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THE
HOM (EOPATHIC
DOMESTIC MEDICINE.
T H E
HOM (EO PATHIC

DOMESTIC MEDICINE
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BY
JOSEPH LAURIE, M.D.,
Licentiate of the Royal College of Surgeons, Edinburgh; Graduate of the Homoeopathic Medical
College of Pennsylvania; Consulting Physician to the Hahnemannian Medical Institution
and Dispensary, dºc., dºc.
#id and flaiti.
WITH NUMEROUS IMPORTANT ADDITIONS, AND THE INTRODUCTION
OF THE NEW REMEDIES, AND A REPERTORY,
BY
ROBERT J. McCLATCHEY, M.D.,
Graduate of the Homoeopathic Medical College of Pennsylvania; Member of the American Institut
of Homoeopathy; Editor of the Hahnemannian Monthly; formerly Professor of Anatomy
and Lecturer on Clinical Medicine in the Homoeopathic Medical College of
Pennsylvania, &c., &c.
FIRST AMERICAN, FROM THE TWENTY-FIRST ENGLISH EDITION,
BOERICKE AND TAFEL:
NEW YORK, - - SAN FRANCISCO,
No. 145 GRAND STREET. No 234 SUTTER STREET.
PHILADELPHIA :
F. E. B O ERICKE.
1871.
Entered, according to Act of Congress, in the year 1871, by
F. E. BOE RIC KE,
in the Office of the Librarian of Congress at Washington.
sº ſº-ºg
nº J. FAGAN & SON,
3, STEREOTYPERS, PHILAD’A.
*- --~~ſº ºš
CAXTON PRESS OF SHERMAN & CO.

PR E FA C E
TO THE TWENTY-FIRST ENGLISH EDITION.
REPRODUCE this Work, with considerable additions and alterations, as
I in the last Edition, which then appeared to me to be essential in assist-
ing the patient or administrator: I appended articles on the treatment of
numerous complaints which I had not hitherto included, and especially of
those which are peculiarly prevalent in certain climates, such as Tropical
Diseases, etc.; — directions for the discrimination between what is really a
symptom of disease, and what is not, or what arises from merely casual cir-
cumstances, by proper investigation of the patient, or of the disease;—more
explicit regulations for the administration and repetition of the medicines,
their form, potencies, and quantities; — and an article containing all which
I think of service to the layman, amongst the Characteristic Effects of the
remedies which I have chosen as the most important in the majority of cases.
But as I think the homoeopathic public is entitled to an explanation of the
more cogent of my reasons for such a course, and for such resolutions, rela-
tively to enlargement and amplification, — I will briefly explain them.
First of all, the common sense of every reader will admit, that I should
write for the many, and not for individual cases, – that I should attempt to
embrace all contingencies, as much as possible, not confine myself to merely
local circumstances; and that it does not, therefore, follow that persons
whose situation and the like render any of these details unnecessary to them,
should be compelled to adopt my suggestions simply because I have published
them; whereas it does necessarily follow, that those who are beyond the
reach of any other resource, must wholly depend either upon their own un-
aided judgment or upon the directions afforded in works of this kind.
Suppose, for instance, a family resident in the centre of a highly cultivated
country like this; — that family is not, therefore, within the immediate reach
of homoeopathic professional advice, in which case it is only fair that a work
like this should represent the physician in so far as that is possible; — or if,
on the other hand, such advice be within immediate reach, the worst mis-
chief which results from my publication is, that its usefulness has been super-
seded for the time being.
But suppose another and a very common case, as of the EMIGRANT to
distant colonies, and to wild, uninhabited, desolate wildernesses, or the poor,
toiling MISSIONARY amongst some remote and savage people;—from whence,
I would ask, are these to obtain the professional advice which would seem
so essential to them, unless it be from such directions as we are able to afford
them in a work of this kind? In this case, it must be admitted on all hands,
that the work does good in comparison to its extent, amplitude, enlarge-
ment and comprehensiveness. Wherefore then should these essential con-
ditions be withheld 7
Again, these are not the only questions involved;— there are yet more
vital points relating to the variations, which may become necessary, in the
actual treatment of disease when once undertaken. In these cases it is suf-
ficiently obvious, that those who prefer to exclude professional advice (and
V
vi PREFACE TO THE TWENTY-FIRST ENGLISH EDITION.
theirs is the responsibility), should be so far removed from the chance of error
as possible, which cannot be done without ample detail, because disease has
scarcely ever, in two distinct cases, the same positive and exact character-
istics.
It is for this reason, also, that I had entered so largely into the considera–
tion of the “Investigation of the Patient and of the Disease,” and into the
modifications of scrofulous appearances. And in these respects, far from
exceeding the limits which should properly circumscribe the compass of a
“DOMESTIC WORK,” I only regret that I have not yet more space for en-
largement on the subject; because I am convinced, especially from circum-
stances which have actually transpired, that the greatest fault of domestic
works, in general, is, that they do not give enough information, and, conse-
quently, that they often mislead instead of enlightening the reader. It is
obvious, that the presence of inherent constitutional defects may occasion
external appearances of disease, which are especially susceptible of erroneous
inferences, and, therefore, without this very important clue, the special
directions for the treatment of any particular disease may become a mere
“Will-o'-the-wisp * to lead the unprofessional reader into entanglement, and
there to leave him in utter darkness. I should wish the reader invariably to
consider the important references alluded to, and, in fact, the whole of the
introductory part, which I would fain have extended yet more, notwithstand-
ing the plausible but untenable objections raised by the few.
It is also for these reasons, as well as for those already set forth, that I
object to the extreme condensation of a domestic work, or to the limitation
of its sphere to a particular class of diseases, and that I consider works
founded upon this affected idea particularly useless; to which, however, I
might appropriately add, that the advocates of limitation usually issue a
programme, comprising the most fatal diseases with which we are acquainted;
and, further, that as we do not deal with powerful deleterious drugs in large
quantities, or in any quantity capable of occasioning poisonous, or in fact,
any dangerous medicinal effects (as some adversaries pretend), — and, what
is still more important, as our remedies are so minute, that they can only
operate at all when they are actually homoeopathic, and, consequently, cura-
tive in the case in question, —just as a gentle blow will not be felt in a sound
part, when it would occasion severe suffering if applied to a sore place,—the
most timid lay administrator may rest assured that his Homoeopathic Medi-
cines are not the agents which produce serious or fatal results.
Homoeopathic treatment is always safe, rapid, and effectual, when cor-
rectly applied; — or it is void — that is nature unaffected—when it depends
upon mistaken hypotheses.
I nowhere enjoin the layman who has means and immediate access to
efficient homoeopathic professional advice, to undertake the treatment of
dangerous diseases without it, I only endeavor, in a measure, to provide for
those who do not possess such advantages.
Upon such grounds as these I beg to intrust this work, enlarged as it is, to
the verdict of all liberal and discerning people, and to state that I anticipate
no untoward acceptation of my evident endeavor, even if the product of my
labor should have fallen far short of its earnest purpose. The appeal is un-
troubled by apprehension, — and unshaken by conscious misdoing.
J. L.
PR EFACE
TO THE AMERICAN EDITION.
THE publication of an American edition of Lawrie's Homoe-
opathic Domestic Medicine was commenced, about two years
ago, in the “Homoeopathic Sun,” a family homoeopathic magazine, .
published in New York, under the editorial management of Pro-
fessor F. W. Hunt, of that city. As the work appeared with the
monthly parts of the magazine, it attracted great and deserved
attention, and was pronounced the best and most comprehensive
treatise on homoeopathic domestic practice that had been issued
in this country. Messrs. Boericke & Tafel, the successors of Mr.
Radde, determined to discontinue the publication of the “Homoe-
opathic Sun,” but were induced, by the repeated demands for the
“Domestic,” to go on with that work; and, subsequently, placed
it in my hands for completion. At the cost of considerable time
and labor, the task has been accomplished; and I trust that the
value of the original work has been greatly enhanced by the efforts
made to perfect it. Chapters have been added on comparatively
new diseases, and the “New Remedies” have been introduced
whenever definite and accurate indications for their use could be
given. The numerous alterations and additions have been prompted
solely by a desire to render the work more available for domestic
use; and a Repertory, or key to the remedies, has been added with
the same view.
The merits of “Laurie's Homoeopathic Domestic Medicine” are
best attested by the popularity of the work in Great Britain, where
upward of twenty thousand copies have been sold to the most in-
telligent portion of the community — homoeopathic families there,
Wii
viii IPREFACE TO THE AMERICAN EDITION.
as well as in this country, belonging almost exclusively to the
educated class of society. For the simple and ordinary ailments
of life, it will be found to be all that is required in a medical trea-
tise; while for more dangerous maladies, acute or chronic, when
the services of a competent homoeopathic physician are unattain-
able, it will prove to be perfectly clear, exact, and reliable, in the
description of diseases and of their proper homoeopathic treatment.
ROBERT J. MCCLATCHEY.
PHILADELPHIA, February 1st, 1871.
LIST OF THE
MEDICINES PRESCRIBED IN THIS WORK.
THE medicines may be used for internal administration from the third to the
thirtieth or a higher dilution. For external application, from the strong tincture
to the third dilution, according to circumstances.
NAME OF MEDICINE.
SYNONYMOUS TERMS.
ABBREVIATIONS.
Acidum muriaticum.
– nitricum.
— phosphoricum.
– sulphuricum.
Aconitum napellus.
Alumina.
Ammonium carbonicum.
– muriaticum.
Antimonium crudum.
— tartaricum.
Apis mellifica.
Arnica montana.
Arsenicum album.
Arum triphyllum.
Aurum metallicum.
Baryta carbonica.
Baptisia tinctoria.
Belladonna.
- Borax.
*
Bryonia alba.
Cactus grandiflorus.
Calcarea carbonica.
Calendula.
Camphora.
Cantharides.
Carbo vegetabilis.
Caulophyllum thalictroides.
Causticum.
Chamomilla.
China.
Hydrochloric or muriatic acid.
Nitric acid.
Phosphoric acid.
Sulphuric acid.
Aconite ; Wolfsbane; Monkshood.
Argilla pura ; Terra alumina.
Ammoniae subcarbonas; Carbonate
of ammonia.
Ammoniae hydrochloras; Sal ammo-
niac.
Tersulphuret of antimony; Crude
antimony.
Stibium tartaricum ; Tartar emetic.
Tincture of the poison of honey
bees.
Leopard’s bane.
Arsenious acid.
Arisaema triphylla; Indian turnip.
Aurum foliatum ; Gold.
Barytae carbonas; Carbonate of
baryta.
Wild indigo.
Atropa belladonna; Deadly night-
shade.
Borax veneta; Biborate of soda.
White bryony.
Cereus grandiflorus; Night-bloom-
1ng cereus.
Calcis carbonas; Impure carbonate
of lime.
Calendula officinalis; Marygold.
Laurus camphora; Camphor gum.
Melöe vesicatorius; Spanish blister-
ing-fly.
Vegetable carbon.
Blue cohosh.
Potassae hydras; Caustic potash.
Matricaria chamomilla; German
chamomile.
Cinchona; Peruvian bark.
Acid. mur.
Acid. nit.
Acid. phos.
Acid. Sulph.
Acon. f
Alum.
Amm. carb.
Amm. mur.
Ant. crud.
Ant. tart.
Apis.
Arn.
Ars.
Arum tr.
Aur.
Bar. c.
Bapt.
Bell.
Bor.
Bry.
Cactus.
Calc.
Calend.
Camph.
Canth.
Carb. veg.
Cauloph.
Caust.
Cham.
Chin.
ix
X LIST OF THE MEDICINES
NAME OF MEDICINE. SYNONYMOUS TERMS. ABBREVIATIONS.
Cicuta virosa. Water hemlock. Cic.
Cimicifuga racemosa. Actaea racemosa; Black cohosh. Cimicif.
Cina. Artemisia. Judaica ; Wormseed. Cina.
Cocculus. Cocculus Indicus; Indian cockle ;
Fish-berries. Cocc.
Coffea cruda. Coffea Arabica ; Arabian coffee. Coff.
Colchicum. Colchicum autumnale; Meadow saf-
fron. Colch.
Colocynth. Cucumis colocynthis; Bitter apple. Col.
Conium maculatum. Hemlock. Con.
Crotalus. Crotalus horridus; Virus of the rat-
tlesnake. Crotal.
Crocus sativus. Crocus Hispanicus; Saffron. Croc.
Cuprum. Cuprum metallicum ; Copper. Cupr.
Digitalis purpurea. Foxglove. Dig.
Drosera rotundifolia. Sundew. Dros.
Dulcamara. Solanum dulcamara; Bitter-sweet. Dulc.
Eupatorium perfoliatum. Boneset. Eupat. perf
Euphrasia officinalis. Eyebright. Euphr.
Ferrum metallicum. Iron. Ferr.
Filix mas. Aspidium felix-mas; Male fern. Fil. Im.
Gelseminum sempervirens. Bignonia sempervirens; Yellow jes-
samine. Gels.
Glonoine. Nitro-glycerin. Glon.
Graphites. Ferri supercarburetum ; Plumbago. Graph.
Hamamelis. Hamamelis virginica; Witch hazel. Ham.
Helleborus niger. Helleborus grandiflorus; Black hel-
lebore. Hell.
Hepar sulphuris calcareum. | Calcii sulphuretum. Hep.
Hydrastis Canadensis. Yellow root; Golden seal. Hydras.
Hyosciamus niger. Hyosciamus agrestis; Henbane. Hyos.
Ignatia amara. Strychnos Ignatii; St. Ignatius'
bean. Ign.
Ipecacuanha. Cephaëlis ipecacuanha; Ipecac. Ipec.
Iris versicolor. Iris hexagona; Blue flag. Iris.
Kali bichromicum. |Potassae bichromas ; Bichromate of
potash. Kali bich.
Kali carbonicum. Potassae carbonas; Subcarbonate
of potash. Kali carb.
Kreasotum. Creasote. Kreas.
Lachesis. Trigonocephalus Lachesis, Virus of
the. Lach.
Ledum palustre. Wild rosemary; Marsh tea. Led.
Lobelia inflata. Indian tobacco. Lob. in.
Lycopodium. Lycopodium clavatum ; Clubmoss. Lyc.
Mercurius corrosivus. Hydrargyri oxymurias; Corrosive
sublimate Merc. cor.
Mercurius iodatus ruber.
Mercurius solubilis.
Mercurius vivus.
Moschus.
Natrum carbonicum.
– muriaticum.
Nux moschata.
– vomica.
Hydrargyri biniodidum; Biniodide
of mercury.
Hydrargyrum oxydulatum nigrum ;
Hahnemann’s soluble mercury.
Quicksilver.
Moschus verus; Musk.
Sodae carbonas; Carbonate of soda.
Sodii chloridum ; Table salt.
Myristica Moschata; Nutmeg.
Strychnos nux vomica; Quaker but-
ton.
Merc. iod. r
Merc. sol.
Merc. viv.
Mosch.
Natr. carb.
Natr. mur.
Nux m.
Nux wom.
PRESCRIBED IN THIS WORK.
NAME OF MEDICINE.
ABBREVIATIONS.
Opium.
Petroleum.
Phosphorus.
Phytolacca decandra.
Platina.
Plumbum metallicum.
Podophyllum peltatum.
Pulsatilla.
Rheum palmatum.
Rhus toxicodendron.
Ruta graveolens.
Sabina.
Sambucus nigra.
Sanguinaria Canadensis.
Secale cornutum.
Sepia.
Silicea.
Spigelia.
Spongia.
Squilla maritima.
Stannum.
Staphysagria.
Stramonium.
Sulphur.
Thuja occidentalis.
Urtica (urens or dioica).
Weratrum album.
Weratrum viride.
Viola tricolor.
Zincum metallicum.
SYNONYMOU8 TERMS.
Papaver somniferum; Concrete juice
of the poppy capsule.
Rock oil.
Phytolacca vulgaris; Pokeweed.
Platinum metallicum.
Lead.
May-apple. r
Anemone pratensis; Pasque flower.
Rhabarbarum ; Rhubarb (Asiatic).
Poison oak.
Rue.
Juniperus Sabina; Savin.
Black elder.
Blood root.
Ergot of rye.
Sepiae pigmentum ; Inky juice of the
cuttle-fish.
Oxide of silicon ; Silex.
Demerara pink-root.
Spongia marina tosta ;
Sponge.
Sea-onion.
Stannum metallicum ; Tin.
Delphinium staphisagria; Stavesacre
Datura stramonium ; Jamestown
weed.
Brimstone.
American arbor-vitae.
Stinging nettle.
White hellebore.
American hellebore.
Heart’s-ease.
Zinc.
Toasted
Op.
Petr.
Phos.
Phytolac.
Plat.
Plumb.
Podoph.
Puls.
Rheum.
Rhus.
Ruta.
Sabin.
Samb.
Sang.
Sec. corn.
Sep.
Sil.
Spig.
Spong.
Squilla.
Stann.
Staph.
Stram.
Sulph.
Thuj.
Urt. ur.
Verat. alb.
Verat. Vir.
Viol, tr.
Zinc.
HOM (E0 PATHIC I) () MESTIC MEDIC INE.
P A R T I.
THE principal points we have to notice are, first, the Method of
discriminating and determining the nature of Disease, and of ascer-
taining the relative condition of various Organs respectively,–the
Regimen to be observed under treatment, Clothing, and Habits,
and the Administration and Repetition of the Medicines generally;
to which will be appended, remarks on Internal and External Reme-
dies, and Precautions for the preservation aud management of Homoeo-
pathic Remedies, a systematic Table, exhibiting the general frequency
of recurrence, suspension, &c., in the Administration,-notices on the
use of the Bath for adults and infants, and on the employment of Ex-
ternal Applications of the nature of a poultice, &c., and, finally, a
brief survey of the application of Homoeopathy to “PREVENTIVE or
ERADICATIVE TREATMENT,” containing a few short and simple Rules
for the Selection and Administration of Medicines in such cases.
THE METHOD
OF INVESTIGATING THE CONDITION OF THE PATIENT, OF DISTINGUISHING
BETWEEN A STATE OF HEALTH AND DISEASE, AND OF DETERMINING
THE PECULIAR NATURE OF DISEASE. f •
The investigation of the condition of the PATIENT, and the discri-
mination of the particular nature of the DISEASE, are evidently essen-
tial to appropriate treatment. It is therefore imperative that a work
of this kind should contain such simple regulations on this head as
may lead unprofessional persons easily aud simply to a clear and
positive resolution. Such an investigation may properly be divided
into two distinct sections, namely: first, the general investigation of the
patient, and, secondly, the particular investigation of the disease.
I.—THE GENERAL INVESTIGATION OF THE PATIENT.
The general investigation of the patient should comprise a scruti-
nising inquiry into the particular constitution of the individual—the
temperament—the antecedents of the patient's family, as of the gene-
ral health, habits, &c., of the parents, and of each of their families
respectively,–the sex and the relative state of the secretions especially,
consistently with the state of health in such sex,−the age of the
patient, and the circumstances which qualify this condition,-condi-
tions, impressions, or habits, &c., which are individually peculiar to:
the patient, the weak or particularly susceptible part, and what, if
1.
2 HOMOEOPATHIC DOMIESTIC MEDICINE.
any, be the particular affections to which the patient has been sub-
ject, the general habits, occupation, method of living, diet, &c.,
the relations between the climate and the individual, or any transitions
to climate to which the patient may have been exposed.
Zhe Constitution and its Varieties.
A plethoric (sanguine constitution, or full habit of body, charac-
terised by redundancy of animation and vital energy in health, and a
prevailing and predominant activity in the circulative system; the
complexion being florid and glowing, the frame full and stalwart, the
limbs generally active, the spirits and muscular apparatus buoyant and
elastic, the generation of natural warmth abundant, and the pulse full
and strong; but, consequently, with susceptibility to inflammatory in-
fluences, and a predisposition to local, organic, or general congestions
or suffusions or emissions of blood.
A feeble constitution, as opposed to the foregoing, in which fatigue
is naturally a ready consequence of exertion; when the breath will
easily be exhausted by sudden and rapid motion; when the generation
of heat will be naturally deficient, and the operations of the functions
generally slow and easily impeded, or vexed by being the least over-
taxed, the muscles being readily wearied and incapacitated,—the
secretions varying from excess to deficiency or suspension,-and the
organs being either too readily provoked and stimulated, or very dull
and insusceptible of external circumstances, and the pulse being
naturally feeble and soft or yielding. The patient is consequently
subject to diseases characterised by torpidity and utter inaction of the
functions, or by excessive relaxation. w
A bilious constitution—characterised by dark and somewhat turgid
skin, or even by superabundant yellowness of the skin, (an impercep-
tible proportion of yellow in the skin, observed on close examination,
being indispensable to a really healthy complexion,) and by the readi-
ness with which the liver sympathises in and becomes affected by every
external or internal contingency with predisposition to derangements
affecting the digestive functions and the stomach generally, and to
irregularity of such functions; as also to dark colored urine, costive-
ness (with dark motions), and piles;–the pulse is apt to be wiry.
An apoplectic constitution (a subdivision which is important here),
characterised by the short, thick-set, or close full frame, with large
head, apparently buried between the shoulders, the neck being very
short and thick,-and the pulse being more or less of the character of
the plethoric habit, and the patient being predisposed to sudden
flushes of blood to the brain.
A nervous constitution (a variety which is often found in combi-
nation with the bilious),--especially characterised by predominant
excitability of body, of mind; absence of fixity (or changeableness)
of sideas, habits, inclinations, &c.; irritability, and extreme sensitive-
ness and inequalities of temper;- the pulse being accordingly also
variable, easily subject to exceeding acceleration, but often subsiding,
in sedate moments, to a movement slower than is customary. The
patient is subject to the various affections so difficult of distinction and
INVESTIGATION OF THE PATIENT. 3
classification, which come under the head of Wervous diseases ; such
as spasmodic affections, fits, apparently traceable to no distinct cause,
—fugitive and inexplicable pains, particularly such as are aggravated
by very slight touch or by approacimation, but which are relieved by
pressure.
A dry, wiry, constitution (not uncommonly combined with the bi-
lious or nervous,)— characterised by Swarthy complexion, sharp,
deep-set features, searching glance, persistently arid condition of the
skin; firm, hard, wiry condition of the muscular and tendinous fibre;
deficiency of flesh and angular frame; generally, also, rapid motion
and quick perception; the urine is dark, the motions are habitually
hard and scanty, the secretions and transpirations are usually deficient,
and the pulse is generally distinct and wiry, but commonly, also,
quicker than that of the nervous habit (when unexcited). The patient
is subject to inflammatory affections—to which the intestines are espe-
cially predisposed,—as also to diseases generally, which occur (as it
were) with superabundant animal power.
A laa, lymphatic, or mucous constitution.—These three varieties,
which are, indeed, susceptible of very nice distinctions, are, however,
sufficiently analogous to be united in a work of this kind,-they are
opposed to the foregoing. The complexion is generally fair, the flesh
apparently full, but soft, flaccid, and puffy; the skin pallid, the frame
rounded, the muscular and tendinous fibre unstrung, yielding, and
relaxed; sensations of chilliness prevail, and the individual is usually
more sensitive of cold than of heat, but is also alive to immoderate
elevation of the latter; the natural generation of heat is deficient, the
circulation sluggish, the pulse being slow, (sometimes rather full, but
always soft, easily compressed, yielding.) The patient is subject to the
transmutation of every disease into a sluggish, persistent, or chronic
form, (the crisis and resolution being in general imperfect,)—to
superabundant secretions or accumulations of phlegm—to catarrhal
affections—to abeesses—to excessive discharges of phlegm, &c., &c.,
to the accumulation of water (by decomposition or imperfect compo-
sition of the blood) about particular organs, or throughout the body
(generally as the immediate consequence of inflammation), and some-
times to the sudden suppression of discharges.
The catarrhal or rheumatic constitution (nearly analogous to the
last, but having one very distinctive feature in the susceptibility of
the external surface), -characterised especially, by want of sufficient
activity and nervous tension and vitality in the skin; which therefore
remains easily affected by every external circumstance, effects trans-
piration very defectively and inadequately, and is apt by being sus-
ceptible to the sudden suppression or repercussion of such transpiration
to reconvey the morbid humors which have been expelled by inter-
nal organs upon those organs themselves, and thereby to generate
diseases of the character indicated by the nomenclature which we have
selected. A very decided feature of this habit of body consists of
extreme susceptibility to derangement of digestion, which, if inherited,
may be considered as the predisposing cause to such tendencies.
A constitution in which the skin is especially liable to become diseas-
4 HOMCEOPATHIC DOMESTIC MEDICINE.
ed (psorie) more distinctly capable of individual classification than
the scrofulous habit but yet a mere modification of the latter), dis-
tinguishable by the predominance, recurrence, or continuance of ir-
regular and unhealthy secretions from the skin, and irregular action
of the glands associated with it: eruptions of various characters,
ulcerative sores, general foulness, which seem to appear as the result
of every affection of whatever kind, and either to accompany or to
follow every derangement.
The consumptive constitution (in the majority of instances again, a
modification of the scrofulous habit, but more subject to appropriate
classification in a work of this nature), -identified in general by very
clear, transparent skin, bright flush-spot on the cheeks, especially on
the left cheek; flatness of the chest, and hollowness on the breast-bone;
slender, attenuated, lengthened, fragile frame; elongation and spare-
ness of the neck; prominent protrusion of the shoulder-blades; sud-
den and rapid growth; prevalence of heat of the hands after eating;
irritability of the circulative system ; and consequently a pulse charac-
terised by smallness and quickness. The patient is particularly sus-
ceptible to complications affecting the lungs, resulting from every
inflammatory or irritative process (which is also very frequent and
readily provoked); to want of breath and complete exhaustion after
every unusual degree of exertion, especially after rapid motion, and
often even in consequence of mere mental excitement or momentary
irritability; to inflammatory affections of the lungs and adjacent
membranes (and expectoration of blood), which will ever be liable to
result in decay of those organs.
2. The Temperaments and their Varieties.
The temperaments are subject to an infinity of individual peculiar:-
ties which might constitute separate divisions, but which, in our
estimation, will be more readily apprehended by the reader in his
investigation into individual characteristics. We shall, therefore,
confine the division of temperaments into the following distinctions,
which even are often compounded, and which should be held to modify
the relations of morbid manifestations.
A sangwine temperament (usually associated with a plethoric con-
stitution), which is characterised by habitual animation and buoyancy
of spirits, gaiety, good humor, &c.; the mind and body are alike
quickly stimulated into excessive action, but every affection or dis-
turbance is usually of as rapid a course, and brief a duration, as it is
severe whilst it lasts. The bodily health is usually good and strong,
—and slow or lasting diseases are of rare occurrence; but the majority
of affections, (which have a predisposition to assume a violent and
inflammatory type) are exceedingly severe when they do occur, and
run a very rapid course.
A choleric temperament (usually associated with the bilious consti-
tution), characterised by the violence of the reaction occasioned by
any irritation, or stimulus, or impulse, and particularly by its severe
implication of the biliary apparatus, which, with increased and altered
secretion of bile reacts upon the moral and mental faculties, and has
INVESTIGATION OF THE PATIENT. 5
a tendency to engender a liability to the provocation of ill-humor,
and even vengefulness and malignity, or to rancor and acrimony of
temper, upon the revival of causes of excitement. The complexion is
usually swarthy, with a yellowish tinge; the muscular and tendinous
fibre hard, wiry, and tightly strung; the hair black, and the features
acute or deep-set. The patient is subject to bilious derangements,
and to bilious complications with every derangement, not uncommonly
provoked by the violent fits of excitement to which he is constitution-
ally subject.
The melancholic temperament is identified by the slow, meditative
disposition; the gloomy, retiring, solitary, and hypochondriacal temper;
the tacit, latent, and unobservable progress of affections produced by
-external impressions but silently harbored. Every impression is
deep and lasting, and broods upon the mind and body; but the
patient is not subject to violent impulses, nor very susceptible to sud-
den impressions, the organs being none the less alive to such impres-
sions; the sensibility is apparently blunted or subjected to the reflec-
tive powers. The body is alike slowly but progressively affected by
external circumstances. The patient is subject to diseases affecting
the intestinal apparatus, especially, which assume a chronic and, con-
tinuous character.
A phlegmatic temperament (which is usually associated with the
feeble and law, or lymphatic constitution), is distinguishable by the
tardy operation of all functions, mental as well as bodily; by the
slowness with which irritation or stimulation is produced, and by the
no less remarkable slowness, as well as by the inadequacy of the re-
actionary power. The predispositions are to be gathered from the
remarks on the “feeble,” and on the “lax,” or “lymphatic constitu-
tions,” (above.) --
3. The Antecedents of the Patient’s Family.
We should pay especial attention to the general health, habits, or
particular diseases (if they be known) of the parents of the patient,
and of the paternal and maternal relations, which may serve to elu-
cidate the origin of a bad habit of body, especially if such diseases as
scrofula (in any of its multiplied forms), cutaneous disorders, con-
sumption, gout, piles, &c., be distinguishable as habitual with any
member of the family, whose constitution could have been inherited
by the patient. This is a most essential consideration; for it will very
frequently be found that when a remedy is distinctly homoeopathic
to the case, it fails to operate without previous PREPARATORY treat-
nvent; and we are puzzled by the failure; whereas, after the previous
administration of an apposite PREPARATORY remedy, the medicine al-
ready distinguished as appropriate, but administered without effect,
..frequently becomes signally successful. This is generally owing to
hereditary defects of constitution; and it may be casually mentioned
that SULPHUR, CALCAREA, Aurum, Baryta, Mercurius (not so fre-
quently as the first two), Iodium, Ammonium-C., Silicea, Phosphorus,
AVitri-A. and Sepia, &c., embrace the majority of requirements for
the purpose. The selection will be facilitated by consulting the

6 HOMOEOPATHIC DOMESTIC MEDICINE.
article on “CHARACTERISTIC EFFECTs,” under the head of each respec-
tively. (See also “PREVENTIVE AND ERADICATIVE TREATMENT.”)
4. The Seaces and their Distinctions.
In the male we anticipate redundancy of animal strength, vigor,
energy, and circulative power, and we must consider disease in a
modified or aggravated aspect, according to the ascendancy or defi-
ciency of these characteristics.
In the female we may anticipate more acute sensibility, greater ten-
derness and excitability, and a less vigorous and persistent reactionary
power. We most not, moreover, omit to consider the conditions de-
pendent peculiarly upon the organs of parturition, &c., and upon the
functions associated with them; the progress of pregnancy, and the
generation of milk; or, on the other hand, the presence of periodical
derangements should be duly considered in relation to every simul-
taneous derangement.
Relaxation of fibre and lymphatic accumulations are also (to a
greater or less degree) inseparably associated with the peculiarities
of the sex; and the greater intensity and additional sphere of nervous
sensibility should lead us to consider, with great caution, such nervous
spasmodic or hysterical indispositions as occur associated with natural
predisposing causes.
5. The Age and the Conditions which qualify it.
Age is not to be considered without regard to conditions of previous
health, or disease—of habits, manner of living, climate, avocations,
&c. &c., especially in relation to persons who have attained maturity.
It may, however, (subject to such modifications) be considered under
seven distinct sections, viz.-childhood constituting three, maturity
two, and decline two.
1. In the earliest period of childhood (the first of infancy) extend-
ing to the period of the earliest teeth, the human being is extraor-
dinarily susceptible to external influences; sensitive to a degree, and
consequently alive to any sudden irritation from apparently slight
causes; the brain in particular is liable to precipitation of blood, and
the acute sensitiveness of the whole nervous structure renders spas-
modic affections predominant.
2. In the second period of childhood—extending to the seventh
year in our climate—we have to consider the natural irritability of
the system, the want of firmness of fibre, the susceptibility to fatigue,
readily obviated by the provision of nature, a preponderance of ten-
dency to rest; and we have to anticipate the occurrence of organic
inflammations, particularly as connected with the respiratory or cere.
bral apparatus, and irregularities in the accumulation of flesh.
3. In the third period of childhood—extending to the fourteenth
year in our climate—the equilibrium between the functions, faculties,
&c., being better established, and the tissues having become inured
to external influences, we should consider the occurrence of such
affections as already described more minutely with reference to par-
INVESTIGATION OF THE PATIENT. 7
ticular habit of body, circumstances, individual habits, avocations, &c.,
situation, and other local and general external causes.
4. In the period of approaching and progressive maturity—extend-
ing to the twenty-fifth year in our climate—the vigor of the cir-
culative system should be developed;—it is then also that we may
anticipate the serious development of latent or declared bad habits of
body, traceable to Parentage, and particular care should then be taken,
—especially if in infancy or childhood a course of constitutional treat-
ment has been neglected,—to neutralize or modify such constitutional
defects—affecting the Lungs and the Brain especially—as in Epileptic
or Consumptive affections; both being considered in due relation with
the progress of sexual powers.
5. The period of maturity—extending generally from the twenty-
fifth to forty-fifth year in our climate—must especially be considered
in relation with habits, mode of life, avocations, locality inhabited,
transitions of climate (if any) &c. &c.; because any of these circum-
stances may tend very materially to lengthen or abbreviate the stage
of vigorous maturity. In some cases we may extend it to the fifty-
fifth year; in others it may as reasonably be limited to the thirty-fifth
year. In general, the period of maturity properly so called (whether
of long or short duration) is characterised by continual, even, regular,
and vigorous operation of all the functions and faculties.
6. The first period of decline—which may at present be said to ex-
tend, in our climate, generally from the forty-fifth to the fifty-fifth year
—may be distinguished by diminished activity of mind and body,
supervening irregularity of the functions, decreased powers of en-
durance and strength, returning susceptibility to external influences,
and debilitation of the attributive powers of either sex. This period,
whether deferred or premature, is almost infallibly distinguishable by
such characteristics.
7. The second period of decline or old age, which may set in from
the fiftieth to the sixtieth year, in our climate, –or sooner or later,
according to antecedent circumstances, is indelibly characterised by
the decrease of acuteness in the perceptive faculties, and in the organs
which convey sensations—as of light, sound, smell, taste, and sensitive-
ness of touch,--by growing obtuseness of moral and mental sensibili-
ties; by decreasing retentive mental power;-by general attenuation
of frame, diminution of physical power, stiffness of joints, muscles, &c.,
aridity and puckering of the skin, the development of latent defects of
circulation, and the like.
6. Individual Characteristics.
The peculiarities of individual patients, and the particular effect of
particular external influences, &c., upon them, both as to mind and
body, should be very carefully considered; and it is absolutely neces-
sary, for the thorough appreciation of the distinctive points relating to
the case of a patient, with whose habits, constitution, and susceptibili-
ties, &c., we are not perfectly conversant, that we should most care-
fully gather the history of the particular and characteristic mannerism
(if it may so be termed) which identifies him. Every person whatso-
8 HOMGEOPATHIC DOMESTIC MEDICINE.
ever must in some point or other be considered to constitute an eaccep-
tional case, and be so studied for successful treatment.
7. Affections, dºc., to which (if any) the Patient is especially liable.
It can hardly occur that a patient is not more subject to one class
of disorders than to any other; and although this, to a certain extent,
falls within the pale of the considerations suggested above (see 6.),
yet there is one essential point to be considered here, namely, the issue
or final crisis, in which such disorders terminate, which is ever
characteristic.
8. Method of Living, and General Habits.
It is a most important comparison to institute, in the study of any
case,_to consider the relation between the habit of body or disease,
and the method of living, occupation, &c. The habits may be especially
considered in respect of the following distinctions:—1) whether seden-
tary or active; 2) whether the chief exertion be of mind or body;
3) whether the locality generally inhabited be of a close, artificial
(town) or of a free natural atmosphere; 4) whether the clothing, food,
and other comforts, or even necessaries of life have been sufficient, but
moderate, or excessive, (both as to quantity, in proportion to actual
requirement, or richness,) or deficient in quantity simply, or, not only
insufficient, but also unwholesome ; 5) whether the domicile and person,
or either, have been habitually cleanly, carefully attended to, or foul
and neglected, (as to domicile, particularly as to cleanliness, drainage,
and ventilation; order and regularity are, however, also essential ;)
6) whether the habits as regards feeding and fasting, labor and rest,
&c., occupation or want of Occupation, have been regular or irregular,
desultory or uncertain.
With excessive confinement, close atmosphere, deficiency of exer-
cise, &c., we may associate affections of the stomach and liver (espe-
cially), of the digestive functions generally, and depression of spirits,
as also (if the place of occupation be of a foul atmosphere,) affections
of the lungs. With excess of mental labor, we may associate nervous
complaints, and habitual irritative fevers. With insufficiency or un-
healthy kind of food, deficient ventilation, drainage, and cleanliness,
we may associate low fevers, eruptive fevers, typhoid and putrid, or
even intermittent complaints, and skin diseases. With excess of
nutrition and indulgence (in comparison to physical exercise), we may
associate inflammatory complaints, and rushes of blood to particular
organs. And in all cases analogically we may ally the nature of the
complaint with the nature of the habits, occupation, food, &c.
9. The part or organ especially susceptible.
By investigation into the most frequent result of casual, accidental,
external or internal causes, we may readily ascertain what part of the
system is particularly liable to irregular or unhealthy action. And this
research is ever requisite, because every individual will be found to
have one organ especially susceptible, and liable to become deranged
INVESTIGATION OF THE DISEASE. 9
by causes, in some cases even, such as would seem to involve any other
complication, rather than that which actually occurs.
10. Atmospheric and other Local Influences.
The atmosphere, soil, &c., of particular localities, is known to be
prone to engender particular derangements. It is also known that the
water of particular springs and rivers, whether owing to the presence
of mineral substances, to excessive hardness, or to other causes, has a
tendency to generate particular diseases. It is, therefore, very im-
portant that these and the like particulars should be submitted to close
investigation.
II.—INVESTIGATION OF DISEASE.
By consideration of the Cause, general Character, Eacamples, and
particular Symptoms.
In this important branch, the homoeopathist works upon secure
grounds, and has an opportunity not only of sparing his patient the
painful and doubtful experiments, which become necessary to the allo-
pathist in predetermining the positive character of the disease. The
homoeopathist does not require to foreknow what may be the sub-
sequent course of disease, because his treatment can never so operate
either in stimulating or depressing the circulation, as to become in-
apposite to the after course, should it result either in severe organic
inflammation, &c., or, on the other hand, in total prostration of vital
energy. The homoeopathist has only to consider, for instance, whether
the symptoms present are of a febrile character, and he treats them
accordingly;-whether the after course assumes the aspect of brain
fever, inflammation of the lungs, &c., or results in low nervous fever,
or in collapse; he is certain to have modified these developments;–
for, by his minute, yet all-sufficient dose of ACONITE, he has neither
provoked brain fever, nor prostrated the vital powers, but by having
modified the incipient fever has necessarily modified the results;
whereas it could only have been by SURE and PosLTIVE FOREKNow-
LEDGE of these results, that the allopathist would have avoided fatal
results of his own measures, and that foreknowledge could only have
been attained by the dangerous experiment of administering drugs cal-
culated to precipitate the result, and at the same time to withdraw a
portion of the too important natural strength of the patient from him,
at the moment when his life depended on possessing all his physical
power to contend with the disease, without having to combat drugs.
The investigation of disease, therefore, may properly be confined to
the consideration 1) of the various general, particular and local causes;
2) of the general character of the disease; 3) of the general charac-
teristics of the disease, as compared with subsisting or recorded
examples; 4) of the Symptoms:—which last must again be divided
into the consideration of the PULSE, its varieties and indications; the
discharges generally; the nature of the blood, if any be discharged;
the state of the digestive functions; the mouth and tongue; the eyes;
the respiration, and its peculiarities; the peculiarities of complexion,
10 HOMOEOPATHIC DOMESTIC MEDICINE.
motion, action, or inactivity, appearance, &c.; the symptoms exhibited
by the nervous system generally, and especially by the brain, &c.
1. The Cause of Disease.
These are either what may be termed constitutional causes, which
consist in any unhealthy condition of the system, and for the distinc-
tion of which the reader should consult the section on “Constitution,”
or they are more immediate, as those hereafter subjoined:—
This latter class of causes consists:— First. Of such as may be
traced to individual ea'posure, eaccesses, &c., or to particular conditions
either of locality, dwellings, atmosphere, circumstances, habits, par
ticular susceptibility, constitutional predisposition, foregoing diseases
and consequent deterioration of constitutional strength, &c., all of
which belong more especially to the “investigation of the patient,”
and have already been recited.
Secondly.—Causes which are peculiar to a district, country, cli-
mate, or particular spot, and which are then designated as endemic.
Almost every district, especially such as are remarkable for rapid
evaporation, excessive and sultry heat, stagnant waters and rapid de-
composition of vegetable matter, or marshes with little or no drainage,
or bleak exposed situations, where dry, cold, and searching winds
prevail, and the waters are hard, and generally impregnated with
mineral substances; for sudden and frequent changes of temperature;
for general flatness of country, or for elevated and irregular surface;
for winds of a particular character, and from a particular quarter;
whether inland, insular, or coasting; whether the prevalent occupation
be that of factories or fields; and whether the habitations of the people
are isolated, well ventilated, well drained, generally clean,—or closely
packed, squalid, small, dark, loathsome, ill-drained, and ill-ventilated.
These, and many local distinctions of a similar character, will tend to
render the generation and prevalence of particular diseases, properly
speaking indigenous, or endemic, and should therefore be duly
considered.
Thirdly.—Causes which are of a general, indeterminate character,
such as heat, cold, damp, draught, and particular electric relations, but
which are prone to become associated with sudden transitions of atmos-
pheric condition, and which will be the more surely developed by the
presence, or precedence, of certain other diseases arising from similar-
ly indeterminate causes, by the superabundance of particular natural
products (vegetable or fruit), or by the deficiency of food, as in cases
of famine, or by calamities of various kinds. These are generally
classed as EPIDEMIC causes, and are properly divided into three sec-
tions, viz.: those which occur regularly at certain seasons; those
which are of continuous duration, and are apparently of incessant de-
velopment, such as small-pox, measles, scarlet fever, &c.; and those—
more PROPERLY AND EXACTLY EPIDEMIC, that is, which appear under
particular electric, and other conditions, from time to time, scouring
whole regions, and whole continents, &c., wherever the like circum-
stances tend to engender them, but which then unaccountably subside.
It is worthy of especial notice, that all three general classes of these
INVESTIGATION OF THE DISEASE. 11
causes as engendering disease, are to be removed, modified, eactenuated,
or even eradicated, by judicious management, by the removal of the
direct causes (if any be apparent), or by the preparation of the sys-
tem, by means of specific HoMCEOPATHIC PRESERVATIVE AND ERADI-
CATIVE REMEDIES. (See the article especially on this subject.)
2. The general Character of the Disease.
This is determinable by considering the various manifestations in
conjunction with the state of the circulation or action of the heart as
distinguishable in the condition and peculiarities of the PULSE; which
alone can serve distinctly to characterise disease.—PAIN is very gene-
rally no criterion, except as qualified by the PULSE;-the muscular and
nervous action is usually no criterion, except as qualified by the PULSE;
the digestive functions, secretions, discharges, &c. &c., will often leave
the degree of progress, danger, or curability in disease undetermined,
without reference to the PULSE; to the consideration of which we will
therefore proceed.
THE PULSE : ITS WARIATIONS AND INDICATIONS.
1. The Art of Feeling the Pulse in order to determine its Character
accurately.
J’irst. Avoid feeling the pulse abruptly, and until the patient has
been beguiled (if possible) by irrelevant conversation.
Secondly. Make such an investigation of the history of the case as
to assure yourself that there may not be some immediate casual cir-
cumstange calculated to have fluttered, or otherwise affected the pa-
tient, and thereby to have disturbed the pulse more immediately.
Thirdly. Place three of the fingers upon the artery on the inner
side of the left wrist of the patient, having the thumb so applied to
the back of the wrist that the pressure which you apply to the artery
can be modified, increased, &c., in any and every degree; and that
thereby, and by so varying the degree of pressure (having a consider-
able length of the artery under the three fingers) you may be able,
not only to distinguish the number of beats which occur in the minute,
but also the particular nature of such beats; as, for instance, whether
by pressure you can apparently suppress the gush of blood through
the vessels; or whether, when strongly pressed, the current seems to
worm through beneath the fingers like a wire; or whether the bound
is so strong as apparently to force the fingers away in its impetuous
passage; or whether the pulsations are very sudden, distinct, abrupt,
and, as it were, convulsive; or whether, on the other hand, the pulsa-
tion appears to linger and to pass languidly; or whether, again, there
is no distinct pulsation, but a rapid thrill, rather to be denominated a
vibration than a pulsation. In order thoroughly to distinguish these
variations, it is imperative that the attention should be absolutely
centered in this one object, and not distracted by any other circum-
Stance.
12 HOMOEOPATHIC DOMIESTIC MEDICINE.
2. The average Standard of Health.
The healthy pulse of an adult (in the stage of maturity) male per-
son, of large and expansive frame, should (with the modifications be-
fore mentioned under the head of “Constitutions”) be firm, not com-
pressible, but sensibly urged through the artery, notwithstanding
pressure, yet neither hard (conveying a shock to the touch), sudden
and twitching, nor like a thread worming its way beneath the fingers;
but moderately full, even, regular, and numbering from 70 to 75*
beats in the minute.
The healthy pulse of an adult (in the stage of maturity) male per-
son, of smaller frame and proportions, should, in general, number
from 72 to 78 beats, subject to the same general characteristics in
other respects.
The healthy pulse of an adult female should, with the same general
reservations, number from 80 to 85 beats in the minute; but we should
not anticipate as strong or full a pulse in a woman as in a man; nor,
indeed, should we always attach much importance to the casual pre-
cipitation of the pulse, especially of highly-nervous females.
The healthy pulse of a young person in the second stage of child-
hood, viz., from seven to fourteen years of age, should number from
80 to 86 beats in the minute.
The healthy pulse of a child under seven years old, from the period
of teething, may be stated at from 86 to 96 beats in the minute.
The healthy pulse of an infant, before teething, may be stated at
from 100 to 120 beats in the minute, according as the child is robust
or weakly; the robust infant generally exhibiting a less frequent but
stronger pulsation.
The healthy pulse of the first stage of declining life may be general-
ly stated, for the male, at 70 beats; and for the female at 75 beats in
the minute.
The healthy pulse of the second stage of declining life (that is old
age), may be stated for the male, at from 55 to 65 beats; and for the
female, at from 65 to 70 beats in the minute.
3. General Inferences deducible from the Pulse, dºc.
1. Palpitation of the heart.—The palpitation or pulsation of the
heart, when felt distinctly, and predominantly, or when even heard,
or so severe as to reverberate, as it were, through the frame, and to
shake the side, &c., may be considered as characteristic either of
Nervous irritation, the result of sympathetic disturbance originating
in the stomach, especially if worms be present; of hysterical and other
spasmodic affections; of severe bodily suffering, or of violent emotion,
&c., and when the result of hysterical disposition, should occasion no
apprehension; or of
" * If however, the pulse be habitually slower or quicker, we should assume this as
an individual standard, because instances are upon record of the pulse of healthy
adult males varying from 30 to 50 beats. Young infants are known to have a pulse
numbering from 140 to 150 beats. If the skin be moist at a natural heat, and not
flushed, this would be no sign of disease. The pulse also varies before and after
meals.
INVEST1GATION OF THE DISEASE. 13
Excessive debilitation, resulting from loss of blood, or other severe,
excessive and protracted discharges, in which case it generally ter-
minates in a swoon, which, if casual, does not indicate organic disease
of the heart; or of L
Sudden determination of blood to the heart, or other organs, which,
in females, should apprize us of an approaching menstrual crisis (if in
due season); or of
Organic disease of the heart, when it will be characterised by con-
tinuance, or very frequent recurrence, constantly terminating in loss
of consciousness.
2. The pulse —will serve to determine the most essential questions
respecting disease, such as 1) the degree of vital power possessed by
the patient; 2) the nature of the disease, that is, whether or not in-
flammatory action be present; 3) specific characteristics of the disease,
that is, whether it be the result of superabundant strength of the
blood and system, or whether it be occasioned by, or attended with,
a depressed condition of vital energy; 4) the degree of progress made
by disease upon the vital power, and consequently the greater or less
degree of urgency; 5) especially in highly critical cases, when no other
distinct index is afforded, the selection of the appropriate reactionary
Yemedy; 6) according to the greater or less degree of impression
made upon the pulse by such administration, whether or not we have
properly selected, and how far we should be justified in changing the
7medicine.
4. Various denominations of alterations of the Pulse.
1. Frequent pulse.—A term applied to the succession of the beats.
By this we understand simply an increased rapidity of repetition.
2. Slow pulse. —The designation of a pulse less rapid than in health.
3. Quick pulse.—A term which designates the rapidity with which
the current passes through the artery at each beat, qualifying the
character of the beat; whereas frequency (as above) is a term denot-
ing the rapidity with which one beat follows another.
4. Sluggish or tardy pulse.—Expressive of the languid, extended
nature of the beats.
5. Hard pulse.—Expressive of the sensation or firmness and posi-
tiveness which it conveys to the touch.
6. Soft pulse.—Expressive of the smooth flow (so to speak) of the
blood beneath the pressure of the fingers.
7. Strong pulse.—The denomination of a pulse, which seems to
bound beneath the touch, and repel compression.
8. Feeble pulse.—That which yields to compression, apparently de-
ficient of vigor to force its way in spite of pressure.
9. Large pulse.—Expressive of the dilation and expansion of the
artery, as evinced to the touch.
10. Small pulse.—Expressive of the apparent retraction of the
artery, and the minute channel through which the blood passes, as
evinced to the touch.
11. Full pulse.—A denomination applied to a pulsation which seems
thoroughly to fill the artery at each beat ; whereas the large pulse is
14 HOMOEOPATHIC DOMESTIC MEDICINE.
only understood of a dilating current, without conveying the idea of
solidity, as of a well-filled vessel.
12. Empty pulse.—When the beats do not seem to convey a very
distinct elevation to the artery, and which appears as a combination
of the characteristics of the soft and small pulse.
13. Unequal pulse.—That which, without being suspended, does
not beat at regular intervals of time, or in which the quality of the
current (as hard, soft, feeble, full, &c.) differs with different beats.
14. Intermittent pulse:—Or that which is characterised by the oc-
casional suspension of beats.
5. Indications attributable to these Varieties, respectively, and jointly.
1. A very important distinction to be determined, namely, whether
the disease is characterised or engendered by eaccess or deficiency of
vital power; that is, by over-luxuriance, or poorness of blood, is to be
evinced by the strong, hard (incompressible) pulse on the one hand,
and by the soft, feeble (compressible) pulse on the other hand; the
first being indicative of excess, and the second of deficiency of
strength.
2. Another distinction in determining the nature of the disease con-
sists in the explicit indications afforded by an unequal or changeable
pulse, which, in acute cases, identifies the malady as nervous, not in-
..flammatory, and, in chronic cases, as irrespective of the circulation,
and associated with the nervous system only. Thus we should be
most cautious not to mistake cutting, stitching, pricking, or shooting
pains in the chest, or violent fixed pains (even with violent throbbing),
or pains in the chest (as just described), with suffocative oppression
of breath, accompanied with such a state of pulse—for inflammation;
for the pulse would herein distinctly identify purely spasmodic or
7teuralgic suffering.
3. A healthy pulse, or a pulse of a purely nervous character, as just
described, attending affections of the chest, and especially of the air-
passages, is precisely, in some cases, the unmistakeable index of
ASTHMA, in contra-distinction to ConsumpTIVE affections, which are
ever characterised by a feverish, feeble, irritative, accelerated pulse.
4. The accelerated pulse, if unqualified by any other feature, ex-
hibits irritation or fever (properly so called), or increased susceptibility
to irritation, which may result from mechanical causes, tending to
lessen the scope of the heart (as tight-lacing, &c.): or from cold in
particular, which has caused an irregular retrocession or congestion
of blood : or, again, from an increase in the richness or quantity of
the blood, which destroys the equilibrium between the motive action
and the current of blood. Increasing acceleration is indicative of in-
creasing inflammatory action; subsiding rapidity is indicative of the
removal of the irritation and analogously of its cause. If the frequency
of the pulse continues or returns after a crisis (resulting in perspira-
tion, sleep, &c.) we may judge that the effort of nature was incom-
plete, and that therefore a continued effort remains. Frequency of
pulse may be associated with the over-strong, or the over-feeble state
of the circulation, and will be more continuous and difficult to subdue
INVESTIGATION OF THE DISEASE. 15
when qualified by feebleness than by strength; it will also in many
cases be more excessive. Thus, in cases in which the pulse is very
frequent, (as, for instance, from 120 to 180, or even 200 beats in the
minute,) it is also small, and then points out the lowest state of debi-
lity, or what is called a putrid condition. This is, indeed, an imperfect
pulse, and sometimes proceeds to a mere thrill of vibration, when it is
totally indistinct. An analogous sensation may, however, be conveyed
in very severe cases of “inflammation of the substance of the lungs,”
as an inflammatory pulse; but then the artery will be dilated and
full, if a long breath be drawn and held; whereas the pulse of debi-
lity is qualified by a small, retracted artery. Again, if the pulse be
accelerated, and also strong, or full, and hard, we may distinguish a
decidedly inflammatory condition,-inflammatory fever.
5. The small pulse, unqualified by any other condition, is indicative
either of weakness or of spasmodic condition, which may be easily de-
termined by the accompanying or antecedent circumstances, and by
the following distinctions:—
If associated with hardness (small and hard) it is especially indica-
tive of a convulsive state.
If associated with softness (small and soft), it is especially charac-
teristic of debility.
Further we may study the following distinctions, either singly or in
association :-
a) The slow pulse (if not habitual,—some adult subjects, especially
males, having habitually a pulse varying from thirty to fifty beats in
the minute, without disease,) is indicative of insufficient quantity of
blood, as after severe depletion,-of advancing age, of the subsidence
of fever (which frequently leaves a reactionary pulse below the stan-
dard of health), or of pressure on the brain, as in cases of congestion,
water in the head, &c. Associated with the following variety, espe-
cially after concussion of the brain, &c., it is of a serious character.
b) The sluggish or tardy pulse particularly distinguishes a torpid
condition, and a low typhoid character assumed by the disease, and
pressure on the brain, when it is of more serious import than the slow
pulse, and of still more serious consequence when associated with
the last.
c) The hard pulse (simply) indicates especially inflammation, (as in
fever, &c.); or a convulsive condition (when qualified by evidences
resulting from the investigation of the nervous symptoms distinguish-
ing this condition. In old age, again, the hard pulse (especially if
large) is of very frequent occurrence, as caused by the drying, contrac-
tion, or even ossification of the arteries, which convey this sensation
to the touch, owing to a decrease of suppleness or elasticity.
d) The soft pulse (simply) proves the absence both of inflammation
and convulsive condition.
e) The strong pulse, which indicates superfluity of blood, a full
habit.
f) The feeble pulse, indicating deficiency of blood, an attenuated
habit.
g) The large pulse (simply) indicates an unimpeded elasticity of
16 HOMOEOPATHIC DOMESTIC MEDICINE.
action, and is the truest index of the absence of cramp, irritation, or
excessive irritability; it is the distinctive feature, especially after acute
inflammations, of a vigorous operation of the heart, and proves that
there is an ample sufficiency of blood in active circulation (con-
sequently no local or organic determination): the large pulse (when
unqualified by other features) is therefore to be considered as a proof
of the effectual resolution of an irritative effort, (such as fever,) when
it sets in at the crisis.
The large pulse may, however, be associated with fulness (only),
when it points out the insufficient liquefaction of blood (or thickness),
in which case it is easily compressed, as often occurs in typhoid fevers,
(with debility), and when it is a spurious fulness: or, again, the large
pulse may be associated with fulness and hardness, when it clearly
indicates irritation of a peculiar kind.
h) The full pulse distinguishes a plethoric or full condition or habit
of body.
i) The empty pulse offers indications analogous to the “small and
soft,” (as above stated.)
k) The unequal or changeable pulse generally characterises a uni-
versal nervous condition, and is one of the distinctive features of nerv-
ous fevers, or of fevers resulting from, or accompanying, deficient vital
energy. It also indicates spasm at the heart, or even a deeper and
organic derangement of the heart, or deficiency of elasticity or energy
in the action of the heart; and it may also, in cases of inflammation
of the substance of the lungs, be held to indicate such a state of con-
gestive or other obstruction as impedes the progress of the current
through those organs, when, consequently, it is a most serious
symptom.
1) The intermittent pulse. In this we may especially distinguish a
spasmodic condition of the heart, (sometimes organic disease,) par-
ticularly sympathetic, as resulting from intestinal affections, such as
congestive determination of blood, or such as excessive relaxation of
the bowels, or predisposition to relaxation.
THE CONDITION OF THE BLOOD.
By this division of investigation it must not be suspected that the
inspection of blood abstracted by venesection is indicated, for the use
of the lancet is the great and grievous error which homoeopathy alone
has so effectually superseded. The artificial abstraction of blood is,
therefore, as an all but invariable rule, out of the question. But it
will often occur, when the condition of the blood affords very distinc-
tive indications of the nature of the disease, or of the system general-
ly, that spontaneous or casual discharges take place, which we may
have an opportunity of investigating. We should principally notice
a tendency to coagulate very quickly, or too firmly, or in too great a
relative proportion to the fluid residue; or, on the other hand, an
excessive predominance of the fluid proportion or absence of coa-
gulation.
1) Coagulation which is too rapid, firm, or too great in proportion
to the fluid residue, especially if further qualified by the superficial
INVESTIGATION OF THE DISEASE. 17
floating of very little of the watery humor, (which is one of its con-
stituents,) that, again, being coated over the surface with a very firm
white skim, is positively indicative of inflammation, tendency of the
disease to develop inflammation, or predisposition of the patient (if in
health) to attacks of inflammatory disease. Coagulation, in general
aspect as just stated, but which throws up a superficial skim, of de-
tached, unconnected, woolly, or yellowish, or sometimes greenish ap-
pearance, distinguishes an irritation of a nervous rather than of a spe-
cifically inflammatory character,
2. Insufficiency of the watery constituent, that is, when all or al-
most all of the blood is dark and thick, indicates a highly bilious habit
of body.
3. Superabundance of the watery humor as a constituent of the
blood, that is, when the tendency to coagulate is slow, and affects
only a small portion (and that often of a paler color than is usual),
and when the greater part resolves itself into a watery superfluid, in-
dicates a deficiency of power to appropriate and distribute the nou-
rishing portion of the food, for the sustenance and uses of the system;
and (if of menstrual blood) a constitutional disposition to debile dis-
orders, such as “green sickness.”
4. Absence of healthy coagulation, the blood being dark, but re-
maining entirely commingled in all its component parts, not separat-
ing the watery humor, and remaining in a thick inadhesive condition,
(not jelly-like,) indicates what is termed a putrid condition, or that
stage of dissolution in which the vital energy sinks from deficiency of
power to expel what is mischievous (as in putrid typhus); and, in
general, a scorbutic habit of body, which involves a predisposition in
every disease to assume a putrescent character.
5. A dark, yet clear red blood, indicates strength, and a sufficiency
of reactionary power.
6. Black, or very dark purple blood:—which is associated with
such diseases as result in predominance of venous over arterial blood,
and which may indicate organic defect of the structure of the heart,
particularly if the complexion have a bluish or purplish hue: and
which may also indicate a highly bilious complication of intestinal de-
rangement in scorbutic subjects (particularly), more especially if the
blood be muddy, thick, and black.
7. Pale blood, from superabundance of watery fluid, also charac-
terised by excessive liquidity, indicates constitutional weakness in the
predominance of the watery humor as a constituent.
Pale blood (from light redness of the coagulating portion) indicates
a pernicious constitutional habit, such as the constitution heretofore
described as “Rheumatic,” &c.
8. The watery humor (as a constituent of the blood) thoroughly
and distinctly separated from the coagulating portion, which is de
posited in a firm jelly, (and without any of the unhealthy manifesta-
tions described under 1) above, may be assumed as an index of a
Jealthy process of circulation. -
9. The watery humor (as a constituent of the blood) appearing
2
18 HOMCEOPATHIC DOMRSTIC MEDICINE,
Whitish and thick, indicates deficiency of constitutional vigor, espe-
cially in the distribution of nutriment.
10. The watery humor (as a constituent of the blood) appearing of
. ºnely yellowish hue, indicates an admixture of bile with the
lood.
2. Spontaneous Discharges of Blood generally.
If the discharge be from the nose, in cases of inflammation of the
brain, severe determination of blood to the brain, or of inflammatory
fever of any kind, the symptom is to be considered as a wholesome
CTISIS. &
In general, discharges of blood may appear as the crisis of a disease,
particularly of severe fever; but they may occur as the result of local
determinations of blood or inflammations, of over-due fullness and dis-
tension of the vessels, of precipitation of blood upon a weak part, (or,
generally, of comparative deficiency of firmness and strength in such
part, as when a blood-vessel is broken;) or again (as a most critical
symptom) of a putrid condition.
THE URINE, ITS VARIETIES AND THEIR INDICATIONs.
From the consideration of the blood and its appearances, we cannot
transfer our attention more appropriately than to the like variations
in the urine, as the discharge, the processes attending the secretion of
which are most intimately connected with the blood.
1. The healthy appearance of the Urine.
Unaffected by any of the subjoined or other particular circum-
stances of age, sex, method of living, active, or sedentary, particular
articles of food or drink, the season of the year, and as a most impor-
tant exceptional condition, the constitution of the patient, the urine
should be of a pale, brightish yellow or straw-colored, remaining clear
after standing, precipitating no sediment, and of the peculiar amoniacal
smell, but devoid of all loathsome odor.
Eacception 1. However, in old age, it is consistent with health
that the urine should be offensive, lessened in quantity, and deepened
in color.
Facception 2. Amongst females a degree of sediment is not always
an unhealthy sign, and the urine is habitually of a paler hue.
Eacception 3. With respect to the habits of life, it may be reserved
that a person leading a very active life, with especial predominance
of physical exertion, should emit darker and more scanty urine than
the stated standard,+and, that in an individual of very sedentary
habits, it should be characterised by more copious but paler dis-
charge.
Eacception 4. As to eating and drinking, it may be stated as an
exception to the general rule, above, that certain vegetables (espe-
cially those of a diuretic nature), such as asparagus, will usually
cause the discharge to be offensive: other substances will give it a
bright, gold yellow; excess of stimulating liquor will render the dis-
INVESTIGATION OF THE DISEASE. 19
charge pale and copious, &c.;-whereas, also, within about six hours
after eating, it will commonly be cloudy.
Ecception 5. The increase of constitutional vigor, or perhaps more
immediately the greater enjoyment of open-air exercise which the sum-
mer affords, tends to render the urine darker and more scanty, where-
as in winter (that is, under contrary circumstances,) it is usually less
highly colored and more abundant.
2. The proper Time and Method of Investigation.
The urine should not be examined, or at least no reliance should be
placed upon its manifestations, within less than six hours after a meal;
and such of the urine as is reserved for investigation should then be
set aside in a place where the temperature is even and moderate for at
least two hours, not being at all exposed to sudden transitions of tem-
perature in the interval, after which we may examine whether any of
the subjoined evidences be present.
3. The Variations apparent in the Urine, and their Indications.
1. With respect to the progress of fevers, the urine affords the most
valuable characteristics, varying with each stage, as the result of the
febrile course is developed ; as, for instance:
Before the fever has taken any turn towards issue, that is, so long
as it continues to rage without any tendency to a crisis, the urine, of
whatever color, is émitted (and remains after standing) perfectly
transparent and clear; or, in other cases, (especially nervous fevers,
and fevers in which the digestive functions are predominantly impli-
cated,) the urine will be emitted (and will continue the same, and
without deposit after standing,) thick and cloudy.
2. As the determination of the fever approaches, the urine, which
was previously clear, will become thick, and will begin to form a small
half-floating cloud, or sometimes even a similar cloud completely
buoyant, or which, should it sink for a time, will rise again complete-
ly to the surface. The two latter are, however, indicative of a
somewhat unfavorable issue in the imperfect completion of the crisis,
whereas if, on the other hand, the cloud formed in the urine sinks, we
have reason to anticipate a wholesome resolution.
3. The actual determination or crisis of the fever is distinguishable
by the precipitation of a sediment (simply),—in cases in which the
urine had previously been clear, and by the like precipitation of a
sediment, and the complete clearness and transparency (as if filtered)
of the over-floating fluid, in cases in which the urine had previously
been muddy and thick.
But for this precipitation of a sediment to constitute a wholesome
&ndication, it should also be smooth, undisturbed, light, assuming an
apparent, slight, rounded, elevation towards the centre, white, or of
a slightly gray color. It should not constitute more than one-fifth
or one-fourth (at the most) of the whole volume discharged, and it
should be deposited quickly after the emission. For otherwise it is
a bad sign ; as, for instance :
If black, or very dark, it indicates a putrid condition.
20 HOMOEOPATHIC DOMESTIC MEDICINE.
If of the color of bile, or red, it characterises an intermittent type
of disease, or sometimes of a rheumatic tendency.
If white and gritty, or deposited from dark turbid urine, there is
depraved habit of body, or perhaps some concreting substance in the
canal.
Or, generally, if disturbed, irregular, of a purple hue, muddy, heavy,
and constituting from the half to two-thirds of the whole volume dis-
charged, it is a bad sign.
4. In general, moreover :
a) If the URINE BE RED when the pulse is accelerated, there is a
decisive and positive indication whereby to distinguish constitutional
fever, inflammatory action, and increased development of internal
heat, from a similar condition of pulse, which might otherwise
characterise a purely spasmodic affection.
b) If of a deep saffron-color, it represents the admixture of bile in
the blood, &c.; and if this hue be conveyed to white absorbent sur-
faces moistened with it, it decisively indicates jaundice.
c) If it be thick and black, here is an indication of such a degree
of inflammatory or putrid condition, as resolves itself into gangrene.
d) If bloody, turbid, thick, and depositing an excessive proportion
of sediment, we have an evidence of approaching decomposition of
the blood.
e) If, other things being equal, it be characterised by the floating
of an apparently oily substance on its surface, we have an evidence
of what may be termed advanced constitutional decay.
f) If matter be mingled with it, there must be internal suppuration.
g) If the urine (of children) appear, as it were, milky, we have
reason to deduce the presence of worms in the intestines.
h) If it be thick but pale, or still more, if it be very changeable in
appearance, during the course of a fever, we have reason to look upon
the disease as of a nervous kind.
2) If it be clear, transparent, and watery, and there be continual
urging to discharge it, the nature of the affection is distinctly spas-
modic.
k) If it be bloody, there is probably a degree of inflammation about
the bladder or kidneys.
l) If slimy we deduce a discharge of the character of phlegm from
the bladder, or obstruction of the neck of the bladder by some con-
creting substance.
5. Or again, as regards the manner or sensations which characterise
the discharge :
a) If the discharge be involuntary, the affection is of a paralytic
character; but it should also be noticed that in such cases of FEVER as
evince this symptom, it is sometimes very difficult to ascertain whether
it is really involuntary (in the true sense of the term). If really so,
it is a serious manifestation.
b) If on the other hand, the discharge be either difficult, painful, or
impeded, it variously represents disease of a locally, inflammatory, or
spasmodic nature.
6. Or further, as to the antecedent circumstances:
INVESTIGATION OF THE DISEASE. 21
a) It should be noticed that sudden check of perspiration will often
occasion an exceedingly copious and watery discharge of urine.
b) Whereas excessive relaxation of the bowels, the previous use of
drastic purgatives (under Allopathic treatment), or profuse sweating,
will frequently cause a darker and more scanty discharge.
CHEMICAL AND MICRoscoPIC DISTINCTIONs, and the distinctive fea-
tures of other varieties in respect of the urine, have been intentionally
omitted, as calculated to lead unprofessional persons into erroneous
experiments.
THE FUNCTION OF BREATHING : ITS WARIETIES AND THEIR INDICATIONS.
In many diseases, especially those whose seat is in the respiratory
apparatus, the manner of breathing, the pains, &c. developed by the
act of breathing, the sound emitted by the inward and outward pas-
sage of the breath, &c., are the only signs upon which we can rely
for a thorough and distinctive appreciation of the nature of the affec-
tion, with the reservation, however, that the relations between the
pulse and respiration are never to be overlooked. In all diseases,
especially in those of an inflammatory or putrid character, there is
much important insight into the direction, &c., of the malady, acquired
by a careful consideration of the operation of this vital function.
1. The Breath ºn Health.
The frequency and even the manner of breathing, in individual
cases, is best determined by the habitual conditions of both. But,
inasmuch as there should be about four pulsations to every act of re-
spiration, it may be deduced that, in health, supposing the medium
standard of the adult pulse to be 80 beats in the minute, there would
be 20 in-spirations and 20 re-spirations in the same time; and in the
like proportion.
The breathing would also be easy, slow in repetition, and in inhaling
and exhaling equal and full. It is not, however, to be inferred that
the relative equality of proportion between the beating of the pulse
and the expansion of the lungs is in itself a sign of health (as will
presently transpire), although it may be assumed therefrom that the
blood is not deteriorated in quality, on the one hand, and that the
operation of the lungs is not organically affected, on the other hand.
2. The Variations to which Breathing is subject and their
Žndications.
a) Frequent respiration—by which is understood a rapid and con-
tinuous succession of inspirations and respirations—is an evidence
either of accelerated circulation or FEVER, and consequently, of organic
inflammatory affections, or of inflammatory affections of any kind, in-
volving constitutional disturbance; and also of insufficient (elasticity)
strength of the lungs. Frequency of respiration, when associated with
Smallness or Shortness, that is, with inadequate expansion, is an evi-
dence of some obstruction which oppresses the operation of the lungs;
as, for instance, created by congested blood (as in inflammation of the
22 HOMCEOPATHIC DOMESTIC MEDICINE.
lungs), by the presence of water in the cavity of the chest, (or even,
in severe cases, in the cavity of the belly,) by inflation with wind (the
oppression being communicated by the contiguity of the lungs to the
inflated parts of the stomach), or by the alteration of the substance of
the lungs, &c.
- This variety is opposed to the habitual degree of slowness in the
breathing of health.
b) The slow (unfrequent) breathing, when less frequent than in health,
and further qualified, by deep breathing at remote intervals, as if in a
convulsive effort, is frequently associated with spasmodic affections,
swooning, &c. and is an evidence of want of strength. &
c) The quick respiration —a term by which is understood that the
in-spiration is incomplete, and is quickly succeeded by the re-spiration
—is occasioned by the presence of some oppression or obstruction,
which renders the expansion of the chest so painful as to hurry the
operation of decreasing the pressure by expelling the air; it is almost
invariably the result of any severe inflammatory affection of the intes-
times, or apparatus of respiration, and commonly occasions a more Sud-
den and spasmodic effort to expel the air, as manifested in Cough. It
is opposed to the healthy tardiness of respiration ; that is, to the deep,
slow, protracted inspiration, and respiration, with power to hold the
breath (full) for a length of time.
d) Tardiness—may, however, be excessive, as resulting from weak-
IlêSS.
e) The deep or long breath—when even, protracted—as to the in-
haling, and exhaling—noiseless, and evidently without effort, is one
of the characteristic features of healthy respiration ; but, when deep,
long breath, is evidently the result of a severe effort, somewhat diffi-
cult, irregular, sonorous, and sometimes abrupt, it becomes an evidence
of spasmodic affection,--especially involving the anterior portion of
the cavity of the chest and abdomen, or, sometimes, of great fullness
of the vessels about those regions; or, again, (as if there be a long
pause between the expulsion of one draught, and the re-inspiration of
another) of a condition of stupor and delirium.
f) The Small or short breath (simply)—may be considered an evi-
dence either of weakness, or of spasm. We have already noticed this
variety, as associated with frequency.
g) Difficult breathing—implies several distinct varieties, either of
which may appropriately bear this denomination. In any degree, diffi-
culty of breathing may be associated with coldness of the extremities
(especially the feet), confusion and heat of the head, and empty, small
and remittent pulse, owing to the obstructed and dilatory progress of
the blood through the lungs. If casual, difficult respiration may be
attributed to some accidental or even mechanical cause of oppression.
As a symptom of disease, it would arise from the presence of any ob-
structing matter, blood or water, &c., impeding the action of the lungs
and air-passages, &c.; or as a symptom, unattended with any evidence
of inflammation, it would be occasioned by spasmodic affection of the
respiratory apparatus.
JMoaning or sighing breath is a variety of difficult respiration, and
INVESTIGATION OF THE DISEASE. 23
seems rather to identify the enveloping membranes of the lungs as the
seat of the affection.
Oppressed breath (simply)—may arise either from impeded diges-
tion, from particular conditions of atmosphere, or from affections of
the air-passages.
Panting Breath rather identifies obstructions (such as thickening of
the lining membrane) in the windpipe, and air-tubes.
Suffocative breath—that is, when the breath is totally arrested by
recumbency—may result from extravasation of blood on the lungs,
&c., from the accumulation of water, from alteration of the substance
of the lungs, or from what is termed paralysis of those organs; in any
case it is a most urgent symptom. In all respects it is opposed to the
easy breathing, or to the habitual degree of ease in breathing, which
characterises the healthy state of the patient.
h) Warm breath (simply)—indicates a degree of fever; if very hot
particularly if the extremities be cold) it is a positive index of gene-
ral, internal inflammatory action, or more particularly of inflammation
of the substance of the lungs, or of some of the adjacent intestinal
art.S.
i) Cold breath—indicates a deficiency of vigor (superfluity of watery
humor) in the blood, and consequently sluggish, languid circulation.
It may result, however, from obstruction which prevent the effectual
passage of the blood through the lungs. As a symptom appearing with
the sudden suspension of pain, and with general dullness of Sensation
in severe organic inflammation, it indicates internal mortification; in
any case, as attendant upon the last stage of very critical disease, it is
a fatal sign. s
AE) Unequal breath —an expression which conveys its meaning—may,
in very severe cases, result from obstructions impeding the inhalation
or exhalation of the air (chiefly in the windpipe and air-tubes), or it
may be occasioned by purely casual circumstances; as, for instance,
spasmodic affection of the nerves connected with the respiratory appa-
ratus. It is opposed to the equal breathing of health.
!) Woisy respiration—or that which is attended with unnatural
sounds, is subject to several modifications,—as, for instance, whistling
breath, which, in the majority of cases, indicates the result of spasm,
-or of accumulation of phlegm, &c., in the windpipe. Rattling breath,
which may result from the presence of matter, blood, or phlegm, partly
obstructing the air-tubes; or, as a fatal sign, it is the result of paraly-
sis of the lungs. Flapping breath, or that which is accompanied with
an occasional sound, as of the sharp flapping to and fro of a dry valve,
indicates the presence of very adhesive matter or phlegm in delicate
cells connected with the air-passages. Crackling or erepitating breath,
which, as associated with inflammation of the lungs, would be qualified
by the other distinctive symptoms of that disease, may (particularly in
aged persons) indicate deficiency of moisture in the lining membrane
of the air-passages.
m) Oppressed breathing, or oppression of the chest,-will be treated
of under the head of anaciety, (see “Pain,” &c.)
n) Offensive or fetid breath —a symptom which requires no further
24 HOMOEOPATHIC DOMESTIC MEDICINE,
description, but which must be considered in due relation to other
circumstances, as, for instance, going too long without food, will en-
gender it. The menstrual periods are sometimes attended with it.
Excessive use of mercury, under allopathic treatment, is another ascer-
tainable cause.
A scorbutic habit of body (or that in which every affection has a
disposition to resolve itself into a greater or less degree of put rescence)
is unmistakeably discernible from this symptom, when continual
and habitual. Excess of animal food may occasion it. Decay of the
teeth and inattention to the proper cleansing of the mouth and teeth,
will almost inevitably induce it. In typhus, it characterises the putrid
degeneracy of the disease. In affections of the chest it usually charac-
terises suppurative processes in the lungs, &c. As a general rule, es-
pecially in the absence of any particular conditions, such as have been
stated—foulness of the stomach, or the presence of worms, or other
impure substances in the intestines, may be distinguishable by offen-
sève breath.
THE DIGESTIVE FUNCTIONS, AND THE INDICATIONs which THEY AFFORD.
The digestive functions, as is well known, afford some of the most
palpable indications of derangement; and inasmuch as the nutritive
or tributary process is entirely centred in this portion of the system,
one very important deduction is dependent upon its condition ; namely,
the sufficient or insufficient degree in which the subsistence of the
whole constitution is provided for by the processes acting upon the
food.
And further, in the habitual state of the digestive process, the ho-
moeopathist distinguishes that which constitutes one of the most im-
portant criterions whereby to determine the exact method of adminis-
tering medicines in cases of imminent danger; and in some cases, also,
the distinctive propriety and adaptation of one remedy in preference
to another of very analogous operation.
Thus, if the digestive process be habitually regular and strong, and
little subject to be influenced even by irregularities of living—here is
an indication of a constitution possessing an internal vigor and deci-
sive reactionary power; a constitution of great buoyancy (so to speak),
whereby, in critical cases, the administrator would be guided, firstly,
to a relatively stronger, that is lower POTENCY ; secondly, that he might
venture upon more rapid REPETITION at the outset of the critical mani-
festations. In cases, moreover, in which the vital energies were sink-
ing, (for instance, collapse in cholera,) such an habitual strength of
digestion, during the state of health, would usually indicate VERATRUM
in preference to ARSENICUM (in such cases as would otherwise have led
to doubt).
Further, it may be remarked, that persons of habitually strong di-
gestive powers are more likely to resist the injurious effects of exter-
nal circumstances; such as heat, cold, infection, Sorrow, &c. &c.; but
once attacked with disease (especially inflammation), they are prone
to be very seriously affected. At the same time, disease will be more
INVESTIGATION OF THE DISEASE. 25
likely to run a rapid course with such subjects, and to terminate
promptly, than to degenerate into chronic disease. gº
If the digestive process be habitually weak, we have a general indi-
cation of precisely contrary conditions.
1. The Evacuations and their Indications.
a. CostIVENESS. Suspended or deficient evacuations may be the effect
of inflammatory tendency; or of muscular debility; or of inaction of
the lower intestines; or, again, of deficient or altered discharge of bile
from the liver into the intestines; or of general debility of the system
and poverty of blood. Suspended evacuations may, however, be oc-
casioned by mechanical obstruction of the bowels, as the lodgment of
improper substances, &c.; whereas deficiency of discharge may result
from excessive discharges or transpirations of another kind.
7ery dark evacuations may be either associated with costiveness or
relaxation, and in both instances they usually, when not induced by
the nature of the food, evince an exuberance of bile. sº
J/ard evacuations are of various kinds:—as hard and large, hard
and small (detached), hard and knotty, &c.; in general they exhibit a
deficient degree of natural irritability in the lining membranes, more
or less excess of internal heat, and deficiency of moisture.
b. RELAXATION, as understood, not only of less consistent, but of more
copious evacuations, is also subject to variations in the frequency,
color, odor, &c., of the motion. In general it may result from in-
flammatory or nervous irritability of the intestinal canal; or from the
presence of obnoxious, irritating substances, impurities, &c.—such as
undigested food, worms, &c., -therein; or from suppression of other
discharges; or emotions; or, again, from a debilitated condition of the
bowels or of the entire system.
If the discharge be green (of an infant), acidity is commonly ex-
hibited; if dark, predominance of bile; if pale, deficiency of bile.
c. Spontaneous discharge should be distinguished from involuntary
discharge, the former being of little importance, and being a common
result of unconsciousness (when relaxation is present) and occurring,
also, owing to the excremental matter being completely liquefied.
d. Involuntary evacuations, properly so called, and attendant upon
the last stage of severe fevers, especially fevers of a typhoid character,
are indicative of paralysis, and are to be looked upon with great
apprehension.
e. Diminished evacuations are not necessarily opposed to the lessened
consistency, and may occur either with highly consistent or very
liquid motions; in the latter case, however, they generally exhibit an
imperfect expulsion of the matter to be evacuated, and, in such in-
stances, of the presence of some irritative substances in the canal. If
unqualified by any other manifestation (such as hardness, or those al-
ready stated) and especially if there be a constriction of the passage,
the decreased quantity of the evacuation may be attributed to spasm.
f. Straining to evacuate, is sometimes of spasmodic character, espe-
cially if the motion be only partial, very scanty, or totally suppressed.
26 HOMOEOPATHIC DOMESTIC MEDICINE.
But without spasm or especially nervous character, such straining
may restlt from a greater or less degree of inflammation and its
sequels, or from the peculiar susceptibility of the canal to irritations.
g. Of painful evacuation we shall have occasion to speak under the
head of ‘Pains.”
2. Flatulency— Wind in the Stomach and Intestines—and its
Indications.
The generation of wind either in the stomach or in the bowels,
arises from the production of the elements, in the form of gases, of
the normal phlegm which is secreted from the blood. If habitual and
excessive, it is clearly indicative of weakness or derangement (of nerv-
ous action or tone) in the stomach, if the wind be expelled upwards,
—or in the bowels, if the intestines become inflated, or the wind be
expelled downwards.
Flatulent distension of the belly, occurring in children, often identifies
an additional morbid state, characterised by the presence of worms in
the intestinal canal.
Flatulent, drum-like distension of the belly during the course of
FEVER, betrays want of vigor which may occasion serious results. If,
at the same time, the belly thus distended be very tender, and severe
pain be caused by pressure, a tendency to local inflammation is clearly
exhibited.
3. Nausea and Vomiting, and their Indications.
1. These symptoms especially point out either original, local, or sym-
pathetic affections of the STOMACH, or superior portion of the digestive
apparatus, as opposed to the bowels or intestinal canal, which con-
stitute the second division of this portion of the system. If therefore,
these symptoms be simultaneous with unhealthy evacuations, it is to
be deduced that both the stomach and bowels are affected either
simultaneously or sympathetically, or by communication of the irrita-
bility from the one to the other.
a) But they may be occasioned by mere sympathy, without any
actual local affection, as:–1. by sympathy with the woxib in females,
and indicative of the earliest stage of pregnancy; or 2. by sympathy
with the LIVER, as evinced by the pain or other symptoms emanating
from that organ; or 3. by sympathy with the BRAIN, as the result of
irritation, or of oppression occasioned by determination of blood, con-
cussion, or water; or 4. by sympathy with the INTESTINEs, as par-
ticularly evinced by perverse and continued constipation. All these
relations should be duly considered; and, in the absence of any such
remote causes, we may trace the origin of these symptoms to the sto-
MACH itself, as:—
b) If habitual 1. to an organic derangement of that and the neigh-
boring portions of the system.
2. If both food and drink are thrown up as soon as swallowed, to
inflammation.
3. If accompanied with foulness or enlargement of the tongue, and
INVESTIGATION OF THE DISEASE. 27
$ºp
evinced in the state of the matter thrown up, especially if the suffering
be immediately relieved after vomiting, to the presence of obnoxious
and indigestible substances in the stomach.
4. If attended with sudden paroxysms of cramp-like pain, and ab-
rupt suspension of breath, to increased irritability of a purely spas-
modic character.
5. If both symptoms occur habitually in the morning, and there be
no further indication of irritation of the stomach itself, and if further
examination of the urine, and other symptoms lead to the same con-
clusion, they may be attributable to gravel.
4. The Appetite, and its Indications.
The appetite may be equally great, or greater, in disease than in
health, but there are very distinct indications which distinguish these
opposite conditions. The appetite of health should be even, regular,
(not capricious or fitful) varying in the frequency of its return only
according to the habitual period of meals.; but, if not governed by any
habit calculated to modify the intervals between the returns of hunger,
it should recur, in the adult, about every four to five hours, and in
infants and children at intervals of from one to three hours; and satia-
tion (that is, the meal), should not be accompanied with flushing of
heat, but rather with a sensation of chilliness. As an indication of dis-
ease we find the appetite deficient, or absent, excessive and irregular
—fitful—capricious—craving after particular substances, with absolute
repugnance to others—characterised by a desire for unnatural things,
as chalk—or by a particular longing for stimulants, &c., in the majority
of which cases the STOMACH is the seat of derangement, but occasion-
ally, also, the Bow ELS (as when worms are present in the intestinal
canal); except as regards suspension of appetite, which, in most cases
(particularly if supplanted by thirst), indicates constitutional irritation
(FEvKR), whatever be the original seat of the affection. In other in-
stances we may remark an habitually excessive or craving hunger
(not necessarily either capricious or fitful), but particularly qualified
if flushing of heat, or peculiar heat of the hands follow a meal, when
we may have reason to apprehend a hectic or consumptive disposition.
In some cases, however, in which excess of appetite occurs (unaccom-
panied with these qualifying conditions) especially in young persons,
it may be attributed to worms alone-–to over-rapid growth—to vio-
lent exercise and excessive transpiration, or to any other cause which
would tend to absorb or to consume the substance and nutriment of
the body.
Absence of appetite may more particularly be attributed:
1. To organic derangement of the stomach, or simply to weakness
of the first process of digestion.
2. And more frequently, to the overcharge of the stomach, or the
pressure of injurious and indigestible substances, even in moderate or
small quantities. -
3. To FEvER of any kind, otherwise determinable by the pulse, &c.;
except, indeed, to hectic or rheumatic fever, neither of which neces-
sarily subdue the appetite,
28 HOMOEOPATHIC DOMESTIC MEDICINE.
4. To nervous, hysterical, and hypochondriacal conditions—or to
nervous derangement resulting from emotions, as from excessive grief,
alarm, &c.; or to the like, resulting (without fever) from undue physi-
cal exertion (a rare case) when the nerves of the stomach are impli-
cated; or frequently from undue MENTAL LABor or anxiety.
Natural appetite, that is, appetite neither increased nor decreased,
may occur, associated with hectic or rheumatic fever; when, however,
it is generally qualified by other circumstances:—in both cases it is
more likely to be irregular or excessive.
Eaccess of appetite, as a symptom of disease, is an evidence of poor-
ness of blood, frequently attended with the secretion of an acrid, irri-
tating phlegm ; but, without such conditions, it may result from purely
nervous and sympathetic irritability—as during pregnancy, or in dis-
eases of a purely hysterical character;—or again, from some habitual
cause of irritation, such as worms. In hectic or consumptive com-
plaints it indicates the insufficient distribution of nutriment by the
tributary apparatus, that is, a want of proper action in the digestive
function to appropriate the nutritive constituent of the food. Excess
of appetite will also often appear associated with habitual vomiting,
or continued relaxation of the bowels, owing to the deficient distribu-
tion of nourishment.
5. Thirst, and its Indications.
In the majority of cases, continued thirst indicates FEVER or in-
flammation; but, inasmuch as it will result from any dryness of the
mouth and throat, and from lack of moisture in the stomach (without
disease), we must be careful to distinguish the thirst of health.
