ON
BY
J. H. PULTE, M. D.
AND
EGBERT GUERNSEY, M. D.
SAINT LOUIS, MO.:
Published by ]I. &       I. LUYTi ES,
No. 51 NORTH FIFTH STREET, BET. OLIVE & LOCUST,
(LUYTxIES HOMEOPATHIC PHARMACY.)




ENTERED ACCORDING TO ACT OF CONGRESS,
IN THE YEAR 1860,
BY R. & H. LUYTIES,
IN THE CLERK)S OFFICE OF THE DISTRICT COURT OF THE U. STATES,
FOR THE EASTERN DISTRICT OF MISSOURI.
FR. KLUENDER, PRINTER,
Corner Third afd Chesnut Streets,
ST. LOUIS., MO.




PREFACE.
FOR sometime past, but especially in the last twelve months,
a very serious disease has prevailed with more or less fatality in
the western country. This disease is called DIPHTHERIA. In
consequence of its rapid and fatal termination in many cases,
much anxiety is felt and expressed by the people as to the most
speedy and reliable measures to be employed by them in time of
necessity and danger. In order to meet this inquiry and demand
for the purpose of promptly combatting this formidable disease,
request was made of several physicians of much experience in
this particular, to give the symptoms and treatment of this affection for public use. Da. PULTE of Cincinnati, and DR. GUERNSEY of New York, have kindly responded to the request, furnishing short treatises upon the subject which are subjoined. While
our obligations are hereby acknowledged to the gentlemen named
for their services in this behalf, we hope and believe the treatment recommended by them will be of incalculable value to every
family and the means of saving many lives.
Respectfully,
~. &   I.o LUJT-IES,
Proprietors Homoeopathic Pharmzacy.
ST. LoUIs, December, 1860.








DIPHTHEI A.
(AS TREATED BY DR. J. H. PULTE.)
This disease is comparatively a new one, with whose nature
and character we have had heretofore but little acquaintance. It
now has appeared amongst us in an epidemic form, and we have had
abundant opportunities to study its character and treatment.
Though dangerous, if not recognised and treated in the beginning, it
admits of very successful treatment, if carefully watched and immediately met by the proper remedies. In this respect it resembles
the Asiatic Cholera which also proved terrible only when neglected
in the beginning or not at all recognized as such.
Diphtheria attacks all ages, but principally the Young and
among these the full, fleshy children. Adults are scarcely taken
with it, except by real infection from others and in such cases the
results are more severe. The disease has an infectious character,
but only by immediate transmission of portions of saliva or membranous shreds of the patient into the mouth, nose, eyes or wound
of another; mere exhalation seems not to propagate the disease,
though even in very severe cases, where the exhalations become.
very fetid, this may also be the case. Whether the disease attacks
the same person more than once during life or the same season, is
not known as yet.
Like other epidemics, which favor particular organs as places
of development, it increases the frequency and danger of those diseases peculiar to those organs and impresses upon them more or
less of its own character. If during Cholera times diarrhceas were
very frequent and obstinate, though they were strictly speaking not
real Cholera attacks, so we have now sore throats in abundance and
find them more obstinate than heretofore.
DIAGNOSIS. It is already generally known that this disease
principally affects the throat and many have been induced to believe
that it is nothing more than a malignant form of' uleration of the
throat, similar to that which accompanies the scarlet fever or appears in its stead. Others believe it to be a new species of Croup




