, but constant thirst.
Hard sluggish stool once in three or four
days.
Menses too early, and sparing.
Frequent coryza.




40      CONSUMPTION TREATED


Violent cough, especially in the morning,
lasts all day, aggravated by taking the
slightest cold.
Expectoration copious all day, with rattling on the chest, and of a yellowish pussy
color.
Frequent lancinating pain in the left side.
She is very weak and languid, able to
walk about in the room only.
Free from fever at present.
Nothing remarkable in the state of her
mind.
However unfavorable the prognosis appeared, no characteristic symptoms were
presented in this case, which rendered the
choice of the remedy very difficult, because
several seemed to me to be indicated.
I determined in favor of Calc. carb. X.
June 18. The fever has not returned.
The patient has more appetite, bowels more
natural, cough and expectoration alternately
moderated.
The remedy is evidently acting beneficially, therefore no change in prescription.
June 28. Cough the same as on the ISth.
Frequently a species of heartburn. Want
of strength; uhable to do much in household affairs.
June 26. Increased stitches in the side
on taking breath and coughing.
Until the 26th of July her condition im



HOMCEOPATHICALLY.


41


proved materially, her strength increased,
and the cough and expectoration diminished.
The patient resumed her domestic avocations.
I administered Lycop. X, which restored
the patient to perfect health.-Dr. Ritckert.
CASE 17.
A laborer, 38, of a strong, powerful constittltion, who had had the itch several times,
and was very intemperate, had for years
been afflicted with a cough, expectorating
mucus and pus, without its preventing him
from attending to his usual work.
In March he very suddenly experienced
violent pains in the right side of the chest
and liver. The pain extended over the
whole liver, and as far back as below the
right scapula; it comes by fits and starts,
and is lancinating when the patient breathes
or coughs.
The chronic cough and expectoration are
worse.
Tongue very much coated, no appetite,
constipation, fever.
Acon., Bry. and Nux removed the inflammation and fever in five days.
But the cough and expectoration of pus
had grown very violent. He coughed up
whole lumps at a time, felt extremely weak,
and perspired profusely during the night.
4*




42      CONSUMPTION TREATED


The chest was covered with an eruption that
was painful.
The prognosis was of course unfavorable; the only symptom to the contrary was
the eruption. I gave Spirit. Vini Sulph. on
the 2d of April.
Upon this the eruption came out very abundantly, covering nearly the whole body, and
both cough and expectoration became aggravated until the 13th of April. I became
alarmed, and gave Calc. S. Immediately
after, the whole case began to mend without
any primary effects of the medicine. The
eruption, night-sweats, cough and expectoration gradually disappeared. In May the
patient returned to his work, and has remained well since, which is more than a year
ago.-Dr. Riickert.
CASE 18.
A man, 24, of a sanguino-choleric temperament, strong and robust, had formerly always been well. Ten days before I was
sent for, he had had some vexatious annoyance, went into a tavern, danced, and became heated; drank several times freely of
cold beer, and was soon seized with stitches
in the chest, short breathing, cough with
bloody, frothy expectoration, so violently,
that lie had to be carried home; the above
symptoms were accompanied by alternating




HOMIEOPATHICALLY.


43


heat and chills, violent thirst, want of sleep
and appetite.  Before I was called, the
usual " domestic remedies" had been applied. When I came, I found the whole
body very much emaciated, and covered by
a clammy, colliquative sweat, dirty-looking
countenance with circumscribed redness of
the right cheek, sunken, hippocratical face,
eyes sunken and dull, watery and yellowish, pale lips, tongue white, mouth and
fauces sore, ulcerated, hoarse voice, hardly
audible; dyspnca, breathing mainly by the
abdominal muscles; with every expiration
the ala; nasi much dilated, tense stitching
pains in the chest extending to the shoulderblades,ticklingin the trachea with constant inclination to cough; expectoration of copious,
greenish pus, streaked bloody and having a
putrid taste, extreme languor and prostration,
cutting pains in the limbs, colliquative diarrhaea, making the rectum sore; chills, particularly in the evening, all over the back;
cold extremities and hot palms of the hands,
want of appetite, thirst and wakefulness,
loss of his hair, scalp painful to the touch.
No doubt this state of things was the consequence of a pleuro-peripneumonia, which
left to itself, and probably aggravated by
the domestic remedies, had brought on a
phthisis florida, and thrown the patient into
the above condition in the space of 10 to 12




44      CONSUMPTION TREATED


days. I have seen a great deal of hospital
practice, and during thirty years of private
practice, I have had opportunities in abundance to observe many similar cases, but.
must confess, never before to have seen so,
far advanced a case recover.
Treatment.-Ferram aceticumn, 1 grain of
the sixth potence, administered in the morning at nine. Next morning I found the patient
had had a quieter night, and had coughed
with less and less exertion. On the third
day, the improvement was more obvious
still. The fourth day he left his bed and
remained up a little, taking some nourishment, and thus he continued to improve
until the twelfth day, when a pause occurred, leaving the following symptoms to be
attended to: giddy reeling with paleness of
face, and momentary dimness of sight, hoarseness, cough with yellow sputa, chiefly in the
evening until midnight, relieved by the sitting posture; dyspnocea, feeling of heaviness
and languor " all over," sleep disturbed by
frightful dreams, grumbling and rumbling
in the belly, chills in the evening, followed
by heat and a thirsting after beer without
his liking its taste; timid, peevish and disposed to weep.  I gave him Puls. 12th
potence, the action of which gradually removed every symptom in the course of ten
days.  The patient recovered completely,




HOMCEOPATHICALLY.


45.


and has been well since (2 years), without
the slightest chest complaint or any other.
CASE 19.
A clergyman, of thirty-eight, of a decidedly
phthisical habit, was seized, in consequence
of cold and great professional exertions in
the pulpit, with a catarrhal-rheumatic inflammation, of the lungs, which at first appeared trifling, but gradually grew worse, and
ultimately assumed a dangerous character.
The treatment was according to the usual
allopathic routine. Depletion was at first
considered unnecessary, but as the lancinating pains in the chest would not yield, either
to internal remedies or epispastica, leeches
were finally applied, and after a short while,
repeated. After the last time, however, the
physician who had thus far been very assiduous in his attention, left, fully impressed
"with the hopelessness of the case. I was
hastily sent for in the night, and urgently
requested to come. Yet I could make no
more favorable prognosis, because the state
of things denoted the greatest danger. Exhausted in the extreme, the patient laid
there perfectly motionless, occasionally only
putting his hand, with a very painful expression in his features, on the suffering side
of the chest. Pulse, small, trembling, intermitteat, hardly perceptible. Breathing so weak




46      CONSUMPTION TREATED


that on placing the flat hand on the chest
I could hardly perceive a dilatation of the
lungs. Upon reviewing the case and the
treatment, I gave Acon. Xo.  In half an
hour afterwards the chest began to heave,
the breathing became longer and more powerful, the pulse fuller, the skin, hitherto
covered with a cold sweat, became warm
and moist, and altogether I noticed more
turgor vitalis. I subsequently gave Nux
vom. Xo, and was delighted to see him
recover so far in a few days as to warrant
my holding out prospects for his safety.
But the following week, my prognosis was
very much shaken. It is true, every trace
of inflammation had gone, but the patient
could not gain any strengih, he could speak
a few words only, in a low tone, was unable to draw a long breath, and was tormented day and night by a severe cough
and a profuse, very suspicious-looking expectoration; to this was added a slow fever,
with clammy night-sweats; in fact, everything indicated a change into phthisis. Stannum, Drosera, etc., did either no good, or at
the best, brought on a mere temporary improvement, which vanished again in a few
days.
In this desperate condition of things, baffling all skill and experience, I gave, as a
" dernier ressort," Lycop. IVo. The result




HOM2EOPATHICALLY.