The thirst of health may be the consequence of any condition cal-
culated to absorb the moisture of the mouth, throat, gullet, and sto-
mach—such as:—severe physical exertion, greatly elevated tempera-
ture, particularly in a dry state of the atmosphere, or even when the
temperature is much depressed by the deficiency of moisture in the
air, particularly if strong exercise be taken during the prevalence of
such atmospheric conditions;–or, again, eating salt food, or eating
solid food, especially heating food (chiefly animal) in excess, or con-
tinuing too long without food (without necessary abatement of appe-
tite) after the return of hunger, whereby the saliva has been ex-
hausted, &c. g
When, however, there is no apparent cause for the thirst, especially
if accompanied with increased heat or dryness of the skin, &c., and if,
upon investigation of other symptoms, further indications should
warrant the conclusion, we may infer that the thirst arises from inter-
nal heat, and is consequently a symptom of FEVER. If in such a case
the thirst be intense and insatiable (the pulse being full, hard, and
frequent), the character of the FEVER is distinctly indicated—it is
inflammatory; that is, there is a deficiency of the watery constituent
in the blood. -
Thirst may, however, arise purely from acidity; when it will be
characterised by the risings and acrid sensations in the gullet, &c.
INVESTIGATION OF THE DISEASE. 29
It may also be associated with spasm; when, however, it will be
characterized by deficiency, not by excess of heat.
THE Tongue, AND ITS INDICATIONs.
The tongue affords many of the most important indications associated
with derangement of the DIGESTIVE functions.
Tongue thickly furred, dirty white, or brownish white, without
either unusual dryness, enlargement or redness, indicates that the
derangement involves rather the lining membranes than the nerves
of the stomach, and that not to a serious extent. The derangement is
then identified as comparatively recent, and easily remediable.
Tongue furred with slimy matter, and with vivid red tip and mar-
gins, indicates also an affection of the lining membrane, but one of a
more serious and continuous character.
Yellow tongue, also qualified by one or more of the last-stated con-
ditions, indicates the liver, &c., as implicated.
Clean tongue, of bright redness, naturally moist, but with the
papillae unnaturally prominent, indicates that the derangement affects
the nerves of the stomach, and is of recent date.
Dry, red, glazed tongue represents a similar affection to the last,
but more severe, and of longer standing. - }
Swollen, red tongue, but slightly charged with white fur, represents
such a degree of nervous derangement of the 'digestive organs as to
react congestively upon the brain, and implicate that organ.
Cracked, furrowed, fissured, swollen tongue, conveys to our appre-
hension the most severe degree of derangement of the nerves of th
stomach. l
Swollen tongue, thinly coated, white, but bright red at the tip and
margins, indicates a complication of both varieties of indigestion—viz.,
that of the lining membranes, and that of the nerves of the stomach,
which is of old standing, and of an obstinate character. We may look
for irregular operation of the brain, as associated with this symptom,
as well as extreme despondency, nervous irritability, and depression
of spirits and activity. w
Zongue indented on either side, is a modification of the swollen
tongue, already mentioned as associated with derangement of the
nerves of the stomach, and consists of a very severe degree of tume-
faction.
Tremulous tongue, or tongue trembling when protruded, is often
distinguished amongst habitual drunkards, and distinctly indicates a
complex variety of the nervous form of indigestion, implicating the
spinal marrow.
Blackish, dry, furred, and tremulous tongue, is a severe symptom
in abdominal or putrid typhus.
THE NERVES, BRAIN, SENSATIONS, AND SENSES, AND THEIR INDI-
CATIONS. -
This section includes the consideration of suspension, or acuteness
of sensation, perception, consciousness, volition, motion, rest, &c.
30 HOMOEOPATHIC 10 OMESTIC MEDICINE.
1. Loss of Consciousness, Delirium, Fainting, dºc., and their indi-
cations.
Loss of consciousness may be of three kinds (as we shall have occa-
sion to consider it), two of which are primarily referable to the brain,
and one to the heart, namely:—Apoplexy (considered as a symptom),
which consists in total suspension of the activity of the brain, and con-
sequently also of nervous irritability and vitality;-Delirium, which
consists in disturbance or irregularity in the activity of the brain —
and Fainting, which consists of temporary suspension of the activity
of the heart, but which also involves the like prostration of general
nervous activity.
a. APOPLEXY, which is distinguishable by unaltered strength, or by
increased strength of pulsation, accompanying total suspension of
motion, or motive power (which does not always return with con-
sciousness), indicates an organic affection of the substance of the
brain, more or less critical.
b. DELIRIUM, which is distinguishable by loss of consciousness, or
more properly, perhaps, of connected ideas (generally of the nature of
sleep, without rest), with or without frantic movements, but always with
increased or diminished activity of the brain of an irregular nature,
affords various indications, according to the particular conditions and
circumstances which precede, accompany, or follow it, or to the par-
ticular disposition of the patient, which may serve to qualify it.
1. When it becomes continuous, and is divested of any other symp-
tom of derangement, and the functions of the system continue in
regular operation, it ceases to be a symptom, assumes the individual
character of an independent disease, and would seem to indicate a
greater or less alteration of the substance of the brain.
2. When there is a continual predisposition to the return of attacks
of delirium, without a permanent and continual duration, qualified,
moreover, by other symptoms of hysterical or hypochondriacal sus-
ceptibility, it is of comparatively little importance as a symptom of
diseases which exhibit that character (hysterical, &c.).
3. Persons of a habit of body and temperament, characterized by a
peculiar activity, susceptibility, and excitement (easily provoked or
aggravated) of the brain, so invariably exhibit this symptom with the
least acceleration of circulation, and are so prone to become wholly
abstracted by the continued activity of the organ in question, that we
should weigh well the accompanying indications, which further cha-
racterize disease, before attaching much importance to delirium alone,
in patients of such a disposition.
4. If, however, there be active delirium—that is, raving, occasioned
by sudden determination of blood to the brain, with or without frantic
action, with considerable derangement of the system, as evinced by
other symptoms, especially if this symptom occur in persons who are
not subject to a manifestation of the kind, we should first consider—
whether there be continuous and active FEVER, in which case we have
an indication of the most inflammatory disposition of disease, and it
remains to be considered whether the brain itself, or its membranes,
INVESTIGATION OF THE DISEASE. 31
be the primary seat of inflammation,--or whether there has previously
been some cutaneous eruption or efflorescence, which has suddenly dis-
appeared, or whether there are such symptoms as forebode an erup-
tion;–or whether, again, there have been evidences of inflammation,
developed in some other organ, which suddenly subsided or dis-
appeared. Or, if no such manifestations be present, we may consider
the delirium as resulting from a sympathetic affection of the brain, of
which the primary cause is seated in some other part, such as the
stomach or the bowels, or both, arising from the presence of irritative
matters (as, for instance, worms, bile, &c.); or, again, -if any such
cause can be identified, -the influence of narcotic and poisonous
drugs, &c.
5. There is also another kind of delirium which appears as a very
important symptom, especially associated with any cause of pressure
on the brain, generally the immediate or remote result of
Inflammation –Immediate, when it appears as a concomitant
symptom of the actual disease, —in which case it distinctly indicates
the presence of blood disengaged, and accumulating in the substance
of the brain, or suffusion of extravasated blood in the enveloping
membrane;—Remote, when acute organic inflammation is not present,
in which case it identifies the presence of water.
This is what is termed drowsy delirium. It is identified by a de-
jiciency of nervous and cerebral activity, the absence, even (in many
cases), of any motion of the body, a species of dull, inanimate sleep,
total helplessness, and complete silence, or, at the most, a low internal
murmur; and it is characterized by prostration of nervous action.
Drowsy delirium, moreover, may appear in nervous and typhoid
FEVERs, as an indication of general debility.
In any case it may be considered as a more critical manifestation,
than active delirium.
c. FAINTING, swooning, should also be considered with due regard
to the disposition of the patient, and to the circumstances which
qualify it. * *
1. If it be the habitual, especially as the termination of violent
attacks of palpitation of the heart, which generally; if not invariably,
lead to this issue, there is reason to apprehend organic derangement
of the heart.
2. If, on the other hand, it should occur casually, after violent emo-
tion—as joy, fear, grief, &c., or after severe loss of blood, &c., or as
the result of casual, but very excruciating pain, or as the consequence
of an accidental injury of no great moment, it is not to be looked upon
as a very important symptom.
3. If, again, it be the habitual result of mere nervous excitement in
persons of a highly susceptible hysterical or hypochondriacal disposi-
tion,-in which case it is merely spasmodic,-it is not of great moment.
4. If, however, one or more fainting fits should usher in an attack
of FEVER, we have a positive indication of the subsequent nervous type
of the disease. *
32 HOMGEOPATHIC DOMIESTIC MEDICINE.
2. Motion or Muscular Action, and Rest—and their Indications.
Although not in accordance with technical classification, we shall
include under this head of “motion and rest,” every circumstance, in-
ternal as well as external, in which the motatory power is called into
play, or subdued. Wherefore, it must be premised, that motion and
rest are either healthy and natural, or symptomatic of derangement,
and consequently unnatural.
And first, with respect to motion :-it is clear that to be healthy
and natural, it must be subject to the will, and the consciousness;
that is, that until the resolution to effect a certain movement (as of the
arm or leg) instinctively calls the proper muscle into play, that muscle
should remain inactive (but not incapable of action). It is also clear
that it should not exceed the limit prescribed by the will, (except in
so far as the physical impulse prevents an abrupt arrest—as, for in-
stance, if running at great speed, the runner should be unable to stop
himself suddenly, when at the top of his speed upon the sudden inter-
vention of circumstances requiring it). It is further evidently clear,
that even if the WILL, excited by sensations (which are painful), does
prompt motion—such as change of position—such motion is not to be
considered as a healthy movement properly so called. An apposite
instance of this occurs in any restlessness caused by suffering. With
respect to motion, which occurs when nature in health would have
prescribed rest—as in the case of restlessness at night, this is evident-
ly a case in which the motion is not subject to the will, and therefore
unhealthy and unnatural; because sleep is totally independent of vo-
lition. The active and motatory condition of health, as the general
rule for an adult male, should not continue (in spite of the will) more
than from sixteen to eighteen hours out of the twenty-four. In the
earliest days of infancy, it should occur during little more than the
time required for feeding. Young persons under twelve or fourteen
years of age, should, have a natural tendency to activity during about
fourteen to sixteen hours out of the twenty-four.
Secondly, with respect to rest:—if understood purely in the sense
of muscular inactivity, during the active and conscious operation of
the will, it is also clear, that in order to be truly denominated as
healthy and natural, it must likewise be subject to the will, which
has the power of determining its duration, and of prescribing its
recommencement at any moment. Even if prompted or disturbed by
the sensations, the WILL is yet, to a certain extent, the mediating
power. As sleep is not purely a degree of muscular inactivity (which
it does not even necessarily induce) it is totally exceptional. But,
even here, if the will be retained in proper ascendancy, by being
habitually exerted, it is well known that it has the power of deter-
mining the duration of sleep; for many persons can wake precisely at
a given moment after many hours' sleep, merely by having previously
resolved to wake at such a moment. It is even admissible that the
will has an initiating power in inducing sleep, because sleep would
not in many cases occur, without a resolution to permit it; and, if it
INVESTIGATION OF DISEASE, 33
occurs in spite of the will, it is exceptional, because it must either be
an unhealthy symptom in itself, or the absence of it must have been
an excess of exertion forced upon nature by the will. That sleep
can be induced even with a disposition to rest—by a mere resolution
of the will,—has been asserted, but is far more problematical. If,
however, it does not occur when the will composes the body for it,
it is again exceptional, and the absence of it is a symptom of derange.
ment (not healthy). It cannot, nevertheless, be denied that the will.
cannot coerce it; and if the will, which is refinement of nervous
{. combat the irritation and irritability which repels sleep, it
ecomes a mere combat between one portion of the nervous system
and another (resulting perhaps in fever), both become more and more
irritated, and each repels the other more violently. Thus the very
thought that one cannot sleep, and the wish to do so, makes one
more restless.
The SLEEP of persons of all ages should be calm, neither interrupted,
nor of too long duration, undisturbed, evincing a placid countenance
and no evidence of pain, uneasiness, or fantastic dreams and visions.
The only motion which does not identify irregularity during sleep, is
the occasional turn from side to side. The more noiseless the breathing,
the more perfectly healthy the sleep. The skin during sleep should
be warm, but neither very hot, dry, nor eaccessively moist.
RESTLESSNESs, therefore—that is, doubly, the inability to rest, in
spite of the will, and the muscular motion prompted by the will
(under such conditions), may be considered as an unhealthy and un-
natural condition of activity or motion (either internal or external).
As a syrſptom of FEveR, it identifies an excessive susceptibility or irre-
gularity, and irritative activity of sensation. It is a symptom rather
of an inflammatory than of a debilitated state.
Contraction of the extremities towards the belly, identifies pain in
those parts (chiefly colicky pains).
Continual starting up in bed, indicates great oppression and
anxiety, or simply delirium.
Continual sinking down towards the foot of the bed, denotes great
prostration of vital energy.
Throwing off the clothes—when the patient lays himself bare, denotes
excessive oppression and anxiety, or simply active delirium, which
may likewise be identified by evident inability on the part of the
patient to bear the bed-clothes upon the body, or when they seem to
oppress him like heavy weights.
Grasping at Imaginary objects, may be considered as one of the
most severe indications of utter retrocession of vital energy, if not of
approaching dissolution.
Position of THE PATIENT-a question which is distinctly depen-
dent upon the questions of motion and rest, and which evinces some
very important manifestations—as, for instance:
1. Severe suffering provoked by lying on one side, which consti-
tutes inability to lie on that side, generally denotes internal derange-
ment of organs, whose seat is in the opposite side.
2. Immoveable retention of one position, identifies either excessive
3 -
34 HOMCEOPATHIC DOMESTIC MEDICINE.
weakness or stupor, according to the associated symptoms, and the
previous duration or nature of the disease.
3. Repeated change of position—in some measure distinct from
what has been more generally described as restlessness —if occurring
on what are termed the “critical days” (as the seventh or fourteenth),
or anticipated periods of determinative issue, in FEVERs which run a
regular course (especially eruptive FEVERs), may be assumed to indi-
cate the 'approach of the crisis; or, if occurring early in (or during)
the course of a FEVER, which has not been accompanied by an eruption,
we may infer the necessity for such a development; or, again, if un-
attended with the general indications of a forthcoming eruption, or
unconnected with any period of crisis, and characterised either by
determination of blood to important organs, or by deficiency or sus-
pension of natural discharges or evacuations, this symptom may va-
riously indicate the lodgement of oppressive matters in the stomach,
or simply internal pain or anxiety.
4. The favorable indications connected with the position, consist
a) of such a position as is least inconsistent with that usually assumed
by the patient when in health, and b) ability of the patient equally
to lie on one side or the other, or upon the back, which is decisive in
determining the absence of disease of the organs of the chest (espe-
cially if, moreover, the breath is not impeded or oppressed, when
the head is bent backwards,) or of the intestines.
SLEEP, when unhealthy, is distinguishable by any circumstance con-
trary to those above stated, or opposed to the habitual condition of
the patient (in health).
1. Or, again, when it is characterised by delirium, under the head
of which the particular indications afforded by this symptom, will be
found.
2. When it is impossible to rouse the patient –in which case FEVER
being present, it is identified as of a typhoid character, or we may
otherwise infer that there is an inflammation of the brain. This is
especially an ill omen when it is manifested at the commencement of
the FEVER.
3. When the sleep is disturbed by the least noise, but relapses im-
mediately. -
4. When it is interrupted by muscular twitches, convulsive move-
ments, and repeated starting, or when there is grinding of the teeth
during sleep, all of which occur associated with a high degree of
hysterical excitement in females, when they are not serious evi-
dences of disease, but which may occur in consequence of sympathetic
irritation, resulting from oppression or irritation of the stomach.
SPASMs, and CONVULSIONs should, according to our purpose, be
classified under the head of motion. Indeed, they constitute muscular
motion, both internal and external; but in order justly to discriminate
their symptomatic importance, we must have due regard to the gene-
ral circumstances, age, sex, disposition, &c., which may qualify
them, for: -
1. As occurring in females of a highly susceptible or hysterical dis-
position, or in children, they are usually provoked by such trivial
INVESTIGATION OF DISEASE. 35
Causes (often unattended with much constitutional disturbance), that
they are commonly not to be considered as of great moment, and may
generally be traced to some source of irritation in the bowels.
2. If, however they occur in consequence of wounds, by which
important tendons have been seriously injured, spasms may be con-
sidered as highly momentous, and may result in lockjaw, or, at all
events, in permanent rigidity of the parts injured, or of other parts.
3. If, again, they should occur (in persons of mature years, and of
robust habit), as resulting from severe loss of blood, &c., they are of
portentous import. In this case they are the result of exhaustion of
the vital energy.
4. If, again, they appear as the effect produced by determination
of blood to the brain or to the spinal marrow, or are derived from
the presence of obnoxious matters or foreign bodies, they are not to
be neglected. In the first of these cases, they are caused by super-
abundance of blood, &c., in the second by nervous irritation.
5. If they occur at the point of issue in TYPHUS FEVER, they may
either be critical, (terminating in convalescence), or fatal (when
the vital energy sinks in this last effort).
6. If they appear associated with contagion, or the irregular de-
velopment of eruptions or efflorescences, as with purple rash, small-
pox, &c., they are attributable to nervous irritation.
7. They may be attributed to the presence of worms in the intes-
tines, or to any other obnoxious or irritating matter, either in the
stomach or intestines, in which case also they are directly occasioned
by nervous irritation. *
8. Convulsions resulting from the pressure of extraneous matter
(such as water) on the brain, or otherwise traceable to irritation of
the brain primarily, may result in the highest degree of which they
are susceptible, namely EPILEPSY.
9. Spasms, particularly if caused by tendinous injuries, may
terminate in the highest degree of which they are susceptible, namely,
permanent rigidity, (such as lockjaw or the contraction of any limb,
or part of a limb.)
10. Spasms which affect the muscles of any limb are commonly
called “Cramp.” The distinctive feature of a spasm is gathered .
therefrom, namely, an uninterrupted muscular contraction.
11. Convulsions, consist in the alternate contraction and relaxation
of one or more muscles.
12. Spasms and Convulsions, internally, include such affections
as vomiting, already separately considered, (when they affect the
stomach); Colic, exemplified under the head of “Pain,” (when they
affect the bowels); Palpitation, considered under the head of “Pulse,”
(when they affect the heart); Cough, separately considered hereafter,
and also under the head of “Breath,” (when they affect the chest);
JRetention of urine, considered under the head of “Urine,” (when
they affect the bladder); Hiccup or Hiccough, separately considered,
(when they affect the midriff.)
PARALYSIS,--which may be confined to muscular power, or which
may extend to the superior faculties of the brain, and to all power of
36 HOMOEOPATHIC DOMESTIC MEDICINE.
sensation and perception,-must be considered with due regard to
every circumstance connected with it, in order to form a just idea of
its indications. In any case, the brain must be considered as the seat
whence this symptom, either directly or indirectly, springs. But it
may either appear as the result of some external oppression, or from
internal and organic affection of the brain and spinal marrow.
1. If it be purely occasioned by external causes, or by causes which
are external as regards the organic substance, as, for instance, if the
oppression arise from congestion of an enveloping membrane, it will
be easily distinguishable by being transitory, and consequently the
more simply remediable. In the majority of such cases the paralysis
will be local, leaving the superior faculties, and all other physical parts
of the organism, unaffected. Very severe cases hold as an exception.
2. If it be the result of internal affection of the organic substance,
as of disengaged accumulation of blood in the substance of the brain,
it will be continuous, and will almost invariably impair, if not destroy,
the memory, and permanently detract from the powers of perception
and sensation.
HICCUP or HICCouGH,-an internal development of muscular action,
—must also be considered with due regard to the conditions and cir-
cumstances of age, and of the symptoms with which it is associated.
Simply described, it is a convulsion affecting the midriff.
1. If it occurs in children, and can be associated with cold, or with
distension of the stomach, (that is, flatulency,) it is casual and of little
In Oment.
2. If, however, it should be associated with nervous FEVER, it in-
dicates a malignant type.
3. If associated with inflammatory FEVER, it identifies, to a certain
degree, the tendency to inflammation of the bowels.
TREMBLING is a symptom which is of various import, according to
the circumstances and conditions under which it appears, and accord-
ing to the disposition of the patient.
1. For if the patient be of the highly nervous susceptibility, and it
cannot be traced to any of the other causes mentioned, it may be attri-
buted to a degree of nervous excitement or irritation, which may re-
sult from emotions of any kind,-abuse of stimulants, whether
medicinally administered (under allopathic treatment) or not, --or to
excess of physical exertion, but more frequently of mental labor.
2. If the antecedent circumstances be characterised by loss of blood,
or any animal fluid, it may unquestionably be attributed to debility,
as also if it attend every attempt at exertion after severe acute disease.
3. If it be distinctly manifested, as unconnected with other direct
causes, at the outset of a FEVER, here is an unquestionable premoni-
tion of the subsequent nervous character of the disease.
4. If it should appear in a person of a full habit of body, or other-
wise, with evident distension of the bowels, and unconnected with
any other apparent cause, it may with propriety be attributed to
superabundance of blood in the vessels.
INVESTIGATION OF DISEASE. 37
I. THE SENSATIONS, AND THEIR INDICATIONS.
The sensations need not necessarily be painful to afford a distine-
tive symptomatic indication, although it be true that, as an index of
disease, every particular or characteristic sensation is generally pain-
ful, or at all events disagreeable. The most distinct sensation as a
system of disease, however, is PAIN, or the painful operation of a
function,-or absence of pain when there is disease which should cause
pain; but we may also divide these sensations into two further dis-
tinctive subdivisions, namely, sensations of discomfort or uneasiness,
and sensations of anaciety.
Pain, dºc., Discomfort and Anaciety, and their Indications.
Pain, as a distinguishing symptom, in whatever part or organ it
may have its seat, is to be divided into 1) that which continues unin-
terruptedly, which is persistently in the same part or parts, and con-
tinues to become aggravated (until resulution takes place), and which
is further qualified by being aggravated by the touch, and still more
by severe pressure, and temporarily by the application of heat, which
is the general distinctive indication of INFLAMMATION of the part or
parts whence the pain originates: 2) Pain which is chiefly developed
in a particular course or direction, (the course or direction of a nerve,)
or which is changeable as to the part in which it occurs, but which,
in either case, is generally characterised by aggravation from apparent
contact or slight touch, and relieved, or not aggravated, by severe
pressure, conditions which variously identify pain of a nervous charac-
ter: and 3) Pain which comes and goes in the same part or parts,
partakes of a contractive or cramp-like character, is relieved by pres-
sure, or warmth, or friction, is often intermittent and always irre-
gular, and which is rarely continuous and never persistently continuing
to become aggravated, conditions which identify pain of a spas MoDIC
character, that is, SPASM of the part or parts affected.
1. Pain in the chest, or painful respiration, may be the result of
an overloaded stomach and impeded digestion, or may be occasioned
either by a rheumatic, by a spasmodic, by an inflammatory affection,
or by occasional determination of blood to the part of the enveloping
membrane of the lungs, &c.
a. If it communicate a sensation of being bruised, or of stiffness, as
if the muscles could not bear the expansion of the chest ; and again,
if the pain is of a shifting character, or if touching and pressing the
chest causes pain, it may be identified as of a rheumatic character.
b. If it be casual stitching, as, for instance, suddenly interrupting
the respiration, without returning regularly, or being regularly pro-
voked by a similar effort in breathing, it may be considered as of a
neuralgic character.
c. If there be persistent stitching pain, whenever a certain degree of
expansion takes place, with a dull heavy pain, (without progressive
aggravation) in the intervals between such expansion, we may iden-
tify determination of blood to the enveloping membranes of the lungs.
38 HOMOEOPATHIC DOMESTIC MEDICINE.
d. If, again, there be a continual acute pain, growing progressively
worse and worse, and further qualified by a general and severe de-
gree of fever, which has been preceded by chills, and is associated
with more or less prostration of strength, inflammation of the mem-
branes in question is clearly identified.
2. Pain in the bowels, or painful evacuation, is either of 1) a NER-
vous character, when it will be fugitive, returning when the attention
of the patient is directed to it, fugitive and aggravated by apparent
contact or by slight touch, and relieved by severe pressure; or, 2)
spasmodic, (a modification of the nervous,) but relieved by contact
and pressure of every kind, by lying on the belly, and by drawing the
legs up, and otherwise contracting the body, which may by continu-
ance become inflammatory; or 3) inflammatory, when it will be
readily distinguished by persistency, accurate locality, progressive
aggravation, and by excessive tenderness of touch, and still more of
pressure, &c.
Colic, properly so called, is, strictly speaking, a spasmodic pain,
but by long continuance may become inflammatory.
3. Painful discharge of urine may appear as the symptom either
of inflammation or irritability of the passage, or of the bladder or neck
of the bladder, distinguishable by the locality of the pain and the
nature of the discharge ; for 1) if the pain arise from inflammation of
the bladder or neck of the bladder, it will be associated with fever
and hard pulse, and the pain most severely felt at the bottom of the
belly, and the discharge will usually be either mingled with blood, or
blood will predominate over the urine, or the discharge of urine will
be followed by that of pure blood, with excruciating, twinging pain;
2) if the pain be occasioned by inflammation, irritation, or irritability
of the passage, it will be qualified by a scalding sensation (when
urinating) towards the terminal part of the passage, with or without
discharge of matter; 3) if the pain be dependent upon inflammation,
irritation, or irritability of the kidneys, the water evacuated will be
Jot, and the seat of pain will be chiefly in the loins and small of the
back; or, 4) if the pain be occasioned by spasm of the bladder or
neck of the bladder, there will be continual urging to pass water, but
total inability to effect it; that is, suspension of urine, with cutting,
cramp-like, agonizing pain in the part, relieved however by pressure,
that is, by doubling the body forward, and pressing the hands firmly
upon the lower part of the belly.
4. Absence or sudden suspension of pain, in severe cases of organic
inflammation, is in all instances a most ominous manifestation, but it
may indicate two distinct conditions, namely, 1) the sudden transition
of the inflammation to another organ, (in most cases to the brain,)
when it requires the utmost care, but is, nevertheless, not so alarm-
ing as when 2) such reappearance of the disease in another quarter
does not quickly follow ; for in this case, the change, in the majority
of cases, has been one from inflammation to mortification, (and conse-
quent loss of sensation).
5. Intermittent pain, which is also either periodical or irregular, or
that which is very severe for a certain period, often accompanied by
INVESTIGATION OF DISEASE. 39
bocal heat or general flushes of heat, sometimes by the palpitation of
the heart, and frequently by a degree of irritative FEVER during its
continuance, and terminating with local or general sweat (and that
only), and by an acute degree of nervous susceptibility and irritability,
often aggravated by heat, or by slight contact, (the patient having,
however, an inclination to press severely upon the part,) but which
totally subsides during regular or irregular intervals, and which is of a
NERVoUs character.
6. Remittent pain, or that which becomes modified from time to
time for certain intervals, especially at certain periods of the day, or
under particular conditions of heat, cold, access or exclusion of air,
or owing to palliative measures, but which never total/y subsides dur-
ing the intervals, but continues dull, heavy, and persistent, instead
of being highly acute, pulsating, or shooting, and which is further
qualified by severe feverish symptoms during the acute stages, which
however, also become modified, though never wholly subdued, during
the intervals of comparative relief. This description of pain is gene-
rally associated with organic inflammations, or with obstructive causes
of irritation, with a strong tendency to organic inflammation, and
identifies a tendency to chronic or éontinued inflammatory action in
such parts or organs.
7. Inflammatory pain, in its genuine distinctive character, is very
plainly distinguishable from pain of any other nature; as, for instance:
a. It is ever accompanied with increased heat of the particular part
affected (if purely ſocal), and then even in some cases, especially if it
be of long continuance, by general increased heat of the body, or al-
ternate heat and chills, frequent and hard pulse, and other signs of
FEVER. r
And if it be internal, and affecting one or more of the important
organs, the adjacent parts, as also the whole body (except the lower
extremities), will manifest greatly increased heat, and the general
symptoms of FEVER will run high, the thirst being generally consider-
able, and often intense and insatiable, (in highly inflammatory subjects.)
b. It will be continuous, proceeding from bad to worse, until the
crisis, or other issue.
c. It will be relieved by moisture of the skin, and general or even
local perspiration. -
d. It will be greatly aggravated by pressure, or even by the least
touch, as of the clothes or bed clothes, but still more so by severe
pressure, which is usually insupportable.
e. If local, there will be redness and often swelling of the parts; if
affecting the outer membranes, particularly of the intestines, again,
redness will often be discernible externally. *
f. There will be sometimes more or less strong development of the
adjacent vessels, which will be observed to be swollen and dark, their
course being palpable, where in general they are externally imper-
ceptible.
g. There will be often more or less throbbing or pulsation in the part
with the pain, especially in the after or suppurative stage, (although
this symptom may also accompany nervous pain.)
40 HOMOEOPATHIC DOMESTIC MEDICINE.
h. If local, it will usually be much aggravated immediately by
warm applications, such as fomentations, but will afterwards decrease,
and it will be generally relieved at first by cold applications, but in
such cases the pain will often return more severely, as soon as the
cold application is removed.
7. Whether local or affecting internal and important organs, it will
be aggravated by stimulants, motion, exertion, mental or nervous
excitement, fatigue, &c., and will have a tendency to grow worse
towards night.
j. If natural discharges have occasion to pass over the inflamed sur-
faces, as, for instance, of the bladder or bowels, the pain will usually
become excruciating.
AE. If internal, the natural discharges will be qualified by the evacuation
of blood, and either by being very liquid (of the excrements), or very
dry ; in any case (of all discharges) they will be deficient in quantity,
occur frequently, and there will be continued urging to discharge.
l. The external surface, whether attending local or internal inflam-
matory pain, will invariably be dry until the CRISIs, when the pain
will subside, with the development of moisture.
m. The pain will insuperably prevent or disturb proper rest, (sleep:
—a condition which only applies to inflammatory pain, because pains
either of a nervous or spasmodic character may be overcome by sleep,
which frequently occurs in spite of them, especially of the latter.) Con-
sequently extreme and insuperable restlessness (with such indications
as above stated) identifies pain as inflammatory.
m. The most perfect CRISIS, or resolution of inflammatory pains of
any kind, consists in gentle undisturbed and placid sleep, with proper
moisture of the skin.
8. Wervous pains are of a fugitive, irregular, (or periodical) pul-
Sating, dragging, darting character, with or without local heat during
the entire continuance of local suffering, but then often attended with
local Sweat (simultaneously—which never occurs of inflammatory pain),
flushes of heat without FEVER, or with temporary irritative FEVER (in
a modified degree), restlessness, depression of spirits, hysterical dis-
position, or fantastic ideas, aggravated by thinking of them, and re-
lieved when the attention is distracted by objects of interest,-or
aggravated by apparent contact, or slight touch, and relieved by pres-
sure, unattended with any variations of appetite or thirst ;-characterised
by the occurrence of involuntary motions, as by jerking, or the sensation
of twittering (vibrating) in particular parts, in the latter case, fre-
quently without external perceptibility of such action,--by extreme
restlessness and uneasiness, with or without a degree of irritative fever
(and often with a peculiarly low pulse), by intermittency or periodicity,
by being usually dispelled during motion, or absorbing occupation, and
by a peculiarly intractable persistency continuing to recur, in spite of
every resource, (when they cannot betraced to a precise point or cause,)
especially under allopathic treatment, without, however, affecting the
general health, or detracting from the vigor of the functions.
9. Spasmodic pains are of a cramp-like, contractive, and very
severe cutting character, but they are usually of brief duration,
INVESTIGATION OF DISEASE, 41
though they may be of frequent recurrence. In their distinctive and
peculiar qualifications they are totally unassociated with heat, or any
other inflammatory symptom, and are rather, except in highly exitable
subjects, habitually attended with depressed than over-active circula-
tion; but by long continuance they will frequently engender a re-
actionary inflammation, and assume all the characteristic features of
inflammatory pain, sometimes becoming, in such cases, very severe
and intractable. As affecting important organs, they may first ac-
celerate, then temporarily suspend the circulation and breath. In their
distinctive character they are relieved by stimulants, heat, contraction
of the parts, or of the whole body (doubling up), pressure, and espe-
cially friction. In their excess they render expansion of the parts im-
possible. They are either local, affecting particular motatory muscles,
or they are internal, affecting the muscles which are connected with
or constitute important organs. A constant and severe degree of Spas-
modic pain, affecting important organs (as, for intance, the heart or sto-
mach,) is indicative of organic derangement. A casual spasmodic pain,
however severe, is attributable chiefly to the accidental presence of
irritative matters, especially in the stomach or bowels.
10. Partial pain in the head, that is, if developed in one spot, or on
one side of the head, is indicative of hysterical (in the female), or if
hypochondriacal condition (in the male).
11. Pain at the back of the head usually denotes determination of
blood to the head.
12. Pressing pain in the forehead, accompanied with giddiness,
commonly implies the presence of irritative or impure substances in
the stomach; or, in some cases, excessive weakness:—that is, if it
occur after a severe attack of illness, confinement to the bed, or more
especially loss of blood, or other animal fluids.
13. Pain, particularly and persistently occurring in the back or
loins, may (in females) be associated with pregnancy, or with a high
degree of hysterical excitement, but in such cases as in the more
general definition, it may be held to intimate the presence of, or a
tendency to piles.
14. Pain, in the anterior part of the stomach, &c., occasioned by
pressure (although there be no actual or positive pain without pres-
sure), when occurring as associated with FEVER, or at the onset of
FEVER, and further qualified by heat of the parts, and retching (if of
the stomach), or straining (if of the bowels),-denotes respectively
inflammation of such part or organ as thereby typifies the FEVER.
15. Stitching, or prickling pain, may denote a spasm, but more fre-
quently determination of blood to a part, — or inflammation, especially
of the enveloping membrane of an organic part.
a. If it be occasioned by spasm—as of the stomach—it will be
casual, generally severe, sometimes even to the degree of suspending
the breath, but passing off without return, or with a similarly casual
return, in the majority of cases, upon the dislodgement of wind, espe-
cially belching; pressure and friction will relieve it.
b. If it be the result of determination of blood, such as when it
occurs on the right or left side (about the spleen,) provoked by rapid
42 HOMCEOPATHIC DOMESTIC MEDICINE.
motion immediately after eating, or the like conditions, –or when it
occurs without such immediate causes (as in the right side), and con-
tinues to be perceptible upon drawing a deep breath for some time
without striking constitutional derangement, pressure does not always
aggravate it, unless severe, motion does: relaxation of the parts, as
by bending the body forward, relieves.
c. If it be the decisive symptom of inflammation, as in pleurisy, we
may thereby distinguish inflammation of the pleura (the membrane
which covers the lungs, &c., and lines the cavity of the chest) from
inflammation of the substance of the lungs, especially if there be little
(if any) pain, until the parts are expanded, as by drawing breath
deeply; and its inflammatory character will be distinguishable in the
general derangement and high degree of FEVER which accompanies it,
with local and general increase of heat (except sometimes of the ex-
tremities), dryness of the skin, thirst, &c.
SENSATIONS OF DISCOMFORT, such as the following: &
1. Restlessness has been already mentioned under the head of Motion.
2. Giddiness (simply), except in the cases reserved as important, is
a symptom of no great moment, but it often serves to determine the
individuality of disease.
a. It may identify a nervous condition, generally speaking, occasioned
by an irritation of the stomach, when we may identify the cause as an
overloaded stomach, with a tendency to expel the irritating substances,
wpward.
b. In many cases, particularly as occurring in persons of a full habit
of body, it denotes congestion of blood to the head.
3. In persons of advanced age, or of apoplectic tendency, it may
be looked upon as one of the unpropitious indications of imminent
apoplexy.
a. Sensations of heat and cold are of two kinds,-those 1) with
which there is actual heat or coldness, and those 2) which merely con-
vey these sensations, the parts affected with such feeling being neither
hotter nor colder (necessarily) in a degree which should occasion such
feeling. These are subject to many modifying conditions—of which
we shall briefly notice the most important—and are generally to be
held as of very great importance in the investigation of disease.
b. Actual increase of heat, if unqualified by any particular local de-
termination, or by particular and local pains, &c., denotes 1) increased
activity of circulation, that is, FEVER (simply), more or less inflamma-
tory, as the degree of heat is greater or less; 2) local inflammation,
whether of particular parts, if purely local, or attended with general
inflammatory action throughout the system, if the heat be general,
and simply characterised by local determination and other particular
identifying symptoms. This heat, as regards a particular spot, may
or may not be externally apparent to another *...". is sufficient
that it is internally felt by the patient; 3) a determination of
blood to particular parts or organs, without active inflammation,
when the heat, whether internal or external, is confined to the
spot, part, or organ affected, and to those which are contiguous;
4) when inflammatory and general heat is present, it is identified by
INVESTIGATION OF DISEASE. 43
the simultaneous frequency, hardness and strength of the pulse, which
#ncrease with the increase of heat, and by its conveying no unpleasant
sensation on contact to a healthy person; and further, by the part of
the healthy body thus brought into contact with it becoming so
accustomed to it, after a short duration of contact, as to lose the dis-
tinct sensation of greater heat in the sick body; or 5) in the last stage
of putrid fever, or as an indication that fever has assumed a portentous
putrid character, it may signify incipient decomposition, in which case,
however, it will increase as the pulse becomes more and more feeble, it
will convey a most disagreeable sensation of a burning, stinging cha-
racter to the part of a healthy body on contact, becoming more and
more disagreeable the longer the contact continues, and leaving the
same unpleasant sensations for some time after the contact has ceased ;
this is a chemical not an animal heat.
c. Heat in the anterior portions of the stomach, &c., and chest, and
especially if conveying a burning sensation internally to the patient,
accompanying a high degree of fever, identifies, especially a general,
inflammatory condition of the tributary organs of life. t
d. Heat of the hands, after eating, denotes a disposition in the dis-
ease to become habitual, or if there be no distinct disease, a predis-
position to hectic complaints.
e. Fugitive heat is particularly associated with a hysterical con-
dition; it is therefore more common among females, (at certain periods
especially,) but it may occur in either sex, associated with nervous
debility, irritability, or susceptibility. e
f. Coldness of the extremities, associated with a severe degree of
FEVER, denotes a high degree of inflammation in one or more of the
important organs of life, such as may impede the thorough distribution
of the blood throughout the system. Wherefore it is one of the dis-
tinctive features of inflammation of the lungs, &c. But it may also
denote deficient circulation or deficient strength of the blood, as
associated with other symptoms of an enfeebled condition, and as such
it identifies depression of vital energy. Or, again, it may be the result
of spasm, either of particular parts or of a superior organ (as of the
heart in particular), if associated with other spasmodic symptoms.
g. Numbness or deadness of particular parts may 1) be indicative
of latent and insidious gout, and if from other symptoms there be
such further analogy as to identify this condition, it may be of much
consequence; or 2) it may be purely nervous, and then quite super-
ficial, in which case it will generally be palliated by cold applications;
or 3) it may be occasioned by temporary arrest of circulation in the
parts, in which case there will be no contraction or rigidity, and hot
applications, friction, or rapid motion will palliate or remove it ; or
4) it may be the result of spasm, in which case there will generally be
contraction and rigidity, and heat or friction will likewise relieve, but
motion will be commonly arrested.
h. Itching (without the presence of any eruption), especially if pre-
ceded by chill, and accompanied by heat (as associated with FEVER),
usually announces the approach of a critical sweat; or if unattended
with FEVER, commonly denotes an acrid condition of the humors.
44 HOMOEOPATHIC DOMESTIC MEDICINE.
2. CHILL (or the sensation of coldness without actual coldness), is a
purely nervous indication of irregularity. It may consist of a spasm of
the skin. The conditions which precede, accompany, and follow it,
must indispensably be considered, in order to form a correct judg-
ment of the various important indications which it affords, and which
Qualify every FEVER; as for instance:
1. Acute FEVERs are characterised by the single and unrepeated
occurrence of the chill. Intermittent FEVERs by the more or less fre-
quent repetition of this symptom, according as the repetition of the
fever-fits returns.
2. If the FEVER be of an intermittent character, and the chill be
slight, with great predominance of heat, there is reason to anticipate
that the disease will run into a distinctly acute character; but if the
chill be severe, of long duration, and very predominant, the occurrence
of heat being imperfectly developed, the disease exhibits a tendency
; become sluggish and of long duration, and, to assume a chronic
OTIT).
3. Chill which is very severe, and which precedes the heat, may first
be generally designated as identifying either violent, acute, or even
inflammatory FEVER, or, on the other hand, intermittent FEVER.
4. Chill which is imperfect, or comparatively feebly developed, and
which alternates with heat, (that is, is successively preceding and suc-
ceeding it,) usually identifies first : FEVER of a nervous character, or
of a rheumatic or secondly catarrhal description.
5. Chill (rigor, coldness attended with shivering,) which occurs
during the course of an acute FEVER, possesses many important signi-
fications; as, for instance: a) If there be inflammation of any particular
and important organ, especially of the lungs, we may anticipate an issue
into suppuration, or the still more urgent result of mortification, which
will be further identified by subsidence of pain; or b) in cases particu-
larly in which no decided and local inflammation has existed, or in
which the general symptoms are favorable, the approach of the crisis
is identified, namely, the thorough development of an eruption, or,
more frequently, the occurrence of copious perspiration, followed by
general abatement of the disease; or c) when inflammation of one par-
ticular organ has existed, and any abrupt arrest has taken place, such
as the irregular suppression of discharge, &c., we may anticipate a
transition to other organs; d) if no inflammation of any particular
organ has existed, and there be evident susceptibility of any particular
part, or evident tendency to determination of blood to such part, or
obstruction to the operation of its functions, we may anticipate inflam-
mation of such part; or e) if none of these circumstances be so com-
bined as to warrant deductions such as have been suggested, the chill
may forbode the succession of intermittent FEVER.
SENSATIONs of ANXIETY: a denomination which is applied to a
certain feeling of weight or pressure, with oppression of the breath, of
which the seat appears to be the anterior part of the stomach and
chest. No pains (or very few) are so distressing as these sensations,
in which there almost appears to be a struggle for life, although,
except in cases of organic disease of the heart or lungs, or of inflam-
INVESTIGATION OF DISEAS.E. 45
mation of some important organ, or of general dropsy, &c., they are
not so immediately urgent as they appear.
a. They may be the result of an accumulation of blood in the lungs,
(congestion,) in which case, if the patient were of a consumptive habit,
the symptom would be urgent.
b. They may occur as a spasmodic affection of the lungs; or, again,
from local derangement of the same organs, such as irregular reception
and expulsion of the blood, owing, perhaps, to the obstruction occa-
sioned by enlargements, (as of any important gland,) deposits of matter,
&c., in which last case, as distinguishable by the PULSE, &c., much
importance should be attached to them.
c. Such sensations may be the result of merely sympathetic nervous
irritation of the lungs, most frequently when the stomach is affected,
as by deleterious drugs, tobacco, coffee, excess of fermented liquor, or
obstructive and indigestible substances, in which case the affection
must not be attributed to the lungs.
d. They may be occasioned, as last indirectly stated, by overcharg-
ing or overtaxing the powers of digestion, especially if the stomach be
weak, a condition easily identified in those who have been treated
with copious use of purgatives, emetics, or even tonics, (under allo-
pathic treatment,) or who have been addicted to excesses in eating or
drinking, or in young persons affected with worms; in such cases, if
the patient has partaken of flatulent substances, or of very rich, heavy,
or irritating food, or of mixed liquors, or has been affected with
bilious symptoms, the occasion of the anaciety is sufficiently apparent.
e. They may be associated with inflammation of the heart, stomach,
liver, lungs, or bowels, or with dropsy of the belly, general dropsy of
the system, or water on the chest; or, again, with permanent or
organic disease of the heart or lungs, or with determination of blood
to any of these organs, in the majority of which cases they are of great
consequence.
f. They may be purely spasmodic, in which case the apparent suffer-
ing of the patient will be greater than in any other, and it is not
uncommon, even without serious disturbance of pulse, to see the
patient, as if in the last struggle of existence, either speechless and
prostrate, or occasionally grasping at the bystanders, and feebly ex-
pressing an apprehension of immediate death. Such cases especially
occur from comparatively slight causes of derangement (of the stomach
in particular) in subjects of a highly hypochondriacal disposition, (if
males,) or amongst females of excessive hysterical susceptibility, par-
ticularly if there be actually some affection of the womb. Women
subject to frequent miscarriages are particularly subject to be affected
in this manner. Under such circumstances these symptoms are of
comparatively slight importance.
2. THE ORGANs of SENSE, AND THEIR INDICATIONS.
This section involves, to a certain extent, not only the investigation
of the condition of the sense, which may be deranged without apparent
derangement of its organ, but also of the external manifestation of one
46 HOMCEOPATHIC DOMESTIC MEDICINE.
organ itself (especially)—namely, of the eye, as well as of the sight.
The other organs of sense—namely, the ears, nose, and palate, convey
no such very distinct or important external manifestations, or none
which are not included under various heads in the course of this
article; and we shall, therefore, rest contented, in alluding to these,
to treat of the senses which they convey—namely, hearing, Smell,
and taste.
THE EYE affords a multitude of external evidences of derangement
—as, for instance:
1. A dilated pupil may be engendered by sympathetic irritation of
the brain, as associated with irritations of the stomach and bowels,
particularly from the presence of worms; or it may indicate a local
affection of the brain itself—as inflammation of the membranes—or
water—and is then the result of direct pressure upon the brain; or,
again, it may result from total inaction, or suspended action of the
bowels, in which case the symptom would identify a sympathetic
affection of the brain; or it may be associated with insensibility of the
nerve which communicates the representations of the eye to the brain,
in which case it need not be otherwise than a purely local symptom.
2. A contracted pupil may be caused by great tenderness of light,
when it consists of a convulsive effort to exclude the light from acting
too powerfully upon the eye.
If attended with sensibility to light, it exhibits over-due irritability
of the nerves connected with the sight, and consequently an irritative
inflammatory tendency. If attended with insensibility to light and
associated with FEVER, it is an indication of the utter prostration of the
vital energy.
Janguid eagression of the eyes, occurring as a distinct and appreci-
able symptom, may indicate 1) if associated with anariety—overloaded
stomach, or sometimes the action of fermented liquor on the stomach,
or of deleterious substances, or of heavy and indigestible food; in such
cases it forebodes vomiting, especially if cold sweat transpire from the
forehead; 2) if associated with general debility as the result of sudden
and severe loss of animal fluids, or of very severe acute disease, it de-
notes the sinking of the vital energy, and often forebodes fainting.
Squinting, or distorted sight, is always symptomatic when it is not
habitual, and constitutes a very important indication in children espe-
cially, and affords a decisive index to the case, when other symptoms
conspire to evince the probability of acute water on the brain. Other-
wise, it exhibits a sympathetic affection of the brain, originating in
irritation of the stomach and bowels, especially if worms be the direct
cause of such irritation.
Staring eaſoression of the eye, or fixed stare at one object, with or
without raving, or muttering, if consciousness be absent, identifies de-
lirium; or even if consciousness be not absent (in the usual acceptation
of the phrase), there is a degree of abstraction amounting to momen-
tary and accidental suspension of consciousness, absorbed by a fixed
thought, or with vacaney of thought, in which case also it may be
termed the indication of a degree or species of delirium (in its strict
sense).
INVESTIGATION OF DISEASE, 47
Sunken or retracted eyes denote debility.
Protruding or prominent eyes, particularly if they be glittering, and
characterised by suffusion of redness, combine to identify considerable
congestion of blood in the head.
THE SIGHT is attended with some variations of distinctive importance
—as, for instance:
1. Double sight, or half-sight, either of which may exhibit a degree of
spasm, and which may be simply associated with a hypochondriacal or
hysterical disposition, but which may also arise from irritation of the
stomach, especially as the result of very stimulating food or drink; in
which case, however, it is usually characterised by giddiness, drowsi-
ness, dread of .*. or extreme taciturnity, or excessive
restlessness, and excitement; or, again, as one of the premonitory
symptoms of imminent apoplexy.
2. The appearance of a profusion of dark spots before the eyes,
generally conveying the idea of a slow descending movement aggre-
gately; but sometimes also of irregular oscillation, which, even when
the patient wanders, is often to be distinguished in some fantastical
expression of dread of such insects, as, in health, he or she abhors, may
(according to other symptoms present) identify or forebode:-de-
pression of vital energy, and fainting, if the patient has suffered from
very debilitating affections—such as excessive loss of blood or other
animal fluids, or from very rapid or severe acute disease—determination
of blood to the head—or a deranged or over-loaded stomach; and,
perhaps, in the latter case, vomiting.
3. Obscuration of sight, affords indications analogous to those of
dark spots before the eyes, as just stated:
THE TASTE affords very important indications in respect of its alte-
rations,—as for instance: g
1. Foul taste may originate either in local affections of the mouth,
teeth, throat &c., or in irregularities of the nervous system, as occurs
particularly amongst women of a highly susceptible, hysterical dis-
position, or sometimes also without such causes, during pregnancy;-
or again, as associated with FEVER, in a tendency to putridity in the
blood, which it therefore denotes to a certain extent;-or again, if
saltish and putrid, as occurring in persons of a consumptive constitu-
tion, or under circumstances likely to provoke CONSUMPTION, it may
originate in a suppurative condition of the last-named disease. Further-
more, a sweetish, saline, bitter, slimy, or harsh and acrid taste, espe-
cially if considerable phlegm be constantly in the throat, may be traced
to the presence of an irritative condition of the stomach, occasioned
by the presence of impure matters.
2. Loss or absence of taste may arise from some organic nervous
affection; or, again, from cold, or derangements dependent upon cold.
THE HEARING may constitute a characteristic symptom, either in its
excessive or deficient sensibility.
1. If deficient, as associated with FEVERs, and particularly with
typhus, this very irregularity constitutes a wholesome indication.
2. If excessive, as associated with fever, we may identify either a
48 HOMOEOPATHIC DOMESTIC MEDICINE,
degree of Inflammatory action involving the brain, or in general too
acute a susceptibility of the nervous system.
3. Buzzing or ringing in the ears, as associated with inflammatory
action, or occurring —without any apparent cause, or without either of
the other conditions here mentioned—in persons of a full habit of body,
may be attributed to congestion of the blood in the part; or, if asso-
ciated with cold, to that with or without increased secretion; or again,
to determination of humors to the ears, when more or less deafness
usually qualifies the case.
THE SENSE OF SMELL is also qualified by two chief conditions, name-
ly: 1) deficiency or loss of smell, which is ağibutable to nervollS
disturbance, or to the effect of cold (when associated with cold), or to
indigestion; and 2) unnatural conditions of smell; as for instance:—
the prevalence of putrid smell in the nose, which is attributable either
to local disease of an ulcerative and putrid character, in the nose or
palate, or to tendency to putridity in the blóod, or developed as an
early manifestation of disposition to apoplexy;-or peculiar smell
(which is not putrid, but may be very disagreeable), and which con-
sists of an affection of the olfactory apparatus of a spasmodic character.
GENERALITIES.
1. Coughs, and their Indications.
CouGHs are of various significance, and point to various derange-
ments, or seats of derangement, according to the conditions which pre-
cede, accompany or follow them, or by which they are immediatel
provoked. They constitute a series of manifestations which should
Inever be overlooked in the investigation of disease, because it is clear
that whether associated with direct or local inflammation of the re-
spiratory apparatus, and of the lungs in particular, or with sympathetic
affections of these organs, originating in other organic causes of irri-
tation, whether in the stomach and digestive process generally, or
particularly in the spleen, liver, &c.; the presence of cough indicates,
for the time being, one of two conditions respecting the respiratory
apparatus, namely:-either 1) that there is in the system some cause
of irritation oppressing these organs directly, or reacting upon them
from other parts.
If the affection be merely sympathetic, caused, as is very frequently
the case, by irregularity in the process of digestion, chronic derange-
ment of the lining membrane of the stomach, &c., or by the presence
of any impure substance in the stomach or bowels, either received from
without, or spontaneously engendered from within, it does not indicate
circumstances of much consequence as regards the organs of respira-
tion, and should be dealt with purely as an affection of the stomach or
bowels, &c.; with this reservation however, that if the increased irri-
tation of the lungs, &c., be allowed to continue too long, for want of
the removal of such provoking cause in the digestive process, it may
lead to congestion of blood to the lungs themselves.
If the respiratory organs 'themselves be clearly the seat of the
affection, it may be the product of the congestion of blood, suppuration,
INVESTIGATION OF DISEASE. 49
tubercles, &c., or of a purely nervous affection; or, again, of inflam-
matory action in the lungs, or the ramifications of the windpipe, or
primarily of common catarrh, &c.
THE CONDITION OF PERFECT HEALTH, as respects the respiratory or-
gans, is, therefore, in any case, inconsistent with the presence of cough ;
for when no cause of irritation, either local or sympathetic, is present,
there will be no cough, nor anything to impede the breath, and a deep
inhalation may take place, the air being retained for many seconds in
the lungs, without the slightest disposition to cough.
If the habit of body be such as to lead to the suspicion that there
is some latent taint in the system; or, if again, the taint be testified by
morbid affections of the glands, skin, or bones, or by tendency in
every affection to assume a sluggish, chronic character, or by continual
inflammatory or ulcerative affections of the eyelids or gums, – every
cough may be of momentous importance, and should lead us to in-
vestigate its cause, and to treat the affection, of whatever character,
without delay, lest, while we pause, it should run on to organic affec-
tion of the lungs, and degenerate into consumption.
a. Short dry cough, accompanied by watering of the eyes, and
frequent fits of sneezing, in the early stage of acute fever, usually
prognosticates measles.—It may likewise (without such particular ac-
companiments) announce an eruption of another character.
b. Cough (generally), painful, hacking cough, associated with
acute FEVERs (other than those originating in, or associated with cold,)
may often be the foreboding symptom of incipient inflammation of the
lungs; when the manifestation of crepitating (crackling) breath will
frequently be decisive.
c. Predisposition to cough, as the result of every exertion of the
lungs -- such as the accelerated breathing caused by the rapid motion,
or speaking, or laughing; or even as occasioned by mental or moral
excitement—such as emotions, &c.;--or, again, as the result of every
derangement of the system,-usually identifies a tendency to organic
affections of the lungs.
d. Chronic, dry cough, especially if associated with more or less
difficulty in breathing, and readily provoked by the slightest causes,
and accompanied from time to time with stitching sensations, or pains
in the chest, would lead to the belief that tuberculous disease had
set in.
2. Transpiration from the Skin and Sweat, and their Indications.
The more distinctive method of dividing the consideration of this
cutaneous process, would be to consider “transpiration,” properly so
called, as a healthy, natural operation—indicative of derangement
only, when qualified by eaccess, or deficiency. Eccess of transpiration,
under the denomination of “sweat;” and deficiency of transpiration,
under the denomination of “dryness of the skin.”
1. The transpiration of health, is evinced by softness, with slight
moisture of the whole surface of the skin, in an equal degree, and with-
out any roughness, crackling, extreme tension, shrivelling, or wither-
ing, or flaccid, flabby looseness of the skin, but with natural fullness
4
50 HOMOEOPATHIC DOMESTIC MEDICINE.
and elasticity; and it consists of a continual, imperceptible, gaseous
exudation.
2. Sweat is a disturbed degree of transpiration, characterised by
excessive discharge of humor of the skin; it may be perfectly con-
sistent with health as the result of severe corporeal exertion : but, in
relation to disease, sweat must be considered as of two distinct kinds:
1) that which accompanies the healthy determination or crisis of dis-
ease, or by which such healthy determination is effected, which is
called “critical,” and 2) that which occurs before the critical period,
which is followed by no relief, but rather by aggravation, or which is
eaccessively profuse, which forebodes, or ushers iu, or originates from
the peculiar operation of disease itself, especially characterised by the
eruption of pimples (and not of a healthy reaction), which is called
symptomatic.
Of the latter variety—symptomatic sweats—we may particularly
notice 1) sweat occurring in the morning (without previous habit of
the kind), and which, if associated with FEVER, identifies its hectic
character; 2) offensive sweats, which, as associated with FEVER, iden-
tify putrid typhus; 3) sweat emitting a sour smell, which commonly
characterises the FEVER as miliary; 4) local sweats, as, for instance,
on the chest, or about the head, which are characteristic of determina-
tion of blood to those parts; 5) cold sweats, which denote a depres-
sion of vital energy, and Ahich, in the last stage of prostration, fore-
boile dissolution; 6) transitory sweats, as opposed to the continuous
sweat of a wholesome crisis. 7) Symptomatic sweats may, however, be
caused by mere accessory mismanagement—such as want of ventila-
tion, and excessive heat of the apartment. The use of feather-beds,
which is much to be deprecated, especially in cases in which FEVER
becomes developed, or the superfluous (and very mistaken) excess of
covering; 8) otherwise we may generally attribute them either to
great debility of the whole system, as associated with depressed
pulse, &c., especially if occurring after long and debilitating diseases,
severe loss of blood or other animal fluids, or other exhausting causes;
or to accumulation of noxious matters or substances in the stomach,
when they will appear more particularly about the forehead and face,
and will usually be cold and clammy ; or, again, to overdue activity
of the circulation, accompanied with comparative deficiency of energy
in the functional processes of the skin.
CRITICAL SweAT, on the other hand, is to be distinguished 1) by
affording general relief, and by the simultaneous modification of every
source of suffering and the subsidence of the irregularites of the
pulse; 2) by being warm and clammy; 3) by being developed over
the whole surface of the body simultaneously ; 4) by the subsidence
of all restlessness, nervous irritation, or mental uneasiness, and the
occurrence of calm, even, undisturbed sleep; 5) by continuity; 6) by
the period of its development, in relation to the duration and course
of a FEVER—viz., on what is termed the critical day of those fevers
which run a regular course, and usually resolve themselves into an
issue about a given period, as on the seventh or fourteenth day, &c.
INVESTIGATION OF DISEASE. 51
3. The Compleasion, and its Indications.
Red, florid complexion, commonly identifies determination of blood
to the head, or a full habit of body in general.
"White (cold, dead white) complexion of young females at the criti-
cal age, denotes a difficulty in the sexual transition—green sickness.
Faint-yellow compleasion, usually denotes intestinal disease—dis-
ease of the bowels.
Deep-yellow complexion, on the other hand, identifies jaundice, or
even organic disease of the liver.
Pallid complexion, with (more usually) meagreness, want of full-
ness of the skin, commonly identifies the stomach and intestinal canal
as the seat of disorder, and may be caused by any obnoxious or im-
pure matters therein—such as worms (in particular), or associated
with acidity of the stomach; with a drawn, sunken appearance
(especially), it denotes spasm ; with (more usually) puffiness of the
flesh, it is associated with constitutional weakness, qualified by slug-
gish circulation or congestion, or excess of watery humor (as a con-
stituent) in the blood, or by deficiency of blood.
6. Patchy redness of the complexion—that is, redness as of a flush-
spot on the cheek, denotes a hectic disposition.
7. Sudden and total change in the appearance of the complexion
is often to be considered as a very serious manifestation.
8. Livid spots, may, in advanced age, lead to an apprehension of
apoplexy, as indicating inactive accumulations of blood upon in por-
tant organs (with stagnant circulation); the general indication how-
ever, afforded by this manifestation, is that of a putrescent condition
of the blood (as associated with scorbutic habit of body).
9. Blue or livid compleasion (habitual)—organic affection of the
heart.
4. Sounds evinced by the Chest, and their Indications.
The only varieties which have been considered susceptible of gene-
ral investigation, or which appear appropriate for the consideration
of unprofessional persons, are such as are plainly manifested, by what
is termed percussion—that is, by tapping upon the chest, &c., with
the tips of the first two fingers of the right hand, or upon the index
finger of the left hand being laid flat upon the surface,—and which we
shall confine to the clear and dull sounds. Auscultation, or the act
of listening by the application of the ear to the chest, (immediate, or
by the unassisted ear—mediate, or by the stethoscope), requires ana-
tomical knowledge, and considerable experience, to insure a correct
interpretation.
1. The clear sound,-or that which conveys the idea of an unoccu-
pied cavity, is a sufficient evidence that the cavity of the chest and
the lungs are free from any abnormal formations or accumulations
of obnoxious matters—such as blood, matter, water, &c.; and there-
fore indicates soundness.
2. The dull or muffled sound, or that which conveys the idea of a
cavity the resonance of which is impeded by repletion, indicates the
52 HOMIGEOPATHIC DOMIESTIC MEDICINE.
presence of accumulations, whether of blood, matter, or water, &c.,
and consequently unsoundness. The sounds elicited anteriorly, pos-
teriorly, and laterally, on one-half of the chest, ought to be carefully
compared with those of the other, but as the sound is naturally dull
over the region of the liver, we must not expect to find it clear below
the sixth rib anteriorly, the eighth rib laterally, and immediately
beneath the shoulder-blade posteriorly. -
5. The Voice and Speech, and their Indications.
1. Loss of Voice,—which may be occasioned by paralysis, or by
simple spasm in the organ of voice,—generally, however, indicates in-
flammation of the upper part of the wind-pipe ; and if this symptom
become permanent or chronic, it denotes organic disease of the part.
2. Hoarseness—is likewise a symptom which originates in the upper
part of the windpipe; and may consist of a temporary congestion or
inflammation resulting from cold, or may denote organic disease of
the part.
3. Stammering, as associated with FEVER is a symptom of great
moment, and which may sometimes be distinguished and foreshadow-
ed in the early stage of disease, by the imperfect pronunciation of
particular vowels or syllables, –in which case it should be held to
forebode severe affection of the brain. It is a frequent premonitory
Symptom of apoplexy.
4. Loss of Speech,--is a very grave symptom when it occurs asso-
ciated with concussion of the brain, apoplexy or typhus. Or it may
be associated with worms or other noxious matters in the intestines,
or simply with hysterical disposition: or, again, it may be the result
of spasm, in which case it may assume a periodicity.’
6. Tearfulness and Laughter, and their Indications.
1. Copious watering of the eyes.—in the early stage of FEVER,
commonly forebodes measles; or, if occurring in the course of acute
FEVER, it usually denotes determination of blood in the head.
2. Tearfulness or weeping, provoked by the most trivial causes,
is one of the chief manifestations of hysterical disposition, the same
being the case of laughing; wherefore, the two symptoms are gene-
rally combined, and the one succeeds or runs on into the other. In
such cases, however, laughter is generally the first symptom, which,
becoming prolonged and convulsive, is coverted into weeping.
An excessive susceptibility and tearfulness or weeping upon the
slightest vexation, or upon fantastical grounds of vexation, is similarly
indicative of a hysterical disposition, and is one of its chief indications.
3. Laughter, in every case denotes a great degree of nervous irri-
tation, both as regards the superior faculties, and the animal functions;
if there be a predisposition to laughter, which is provoked by very .
trifling causes, a hysterical disposition is clearly identified, as already
stated, under the head of tearfulness, if associated with FEVER, this
symptom often forebodes convulsions or delirium.
INVESTIGATION OF DISEASE. 53
7. Loss and unhealthy Increase of Flesh, and their Indications.
1. Accumulation of flesh (fat),"—which is sudden, excessive, or
otherwise irregular, is usually associated with organic disease of the
liver, but may, at any rate, be very closely watched to detect the first
manifestations of distinctive indications of disease.
2. Emaciation, or loss of flesh, when it does not occur as the result
of fever, or of distressing affections of the mind—such as deep and
gnawning grief, or continued mental excitement, &c.—may be attri-
butable 1) to undue and irregular discharges of blood, &c., evacuation
of water, and the like; 2) to disease of the lungs, or of other organs
connected with the respiratory apparatus; 3) and most frequently to
derangements involving the digestive functions, and seated either in
the stomach or bowels.
8. Sneezing, Yawning, Groaning, dºc., and their Indications.
1. Sneezing is directly caused by irritation of the nerves connected
with the lining membranes of the nose, and consists of a convulsive re-
spiration;–it may be the result of irritation in the bowels, and as
such, when it occurs very frequently in children, without being asso-
ciated with any more direct cause (as here stated) we may infer the
presence of worxis, as the provoking cause;—or it may occur as an
incipient symptom of measles, if associated with FEVER which cannot
be traced to cold; or again, it may be the mere manifestation of cold
in the head.
2. Yawning is the result of sluggish passage of blood through the
lungs, and if associated with FEVER, whether acute or intermittent, in
its incipient stage it identifies one of two conditions, either a spas-
modic or a debilitated state.
3. Groaning may be attributable to purely mental causes, with
which, indeed, this symptom is generally associated:—otherwise it
affords the same clue to the distinctive nature of the affection as the
preceding symptom (yawning).
9. The Saliva, and its Indications.
The distinctive features respecting the saliva, as indicative of more
or less derangement, are either an increased or a deficient and dis-
eased flow of this fluid, as compared with the habitual condition of
health respecting it.
1. Deficiency of Saliva, or dryness of the mouth and throat, denotes
either 1) a deficiency of the watery humor as a constituent of the
blood, and consequently an inflammatory or feverish condition,-in
which case it will occur as a continuous symptom, associated with
extreme thirst;-or 2) it may originate purely in spasm, in which case
it will occur but casually, and if attended with unnatural thirst, the
latter symptom will disappear with the direct cause, and with the re-
* It is not unworthy of notice, that the same symptom has been identified
amongst the inferior animals as accompanying the earliest stage of diseases, result-
ing from obstruction of the biliary ducts.
54 HOMOEOPATHIC DOMIESTIC MEDICINE.
sumed action of the salivary glands. A diseased state of the saliva,
which is so frequently associated with indigestion, may be manifested
in the form of a thick and tenacious, or, though less often,-a thin
and acrid fluid.
2. Increased flow of Saliva may either be critical, as, for instance,
in smallpox, or in sluggish nervous FEVERs, or in FEVERs generally, as
occasioned by suppression of transpiration (through the skin); or it
may be symptomatic (in which case it may either identify a purely
local affection of the salivary glands, or be associated with sympathetic
disorders originating in the stomach or intestines, such, for instance,
as that deranged state which gives rise to the existence of worms); or
again, it may be associated with sore throat.
10. The Ecpectoration, and its Indications.
1. Eacpectoration which indicates a wholesome determination or
crisis of disease, especially inflammatory diseases affecting the lungs, is
technically termed “critical,” is identified by the facility with which it
is detached and expelled, by the absence of pain associated with it,
and, on the contrary, by the relief which it affords—and by exhibiting
a thick agglomerative consistency and yellowish color, occasionally
modified by a few slight streaks of blood.
2. Earpectoration which is expelled by an effort, such as repeated
hawking or coughing, or which causes more or less acute pain or sore-
ness in the effort to detach it, may either denote the presence of accu-
mulations of obstructive and obstructed matters in any of the air-cells
or tubes, or in the windpipe, or whence the discharge of expectorated
matter proceeds, as the result of a continued irritation.
a) If jelly-like, or sticky and rusty-colored, it will usually indicate
inflammation of the lungs.
b) If transparent, stringy, or sticky, sometimes streaked with blood,
and expectorated with much difficulty and without relief to the patient,
it commonly identifies acute inflammation of the tubes of the lungs
(bronchitis); in which affection a change in the expectoration to that
of an opaque, yellow, or greenish-white colored substance, which is
easily coughed up, and is followed by considerable relief, gives evi-
dence of subsiding inflammation.
c) If it be of the character of matter, or if whitish streaks are seen,
or small whitish-yellow, sometimes globular, masses, connected together
by or floating amongst sticky phlegm (continuously), it is usually a
symptom of suppurative (the second stage of) consumption; again, if
it consist of masses of substance of a brown or greenish-white color,
and which flatten at the bottom of the vessel, into a shape resembling
a piece of coin, it is an indication of an advanced stage of consumption.
d) If it be of pure blood, it may be the result of inflammatory action,
or of consumption; but it is very frequently the offspring of con-
gestion, or an overcharged state of the vessels of the lungs. If a per-
manent symptom (and not a critical expectoration), it is generally of
much import.
e) If yellow, and particularly if also bitterish, affection of the Liver
is identified.
DIET AND REGIMIEN. 55
DIET AND REGIMEN.
The excellence of the homoeopathic rules on diet has wrested appro-
bation even from our opponents, although, at the same time, they dis-
ingenuously make use of it as a handle against the science itself, by
ascribing the cures affected to the observance of these rules, rather
than to the efficacy of the medicines employed.
To individuals unacquainted with the merits of Homoeopathy, the
regimen is represented as extremely rigid: a plain statement however,
of the course to be pursued, in general cases, will at once refute this
assertion; and it may also be observed, that, at first sight, the self.
denial imposed seems more stringent than it will prove on being
carried into effect. Many individuals in the Author’s own experience
have pursued the same system of diet, after they had no further
Occasion for medical assistance, thus continuing from choice what they
had begun from necessity.
The homoeopathic dietetic rules consist merely in the avoidance of
medicinal and indigestible substances during treatment, both as calcu-
lated to interfere with the action of the medicines and the proper func-
tions of the alimentary system. Consequently, among liquids, the
articles generally proscribed are green tea or strong black tea,
coffee, malt liquors, wine, spirits, and stimulants of every description;
lemonade, or other acid or alkaline drinks, and natural or artificial
mineral waters. On the other hand, cocoa, unspiced chocolate, toast-,
rice-, or barley-water, oatmeal gruel sweetened with a little sugar, or
raspberry or strawberry syrup, if desired; whey, milk and water, or
pure milk not too recent from the cow, boiled milk, and, in some
instances, butter-milk, or in fact any non-medicinal beverage, is
allowable.
The diet should however be accommodated to the pecularities of
constitution in individuals; for instance, some persons cannot take the
smallest quantity of milk without serious inconvenience; others throw
out a rash after partaking of fish; and, again, others loathe the very
sight of animal food. These peculiarities should also be taken inter
account in the selection of the remedies.
Of the varieties of animal food, pork, young or salted meats, and,
amongst poultry, ducks and geese, were better avoided, particularly
when derangement of the digestive functions exists. Beef, mutton,
venison, and most descriptions of game, if not too long kept (high),
pigeons, larks, rabbits, &c., are allowable at discretion. (Refer to the
Synopsis.)
Fish is a wholesome article of diet, and may, in most cases, be par-
taken of occasionally, with the exception of the oleaginous species—
such as eels, salmon, &c.; or shell-fish—as oysters, lobsters, &c.; and
all kinds of salted, pickled, potted, or smoked fish.
Eggs, when known to agree; butter, if free from rancid or unusual
taste; cream, plain unseasoned custards, and curds, are also admissible
in moderation.
Stimulating soups and high-seasoned or rich-made dishes are
directly opposed to homoeopathic regimen. Beef tea, veal- and chicken-
56 HOMOEOPATHIC DOMIESTIC MEDICINE.
broth, &c., thickened with rice, macaroni or sago, and seasoned merely
with a little salt, are of course allowable.
Amongst vegetables, all of a pungent, aromatic, medicinal, or indi-
gestible description, or greened with copper, are prohibited ; such as
onions, garlic, eschalots, asparagus, radishes, horse-radish, celery, pars-
ley, mint, sage, mushrooms, tomatoes, &c.; but others free from such
qualities, such as potatoes, french-beans, green peas or beans, cauli-
flower, spinach, seakale, mild turnips, carrots, &c., may be used with
the needful precaution of avoiding any particular article of diet,
whether of the animal or vegetable kingdom, that may seem to dis-
agree in the particular case in question. Lemon or orange-peel,
laurel leaves, bitter almonds, peach leaves or kernels, fennel, aniseed,
marjoram, &c., are objectionable; acids, and the ordinary condiments,
such as pepper, mustard, pickles, &c., and salads, ought either to be
sparingly partaken of, or entirely abstained from, particularly by per-
sons predisposed to indigestion. Salt and sugar in moderation are
admissible.
Acid or unripe fruits are clearly objectionable; and even ripe fruits
possessing little or no acidity, if fresh or prepared by cooking (such as
peaches, raspberries, sweet cherries, grapes), and dried or preserved
fruits (as figs, prunes, apples, pears), should be used in moderation,
particularly by persons of weak digestion; and should be avoided alto-
gether by those subject to colic or looseness of the bowels. Cold fruits
(such as melons) and raw vegetables (such as Čucumbers, &c.), and also
nuts, of every description, are forbidden.
All kinds of light bread and biscuit, free from soda or potash, and
not newly baked; also simple cakes, composed of flour or meal, eggs,
sugar, and a little good butter; or light puddings, such as bread-, rice-,
Sago-, semolino-, without wines, spices, or rich sauces, are admissible;
but colored confectionary, pastry, and in some cases also honey, must
be rejected. Regularity in the hours of meals should be observed, and
too long fasting, as well as too great quantity of food at one time,
should be avoided.
It is not sufficiently considered that eaccess in eating even wholesome
and digestible food is a most grievous error. The lightest diet will
impede the operation of the digestive functions if the stomach be over-
loaded. It were always better to leave the table unsatisfied than to
indulge in any excess in this particular Nor should it be forgotten,
that a craving appetite which induces an inclination to eat excessively,
is in itself an unhealthy condition, which requires to be counteracted
rather than to be encouraged.
During fevers and inflammatory affections, the patient must of course
be kept upon a low regimen,_gruel, barley-water, &c.; and at the com-
mencement of convalescence a light pudding, with a little weak beef tea,
or mutton- or chicken-broth, should form the whole of the nourishment
given. Nature, however, is our best guide; and whenever, she takes
away appetite, the necessity of not taxing the digestive functions must,
with rare exceptions, be deemed imperative. (See Fever, and also
Synopsis of the Rules for Diet.)
CLOTHING AND HABITS, 57
CLOTHING AND HABITS.
Upon the first point it were scarcely worth while entering into any
observations, were it not simply to remark upon the impropriety of
wearing garments impervious to air, and fitting closely to the shape,
and the custom of exposing the extremities and chests of young chil-
dren to the chilling atmosphere of our peculiarly variable and humid
climate, under the absurd idea of making them hardy. The evil con-
sequences arising from the check given to perspiration, by the first-
mentioned practice, are too well known to require any particular
comment; but as the other is an error widely prevalent, I consider it
my duty to mention it; and I feel assured, that if mothers would only
reform their system, and clothe their children in a more rational man-
ner, they would make no slight advance towards the prevention of
serious affections, not only during childhood, but in after life. Cotton,
linen, and even leather worn next to the skin, are, generally, preferable
to coarse woolens.
As regards habits, it may be briefly observed, that a regular method
of living, avoiding ill-ventilated apartments, late hours, dissipation,
over-study, anxiety, and other mental emotions, and taking sufficient
air and exercise, are the best preservatives of health.
The frequent use of hot-baths is injurious and liable to retard the
cure under homoeopathic treatment. The idea that sea-bathing is al-
most universally beneficial is exceedingly erroneous; there are many
constitutions on which it acts prejudicially. Medicated baths, either
natural or artificial, are strictly forbidden. Bathing the whole frame
daily with a sponge or wet towel, with cold or scarcely tepid water,
and the use of the flesh-brush, are by no means objectionable, and fre-
quently indeed strongly to be recommended. (See Notices on the Use
of the Bath.)
The use of any medicinal or aromatic substances in the arrangement
of the toilet, such as camphorated or otherwise medicated dentifrices,
lip-salves, smelling salts, or cosmetics, is more or less detrimental to
the action of the medicines, and should be avoided.
Flowers should be excluded from sleeping apartments, especially at
night, when they emit a deleterious gas.
ADMINISTRATION AND REPETITION OF THE MEDI-
CINES.
The method, quantity, potency, and frequency to be selected and
observed in the administration of the remedies, will be stated more ex-
plicitly as regards particular cases in the subsequent directions for the
treatment of diseases, and in the TABLES OF THE REMEDIES AND Po-
TENCIES AND ANALOGOUS MEDICINEs, generally prescribed, in the fore-
going pages.
There will also be additional particulars in the REMARKS ON INTER-
NAL AND EXTERNAL REMEDIES; and material assistance may, moreover,
be derived from the article on the CHARACTERISTIC EFFFCTS AND INDI-
CATIONs of THE REMEDIES. Yet much will still be left to the dis-
58 HOMOEOPATHIC DOMIESTIC MEDICINE.
crimination and judgment of the administrator; because it is obvious,
that a multiplicity of exceptional cases and conditions will arise, to
which no general rule and few special regulations will apply. In
instances of this description the particular character of each symptom
distinguishable by the conditions under which it is manifested—or
still more properly the assemblage of symptoms similarly qualified
by conditions, will be the safest guide for the judicious selection of the
remedy; and the continuance, return, suspension, aggravation, pallia-
tion, modification, or change of such particular features of ailment, will
serve to regulate the repetition, suspension, or change of the remedy.
The same circumstances will also frequently guide the administrator
to change the potency, when the remedy he has selected is evidently
£ndicated, but has not been followed by adequate results; or in other
instances to adopt an analogous remedy, when both of the previous
methods have equally failed.
In pursuing such changes, great care should be taken in turning to
the TABLE OF ANALOGoUs REMEDIES, and from thence to the article on
the CHARACTERISTIC EFFECTS AND INDICATIONs of THE REMEDIES, and
in thereby selecting the remedy or potency whose operation assimilates
most nearly to the aggregate features of symptoms and conditions in
the case.
THE FORM OF THE MEDICINE.—With respect to the form in which
the medicines should be used, see the leading notification under the
head of “REMARKS AND REGULATIONS RESPECTING INTERNAL REMEDIES
AND DOSEs.”
REPETITION AND SELECTION.—The following are a few of the general
rules to be observed in the domestic employment of the homoeopathic
medicines:—
In diseases which are severe, and run their course rapidly, we must
carefully watch the symptoms, and when we feel assured we have
chosen the proper remedy, if no perceptible medicinal aggravation or
amelioration declare itself, but the disease seems to gain ground, repeat
the medicine. In cases of high inflammatory action, Aconite or Bella-
donna, &c., should sometimes be repeated at intervals, varying from
fifteen minutes to two, four or six hours.
If a medicinal aggravation take place, followed by amelioration, we
Žntast let the medicine continue its action, until the amelioration
appears to cease, and the disease again makes head; if new symptoms
set in, we must then have recourse to the medicine thereby indicated.
Should, however, no perceptible medicinal aggravation take place, but
amelioration follow, we may safely await its approach to a termination,
ere we again administer. If any symptoms remain, from the remedy
first selected having afforded only partial relief, we must have recourse
to some other medicine, which seems best fitted to meet them; but
Yefrain from changing the remedy as long as benefit results from its
employment. .*
In diseases whose symptoms are obstinate and long-continued, and
in those which are virulent but of short duration, as well as in those
which partake somewhat of these features of violence, when a very
striking improvement takes place, it will generally be found ad-
ADMINISTRATION OF THE MEDICINES. 59
vantageous to cease to administer the medicine as long as the improve-
nent continues, and only to repeat as soon as the slightest symptoms
of activity in the progress of disease reappear. But when a sudden
or marked improvement, of comparatively short duration, follows the
first dose of a remedy, and on repeating the dose, the symptoms of
the complaint increase instead of subsiding, as they did in the first
instance, it may be concluded that the medicine does not answer, and
that another must accordingly be had recourse to, in the selection of
which it will be necessary to choose one related or analogous to the
remedy first prescribed.
The distinguishing of the medicinal aggravation from that of the
disease, being a point of material consequence, we shall here give the
leading and most usual characteristics of each. The medicinal aggra-
vation comes on suddenly and without previous amelioration; the
aggravation of the disease more gradually, and frequently following
an amelioration. Moreover, in the former, several of the medicinal
symptoms, which did not previously occur, declare themselves. Such
medicinal symptoms, or some of them, will be found, on referring to
the remedy which has been employed in the article on the “CHARAC-
TERISTIC EFFECTs,” &c. Lastly, the pulse is also a discriminative
guide particularly in fevers and inflammations, Thus, when it becomes
less frequent, or when, at all events, it does not increase in frequency,
on an accession of aggravation, the exacerbation is to be attributed to
the medicinal influence ; but when the reverse is the case, the aggra-
vation of symptoms must be considered as depending on the advance
of the disease.
We cannot attach too much importance to the necessity of careful
watching the effects of each dose, as, in addition to the temporary
aggravation of the symptoms which sometimes sets in, a development
of collateral or medicinal signs occasionally takes place, particularly
after frequent repetition of different remedies, in susceptible patients.
By a want of attention, therefore, to this important point, we may
incur confusion, and may be unconsciously treating a temporary me-
dicinal disease of our own creation. We must also guard against
falling into the opposite extreme—that of allowing the disease to gain
head unchecked.
Slight diseases are often removed by a single dose of a well-chosen
medicine; the more severe and deeply-seated disorders are also fre-
quently removed by a single dose of a well-selected, or specific remedy;
but in general cases, and particularly those which have been long and
rudely treated by allopathic practitioners, a frequent repetition is usual-
ly required.
As a general rule, however, a given number of repetitions, more or
less, according to the severity of the case, will serve to place the pa-
tient thoroughly under the influence of the medicine, after which the
pause may be protracted so long as the indications of progressive im-
provement are present. If, then, it becomes necessary to resume the
administration, it will generally avail at remoter intervals than during
the previous course. In complaints which are of a mild, though slug-
gish type, and which are unattended with any critical characteristics,
the intervals, in the first period, may vary according to circumstances,
60 HOMCEOPATHIC DOMESTIC MEDICINE.
from six to twelve hours. But in most complaints in which constitu-
tional or local inflammation is present, the intervals, in the first period,
should not eacceed four hours, and when important organs are involved,
and constitutional fever runs high, these intervals should not at first
eacceed two hours.
In severe acute affections, such as inflammations, fevers, &c., we
may often repeat the same medicine in the same dose, at regular in-
tervals, as long as it does good: but this rule has many exceptions,
and the directions already given at the commencement of this article
should be borne in mind.
In obstinate and lasting cases, by a long-continued administration
of the same medicine, the patient often becomes less susceptible ; in
Suchinstances, if the improvement remainstationary, or progress slowly,
we may gradually increase the dose, or, still better, give, at suitable
intervals, some other remedy or remedies, of as nearly analogous me-
dicinal properties to that first administered as possible, and then re-
turn to the original remedy, if needful; if, on the other hand, decided
amelioration follow each administration, we should allow a longer in-
terval to elapse before repeating, by which means the system gradually
recovers itself, and the susceptibility to medicinal influence remains
unimpaired until the cure is completed.
In rare cases, this susceptibility increases; in such instances a higher
potency should be selected,—provided the remedy still appears to be
appropriate, and the intervals between the exhibitions should be
!engthened. This occasionally occurs when the medicine has been
frequently repeated, and given in solution. When the beneficial effect
of a medicine is interrupted by any intermediary irregularity, such as,
attack of cold, looseness of the bowels, &c., some other medicine must
be given for the new affection, on the removal of which, the medicine
which was previously acting favorably must be recurred to.
In the SELECTION of THE REMEDy, it is not necessary that all the
symptoms noted should be present; at the same time care must be
taken that there are no symptoms uncovered by the medicine, or
which more strongly indicate another remedy.
REMARKS RESPECTING INTERNAL REMEDIES AND
DOSES.
PRELIMINARY OBSERVATIONS As To THE ForM of THE MEDICINEs.
The Form in which Homoeopathic Medicines are employed for in-
ternal administration requires some particular notice, in order that
the reader may have an additional opportunity of administering the
medicine with the medium or vehicle which may be most likely to
promote its active operation in the case under consideration. It is
well known that the medicines are prepared in four distinct forms,
namely:
GLOBULES, TINCTURES, AND TRITURATIONS.
1. GLoBULEs (or pellets of sugar of milk saturated with the tincture),
are, in the great majority of cases, the only form required for domestic
INTERNAL REMEDIES. 61
treatment, and so greatly facilitate the explicitness of the directions
for doses, that, in the first instance, all the medicines comprised in the
list of the remedies which are quoted in this work, must be under-
stood to be recommended in globules, (at the potencies, also, stated in
that list).
Dose.—For adults, five globules, either dry or dissolved in a little water (a tea-
spoonful.)
For infants one globule in the same manner.
2. TINCTUREs might, as far as practical purposes are concerned, be
coupled with Triturations, the latter being the form in which those
Temedies which are insoluble, are first made, and consequently which
represents those lesser degrees of attenuation which are administered
in a fluid form—of such remedies as do not require such pulverization
to render them soluble (or approacimately so). It is this fluid form of
soluble substance which is called the Tincture. Tinctures at low po-
tencies (i. e. from the 1st to the 3d, and even, in some exceptional
cases, the mother tinctures) have, upon the whole (like Triturations),
been found better adapted to the treatment of acute diseases and
Some forms of scrofula, ague, &c.
Dose usually employed —For an adult, one drop to a spoonful of water; or,
in cases in which the substance medicating the tincture is precipitated (be-
comes thickened) by water—as, for instance, camphor, then give a drop on
a small piece of pure loaf sugar.
For a child above two years and under twelve years old, one drop-constituting
from two to three doses, according to the strength of the child.
For an infant under two years old, one drop, similarly divided into six to eight
doses.
3. Tritu RATIONs, as has already been explained in speaking of
Tinctures, represent the lower potencies (as administered in the latter)
IN PowDER, of substances which are not susceptible of immediate
(approximate) solution, and which require previous and repeated pul-
verization, and extreme and minute distribution. The administration
of Triturations is adapted to circumstances such as those just men-
tioned in relation to the Tinctures (of completely soluble substances).
The objection to Triturations for unprofessional persons is, that
being in powder we have no other means of naming a precise quantity
for the dose than by indicating the weight. Persons, therefore, who
are in the habit of using them, should furnish themselves with ap-
propriate and well-approved scales.
Dose usually employed.—For an adult, from half a grain to a grain.
For a child between two and twelve years old, half a grain distributed as
equally as possible into three portions--one of these third portions constitut-
ing a dose.
For an infant under two years old, one-sixth part similarly.
1. Previous to undertaking the treatment of any affection it is ad-
visable that the Article on the ADMINISTRATION AND REPETITION OF
THE MEDICINES should be carefully studied.
2. Should the progress of the malady, notwithstanding treatment,
without a distinct change in the nature of the symptoms, indicate a
change of the remedies, it is advisable that the TABLE OF ANALOGOUS
REMEDIES should be consulted with due consideration of the CHARAC-
TERISTIC syMPTOMs of each in the Selection of the new Remedy.
62 HOMOEOPATHIC I)OMESTIC MEDICINE,
3. In cases in which the distinctions between the indications for
different medicines prescribed are so slight as to leave the least doubt
on the mind of the administrator as to which he should select, the de-
cision will be determined by referring to those remedies in the article
ON CHARACTERISTIC EFFECTs, &c.
This difficulty may frequently arise where two or more medicaments
are of closely analogous operation.