6
with greater extent and fatality. But those opinions are not correct. There are similarities between these diseases, because the locality of their appearance is the same; yet their differences are so
great, that we must not consider them to be of the same family.
Diphtheria is a disease, the germ of which enters the system in
the form of a miasm, like that of cholera or any other miasmatic
disease and then in the course of its development propagates its own
germ on the locality, peculiar to itself and that is the throat.
In this respect we can consider it indeed a disease of the blood,
which is penetrated by its poison through and through, if by noninterference we permit it to do so; if we can check the progress of
this poison or neutralize its very existence, then have we indeed
cured the patient, not sooner.
The first symptom almost in every case is a subdued hoarseness,
a slight huskiness in voice and apparent weakness of utterance. As
this is frequently not observed, the disease progresses without any
thing being done to stop its progress. In more acute cases this
slight hoarseness may be quickly followed by high fever and more
severe symptoms of the throat, which then invite immediate attention to the sufferer. In other cases the disease proceeds without
any or much fever, so that the state of the patient is not revealed
except by observing closely the changes on the tonsils and palate.
There will then be seen a whitish exudation, of various size and
shape, from a pin's head to a five cent piece, not like matter or pus,
loose and easily to be detached, but tough, like wash-leather of a
dirty white colour. In the progress of the disease, if not checked,
this spot enlarges in extent and thickness, until it reaches like a
white bridge from tonsil to tonsil, descending into the pharyngeal
cavity, where its observation is lost to the eye. In its further progress the same exudation invades the larynx, trachea and even entering the bronchial tubes, if life has not terminated sooner by laryngeal spasms.
The most distinguishing features of the disease aside from the
throat symptoms, are: Muscular weakness, showing itself mostly
in a listless, lazy apathy, yet not averse to complacently noticing or
even playing; paralytic appearances, such as difficult swallowing of
liquids, more than solids; —difficult, rather uncertain articulation; —
hollow, snoring respiration; coughing after or during an attempt to
drink; loss of appetite for almost any thing to eat or drink (this is
one of the most unfavorable symptoms.)
In some cases the glands of the neck and throat become involved, swell up to a fearful extent as in malignant scarlet fever and




7
show all the symptoms of a critical suppuration; yet when the
glandular abcess is opened, the condition of the vascular walls is
found broken down and fatal arterial hemorrhage ensues. In other
cases the disease invades the nasal fossae and' a fetid mucus runs
from the nostrils, corroding and obstructing the nose, similar to
some cases of malignant scarlet fever.'n these cases a comatose
state soon supervenes and life ends under paralysis of the brain, as
in the other cases, described above it ended in paralysis of the lungs.
Another fatal issue of the disease can be by a metastasis or
translation to the stomach and its environs;-in such cases the
throat symptoms may disappear and in their stead black vomiting
ensues which soon terminates life.
We have also witnessed in two cases the following train of
symptoms:
In the first case.the diphtheritic characteristics disappeared in
a few days; the child returned to school, but in two days thereafter
complained of headache, lost sight, hearing, speech, could not smell,
taste nor swallow-had great difficulty in raising the accumulated
phlegm from throat or lungs, which almost terminated its life. Yet.it recovered from this fearful paralytic state, but lost all the hair on
its head. Its recovery was as perfect as it is usually after severe
typhus fever, if no severe lesions have taken place. The other case
was similar to this one, but the child being considerably younger
and of feebler constitution., it died in one of those efforts to overcome
the accumulation of phlegm -by a sudden attack of paralysis of the
brain.
These facts as to the occasional termination of the disease prove
its real toxical character, similar to the most virulent of the typhus
species, if induced by poisonous malaria or contagion.
This view is strengthened by issues bearing still a closer resemblance to the typhoid forms, such as petechiae and livid spots,
like bruises (purpura hemorrhagica) with the attending low type of
fever.
We could still produce more evidence of the essential nature of
this disease as expressed above, if in a popular article of this kind,
it was considered necessary. Enough is stated to convince the
reader of the fearfulness of the disease and the necessity to combat
it in the onset and if possible, to prevent its progress; we have more
power to prevent it, than to cure it.




8
As this treatise is intended for popular use only, we adapt its
injunctions to that purpose. Professional men must follow their own
experience, or if they will profit by ours, we hope they will find them
well founded. We want four remedies in the possession of the
reader: ACONITE, BELLADONNA, KALI CHLORICUM  and
BINIODIDE OF MERCURY.*
Besides these internal remedies, we recommend as a gargle a solution of salt and water, and around the throat a bandage dipped in
a similar solution. If the disease commences with FEVER, give first
AcoNITE and BELLADONNA (five drops of each in two tumblers, half
full of water) every hour a teaspoonful, until the fever subsides.
In some cases the fever subsides under this treatment in 8 or 10
hours, yet on examination of the throat, it will be found that the
diphtheritic white spots have not disappeared or even diminished;
in such cases as well as in those, where the fever still continues after
the exhibition of ACONITE and BELLADONNA, we must hasten to
exhibit the following remedies in their order and continue their exhibition, until all the throat symptoms with the fever have disappeared; this may sometimes last two or three days.
These remedies are: BELLADONNA, KALI CHLORICUM and BINOIODIDE Or MERCURY; the two first in solution, five drops of BELLADONNA and twenty drops of KALI CHLORICUM, each in a separate
tumbler half full of water; of the third remedy, which is in powder
form, the dose for children of four years and over is so much as will
lay on a three cent piece, for children under four years it is half that
quantity; of the two first in liquid the dose is a teaspoonful, and
half a teaspoonful respectively as to the age of the patient. The
time of exhibition varies from one, two to three hours; in the beginning every hour a dose, i. e. the first hour BELLADONNA, next hour
KALI CHLORICUM and the third hour the powder of BINIODIDE OF
MERCURY dry on the tongue; the fourth hour BELLADONNA again
and so on. If the patient is better or at least not worse next day,
the time of exhibition may be lengthened to two hours and afterwards to three hours. When all the throat symptoms have disappeared, but fever is yet present more or less, the last remedy may be
* The strength or degree of these medicines is as foliows: Aconite, first decimal
in tincture; Belladonna, same as Aconite; Kali chloricum, in a saturated
solution (1 part to 16 parts of distilled water;) Biniodide of }Mercury, first
decimal in powder,