47


was unsurpassable. Within the first week
the fever gave way very perceptibly; in the
two following weeks every trace of the cough
disappeared, and in four weeks all danger
had been removed; the patient was restored to his family. His speech only returned very gradually and slowly.-Dr. G.
W. Gross.
CASE g0.
A woman, aged forty-twvo, has been suffering for ten years with pain in the chest,
cough and expectoration, and though feeling
very weak and languid, had yet been able
to attend to her household affairs. A closer
examination of the case (particulars of which
have now slipped my memory), induced me
to give her Sulphur 8. This was on the
30th April. On the 2d June, I saw her
again, and found the symptoms then to be:
headache, a drawing in the head; when
speaking much, the head seems disposed to
burst. External sensation of the head, as
if the hair was drawn upwards.
Digestion in tolerably good order, but constant constipation. Menstruation all right.
Frequently she expectorates much saliva.
The cough appears in violent paroxysms at
no particular time of the day; at night it
is dry, but during the day attended by copious




48      CONSUMPTION TREATED


yellow, greyish, greasy expectoration, tasting sometimes musty, at others putrid.
In the left side of the chest beneath the
ribs, a constant burning, gnawing pain, which
seems to come up on that side from the sacrum. The expectoration appears to her to
proceed from that spot under the ribs.
Her limbs, arms and fingers feel numb.
General weakness and debility.
Compared to her state in April, when I
saw her first, she feels much better, and for
this reason I allowed the Sulphur to act further.
On the 4th July, I found the same state of
things, especially with immediate reference
to the respiratory organs, and therefore gave
L?ycop. X.
August 23d    The burning pain in the
side and " small of the back" has abated,
the ribs are occasionally painful, but it is a
simple pain.
Cough drier, expectoration less, and its
taste less offensive. On the whole she is
belter, and her strength on the increase.
September 6tll. Improving.  Face and
body have gained in flesh, her limbs are
lighter, and she feels more power in them.
I-lead easier. Gums swelled. Teeth loose.
Whn ii menstruating, she experiences a burnlng in the abdometn. The menstrual discharge is merely red mucus.




HOMiEOPATHICALLY.


49


Cough and expectoration have increased
in comparison to last month, but the pain in
the left side is trifling.
When heated, or taking warm drinks, she
feels a fine prickling all over the body on
the skin.
Lycop. having evidently acted beneficially,
but its action being exhausted by this time,
and as many symptoms pointed towards
Sepia, the patient received on the 11th Sept.
a few pellets of the 30th potence.
On the 18th Oct. I found the cough very
much abated, the expectoration very inconsiderable, and not smelling offensively, having a whitish appearance.
"The pain in the diseased side is insignificant, appears occasionally only, and consists
in burning and stitches at the same time.
Digestion and menstruation in good order;
the symptoms of the gums have yielded to
the Sepia.
She complains mainly of a rumbling sen.
sation in the head, especially at night, which
interferes greatly with lher rest and sleep,
confusion in the brain, a sensation as if the
skull was being elevated.
Numbness of the hands and fingers, and
drawing pains in the shoulders.
Tearing in the wrists, particularly during
the day. Teeth painful when biting.
I gave Plws. X. which soon cured the
5




80      CON9TJMTI0N TREAtD


above symptoms. Her general health continued to mend.
December 22d, another dose of Sepia 30.
February 18th of next year she complained
of increased burning in the right side, cough
and expectoration trifling, general health
improving.
I gave Ars. X., and in March following, I
found the patient entirely restored to health,
with the exception of a little cough. She
received Kali X~.
Next fall I saw her again, and found her
perfectly well. She said she felt better in
health than she had at any time during the
last ten years, and expressed herself as very
much indebted for my treatment.
Dr. Riickert.
CASE 21.
A clergyman, forty-six, tall, thin, with
narrow chest and long neck, dark hair and
dark complexion, frequently had a cough as
a child. In late years this cough has been
apt to return, without affecting his general
health, or interfering with his ministerial duties. For the last three years, in ascending
any elevation, he would be obliged to halt
for want of breath, and during the same period he has coughed early in the morning;
he has remained very thin, and in great
want of strength, yet he dragged along his




HOM(EOPATHICALLY.


51


existence till taken down violently by an
epidemic influenza.
This exhausted him exceedingly. A violent cough with expectoration set in, loss of
appetite, dyspnoea, unfitting him for the discharge of his calling. When called, 27th June,
I found him afflicted with a violent, exhausting cough, especially early in the morning
when still in bed, and as soon as he sits up
in it; he is then obliged to cough a great
deal before he can cough up anything. During the day irritation in the trachea.
If he coughs soon after a meal, he is obliged
to vomit the latter, and in fact every fit of
coughing ends with gagging.
Lying on the right side causes him to
cough. Expectoration copious, white, sometimes yellow, lumpy, but on the whole more
mucous than purulent.
Want of breath, particularly on going up
stairs, or any elevation.
No pains in the chest except from the violent exertion in coughing.
Mental emotions cause palpitation of the
heart. Very little appetite, if any, it is better
in the afternoon than at the usual dinner
time, (noon). Taste in the mouth and of
the food unimpaired. Bowels regular.
He feels very weak and powerless, is much
emaciated. Sleeps tolerably well,but at night
he perspires, which greatly debilitates him.




52      CONSUMPTION TREATED


He is of a mild, quiet disposition, and has
always led an uilexceptionalle life.
I gave StrIn.1um fol. II, txvo doses with
an interval of six days.
On the 2od July, thus a little more than
three weeks after the first visit, I called
again, and found my patient quite cheerful.
He had meantimle (the first tinme for seven
weeks) been able to preach again inl a loud,
clear voice, without being much latigued
thereby. He fielt, on the whole, much better
and stronger, coughed a good deal, still
the paroxysms do not come so often, but
they end in gagging as before.
Night-sweats have diminished.
I gave Stannum 1100 twice.
14th August. I again paid him a visit
and found him in good spirits. The cough
had abated, night-sweats were totally gone;
expectoration lessened, breathing stronger.
He desired to take a journey for the sake of
his health, which I approved of.
On his return from that journey, 24th September, I found him better, but the expectoration had become more copious, and the
night-sweats had returned. Sputa greenish.
Cough attended with gagging.
Administered Phos.. 8.-18th October, improving. Repeat the same remedy. 1st
November. - Patient looks so well and
hearty as to be hardly recognizable. Many




HOMEO0PATHICALLY.