4. OF DOSES FOR INFANTS AND CHILDREN.—Where no particular di-
rection is given for the treatment of young children, or children under
the age of twelve years, it is to be understood that the dose in gene-
ral cases, should be in the proportion of one-third of that directed to
be taken generally, or especially for an adult, as nearly as that pro-
portion can be ascertained.
a. The general dose for an infant, under six months of age, may be
stated at the proportion of one globule to three tea-spoonfuls of water,
which solution should be administered by the tea-spoonful at each
dose.
b. The general dose for an infant, between six and twenty-four
months old, may be stated at one globule to the teaspoonful of water
for each dose.
5. OF POTENCIES.—With respect to the POTENCIES or DILUTIONs to
be employed, although it is by no means an essential point, still, as
all the directions for treatment hereinafter given have been drawn in
conformity with that scale, it is well that they should be in accord-
ance with those quoted in the table of medicines and dilutions pre-
scribed in this work. *
6. OF THE DIVISION OF DOSES AND SOLUTION.—The doses prescribed
in this work are all directed to be taken in solution, as that is doubt-
less the most efficacious method of administration. But when that is
not convenient, or is rendered impossible by the state of the patient,
the globules may be administered dry, by being placed on the tongue.
a. When the solution of any medicine in water has to be kept more
than three days before the whole is consumed, it is necessary to pre-
serve the water from decomposition, by adding sia, drops of proof
spirit to the two table-spoonfuls of solution. In very hot weather one
day should be the limit beyond which no solution should be kept
without such infusion of spirit. When it is not convenient to add the
proof-spirit to the solution, the only way of obviating deterioration is
to make a fresh solution at the eaſpiration of every such stated period
of time.
b. The best medium of solution is distilled water; the next, filtered
or pure rain-water ; the next, water which has previously been boiled
or pure spring water.
7. OF THE RECURRENCE, SUSPENSION, &c., OF DOSEs.--It were im-
possible, as has been already stated, in laying down a general rule
for treatment, always to assign a given recurrence of the dose of any
Yemedy, without being as egregiously wrong in one case as one might
be positively right in another. The discretion of the person who uses the
medicine, guided by a careful study of the ARTICLE ON THE REPETITION
of MEDICINEs must indicate the frequency of the doses—the pause—
INTERNAL REMEDIES. 63
the renewal—and the change—according to the conditions of each
particular case.
a. As far as the frequency, suspension, and resumption in the ex-
hibition of medicine can be reduced to a systematic scale this has
been done in the subjoined Table, from which the patient may occasion-
ally derive assistance, but to which he must not trust in the least
exceptional instances.
b. Great care must be taken in distinguishing between the scale set
forth for acute and that designed to direct the treatment in chronic
disease.
c. THE CONSTITUTION, TEMPERAMENT, and HABIT OF Body must also
modify all set regulations in respect of the recurrence, &c., of Doses.
Highly susceptible subjects require more sparing treatment, and must
be closely watched to observe the earliest indications in the cessation
of effect, medicinal aggravation, or other exceptional conditions.
8. OF CONSECUTIVE TREATMENT.—It is a manifest error, in treating
of any malady, to direct a patient positively to begin by the ad-
ministration of this or that remedy. Every malady may develop
itself in a variety of ways. The incipient stage of the same disease
even is scarcely ever identical in two cases. In all instances the
development of complaint must depend upon constitution ALTENDEN-
CIES, ATMOSPHERIC INFLUENCEs, EXTERNAL CIRCUMSTANCEs especially
relating to each case, CONDITION OF THE SYSTEM OF PREVIOUs TREAT-
MENT (particularly allopathic), &c., &c.
a. All the remedies which are applicable to the treatment of any
complaint within the proper province of domestic management, to-
gether with the symptoms which indicate the eachibition being detailed,
the only way in which an unprofessional person will avoid error is by
Žnvariably selecting THE REMEDY INDICATED BY #. SYMPTOMIS THAT
ARE PRESENT, AND THE CIRCUMSTANCEs which ATTEND THEM, irrespec-
tive of any OEDER OF SUCCESSION, except where (as next stated) a par-
ticular course of medicines is directed to be taken in rotation.
b. When the medicines prescribed in this Volume are intended to
be taken in succession, one after the other, or in alternation, &c., they
will be invariably indicated by figures, viz.
1) MERCURIUS. 2) sulphur. 3) CALCAREA.
c. As a general rule, however, when consecutive treatment is re-
quired with medicines of analogous properties to those below stated, it
will be found that such as are named as operating beneficially after
others, will be preferable for selection in such relation to former treat-
nent, viz. *
After ACIDUM NITRICUM-Calcarea, Petroleum, Pulsatilla, Sulphur.
“ ACIDUM-PHOSPHORICUM-China, Lachesis, Rhus, Veratrum.
ACIDUM-sulPHURICUM-Pulsatilla.
Aconite—Arnica, Arsenicum, Belladonna, Bryonia, Cannabis,
Ipecacuanha, Spongia, Sulphur.
ALTIMINA—Bryonia.
ANTIMONIUM-CRUDUM–Pulsatilla, Mercurius.
ANTIMONIUM TARTARICUM-See Tartarus-emeticus.
GC
6&
64 HOMOEOPATHIC DOMIESTIC MEDICINE.
After ARNICA—Aconite, Ipecacuanha, Rhus, Sulphuric-acidum.
“ ARSENICUM-China, Ipecacuanha, Wua:-vomica, Sulphur, Ve-
7'at?"M777.
BELLADoNNA—China, Conium, Dulcamara, Hepar, Lachesis,
R/ºus, Stramonium.
BRYoni A–Alumina, Rhus.
CALCAREA-CARBONICA – Acidum-nitr., Lycopodium, Phospho-
'rus, Silicea.
CARBO-VEGETABILIS—Arsenicum, Kali, Mercurius.
CHINA-Arsenicum, Belladonna, Pulsatölla, Veratrum.
CUPRUM-ACET.-Calcarea, Veratrum.
HEPAR-sulphuris—Acidum, Nitr., Belladonna, Mercurius,
Spongia, Siliced. *
IPECACUANHA—Arnica, Arsenicum, China, Cocculus, Ignatia,
Nºta:-vomica.
LACHESIs—Acidum-phosph., Alumina, Arsenicum, Belladonna,
Carbo-veg., Causticum, Comium, Dulcamara, Mercurius,
Nua:-vomica.
Lycopodium—Graphites, Ledum, Phosphorus, Pulsatilla, Silecea.
MERCURIUs—Acidum-nitr., Belladonna, China, Dulcamara,
JHepar, Lachesis, Sepia, Sulphur.
Nux-vomicA—Bryonia, Pulsatilla, Sulphur.
“ OPIUM–Calcarea, Petroleum, Pulsatilla.
“ PHosphorus—Petroleum, Rhus.
“ PULSATILLA—Acidum-nitr., Bryonia, Sepia.
RHUS-Toxico DENDRON-Acidum-phos., Ammonium-c., Arsenicum,
Bryonia, Calcarea, Conium, Phosphorus, Pulsatilla, Sulphur.
SEPIA—Carbo-v., Causticum, Pulsatilla.
SILICEA- Hepar, Lachesis, Lycopodium, Sepia.
SPONG1A—Hepar-sulphºtris, (for instance, in croup.)
SULPHUR—Acidum-278tr., Aconitum, Belladonna, Calcarea, Cu-
prum, Mercurius, Pulsatilla, Rhus, Sepia, Silicea
TARTARUS-EMETICUs—Baryta-c., Ipecacuanha, Pulsatilla, Sepia.
VERATRUM-Arsenicum, Arnica, China, Cuprum, Ipecacuanha.
& 4
46
& 4
4, 6
66
66
66
& 4
66
C &
4&
44.
< *.
46
44
<&
46
& 4
<&
9. OF AccEssoRY or PALLIATIVE TREATMENT.-In cases of obstinate
constipATION the use of the clyster or lavement is allowable. The in-
jection should consist of cold water, or, if that disagree, of tepid
water; in some cases it may also be requisite to add a table-spoonful
of olive oil. The quantity of water necessary for the different ages
may, under ordinary circumstances, be stated to be twelve ounces for
an adult; six or eight ounces for a youth of ten or fifteen; three or
four ounces, for a child between one and five years of age; and about
one ounce for an infant at birth, or soon after.
a. IN CASEs OF ACUTE, EXTERNAL, AND LOCAL INFLAMMATION, or more
particularly, with wounds in which there is a lodgment of foreign sub-
stances, which cannot be extracted, or, where suppuration is not suffi-
ciently progressive, we may have recourse to an application, of the
nature of a poultice, such as that which is described in the ensuing
page (66).
PRESERVATION OF MEDICINES. 65
b. All appliances and methods, such as bleeding, cupping, leeching,
blisters, all medicines resorted to according to the old practice,—and
all patent and domestic medicines are strictly prohibited.
10. PRECAUTION To INSURE A PROPER Dose.—When the administra-
tor is not certain that the patient will adhere rigidly to the dose
prescribed, or when given doses of medicines have to be sent to a
distance, the simplest and safest expedient isºto drop the globules into
as much sugaR of MILK as will envelop them securely, fold the con-
tents together in a slip of clean, wrºglazed paper, and crush them from
the outside with the blade of a knife, or some other hard and even
substance.
11. WHEN MEDICINEs silou LD BE TAKEN, &c.—The medicines should
invariably be taken fasting (save the understated exceptions), and
abstinence from food or drink for about an hour after the administra-
tion, is equally important. It is also of great consequence to abstain
from excessive bodily or mental exertion, during treatment, and to
keep perfectly quiet, if possible, for about an hour after the adminis-
tration of medicine.
There are exceptional cases, such as modify this rule, which may
arise out of accidents or sudden emergencies, but the rule should be
followed as closely as possible, even in cases of this kind.
INDISPENSABLE RULES FOR THE PRESERVATION AND
MANAGEMENT OF HOMOEOPATHIC MEDICINES,
ANTIDOTES, &c.
1. Keep your chest closed or your phials in a dark, dry, clean, and
cool place, free from odor or scent of any kind,-or, if in a hot climate,
in as regular a temperature as possible.
2. Do not change the corks, or use the same phials to contain a
different remedy without having previously been assured that it has
been thoroughly cleansed, first with boiling and then with cold water.
It is better at all times to rinse a phial, which has already contained
medicine, with spirits of wine, and to expose it uncorked to the action
of great heat before it is filled with a different medicine. The cork or
stopper should be submitted to the same process. The safest way of
all is to destroy empty bottles.
3. Let all the medicines be carefully marked and labelled, and
abstain from handling two at one time. *
4. In preparing your solution for administration, be assured that
the glass, or spoon, or other vessel in which you are about to mix it,
is perfectly clean.
5. If it is necessary to prepare solutions of two or more medicines
at one time, take care to keep them apart, and to mark them so that
no mistake can occur.
6. Do not use the same spoon or other vessel to administer two
different remedies, without having previously ascertained that it has
been scrupulously cleaned. Porcelain spoons are preferable to any
metal, on this account, because you are more certain of the thorough
removal of any former medicinal substances.
5
66 HOMOEOPATHIC DOMIESTIC MEDICINE.
7. If you dissolve your medicines in open vessels, such as tumblers,
take the precaution to have them well covered down during the inter-
vals between the administration, and keep them in a dark, dry, clean,
and cool place, totally free from odor or scent of any kind.
8. Do not resort to any other medicinal agency during homoeopathic
treatment, and abstain from any external applications, except such as
are prescribed homoeopathfically.
9. Avoid the use of all articles of perſumery, restoratives, cosmetics,
and the like. Camphor, and other popular appliances for cleansing the
mouth, &c., &c., are strictly prohibited. The same may be said of
Smelling salts, &c., &c.
10. The saturated tincture of camphor, as it is used homoeopathically,
must be kept entirely apart from any other medicines, or from any
vessels or vehicles, such as powders, in which it is proposed to convey
or to administer other medicines.
11. Do not change your course of treatment or your remedies
(when change becomes necessary) too suddenly, or without allowing
a sufficient pause to elapse, viz., at least two hours, if possible six
hours, in general cases of a severe inflammatory nature, and in malig-
nant fevers, and at least from two to three days (48 to 72 hours), in
disease of a chronic kind.
12. If the symptoms be so violent as to compel you to resort to
immediate change after any previous treatment, administer one drop
of spirits of camphor on a lump of sugar, or a teaspoonful of strong
coffee, and then wait one hour, half an hour, or only a quarter of an
hour, in urgent cases, before you proceed with further treatment.
When, as occasionally happens with persons who are extremely sus-
ceptible to the effects of the homoeopathic remedies, an undue medicinal
action is developed, giving rise to considerable local pain, or general
constitutional disturbance, camphor is, generally speaking, the most
effective antidote, particularly to the vegetable medicaments. (See
the TABLE of MEDICINEs, &c.) It may simply be inhaled by the nos-
trils, or a drop of Tincture of Camphor may be taken on a piece of
lump sugar. Coffee, without milk or sugar, is also a useful antidote,
provided the patient has not been long accustomed to its use. The
same may, in a measure, be said of wine.
REMARKS AND REGULATIONS RESPECTING EXTERNAT,
REMEDIES AND APPLICATIONS.
ANY REMEDY, which is prescribed for internal administration as
HoMOEoPATHIC to a local affection, may be applied to the parts as a
lotion, either by dissolving the globules in water, or by using the
tincture, usually of a like potency, to mingle with the water.
ExTERNAL APPLICATION OF THE NATURE OF A PoulTICE.-The
simplest and best application which can be used in cases requiring ex-
ternal treatment of this nature, to forward and encourage suppuration,
or for any other reason, consists solely of a PIECE OF LINT SATURATED
witH cold water, applied to the parts and kept constantly wet, the
whole being carefully covered with oiled silk so as to eacclude the air.
EXTERNAL REMEDIES. 67
All medicated poultices should be avoided, and are strictly prohibited.
ExTERNAL APPLICATION OF THE NATURE OF FOMENTATION.—As a
palliative application pending the salutary action of internal treatment
in cases in which local irritation and tension are excessive, it is allow-
able to bathe the parts with water moderately hot by means of a piece
of flannel; or to expose the parts to the action of the steam rising from
boiling water poured into an open vessel. In cases of sore throat in
which the suffering requires to be immediately soothed, or of cold, in
which the obstruction and burning sensation in the nostrils is ex-
cessively distressing, the patient may similarly inhale the steam of
boiling water.
All allopathic medicated fomentations should be avoided, and are
strictly prohibited.
TINCTURE OF ARNICA.—This useful medicament, when employed as
a lotion to wounds, should always be discontinued upon the appearance
of any eruption, &c. Individuals, of what is ordinarily designated as
an inflammatory habit, or who have very irritable skins, and are liable
to be affected with erysipelas, must be very cautious how they use it,
and must modify their treatment accordingly, and abstain from the
application upon the earliest appearance of medicinal irritation or ery-
sipelatous swelling or redness. Such patients should invariably dilute
the tincture with two-thirds more of water (in proportion) than is in-
dicated in the directions which occur in various parts of this work,
when they have occasion to employ it; and, should this precaution not
suffice to exempt them from excessive medicinal aggravation, they
should have recourse to CALENDULA-OFFICINALIS as a substitute.
General proportions of the lotion.... . . . . . . . . . . . . . . . . Tincture of Arnica 1 part, to water 6 parts.
Or for very susceptible subjects. . . . . . . . . . . . . . . . . . Tincture of Arnuca 1 part, to water 12 parts.
For the eye, or as a gargle for the gums after dental
treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tincture of Arnica 1 part, to water 20 parts.
For an infant under six months old.... - - - - - . . . . . . . Tincture of Arnica 1 part, to water 32 parts.
For an infant over six months and under two years Tincture of Arnica 1 part, to water 20 parts.
TINCTURE OF CALENDULA-OFFICINALIS—may be employed in the
treatment of wounds of every description, by those who, from con-
stitutional causes, are unable to employ Arnica externally, without
subjecting themselves to the inconveniences generated by the character
of that remedy. Calendula has moreover an important advantage
over Arnica in very severe incised or lacerated wounds, where there
are indications of a serious scar being otherwise left by the cut. It is
also preferable in all severe wounds which cannot heal without previous
suppuration.
General proportions of the lotion—Tincture of Calendula one part, to water six parts: (for
infants and children the same as Arnica. )
TINCTURE OF RIIUs-Toxico DENDRON is more especially adapted to
the treatment of SPRAINs, for the milder forms of which it is a specific
remedy.
General proportions of the lotion—Tincture of Rhus-toa, one part, to water six parts: (for infants
and children the same as Arnica.)
TINCTURE OF ACONITE. – Aconite has been used externally with
great success in cases of local inflammation arising from check of per-
spiration (or from other causes), in conformity with its well-known
68 HOMOEOPATHIC DOMESTIC MEDICINE.
characteristic properties. Care must be taken to distinguish such
cases of inflammation, usually extending to the membrane which in-
vests the bone, and affecting joints in particular, from erysipelatous
inflammation, to which it frequently bears a striking resemblance.
The sudden appearance of symptoms of this nature in young persons,
who are particularly liable to accidents arising out of carelessness, &c.,
and who, at the same time, have no predisposition to erysipelas, may
be a strong ground of assurance in respect of the character of such in-
flammatory action, which may further be explained by a brief inquiry
into the previous circumstances. In such cases the external application
of a lotion, composed of diluted TINCTURE OF ACONITE (simultaneously
with the internal administration of the same remedy), by means of
linen rag saturated there with, and applied to the parts, will speedily
subdue the symptoms, and preclude more serious consequences.
General proportions of the lotion—-for a person of adult age, Tincture of Aconite, ten drops to a
wine-glassful of water. For a child under twelve years of age, Tincture of Acomate, six drops
to a wine-glassful of water.
TINCTURE OF CANTHARIS or CANTIIARIDEs.-The peculiar property
which Cantharis, or Spanish blistering Fly, possesses of creating a
severe burning pain, followed by the effusion of watery fluid beneath the
Scarf skin, bears so close an analogy to the effects of a BURN or scALD,
with the formation of vesication or blisters, that we can readily con-
ceive it well adapted, according to the homoeopathic law, to be an
admirable remedy for injuries of the like description, or attended with
similar symptoms. Cantharis is, in fact, specific as an external remedy,
in the treatment of BURNS or scALDs, and is by far the most efficacious,
if applied immediately after the injury has been inflicted (otherwise, see
CAUSTICUM,) and before the application of cold water, acetate of lead, or
similar eagedients have been adopted.
Cantharis is, however, objectionable for persons whose constitu-
tional peculiarity renders them susceptible of erysipelatous tumefaction
of the skin, in the place of blisters, from the effect of a burn or scald.
In these cases, Urtica-dioica is specific. In some instances, although
very rarely, the external application of Cantharis may produce de-
ranged action in the urinary organs, (exemplified by suppression of
water); in such cases the mischief is readily counteracted by the inter-
nal administration of one drop of Tincture of Camphor on a lump
of Sugar. The lotion should generally consist of the TINCTURE AT THE
SECOND DILUTION and WATER, where with a linen rag is to be saturated,
the linen being so wound round the parts as to exclude the air, and
the moistening repeated as often as it becomes dry.
General proportions—three drops of the Tincture of Cantharides, 2d., to every teaspoonful
of water.
TINCTURE OF URTICA-DIoïc A, or URTICA-URENs—should be used in
preference to tincture of Cantharides by those in whom a burn, or
scald is apt to produce erysipelatous swelling in the place of blistering.
But this is the only case in which Cantharides is superseded by
Jrtica.
EXTERNAL REMEDIES. 69
General proportions of the lotion . . . . . . . . . . . . . Tincture of Urtica-dioica 1 part, to water 10 parts.
For an infant under six months old . . . . . . . . . Tincture of Urtica-dioica 1 part, to water 20 parts.
For an infant over six months and under two
years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tincture of Urtica-dioica 1 part, to water 15 parts.
PROOF SPIRITs OF WINE.—In mild cases of BURNS or SCALDs, if
Spirits of Wine can be procured immediately (otherwise, see Causti-
cum), speedy relief may often be obtained therefrom, and ulterior
suffering avoided. Apply it warm to the parts (as hot as the patient
can bear it), the injured part having meanwhile been exposed to the
heat of the fire.
TINCTURE OF CAUSTICUM, as already intimated under the head of
Cantharis and Spirit of Wine, is a preferable remedy to either of the
foregoing when an hour or two may chance to have elapsed before the
tase of any remedial application. The Causticum wash is also of
much service in more serious burns, and in those of long-standing.
General proportions of the lotion—to every teaspoonful of water, add six drops of the Tincture
of Causticum at the third dilution, and apply frequently to the parts by means of a piece of
linen rag saturated there with.
RAW COTTON (excepting when the suppuration is excessive, and the
weather hot, for which case see Soap), is highly useful as an external
application to BURNS or SCALDs of a serious nature, and more especially
when the injury extends over a large surface. The method of use is
as follows:—Puncture any blister which may have arisen, bathe the
sore well with tepid water, and then cover the parts with carded
cottom or wadding in three layers—removing the outer layer only, and
substituting a fresh one—when suppuration sets in.
THE SOAP PLASTER (pure, white, Curd-Soap).-This application is
more particularly serviceable in cases of BURNS, where not only the
outer or scarf skin, but also the inner or true skin has been destroyed.
In serious cases, whiêh have previously been treated with the lotion of
Cantharides, or Urtica-dioica, and in which the inflammation and
pain have yielded to these remedies, but which are too severe (owing
to the injuries inflicted on the true skin and adjacent muscles) to heal
without suppuration, the soap plaster is a very useful accessory. It
should be made and, applied as follows:–Moisten the soap with tepid
water, and make a thick lather or paste, and spread it upon linen;
then puncture any blisters which may appear on the exposed surface,
and remove all loose skin. After these precautions, apply the plaster
to the parts, and secure it by means of a bandage, being careful that
the whole of the injured surface is covered with the plaster. As a
general rule, the plaster may remain undisturbed for twenty-four
hours, when it should be gently removed and changed: but there are
many exceptional cases, and the feelings of the patient should guide
us in the removal and change of the plaster, whenever a return of pain
Žs complained of. This course of application should be continued un-
til the injured parts are completely healed.
The application of the plaster will always be attended with increased
pain at first, but this must not deter us from the employment of it,
as it will soon be followed by marked amelioration.
FLOUR-may be used as a substitute for cotton or the soap plaster,
when neither of the latter can be obtained at the moment. The
70 HOMOEOPATHIC DOMIESTIC MEDICINE.
method of application is simply to sprinkle the flour copiously over
the injured parts, after having taken the precautions directed to be
observed under the heads of cotton and soap plaster. When it becomes
necessary to remove the dry paste formed by the incrustation of the
flour, this should be gently effected by first moistening and loosening
it, by means of poultices (as directed under the head of eacternal ap-
plication of the nature of a poultice).
TINCTURE OF ARSENICUM (at the third dilution), applicable to bed-
sores, and as a local resource, in many cases, of malignant ulceration.
General proportions of the lotion—to one wine-glassful of water, ten drops of the Tincture.
TINCTURE OF CARBO-VEGETABILIs (at the fifth dilution), in similar
cases, as directed for the affection in question.
General proportions of the lotion—to two table-spoonfuls of water, twenty drops of the Tincture.
TINCTURE OF CINCHONA (concentrated). See “BED-sor Es,” after
typhus, &c.
General proportions of the lotion—to a wine-glassful of water, fifty drops of the Tincture.
TINCTURE OF SULPHUR (saturated), in such cases only as those in
which it will be found hereinafter prescribed.
General proportions of the lotion—to two table-spoonfuls of water, twenty drops of the Tincture.
REMARKS AND REGULATION'S RESPECTING THE BATH.
The bath may be divided, according to modern appliances, into
eight varieties, viz:—the HOT and COLD SALT-WATER BATII, the IIOT and
cold FRESH-water BATH, the TEPID, the SHOWER, the VAPOR, and the
MEDICATED BATHS. Of these we shall here consider the two first-named
only, viz.
The CoID SALT-WATER and the CoID FRESH-WATER BATII;
Except as respects new-born infants, for whom a third variety is
necessary, namely,
The HOT FRESH-water BATH.
All the other varieties, especially medicated Baths, are commonly
prohibited.
The consideration of the Bath is a matter of essential importance to
health, and has been acknowledged as such from the remotest antiquity,
and in every climate. It is almost as much a necessary of existence as
food or clothing. It involves what is a primarily essential, cleanliness;
but, like all generalities, it is subject to exceptional modifications
arising out of the condition of the system, or the temporary state of
the body; such, for instance, as the presence of an eruption or rash, or
the exudation of perspiration after violent and prolonged exercise,
both of which would render the bath obnoxious for the time. But for
persons who are free from any morbid manifestation which may render
the free use of cold water objectionable, nothing, perhaps, will tend
so much to brace the nervous and muscular construction of the frame,
and to preserve the sturdy physical power of youth in advanced age,
as the regular observances of the Bath.
REGULATIONS FOR THE BATH. 71
General exceptional conditions under which cold bathing should be
avoided.
When (as is sometimes the case) it is found to induce constitutional
disturbance, or is invariably followed by headache, &c., of the same
character.
When it is followed by lasting chilliness instead of the glow which
indicates its healthy action.
There are comparatively few instances in which the cold fresh-water
Bath disagrees with persons in good health; in such instances, how-
ever, when they occur, the use of a sponge or wet towel must be sub-
stituted for the bath, and should be followed with brisk friction.
When any inflammatory action is present, or when from exertion or
from any other cause the skin is moist and the pores are open, the
Cold Bath should be avoided.
During the presence of headache, other than headache arising from
Żrregularities of digestion or nervous causes.
Immediately or within one hour after a meal.
Before any meal has been partaken, or, in other words, upon first
getting up in the morning.
Generally—with a declining temperature, as, for instance, late in the
evening, when the temperature of the water will not have declined
equally with that of the atmosphere.
When the atmospheric temperature is not sufficiently high, as com-
pared with that of the water; or, in other words, when the water feels
warm and the air cold. *
Generally—during the prevalence of cold east winds.
General conditions under which cold bathing is beneficial.
When the temperature of the water, relatively to that of the atmos-
phere, is as nearly as possible that which it would reach and maintain,
by being constantly exposed to the action of the same atmospheric
temperature.
When it is always followed by a glow.
In affections of a purely nervous character. <º
In the majority of affections resulting from debility of the digestive
functions.
During an ascending temperature; that is to say, in the earlier part
of the day, generally about two or three hours after the first meal, and
at an equal distance from the second.
When the water is cold compared with the air, but not so cold as to
produce a shock or numbness.
In this climate, from the end of June to the middle of September,
may be stated as the best season for out-door bathing.
In-door bathing—may be continued throughout the year with great
advantage, with the precaution that the thermometer in the apartment
stand at from 50 to 60 degrees of Fahrenheit, and that the water be
exposed to this atmospheric temperature at least six hours (when that
is possible) or be raised to from 45 to 55 degrees, if below it.
72 HOMCEOPATHIC DOMESTIC MEDICINE.
. The swimming bath, or bath in which (if not in open water) there
is room to exercise the limbs, is preferable.
General precautions to be observed in Bathing.
Do not bathe the lower extremities first. The immersion should be
complete at once.
This need not be effected by plunging, when, as is not unfrequently
the case, such a method is found to induce headache or temporary
deafness. º
JDiving—which is a very common amusement, is very often pre-
judicial without sufficient attention being paid to the fact. In general,
you should abstain from diving.
Never leap into deep water, feet foremost and in an erect position.
The best method is to drop into it, the body and limbs being bent
together.
Do not stand still or remain motionless in the water.
Do not remain too long in the water. Five minutes is quite long
enough to derive all the advantages of the bath.
Never remain so long as to become thoroughly chilled.
Leave the bath upon the first appearance of cramp.
Apply a coarse towel briskly all over the body, as soon as you leave
the water; and take pains to dry yourself as thoroughly and as ea:-
peditiously as possible.
Dress as soon as you are thoroughly dry.
The bath should be followed by a brisk walk, but not sufficient to
heat you.
THE SALT-water BATH OR SEA-BATHING.
There has been a popular notion that sea-bathing is always preferable
to fresh-water bathing. Nothing can be a greater mistake, and there
are a far greater number of exceptions to the proper use of the former
than to that of the latter. It is indeed true, that the question of
temperature is far less important, in respect of sea-bathing, except,
indeed, towards the fall of the year, when the temperature of the
atmosphere, in our climate, becomes considerably depressed’—and
when, in conformity with one of the “general eacceptional conditions”
above stated, it were advisable for those even with whom sea-bathing
generally agrees to discontinue it.
But it is a matter of experience that there are a great number of
constitutional eacceptions. And it is quite as important that all those
with whom sea-bathing is found habitually to disagree, should abstain
from what, at certain seasons and in certain places, may be a great
indulgence.
There are instances in which sea-bathing produces a species of nausea
similar to that of sea-sickness in persons who are totally exempt from
this inconvenience on ship-board. This, then, is clearly a constitutional
eacception.
In brief, however, it may be laid down as a rule, that when sea-
bathing habitually induces any kind of constitutional disturbance it
should be avoided.
SYSTEMATIC TABLE." 73
THE FRESII-wATER BATH.
The instances in which fresh-water bathing disagrees, may almost be
summed up under the head of the “general eacceptional conditions”
above stated. The cases of constitutional eacception are far less nume-
rous than those which occur with respect to sea-bathing, and there are
fewer cases still in which persons who cannot bear fresh water can
tolerate the sea-bath. When, however, they occur, they should in-
dicate the course of the patient.
TEMPERATURE OF THE BATII FOR INFANTs.
THE WARM BATH, which is requisite for the treatment of newly-born
or very young infants, should never exceed 98 degrees of Fahrenheit
in heat. It should in general range from 92 to 98 degrees, according
to the effect produced on the child. When the bath is used as a
remedial agent, it is important to maintain the temperature at which
the immersion had taken place; and it will, therefore, be desirable on
all occasions to have a thermometer within, so as to detect and regulate
any variations.
THE COLD BATH should be, as nearly as possible, of the temperature
at which the atmosphere would place or keep it. It is, therefore,
desirable that cold spring water, which has not been exposed to the
action of the air, for four hours at least, should be avoided in hot
weather, when the atmospheric temperature would have materially
increased the heat of it.
Jºcception to the use of the cold bath.-In almost all cases the use
of the COLD BATH, with new-born or very young infants, is repre-
hensible.
SYSTEMATIC TABLE,
IFORMING A SUMMARY OF THE RULES FOR THE ADMINISTRATION AND
IREPETITION OF THE MEDICINES.
In summing up the general regulations for the administration and
repetition of medicines, the following particulars may be deduced:
OF ACUTE DISEASE, NOT CRITICAL.
General Initiatory Remarks.
In Acute Diseases, not critical, when, after the lapse of four, or at
the most, six hours, no amendment results, another remedy should
generally be selected, or the general state of the pâtient and the
nature of the disease should be re-investigated. When, on the other
hand, in the course of an hour or two, symptoms of improvement
ensue—such as moist skin, a clear state of the intellectual faculties, a
happier frame of mind, or a gentle and undisturbed slumber, no re-
petition or change of medicine must be thought of, until a cessation
of the improved condition of the patient becomes manifest.
In Acute Diseases of a severe and critical kind, however—such as
severe inflammatory complaints, cholera, croup, nervous fevers, asth-
matic affections, &c., the repetition of the dose sometimes becomes
74 HOMOEOPATHIC DOMESTIC MEDICINE.
necessary, every five, ten, or fifteen minutes --or, at all events, at inter-
vals of from one to three hours, subject to the like conditions.
When a variety of new symptoms set in after repetitions of the dose,
combined or not with a sudden aggravation of those which were pre-
sent before treatment was commenced, a pause should be made—if
the case be not extremely urgent—until these new (medicinal) symp-
toms subside, and then a new remedy selected, unless a decide
improvement succeeds; in which latter case, the same remedy may be
repeated as soon as the signs of improvement begin to give way.
1. That there are two distinct periods in the course of treatment:–
the first period, or that in which the medicine is more rapidly repeated
to establish a medicinal ascendency over the disease; and the second
period, or that in which the treatment is resumed and continued to
complete the cure, or until change of treatment.
a. That these two periods are advantageously divided by a pause,
during which the medicine may be suffered to exhaust its action, and
the variation of symptoms, &c., observed. -
b. That during the first period, in the treatment of acute disease,
which is not of immediately critical character, the intervals between
doses should extend over from two to four or even six hours, accord-
ing to the severity of the symptoms.
c. That, as a general rule, a course of two, three, or four doses,
according to the length of the intervals, will constitute the first
period; the greatest number of doses agreeing with the shortest
intervals.
d. That the pause, at the conclusion of the first period in the treat-
ment of such diseases, should extend over from four to twelve hours,
according as the progress of the disease has been checked by the pre-
zyżous treatment or not.
2. That the disease continuing to make head after the pause, whether
modified or not (if no suspension or change should appear desirable
in conformity with the exceptions below stated), the same treatment
should be resumed during the second period.
a. That during the second period in the treatment of acute disease,
which is not of immediately critical character, the interval between
doses should extend over from four to eight, or even twelve hours,
according to the severity of the symptoms. cy
b. That, as a general rule, one, two, or three doses, according to the
length of the intervals, will constitute the second period; the greatest
number of doses agreeing with the shortest intervals.
3. That, in the event of no alteration, or, at most, a merely tem-
porary mitigation of the symptoms, by the remedy or remedies ad-
ministered during the first period, another remedy must be selected
as closely analogous as possible to the symptoms present.
4. That, after the completion of the second period, in the event of
the re-appearance of symptoms, which have yielded to the use of the
remedy or remedies previously administered; the same remedy or
remedies shall be administered at still more extended intervals,
ADMINISTRATION OF THE MEDICINES. 75
That, in this after-treatment, the intervals between doses shall ex-
tend over from 12 to 48 hours.
Conditions creating eacceptions to the foregoing Rules.
1. That the repetition of any medicine must be suspended:
a. Upon the first indication of medicinal aggravation, distinguish-
able by the features, described under that head at pages 58–59.
b. Or, again, upon the intermediate appearance of another symp-
tom, or of other symptoms, involving a complication, &c., not covered
by the previous treatment.
c. Or, again, as soon as a positive degree of improvement becomes
apparent.
d. To be resumed and re-continued upon the first indication that
the natural and original disease is regaining its ascendency, from
which we may judge that the medicine has exhausted its active
agency.
2. That another remedy must be selected as closely analogous in its
action as possible to the symptoms present:
a. Upon the intermediate appearance of another symptom, or of
other symptoms involving a complication, &c., not covered by the
previous remedy.
b. If no change, evidently resulting from medicinal action, takes
place, and the disease continue to gain ground progressively, notwith-
standing from 12 to 24 hours of active treatment.
c. This condition does not apply to complaints which run a regular
course, wºn!ess irregular complications, demanding other treatment,
should appear; because it is obvious that the homoeopathic treatment
would have a tendency to promote the development of such diseases.
d. The period here assigned for treatment without change (12 to 24
hours), does not apply to critical cases, which are totally exceptional.
Of Critical Cases of Acute Disease.
J. That critical cases of acute disease, such, for instance, as of
cholera, croup, or severe inflammatory disorders which are exces-
sively rapid in their issue, are not susceptible of the general rules
applied to acute disease.
a. That the majority of these are individually exceptional.
b. That, in their critical acceptation, they are only susceptible of
one period of treatment.
c. That, in cases of this nature, such remedies as Arsenicum, Cuprum,
JDigitalis, Lachesis, Sambucus, Hepar, Spongia, and Veratrum, may
be administered at intervals, varying from five to thirty minutes, ac-
cording to the urgency of the symptoms, until beneficial reaction
takes place.
d. That the evident (and progressive) decline of the vital principle,
*otwithstanding treatment, may in such instances warrant the change
of the remedy, if there be any hope that the change may produce the
desired reaction.
76 HOMCEOPATHIC DOMIESTIC MEDICINE.
e. That, otherwise cases of this nature are susceptible of the same
exceptional conditions, as have been reserved for the previous class of
complaints (see “conditions creating exceptions, &c.,” as above).
OF CHRONIC DISEASE.
General Initiatory Remarks.
In Chronic Diseases of a severe and obstinate kind, it is often very
advisable to administer a dose of the remedy selected daily, the first
thing in the morning (fasting), for a period of from four to eight days;
or, in short, until such time as one or more symptoms become de-
veloped, which the patient had not experienced, before commencing
to take the remedy. When the remedy has been properly selected,
the change in the patient's state will commonly occur within or shortly
after the periods just named. Should no medicinal manifestations of
any kind become apparent, another remedy may be selected, from
two to four days after the last dose of the previous remedy has been
taken.
In chronic diseases, sulPHUR* is very often the most appropriate
remedy to begin with, if no other is better indicated, and particularly
if the patient has previously been affected with any cutaneous malady
(Itch). As soon as the symptoms developed by Sulphur have entirely
subsided, a new medicament must be administered in accordance with
the remaining symptoms (if any); but not for a longer period than
from four to eight days. If improvement then sets in, the new remedy
need not be repeated until the favorable change ceases to become pro-
gressively manifest. But, if no amelioration ensues, although the
remedy seems to be correctly chosen, Sulphur may again be resorted
to, for from two to four days; and so on. It is frequently necessary
to fall back upon Sulphur several times in this manner during a pro-
tracted course of treatment (see “Eradicative Treatment.”)
1. That there are two distinct periods in the course of treatment;
the first period in which the medicine is more rapidly repeated to
establish a medicinal ascendency over the disease; and the second
period, or that in which the treatment is resumed and continued to
complete the cure, or till change of treatment.
a. That these two periods are advantageously divided by a pause,
during which the medicine may be suffered to exhaust its action and
the variation of symptoms, &c., observed.
b. That, during the first period in the treatment of chronic disease,
the intervals between doses should extend to about twelve hours.
c. That, as a general rule, a course of twelve doses will constitute
the first period.
d. That the pause, at the conclusion of the first period in the treat-
ment of chronic diseases, should extend, for the vegetable remedies,
generally, over from three to six days, according to the severity of the
case and the effect produced; and for such remedies as Staphysagria,
* See also the article on “ERADIGATIVE TREATMENT.”.
ADMINISTRATION OF THE MEDICINES. 77
Conium, &c., over from four to eight days; for the mineral remedies,
generally, over from six to ten days; and for such remedies as Calcarea,
IHepar-sulphuris, Graphites, Silicea, Stannum, Sulphur, Zinc, dºc.,
from eight to twelve days.
2. That the disease continuing to make head after the pause, whether.
modified or not (if no suspension or change should appear desirable,
in conformity with the exceptions below stated) the same treatment
should be pursued during the second period,
a. That, during the second period in the treatment of chronic dis-
ease, the intervals between doses should extend over from 24 to 72
hours, according to the severity of the case.
b. That, as a general rule, two, four, or six doses, should constitute
the second period, according to the length of the intervals—the great-
est number of doses agreeing with the shortest intervals.
3. That, in the event of mere temporary mitigation of the symptoms
by the remedy or remedies administered during the first period, an-
other remedy must be selected as closely analogous in its properties
as possible to the symptoms present, for further treatment.
4. That, after the completion of the second period, in the event of
the re-appearance of symptoms, which have yielded to the use of the
remedy or remedies previously employed, the same remedy or reme-
dies shall be administered at still more extended intervals.
That, in this after-treatment, the intervals between doses shall ex-
tend over from two to six days.
Conditions creating eacceptions to the foregoing Rules, respecting
Chronic Disease.
1. That the repetition of any medicine be suspended:
a. Upon the first indications of medicinal aggravation (which, how-
ever, is of very rare occurrence, of a nature to suspend treatment at
such intervals), distinguishable by the features described at pages 58–59
under that head.
b. Or, again, upon the intermediate appearance of symptoms involv-
ing a complication not covered by the previous treatment.
c. Or, again, as soon as a positive degree of improvement becomes
apparent.
“d. To be renewed and recontinued upon the first indication that the
natural and original disease is regaining its ascendency, from which
we may judge that the medicine has exhausted its active agency.
2. That another remedy must be selected as closely analogous in its
action as possible to the symptoms present:
a. Upon the intermediate appearance of another symptom or symp-
toms involving a complication not covered by the previous treatment.
b. If no change, evidently resulting from medicinal action, take
place, and the disease continue to gain ground progressively, notwith-
standing the administration of ten or twelve doses.
78 HOMOEOPATHIC DOMESTIC MEDICINE,
OF PREVENTIVE AND ERADICATIVE TREATMENT:
And of the Especial Applicability of the Homoeopathic Rule to such
Purposes.
It is too true that the every-day practitioner suffers himself to be
too completely engrossed by the actual condition of disease to investi-
gate or to provide against its accessibility. The duty, however, of
every man who deals with his profession as a noble and humane
science, is rather to point out the method of preventing the occurrence
of active disease, and of eradicating (if possible) the latent and slum-
bering defects of constitution, which may be described as dormant dis-
ease, than to confine his attention solely to the treatment of its active
manifestation.
This great and humane purpose should characterise the philosophy
of every medical creed or denomination, and should ennoble, if it may
not consecrate any system. I am bound to admit that many amongst
the more liberal and comprehensive intellects which have honored
the ranks of our medical opponents, have been devoted to the study
of this worthier branch of science; and, in my humble opinion, it is due
rather to error in the basement of their medical tenets that their
labors have led to imperfect results (to say the least of it), than to lack
of energy, moral courage, or even very superior intelligence; and I
might show a series of instances, were there here an opportunity for
such digression, in which the same energy, zeal and talent, with an
early impulse in the same direction,-that is, with a sound basis of
remediary principle to act upon, would have led to far different, if
not to the most gratifying results. It is not, moreover, unworthy of
notice here, that the only instance in which PREVENTIVE TREATMENT
has been indubitably successful, has been that in which the Hox1OEo-
PATHIC PRINCIPLE was the basis of the method. I allude to Vaccination.
Yet it is not only true that this resource was adopted by its illustrious
discoverer, rather upon the vague inferences derived from precedent,
than upon a fixed and undeviating principle, but that a necessary con-
sequence followed, namely, that the research was carried no further.
The true basis of principle, upon which the success of Vaccination
is founded, is, however, as unalterable in physical relations as the Law
of Gravitation; not more so indeed, because both, like all laws which
affect Matter, may be overpowered by other forces.
This basis is the principle of Homoeopathy, which, if extended to
the Prevention, Treatment, and Eradication of every disease, will
prove of equally positive efficacy.
To be brief, therefore, I will proceed to divide the cursory glance
which I propose to direct to this subject into two distinct sections,
namely, that which involves the Prevention of Disease, and that which
is devoted to its Eradication.
By the term Eradication, I wish to be understood to allude to the
method of modifying or removing such unhealthy conditions of the
system as necessarily predispose the subject upon whom they operate
to particular developments of active Organic Disease.
PREVENTIVE AND ERADICATIVE TREATMENT. 79
I would first, however, be understood to confine myself, here, to
such general hints as may, with due consideration of the regulations
hereafter laid down for the treatment of each Disease as it occurs,
enable the non-medical reader to form some idea of the mode in which
the rule is capable of being applied in the majority of individual cases:
because it is obvious that this subject alone might require the whole
space of more than one of such Volumes as this, ere it was considered
in detail.
I would also hint that the rule is so distinct and positive, that the
appropriate PREVENTIVE TREATMENT of any Disease may be readily
inferred from the distinction of the medicines which are speciFIC (that
is of positively analogous properties) in its TREATMENT.
OF PREVENTIVE TREATMENT GENERALLY.
In respect to the Prevention of Disease men of all medical creeds
who have devoted their time and toil to the consideration of the sub-
ject, hold opinions which are necessarily in accordance to a certain
point;-that is, as regards the modification or removal of the easternal
and eacciting causes of disease, such as local or general climate, and
the substitution of cleanliness, pure air, drainage, &c. There is, how-
ever, a limit to the concurrence of opinion, even on some of these
points. We are further agreed as regards some of those causes which
proceed from irregularities of living, from excesses, and also from im-
proper or insufficient food.
Amongst these accessory measures, which are essential to the Pre-
vention of disease, I would therefore particularly draw the reader's
attention to the following, —involving, first, those which concern the
person immediately; and secondly, those which concern the locality
immediately, and the person indirectly.
1. Those which concern the person immediately, amongt others, are:
a. Eacercise, in proper relation to the habits of the individual, to his
strength and capabilities of physical exertion, the state of the weather,
the method of taking exercise, whether active or passive (the latter
being rather a modification of the accession of pure air than an appli-
cation of exercise properly so called), and the circumstances of climate
—involving the degree of altitude or depression of temperature, the
time of the day, (the evening being very adverse to health, especially
in districts in which thick vapor, lying close to the ground, is observ-
able at and after sunset, marshes, &c.), and the nature of the atmos-
phere at the time—whether unduly charged with or deficient of
moisture, or again, whether any particular wind prevail, which is
known to be charged with noxious exhalations, as the Sirocco of
Southern Europe, &c.
b. Cleanliness of person and habitation, which is subject to no ex-
ceptional conditions but those—of rare occurrence—which render it
impossible. This action may also involve the free use of (cold) water
in ablution, except in particular cases.
c. Ventilation, partly applicable to the person, and partly to the
locality, by which I understand the admission and free circulation of
pure air, without the action of a direct current or draught, and the
80 HOMOEOPATIIIC DOMIESTIC MEDICINE,
avoidance of close confined apartments, sedulously closed against the
external atmosphere. In ninety-nine cases out of a hundred such ex-
clusion would repulse, more probably, a restorative of health, than an
aggravant of disease. For Nature is more surely in accordance with
the requirements of human life, than any artificial means; and SCIENCE
should be rendered not a repellant, but an assistant of NATURE.
d. Apparel, by which should be understood all coverings, which
should be as light as possible, consistently with weather, climate, and
particular susceptibilities, or habits. The action of the skin is one of
the most important functions of life, inasmuch as if irregularly per-
formed, it reacts upon all or any of the organs most intimately con-
nected with existence. Over-clothing or covering, on the one hand,
therefore, may promote an irregular excess of action, which will result
either in continued relaxation of the function, and consequent ex-
haustion; whereas exposure, on the other hand, may occasion a repres-
sion and suspension of action which will inevitably recoil upon the
superior organs. The strict consideration of this question is more es-
pecially imperative in climates in which the transitions of temperature
are sudden, or very considerable.
e. Aliments, by which I here understand both food and drink,
should in every case be modified, in relative proportion, accordiug to
the climate, and to exceptional conditions arising out of the particular
degree of strength or weakness of digestion, which characterises par-
ticular persons, or to any casual circumstances which may modify,
alter, or deteriorate the digestive functions, and consequently operate
upon the appetite. The European native, or the habitual inhabitant
of a temperate climate, transplanted into a tropical zone, should de-
crease (if not totally eschew) the admixture of animal food, or, if trans-
planted into an arctic or very cold climate, might, with due regard to
condition (especially whether salt or fresh) of such animal food, ad-
vantageously increase its proportion;–the habitual use of Salt or
otherwise seasoned food, is always uniformly prejudicial;-he should
also diminish the proportion of stimulating ingredients as the heat of
the climate is increased ;-under the same conditions he should, more-
over strictly abstain from the use of stimulating liquor, or if that has
previously been habitual, he should decrease it gradually, until very
moderate indulgence (if any) remains;–and he should be very careful
not to overload the stomach with either food or drink of any kind. It
is very important that the European, transplanted into a tropical
climate, should neither eat nor drink more than what is absolutely
necessary, Linasmuch as every disease to which the inhabitants of
temperate zones are subject between the tropics, not only assumes
complications particularly implicating the organs of digestion, but very
frequently springs either remotely (by predisposition thus occasioned)
or immediately from impeded or overtaxed digestion. The person of
weak digestion should carefully abstain from all indigestible or stimu-
lating articles of food, should select the plainest diet,_feed to supply
the necessities alone, and not to gratify the palate, should eat but
little at a time, and not at all as the time of rest approaches, should
PREVENTIVE AND ERADICATIVE TREATMENT. 81
avoid all stimulating food or drink, and should never attempt to force
an appetite. Regularity is indispensable to health. -
j. The habits of living.—Regularity is the great preservative in
this respect, including the just appropriation of the period of rest, as
indicated by the secession of light and the dormancy of nature gene-
rally,–and consequently early hours, both in resting and rising, and a
sufficient but not excessive proportion of rest. The relations of night
and day constitute the best directions for the equable adjustment of
the due proportion of rest. The summer of temperate zones indicates
a less proportion than the winter, as also the tropical night and day
indicate a greater equality in the disposition of time. (See, also
“Rest,” under “INVESTIGATION of DISEASE.”) Excessive disposition
to rest (indolence) is as injurious, on the one hand, as excessive dura-
tion of mental or bodily activity; and the regular return of both con-
ditions, at corresponding and stated hours, is important. Regularity
of habits also includes regularity in the period of feeding or the hours
of meals, which is no less important than the former. The art of
dividing time in every way is a powerful preservative,
2. The preventive measures, which involve locality amongst others,
3, l'e -
a. Drainage.—If the locality be subject to periodical, irregular, or
casual saturation or flooding of water, that is, if it be nearly on a level
with some adjacent surface of water, such as lakes, rivers with sluggish
current, or the sea, the generally applicable methods of preventing
the exhalation of noxious vapors, and the consequent impregnation of
the atmosphere with miasm injurious to life, are 1) to create artificially,
where practicable, such channels as shall lower the general level of the
water, or comparatively elevate the general surface of the soil, and
which shall prevent the stagnation of waters; and 2) so to disturb the
surface of the soil, as by furrowing, ploughing, &c., that the exhalations
shall be rapidly emitted, and thereby be subject to dilution and dis-
persion, as soon as they transpire.
Or again, and especially to towns and crowded districts, in which
the accumulation of decomposing or decomposed animal and vegetable
matter must necessarily be great, to create so free a vent by means of
proper subterraneous canals, and by the removal of all filth, &c. (ex-
posed to the action of the atmosphere), that any such matters shall be
rapidly discharged into such currents as shall remove impurities
rapidly, or into such remote receptacles as shall secure the absorption,
dilution, or dispersion of all noxious vapors before they can impregnate
the habitual atmosphere of the inhabitants. Wherefore, every dwelling
to be wholesome should be accessible to the free passage of natural
currents of air, and should be provided with an ample and wholesome
supply of water, and an easy discharge for all refuse deposits. *
b. Modifications of climate, by clearage, tillage, and every other
* Wested interests, stolid indifference, and an indolent disinclination to listen to
the voice of reason, too often oppose a formidable barrier to the removal of crying
nuisances. If there were any one act of despolic government interference more capa-
ble of defence than another, it would be one which was directed towards effectual
sanitary improvements.
82 HOMCEOPATHIC DOMIESTIC MEDICINE.
result and accompaniment of industry, which thereby produces a
doubly beneficial result 1) by removing the susceptibility of the
inhabitant to disease; and 2) by removing the cause which too fre-
quently generates disease, viz. the unhealthy exhalation of the soil.
e. The choice of habitation as to site, which should be removed as
much as possible from particular geological influences; from localities
in which the water is impregnated with mineral substances, as lead,
iron, &c.;-from particular (local) and injurious currents of air, as in
certain valleys;–from the midst of woodland (where a sufficient clear-
age should be effected);-—from the adjacency of stagnant waters;–
and lastly, above the level of the mist or vapor, which consists
doubly of the precipitated and of the continued eahalation from the
soil, and which is readily distinguishable, in marshy districts espe-
cially,–-by the dense white fog, which lies like a separate atmosphere,
an elevation of a few feet above the flat soil, after sunset.
This subject has lately attracted much attention in the more popu-
lous countries of Europe, and is therefore of particular import to the
colonist who may have to select the site of his own habitation. *
a. Medicinal Preventive Resources.
No medicine, unless it be HomoeoPATHIC to the disease, or unless its
action upon the human organs be analogous to disease, can be really,
truly, and invariably PREVENTIVE. The Preventive measures, as regards
the employment of medicinal agents, consist in the repeated adminis-
tration, usually in somewhat large doses, at intervals approximately of
twelve hours, of one or more of such remedies (for alternation is
occasionally requisite,) as most closely assimilate in their specific action,
and according to the indications stated for their selection in the case
of each particular disease, or which, in combination, by alternate ad-
ministration, most completely embrace the distinctive characteristic
features of disease, when it assumes an epidemic or even a local pre-
valence. The first point is, therefore, to refer to the article hereinafter
devoted to the treatment of such particular disease, whereby to ascer-
tain the principal remedies quoted, whether any, either singly or in
combination (by alternate administration), are described as direct spe-
cifics, and thence, to turn to the article on “CHARACTERISTIC EFFECTs”
for the further elucidation of the symptoms which characterise each of
the remedies thus suggested.
If under the head of the particular disease one or more remedies,
under certain circumstances, and qualified by the presence of certain
symptoms, are announced as direct specifics, they will, doubtless, when
early employed, be the unerring preventives or modifiers of the dis-
ease. Such, for instance, as vacCINATION against smallpox, which
should be repeated if many years had elapsed since the former opera-
tion, or which should not fail to be resorted to by those who have not
been previously vaccinated:—BELLADONNA against Scarlet Fever, of
which a very celebrated allopathic pathologist f has gone the length
of making the following important admission:—“Belladonna, in very
* See Note on p. 81. f The learned Hufeland.
PREVENTIVE AND ERADICATIVE TREATMENT. 83
small doses, has been used, according to Hahnemann's recommendation,
as a preservative, and many cases have confirmed its utility:”—CHINA
and LoBELIA (chiefly) against Marsh Intermittent Fevers:—MER-
CURIUs-corrosivus against Dysentery, especially red Dysentery:-
BRYONIA and RHUS-Toxicode:NDRON and ARSENICUM against some varie-
ties of typhus:–CUPRUM-ACETICUM, CAMPHoR, and VERATRUM, against
Cholera and Diarrhoea respectively, or against excessive and sudden
relaxation, with spasmodic pains and cramps, when the diseases just
named are prevalent:—AcoxITUM and PULSATILLA against Measles:—
ACONITUM, BELLADONNA, and HYoscyAMUs, in cases and in particular
localities in which Inflammatory Fever, with prominent affection of
the brain becomes prevalent, and similarly occurs amongst numbers
of persons at once:—BRYoni A in cases, and in particular localities in
which inflammatory fever, with prominent derangement of the sto-
mach, appears (similarly characterised):—CARBO-VEG., &c., against
Scurvy (see also “Eradicative Treatment,”):—SABINA and SECALE,
&c., against imminent Miscarriage (see also “Eradicative Treatment,”
for cases in which this casualty becomes habitual), -CAMPHOR against
severe colds (influenza), when they are what is termed “going through
the house.” In fact, every remedy, as applied to the treatment of a
particular disease after it has set in under a particular aspect, is
equally applicable to the preservation when the current complaint
bears a similar stamp.
THE Dos Es—of Preventive remedies should usually be repeated at
intervals of about twelve hours, until a degree of medicinal action has
set in, when the course may be considered complete; but the action
thus excited must be watched, lest it should occur that the prevailing
disease (in a modified degree) has supervened.
For an adult six globules, for young persons four globules, in a wine-glassful of
water; for a child under two years old two globules; for an infant under
twelve months old one globule, in a tea-spoonful of water.
ERADICATIVE TREATMENT.
No CURE can be complete, where there is latent constitutional taint,
without proper ERADICATIVE TREATMENT. SCROFULA, in one shape or
another (or complicated with other diseases), may be considered as the
predisposing cause of susceptibility to the recurrence of every disease:
—that is as the GREAT PARENT OF DISEASE, and the most common
source of the malignity and fatality of other diseases, when not itself
the fell destroyer.
ERADICATIVE TREATMENT is applicable to the removal or subjugation
of defects in constitution, habit of body, or temperament, which ope-
rate continually, not only as the predisposing causes of every prevalent
disorder, but also as the complicating accompaniment of every disease;
or, on the other hand, which resolve—or threaten to resolve them-
selves into organic decay, by attacking one or more of the important
organs of life especially. Eradicative treatment is also applicable to
the extirpation of those slow, latent or occasionally more active chronic
diseases which are gradually sapping the constitution, and which would
otherwise finally result in general disorganisation, but which have not
84 HOMOEOPATHIC DOMESTIC MEDICINE.
º permanently destroyed the functions of any important organ
of life.
The space, which is necessarily confined in a work of this kind, will
not admit of great detail, nor, indeed, could a whole volume such as
this exhaust the subject if compressed within the narrowest compass.
I have the intention, therefore, of confining my remarks to such gene-
ral relations as may afford some idea of the mode in which the treat-
ment is conducted, subject to the regulations severally laid down
under the head of EACH DISEASE (in the subsequent parts of this work),
—or, as it would then appear, in the character of a symptom, develop-
ment, or manifestation of a more deeply-seated diseased condition—
in conformity with the nature of the PARENT DISEASE.
The reasons for suspecting and the grounds for ascertaining the
existence of such PARENT DISEASE will be gathered from the article on
“The Investigation of the Patient,” particularly if due regard be paid
to PARENTAGE (including near relations—uncles or aunts); to the part
or organ most susceptible to the action of morbid influences, transi-
tions of climate, the nature of the locality generally inhabited, the dis-
eases which most frequently affect the patient, and the inveterate or
peculiar or dangerous form, which all maladies, affecting the patient,
assume. Of these, the question of PARENTAGE and near (blood) rela-
tions involves the most important and weighty considerations, as
thence we may derive the origin of scroFULOUs habits of body in all
their varieties of combination, complication, and development.
Indeed we may not improperly attribute every FAMILY defect of
constitution, or every manifestation of a latent constitutional taint
which appears with greater or less intensity in several, or pre-eminently
in one * of the members of a family, to an unwholesome or scrofulous
inheritance. Thus to SCROFULA we may attribute, amongst other
derangements: Rickets, or enlargements and curvatures of the bones,
and decay or exfoliation of the bones resulting from comparatively
trivial circumstances; chronic Disease of the skin, or extreme suscepti-
bility to the development of morbid appearances of the skin, of an
endless variety, or especially to eruptions of the nature of tetters, to
ringworm, &c. &c.; imperfect construction of the Brain; and IMBECI-
LITY, or prevalence of susceptibility to derangements of the Mind,
especially if complicated with glandular swellings or their cicatrices;
torpid, or usually painless Ulcerations, frequently characterised by a
degree of putrescence, and commonly discharging a thin, watery, cor-
rosive fluid : or which, if somewhat quickly dried up in one part, are
* Parents (or a parent) possessing the semblance of sound health, may yet carry
the germs of scrofula in the system, and consequently be capable of transmitting the
disease to the offspring; hence the necessity for inquiry into the health of blood
relations. Again, although there may not be any hereditary taint in the family of
either parents, the capability of giving a scrofulous constitution to the offspring may
be acquired by too early or too late a contraction of marriage, by disproportioned
marriages (as to relative agents), by parental excesses, &c., and by any cause which
may tend to injure the constitution of one or both parents—as improper or insuffi-
cient food, impure air, &c. Lastly, the germ of scrofula may be transmitted to an
infant by the milk of a scrofulous or otherwise diseased nurse.
PREVENTIVE AND ERADICATIVE TREATMENT. 85
usually developed in some other; affections of the Lining Membranes,
in general (as of the stomach and bowels, air passages, &c.); habitual
or long-continued Discharges of thin, watery fluid from any parts as
the result even of very slight causes of irritation, manifesting a defi-
ciency of vigor in the membranes, to which may also be appended
obstinate or continuous Whites, and chronic discharges from the Ears;
chronic Inflammatory affections of the Eyes and EYELIDs, qualified by
discharge of very adhesive gum, and continual adhesion of the lids in
the morning, by excessive susceptibility to the action of currents of
air, or to irritation by reading, by excessive or even continual flow of
tears, or susceptibility to watery eyes, by excessive sensibility of light;
or, again, habitual susceptibility to Styes; chronic Inflammatory and
Suppurative affections, or chronic enlargements or indurations, of
Glandular parts in general: as, for instance, of the neck and nether
jaw, the groin, the armpits, &c.; or ABSCESSES; chronic enlargement
and habitual hardness of the Belly; the prevalence of water on the
Brain, water on the Chest, dropsy of the Belly, or general Dropsy in
more than one member of any family: the like of what is called
Tubercular consumption, or of organic affection of the Mesentery, or
of unaccountable Emaciation and gradual decline; WoRMS, when they
are evidently generated in consequence, not of casual circumstances,
but of an inherited defect of constitution.
THE ACCESSORY MEANs adapted to the eradication or modification
of Scrofula, are, amongst others:
1. DIET-the most important consideration of all—which should be
always as nourishing, in relation to its bulk, as much compressed or
reduced in bulk, as light and easy of digestion, and as regularly ad-
ministered as possible—sometimes frequently, but in small quantities
at a time. An equal proportion of animal and vegetable food, or vege-
table food prepared with a fair proportion of the pure gravy of sound
and wholesome meat. Roasted meat in preference to any other—
especially mutton and beef. EGGs, when found to agree, lightly
boiled (soft), and eaten with a fair proportion of good, home-made,
stale, wheaten bread, but not in combination with other ingredients.
Sometimes milk (when it does not disagree, as is sometimes the case
in particular instances). Of beverages water is the only fluid which is
universally safe: —really good and wholesome beer is not always to be
repudiated; but it should be borne in mind, that any fermented or
spirituous liquor is particularly injurious to those who are very sus-
ceptible to its action. Stimulants of all kinds should usually be strictly
avoided.
2. AIR is second only to diet in the treatment of scrofulous habits;
pure country air, in a healthy, dry, rather elevated situation, not ex-
posed to the prevalence of bleak winds:—free access and circulation
of air within doors, in all apartments inhabited, and particularly in the
sleeping room; as great a proportion of the day-time as possible, with-
out severe fatigue, particularly in fine or favorable weather, should be
spent in the open air.
3. ExERCISE should be as free and unrestrained as is consistent with
the avoidance of excessive fatigue, or any of its consequences, and
86 HOMOEOPATHIC DOMIESTIC MEDICINE.
with due precaution that check of perspiration does not occur; no
person should remain uncovered, or even still for some time after
strong exercise; proper protection of the skin from the arrest of
transpiration and gentle motion are indispensable; nor should strong
exercise in the open air be resorted to in extreme conditions of tem-
perature, and especially when there is great moisture in the ground,
and consequently much exhalation. But when exercise cannot, owing
to extremely unfavorable weather, be consistently obtained out of
doors, it should be sought in doors. With these, and other like pre-
cautions, active sports, appropriate gymnastic or calysthenic exercises,
and every such occupation as calls the muscles and sinews into play,
will go far to promote a vigorous operation of all the organic functions.
4. WATER, used not only in the sense of ablution or cleansing, but
for the purpose of promoting a healthy action of the skin. The cold
fresh-water bath should be used daily (in the absence of particular
reasons for abstaining), either in doors or out of doors according to
circumstances, with due regard to the precautions mentioned under
the head of the “Bath,” and to the habitual temperature of the body
(which at the time of bathing should, if possible, neither be above nor
below the natural standard) and with careful observance of the process
of brisk friction afterwards, and of avoiding permanent chill. Washing
and rubbing the body, especially the chest, stomach, and neck, daily,
first with a coarse wet towel, and then with a coarse dry one, will
frequently form a good substitute for the bath.
5. CLEANLINEss of person, dwelling, clothing, bed clothes, &c., is
imperative. If it be possible, the clothes both of the person and bed-
ding should be frequently changed; the bed itself, even, should be
frequentiy emptied, purified, and replaced, feather-beds being wholly
objectionable; and the greatest precaution should be observed against
the use of damp apparel or bedding.
6. HABITs of REGULARITY, mental, moral, and physical, should be
strictly observed; excesses of all kinds are prejudicial; mental or
moral excitement should be as much as possible avoided; the habitual
observance of duties, as tending to obviate irregular habits on the one
hand, and evil consequences on the other, is not to be overlooked; a
proper degree of mental and physical occupation, without either undue
physical exhaustion or excessive mental application, and above all in a
methodical and regular manner, is indispensable; a proper proportion,
without excess, of rest, or without indulging an indolent disposition,
is to be enforced. (See “Investigation of the Disease,” section,
“Rest.”) Regular hours, and hours consistent with the natural
division of night and day, should be observed, and the contrary
strictly avoided; gloomy thoughts should as much as possible be dis-
pelled by averting the attention to interesting occupations, but not
by recourse to excitement; frequent change of scene is often very
advantageous to those who have means to procure it, but this should
be understood of changes which do not occasion great excitement.
PREVENTIVE AND ERADICATIVE TREATMENT. 87
b. Medicinal Eradicative Resources.
As in the case of prevention of disease, homoeopathy alone possesses
any power or certain virtue capable of eradicating it. In cases in
which an inherent defect of constitution either provokes the develop-
ment of particular diseases, or appears in complication with them, we
not uncommonly find that remedies which in every respect correspond
with the symptoms, and which would, under other circumstances,
operate as specifics, are repeatedly administered without the least ap-
parent effect. The reconsideration of the symptoms having more than
once confirmed our selection, we should turn our attention to more
deeply-seated causes which are present to thwart us. It is obvious
that the presence of inherent constitutional defects may occasion
external appearances in disease, which are especially susceptible of
erroneous inferences, and therefore without this very important clue,
the special directions for the treatment of any particular disease may
frequently tend to discourage the unprofessional reader.
In every case of disease, therefore, in which a remedy, after repeated
reconsideration and ineffectual administration, is still apparently ho-
moeopathic, or analogous to the manifestations present, I would beg
of the reader to investigate very closely all details of parentage, ante-
cedent circumstances, &c. (as above stated), in order to ascertain the
indication of inherent taint, whether strikingly apparent or extremely
remote and obscure, and as far as in him lies, with due consideration
of the “CHARACTERISTIC EFFECTs,” to make a judicious selection from
ERADICATIVE REMEDIES, such as SULPHUR (to which I shall here confine
my more detailed remarks, as more or less involving the great majority
of cases), which is especially appropriate when there are chronic affec-
tions of the SKIN:—Calcarea-carb. when the GLANDS, in general, are
particularly affected: Mercurius when the BoMEs are prominently in-
volved, unless this be traced immediately to abuse of mercury—allo-
pathically, in which case Nitric-acid will be particularly useful, or
perhaps Hepar-sulphuris may be required: or again, Mercurius, when
the SALIVARY GLANDS are especially involved, saving under the excep-
tional condition just named: Carbo-veg. against what are termed
scorbutic complications: Sabina and Secale occasionally, generally
however with an occasional course of Sulphur against predisposition
to miscarriage. These are only to be considered as a few general
suggestions; but I would further add, with respect to
SULPHUR—that repeated occasions in which I, in common with many
other homoeopathic practitioners, have employed this medicament
under the circumstances above detailed, and when the remedies seem-
ingly appropriate to the external evidences of disease had signally
failed, have confirmed its pre-eminent utility. Very often, after the
patient had been submitted to a few doses of Sulphur, the dormant
susceptibility of the system becomes awakened, and a subsequent
return to the particular and appropriate remedy which had hitherto
failed, has been attended with the most decided benefit. In cases in
which the constitutional taint is deeply seated, or very virulent, a long
88 HOMOEOPATHIC DOMESTIC MEDICINE.
course of such alternations becomes necessary, continually returning
to one or more doses of Sulphur when the effect of other remedies
becomes less apparent, and again employing the intermediary remedies,
or those appropriate to special indications as before, if still required.
In many cases it is either highly beneficial or absolutely necessary, in
treating chronic diseases of all kinds, to commence with a consecutive
course of Sulphur in single daily doses, continuing for a week or ten
days, or until a more or less distinct degree of medicinal action had
set in; then pausing for about four days to watch the subsidence of
such medicinal action, or to detect any particular symptoms requiring
an intermediary remedy, or sometimes suspending treatment for
several days, or even weeks. These variations of treatment must be
subject to the discretion and judgment of the administrator, because
no two cases are strictly analogous, and therefore a rule would be
merely one of many eacceptions. So long, however, as greater activity
of the skin, &c. (see the specific properties of Sulphur at the end of
this work), is manifest after a course of Sulphur, it will be advisable
to pause in the administration. If there be intermediary and distinct
symptoms not appertaining to Sulphur, but identifying a special
remedy, it should be given till such particular symptoms are subdued.
Or, so long as general improvement makes steady progress, however
slow, it will be advisable to abstain from repeating the doses of Sulphur,
Tesuming the administration, however, immediately the malady be-
comes stationary or retrogressive. If acute or active disease has
supervened, and yielded under the influence of intermediary or special
treatment, we are not to consider the cure complete, but should return
to extended courses of Sulphur at remote intervals. By persevering
in such treatment the most obstinate chronic diseases short of actual
organic decay are overcome; and even if actual organic decay has set
in, we have frequently found means to arrest its progress and to pro-
long existence, and even comparative health for a surprising length
of time.
THE Dos Es.—As a general rule the recurrence of the administration
should take place once in twenty-four hours, namely:—the first thing
in the morning, fasting. The quantity should be sufficient to develop
slight medicinal action, which is usually essential to the eradication of
deeply-seated disease; but in order to avoid the error of plunging into
extremes, the following doses may be named as safely to be trusted in
the hands of unprofessional persons:—
For an adult, six globules in a table-spoonful of water; for a child between two
and twelve years of age, three globules in a dessert-spoonful of water; for a
child from the cutting of the teeth to the completion of the second year, two
globules in a tea-spoonful of water; or for an infant between six and nine
months old, one globule constituting, at most, two doses; or two globules
constituting three doses;–a tea-spoonful of a solution of one globule dis-
solved in two tea-spoonfuls of water, or a tea-spoonful of a solution of two
globules in three tea-spoonfuls of water.
GENERAL CoNDITIONS AND INJUNCTIONs respecting eradicative treat-
ment. It is natural that the vigor of animal as of vegetable life is in
the ascendant in the spring, and in the decline at the fall;-it therefore
RULES FOR DIET UNDER HOMOEOPATHIC TREATMENT. 89
follows that the spring will be the season in which eradicative re-
sources, backed by the greater buoyancy of the vital energy, will be
most successful. I would also strongly enjoin every person who has
occasion to undertake the treatment of Disease characterised by con-
ditions of the nature above detailed, above all things not to be dis-
couraged, but, so long as all circumstances correspond to identify the
accuracy of his treatment, to persevere steadfastly, assured that, espe-
cially if the patient does not lose ground, he is pursuing a course
towards ultimate success.
When a mother has given birth to one or more sickly children, she
ought to undergo a course of constitutional treatment forthwith, even
though she may again have fallen into the pregnant state. In the
latter case, however, somewhat more than ordinary caution is required
in watching the progress of treatment.
SYNOPSIS OF THE RULES FOR DIET UNIDER HOMOEO-
PATHIC TREATMENT.
ALIMENTS ALLOWED.
Soup or broth (in special cases of illness or indisposition) made from
the lean of beef, veal, or mutton: to which may be added (well-boiled)
Sago, tapioca, vermicelli, rice, semolina or macaroni, pearl-barley, and
sometimes carrots, young peas, or cauliflower, seasoned merely with a
little salt.
Meats and animal products. Mutton, beef, lean pork, of good
quality, in a few eacceptional cases in which it is known not to disagree
(poultry rarely, except in particular cases), pigeons, larks, rabbits
(venison, and game in general, may, if tender, in most cases be par-
taken of in moderation, but never when high), plainly cooked and
roasted, broiled, stewed or steamed, in preference to boiled: further,
soft-boiled eggs, good fresh butter and curds.
Fish (occasionally). Soles, whiting, smelts, trout, cod, haddock,
mullet, perch, turbot, and flounders, boiled, in preference to fried;
when cooked in the latter manner, the white must alone be partaken
of, and the outer or fried portions rejected.
|Vegetables. Potatoes, brocoli, green peas, cauliflower, spinach, mild
turnips, carrots, parsnips, French beans, seakale, vegetable marrow,
stewed lettuce, well cooked, and prepared with the gravy of meat,
where required, instead of butter.
Condiments. Salt and sugar in moderation.
Bread. All kinds of light bread, not newly-baked; and biscuit, free
from soda, potash, and the like ingredients.
Light puddings, such as those made from vermicelli, semolina,
fecula of potato, sago, arrow-root, rice; macaroni (without cheese),
º: cakes, composed of flour or meal, eggs, sugar, and a little good
utter.
Fruit. Baked, stewed, or preserved apples and pears; also goose-
berries, raspberries, grapes, or any other fruit not of an acid quality,
. º preserved, or in the form of jelly, may occasionally be par-
taken Of.
90 HOMOEOPATHIC DOMESTIC MEDICINE.
t;},
Beverage. Water, toast-water, sometimes milk, milk and water,
cocoa, chocolate (unspiced), arrow-root or gruel, made thin, barley-
water, sugar and water, rice-water, and weak black tea in cases where
it has long been taken habitually, and has not been productive of
injurious effects.
Salt should be used in great moderation.
ALIMIENTS PROHIBITED.
Soups. Turtle, mock-turtle, ox-tail, giblet, mulligatawny, and all
rich and seasoned soups.
Meats. Pork, (except in the instances named as allowable), bacon,
calf's head, veal, turkey, duck, goose, sausages, kidney, liver, tripe,
and every kind of fat and salted meat.
Fish. Crab, lobster, oysters, and shellfish in general; and almost
all other fish not specified amongst the Aliments allowed, as likewise
all kinds of salted, smoked, potted, or pickled fish.
Vegetables. Cucumber, celery, onions, radishes, parsley, horse-
radish, leeks, thyme, garlic, asparagus; and every description of pickles,
salads, and raw vegetables, or vegetables greened with copper.
Rich or high-seasoned made-dishes.
Pastry of all kinds, whether boiled, baked, or fried.
Spices, aromatics, and artificial sauces of all kinds; as also the
ordinary condiments, mustard and vinegar.
Cheese.
Chesnuts, filberts, walnuts, almonds, raisins, and indeed the entire
complement of a dessert, except what has been mentioned amongst
the Aliments allowed, under Fruit. (See also “REGIMEN.”)
The above regulations are subject to considerable modifications in
particular cases, both as regards the aliments allowed and those which
are prohibited. When it is necessary to make a very material altera-
tion in the diet and habits of a patient, it ought, in general to be done
gradually and cautiously. Regularity in the hours of meals should be
observed; and too long fasting, as well as too great a quantity of food
at one time should be avoided.
P A R T II.
ON THE SYMPTOMS, CHARACTER, DISTINCTION, AND
TREATMENT OF DISEASES.
*= .
F E W E R S .
*===º
GENERAL CONSIDERATION OF FEVER.
CAUSES, DIRECT AND ACCESSORY TREATMENT, AND DIET TO BE OBSERVED.
In all forms of acute disease fever is present; in fever, properly so
called, there is generally functional disturbance, accelerated action of
the vascular, with the participation of the nervous system, and a ten-
dency to increased development of heat. The symptoms common to
most fevers are, at first, a feeling of coldness or shivering, then heat,
accelerated pulse, thirst, restlessness, and languor. Fever also possesses
the property of passing from one species into another. Thus inflam-
matory fever may, by severe depleting measures, be altered into a low
typhus; or, on the other hand, a simple fever, by injudicious treatment,
may be changed into an inflammatory one; and that again assume the
intermittent form; also, one attack may present all these different
symptomatic appearances.
Fevers, terminating fortunately, and running a regular course, may
be divided into five stages: the accession, increase, crisis, decrease,
and convalescence. When the result is fatal, it may arise from a
sudden transition of the disease to some vital part, the exhaustion of
the vital energy of the patient, or the destruction of some important
Organ. -
The belief in critical days is of very ancient origin, though there is
some difference in the calculations of physicians upon this point:-
some counting from the day the shiverings declare the onset, others
from the first hot fit: except in cases where a marked periodicity
exists, as in quotidian and other forms of ague, such distinctions are
of little value, inasmuch as the homoeopathic treatment is directed to
forwarding the crisis, and thereby materially shortens the duration of
the disease. Statistics prove that the average continuation of acute
affections is much shorter under the homoeopathic system; than it is
where they are treated pursuant to the old rule, or left to nature;
consequently, any calculations based upon other modes of treatment
are not to be implicitly depended upon, and the best plan for the
administrator to follow is to watch attentively the disease before him,
and apply the remedies his knowledge and experience point out as
best calculated to conduct it to a satisfactory issue.
A crisis may declare itself by violent relaxation of the bowels, pro-
fuse perspiration, discharge of blº from the orifices, or increase or
9
92 HOMOEOPATHIC DOMUESTIC MEDICINE.
alteration of other secretions, or by the appearance of an eruption,
after which, if salutary, the skin becomes moist and resumes its func-
tions, and the pulse returns to its usual standard. ſº
Fevers have been differently classified by various medical writers.
The arrangement we shall adopt, is as follows: simple irritative fever,
inflammatory fever, typhus, putrid, and gastric or bilious fevers, inter-
mittent fevers, chronic fevers, and then eruptive fevers, such as Scar-
latina, Measles, &c.
Although this mode of classification is adopted for the sake of con-
venience, the author has no intention of generalizing disease; every
febrile attack presents peculiar features, and is to be treated as an
individual affection, and according to the nature of the symptoms pre-
senting themselves, not by a blind adherence to the nomenclature of
disease.
Causes of Fever.—It cannot be denied that there exists in certain
individuals a particular predisposition to acute diseases, and the
sanguine, nervous, and bilious temperaments possess this susceptibility
in a far more marked degree than the phlegmatic.
The exciting causes are numerous. Miasms, Epidemic influences,
contagion, powerful mental emotions, derangement of some important
organ, external lesions, excess or errors in diet, heat or cold, or altera-
tions of temperature, exposure to cold or damp, the driving in of
eruptions—in fact, anything that causes derangement of the equilibrium
of the system may produce fever.
GENERAL TREATMENT IN FEVER, AND DIET.
The great essentials in the treatment of fever are:
Perfect rest, mental and bodily.
A horizontal or recumbent position.
Pure air and a cool apartment, the temperature of the patient’s
room in climates in which it is possible to modify the temperature,
should range from 50 to 55 degrees of Fahrenheit or 7 to 10 of
Réaumur. All chemical means for purifying the air of the apartment,
are objectionable. The admission of fresh air is the best.
Feather-beds should be discarded and matresses substituted, when
practicable, and the bed-clothes should be light but sufficient; woollen
coverings are preferable.
Diet.—Nature herself generally prescribes the regimen to be ob-
served, by taking away appetite, while the thirst present indicates the
necessity for fluid. Water is the best drink; no solid food, broth, or
even gruel and the like, should be permitted in cases where the inflam-
mation runs excessively high; and even during the decrease such
articles as gruel and weak broths may be but sparingly allowed; an
error in this respect often causes irreparable mischief, and it is always
safer to err a little on the side of abstinence, than on that of in-
dulgence.
Toast-water, or weak barley- or rice-water, sweetened with a little
sugar or raspberry or strawberry syrup, or orangeade, may be allowed,
when the fever is somewhat abated, though then we must still care-
SIMPLE OR 15PHEMERAL FEVER. 93
fully avoid incurring the risk of a relapse, by giving any aliment likely
to tax, in however slight a degree, the digestive powers. On the ap-
proach of convalescence, sago, arrow-root, and such like, as also cocoa
and beef tea, may be given in small quantities at a time, and at short
intervals. Fruits, such as those which have been enumerated in the
Rules for Diet (see Introduction), are very generally allowable in
most forms of fever, unattended with diarrhoea. Drink ought, for the
most part, to be given frequently, and in small quantities, rather than
in large draughts.
SIMPLE OR EPHEMERAI, FHVER.
This disease seldom presents any distinct character, and generally
runs its course in twenty-four hours; as, however, it frequently forms
the initiative of other more serious disorders, it deserves attention.
Before attacks of scarlatina, measles, smallpox, &c., it is generally pre-
sent, although occasionally showing itself as a distinct affection.
Symptoms.-Shivering, followed by heat, restlessness, thirst, ac-
celerated pulse, general uneasiness and lassitude, terminated by profuse
perspiration.
Under the old system, unless the immediate cause of the affection
can be traced—for instance, indigestion,-the treatment is occasionally
hazardous; for, if the simple fever be merely the commencement of an
attack of severe inflammation, the allopathic physician incurs either
the risk of increasing it by using stimulants, under the idea of its
being a precurser of typhus; or acting upon the opinion of its being a
forerunner of inflammation, of weakening the constitution by depleting
measures, if it should unfortunately run on to the former. The only
safe course, therefore, for the allopathic practitioner, is to await the
distinct characterisation of the disease.
The Homoeopathic method, on the contrary, treats, promptly, safely,
and directly, and without recourse to any of the appliances which may
become prejudicial to the subsequent course of the fever.
The treatment of fever as the accompaniment or consequence of
other irregularities must necessarily be recapitulated under the head
of the majority of diseases.
Aconitum is, however, indicated in all cases in which the general
symptoms of fever given above occur without being traceable to any
particular cause. The particular characteristic by which this remedy
is distinctly indicated in all febrile action, consists in heat and dryness
of the skin, with quickness and fullness of pulse. If the affection be
simply fever, properly so called, Aconitum will speedily dissipate all
the symptoms; and if, on the other hand, it be the forerunner of any
more severe disorder, this medicine will either at once check its further
progress or materially modify, its malignancy. The former is more
peculiarly the case with purely inflammatory attacks; the latter holds
good as far as relates to typhus, acute eruptive diseases, and some
other affections which run a regular course.
Doge: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the skin becomes moist and the pulse
94 HOMOEOf’ATHIC DOMESTIC MEDICINE,
diminished in frequency, which result will almost invariably follow within a
few hours after the commencement of the treatment. Or take four globules
and let them melt on the tongue.
INFLAMMATORY FEVER. SYNOCHAL FEVER.
Symptoms.-Shivering or chill (generally considerable), followed
by burning heat; pulse strong, hard, and greatly accelerated; dryness
of the skin, mouth, lips, and tongue (the latter generally of abright red,
in some cases slightly coated with white); thirst : urine red and scanty;
constipation; respiration hurried, in accordance with the pulse; ame-
lioration of symptoms as the pulse assumes a more natural state. It
runs its course with rapidity, rarely exceeding fourteen days, and pro-
gressing with regularity to a crisis, which shows itself in profuse
perspirations, critical urine, violent relaxation of the bowels, or dis-
charges of blood, chiefly from the nose. The period mentioned is its
ordinary average of duration, but under homoeopathic treatment, the
perfect crisis is considerably hastened, without the long convalescence
entailed by the usual counteracting means,
It is peculiarly apt, if not carefully treated, to change into typhus,
or to fix upon some important organ ; and is generally complicated
with more or less derangement of the brain, for the distinctive features
and treatment of which the reader is referred to the article on “IN-
FLAMMATION OF THE BRAIN AND ITS TISSUES.”
Causes.—Sudden chill or check of perspiration, exposure to damp
or wet, dry easterly winds, violent mental emotion, high living,
external injury, local inflammation, and slight febrile attacks mis-
managed.
Individuals, of what is denominated a full habit of body, are par-
ticularly subject to this disease; it generally attacks between the ages
of 15 and 30 years.
Treatment. — Care should be taken to watch the manifestation,
progress, or change of every symptom, for the accurate choice of the
appropriate remedy, according to the subjoined indications for each.
In cases in which the least difficulty should arise in the discrimina-
tion, the article on the “CHARACTERISTIC EFFECTs of THE REMEDIES”
should be consulted.
Aconitum.—This remedy should be administered in all cases in
which the predominant symptoms are—chill, followed by burning
heat, strong, hard, and quick pulse; dry skin, mouth, lips and tongue,
the latter being in general, of a bright red, but sometimes also slightly
coated with white; excessive thirst ; red and scanty urine; hurried
breathing:—the symptoms being aggravated or modified, according
to the greater or less irregularity of the pulse. The condition which
distinctly points to Aconite as the remedy (when other complications
are not present), consists in the aggravation of the above symptoms
at night, when there will frequently be a slight degree of delirium.
The manifestation of the last symptom should be carefully watched,
lest the brain should become more seriously affected, in which case
Acomºte will not suffice for the treatment, and Belladonna should be
INFLAMMATORY FEVER, 95
administered. If, however, the delirium be not of a violent character,
it will readily be subdued by the action of Aconite.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours, until the pulse becomes more
healthy, the skin moist or covered with profuse perspiration—when the inter-
vals should be extended to six hours, and the administration continued until
absolute amelioration or change.
Belladonna is especially useful after the previous employment of
Aconitum; but it may be prescribed at the commencement of the
attack in all cases when the brain seems prominently affected, and
there is great heat in the head, with violent headache, particularly in
the forehead, and redness of the face; distension of the arteries of the
neck and temples; nocturnal sleeplessness, with furious delirium; eyes
red, shining and fiery; general internal and external heat; burning
thirst, and agonizing restlessness.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change. In
the event of distinct medicinal aggravation, the administration should be sus-
pended until the reaction has taken place. In the event of distinct improve-
ment, the interval should be extended to six hours; and again, after two doses,
if the amelioration be regularly progressive, to eight hours.
Bryonia. When the morbid action is chiefly concentrated in the
internal parts of the chest, or when the fever is complicated with sto-
machal derangement, and inclines to degenerate into continued fever.
This medicament is also indicated when, in addition to the usual symp-
toms of inflammatory fever already given, we find a heavy stupefying
headache, with a sensation as if the head would burst at the temples,
much aggravated by movement, giddiness on rising up or moving;
burning heat of the head and face, with redness and swelling of
the latter; delirium; oppression at the pit of the stomach; excessive
thirst, sometimes followed by vomiting; constipation; aching or shoot-
ing pains in the limbs, short cough, oppression at the chest, and labori-
ous breathing.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours; when, however, the virulence of
the disease has been subdued, a single dose is generally found sufficient, and
no further exhibition should take place, as long as the patient manifestly con-
tinues improving.
Cantharides has been recommended in irritative fever bearing a
close resemblance to pure inflammatory fever, and especially when the
following symptoms become developed: the fever is very intense dur-
ing the night, and is accompanied by burning heat of skin, strong,
accelerated pulse, general redness of the surface, dryness of the mouth,
and violent thirst. Further, when pains are complained of in the right
side of the body, attended with great anxiety and raving.
Dose : The same as Bryonia.
Chamomilla is useful in cases bearing the appearances of inflam-
matory fever, with burning heat and bright redness of the cheeks, tremu-
lous anxious palpitation of the heart, extreme irritability of temper, and
over-sensibility of the senses, alternate heats and chills, and sometimes
96 HOMOEOPATHIC I) OMESTIC MEDICINE.
spasmodic attacks, &c., Chamomilla is peculiarly applicable when the
above symptoms have been excited by a fit of passion or vexation; the
administration of this remedy should, however, be preceded by one
dose of Aconite as before directed.
Dose : The same as Bryonia.
When inflammatory fever seems to arise from a primary inflam-
mation of some important organ, such as the Brain, Lungs, Liver, or
Stomach and Bowels, the treatment will be found under the head of
INFLAMMATION of the organ most evidently the seat of the disorder.
It is sometimes the result of severe injury of the body, in which
case the patient is to be treated as prescribed under ExTERAL IN-
JURIES,
Diet and Regimen. As stated in the general regulations for
FEVER.