9
entirely omitted and the two first may be still given until every vestige of the disease has left..
During all this time the external application of the saltwaterbandage (covered with flannel) must not be omitted for an instance;
if dry it must be removed; the children, if old enough, to know how,
must be directed to gargle frequently with luke-warm salt water.
This latter means we also recommend as the best preventive EXTERNALLY to those exposed to the infectious influence of this disease;
as INTERNAL preventive we recommend the use of a small quantity
of the Biniodide of Mercury or still better of Iodide water alone
every day once.
DIET. During the disease the strength of the patient should
be kept up by all means possible; for this purpose we recommend
broths of meat, claret-wine, wine-whey, &c.; if patients desire
oysters and ice-cream, especially during convalescence it may be
given to them. If possible keep them in bed in a moderately warm
and even temperature. Change the linens frequently and air the
rooms as often as convenient.




DIPHTHERIA.
(AS TREATED BY DR. E. GUERNSEY.)
Diphtheria, from the Greek word dt1-reba, the prepared skin
of an animal, is by no means a new disease. It prevailed as an epidemic in France more than forty years since and was admirably
described by several English Authors nearly a century ago. I have
met with cases in my own practice as early as 1846.
It is called diphtheria, from the tendency to the formation of a
false skin or membrane in the throat. The disease I think is most
decidedly a blood disease, developing itself in the throat and rapidly
prostrating the vital forces. It cannot therefore be treated merely
as a local trouble, but while prompt measures should be taken to
arrest its ravages in the throat, the treatment must also be general.
There are two kinds of DIPHTHERIA, the MILD and the SEVERE or
MALIGNANT.
The disease usually sets in with vomiting of a thin fluid, oftentimes followed by purging of the same character. This is followed
by prostration and a kind of stupor. In the mild form there is no
fever, and these symptoms are slight, but in the more malignant
cases the symptoms are not only severe and the prostration great, but
the skin becomes hot, the mouth dry and feverish, and the desire for
water constant, which however is thrown up almost as soon as
taken. The patient does not yet complain of sore-throat, but on
looking the throat presents a bright red appearence. In a short
time the bright red parts begin to be covered by a whitish substance
looking not like an ordinary ulcer, but like a membranous deposit
thrown upon the surface. This deposit increases until it seems to
fill the whole mouth and nostrils. The smell, if the disease assumes
an ulcerative character, as it frequently does, is generally offensive,
and sometimes blood bursts from the nostrils, or is thrown up from
the ulcerated surface. The powers of life fail rapidly. The patient
gasps for breath as in croup, and tears at the throat for that relief,
which often alas only comes with death. In the mild cases, as I