53


days he does not cough at all, except once
or twice in the morning. Expectorates very
little. Breathing much better.
Treatment discontinued.
CASE 22.
A lady, of twenty, was rather delicate as a
child, and grew up very rapidly. In her
thirteenth and fifteenth year she had pneumonia, which left behind a weakness of the
chest, pain under the ribs and dyspnlea.
For four years she has suffered periodically
"with cougl and expectoration, together with
a pain on the right side of the chest just
above the liver. On the 9th September I
was called. She had taken cold, and in consequence a violent cough, expectoration,
pains in the chest, and febrile symptoms.
I gave Bell., Acon. Menses made their
appearance, and I therefore stopped all medicine.
17th September. Head free, except occasionally a one-sided pressing pain on the left
side of the head over the orbit. Bitter taste
in the mouth, but the food tastes naturally.
No appetite. Much thirst.
Bowels sluggish.
Menstruates every three weeks, and rather
profusely. The periods are preceded by
abundant leucorrhoea, which greatly debilitates her.
5*




54      CONSUMPTION TREATED


Extremely violent cough, leaves her no
rest day or night. It is worse towards evening, and obliges her to sit up in bed whilst
coughing.
The cough is provoked by accumulation
of much mucus in the bronchial tubes. Constant audible rattling in the chest. Expectoration of much greenish, suspicious, offensive
mucus, chiefly in the morning. On the right
side of the chest, above the liver, a lancinating pain when coughing and taking a long
breath. Towards evening, chills and flushed
cheeks. She is very weak and powerless.
At night she perspires freely.
The previous pneumonios which left the
pain in the chest behind, the frequently-returning cough, the totality of the symptoms
as presented, and the fact that one brother
of hers had already died of consumption,
and another was similarly afflicted, made me
give an unfavorable prognosis. The similium for her case was unquestionably Calc.
carb. which I gave in the X. potence.
September 25th. Patient has felt better for
the last two days. The cough has very much
diminished during the day, it is worst in the
evening as soon as she lies down in bed.
Expectoration still copious, particularly in
the evening, but as soon as she has coughed
it up, she falls asleep again.
Chills towards evening have moderated,




HOM(EOPATHICALLY.


55


but the sweats commence as soon as she
drops asleep and continue till morning.
Constantly a great deal of thirst and little
appetite. Bowels moved every second day.
The pain in the chest on breathing, and the
cough have moderated.
The remedy evidently acting favorably, I
did not interfere with its effect.
October 13th. Violent toothache here interrupted the main cure, and required a few
doses of Nux, Staphys. and Chamom.
Still her general health continued to improve, so much so that a few days ago she
was taken in a close carriage to a neighboring city.
She has a good appetite and her bowels
are regular. She coughs but little, expectorates little, and that without any offensive
smell. The sputa looks whitish, mucous,
with little yellow lumps. Taking a long
breath causes her some pain in the old spot.
Free from fever. Night-sweat trifling. Calc.
carb. Xo0, which accelerated the improvement. 24th October.-Calc. again. January next, perfect recovery.-Dr. Rickert.
CASE 23.
Dr. Hartlaub makes the following observations on Sulphur:
1. " It very much diminishes an old cough
with copious, yellowish, sometimes bloody




66      CONSUMPTION TREATED


expectoration, with stitching pains in the pit
of the heart.
2. " Likewise a periodical cough of long
standing in an old man, attended with white
expectoration, worse in the morning, nightsweats, and during the day chills and fever.
3. " Cough of twelve years standing in a
girl of fourteen, of a full habit, who has not
menstruated yet. The expectoration copious,
whitish and grayish, pain in front in the
right side of the chest, most strikingly moderated by the first dose, returning at night,
again abated in consequence of a second
dose, but was not removed. The pain, however, disappeared immediately and totally."
Dr. Trinks remarks:
"Agreeably to my extensive observations, Calc. carb. fails in arresting colliquative diarrhcea in the last stages of suppurative phth. pulmonalis. In fact lno homoeopathic remedies produce any durable
effect in those cases.)"
CASE 24.
A man of thirty-seven, who had been
"poorly" for two years, complained of difficulties about the chest, which were much
favored by his phthisical habit and hereditary predisposition to such complaints. He
had been several times under allopathic
treatment, and been only injured thereby.




HOMCEOPATHICALLY.


57


On the 13th March I was sent for, and found
him pale and emaciated, the breathing short
and quick, coughing frequently, now dry,
then again with greenish-yellow sweetish
expectoration, especially morning and evening. Sharp pains in the head, chiefly in the
forehead, worst after a fit of coughing. Appetite stronger than when he was well, and
followed by pain in the epigastrium and little
evacuation of the bowels. Heaviness and
coldness in hands and feet. Both rather
swollen. Evening flushes of heat and thirst.
March 14th. I gave Stannum    6 and
regulated his diet. The next and the following day the cough, weakness, and general
uneasiness appeared aggravated, sleep and
appetite left him, night-sweats increased,
and the patient was thrown into the utmost
despair.
In spite of all this, I repeated the Stannum
a few days after, and brought on a totally
different state of things.
A few days after, all the above symptoms
had moderated, and on seeing the patient
again in nine days, I hardly knew him. Pains
in the chest, headache, night-sweats had
nearly gone, cough and expectoration were
much lessened,breathilngeasier, voice clearer,
bowels more regular, appetite and general
health considerably better.
The duration of the effect of Stannum be



58      CONSUMPTION TREATED


ing sometimes twenty days, I meant that in
this case it should have fair play, and the result was that the man entirely regained good
health.-Dr. Schubert.
CASE 25.
The wife of a clergyman, mother of five
children, light hlair, middling size, gentle and
amiable, thirty-eight years old, had always
enjoyed good health, excepting an occasional
cough and c" cold in the head," and a rheumatic toothache. Six years ago she got a
pulmonary catarrh, which may be looked
upon as the immediate cause of the subsequent mucous, purulent, pulmonary phthisis.
She received allopathic treatment for it, but
it grew worse so rapidly, and assumed such
decided symptoms of phthisis in four weeks,
that a consulting physician was sent for.
Their united efforts for two months, exhausting all the means afforded by allopathy,could
not stem the progress of the disease, and they
ultimately declared it to be a hopeless case,
past cure.
Now, I was consulted, whereas, probably,
if that had been done in the commencement,
I might have cured the catarrh by a few
homoeopathic doses. But such is the fate
of homceopathic physicians; they are in
many cases not consulted, till the patient is
declared by the soi-disant " regular physi



OMMtO PATittCALLY.