NERVOUS FEVER—SLOW FEVER_TYPHUS FEVER,
Symptoms. This variety of fever rarely sets in with such marked
symptoms as announce the approach of inflammatory fever:-instead
of severe chills or shiverings, we first find a complaint of general un-
easiness, a sensation of chilliness, occasionally followed by a greater or
less degree of heat. The patient either complains but little, or of
pains in his head, chest, and belly, and often also of a slight difficulty
of breathing: after various alternations of cold and heat, the former
sensation predominates in the feelings of the patient, while to other
persons he appears hot; the extremities, however, on examination, are
found cold. Different characters of pulse present themselves; some-
times it is full and soft, at others accelerated, frequently about the
natural standard or below it, or quick and weak, but not strong and
hard, as in inflammatory fever: the difference between the action of
the pulse and heart is worthy of notice, the former may be so weak as
scarcely to be perceptible, and the action of the latter strong; the
pulse also may be hurried, and the respiration natural. As the disease
progresses, the tongue, at first moist, becomes thickly coated, dry,
glazed, and tremulous; there is faintness, headache, and giddiness; the
delirium, at first slight, and manifesting itself only at night, becomes
unintermitted, and is characterised rather by wandering and low
muttering, than fury and violence: we may also meet with spasms and
convulsions. All these symptoms, if the disease be allowed to gain
ground, increase in malignancy; the evacuations become involuntary,
the weakness and lassitude excessive, and the patient sinks down to
the bottom of the bed, an evidence of complete prostration of
strength, while all endeavors to rouse him are fruitless, and he is
perfectly blind to all around. Tenderness of the abdomen, or pain in
the region of the blind gut (an intestine situated in the lower part of
the right side of the belly), is also frequently met with.
Some only of the above symptoms may be present, or the fever may
be complicated with others: when only a few of the less virulent
symptoms declare themselves, it is called typhus; when complicated
CAUSES OF THE WARIOUS FORMS OF FEVER. 97
with considerable disturbance of the vascular system, great heat, and
Quick, hard pulse, inflammatory typhus: a distinction is also found in
the type, as in continuous and intermittent typhus; in the accidental
circumstances or exciting causes present, as, for instance, disturbance
of the functions of the stomach and respiratory apparatus, which, al-
though generally treated as gastric or catarrhal fevers, with symptoms
analogous to typhus, may be considered as modifications of this affec-
tion.—This difference in arrangement can, however, make none in
practice, as we must be guided by the symptoms that present them-
selves in selecting our remedies.
The CoNGESTIVE FEVER of some authors may be considered as a
variety of typhus, in which, from the balance of the circulation being
destroyed, the blood is determined to some particular organ, the ex-
ternal heat of the body diminished, and the pulse becomes slow and
oppressed. The symptoms vary according to the organs attacked. It
may be remarked that in most forms of this malady, the course is ex-
tremely irregular—the precursory symptoms may precede the disease
Only a few days or several weeks, and its duration is also uncertain.
Death may take place from exhaustion of the vital energies, para-
lysis of the whole system or of the brain, apoplexy, disorganisation
of some of the nobler organs, or a change to the putrid form.
CAUSES OF THE WARIOUS FORMS OF TYPHUS FEVER.
Densely populated neighborhoods, where a number of individuals
are crowded into small apartments, and the air is rendered impure by
exhalations from decomposed animal and vegetable matter, stagnant
water, and a want of circulation, are the very hotbeds of typhus; a
deficiency and improper quality of food are often added to the above,
and are of themselves sufficient to produce it : other causes are, over-
exertion, either of body or mind, or excesses of any kind, the pre-
valence of cold or damp weather, mental emotions, and infection.
In fact, anything tending to depress the vital energies may be pro-
ductive of typhus; it may consequently arise after inflammatory fever
treated by bloodletting or other severe counteracting measures, or
even by the reaction of the organism, or an imperfect crisis after the
same affection. We shall proceed to consider the treatment of this
malady; and under the indications for the different medicaments
used, will be found the symptoms that declare themselves under the
various phases which the disease presents.
ASPECT OF TYPHUS FEVER.
The prognostication in typhus is to be formed by the type of the
fever, the regularity of its course, the local complications, the greater
or less intensity of the symptoms, and the tendency to a decomposed
state of the fluids.-Continued delirium and stupor; snatching at the
bedclothes: convulsive and nervous twitches; impeded speech and
deglutition ; tremulous or paralytic state of the tongue; a fetid ex-
halation from the body; excessively offensive, dark, dysenteric stools;
mulberry-colored rash, or the early appearance of miliary eruption;
98 HOMCEOPATHIC DOMESTIC MEDICINE,
involuntary evacuations of excrements and urine; discharges of blood
from the orifices, and hiccough, are highly unfavorable signs. On the
other hand, the absence of stupor and delirium, or abatement of febrile
heat and thirst, returning strength of pulse, a gentle transpiration over
the whole body, loose bilious stools, gradual clearing of the previously
turbid urine, or moderate cloudiness, in place of the former clear or
cloudless urine, and deposition of a sandy sediment, are to be held as
favorable indications. Typhus fever generally begins to subside in
this and other temperate or cold climates about the fourteenth or six-
teenth day, but is frequently protracted to a much longer period. . In
warm climates, again, the fever commonly terminates in six or eight
days. &
It is ever desirable, if possible, that the treatment of this disease
should be entrusted to a homoeopathic practitioner.
IDIVISION AND TREATMENT.
It were of no service, as it would also be a difficult task, to define
exactly the varieties of complication which may attend disorders of
this kind.—The broad distinction consists in THE ORGANs which ARE
ESPECIALLY AFFECTED.
But, in order to facilitate the discrimination of unprofessional per-
sons in the treatment of this most difficult species of disorders, we will
divide their induction, progress, and issue, into three distinct stages,
the PREMONITORY AND INCIPIENT, the ACTIVE, and the DEBILITATED
AND CONVALESCENT STAGES. It is not, however, to be assumed that
these gradations are always clearly defined. They may merge im-
perceptibly, may be arrested by treatment, or may be suspended by
fatal results. The INCIPIENT STAGEs are, however, naturally distin-
guishable until the positive development of the fever becomes evident,
and the STAGE OF DEBILITY which is a consequence of the ravages of
the fever, differs from the two former in the subsidence of active
symptoms, and in the accompanying prostration of animal power. In
the treatment of all alike we must be guided by the symptoms, and
select the most appropriate remedy according to the characteristic in-
dications afforded.
TREATMENT DURING THE PREMONITORY AND INCIPIENT STAGES.
Bryonia-alba. Rhus-toxicodendron. These remedies either
singly (according to the subjoined symptomatic indications of each),
or in alternation (where the symptoms of the disease embrace the
characteristics of both), have, when seasonably administered in the in-
cipient stages of many varieties of these fevers, been found sufficient
to arrest the progress and development of the malady altogether, or
at all events so far to modify its future course, as to deprive it of much
of its malignancy. Bryonia and Rhus are, in fact, the medicines
whose ascertained operation is most closely akih to that of this class of
disorders.
Bryonia. This remedy is especially applicable to cases which mani-
fest an inflammatory tendency. It should be selected in the incipient
stage, when the following symptoms are present:—After a slight cold
TREATMENT DURING THE PREMONITORY AND INCIPIENT STAGES. 99
the patient complains of aching pains over the whole body, which ad
mit of norelief from a change of posture;—severe, throbbing, bursting,
frontal headache (aggravated by opening or turning the eyes) prevails;
the scald is tender to the touch, and the head burning hot, yet the
forehead is, nevertheless, frequently bathed with cold sweat;-the
sitting or even the recumbent posture is rendered compulsory by the
prevalence of debility, languor, and heaviness of the limbs, and there
is an aversion to cold air;-the nights are disturbed, more especially
the fore-part of the night, by ebullition or congestion of blood, beat,
and anxiety;-the patient sighs and groans during sleep, and is often
aroused by agonising or frightful dreams, which continue to haunt him
even whilst awake. The digestive functions are considerably deranged,
as exemplified by the presence of bitter taste, loathing of food, nausea
and inclination to vomit, a yellow furred and dry tongue, pressure or
weight and pricking in the pit of the stomach, with sensation of dis-
tension about the lower ribs on both sides, and costiveness.
Dose: If singly, dissolve six globules in two table-spoonfuls of water, and give
a tea-spoonful of the solution every two hours; if in alternation with Rhus,
dissolve six globules of each remedy separately in two table-spoonfuls of
water, and give a tea-spoonful of the one solution four hours after the other,
in rotation, until amelioration or change.
Rhus-toxicodendron is especially applicable to the low, nervous
variety in the promonitory stage of typhus. It should be employed
when, either after exposure to a thorough wetting, or without any
assignable reason, the patient is seized with violent relaa’ation of the
bowels, accompanied by colic, and complains of chilliness even when
seated close to the fire; further, when aching pains (or pains as if arising
from the effects of contusions) are experienced in particular parts of
the body, or when a painful sensation is experienced, as if the flesh had
been torn from the bones; the tongue is furred white, and giddiness,
inclination to vomit, or actual vomiting of phlegm, is presentſ; the pa-
tient is tormented by numbness, creeping and tingling in the parts of
the body on which he lies, together with lancinations, drawing pains,
and stiffness in the nape of the neck and in the back, rigidity and feeling
of paralysis in the extremities, with trembling on holding out the arms;
the chief qualifying condition is that all the symptoms are, generally
speaking, eacacerbated during rest and at night.
Dose: If singly: of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every two hours, until amelioration or change. If ºn al-
ternation with Bryonia, dissolve six globules of each remedy separately in two
table-spoonfuls of water, and give a tea-spoonful of the one solution four
hours after the other, in rotation, until amelioration or change.
Ipecacuanha may be selected in the early stage of typhus, when
it is ushered in by prominent symptoms of derangement in the di-
gestive organs, such as headache, giddiness, nausea, vomiting, watery,
yellow or greenish, slimy evacuations; particularly when these are
associated with slight chills alternately with heat, or considerable
shivering with slight heat, or marked heat with but little shivering.
Dose: Four globules in a tea-spoonful of water every three hours until amelio-
ration or change.
100 HOMOEOPATHIC DOMESTIC MEDICINE.
Pulsatilla may also be selected in this stage of the disorder, when
frequent shivering, bitter taste, whitish tongue, loss of appetite, , nau-
Sea, vomiting of phlegm, slimy evacuations, and febrile heat inter-
mingled with chills prevail; and more particularly when these symp-
toms become exacerbated towards evening, and occur in mild, tem-
perate, or phlegmatic subjects, or in females, with extreme depression
of spirits and tearfulness.
Dose : Four globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Digitalis is indicated when nervous fever, or rather typhus, accom-
panied by bilious derangement, is ushered in by yellow, jaundiced hue
of the skin; violent, bilious, spasmodic pains in the stomach; sensi-
bility of the upper part of the stomach, on the left side, on pressure ;
frequent urging to make water, particularly at night, with scanty
urine; burning heat of the head and face; anxiety of mind and dread
of some imaginary, impending misfortune; urination painful and diffi-
cult, or entirely suppressed.
Dose: Six globules in a table-spoonful of water every three hours, until ame-
lioration or change.
Nux-vomica. Symptoms of stomachal derangement, constipation,
with frequent inclination and ineffectual efforts to evacuate. Wua:-
vomica is further indicated when the spasms, which not unfrequently
accompany this disease, are confined to the stomach and intestines,
particularly the inferior bowel—a frequent cause of the above-men-
tioned constipation; painful and difficult emission of urine; painful
pressure and tension in the regions about the stomach and the lower
ribs; sensation as if the limbs were bruised ; general nervous excita-
bility, with great nocturnal restlessness and slight delirium; weakness
and aggravation of the symptoms in the morning. Temperament,
Sanguine or bilious; disposition, irritable and impatient.
Doge ; Six globules in a table-spoonful of water every four hours, until ame-
lioration or change.
China. This remedy is frequently of service in the first stage, or
when paleness of the face, lancinating, rending, aching, or pressive
headache, cloudiness of vision, buzzing or roaring in the ears, dullness
of hearing are present ; yellow or white coating on the tongue, dry-
ness of the mouth, insipid clammy, or bitter taste; inclination to
vomit; sensibility and distension of the belly; thin, yellow, watery
motions, occasionally intermixed with undigested substances; urine
scanty, pale or dark colored and cloudy; oppression at the chest ;
dragging shooting pains in the limbs; anxiety, sleeplessness, and gene-
ral coldness and shivering.
Dose: Six globules in a table-spoonful of water every six hours, until ame-
lioration or change.
Aconitum. Belladonna. These are the best remedies in the
incipient stage of the disorder, when inflammatory symptoms declare
themselves from the commencement. The selection between Aconite
and Belladonna will be gathered from the subjoined symptomatic in-
dications, and from the article on the “characteristic symptoms,” un-
TREATMENT DURING THE PREMONITORY AND INCIPIENT STAGES. 101
der the head of these remedies respectively. It should be added here,
that when the disease becomes further developed, and still retains the
inflammatory character—Bryonia and Rhus respectively, according
to the symptoms, are generally preferable.
Aconitum is indicated in the incipient stage by the presence of
the following symptoms:—Chill followed by burning heat, strong,
hard and quick pulse, dry skin, mouth, lips and tongue; the latter
being generally of a bright red, but sometimes also slightly coated
with white; excessive thirst ; red and scanty urine; hurried breath-
ing ; the symptoms being aggravated or modified, according to the
greater or less irregularity of the pulse. The condition which dis-
tinctly points to Aconite, as the remedy (when other complications
are not present), consists in the aggravation of the above symptoms
at night, often attended with slight delirium. Should the delirium
become violent, and considerable cerebral disturbance be otherwise
manifested, or should this particular symptom not yield rapidly to the
action of Aconite;—when, moreover, the skin continues hot and dry,
and the bowels relaxed, or the motions are even passed involuntarily,
or when there is inflammation of the glands of the throat (tonsils), or
red, parched tongue, great thirst with disinclination or dread to satisfy
it, it will be preferable to administer Belladonna until the indicative
symptoms yield.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change. In mild cases in
which the symptoms yield readily to the action of the medicine, the repetition
may be deferred to intervals extending to twelve hours.
Belladonna is particularly indicated by the following symptoms,
in addition to those above enumerated: alternate heat and chills, or
general heat externally and internally, with redness, burning heat,
and bloated appearance of the face, or alternations of coldness and
paleness, and heat and redness of the face, violent throbbing of the
large arteries in the neck; redness, sparkling, and protusion of the
eyes, with dilation of the pupils, extreme sensibility to light, and
distortion of the eyes; singing or noises in the ears to a greater or less
degree ; wild ea pression of the countenance, with uneasy glancing
around, as if from fear, sometimes attended with a marked inclination
to run away; violent shooting pains in the forehead; or dull heavy
pain, causing the patient to put his hand frequently to his head; sopor;
furious delirium or loss of consciousness; delirium and snatching at
the bedclothes, or spasmodic or convulsive attacks; parched lips,
soreness of the corners of the mouth, redness and dryness of the
tongue, which is also sometimes foul, and covered with a yellow
coating; skin hot and dry; bitter taste in the mouth, intense thirst,
difficulty of deglutition, especially of liquids; nausea; pressure at the
pit of stomach; excessive distension of the bowels, and constipation,
or watery motions; scanty and red or amber-colored urine; rapid
respiration; pulse full and accelerated, or quick, hard and wiry; in-
flammation and swelling of the glands before and beneath the ears.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change. In
102 HOMOEOPATHIC DOMESTIC MEDICINE.
mild cases, or when the symptoms yield readily to the action of the medicine,
the repetition may be deferred to a period of twelve hours, and repeated at
such intervals, until amelioration or change.
Stramonium is indicated by symptoms of the same nature as those
which indicate Belladonna, with the addition of the following:—
twitching of the muscles of the face, starting of the tendons, squinting,
trembling of the extremities, tremulous motion of the tongue on pro-
trusion, burning heat of the body, suppression of the urine, fantastic
gesticulations, and involuntary spasmodic smiling.
Dose : Four globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Hyoscyamus is indicated by the same symptoms as have been
stated at length under the head of Belladonna, with the addition of
the following:-twitching of the tendons, strong, full pulse, fullness of
the veins, burning heat of the skin, sensation of pricking all over the
body, and constant delirium ; frequent but ineffectual urging to uri-
220.86.
Dose: Three globules in a tea-spoonful of water every three hours, until the
symptoms are distinctly modified or changed.
Baptisia (Wild Indigo) is especially required when the weak and
tremulous feeling; the quick (90) full, and soft pulse; the internal
and external heat, with thirst ; the headache and tendency to delirium;
the tongue yellowish-brown in the centre and red at the edges; the
constipation alternating with diarrhoea; all contribute to make up the
morbid picture;—hot dry skin and a quick full pulse; the tongue is
thickly covered with a whitney-brown fur; the head aches, and there
is at least noctural delirium ; no appetite and great thirst ; the urine
is high colored, and generally with constipation.
Dose: The same as directed for Stramonium.
TREATMENT OF ABDOMINAL TYPHUs;
That is, typhus with tenderness and distension of the belly, griping,
or sometimes dull, continuous pain, diarrhoea, déc.
IMercurius will be found a most efficient medicine, if immediately
employed when the disorder assumes the low form of abdominal
typhus, or occurs in persons of sluggish constitution and slow circu-
lation, and is attended with pale, yellowish appearance of the face,
severe headache, or sensation as if a tight band were across the fore-
head; thickly-coated tongue; bitter or foul taste; little thirst; sensi-
tiveness of the region about the navel and the pit of the stomach to the
touch and distension of the belly; evacuations, copious, watery, floc-
culent, or slimy and even bloody, sometimes qualified by straining
without evacuation; at first, dry burning skin followed by profuse,
debilitating sweats; depressed pulse, and great prostration; extreme
restlessness and anxiety, with constant tossing about in bed; and dis-
turbed, unrefreshing sleep with anxious dreams.
Dose: Six globules in a tea-spoonful of water, every two hours, until the eva-
cuations become diminished in number and improved in appearance, and the
TREATMENT OF ABDOMINAL TYPHUS. 103
tenderness and pain in the lower part of the stomach, &c., are relieved. After
which, some other remedy must be selected, in accordance with the remain-
ing symptoms: consider Acidum Nitricum, amongst others.
Rhus-toxicodendron is especially indicated in abdominal typhus
characterised by continued heat and dryness of the skin; violent de-
lirium; oppression at the heart, with sighing and moaning; pains in
the limbs; eactreme debility; tongue and lips dry and red, or covered
with a brown or blackish, tenacious fur; red, burning cheeks; con-
vulsive twitching of the tendons, snatching at the bedclothes, drowsi-
ness or stupor, with muttering and loud, nasal breathing; weak, ac-
celerated pulse; anxious expression of countenance; sleep disturbed,
or prevented by the frequent recurrence of sudden starts; eyes in-
flamed, watery and insensible; features collapsed; breath exceedingly
offensive; involuntary evacuation of excrement and urine; coldness
of the eactremities; sinking energies; livid spots and miliary eruption.
* Dose : Dissolve twelve globules in three table-spoonfuls of water, and give a
tea-spoonful of the solution every two hours until three doses have been
given; then extend the intervals (or sooner, if distinct &mprovement take
place)to four hours, and continue the administration until the symptoms par-
ticularly indicative subsidº, or become altered. If no alteration follow the
fourth dose, or the aspect of the symptoms be as follows, proceed with the
next remedy.
Camphor frequently proves useful after RHUs, particularly when
the following symptoms prevail; heat of the head with confusion of
ideas, or violent delirium ; giddiness; throbbing headache; burning
heat in the forehead: cold and clammy skin; continuous coldness of
the hands and feet; debilitating and clammy sweat; tendency to
violent relaacation of the bowels; scanty cloudy wrine, which deposits
a thick sediment; great weakness, and feeble, scarcely perceptible
pulse.
Dose: One drop of the saturated tincture on a small lump of loaf sugar, every
quarter of an hour, until distinct amelioration or change :—or if the more
urgent symptoms have yielded, and the following remain, proceed with the
next remedy.
Cocculus may often follow either Rhus or Camphor (after the
previous employment of Rhus), especially when the great debility con-
tinues, and the patient complains of giddiness and headache; or when
there is a tendency to swooning or paralysis of the limbs, and when
there are prominent symptoms of derangement of the digestive func-
tions.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every two hours, until amelioration or change.
These remedies either singly or in alternation are amongst the most
important, in cases of a desperate character, and when the most alarm-
ing symptoms occur.
Arsenicum. This is decidedly one of the most important remedies
in abdominal typhus, especially in the second and third stages, some-
times restoring the patient when almost beyond the reach of hope,
and renovating the vital spark. The chief indications for its employ-
ment are:—EXTREME PROSTRATION OF STRENGTH,-falling of the lower
104 HOMCEOPATHIC DOMIESTIC MEDICINE.
jaw, open mouth, dull and glassy eyes, bitter taste, inclination to
vomit, pressure and aching at the pit of the stomach, pain in the
right side of the inferior region of the belly,–bursting headache,
giddiness, violent or low muttering delirium,-drowsiness, flatulent
distension of the bowels, —burning thirst,-dry, hot skin,_-parched,
cracked, sometimes blackish-looking clammy tongue, and violent and
continuous relaxation of the bowels; pulse scarcely perceptible, and
intermittent.
Dose: If singly, of a solution of six globules to three table-spoonfuls of water,
give a tea-spoonful every quarter of an hour (in very critical cases), or every
hour (in less urgent instances) until amelioration or change, doubling the
length of the intervals as soon as distinct improvement occurs. If in alter-
nation with Veratrum.—Dissolve separately six globules of each remedy in three
table-spoonfuls of water, and give one tea-spoonful of the one half an hour
after a similar dose of the other (in very critical cases), in rotation—or at
intervals of one hour (in less urgent instances) until amelioration or change.
Veratrum is occasionally useful after or in alternation with Arseni-
cum, when the inferior extremities become cold and covered with
cold sweat.
Dose : In every respect, Singly or in alternation with Arsenicum, as directed for
the latter remedy. Q
Carbo-vegetabilis may also prove serviceable in very critical
cases. It is indicated where we find drowsiness with rattling respira-
tion,-face pinched, sunken, and death-like, -pupils insensible to light,
pulse scarcely perceptible, and the vital power rapidly sinking, —Cold
perspirations on the face and extremities, involuntary and offensive
evacuations,—deep-red urine, with a cloud floating in it, or rising
towards the surface. In abdominal typhus, however, the more par-
ticular indication consists in symptoms of incipient ulceration, or in
signs of so-called putrescency.
The following symptoms are also distinctly indicative of this remedy:
—burning, lancinating pains about the region of the stomach, and deep
in the bowels, which become renewed after partaking of food of any
kind, and are accompanied by great anxiety, excessive flatulency, and
the evacuation of burning, light-colored, fetid, watery, bloody stools,
attended with painful urging; desire for salt food, and for coffee,
with aversion to meat, generally, and dread of indulging the craving,
lest the sufferings be aggravated.
Dose : . In every respect, singly or in alternation with Arsenicum, as directed
for that remedy, above.
TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUS,
Whether of the inflammatory or low variety.
Bryonia is more particularly indicated when the disorder assumes
the character of inflammatory nervous fever, or typhus especially af.
Jecting the brain, with violent, stupefying headache, as from a blow,
and pain across the forehead and at the temples, as if the head would
burst; frequently raising of the hands to the head. Aggravation of
these sensations by movement—continued, violent delirium with ex-
cessive febrile heats; foul, thickly-coated, yellow tongue, or dry,
TREATMENT OF THE SECOND OR ACTIVE STAGE OF TYPEIUS. 105
cracked, tongue, with parched mouth and great thirst, and yesicles in
the mouth or on the tongue; furred lips; nausea, inclination to Vo-
mit, or vomiting of mucous and bilious matter; tenderness of the
pit of the stomach, when touched; general heat of the whole body,
dryness of the skin, redness of the face, and profuse perspiration
during the fever; sensibility about the region of the stomach;
distension of the belly, oppression at the chest, and frequent sighing
and moaning, indicative of threatening miliary eruption; constipation,
or relaxed stools; urine of a deep orange color or bright yellow, with
yellow sediment; sensation as of a plug in the throat, with difficulty
of hearing; stitches in the side; drowsiness or disposition to sleep
during the day; sleeplessness, fugitive heat, and excessive restlessness,
or continued drowsiness or stupor, with startings and unpleasant
dreams; painful shootings and soreness of the limbs, aggravated by
movement; trembling of the hands; pulse quick, soft, frequent, or ir-
regular, small and intermitting; miliary interruption, livid spots; ?r-
vitability, irascibility, despair of recovery.
Dose: If singly. Under very favorable circumstances, of a solution of six glo-
bules to three table-spoonfuls of water, give a tea-spoonful every twelve
hours:—in cases which assume the more serious features, a similar dose should
be repeated every three hours, until amelioration or change.—If ºn alléºnd-
tion with Rhus. Dissolve separately, six globules of each remedy in three
table-spoonfuls of water, and give a tea-spoonful of one solution four hours
after the like dose of the other, in rotation, until amelioration or change.
Eupatorium-perfoliatum. Pain in the bones, attended with hot
dry skin. This remedy has been highly recommended by the most
successful practitioners as Drs. Williamson, Neidhard and others.
Dose: The same as is directed for Bryonia.
Rhus-toxicodendron. This medicine is more peculiarly suitable
to the low form or stage, Bryonia being more applicable to the in-
flammatory, but will frequently be found serviceable in all the stages
of the disease, particularly when there is undue relaxation of the
bowels, congestion to the head, oppression at the chest, and great
weakness. The headache is generally of a stupefying nature, with a
feeling as if from a bruise, but not so severe as that indicating Bryo-
nia; the tongue presents nearly the same character, less nausea and
inclination to vomit exist; violent pain is present about the region of
the stomach, especially when touched. Constipation as named of
JBryonia, but more frequently copious, yellowish, or loose, bloody
evacuations, with severe cutting pains in the belly; the symptoms are
general heat, and those of the face resemble those mentioned under
JBryonia, but without the perspiration, or at most, a clammy feeling
of the skin. The urine is hot, dark colored, or at first clear, and after-
wards turbid; the symptoms of the ears the same; sleep also the same;
difficult deglutition of solids, as if from contraction of the throat
and the gullet; general trembling, debility, and prostration, almost
amounting to paralytic weakness of the different limbs; shooting
pains in various parts of the body, aggravated when at rest or at
'night, and momentarily relieved by moving the part affected; pulse
quick and small or weak and slow; as mental or moral symptoms,
106 HOMOEOPATHIC DOMIESTIC MEDICINE.
we may notice, excessive anguish, anariety, extreme lowness of
Spirits, and disposition to weep.
Dose : Whether singly, or in alternation with Bryonia, in all respects as di-
rected for the latter remedy above.
Arnica is also of some importance in low or sluggish nervous fever,
with lethargy, or delirium, and snatching at the bedclothes; or when
the patient lies in a state of unconsciousness as if he had been stunned
by a concussion of the brain. -
Dose: Three globules in a tea-spoonful of water every four hours, until ame-
lioration or change.
Pulsatilla is often of considerable service in the second Stage of
typhus, when slight delirium, tears and lamentations, alternating with
drowsiness, prevail.
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, at the
expiration of four hours, and so until amelioration or change. ... But if any
of the under-mentioned symptoms declare themselves, proceed with the next
remedy. •r-
Acidum-phosphoricum is frequently required, either when, at
the commencement of the disease we find great exhaustion and pros-
tration, with wandering even when awake; or in almost hopeless cases
(alone or still better in alternation with Rhus) when the patient is
always found lying on the back in a drowsy state, and either makes
Zvo reply when spoken to, or answers incoherently; or in other in-
stances, and especially after the previous employment of Pulsatilla,
when the following symptoms prevail:—constant, loquacious delirium
or low muttering; snatching at the bedclothes; fixed looks; seeming
efforts to escape from some alarming object; black incrustations on the
!ºps; dry, hot skin; continual, copious, watery discharges from the
bowels, the motions being in generalinvoluntary; bloody evacuations;
.frequent, weak, and occasionally an intermitting pulse.
Dose: , Three globules in a tea-spoonful of water, at first every hour, extending
the intervals to three hours as soon as the symptoms are modified, and con-
tinuing the administration until positive amelioration or change. Or if the
under-mentioned symptoms should in particular continue unmodified,
proceed with the next remedy after a lapse of three hours, from the last dose.
Acidum-nitricum should be administered after or during the
course of Acidum-phosphoricum—but not within less than three hours
of a previous dose of the latter, if the bloody evacuations fail to yield
readily to the previous treatment. Acidum-nitricum is, moreover,
particularly useful when there are white specks in the mouth and
throat; sensibility of the belly on pressure; relaxation of the bowels,
and slimy, acrid, greenish-colored stools; straining; intestinal ulce-
zations; shooting pains in the lower bowel; scalding when passing
water; and tendency to collapse. In some cases it is necessary to ad-
Żminister this remedy by injection or enema, as below stated.
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, after
four hours (or every four hours till the symptoms yield), returning to Acidum-
phosphoricum, if requisite, or proceeding with next remedy, after a pause of
three hours, if the under-mentioned symptoms, in particular, supervene.
The ENEMA should consist of six drops of the tincture at the third dilution to
every two table-spoonfuls of water.
- ~~~~
TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUS. 107
Cantharides should be administered after or during the course of
either of the three foregoing remedies, but not within less than three
hours of a dose of any other medicament if painful evacuation of
water be distinctly manifested.
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, after
an interval of three hours (or continuing at such intervals until the indicative
symptom is positively subdued), returning to either of the foregoing, or pro-
ceeding with other treatment, or suspending treatment, according as the pre-
valence of particular symptoms or general improvement be manifested.
China is sometimes of considerable value in the second stage of this
disease, especially when the attack has become protracted and tedious,
and the following symptoms in particular have declared themselves:–
nocturnal sweats, obstinate relaa’ation of the bowels, but unattended
with pain in the bowels, the tongue at the same time being clean.
Dose : Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change, unless, after the third dose, the sweats remain unmodified,
when proceed with the next remedy, after a pause of four hours.
Sulphur should follow the third dose of China in the event of the
continuance of the sweating, notwithstanding the previous administra-
tion of the latter remedy. Sulphur has also been found of consider-
able service,—J3ryonia, Rhus, or Acidum-phosphoricum having been
fruitlessly administered, but particularly when the following symptoms
were encountered : pale and collapsed countenance, burning, itching
eruptions on the lips, dryness of the mouth: foul, dry tongue; bitter
taste; slimy or bilious vomiting; tenderness of the region about the
stomach, and pain as from excoriation of the parts about the navel,
increased on pressure; flatulent rumbling in the bowels; frequent,
watery, flocculent, or yellow evacuations; cloudy urine, depositing a
reddish sediment; miliary eruption; eruption with a discharge of
matter; bleeding at the nose; stitches in the chest, oppressed breath-
ing; dry cough, worse towards evening and at night; sleeplessness,
or whining during sleep; dry heat during the day, with moderately
Quick pulse, and profuse sweating at night.
, Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, unless, after the second dose, the
following symptoms be present, when proceed with the next remedy.
Acidum-sulphuricum should follow the second dose of Sulphur
after an interval of six hours, if the sweating be yet very profuse, par-
ticularly if so when lying still and modified by movement ; or it should
even precede either or both of the preceding remedies, if the sweating
be very profuse when lying still and diminished by movement.
Dose : Three globules, in a tea-spoonful of water, every four hours, until ame-
lioration or change.
Calcarea, CALCAREA-C. may sometimes be adminis-
Hepar-sulphuris, tered advantageously, alternately with Bel-
Lycopodium. ladonna, Arsenicum, or Rhus, according
to the symptoms; it is further, occasionally, a most efficient remedy
in cases in which debilitating relaxation of the bowels, or bleeding of
the nose, will not yield to such remedies as Acidum-phosph., Rhus,
China, &c.; lastly, Calcarea-c, may be exhibited with advantage
108 HOMOEOPATHIC DOMESTIC MEDICINE.
where there are symptoms of impending miliary eruption, jerkings or
twitchings in the limbs, particularly in children, tendency to inflam-
mation of the membranes of the brain, delirium, &c.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every three hours until amelioration or change.—Or if the under-
mentioned symptom should declare itself, or having been previously present
should continue unmodified after the third dose of Calcarea, proceed with the
next remedy, after a pause of four hours.
HEPAR-SULPHURIs should follow the third dose of Calcarea after an
interval of four hours if discharge of blood from the nose should super-
vene, or, having been previously present, should continue without
material improvement; except, indeed, the presence of other symp-
toms of a more urgent character should require the administration
of other remedies, such as Pulsatilla, Belladonna, Rhus, or Sulphur.
Dose : Three globules, in a tea-spoonful of water, repeated, if necessary, after
an interval of four hours—or continued, at such intervals, if requisite, until
the distinct modification of the indicative symptom.
Lycopodium is often a valuable remedy after Calcarea, (with or
without the intermediate administration of Hepar-s. according to
circumstances,) in the second stage of typhus, when miliary eruption
is slowly and scantily developed, and the following symptoms occur:
drowsiness with muttering delirium ; confounding of words; stam-
mering ; twitching of the tendons, snatching at the bedclothes; flatu-
lent distension of the bowels, with constipation ; affections of the
bladder; or when there are shiverings alternating with heat; circum-
scribed redness of the cheeks; debilitating sweats; excessive debility;
complete hanging of the lower jaw; half-closed eyes; slow respiration;
or, state of excitement, without heat or congestion in the head or
face; redness of the tongue; constipation; burning urine; tranquil
and resigned state of mind, or surliness and malevolence, especially on
waking.
Dose : Three globules, in a tea-spoonful of water, every three hours, until ame-
lioration or change. In case of amelioration, pause until the symptoms ey-
dently retrograde, when resume, at intervals of six hours, as long as neces-
sary.—In the case of change suspend treatment for four hours, and continue
with the remedy newly indicated.
Lachesis may prove serviceable in fever analogous to typhus,
attended with giddiness on rising or sitting up ; muttering ; bitter
taste; delirium ; hanging of the lower jaw; vacant expression of
countenance; sunken features; yellowish tongue, with bright-red
margins; cracked tongue; smooth, dry tongue, or furred, white,
slimy tongue; heaviness of the tongue, with difficulty of protruding
Žt, and in articulate speech ; seeming paralysis of the eyelids; lethargic
sleep, and tendency to lie in the prone position; thirst, with disincli-
nation to drink; brownish-red, copious urine.
Dose : Three globules, in a tea-spoonful of water, as directed for Lycopodium:
—or if the symptoms be very urgent, begin by administering at intervals of
two hours—extending the intervals to four hours after two doses have been
given.
Phosphorus is of great service where we find great dryness of the
tongue, heat of skin, small, hard, quick pulse, painless relaxation of the
TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUs. 109
bowels, with excessive flatulent rumblings; or when the disease be-
comes, as it were, concentrated in the lungs, and there is consequently
congestion, with extremely laborious breathing and excessive anxiety,
dullness on percussion, mucous rattling, stitches during respiration,
cough, with copious expectoration of phlegm mixed with blood or even
offensive matter, more benefit may be looked for from this than from
any other remedy. Phosphorus is also serviceable when, notwith-
standing the pneumonic concentration, there is, moreover, sensibility
and rumbling on the right side of the lower part of the belly, or when
there is continued heat of skin, with small, hard, accelerated pulse,
throbbing of the great arteries of the neck, and nocturnal sweats;
sleep disturbed by crowding of ideas, weeping, whimpering, sudden
cries, and restlessness. The patient awakes from sleep complaining
of great thirst and dryness of the mouth, excessive heat, and aching
of the whole body. In addition to these symptoms, there is a burning
sensation in the belly and fundament, with frequent semi-fluid stools,
streaked with blood; giddiness, confusion, and throbbing pains in the
head; deafness: frequent discharge of blood on blowing the nose, and
heat in the face; tongue and lips dry and cracked; bitter taste; co-
pious evacuations of urine, which deposits a whitish or reddish sedi-
ment ; delirium ; obstupefaction.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change.
Acidum-muriaticum. Weakness, with a constant tendency to
sink town in the bed, with groaning during sleep, almost paralytic
state of the tongue, rendering it nearly impossible for the patient to
speak, even when in a collected state, and great dryness of the mouth.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Natrum-muriaticum is recommended in nervous fevers with
great debility, insatiable thirst, dryness of the tongue, and loss of con-
sciousness, and particularly when they follow in the course of antece-
dent debilitating diseases.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Helleborus has also been found of great utility in nervous fever,
occurring after other febrile affections, such as scarlatina, measles,
stomachal fever, worm fever, and cholera, with pain as from contu-
sion, combined with tumefaction, in the integuments of the head;
disposition to somnolency, with confusion of ideas, and extreme rest-
lessness: dark, cloudy urine; heaviness, or feeling of stiffness and
powerlessness in the limbs; depression of spirits, and obtuseness of the
faculties.
Dose : A solution of six globules, as directed for Natrum-muriaticum.
Secale-cornutum is, in like manner, with Natrum-m. and Helle-
borus, recommended by many homoeopathists who have had frequent
opportunities of treating nervous fevers, particularly in cases occurring
in the wake of other diseases; but is more especially appropriate where
110 HOMOEOPATHIC DOMIESTIC MEDICINE.
the symptoms developed clearly proceed from irritation of the spinal
nerves, with wandering, fugitive, spasmodic pains, extending from the
base and column of the spine into different parts of the body; the
spasms which affect the face become subsequently of an intermittent
nature; whilst those that have their seat in the hands and feet par-
take of a continued character. This remedy is further indicated by
dry heat of the skin, insatiable thirst, accelerated pulse, great rest-
lessness and sleeplessness; excessive languor, and aversion to food.
Should the spasmodic affections readily yield to the employment of
this remedy, but if the febrile symptoms continue, some other remedy
appropriate thereto must be prescribed.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea
spoonful of the solution every three hours, until amelioration or change.
Arsenicum, ) These remedies are of signal importance, either
Veratrum, singly, in succession, or in alternation, according to
Carbo-veg. ) the individuality, succession, or combination of the
symptoms present, in the second stage of typhus, in all desperate cases
in which vitality becomes nearly extinct. For distinctive indications
the reader is referred to the foregoing prescription of these remedies,
under the head of ABDOMINAL TYPHUs (at page 103).
Dose : If singly, of either remedy:—Dissolve six globules in three table-
spoonfuls of water, and give one tea-spoonful of the solution every quarter of
an hour (in very critical cases), or every hour (in less urgent instances), un-
til amelioration or change, doubling the length of the intervals as soon as
distinct improvement ensues.—If in alternation. Dissolve, separately, six
globules of the remedies to be used alternately in three table-spoonfuls of
water, and give a tea-spoonful of one, half an hour after a similar dose of the
other (in very critical cases), in rotation, or at intervals of an hour (in less
urgent instances), until positive amelioration or change—doubling the length
of the intervals as soon as a degree of improvement is evident.
Carbo-veg. In addition to the indications given for this remedy,
under the head of ABDOMINAL TYPHUs, the following symptoms are
characteristic of its employment in the second stage: excessive anxiety,
and burning heat of the skin, arising from congestions to the head and
chest; the eyelids agglutinated during the night; deafness, and ring-
2ng in the ears ; bleeding from the nose, and obstruction of the nose
from incrustations, eruption around the nose, and brown or blackish,
cracked lips; the legs drawn up during sleep, and the sleep restless,
and disturbed by frequent waking.
Dose: Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change, when thus specially indicated ;-when, as above, singly
or in alternation, the dose should be as directed under the last head.
TREATMENT OF TYPHUS CHARACTERISED BY STUPOR.
' ' In treating of this variety of the malady it will be unnecessary to
recapitulate the remedies already enumerated, in relation to the
various stages and varieties hereinbefore described. Suffice it to say,
that the same features and conditions would indicate their employ-
ment in this variety, and that the method of administration should be
in every respect similar. But the symptoms which more particularly
THE STAGES OF DEBILITY AND CONWALESCENCE AFTER TYPHUS. 111
distinguish this species of typhus, especially indicate, by assimilating
most closely to the specific operation of *
Opium. This remedy should accordingly be given when the follow-
ing group of symptoms prevails:—great drowsiness or lethargy, with
stertorous breathing, open mouth, half-closed eyes or fixed look; slight
delirium or muttering, snatching at the bedclothes; the patient bein
in a continued state of stupor, from which it is extremely difficult to
rouse him, and from which he is scarcely aroused before he relapses
into his former state ; furious delirium, and incessant restlessness;
dry, offensive stools, with involuntary evacuations of excrement and
ll.III.10.
Dose: Of a solution of six globules to three tea-spoonfuls of water, give a
teaspoonful every three hours, until amelioration or change.
TREATMENT OF THE STAGES OF DEBILITY AND CONVALESCENCE AFTER
TYPHUS.
Rhus-toxicodendron. This remedy retains its importance in the
treatment of typhus throughout all the stages of the malady, and is
amongst the best appliances during the period of debility which gene-
rally supervenes after the issue of this fever. Rhus is more especially
indicated in this stage, when the progress towards recovery is sluggish,
the pulse retaining a febrile character, the appetite, although improved,
being capricious, the bowels predisposed to relaxation, and the chest
not yet exempt from feelings of oppression.
Dose : Three globules, in a tea-spoonful of water, night and morning, until
distinct amelioration, or change.—Upon evident improvement taking place
under this treatment, it will be sufficient to repeat the dose every night.
China is frequently of great use in this stage against the debility
resulting from the effects of the malady, more especially when the
patient has suffered much from violent relawation of the bowels during
the previous course of the disease; or if there be a tendency to con-
tinuance in this symptom. China is also particularly useful when
debilitating sweats supervene. In this case it should be followed by
Sulphur, if that symptomi has not yielded distinctly, after the second
dose.
Dose : In the case first described, three globules, in a tea-spoonful of water,
repeated, at intervals of twelve hours, until three doses have been taken.
Under the last-stated circumstances a similar dose night and morning, and
if the symptom does not distinctly yield within twelve hours after the second
dose, proceed with the next remedy. º
Sulphur should follow twelve hours after the second dose of
China, in case of the obstinate continuance of the sweats, or of the
presence of dry cough at night.
Dose : ... Three globules, in a tea-spoonful of water, every twelve hours, until
amelioration or change.
Ferrum-metallicum is a preferable remedy when the pulse con-
tinues weak or frequent, after a profuse discharge of blood, particularly
in the case of females affected with green-sickness, or who have pre-
viously suffered from it. º
112 HOMOEOPATHIC DOMESTIC MEDICINE.
Dose : Three globules, in a tea-spoonful of water, morning and evening for
a week.
ACCESSORY MEASURES DURING THE PERIOD OF DEBILITY.
The fever having subsided, and the patient being able to sit up,
should first be removed to another apartment, free ventilation, and a
moderate degree of warmness being simultaneously secured. By
degrees, and as soon as posible, passive motion, and from thence, if
possible, walking exercise (not sufficient to exhaust the patient) should
be daily sought in the open air, in fine weather, with, however, par-
ticular precautions against damp or chill. Nothing will conduce to
restore the patient to health and strength more rapidly and tho-
roughly than such accessory treatment with proper precautions in
respect of diet, as stated below.
AFTER EFFECTS OF TYPHUS.
BED-sor Es, ABSCESSES, BOILS, SWELLING OF THE FEET, WEAKNESS OF
DIGESTION, AND GENERAL DERANGEMENTS.
These are more or less frequently the results of very severe or
protracted cases, especially when the reactionary process is sluggish,
—and require simultaneous local and constitutional treatment, with
this reservation: that when the local application is unmedicated (such
as pure spirit), we may select the constitutional remedy, irrespective
of such application, according to the particular features of the case, by
consulting the symptoms present, the article on the “CHARACTERISTIG
EFFECTs,” and the articles on “BoILs” and “ABSCESSEs,” as regards
those particular affections.
JEcternal Treatment of Bed-sores.
Spirits-of-wine, Collodion, or Glycerine, will in general, suffice
to remove this troublesome affection.
Application. To one part of the Spirit add two parts of pure water, and satu-
rate with this solution a linen pad, which must be applied to the parts and
kept moist.
Arnica (TINCTURE) should be employed if the diluted spirit has
proved insufficient and inflammation has not supervened.
Application. To one part of the Tincture add twenty parts of water, and pro-
ceed as directed for SPIRITs of WINE.
Tincture of Carbo-veg., When mortification
Tincture of Arsenicum, supervenes we may suc-
Tincture of Cinchona (concentrated). ) cessfully employ either
of these remedies (according to symptomatic indications) simul-
taneously with the internal administration of the same medicament,<
as stated below.
Application. To a wine-glassful of water add five drops (of the Tincture of
Arsenicum), or ten drops (of either of the others), and saturate with this so-
lution a linen pad, which apply to the parts and keep moist.
Constitutional Treatment of Bed-sores.
Belladonna is required singly (in general, but in alternation with
AFTER-EFFECTS OF TYPHUS. 113
Sulphur, especially for scrofulous subjects,) in cases in which severe
inflammatory action supervenes, the local treatment having been
insufficient.
Dose : If singly, three globules in a tea-spoonful of water every three hours,
until three doses have been taken, and then every six hours until the symp-
toms subside. If in alternation with Sulphur, first three doses of Belladonna
successively at intervals of four hours, then a pause of twelve hours; then
two doses of Sulphur at intervals of twelve hours.
Carbo-veget., One or more of these remedies will become re-
Arsenicum, quisite in cases of bed-sores characterised by the
or China. appearance of mortification, exemplified in the ap-
pearance of the sores.
The distinctive indications of each of these medicines will be best
traced by consulting the article on “CHARACTERISTIC EFFECTs.”
Dose : Of the appropriate remedy give three globules in a tea-spoonful of
water three times during the first day, and afterwards night and morning,
until amelioration becomes progressive.
*}
Silicea is especially indicated when the bones are evidently affected.
w Dose: Six globules in a table-spoonful of water night and morning for a week,
pause a week, and resume, similarly, if still requisite.
Sulphur, It will be advisable to refer to the article on “ CHA-
Silicea. łº EFFECTs,” to facilitate the selection from
these remedies, in cases in which the process of granulation is sus-
pended or sluggish.
Dose: Of the appropriate remedy give six globules in a table-spoonful of
water, night and morning until the process of healing becomes more
regularly progressive, pausing, however, as soon as this is the case.
Constitutional Treatment of Abscesses.
Belladonna is indicated when inflammatory redness is developed
over the surface of the tumor.
Dose : Three globules in a tea-spoonful ot water every four hours, until the
indicative symptoms subside.
Hepar-sulphuris should be employed when the process of sup-
puration is retarded and sluggish, and the tumor causes severe ten-
Sive pain. *
Dose: Three globules in a tea-spoonful of water three times during the first
day, and then every twelve hours, until suppuration ensues.
Consult also the article on “Abscess.”
Constitutional Treatment of Boils.
Arnica is indicated by simple painfulness and tenderness. Bella-
donna, by very inflammatory redness, or by simultaneous affection of
the glands of the groin and arm-pits, if the boils be on the extremities;
or by simultaneous dry heat of the skin, and thirst. In either case
the administration of one or both of these remedies for the respective
acute symptoms, should be followed by that of Sulphur, as soon as the
acute symptoms have yielded, to complete the cure.
Dose : Of Arnica or Belladonna, give three globules in a tea-spoonful of water,
114 HOMOEOPATHIC DOMESTIC MEDICINE.
three times, at intervals of four hours, and then at intervals of twelve hours
until the symptoms yield. Of Sulphur, give six globules in a table-spoonful
of water every morning for a week.
If the boils be peculiarly large, Lycopodium may be employed pre-
ferably to the foregoing, followed, after the subsidence of the acute
symptoms, by Silicea.
Dose : Lycopodium should be administered as directed for Arnica and Bella-
aonna above; and Silicea as directed for Sulphur.
Treatment of Swelling of the Feet.
Bryonia, Y The reader must be guided in a selection from
China, these remedies by the indications afforded for their
Lycopodium, º: in the article on “CHARACTERISTIC
Pulsatilla, | EFFECTs,” with due precaution to observe minutely
Sulphur. J the general constitutional symptoms which attend
this particular manifestation.
Dose : Of either of these medicines (as indicated), give three globules in a tea-
spoonful of water night and morning, for a week; after which pause four
days, and resume the administration or not, according to the condition of the
§ patient.
Treatment of Weakness of Digestion.
Nux-vomica, In selecting from these remedies for the treat-
Pulsatilla, ment of weakness of digestion resulting from
Sulphur. typhus, it will be necessary to consult the article
on “CHARACTERISTIC EFFECTs,” as regards the medicines in question,
and also the table exhibiting the remedies adapted to particular con-
stitutions, with due consideration of the particular constitution and
temperament of the patient. .
Dose : Of either remedy (as indicated) give three globules in a tea-spoonful
of water, night and morning, for ten days; after which pause six days,
and resume similarly if necessary.
Treatment of general Derangements in Psoric Subjects.
Sulphur is directly specific in cases of this kind, and should be
administered from time to time, in repeated courses, effectually
to eradicate or modify the obnoxious constitutional condition. In
such instances Sulphur should always be employed upon recovery
after acute disorders.
Dose : Six globules in a table-spoonful of water, every morning for a week;
then pause ten days, and resume similarly for a week; after which, pause
three weeks, resuming once again, as before.
Sleeplessness.
Coffea is generally the most useful remedy here.
Dose: , Six globules in two table-spoonfuls of water, one table-spoonful in the
evening, and another after an interval of three or four hours, if needful, and
so on every evening until relief or change. -
Cold or tepid sponging, or both, according to the season of the year
and the constitution of the patient, and sometimes also the “wet sheet”
PUTRID FEVER. 115
and other hydropathic means, are very useful in allaying restlessness,
sleeplessness, and dry heat of skin, in the course of the fever.
Diet. In a disease that presents so many varieties, it is difficult to
give any rules upon this head, applicable to all cases. When a marked
inflammatory character is present, the same abstinence should be en-
joined as already specified for Fevers in general, or for Inflammatory
Fever; and in all cases, either during the progress of the disease or
the period of convalescence, the greatest possible care should be taken
to avoid taxing the digestive functions; the diet should be light and
simple, and the patient never allowed to indulge the appetite to its
full extent: but his anxious desire or craving for food, even during
the height of the fever, rarely if ever withheld.
Lastly, stimulants appear to be necessary to rouse the sinking ener-
gies in certain cases with quick, weak, or intermittent pulse.
PUTRID FEVER, PESTILENTIAL FEVER, OR IMALIG-
INANT TYPHUS.
We have already alluded to this form of the disease under the head
Typhus, particularly in the indications given for the employment of
Arsenicum and Carbo-vegetabilis, but considerit ofsufficient importance
for separate remark. This fever sometimes rages as an epidemy, but it
more frequently appears in the wake of Nervous Fever, or the latter
degenerates into the malignant type, in consequence of improper ge-
neral treatment, uncleanliness, or the impurity of the air by which the
unfortunate patient is surrounded. Indeed, almost any fever may
terminate in malignant typhus under the unfavorable circumstances
just quoted.
Symptoms. The symptoms of Nervous Fever, already given,
with extreme prostration, pulse exceedingly small and weak, so as to
be scarcely perceptible; a peculiar sensation of burning, pungent heat,
communicating itself to the hand when placed upon the body of the
patient; heavy, cadaverous smell of the whole body; putrid odor of
the breath, perspiration, and secretions in general; profuse, oily and
clammy sweats; involuntary evacuations; violent and continuous dis-
charge from the bowels, sometimes bloody; dark or bloody urine;
bleeding at the nose ; livid spots, and other marked tendencies to
organic dissolution. The patient is always found lying on his back,
and continually shrinks down to the foot of the bed, a sign of utter
helplessness and prostration. *
Premonitory Stage.
Treatment. For instructions in this respect during the pre-
monitory stage, the reader is referred to the preceding directions for
the treatment of typhus, in the early stage, under the head of “Ner-
vous Fevers,” especially as regards the varieties characterised by pre-
dominant affection of the digestive system.
Advanced or Malignant Stage.
Arsenicum corresponds closely to the symptoms, and is, therefore,
116 HOMOEOPATHIC DOMESTIC MEDICINE,
our principal remedy when the disease assumes this malignant form,
particularly when we find involuntary and bloody evacuations and
straining.
Carbo-vegetabilis may also be advantageously alternated with
Arsenicum, when the symptoms already given under Typhus for the
exhibition of that medicine are present. (page 110.)
Dose : Of Arsenicum, if singly, dissolve twelve globules in three table-spoon-
fuls of water, and give a tea-spoonful of the solution every four hours (in
moderate cases) or every hour (in very critical cases) until amelioration en-
sues, doubling the length of the intervals, however, as soon as this occurs,
and withholding further doses if the improvement continues progressively.
If in alternation with Carbo-veg., a like solution of each remedy separately,
—of which give, first, two doses of the one, at intervals of four hours; then
two doses of the other, at similar intervals, with an intervening pause of
eight hours between the administration of the different medicines.
Tincture of Rhus (concentrated) has been found to succeed in
some severe and very critical cases in which Arsenicum and Carbo-
veg. had been ineffectually administered in several successive doses.
Dose : One drop of the Tincture in a table-spoonful of water every three hours,
until amelioration or change.
f Mercurius is indicated when excessive straining, and considerable
discharge of blood, characterise the evacuations, and should be fol-
lowed by one or other of the consecutive medicines cited, in the event
of the continuance of these symptoms, and according to the respective
and distinctive indications afforded for each in the article on “CHA-
RACTERISTIC EFFECTs.”
Dose : Of a solution of twelve globules to three table-spoonfuls of water, give a
tea-spoonful every two hours, until amelioration ensues, when extend the
interval to four hours, and continue till the symptoms subside; but if the
bloody evacuations continue unmodified, two hours after the third dose, pro-
ceed with one or the other of the following medicines, according to circum-
StanceS.
Cimifuga-racemosa (ACTAEA RACEMOSA). Excessive pain in the
forehead over the right eye. Pain in the eyes or eyeballs. Delirium.
Seeing rats, mice and insects.
Dose: As directed for Mercurius.
Acidum-phosph. : especially if, moreover, the pulse be very fre-
quent, feeble, and sometimes intermittent; the evacuations very co-
pious, thin, and even involuntary ; the skin hot and dry, and the lips
black, incrustrated, and characterised by scaly peeling.
Or Acidum-nitric, particularly if, moreover, there be white spots
or vesicles within the mouth and throat; if there be scalding upon
passing water, darting pains in the lower part of the belly, and ex-
cessive tenderness of the belly.
Or Cantharides, particularly if, moreover, there be excessively
painful urination.
Dose : Of either of the three last-named remedies, dissolve twelve globules in
four tea-spoonfuls of water, and give a tea-spoonful of the solution every two
hours until the distinctive symptom becomes modified, and then extending
the intervals to four hours until it subsides. Sometimes, however, it may be
necessary to return to the administration of Mercurius, as above directed,
CONTAGIOUS FEVER. 117
when the original symptoms still prevail, and the assemblage is such as
stated under the head of that remedy in the article on “CHARACTERISTIC
EFFECTs.”
State of Debility.
China often becomes a most serviceable remedy when the ma-
lignancy of the fever has been overcome, but, nevertheless, great weak-
ness remains from the loss of humors; it is also useful, when whatever
nutriment the patient may have taken passes off undigested.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours for two days successively, then
every twelve hours, until amelioration or change.
CONTAGIOUS TYPHUS, CAMP FEVER, JAIL FEVER,
PETECHLAL FEVER.
Symptoms. The symptoms of this variety of Typhus, are ana-
logous to those already described variously under the head of Nervous
Fever, or of Malignant Typhus or Putrid Fever.
The distinction consists in the cause which is traceable, in this in-
stance, to contagion on infection (immediately), or perhaps to the de-
generacy of Epidemic Typhus (remotely). The first stage of this
malady is of an inflammatory character, from which the issue may re-
sult variously in a crisis without change, convalescence without
change, or fatality similarly, or in a change of aspect to that of low
nervous, or putrid Fever, according to the habit of body, condition,
&c., of the patient, or according to the locality, atmospheric pheno-
mena, and the like external circumstances.
TREATMENT.
Bryonia, ) These remedies, as, indeed, all those hereinbefore
Rhus, cited, &c., under the head of Nervous Fevers, are
Arsenicum, ſequally important for the treatment of this variety
Secale. J of typhus. The respective indications and doses
will be found in the foregoing sections alluded to, and due regard
must invariably be paid to the particular character assumed by the
complaint. (See 110–113.)
Opium is, however, of particular importance in Contagious
Typhus, and is indicated by stupor, lethargy, (sometimes real or ap-
parent loss of consciousness,) snoring respiration, the mouth partly
open, the eyes half closed or wide open (but apparently unconscious
of objects), the pupils much dilated, loss of speech, rigidity of the
limbs, a small or intermittent pulse, suspension or involuntary dis-
charge of evacuations, or hard, scanty, and difficult stools, and severe
distension of the bowels.
Dose : Three globules in a tea-spoonful of water, or (if there be difficulty
in this) dry on the tongue, every three hours, until aluelioration or change.
Hyoscyamus, | Either of these remedies, according to the dis-
Starmonium. ſtinctive features cited in the article on Nervous
Fevers, and in that on the “CHARACTERISTIC EFFECTs,” may be in-
dicated, when in addition to the symptoms just recited as indicative
118 HOMGEOPATHIC DOMIESTIC MEDICINE.
of Opium, convulsive jerkings and twitchings in individual parts are
manifested.
Dose : Of either remedy (according to the selection made) give four globules
in a tea-spoonful of water immediately; a second dose (if the symptoms con-
tinue unmodified) after the lapse of two hours, (but if modified, after the lapse
of four hours; and then the like doses at intervals of four hours, until ame-
lioration or change. But if the symptoms manifest no change or modi-
fication in twelve hours after the first dose, reconsider them and select
afresh.
Veratrum-viride. Gnats and bugs fly before the eyes; inclined
to jump out of bed; pains in the bowels with black diarrhoea.
Diet. At the commencement of the disease, or when the fever is
of an inflammatory type, the same precautions should be observed as
described under Diet during Fevers in general; but, in the more ad-
vanced stages, with great prostration of strength, and quick, weak,
small pulse, stimulants—such as wine or brandy, administered in tea-
spoonfuls, at first every half-hour, and then at longer intervals, are
often of service.
AccEssory TREATMENT OF TYPHUs, AND PRECAUTIONARY TREATMENT
DURING ITS PREVALENCE IN ATLL VARIETIES.
Accessory Treatment. The most valuable and indispensable of ac-
cessories, in aiding the restoration of the patient, is the free circulation
of fresh air, or, in other words, ample and judicious ventilation. , Di-
rect draughts and chilly currents of air should, however, be carefully
avoided.
Preservative measures generally, and preventive remedies in par-
ticular. Cool pure air, thorough ventilation, the avoidance of dark or
dismal-looking apartments, into which the genial daylight does not
freely penetrate, and the removal of all causes generating the disease,
—such as stopped sewers, or collections of decaying vegetable and
animal matter; a plain wholesome diet, with moderation in the use
of fermented liquors or wine, and total abstinence from spirits; the
refraining from late hours, intense study, and excessive mental or cor-
poreal exertion ; exercise in open situations, with proper precautions
against exposure to cold or damp; and, finally, the preserving a
healthy tone of mind and cheerful temper.
The absurd practice of keeping the bowels constantly open by
means of aperient medicines, and the use of drugs inducing profuse
perspiration, cannot be too strongly reprobated; both these practices
weaken the system, and predispose it to the disease.
Standing between a fire, or open window, and the bed of the patient
is to be avoided, as unnecessarily increasing the risk of taking the
infection.
Preventive Remedies. Whatever Remedy (amongst those recited as
applicable to the Treatment of Typhus, or described in greater detail
in the article on the “CHARACTERISTIC EFFECTs”) has in its specific
action a direct analogy to the features of the prevailing disease, is
wnerring as a preventive or moderating agent.—The safest plan to be
pursued, therefore, in epidemic, or endemic typhus, or, indeed, in any
INTERMITTENT FEVERS. 119
other epidemy, is to form an aggregate of the symptoms by carefully
collating those of individual sufferers, so as to present a perfect image
of the existent malady, and to choose the remedies accordingly, which
should be administered directly on the premonitory symptoms de-
claring themselves, without waiting for the further development of
the disease.
Bryonia, These Remedies cover a great number of the symp-
Rhus. toms of Typhus, if, therefore, upon considering the
aspect of the disease which prevails, one or both of these medicaments
be found to embrace the characteristic features of the malady, we
should have immediate recourse to that which corresponds with such
characteristics, or, if necessary, to both of these medicines, – in alter-
nation,- whereby, if not averted or checked, the disease will be ma-
terially softened down in its after course
Dose (preventinely): Six globules in a table-spoonful of water, either of one of
these remedies singly, or first of the one and then of the other (beginning
with Bryonia), at intervals of twenty-four hours, that is, at bed-time daily
for a week; or, in the event of the disease running its course (in a modified
form), such treatment, according to symptoms, as is directed to be pursued
in the foregoing articles.
Arsenicum is particularly efficacious as a preventive remedy
during the prevalence of Typhus, either with predominant affection of
the Bowels, or which assumes a putrid' character, or, indeed, in all
such cases as have been hereinbefore described as indicating its em-
ployment.
Dose : Four globules in a tea-spoonful of water, at bed-time daily for a week,
with such reservations and exceptions as are quoted respecting the dose of
Bryonia and Rhus.
Consult also the article on “CHARACTERISTIC EFFECTS,” especially
under the heads of Bryonia, Rhus-tox., Arsenicum, and Carbo-veg,
from which a judicious selection may be made by accurate study of
the salient features of the prevailing disease.
INTERIMITTENT FEVERS–AGUE.
We have now to enter upon a class of Fevers differing essentially
from those already considered, in possessing a marked character of
their own, in the simplicity of their form, the periodicity of the
different stages, (although the periods of fever-fits are not necessarily
regular,) and the uncertainty of their duration; at the same time it
may be noticed that one of the distinctive features of intermittent
fever consists in the fact that the febrile action does not individually
constitute the disease, but appears rather as an occasional development
of other morbid processes.
Intermittent fevers cannot be better described than as a compound
of acute and chronic disease; acute during the continuance of each
attack, and chronic in the continuance of liability to the attacks.
Symptoms. These must be classified in three distinctive stages
1) a chill or cold fit, 2) followed by heat, and terminating 3) in per
spiration, more or less profuse; these three stages constitute a
120 HOMOEOPATHIC DOMESTIC MEDICINE. vºr
paroxysm; after which, for a certain period, called the interval or
"espite, the patient is generally free from suffering. The fever-fits are
characterised by the red deposit in the urine.
These periods are generally of definite duration; but occasionally
indefinite and irregular. If the paroxysms return at regular intervals
of twenty-four hours, the fever is termed a Quotidian,—of forty-eight,
a Tertian,—of seventy-two, a Quartan ; even longer intervals have
been observed between the attacks, as that of seven days, which is
somewhat inappropriately termed an eight-day intermittent fever. If
two fever-fits take place within each period, the ague is said to be
doubled, as a double Quotidian, or Tertian, &c.
These fevers are sometimes found existing in the simple form above
noted; that is, that each fever-fit (as it occurs) assumes the character
of simple fever, as described at page 93; in other instances, however,
the fever-fits (as they occur) assume the characteristic features of in-
flammatory or typhoid fever, or of complications involving the re-
spiratory or digestive functions respectively, &c. &c. The absence
of continuity or regular process to a crisis will then identify the
febrile symptoms as appertaining to this class in general, whereas the
peculiar implication of particular organs will qualify the specific cha-
racter of any particular variety.
They are exceedingly indefinite in duration, and frequently assume
a tediously chronic form. An individual once attacked with ague, is
frequently liable to a return of it in after life, if the disease has not
been radically extirpated in the first instance; nay more, any attacks
of disease to which he may afterwards be subjected are peculiarly apt
to assume the intermittent form.
Ague is rarely dangerous in this country, except when of long con-
tinuance, and then, owing to the weakness which it occasions, and the
injury which it inflicts upon the constitution; it may, however, lead
to obstructions and indurations of the more important organs, par-
ticularly of the liver and spleen, or may induce dropsical affections
It should not be omitted, however, that the sudden development
of peculiar symptoms in connection with the fever-fits may be more
or less ominous, and should be watched and treated with especial
care. Sometimes, however, intermittent fevers appear (as a whole-
some crisis) in the last effort of the constitution to expel morbid
humors which have long preyed upon the system ; and in such
cases, if treated with due care by homoeopathic means (which will
assist in their development), they will serve to carry off the causes of
tedious chronic disorders.
But in hot climates, or in low marshy countries, this disease is ex-
ceedingly fatal, in consequence of the brain and its tissues, the lining
membrane of the stomach and bowels, the lungs, and the investing
membrane of the stomach and bowels becoming affected: in such in-
stances, when the disease gains ground, the patient loses strength and
becomes emaciated, every fresh paroxysm entails an increase of suffer-
ing, and the perspiration fails to relieve; he complains of a sense of
weight in the region under the false ribs, particularly the right, with
griping pain in the bowels, flatulent distension of the belly, looseness
INTERMITTENT FEVERS. I21
of the bowels or constipation, and constant thirst; or of headache,
cough, and shortness of breath; the tongue is furred, and dry at the
tip; the skin hot, harsh, and dry; the urine scanty, the belly tumid,
the extremities become dropsical, and sleep is restless or broken.
Death may ensue from collapse in the cold stage, from the absence
of perspiration, and from the disease passing into continued or remit-
tent fever, or from disorganization of some important part, such as
the brain, lungs, spleen, or liver.
We shall now proceed to a general consideration of the three stages
of the disease, premising that the various modifications of the symp-
toms will be found more in detail, under the medicaments, when We
enter upon the consideration of the remedial treatment.
Premonitory Symptoms.
Sense of languor, or general uneasiness; yawning, headache, stupor,
pains in the limbs or back; the toes and fingers becoming numb, and
the nails blue.
I. The Cold Stage (Congestive Stage).
Coldness of the extremities, with a feeling as of stream of cold water
running down the back, and extending itself to the chest and belly;
general prostration of strength, insupportable coldness, external and
internal tremors, chattering of the teeth, respiration labored and
hurried, with inability to draw a full inspiration, and oppression at the
chest. The head is variously affected, sometimes with headache, at
others with drowsiness, stupor, or delirium; the pains noticed in the
premonitory symptoms are generally present, and, in some instances,
the patient complains of pain all over; the tongue is moist, the eyes
are heavy and sunken, the features pinched, and the lips and cheeks
livid; the rigors sometimes run on to convulsions.
The pulse is weak and oppressed, sometimes slow, at others quick,
and frequently intermitting, and often, from the severity of the rigors,
scarcely perceptible.
The heat of the body, except at the extremities, is generally above
the natural standard, while the patient complains of cold.
Sometimes the patient feels only a slight degree of cold, without
tremors, but accompanied with symptoms of functional derangement,
and in a few hours the hot fit declares itself. The duration of the cold
stage is from an hour to four hours; and it runs into the hot without
any marked interval.
II. The Hot Stage
presents all the characteristics of a modified inflammatory attack, with
hot, dry skin, and thirst, oppression at the chest, hurried and anxious
breathing, and acute pains in the head, regions of the spleen, liver,
&c.; there is also occasionally a degree of disturbance about the brain,
or even delirium.
The general duration of the hot fit is from four to twelve hours,
When it terminates in the sweating stage; when this does not take
122 HOMOEOPATHIC DOMESTIC MEDICINE.
place, it is apt to run on to continuous fever, or take the form of a
remittent, a not uncommon issue of this disease in warm climates.
III. The Sweating Stage.
After the hot fit has continued a longer or shorter period, profuse
perspiration sets in, commencing in the forehead and extremities, and
quickly diffusing itself over the whole body; as soon as it makes its
appearance, the uneasiness and other symptoms begin to disappear,
and the patient, in simple ague, continues free from suffering until the
next paroxysm.
Causes. Marshy districts are noted as being the hotbeds of this
malady; the presence of stagnant water in the immediate vicinity of
dwellings will provoke it; as occasionally, also, conditions which will
engender low typhus; the continued prevalence of epidemic disorders
may also be cited amongst the causes of intermittent fever; a con-
tinuance of fish or farinaceous diet is also apt to produce it; it may,
moreover, arise from taking cold, indigestion, internal obstructions,
the presence of inactive humors which oppress particular organs, from
peculiar constitutional tendency or the like, occasioned by acute dis-
eases, or by difficult chronic affections, or even from purely local
irritation.
Nervous or inflammatory fever may change into an intermittent, or
the latter take upon itself, if it continue, the character of either of the
two former, or become remittent; this frequently happens in hot
climates.
Method of Treatment, peculiarly adapted to Intermittent Affections.
The medicines should generally be administered in the interval
between the paroxysms, but when these are extremely short, or when
they are attended with after-pains of the preceding paroxysms, they
should be administered when the sweats, or other concluding features
of the attacks, begin to subside.
Treatment. In the treatment of Ague, the type, although by no
means to be held as unimportant, is yet of very secondary considera-
tion to the other features of the malady.
Medicines generally adapted to particular Varieties of the Disease.
To assist the reader, however, in selecting the appropriate medicine
with reference to the distinctive nature, variety, or type, of particular
cases (if there be no identical and overruling feature), the subjoined
repertory may be consulted, not, however, without due regard to the
Special indications for each remedy, as stated at large in the Subse-
quent part of THIS ARTICLE, and in the ARTICLE on the “CHARACTERIS-
TIC EFFECTs.”
--- For Marsh Fevers. e
Select especially from*:—ARSENICUM, CHINA (in particular); Ipeca-
* These remedies are particularly pointed out to facilitate the selection, with the
especial reservation that the symptoms shall in every respect correspond with those
INTERMITTENT FEVERS, 123
cuanha, or, in some cases, from Arnica, Carbo, Ferrum, Watrum-m.,
Rhus, and Veratrum.
For Spring and Summer Fevers, or Fevers of Hot Climates.
Select especially from*:—(generally), Arnica, BELLADONNA, Bry-
onia, Calcarea, Carbo-veg. DIGITALIs, IPECACUANIIA, LACIIESIS, (espe-
cially in hot climates,) Pulsatilla and Veratrum.
Or, if the CHILLs be predominant, particularly from*:—Bryonia,
Carbo, IPECACUANHA, Phosphorus, Pulsatilla, Staphysagria, and
VERATRUM ;-
Or, if the HEAT be predominant, particularly from*:—ACONITUM,
Arsenicum, BELLADONNA, BRYONIA, CocCULUs, NUx-voMICA, Silicea,
and SULPHUR ;—
Or, if the sweATING be predominant or profuse, particularly from*:
—ARSENICUM, Bryonia, CHINA, Cocculus, MERCURIUS, NUx-vOMICA,
and Sambucus.
FOR FEVERS CHARACTERISED BY THREE DISTINCT AND COMPLETE STAGES,
COLD, HOT, AND SWEATING.
Select especially from*:—ARSENICUM, Belladonna, Bryonia, Cha-
7momilla, China, IPECACUANHA, NUx-voMICA, Pulsatilla, Rhºws, and
Veratrum.
FOR FEVERS IN WIHICH TWO STAGES ONLY ARE DISTINCT AND COMPLETE.
1. Consisting of Chills and Heat.
T Select especially from*:—1 a) if the heat be the precursory manifes-
tation, Calcarea, NUx-voMICA;-
Or, 1 b) if the chill be the precursory manifestation, particularly
from*:—ACONITUM, Arnica, Bryonia, Carbo, China, Ignatia, Ipeca-
cuanha, Watrum-muriaticum, Wuz-vomica, Pulsatilla, Rhus, Sulphur,
and Veratrum; ––
Or, 1 c) if the chills and heat be alternated, each recurring more
than once during every fever-fit, particularly from*:—Belladonna,
Calcarea, Lycopodiumſ, MERCURIUs, Watrum-muriaticum, Nua:-vomica,
Sºlicea, Spigelia, Sulphur, and Veratrum;- -
Or, 1 d) when the shivering and heat occur together, particula..
from":—ACONITUM, ARSENICUM, Belladonna, CHAMoMILLA, Ignatia,
Ipecacuanha, Lycopodium, Wuw-vomica, Rheum, Rhus, and Sulphur.
2. If consisting of Heat and Sweating.
Select especially from*:–2 a) if the heat and sweating be simul-
taneous, Belladonna, Bryonia, Chamomilla, CINA, HEPAR-sulphuris,
Jºatia, MERCURIUs, Wuºr-vomica, Opium, PULsATILLA, and RHus;–
Or, 2b) if the sweating follow the heat, particularly from: –
which are hereafter named as indicating each respectively; and with the assemblage
of symptoms attributed to each respectively in the article on the “CHARACTERIsſic
PFFECTs,”, 9therwise, selection must appropriately be made according to such indi.
cations, and irrespective of the present enumeration.
* See Note p. 122.
124 HOMCEOPATHIC DOMIESTIC MEDICINE.
Aksenicum, CHINA, Hepar-sulphuris, Ignatia, Ipecacuanha, Pulsatilla,
Athus, and WERATRUM.
3. If consisting of Chills and Sweating.
Select especially from": 3 a) if the chills and sweating be simul-
y
taneous, Lycopodium, PULsATILLA, and Sulphur;--
Or, 3 b) if the sweating follow the chills, particularly from*: CARBO,
Lycopodium, Watrum-muriaticum, Rhus, Thuja, and WERATRUM.
JFor Fevers of which the attacks are characterised by Lethargie
Drowsiness.
Select especially from*: Cocculus, Nuw-vomica, and OPIUM ; or,
occasionally, also from : Belladonna, Hyoscyamus, and STRAMONIUM.
JFevers, of which the attacks are characterised by Apoplectic or
Paralytic Symptoms.
Select especially from*: Aconitum, ARNICA, Arsenicum, Coffea,
Cocculus, Opium, and Nux-vowica.
JFor Fevers, of which the Attacks are characterised by Fainting-fits.
Select especially from*: Graphites, Ipecacuanha, Lycopodium,
Pulsatilla, Sepia, Sulphur, and WERATRUM.
AS REGARDS THE TYPE OF THE FEVER.
For Simple-Quotidian Fevers.
Select especially from*: Calcarea, IPECACUANHA, Wuz-vomica, and
PULSATILLA.
For Simple-Tertian Fevers.
Select especially from*: Antimonium-c., CALCAREA, Chamomilla,
12rosera, Lycopodium, and Staphysagria.
For Simple- Quartan Fevers.
Select especially from": Aconitum, ARSENICUM, and Lycopodium.
Por Double- Quotidian Fevers.
Select especially from* : Belladonna, CHINA, Graphites, STRA-
MONIUM, and Pulsatilla.
Iſor Double Tertian Fevers.
Select especially from*: Arsenicum, NUx-voMICA, and Rhus.
JFor Annual Fevers.
Select especially from* : Arsenicum, Calcarea, Nux-voMICA, Lyco-
podium, RHUS, (directly specific and preventive,) Sepia and SULPHUR
(in continued courses.)
w
* See Note p. 122.
INTERMITTENT FEVERS. 125
AS REGARDS THE THIRST ATTEND ANT UPON THE FEVER-FITS,
Select especially from*. (if the thirst precedes the attack,) Arnica,
CHINA, and Pulsatilla;-
Or, if the thirst occurs during the cold stage, particularly from*:
Arsenicum, Belladonna, Bryonia, CARBO, Chamomilla, China, Ignatia,
IPECACUANHA, Phosphorus, Rhus, and WERATRUM ;
Or, if the thirst occurs after the cold stage, particularly from*:
Arsenicum, China, and PULSATILLA;
Or, if the thirst occurs during the hot stage, particularly from*:
CHAMoMILLA, Nua:-vonica, Pulsatilla, Rhus, and Veratrum;
Or, if the thirst occurs after the hot stage, refer to CHINA, in par-
ticular;”
Or, if thirst be absent, or only present in a natural degree, during
the hot stage, select particularly from*: Arsenicum, Carbo, China,
IGNATIA, Ipecacuanha, Pulsatilla, Rhus, and VERATRUM.
AS REGARDS THE TIME OF THE DAY AT WHICH THE FEVER-FITS RECUR.
For Fever occurring in the Morning.
Select especially from*: Arnica, Calcarea, CHAMoMILLA, and Sta-
physagria.
Por Fever, occurring in the Decline of Day.
Select especially from*: Arnica, Carbo, Ignatia, Lycopodium,
Mercurius, Sepia, and STAPHYsAGRIA.
For Fever occurring at Wight.
Select especially from 4: CARBO, Chamomilla, and MERCURIUs.
JDropsy.
For dropsical indications resulting from intermittent fever, Aurum
is a useful remedy.
PARTICULAR 1 N DI CATIONS
For the Use of the Remedies generally called for in Ague.
China or Cinchona. This well-known but too frequently abused
remedy is undoubtedly of great efficacy in those fevers which owe
their origin to the influence of marsh miasm, and are peculiarly pre-
valent at particular seasons of the year. It may be given when the
fever commences with a sense of languor or general uneasiness of the
heart, anxiety, headache, sneezing, great thirst, craving hunger or
nausea, and pain in the bowels. It is also indicated when the fever
has set in with absence of natural thirst—during the cold stage—but
thirst is experienced AFTER the heat and during the sweating, or
thirst between the hot and the cold stage, and when the chill and
fever are followed by a copious sweat. It is contra-indicated when
thirst exists during the hot stage. Turgidity of the veins, with heat
in the head, and natural warmth or increased heat of the body, with
* See Note p. 122.
126 HOMOEOPATHIC DOMESTIC MEDICINE.
or without increased heat of the surface. Or, again, determination of
blood to the head, commonly with redness and heat in the face, with
chilliness of all the other parts of the body, and even external cold-
ness, or only a feeling of internal heat in the face, with coldness of the
cheeks to the touch, and cold sweat on the forehead, are further indi-
cations for the employment of this medicament. In many cases, China,
although not capable of effecting a radical cure, is yet of great utility
as a palliative: it should, under such circumstances, be exhibited im-
mediately before the cold stage. In such instances, the consecutive
treatment should be adapted to the remaining or supervening symp-
toms, according to the indications subjoined, or to those afforded in
the article on “CHARACTERISTIC EFFECTs,” with due regard to the par-
ticular constitution of the patient, and under the guidance of the
TABLE OF REMEDIES (in the introductory pages) adapted to PARTICULAR
CONSTITUTIONs, &c.
Dose : Four globules in a tea-spoonful of water, either in the interval between
the ſever-fits, or as more particularly stated at page 122,-the same dose
being repeated as long as the symptoms occur in like manner. When di-
rectly specific, however, a single dose of this medicine will generally remove
the fever.
Lobelia-inflata. This remedy promises to be of equal efficiency
with China in the treatment of ague, and may be particularly
selected, in many instances, even in preference to China; but in the
majority of cases which appear to indicate the latter remedy, when
that, however, has been productive only of temporary relief, and par-
ticularly when derangement or foulness of the stomach is present
(perhaps after the previous administration of such remedies as
Nua:-v., Pulsatilla, Antimonium-crudum, &c.), it may be most use-
fully employed.
Dose : Of a solution of six globules to four table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change ; or a dose in
the like proportions two hours before the anticipated return of the attack.
Arsenicum is one of the most important remedies in intermittent
fevers. It is indicated when the different stages are not definitely
marked, but the fever and heat and shivering appear simultaneously
—or when we find cold shuddering alternately with heat, or a sen-
sation of cold internally, with heat, or an imperfect development of
the paroxysms; or burning heat, as if molten lead were coursing
through the veins, communicating an unpleasant sensation of heat to
the hand, when placed upon the body of the patient ; great restless-
ness; excessive, almost insatiable thirst, obliging the sufferer to drink
constantly, although but little at a time ; depression, marked pros-
tration of strength and anxiety; nausea, desire to vomit, retching,
and even vomiting; severe and burning pains in the stomach, and
insupportable pains all over the body, especially in the limbs. One
marked characteristic of Arsenicum is, that all the sufferings of the
patient, pains in the limbs, &c., increase in intensity during the pa-
roxysm, and others develop themselves; another is, its marked
periodicity, generally either Tertian or Quartan, and the rigors gene-
rally setting in towards evening. It is therefore called for in these
INTERMITTENT FEVERS. 127
cases, where we meet with a well-marked periodi:ity of imperfectly
developed paroacysms, with some or any of the symptoms above men-
tioned.
Dose : Six globules in a table-spoonful of water, administer during the inter-
val between the fever-fits, as often as they continue to recur. Or in cases
of the continuance of the cold fit, or of exhaustion so severe that the patient
is unable to rally, even during the intervals, of a solution of twelve glo-
bules to three table-spoonfuls of water, give a tea-spoonful at intervals vary-
ing from a quarter of an hour to two hours, according to the severity of
the case, doubling the intervals or suspending treatment as soon as reaction
sets in.
Ipecacuanha is usefully employed in the majority of cases of
marsh fever, at some stage of the disorder, especially in the
earlier periods. Some instances occur in which by embracing the
assemblage of the symptoms, it is sufficient of itself to effect a cure;
in other instances it is most successfully followed by other and appro-
priate remedies, or coupled with Wua-v. in particular. It is indicated
by the following symptoms: much shivering, with but little heat, or
'wice-versa ; increase of the Shivering by eacternal warmth, oppression
at the fore part of the chest; want of natural thirst, or a least, little
thirst ; dryness of the mouth, nausea, vomiting, and other symptoms
of deranged digestion.
Dose : As directed after Nur-vomica, below.
Nux-vomica is especially indicated by excessive weakness at the
commencement of the fever; the shuddering mixed with or imme-
diately followcd by heat; warmth of the cheeks, with internal chilli-
ness; feeling of heat in the face, with shuddering in the remaining
parts of the body; heat in the head, with coldness of the body; burn-
ing pain in the eyes; or, giddiness, with feeling in the head as if from
intoxication, desire to lie down, with trembling of the limbs; fainting,
or a sensation of paralytic weakness and prostration, with cramps in
the different extremities, particularly the calves of the legs and feet;
difficulty of breathing, palpitation of the heart, anxiety, irascibility,
fear of death, and even violent delirium ; derangements of the ali-
mentary organs, such as want of appetite; dislike to bread; bitter
and sour eructations, tension of the belly or spasms of the muscles in
that region, and constipation ; burning itching miliary eruption, and
burning itching sensations over the whole body. During the fever :
coldness and blueness of the skin, desire to be constantly covered,
even during the access of heat and perspiration ; occasionally stitches
in the side, shooting pains in the belly, aching in the back and limbs,
and dragging pain in the belly during the rigors. . During the hot fit
particularly : headache, buzzing in the ears, heat in the head or face,
with redness of the cheeks, and thirst.
Dose : If in alternation with Ipecacuanha, give first two doses of Ipecacuanha,
consisting each of six globules in a table-spoonful of water, at intervals of
three hours: then pause for twelve hours, or until the next evening, if not
less than twelve hours, when give a like single dose of Nur-vomica, repeating
this last every evening until amelioration or change ; recurring, however,
to the occasional administration of Ipecacuanha, if indicated, at a period of
not less than twelve hours from that at which Nuz-v., is administered. If
128 HOMCEOPATHIC DOMESTIC MEDICINE.
singly, of either remedy six globules in a table-spoonful of water, during the
intervals or before the anticipated return of the attack.
Pulsatilla, like the two medicines last mentioned, is an excellent
remedy in Agues complicated with stomachal or bilious symptoms,
whenever the slightest attack of indigestion brings on a relapse. Its
more peculiar indications are, vomiting of phlegm at the commence-
ment of the cold stage; want of natural thirst, all through the fever,
—or thirst, only during the hot fit; simultaneous heat and shivering
—aggravated in the afternoon or towards evening ; shivering when
uncovered; anxiety and oppression of the chest during the shivering.
During the hot stage, redness and swelling of the face, or redness of
the cheeks only, and perspiration on the face. The presence of diar-
rhoea, and the patient being of a mild disposition, are corroborative
indications for its employment.
Dose : Except in particularly severe cases, it will suffice to administer four
globules in a tea-spoonful of water once during the intervals, either at the
close of the attack or three hours before it;—or in cases of eight-day fever,
particularly, three hours before the anticipated return of the attack. In very
severe cases, however, and when the fever-fit, characterised by the symp-
toms just stated, is unduly protracted, it were better to repeat the like dose
every six hours (for simple quotidian), or every twelve hours (for simple
tertian and quartan), or as often as ev, ry four hours (for double quotidian).
Antimonium-Crudum. The indications for this remedy closely
resemble those of Pulsatilla, but it is particularly called for, when
the perspiration breaks out simultaneously with the accesses of heat
and then suddenly dissappears leaving the skin dry and hot.
Dose : Four globules in a tea-spoonful of water, as directed for Pulsatilla.
Cina is of great efficacy in quotidian agues, which are ushered in
by vomiting of food, followed by ravenous appetite; as also when the
cold stage is attended with thirst.
Dose: Four globules in a tea-spoonful of water, every six hours during the
first interval which occurs since the treatment has been undertaken ; and
every twelve hours during subsequent intervals, until amelioration or
change.
Bryonia is indicated by headache and giddiness, with dry heat
preceding the attacks of shivering; by the predominance of cold or
shivering, with redness of the cheeks, heat in the head, and headache;
or marked heat, followed by shivering; by stitches in the side, ex-
cessive thirst, thickly coated tongue, bitter taste in the mouth, disgust
at the sight of food, nausea or vomiting, and constipation.
. Dose : Six globules in a table-spoonful of water every morning, or as nearly
at that period as possible, during the interval between the attacks, until ame-
lioration or change.
Veratrum-album is indicated by the predominance of eacternal
coldness, with heat internally, cold clammy perspiration, especially on
the forehead, or general coldness of the body; or by shivering, fol-
lowed by heat and perspiration, and then relapsing into shivering;
coldness, great thirst, deep-colored urine, looseness of the bowels,
with griping, or constipation, sometimes nausea or vomiting and
giddiness, and pains in the back and loins.
INTERMITTENT FEVERS. 129
Dose : Six globules in a table-spoonful of water, administered during the fever-
.fits as often as they continue to recur; or in cases of the continuance of the
cold fit, or of exhaustion so severe that the patient is unable to rally, even
during the intervals, of a solution of twelve globules to three table-spoonfuls
of water, give a teaspoonful at intervals varying from a quarter of an hour to
two hours, according to urgency, doubling the intervals or suspending treat-
ment as soon as reaction sets in.
Antimonium-tartaricum has also ºbeen recommended in cases
analogous to those which require the administration of Veratrum, as
follows: especially when the nervous system becomes prominently
affected, as indicated by drowsiness, insensibility, with coldness of the
extremities, rigidity of the whole body, or twitchings of the muscles
of the face and limbs, and almost imperceptible pulse.
Dose : Six globules in a table-spoonful of water during the interval between
the attacks, or immediately on the subsidence of the fever-fit,-or otherwise,
three hours before its anticipated recurrence. In cases of excessive severity,
as further directed for Veratrum.