11
have said before, all the symptoms are slight.  There is little or no
fever, but the attack is almost always preceded by vomiting, and
in a short time there is found in the throat on the -tonsils; the'membranous deposit.
A good nourishing diet and a few doses of the BI-CHROM-POTASH
given every three hours, and a gargle of alum water, or CHLORATE
OF SODA will usually suffice to effect a cure in these mild attacks.
In some cases the disease runs its course rapidly not unfrequently terminating in death in forty-eight hours. In these cases
the false membrane rapidly forms, and the patient as in croup, dies
from suffocation. In other cases the disease is more slow in its progress and several days may elapse before the change for convales*ence or death takes place.
Treatlmen it. —DIH     HTxE.RIA, although presenting many
of the symptoms of Scarlatina, must not be confounded with that
disease, or mistaken for the ordinary forms of ulcerated sore throat.
It is not merely a local disease, although its worst and most fatal
symptoms are developed in the throat. It is a disease of the blood,
poisoning the entire system and rapidly prostrating the vital forces.
The throat is the index, showing the march of the disease. The
treatment then should be both general and local; general, to support
the system, to enrich the blood and increase the vital power, and
local to break up the membranous deposit in the throat and check
the ulcerative prozess, which might be only partially effected by the
general treatment.
My own plan has been to commence the treatment with the
PROTO-IOD-MERC. I. and BI-CHROM-POTASH I. in alternation one or
two hours apart according to the severity of the symptoms.
When the membranous deposit begin to appear in the throat,
continue the remedies and use a gargle of a mild solution of ALUM,
CHLORATE OF SODA or CHLORATE OF POTASH. A teaspoon of
either may be dissolved in a half-pint glass two-thirds full of water
and the throat gargled with it three or four times a day. With little
children the throat can be touched gently' with a soft swab, but
every thing like harshness should be avoided. Another gargle I
have often used with marked benefit, has been, NITRATE OF SILVER
two grains in a glass a third full of water, prepared fresh whenever
used. A favorite gargle with me is the disinfecting fluid, which is
a solution of chlorate of Soda, one part to ten of water. If, notwithstanding the above treatment, the disease advances, the strength




12
rapidly declines, and there are indications of deep seated ulcerations,
the sheet anchor and almost specific, is ARSENICUM, given every
hour or two hours. From the first, keep up the strength with nourishing food, such as broth, beef tea, and when the strength is rapidly
failing, with wine-whey or milk-punch. During the formation of
the membrane, keep the air in the room moist with the vapor of
boiling water. It has a softening effect and favors the breaking up
and expulsion of the membrane.
But after the disease is apparently cured, after every throat
trouble has disappeared and the appetite returned, still watch the
patient carefully for two weeks or you may have developed HEART
DISEASES ALBUMINOUS URINE or other troubles. The ALBUMINOUS
URINE can be detected by boiling a little of the water, when, if albumen be present, it can be seen in white flakes. The heart trouble,
which almost always exists in connection with albuminous urine, and
sometimes without it, may be detected by palpitation and oppression
of breathing. The remedy in both cases is MERCURIUS.
Diphtheria is not confined to any age, although more prevalent
between one and fifteen years of age.  It prevails as an epidemic,
but I do not look upon it as contagious.:DIPHT   EwRIA CASES,
CONTAINING 12 REMEDIES,
{I Suitalble to foregoinig  Directions,:'NOW READY AND FOR SALE AT
LUYTIES'
rnmaeaat tiU    rarma< 
No. 51 North  Fifth  Street,
Between-Olive and Locust,            Saint Louis, nlo.




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EHO x  0  PA  T  Y! 
PUBLISHED IN THE LAST TWELVE MONTHS) FOR SALE AT
LUYTIES' HOMCEOPATHIC PHARMACY
No. 51 NORTH FIFTH STREET,
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3ayles, Dr. Wm. Two Sides to a Question,..................    15
Cockburn, Dr. Sam. An Exposition of the Homceopathic Law,   10
Ellis, Dr. John. Avoidable causes of Disease, Insanity and
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bound;.......................................................................     2  25
Freligh,'Dr. M. Homceopathic Materia Medica, bound,....... 1 50
Gollmann, Dr. Win. The Homceopathic Guide in all Diseases
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Granier, Dr. M. Conferences upon Homceopathy, (425 pages)
bound,...................................................................   1  50
Hahnemann, Dr. Samuel. Organon of Homceopathic Medicine, new  ed., bound,.................................................   1  00:
Hempel, Dr. Ch. J. A new and comprehensive System  of
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Hempel, Dr. Ch. J. Homceopathy, a principle in nature; its
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15
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Moore, Dr. James.  Veterinary Homceopathy, illustrated by
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their Homeopathic Treatment, 2d ed.,............................ 1 50
Neidhard, Dr. C. On the Efficacy of Crotalus Horridus in
Yellow Fever. Also in Malignant, Bilious and Remittant
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Physician's Visiting List and Pocket Repertory for 1861,
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The Sixteen Principal Homceopathic Medicines for Family
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Ten Reasons for Preferring Homceopathy to the Common
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