clans," to be dying. But woe betide us, if
even under such circumstances the patient
should die! One will then exclaim: "There,
you see the effects of your miraculous sugarpellets," and another, " That is the result of
their poisonous doses!"  But if we cure a
patient, who has been entirely given up by
the allopathic doctors, the latter pretend that
the case was not dangerous, but that the
patient lost his patience and confidence in
them! But when we cure inflammations,
typhus, and other acute diseases, etc., they
exclaim: "That was no inflammation, no
typlus, etc.!" and yet we are to credit their
reports of cures chronicled in their journals.
I saw the lady first in the afternoon, and
noted down the following symptoms:On the chest, and particularly in the course
of the sternum, a constant tension and fulness, with difficult, short respiration. On
taking a long breath, which she was not
always able to do, immediately an exhausting, rather hollow cough with yellow expectoration of a saltish taste, worst on
waking or in the evening; pauses of 2 to 3
hours during the night. In the course of 24
hours, she expectorated as much as a teacupful. In bed, she was obliged to be bolstered up by pillows, lying on the back most
comfortably; on the left side, she found it im



60      CONSUMPTION TREATED


possible, because the latter position increased
the cough and the tightness on the chest.
In the evening, increased heat and thirst
till after ten, together with a desire for cold
drink, and circumscribed redness of cheeks.
Pulse small, soft, 110, frequent palpitation of
the heart, particularly in bed in the evening,
and when moving about in the room. Increased temperature of the skin; very red,
but tolerably clean, moist tongue. Appetite
tolerable, bowels irregular, menses once in
4 weeks, but very small in quantity. Towards morning, slight perspiration. Very
evident emaciation. Had had no medicine
for the last two days.
Although, as far as I could learn, no psora
laid at the foundation of this disease, yet I
became fully convinced, that it could be cured
by antipsorics only, and amongst them I
chose Lycop. 30. I ordered, besides, a light
nourishing diet of cocoa for breakfast, beeftea with a little yolk of the egg for dinner,
or soup with sago, rice, vermicelli, pearl barley, etc. White bread. Very little meat
and that underdone. For beverage, chiefly
well-skimmed milk. To be kept warm.
During the first four days, I noticed no
change in her condition, but on the fifth
some amelioration took place, manifesting
itself by a diminution of violence in the




HO1EOPATHICALLY,


61


morning and evening cough. I, therefore,
allowed the remedy to act for a fortnight.
I then repeated Lycop. every subsequent 12
to 14 days, the improvement progressing all
the while. Two months from the time I
had first seen her, the cough and expectoration had decreased one half, and the latter
consisted merely of white, dirty, mucous
sputa. The cough had lost its hollow sound,
the respiration had become easier, and caused
no peculiar sensations in the chest. She
could lie longer on the right side, but not
at all on the left. The fever had perceptibly
abated, the palpitation of the heart had
ceased, the sleep, interrupted but once in
about 4 hours, refreshed her very much, as
she declared herself. Menstruation had set
in on the 31st day, but lasted only 48 hours.
The sweats, however, remained obstinate,
and smelt sour. I directed my attention now
mainly to this last symptom, and accordingly gave Phos. acid. 9, four times during
twelve days, which had so good an effect as
to leave nothing of those sweats but a slight
perspiration between 5 and 6 o'clock in the
morning. Meantime the cough and other
symptoms of the chest had grown worse
again. I then administered Stannum 3, once
a week, and in five weeks I had mastered
those symptoms so far, that the cough became utterly silent during the day-time, and
6




62      CONSUMPTION TREATED


made itself heard occasionally only morning
and evening.
In the same ratio, her general health improved.  Fever was entirely gone.  She
could lie some time on the left side, and
complained of pressure on the chest only
after an animated conversation. Her strength
had materially increased. Pulse and nutrition better. Menses appeared on the 33d
day, lasting two days only, but more abundant than hitherto. Stannum once a fortnight, and two doses of China, with six
days' interval, completely restored this charming woman to health and domestic happiness, in the course of a few months.---Dr.
C. F. Schuwxrzc,
CASE 26.
A woman, 47 years of age, previously
heallhy, and the mother of many children,
had been confined for many weeks to her
bed, when on thle 23d December, she sent
for me, and gave me the following incomnplele account of her case.
For a long time, her menstruation had
been suppressed; then, for five successive
weeks, she had been constantly flowing, with
cutting pains in the abdomen. For the last
8 days, however, no blood had appeared.
In the left side, under the false ribs towards the back, she had for some time had




HOMCEOPATHICALLY.


63


a pain drawing forward; cough; loss of
appetite; bowels regular; is uncommonly
weak and emaciated. When she sleeps, she
perspires very considerably.
Upon this account, I gave her Arsen. X0000.
Dec. 30. For 8 days, no evacuation had
followed the fruitless efforts to stool. The
patient is very weak; in the spot where she
for many weeks had had pain in the side, a
tumor had arisen (such was the statement
of the messenger), which appeared to be
coming to a head.
In order to bring about a motion of the
bowels, I gave Nux vom. X, which produced
its result.
Jan. 2. Since yesterday, the cough has
increased, with expectoration of pure pus,
at the same time that the external tumor
had lessened. In general the patient found
herself somewhat easier.
On the 6th of Jan., I visited the patient, and
found the before-mentioned tumor soft, fluctuating. Evidently an effusion of pus had taken
place toward the surface, and it would have
been an indication for the opening of this tumor, if it had not already become smaller since
the discharge of pus had found vent through
the air passage. The tumor itself was only
of the size of a pigeon's egg, and withoit
pain or discoloration of the skin. I found
the invalid unusually emaciated, feeble, with




64      CONSUMPTION TREATED


chills towards evening, followed by flashes of
heat, and perspiration during sleep; coughing attended with expectoration of pure pus.
I gave L1/copod. X0000.
Jan. 20. The patient finds herself better,
has gained more appetite; evacuation of the
bowels more regular.  Expectoration  no
longer in the same quantity as formerly.
Again I gave Lycopod. X.
After this, most symptoms improved until Feb. 1st, and I had the best hopes of
recovery, when the patient was attacked
with an inflammatory affection of the left
lung, and violent stitches in breathing, which
were overcome by means of a few doses of
Aconit. and Bryon., but left increased cough
and expectoration behind.
I gave now, onl the 3d and o0th February,
Stann. II., but without particular effect,
On the 17th February, Kali. X~. was given,
because there was still much purulent expectoration. After that, all cough anld expecloration ceased until Alarch 3d, but a
lingering fever remained behind, which, after
I had fruitlessly tried Pulsat., China, Nux.
vom. and SulAp. yielded to several doses of
Sepia X. The patient afterwards entirely
recovered, her menses re-appeared, anid nlow,
in September, she enjoys good health, has
regained her flesh and strength, and performs
her domestic duties.-Dr. Riickert.




HOMCEOPATHICALLY.