Belladonna. Severe headache, with giddiness, or heat and red-
ness of the face, pulsation of the large blood-vessels of the neck, and
excessive aggravation of pain from meditation; partial shivering and
shuddering, with heat in other parts; great heat with slight shivering;
or violent shivering with moderate heat; absence of natural thirst,
or, on the contrary, intense thirst ; extreme susceptibility, tearfulness,
or depression of spirits, and desire for death, particularly when the
sufferings are at their height.
Dose : Four globules in a tea-spoonful of water every twelve hours during the
first interval which occurs after treatment has been undertaken; and after-
wards, three hours before the anticipated recurrence of the fever-fit, until
amelioration or change.
Cocculus is sometimes useful, when, in addition to the usual symp-
toms of ague, we find, during the intervals, symptoms of spasmodic
affections, such as cramp-like pains, or constrictive, pinching, or tear-
ing, burning, colic-like pains about the region of the stomach and the
lowest portion of the belly.
Dose : Three globules in a tea-spoonful of water, three hours before the anti-
cipated recurrence of the attack.
Ignatia is indicated, when, with heat of some parts of the body
there is coldness, chill, and shuddering of others; also where the heat
is only external. Its best characteristic is, when the chills are easily
Želieved by external warmth, and attended with thirst.
Dose: Four globules in a tea-spoonful of water, either immediately on the sub-
sidence of the fever-fit, or three hours before its anticipated recurrence. In
very severe cases, particularly when the fever-fits are unduly protracted, it
will be desirable to administer this remedy during the intervals as follows:—
four globules in a tea-spoonful of water every six hours (for simple quoti-
dian), every twelve hours (for simple tertian and quartan), or as often as
every four hours (for double quotidian.)
Opium has chiefly been recommended in intermittent fever with
drowsiness, Snoring, convulsive movements in the limbs, and sup-
pressed evacuations;—unless, indeed, upon consulting the article on
9
130 INTERMITTENT FEVERS.
“CHARACTERISTIC EFFECTs,” under the head of others, amongst the
remedies herein cited, the symptoms be found to correspond more
intimately with such other remedies,—when one or more of such
other remedies should be employed in preference to Opium.
Dose ; Six globules in a tea-spoonful of water as soon as the fever-fit subsides;
and, again, three hours before its anticipated return, until distinct amelioration
or change. The symptons of every attack (if any) which occurs after the
administration of Opium, must be very closely watched for the least change
of character, such as might require another remedy, with which the treatment
should immediately proceed.
Apis. , Violent headache amounting almost to unconsciousness;
pains in the limbs and all over the body, thirst more during the heat;
sensitiveness at the pit of the stomach; scanty urine and swollen feet.
Dose: As directed for Ignatia.
Natrum-m. is especially advantageous, for cases which have been
mismanaged allopathically, with excessive doses of Bark or Quinine,
particularly as follows:—Ague-fits, commencing with headache, general
aching pains, predominant or prolonged shivering, great thirst during
the hot fit, and nearly to the same extent during the cold stage; also
dryness of the mouth and tongue; tenderness of the pit of the stomach
to the touch; bitter taste and loss of appetite; debility; sallow com-
plexion; Soreness of the corners of the mouth.
Dose: Four globules in a teaspoonful of water every four hours, during the first
interval after treatment is undertaken; and subsequently upon the subsidence,
and three hours before the return of every attack, until amelioration or
change.
Carbo-vegetabilis is particularly indicated, when throbbing at the
temples, aching in the teeth, and in the bones of the extremities, and
the coldness of the feet precede the paroxysm; when thirst is present
only during the shiverings, and there are rheumatic pains in the teeth
or limbs before or during the attack; or nausea, giddiness, and redness
of the face during the hot fit; further, when an intense, burning pain,
occupying the prominent part of the forehead and the eye on the right
side, accompanies the fever.
Dose : Three globules in a tea-spoonful of water, given during every interval, if
possible, morning and evening, until amelioration or change.
Cactus-grandiflorus. Quotidian intermittent fever. Severe chill-
ness during three hours. Pains in the uterine region with perspiration.
Dose : The same as directed for Carb.-veg.
Aconite should be employed without delay in cases in which the
hot fit continues long, without perspiration supervening, and the inter-
mittent fever threatens to become remittent or inflammatory.
Dose : Dissolve twelve globules in three table-spoonfuls of water, and give a
tea-spoonful of the solution at once; after which pause three hours, when, if
perspiration has not become developed, and the pulse remains unmodified,
resume the treatment, with similar doses repeated every hour until perspira-
tion ensues and the pulse becomes more healthy.
Rhus is employed with particular success, in cases of intermittent
AFTER-EFFECTS OF INTERMITTENT FEVER. 131
fever, which have ensued after having been wet through, and having
remained some time in wet clothes.
Dose: Six globules in a table-spoonful of water during every interval, until ame-
lioration or change, as follows: every four hours during the first interval after
treatment is undertaken, and afterwards every six hours (for simple quotidian),
or every six hours during the first interval, and afterwards every twelve hours
(for simple tertian and quartan).
Mercurius is indicated when the sweats are excessively copious,
and of an offensive or sour smell, and when simultaneous heat and
shivering are attended with palpitation of the heart; and when the
hot stage is further characterised by anguish (excessive uneasiness)
and thirst.
Dose : Six globules in a table-spoonful of water, upon the subsidence of the
attack, and, again, three hours before the anticipated recurrence of the fever-
fit, until amelioration or change. Or in very severe cases, and when the
attack is unusually protracted, of a solution of six globules to three tea-spoon-
fuls of water, give a tea-spoonful immediately, repeating this dose three times
at intervals of three hours.
TREATIMIENT OF THE AIFTER-EFFECTS OF INTER-
IMITTENT FEVER.
Dropsical Swellings of the Feet and Stomach.
1. Arsenicum, 2. Bryonia, 3. Helleborus, 4. Calcarea, 5. Sul-
phur. The fever-fits having ceased to recur, a selection should be
made, particularly from the five medicines quoted, by careful reference
to the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either remedy give four globules in a tea-spoonful of water, morning
and evening, for ten days; then pause four days, and resume treatment simi-
larly (if necessary) in like manner, until amelioration or change; or if no im-
provement be distinctly declared before the expiration of the second course,
proceed with the next remedies.
Protracted Debility.
1. Calcarea, 2. Ferrum, 3. Sulphur. According to the indica-
tions afforded for these remedies respectively in the article on “CHA-
RACTERISTIC EFFECTs,” we should select from these remedies in such
C3 SéS.
Dose : Six globules in a table-spoonful of water for adults, for very young per-
sons three globules in a tea-spoonful of water, every morning (fasting) for a
week; then pause seven days, resuming the course in like manner until
change takes place, or the improvement becomes regularly progressive.
INVETERATE CHRONIC CASES.
Such cases may be most advantageously treated, by consulting the
indications for the remedies recommended throughout this article re-
spectively, and further, by reference to the article on “CHARACTERIS-
TIC EFFECTs,” under the head of every such remedy, or more par-
ticularly—
If occurring in persons of an unhealthy habit of body.
1. Calcarea, 2. Lycopodium, 3. Sepia, 4. Sulphur. The selec-
182 GASTRIC FEVER–BILIOUS FEVER.
tion from these remedies respectively should be made in conformity
with the indications hereinbefore afforded, and further, by careful
reference to the article on “CHARACTERISTIC EFFECTs.”
Dose : Six globules in a table-spoonful of water, morning and evening for ten
days; pause four days, and resume similarly, if necessary, continuing until
change takes place, or the amelioration becomes regularly progressive.
1. Carbo-v., 2. Natrum, 3. Hepar-s. In some instances, and
particularly when the digestive functions are chiefly affected, and the
usual features of chronic derangement of the stomach supervene, as
dependent upon the previous occurrence of Intermittent Fevers, it
may be desirable to select from these three remedies in preference to
the former, according to the indications afforded for each, respectively,
in the article on the “CHARACTERISTIC EFFECTs.”
Dose : In every respect as last stated.
Chronic Cases which have degenerated from Abuse of Cºnchona.
The simplest rule which can be afforded to apply invariably to cases
of this kind, is to adapt the treatment to the particular symptoms
which are present, selecting from amongst the remedies cited in the
foregoing part of this article, with careful reference to that on “CHA-
RACTERISTIC EFFECTs,” to ascertain the delicate distinctive features
which point to one remedy in preference to another; for the instances
which are reducible under this head, assume such a variety of aspects,
that the particular regulations for treatment would, in all probability
be as vague and uncertain as they would inevitably be prolix. The
particular regulation which would apply to all cases, would be that
respecting doses, which is therefore subjoined.
Dose : Of the remedy selected give two globules dry on the tongue, or six glo-
bules in a table-spoonful of water; or for very young persons one globule dry
on the tongue, or three globules in a tea-spoonful of water, during the interval
between the fever-fits, every twelve hours (or, if possible, morning and eye-
ning), for three weeks—unless, in the meanwhile, the symptoms should dis-
tinctly subside or change, or unless no alteration whatever should follow,
during the second week; in the former of which cases, we should suspend
treatment until the ameliorative process becomes stationary; in the latter, it
would be desirable to reconsult the symptoms for the purpose of selecting a
more appropriate remedy.
Disease in general assuming an Intermittent Type.
The same general remark applies to this class of disorders, as to that
last named, saving that every disorder so degenerating, should be
treated by consulting the article which is appropriated to the particu-
lar disease in question, such as Asthma, chronic derangements, and
induration of the Liver, and Spleen, various nervous affections, Con-
sumption, &c.
Dose : According to the last-stated dose (above).
GASTRIC E'EVER. HILIOUS IFEVER.
This is a form of fever in which, as its name implies, the digestive
organs are chiefly affected; it bears some degree of affinity to typhus,
but is distinguished from the latter by the absence of nervous symp-
GASTRIC FEVER—BILIOUS FEVER. #33
toms, although, when it assumes a torpid character, these are occa-
sionally developed,—by the absence of the pressive aching pains in
the back of the head; and by the absence of disturbance or derange-
ment in the senses of sight and hearing; further, that the pain in the
right side of the belly, which is so constant a symptom in typhus, is
not a feature of this disease.
Fevers of this description have no definite course or duration. They
not unfrequently fall short of the particular course to which the de-
finition is especially appropriate, as in such cases as result merely from
indigestible substances, without actual increase in the discharge of
(acrid) bile. In such cases the successful effort of nature to expel the
obnoxious substance (as by vomiting or purging, or both) is often
sufficient to constitute a perfect resolution, and convalescence succeeds.
In other cases nature is thus but partly relieved, the whole circulative
system having become essentially involved, and the Fever continues
until some other crisis (as of sweat or urine) succeeds. Thus, Gastric
Fever, if associated with mere foulness of the stomach, may run its
course to perfect resolution in a few days; or, if the lining membranes
of the stomach or bowels be seriously affected, or the action of the
liver be much deranged, and there be BILIOUS FEVER, PROPERLY So-
CALLED, the fever may continue for weeks (if not properly or success-
fully treated), or may assume a highly inflammatory character, or
degenerate into NERVoUs or even Putrid or into Chronic or Hectic
Fever. On the other hand, again, it may result in transitions of
various character—the superficial membranes, either of the throat or
external surface (the skin) may become affected, and Eruptions of
various kinds, Abscesses, &c., may ensue.
Complications and their Treatment. In the case of any such com-
plications occurring, the treatment must be conducted according to
the special directions afforded in the separate article respectively de-
voted to the disease in question.
Predisposing Causes. The predisposing causes may be identified
in continued exposure to great heat—whereby the rapid sympathy
existing between the skin and the liver and stomach, has conveyed to
those organs an undue degree of irritability; exposure to eaccessive
moisture of the atmosphere, particularly extreme accumulation of con-
densed vapors (heavy dews) over a reeking, heated soil, which con-
tinues to emit exhalations: exposure to great (especially sudden)
transitions of temperature, particularly from great heat to comparative
coldness, or to the alternation of heat and cold; whence it, follows,
that, under such circumstances, this disease may assume an ENDEMIC
or EPIDEMIC character. The more particular and predisposing causes
are: weakness of the stomach, that is, a morbid sensibility of the lining
membrane, and overdue irritability of the Liver; habitual debauchery
or excesses, sedentary habits, or anything, in fact, which may occasion
derangement of the stomach, as considered in the article on “In-
digestion.”
Jæciting Causes. The presence of obnoxious indigestible or irri-
tating matters in the stomach or bowels—which cannot be dislodged
by the ordinary action of those organs—either in the shape of exces-
134 GASTRIC EEVER—BILIOUS IFEVER.
sive reception of food, whether or not in itself of an indigestible
character, or simply the reception of indigestible substances in how-
ever small a quantity, or in the shape of altered or excessive internal
secretions, such as bile. Other exciting causes are taking cold, emo-
tions, such as anger, grief, care, anxiety, &c., acute diseases; or, in
fact, any cause of general irritation when acting upon persons already
predisposed to this complaint by such conditions as have been men-
tioned above.
Symptoms—of which the following are the principal: sensation of
fullness and weight in the region of the stomach, or flatulent distension,
with inclination to vomit; offensive, flatulent eructations, and some-
times vomiting of food and tenacious phlegm mixed with bile; thickly
furred, dirty-yellow tongue; belly soft; bowels costive; but in the ad-
vanced stage of the disease the evacuations are often very offensive,
and contain portions of undigested food; frontal headache; languor;
sickly and distressed expression of countenance, with yellow discolora-
tion of the white of the eyes; more or less chilliness, succeeded by
heat and dryness of skin; pulse quick but soft, sometimes intermitting
or irregular, particularly the latter; urine thick, cloudy, and dark-
colored.
When bilious symptoms are markedly predominant, all the symp-
toms commonly appear in an aggravated form; the heat of the skin is
very considerable, and the restlessness and thirst are excessive (the
patient expressing a constant desire for acid drinks). The region of
the stomach is much distended with flatulency, but, in addition to this
symptom, the following are more or less marked: the tongue is covered
at first with a pale yellow fur, which gradually assumes a deeper or
brownish color; the taste and eructations are bitter, and the substance
vomited consists of a greenish, bilious matter; the bowels are either
confined or relaxed, the motions presenting in the latter case a yellow,
green, or brown color; the face exhibits an earthy, somewhat jaun-
diced aspect; sometimes there is also a greater or less degree of sensi-
bility, hardness, tension and burning in the region of the liver; the
urine is dark-brown, bilious; the pulse full, accelerated, intermitting
or double.
Treatment.—In simple cases associated with uncomplicated de-
rangement of the stomach, or simple foulness, especially if the affection
be casual, and can be traced directly to excess in eating or drinking,
or to some particular indigestible substance, if all strikingly bilious
symptoms be absent, such as those above enumerated, and if there be
no bitterness of taste, or bitter eructations, the treatment should be
regulated by the directions hereafter afforded in the section on “de-
rangement of the stomach,” under the general head of “INDIGESTION.”
In the severer cases, characterised by predominant bilious symp-
toms, or if the disease assumes an inflammatory character, the ensuing
indications may advantageously be consulted.
1. Aconitum, 2. Belladonna. One or both of these medicines,
either singly, in succession, or in alternation, will generally be required
at the onset of the attack, and if administered appropriately, and in
time, may often suffice to arrest the disease: the more particular in-
"GASTRIC FEVER—BILIOUS FEVER. 135
dications for each are subjoined, which if only aggregately covered by
the combination of both, will serve to point out the necessity for
alternate administration.
Aconitum is indicated more especially when everything received
in the mouth, in the shape of food or drink, except water, has a bitter
taste, or when there is continually a bitter taste in the mouth, the
pulse being quick and frequent; when the tongue is covered with a
yellow coating; when bitter eructations or violent urging to vomit
and retching occur, without discharge, or when there is vomiting of
greenish, bitter, or slimy matters; also by excessive nausea; suspended
evacuations, or frequent, scanty, small motions, attended with much
urging; swelling and tightness across the stomach, along the lower
ribs, and extreme tenderness of the region of the liver; pulsating
headache, or stitching headache, aggravated by talking, or sensa-
tion of heaviness and fullness in the forehead and temples; especially
if these sufferings be aggravated by assuming an erect or sitting pos-
ture, by drinking, movement generally, or simply by speaking, and if
fresh air appears to afford some relief.
Dose: If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every four hours, until amelioration or change. If in
alternation with Belladonna, dissolve eight globules of each medicine sepa-
rately, in a wine-glassful of water, and give a tea-spoonful, first of one
solution, then of the other, so that a lapse of six hours intervenes between
the doses, and so on, until amelioration or change.
Belladonna is indicated when there is violent throbbing of the
arteries of the temples, reeling giddiness, and intense and unbearable
headache, chiefly seated in the forehead, (especially in and above the
eyebrows), with sensation as if the forehead would burst from internal
pressure, and as if the contents of the head would fall out at the fore-
head; dryness of the mouth, and thirst; sometimes incessant nausea;
tongue covered with a thick, whitish or yellowish coating; sour taste;
repugnance to all kinds of food, and even to drink; vomiting of food,
or vomiting of sour, slimy, or bitter matters; suspension of evacuations,
or looseness of the bowels, with slimy evacuations; quick and full
pulse; especially if the head-symptoms be aggravated by moving the
eyes, or by movement generally, or by Shaking, or even by touch, and
by the access of fresh air, or a draught, and if they be somewhat re-
lieved when the head is supported or held backwards.
Dose : In every respect as directed for Aconitum.
Nux-vomica is indicated in Bilious Fever by the following symp-
toms, amongst others: absence of thirst, or ardent thirst; attended
with heartburn; constant nausea; bitter eructations; foul or bitter
taste in the mouth, or insipid taste of the food; accumulation of
phlegm, or water in the mouth; the tongue dry and white, or covered
with yellow coating towards the root; painful sensation of weight and
tightness across the stomach, along the lower ribs, or generally in the
region of the stomach; constipation, with repeated urging to evacuate,
without discharge, or looseness of the bowels, with scanty, insufficient,
watery, or slimy evacuations; spasm of the stomach; great inclination
to vomit, sometimes even with empty retching, or vomiting of food;
136 GASTRIC FEVER—BILIOUS FEVER.
full and frequent, or quick and intermittent pulse; exacerbation of the
fever, particularly in the morning or evening, or at night; the febrile
symptoms accompanied with loss of consciousness, even at the onset,
or with great prostration of strength in the same stage, and charac-
terised by Shivering, occurring with partial heat, or by heat following,
preceding, or mingling with shºvering; partial shuddering, principally
about the back and extremities, with or without coldness; coldness
principally in the evening or morning, or provoked by the slightest
movement (even change of position) with shivering and shuddering;
headache, with heat of the head, and flushing of one cheek; 'dullness,
or confusion of the head, with reeling giddiness, and sensation as if
the brain oscillated; sensation of heaviness, especially of the back of
the head; buzzing, singing, or tinkling in the ears; rheumatic pains in
the limbs and in the teeth; yellowness of the skin, or sallow appearance
of the complexion, incapability of gathering or concentrating the
thoughts; sensation of eachaustion and weariness; excitable, violent,
restless or quarrelsome disposition; sometimes yellowish hue of the
white of the eye, particularly of the lower part of the eyeball; inflam-
matory and suffused redness of the eyes; great sensibility of light,
especially in the morning.
Dose : Two globules dry on the tongue, or three globules in a tea-spoonful of
water, every three hours, until four doses have been given, and afterwards,
if necessary, every six hours, until amelioration or change; but if little or no
positive or permanent improvement should accrue within six hours after the
fourth dose, or if one or more of the subjoined indications should supervene,
consider the next remedy.
Chamomilla is of eminent service, often after Wua:-vomica, in very
severe cases in which the last-named remedy has failed to arrest the
symptoms, when the tongue is red and fissured, unless the patient has
used chamomile in excess under previous allopathic treatment;-or
when the tongue exhibits yellow coating; or when further indicated
by:—intense heat and redness of the face (particularly at night), rest-
less and interrupted sleep, with much tossing, and with repeated
waking; bruised pain in the head, with pressure, fullness, and heavi-
ness; inflammatory redness, and burning sensation in the eyes, re-
markable susceptibility to be provoked to tears or anger; suspicious,
quarrelsome disposition, and from time to time great anguish of mind;
bitter taste in the mouth; every kind of food conveys a bitter taste;
loss of appetite; nausea or eructations; vomiting of greenish, sour, or
bitter matters; intense anxiety, and oppression of the chest; tightness
and weight at the pit of and in the region of the stomach, across the
stomach, and beneath the lower ribs; offensive smell emitted from the
mouth, and in the breath; looseness of the bowels, with sour-smelling
evacuations, or evacuations of excremental matter and slime (frothy
evacuations) having the appearance of stirred eggs, or greenish
evacuations; or on the other hand constipation, with suspended
evacuations.
Dose : As directed for Nur-vomica.
Bryonia is particularly appropriate to the treatment of this disease,
when it occurs in hot weather, with moisture of the atmosphere (sultry,
GASTRIC IF EVER—BILIOUS FEVER. 137
damp heat), or generally, when it occurs in the hot season. The indi-
cations which identify it are as follow:—insipid, pappy, foul, or bitter
taste, particularly on waking; sensation of dryness in the mouth and
throat, continual thirst; tongue exhibiting a number of blisters, and
covered with a white or yellow coating; morbid desire for acids and
stimulants, such as coffee, wine, &c., but repugnance to solid or whole-
Some food; the mouth and breath emit a putrid smell; vomiting of
bilious matters, particularly after drinking, or sometimes frequent but
Žnéffectual retching; fullness and tightness in the region of the sto-
mach, particularly after eating, however small the quantity; sensation
of chilliness, with shuddering; heat in the head, with redness of the
face; oppressive headache, with sensation of extreme heat, fullness
and tightness, aggravated by drinking, opening the eyes, or move-
ment (even change of position); dullness, confusion, and giddiness of
the head; constipation.
Dose : In every respect as last stated.
Pulsatilla is also a most important remedy in this as in every other
disease in which the digestive organs are particularly implicated, and
more especially if the patient has been submitted to excessive use of
Chamomile under previous allopathic treatment. The following indi-
cations may serve to determine and identify conditions, to which it is
appropriate;—the tongue being covered with whitish coating; eruc-
tations conveying a sour, bitter, or even putrid taste, or the taste of
the food; particularly after swallowing food or drink, there is bitter,
foul, or pappy taste in the mouth; desire for acids or stimulants, with
general repugnance to food, particularly to animal food, and to fat
(especially), or to warm, cooked food; all food conveys a bitter taste,
especially bread; regurgitation of food; extreme nausea, or inclination
to vomit, more intense after eating or drinking, or in the evening; ex-
cessive accumulation of phlegm in the stomach and gullet; vomiting
of food or of phlegm, or of bitter or sour matters, more severe at
night; acidity of the stomach; flatulent distension, tightness, and
hardness of the belly, with rumbling of wind in the bowels; looseness
of the bowels, with discharge of bilious or slimy matters in the evacua-
tions,—or sluggish, languid evacuations, and insufficient activity and
muscular energy of the bowels; the patient, if even habitually of a
mild disposition, is unaccountably and unnaturally violent, perverse,
morose, or taciturn; the temper is soured; languid and dragging sen-
sation throughout the body, attended with chilliness; splitting head-
ache, with tightness and compression of the forehead; sensation of
weariness and exhaustion, occasioned by the least mental exertion;
giddiness like that of drunkenness; vacancy, and confused sensation
in the head; tearing, darting, jerking pains in one side of the head;
darting, cutting pains (sometimes) in the eyes; aggravation of the
pains in the head, (at first) in the evening, upon assuming a recumbent
position, by mental labor, by moving the eyes or the head, in the
morning (during recumbency), or when stooping; slowness and fullness
of the pulse (in general); fits of shivering, shuddering, and coldness
in the evening, or towards evening, sometimes further qualified by
138 GASTRIC FEVER—BILIOUS FEVER.
Sensations of anxiety and by oppression of the chest, or accompanied
. º reeling giddiness, and headache or perhaps merely heaviness
Of the head.
Dose: In every respect as stated before.
Mercurius may frequently be employed with great advantage
after Belladonna, and is more particularly required when indicated
by the following symptoms and conditions: dryness, and burning
heat of the lips; drowsiness in the daytime, but sleeplessness at night ;
severe and painful sensitiveness of the belly and of the region of the
stomach, to the touch or to pressure, these symptoms being aggra-
vated, or particularly developed at night, and attended with extreme
sensations of anguish and restlessness; the tongue covered with white
or yellowish coating, or moist;-foul, or even offensive and loath-
Some, or bitter taste in the mouth; nausea or inclination to vomit, or,
at other times, actual vomiting of mingled phlegm and bilious matters;
the fever-symptoms are characterised by general coldness, shivering
and shuddering all over the body, (as opposed to the partial occur-
rence of these symptoms, indicating other remedies,) and by aggrava-
tion occurring towards night, or in the night; fever, either of an
inflammatory or putrid character; irregular, or quick and intermittent
pulse; heat of the head and face, with flushing, when all other parts
of the body are affected with coldness, shivering, &c.; giddiness when
the head is raised; intense headache, with desire to press the head
between the hands; burning or tearing pains in the head, or on one
side of the head only, extending to the ears, &c.; intense dejection,
and listlessness.
Dose : Of a solution of six globules, to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Cocculus.--This remedy, as well as Pulsatilla, may be advan-
tageously employed when the patient has been treated (under previous
allopathic management) with excessive use of decoctions of Chamomile.
The particular indications for its employment are as follow: absolute
loathing of food; dryness of the mouth, whether thirst be present or
not ; offensive eructations; nausea and inclination to vomit, especially
when eating or talking, during passive motion, or after sleeping; the
tongue covered with a yellow coating; laborious respiration, inciden-
tal to painful and oppressive sensation of fullness in the region of the
stomach; soft evacuations, with a sensation of burning in the passage,
or (more frequently) constipation; aching pain in the forehead, at-
tended with giddiness; and weakness, characterised by sweat, occur-
ring after the least physical exertion.

Dose : In every respect as directed for Mercurius.
Ipecacuanha is indicated by inclination to vomit, with utter
repugnance to food, and particularly to fat or greasy substances; dry-
ness of the mouth; the tongue either clean, or covered with a thick,
yellowish coating; bitter taste in the mouth; bitter taste conveyed by
all food; the mouth and breath emit an offensive smell; violent retch-
àng, without discharge, and attended with great straining, or easy,
|GASTRIC FEVER—BILIOUS FEVER. 139
copious vomiting of slimy matters, or of food, with a violent gush;
looseness of the bowels, with discharge of yellowish, and very offensive
or even putrid evacuations; and accompanied with severe colicky
pains; weight and sensation of fullness, with very severe pains in the
region of the stomach; pale, yellowish hue of the skin; severe head-
ache, seated in the fore-part of the head, and a sensation as if the
skull were crushed; sensation of chill, attended with shuddering, and
extending over the whole surface of the body, coldness of the eactremi-
ties, &c.
Dose : Of a solution of six globules, to two table-spoonfuls of water, give, (if
violent vomiting occur) one tea-spoonful every hour, until the symptoms
yield. Otherwise, of the like solution, give a tea-spoonful every four hours,
until three doses have been given, and then, if necessary, every eight hours,
until positive amelioration or change.
China is applicable to such cases as evince the following symptoms:
—frequent eructations; vomiting or regurgitation of food; loss of
appetite, and a sensation of thorough repugnance to all food, or as if
one had eaten enough, or more than enough; frequent emission of very
offensive wind from the bowels; evacuations containing indigested
food; painful sensation of tightness in the belly, and of weight in the
region of the navel; sensations of chilliness and shuddering after
drinking; looseness of the bowels with watery, slimy or yellowish
evacuations; heat with full and quick pulse; headache (sometimes
delirium), burning sensation in the lips, red face, and dry mouth.
Dose: Of a solution of six globubes, to three tablespoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Colocynth. This remedy is appropriate to the following symptoms
amongst others:—spasmodic colic; spasm of the stomach, vomiting, or
loose discharge from the bowels after the slightest and most whole-
some meal; cramp in the calves of the legs; shivering with general
coldness, but with heat of the head, unattended with thirst ; full and
quick pulse. -
Dose : Of a solution of six globules, to two table-spoonfuls of water, give a tea-
spoonful every four hours, until three doses have been given, and afterwards,
if necessary, every six hours, until amelioration or change.
Digitalis frequently proves of great service when such symptoms
as the following are present:—looseness of the bowels attended with
great loss of strength; nausea, with bitter taste in the mouth after
sleeping; thirst; vomiting of phlegm, &c.
Dose : Of a solution of eight globules, to three table-spoonfuls of water, give a
tea-spoonful every three hours, until positive amelioration or change.
Arsenicum, an invaluable remedy in the majority of very severe
and urgent cases, either when one or more of the preceding have
failed to arrest the symptoms, or when the disease has run on to an
advanced stage before treatment has been resorted to. The chief in-
dications which identify it as the appropriate remedy, are as follow:
dryness of the tongue, accompanied with severe thirst, and with con-
tinual inclination to drink, with, however, inability to drink more than
a small quantity at a time; bitter or very acrid, pungent eructations;
140 GASTRIC FEVER—BILIOUS FEVER.
saltish or bitter taste in the mouth; nausea; vomiting of food or of
greenish, brownish, or bilious matters; eactreme tenderness of the
region of the stomach to contact: burning and cutting cramp-like or
spasmodic pains in the stomach and bowels, accompanied with chilli-
ness and anguish,_or very painful sensation of weight and burning at
one spot in the stomach; suspension of evacuations, on the one hand,-
or on the other hand, eaccessive and continued relaxation of the bowels,
attended with severe urging, and with brownish, yellowish or greenish
evacuations; scalding sensations in passing water; the evacuations (or
vomiting) are provoked by or recur after every movement, or after
drinking; fits of shivering and shuddering, attended with sensations
of anxiety, oppression of the chest, headache, difficulty of breathing,
chiefly occurring in the evening upon exposure to currents of air, in
the open air, or after eating or drinking (especially the latter); general
heat of the body usually occurring at night, and accompanied with
restlessness, anxiety, &c.; irregular, frequent, and quick pulse; ex-
treme prostration of strength, and desire to assume or to retain a
recumbent posture, &c.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour (in very urgent cases, characterised by repeated occur-
rence and continuance of the violent symptoms, and by excessive prostration
of strength), or every three hours (in cases in which the urgent symptoms
are qualified by less frequency and longer intervals), until amelioration or
change. º
Baptisia. Nausea, vomiting and eructations. Increased debility,
furred tongue, also diarrhoea. Dullness of the head; swimming sen-
sation. Many symptoms resemble the so-called “Spotted Fever.”
Dose : Four globules in a tea-spoonful of water.
Gelseminum. Excessive nervous irritability and delirium. Bilious
diarrhoea or inflammation of the stomach and cramps. Congestion of
the portal system, and a torpid state of the liver in which case
Aconite, Nux-vomica, Podophyllum, Mercurius, or Leptandria would
be applicable, alternated with Gelseminum.
Dose : Three globules in a tea-spoonful of water every hour, or of the next
selected remedy at intervals of four hours, until amelioration or change.
Veratrum will frequently be found of great service in cases which
do not correspond in all points with the symptoms described under
the head of Arsenicum, but which evinces the same general character,
but more especially when disease attacks persons who are otherwise
habitually of robust health. The following are amongst the distinctive
indications: the tongue dry, or covered with a yellowish or brownish
coating; simultaneous vomiting and dejection of bilious matters;–
fits of fainting after evacuating, and extreme debility.
Dose : In every respect as directed for Arsenicum.
1. Rhus-tox, 2. Antimonium-tart., 3. Squilla. One or more
of these medicines respectively, according to the indications afforded
in; the article on “CHARACTERISTIC EFFECTs,” will in some cases be
found of considerable service in the treatment of BILIOUS FEVER, in its
various stages.
CHRONIC FEVER. 141
Dose : Of the remedy selected, give four globules in a tea-spoonful of water,
every three hours until four doses have been given, and afterwards, if neces-
sary, every six hours, until positive amelioration or change.
Diet and Regimen. During the course of this fever in its severe
forms, no solid food whatever should be allowed, and even very thin
farinaceous foods, or gruel can only be admissible in very small quan-
tities at a time. The only drinks which can be allowed are water, or
toast-water, or water which has been softened by being strained off
scalded groats or pearl barley, and allowed to stand until cold. Even
during convalescence, the diet must be very sparing for some time; the
least irritating or seasoned food is very objectionable, and even animal
broths should not be allowed until the tone of the stomach is some-
what restored, until which, very thin farinaceous food gradually
thickened from day to day, should be given in very small quantities
at a time, and at intervals (in general), not exceeding three hours.
Regularity of meal-hours, and a careful abstinence from excess, or from
any rich, seasoned or stimulating food for some time after the attack,
can alone secure the convalescent from mischievous consequences.
Water should continue to be the only beverage for a considerable
time, and smoking should be avoided, even by those who have been
habitually addicted to the free use of tobacco.
The avoidance of any of the other exciting causes is equally impor-
tant;-excess of exercise, exposure to heat, or to transitions of tem-
perature, fatigue, or check of perspiration may lead to untoward
results. But with such precautions, a due proportion of exercise in
the open air, change of air and scene, and free ablution with cold
water will do much to invigorate the functions in their restored
equilibrium.
CHRONIC REVERS.
Before we diverge from the consideration of Fevers unaccompanied,
or not necessarily followed by Eruptions, we should not omit to men-
tion those Fevers which assume a protracted character, and which
therein differ from ordinary fevers (fevers of a distinctly acute cha-
racter), which run a rapid and quickly determinable course. In cases
of this kind, the pulse is continually more or less accelerated, and indi-
cative of some constitutional irritation, and the continuance of these
symptoms is attended with emaciation, sometimes colliquative dis-
charges, suppurations, great debility, and evident organic injury.
They may be reduced to four general heads, which, however, are sub-
ject to a multitude of individual and subordinate divisions, viz.: slow
Symptomatic Fever, slow Nervous Fever (properly so-called), Hectic
Fever.
General Causes. Severe allopathic treatment, poisons, unwhole-
some humors, extreme exertion or eaccess, acting upon a constitutional
debility, and unhealthy habit of body; chronic inflammatory action or
irritation, ending in suppuration, and affecting a particular part or
organ; gnawing, and continual grief (pining), or continued mental
142 SLOW SYMPTOMATIC FEVER,
excitements of any kind; or in some cases, even the continued duration
of particular pains, inducing restlessness, and thereby sapping the vital
energies.
SLOW SYMPTOMATIC FEVER,
Or Fever resulting from the Presence of noacious Humors or bad
Habit of Body.
Treatment. Cases of this kind, in which the constitutional irri-
tation is evidently associated with other constitutional derangements,
such as scrofulous affections, gout, &c., will be preferably treated by
referring to the articles devoted to those subjects in particular, in
other parts of this work; for the only certain method of subduing the
feverish symptoms which are mere manifestations of other disease, is
to remove or modify the cause of irritation. We shall, however, sub-
join a few remedies which may be applicable to some features of
affections of this nature. It were impossible to consider fevers of this
kind, in their various variations, here without transgressing the limits
of a work of this kind, or forestalling details which will be afforded
elsewhere.
1. Sulphur, 2. Calcarea. These may be numbered amongst the
most important remedies in cases of chronic fever, associated with a
SCROFULous habit of body, and in the majority of cases Sulphur should
be first, and sometimes singly employed. In other cases, Calcarea
more distinctly embraces the symptoms present. The alternation or
successive administration of these medicines, however, is often required
(that is Sulphur followed by Calcarea).
Sulphur is more especially indicated by unnatural hunger, swelling
(and sometimes suppuration or ulceration,) of the glands of the arm-
pits, neck and groins (especially), sweat easily provoked, and often
profuse, especially towards morning; continual watery discharge from
the nose, rattling of phlegm in the upper part of the windpipe; pale
and bloated, or very thin face, pale skin generally; discharge from the
ears, flaccid and flabby condition of the flesh; excessive susceptibility
to taking cold, and to long-continued discharge from the nose and
eyes, &c.; pressure on the chest, hollow, sunken appearance of the
eyes, with dejected expression; stitches in the side and chest, short
oppressed respiration, and palpitation of the heart; scabby and other
wnhealthy eruptions on the skin; (sometimes) enlargement (distension),
and hardness of the belly, predisposition to diarrhoea, attended with
severe colicky pains, or to constipation of the most obstinate kind;
continued excessive and slimy diarrhoea, or indomitable constipation;
dry cough; weakness, with weary feeling and heaviness of the limbs,
dryness of the skin with thirst; increased and feverish heat, particularly
towards the close of the day; limited red patches on the cheeks, par-
ticularly on the left cheek.
Calcarea is more distinctly indicated by curvature of the bones; hard
and tense swelling of glands with suppuration; continual sensation of
heat unaccompanied with thirst; or habitual shuddering, aggravated
SLOW SYMPTOMATIC FEVER. 143
or appearing only towards night, and accompanied with redness of the
face; sudden and frequent flushes of heat, attended with extreme un-
easiness, and frequently with severe palpitation; rapid or slow but
progressive loss of flesh, sometimes qualified by fitful but voracious
appetite, sometimes by loss of appetite; dryness, withering and wrink-
ling of the skin, with more or less dimness of the eyes; talking exhausts
the patient, who is evidently in continual anaciety concerning his or
her health; the least excess in quantity of food, or slight irregularity
of any kind disturbs the digestion; sweats, sometimes very profuse,
prevail at night, and are easily provoked even by the slightest mental
eaccitement or emotion at any time; short, dry cough; excessive dry-
7tess of the skin, sometimes also looseness; chronic inflammations of
the eyes and eyelids, with great tenderness of light; discharge of
blood from the nose, or swelling and redness of the nose; chronic
discharges of matter from the ears, and enlargement of the upper lip,
either continual, or occurring from time to time; complexion pallid
and puffy; belly swollen and hard, and obstinate Constipation, or ex-
cessive and continued relaxation.
Dose ; , If singly, of either of the foregoing remedies for an adult, six
globules in a table-spoonful or, still better, in a wine-glassful of water
every morning the first thing (fasting), for eight days) or until a dis-
tinct change has taken place in the aggregate of symptoms, in which case,
pause three days before proceeding: for children between two and twelve
years old, three globules, or even four globules in a tea-spoonful of water,
likewise; for rickety infants from the first dentition two globules (of Calcarea),
in a tea-spoonful of water likewise. If in alternation, first, two such doses of
the one (on two successive days), then a pause of four days, followed by two
similar doses of the other, and so on. -
Lycopodium may often follow Calcarea with advantage when
eruptions on the hairy scalp, associated with obstinate Constipation,
constitute the distinctive features of the case, with such other qualify-
ing conditions as are set forth in the Article on “CHARACTERISTIC
EFFECTs;” in which case however, it will, in many instances, be neces-
sary to return to Calcarea, or sometimes even to Sulphur, when
Lycopodium seems to fail in producing a progressive effect.
Dose: Of a solution of six globules in two table-spoonfuls of water, give a tea-
spoonful morning, noon, and night the first day, and afterwards, morning and
evening, until amelioration, change or suspension of effect, unless no effect at
all should occur in four days; in either of which cases, reconsider the symp-
toms, and proceed accordingly.
Arsenicum is indicated when there is a continual inclination to lie
down, from a sensation of inability to move or to sit up—a symptom
which may likewise be characteristically associated with continued and
severe relaa’ation of the bowels: scurfy eruptions on the hairy scalp,
swelling of the glands of the neck, &c.
Dose : Four globules in a tea-spoonful of water, as directed for Sulphur or
Calcarea.
Belladonna, especially for patients of a fair complexion, when, with
other symptoms, as already described, we notice a predisposition to
inflammatory swelling and soreness of the throat; wetting the bed, or
general inability to retain the water; more particularly if the mental
144 SLOW NERVOUS FEVER,
development is observed to be unusually in advance of the physical
powers (in children).
Dose ; Six globules, or in other respects, as directed for Sulphur or Calcarea.
Diet and Regimen. In all cases of this nature, the greatest
importance should be attributed to these accessory measures in Treat;
ment;-indeed, little or no permanent benefit can be anticipated
without attention to these particulars, as detailed in the Sections on
“PREVENTIVE and ERADICATIVE TREATMENT,” in the introductory
portion of this Volume. The food should be nourishing, unstimulat-
ing, and as much compressed as possible—quantity being an important
consideration; for, however digestible may be the food, if sparingly
used, an excess in quantity will inevitably impede the digestive pro-
cesses. Fresh air and exercise without fatigue, regular habits, freedom
from causes of vexation, emotion, excitement or the like, and the proper
employment of cold water for ablution, with general cleanliness of
person and habitation, are absolutely indispensable to cure.
SLOW INERVOUS FEVER.
Slow Nervous Fever, properly so-called, is to be definitely dis-
tinguished from Hectic Fever, by an increased development of febrile
motion when fasting (relief being consequent upon a replenished sto-
mach), and by general deficiency of heat; whereas, Hectic Fever is
aggravated by partaking of food, and is qualified by increase of mor-
bid heat. Slow Nervous Fever, moreover, is unconnected with any
organic or other local affection, but depends upon a general debility
of the whole nervous structure, and consequent derangement of func-
tions especially associated with this portion of the system.
Symptoms. The general symptoms, subject to variations of in-
tensity, in accordance with the greater or less degree of the affection,
and dependent upon functional derangements conformably to the par-
ticular susceptibilities of individuals, consist of very great variations
of temper, disposition and inclinations, with predominance of fretful-
ness, desponding humor, or severe, painful and indomitable depression
of spirits alternated with brief moments of excitement; spasmodic,
hysterical, or hypochondriacal affections; extreme susceptibility of the
Cerebral System, to be disturbed by external circumstances, generally
with local or lateral headaches, which are, however, apt to be modified
if the attention is pleasingly abstracted without involving an intellec-
tual effort (as, for instance, by entertaining and light reading)—little
or no increased sensation or positive increase of heat, but predominant
sensation of chill, and either absence of undue perspiration or little
sweat; variable manifestations afforded by the urine, both as to color
and quantity; the PULSE is in general small and quick, but is subject
to considerable variations, and is very susceptible of extreme accelera-
tion upon the least emotion or excitement; the febrile action is aggra-
wated towards morning or whenever the stomach becomes empty, and
7s lessened by eating.
CHRONIC FEVER, 145
Causes. Debilitating causes of any kind may result in Slow
Nervous Fever, but particularly Acute Nervous Fever, or rather Acute
Fevers; continued discharge of blood or other animal fluids; the debi-
litating effects of excesses (which have not directly occasioned inflam-
matory disorders), may lead to the same consequence; exhausting and
continued exertion of physical strength and endurance, and excessive
and long-continued application of the mental faculties, may also ter-
minate in the same disorder.
Treatment. Arsenicum is indicated if the skin be hot and dry,
or particularly the latter, during the exacerbations, the appetite defi-
cient, the emaciation very considerable, the temper particularly irri-
table and contradictory; or if the debility be excessive, and palpitation
of the heart be easily provoked, and there be a continual disposition
to lie down: or if great thirst prevail, the appetite being fitful and
dainty, or even deficient, and the patient has a continual inclination to
drink, without ever drinking freely,–or more especially if stimulating
drink (which is to be avoided) be found to allay the symptoms for a
time. (Refer also to the Article on “CHARACTERISTIC EFFECTs.”)
Dose: Three globules in a tea-spoonful of water towards noon, repeated at night
until a degree of improvement (or change) results, when (if improvement),
continue the doses at night, until the symptoms become progressively modi-
fied or positively changed.
China is more especially required when the direct cause of the dis-
order has been great loss of blood or other animal fluids; in which
case, listlessness and languor are more characteristic than irritability,
sometimes, however, perverseness or discontentment; dainty, fastidious
appetite quickly satiated, or voracious appetite followed (if the food
be too rapidly swallowed) by uneasiness, oppression, and ill-humor;
longing for something indefinite, never gratified by what is offered;
pulse small and quick; tenderness of the roots of the hair and of the
scalp generally; frequent bleeding at the nose; whatever is eaten that
is the least indigestible passes through the bowels in a crude state;
frequent inclination to pass water with slow and deficient discharge;
swelling of the feet; sleep very easily broken, and generally disturbed
by uneasy, sometimes by frightful dreams; dread of bodily exertion;
abundance of impracticable projects, &c.
Dose : Six globules in a table-spoonful of water at bed-time, until amelioratic m
or change.
Cocculus is especially indicated by erroneous calculation of time,
every period appearing shortened to the patient; extreme nervous sus-
ceptibility, whereby the patient feels aggrieved at every thing which
is said and done; and which, with excessive preponderance of melan-
choly and desponding ideas, amounts almost to aberration of mind;
occasional nausea and giddiness even to fainting; soft and yellow
evacuations; numbness of the feet and legs. – Cocculus is most appro-
priate in cases resulting from acute fevers, nervous fever in particular.
Dose : Three globules in a tea-spoonful of water, as directed for Arsenicum.
Staphysagria is required when the exacerbations of the fever are
distinguishable by chill or coldness instead of heat; absence of perspi-
1
146 HECTIC FEVER,
ration, with pallor and headache, or occasionally partial cold sweats
on the feet and on the forehead; sleep retarded by anxious or abundant
thoughts, or disturbed by uneasy dreams; obtuseness of the intellectual
faculties, and weakness or confusion of memory; apprehension for the
future; rapid falling off of the hair; confusion of sight and hazy
appearance of a light; adhesion of the eyelids, with discharge—con-
siderable accumulation of dry matter in the corners of the eyes—Or
great dryness of the margins; chronic eruptions of small millet-shaped
pimples on the skin; hollowness of the eyes, with wan and drawn
appearance of the face, and sometimes blue rim round the eyes;
enlargement of the tonsils; swelling of the glands of the groin ; relaxa-
tion of the bowels, with offensive flatulency; fluttering palpitation of
the heart, provoked by the least motion, and by pleasing emotions, or
on first rising from a recumbent position; swelling of the instep.
Dose : Four globules in a tea-spoonful of water, once daily at bed-time, until
amelioration or change.
Veratrum is indicated by fever, characterized by positive eaſternai
coldness; small, quick, and intermittent or slow and indistinct pulse:
dark-colored urine; taciturnity or violent excitement, with much talka.
tiveness; painful sensation, as of remorse, unquiet mind, or vacancy of
thought; whitish and flabby skin; sudden rush of blood to the brain
in the act of stooping or leaning forward, and reeling giddiness on first
assuming an erect position; throbbing headache—coldness of the top
of the head; double vision; objects flitting before the eyes on raising
the head from the pillow, &c.; extreme coldness of the nose; frequent
bubbling in the intestines; coldness of the extremities.
Dose : Three globules in a tea-spoonful of water three times a day, until ame-
lioration or change
Diet and Regimen. —The accessory means which tend to over-
come this troublesome and indefinite affection, are change of air and
scene, a mild climate without excessive moisture, avoidance of night
and morning air, until the atmosphere has been cleared by the action
of the sun or the circulation of currents of air, avoidance of sudden
transitions of temperature; exercise and free access of fresh air, with-
out fatigue or chill—generous but simple and sparing diet; frequent
and scanty meals, an equal proportion of animal food without suc-
culent vegetables. --All depressing or over-elating emotions should be
avoided; equanimity is very essential.– Amusements, involving physi-
cal expertness, are preferable to those which rack the reflective facul-
ties. Perception should no sooner be excited by one object than it is
diverted to another. Good wine, in very limited quantities, especially
if diluted, can do no harm.
HECTIC FEVER,
Hectic Fever, which is distinguishable from slow Nervous Fever by
its aggravation after eating, and by an increased development of heat,
is invariably associated with organic affection of some important parts,
whether by congestions or by indurations, &c. It does not, however,
follow that Hectic Fever, properly so called, is irremediable, because
HECTIC FEVER. 147
the imminent inflammation may be averted, or the induration may be
resolved, &c.
Symptoms.-Increase of febrile action towards night-fall, and dur-
ing the early part of the night; small, quick, sometimes feeble, but
wiry pulse; extreme susceptibility to flushes of heat, or to general
heat of the body, with dry, parched skin during the exacerbations, or
flushes of heat, with circumscribed redness and burning of the cheeks,
provoked by the least excitement, or occurring almost invariably after
eating, and then attended with much uneasiness; peculiar tendency to
flushes of heat, and to general aggravation of the febrile action after
eating; dry heat of the hands after eating; more or less profuse per-
spiration towards morning.
Treatment.—Sulphur may be mentioned, amongst the most use-
ful remedies, in cases of genuine hectic fever, especially if the patient
has been subject to eruptions on, or other affections of the skin, or if
any traces of hereditary origin can be distinguished as the remote
causes of the affection. The particularly indicative features are as
follow :
Sensation of weakness and fatigue, or heaviness in the limbs; dry
and scanty, or slimy and loose evacuations; thirst, with extreme dry-
ness, and, generally, heat of the skin; flushes of heat, especially towards
night, and marked, patchy redness with heat of the cheeks, or more
especially of the left cheek; meagre face, and pointed features, with
extreme but clear pallor in the absence of flush; dry, hacking cough,
or cough as if provoked by the inhalation of irritative vapor; breath-
ing abrupt, quick, or short and oppressed; more or less continual
agitation of the heart, severe palpitation being provoked by the least
exertion or excitement. Sometimes, swelling and hardness of the
glands of the groin, arm-pits, and nether jaw, especially if associated
with previous acute disorders, such as Scarlet-rash, or resulting from
abuse of Mercury, or from Scrofulous habit.
Dose : Six globules in a table-spoonful of water every morning the first thing
(fasting) for eight days. or until some change has taken place, when, if dis-
tinct symptoms have become developed, pointing to another remedy, such
remedy should be adopted after a pause of three days;—if otherwise, the
Sulphur may be resumed after the same interval.
Ignatia is required (chiefly after Sulphur) when grief, or other
severe, continued, and depressing emotions are identified as the direct
cause of the affection.
Dose : Four globules (or otherwise as directed at pages 60–62, 88), in a tea-
spoonful of water the first thing in the morning, and again at noon for three
days in succession, or until amelioration or change.—If, however, Ignatia has
distinctly modified the symptoms in the onset, but has ceased to exercise any
influence, administer two doses of Sulphur, as above dinected, and then, hav-
ing paused three days, again return to Ignatia, and so on.
Phosphorus is required when chilliness sets in towards evening
followed by extreme dry heat, or especially when tightness and full
ness of the chest are present.
Dose: In every respect as directed for Sulphur.
Ipecacuanha is indicated by burning heat in the palms of the
148 HECTIC FEVER.
hands, with excessive and general uneasiness, and restlessness, or by
loss of breath following the slightest exertion; or when the appetite
is dainty and fastidious, and readily cloyed by what appears to be the
most longed for; again, if the skin conveys a sensation like that of
parchment to the touch, if there be an extremely painful sensation of
dry heat, particularly towards night, attended with parching thirst,
and if the disposition be languid and listless.
Dose: Four globules (or otherwise, as directed at pages 60–62, 88) in a tea-
spoonful of water every morning the first thing, repeated again at noon, until
amelioration or change.
Calcarea is identified as the remedy by the following symptoms,
especially if the glands be affected, or if traces of previous or here-
ditary chronic affections of the glands, or rickety affections of the
bones can be distinguished: sluggish and imperfect digestion; constant
fits of shuddering, with flushing of the face, especially towards night,
or continued heat, without thirst, or again repeated flushes of heat,
attended with intense uneasiness, and often with painful palpitation of
the heart; short, dry, and constant cough; talking completely exhausts
the patient; uneasiness and languor, with loss of appetite and flesh;
dryness and withering of the skin; sweating readily provoked often
by eating only, but always by the least exertion; the patient is uneasy
concerning his or her own health; sometimes swelling and induration
of the glands, especially those of the nether jaw, armpits, groin, neck,
&c., or mesentery.
Dose : In every respect as directed for Sulphur.
Cina is often required, especially amongst children and young per-
sons, in whom the presence of worms has been unequivocally ascer-
tained, as by boring at the nose, habitual sneezing, unaccountable
restlessness, fretfulness, crying, and gnawing, griping intestinal pain,
&c. (Consult also the article on “CHARACTERISTIC EFFECTs.”) The
mitigation of symptoms by the employment of Cina, will be best con-
verted into a permanent cure by a subsequent course of Sulphur as
above directed.
Dose : In every respect as directed for Ipecacuanha.
Arsenicum, China, Chimaphila-umb., Gelseminum, Nux-
vomica, Acidum-phosph. These remedies are frequently of great
service in the treatment of severe and obstinate cases. The distinctive
indications for their selection, respectively, will be best deduced by a
careful reference to their specific or curative action, as stated in the
article on “CHARACTERISTIC EFFECTs.”
, Dose: Of either of these remedies four globules (or otherwise, as directed at
pages 60–62, 88) in a tea-spoonful of water, twice a day, in the morning
(fasting), and at noon, until amelioration or change.
Baryta is indicated when there is predominant inflammatory swell-
ing and induration of the glands of the neck, associated with dry
scurfiness of the face and head.
Dose ; Six globules (or otherwise, as directed at pages 60-62, 88) in a table-
spoonful of water, every morning for a week, or (if previously occurring)
SCARLET FEVER. 149
until amelioration or change—pausing four days, and resuming the course if
necessary.
Graphites, Silicea. These remedies are often required respec-
tively, according to the detailed indications afforded for each in the
article on “CHARACTERISTIC EFFECTs;” Graphites especially, when the
glands of the neck are affected with scrofulous swelling, Silicea, par-
ticularly, when there is scrofulous swelling and induration (with or
without inflammatory action) of the glands of the neck, arin-pits, groin,
and beneath the ears.
Dose : Of either of these remedies as directed for Baryta.
Bryonia, when the predominant glandular affection consists of
small, knotty elevations under the skin, in various parts, consisting of
hard swelling of the glands of the skin.
Dose : Four globules (or otherwise, as directed at pages 60–62, 88) in a tea-
spoonful of water daily, the first thing in the morning, and again at noon,
until amelioration or change.
Diet and Regimen.—The diet should be as nourishing, as much
concentrated, and as simple as possible; fresh air, constant change
of clothing, and the free use of cold water, will do much to assist the
medicinal treatment. Stimulating food or drink, of any kind, is
strongly to be reprehended.
ERUPTIVE FEVERS.
Under this head we intend to treat of those diseases which possess
the common property of febrile symptoms, preceding an eruption
which is present during a part of their eourse, such eruption varying
in character, according to the nature of the affection.
In this class are comprised scarlet fever, Scarlet rash, measles, small-
pox, chicken-pox, and miliary fever.
SCARLET FEVER.
This disease, in its simple generic character, consists of an infectious
fever, with swelling of the face and a scarlet appearance of the skin—
(hence its name)—which is of a bright raspberry color, or of a hue
resembling a boiled lobster, smooth and glossy, upon which the finger,
being pressed, leaves a white imprint, which almost immediately dis-
appears. In the present day, we seldom meet with it in this simple
form, but more frequently complicated with severe or ulcerated sore
throat, delirium, congestive or violent inflammatory symptoms, and
often with more or less deviation from the characteristic efflorescence
above described.
General Symptoms.-Uneasiness and feeling of weakness, nausea,
sometimes vomiting, and transient chilliness, or fits of shivering, com-
monly from the antecedents of the eruption. To these are soon
afterwards superadded, -headache, thirst, heat of skin, occasionally
drowsiness, bleeding at the nose, fever, with extreme quickness of
pulse, and a feeling of Soreness or pain in the throat. In one or more
days, the face becomes tumefied, and numerous small, reddish spots
150 SCARLET FEVER.
appear on the face, neck, and chest, the skin, in the intermediate
spaces, retaining its usual color. In a few hours, this eruption extends
over the whole body, and even to the lips, tongue, and throat. About
the third day, the small red spots and the majority of the interstices
are supplanted by large, indefinitely marked patches, presenting the
vivid hue before described, gradually growing paler towards their
margins, and often overspreading entire limbs, but especially the
groins, hips, and joints, with a uniform scarlet color. The fever
usually diminishes after the evolution of the eruption. In five or six
days the efflorescence disappears, when the skin scales, and comes off
in large pieces.
We sometimes find scarlet fever with scarcely any or even no ex-
ternal redness, but, at the same time, marked sore-throat and bright
redness of the tongue; in such cases, the disease, instead of throwing
itself on the skin, has fixed upon the internal lining membrane; and
even the sore-throat and redness of the tongue, present in most cases
of this disease, may be considered indicative of an internal scarlatina.
Scarlatina was formerly confounded with measles, from the resem-
blance which the two eruptions bear to each other, at their commence-
ment; but they are easily distinguishable, even without taking into
consideration the peculiar appearance of the skin above-mentioned –
characteristic of the disease,_by the eruption, in scarlet fever, gene-
rally developing itself in from twenty-four to forty-eight hours after
the commencement of the fever, whereas that of measles rarely sets in
before the third or fifth day; the absence of symptoms of cold, such as
cough, Sneezing, flow of tears—the usual precursors of measles, con-
stitutes another mark of difference. The greatly accelerated pulse,
which denotes the approach of scarlatina, is also never met with, to the
Same extent, in any other disease.
SIMPLE SCARLET FEVER.
Treatment.—Belladonna is a specific remedy in those cases in
which this disease appears in its simple form.
Dose : Dissolve six globules in four tea-spoonfuls of water, and give a tea
spoonful of the solution every three hours (if the fever-symptoms be severe)
or every six hours (if they be moderate), until amelioration or change : either
of which supervening, the administration should be suspended until the ame-
lioration, on the one hand, has become stationary, or the symptoms, on the
other hand (in case of change) have been reconsulted to ascertain if they be
of the nature of a medicinal aggravation (for which consult the article on the
“ADMINISTRATION,” &c., pp. 57, 58, and that on the CHARACTERISTIC EFFEcts”),
or if they be of a nature to indicate another remedy. If medicinal aggravation,
abide the reaction without further treatment; if of a different character, pro-
ceed with the remedy so indicated.
MALIGNANT SCARLATINA,
The next form we shall treat of is one in which the scarlatina be-
comes a severe and dangerous disease, when the throat is considerably
affected, and high fever or congestive symptoms set in, and which, if
not properly treated, or if they occur in a bad habit of body, may
assume the malignant type, attended with ulcerated sore-throat, ex-
SCARLET FEVER. 151
tension of the inflammation to the air-passages, delirium, spasm, &c.
(See also ULCERATED SoRE-THROAT.)
The fever and sore-throat increase with the eruption, in mild cases,
and cease with its decline, but in the more severe form they continue;
it is when the disease appears principally to attack the head, throat,
chest, or bowels, that it becomes dangerous. (See also Inflammation
of the “Windpipe, &c.,” “Lungs,” “Bowels,” and “Brain.”). The
eruption frequently does not appear before the third day, and then
only in isolated patches.
Treatment.—Belladonna should be administered, as soon as the
throat and tongue become affected with dryness and burning, and
there is a desire, but complete inability, to swallow even drinks or
saliva, with sense of suffocation ; further, when the throat is of a bright
red color, having its surface excoriated, or covered with white specks,
or stringy phlegm, or presenting the appearance of thrush, the glands
of the throat being swollen, and the tongue is of a bright, fiery-red
hue, sometimes interspersed with dark red patches, but, generally,
later in the disease, if at all; also when delirium exists.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, until amelioration or change; to a
child under twelve years of age, a tea-spoonful of the solution repeated as
above—which will generally be sufficient to bring about a speedy ameliora-
tion, when the administration should be suspended until such amelioration
becomes stationary. But if no improvement follow within three hours after
the second dose, and the inflammation and swelling continue to increase
(which often occurs in scrofulous patients), or the subjoined symptoms super-
vene, proceed at once with the next remedies respectively.
IMercurius should be promptly employed six hours after the second
dose of Belladonna, if, instead of subsiding, the inflammation and
swelling continue to increase, or if incipient ulceration becomes ap-
parent, and there be an increased secretion of phlegm in the throat.
Dose : Dissolve twelve globules in three table-spoonfuls of water, and give a
tea-spoonfu) of the solution every four hours, until amelioration or change;
for a child under twelve years of age, a solution of six globules to three tea-
spoonfuls of water, administered by tea-spoonfuls in like manner; or if the
subjoined symptoms supervene, proceed with the next remedy, first pausing
six hours. &
Arsenicum should be administered six hours after the last dose
of Mercurius, if the ulcers present a livid appearance about the edges,
and emit an offensive odor, or if there be excessive thirst with great
dryness of the throat and extreme prostration of strength.
Dose : Three globules in a tea-spoonful of water (for a child under twelve years
of age, two globules in a tea-spoonful of water) every three hours, until ame-
lioration or change; but if no improvement (or very little and transient)
follow within two hours after the fourth dose, especially if the subjoined in-
dications be present, proceed with the next remedy.
Nux-vomica will be required after Arsenicum, when the latter is
evidently inadequate to effect a perfect reaction, when the improve-
ment (if any) has been trifling and transient, or more particularly
when the following symptoms are present:-glutinous phlegm is
copiously secreted from the inflamed and tumefied lining of the throat,
which adheres so tenaciously, that it is with difficulty expelled, and
152 SCARLET FEVERS.
sometimes even threatens suffocation. (See also the article on “ULCE-
RATED SORE THROAT.”
Dose: Dissolve six globules in three table-spoonfuls of water, and administer
a tea-spoonful of the solution as directed for Arsenicum.
Aconite should be administered when the fever assumes a clearly
Inflammatory type, and the pulse runs high. (See also “INFLAMMATORY
FEVER.”)
Dose : Dissolve six globules in three table-spoonfuls of water, and give-a tea-
spoonful of the solution every three hours, until amelioration or change;—
for a child under twelve years, four globules to six tea-spoonfuls of water ad-
ministered by tea-spoonfuls.
Belladonna should be administered when the quickness of pulse
and other inflammatory febrile symptoms are subdued, and the affec-
tion of the throat again appears prominent, especially if the skin retain
the peculiar scarlatina hue.
Dose: Four globules in a tea-spoonful of water, or for a child under twelve
years of age, two globules in a tea-spoonful of water,-every four hours, un-
til amelioration or change.
Opium may follow the administration of Belladonna, when there
is burning heat of the skin with drowsiness, stupor, snoring respiration,
open mouth, eyes half closed, restlessness with vomiting, or convul-
sions. When furious delirium, with great restlessness, incessant
movement of the hands, &c., appears at the commencement of scarlet
or other eruptive fevers, Opium is more serviceable than any other
remedy, and will generally prevent a fatal issue from paralysis of the .
brain, which is so prome to occur in such cases.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change; (or
three globules dry on the tongue similarly, if there be difficulty in inducing
the patient to swallow the solution.) As soon as manifest improvement oc-
curs, frequently after the first dose,_it is desirable to suspend treatment
until the improvement becomes stationary, or the symptoms recur in full
force (when the same remedy should be repeated), — or until other symptoms
supervene, when a fresh and appropriate remedy must be administered. But
if little or no improvement follow within two hours after the third dose proceed
with GELSEMINUM, as directed before.
Zincum may sometimes be required, when Opium is insufficient to
avert the threatening danger.
Dose : In every respect as directed for Opium.
Sulphur, in repeated doses, has been strongly recommended when
the eruption is very intense, and extends over the entire frame, and
particularly when the patient affected is of the scrofulous habit of
body.
Dose : If singly, three globules in a tea-spoonful of water every six hours, until
amelioration or change ; for a very young person, two globules in a tea-
spoonful of water similarly.— Or if symptoms indicative of Aconitum super-
vene, rendering the intermediate administration of that remedy necessary,
allow an interval of eight hours to elapse—and proceed with the next remedy,
returning to Sulphur four hours after the last dose of Aconium, if necessary,
as soon as the particular symptoms which called for the last-named medicine
have yielded.
COMPLICATED FORMS OF SCARLET FEVER. 153
Aconitum is indicated for intermediate administration during the
course of Sulphur, eight hours after the last dose of that medicine, if
great restlessness and dry heat of the skin should supervene.
Dose : Four globules in a tea-spoonful of water, or for a very young person
two globules in a tea-spoonful of water, repeated in an hour, and a third
dose two hours after the second, if necessary, and so on until the peculiarly
indicative symptoms subside, when pause four hours, and return to the ad-
ministration of Sulphur if required.
COMPLICATED FORMS OF SCARLET FEVER.
Varieties of Scarlatina not unfrequently occur in which the charac-
teristic peculiarities of the efflorescence are wanting, namely, the color,
which is not a bright scarlet but of a darker hue, and the effect of
pressure, which does not leave the white impression after it. There
are, also, cases in which small granular elevations appear upon the
surface of the red patches. These variations from the foregoing de-
scription of the manifestations afforded by Scarlet Fever are not to be
mistaken for indications of a different disease, but should be accepted
as signs of a different type of the same disease, and of one which will
be more appropriately treated of under the head of “ScARLET RASH.”
There are also instances in which the eruption is confined to internal
parts, when, with the characteristic acceleration of pulse, there is sore
throat, and the mouth and throat are bright red, hot, swollen, and
often very dry. This variety will be subject to treatment, such as
that already detailed, according to the Special indications present.
Other instances, again, occur of a yet more insidious character,
which are not distinguished until the dropsical swellings supervene,
and which either evince no eruption at all, or so slightly as to escape
notice.
This variety must, in all instances, be treated as directed for the
like symptoms supervening, as the after-effects of the disease when the
eruption has been struck in or imperfectly developed. Another very
dangerous complication, which is frequently associated with scarlet
fever, consists of INFLAMMATION OF THE UPPER PART of THE win DPIPE.
This variety should be subjected to the treatment prescribed in the
article devoted to the consideration of that particular disease, so long
as symptoms of this nature continue—returning, however, to the
specific treatment of the primary disease (SCARLET FEVER) as already
directed in this chapter, as soon as the complication is subdued.
Another variety is characterized by degenerating into a low typhoid
type, in which cases the following treatment becomes requisite.
Ammonium-carb., Arsenicum, Acidum-phosph., Secale-
corn. From amongst these remedies a selection should be made by
accurately studying the symptoms of the case, and by comparing them
with the indications afforded under the head of each respectively, in
the article on “CHARACTERISTIC EFFECTs.”
Dose : In very severe cases it will be necessary to commence by administering
four globules in a tea-spoonful of water (or for very young persons, two glo-
bules in a tea-spoonful of water), every hour (twice), and then every two
hours, until some degree of amelioration or change sets in, when the intervals
154 AFTER-EFFECTS OF SCARLET FEVER.
should be doubled, -the administration being moreover suspended as soon as
decided anielioration follows, until such amelioration ceases to be progres-
sive, or the symptoms begin to resume their ascendancy, —when the treat-
ment should be resumed at intervals of six hours, and so on, until the serious
aspect of the malady is entirely removed. In more moderate cases, the ad-
ministration may be commenced at intervals of four hours, subject to similar
modifications.
Cases in which the throat becomes the chief seat of danger, require
the following treatment:-
Arsenicum is indicated in the majority of cases in which severe
and dangerous sore-throat accompanies ScARLATINA, the tonsils being
swollen into hard tumors, often as large as apples, attended with
Snorting and difficult breathing, enlargement of the adjacent glands,
ºrêmittent pulse, and intense drowsiness. (See also the article on
“ULCERATED SORE-THROAT,” for particular indications.)
Dose : Four globules in a tea-spoonful of water (or to a child under twelve
years, two globules in a tea-spoonful of water), first three times at intervals
of half an hour, then an hour after the last dose, and again two hours after
that ; and then, if the more urgent symptoms have been modified, every four
hours, until amelioration or change; but if little or no improvement ensues
within six hours after the commencement of this course, proceed with
the next.
Acidum-nitric., Aconitum, Lycopodium, Belladonna.-
If little or no improvement should have followed the administration of
Arsenicum within the time just stated, proceed with these remedies
in succession (one dose of each), in the order in which they are
placed.
Dose : Of each remedy four globules in a tea-spoonful of water (or for a child
under twelve years of age, two globules in a tea-spoonful of water) in suc-
cession, at intervals of one hour, or in very severe cases, even of half an
hour, until distinct amelioration or change.
AFTER-EFFECTS OF SCARLET FEVER.
Scrofulous subjects in particular are subject to a multitude of con-
secutive ailments of Scarlet Fever, which are often of an obstinate
character, and require careful treatment and great precaution.
Eaccessive Susceptibility to take Cold.
In general also, we may number amongst these after-effects, when
the skin has been cast, an exceeding susceptibility to take cold, which,
if not obviated, may entail serious consequences.
Treatment.—As accessory precautions we may mention great care
as to diet, sufficient exercise out of doors, if possible, but only in very
dry weather, warm clothing, and avoidance of drafts, without, how-
ever, resorting to the extreme of coddling or the eacclusion of free
ventilation, which is as essential to thorough recovery as medicine.
Calcarea should, in the majority of cases, be administered (unless
there be symptoms which distinctly point to other remedies) in re-
peated doses.
Dose ; Six globules in a table-spoonful of water (or for very young persons,
three globules in a tea-spoonful of water), night and morning for ten days;
AFTER-EFFECTS OF SCARLET FEVER. 155
pause four days, and resume treatment similarly for seven days more, if
necessary.
JRawness of the Face.
Chamomilla. Belladonna, Arum-trip. Chamomilla may, in
most cases, be employed singly with perfect success against this
troublesome consequence. When, however, an inflammatory tendency
continues, and the affected parts are much swollen and painful, &c., it
will be desirable to resort to the alternate administration of Chamo-
milla and Belladonna as follows; and if no relief take Arum-trip.
Dose : If singly, give four globules of Chamomilla in a tea-spoonful of water,
morning and evening, until amelioration or change. If in alternation, first
two doses of Chamomilla at intervals of six hours, then a pause of twelve
hours, and subsequently two doses of Belladonna similarly, and so on.
Offensive Discharge from the Nose.
Aurum is indicated by offensive discharge of matter from the
nose, with soreness and swelling of the interior, following SCARLET
FEVER.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution morning and evening, until amelioration or change.
Soreness of the Wose, dºc., with Swelling of the Glands.
IMercurius and Hepar-s., Silicea, Sulphur, Calcarea.—
Mercurius is required when there is Soreness. of the nose and face,
with swelling of the glands on the inner side of the lower jaw,
followed, if necessary, and according to the indications afforded in the
article on “CHARACTERISTIC EFFECTS,” by one or more of the other
remedies named.
Dose : Four globules in a tea-spoonful of water (or for a very young person,
two globules in a tea-spoonful of water), morning and evening, until amelio-
ration or change, allowing in every case an interval of twenty-four hours to
elapse between the administration of different remedies.
Puffiness and Swelling of the Face and Extremities, dºc.
Belladonna is in most cases sufficient to overcome the following
symptoms, occurring as the after-effects of ScARLET FEVER, namely:—
Puffiness of the face, swelling of the hands and feet, lingering fever in
the evening, glandular enlargements, chaps about the mouth, severe
headaches, stammering, &c.
Dose : Four globules in a tea-spoonful of water, three times a day for four
days, and then morning and evening (if necessary), until amelioration or
change.
Dropsical Swellings, déc.
Arnica, Belladonna, Helleborus, Acidum-phosph., Gelse-
minum. One or more of these remedies respectively according to
the detailed indications afforded respecting them in the articcle of
“CHARACTERISTIC EFFECTS,” should be administered, when symptoms
of WATER ON THE BRAIN supervene, such as: dullness of the mental
faculties, with evident painful effort to think clearly; excessive drow-
156 AFTER-EFFECTS OF SCARLET FEVER,
siness; weakness of the feet and repeated falling down; squinting,
dilatation of the pupils, &c. &c.
Dose : Of either remedy, as selected, give six globules in a table-spoonful of
water, or for a very young person, from two to four globules in a tea-spooli
ful of water, three times during the first day, and afterwards night and
morning, until amelioration or change.
Arsenicum, Helleborus, Digitalis. Selection should be made
from these remedies, subject to the regulations reserved in the last
prescription, particularly when symptoms of WATER ON THE CHEST
supervene, such as: painful oppression of respiration, aggravated by
amotion, or by lying on the back; the patient is suddenly disturbed in
sleep by a suffocative sensation, which compels him to sit up, or even
to get up, and seek for air; or even inability to lie down, necessitating
a sitting or even a perfectly erect posture; short, dry, and even spas-
anodic cough, and stitching, crampy pains between the shoulders; ex-
cessive anxiety, &c. &c.
Dose : Of the remedy, as selected, in every respect as last directed; except in
very severe and critical cases, when the dose must be repeated at intervals
varying from half an hour to two hours, until relief is obtained.
Digitalis, Helleborug. Selection should be made—subject to
the regulations already indicated—from these two remedies, when
DROPSICAL SweLLING OF THE ABDOMEN (or belly), in particular, super-
WeſleS. -
Dose: In every respect as directed for Arn., Bell., Hell, and Acid-phos. above.
Arsenicum, Helleborus, Rhus. These medicaments should, in
like manner, be referred to, in the article on “CHARACTERISTIC
EFFECTs,” for selection in cases in which GENERAL DROPSICAL SWELL-
ING of various parts of the frame simultaneously supervenes.
Dose : In every respect as directed for Arn., Bell, Hell., &c., above.
Mumps.
Mercurius, Carbo-veg. Mercurius is specific in the majority
of cases of Mumps under these circumstances.
Dose : Four globules in a tea-spoonful of water every six hours, until amelio-
ration or change ; but if no improvement whatever should ensue within four
hours after the second dose, or especially if there be reason to believe that
the patient has been allopathically treated with Mercury, proceed with the
next remedy.
Carbo-veg. This remedy is required in cases in which a few doses
of Mercurius produce no effect whatever, and more particularly when
the patient has been subjected to allopathic doses of Mercury, or if
induration begin to be developed.
Dose : In every respect as stated for Mercurius.
Calcarea, Kali-carb. These remedies are invaluable in very
obstimate and continuous cases, and should be selected if the symp-
toms be conformable, to those recorded of these medicines in the
article on “CHARACTERISTIC EFFECTS.”
Dose : Of either remedy, as selected, give six globules in a table-spoonful of
water, morning and evening for ten days (if the malady do not sooner yield);
PRECAUTIONARY TREATMENT. 157
then pause four days, and resume the treatment similarly, if necessary, until
amelioration or change. Ç
Affections of the Ears.
Belladonna, Hepar-s., Pulsatilla. According to the indications.
afforded for each of these remedies respectively in the article on
“CHARACTERISTIC EFFECTs,” a selection should be made from them for
the treatment of inflammation of the Ears, or discharge from the
Bars resulting from ScARLET FEVER.
Dose: Of either remedy four globules in a tea-spoonful of water, three times a
day for the first three days, and then morning and evening, until amelioration
or change. *
JDeafness.
Belladonna, Pulsatilla, Dulcamara, Sulphur. These remedies
respectively, according to the indications afforded under the head of
each, in the article on “CHARACTERISTIC EFFECTs,” are indicated in
cases in which DEAFNESS supervenes as the consequence of SCARLET
FEVER.
Dose : Of either of these remedies give six globules in a table-spoonful of water
(or for very young persons, three globules in a tea-spoonful of water), night
and morning for a week; pause a week, and resume treatment similarly for a
second course, and so on, unless, indeed, no effect whatever follow the second
COUlPSé.
PRECAUTIONARY TREATMENT
During the Prevalence of Scarlet Fever.
IBelladonna. The preservative merits of this medicine in small
doses has been acknowledged by some even of the most distinguished
allopathic practitioners. Like Vaccination against Small-pox, Bella-
donna (alone) is a specific preventive resource against the simpler
forms of Scarlet Fever, if not absolutely to ward off, at least to modify
the disease. When, however, the prevailing form of the disease pos-
sesses some resemblance to the under-mentioned affection, it will be
found necessary to associate Aconitum, by alternate administration,
with Belladonna. In either case wine and acids particularly, and all
indigestible articles of food, should be sedulously avoided during the
course of preventive treatment. (See also the article respective “PRE-
vKNTIVE TREATMENT’’ at page 78.) It is necessary also to caution the
administrator to pause in the course as soon as the least indication of
medicinal action sets in, which may sometimes occur.
Dose : For an adult, if singly, give of Belladonna six globules in a table-spoon-
ful of water, every morning, the first thing (fasting). If in alternation with
Aconitum, give first the one, then the other, in like quantities on alternate
days, so that a dose of one or the other occurs daily,–in both cases continu-
ing the course for fourteen days (or less, if medicinal action should set in
before such lapse of time). For children between two and twelve years of
age, the dose should consist of from two to four globules (according to vigor
and progress of growth), repeated in the manner just directed. -
Diet. During the course of this malady, the greatest possible
attention must be paid to this point. In the more severe accesses of
158 SCARLET RASH.
ſever, no other nourishment must be given but toast-water, or weak
barley-water; and even after the fever has abated, every care must be
taken, and a return be gradually made to a more nourishing diet, as
Jnegligence in this respect may be productive of the most serious con-
sequences. In mild attacks the patient may be allowed gruel or weak
broths.
SCARLET RASH.
This affection is sometimes met with in complication with small-pox,
measles, and scarlet fever, more particularly the latter, of which dis-
ease, indeed, it is regarded by many as a mere modification.
It is easily distinguishable from pure scarlet fever, by the dark red-
ness of the efflorescence, by the slight pressure of the finger leaving
no white imprint, and by the small granular elevations, the cause of
the dark red hue, which are felt, on passing the hand over the affected
cutaneous surface.
This eruptive fever does not run a defined and regular course, like
other exanthematic fevers. The efflorescence sometimes disappears
suddenly, and is then productive of extreme danger, frequently termi-
nating in a fatal result. The extent of the efflorescence does not
necessarily add to the danger, as the latter is often greatest, when the
efflorescence is scarcely perceptible.
Sweat is only met with on surfaces affected with the eruption, and
it is, consequently, only when the eruption covers the whole body that
the sweat is general. Those who have been once affected with the
disorder are by no means exempt from future attacks.
This disease, dissimilar though it be to the true scarlatina, has yet
been frequently confounded with it by careless observers. It requires
a totally different treatment, and Belladonna, the specific remedy in
simple Scarlet Fever, will, in this case, neither be found to be a pre-
ventive nor an indispensably curative medicine, but simply an auxiliary
in some complicated cases.
TREATMENT,
Aconitum will usually suffice for the entire removal of the disorder
when it occurs in an uncomplicated form. If none of the subjoined
indications ensue, and the disease continues to yield to Aconite alone,
we may continue the administration of this remedy only, at gradually
extended intervals, according to the duration of the decrease or remis-
sion of symptoms, and until the fever subsides. -
Dose : Of a solution of six globules, in four tea-spoonfuls of water, give a tea-
spoonful every three hours (twice), -and subsequently, as just stated, every
four, six, or twelve hours, under positive amelioration or change. But, if the
subjoined symptoms ensue and continue, within three hours after the second
dose of Aconite, proceed with the next remedy; or if these symptoms occur
at the onset, administer two doses of Aconite at the above-stated intervals,
then, after a pause of four hours, administer the next remedy, returning to
Aconite again after four hours more, and so on, alternately.
Coffea is required four hours after the second dose of Aconite, and
perhaps in continued alternation with that remedy, when the patient
SCARLET RASH. 159
complains of severe pain in the head, trunk, or extremities, and is
extremely restless, fretful, agitated, and disposed to shed tears.
Dose. Three glpbules in a tea-spoonful of water, at each recurrence.
Complicated Cases.
When, however, this eruptive fever occurs in complication with
scarlatina, small-pox, or measles; or, when it breaks out in unfavorable
seasons, during the prevalence of one or more of such eruptive fevers,
it generally becomes a much more serious disorder, and requires the
aid of other remedies, in addition to the above-mentioned.
Aconitum. This remedy will again be required in the initiatory
stage of treatment, when the fever assumes an inflammatory character,
or when such symptoms as follow are predominant: slight, general
fever-chills, with rapidly alternating redness and paleness of the face;
quick, full pulse; slight confusion of ideas, increasing to a mild degree
of delirium at night, combined with dryness of the mouth and lips,
and thirst ; eyes somewhat inflamed ; oppression at the chest ; short
cough, sometimes attended with reddish expectoration, and followed
by a shooting pain under the ribs; occasional vomiting; inflammation
of the upper part of the gullet.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Ipecacuanha. In many instances, either at the commencement
of the attack before the appearance of the eruption, or during its full
development, but particularly the former, this is a most effieient
remedy. It is indicated, when there is a sensation of distressing
tightness of the chest, with laborious breathing, and heightening of the
febrile action towards evening; with symptoms of nausea, or even
vomiting; extreme restlessness and agitation; deep sighing or moan-
ing; disposition to tearfulness, or whining in children; relaxation of
the bowels, or colic.
Dose : A solution of six globules to three table-spoonfuls of water, as directed
for Aconitum.
Arum-trip. Tongue red; the mouth sore inside and unable to
drink; delirium; the lips cracked and bleeding, also the corners of the
mouth. e
Pulsatilla will generally be required when the oppression of the
chest and excessive restlessness have been removed by Ipecacuanha,
but considerable nausea or frequent fits of vomiting remain. -
Dose : Three globules in a tea-spoonful of water, every two hours, until distinct
amelioration or change.
Bryonia is frequently more efficacious than either Coffea or Ipeca-
cuanha, 1. in relieving the extreme anxiety, restlessness, deep sighing
or moaning, which so generally attend this affection; it should there-
fore be had recourse to in all cases in which these remedies fail to
afford speedy relief. Bryonia is further indicated, 2, when the accom-
panying fever partakes of a nervous character, attended with delirium
and other symptoms mentioned under Bryonia, in the article on
160 SCARLET RASH.
Mervous Fever—which see. 3. The excessive and continual urging to
urinate, which sometimes sets in, in the course of the disease, is often
very readily subdued, by Bryonia.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful, repeated, first, after two, then after three, and then after four to six
hours, until amelioration or change. But if the first group of symptoms 1.
above described, do not abate within three hours after the third dose, proceed
with the next remedy.
China should be administered four hours after the third dose of
Bryonia, if the symptoms above described 1. have not manifested any
degree of abatement.
Dose : Four globules in a tea-spoonful of water, repeated in three hours; but
if no improvement or distinct change should ensue within four hours after
the second dose, proceed with the next remedy.
Phosphorus, again, should follow, four hours after the second
dose of China, in the very rare cases in which the above-mentioned
symptoms 1. still prevail. Phosphorus is also very useful in any stage,
but especially after the previous employment of Bryonia or Bella-
donna, in cases in which there are symptoms of congestion in the
chest, with extreme anxiety and oppression, and also, when there is
considerable irritability of the brain, characterized by over-excitability
of the senses: further, when the patient appears extremely listless and
apathetic, and complains of burning sensations in isolated parts, render-
ing a frequent change of posture necessary.
Dose : Three globules in a tea-spoonful of water, every three hours, until dis-
tin' t amelioration or change.
Belladonna, Mercurius, Arsenicum, Acidum-nitr. Bella-
donna. When the disorder is met with during the prevalence of
scarlatina (as also when symptoms, more or less characteristic of the
latter affection, make their appearance in the course of livid miliary
eruption) this remedy is a most efficient auxiliary; it is, moreover, a
most important remedy, when symptoms of disturbance of the brain
exhibit themselves; or when the patient complains of his throat, which,
on being examined, is found to be in a state of what is termed healthy
inflammation.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; or, if required, as
indicated below, proceed with the next remedy. -
Mercurius may follow Belladonna, when the tonsils become much
inflamed and tumefied, or ulceration supervenes.
Dose : Three globules in a tea-spoonful of water, every four hours, until distinct
amelioration or change; or, if ulceration becomes severe, proceed to select
from the following remedies. -
Arsenicum, Acidum-nitr. If the ulceration become very severe,
refer to the article on “CHARACTERISTIC EEFECTs” for the proper dis-
crimination between these two remedies, either of which should be
administered according to the subjoined direction. Arsenicum is also
advantageously administered in the majority of cases in an advanced
stage of the complaint, if the vital power seems rapidly sinking, and
SCARLET RASH. 161
the organs which perform the act of deglutition are, as it were, para-
lyzed, so that the patient is incapacitated from swallowing; or when,
from a concentration of the disorder in the throat, the latter has
become so rapidly and seriously affected, as to have assumed a
gangrenous aspect. (See ULCERATED SORE-THROAT.)
Dose : Of either remedy, as indicated, four globules in a tea-spoonful of water,
every three hours, until amelioration or change.—In the extreme cases re-
quiring Arsenicum, the like dose of that remedy may be repeated even every
fifteen, thirty, or sixty minutes, according to the urgency of the case.
Dulcamara. When severe aching or gnawing (rheumatic) pains
are complained of in the back and extremities, either in the course
of the disease or at its termination; or when soreness of the throat
and an apparent complication of scarlatina with this affection are
manifested, Dulcamara should be administered.
Dose : Four globules in a tea-spoonful of water, every six hours, until amelio-
ration or change.
SCARLET RASH OF NERVOUS OR PUTRID TYPE.
When the disease, in cases of a bad type, puts on a nervous, or
even a putrid character, with extreme offensiveness of all the excre-
tions, and hamorrhage from the nose, mouth, &c., the medicines
already mentioned under fevers of such description must be respec-
tively employed in accordance with the indications present.
Cuprum-acet. is sometimes of much efficacy in the worst cases of
this description, when all resources appear to fail, and is more par-
ticularly indicated when the eruption frequently appears and dis-
appears without complete development, or as otherwise described in
the article on “CHARACTERISTIC EFFECTs.”
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour (or, in more moderate cases, every three hours,) until
distinct amelioration or change, or until the eruption becomes more perfectly
and continuously evolved.
Rhus-tox, is of essential service when the eruption has degene-
rated into a species of vesicular erysipelas, attended with lethargy,
great thirst, and painful passage of water.
Dose : A solution of six globules, as directed for Cuprum-a. --
Sulphur is often successful when the progress of the disease is
irregular, and when the symptoms already described as indicative of
Belladonna have not thoroughly yielded to the administration of that
remedy; and when, accordingly, we may suspect the presence of a
latent constitutional taint, particularly if the patient has been subject
to chronic affections of the skin, or is known to be of a scrofulous or
scorbutic habit of body.
Dose : Six globules in a table-spoonful of water, every six hours, until four
doses have been given (unless prompt improvement or change ensues), and sub-
sequently morning and evening (if necessary) until distinct improvement or
the accession of new appearances, denotes a medicinal action,-when a
lengthened pause (in the absence of urgent symptoms) should be allowed to
elapse without further treatment.
CHECK OF THE ERUPTION.
Bryonia, cupºn a Phosphorus, Sulphur. When the eruption
1 #
162 MEASILES.
is suddenly driven in, or otherwise unaccountably disappears without
thorough evolution, the sufferings of the patient and the more serious
symptoms becoming aggravated, the article on “CHARACTERISTIC
EFFECTs” should be promptly consulted, to guide in the appropriate
selection from these four remedies.
Dose : Of either remedy, as indicated, give four globules in a tea-spoonful of
water, every two hours, until the skin symptoms begin to reappear, and then
every four hours, until the more thorough evolution of the eruption, and the
abatement of the constitutional symptoms ensue.
THE AFTER-EFFECTS OF SCARLET RASH.
These are so generally analogous to those already described under
the head of “SCARLET FEVER,” that it will be sufficient to refer the
reader to the foregoing article on that disease.
Diet and Regimen.—These important accessories during active
treatment, as well as during convalescence, should be regulated
according to the foregoing general directions, given under the head
of other “FEveRs,” respectively, and of “SoARLET FEVER” in par-
ticular.
IMEASILES.
This disease generally reigns as an infectious epidemy, and, for the
most part, confines its attack to children, in which cases it is seldom,
when properly treated, either severe or dangerous; when it occurs in
adults, it generally assumes a more critical character. It rarely attacks
an individual a second time.
Measles is not so much to be dreaded for itself, as for the deleteri-
ous consequences, which, under an improper mode of treatment, it
frequently entails, or, to use the technical term, the dregs it leaves
after it, which, in many constitutions, develop an inherent disposition
to consumption.
Symptoms.-Symptoms of cold, such as short, dry cough, flow of
tears, with redness of the eyes, and a degree of fever, more or less
marked, preceding the eruption from three to five days, and generally
continuing as long after, or all through the disease.
The eruption consists of a number of small red spots of the size of
flea-bites (frequently in the form of pimples),--the skin, in the inter-
vals between them, generally preserving its natural color, and some-
times exhibiting a faint reddish hue. We often find them in the shape
of small, irregular arcs. They, for the most part, make their first
appearance on the face and neck, become confluent, and extend them-
selves gradually downwards, over the rest of the frame. About the
sixth or seventh day from the time of sickening, the eruption begins
to turn pale on the face, and afterwards on the rest of the body, and
generally entirely disappears about the ninth day, with a bran-like
scaling of the scarf skin, a distinguishing sign of this disease.
TREATMENT.
Aconite, Pulsatilla. These two remedies may be considered in
many respects as individually or jointly specific against simple or mild
forms of measles.—In the majority of cases both will be required
MEASLEs. 163
either in alternation or succession.—As fever, however, is an unavoid-
able feature of the disease, we should usually commence, at all events,
with one dose of
Aconite, -which is particularly indicated when the fever assumes
an inflammatory form, attended with dry heat of the skin, heat in the
head, with confusion and giddiness, redness of the eyes, intolerance of
light, general weakness or prostration; and it is more or less useful,
throughout the course of the disease, either alone or in alternation
with Pulsatilla, or any of the other remedies which may be better in-
dicated, and should be repeated as an intermediary remedy, in one or
two, or even more, successive doses, according to requirements, when-
ever marked febrile or inflammatory action becomes prominent.
Dose : If singly, dissolve six globules in three table-spoonfuls of water, and give
a tea-spoonful of the solution night and morning (in very muld cases) or every
four hours (when the fever runs high), until distinct amelioration or change;—
or for children, in the proportion directed at pages 60–63, &c. If in alter-
nation with Pulsatilla, give two doses of Aconite as just described, then a
similar dose of Pulsatilla, and subsequently, a dose of each in rotation, at the
like intervals, until positive amelioration or change.
Pulsatilla is also very efficacious in this affection, and is frequently
indicated in the commencement, by the striking predominance of the
characteristic catarrhal symptoms attendant upon measles, further
qualified by aggravation towards evening, &c. Or again, when the
respiratory apparatus is prominently implicated (unless in this instance
it be found, as described further on, that Bryonia is more distinctly
indicated). This remedy is moreover of great utility in bringing out
the eruption, when it is longer than the average period above-stated,
in making its appearance. Pulsatilla is also valuable when any sto-
machal derangement is present, or when the cough, which so generally
accompanies the disease, is worse towards evening or in the night, and
is attended with considerable rattling of phlegm in the chest, or
copious, thick, yellowish or whitish expectoration, sometimes followed
by vomiting, or symptoms of approaching suffocation; further, when
there is cold in the head, with a thick, yellowish or greenish nasal
discharge.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change.
Ipecacuanha is very useful when there is great oppression at the
chest, before the eruption is evolved.
IJose : Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change.
Euphrasia. When severe headache, sensibility of the eyes to light,
excessive flow of tears, profuse watery discharge from the nose, dry
cough, or cough with free expectoration in the morning, and pains in
the bones, precede the appearance of the eruption.
Dose : Three globules in a tea-spoonful of water, every three hours, until im-
provement or change.
Coffea. If after the administration of Aconite a distressing, dry
cough become the prominent symptom, either Coffea or Hep-sulph.
should be given, in accordance with the indications afforded in
164 MEASLES.
the article on “CHARACTERISTIC EFFECTs”—hoarseness being an ad-
ditional characteristic indication for the selection of Hepar. When
Hepar fails to relieve, more or less, in twenty-four hours, SPONGLA
should be given.
Dose: Of either remedy, as selected, give four globules in a tea-spoonful of
water, every four hours, until the indicative symptom subsides, or others,
more urgent and requiring different treatment, supervene.
Nux-vomica is not unfrequently of great service with dark-com-
pleasioned subjects, when there is dry and troublesome cough at night.
Dose: Three globules in a tea-spoonful of water, at nightfall, repeated, if neces-
sary, after the lapse of three hours—but in neither instance within four hours
after the administration of any other remedy.
Belladonna. When the inflammation attacks the throat, present-
ing many of the throat-symptoms which have been stated in respect
of this medicine under the head of Scarlet Fever, attended with great
thirst, which the patient is often prevented from indulging by the
acute shooting or prickling pain in the throat produced by swallow-
ing; and further, when there is a hoarse, dry, barking, and somewhat
spasmodic cough, worse at night, with rattling of phlegm, great rest-
lessness, and high nervous excitement; also, in those cases of measles,
where no eruption declares itself, but simply headache and cold, with
severe inflammation of the eyes, which present a glassy appearance,
are blood-shot or streaked, and watery; finally, when evident signs of
Wrritation of the brain, &c., set in.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until a slight degree of effect ensues, and then
every fourth hour, until positive amelioration or change. If not, take Veratrum-
viride as directed for Bryonia.
IMercurius is required in those severe cases in which ulceration
of the cornea (or anterior transparent portion of the globe of the eye)
€IlSUleS.
Dose : Three globules in a tea-spoonful of water, repeated after three hours,
and again after four hours more, then proceeding with Gelseminum, as di-
rected for Nur-vomica.
Euphrasia is to be preferred to Mercurius when there is more or
less redness of the eyes, excessive discharge of tears and mucus, with
great sensitiveness to light. Also when the patient complains of
severe headache and pains in the bones, particularly of the back and
limbs, with fever and dry cough.
Dose : Six globules in two table-spoonfuls of water, a tea-spoonful every two
hours, until improvement or change.
Calcarea, or Hepar-s. One of these remedies, according to the
distinctive indications afforded in the article on “CHARACTERISTIC
EFFECTs,” should be administered six hours after the third dose of
Mercurius, under the circumstances above mentioned.
Dose: Of the remedy selected, give four globules in a tea-spoonful of water
every four hours, until amelioration or change.
Bryonia is an excellent remedy, when the eruption is faint, re-
tarded, or imperfectly developed, and the respiration much oppressed
and laborious, attended with achings in the limbs; also, when there is
MEASLES. 165
a dry cough, and the patient complains of shooting pains in the chest,
increased by a full inspiration.
Dose : In mild cases, three globules in a tea-spoonful of water in the morning,
repeating the dose after the lapse of twenty-four hours, or at such other
period as not to interfere with the action of other remedies (not within four
hours of their administration). In very severe cases, dissolve six globules in
two table-spoonfuls of water, and give a tea-spoonful of the solution every
four hours, until amelioration or change.
Sulphur is in general highly beneficial after the active symptoms
of the disease have yielded to the action of immediate treatment, and
especially after the previous administration of Pulsatilla, particularly
when we have reason to suspect a scrofulous or other constitutional
taint. Sulphur will, frequently, in such cases, be most effective in
eradicating the predisposition to Chronic affections engendered by
Measles.
Dose : Six globules in a table-spoonful of water, every morning (fasting) for
ten days.
CHECK OF THE ERUPTION.
This disease has frequently terminated fatally, from the eruption
being driven in by sudden exposure to cold or change of temperature.
Bryonia is generally found efficacious in re-evolving the eruption,
and preventing disastrous consequences.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the eruption begins to reappear; and then
every six hours, until a thorough evolution, accompanied by abatement of
the serious symptoms, ensues.
Pulsatilla is indicated, if looseness of the bowels, with mucous
discharge, follow the suppression.
Dose: As directed for Bryonia.
Ipecacuanha should be substituted, if vomiting, with great op-
pression at the chest, be the more prominent symptom.
Dose : In every respect as directed for Bryonia; but if no positive subsidence
of the indicative symptoms ensues within three hours after the second dose,
proceed with the next remedy.
Arsenicum should be administered three hours after the second
dose of Ipecacuanha, if little or no improvement or change has been
effected by that remedy.
Dose : As directed for Bryonia.
Chamomilla is to be preferred to Ipecacuanha, in the case of
children, when difficulty of breathing, and looseness of the bowels are
associated with colic and vomiting.
Dose. Of a solution of eight globules to two table-spoonfuls of water, give a
tea-spoonful at each dose, subject to the regulations above stated for Bryonia.
Belladonna, Cuprum-a., Stramonium. In cases in which the
brain becomes prominently affected, it would be desirable that these
and the subjoined remedies should be compared with the assemblage
of symptoms present by careful reference to the article on “CHARAC-
TERISTIC EFFECTS,” and that such of them should be selected, either
166 AFTER-EFFECTS OF MEASLES.
for single, alternate, or successive administration, as most closely re-
presented either the individually salient, or the aggregated symptoms
of the disease.
Dose : If singly, the dose prescribed for Bryonia would be appropriate; if in
alternation, two doses of the one should successively be administered at the
like interval of one or two hours, followed by a pause of double the length;
then two doses of the other, and so on ; if in succession, the last-named pause
should elapse between the administration of every different medicine.
Helleborus-n, Arsenicum, Sulphur, may likewise be appro-
priate, with similar investigation, in the treatment of cases, such as
have been associated with Belladonna, Cuprum-a., and Stramonium.
Dose : As directed for Belladonna, Cuprum-a., and Stramonium.
Phosphorus, Bryonia, or Sulphur, are, in like manner, appro-
priately named for selection, in cases in which inflammation of the
lungs ensues. These remedies are in the same manner appropriate
for selection, in cases in which the disease assumes the character of
typhus.
Dose : As directed for Belladonna, Cuprum-a., and Stramonium.
AFTER-EFFECTS OF IMEASILES.
Coughs.
In general the treatment of such affections will be most effectually
conducted by following the instructions furnished separately in the
Article on “Coughs.” Also see “Inflammation of the Laryna, or
wpper Windpipe.”
JLooseness of the Bowels.
Explicit directions on this subject will be found in the Article on
“DIARRHGEA.”
Inflammation of, or Discharge from the Ears.
Sulphur, Pulsatilla. Sulphur may be mentioned in particular as
the medicine which renders the most general service in cases of this
kind, particularly if constitutional taint be suspected, and predis-
position to chronic affections has been observed; Pulsatilla is, per-
haps, second only to Sulphur in importance. See “MUMPs.”
Dose: Of either of these remedies (as selected), six globules in a table-spoonful
of water every morning (fasting) for ten days, or until the modification or
change of the symptoms—if of earlier occurrence.
Tenderness of the Skin.
IMercurius. This remedy, administered for a brief course, is
generally sufficient to remove the tenderness which is so peculiarly apt
to result from measles.
Dose : Four globules in a tea-spoonful of water (fasting), for a week.
JEruptions on the Skin.
Nux-vomica is indicated, in cases of this kind resulting from
SMALLPOX. 167
measles, by the presence of an eruption of minute, white, grain-like
elevations.
Dose : Four globules in a tea-spoonful of water every night, until the eruption
is modified,—resuming the administration after a pause of two days, if the
improvement does not continue progressively.
Arsenicum, Sulphur. One or both of these remedies, singly,
alternately, or successively, may be required, when there ensues a
burning, itching rash, which is readily provoked to bleed by scratch-
ing. (See “CHARACTERISTIC EFFECTs,” of these medicines.)
Dose : If of Sulphur singly, give six globules in a table-spoonful of water
every morning (fasting) until a distinct change in the symptoms occurs. If.
of Arsenicum, four globules in like manner.
PRESERVATIVE TREATMENT DURING THE PREVALENCE OF MEASLES.
Pulsatilla, Aconitum. When this disease rages in an epidemic
character, the alternation of these two remedies, whose action is most
closely analogous to that of the malady, will often suffice to ward off
the attack, and will in every case serve materially to modify its
virulence.
Dose : First of Pulsatilla : Dissolve six globules in three table-spoonfuls of
water, and give one-half of the solution at night, and the other half in the
morning; after which pause two days, and administer Aconite in the like
manner—continuing this alternate administration for a fortnight. Should this
disease continue to rage unabated, these courses may be repeated from time
to time, with intervening intervals of a week, pending its duration.
Diet and Regimen.—The regulations prescribed under the head
of Scarlet Fever and of other Fevers in this respect, apply equally to
measles.
SIMIALLPOX.
This disease is, by medical practitioners of the present day, divided
into two varieties:—the distinct, when the pustules on the face are
clearly defined, and do not run into each other, and the confluent,
when they coalesce and form one continuous whole.
When the symptoms are less severe than those properly charac-
teristic of the disease, and the eruption on the face slight, it is called
the modified smallpox. We generally find this description in such
persons as have been properly vaccinated,—a precaution, which, al-
though not always a preservative against the attacks of smallpox,
greatly lessens its virulence, and gives a milder character to the com-
plaint, when taken.
Symptoms.-The disease is frequently very sudden in its attacks,
commencing with chilliness and shivering, followed by febrile symp-
toms, headache, severe pains in the small of the back and loins,
languor, weariness and faintness; the patient also complains of op-
pression of the chest, and acute pain in the pit of the stomach,
increased by pressure. The eruption makes its appearance at the
close of the third day, first on the face and hairy scalp, then on the
neck, and afterwards spreads over the whole body. Symptoms of
168 SMALLPOX,
cold—as sneezing, coughing, wheezing, and frequently difficulty of
breathing, often accompany this disease.
The eruption first displays itself in the shape of small, hard-pointed,
red elevations, which, in about three days, present a bladder-like
appearance, surrounded by an inflamed circular margin, and become
depressed in the centre as they enlarge. About the sixth or eighth
day, the watery secretion in the pustule becomes converted into
matter, and the depression in the centre disappears.
When the pustules are very numerous on the face, it generally be-
comes much swollen, and the eyelids are frequently closed up. On the
first day, a small lump, like a millet-seed, may be felt in each of the
elevations above noticed, distinguishing this eruption from all others.
The pocks continue coming on during the first three eruptive days,
and each pock runs its regular course; thus, those which first appeared
are forming into scabs or drying off, whilst the others are suppurating.
The drying off commonly takes place on or about the eighth or four-
teenth day, according as the pustules may happen to be distinct or
confluent.
When the pustules have obtained their full development, they
generally burst, in mild cases emitting an opaque, watery discharge,
which dries into a crust and falls off; whilst, in severe ones, we find a
discharge of thick yellowish matter, forming scabs and sores, which
leave, on their healing, permanent marks or pits. Red stains, caused
by increased vascular action, always remain for a while after the erup-
tion; but if no ulceration has taken place, they disappear in process
of time.
In Confluent Smallpox, all the precursory symptoms are more severe,
the fever runs high, and frequently continues so throughout the course
of the disease; the pain in the pit of the stomach and difficulty of
breathing are more complained of, and in children the eruption is
frequently preceded by convulsions and delirium; the latter symptom,
indeed, is frequently present with adults, during the suppurative or
secondary fever, which not uncommonly assumes a character akin to
typhus, and sometimes carries off the patient on the eleventh day.
All cases in which we have generally a deeply-rooted morbid con-
stitutional taint to contend against, require the utmost skill of the
experienced practitioner to ward off a fatal result. An extensive in-
flammatory blush of the face or trunk almost invariably precedes the
eruption in the confluent variety of smallpox.
Salévation, with soreness of the throat and small white ulcers or
pustules on the tongue and in the upper part of the gullet, frequently
declares itself in both forms of this disease, but more particularly in
the confluent.
Before we come to the medicines to be administered in the different
stages of the disease, we may say a few words upon the general treat-
ment of the patient.
Cool and fresh air are our best auxiliaries, the emanations from the
patient in this complaint being of a nature to react upon the organism,
and warmth being caſculated to increase its activity. So beneficial is
cool air found in this malady, that taking a child to an open window
SMALLPOX. 169
when attacked with the convulsions, frequently present, will generally
be found to afford immediate relief. Great cleanliness must also be
observed, and the linen frequently changed. *
When the vesicles declare themselves, and begin to form into
pustules, the room ought to be kept as dark as possible, to aid in pre-
venting the risk of disfigurement, a precaution deducible from Com-
mon experience, since we find that the parts of the frame exposed to
the action of light are always those most strongly marked by the
ravages of the disease. •
To avoid the pits, and consequent disfigurement left by this disease,
many physicians have adopted a mask or plaster for the face, of dif
ferent substances, such as gum, mucilage, calamine, &c. The appli-
cation of collodion to the face, or of oil when the collodion cannot
be tolerated—has been found of service in preventing disfiguration
from pock-marks.
JDistinct Smallpoa.
TREATMENT.
Coffea is usually efficient in subduing the restlessness and excite-
ment, often very considerable, which attend the early stage of the
disease, when, however, the fever is not very severe, nor of a highly
inflammatory character.
Dose: Of a solution of six globules, to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change; but, if the fever
should assume an inflammatory character, proceed at once with the next
remedy within not less than three hours after the last dose of Coffea.
Aconitum may either be required at the onset, if the fever run
high and assume an inflammatory character, or should follow three
hours after the last dose of Coffea, in the event of such manifestations
ensuing. In general, when the thirst is excessive, the skin very hot
and dry, the pulse quick, hard and full, and the breathing laborious
and rapid, Aconitum is indicated.
Aconite should also be resorted to as an intermediary remedy, at
any stage of the disease, when distinctly indicated by symptoms of
this description.
Dose : In every respect as directed for Coffea.
Antimonium-tart., Ipecacuanha. These two remedies ad-
ministered in alternation, are highly useful when considerable tight-
ness and oppression at the chest, sometimes attended with nausea and
vomiting, or even purging, are experienced before the appearance of
the eruption.
Dose : In employing these remedies alternately, give three globules of the one
six hours after the like dose of the other, successively in rotation, until ame-
lioration or change.
Antimonium-tart. is, moreover, well indicated in this disease,
from the close analogy which the eruption it is capable of producing
bears to that of smallpox, and may, therefore, be also administered
with advantage during the eruptive and maturative stages, unless
170 SMALLPOX.
some other remedies should be more urgently called for by the nature
of the symptoms; the existence of a hollow, sounding cough, with loud
mucous rattling, is an additional index for the employment of Anti-
7,20707 win-tartaricum.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, until annelioration or change.
Bryonia is sometimes useful in assisting the natural course of the
eruption; it is also indicated when symptoms of considerable derange-
ment of the digestive organs are present, such as bitter taste in the
mouth, foulness of the tongue, headache, aching pain in the limbs,
2ncreased by motion, constipation, and irritability of disposition; also,
when there is complication with inflammation of the chest, with shoot-
ing, prickling pains, especially during inspiration.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Rhus is equally serviceable at this stage of the disease, and is to be
preferred to Bryonia, particularly when the acute pains in the head,
back, and loins, are aggravated during a state of rest, and temporarily
relieved by movement; or again, when the fever assumes a low
typhoid type.
Dose : In every respect as directed for Bryonia.
Chamomilla is sometimes of great service during the course of
the disease in children, when the following distinctive symptoms
appear:—difficulty of breathing, with predominant looseness of the
bowels, deep green stools, severe colic, tenderness of the belly, and
vomiting; it is likewise calculated to be useful during the maturative
stage, when much restlessness and whining prevail, and the rest is
much disturbed by a troublesome cough at night.
Dose : Two globules in a tea-spoonful of water every two hours, until amelio-
ration or change.
Belladonna. This remedy may follow Aconite or Chamomilla,
when either of the latter have been indicated, should symptoms of
disturbance of the brain have set in, characterized by flushed coun-
tenance, intolerance of the eyes for light, headache and delirium, great
thirst, nausea, and vomiting; or, when there is redness of the tongue
at the tip and margins; belly tumid and painful, particularly about the
region of the stomach, with sensibility on pressure; prostration of
strength, stupor, &c.
Lose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until amelioration or change.
Opium is useful, when there are symptoms of stupor or strong
Žnclination to sleep; it may be employed after Belladonna, or even
preferred to the latter remedy, in cases in which there is continuous
lethargy, with open mouth, half-closed eyes, and snoring breath; or
again, when there is violent delirium, with incessant tossing about of
jhe hands.
Dose : Three globules, carefully placed upon the back part of the tongue, every
three hours until amelioration or change.
SMALLPOX. 171
Confluent Smallpoac.
Aconite is indispensable when the fever runs high, and threatens
to continue, as it usually does in this more malignant form of the dis-
ease; and it will be necessary to diverge even from other important
considerations from time to time (having commenced with the ad-
ministration of this remedy), to return to it for the purpose of effec-
tually acquiring an ascendancy over the fever. The alternate adminis-
tration of Sulphur is often necessary when the fever does not appear
to be the least modified, within two hours after a second dose of
Aconite. &
Dose : Of Aconite, dissolve six globules in two table-spoonfuls of water, and
give a tea-spoonful of the solution every three hours, until amelioration or
change. Or if, within three hours after the second dose of Aconite, the fever
should continue in its full violence, give a similar dose of a like solution of
Sulphur, followed in four hours by another dose of Aconite, and in six hours
more, by another dose of Sulphur, and so on every six hours afterwards
alternately, until amelioration or change.
IMercurius is highly serviceable in confluent smallpox, after the
previous administration of two doses of Aconite, as above directed,
when the following symptoms predominate:—Inflammation of the
eyes, soreness of the throat and nose, offensive breath (salivation),
cough, hoarseness, tenderness of the stomach, excessive looseness of
the bowels, particularly characterized by incessant straining, and,
Sometimes, bloody evacuations.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours, until amelioration or change.
Antimonium-tartaricum is more or less useful—in the absence of
urgent indications for other remedies—during the progressive develop-
ment of the eruption, in forwarding its advancement. It is also
beneficially employed either singly or in alternation with or succeeded
by Ipecacuanha, against the nausea and vomiting, with looseness of
the bowels. .
Dose : If singly, three globules in a tea-spoonful of water every four hours,
until amelioration or change; if in alternation with Ipecacuanha, these reme-
dies should not succeed one another at intervals of less than six hours.
Ipecacuanha is indicated when vomiting and purging set in as
prominent symptoms, and may be employed either singly or in alter-
nation with Antimonium-tart.
Dose : If singly, three globules, as directed for Antimonium-tart. ; or, if in alter-
nation with that medicine, a similar dose six hours before or after the alter-
nating dose of the other medicine; but if no amelioration should ensue either
within three hours after the third dose (if singly), or within a like period
after the second dose, or first repetition, (if alternated,) proceed with the
next remedy.
Pulsatilla should be given three hours after the third dose of
Ipecacuanha (if singly employed), or at a like period after the second
dose, or first repetition, of the same remedy, in alternation with Anti-
monium-tart., if no modification has taken place in the symptoms,
particularly if the patient be of a mild, phlegmatic temperament, and
there be general aggravation towards night.
172 SMALLPOX.
Pulsatilla is, moreover, highly useful in confluent smallpox, charac-
terized by the presence of an efflorescence analogous to that of measles,
before or during the development of the eruption, especially when
nausea or vomiting, and marked aggravation towards night, addition-
ally qualify the general symptoms.
Dose : Of a solution of six globules to three tea-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change; but if little or no
distinct improvement should result within four hours after the second dose,
that is, if the nausea and vomiting, or purging, should continue unabated,
proceed with the next remedy. *
Arsenicum should be administered after the second dose of Pulsa-
tilla, (or even of Antimonium-tart, or Ipecacuanha, in the event of
neither of the others having proved efficacious,) when the nausea and
vomiting continue unallayed, especially if the patient complains of ea:-
cessive thirst and dryness of the mouth, the tongue being foul and
dark, and the prostration of strength severe.
Arsenicum is also of great value in cases of a bad type, and when
livid spots are observed on the skin before the evolution of the erup-
tion, or when—other symptoms corresponding —the scabs, &c., are of
a dark brown color and very offensive, more particularky if this mani-
festation be further characterized by intense weakness and languor,
thirst, nausea, or vomiting, with more or less severe pain in the region
of the stomach,-or again, when the fever assumes a putrid typhoid
character.
Dose : Dissolve six globules in three tea-spoonfuls of water, and give a third
part of the solution every two hours, until distinct amelioration or change.
Carbo-veg. should be administered when the eruption assumes a
gangrenous appearance; or when the pustules are thin and unhealthy,
and the scabs and incrustations are of a dark-brown color, and emit a
very offensive smell.
Dose : As directed for Arsenicum.
Acidum-muriaticum may be employed with great advantage in
cases of a bad type, in which the fever assumes a typhoid character,
and when the patient exhibits a continual tendency to sink downwards
(towards the foot) in the bed.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful (or if this be difficult, place two globules dry on the tongue,) every
fifteen, thirty, or sixty minutes, according to urgency, until positive amelio-
ration or change.
Rhus-tox. is also very serviceable in cases which assume a typhoid
character, and when there are aching pains and paralytic weakness in
the extremities; but when the general prostration is not so distinctly
prominent and severe as in cases which require Arsenicum.
Dose : Of a solution of six globules to three tea-spoonfuls of water, give a fourth
part every three hours, until amelioration or change.
China may be advantageously administered against the debility
resulting from profuse diarrhoea or discharge from the pustules.
Dose : Three globules in a tea-spoonful of water, every six hours, until ameli-
oration or change.
AFTER-EFFECTS OF SIMALLPOX. 173
Hepar-sulphuris is indicated when the prominent symptoms are
as follow :—hoarseness, or an incessant, hoarse, cramp-like cough, with
tenderness of the exterior of the throat, and a dry, hot skin.
Dose : Three globules in a tea-spoonful of water every four hours, until ameli-
oration or change.
Sulphur is a useful remedy at the maturity of the eruption, and as
the drying process is about to set in; it will often tend materially to
forward the total disappearance of lingering traces of the disease, as
well as to overcome any latent mischief which have been left to rankle
in the system by this virulent disorder. The alternate administration
of Rhus at this period will be required if there be aching pains in the
back and extremities, aggravated towards night, but somewhat relieved
by motion.
Dose: Of Sulphur, singly, six globules (for adults), or for young persons, four
globules in a wine-glassful of water every morning the first thing (fasting),
continuing this course for a week; if in alternation with Rhus, give three
globules of either medicine in rotation, the one six hours after the other, until
amelioration or change,
CHECK OF THE ERUPTION.
Cuprum-aceticum should be promptly administered in cases in
which—the eruption having been struck in or suddenly checked in its
development—the brain has become prominently affected.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour, until the eruption begins to reappear, and the severer
symptoms are somewhat modified; then continue the like doses every three
hours, until the eruption is thoroughly evolved.
Bryonia, Antimonium-tart. The administration of either of
these remedies, according to special indications, will become requisite
when the chest is more prominently affected.
Dose: Of either remedy, as directed for Cuprum-acet.
MODIFIED SIMAILPOX.
This is merely a mild description of the above, and, as we have
before said, is the form which the disease generally assumes when it
attacks those who have been properly vaccinated. We must regulate
our treatment according to the symptoms, being guided in the selection
of the remedies by the indications before given.
COMPLICATIONS AND AIF"TER-EFFECTS OF SIMLALL-
POX.
We should watch closely, during the progress of the disease, for
symptoms of INFLAMMATION OF THE LUNGS, or of their enveloping
membranes (PLEURISY), and the treatment, in cases in which such
complications occur, should be regulated according to the directions
especially afforded under the head of those particular maladies respec-
tively. See “Inflammation of the upper part of the Windpipe.”
174 AFTER-EFFECTS OF SMALLPOX.
Boils, Glandular Swellings, dºc.
Amongst the many severer after-effects of smallpox, we may number
glandular swellings and other scrofulous affections, developed by the
malignancy of the disease, inflammation of the eyes, boils, &c., which
will be most effectually treated by reference to the separate articles
devoted to these subjects respectively.
Cough.
In this respect the reader is recommended to refer to the separate
article on this subject.
Asthmatic Affections.
Antimonium-tart. is, in the generality of cases, the most available
remedy in cases of this kind, resulting from the smallpox.
Dose : Four globules night and morning, until amelioration or change.
Jooseness of the Bowels.
China, Phosphorus. China is, in the majority of cases, more
available when there has previously been excessive loss of humors,
especially if the symptoms assume an intermittent character.
Dose: Six globules in a wine-glassful of water daily, the first thing in the
morning, until amelioration or change.
Phosphorus is especially adapted for the treatment of blond sub-
jects, of a spare, slender habit of body and fragile frame, when this
relaxation continues any length of time.
Dose : As directed for China.
Diet and Regimen.—In these particulars we should be guided by
the virulence of the attack; but, in all instances, the beverages should
be cold, as a warm regimen, and neglect of the precautions before
mentioned, may convert the mild into the malignant form. Whilst
the fever runs high, water, or toast and water should alone be allowed;
but when the affection is going off, mildly nutritious food, such as
farinaceous food, cocoa, and plain broths, or beef tea, are allowable.
In mild cases thin gruel or farinaceous food, in small quantities, may
be allowed throughout. Even after recovery in some cases, it is
necessary that the patient abstain, for a considerable time, from animal
food.
It should not, nevertheless, be omitted, that a plain, nutritious, and
even generous diet, taken in small quantities at a time, and at regular
periods (when there are no lingering after-effects), combined with
regular habits in other respects, and with the bracing effects of the
open air, tend greatly to perfect the cure. The general regulations in
respect of diet and regimen, which apply to other eruptive fevers, or
to fevers in general, hold good with regard to smallpox.
It may be remarked that, after recovery from an attack of malignant
smallpox, the patient's constitution often requires a thorough renova-
tion, and that he should, therefore, be put under a course of medicine
best calculated to attain that result, as suggested in the article on
“ERADICATIVE TREATMENT.”
CHICREN-POCEQ. 175
ACCESSORY MEASURES.
In severe cases, when the pustules are very troublesome, they may
be anointed with oil of almonds, or gently sponged with tepid water,
when they become hard, or dusted with pure starch, when a thin,
acrid, or otherwise unhealthy discharge runs from them. The hair of
the head should be clipped, for the sake of the cleanliness and comfort
of the patient; and the hands should be muffled, to prevent injury to
the pustules from scratching.
CHICHKEN-POCK.
Symptoms.-A disease, bearing a considerable resemblance, in its
external character, to smallpox, but differing in its duration, and
symptomatically, being considerably milder, generally requiring no
medical assistance, but merely attention to diet, and but rarely be-
coming dangerous, except when it extends itself to the lungs or brain.
The fever, however, occasionally runs high.
When this affection attacks an individual, and smallpox is epidemic,
which is not unfrequently the case, it is often mistaken for that dis-
order, but it soon discovers its real character, by the rapidity with
which the eruption declares itself, the vesicles (in many instances
closely resembling the pustules of the smallpox) being generally fully
matured by the third day, and the whole eruption disappearing at the
end of the fourth or fifth, without leaving any maxk.
TREATMENT.
Aconite is required when much fever is present.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Coffea is to be preferred when extreme restlessness and anxiety are
present without a great degree of fever.
Dose : A solution of four globules, as directed for Aconite.
Belladonna should be given if the brain become evidently affected.
Dose: A solution of four globules, as directed for Aconite
Antimonium-tartaricum may be given to accelerate the develop-
ment of the eruption, when it is slow in making its appearance.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution, every four hours, until the eruption is thoroughly
evolved, and the fever subsides.
IMercurius may be given, when the watery secretion of the vesicles
becomes converted into thick, yellowish matter, as in the smallpox,
and is also beneficial, if strangury be present.
Dose : Two globules in a tea-spoonful of water, every four hours, until amelio-
ration or change.
CHECK OF THE ERUPTION.
This should be treated as directed for smallpox under similar cir-
cumstances (see page 173).
176 IMILIARY FEVER.
Cases, in which this disorder appears with manifestations closely
resembling many of those which characterize smallpox, may be similarly
treated, according to the particular indications present.
IMILLIARY FEVER.
Symptoms.-The primary feature of the disease consists of a great
number of exceedingly small, round, red pimples, which are soon con-
verted into white vesicles, afterwards become opaque, and end in
scurf: they are irregularly scattered, of the size of millet-seeds (hence
the name of the complaint), and when the hand is passed over the
cutaneous surface, a sensation is experienced as if caused by the pre-
sence of small grains of sand beneath the scarf-skin.
This affection is sometimes an original disease, but more frequently
associated with some other malady, and even occasionally accompanies
various chronic diseases, in which latter instance it may generally be
considered as an evidence of some internal constitutional taint ; it is
also not uncommon with women, at the period of confinement, arising
from the room being kept at too high a temperature—a frequent cause
of this malady. This, like other cutaneous affections of the same
nature, is generally preceded by febrile symptoms, the eruption ap-
pearing on the fifth or sixth day; from the commencement of the
fever we frequently find profuse perspiration, with a putrid, sour
odor; previous to the vesicles evolving themselves, there is a tingling
or itching of the skin, occasionally attended with a sensation of burn-
ing, together with a numbness of the extremities; the patient com-
plains of a sense of oppression at the chest, sometimes with short, dry
cough and stitches in the side, and, not unfrequently, of severe or
fugitive, rheumatic pains in the limbs and teeth. Low spirits are a
frequent accompaniment of this affection.
TREATMENT.
In consequence of the numerous diseases with which miliary fever is
complicated, it requires a variety of medicaments.
Aconite is a specific, when it appears in a simple and apparently
uncomplicated form, and is attended with anxiety and restlessness,
which seem to depend upon an accelerated circulation of the blood,
with great internal and external heat.
Dose: Three globules in a tea-spoonful of water, every six hours, until amelio-
ration or change.
Coffee is indicated when the above symptoms seem more particu-
larly to arise from high nervous excitability.
Dose : Three globules, as directed for Aconite.
Belladonna should be administered when the accelerated circula-
tion is attended with considerable determination of blood to the head
and delirium.
Dose : Of a solution of six globules to three tea-spoonfuls of water, give a third
part every four hours, until amelioration or change.
MILLARY FEVER. 177
Arsenicum is the most appropriate remedy when the eruption is
accompanied with eaccessive anaciety.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until amelioration or change.
Ipecacuanha is the appropriate remedy when the disease is found
conjoined with childbed or other fevers, and is preceded by oppression,
lassitude, anxiety, and a sense of weight about the chest, restlessness,
sighing, &c.
Dose: Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change.
Bryonia should be selected when the symptoms which precede the
eruption are accompanied by constipation, or shooting pains in the
chest.
Dose : Three globules, as directed for Ipecacuanha.
Calcarea-carbonica, in critical miliary fever, is a most valuable
medicament, especially against the extreme anxiety which is so fre-
quently manifested, or against the convulsions which sometimes take
place in the case of children, and finally as a general remedy to hasten
the development of the eruption, when it is tardy in making its ap-
pearance.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Chamomilla should be administered when the disease comes on
in children, brought about by the same cause, viz. excessive warmth,
or even errors in diet, attended with a greenish or watery, yellowish
diarrhoea.
Dose : Of a solution of four globules to three tea-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
REMARKS AND ACCESSORY MEASURES.
When it exhibits itself in complication with other affections, miliary
eruption may be either symptomatic or critical, and it should always
be borne in mind that an improper treatment of other affections may
develop it. When symptomatic, it may be recognized by appearing
either very early or late in the original affection, which, so far from
being relieved by the eruption, is frequently exacerbated by the ex-
citement of the nervous system consequent on its appearance. Even
when critical,—in which case, after the eruption has been fully de-
veloped, amelioration takes place,—it is still dangerous, from its
liability to retrocede. When a proper attention is paid to keeping
the patient cool, by light covering and the removal of feather beds,
and allowing a free supply of pure air, this troublesome concomitant
will rarely show itself. When, however, it appears critical, we must
be most careful not to check it, and a moderately warm temperature
must be kept up.
CHECK OF THE ERUPTION.
When this has taken place, we must carefully watch the result, as
12
178 * MILLARY FEUER.
sometimes nature herself provides for it by an increase of some other
secretion.
Cuprum-aceticum should be administered promptly, when symp-
toms of disturbance of the brain, &c., present themselves.
Dose: Of a solution of six globules to three tea-spoonfuls of water, give a third
part every two hours, until the symptoms are modified, and then every four
hours, until they are subdued or changed in character.
Diet and Regimen.—The regulations generally applicable to
fever, and those already set forth under the head of other eruptive
fevers, respectively, are equally applicable to this disease, subject to
modifications, in conformity with the violence of the symptoms. When
repercussion threatens to take place, the patient’s beverages should be
given moderately warm.
179
DISEASES OF ORGANS
CONNECTED WITH
THE DIGESTIVE SYSTEM.
TOOTHACHE,
When we find a constant disposition to this distressing malady, on
the slightest exposure to cold, without any presumable cause, or what
is generally called rheumatic toothache, we are warranted in conclud-
ing that some taint lurks in the constitution, and until proper measures
are adopted for its eradication, even the remedies most clearly indi-
cated, under other circumstances, fail to relieve the patient, or, at most,
but temporarily, alleviate his sufferings. Another obstacle to the
selection of the proper remedy, is the difficulty we find in obtaining
from the patient a perfectly clear description of his sensations.
TREATMENT.
Belladonna is particularly indicated when the pains are very severe,
of a drawing, tearing, or shooting nature, extending to the face and
ears—becoming aggravated in the evening, and especially at night,
with gnawing or boring pain in the carious teeth, swelling of the
gums and cheeks, dryness of the mouth with eaccessive thirst, with or
without salivation; renewal of the pains from intellectual labor, or
after eating; aggravation of suffering when masticating, also in the
open air; congestion to the head, with heat and redness of the face,
also pulsation in the head and cheeks.
Dose: Of a solution of three globules in three table-spoonfuls of water, give
one tea-spoonful immediately. If the symptoms become aggravated within
two hours after this dose, relief may speedily be anticipated, and the repe-
tition must be suspended. If, however, there be no positive effect, these doses
should be repeated every two hours, until amelioration or change.
Chamomilla, when there are severe drawing, jerking, pulsative,
or shooting pains; heat and redness, especially of one of the cheeks;
the pain becomes almost insufferable, especially at night, in the warmth
of the bed; shooting and pulsative pains in the ear and side affected;
the pains are aggravated by eating or drinking anything hot or cold,
but especially the former; great agitation and loss of self-control from
pain, or eaccessive weakness, sometimes amounting to fainting; great
irascibility, and disposition to shed tears during the paroxysms.
Chamomilla is useful when the toothache has arisen from an abuse
of Coffea.
Dose : Three globules in a tea-spoonful of water, every three hours, until dis-
tinct amelioration or change.
Rhus—t. is especially required when the pain, thus occasioned, is par-
180 - TOOTHACHE.
ticularly characterized by a sensation of soreness, in which case it
may often be employed in preference to Chamomilla.
Dose: Four hours after the third dose of Chamomilla, or in other cases on com-
mencing treatment, of a solution of four globules to two table-spoonfuls of
water, give a tea-spoonful every three hours, until amelioration or change.
Dulcamara is preferably employed in cases in which toothache,
arising from similar exciting causes (cold or exposure towet), is attended
with looseness of the bowels, and has not been modified by the third
dose of Chamomilla.
Dose : In all respects as directed for Rhus-lor.
Mercurius is particularly indicated when the pains affect carious
teeth, or exist in the roots of the teeth, and consist of tearing, shooting
pains, occupying the whole side of the head and face, and extending
to the ears; loosening of the teeth, and a feeling as if they were too
long; the pain becomes almost insupportable towards evening, and
especially at night in the warmth of the bed, and is also aggravated
by eating or drinking, particularly after anything cold has been par-
taken of, and likewise by exposure to cold or damp air; swelling and
Žnflammation of the gums, nocturnal perspiration, peevishness, and
inclination to tears; this medicine is especially useful for persons who
are subject to glandular swellings.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Nux-vomica is useful for persons who are habituated to wine or
other stimulants, or addicted to a sedentary life or study; for those
who are of a lively or irritable temperament, or of dark or florid com-
pleasion, or whose sufferings are increased by intellectual labor. The
pains generally occur in carious teeth, and are of a drawing and jerk-
Žng or gnawing description, occasionally diffusing themselves to the
head and ears, sometimes attended with painful enlargement of the
glands under the jaw; gums swollen and painful, accompanied with
throbbing and pulsation. The toothache is more liable to come at
night, or on awaking in the morning, sometimes also after dinner, or
in the open air.
Dose: Three globules, as directed for Mercurius.
Pulsatilla is peculiarly adapted to persons of a mild or phlegmatic
disposition. It is of great service when the toothache is associated in
such subjects with indigestion, or results from abuse of coffee,
sweets, acids, wine, or stimulants generally. The pains are digging
and gnawing, attended with pricking in the gums, and extending to
the face, head, eye, and ear, of the side affected; this remedy is par-
ticularly efficacious in toothache, when accompanied with earache, or
with paleness of the face, when the affection has been excited by tak-
ing cold, and when we find shortness and difficulty of breathing; the
pains are sometimes of a drawing, tearing, shooting, or jerking descrip-
tion, and occasionally produce a sensation as if the nerve were drawn
tight and then suddenly relaxed; the pain is much aggravated in the
evening or after midnight, generally increased by warmth, and when
TOOTHACHE. 181
the patient is at rest, and mitigated by cold air or cold applications
to the mouth.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Sulphur. This remedy is particularly valuable in scrofulous habits,
with a tendency to constipation; particularly if the pain is apt to be
provoked by every exposure to cold. It is indicated by pain, some-
times attended with swelling of the cheek, and shooting pains in the
ears, congestion of the blood to the head, and pulsative headache; the
pain is of a tearing, jerking, pulsative description, affecting both
carious and sound teeth; aggravated in the evening and at night, or
by exposure to the open air, also by the application of cold water or
by mastication; sensation of the teeth being loosened, elongated, and
set on edge; the gums are swollen, affected with pulsative pains, and
bleed easily.
Dose : Three globules in a wine-glassful of water every three hours, until ame-
lioration or change; and after the removal of the pain, six globules in a tea-
spoonful of water every morning (fasting), for a week.
China is likewise serviceable in cases of chronic character, and
which are liable to be provoked by every exposure to cold, but more
especially if the suffering be observed to recur at regular periods.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change; and after immediate
relief has been obtained, the like dose an hour before the anticipated period of
return of pain, for a course extending over ten days.
Bryonia is also a useful remedy in this affection, particularly with
persons of a lively, choleric, and obstinate disposition. Its indications
are loosening and sensation of elongation of the teeth, especially dur-
ing or after eating; shooting in the ears, with inclination to lie down;
pains aggravated by taking anything hot into the mouth, mitigated
by lying on the affected side, or exacerbated by the contrary position.
Dose : Three globules in two tea-spoonfuls of water every three hours, until
amelioration or change.
Carbo-vegetabilis is indicated by toothache, with dragging, tear-
ing, or constrictive and throbbing pains, excited by anything hot, cold,
or salt; continued looseness of the teeth; receding, ulcerated, and Sup-
purating gums (particularly after the abuse of the mercurial prepara-
tions, such as calomel, &c.), bleeding from the teeth and gums, with
tendency of the teeth to decay rapidly.
Bose: Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Hepar-sulphuris is indicated by dragging, jerking toothache,
increased by approximating the teeth (clenching), by masticating, or
from sitting in a warm room; swelling of the gums, with tenderness
on pressure, or abscess in the gums. This medicine is especially use-
ful in cases where hurtful doses of Mercury have previously been taken
under allopathic treatment.
Dose : Of a solution of three globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
\ ACHE OF CHILDREN.
Arsenicum, when there is nocturnal pain, which extends into the
ear, cheek, bones of the face, and temple; aggravation of the pain by
lying on the affected side; amelioration from the warmth of the fire;
aching in the teeth so excessive as almost to drive the patient to mad-
ness or distraction; sensation of elongation and looseness of the teeth;
grinding of the teeth, and bleeding of the gums.
Dose : Of a solution of three globules to three tea-spoonfuls of water, give a tea-
spoonful every four hours, until positive amelioration or change.
Toothache of Children.
Aconite, when the pains are difficult of description, attended with
great agitation, feverish sensation, blood to the head, heat and redness
of the face, and when the pains are described as of a pulsative, throb-
bing nature.
Dose : Of a solution of three globules in three tea-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Coffea. Against violent pains with great excitability and almost
distraction, in adults; also when the patient is conscious that the ex-
citement is disproportionate to the pain suffered.
Dose : Of a solution of three globules to two tea-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Belladonna, according to the indications already described,
(page 179.) *-
Dose : A solution of three globules, as directed for Coffea.
Chamomilla, according to the indications already described,
(page 179.)
Dose : A solution of three globules. as directed for Coffea.
Dulcamara should be given, if Chamomilla prove insufficient, and
the toothache has been caused by a chill, and is attended with loose-
ness of the bowels.
Dose : A solution of three globules, as directed for Coffea.
Ignatia is suitable for such cases as present similar indications as
those of Wua-vomica or Pulsatilla, but more particularly applicable
to mild or sensitive dispositions, with alternation of high and low
spirits.
Dose : Dissolve four globules in a wine-glassful of water, and give a tea-spoon-
ful of the solution every three hours, until amelioration or change.
Antimonium-tart, will be found beneficial in toothache occurring
during cold, wet weather, particularly in females, with noctural
exacerbation, or aggravation of the pain when drinking any cold
liquid.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful three times a day, until all sensation of susceptibility to a return
of pain is removed, or until change take place in the character of the
symptoms.
SORE THROAT, or QUINSY. 183
ACCESSORY PRECAUTIONS,
To be observed by those who are subject to Toothache.
Coffee or stimulants of any kind, very hot and very cold drinks,
sweetmeats, acids, and medicated tooth-powders, as well as the con-
tinual use of the tooth-pick, should be carefully avoided.
The mouth should be thoroughly rinsed after every meal with cold
water, and a pure Homoeopathic dentifrice regularly employed in
cleansing the teeth. The tooth-brush should be soft.
SORE THROAT, or QUINSY. APHTHOUS SORE THROAT.
Quinsy.—Symptoms.—Inflammation of the throat, accompanied
with difficulty of swallowing, impeded respiration, alteration of the
voice, and fever.
In the incipient stage of this affection, there is a sense of constriction
about the throat, with a feeling of Soreness, and sometimes of obstruc-
tion in the act of swallowing the saliva; if it runs its course, the
difficulty of swallowing and breathing increases, the tongue swells and
becomes foul, the tonsils assume a redder hue, occasionally a number
of small yellow eminences appear at the back of the throat, particularly
on the tonsils; the patient complains of thirst, and the pulse is high,
strong, and frequent ; sometimes the cheeks swell and become florid
and the eyes inflamed, and in severe cases delirium is not an unfrequent
occurrence. As the local affection progresses, the majority of the fore-
going symptoms become aggravated, and the tonsils tumefied, and
suppuration ensues, if resolution be not speedily effected.
When suppuration takes place, the pain is instantly relieved on the
bursting of the abscess; it sometimes happens, however, that scarcely
has the patient been relieved from suffering by the latter event, before
the state of the other tonsil gives indications that a similar train of
symptoms are about to be encountered there. This affection, occa-
sionally dangerous, if not properly treated, even in its simple form,
becomes critical when it puts on the putrid type. In such instances,
attendant fever generally assumes a character akin to typhus; when
this takes place, we may always infer a peculiar constitutional tendency.
TREATMENT.
Aconite should be employed when the complaint is, at the com-
mencement, attended with considerable fever, thirst, and dry heat,
deep redness of the parts affected, painful and difficult deglution, prick-
ing sensation in the throat, with aggravation of the symptoms when
speaking. *
* The simultaneous employment of a “cold-water compress or wet bandage,”
formed of a piece of old linen rag wrung out of cold water and applied over the ex-
terior of the throat, is usually of much service at the commencement of an attack
of sore throat, and will frequently prevent, or materially aid in preventing, the for-
mation of an abscess, in those cases which generally terminate in suppuration (sup-
purative quinsy). The moist rag should be large enough to cover the throat
effectually, after being doubled or folded three times, and should be secured in
position by means of a double fold of dry flannel. It ought to be continued for
several hours, or until “permanent cure or change,” and renewed as often as it be-
comes hot or dry.
184 SORE THROAT, OR QUINSY.
Dose: In many cases a dose of two globules, either dry or in a tea-spoonful of
water, and repeated after the lapse of six hours (if requisite), will suffice to
subdue the symptoms. But if the inflammation be very severe, of a solution
of six globules to three table-spoonfuls of water, give a tea-spoonful every
hour (extending the intervals to three hours as soon as modification occurs),
until amelioration or change. In extreme cases, in which the act of Swallow-
ing fluids becomes very difficult, the doses should consist of three globules
dry on the tongue, at every such period.
Belladonna is of great service for this complaint, occurring more
especially in persons of a full or sluggish habit of body, when indicated
by the subjoined symptoms:—
Pain in the throat, as if from eaccordation, attended with scraping,
and a sensation of enlargement, and burning or shooting pains, princi-
pally experienced during the act of swallowing; these pains sometimes
extend to the ears. Other characteristic indications for this remedy
are :—a sense of spasmodic constriction or contraction of the throat,
with constant and almost uncontrollable desire to swallow the saliva;
occasionally there is violent thirst, with dryness of the throat, but a
dread of drink, from the suffering which it occasions. Sometimes a
complete inability to drink exists, and the liquid returns by the nostrils.
On examination, the throat presents a bright red color, with swelling
of the palate, uvula, and tonsils; there is also an accumulation of slimy,
whitish phlegm in the throat and on the tongue, obliging the patient
to spit frequently; swelling of the muscles and glands of the neck,
severe headache, chiefly confined to the forehead, sometimes determi-
nation of blood to the head, and delirium.
Dose : In moderate cases, two globules in a tea-spoonful of water every six
hours, until amelioration or change ; in very severe cases, a solution of six
globules, or three globules dry on the tongue, as directed for Aconite. If in
alternation with Mercurius, an interval of six hours should elapse between
each dose of the different medicines.
TMercurius is frequently valuable at the commencement of the dis-
ease when so indicated, and forms one of our best remedial agents; in
some cases advantage accrues from the employment of Belladonna in
alternation with it. The indications for its selection are:—violent
shooting in the throat and tonsils, especially when swallowing; these
pains extend to the ears, and glands before the ears and under the
jaw; inflammatory redness and swelling of the affected parts of the
throat, burning in the throat, desire to swallow, attended with a sen-
sation of an obstruction existing in the passage; accumulation of thick
and tenacious phlegm in the throat, difficult deglutition, especially of
liquids, which sometimes escape through the nostrils; swelling of the
glands and muscles of the neck, and of the posterior part of the
tongue; occasional swelling of the gums; unpleasant taste in the
mouth, which is filled with saliva, more or less thickened; confluent,
or small, isolated, round, white specks or superficial ulcers on the
tonsils; indolent ulcers in the throat, offensive odor from the mouth;
aggravation of the symptoms at night, from the act of speaking, and
in the evening; chills and Shivering, sometimes alternated with heat;
nocturnal sweating. &
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
SORE THROAT, OR QUINSY. 185
spoonful every six hours, until amelioration or change. If in alternation with
Belladonna, the like interval should elapse between each dose of the different
remedies.
Lachesis. One of the characteristic indications for this remedy is,
aggravation of all the symptoms on awaking from sleep, or an increase
of the pain in the throat from the slightest eacternal pressure; it is,
moreover, an excellent remedy in all cases of inflammation of the
tonsils, in which Belladonna or Mercurius have afforded relief, but
seem incapable of effecting a cure; and also in aphthous sore throat
with considerable ulceration, when Mercurius has afforded only partial
relief.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Carbo-vegetabilis. This remedy may either follow, or be selected
in preference to Mercurius, after the previous administration of two
doses of Aconite, when necessary, in Aphthous sore throat charac-
terized by the appearance of small white specks or pimples (which, if
not checked, become confluent and spread beyond the throat,) on the
enlarged and protuberant tonsils, when the patient complains of severe
burning and pricking pain, with great thirst.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution twice a day, until amelioration or change.
Acidum-nitricum is indicated when Aconite and Mercurius have
been administered, in Aphthous sore throat, characterized by super-
ficial ulcerations in the throat, and the small white or gray ulcers
refuse to put on a healing appearance a few hours after the use of the
latter remedy.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, until three doses have been given;
then every twelve hours, until the cure is complete.
Nux-vomica. This remedy is especially useful when the sore
throat appears to arise from, or to be accompanied by, symptoms of
deranged digestion, and when a sense of scraping or eaccoriation
exists in the throat, and also when a feeling of contraction is ex-
perienced in the upper part of the throat during empty deglutition;
secretion of viscid phlegm which can be expectorated only with great
difficulty, and sometimes accumulates in such a quantity as to threaten
suffocation; or there is swelling and elongation of the ºvula, producing
a constant desire to swallow; at times only a sensation of swelling,
with aching pressing pains; or when cold has been the exciting cause,
and the affection is attended with dry cough and headache, chiefly in
the morning, and pains under the lower ribs during the cough. This
remedy is likewise indicated when there are small offensive ulcers in
the throat, or considerable debility is present.
Dose : Three globules in a tea-spoonful of water every three hours, until dis-
tinct amelioration or change.
Pulsatilla is frequently serviceable after Belladonna, when there
is an undue secretion of viscid phlegm in the throat;-but it is more
particularly when the following symptoms are met with that this
186 soFE THROAT, or QUINSY.
remedy is called for; derangement of the stomach, with dark, livid
zedness of the throat and tonsils; a sensation as if the parts affected
were much swollen, or a feeling of enlargement in the upper part of the
throat, as also of excoriation and scraping, with dryness of the throat
without thirst; shooting pains in the throat when not swallowing;
aggravation of the symptoms towards evening, attended with Shiver-
ing; also accumulation of adhesive phlegm in the throat. This remedy
is more peculiarly suitable for females, or for individuals of a mild and
phlegmatic temperament.
Dose; Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Chamomilla is a remedy particularly useful in the sore throat
occurring in children, or in nervous and sensitive females, who suffer
much from trivial ailments, and especially when the disease has been
brought about by checked perspiration, when there are shooting or
burning pains, with a sensation of swelling in the throat, deep redness
of the parts affected, inability to swallow solid food, especially when
lying down; thirst, with dryness and heat of the mouth and throat, or
secretion of frothy saliva, with burning heat in the throat and gullet;
swelling of the tonsils and glands before the ear and under the jaw ;
cough excited by constant tickling in the throat, attended with hoarse-
^ess; fever towards evening; alternate heat and shivering; redness of
the face, but especially of one cheek; great excitability and tossing
about.
Dose : Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Ignatia is indicated when there is a sensation as of a plug in the
throat when NOT performing the act of deglutition, with red and
inflammatory swelling of the tonsils or palate; burning pains when
swallowing, as if a substance were passing over an excoriated surface,
or partially obstructed by some foreign body in the throat. Liquids
are more difficult to swallow than solids; there are also shooting pains
Žn the cheeks, thence eastending to the ears when NOT performing the act
of deglutition; induration of the tonsils, or evolution of small pustules
upon them.
Dose : Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Dulcamara. An almost specific remedy, when sore throat, par-
ticularly in the form of inflammation of the tonsils, has arisen from a
chill during a cold damp state of the atmosphere. It may be followed
by Belladonna or Mercurius, should it not wholly remove the affection,
and should any of the symptoms given under these medicines present
themselves.
Dose : Two globules, repeated in twelve hours; and if no symptoms of increased .
pain or swelling present themselves, allow an action of thirty-six hours from
the last exhibition, during which period a marked amelioration, if not a per-
fect cure, sometimes preceded by a temporary aggravation, frequently de-
velops itself.
Coffea-cruda. Sometimes useful as an intermediate remedy, when
SORE THROAT, OR QUINSY. 187
many of the symptoms enumerated under Belladonna, with the excep-
tion of the external swelling of the throat, are present; and also
when there is a sensation as if the uvula were elongated or loaded with
phlegm, causing a constant inclination to swallow. One of the best
indications for its employment in this, as in other diseases, is an ex-
treme over-excitability of the nervous system, characterized by sleep-
lessness, great restlessness, sensitiveness, disposition to weep, and
peculiar impressionability to external agents.
Dose : Of a solution of four globules to three tea-spoonfuls of water, give a tea-
spoonful every two hours, until amelioration or change.
Bryonia has been found useful where there was marked distur-
bance of the digestive organs, the tongue covered with a dirty-yellow
fur, the taste insipid, and the bowels confined; also when there was
severe frontal headache and very disturbed sleep, with great dryness
of the throat, redness of the tonsils and palate, without swelling; pain
in the throat, as from excoriation; and pressure in the throat, as if
caused by a hard, angular body; pain and pricking in the throat, which
is also experienced on external pressure, or on moving the head; accu-
mulation of adhesive phlegm in the windpipe, which is temporarily
removed by coughing.
Dose : Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Rhus-tox. is indicated by the presence of considerable fever to-
wards evening, with hot, dry skin; aching and pricking pain provoked
or aggravated by the act of swallowing; sensation as if a plug or some
foreign substance were in the throat;--or again, when the chief seat
of pain appears low down the gullet, the spirits being depressed, and
the patient highly susceptible and easily disposed to tears. Also in
such cases as have been described as indicating Bryonia, when that
remedy has not been followed by permanent relief.
Dose: Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Veratrum-album is indicated by constrictive and suffocating pain
in the throat, particularly when swallowing; sensation of contraction
in the gullet; sense of roughness and scraping, or of extreme dryness
in the throat; swelling and burning in the gullet, sometimes attended
with danger of suffocation.
ose: Three globules in four tea-spoonfuls of water, one every six hours or
oftener, should the symptoms seem urgen.
Sepia is a useful remedy in obstinate cases of sore throat, with
pain as if the parts were excoriated, and prickings during the act of
deglutition.
Dose : Four globules in a tea-spoonful of water daily, the first thing in the
morning, for a week.
Cocculus, indicated by the sensation of a plug or other foreign
body in the throat, great dryness and sensibility of the gullet, causing
every thing partaken of to seem pungent, acid, or too salt; by con-
striction or sensation of paralysis in the gullet, and noisy and clucking
deglutition.
188 SORE THROAT, OR QUINSY.
Dose : Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Suppurative Quinsy.
Arsenicum is an important remedy when the disease occurs in an
aggravated form, or when it has been neglected, and all the parts have
become so excessively tumefied that the mouth can scarcely be open-
ed, the breath being at the same time extremely offensive, the tongue
foul, and the strength much exhausted.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every hour, until amelioration or change.
Hepar-sulphuris is valuable in bringing the matter to a head,
when resolution cannot be effected, and the quinsy has attained to
such a height that its bursting is desirable, from the painful sense
of suffocation, arising from the tumefied condition of the tonsils.
Dose : Dissolve six globules in two table-spoonfuls of water, and give one tea-
spoonful of the solution every two hours, until the quinsy bursts. But if
little progress be observable within two hours after the third dose, pause two
hours longer, and then proceed with the next remedy,
Silicea. This remedy is, in some instances, more efficacious than
Pſepar-S. in rapidly forwarding the Suppurative process, and causing
the ripened abscess to burst.
Dose : Of a solution of six globules to two table-spoonfuls of water, give one-
fourth part every two hours, until discharge ensues. After which, pause six
hours, and then proceed with the next remedy, if necessary.
IMercurius may follow six hours after the discharge of the abscess
—either of the last-mentioned medicines having been previously em-
ployed—to facilitate the healing.
Sulphur. In obstinate cases, such as are occasionally met with in
bad constitutions, the healing of the cavity, after the matter has been
discharged, goes on very unfavorably, and even fresh abscesses form
in succession, and these remedies are chiefly efficacious in subduing
these fortunately rare symptoms, and is especially required in cases
of general vicious habit of body, or scrofulous constitution.
Hepar-sulph. is more particularly indicated when the difficulty of
the case is attributable to previous abuse of Mercury, under Allopa-
thic treatment.
Dose : of either remedy give six globules in a tea-spoonful of water every morn-
ing the first thing (fasting) for ten days, (or until the earlier occurrence of
change, apparent aggravation,-see pp. 57, 58—or improvement,)—then paus-
ing a week, and resuming the course similarly if required.
Relaated Sore Throat.
This variety of the affection, which is usually attributable to irregu-
larities of digestion, may be advantageously treated by accurate inves-
tigation of the symptoms associated with the digestive functions, and
the regulations for treatment afforded in the article on “INDIGESTION.”
ACCESSORY MEASURES.
If required, the throat may by gargled with a little warm water
TOILCERATED SORE THEO.A.T. I89
and when much pain is present, inhalation of the vapor from boiling
water will often afford considerable relief; but, at the same time, it
may be observed, that all medicinal gargles, blisters, leeches, or other
local applications are rendered unnecessary by proper homoeopathic
treatment, and are most reprehensible.
IERADICATIVE MEASURES.
It may be remarked, that SULPHUR is particularly available in cases
in which the patient exhibits indications of scrofulous or other consti-
tutional taint, and SEPIA is generally best suited for delicate females.
See: Quins.y.
Dose : Of the remedy selected, give six globules in a table-spoonful of water,
every morning the first thing, fasting (as soon as the acute attack is over-
come), for ten days; and return to this course upon the first indications
which threaten an attack: in the latter instance, however, observing very
closely any increased irritation, and suspending the administration accord.
ingly, or watching for the development of such symptoms as may positively
indicate another remedy.
Diet. The diet of the patient must be regulated according to the
degree of inflammation present. The general regulations applicable
to Fever are equally applicable to this complaint.
TJLCERATED SORE THROAT.
Malignant Quinsy, Malignant, Putrid or Gangrenous Sore Throat.
Symptoms. This serious disease is also known by the name of
Malignant Scarlatina, from the eruption with which it is frequently
attended. It is usually epidemic, of a highly infectious nature, and
generally occurs in damp and sultry autumnal seasons.
It sets in with coldness and shivering, succeeded by heat, and ac-
companied with great languor and oppression at the chest; nausea,
or vomiting and sometimes purging; eyes inflamed and watery; deep-
red color of the cheeks; the nostril are also more or less inflamed,
and secrete a thin, acrid discharge, frequently causing soreness or ex-
coriation of the nose and lips; pulse indistinct, or very weak, small,
and irregular; tongue white and moist. -
The deglutition is painful and difficult, and the throat, on being
examined early in the disease, is observed to be of a bright-red color,
and much tumefied; but this state is very soon altered, and numerous
ulcers of various sizes will then show themselves interpersed over the
parts, which become covered with a white, grayish, brown, or livid
coat. In some cases, these ulcerations spread so widely as to extend
over the whole throat into the nostrils, or downwards even to the
opening of the windpipe and gullet, &c., and assume a sloughing ap-
pearance as they increase in magnitude. The prostration of strength,
considerable from the first, is now excessive; the tongue, lips, and
teeth are covered with brown or blackish incrustations, and there is
more or less delirium: the breath is extremely fetid, and the patient
himself complains of a disagreeable odor. The neck appears swollen
and of a livid color, and an efflorescence of a faint scarlet hue, or
190 DLCERATED SORE THROAT.
blotches of a dark or livid red, sometimes intermixed with purple spots,
break out on various parts of the body, and usually, though not ne-
Čessarily, add to the danger, as many are carried off, particularly
children or persons of an advanced age, without any eruption, when
the local symptoms are severe and the fever high ; –but the appear-
ance of livid spots, and other indications of so-called putrescency with
frequent shivering, weak, fluttering or intermittent pulse, sunken, coun-
tenance, severe, purging, extreme prostration, and bleedings from the
nose, mouth, &c., must decidedly be regarded as symptoms of immi-
nent danger.
When the local symptoms are mild, the danger is rarely great; and
even in the severe forms of the disease, when a gentle sweat breaks
out about the third or fifth day, when the sloughs throw off in a fa-
vorable manner, leaving a clean, florid healthy-looking bottom, and
the respiration becomes more gentle and free, the expression of the face
more lively, and the pulse stronger and more equal, a salutary result
may be held in expectation.
TREATMENT.
Aconite is rarely available in this complaint, owing to the more
frequent accompaniment of the fever of a low typhoid character; how-
ever, there are cases particularly when the fever runs high from the
commencement, in which advantage is found to result from the initia-
tory employmeut of this remedy.
Dose : Three globules in a tea-spoonful of water, every three hours, until
amelioration or change. On the first appearance, however, of the subjoined
symptoms, proceed with the next remedy.
Belladonna should be employed either at the onset or —when Aco-
nite has been previously administered, four hours after the last dose
of that medicine,—as soon as the patient complains of dryness, with
impeded deglutition and a sense of constriction or choking in the
throat, which, on examination, is observed to be swollen and to pre-
sent a florid, red appearance.
JBelladonna is additionally indicated when the fever continues to
run high ; when the face is bloated and the eyes are much inflamed ;
when the patient is affected with considerable delirium, and is, occa-
sionally, only with difficulty to be restrained from leaving the bed or
committing acts of violence ; or further, when the rash, which some-
times breaks out in this disorder, about the third day, presents a scar-
let hue.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until amelioration or change.
Pulsatilla may be administered with good effect in cases in which
the symptoms are mild, or in which the above-mentioned symptoms
have been reduced by means of the remedies quoted, and an increased
secretion of phlegm supplies the place of the previous dryness,
while the patient is at the same time afflicted with nausea and bilious
vomiting,
Dose: Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change.
TJ LCERATED SORE THROAT. 191
Nux-v. is preferable to Pulsatilla when the phlegm is very viscid
and is secreted in such a quantity as to create a feeling of threatening
Suffocation.
Dose : Three globules, as directed for Pulsatilla.
The progress of matters in the throat must, however, be carefully
watched. -*.
IMercurius should be prescribed, as soon as the presence of small
ulcers, or, still better, their incipient formation, can be detected.
Dose : Three globules in a tea-spoonful of water, repeated in two hours, and
again in two hours more, unless the pain and extent of the ulceration should
continue to increase, when proceed at once with the next remedy.
Acidum-nitricum should be administered four hours after the last
dose of Mercurius, when, from the increasing size and painfulness of
the ulcers, the latter remedy does not promise to arrest their progress
or cause them to assume a healthy aspect.
Dose : Three globules, as directed for Mercurius.
In the milder forms of this disease, the two last-named remedies will
frequently be found sufficient to conduct it to a speedy and successful
termination.
But in those much more dangerous forms, which the complaint so
Teadily assumes when it rages as an EPIDEMY, and when the patient
at the commencement is seized with vomiting and purging, attended
with such prostration of strength as to render it impossible for him to
leave the recumbent posture without feeling faint and being compell-
ed to fall back exhausted by his efforts: where, moreover, the ulce-
rations spread with alarming rapidity, and early take on a sloughing
character—in such cases the conducting of the disease to a happy issue
becomes obviously a much more serious and difficult task.
Arsenicum will, in the majority of such cases, be promptly required,
although sometimes advantageously preceded by a single dose of Pulsa-
tilla (as before directed), if called for by the predominance of bilious vo-
miting. Arsenicum is distinctly indicated by that marked prostration of
strength so characteristic of this disease, accompaeied by nausea or vo-
miting; or when the ulcers present a livid hue. This important remedy is
also indicated in a more advanced stage of the disease, when the ulcera-
tions are covered with dark sloughs, surrounded by a livid margin; the
teeth and lips incrusted with a brownish, fetid discharge; the pulse
small and irregular, and there is delirium or constant muttering, with
frequent hanging of the lower jaw; laborious respiration; acrid dis-
charge from the nostrils, causing excoriations; the eyes dull and glassy;
the skin hot and dry, and the thirst excessive, yet the patient drinks
but little at a time, and appears to perform the act of deglutition with
great pain and difficulty; finally, when the prostration of strength is
so eactreme, that the patient seems rapidly sinking, and a rash of a livid
color breaks out in blotches, here and there intermingled with purple
OlúS.
Sp 'i. : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour, until amelioration or change-continuing the adminis-
tration at intervals of four hours when the more urgent aspect of the disease
192 TJLCERATED SORE THROAT.
has been overcome. In very serious cases the doses may be required simi-
larly every ten, fifteen, or twenty minutes. If in alternation with any other
remedy, two doses of Arsenicum should be followed by a pause of two
hours, and then by two doses of the other remedy in like manner.
Lachesis may be found very useful after, or, in some cases, alter-
nately with Arsenicum, should the patient complain of great pain in
the throat, which is aggravated by the slightest external pressure, or
should the sloughs seem indisposed to cast off, and the neck become
much swollen and discolored.
Dose : Dissolve six globules in a wine-glassful of water, and give a tea-spoon-
ful of the solution every hour, until amelioration or change;—or otherwise,
if in an alternation with Arsenicum, as directed for that remedy.
China will often be found of service when the tendency to gan-
grene continues, and the patient is still affected with considerable pros-
tration of strength, accompanied with debilitating sweats.
Dose: Pause at least six hours after the last dose of any other remedy, and then
of a solution of six globules to two table-spoonfuls of water, give a tea-spoon-
ful every four hours, until amelioration or change.
Nux-vomica is frequently serviceable after Arsenicum, when the
diarrhoea has been checked, but numerous small, foul, offensive ulcers
are seen in the mouth and throat.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change, proceeding with the next remedy if the subjoined symp-
toms ensue.
Carbo-veg. should be administered after a pause of six hours since
the last dose of the foregoing remedy, should a copious, fetid, watery
secretion be discharged from the ulcers, attended with extreme exhaus-
tion, and small, indistinct, or scarcely-perceptible pulse.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a fourth
part every hour, until amelioration or change.
Secale-cornutum may sometimes be administered with advantage
in alternation with Carbo or Arsenicum ; or it may be given alone,
at the commencement of the attack, when the diarrhoea is excessive and
the stools are very copious.
Dose : If in alternation, three globules in a tea-spoonful of water, twice repeat-
ed at intervals of two hours, commencing four hours after the second similar
dose of the alternating remedy. If singly, the like dose every two hours,
until amelioration or change.
Rhus may be useful in extreme cases, attended with great muscular
weakness and trembling of the extremities, especially on movement;
also if there be drowsiness, and other symptoms, such as those describ-
ed under the head of this remedy in the article on TYPHUs.
Acidum-nitricum may be employed with great advantage when,
from the beneficial effects of Arsenicum, or any of the other remedies
above mentioned, the strength of the patient becomes invigorated, the
countenance more animated, and the sloughs are thrown off in a satis-
factory manner, yet the ulcers threaten to become indolent; under the
influence of this remedy these will, in most cases, very speedily acquire
a clean and florid bottom, and begin to heal.
MUMPS. 193
Dose: Four globules in a tea-spoonfal of water three times a day, until ameliora-
tion becomes rapidly and regularly progressive, or change ensues.
Sulphur will often be of paramount service, under similar circum-
stances, in promoting and hastening the cure, especially if there be
reason to suspect a scrofulous or other vicious habit of body, and the
general symptoms correspond more closely with the characteristic
effects of this remedy.
Dose : At first as directed for Acidum-nitr., and afterwards a dose of six glo-
bules in a wine-glassful of water daily, the first thing in the morning (fasting),
for a week.
Silicea may also be preferable if the general symptoms correspond
more closely with its characteristic action.
Dose: As directed for Acidium-nitr.
Acidum-Sulph., or Sepia. One of these remedies may in some
instances be more appropriate than either of the former.
Dose : Of either remedy, as directed for Acidum-nitr.
It will readily be conjectured, from the above remarks, that the
treatment of the severer forms of this malady ought not to be con-
ducted by non-professional persons when professional aid is within
reach.
ACCESSORY MEASURES.
In conducting the cure, the utmost cleanliness, combined with free
ventilation, ought to be strictly observed, for the double purpose of
removing all malignant excretions and effluvia, -and thereby putting
a check to the ready extension of the contagion,- and providing for
the comfort and well-being of the patient.
Diet. The diet should consist of semolina, sago, gruel, and similar
articles of food. When the prostration of strength is extreme, strong
beef tea should be administered frequently, but in small quantities at a
time. Stimulating drinks may also be requircd in some debilitated
habits, or in the very aged.
IMIUIMIPS.
Symptoms. Inflammation, with swelling of the glands below the
ear and under the jaw, sometimes running high, and extending to the
throat and tonsils, with danger of suffocation.
This complaint generally affects individuals under the age of
puberty, and frequently declares itself as an epidemy during the pre-
valence of cold, damp weather. When properly treated, it is rarely
dangerous, but is apt, if not carefully attended to, and particularly in
the first stage, to attack some more important organs, such as the
brain or its tissues, producing drowsiness, stupor, or delirium, and
other symptoms of inflammation appertaining thereto (see Brain
Fever). Or, again, in the second stage, suddenly disappearing from
the glands mentioned, and painfully affecting those of the breast, &c.:
this may occur either from fresh exposure to cold, or from the appli-
cation of repellent lotions.
The affection is generally ushered in by the ordinary symptoms of
13
194 MUMPS,
mild catarrhal fever, or by pain in the forehead, loss of appetite,
nausea, disagreeable taste, prostration of strength, and, occasionally,
convulsions or excessive drowsiness. From six, twelve, to forty-eight
hours or upwards thereafter the swelling declares itself, sometimes
interfering with the motion of the jaw, and by the extension of
inflammation to the tonsils, affecting the hearing and impeding in- .
spiration.
TREATMENT.
Mercurius may almost be termed the specific remedy in the simple
form of this disease.
Dose : In many cases a single dose, consisting of three globules in a tea-spoon-
ful of water, will be found sufficient to effect the cure ; when, however, the
symptoms do not promptly yield, the like dose should be repeated every
twelve hours, until amelioration or change. But if no positive benefit ensue
within twelve hours after the second dose, proceed with the next remedy.
Carbo-vegetabilis should be administered 1. twelve hours after
the second dose of Mercurius, when the latter remedy does not pro-
mise to produce much benefit (which is frequently the case in those
who have been formerly salivated by Mercury under allopathic treat-
ment), particularly if the affection be accompanied by a considerable
degree of hoarseness.
Carbo-veg. is also distinctly indicated 2 in cases in which the affec-
tion has suddenly been transferred to the stomach (the swelling of the
glands having abruptly disappeared), owing to neglect in observing
proper precautions against cold, &c.
Dose : Under the first circumstances, 1. mentioned, the dose should consist of
three globules in a tea-spoonful of water, repeated three times a day, until
amelioration or change. Under the circumstances 2. last-stated, of a solution
of six globules to two table-spoonfuls of water, give a tea-spoonful every
three hours (until three doses have been given), and then every twelve hours
(the symptoms still continuing in a modified form), until positive ameliora-
tion or change; but if no improvement whatever should have followed the
third dose, (in such a case) proceed with the next remedy.
Cocculus should be administered three hours after the third dose
of Carbo-veg., in cases of the transition of the disease to the stomach,
if the latter remedy has been totally ineffectual.
Dose : Of a solution of four globules to four tea-spoonfuls of water, give a tea-
spoonful twice, at intervals of two hours, and then every six hours, until
amelioration or change.
Belladonna should be promptly administered when, in consequence
of a similar accident, the disease has been suddenly transferred to the
brain, characterized by a sudden disappearance of the swellin g of the
glands, followed by loss of consciousness, delirium, or other symptoms
of Inflammation of the Brain (which see). Belladonna is moreover
indicated when the swelling is red, and presents an erysipelatous
appearance.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until amelioration or change; but if no distinct
improvement ensues within two hours after the third dose, proceed with the
next remedy.
Hyoscyamus should be administered two hours after the second
BILIOUS COMPLAINTS, 195
dose of Belladonna, if no distinct improvement should have resulted
from that medicament.
Dose : A solution of six globules, as directed for Belladonna, proceeding again
with the next remedy should the same circumstances (however rarely) re-
quire such a course.
Cuprum-aceticum should be administered two hours after the
second dose of Hyoscyamus, in the rare instances in which that
remedy has failed to effect a positive improvement in the state of the
patient.
Dose : Of a solution of six globules to three tea-spoonfuls of water, give a tea-
spoonful every hour, until distinct amelioration or change.
Rhus, Bryonia, Sulphur, Lachesis. One or more of these
remedies are occasionally required in complications of this disease
involving the brain; and the investigation of their characteristic effects
in the article devoted to that subject, will readily convey the dis-
tinctive indications for each.
Dose : Of either of these remedies, as directed for Belladonna (above.)
JMumps resulting from other Diseases.
Should this glandular enlargement occur as a consequence of such
diseases as Typhus, Measles, Scarlatina, &c., the proper method of
treatment will be gathered from the foregoing particulars, and from
those which are afforded under the head of each of those diseases
separately, or more generally in the article on “CHARACTERISTIC
EFFECTs,” in respect of the medicines enumerated.
ACCESSORY MEASURES.
During the treatment of this affection, every care should be taken
that the patient be kept moderately warm, exposed neither to damp,
cold draughts, nor vicissitudes of temperature, and the jaws and neck
should be protected by a worsted or flannel bandage.
BILIOUS COMPLAINTS OR DYSPEPSIA,
Bilious complaints have, of late years, become the popular term for
almost all derangements of the digestive functions. The truth is, how-
ever, that in affections of this nature, although in very severe cases
the Liver or Biliary system is more or less powerfully affected, yet it
is generally so only by sympathy: and the real seat of the disorder is
in the stomach and bowels, except, indeed, amongst Europeans resi-
dent in tropical climates, or who have recently left the tropics.
In considering the various forms of Derangement of the Stomach
under the general, more appropriate, and more comprehensive designa-
tion of Indigestion, therefore, we shall have occasion to include the
majority of those symptoms which are ascribed to the two opposite
causes of derangement, inactivity of the liver, and too great a secre-
tion of bile.
196 INDIGESTION.
INDIGESTION OR DYSPEPSIA.
FUNCTIONAL OR ORGANIC IDISTURBANCE OF THE MUCOUS MEMBRANE OR
NERVES
OF THE STOMACH :
Nausea, Eructations, Depression of Spirits, and other Sympathetic
Affections.
What is termed INDIGESTION may be identified as the prolific parent
of Chronic Disease.
This disease, however, appears in so many forms, that we shall
simply content ourselves here with sketching out a general outline of
its chief distinguishing features, and enumerating some of the principal
predisposing and exciting causes to which it may usually be traced,
directly or indirectly.
Predisposing Causes.—Close, unhealthy, ill-drained, ill-venti-
lated dwellings; the atmosphere of some factories; hereditary or other
constitutional defects; the influence of the atmosphere of particular
climates and localities; exposure to unhealthy exhalations; the water
of particular localities, which is impregnated with mineral substances
(such as lead) and in which the diseases of this nature assume an
endemic character, &c.
Exciting Causes.—Irregularities in diet, such as an over-indul-
gence in the pleasures of the table, partaking of rich and indigestible
food and stimulating soups; excess in the quantity of food; excessive
use of wine, malt and spirituous liquors, tea, coffee, and other stimu-
lants; imperfect mastication of food, irregularity of, or too long fasting
between meals; indolent or sedentary habits; exhaustion from intense
study; keeping late hours; mental emotions; reaction from the external
surface, &c.
The foundation of this disorder is frequently laid in early life, by the
frequent and copious administration of aperients, calomel (in large
doses), and other deleterious drugs; and the evil is perpetuated in
more mature age, by a continuance of the same absurd and injurious
system.
An abuse of coffee and tea is a frequent cause of many descriptions
of sick and nervous headache, attended with excitement and symptoms
of deranged digestion, which will frequently disappear of themselves
on the disuse of these beverages. If, however, the troublesome symp-
toms should continue, a course of treatment should be adopted in con-
formity with the following regulations.
Indigestion, or that which we understand by the term, is not,
however, necessarily associated with physical suffering of any kind,
much less with sensation of pain, or any distinguishable sensation in
the stomach or intestinal region itself. It very frequently occurs in its
worst organic forms, without so much as observed exhibition of any
symptoms whatever, developed in the digestive organs themselves.
But in such cases it has reacted upon some other portion or portions
of the organic structure, and may be distinguished in the affections
occurring in other organs, and which, therefore, very frequently be-

INDIGESTION. 197
come susceptible of mistaken interpretation. Wherefore, in such
complicated cases, the most careful review of the antecedent course of
life, constitution, circumstances, and the like, as well as very minute
inspection and analysis of every symptom becomes necessary to come
to a correct conclusion, and thereby to pursue a correct course of
treatment. In the great majority of cases of chronic disease in fact
which daily occur in civilized life, the original seat of disturbance may
be identified in the digestive and nutritive functions, whence the pro-
gress of disease may be traced through the organic apparatus in which
such functions are lodged to the centres of vital action and through-
out the system.
Abstractedly, the primary disease consists—first of local increase of
the natural irritability, that is of irritation, and afterwards, (when this
irritation has expended itself in exhausting the natural irritability) of
comparative deficiency of irritability, that is, of weakness or debility,
with susceptibility to irritation. But it is worthy of notice that whilst
this irritative process, at first purely local and superficial, has exhausted
the vital energy of the particular organs in which it was first developed,
it may (even without having possessed sufficient violence to alter the
organic structure of such parts) have been conveyed through the
medium of the communicative nerves to the centre of sensation, –the
Brain,_and consequently, also, to the mental and moral faculties;—
to the centre of motive impulse—the spinal chord; -by regurgitation
or other interference with the biliary discharge, or by nervous affinity,
&c., to the liver, by insufficient or altered supply of material to the
blood, through the channels of that fluid to the heart; –and, owing to
similar irregularities, as well as from the deteriorated condition of the
centre of the Nervous System to the lungs, the skin, and to the mota-
tory muscles of the frame.
It is of course understood that the derangement of the stomach,\of
whatever description, may readily be communicated to the INTESTINEs,
and that, more or less, the whole of the apparatus of nutrition and its
appurtenances, are directly affected, and, in general, necessarily in-
volved.
The just appreciation of these tracts, pursued by the progressive
disease, is of paramount importance, because, should affections be
developed in one or more of these organs which occur sympathetically,
and as the result of primary derangement of the stomach, it is need-
less to argue that perfect cure (if yet possible) can only be attained
by attacking the original seat of disease. As far as medicinal treat-
ment is concerned, Homoeopathy obviates much of this difficulty by
being appropriate to particular manifestations, and thus by operating
upon the same organs as primarily occasion such manifestations. But
the important observance of accessory measures, such as the appro-
priate diet, exercise, habits, and the like, may be materially qualified
by the accurate discrimination of the original derangement. And in-
asmuch as the original character of functional derangement, or organic
disease of the stomach, consists of an increase of the natural irritability,
or of irritation, and the subsequent character consists of a morbid sen-
sibility (whether there be increase or decrease of sensation) and of
198 INDIGESTION.
consequent susceptibility to irritation,-and as the recurrence of active
irritation will in each successive instance subtract more from the
vital energy, or sooner or later unhinge the organic structure, and
do irreparable mischief-it is sufficiently obvious that in every disease
which owes its origin to the stomach, any internal, external, or in-
ducted cause of irritation will have a tendency to confirm the disease.
Whence it may be deduced that the accessory treatment resolves it-
self into the most perfect avoidance of everything stimulating or
3rritating, whether in the department of diet, in that which involves
mental or corporeal exercise, or in that which affects the mind in its
moral capacity, including all emotions, whether productive of imme-
diate pleasure or pain. Everything which may tend to engender or
sustain excitement of any kind, especially if it operate suddenly, should
be strictly prohibited. *
Sympathetic Affections of other Functions or Organs.
As the primary organs of digestion are readily and materially in-
fluenced by disturbances of the brain and its tissues, so in like manner
do we as frequently find that the BRAIN AND THE NERVoUs SYSTEM in
general sympathize immediately with the stomach, and are subject to
the induction of derangement from that source, whether the primary
cause affect merely the Lining Membrane, or the tributary Nerves:—
or again, whether the disturbance in either case be merely functional
(affecting the operation of such organs) or organic (affecting their sub-
stance). There is, however, some difference in these derivative sym-
pathies, both as regards variation, intensity, and locality.
1. Mental derangement upon a given point, or general aberration
of mind, extreme and restless anaciety, with visionary fears, or appre-
hensions without foundation, alternation between extreme excitement
and utter prostration or inaction both of will and of impulse, indomi-
table pusillanimity, uncontrollable irascibility and excitability, morbid
Żmpatience, wretchedness with agitation, thoughts confined to self and
generally clouded, unaccountable dread of undefined ills, conveying
an intense inclination to engage actively in the investigation of such
supposed misfortunes, fitful and capricious temper and disposition, and
a highly suspicious disposition, &c., may be distinguished as an affection
of the tributary Nerves of the apparatus of nutrition.
2. Pains in various parts of the head; eacpansive, darting, or spas-
modic pains, or pains of various descriptions and often indescribable,
giddiness, the multitude of sensations of weakness, of heat or cold, of
expansion or contraction, of trembling or uneasiness, convulsive and
involuntary movements of particular limbs or muscles, local or general
cramp or spasm, are also amongst those symptoms which may be
traced to an affection of the tributary Nerves.
3. Gradual deterioration of nervous vitality amounting to palsy,
and temporary or permanent loss of control by volition over the
muscles of voluntary motion, owing to the nervous implication of the
spinal chord, are attributable to a similar originating cause,
4. Sudden arrest of the functional operation of the brain, and tor-
pidity, numbness, or suspended sensibility of the nervous structure,
INDIGESTION. 199
locally or generally,–as well as dullness of thought, aversion to exer-
cise of the mind or body, general torpor or indolence, listlessness,
drowsiness, depression of spirits, characterized by constant stupor,
ggishness of the perceptive or reflective faculties, vacancy, listless-
ness, incapability of fixing the attention, imbecility without mania,
confusion of ideas, irresolute, yielding and dependent (submissive) dis-,
position,--which arise from determination or accumulation of the
blood, are associated with derangement of the (Mucus) Lining
Membranes.
5. Pains in the head, of a dull, obtuse description, pain in the fore-
part of the head, sick-headache, numbness or dullness of the head,
heaviness of the head, sensations of smell—whether pleasant or un-
pleasant,-which are merely morbid, deficiency, dullness, or suspension
in the sense of smell, sensations of unnatural tastes in the mouth, and
the like are also associated with morbid condition of the Lining
Membrane.
6. Palsy, occurring suddenly and without premonition, which is
attributable to an oppressive accumulation of blood, is also amongst
the affections of the Nervous System, which are attributable to the
same conditions as the last. º
[When both portions of the nutritive organs are simultaneously
affected, these results may appear in combination.]
The Lungs and Respiratory Apparatus are liable to be organi-
cally affected by sympathy with the stomach, when the tributary
Nerves of the organs of nutrition are affected.