65


CASE 27.
This is another case pronounced hopelessly incurable by allopathic physicians.
A man, of thirty-four, of a decidedly
phthisical habit, poorly fed, who had been
frequently ill silce his eighth year, and
in whom purulent phthisis pulm. had beer4
fully developed for several months, was
advised to try homceopatlic treatment, as lie
was failing so fast under that of the old
school. When his friends gave me a description of his case, I told them that he was
too far gone even for homaeopathy to save
him. I yielded, lhow ever, to the solicitations
of the patient, wlio had himself given up all
hopes of recovery, and looked to me merely
for alleviation of his sufferings  I saw him
first on the 22d October, 1842, and took the,
following record of his case:
In his eighth year he had the measles, and
taking a severe cold whilst they were out
upon him, it brought on an obstinate typing
fever which lasted a long time, and from
which he recovered very slowly. During
four successive years after this, he had beer
regularly attacked every spring and autumn
witl laryngitis, accompanied with copious secreti.o of nitcus, and lasting each time from
a week to a fortnight. In subsequent years,
in the place of this laryngitis, he had had every
6*




66      CONSUMPTION TREATED


autumn, winter, and spring, a severe mucous
cough, preceded generally by a catarrh.
The treatment he received for these complaints relieved them very considerably, but
never effectually removed them, which he
partially attributed to his sedentary life.
Cough and expectoration hung on to him
more or less foryears, till,owing to greatexpo- sure, he was attacked by inflammation of the
lungs, which confined him to his bed for five
weeks. During eighteen months after that
his health was good. Mental troubles came
upon him then, and with them returned the
cough and expectoration. From that period
he dates his present pectoral affection, for
which he has been under constant treatment,
growing worse from year to year.
I found his whole body very much emaciated, general weakness, trembling of the
hands, faltering, hoarse voice, difficult, short,
anxious respiration, pressure, burning and
tension over the entire chest, aggravated by
coughing, talking and exercise. Frequent
cough night and day, worst in the evenings
on lying down, and in the morning, therefore
he got but little sleep. Much greenish-yellow, offensively-smelling, saltish-tasting expectoration, chiefly in the morning, part of
which sinks in water in the shape of lumps.
When in bed he is obliged to recline on his
back in an almost sitting position. Every




HOMGEOPATHICALLY.


67


night he has debilitating, clammy, sweats,
which smell sour, and commence imlmediately after midnight.  Small, quick, languid
pulse, 120; constant thirst, little appetire,
tongue coated white, irregularity of the
bowels, and turbid, flocculenlt urine.
After having regulated the diet, I gave him
Lycopod. 30~~~~, anld waited a week for the
result, which proved to be a decrease in the
exertion of coughing without any further
change. I repeated the medicine, and six
days after found the'cough diminished in the
morning and evening, as also an amelioration of the morbid sensations about the chest.
Four days afterwards he complained chiefly
of very great debility, and I, therefore, gave
him within a week, twice, China 9, with a
very decidedly good effect, and then returned
to Lycop., once a week, which diminished
both cough and expectoration, changing the
character of the latter so materially, that but
little of it sank to the bottom in a tumbler of
water.  Especially during the night, the
cough would be quiet for an hour or two at
a time, thus giving the patient the opportunity to sleep, which, toge:ther with a nourishing, easily-digestible diet, contributed greatly
towards his gaining some strength.
In a disease of this kind, especially if we
are called at so advanced a stage, we may
well congratulate ourselves on perceiving
any, even the slightest, benefit from our re



68      CONSUMPTION TREATED


medies; I therefore continued the same remedy once a week or ten days, till the 19th
January, by which time all the symptoms,
but especially the sensations about the chest,
cough and expectoration, fever, night-sweats,
and general weakness had very much abated
in intensity. Although on that day I gave
Lycop. again, the patient's condition remained
not only unaltered for a whole week, but
during the last two days of it, without any
apparent cause, I noticed a retrograde movement, which induced me to change the remedy.
I gave him on the 27th January Kali carb.
3000100, and repeated this dose twice within
three weeks, which produced a decrease of
the cough and expectoration; at the same
time the latter assumed a less purulent appearance. This improvement was again interrupted by a fresh cold. The cough grew
worse, though attended with less expectoration; he complained of pain in the right
side, renewed hoarseness, scraping sensation
in the throat, more fever, and great weakness. This change of things determined me
to give him Puls. 12, which in three days
removed these catarrhal difficulties, and I
then returned to Kali carb. which covered
the main symptoms of the chest, particularly
the morbid sensations in it, the cough and
the expectoration.
All the more was I astonished, nine day4




HO)MiOPATHICALLY.


69


after, not to discover thle slightest alteration,
and I, therefore, repeated the remedy. But
I was doomed to learn from experience, that
in chronic diseases it is a difficult task always
to choose the right remedy. The fact is, the
similarity of symptoms is so great amongst
so many. Twice I had repeated Kali, andl
after the second dose his case took such a
turn as to make me tremble again for his
life. Within the last days some cedema pedum has shown itself. I studied the case
over again and gave Sepia 30000000
For several days his critical situation reSnained in statu quo, but soon after he improved so far as to get some sleep at night,
by the intermissions of his cough, which appeared to refresh him more than all the nourishing diet. Nine days after I repeated
Sepia, apd this time it acted beautifully on
the general condition. Cough, sputa, and
night-sweats abated, particularly the first
during the day. In the evening, also, there
was less exacerbation of the fever, and the
patient was on the whole more cheerful.
Tinus his recovery proceeded slowly, but
steadily, under the adniniistration of Sepia
once a week until the 251h April, when aH
of a suddeii he complained of excessive
weakness in all his limbs without any assignable cause. He particularly complained
of weakness in the chest, witlout experienc



70       CONSUMPTION TREATED
ing at the same time any tension or pressure
in the same. The pulse I found smaller and
weaker than it had been during the last
weeks, and his languid eye plainly denoted
his increased debility. The sputa had grown
infinitely less in quantity and in purulent
appearance, nor did it retain as much of the
offensively-smelling character.
It is not an uncommon thing in chronic
dieases to find, suddenly, a complete pause
occur in the progress of improverent, usually
combined with a sensation of the utmost
exhaustion; a circumstance very much calculated to depress the patient's spirits, and
throw him again into despair with regard to
his recovery.
China 12, removed all these untoward
symptoms, and subsequently I returned to
Sepia, anticipating much benefit from it, but
still very cautious in giving a prognosis,
because duly considering that the patient
had been delicate from childhood, had gone
through very serious diseases, such as pneumonia, and that he was of a decidedly phthisical habit.
Sepia answered my expectations; and
under repeated administration of this remedy
the patient continued to improve till the 13th
June. At that time his case stood as follows:-During the day little cough with expectoration, sputa yellow, thin, mucous, with




IOM(MOPATHICALLY.


71


very little smell or taste, amounts to about a
teacupful in twenty-four hours.; in the morning a scraping sensation in the throat; on
the chest pressure and oppression with dyspncea, and the necessity to lie bolstered up
in bed. A long breath brings on the cough
pulse in the morning above 90 and small,
his looks improved, appetite tolerably good,
little thirst, bowels generally regular, moving
once a day, his strength somewhat greater.
Kali carb. again, repeated every two or
three weeks until the 27th November.
By that time he coughed but little, either
day or night, sputa thin, white mucus, rather
out of proportion in quantity, compared to
the severity of the cough; the pressure on
the chest had so much diminished, that he
could walk about without much difficulty;
fever totally gone, and strength improved.
Stannum 3, once a fortnight, to meet the
mucous cough, in which I succeeded in
about eight weeks, during which period the
convalescence was progressing steadily, and
shortly after the man resumed his arduous
duties in the service of his country which he
has uninterruptedly pursued since.
Thus in the space of fourteen months I
had restored to health an individual declared
"by respectable practitioners in the old school
to be dying of a hopelessly incurable dis,
ease.-Dr. Schwartze.
[I have many more cases at hand to illus



CONSUMPTION TREATED


trate the triumphs of homceopathic treatment
in phthisis pulnonalis, which allopathic physicians had given up as incurable, but they
arc so very similar in every respect to the
preceding ones, that I fear to tire the reader
'by too much repetition.]
The preceding recorads of lomceopathic
practice demonstrate satisfactorily that homceopathy can do something against pulmnonary phthisis unless our enemies shouldo
attempt to dispute FACTS. A more difficult
point to be settled, is: What can homceopathy accomplish in those diseases, in comparison with allopathy?  This cannot be
qdetermlined till many practitioners of both
schools shall have reported the favorable.and also the unfavorable results of their
treatment of this disease, as I liave now
tdone.
If I, individually, am called upon for my
opinion, I can only say that the favorable
ternminations by far exceed the fatal ones in
vthe ratio of three to two.
As regards Case 8, which was fatal, the patient was of a phthisical diathesis, had had a
tprevious attack, and was this tlime taken,with it in childbed, the case being compli'cated with a drug disease, caused by quintine;
wnd when I took charge of the patient, the
prognosis could not be otherwise than vcry
'"nfavorablc. The fatal rcsult in this in



HOMEOPATHICALLY.


"73


stance, cannot be laid at the feet of homceopathy.  Allopathy had been unsuccessful,
and would probably have remained so, if
that mode of treatment had been pursued.
The hereditary pre-disposition to phthisis,
the phthisical habit of the patient, and the
colliquative stage of the disease, precluded
the possibility of a favorable prognosis.
No. 12 could not reasonably have been
expected to recover. Allopathy had transferred the case to me as incurable, and therefore could have done no better than I did.
The patient No. 13 at first gave me some
hopes of recovery, but unexpectedly she became worse, and her removal to the Springs
of Salzbrunn hastened her death. If any
venerable physician in the old school can adduce sound reasoning that the patient could
have been saved by allopathic treatment, let
him do so for the sake of suffering humanity.
In the introduction to this essay I propounded the question:" Whatcanhomoeopathy accomplish against
pulmonary phthisis? and What has she already accomplished?"
And now I proceed to give the following
reply:" According to faithful and accurate observations, she has accomplished a great deal,
and need not shrink from close comparison
with her older sister, allopathy; because in nu7




74      CONSUMPTION TREATED


merous instances where the latter was utterly
powerless, and acknowledged to be so by her
own votaries, the former restored the patients
to perfect health."
Homoeopathy, then, has just claimsto more
respect and consideration than is generally
conceded to her. We will next enquire into
the special resfilts and indications to be deduced from actual experience and observation.
First of all we will enumerate the medicines which have performed cures, and in
how many cases each has been employed.
Times.        Times.        Times.


Ars.... 2 Kali carb..
Bell.... 3 Kali nit..
Calc. carb.. 8 Lycopod.. 1
Carb. veg.. 2 Laurocer..
China.. 6 Ledum pal.
Dulc... 1 Mercur...
Dros... 1 Nux vom..
Ferrutn.. 1 Nitri. acid..
Hyosc... 1 Natr. mur..


6 Phosph.
2 Puls...,2 Sepia
1 Silicia
1 Sambucus
I Snulph..
2 Stannum
1 Staphys.
1. 6. 4. 7. 1. I.13.16. 2


Thus 26 remedies only have as yet been
administered in phthisis pulm. out of the 200
to be found in our Mat. Med.
We will further examine, whether some
indications ab usu in morbis can be laid down
of those remedies that have worked such
favourable results. Not of all, owing to a
want of detail in the narrative of some of the




HOMCEOPATHICALLY.


75


cases recorded, but of the following, which
have been sufficiently tested:
I. CALC. CARB.
Various potences have been used, sometimes the 18th, frequently the 24th, most
frequently the 30th, a few times only the
12th. The latter did injury by too powerful
a primary effect.
Repeated doses were given only of the
30th.
With reference to an advantageous effect
on sex, constitution, or age, very little has
transpired, and the same is the case with regard to the aetiology ofthe disease. In some
cases certain psoric eruptions have been
pointed out; in others none were observed;
thus, in selecting a remedy, it will be best to
be guided by the totality of symptoms, rather
than the fancied cause of the disease, such as
psora.                           P
The symptoms characterizing Phthisis in
those cases which were cured by Calc. carb.
were grouped as follows:Cough and Expcctoration.
Tickling irritation to cough. Irritation to
cough, seemingly produced by feather-dust;
in the day-time. Mucus in the trachea,
which provokes the cough.
Cough dry, violent in the evening and at




76     CONSUMPTION TREATED


night, so as to make all the arteries pulsate
stronger.
Night cough during sleep.
Exhausting, dry cough with pain in the
chest.
Violent cough day and night.
Rattling in the trachea and chest.
Expectoration smells offensively, is of a
brown colour and mixed with pus.
Increased expectoration upon taking Calc.
"VIooo
Violent day cough with much expectoration and rattling on the chest.
Lumpy, purulent sputa.
Greenish, muco-purulent expectoration.
Yellow, offensive sputa.
Coughing sometimes attended with vomiting.
Pains in the Chest.
On taking a long breath stitches on the
chest."
Stitches in the side of the chest when moving
about, or bending on the painful side.
Pains in the chest greatly aggravated by
Calc. VI.
Stitches in the side of the chest when
coughing.
Burning in the chest.
Febrile Symptoms.
Constant chill with thirst.




HOM(EOPATHICALLY.


77


Evening fever every third day, first, heat
in the face, then chills.
Night sweats. At night a local perspiration on the chest, which is very debilitating.
Various attendant Symptoms.
Unquenchable thirst.
Diarrhoea, frequently soft stools.
Sluggish bowels, dry stool.
Inclination to diarrhoea with cutting pains,
and then again obstinate constipation.
Calc. VIII caused violent diarrhoea.
Disposition to hemorrhage.
Menstruation every three weeks, profuse.
Swelled salivary glands.
Ends of the fingers red and much swollen.
Cachectic countcnance.
Scrofulous constitution.
Emaciation.
Want of strength, great exhaustion after
exercise.
Moral Symptoms.
"Anxiety, fatigue of the mind, despair
about recovery.
Depression of spirits, irritable, sensitive,
disposed to weep.
II. LYcoPoDIUM.
Given in the 12th, 18th, 24th, 28th, and
30th potence. The last most frequently, and
in repeated doses. Its almost specific action
7*




78      CONSUMPTION TREATED


in pulmonary phthisis, particularly if characterized by purulent expectoration, is undeniable, more especially if the symptoms point
to the formation of a vomica, either in consequence of acute pneumonia causing the formation of pus, or of more occult inlflammation of those organs.
The Lycop. is indicated in the following
symptoms characteristic of Phthisis:
Cough and Sputa.
At night violent dry cough, butduring the
day attended with expectoration.
Cough after drinking, dry cough day and
night, dry morning cough of several years'
standing.
Cough and expectoration.
Cough with purulent expectoration.
Rattling on the chest.
Day and night violent cough with sputa.
Expectoration of pus. Cough with expectoration of blood and pus.
Sputa greenish, yellowish, greasy, smells
musty, and tastes putrid.
Suspicious expectoration; profuse expectoration.
Pains in the Cheicst and Difficulty of
Breathing.
Stitches in the chest.
Burning in the chest like " heartburn."
Constant pressure on the last left rib.