The Liver may be fitfully or occasionally implicated in the general
derangement, resulting from such affection of the Nerves of the Sto-
mach; but important functional or organic derangement of this organ
is generally associated with disturbance of the stomach, consisting of
morbid condition of the Lining Membrane.
The Heart is necessarily more or less affected by both conditions
of disturbance in the digestive apparatus, because in both is there
either deficient, irregular, or morbid assimilation and distribution of
the constituents of the blood.
1. Accelerated action, with, however imperfect, incomplete, and
irregular operation of the circulative process, with too abrupt, sudden
contraction, and analogically a spasmodic condition, characterized by
quick, pointed pulse, or, generally, identified by sudden flushes of heat
or chills, is associated in the generality of cases with disturbance of
the Nerves of the Stomach.
2. Retarded action, with, at the same time, the distribution of
vitiated blood, or with deficient supply of the constituents of the
blood, and, consequently, insufficiency of the volume of that fluid,
generally characterized by a slow and tardy, but hard pulse, and
attended with coldness of the extremities, and general deficiency of
animal heat, may usually be attributed to derangement existing in the
Lining Membrane.
[When both portions of the nutritive organs are simultaneously
affected these results may appear in combination.]
The Skin almost immediately sympathizes with the Stomach when
200 INDIGESTION.
the slightest derangement occurs, being doubly susceptible of the
effects of impaired circulation of blood, and of irregular nervous action
or sensibility. Whether one or the other, or both portions of the
organs of nutrition be affected, and, whether functionally or organi-
cally, the Skin manifests its immediate sympathy, either in sensation,
appearance, feeling to the touch, or all three.
1. Extreme susceptibility to sensation of cold (or chills,) is more or
less associated with every variety of derangement of the Stomach.
2. Sensations of pricking, tingling, crawling, shuddering, itching or
irritation, burning (flushes of heat) with redness, further characterized
by the appearance of marked spots, pimples, and other eruptions, &c.,
are generally associated with derangement of the Nerves of the
Stomach.
3. Turgid, sallow, dirty hue of the skin, without loss of softness,
moisture or elasticity, though usually associated with derangement
whose seat is in the Lining Membrane, may be observed in both
varieties.
4. Flaccid or withered, or deadened skin, having the appearance
of parchment, with general deficiency of sensation, though usually
attributable to the continuance of derangement of the Membrane, may
also be identified in cases in which every other indication identifies
the Nerves of the Stomach as the seat of the affection.
5. Dryness of the skin may be associated with derangement, whether
functional or organic, of either portion of the apparatus of nutrition.
The Eyes and Sight readily sympathize with the stomach, owing
to the uninterrupted continuity of the Mucous membrane of the various
passages to that which comes into contact with the external portions
of the eye. Whence watery eyes, dark appearance around the eyes,
redness of the edges and inner surfaces, or swelling of the eyelids,
bloodshot eyes, glutinous discharge from the eyes (adhesive gum),
which occur as manifestations of irritation or accumulation of blood
about the membranous surfaces—extending along such membranous
surfaces from those of the stomach,--may generally be associated with
disturbance of the Lining Mucous Membrane.
1. Even blindness, from palsy of the nerve of sight, is generally
dependent upon pressure occasioned by similar local accumulation of
blood, and is therefore associated with a similar cause; although, in
some cases, it may result from affections of the Werves of the Stomach.
The association of other symptoms will be distinctive in such cases.
The Ears and Hearing are also most frequently affected by irri-
tation, accumulation of blood, or dryness (deficiency of wax) extending
to these organs from the Lining Membrane of the Stomach. It is,
however, obvious that excessively acute hearing, or total deafness, &c.,
might result from affection of the Nerves acting sympathetically on
the Brain.
2. Eaccessive dryness of the ears, sometimes characterized by in-
creased sensibility of the organ of hearing, and sometimes by sensation
of heat, or by burning pain, is usually attributable to derangement of
the Lining Membrane of the Stomach; and the same may be said of a
INDIGESTION. 201
sensation as if the ears were muffled, a deadness of sound, the internal
passages being swollen, and the orifice consequently lessened.
IXISTINCTIVE CLASSIFICATION OF WARIETIES.
It has transpired in the foregoing remarks that we should distinguish
five modifications of that form of disease which is popularly termed in-
digestion or dyspepsia; namely—
1. That which is merely functional, or which consists in irregularity
in the operation of the organ involved;
2. That which is organic, or which consists in some change in the
structure of the organ affected. &. *
3. That which affects the Lining Membrane of the organ,—which is
at first evidently superficial, and is generally conveyed to contiguous
organs by the irritation extending along the uninterrupted surface of
the membrane,—but which, inasmuch as it embraces the extremities
of the nerves, may sooner or later become complicated with—
4. That which is seated in the tributary Nerves of the organs of
nutrition, — which may therefore be conveyed directly to the substances
of the brain and spinal chord, through the medium of the nerves which
are in direct communication with these concentrating points, and from
which we may anticipate a more immediate development of sympathe-
tic manifestations in the Nervous System generally;
5. That in which the Nerves and Membrane are both implicated.
The third and fourth distinctive varieties are those which require
the most particular investigation; not only because they may or may
not involve the first two, but, more particularly, because, whether the
disease be organic or merely functional, the distinction between the
Nervous and Membranous varieties will afford the real clue to, or at
all events materially facilitate the treatment.
The initiatory condition both of Nervous and of Membranous de-
rangement of the Stomach is the same:—it consists in determination
and accumulation of inactive blood in the vessels associated with the Tri-
butary Nerves, on the one hand, or in those connected with the Lining
Membrane, on the other. In both cases the first unnatural condition
is increase of the natural irritability—that is, irritation—respectively
of the portion affected; and in both cases the exciting cause is some-
thing which impedes or unduly hurries the natural operation, and con-
sequently excites an irritative effort in the organ either to repel the
matter which oppresses or disturbs it, or to fulfil its functions with
that degree of acceleration to which it is impelled.
Disturbance or oppression of the functions of the Tributary Nerves
may therefore be occasioned (chiefly) either 1. By the reception of
irritating, stimulating, or indigestible substances into the stomach.
2. By superabundance of food however plain and digestible, too
suddenly crammed into the stomach. 3. By the imperfect preparation
of the food (by mastication, &c.) before it is conveyed to the stomach.
4. By over-exertion of the mental faculties of the Brain, which operates
directly to the medium of the communicating nerves. 5. By sudden
depression or excitement of the moral faculties of the Brain (as by
passions or emotions conveying pleasure or pain). 6. By deficiency
202 INDIGESTION.
of physical muscular action (as in sedentary habits), whereby the
evacuation of matters rejected (secreted) from the nutritive apparatus
is impeded, and whereby, therefore, the organs whose function con-
sists, in the appropriation of the aliment and the expulsion of the
residue are oppressed with the latter, which gives rise to an irritative
effort to expel the obnoxious matters. 7. By eaccess of physical mus-
cular action, which compels the organs of nutrition to make an undue
effort for the supply of the necessary sustenance over and above what
is ordinarily required. , 8. By the abstraction or undue discharge of
animal fluids (such as blood, sweat, &c.), which equally renders an un-
due effort necessary for the supply of the deficiency. 9. Generally—
by irregularity of habits or by deviation from habitual method, where-
by the organs of nutrition are either checked or accelerated, or other-
Wise compelled to provide for the disturbed balance between the
tributary functions and the vital energy to which they are subservient.
10. By external influences (such as cold, heat, &c.), whereby the cir-
culating and secreted fluids are either too quickly absorbed or dis-
persed, &c., or, on the other hand, are arrested or suspended in their
progress, and consequently driven back upon the secreting organs, or
left to impede the channels through which the successive course of
Secretions, &c., should be circulated or dispersed. 11. Which may be
Superadded to the foregoing general causes—by abuse of bitter tonics,
sal-volatile, sedatives generally, opium, iodine, and mercury, as also by
depletive measures in Nervous Fevers—all of common occurrence
under allopathic treatment.
Respecting disturbance or oppression of the functions of the Lining
embrane, it may be said in general that the conditions 1, 2, 3, 6, 7,
& 9, and 10, just mentioned, operate as exciting causes; but that con-
ditions 4 and 5 more rarely (if ever) operate as direct exciting causes.
A twelfth class of causes may, however, be superadded with regard to
this Variety; namely—12. by abuse of arsenic and other mineral tonics,
and still more frequently of saline purgative medicines under allopathie
treatment.
Respecting disturbance implicating both the Nerves and the Mem-
branes, it will readily be distinguished that any or all of the conditions
above mentioned may operate as exciting causes.
General Symptoms eachibited by Irritation, dºc., of the Lining or
JMucows Membrane.
This variety of the disorder is more apt to be developed at the stage
of maturity, or within the period of life which is termed middle age;
and, in general, individuals who are little susceptible of excitement,
whose sensations are not acute, and whose temper is even, or whose
disposition is indolent or listless, are more likely to become thus
affected. Distinctively it consists of tardy, insufficient, or oppressed
functional operation, and of inactive accumulation of blood in various
parts. The first characteristic manifestation which springs from it is
Acidity—usually, however, attended with little pain; regurgitation of
food, insipid or acrid risings in the gullet, and heartburn; occasionally
nausea, but more rarely vomiting; habitual deficiency of appetite;
INDIGESTION. 203
habitual or continued predominance of thirst, especially in obstinate
and continuous cases; dryness of the mouth and throat from deficiency
of saliva, or thick, adhesive saliva or phlegm in the mouth; bitter,
sweet, or salt taste in the mouth;-or, again, insipid, clammy, or
metallic taste; extreme susceptibility to changes of temperature and
weather, affecting the throat and nostrils, and consequently to relazed
or inflammatory sore-throat, or to cold in the head; excessive discharge
from the nostrils, or continual dryness or itching in the nose, with or
without altered or diminished sensation of Smell; offensive breath;
internal dryness with heat of the ears and acuteness of hearing, or
internal swelling with impeded hearing; humming or buzzing in the
ears; red suffusion of the eyes and bleared appearance, especially on
waking in the morning; dark rim around the eyes, with redness and
swelling of the inner side and margin of the eyelids; watering of the
eyes; oscillation as of fluctuating vapors before the sight; flashes of
light or appearance of sparks before the eyes; dark shade as of clouds
or flickering of black spots before the eyes; adhesion of the eyelids—
especially on waking in the morning; yellowish or waxy appearance
of the eyelids—with glutinous matter; in recent or casual cases, and
when the affection is neither severe nor inveterate, the tongue may be
flabby or coated with a brownish-white fur, but neither very dry nor
enlarged; in cases in which the liver and first portion of the intestinal
tube are affected, the tongue will generally be coated in the centre
with a yellowish fur, somewhat dry, the tip and margins being of a
bright-red color and free from fur; in cases in which the affection is
confined to the stomach, but is of a severe character and of long stand-
ing, the tongue will usually be covered in the centre with a slimy fur,
the margins and extremity being in this state also free from fur, and
exhibiting bright redness; in cases in which the nerves of the stomach
are also implicated, and in which the irritation of both portions is of a
most severe and inveterate character, the tongue will usually be
enlarged, and will exhibit a glistening, white, and thin coating in the
centre, the margins and extremity being free from fur and of a bright-
red hue;--or, again, it may be so much swollen as to become indented
along the lateral margins by the impression of the teeth; progressive
decay of the teeth; constant or casual toothache or predisposition to
toothache; accumulation of brownish and offensive matter on the teeth:
yellowness, blackness, or other discoloration of the teeth; offensive
exhalation from the gums; Soreness or tenderness of the gums; un-
healthy and spongy puffiness, or redness and swelling of the gums;
the gums bleed spontaneously, or are easily provoked to bleed; un-
healthy and spongy puffiness or excessive redness and swelling of the
lips, usually indicative of recent affection—when associated with such
symptoms as identify the Lining Membrane as the seat of disease, but
occurring irrespective of degree and length of continuance—when
associated with such symptoms as identify the Nerves as the seat of
disease;—scaliness of the lips; in cases in which the liver and first
portion of the intestines are implicated in the derangement, we may
notice the mottled appearance of the lips; in similar cases of longer
standing, and of the most inveterate and incorrigible character,
204 INDIGESTION.
especially if continual excess in the use of fermented liquors, and par-
ticularly of ardent spirits, has been the exciting cause of disease,_
Sallow whiteness and hardness of the lips may be exhibited, or what
has been oppositely described as a waxy appearance; pressive head-
ache, seated in the anterior part of the head, or what is called sick-
headache; dull or intense, fixed, aching pain in the head, with sensation
of confusion, heaviness, and sometimes, also, with giddiness or numb-
ness; general uneasy sensations about the head, or as if the contents
were expanded; determination of blood to the Brain, and sudden
attacks of apoplexy without premonitory symptoms; dullness and con-
fusion of thought; general dullness of sensation; tardiness of percep-
tion, reflection, and motion; vacancy and incapability of fixing the
attention for any length of time; drowsiness, or even lethargy, general
indolence, and inaction, or even torpor of mind and body; excessive
reluctance to move or exert one's-self in any way; deep depression of
Spirits, with listlessness; deficient vigor of will and consequent irreso-
lution and indecision; hard but tardy pulse, generally also decreased
in frequency; unhealthy puffiness of the body, morbid accumulation of
fat; flabby skin, muddy sallow complexion; and, in severe and ob-
stinate cases, chippy, deadened, parchment-like skin; inaction, or even
torpor of the bowels, and, therefore, suspension of evacuations, slow,
tardy evacuations, or evacuated matters paler than in health; habitual
constipation.
General Symptoms eachibited by Irritation of the Werves.
This variety of the disorder is more apt to be developed amongst
females and young persons; and, in general, individuals of acute sen-
sibility, of active, restless habits, of quick impulses, excitable and irri-
table disposition, and choleric temperament, and of spare, wiry frames,
are more liable to be thus affected. Distinctively it consists of in-
ordinate, irregular functional operation resulting in defect in the dis-
tribution of blood, or even of the quality of the blood distributed.
The first characteristic manifestation which springs from it is Flatu-
lency, this variety of the disorder being also characterized by the
multiplied development of pain and painful or otherwise acute sen-
sations,—or, in the worst and incurable cases of organic disorder, total
8wspension of pain which has previously been acute, and of which the
cause is not removed; intense and pressive pain at the lower part of
the chest, sometimes extending through the body; wrenching, gnaw-
ing pain at the pit of the stomach; sinking at the stomach; heartburn
very predominant; nausea, and generally vomiting; irregular, fitful,
capricious appetite, either inordinately voracious and insatiable, or
very deficient, or more generally greater than in health, but sometimes
also, in very severe cases, totally suspended; eating provokes or
aggravates the sufferings; stimulants, and even hot plain drinks, have
the same effect; eruciations and hiccough, and in fact, all manifesta:
tions of spasmodic contraction of the muscles connected with and
operating upon the stomach:—consequently, general spasm of the
8tomach; thirst, usually absent, occurs fitfully or irregularly, but some-
times of excessive temporary intensity: morbid taste in the mouth,
INDIGESTION. 205
chiefly the metallic; thin, acrid saliva; fitful or periodical pains in the
teeth, of the most intense and distressing description; lips habitually
of an over-vivid redness, or spongy; morbid acuteness of the senses of
Smell and hearing; occasional darting, fugitive or distracting pains in
the cavity of the ear and deep in the head; the tongue generally free
from coating, but of a bright-red, fiery hue: in cases which are of
recent occurrence, there will not usually be either swelling or dryness
of the tongue, but the extremity will exhibit a species of roughness
from papillary elevations; in more severe and old-established cases the
redness of the tongue will be further qualified by dryness and glisten-
&ng appearance (glossy surface): in cases in which the intensity of the
irritation may have become complicated with sympathetic affection of
the Brain, the redness of the tongue will be further qualified by general
Swelling, and sometimes also by a slight degree of white coating, not
sufficient, however, to conceal the characteristic redness of the surface
beneath: the tongue much swollen, and deeply intersected with fissures,
indicates a very serious advancement of the disorder: the swollen
tongue, with a bright, glistening, white surface, (whereby is conveyed
a distinct indication of severe sympathetic affection of the brain, as in
highly hypochondriacal subjects, especially those who have been
treated with large doses of Mercury;) the co-existence of both varieties
of the disorder of considerable duration is evinced in the swollen
tongue, of which the margins and extremity are red, but the centre is
slightly covered with a glistening white coating; the tongue quivers
on protrusion (whereby is identified a sympathetic affection of the
spinal chord).-The change from vivid redness, with or without swell-
ing, but without coating, to brownish hue and more or less thick
coating, implies a modification of the disorder, or progress towards
cure.—In general, moreover, we may notice every variety of hysterical
or hypochondriacal excitement; unaccountable uneasiness and restless-
ness; sudden fits of laughter or the contrary, the one terminating in,
or alternating with, the other, apparently without a cause, or provoked
by very slight causes; sudden starting or shuddering; incessant tossing
about or moving from place to place; general or local convulsive
movements of every description,-such as trembling, jerking of the
limbs, coughing; convulsive cough, difficult respiration, and sensation
as of a ball rising in the throat; cramps in muscular parts; chattering
of the teeth or clenching of the hands and teeth, or grinding of the
teeth during sleep; an interminable variety of erroneous impressions,
upon which the mind harps with persistency, and which appear to
haunt the patient more painfully at stated periods; intense and restless
anxiety about one's-self, one's affairs, one's health, with, however,
impulses even to self-destruction; extraordinary eacaggeration of every
feeling; intense sensitiveness of temper and disposition;' intense im-
patience, not only of contradiction, disappointment, vexation or pain,
but even of one’s own moral feelings; excessive irascibility and ex-
citability; temporary suspension of control over the muscles of volun-
tary motion; sudden local and temporary paralysis; or gradual and
general paralysis; apoplexy of meagre subjects; pains in the head of
various descriptions—giddiness, sensation of weakness in the head: tic-
206 INDIGESTION.
douloureux or nerve-pain in the face, &c.; pains on one side of the
head; darting pains starting from one point and piercing the head in
every direction; pains at the back of the head; darting pains in the
eyeballs; pains which seem to run from one extremity of the body to
the other, leaving an indescribable sensation after them; palpitation
of the heart; quick, and sometimes small and frequent pulse; anxiety
and oppression of the chest; flushes of heat, with patchy, circum-
scribed, or suffused redness; crawling, pricking sensations in the skin;
redness and swelling of the gums and lips; spare, meagre, or even
withered frame; great deficiency of flesh; scanty and wiry flesh; irre-
gular operation of the bowels, both as to the frequency and the
nature of the motions, which vary in color and consistency.
General Symptoms of combined Derangements of the Nerves and
Membranes.
These will obviously consist of a combination of symptoms associated
with each variety in its distinctive form, and will therefore need no
further description.
TREATMENT.
Nux-vomica is particularly applicable to the treatment of indi-
gestion in hypochondriacal subjects. It covers the following symp-
toms, either when they have arisen in consequence of sedentary habits,
excessive mental exertion, or long watching, or of overloading the
stomach, of excessive draughts of milk, or even of water, or of eating
or drinking acid things, or of using spices and seasoning to excess; or
again in cases in which all food or drink, however plain, light, and
digestible, provokes indigestion; or from the abuse of coffee, tobacco,
wine or ardent spirits; or again when the irregularity of digestion has
been induced or confirmed by loss of animal fluids (profuse sweating,
bleeding, and the like), or by habitual recourse to aperients; the head
confused, with occasionally a feeling as if resulting from intoacication,
and giddiness with sensation of turning and wavering of the brain;
headache, unfitting for and increased by mental exertion; tearing,
drawing, or jerking pains in the head or cheeks, and pulsative pains,
and a sensation as if a nail were driven into the brain; congestion of
blood to the head, with humming in the ears. The headaches are
often deeply seated in the brain, or in the back part of the head, fre-
quently confined to one side, or over the eyes, and at the root of the
nose, coming on chiefly in the morning, after a meal, or in the open
air. Yellowness of the lower part of the white of the eyes, with a
mist before them: a sensation as if one were about to fall: sparks, or
small gray or black spots before the eyes; short-sightedness; pale or
yellowish color, or redness of the face, especially about the mouth and
nose; frequent headache, and impaired powers of digestion, with
insipidity of food; foul, dry, white or yellowish tongue; vivid redness
of the margins of the tongue; thirst, with water-brash particularly
after acids or rich food; accumulation of slimy phlegm or water in the
mouth; metallic, salt, sulphurous, herbaceous, bitter, sour, sweetish, or
putrid taste, chiefly in the morning, or after meals; bitter eructations,
INDIGESTION. 207
or continued nausea, especially after meals, or even after drinking
cold water or milk, or on going into the open air after a meal, or
after partaking of acids; heartburn, hiccough, acidity, flatulence, fre-
quent and violent vomiting of food, phlegm, or bile, ineffectual efforts
to vomit; distension and fullness in the region of the stomach, with
excessive tenderness to the touch; a feeling of tightness of the clothes
round the upper part of the waist; cramps in the stomach; consti-
pation; reddish urine, with brickdust-colored sediment; sleep, un-
refreshing and restless, either from suffering or otherwise, with dis-
agreeable dreams, and drowsiness in the morning; tendency to exacer-
bation of symptoms during the prevalence of a northerly or easterly
wind, or when the atmosphere is loaded with vapor; amelioration
after warm food. *
One of the most distinctive indications for the employment of this
remedy, in preference to the next mentioned, is the temperament,
which is restless, irritable, lively and choleric. A disposition to piles
is also a good indication.
Dose: Three globules in a tea-spoonful of water, night and morning, for a
week; then pause four days, resuming the same remedy in a similar course,
or suspending treatment, or proceeding with another medicine, according to
the circumstances which are present. If Nuz-vomica be not apparently
capable of effecting a permanent cure, consider the next remedies.
Cocculus is appropriate to the treatment of highly bilious subjects,
or when the derangement can be traced, however remotely, to long
watching or intense application to study; or when coffee, tobacco, or
brandy, can be traced as the exciting cause. It may generally be
employed in cases in which moroseness and hypochondriacal disposi-
tion are marked characteristics either before, after, or in alternation
with Nua-v., according as the characteristic effects of the one or both
most clearly correspond with the case.
Dose : Three globules in a tea-spoonful of water every twelve hours, until
amelioration or change. Or if, again, Cocculus be apparently inadequate to
complete the cure, consider the next remedy.
Carbo-veg. is especially appropriate to the treatment of derange-
ments of this nature occurring amongst persons of advanced years; or
when the derangements can be distinctly traced to long watching, to
abuse of wine, of ardent spirits, of coffee, to milk diet or casual use
of milk, to excessive use of butter, or to rancid butter, to fat and
greasy things, such as pork, to fish, especially if tainted, or to shell-
fish in particular (as muscles), to flatulent vegetables, &c., to pastry or
acid things, to excessive use of salt, or unguarded use of ices or very
cold drinks. This remedy is particularly indicated by excessive and con-
stant flatulence, with heavy respiration, repugnance to animal food, or
especially to fat or greasy things, or to milk, and when acidity is con-
stantly provoked by such food; bitter taste in the mouth ; accumulation
of phlegm in the gullet and stomach, frequent empty, sour, or bitter
eructations, &c.
Dose: Three globules in a table-spoonful of water every twelve hours, until
amelioration or change.
Pulsatilla is indicated by a series of symptoms very analogous to
ia
208 INDIGESTION.
those which have been enumerated under the head of Nua.o., but with
this distinction, that it is particularly adapted for females generally
(especially for hysterical subjects), children, individuals with light hair,
and a marked predisposition to purulent exudations at the edge of the
eyelids, or to styes, and for mild or phlegmatic dispositions. Under
such conditions it is appropriate to the treatment of derangements of
the stomach occasioned by excessive application to study, overloading
the stomach, abuse of wine, spirits, beer, coffee, or rich chocolate, by
excessive draughts of milk, or even of water, by new, slack-baked, or
otherwise unwholesome bread, or butter, fat or greasy things, tainted
or unwholesome meat (pork especially), by eating oysters or tainted
jish of any kind, by pastry, flatulent vegetables, fruits, or by ice-
cream; or even when an external injury (as a strain) has been the excit-
ing cause of the ailment. Amongst its characteristic indications, we
more frequently find a want of thirst, than thirst ; a repugnance to fat
and rich meat, and suffering after taking pork or pastry; general
chilliness, or great difficulty in keeping the hands and feet sufficiently
warm; deficient sense of smell, sometimes accompanied by increased
secretion from the nostrils; frequent and loose, or difficult and loose,
or sluggish evacuations; hypochondriasis, and convulsive fits of laugh-
ing and crying.
Dose : Three globules as directed for Nuz-v.; but if little or no permanent
effect should promise to result within twelve hours after the fourth dose, pro-
ceed with the next remedy.
Ignatia may in some cases be employed twelve hours after the
fourth dose of Pulsatilla, if the latter has failed in affording permanent
relief, and does not promise to complete the cure. It may also in some
cases be employed before or instead of Pulsatilla, when there is a
tendency to alternations of exuberant and depressed spirits, or parti-
cularly if grief be associated with the derangement. Ignatia is also
appropriate for the treatment of derangements of digestion occurring
amongst highly hysterical females; or of cases which result from abuse
of coffee, beer, brandy (or even ardent spirits in general), milk, sweet
things, or tobacco.
Dose : Three globules in a tea-spoonful of water three times a day, until
amelioration or change.
Bryonia is often appropriate to the treatment of derangements of
the stomach associated either with a hypochondriacal or hysterical dis-
position, or with habitually sedentary habits; or when occasioned by
depressing emotions, by chocolate, milk, new or slack-baked bread,
tainted sausage-meat, flatulent fruit or vegetables, or pastry; the
indicative symptoms are as follow: Headache, burning or expansive,
particularly after drinking, attended with bewilderment of the head
and giddiness; TONGUE glazed, dry, and red, or covered with a whity-
yellow fur; sometimes the aversion to food is so strong, that the
patient cannot bear the smell of it; loss of appetite, alternately with
unnatural hunger: craving for acid drinks: great thirst; insipid,
clammy, putrid, sweetish, or bitter taste in the mouth; ACIDITY and
FLATULENCE, or bitter risings after every meal, or after partaking of
milk. HICCOUGH, nausea, water-brash, vomiting of food or bile, par-
INDIGESTION. 209
ticularly at night; tenderness in the region of the stomach to the touch,
sensation of swelling in the pit of the stomach, especially after a meal,
or on walking; sensation of burning in the pit of the stomach, espe-
cially when moving. Constipation; temper restless, irascible, and
obstinate; also when want of exercise or anger are frequently the ex-
citing causes of the derangement, or the means of aggravating the
indigestion. The indigestion is more apt to manifest itself in summer,
or in damp weather, with a northerly or easterly wind, and is fre-
quently accompanied with chilliness. sº sº-
Dose : Three globules in a tea-spoonful of water, every twelve hours, until ame-
lioration or change. In cases in which the sufferings are very great, the like
dose should be repeated every three hours during the attack, until the symp-
toms subside or change; but in these latter instances, if no improvement
whatever ensues within two hours after the second dose, proceed with the
next remedy.
Rhus-tox, which is particularly appropriate for the treatment of
indigestion resulting from mechanical injuries (such as a strain), or
when beer, spirits, coffee, milk, copious draughts of cold water when
heated, new or slack-baked bread, tainted sausage-meat or fish (espe-
cially shell-fish, as muscles), may directly have provoked the attack.
The specific symptoms are as follow:—Flat, sticky, sweetish, or bitter,
or foul taste in the mouth; drowsiness, eructations, and sensation of
Jullness, languor or giddiness, after eating; a sensation of repugnance
to food, especially to meat, bread, &c., or sensation of satiety; or want
of appetite, with hankering after dainties; continual, empty, painful
and noisy eructations; offensive and very abundant flatulency; the
derangements of the digestive functions more apparent and trouble-
some at night; distension and pressure in the region of the stomach.
Extreme depression of spirits, despondency, insuperable anxiety and
uneasiness respecting affairs.
Dose: Three globules in a tea-spoonful of water every four hours, until the
symptoms are modified, -and then every twelve hours, until positive amelio-
ration or change.
Natrum-m. is particularly appropriate to the treatment of chronic
cases occurring amongst hypochondriacal subjects, or sometimes of
pregnant females; or when habitual excess in the use of fermented
liquors has been the chief cause of derangement; or when milk diet,
mineral waters of particular localities (unless brackish), or the water
of hard springs and mountain streams, or unwholesome bread, or fat
and greasy food (especially pork), —or excess in the use of fruit or
tobacco may be distinguished as associated with the origin of the
affection. Watrum-m. is generally useful in such obstinate chronic
cases as have resisted the operation of Bryonia, Wua-v., &c., and
which are characterized by frequent attacks of morning sickness, or
by heartburn after every meal, water-brash, constant nausea, occasional
sensations of faintness, pressure in the stomach, or intractable humor
after eating, and obstinate costiveness, or when milk and liquids in
general invariably disagree.
Dose : Six globules in a table-spoonful of water, every morning, the first thing
(fasting), for ten days (unless earlier improvement or change ensues); then
14
210 INDIGESTION.
pause four days, resuming the same course, if necessary, and so on, until dis-
tinct amelioration or change.
Rali-bichromas is particularly applicable to the treatment of
chronic cases in which milk, bread, fish, or pastry, constantly disagree
with the patient. The distinctive symptoms are as follow:—Indiges-
tion, with aggravation of symptoms in the morning and during move-
ment, relieved after eating (sometimes, however, a distressing feeling
of weight is experienced after a meal); mouth and tongue dry; thick
yellow fur on the tongue; conflux of water in the mouth; metallic,
acid taste; want of appetite; nausea; flatulence, frequently accom-
panied by colic. Constipation, or hard stools, attended with straining
and burning in the outlet; alternations of hard and relaxed motions;
great sensibility to cold air; complication with affections of the liver
and spleen; extreme depression of spirits; hysterics.
Dose : As directed for Natrum-m.
Chamomilla is of great service in some derangements resulting
from or associated with excess in the use of coffee, or of sweet things;
or more especially depressing emotions, such as vexation, disappoint-
ment, a fit of passion, and the like; or again, if the derangement has
been provoked by check of perspiration. The characterizing symp-
toms are as follow:—Headache, with sometimes semi-lateral pulling,
shooting, fullness, and beating in the head; giddiness and staggering
in the morning when getting up; oppressive heaviness, swimming in
the head, and sensation of a bruise; headache, felt sometimes during
sleep, with obscuration of the EYES, and yellow color of the whites;
Tongu E dry and cracked, with a thick and yellowish coating; mouth
dry, with the occasional presence of frothy phlegm; eaccessive thirst
and desire for cold drink; bitter taste of the mouth and of food; want
of appetite and dislike to food. ACIDITY or sour risings, regurgitation
of food, nausea, vomiting of food, phlegm and bile; acute, oppressive
pain in the region of the heart, distension at the pit of the stomach
and upper part of the waist, chiefly after eating and at night, attended
with inquietude and terror; burning pain in the pit of the stomach;
uneasiness, and feeling of sinking in the stomach; CRAMPS IN THE
STOMACH, especially when traceable to coffee; sometimes constipation,
but generally relaa’ation of the bowels.
Dose : In casual cases, of a solution of six globules to three table-spoonfuls of
water, give a tea-spoonful every three hours, until amelioration or change.
In chronic cases, three globules in a tea-spoonful of water night and morning,
until similar variation occurs.
Ipecacuanha is available for the treatment of indigestion occurring
amongst children and pregnant females, or when occasioned by over-
loading the stomach, imperfect mastication of food, hurried and vora-
cious feeding, or by irregularity of meals, or by abuse of tobacco, or
even of coffee; or in cases in which veal or other young meat particu-
larly disagrees; or when cold, nervous excitement, late hours, or over-
application to study in particular, are to be traced as the exciting
causes of derangement. . The distinctive symptoms are, pale face and
yellowish; tongue sometimes clean, at others coated white or yellow;
INDIGESTION. 21]:
aversion to food, and particularly to fat or rich indigestible food, such
as pork, pastry, &c., or suffering from indigestion on partaking of
such; vomiting of food, drink, phlegm or bile, sometimes after a meal;
retching, or easy vomiting, generally attended with coldness of the
face and extremities, and sometimes alternation with watery looseness
of the bowels, feeling of emptiness and flaccidity, and sensation of
sinking at the stomach. Headaches attended with nausea and vomit-
ing; shooting pains, with heaviness and painful pressure on the
forehead.
Dose: Against the acute symptoms when present, of a solution of eight globules
to a wine-glassful of water, give a tea-spoonful every three hours, until ame-
lioration or change; against the chronic aspect of the affection, that is, the
recurrence of acute symptoms, give three globules in a tea-spoonful of water
night and morning, until distinct amelioration or change.
Acidum-sulphuricum. Indigestion arising from excessive study,
drinking, or other excesses, with the following symptoms: great
weakness of digestion; acrid, foul, putrid taste in the mouth, dry
tongue, burning and smarting sensation in the throat, sometimes
attended with pricking, especially at night, and so troublesome as to
prevent sleep; offensive breath, especially in the morning; Soreness of
the mouth; renewal or aggravation of the symptoms from drinking
cold water; all cold drinks appear to disagree, unless a little brandy or
some other ardent spirit is added to them; accumulation of water
(saliva) in the mouth; flatulence; bitter risings; vomiting of a limpid
fluid, or of food.
Dose: Three globules in a tea-spoonful of water three times a day, until amelio-
ration or change.
China is appropriate to the treatment of derangements of this
kind, according to the subjoined indications, when occurring in aged
persons, or in patients of a hypochondriacal disposition, particularly if
loss of animal fluids, or mental affliction, be distinguishable as the
predisposing cause, or when the sufferings can be attributed to over-
loading the stomach, to excessive indulgence in strong tea, or in some
cases to abuse of spirituous liquors or coffee, to milk diet, or to un-
guarded or too copious draughts of water; or again, when bread,
butter, fat and greasy things generally, disagree, or when tainted fish
has been the immediate cause of derangement; or again, if the symp-
toms can be traced to flatulent food, over-indulgence in fruit or spices
and other seasoning, or, in some cases, to tobacco; or again, when
every kind of food provokes an attack. This remedy is a valuable
auxiliary in the treatment of this derangement, when there is impaired
appetite with great weakness of digestion, which is more liable to be
experienced on partaking of supper; flatulence; bitter taste; languor;
hypochondriacal disposition; and particularly when we can trace the
affection to debilitating losses of fluids, such as the abstraction or loss
of blood, too great a drain upon the resources when nursing, prolonged
use of aperient medicines, &c.; also in disorders arising from the abuse
of tea, or from a residence in impure atmospheres, especially such as
are overloaded with the exhalations of decayed vegetable matter,
where the drainage is insufficient, the cultivation imperfect, where
212 INDIGESTION.
stagnant pools or ditches, charged with rank matters, abound, more
particularly in the midst or vicinity of half-dried marshes, or on a
level with them, or in such position in relation to them as exposes the
habitation to the current of prevalent winds from them, or near the
beds of periodical streams, when the water ceases to flow, and the bed
appears to be dried up (especially in warm climates), or when the
rays of the sun have great power; or again, in districts which are
habitually dry and well drained, but which have been extraordinarily
Saturated by a wet season, and are beginning to dry up again.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the mixture in such proportions, night and morning, until the
whole is consumed;—wait four days, and if still indicated by the symptoms
present, resume the administration of the same remedy night and morning,
…every fourth day.
Derangement of the Stomach arising from casual Causes—not
habitual.
This should be understood to apply to those who are only casually
affected, but whose digestion is habitually unimpaired.
Causes.—The ordinary causes of this derangement are, hurried,
imperfect mastication; overloading the stomach; fat, greasy, indiges-
tible or tainted food, flatulent vegetables, ices, stimulants, and others
equally well known.
TREATMENT.
When the symptoms of approaching derangement of the stomach
declare themselves immediately, or a few hours after a repast which
has been too freely partaken of, a cupful of strong coffee, without milk
or sugar, is frequently a sufficient restorative.
Should, however, this fail to relieve, and sick-headache and inclina-
tion to vomit be present, we should assist nature by various artificial
means—the milder, if sufficient, the better—such as tickling the throat
with a feather, and by giving tepid water to drink until the stomach
has completely evacuated its contents.
Ipecacuanha is a most effective remedy when continuous and
most distressing nausea forms the most prominent symptom. Its
alternate employment with Pulsatilla, in preference to Antimonium,
is advisable, when the disturbance has arisen after a very full and
hurried meal; also when a rash has been thrown out, from the effects
of a disordered stomach, attended with anxiety, oppressed breathing,
and sickness, this remedy will, in most cases, effect speedy relief.
Ipecacuanha should be employed singly, if it be sufficient individually
to embrace all the manifestations which occur.
Dose : If in alternation with Pulsatilla, or afterwards in respect of Anti-
monium-c. ... If singly, three globules in a tea-spoonful of water every three
hours, until amelioration or change; but if the subjoined symptoms should
continue unabated three hours after the third dose, proceed with the next
remedy.
Bryonia should be exhibited three hours after the third dose of
Ipecacuanha, if the difficulty of breathing, or a degree of nausea, or
INDIGESTION. 213
other uneasiness continue. Bryonia is also very serviceable when the
following symptoms are present: bitter eructations; fever, alternately
with coldness and shivering; or redness of the face, heat in the head,
and thirst with coldness and shivering; also when looseness of the
bowels or constipation, and peevishness or excessive irritability are
present. In derangement of the stomach, arising from succulent vege-
tables, and attended with excessive flatulence, this remedy is frequently
productive of speedy relief.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Antimonium-tartaricum is sometimes more efficacious than
either of the foregoing medicines, when great drowsiness, but constant
nausea, and frequent vomiting, as well as relaxed, brownish-yellow
motions characterize the case.
Dose : As directed for Bryonia.
Arsenicum. When there are acrid and bitter eructations with
nausea and vomiting; also dry tongue, excessive thirst, salt taste in
the mouth, and burning or violent pressure in the stomach, with
diarrhoea or colic, and griping in the lower part of the belly, particu-
larly when arising from the effects of an ice which had been partaken
of, the patient being warm, or from fruit, stale vegetables, or acids.
Dose : Three globules in a tea-spoonful of water every three hours, until amelio-
ration or change.
Carbo-vegetabilis is a very valuable remedy in this affection,
either for the initiatory treatment, or after the previous administration
of one or more of the other remedies, according to indications, for the
purpose of removing any symptoms that may remain ; it is, moreover,
particularly useful where great susceptibility to the influence of the
atmosphere, particularly to cold, exists at the same time; or in suffer-
ing arising from abuse of wine, ices, or salt; further, in derangement
of the stomach, arising from having partaken of game or fish which
has been too long kept, or meat that has been recooked whilst in a
state of fermentation, which is liable to occur in warm weather; in the
latter instances, Carbo-v. is to be preferred to any other medicine,
and will rarely fail to afford relief.
Dose : Of a solution of twelve globules to three table-spoonfuls of water, give a
tea-spoonful every four hours, until amelioration or change. *
Nux-vomica is indicated by offensive or acrid eructations, consti-
pation, and confused headache, particularly when arising from previous
intoxication, or even slight over-indulgence in wine or other stimulants;
when possible, it should be taken the same night, as when taken in
the morning, although eventually relieving, it frequently causes an
aggravation for a few hours. In derangement of the stomach, with
heartburn, flatulence, more or less nausea and headache, &c., in con-
sequence of a chill or of indulging in mental or corporeal exertion
* A small quantity of finely powdered charcoal, in a little good French brandy,
will be found an equally efficacious mode of administering this remedy, as a correc-
tive against derangement of the stomach, arising from having partaken of tainted
meat or fish.
214 INDIGESTION.
immediately after a meal, this remedy commonly affords speedy ame-
lioration.
Dose : Four globules in a tea-spoonful of water;--or, if one dose be insuffi-
cient, of a solution of twelve globules to three table-spoonfuls of water, give
a tea-spoonful every three hours, until amelioration or change . If, then, the
symptoms, though materially modified, be not wholly subdued, continue to
administer similar doses night and morning for three days, or longer, if
necessary.
Arnica is indicated in cases of derangement of the stomach, charac-
terized by eructations resembling rotten eggs.
Dose : Of a solution of eight globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Pulsatilla, as has already been stated, is often of service in alter-
nation with Antimonium-c., or with Ipecacuanha, in recent cases of
deranged digestion, with rising of food, tongue foul, and covered with
phlegm; chilliness and lowness of spirits; and also when a rash has
been thrown out in consequence of the derangement. This remedy if
moreover, almost specific when the disturbance has arisen from the
effects of rich food, such as pork or pastry, or even tainted meat, or
from the effects of ices, cold fruits, or crude vegetables, acid or impure
wine, &c.
Dose: Four globules in a tea-spoonful of water. When one dose is found in-
sufficient, or when this remedy is indicated in alternation with any other, it
will be necessary to dissolve eight globules in two table-spoonfuls of water,
(or otherwise, as previously directed,) and to give a tea-spoonful of the solu-
tion every four hours; or if in alternation, the same quantity at every recur-
rence of its turn of exhibition.
Aconite. When the affection owes its origin to partaking of Sour
beer, vinegar, or other acids, particularly when we find oppressive
pain in the stomach, great heat in the head, anxiety, restlessness, full,
quick pulse, nausea, or actual vomiting of phlegm, or even of blood.
Dose: Three globules in a tea-spoonful of water; or if repetition be needful, of
a solution of six globules to two table-spoonfuls of water, give a tea-spoon-
ful every three hours, until amelioration or change.
Chamomilla, when a fit of passion has produced an attack of indi-
gestion, rarely fails to relieve.
Dose : Four globules in a tea-spoonful of water —or if repetition be required,
a solution of six globules, as directed for Aconite.
Obstinate Chronic Cases of Functional Derangement.
In cases of derangement of the functions of digestion, which, though
modified, are extremely difficult of removal, the remedies hereinbefore
noticed will be required for initiatory treatment; but in the majority
of instances the patient will have to be subjected to an appropriate
course of such remedies as those hereto subjoined, in order to com-
plete the cure.
Sulphur is one of the most important remedies for administration
after the previous exhibition of Wua-vomica or Pulsatilla, and in cases
which would otherwise correspond with the indications for either of
INDIGESTION. 215
those medicines, but when either of them has been inadequate to effect
a perfect cure.
Dose : Six globules in a wine-glassful of water every morning the first thing
(fasting), for ten days (unless there be earlier improvement or change); then
pause four days, resuming the course similarly, if necessary, and so on from
time to time, until positive amelioration or change.
Hepar-sulphuris is also of great value in cases in which the di-
gestion is naturally weak, and sour vomiting, with burning sensation
in the throat, colic and looseness of the bowels, are liable to be pro-
voked by the slightest error in diet, and particularly when anything
of an acid nature has been partaken of; or especially in cases in which
the patient has previously taken blue pill, or any other mercurial pre-
paration for a considerable time.
Dose : If singly, three globules in a tea-spoonful of water night and morning
for a week (unless earlier and decided improvement or change ensues); pause
four days, and resume the course, if necessary, and so on from time to time,
until amelioration or change ensues. If in alternation with Lachesis, first a
week's course of the one, then a pause of four days; then a week's course of
the other, and so on, until amelioration or change.
Natrum-c. is frequently useful when, after the previous employ-
ment of one or more of the preceding remedies (in the initiatory
treatment), a degree of weakness of digestion remains.
Dose: Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Colchicum is particularly indicated by a sensation of coldness in
the stomach, occurring as a strikingly prominent symptom.
Dose : As directed for Natrum.
Acidum-phosphoricum is to be preferred to Colchicum, when
the sensation of coldness is attended with rumbling of flatulency.
Dose: Four globules in a tea-spoonful of water three times the first day, and
afterwards night and morning, until amelioration or change.
Sepia is also indicated by this sensation of coldness, and is to be
preferred to either of the two preceding remedies when this symptom
is associated with a multiplicity of other equally characteristic indi-
cations, particularly if there be no appetite, or voracious appetite, and
aversion to meat or milk, water-brash, especially after drinking; con-
stant acidity of the stomach, aggravated by eating, and if fat things,
milk, &c., continually disagree.
Dose : As directed for Acidum-phos.
Cocculus, or Arsenicum. Either of these remedies may likewise
be of great service in cases of this nature, according to the respective
characteristic action of each.
Dose : Of either remedy, three globules in a tea-spoonful of water night and
morning, until amelioration or change.
Silicea is especially indicated when the patient entertains a repug-
nance to cooked food, and is particularly averse to meat;-when the
patient is subject to severe pains in the stomach, attended with exces-
sive thirst and water-brash, bitter taste in the mouth in the morning,
216 INDIGESTION.
vomiting after drinking, and habitual nausea predominating after a
7meal, or upon rising in the morning.
I}ose: Six globules in a wine-glassful of water every morning the first thing
(fasting), until amelioration or change.
Carbo-veg. Here, again, this remedy is peculiarly valuable when
annoyance or inconvenience is felt after every meal, amounting to
nausea and vomiting, attended with excessive flatulency, and when the
pit of the stomach is tender on pressure.
Dose : Three globules in a tea-spoonful of water, until amelioration or change.
Obstinate Chronic Cases of Organic Derangement.
In cases in which organic disease has been established, that is, in
such cases as assume the critical aspect described in the general
description of symptoms at the commencement of this article, it were
desirable, if possible, that the interference of an experienced Homoeo-
pathic practitioner should be invoked. When this is impossible, the
following brief directions may serve to assist the patient or administra-
tor in treatment.
Arsenicum, or Lachesis. These are amongst the most important
remedies, and are those upon which in the majority of cases we should
place most reliance to re-animate the sinking energies of the patient,
selected according to the distinctive indications afforded in the article
on “CHARACTERISTIC EFFECTs.”
Dose : Of either remedy, three globules in a tea-spoonful of water three times
a day, until a degree of improvement results; and then night and morning,
until positive amelioration or change. With this general reservation, how-
ever, that the characteristic action of the subjoined remedies should be care-
fully considered, in order that the intermediary administration of one or more
of them should not be omitted when positive indications occur.
Lycopodium, or Baryta, or Conium. One or more of these
remedies frequently become of great service in cases of this kind, the
selection, being made in accordance with the indications afforded for
each in the article on “CHARACTERISTIC EFFECTs.”
Dose : In the generality of cases, four globules of the remedy selected three
times a day, until amelioration or change; critical symptoms should, however,
be treated in this respect according to directions for the repetition of the dose
given at pages 57–60 and 75.
Veratrum, or Phosphorus. In highly urgent cases, either of
these remedies may become of the greatest service, and may often
suffice to avert a catastrophe. The selection should be regulated by
the indications afforded for each in the article on “CHARACTERISTIC
EFFECTS.”
Dose : As explicitly applied to general cases at pages 73–75. In most cases,
the dose should consist of four globules in a tea-spoonful of water, repeated
every three hours, until the urgent symptoms subside or are changed in
character.
General Derangement of the Stomach in Children.
The foregoing particulars applying to general cases are equally to be
kept in view in considering this affection more particularly amongst
INDIGESTION. 217
children; but inasmuch as the causes and features of such derange-
ments are necessarily far less complicated amongst children than
amongst adults, it may save the administrator much trouble to extract
and render in a summary form, such details respecting the treatment
of this affection amongst children, as will otherwise be gathered only
in scattered portions of this article.
Ipecacuanha, or Pulsatilla, or Carbo-veg. These medicines
are of chief importance either for independent, alternate, or successive
administration in cases in which hurried feeding (bolting the food) im-
perfect mastication and overloading the stomach, or rich indigestible
food, can be distinctly traced as the exciting causes of derangement.
The particular indications for each may be gathered from those details
which have already been afforded.
Dose : If singly or successively of either remedy, two globules in a tea-spoon-
ful of water, every three hours, until amelioration or change. If in alternation,
dissolve four globules of each remedy separately in a wine-glass of water,
and give a tea-spoonful first of one solution, then of the other, so that an in-
terval of four hours shall elapse between the doses; and so on, until amelio-
ration or change.
Pulsatilla, or Arsenicum, or Carbo-veg. These are in like
manner appropriate in cases in which ices or cold fruits have been the
exciting causes of derangement. In this instance also the particular
indications for each may be gathered from the foregoing part of this
article, or from that on “CHARACTERISTIC EFFECTs.”
Dose : In every respect as directed in the foregoing prescription.
Pulsatilla, or China, or Carbo-veg. These medicines selected
according to the indications afforded in respect of each in the former
part of this article, or which may be more amply gathered from that
on “CHARACTERISTIC EFFECTs,” are particularly appropriate to the
treatment of derangements of digestion occurring amongst children,
in consequence of having eaten tainted meat or fish.
Dose : In every respect as directed in the foregoing prescription.
Carbo-veg., or Arsenicum. These medicines respectively, ac-
cording to the indications hereinbefore afforded respecting each, are
most appropriate, in the generality of cases, to the treatment of de-
rangements of digestion occurring amongst children as the result of
excessive use of salted articles of diet, especially salt meat.
Dose : . Of either medicine, give two globules in a tea-spoonful of water, every
four hours, until amelioration or change.
Aconitum, or Arsenicum, or Carbo-veg. These again occur as
the most important remedies whence a selection should be made
according to the special indications for each, which have already trans-
pired in previous portions of this article, or which may be gathered
from that on “CHARACTERISTIC EFFECTs” when acids (such as vinegar,
&c.) are identified as the exciting causes of derangement.
Dose: Of the remedy selected as directed in the last prescription.
Mausea.
With respect to this affection, which must be considered purely as
218 INDIGESTION.
a symptom, the reader is referred to the foregoing portions of this
article, wherein directions have been given for the treatment. In the
majority of simple and casual cases, however, it might suffice to con-
sider the indications afforded for Ipecacuanha, Cocculus, Nux-vomica,
Bryonia, Chamomilla, Pulsatilla, Antimonium-tart., and Aconitum,
following the same regulations respecting the dose.
In inveterate cases, however, in which this symptom occurs con-
tinuously, the accurate investigation of all symptoms associated with
it and of the whole of the foregoing details becomes necessary, and
one or more of the following remedies according to the directions
hereinbefore offered may become necessary. Natrum-m., Arsenicum,
Lycopodium, Lachesis, Carbo-veg., Rhus-tox, or Silicea.
Jºructations.
With reference to Eructations as well as to Nausea, inasmuch as
they must be considered purely as symptoms, the reader is referred to
the foregoing portions of this article, wherein more distinct indications
have been afforded, to facilitate the selection of the appropriate remedy.
In most cases of a simple and uncomplicated character, the considera-
tion of such indications as are afforded for the administration of the
following remedies (chiefly) both as to selection and dose, will be suf-
ficient to meet the requirements of the case:—Arnica, Nux-vomica,
Pulsatilla, Sulphur, Bryonia, Carbo-veg., Chamomilla, Cocculus, China,
Antimonium-crudum, and Antimonium-tartaricum. In cases of an in-
veterate nature, and which are evidently associated with complications
involving the whole of the digestive and nutritive system in more or
less continual derangement, it may be advantageous to consider the
indications afforded for Sepia, Acidum-sulph., &c.
JBilious or Sick-Headache.
In ordinary cases, however, in which sick-headache is evidently the
result of a casual cause, it will suffice to consider the indications here-
inbefore afforded for Antimonium-crudum, Ipecacuanha, Nux-vomica,
Pulsatilla and Sulphur; or Bryonia, if this symptom be associated with
costiveness.
$YMPATHETIC AFFECTION OF THE BRAIN AND NERVOUS SYSTEMI.
Depression of Spirits, Hysterical and Hypochondriacal Affections.
These most distressing results of long-continued or very severe de-
rangement of the digestive functions, are almost invariably associated
with what is termed “Chronic Indigestion,” and not unfrequently
afford an important clue to the treatment of the primary seat of dis-
ease. But nothing can be a greater source of error in most cases, than
to deal with them as primary diseases of the brain and nervous system.
Depression of spirits may occur as the consequence of derangement,
either of the nerves or lining membranes of the stomach, but with very
different characteristic features; for when the nerves are the seat of
the disease, restless and uneasy anxiety, sudden fits of violent excite-
ment, extreme irritability, impatience and despondency with violen
INDIGESTION. 219
Żmpulses, are the result; when however the lining membrane is the
seat of disease, extreme depression of spirits occurs associated with
languor, utter prostration, indolence, and listlessness.
Sulphur is appropriated to the treatment of both varieties, but is
more especially indicated by the indolence of mind and body, or by
the vacancy of thought, or absence of mind and irresolution, which
characterize the latter; it is however, also appropriate when the de-
pression of spirits is associated with painful anxiety of mind, extreme
solicitude concerning the future and respecting one's health and
affairs, erroneous or eacaggerated notions on given subjects, general
wretchedness without any ascertainable reason, sudden fits of violent
excitement and periodical return of extreme impatience, restlessness,
irritability and impatience, when the following symptoms are also pre-
sent:-sensation of fullness and weight at the pit of the stomach;
habitual constipation, headache, and particularly pain at the top of
the head; dullness and heaviness of the head, the patient being unable
to exert his mental faculties, or becoming exceedingly weary and ex-
hausted after any application of this kind; disposition to piles; or
when chronic eruptions and affections of the skin are associated with
the complaint.
Dose : Repeated doses are generally required, administered thus —For adults
six globules, or for young persons four globules in a wine-glassful of water,
every morning the first thing (fasting), for ten days (unless new symptoms
or a change in the nature of the symptoms be sooner developed) then pausing
for a week, and resuming the like course, if necessary; and so on until distinct
amelioration or change; if in alternation with Calcarea, commence with three
doses of Sulphur, as just described; pause four days and then administer three
doses of Calcarea likewise, and so on until amelioration or change.
Calcarea is indicated by depression of spirits with disposition to
tears; flushing of blood to particular parts associated with attacks of
indescribable anguish, and generally palpitation of the heart, or pain-
ful sensations in the region of the heart; general uneasiness with
aversion to mental or physical exertion; despondency respecting one's
health, and apprehension of death; dread of mental aberration—or of
contagion, or other causes of disease, or of imaginary misfortune; and
when there is intense acuteness of all the senses.
Dose: In every respect as directed for Sulphur, whether singly or in alternation.
Natrum-m. is indicated by depression of spirits accompanied with
apprehensive foreboding, and with fretful, tearful disposition with
desponding eacpression; love of solitude, which however nourishes the
disease, and dread of society, whereby however it is alleviated; occa-
sional bursts of violence; disgust of life; habitual moroseness and
incapacity for mental labor; weakness of digestion characterized by
aggravation of the sufferings, mental as well as bodily, and by general
and indescribable uneasiness after a meal and until the proper macera-
tion of the food is completed in the stomach and has been conveyed
to the bowels, or by susceptibility to the recurrence of such symptoms
provoked by the least excess or irregularity; headache and want of
appetite; nausea occurring every morning, &c.
Dose : Six globules, or for young persons four globules, in a wine-glassful of
water every morning, the first thing, fasting, until amelioration or change.
220 INDIGESTION.
Aurum-met. is indicated by incapability to concentrate the reflec-
tive faculties and want of power of combination in the mind, charac-
terized by crushing headache after the least exertion of the mind or
attention, and a sensation as if the brain were dashed to pieces; pain-
ful anxiety of mind and excruciating restlessness; whining, fretful
disposition and dread of death. This remedy is often of great service
against the hysterical attacks of females.
Dose : As directed for Natrum-m.
Lachesis is particularly indicated when the patient is haunted by
the idea that he is the object of dislike, suspicion, or even hatred
amongst his friends.
Dose : ...Three globules in a tea-spoonful of water morning and evening, until
amelioration or change.
Nux-vomica is indicated by almost every variety of nervous,
hysterical or hypochondriacal derangement, either characterized by
indolence, or excitability, but especially the latter; deep despondency
with disgust of life, moroseness, and aversion to labor or exertion of
any kind, characterized by the following symptoms: excessive sen-
sitiveness, and aversion to the open air; fainting fits, after the least
exertion, especially after motion in the open air, or giddiness, sensation
of being stunned, and sparks of black spots before the eyes
under the like circumstances; sensation of heaviness in the body,
with weariness, languor, and great desire to assume or retain a
recumbent position, by which the symptoms are alleviated; emo-
ciation, and wiry condition of the flesh; intense sensation of lassi-
tude and fatigue, even in the morning after rest, and often, ex-
citability which renders the patient reluctant to retire to rest at
night: drowsiness in the morning, after meals, or in the evening,
followed by sleeplessness at night; sallow pallor or yellowness of the
skin; heaviness, with pressive, tensive and expansive pain in the head;
intense headache seated in the fore part of the head along the brows;
or, pain—often acute and piercing, as if some sharp instrument were
lodged there, deep in the brain; swelling and redness of the eyelids,
and red suffusion of the eyes, particularly in the morning; cramp-like,
contractive gnawing or pressive pains in the region of the stomach and
below the ribs, and at the pit of the stomach; extreme sensitiveness of
the pit of the stomach to pressure; constipation characterized by slow
and sluggish action of the bowels, with dark, hard, dry, and large but
unfrequent evacuations,—or by intermingled, loose, and lumpy eva-
guations;-particularly appropriate if there be disposition to piles;
frequent discharge of pale, watery urine,—dragging and rheumatic
aching pains in the back towards night; contused pains in the loins
and back; numbness of the arms at night.
Dose : Three globules in a tea-spoonful of water night and morning, until a
degree of good effect results, and then four globules in a tea-spoonful of water
every night, until positive amelioration or change. After which a course of
Sulphur as above directed will usually be beneficial.
Phosphorus is particularly appropriate for the treatment of deli-
cate and highly hysterical females, and fair subjects of a spare and
slender frame, and is indicated by sadness, alternated with apparently
INDIGESTION. 221
good spirits (with mirth); attacks of indescribable anguish, affright—
and even distressing hallucination, when left by one's self, or during
stormy weather; timid disposition, startled at every sound and appre-
hensive of thieves and acts of violence, &c., painful anxiety, or un-
easiness respecting one's health.
Dose : Four globules in a tea-spoonful of water every night, until amelioration
or change. Suspending treatment for four days after a week's course.
China is indicated by distress, languor, or dullness of mind, the
patient being easily disheartened and laboring under the impression
that insuperable combinations are devised against him by adversaries
to frustrate every undertaking; the patient gives way to despondency,
and is overcome by a prevailing idea, that he is doomed to be unfor-
tunate,_symptoms which are characterized by the following:—weak-
ness of digestion, with recurrence or aggravation of symptoms generally,
and with indolent disposition, ill-humor and distension of the belly
after eating;-chronic relaxation of the bowels; loose, yellowish, or
slimy evacuations, or characterized by discharge of undigested food;
or pale evacuations with dark urine; small, detached evacuations with
slow and sluggish discharge and with deficiency of muscular vigor in
the intestines; sometimes the organs of sense are acutely sensitive;
sleeplessness occasioned by the crowding of ideas upon the mind, and
by visionary projects, or sleep much disturbed by anacious, painful
dreams, which continue to haunt the patient when awake, and attended
with frequent change of position and tossing.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Sepia is of pre-eminent service in many confirmed and inveterate
cases, particularly in females, and when complicated with severe hys-
terical affections; the patient being wholly abandoned to despondency
and weary of existence, anxious respecting her own health, but averse
to the consideration of household or other affairs, and often indifferent
to every one but herself.
Dose : As directed for China.
Silicea is of great service generally in obstinate cases of hypochon-
driacal affection, resulting from stomach derangement, particularly if
noise easily frightens or startles the patient, or if there be constant
anxiety and agitation, weakness of the memory, incapability of reflec-
tion, moroseness and taciturnity, intense irritability and tendency to
be provoked to violence by contradiction, or excessive weariness of
existence, further characterized by confusion of the head, or of ideas;
pain ascending from the nape of the neck to the top of the head;
headache recurring every morning; heat in the head, particularly in
the forehead; lacerating or darting pains in the head, or pulsating
headache, with flushing of blood to the brain; temporary defect or
suspension of vision ; confusion and mistiness of sight when reading;
‘redness of the eyes and adhesion of the eyelids at night; the strong
light of day is painful to the eye; bleeding at the nose; continued and
watery discharge from the nose; constant sneezing; hardness of hear-
ing; scabby eruption on the lips, or swelling of the glands of the lower
jaw; toothache at night, aggravated or provoked by hot or cold
222 WANT OF APPETITE.
things; soreness of the tongue, or dryness of the mouth; deficiency
of taste or bitter taste; acid risings and water-brash, or pains in the
stomach or bowels, or even vomiting after eating; nausea every morn-
ing; colicky pains associated with constipation; piercing or nipping
pains in the bowels; puffing of the belly and difficult expulsion of
very fetid flatulency; hard stools with constant urging, or constipation
characterized by hard, knotty, detached motions, evacuated slowly
and with difficulty; wetting the bed; looseness; suffocating cough at
night; aching pain in the chest and impeded breath; numbness of the
arms, induced by lying upon them; trembling of the knee; offensive
smell from the feet; cold feet, sweating of the feet, or lastly, cramps
of the legs, particularly during rest and after exertion.
Dose : As directed for China.
ACCESSORY TREATMENT AND DIET.
In no class of disorders is it more requisite to adhere strictly to
dietetic regulations, than in those which consist of derangement in the
digestive system, whether so-called functional or organic: the patient
should, therefore, in such cases, regulate his regimen, as closely as
possible, by the rules laid down at the commencement of this treatise
(pp. 55, 56), carefully avoiding, moreover, all such articles as he may
find disagree with him, even if they be allowable as a general rule.
WANT OF APPEBTITE.
Want of Appetite, being a concomitant symptom of many diseases,
is treated accordingly in other parts of this work; but we now pro-
pose to look upon it as one of the leading symptoms of Indigestion,
and in this character deserving a particular notice. In a great variety
of cases it is usually attributable to an ill-regulated regimen, imperfect
mastication of food, the abuse of tonics and other medicines in
material doses, sedentary habits, and the neglect of sufficient exercise
in the open air.
In many instances, the removal of the exciting cause will cure this
disorder. Sufferers from this inconvenience should carefully avoid
creating an artificial appetite, and also partaking of the smallest quan-
tity of food, till a healthy call from nature proves that the former has
assimilated; the habit of taking tea, and even, as the expression is,
“making a meal of it,” within a couple of hours after removing from
the dinner-table, is a frequent cause of want of appetite and in-
digestion.
Another cause is the habit of drinking frequently, or very copiously
during meals, thereby attenuating the saliva and juices of the sto-
mach, and rendering them less fitted for the purpose of digestion.
Other causes are the custom of sleeping after dinner, partaking of .
heavy suppers before retiring to rest, and the indulgence in fermented,
vinous, or spirituous liquors, or in tea or coffee, particularly the latter.
An alteration in the hours of meals, and avoiding too long fasts
between them, will frequently remove this affection.
In other cases, early rising, great attention to diet, abstinence from
WANT OF APPETITE. 223
rich or highly-seasoned food, together with the daily use of pure cold
water,-drinking a tumblerful an hour or so before breakfast, three or
four hours after dinner, and again about the hour of retiring to rest,--
will suffice to restore the weakened digestive functions to a normal
condition.
When, however, we cannot trace this disorder to some of the above,
or any other probable cause, when every attention to regimen, and
even an alteration of diet, according to individual peculiarities, have
failed to produce any good effect, we generally find the want of
appetite accompanied with other symptoms of derangement in the di-
gestive functions, which may prove useful in aiding us to select a
proper remedy to restore the natural tone of the stomach.
TREATMENT.
Nux-vomica is the principal remedy when the want of appetite
can be traced to late hours, the habitual use of wine and coffee, or to
sedentary and studious habits; also when want of appetite continues
after recovery from severe illness, such as fever, &c., and when the
following symptoms are present: dryness of the mouth, tongue coated
white with cracks, or slimy phlegm in the mouth, loss of taste, heart-
burn, or insipidity of aliments (particularly meat), accumulation of
water in the mouth, aversion to food, constipation, confusion in the
head, or giddiness (as if the results of intoxication), loss of memory,
and difficulty of fixing the mind to a train of application, weight in
the back part of the head, ringing in the ears, heaviness and aching in
the limbs, uneasiness and a feeling of working or dragging of the
tendons in the lower extremities, or cramps, restlessness, and irrita-
bility; —symptoms aggravated in the morning, or during the preva-
lence of damp weather. (See Kreasotum.)
Dose: Three globules in a tea-spoonful of water night and morning for a
week; then pause four days. resuming the same remedy in a similar course,_
or suspending treatment—or proceeding with another remedy according to
the circumstances which are present. If Nur-v. be not apparently capable
of effecting a permanent cure, take Sulphur as directed for Nur-v.
Chamomilla is frequently found useful after Wuz-vomica, when
although considerable benefit has been derived, the whole train of
symptoms has not been removed. The following are its particular
indications: restless sleep, sensation of fullness and aching in the head,
heat and redness of the face, a degree of fever, tongue thickly coated,
yellowish, rough, and cracked, want of appetite, and greenish diar-
rhoea, and general sensibility of the nervous system; lastly, this remedy
is especially called for when a bitter taste in the mouth (or vomiting
of bile, or of greenish phlegm) ensues after eating.
Dose: Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change. *
Pulsatilla. This medicament is specific in the affections arising
from partaking of over-rich or greasy food, for instance, pork or
pastry; or of aliments causing flatulence, such as vegetables; or of
food in the preparation of which rancid butter or lard has been used.
224 WANT OF APPETITE.
The more immediate indications are, whitish tongue, with cracks;
bitter, salt, or foul taste in the mouth, sliminess of the mouth, scrap-
ing, roughness or acidity at the upper part of the gullet; bitter eruć.
tations; aversion to warm food or to meat, as well as to butter and to all
rich food; loss of taste; distension of the belly, and particularly a feel-
ing of tension under the false ribs; rumbling in the bowels, retarded
or difficult evacuation, or relaxed stools; yawning and stretching;
exacerbation of symptoms in the evening, (in contradistinction to Nua:-
vomica, which is generally indicated by this occurrence in the morn-
ing.) This remedy is well adapted to the mild lymphatic temperament,
and also when there is a peculiar sensibility, with a dislike to con-
versation; it is likewise valuable when imperfect mastication is the
cause of the affection, as well as in cases where there is a marked
aversion to tobaceo, even when the patient is accustomed to its use.
Dose : Four globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
China is highly efficacious in want of appetite, occurring during
foggy weather, when the air is charged with unwholesome vapors, or
in the vicinity of marshy lands. The following are its indications: a
sensation of constant Satiety, with general indifference to food, and ab-
sence of natural thirst; tongue cracked, or loaded with yellow or
white coating; sensation of sinking and fluttering in the region of the
stomach (particularly when this symptom can be traced to the effects
of tea); eructations after eating; desire for highly-seasoned food,
acids, pepper, and other condiments; general weakness, with inclina-
tion to assume the recumbent posture, and inability to remain long in
one position; uncomfortable feeling of dry heat, or shivering and sen-
sitiveness in the open air; retarded or interrupted sleep; general feeling
of uneasiness, with moroseness and peevishness.
IJose : Four globules as directed for Pulsatilla.
Ipecacuanha is indicated by the following symptoms: nausea or
vomiting, without foulness of the tongue, with dislike to food. Tobacco
—even to smokers—has a nauseous taste, and causes vomiting. This
remedy is also useful when the impaired appetite has arisen from bolt-
ing the food, particularly in children, and may be followed by Pulsa-
tilla, when only partial relief has been obtained.
Dose: Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Antimonium-crudum will prove a good remedy in cases where
a great disposition to nausea and vomiting, with foul tongue, exists;
want of appetite, dryness of the mouth with great thirst, particularly
during the night; accumulation of phlegm in the throat, with continual
attempts to clear the throat; frequent rising, soon after meals, of the
food last partaken of; pain or disagreeable fullness about the region
of the stomach, frequently with sensibility to external pressure. In
cases of recent standing with the above symptoms it is very speedily
efficacious; and when relief does not quickly follow, the next-men
tioned remedy should be had recourse to.
WANT OF APPETITE. 225
Dose: Three globules as directed for Ipecacuanha.
Bryonia, in recent derangement of the stomach, with want of
appetite; when we find thirst more during the day than through the
night; with a sensation of dryness in the throat, extending down the
gullet; chilliness; yellow, dark-brown, or white-coated, cracked tongue,
with constipation; aggravation during damp weather.
Dose : Four globules in a tea-spoonful of water, three times during the first day
and subsequently night and morning, until amelioration or change.
Arnica. This remedy is valuable when the loss of appetite has
arisen from sitting up at night, watching at a sick-bed, from not
having devoted a sufficient number of hours to the period of rest,
from intense mental exertion, or from provocation or excitement.
When from these causes the nervous system is powerfully affected;
tongue coated yellow; taste foul, bitter, sour, nauseous, or metallie,
with offensive smell from the mouth; rising of the food, or eructations
of the taste or smell of rotten eggs; aversion to smoking and desire
for acids; sensation of fullness in the pit of the stomach after meals,
with inclination to vomit; distension of the belly, with pinching colic,
relieved by doubling up the body, and renewed by drinking the
smallest quantity of wine, or passing off and then coming on, with
inclination to evacuate the bowels; general irritability and impossibility
of fixing the mind upon any subject; inclination to remain lying down,
as this position relieves a heavy stupefying headache, which the least
motion or even conversation increases.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Hepar-sulphuris is useful in chronic cases of want of appetite,
with indigestion from the slightest cause, notwithstanding the most
careful observance of diet. It is indicated by desire for high-seasoned
dishes, acids, and wine; nausea, even inclination to vomit, particularly
in the morning; and constipation, frequently with colic. This remedy
is one of our chief antidotes to Mercurius, and consequently one best
adapted to those affections of the stomach which have arisen from the
long-continued use of calomel, or other mercurial preparations.
Dose : Six globules (or for young persons, four globules) in a wine-glassful of
water, every morning the first thing (fasting), for ten days (unless earlier
improvement or change take place), then pause four days, and if a degree of
improvement is manifested, resume the administration of a similar course,
and so on, until positive improvement or change. But if Hepar-sulph. does
not promise to effect any beneficial operation within four days after the com-
pletion of the first course, consider the next remedy.
Lachesis is a valuable remedy to follow Hepar-Sulphuris in ob-
stinate cases, particularly when long-continued constipation is com-
plained of, and the symptoms have always been aggravated by acid
drinks, &c.
Dose : Four globules in a tea-spoonful of water every morning the first thing
(fasting), until amelioration or change.
Acidum-sulphuricum is a useful remedy in cases of impaired
appetite, with ºne of digestion, arising from habitual excess in
5
226 FLATULENCY,
the use of ardent spirits, or from debilitating loss of fluids, such as
blood, or in consequence of excessive study, with the following
symptoms: acrid or putrid taste, dry tongue, burning and smarting
sensation in the gullet, resembling heartburn; offensive breath, espe-
cially in the morning; small, white specks in the mouth; disagreeable
sensation of p?icking in the throat, frequently occurring during the
night, and disturbing sleep. In obstinate cases of this disease, in
which none of the remedies mentioned are productive of any perma-
nent amendment, a homoeopathic practitioner ought (if possible) to be
consulted.
Dose : For adults six globules, or for young persons, four globules, in a wine-
glassful of water every morning the first thing (fasting), until amelioration
or change.
Kreosotum is generally of much service in a day or two, during
convalescence after severe illness, when there is utter want of appetite;
or if there is desire to eat, little or no relish or enjoyment of food of
any kind; or when there is very little appetite, with various symptoms
of indigestion after eating or drinking.
Dose : Six globules, morning and evening, in a table-spoonful of water, until
amelioration or change.
Diet and Regimen.—As directed for “INDIGESTION.”
FLATULENCY.
This affection, together with the sufferings it entails, is generally
found in individuals of weak digestion, and many also suffer from it
immediately on taking cold; it is also, as well known, a common
result of errors in diet, and the too frequent indulgence in vegetables
and fruits. In corpulent individuals, the sufferings arising from this
complaint, such as difficulty of breathing, palpitation of the heart,
trembling of the limbs, confusion of the head, and swelling of the
face, especially in hypochondriacal subjects, are most distressing.
However, with proper attention to regimen, and suitable medical
treatment, it is rarely very difficult to remove.
As an accompaniment of deranged digestion, it has already been
noticed under the general head of Indigestion.
Precautions to be observed by those who are subject to Flatulency.
The most useful;preservatives against the complaint are to guard.
against cold, against exposure to cold, damp weather or very cold
drinks, or against distending the stomach with a large quantity of
warm fluid, particularly strong tea or coffee; each patient should also
study his own digestion, and carefully refrain from partaking of any
..species of aliment which experience has proved to be liable to produce
flatulency. , Sedentary habits also should be avoided, and a proper
portion of the day devoted to exercise in the open air.
China is indicated when the affection can be traced to tea or warm
drinks, an hour or two after a hearty meal, by which the process of
digestion has been interrupted, or to debility, loss of humors from
bleeding, the continued use of purgatives, or deranged digestion aris-
FLATULENCY, 227
ing from flatulent food, with painful tension and distension of the belly;
or when, on the occasional expulsion of flatus, a sensation of tension is
felt in the region about the navel; finally where coldness or shudder-
ing is experienced after drinking.
Dose: *Three globules in a tea-spoonful of water, every three hours, until
amelioration or change; but if the last-named symptom does not yield to
China, proceed with or substitute the following remedy upon its continuance
or recurrence. Against the predisposition give four globules in a tea-spoon-
ful of water night and morning, until decrease, cessation, or change of the
symptoms.
Arsenicum is generally effectual when the last-mentioned symptom
has not been relieved by the foregoing medicine, and when cold food
of all kinds produces aggravation.
Dose : In all respects as directed for China.
Nux-vomica. In cases where the flatulence is attended with sen-
sation of pressure at the pit of the stomach, causing shortness of
breath and a feeling as if the clothing were too tight, or a sensation
of pressure as from a stone, particularly when the affection arises from
the habitual use of coffee, or sedentary habits, or when the symptoms
above described invariably come on after drinking.
Dose : Three globules in a tea-spoonful of water, repeated in two hours, if the
symptoms continue. Against the predisposition give four globules every
night, until amelioration or change.
Pulsatilla is required when the affection has arisen from having
partaken of rich or greasy food, after which a copious draught of
water has been drunk, and the belly is swollen, with a pain as from a
bruise, and rumbling in the bowels.
Dose : Four globules in a tea-spoonful of water, repeated in two hours, if the
symptoms continue. Against the chronic recurrence of these symptoms con-
sider the next remedy.
Carbo-vegetabilis is one of the most important remedies after
the foregoing in chronic cases, particularly when the inconvenience
arises after partaking of the smallest morsel of food.
Dose : Six globules for adults, or four globules for young persons, in a wine-
glassful of water daily, the first thing in the morning fasting, until ameliora-
tion or change.
Colchicum is of service when from a considerable accumulation of
wind the belly is extremely distended, or, as it might be expressed,
inflated, and sounds like a drum on being struck with the hand, with-
out any marked pain, but with heat and difficulty of respiration. This
remedy is generally peculiarly efficacious when the derangement is
attributable to vegetable food; or to the effects of exposure to a cold,
damp atmosphere.
Dose : Three globules in a tea-spoonful of water, repeated in two hours, and
then every three hours, until amelioration or change. Against the predis-
position, give four globules in a tea-spoonful of water, night and morning,
until decrease, subsidence, or change of the symptoms ensue.
Belladonna. This remedy should be administered in cases of
flatulent obstruction, in which the transverse section of the large
228 SPASM OF THE STOMACH,
bowel is the particular seat of the accumulated wind, and produces a
pad-like distension of the upper part of the belly.
Dose: Three globules in a tea-spoonful of water, repeated in two hours, and
afterwards every three hours, until amelioration or change. But if, after four
doses, it be found that this remedy modifies, without totally removing the
symptoms, pause twelve hours, and proceed with the next medicine.
Colocynth should be employed twelve hours after the last dose of
JBelladonna, when the relief obtained is only temporary, or when,
from the manner in which the patient traces the course of his uncom-
fortable feelings, there is every reason to conclude that the flatulent
distension and obstruction occupy the entire extent of the large
intestine.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Sulphur must be employed when the flatulence occurs very fre-
quently, in fact, where a marked predisposition to it exists.
Dose : For adults, six globules, or, for young persons, four globules in a wine-
glassful of water, every morning, the first thing, for ten days (unless the
symptoms be sooner changed in character or modified), pause four days, and
resume the former course, if necessary, and so on until positive benefit or
change result. e
Diet and Regimen. The directions afforded in the general article
on Indigestion should be studiously observed.
SPASIM OF THE STOIMACH.
Symptoms. Contractive and spasmodic or gnawning pains about
the region of the stomach, extending to the chest and back, attended
with anxiety, nausea, eructation or vomiting, with faintness, and cold-
ness of the extremities: the patient is sometimes relieved by emission
of ascending wind, and, when complicated with heartburn, by a dis-
charge of a quantity of limpid fluid; occasionally headache and con-
stipation are present. In some cases the pain is very slight (but there
is always more or less), and a degree of anxiety, with nausea, often
increased by taking food.
Complications. The disease is frequently accompanied by a dis-
ease of the liver, spleen, or of the pancreas gland, or even by cancerous
degeneration of the stomach or first portion of the small intestines, in
its advanced stages. It is a frequent attendant on gout.
Age, Sex, &c. It is a more frequent affection in the female than
the male sex, often occurring after the cessation of the usual monthly
discharge, or from any interruption of its usual course; in such in-
stances it is frequently accompanied with hysterics and fainting, and
may pass on to vomiting of blood. It very rarely occurs before the
age of puberty.
The paroxysms last for a longer or shorter time according to the
violence of the affection, and return in many instances periodically;
and may be brought on by partaking of improper articles of diet, or,
in severe cases, by any solid food whatever.
SPASM OF THE STOMACH. 229
ORIGIN. This disease originates in an unhealthy state of the
20erves of the stomach.
The Exciting Causes are —long fasting between meals, very hot
or cold drinks, an habitual use of ardent spirits, or of indigestible
food, worms, and in some instances, perhaps, exposure to cold or
damp weather.
Precautions to be observed by those who are subject to Spasm of the
Stomach.
The chief articles to be avoided by an individual suffering from this
malady are—crude, uncooked vegetable substances (such as Salads),
cheese, new bread, sweet-meats, cherries, nuts, olives, and roasted
chesnuts; and stimulants of all kinds, whether tea, coffee, alcoholic
or fermented drinks.
Treatment. Notwithstanding the usually intractable nature of
this affection, it has been treated with marked success by the method
about to be pointed out.
Nux-vomica is one of the principal, and, in a large number of
cases, the most appropriate of remedies against spasms of the stomach,
and particularly in cases where this affection can be attributed to the
long-continued use of strong coffee, or an excessive indulgence in
spirituous liquors; it is, moreover, of essential service in many cases of
the same disorder, which have arisen after the suppression of chronic
or haemorrhoidal discharges, or when the party affected is liable to
fits of hysterics or nervous despondency. The following are the im-
mediate symptoms which call for the administration of this medicine:
Constriction, pressure, squeezing, or spasm in the stomach, accom-
panied with a sensation as if the clothes were too tight at the waist, or
as if wind were pent up in the sides, beneath the lower ribs. This
sensation, as well as the pains before mentioned, become generally in-
creased after a meal, or after partaking of coffee; in addition to
which, a feeling of depression or constriction is experienced at the
chest, which, in many cases, extends to between the shoulders and the
lower part of the back. Frequently, also, we find nausea, accumulation
of clear water in the mouth, or risings of sour bitter fluids, attended
with a sensation of burning in the throat and gullet (heartburn); the
tongue tremulous, cracked or fissured, clean, of a vivid red, coated
yellow, or covered with a white mucus; lips and gums white, red and
swollen; blanched, yellowish, and somewhat indurated lips; eyelids in-
flamed at the margins; sour or putrid taste in the mouth; vomiting of
crude materials; flatulent distension of the bowels; constipation:
aching in the forehead; palpitation of the heart, and anxiety. When
these symptoms are liable to be excited by a fit of passion, or become
aggravated in the morning, or when the patient is occasionally
awakened out of his sleep by the spasmodic attack, this remedy is still
more certainly indicated.
Dose: In severe cases, of recent origin, three globules in a tea-spoonful of
water, every three hours, until amelioration or change. In chronic cases, with
more or less acute pain after every meal, of a solution of six globules to two
, table-spoonfuls of water, give a tea-spoonful every evening until the whole is
230 SPASM OF THE STOMACH,
consumed, or in the like proportion, until positive amelioration or change.
When the spasm of the stomach returns periodically, or when fron some im-
prudence in diet we have reason to apprehend an attack, three globules
should ye taken in a tea-spoonful of water, three hours before the expected
recurrence of the symptoms, or in the latter case immediately after the possible
cause has transpired. This rule applies in respect of any of the remedies herein
prescribed, which have been administered with success against former attacks.
If temporary relief, only, followed by more intense suffering, has ensued, and
continues three hours after a second dose of Nur-vomica, however, proceed
with the next medicine.
Carbo-vegetabilis should be given three hours after the second
dose of Wua-v., if that remedy has produced only partial good effect,
and will generally complete the cure, provided the affection be not too
deeply seated, and consequently one of long standing.
Dº : Three globules in a tea-spoonful of water morning and evening, for four
ays.
Sulphur ought to be administered when the affection is traceable
to the suppression of some chronic eruption. This medicine is parti-
cularly useful in spasmodic affection of the stomach in females, arising
from derangements of the menstrual function. Sulphur is also fre-
quently an indispensable remedy in obstinate cases attended with
heartburn, aggravation of suffering after a meal, constipation, piles, &c.
Dose : Six globules in a wine-glassful of water every morning the first thing
• (fasting), for a week, unless an earlier change occur in the character of the
symptoms.
Chamomilla. For the employment of this remedy, the principal
indications are pressure as if from a stone in the pit of the stomach,
or painful pressure and flatulent distension at the same part, as also of
the region beneath the lower ribs and the belly itself, with shortness
of breath, anxiety and throbbing headache; mitigation of the above
symptoms on partaking of coffee,_a distinguishing mark between the
indications of this remedy and those of Wua-vomica;—on the other
hand (as in the case of the latter), it is also indicated when the symp-
toms, as described, are liable to be brought on by a fit of passion.
Dose : Three globules in a tea-spoonful of water every four hours, until amelio-
ration or change--or if little or no improvement results within four hours
after the third dose, consider the following remedies.
Colocynth is sometimes more efficacious than Chamomilla in the
latter case, and especially when the fit of passion is accompanied by
indignation.
Dose : As directed for Chamomilla.
Belladonna ought to be substituted for Chamomilla, or should be
administered four hours after the third dose of the latter, when it has
not been followed by relief, notwithstanding the apparent similarity
of these symptoms; farther indications for Belladonna consist of gnaw-
ing, pressure, or spasmodic tension in the pit of the stomach, relieved
on bending backwards and holding in the breath; or, further, spasm
of the stomach, which recurs daily during dinner, or else pain of So
violent a nature as to deprive the patient of consciousness; tremulous,
vivid-red and shining tongue, or redness of the tongue and elevation
of the papillae; red and Spongy lips.
SPASM OF THE STOMACH. 231
Dose : Three globules in a tea-spoonful of water every four hours, until the
indicative symptoms are removed. If followed by more suffering after the
third dose of Belladonna. proceed with Gelseminum, as directed for Bella-
donna.
Carbo-v. may be, however, preferred to Belladonna, when the
most prominent symptom remaining consists of a sense of aching and
pressure at the pit of the stomach and the fore part of the chest; or it
may follow Chamomilla or Nua:-vomica, when a burning, pressive,
aching pain is complained of, attended with tenderness to the touch,
and aggravation in the recumbent posture.
Dose : Three globules, as directed for Belladonna.
Cocculus, in many cases of this complaint, is particularly indicated,
When, in addition to the usual symptoms, there are constipation and
constrictive pains over the entire stomach, with flatulency, and accu-
mulation of water in the mouth, and alleviation of the sufferings on
the recurrence of the latter symptoms.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Ipecacuanha is also useful in cases of this affection, when the
paroxysms are accompanied with nausea, vomiting, dull darting pains
in the pit of the stomach, and sensation of eaccessive wheasiness in the
same region.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change. Q
Pulsatilla is useful in cases with shooting pains in the stomach,
which are aggravated by movement, and particularly making a false
step. Pulsatilla is also one of the most appropriate remedies when
the attacks are followed by vomiting, or accompanied by violent
tension and squeezing, or throbbing and sensation of anxiety about
the pit of the stomach, increase of pain after eating, or more particularly
a feeling of pressure and pinching after dinner, with a relaxed state
of the bowels, or a disposition thereto. Disposition to hysterics or
nervous despondency. This remedy is very serviceable in cases of this
affection, arising from suppressed menstruation.
Dose : Of a solution of twelve globules to four table-spoonfuls of water, give a
table-spoonful every six hours, until amelioration or change. But if no lasting
improvement should ensue within six hours after the third dose, consider the
following remedies.
©
Ignatia-amara is indicated under nearly the same circumstances
as Pulsatilla, with the exception of the state of the bowels; Ignatia
being more appropriate to cases attended with costiveness, and where
the inclination to vomit is absent, or when the affection has been
caused by grief, anxiety, exhaustion by long abstinence, &c., or occurs
in hysterical or hypochondriacal individuals.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful morning and evening, until amelioration or change.
Sepia is an efficacious medicine in spasm of the stomach, arising
from suppressed or difficult menstruation, and may in general cases
advantageously follow Pulsatilla; it is indicated when most of the
232 SPASM OF THE STOMACH.
sufferings arise after a meal, by pressure in the stomach as from a
stone, and by a burning pain in the pit of the stomach; and b
restoring singly, or in conjunction with Pulsatilla and Sulphur, the
menstrual flux, it frequently removes the spasm at the stomach and
hysterics consequent upon this derangement, or, at least, places the
affection in such a position that it is easily cured by some other medi-
cine, closely corresponding to the remaining symptoms.
Lose: In recent (not chronic) cases, of a solution of four globules to two table-
spoonfuls of water, give a tea-spoonful every four hours until amelioration or
change. In chronic cases give three globules in a tea-spoonful of water night
and morning for a week, then pause four days and resume the course, sus-
pend treatment, or change the remedy according to circumstances.
China is of great service in most cases of spasms of the stomach
with general weakness, arising from loss of humors, the result of blood-
letting, or repeated loss of blood, abuse of emetics or aperients, too
long-continued suckling, &c.; and it is further indicated by great
weakness of digestion, distension, and uncomfortable weight, pressure
or pains in the stomach after eating, so that the patient feels much
easier when fasting; these latter symptoms are the more immediate
indications for the employment of this medicine.
Dose : Of a solution of four globules to two table-spoonfuls of water, or in the
like proportion, give a tea-spoonful night and morning for three days; and
afterwards three globules in a tea-spoonful of water every third night, until
positive improvement or change.
• Staphysagria. This medicine is useful in some cases of this com-
plaint, and is particularly applicable when there is acute pressive
tension and squeezing about the pit of the stomach, which sometimes
obstructs the breathing, but which is relieved by bending the body
..forward.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours until decrease, subsidence, or
change occurs in the symptoms.