HOM(EOPATHICALLY.         79
Stitches, pressure on the chest.
On the left side of the chest, burning and
gnawing.
Feeble voice, cannot draw a long breath.
Oppression on the chest, difficult breathing.
Impossibility of lying long on the left side,
on account of difficulty of breathing, and
cough.
Febrile Symptoms.
Feeble pulse.
Dryness of the skin, of the hands.
Chills towards evening.
During the evening, flashes of fever.
Inward heat, lingering fever.
Night sweats.
Perspiration during sleep.
Clammy night sweats.
Offensive perspiration upon the breast at
night.
Various attending Symptoms.
Diarrhoea of purulent matter, which is relieved by Lycopodium IV~.
After Lycopodium discharges of blood froni
the anus.
Inward debility.
General loss of strength with emaciation.
Moral Symptoms.
Anxiety, with sadness and inclination toweep.




80      CONSUMPTION TREATED


Mental exhaustion, wilfulness, irritable
temper.
Depression of spirits.
III. PHosPHORUs.
Excepting in one case, where the 24th potence was employed, this remedy has been
administered in the 30th without repetition.
In both sexes, and different constitutions and
ages, Phosph. has been beneficial in the few
cases where it was employed. It certainly
acts specifically on the lungs, as is demonstrated ab usu in morbis.
Phos. has cured both dry and moist cough.
Amongst the latter, both such as was characterized by light-coloured sputa, and likewise by pus.
Cough and Sputa.
Tickling in the chest, tickling cough.
Roughness in the trachea.
Hoarse, rough, dry throat.
Cannot say a word without being annoyed
by a short hacking cough.
Night cough with stitches in (he trachea.
Chiefly dry cough, occasionally with bloody
expectoration.
At night his sleep is disturbed by cough.
Cough with whitish sputa.
Cough with white mucous expectoration.
Expectorates pus and blood.




HOM(EOPATHICALLY.


81


Yellow purulent saltish sputa.
Greenish expectoration.
Difficulties of the Chest and Breathing.
Stitches in the left side of the chest; touching
the spot causes a stitch, chronic stitches in
the side, pain of soreness and burning in the
chest, pain under the left chest on lying on it.
Cannot well lie on the back, and not at
all on the sides. Hammering in the chest,
soreness, pain in the side of the chest, burning, stinging.
Dyspnea, oppression of the chest, ditficult breathing, oppressed breathing.
Febrile Symptoms.
Chills, particularly in the evening, with
flashes of heat.
Evening chills, dry heat in the palms of
the hands more especially, flashes of heat.
Circumscribed redness of the cheeks.
Morning sweats.
Clammy sweats, night sweats.
At night, clammy sweat.
Various Symptoms.
Diarrhcea.
Pains in the abdomen when coughing.
Scrofulous constitution.
Habitus phthisicus.
Shaking cough with trembling of the
limbs.




62      CONSUMPTION TREATED


Moral Symptoms.
Irritability, fretfulness, anxiety.
Want of cheerfulness.
IV. SEPIA.
The symptoms have not been stated with
sufficient accuracy in those cases where this
remedy has been employed, to draw indications ab usu in morbis, still we may observe
that it has changed a purulent expectoration
into a mucous.
Hoarseness, agitation in the chest, feeling
and pain of soreness in the chest, pains in
the chest on motion, oppression on the chest,
and stitches in the left side of the chest on
coughing and breathing, morning and evening cough with saltish sputa-the latter is
tenacious and coughed up with difficulty.
Night sweats, sour morning sweats.
Indifference towards his family, despondency, sadness.
V. STANNUM FOLIATUM.
No remedy has been so frequently used in
phthisis pulm. as this, nearly always in the
6th potence, a few times only in the 3d, and
in most cases has it been repeated every
week. The following symptoms were covered by it:Cough and Expectoration.
Tickling in trachea, scratching sensations




HOMCEOPATHICALLY.


in the throat, hoarseness, cough excited by
talking, laughing, and singing.
Constant irritation on the chest to coughy
as if produced by mucus.
Roughness in the trachea with tickling
cough.
Cough, night and morning most violent.
Violent, fatiguing, shaking cough, now dry,
then moist, tenacious, at other times the expectoration loose.
Day and night cough with copious mucous
sputa, sometimes deep.  Cough and expectoration of whole lumps of yellow, offensively-smelling and tasting sputa.
Cough with greenish expectoration of a
nauseous, sweetish taste.
Mucus in the trachea easily coughed up.
Expectoration sometimes watery, thin and
mucous, at others thick, tenacious, lumpy,
yellow-green, saltish, sweetish.
In a case of expectoration of pure pus from
a vomica (Case 26), and in suspicious expectoration subsequent to pneumonia (Case 19),
Stannum was quite useless.
Pains in the Chest and Difficulty of
Breathing.
When coughing, the chest feels raw and
sore.
The inside of the chest, from the throat
downwards, raw and sore.




84     CONSUMPTION TREATED


Pains all over the chest.
Pressure deep in the chest, as if from a
weight. Tension across the chest.
Utmost feeling of faintness in the chest, as
if all was numb.
Uncommon weakness of the chest, as if eviscerated.
Speaking irksome, owing to oppression
and hoarseness.
When breathing, a howling and rattling in
the chest.
Dyspncea whenever he moves.
He cannot lie down at night from want of
breath.
Want of air, feeling of suffocation.
Tightness of the chest.
In the evening compression of the chest.
Febrile Symptoms.
In the evening from six to nine chills over
the back, and hot hands.
Burning in hands and feet.
Dryness of the mouth.
Agitation of the blood.
Flashes of heat on taking exercise.
Nioht and morning sweats.
Pulse small and quick.
Various Symptoms.
Diarrhoea.
Weakness of the thighs, as if the knees
were giving way. Emaciation.




HOM(EOPATHICALLY.


85


Moral Symptoms.
Anxiety, despair.
From the above we gather, that Stannum
is indicated only in those coughs which are
attended with expectoration, though the latter may be raised with difficulty; firther,
when irritation in the trachea provokes the
cough, and hoarseness is combined with it.
The cough is regardless of the hour of the
day.
The expectoration which calls for Stannum
is pus, approaching to mucus, or mucus only,
-in expectoration of pure pus, Stann. will
not do.
Burning in the hands and feet, and the
lingering slow fever, are admirably covered
by Stannum.
VI. SULPHUR.
In doses varying from the undiluted
Spirit. Vini Sulph. to the VIII. and X. potence.
In one case only was it repeated.
Cough and Expectoration.
Tickling to cough in the trachea.
Night cough.
Cough at any time of the day, dry at night,
during the day with yellow-greenish sputa.
Cough short, barking, frequent during the
day, disturbing his rest at night, dry cough
with thick mucous expectoration.
8..




86


CONSUMPTION, ETC.


Yellow-green, offensive sputa, soon changed into bronchial mucus.
Expectoration of pus and blood.
Cough with purulent sputa; whole lumps
are coughed up.
Pains in the Chest, 4Cc.
Oppression on the chest, especially on
drawing his arms together before him.
When coughing and sneezing, feels as if
the chest would split:-In the left side burning and gnawing.
Difficult breathing.
Tightness of the chest, with whistling and
rattling, and visible palpitation of the heart.
Fulness of the chest, burning in the chest.
Pressure in the sternum. In walking,
tightness of the chest.
Chills, sour night sweats.
Various Symptoms.
Can sleep at night only on the back, in a
sitting posture.
Pains in sacrum. Weakness, trembling
of the limbs, great languor, especially with
every exertion.
lMoral Symptoms.
Irritability, peevishness, depression of
spirits.


THE END.




BOOKSELLER & PUBLISHER,
No. 322 BROADWAY,
NE W-Y OR K,
Rpetfully informs the Homoeopathic Physicians, and the
friends of, the System, that ho is the sole Agent for the Leipzig Central Homimopathic Pharmacy, and that he has alw"aysi
on hand a good assortment of the ~best Hlomeeopathic Medicines, in complete sets or by single vials, in Tfinctures, Dilutions and Triturations; also Pocket Cases of!lfedicines; Physicians' and Family Med1uicine Chests to Laurie's Dornestie (60
Remedies)-EPP'S (54 Remedies)-IIERING'S (58 Remedies).-SmalI Pocket-cases at $3, with family gruide and 27
Remedies.-Cases containing 415 Vials with T inctures and
Triturations for Physicians.-Cases with 2-10 Vials of Tinctures and Triturations to.Jahr's New MNanual.-POCKET
CASES with 60 Vials of Tinctures and Triturations.-Cases
from 200 to 400 Vials with low and hi-h. dilutions of medicated
pellets.-Cases from 50 to 80 Vials otlow and high dilutions,
etc., etc. Hlomceopathic Chocolate. Refined Sugar of Milk,
pre Globules, etc. Ar-nica Tincture, the best spec ific remedy
o(bUr bruises, sprains, wounds, etc. Urt ica urens fas Burns, as
well as Books, Pamphlets, and Standard Works on the System, in the English, French, and German languages.
H-OMCEOPATHIC BOOKS.
Just Published.
HIEMPEL'S B(ENNINGHAUSEN, for IHomccolpathic Physicians; to be used at the Bedside of the Patient, and in studying the Materia Medica Pura. 1 octavo vol., most complete
edition, including the Concordances of Homero pathic Remedies. Trranslated and aptdto the use (if the American
Profession, by C. J. HIEMPEL, M. D.I -147. 1$1 50.
HEMPEL'S HARTMANN. The Acute Diseases, and
their Homueopathic Treatment. Third German edition, revised and considerably enlarged by the author. Tr-anslated,
with additions, and ada pted to the use of the American Profession, by C. J. Hempel, M. D. 1847. $1 2.5.




Homoeopathic Books.
C. HERING, M. D. DOMESTIC PHYSICIAN. Third
American, with additions from the fifth German edition.
1845. Bound, $2.
LAURIE, DR. J. HOM(EOPATHIC DOMESTIC MEDICINE, with the Treatment and Diseases of Females, Infants, Children, and Adults. Third American edition, with
additions by A. Gerald Hull, M. D. 1846. Bound, $1 25.
E. BAYARD, M. D. Jahr's Short Elementary Treatise
upon Homeopathia and the Manner of its Practice, with some
of the most important effects of ten of the principal Homaeopathic remedies; for the use of all honest men who desire to
convince themselves, by experiment, of the truth of the doctrine.  Second French edition, corrected and enlarged.
Translated by Edward Bayard, M. D. Bound. 37* cts.
HAHNEMANN, Dr. S. The Chronic Diseases, their Specific Nature and Homoeopathic Treatment. Translated and
edited by Charles J. Hempel, M. D., with a Preface by Constantine Hering, M. D., of Philadelphia. 8vo. 5 volumes.
Bound. 1845. $7.
HEMPEL'S HOMCEOPATHIC           DOMESTIC     PHYSICIAN. 1817. Bound, 50 cts.
B(RNNINGHAUSEN'S ESSAY ON THE HOMOEOPATHIC TREATMENT OF INTERMITTENT FEVERS.
Translated and edited by Charles Julius Hempel, M. D.
1845. 38 cts.
HOM(EOPATHIC COOKERY. Second edition, with additions by the lady of an American Hommoopathic Physician.
Designed chiefly for the use of such persons as are under
Homoeopathic Treatment. 50 cts.
RUECKERT'S THERAPEUTICS; or, Successful Homneopathic Cures, collected from the best Homoeopathic Periodicals, translated and edited by C. J. HEMPEL. 1 large 8vo.
vol., bound. 1846. R3 50.
THE HOM(EOPATHIC EXAMINER.             By Drs. Gray
and Hempel. Vol. I., New Series. 1846. Bound in 2 vols.
$6.
TRANSACTIONS OF THE AMERICAN INSTITUTE
OF HOMCEOPATHY. 1846. Bound, $1 50.
HAHNEMANN, Dr. S. Matcria Medica Pura. Translated and edited by Charles Julius Hempel, M.D. 4 vols.
1846. $6.
t:.




- -                 "t.,
N'N"


4


I 






~




t
V




^^.^ ^ ^     ^f^   n^;'-,^,,..  '*  **.......
"'... M ',;* '.j
"-<.   ~.'.
"-!.
/
-*o.**'* '''*.




4                                        -~~~~~~~~~~~~~~~~~4- ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~~~~~~~~~~~~~- 4  t14,~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~':
~~~~~~~~~~~s  4~~~~~~~~~~~~~~~~~~~~~~~~~~~~4.;
'-4  ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~   A~~~d
~~~  '~~~~1i  N~~~~~
~~~~~-~~~~~~~&  q  4  ~~~~~~~~~~~~~~~~~~~~~~  ~ ~ ~ ~ ~ ~ ~ -~~~~~~~4~~~~~~~V   ~~~~~~~~~.
A. ~ ~    ~    ~     A~ 
7         44 ~  4A ~    ~    >
44;' ~  






UNIVERSITY Oif MICHIGAN.
3 9015 02012 0625








7n
J%-A - I
Al
7:1
f 4
wm