Stannum will, however, be found more appropriate, when the pain
partakes of a marked tensive character, and eactends to the region of
the navel, accompanied by sensibility of the region of the stomach on
external pressure, shortness of breath, anxiety, and nausea.
Dose : As directed for Staphysagria.
Bryonia. This medicine is more particularly adapted to the milder
cases of spasm in the stomach, with painful pressure, or a feeling of
disagreeable fullness in the stomach after a meal, which occasionally
becomes converted into a feeling of constriction, cutting or pinching,
and is relieved by eructation and eacternal pressure. This remedy is,
moreover, still more clearly indicated when the symptoms are gene-
rally accompanied by severe headache or painful compression in various
parts of the head, and particularly at the temples, which is liable to
be excited whenever any article of diet disagrees in the slightest
degree; increase of the sufferings by movement; habitual costiveness.
Dose: Three globules in a tea-spoonful of water every four hours, until ame
lioration or change.
SPASM OF THE STOMACH, 233
Platina is useful for spasms of the stomach in females, occurring
particularly at the monthly period, and especially when the menstrual
discharge, at the same time, is generally very copious and of too long
duration.
Dose : Against the acute symptoms when they occur, of a solution of four glo-
bules to two table-spoonfuls of water. give a tea-spoonful every three hours
until amelioration or change. Against the predisposition (or until the tendency
is eradicated) a week before the recurrence of the periods, give four globules
in a tea-spoonful of water night and morning for a week.
Arnica-montana, in spasm or pains in the stomach, which have
originated in the effects of a strain, or from a blow, &c., will be found
specific. It is, however, also an excellênt remedy when there is a
sense of fullness and constrictive pain in the stomach and in the fore
part of the chest, shooting pain in the pit of the stomach, with painful
pressure as from a stone, or aching, extending to the back, and tight-
ness of the chest, increased by eating, drinking, and external pressure.
Dose : Of a solution of four globules to two table-spoonfuls of water, or in the
. proportion, give a tea-spoonful night and morning, until amelioration or
cmange.
Arsenicum is required for periodic pains in the stomach, chiefly
consisting of a burning character, and attended with acrid, sour eruc-
tations, vomiting of crude materials, or of mucous, sometimes even of
blood; tremulous, swollen, or glazed, red and fissured tongue; blanched,
waxy, and somewhat indurated lips; want of appetite; extreme debi-
lity, emaciation.
Dose : Two globules in a tea-spoonful of water every three hours, until ame-
lioration or change; or in very acute cases characterized by excessive pros-
tration and livid aspect, give one globule in a tea-spoonful of water imme-
diately, repeating the dose after half an hour, and again every two hours,
until positive amelioration or change. But if little or no permanent relief
ensue within two hours after the sixth dose, consider the various other reme-
dies herein named. In chronic cases, give three globules in a tea-spoonful of
water night and morning, until distinct amelioration or change.
Lycopodium is indicated by squeezing or compressive pains pro-
ceeding from each extremity of the stomach, with flatulent distension;
want of appetite, constipation, pains in the back and loins; blanched
lips, inflamed and thickened eyelids; exacerbation of the symptoms in
the open air, after a meal, or in the morning; spasms of the stomach
in lymphatic females with too copious menstrual discharge.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; but if little or no
permanent relief ensue within three hours after the third dose, consider the
other remedies herein named. In chronic cases, give four globules in a tea-
spoonful of water every evening for a week.
Lachesis is required for spasms of the stomach, particularly in per-
sons addicted to excessive indulgence in wine or ardent spirits, relieved
by partaking of food; tongue covered with a dark brown fur, or tre-
mulous, glazed, red and cracked, or swollen; spongy, vivid-red, or
blanched and wax-like lips; roughness or dryness of the throat; flatu-
lence, constipation; trembling, numbness, and paralytic weakness of
the extremities.
234 WOMITING.
Dose : As directed for Lycopodium.
Calcarea. In obstinate cases, occurring in individuals who are
habitually addicted to the abuse of wine or ardent spirits, Calcarea
will generally be found of great service, especially after the previous
employment of Nua.w.., Lachesis, and Sulphur. It is further a valuable
remedy in the cases of females of full habit of body, subject to dis-
charge of blood from the nose, or to excessively copious menstruation;
and is generally indicated when the paroxysms of pain come on usually
at night, or after a meal in which latter instance, vomiting sometimes
results, or nausea and acidity, with painful sensibility on pressure at
the region of the stomach. Constipation, haemorrhoids, or chronic
looseness of the bowels are additional general indications for the
employment of this remedy.
Dose : Six globules in a wine-glassful of water every morning the first thing,
for a week (unless earlier relief or change ensue); pause four days, and then,
if necessary, resume the course as before, and so on, until positive ameliora-
tion or change.
Diet and Regimen. These are subject to the same general rules
as have already been afforded in the article on INDIGESTION.
HEARTBURN. BLACK-WATER. WATER-BRASH.
This is not an affection of the organ whose name it bears, but a
painful or uneasy sensation of heat or acrimony about, the pit of the
stomach, sometimes extending upwards. It is frequently accompanied
with anxiety, nausea, and vomiting; or a violent gnawing, spasmodic
pain in the region of the stomach, from which the patient experiences
no relief, until he succeeds in ejecting a quantity of limpid fluid.
Treatment. As Heartburn is, strictly speaking, a mere symptom
emanating from derangement of the stomach, the general articles on
“INDIGESTION” and its subordinate affections should be considered.
.VOMITING.
If there be reason to suspect the reception of poisonous substances
into the stomach, the presence of worms, colicky affections of the
intestines, inflammation of the liver and brain, &c., the course of
treatment should be regulated by reference to the articles on the
particular subjects in question.
Yomiting occasioned by Eccess of Food or Drink.
Antimonium-c., Pulsatilla, Ipecacuanha, Nux-vomica.
These remedies, respectively, according to the characteristic effect of
each (see the article on that subject), are of the greatest service when
vomiting is occasioned by excess in eating or drinking.
Dose: Of the remedy selected give three globules in a tea-spoonful of water
every three hours until amelioration or change.
Womiting occasioned by Foulness of the Stomach.
Pulsatilla, Nux-vomica, Bryonia. These are amongst the most
important medicines appropriate to the treatment of Vomiting arising
WOMITING. 235
from this cause; but inasmuch as this may involve general derange-
ment, or even deep-seated disease of the organs associated with diges-
tion and nutrition, it will be proper that the article on Indigestion
should be carefully considered in relation to the symptoms. In respect
of the three remedies enumerated, the reader is referred to the article
on “CHARACTERISTIC EFFECTs” for the selection of that which is appro-
priate to the case.
Dose : Of the remedy selected, give three globules in a tea-spoonful of water,
every three hours until decrease or change of symptoms occurs; and, after-
wards, if the same remedy be indicated, continue the like dose, morning and
evening, for four days.
Yomiting occasioned by Easternal Injuries.
The particular symptoms which should determine the selection of
that which is appropriate to any particular case, will be distinguished
by considering the articles on “External Injuries,” “Inflammation of
the Brain,” and “CHARACTERISTIC EFFECTs.”
Womiting occasioned by Passive Motions.
Nux-vomica, Cocculus, Petroleum. These remedies are chiefly
applicable to the treatment of vomiting which is occasioned by passive
motion, such as riding in a carriage, sea-sickness, swinging, &c. The
particular indications for each of these remedies may be gathered from
the article on “CHARACTERISTIC EFFECTs.”
Dose : Of the medicine selected give three globules in a tea-spoonful of water,
every two hours, until amelioration or change.
Womiting without Ostensible Cause.
In ordinary cases, when there is uncertainty as to the cause of the
vomiting, it should be promoted by copious draughts of tepid water,
when homoeopathic medicines are not at hand. But as the effect of
the medicines is equally efficacious, and as it is a much more agreeable
mode of giving relief, particularly to children, by such means, they
should invariably be preferred, when there is, at all events, no reason
whatever for concluding that the derangement arises from the intro-
duction of poison into the stomach.
Antimonium-c. is generally appropriate when the tongue is
covered with a white or yellow coating.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until amelioration or change.
Ipecacuanha is indicated by copious vomiting when the tongue
is clean.
Dose : As directed for Antimonium-c.
Arsenicum is indicated when there is very violent straining and
retching, with scanty vomiting; and, moreover, when extreme pros-
tration or lassitude accompanies or follows the fits of retching.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every hour until the retching is moderated, and then every three
sº hours, until positive diminution, cessation, or change in the symptoms.
236 HEARTBURN, &c.—voMITING.
Womiting occasioned by Irritability of the Stomach.
When vomiting proceeds from weakness or debility of stomach, it
will be desirable that the article on Indigestion should be carefully
considered, in order that the treatment may in every respect corres-
pond to the distinctive features of the complaint. The following
course of medicines is, however, applicable to the majority of cases in
which this affection does not assume a serious aspect.
Pulsatilla is usually very efficacious when the stomach is so delicate
and irritable that it is only capable of retaining the smallest quantity
of food, a transgression being invariably followed by vomiting attended
with severe spasms, or vomiting of adhesive phlegm, giddiness, loose-
ness of the bowels, and even fainting.
Dose : Two globules in a tea-spoonful of water, morning, and evening, until
amelioration or change. But if little permanent benefit results within twelve
hours after the eighth dose, pause three days, and proceed with the next
remedy.
Cocculus should be administered three days after the eighth dose
of Pulsatilla, if the latter remedy has been incapable of subduing the
symptoms.
Dose : Two globules, as directed for Pulsatilla; but if little or no permanent
relief ensue within twelve hours after the sixth dose, pause three days, and
proceed with the next medicine.
Bryonia should be administered twelve hours after the eighth dose
of Cocculus, if the latter medicine has been incapable of overcoming
the symptoms.
Dose : Three globules in a tea-spoonful of water, morning and evening, for
three days. But if this medicine should prove inadequate to the thorough
removal of the symptoms, proceed with the next.
Nux-vomica should be administered three days after the sixth
dose of Bryonia, if the latter remedy has been insufficient to subdue
the symptoms permanently.
Dose : Two globules in a tea-spoonful of water, night aud morning, for four
days. But if this medicine should prove inadequate to effect a cure, proceed
with the next.
China, Ferrum. In the rare instances in which vomiting under
such circumstances fails to be subdued by the treatment just pre-
scribed, one of these remedies (according to such distinctive indica-
tions as may be gathered from the article on “CHARACTERISTIC
EFFECTs”), should be administered three days after the fourth dose
of Nua:-vomica.
Dose : Of either medicine, as selected, according to the direction given for
Nur-vomica.
Arsenicum, Hyocyamus. One or both of these remedies, ac-
cording to the indications afforded in the article on “CHARACTERISTIC
EFFECTs,” may be required for intermediary administration at any
period of the course above described, if the vomiting or retching
should become excessively violent.
Dose : Of the remedy selected give two globules in a tea-spoonful of water,
every hour until amelioration or change, suspending treatment for twelve
WOMITING. 237
hours after the urgent symptoms have been subdued, before proceeding with
the course heretofore prescribed,
Sulphur, Calcarea. In the majority of cases, even when the
symptoms have been thoroughly overcome by the foregoing course,
one or both of these medicines, singly, in succession, or in alternation,
will prove of great service in eradicating the susceptibility to a recur-
rence of the disorder.
Dose : Of the remedy selected, if singly, give six globules in a wine-glassful of
water every morning, the first thing (fasting) for a week. If in alternation,
administer the course just prescribed of the one, pause four days, and pro-
ceed in like manner with the other, and so on. If in succession, pause a
week between the administration of the different medicines.
JBilious Vomiting—Bilious Attacks.
In cases of vomiting, which come on either periodically or in con-
sequence of errors in diet, exposure to cold, &c., and in which the
matters ejected consist chiefly or entirely of bile, accompanied by
headache, brownish-yellow tongue, bitter or nauseous taste, sometimes
pain in the right side and between the shoulders, disgust at the very
thought of food, the following remedies will generally be found most
efficacious according to the respective indications afforded:—
Nux-vomica is, in a large number of cases, the most appropriate
remedy, but particularly in those which are liable to be brought on by
sedentary habits, severe mental application, or by mental annoyance;
also when errors in diet (especially as regards vinous or spirituous
liquors) invariably bring on an attack. A confined state of the bowels
is another indication for its employment.
Dose : Three globules in a tea-spoonful of water every two hours, until the
symptoms are modified, and then every four hours until positive amelioration
or change.
Pulsatilla is called for by a nearly similar train of symptoms, but is
generally more efficacious when the bowels are more or less relaxed,
and is better adapted to persons of mild or sensitive dispositions,
(whereas Nua-v. is preferable for those of quick, irascible temper,) or
who are subject to great depression of spirits, attended with aversion
to mental or physical exertion.
Dose: As directed for Nur-vomica.
Mercurius is often very efficacious when either of the foregoing
medicines fail to afford much relief. This remedy is equally called for
when there is a tendency to nausea or vomiting, and is preferable
when the headache consists of a distressing feeling of fullness, with
tension, as if the head were tightly bound.
Dose : Of a solution of six globules in two table-spoonfuls of water give a tea-
spoonful every three hours, until amelioration or change.
Ipecacuanha, Arsenicum, Veratrum. Ipecacuanha generally
forms a useful remedy when bilious vomiting is apt to be excited by
exposure to cold. It is frequently serviceable in other cases, when
there is much nausea, with paroxysms of free and copious vomiting
and pain in the entire head, as if it had been severely bruised.
{
238 WOMITING.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms are modified, and then every
four hours, until positive amelioration or change. But if the symptoms con-
tinue without abatement four hours after the third dose, consider the next
medicine.
Arsenicum may follow four hours after the third dose of Ipeca-
cuanha, if the sickness and retching continue to a distressing degree;
or it may be selected in preference to Ipecacuanha, when the evacua-
tion of the contents of the stomach is painfully difficult, but the efforts
incessant and prone to be renewed on the slightest movement, although
the feeling of general uneasiness renders it difficult for the patient to
remain quiescent; also when there is excessive thirst, with aversion to
drink, or inclination to drink only small quantities at a time, and great
debility. Further, when bilious colic and diarrhoea accompany the
attack, or when the attacks are invariably preceded or followed by
severe nervous headache (megrims), Arsenicum is a most valuable
remedy.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour, until the symptoms are modified, and then every three
hours until positive amelioration or change. In very severe cases the doses at
the onset may be repeated every half hour. If in alternation with Veratrum,
two doses should be administered with an interval of one hour, then suc-
ceeded by a pause of two hours, and afterwards by two doses of Veratrum
similarly.
Veratrum may sometimes be administered in alternation with
Arsenicum, when that remedy brings only partial relief. It is a
valuable remedy in the severest forms of bilious vomiting, attended
with distressing headache, preceded or accompanied by copious dis-
charge of pale urine, and when fainting is liable to occur from the vio-
lence of the attack.
Dose: In every respect as directed for Arsenicum.
Aconitum should be given before any other remedy, when bilious
attacks are attended with febrile symptoms. In such cases, indeed, it
will frequently be sufficient to put a speedy stop to the attack.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the feverish symptoms subside, or assume a
character which is specifically indicative of other remedies, such as Bella-
donna, Hyoscyamus, &c.
China, Hepar-s. China may very generally be given with advan-
tage at the termination of every severe bilious attack. It is also of
much utility in some cases at the commencement; particularly when
the affection occurs in debilitated persons, and in those who have been
in the habit of taking calomel or blue pill for this affection.
Dose : Three globules in a tea-spoonful of water, night and morning, for a week
(unless the last circumstance should qualify the treatment.) But if the last-
mentioned circumstance should have occurred as a provocative, proceed with
the next remedy twenty-four hours after the third dose.
Hepar-s, should be administered twenty-four hours after the third
dose of China, in cases in which the patient has been previously
treated with blue pill, Calomel, or other mercurial preparations.
WOMITING OF BIOOD. 239
Dose : , Six globules in a wine-glassful of water every morning, the first thing,
(fasting) for a week.
Diet and Regimen. The general regulations hereinbefore pre-
scribed under the head of “Indigestion,” are equally applicable to
cases of this description, as are also those which are afforded in respect
of JAUNDICE, and INFLAMMATION OF THE LIVER, During the continu-
ance of the attack, however, the utter repugnance to food of all kinds,
which generally accompanies this disorder, should be sufficiently illus-
trative that the stomach is not in a condition to receive or digest food
to indicate abstinence.
As soon as the appetite returns, a cup of weak black tea, with some
dry toast, may be taken; and the food should continue to be very
light and simple, and to be taken frequently, but in small quantities at
a time, for several days.
"VOIMITING OF BILOOD.
Symptoms. Blood evacuated by vomiting, sometimes pure, gene-
rally of a dark color, but sometimes of a bright-red hue; it is occa-
sionally mixed with bile, food, &c.; the quantity varies; blood is also
not unfrequently discharged in clots by stool.
Premonitory Symptoms. Weight, pressure, fullness or tensive
pain or spasm in the region of the stomach and beneath the lower
ribs; griping and colic; burning heat in the region of the stomach;
anxiety, particularly on partaking of food or drink, or on pressure at
the stomach; Saltish taste in the mouth ; impaired appetite and nausea;
giddiness, fainting, cold perspiration; sometimes also an intermittent
pulsation is perceptible at the pit of the stomach.
Some only of the preceding symptoms may be present previous to
the attack, and others, during its course when very severe, are fre-
quently renewed. We often find wild delirium or wandering accom-
panied with spasms, and a gradually increasing weakness and remission
of pulse with frequent fainting.
Causes. The most frequent causes of this affection are the sudden sup-
pression of any sanguineous discharge, and the consequent determina-
tion of blood to the stomach; it is therefore apt to declare itself after a
suspension of habitual discharge of blood in piles, and is a very common
affection in females, from the suppression or cessation of the menstrual
discharge, in which case it is frequently preceded by SPASM OF THE
STOMACH. Other causes are, cancrous tumor of the stomach, internal
injury of that organ from swallowing sharp substances, or from worms;
poisons, drastic purgatives or emetic drugs, external contusion, ob-
struction of important intestinal organs, or a change in the constituent
principles of the blood itself; the direct cause is the bursting of some
of the vessels of the stomach.
Treatment. In order to provide for the contingency (of frequent
occurrence), in which homoeopathic professional advice is not within
reach, or easy access, a few of the most important remedies, with their
respective indications, will be enumerated, premising, however, that
when it arises from any organic disease, the existence of which the
240 WOMITING OF BILOOD.
experienced practitioner can alone detect, a different course may be
necessary.
As this affection may occur purely as a symptom dependent upon
tardiness or suppression of the periodical discharge (of females) or
owing to its final cessation, or may originate in the presence of worms,
or in the introduction of poisonous substances into the stomach; or,
again, may occur as a symptom attendant upon inflammation of the
spleen, under circumstances which lead to the apprehension of either
of these causes, the reader is referred to the consideration of the
articles respectively devoted to each of those affections or circum-
StanceS. bº
In general or casual cases, however, the following medicines will in
all probability be required, according to the several indications which
suggest their employment.
Aconitum should be given when the premonitory symptoms above
detailed declare themselves, and particularly when a considerable
degree of fever precedes the attack.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution, repeating the dose in half an hour, and then every
hour till positive amelioration or change. In this mode, if taken in time, we
may often, by calming the circulation, prevent an attack.
Nux-vomica. In a full habit of body, with a marked tendency to
congestion of the stomach and bowels, particularly when arising from
suppression of haemorrhoids, or of the menstrual discharge, or from
indulgence in vinous, spirituous, or fermented liquors; this remedy is
still further indicated by irritability of temper, and liability to consti-
pation.
Dose : Three globules in a tea-spoonful of water, every four hours, until amelio-
ration ~ cºerge.
Lycopodium will often be found available in cases analogous to
those which have been mentioned as indicating Wua:-vomica, and when
the latter medicine has not been completely effectual.
Dose: In every respect as directed for Nuz-vomica.
Pulsatilla. The value of this remedy is noticed in the diseases of
females above mentioned; it is also in many cases found more suitable
than Nuw-vomica for males, when of lymphatic temperament and mild
disposition. Distinctive derangement of the digestive functions con-
stitutes the general indication for this medicine.
Dose : As directed for Nur-vomica.
China. When a quantity of blood has been already vomited, this
remedy, from its power of restoring the energy of the system after
debilitating losses, is clearly indicated; it should also be chosen when
the patient has had a severe attack of vomiting of blood, which has
ceased of itself, but still left great weakness.
Dose : Three globules in a tea-spoonful of water, every four hours, until amelio-
ration or change; if, however, there be very palpable amelioration after the
first dose, the repetition may be suspended until the symptoms recur, or for
twenty-four hours. $ *
Arnica. One of our most important remedies in severe cases, and
constipATION.—CoSTIVENESS. 241
especially when occurring in individuals of a robust constitution, of a
sanguine temperament and choleric disposition. It is further indicated
when the patient complains of pains, resembling the results of a con-
tusion, in all the extremities.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until distinct amelioration or change.
Sulphur is useful in scrofulous habits, or when the affection has
arisen from suppressed haemorrhoids; its value, also, in cases of un-
healthy menstruation will be pointed out in the proper place.
Dose : Three globules in a tea-spoonful of water every four hours, for the first
day, or until the violent symptoms subside. Then six globules in a wine-
glassful of water, every morning the first thing (fasting) for ten days; pause
four days, and resume the course, and so on from time to time when no acute
symptoms are present.
Belladonna, Hyoscyamus. Both of these remedies (with minute
distinctive indications which will be traced on reference to the article
on “CHARACTERISTIC EFFECTs”) are appropriate to the treatment of
vomiting of blood, attended with much spasmodic action.
Dose: Of the medicine selected give three globules in a tea-spoonful of water
every two hours until the symptoms are modified, and then every four hours
until positive amelioration or change.
ACCESSORY MEASURES.
The application of dry cupping-glasses to the stomach and under the
ribs,-or of a cloth, which has been dipped in moderately cold water,
to the lower region of the belly,–sometimes forms a useful auxiliary
in arresting the discharge of blood. See also the article on “Discharge
of Blood from the Lungs.”
Diet and Regimen. The rules already given under SPASM OF THE
STOMACH should be enforced, with the utmost rigor; solid food cannot
be permitted, and all drinks should be cold; animal jellies, preparations
of milk, light puddings and broths, merely tepid, may be allowed in
cases where the patient may require such nourishment, but nothing
more must be taken than is absolutely necessary for that purpose; im-
mediately after an attack, no food should be given for some hours, and
then very cautiously, and in small quantity. It is evident that, in such
cases, absolute rest, both mental and bodily, is essentially requisite.
CONSTIPATION.—COSTIVENESS.
STOPEPAGE OF THE BOWELS.
This complaint is generally sympathetic, or associated with some
other derangement of the organism, and, consequently, in enumerating
regulations for the treatment of different diseases, we have frequent
occasion to allude to it. One of the leading causes of aggravation and
excessive obstinacy in the Constipation, most closely approaching to
an original form, is the practice of flying to aperient medicines on the
slightest appearance of costiveness, under the absurd idea that keeping
the bowels open is a species of panacea against disease of every descrip-
tion. Many * are so possessed with this idea, that they con-
1
242 CONSTIPATION.—COSTIVENESS.
tinually administer physic to their children, without the slightest
apparent call for it, and thus lay the foundation of a variety of
derangements and irregularities in the stomach and bowels in after-
life. Many a slight case of costiveness, which, if left to nature, would
have disappeared of itself, leaving no ill consequences, has, by an ill-
judged administration of aperients, been converted into obstinate
Constipation, embittering existence, and predisposing the constitution
to a variety of diseases in after-life. To prevent misconception upon
this point, it should be clearly understood that we by no means under-
value a regular state of the bowels, but that, when costiveness shows
itself, we happily possess remedies calculated to restore the general
balance of the system; and that, in obstinate cases, we do not content
ourselves with simply alleviating the immediate symptoms, but mainly
direct our attention to the permanent removal of the affection.
Many of the principal causes of this disorder, besides that mentioned,
are the same as those particularized under the head of INDIGESTION.
TREATMENT.
There are some cases in which, from constitutional peculiarity, the
bowels only act every three or four days, or even every week or ten
days, without any inconvenience resulting from this apparent inert-
ness. So long as no mischief seems to attend upon or result from
such inaction, and so long as the operation at such remote intervals
continues regular, it is almost superfluous to resort to medicinal inter-
ference.
In trivial cases in which evident derangement occurs, it will be
found sufficient to pay proper attention to diet, to avoid too dry or in-
digestible food, to masticate properly, to partake of meat only once a
day, and to take sufficient exercise in the open air. Should this course
not have the desired effect, we must choose one or more of the subjoined
remedies.
Opium is chiefly to be selected in recent cases, where constipation
is not habitual; but is also serviceable in cases of a more chronic cha-
racter, occurring in vigorous, plethoric, well-nourished subjects, and
arising from inactivity in the intestinal canal, or from sedentary habits.
In old people, it is generally useful when diarrhoea alternates with the
constipation. The more immediate indications for Opium are, want
of power to relieve the bowels, with a feeling of constriction in the
passage; or, costiveness, with difficult evacuation of hard, knotty, and
bullet-shaped stools; pulsation and sense of weight in the belly, and
dull, heavy pain in the same part; parched mouth, and want of appe-
tite; determination of blood to the head, with redness of the face, and
headache.
Opium has been found to be one of the best palliative remedies in
constipation arising from pressure on the terminal bowel, such as that
which is occasioned by the pregnant womb, tumors, swelling of the
ovary, fibrous swelling of the womb, in consequence of which the
faecal matter frequently accumulates in excessive quantities, and can
only be expelled after great effort, accompanied with severe pain. In
weak, nervous, emaciated females, in whom the monthly discharge i
CONSTIPATION.—COSTIVENESS. 243
always too copious, or in cases where the constipation has arisen from
affections of the stomach or liver, Opium is contra-indicated.
Dose: Two globules in a tea-spoonfal of water every twelve hours, until amelio-
ration or change; but if no distinct alteration should follow the sixth dose,
consider the next remedy.
Nux-vomica. This remedy is particularly useful when constipation
results from too heavy a meal, indigestible food, and stimulating
liquids; or when the confined state of the bowels has resulted from
prolonged diarrhoea, or frequent purgings. In the latter instances
Opium may often be advantageously alternated with Nua-v. In ob-
stinate cases arising from long-continued indulgence in vinous, fer-
mented, or spirituous drinks, or coffee, or from sedentary habits or
excessive study, Nua-v. is one of the most effectual medicaments. It is
peculiarly adapted to persons of irascible and lively temper, with
determination of blood to the head, and headache, unfitness for exer-
cise, disturbed sleep, and a feeling of general oppression, or heaviness;
frequent and ineffectual efforts to relieve the bowels, attended with
sensation of stricture, and sometimes frequent, painful and difficult
emission of urine. It is further, as remarked under the head of IN-
DIGESTION (which see, for other indications for this remedy) particularly
indicated for individuals subject to piles. - ©
Dose : Three globules, taken in a tea-spoonful of water every night, until amelio-
ration or change.
Pulsatilla has nearly the same indications as Nua:-vomica, with the
characteristic distinction of temperament before noted under the head
of INDIGESTION (which see). In recent cases, it is particularly indicated
when the obstruction has arisen from indigestion brought about by
rich or greasy food, and when it is accompanied with moroseness and
shivering.
Dose: Three globules, as directed for Nur-vomica.
Alumina is useful against constipation, from inactivity of the
bowels; motions hard, dry, broken, evacuated with considerable exer-
tion and forcing, and sometimes streaked with blood; constipation
from trºvelling.
Dose : Three globules in a tea-spoonful of water every evening, or every night
at bedtime, until amelioration or change.
Bryonia is especially useful in constipation occurring in warm
weather, and in persons of dark complexion and of irritable or obstinate
disposition, with a tendency to be easily chilled and subject to rheu-
matism; it is further indicated when constipation arises from disordered
stomach, and is attended with determination of blood to the head and
headache.
Dose: Two globules in a tea-spoonful of water, repeated in twenty-four hours,
even if partial relief ensue. In chronic cases, two globules may, in like
manner, be taken daily for ten days, or until positive amelioration or change.
Platina is a useful remedy when constipation has been brought
about by travelling, when Opium has failed; or especially when the
act of expulsion is attended with straining, and when a feeling of weak-
244 CONSTIPATION.—COSTIVENESS. ,
ness is experienced in the bowels after a stool, sometimes accompanied
by shuddering.
Dose: Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change,
Mercurius is useful against constipation, with bitter taste, copious
secretion of saliva, and tenderness of the gums; costiveness, with hard
bullet-shaped stools.
Dose: Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Plumbum-metallicum is of service (unless the symptoms are
attributable, as amongst painters, to the deleterious effects of lead) for
obstinate constipation, with ineffectual efforts; painful retraction and
constriction of the fundament; or evacuation of tenacious, hard, bullet-
shaped motions.
Dose: Two globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Natrum-muriaticum. This remedy will sometimes be found effi-
cacious when many others have failed to relieve, particularly in chronic
and extremely obstinate cases.
Dose: When the disorder is not of very old standing, three globules in a tea-spoon-
ful of water, every twelve hours, until amelioration or change. In very in-
veterate cases, six globules in a wine-glassful of water the first thing in the
morning, daily, until amelioration or change; or for ten days successively,
followed by a pause of four days, and a similar re-administration of the course,
if necessary.
Sulphur is one of the best remedies in the relief of habitual consti-
pation, particularly when haemorrhoids are present, or a disposition to
them exists; costiveness, with hard, bullet-shaped stools; or frequent
inclination to go to stool, but without the desired result.
Dose : For adults six globules, for young persons four globules, in a wine-glass-
ful of water every morning the first thing (fasting), until amelioration or
change ; or for ten days, then pausing four days;–after which, if requisite,
the same course may be resumed, and so on.
Veratrum. Constipation, chiefly from inactivity of the terminal
bowel, with heat and dryness of skin, determination of blood"to the
head, and lateral headache.
Dose : Of a solution of six globules to two table-spoonfuls of water, (with the
addition of ten drops of proof spirit,) give a tea-spoonful every twelve hours,
until amelioration or change. Otherwise, two globules in a tea-spoonful of
water, at similar intervals.
Lachesis. In obstinate constipation, this medicine may be given
with effect after Wuz-v. to those who habitually take wine rather freely,
or who experience flatulent distension after meals and ineffectual efforts
to eruCtate.
Dose : Three globules in a tea-spoonful of water every evening, until amelio-
ration or change.
Sepia may frequently be taken with advantage in chronic consti-
pation, after Nwa-v, and Sulphur; and is, moreover, particularly well
adapted for females in whom there is an irregularity or obstruction of
CONSTIPATION.— COSTIVENESS. 245
the menstrual discharge; it is also indicated by constipation in indivi-
duals subject to rheumatism, as well as by hard, conglomerate, bullet-
shaped motions, and stoppage of the bowels.
Dose : When the disorder is not of very old standing, give three globules in a
tea-spoonful of water, every twelve hours until amelioration or change. In
very inveterate cases, six globules in a wine-glassful of water, as directed for
Sulphur.
Silicea. When constipation is accompanied with colic, impaired
appetite, and thirst; the stools are hard, knotty, and passed with great
difficulty; and the patient suffers from straining at evacuation without
discharge. (Conium is occasionally useful in completing the cure after
Silicea.
Dose : Six globules as directed for Sulphur, p. 244.
Lycopodium. Chronic constipation with ebullition and determi-
nation of blood to the head; colic, flatulence, sense of weight in the
lower part of the bowels.
Dose : For adults four globules, or, for young persons, three globules in a tea-
spoonful of water, every twelve hours, until amelioration or change. -
Stoppage of the Bowels.
Graphites, Plumbum. These two medicines, in addition to those
previously mentioned, are often of great service in those cases of con-
stipation which result from mechanical obstructions, &c., of the bowels,
and when the evacuations (if discharged) are ejected in hard balls, or
hard, thin, worm-like pieces. Particular and distinctive indications for
each of these medicines may be gathered from the article on “CHA-
RACTERISTIC EFFECTs,” under the head of each.
Dose : Of the medicine selected, give four globules in a tea-spoonful of water,
three times during the first day, and afterwards every twelve hours, until
amelioration or change.
Constipation alternating with Looseness.
Rhus-tox., Antimon.-crud., Ruta, Phosphorus. One or more
of these four medicines may be advantageously administered singly, in
alternation, or in succession, in addition to such of those, already men-
tioned, as correspond with the features of the case, when the costive-
ness or constipation occurs in alternation with looseness. Particular
and distinctive indications for each respectively may be gathered from
the article on “CHARACTERISTIC EFFECTS.”
Dose: Of the remedy selected give four globules in a tea-spoonful of water,
every twelve hours, until amelioration or change, or for ten days, if requisite;
then pausing four days, and resuming the course, if yet required, by doses
given at intervals of twenty-four hours.
Constipation from muscular inertness of the Bowels.
Aurum. In addition to medicines already mentioned in the fore-
going part of this article, Aurum may be found of especial service
under such circumstances as correspond with its specific action (see
“CHARACTERISTIC EFFECTS”), when the constipation is associated with
deficiency of muscular action in the bowels.
246 ' CONSTIPATION.—COSTIVENESS.
Dose: Six globules in a table-spoonful of water every morning the first thing
(fasting) until positive amelioration or change, pausing, however, for four
days, after a course of ten days, should the administration be required so long.
AEsculus-hippocastanum (Horse-Chestnut). Dull headache.
Distress in the stomach. Desire for stool and pains in the abdomen.
Congestion of the liver which pains by walking; it acts when Nua-v.
and Sulphur fail to cure.
Dose : As directed for Baryta-c. (See below.)
Collinsonia-canadensis (Stone-Root). Headache. Constipation
with flatulence. Sluggish stool with distention of the abdomen. In-
tense heat and itching of the anus.
Dose : As directed for Baryta-c.
Hydrastis-canadensis (Golden Seal). In chronic and obstinate
constipation.
Dose : As directed for Baryta-c.
Phytolacca-decandra (Poke-Weed). Long-standing constipation.
Pains when moving, in the abdomen.
Dose : As directed for Baryta-c.
Podophyllum-peltatum (Mandrake). Pain in the forehead,
Acute and chronic constipation of long standing.
Dose : A small powder of the 1st trituration when rising and when going to
bed, made a permanent cure in ten days.
Constipation of Aged Persons.
Baryta-c. will often be found of great service in cases of this kind,
in addition to, before, or after, such of those medicines, named in the
foregoing part of this article, as correspond most closely with the case
in question.—The particular indications may be gathered from the
article upon the characteristic action of the medicines.
Dose : Four globules in a wine-glassful of water the first thing in the morning
(fasting) until amelioration or change, pausing, however, for four days, after
8, º of ten days, if the administration should require to be continued
So long.
Constipation in Travelling.
Platina, Opium, Alumina, Kali-carb., Arsenicum, Ammon.-
carb. In addition to the indications already specially mentioned
before. (See pages 242, 243.)
Dose: As directed in the preceding prescription.
Constipation occasioned by Purging.
China is particularly appropriate to the treatment of constipation,
which occurs as the result of previous and violent purging, continued
looseness, and the like.
Dose : Four globules in a tea-spoonful of water every twelve hours, until dis-
tinct amelioration or change.
Constipation occasioned by the Vapor of Lead, as of Painters, dºc.
Opium, Platina, Alumina. One or more of these medicines
PILES. 247
may be most appropriately selected for cases of this kind, in accordance
with the detailed indications already afforded respecting them (at pp.
242, 243.
Dose : In every respect as previously directed at pages 242, 243.
Constipation with Determination of Blood to the Head. '
Aconitum, Belladonna. One or both of these medicines may
be advantageously administered, singly, in alternation, or in succession,
and in addition to such as have been mentioned with detailed indica-
tions (such as Opium, Nua-v. déc.), when the constipation is asso-
ciated with predominant fullness of the vessels of the head. Distinctive
indications for such selection may be gathered from the article on
“CHARACTERISTIC EFFECTs.”
Dose : Of either medicine, as selected, give three globules in a tea-spoonful of
water, every six hours, until the predominant head symptoms are modified,
and then every twelve hours, until positive amelioration or change.
ACCESSORY MEASURES.
In all cases of an inveterate or chronic nature, recourse may occa-
sionally be had to an enema or lavement of tepid or of cold water, as a
temporary mode of relief, until the medicine has effected the desired
result. The drinking of a tumblerful, or more, of cold water, thrice a
day when fasting, dashing cold water against the belly, and then
applying brisk friction by means of a coarse towel,-combined with
early rising and daily exercise, (not violent or beyond the strength of
the patient, so as to cause suffering,) will be found useful auxiliaries in
promoting a regular action of the bowels.
Electro-magnetism is another and most useful auxiliary, either in
cases arising from culpable neglect, or indolence, or from inability or
impracticability to relieve nature whilst travelling. . In chronic cases
arising from inertness of the bowels, or a sort of intestinal paralytic
debility, the application of electro-magnetism is often superior to any
other auxiliary.
Diet. The diet ought to be regulated according to the state of
the primary digestive organs, and highly-seasoned food, or that which
contains much fibrous or ligneous matter, such as radishes, cabbages,
turnips, green fruits, &c., should be avoided.
PILES.
Symptoms. Enlargement of the veins, or effusion of blood in the
cellular tissue of the terminal bowel, either within or without the fun-
dament (internal or external piles); or protrusion and distension of
one or more of the 'inner foldings of the same intestine, with or with-
out bleeding (open or blind piles), preceded or accompanied by pains
in the back, the base of the spinal column, and belly; sensation of
itching, prickling, tickling, burning, or pressing at the terminal bowel,
sometimes extending to the adjacent parts, with, in general, constipa-
tion, and not unfrequently derangements of the urinary organs.
Predisposing Causes. The predisposing Causes of the diseases
248 PILES.
are: 1. A constitutional taint. 2. Local debilitation of the vessels by
continued excesses, by abuse of warm drinks, purgings, or injec-
tions, &c.
Exciting Causes. Among the exciting causes are habitual cos-
tiveness, severe exertion on horseback, use of drastic medicines, of
warm, stimulating diet, or of vinous, alcoholic, and fermented drinks,
tea or coffee, the excessive use of seasoned food and spices, the Sup-
pression of long-continued discharges, sedentary habits, sitting on a
cold seat or on damp ground, the pressure of the gravid womb, tight-
lacing, or any other cause of local pressure, morbid accumulation of
blood in the liver, mental emotions, &c.
The painful practice among surgeons of removing the haemorrhoidal
excrescences by means of the knife or ligature is much to be depre-
cated; for, independently of the danger not unfrequently attending the
operation, it may occasion serious consequences by a sudden transfer
of the congestion to some of the noble organs: in a great number of
cases, moreover, it wholly fails, and the disease returns, sometimes
even in an aggravated form.
TREATMENT.
Aconite, although not specific in its curative action, is useful in
allaying pain, when considerable inflammation and distressing pain
exist, and may in such cases precede the administration of each of the
following medicines, which are among the principal remedial agents in
this disease.
Dose : Of a solution of three globules to six tea-spoonfuls of water, give a tea-
spoonful every six hours, until the inflammatory symptoms subside. After
which pause thirty-six hours, and then proceed with such of the following
remedies as are especially indicated by the distinctive features of the disorder.
Nux-vomica is a most valuable remedy in this affection, and is
very efficacious against both descriptions of piles, but especially against
bleeding piles, particularly for individuals who lead a sedentary life, or
who indulge in the use of coffee or stimulating liquids, and also for
females during pregnancy—when the haemorrhoids are attended with
shooting, burning, or itching pains; colic; shooting and jerking pain,
or pain as if from a bruise in the loins, rendering it difficult to rise or
walk in an erect position; and when they are accompanied by consti-
pation and sometimes painful and difficult passing of water, and the
other symptoms described, as indicating this medicine, under the head
of “Indigestion.”
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change. But if positive improvement has not resulted within a
week, pause six days, resuming the administration of the same or of another
remedy (according to symptoms) after the lapse of that period, and so on,
until positive amelioration or change. Or, again, if partial relief ensue from
the administration of Nuz-vomica, but this remedy is evidently inadequate to
effect a perfect cure, consider the following medicines, and particularly Sul-
phur. If Nuz-vomica should require to be given in alternation with Sulphur,
the better method is first to give four doses of the one, then to pause six days,
proceeding with four doses of the other at the above-named intervals, and so
on until amelioration or change.
PILES. 249
Sulphur may follow the administration of Wua:-vomica; and in
alternation of these remedies, at intervals of a week or ten days, fre-
Quently effects a cure in cases of long standing.
Dose: If to follow Nur-vomica, to complete the cure, give six globules in a wine-
glassful of water, every morning the first thing (fasting) for ten days (unless
previous amelioration or change result), beginning on the seventh day after
the last dose of the previous medicine. If employed at the onset, the like dose
similarly. If in alternation with Nur-vomica, as directed for that medicine.
Arsenicum. Piles, accompanied by burning and shooting pains,
heat and agitation, sometimes with prostration of strength.
Dose: Of a solution of six globules:to two table-spoonfuls of water, give a tea-
spoonful every twelve hours, until four doses have been given, and then every
twelve hours, until positive amelioration or change.
Belladonna is indicated by moist piles, with an insufferable pain
in the region about the base of the spinal column, as if the back would
break or be rent asunder; difficulty in voiding water.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change; but if only partial
relief should ensue within six hours after the fourth dose, pause thirty-six
hours, and proceed with the next-remedy.
Hepar-Sulphuris may follow thirty-six hours after the last dose of
Pelladonna, should that medicine fail to, or only partially, relieve these
Symptoms.
Dose : Three globules in a tea-spoonful of water, morning and evening, until
distinct amelioration or change. $
Rhus-toxicodendron. When the violent pain, mentioned under
the head of Belladonna, still continues severe, this medicament will be
found efficacious, particularly if the pain be relieved by motion.
Dose : Three globules, as directed for Hepar-sulph.
Pulsatilla. Discharge of blood and mucus during stool, and at
other times, with painful smarting and sensation of excoriation in the
piles, pains in the back, pallid countenance, and disposition to fainting;
difficulty in passing water.
Dose : Of a solution of eight globules to six tea-spoonfuls of water (to which
add ten drops of spirits of wine) give a tea-spoonful morning and evening,
until the whole is consumed. If further treatment then be requisite, pause
four days, and recontinue the course in like manner, until amelioration or
change.
Platina is of service when there is frequent inclination to go to
stool, followed by a very scanty and difficult evacuation, succeeded by
general shuddering and a feeling of weakness in the bowels; frequent
creeping, itching, and piercing at the fundament, particularly in the
evening; violent dull pinching in the lower intestine, and discharge
of blood during stool, and at other times.
Dose: Three globules in a tea-spoonful of water every six hours, until ame-
lioration or change.
Lycopodium. A most important remedy in piles of a chronic
character, particularly when there is congestion to the head, with
giddiness and headache, flatulent distension of the belly, constipation,
250 PILES.
severe burning, itching and pricking pains in the fundament, with
painful protrusion of the piles, and sometimes of the intestine, after a
motion; acrid discharge from the piles; and itching eruption round
the anus.
Dose : Four globules in a tea-spoonful of water, night and morning, for six days
(unless earlier improvement or change ensue); after which, pause two days,
and, if necessary, then resume and recontinue the administration in like man-
ner, until positive amelioration or change. -
Ignatia is indicated by itching and creeping, and also sensation of
constriction and excoriation in the posterior passage, and prickings
extending deep into the lower intestine; discharge of blood or of
bloody mucus, rumbling noise in the belly, and protrusion of the lower
intestine accompanied with acute pain.
Dose : Three globules in a tea-spoonful of water, every twelve hours, until ame-
lioration or change.
Antimonium-crudum. Discharge of mucus and of blood at every
stool, followed by severe colic and pains in the piles, with throbbing,
itching, and burning at the fundament, and discharge of glutinous,
acrid moisture, particularly at night; frequent determination of blood
to the head, with bleeding at the nose; stiffness in the back, shooting
pains in the loins, burning and rheumatic pains in the limbs, flatulence
and constipation.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until four doses have been given, and then every
twelve hours, until positive amelioration or change.
Colocynth. In cases of piles, attended with excessive, almost in-
supportable colic, this is the most efficient remedy.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until positive amelioration or change; or, again,
in chronic cases of this nature, the like dose at similar intervals during the
prevalence of such attacks of pain.
• China is valuable either as an immediate remedy to support the
patient, when there has been much loss of blood, or afterwards against
constant debility.
Dose : Four globules in a tea-spoonful of water every six hours, for two days,
and then every twelve hours, until positive amelioration or change, con-
stantly pausing for two days after every course of six days.
Piles characterized by great Loss of Blood.
Aconitum, Ipecacuanha, Sulphur, Belladonna, Calcarea,
AEsculus. In cases of Piles in which the loss of blood is considerable,
a course comprising one or more, or sometimes all of these medicines
in succession, has been found most successful in subduing the symp-
toms.
If any one of them, however, be followed by striking abatement of
the symptoms, it would be preferable to repeat that (should the symp-
toms recur) rather than to proceed with another remedy; but this
repetition should only occur when the symptoms are once more resum-
ing the character which they exhibited before treatment was com-
PILES. 251
menced. As soon as the symptoms are permanently subdued, the
course should be interrupted and the treatment should be suspended.
The order of succession stated below, is intended to provide for cases
in which such salutary effects do not immediately occur. Aconitum
should first be administered.
Dose : Three globules in a tea-spoonful of water every half hour, until amelio-
ration or change; but if only partial relief be apparent within half an hour
after the third dose, or if no effect whateyer be produced by the first dose,
proceed at once with the next medicine. "
Ipecacuanha should be administered half an hour after the first or
third dose of Aconitum, if no effect, or only partial relief, has resulted
from the administration of the latter.
Dose : Three globules as directed for Aconitum; but if only partial relief result
within half an hour after the third dose, or if no effect whatever be produced
by the first dose, proceed at once with the next medicine.
Sulphur should be given within half an hour after the first or third
dose of Ipecacuanha, if no effect or partial relief only has followed the
administration of the latter.
Dose : Three globules in a tea-spoonful of water, followed (if the symptoms
still continue severe) in three hours by the readministration of Aconitum as
above.
Belladonna should be given half an hour after the first or third
dose (of the second course) of Aconitum, if no effect or only partial
relief should yet result from the latter.
Dose: Three globules in a tea-spoonful of water every half hour, until positive
amelioration or change; but if no effect or only partial relief be the result,
proceed, half an hour after the first or third dose, with the next medicine.
Calcarea should be administered half an hour after the first or
third dose of Belladonna, should only partial relief have yet been
obtained.
Dose : Of a solution of six globules to two tea-spoonfuls of water, give a tea-
spoonful every two hours, until the whole is consumed, or earlier improve-
ment or change ensues; and subsequently three globules in a tea-spoonful of
water every twelve hours for four days. The patient at the same time should
remain in the recumbent position, and strictly follow the rules of diet and
regimen indicated below. If of no effect, take AEsculus in the same way.
JPiles with Discharge of Mucus.
Mercurius, Helleborus-n., Colchicum, Spigelia, Trillium.
One or more of these medicines are amongst the most available in
cases in which the piles are associated with a discharge of mucus from
the passage. The distinctive indications for each may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of the remedy selected, give three globules in a tea-spoonful of water
every six hours, until four doses have been given; and then every twelve
hours, until amelioration or change.
Diet and Regimen. During the treatment of this affection it is
of the utmost importance to attend strictly to the homoeopathic rules
for diet. Strong or heating drinks, such as wine, coffee, and stimulat-
£ng or highly-seasoned food of all kinds are parlicularly to be avoided
252 PROTRUSION OF THE INTESTINE.
Sedentary habits and the use of soft cushions or chairs materially tend
to aggravate the affection.
PROTRUSION OF THE INTESTINE.
By this term is understood the protrusion of a portion of the lining
membrane of the lower intestine; it is of much more frequent occur-
rence in children than in adults, and takes place during straining
when at stool, or when passing water. The reduction of the protruded
portion of intestine is easily effected by gentle pressure with the
thumb, or thumb and forefinger, which have previously been dipped
in oil.
TREATMENT.
Ignatia is particularly efficacious in mild or sensitive temperaments,
when this affection is attended with constipation.
Dose : Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change; for children under twelve years of age, two globules
similarly.
Nux-vomica is indicated for persons of irritable or lively disposi-
tion, and addicted to high and stimulating diet, with a tendency to
piles and constipation.
Dose: Three (or two) globules, as directed for Ignatia; or, more advantageously,
of a solution of six globules to three table-spoonfuls of water (to which ten
drops of proof spirit are added), give a tea-spoonful night and morning, until
the whole is consumed;—then pause seven days, resuming treatment with the
same or another remedy, according to symptoms, and so on, until permanent
amelioration or change.
Mercurius is particularly suited for children, in whom the disease
is attended with hardness and swelling of the body, and where the
straining is excessive.
Dose : Two globules in a tea-spoonful of water for four successive days; after
which pause six days, resuming the same or administering another remedy
according to symptoms (if necessary), and so on, until permanent amelioration
or change.
Sulphur is one of the best remedies for the permanent removal of
the disease.
Dose ; Six globules (for children under twelve years of age three globules) in a
table-spoonful of water every morning the first thing (fasting), for ten days
(unless earlier improvement or change should ensue); then pause four days,
and, if necessary, repeat the course, and so on, until permanent amelioration
or change;—or if no positive amelioration become apparent after the second
course, consider the next remedies.
Calcarea, Lycopodium, Sepia. These are also amongst the
remedies which are important in the treatment of obstinate and in-
veterate cases, especially after a previous course of Sulphur, and one
or more of which should be administered, when, by careful reference
to the article on “CHARACTERISTIC EFFECTs,” “they are found to cor-
respond with the symptoms of the case.
Dose : Of the remedy thus selected, give six globules (or to children under
twelve years old three globules) in a wine-glassful of water every morning
COLIC, 253
the first thing (fasting), until amelioration or change, returning from time
to time to Sulphur (as above directed), when one of these medicines, which
has produced decided effect, ceases upon repetition to exercise its influence.
Plumbum, Arsenicum, Colchicum, Natrum-m. In some cases
one or more of these remedies may also be employed with considerable
advantage when their specific properties respectively correspond with
the distinctive features of the case. Careful reference should therefore
be made to the article on “CHARACTERISTIC EFFECTs,” in respect of
these medicines also.
Dose : Of the remedy thus selected, six or four globules, as directed in the last
prescription.
Diet and Regimen. The diet and habits should be regulated in
accordance with the injunctions which have been explicitly set forth
respecting derangements of the digestive functions in general. (See
the article on “Indigestion.”)
COLIC.
A disease which appears under a great variety of aspects, and which
is associated with various derangements, either casual, or permanent
and organic. It should therefore especially be considered with due
regard to the general review of disorders affecting the stomach and
intestines, as afforded in the article on “Indigestion.”
Colic may be spasmodic, particularly as associated with hysterical
complaints; or may be associated with local determination (congestion)
of blood as occurring in conjunction with menstruation or piles; or
again it may be developed as a transition of disease from other organs:
as, for instance, when some previous disease has been suddenly sup-
pressed; or again it may be associated with worms, or may appear as
a manifestation of flatulency; or again, purely from foulness or surfeit
of the stomach, or result from indigestible food; in other instances
again, colic is associated with gravel, or other organic derangements
of the kidneys, &c.; or it may become developed in consequence of
the suppression of chronić eruption on the skin; or again from exces-
sive or acrid discharge of bile from the liver into the stomach and
intestines.
Symptoms. Griping, tearing, gnawing, or shooting pain in the
bowels, chiefly confined to the region of the navel, generally attended
with a painful distension of the belly, with spasmodic contraction, and
sometimes accompanied with vomiting and costiveness, or looseness of
the bowels. One of the characteristic distinctions between this dis-
order and inflammation of the bowels consists in the degree of allevia-
tion to which the pain is subject upon pressure. The long continuance
and intense severity of colic may however result in inflammation, for
which reason it is ever advisable to arrest its progress in any severe
C2SéS.
Causes. The general exciting causes of this complaint are acid
fruits and indigestible substances, cold from wet feet, drinking cold
beverages when heated, constipation, worms, &c. It is frequently also
254 . COLIC.
a concomitant symptom of some other derangement, but occurs equally
often as a primary disease.
We shall here content ourselves with giving the symptoms under
the medicines, without entering upon the different varieties of this
affection.
Nux-vomica is a valuable remedy in colic, either associated with
flatulency or piles, or in colic arising from a chill, and is particularly
indicated when there is a sensation of fullness and tightness at the
upper part of the waist; deep-seated or cutting pains in the belly, with
acute and hard, pressive, and forcing-down sensation, compelling the
sufferer to bend double; confused headache, with occasional loss of
consciousness; respiration short and difficult; flatulence, aggravation
of the pains on the slightest motion, generally disappearing when at
rest; violent pains in the loins, and sensation of internal heat and
obstruction; constipation, coldness and numbness in the hands and
feet during the paroxysm; at the monthly period in females, when we
find weight, or violent, deep-seated, aching pain in the belly, and ach-
ing in the Sacral region; dragging pains extending to the thigh :
aching and creeping sensation in the same part when sitting; painful
pressure towards the terminal bowel.
Dose : Of a solution of six globules to six tea-spoonfuls of water, give a tea-
spoonful every half hour (in very acute cases), or every hour when the pain
is not continuous or insupportable, until distinct amelioration or change.
Subsequently against the predisposition to Colic, characterized by such
symptoms, give three globules in a tea-spoonful of water every fourth night
at bedtime, for three weeks, unless some other symptoms sooner occur. If,
however, in cases of Colic associated with Piles or Flatulency, this medicine
is capable of affording only temporary relief, and the sufferings return with
equal intensity from time to time, notwithstanding its administration in re-
peated courses,<-consider Sulphur at pp. 87, 259.
Pulsatilla is more useful in the affection occurring in females,
either during the menstrual discharge or at other times, when coming
on periodically in the evening during cold, damp weather; also when
there are present a disagreeable tightness and distension of the belly
and the upper part of the waist, pulsation in the pit of the stomach,
aggravation of the suffering when at rest or in the evening, attended
with shivering, which increases with the pains, and is mitigated by
motion; severe bruising pains in the loins, especially when rising up; when
it has arisen from overloading the stomach, or from rich greasy food,
with inclination to vomit, flatulence, looseness of the bowels, paleness
of the face, livid circle round the eyes, and headache; also in haemor-
rhoidal colic, with fullness of the veins of the hands and forehead, rest-
lessness, anxiety, and sleeplessness.
Dose : A solution of six globules, or otherwise, in all respects as directed for
Nur-vomica.
Aconitum should be given before either Chamomilla or Colocynth,
or both, when a degree of febrile excitement is present, or more parti-
cularly when the pain extends to the bladder; or when there are
excessively severe cramp-like pains in the region of the bladder; pains
like those occasioned by contusion about the loins; extreme anguish;
COLIC, 255
tossing and restless agitation; continual and painful urging to pass
water, but without effect; and excessive tenderness of the belly.
Dose: Three globules in a tea-spoonful of water, followed after an interval
of three hours by such of the next remedies as appears indicated,—usually
by Chamomilla.
Chamomilla is very frequently more effectual if administered three
hours after the previous administration of one dose of Aconitum as
just stated, but may often also be given at the onset. It is chiefly use-
ful for bilious colic (with looseness of the bowels and bilious vomiting);
or for colic in females during the menstrual discharge. The following
are the principal indications: sensation as if the intestines were
gathered into a ball, and as if the belly were empty, with tearing and
drawing pains, attended with excessive anxiety and restlessness; dis-
tension under the lower ribs and in the pit of the stomach; incarcerated
flatulency, sometimes nausea, bitter vomiting, followed by desire to
relieve the bowels, and bilious diarrhoea; livid circles round the eyes,
alternate paleness and redness of the face; the pains come on parti-
cularly at night, at other times early in the morning, or after a meal.
This remedy, as before stated, is particularly adapted for children of
irritable temperaments, and is extremely serviceable in all cases in
which a fit of passion has been the exciting cause of the sufferings. It
is also useful when colic has arisen from cold in the feet, or checked
perspiration.
Dose : Of a solution of eight globules to four table-spoonfuls of water, give a
tea-spoonful every hour, until distinct amelioration or change; but if the sub-
joined indications especially occur, or if partial relief only has been secured
within an hour after the fourth dose of Chamomilla, proceed with the next
medicine. If, however, in cases of Colic associated with bilious symptoms or
with ſlatulency, this medicine, or this course of medicines, is only capable of
securing a temporary relief and the sufferings return from time to time with
equal violence,—notwithstanding repeated treatment, consider Sulphur at
pp. 87, 259.
Colocynth. In the majority of violent and obstinate cases, we find
this a valuable remedy; it is indicated when the pains are excessively
violent, and of a constrictive or spasmodic character, or resemble
stabbing and cutting, as if from knives; sometimes there is a sensation
of clawing and pinching, and tenderness of the belly, with a pain as
from a blow, or distension; at other times a sense of emptiness is ex-
perienced, with cramps and shivering, or tearing pains in the legs;
during the continuance of the attack, we find excessive restlessness,
agitation, and tossing about, from the violence of the pain; when the
pains come on, they continue without any apparent intermission; after
their disappearance, a sensation of bruising remains, and the sufferer
feels as if the intestines were held together by thin threads, likely to
break from the slightest motion. This remedy, like Chamomilla, is
particularly efficacious in the so-called bilious colic, being indicated by
the loose discharge from the bowels, and bilious vomiting attending
it; and also in cases where passion has been the exciting cause. Colo-
cynth is more particularly useful in the case of adults, or where the fit
of anger is attended with indignation.
256 COLIC.
Dose : Of a solution of eight globules to four table-spoonfuls of water, give a
tea-spoonful every two hours until the pain is modified, and then every four
hours until positive and permanent amelioration or change. If however, in
cases of bilious colic, this medicine affords only temporary relief (as stated
in the directions for the dose of Chamomilla), consider Sulphur, pp. 87, 259.
Belladonna is useful against flatulent colic, when there is protrusion
of the transverse section of the great intestine, which becomes distended
like a pad above the navel, attended with colic-like pain, doubling up
of the body, which is relieved by pressure on the part; also severe
bearing-down pains, aggravated by motion; at other times, there is a
sensation as if the above swelling had been removed downwards, deep
into the belly, with feeling of bearing-down of the whole intestines;
also in menstrual colic, with spasmodic constriction in the belly, and a
burning pain lower down, or in the small of the back; pain in the
lower part of the bowels, as if a number of nails were holding the in-
testines. The symptoms are also attended with a liquid or matter-like
discharge from the bowels, and swelling of the veins of the head; and
the pains are sometimes so violent as almost to deprive the patient of
Te2SOI),
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every half hour (in very acute cases), or every hour (when the
sufferings are not continuous or intolerable), until distinct amelioration or
change. But if partial relief only is obtained within an hour after the fourth
dose, consider the next remedy. wº
Hyoscyamus may be employed with advantage half an hour after
the fourth dose of Belladonna, when the latter has been followed only
by partial relief; or it may be employed at the onset when the follow-
ing indications predominate: hardness and extreme sensitiveness of
the belly evinced by touch or by pressure; incisive spasmodic pains,
intense headache, vomiting, and cries.
Dose: A solution of six globules as directed for Belladonna, until positive ame-
lioration or change. *
Cocculus is indicated (especially in menstrual or flatulent colic)
when there are severe constrictive or spasmodic pains and distension
of the entire stomach, with nausea and fullness of the lower part of the
belly, great flatulence, and difficulty of breathing; also when there is a
sensation of emptiness, and tearing and burning pains in the intestines,
sometimes with squeezing, tearing and pulling pains, excessive anguish
and nervous excitement; constipation.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every hour, until distinct amelioration or change. If however, in
cases of flatulent colic, this medicine fails to afford more than temporary re-
lief, the sufferings returning from time to time with equal severity, notwith-
standing its administration in repeated courses, consider Sulphur, at pp.
87, 259.
Arsenicum is often appropriate in cases of colic (bilious), arising
from disordered stomach, with nausea, vomiting, great relaxation of
the bowels, with green or yellow evacuations, violent gripings, head-
ache, paleness of the face, and blue marks round the eyes. Again, in
cases of bilious colic, which is prone to be preceded, followed or alter-
nated with megrim, Arsenicum is of great service.
COLIC. 257
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every half hour (in very acute cases). or every hour (when the
symptoms are comparatively less unintermitted and continuous), until distinct
amelioration or change.
Coffea is valuable when we have to prescribe for colic with exces-
sive pains, attended with great agitation, anxiety, and tossing about,
grinding of the teeth, convulsions, suffocative attacks, oppressive des-
pair, acidity, and coldness of the body and extremities. It is also
useful in some kinds of menstrual colic, denoted by a sensation as if
the belly were being rent asunder; or by fullness and pressure in the
stomach, and violent spasms, which extend to the chest. It is also
indicated by cutting pains in the intestines as if divided by a knife,
and also by the pains present being so violent as almost to drive the
patient to distraction, causing him to bend double, and draw up his
limbs.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every hour until amelioration’or change.
Additional Particulars.
The following Remedies are also not unfrequently required, in con-
formity with the indications which occur for their respective em-
ployment.
China is of great service in cases in which the patient has been
much debilitated by loss of animal fluids, (such as blood, &c., or by
sweating, or profuse and continued looseness,) particularly if the
sufferings are more marked or severe at night, and if such symptoms
as the following occur:—the belly distended to hardness, and blown
up like a bladder by wind; accumulation of wind in the bowels which
does not find vent, and sensations of pressure about the lower ribs;
sensation of fullness and of weight, as if a hard body were pressing
upon the stomach or bowels; or gnawing, twitching, or spasmodic
pains.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours until amelioration or change; and again, after relief
has been obtained, the like dose morning and evening for four days.
Gelseminum. Tongue covered with long white fur; hiccough;
colic pains, particularly in the region of the abdomen.
Phosphorus is often of considerable service in cases of flatulent
colic, when the pain appears to be seated deep in the bowels, and par-
ticularly when the suffering is aggravated by a recumbent position.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every hour until positive amelioration or change.
Ignatia is a most valuable remèdy for colic, particularly as affecting
female patients of delicate constitution, and is indicated by the follow-
ing symptoms amongst others; fullness, tightness and pressive sensation
across the region which extends along the lower ribs; accumulation of
wind in the bowels which is expelled with much difficulty, relief, how-
ever, being obtained upon the expulsion of wind; stitching pains in the
17
258 COLIC,
region of the spleen, &c., more especially however, if the colic occurs,
or is worse at night.
Dose: Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every hour, (or in very mild cases, every three hours,) until dis-
tinct amelioration or change. *
Iris-versicolor (Blue Flag). Involuntary escape of fluid of an
offensive putrid and coppery odor. In cholera morbus it arrests the
violent pain.
Lycopodium is particularly useful against such symptoms as the
following:—constipation or deficient, hard, bullety evacuations; eacces-
sive flatulency and accumulation of gas in the stomach, &c., particularly
after every meal, and accompanied with a sensation of weight and
tightness in the region of the stomach; fullness and tightness of the
pit of the stomach and belly. *
Dose : Three globules in a tea-spoonful of water every two hours, until the
pain is somewhat modified, and then every six hours until positive ameliora-
tion or change; but if only partial relief should ensue within two hours after
the fourth dose, consider the following medicines.
Silicea is also not unfrequently of service against colic, associated
with constipation, but should be selected or not, according as its cha-
racteristic effects (as stated in the article on that subject) correspond
or not with the distinctive features of the case.
Dose : Three globules as directed for Lycopodium.
Conium-m. may also prove of service in cases in which colic is
associated with, or is occasioned by constipation; the appropriateness
of the selection must depend upon a close analogy between the symp-
toms of the case, and those which characterize the operation of this
medicine (as set forth in the article on that subject).
Dose : Three globules in a tea-spoonful of water every two hours until the pain
abates, and afterwards every six hours, until positive amelioration or change.
TMercurius is a medicine of great value in cases of colic, charac-
terized by the following assemblage of symptoms:–nausea with pro-
fuse flow of saliva; voracious appetite with repugnance to sweet
things; frequent and troublesome hiccough; constant and painful
urging to evacuate; severe pinching, drawing, nipping pains, with
tightness and hardness of the belly particularly about the navel: or
tensive, stinging, cutting, or burning pains; aggravation of these
sufferings at night, and more particularly in the latter part of the
night; extreme tenderness of the belly upon contact or pressure (the
clothes or bed-clothes appear to cause pain); sometimes looseness of
the bowels with slimy evacuations; considerable prostration of strength
and chill (or even shuddering), accompanied with flushing of the
cheeks. Mercurius is also a most important medicine in cases of colic,
associated with worMS.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every half hour until three doses have been given, and then every
hour until distinct amelioration or change.
Secale-cornutum is indicated for male patients affected with
COLIC, 259
colic attended with pain in the small of the back, eructations and
vomiting, or dragging, tearing pain in the thighs:–or amongst female
patients for colic occurring at the menstrual periods, when tearing
pains in the bowels, paleness of the face, small, weak pulse, coldness
of the extremities, and cold sweats are predominant symptoms; or
when constipation with cramp-like pains in the bowels, and burning
pains on the right side of the belly prevail.
Dose: Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every hour until the suffering abates, and then every three hours
until distinct amelioration or change.
Carbo-veg. occurs, in many cases of somewhat serious aspect, as a
medicine of great importance, and is particularly indicated by the
following symptoms:—violent pains in the bowels, provoked even by
the lightest and most wholesome meal: sensation of heat in the head
and in the bowels; determination of blood to the head, attended with
heavy, aching pains; fullness and tightness of the belly so severe, as to
convey the sensation that it would burst, and accompanied with flatu-
lent risings, or accumulation of wind with difficulty and oppression of
breathing, nipping pains and rumbling, and sluggish action of the
bowels. Carbo-veg. may often be administered with striking success
in cases of colic associated with piles or with flatulency.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every half hour (in very acute cases), or every hour
(when the suffering is not so intolerably intense) until distinct amelioration
or change. If, however, this medicine continues to afford only temporary
relief and the sufferings return from time to time, with equal intensity, not-
withstanding its administration in repeated courses, consider Sulphur (below.)
Predisposition to Colic.
Sulphur is amongst the most valuable remedies in the generality
of cases in which a constitutional predisposition to affections of this
nature is evinced by the failure of other medicines to afford permanent
relief. Wherefore, in particular, if Nua:-vomica, or Carbo-veg., or if
both have been employed as above directed, in cases of colic associated
with piles, but have failed in obviating the repeated recurrence of the
attacks, the persevering administration of Sulphur becomes necessary.
The same may also be said of bilious colic, in which Chamomilla or
Colocynth, or both have been employed with similar results. The
same remark is equally applicable to cases of flatulent colic, in which
Nua:-vomica, Carbo-veg., Chamomilla or Cocculus, or two or more
of these medicines, have been previously employed in like manner.
Dose : During the continuance of an acute attack, of a solution of six globules
to two table-spoonfuls of water, give a tea-spoonful every hour until relief is
obtained. Subsequently, however, give six globules in a wine-glassful of
water every morning the first thing (fasting), for ten days. (unless collateral
symptoms should appear in the meanwhile)—after which, pause four days,
and resume the course as before (if necessary), and so on until the symptoms
are permanently subdued or undergo a distinct change.
TWorm Colic.
As this is in point of fact, a mere symptom dependent upon the pre-
sence of Worms in the intestinal canal, or upon the cases which pro-
260 IDIARRHOEA-LOOSENESS OF THE BOWELS.
mote the generation of these parasites, the subject will be more
accurately considered in the article devoted especially to that subject,
—to which therefore the reader is referred.
Accessory Measures in Casual Attacks.
In cases of colic, arising suddenly from indigestible food, a cup of
black coffee, without milk or sugar, will frequently afford relief, by
causing the stomach to free itself from the cause of annoyance:—that
is, in patients who have not used that article as an ordinary beverage.
Diet and Regimen. In this, as in all other complaints arising out
of derangements affecting the functions or organs of digestion, the
diet and general habits, or the particular precautions in individual
cases, should be regulated in conformity with the directions afforded
under the head of “Indigestion.” If particular food or drink, such as
raw fruit, milk, or cold things, be apt to provoke an attack of colic,
the particular food or drink in question, in every particular case, should
be carefully avoided.
IDIARRHOEA—LOOSEHNESS OF THE BOWELS.
Symptoms. Fluid discharge from the intestines in increased
Quantity.
This affection is simply an increase of the muscular contractions and
secretions of the intestinal canal, and is so well known under its
different forms, that I shall simply allude to the principal exciting
causes, and then proceed to the treatment.
Causes. The exciting causes are acid indigestible food, check of
perspiration, sudden changes of temperature, the prolonged use of
powerful purgatives, which; although still more frequently the cause
of constipation, nevertheless, by producing irritation of the intestinal
canal, also predispose the patient to attacks of this derangement,
worms, &c.
Sometimes diarrhoea is a salutary crisis, as remarked under the head
of FEVERs: here again the homoeopathic treatment assists nature, and,
while it abridges the duration of the affection,-and thereby obviates
future debility,+-does not rashly check its course.
TREATMENT.
Dulcamara should be administered in diarrhoea occurring in sum-
mer from cold. Particular indications for its exhibition are the re-
laxation of the bowels being attended with colic, or cutting pain,
chiefly in the region of the navel; the evacuations being liquid, slimy,
and yellow or greenish, generally coming on at night, and sometimes
attended with nausea or even vomiting; want of appetite, and great
thirst ; paleness of the countenance, and lassitude. This medicine may,
moreover, be judiciously administered in many cases in which the
relaxation of the bowels affords no ostensible specific or characteristic
indications for any particular remedy.
Dose : In casual cases (for adults), of a solution of six globules to two table-
spoonfuls of water, give a tea-spoonful after every motion, until distinct
DIARRHOEA-LOOSENESS OF THE BOWELS, 261
amelioration or change. In casual cases (for children), of a solution of three
globules to two tea-spoonfuls of water give a tea-spoonful similarly. In
chronic cases (generally) give three globules in a tea-spoonful of water, (or
for children, two globules in a tea-spoonful of water,) night and morning,
until amelioration or change; or, if the immediate symptoms be acute, as
above directed. In very mild cases of this kind the doses need not to be re-
peated oftener than once every other day similarly. But if only partial relief
should ensue in acute (casual) cases within six hours after the second dose,
or in chronic cases within twelve hours after the sixth dose, proceed with the
next, or consider other medicines.
Bryonia should be given in cases of diarrhoea arising from the
before-mentioned causes, and attended with many of the symptoms
noted under Dulcamara, when that medicine has failed to afford the
required relief (in casual cases within six hours after the second dose),
particularly if the looseness is liable to be aggravated after a meal, or
after drinking, and the stools are passed almost involuntarily, and
portions of undigested food are perceptible in the motions; also when
looseness is experienced after partaking of milk. In looseness of the
bowels occurring during hot weather, when we cannot trace the cause
in any errors of diet, requiring other remedies, this medicine is further
indicated, and especially so in the following instances: diarrhoea, from
checked perspiration or being overheated—cold drinks—a chill from
remaining in any cold, exposed situation, or in draughts—or from ex-
posure to an easterly wind. When this affection has been produced
by passion, particularly in individuals of what is called a bilious tem-
perament, Bryonia is, again, a most useful remedy. It may also be
remarked that the relaxation of the bowels, arising from drinking im-
pure water, or water strongly impregnated with vegetable substances,
when heated, has frequently found relief in this medicine. This is a
case which occasionally occurs, particularly amongst sportsmen on
moors and in marshy ground.
Dose: In casual or chronic cases, and in all other respects, as more particularly
directed for Dulcamara ; or, in either case, if only partial relief, or such as to
prove this medicine inadequate to effect a perfect cure (such as positive tem-
porary effect, followed by unmodified recurrence of the symptoms) ensues
within the interval, after the sixth dose, proceed with the next remedy.
Antimonium-crudum should be employed in acute (casual) cases,
six hours—or in chronic cases twelve hours after the last dose of
Bryonia, if the latter medicine be evidently inadequate to effect a
perfect cure, partial or temporary relief occurring, followed, however,
by unmodified recurrence of the symptoms. Antimonium-c. is also
of much value in cases arising purely from foulness or disordered state
of the stomach, when the tongue is covered with a white coating, the
appetite fails, and the patient suffers from nausea and eructations; or
again, when the diarrhoea is alternated with constipation.
Dose : Three globules in a tea-spoonful of water every six hours, until positive
amelioration or change.
China. Looseness in consequence of indigestion, particularly if
occasioned by partaking of fruit or flatulent food, such as vegetables;
evacuations very profuse and sometimes attended with but little pain;
and when the discharge comes on immediately after partaking of
262 DLARREIGEA-LOOSENESS OF THE BOWELS,
food, or especially during the night; evacuations liquid and brownish,
and sometimes containing portions of undigested food; it is in some
instances further indicated when considerable spasmodic or colic-like
pain is present, with flatulence, want of appetite, thirst, and great
weakness; and is also valuable after improper treatment of this affec-
tion, when considerable debility remains.
Dose: If singly, in casual cases (for adults), of a solution of eight globules to
two table-spoonfuls of water, give a tea-spoonful after every motion, until
amelioration or change. In the like cases for children, a solution of three
globules to two table-spoonfuls of water, similarly administered by tea-spoon-
fuls. If in alternation with Ferrum, a similar solution (separately) of each
medicine (as distinctly stated for adults and for children), of each of which
the like dose should be given, the one twelve hours after the other, in rota-
tion, until amelioration or change. In chronic cases, if singly, three globules
in a tea-spoonful of water (for adults), or two globules in a tea-spoonful of
water (for children) morning and evening, every other day, until amelioration
or change. In the like cases, if in alternation with Ferrum, two doses of the
one (as just stated) then a pause of one day, followed by two doses of the
other similarly, until distinct amelioration or change.
Ferrum-m. may be advantageously given in alternation with China
when the evacuations are partly composed of undigested food, and pass
without pain. This remedy may, however, be administered alone,
when the discharge from the bowels is unattended with pain, or there
are pains in the back and posterior passage, paleness of the face, watery
evacuations—or looseness particularly observable at night or after
eating or drinking–loss of flesh, alternate absence of appetite and
voracious hunger, distension of the belly without flatulency, spasm of
the stomach, continued thirst, and weakness of the eyes, with great
weakness of digestion.
Dose: In all respects whether for casual or chronic cases, and whether singly
or in alternation with China, as directed for the latter medicines.
Chamomilla is a remedy, as already stated elsewhere, particularly
useful in children, either at the time of teething, or at a more advanced
period, when the affection has been excited by checked perspiration;
it is further particularly indicated when the evacuations are watery,
bilious, green, yellow, or slimy, or of a fetor resembling rotten eggs;
when there are fullness at the pit of the stomach, severe colic or
spasm, pain, distension, and hardness of the belly, bitter taste in the
mouth, foul tongue, thirst, want of appetite, bilious vomiting and fla-
tulency (in infants), attended with restlessness and screaming, and
drawing up of the limbs towards the stomach.
Dose : Of a solution of eight globules to four table-spoonfuls of water, give a
tea-spoonful after every motion, until positive amelioration or change; or, in
patients of a weakly habit of body, if this medicine appears inadequate to
effect a cure (although the symptoms be analogous) and if after repeated ad-
ministration and temporary effect the symptoms recur in all their former vio-
lence, consider Sulphur at pages 57, 259, &c. &c.
Ipecacuanha is indicated by looseness arising from indigestion
particularly if caused by imperfect mastication, and attended with
nausea and vomiting, paleness of the face, weakness, and desire to re-
tain the recumbent posture (in the case of children).
DIARRHGEA. 263
Dose : Four globules, in a tea-spoonful of water, after every motion; but if,
after three doses have been given, this medicine appears to afford only partial
relief, consider the two following remedies, and proceed with the one or the
other, according to the distinctive symptoms present.
Pulsatilla should be administered six hours after the third dose of
Ipecacuanha, if the latter affords only partial relief. It is also one of
the best remedies in simple looseness of the bowels arising from errors
of diet, such as indulgence in acids, fruits, or rich indigestible food,
attended with foul tongue and other symptoms of deranged digestion,
as stated in the article on INDIGESTION. Another remarkable indication
for this remedy is one evacuation differing from another in color.
Dose : Four globules in a tea-spoonful of water, after every motion, until amelio
ration or change. But if the subjoined indications (not having been pre-
viously present) should supervene, proceed with the next medicine.
Rheum is to be preferred to Pulsatilla, and should be employed
after Ipecacuanha, or even before that medicine when the sour smell
of the evacuations is a predominant symptom. In general, however,
it may be advantageously employed, especially amongst children, when
the symptoms, in a great measure, resemble those of Chamomilla, but
the pain is not so violent, and the evacuations have a sour smell; pale-
ness of the face is also an indication for this medicine.
Dose : Four globules in a tea-spoonful of water; or, for children, two globules
in a tea-spoonful of water, after every motion, until amelioration or change. .
Mercurius. When the diarrhoea arises from a chill, and the
motions are copious, watery, slimy, frothy, bilious, or greenish, or
streaked with blood, and cause a smarting or burning sensation on
being evacuated; also when there is painful straining before, during,
and after evacuation, frequently followed by protrusion of the lower
intestine; severe cutting pains; moreover, nausea and eructation, cold
perspiration, trembling or shivering, great lassitude, and disposition
to fainting; evacuations containing undigested substances.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea
spoonful after every motion, until distinct amelioration or change.
Nux-vomica. Scanty evacuations or motions, consisting of slime
and blood, attended with straining and great weakness; flatulency,
and violent cutting pains in the region of the navel; diarrhoea alternat-
ing with constipation. For some of the accompanying symptoms the
reader is referred to the indications mentioned respecting this remedy,
in the article on INDIGESTION.
Dose : Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change.
Colocynth. Diarrhoea, with severe colic, and pains in the limbs.
Dose : Three globules in a tea-spoonful of water, every hour, until the colicky
pains abate, and then every three hours, until positive amelioration or change.
Arsenicum. Autumnal diarrhoea, or looseness arising from errors
in diet, acids, fruits, cold drinks, ices, or from a chill, &c.: the charac-
teristic symptoms for its employment are: watery, slimy, greenish,
or brownish, corrosive, burning evacuations, with violent colic, eacces-
sive thirst, emaciation, and great weakness; and when the affection is
264 DIARRHGEA.
*
more liable to come on at night, or after eating or drinking. This is
also a most important medicine for the treatment of the Bowel Com-
plaints of Children, as hereafter separately considered.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every half-hour (in very acute cases) or every hour (when the symp-
toms are modified by intervals of respite) until positive amelioration or
change. If in alternation with Veratrum, of a similar solution (separately) of
each medicine, give, first, two doses (as just stated) of the one, then pause an
hour, and continue with two doses of the other, similarly. If, singly, how-
ever, and only partial relief ensue within half-an-hour, or an hour (respec-
tively) after the third dose, proceed with the next medicine.
Veratrum should be employed half an hour or an hour (according
to the length of the intervals) after the third dose of Arsenicum, when
similar symptoms occur which have not yielded to the previous use of
the latter. Veratrum is, moreover, especially appropriate in cases in
which the complaint is attributable to atmospheric causes. Veratrum
and Arsenicum are important when excessive exhaustion accompanies
the complaint. -3
Dose: In all respects as directed for Arsenicum.
Rhus-toxicodendron. Lumpy or pap-like diarrhoea, coming on
only at night, and preceded by colic, which disappears after each
evacuation; looseness of the bowels occurring after a thorough wet-
ting, or alternately with constipation.
Dose : Three globules in a tea-spoonful of water, after every motion, until
distinct amelioration or change.
Opium is efficacious in diarrhoea arising from fright, or from a chill
while heated; in the latter case, particularly when it occurs in robust
and otherwise healthy children.
Dose : Two globules in a tea-spoonful of water, after every motion, until
amelioration or change; but if no effect whatever is perceivable after the
third dose, it will be advisable to reconsider the symptoms lest some special
indication characteristic of another remedy should have arisen.
Lachesis. Relaxation of the bowels from acid drinks, or sour, un-
ripe fruits, with severe griping; loose discharge of crude matter from
the bowels; diarrhoea during damp weather, or occurring in alternation
with constipation.
Dose : In casual cases (for adults) of a solution of eight globules to three table-
spoonfuls of water, give a tea-spoonful after every motion, until positive ame-
lioration or change. In casual cases (for children), a solution of four globules
to two table-spoonfuls of water, administered similarly by tea-spoonfuls. In
chronic cases for adults, three globules in a tea-spoonful of water, (for chil-
dren, two globules in a tea-spoonful of water.) every other day, in the morn-
ing, until amelioration or change.
Antimonium-tart. is also not unfrequently of considerable service
when the looseness is alternated with constipation.
Dose : In every respect as directed for Lachesis.
Diarrhoa associated with Constitutional Debility.
Sulphur is a most valuable remedy in diarrhoea, particularly during
the night, occurring in persons of a scrofulous habit, or in very ob-
DIARRHCEA, 265
stinate cases. . In adults predisposed to piles, or in children, when the
looseness of the bowels is attended with excoriation and with papular
eruptions, it is particularly efficacious; also in cases where the slightest
cold brings on a relapse or an attack; or when milk disagrees and
Causes a looseness.
Dose : Against the prevailing acute symptoms of a solution of six globules to
two table-spoonfuls of water, give a tea-spoonful every six hours, until the
frequency of the motions is diminished. Subsequently, give six globules in a
wine-glassful of water, every morning (fasting), the first thing, for ten days
(unless collateral symptoms meanwhile occur, requiring other special treat-
ment); after which, pause four days, resuming the course, if necessary, as be-
fore. But if Fº effect only ensue from these courses, and the complaint
having reached a given degree of improvement remains stationary, proceed
with the next medicine.
Calcarea may be had recourse to after Sulphur, if the symptoms
continue, although in a diminished degree.
Dose : ... In all respects as directed for Sulphur, continuing until permanent
amelioration (or change), or returning to the former course of Sulphur (in
the event of some symptoms continuing without progressive amelioration).
Sepia, however, is to be preferred in obstinate cases of diarrhoea,
occurring amongst females, especially when associated with predis-
position to hysterical attacks, megrims, whites, sudden sweats, or
flushes of heat, and frequent attacks of shivering or shuddering, chiefly
during stools.
Dose : In every respect as directed for Sulphur, continuing the course in like
manner until permanent amelioration or change,
Acidum-phosphoricum. In obstinate cases, with portions of
undigested food in the evacuations; or occasional involuntary evacu-
ations. e
Dose : Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Phosphorus. In protracted, painless diarrhoea, with gradual
prostration of strength; loose evacuations, containing undigested sub-
Stan CeS.
Dose : Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Diarrhoea from Abuse of Aperients, déc.
Hepar-s, or Acidum-nitr.; China, or Carbo-veg. One or
more of these medicines, according to the analogy existing between
the symptoms of the disease, and those which are specifically asso-
ciated with the operation of these remedies (as stated in the article
hereinafter devoted to the consideration of the medicines), will prove
of the greatest Service, when the looseness of the bowels occurs as the
result of abuse of mercurial preparations (under allopathic treatment).
Dose : Of the remedy, thus selected, give three globules in a tea-spoonful of
water every twelve hours until amelioration or change, pausing for a week
after every course of six days.
Pulsatilla, Rheum. These medicines respectively, according to
266 DIARRHOEA.
indications, are to be preferred when the complaint can be traced to
abuse of magnesia (under allopathic treatment).
Dose : In all respects as directed in the last prescription.
Pulsatilla, Chamomilla, Mercurius, Colocynth, Nux-vom.
One or more of these medicines may be required, according to the
symptoms which occur, when the complaint has originated in abuse of
Bhubarð (under allopathic treatment). The particular indications for
each will severally be found in the foregoing portions of this article.
Dose : Of the remedy thus selected give three globules in a tea-spoonful of
water, night and morning, until amelioration or change, pausing for a week
after every course of six days; or otherwise, as hereinbefore specified, in re-
spect of each medicine separately.
Diet and Regimen. Acids or acidulous wines, beer, coffee, strong
tea, and fruits, whether raw or cooked, should be carefully avoided.
Solid food is likewise proscribed, during the prevalence of an acute
attack, as tending to keep up the intestinal irritation; and gruel, fresh
milk, (unless it should be known to disagree with the patient) broths,
and light mucilaginous food should be substituted.
º majority of vegetables are objectionable, but potatoes in par-
ticular. "g
In very severe cases, indeed, (during the prevalence of the attack)
little more than thin arrow-root should be taken. In milder forms of
the complaint well-boiled rice, moistened with good gravy, may be
rather serviceable than otherwise.
Beef tea (with the addition of a tea-spoonful of isinglass to the half-
pint) may in some cases, serve materially to assist the operation of the
medicines. When the attack is subsiding, and for some time after-
wards, young meat (such as veal or lamb) should be avoided; and
sound, tender mutton, plainly roasted, will be found, generally speak-
ing, most easy of digestion. Fish should be avoided.
Above all, the patient should guard against indulging a craving
appetite, and eating too freely, or overloading the stomach.
In protracted cases, attended with debility, but no symptoms of
inflammation or ulceration, generous, easily digestible food, and some-
times a little wine, or wine and water, must not be withheld. In such
cases a basin (half a pint) of beef tea, with the addition of a tea-spoon-
ful of isinglass, and a few slips of toast taken daily, about three hours
after breakfast, will usually prove a useful accessory. The use of a
flannel bandage round the stomach is often of service, especially for
delicate children. In every case the clothing should be warm; ex-
posure to moisture, and especially to have the feet wet, should be
avoided; fine woollen stockings or socks, and stout shoes should be
worn. Change of air will generally be of service to the convalescent.
When diarrhoea prevails as an epidemy, as is not unfrequently the case
towards the fall, all these precautions, which may or may not be
essential under other circumstances, become indispensable.
BYSENTERY. 267
IDYSENTEHRY.
Symptoms. Constant urgency to evacuate the bowels, straining
at evacuation, violent pains in the belly, a greater or less degree of
i. particularly towards evening, and stools of mucus or blood, or
oth.
It may appear suddenly, but is frequently preceded some time by
loss of appetite, costiveness, flatulency, nausea or slight vomiting, with
chills followed by heat of skin and accelerated pulse, then dull pains
in the bowels, and increased evacuations; after a time, nothing is dis-
charged but white mucus (when the disease is termed white Dysentery),
which may afterwards change to blood (constituting what is termed
red Dysentery); stools, particularly when fever is present, very fre-
quent and fetid. If not checked in time, the disease may terminate in
ulceration or gangrene, or the patient may sink from exhaustion.
The opinion as to the result becomes very unfavorable when the
pains, which have previously been extremely severe, suddenly cease,
the extremities become cold, the pulse small and intermittent, the
stools putrid and involuntary. - e
Complications. This affection is very frequently complicated with
pains, resembling those of rheumatism, which will be noticed under
the different remedies, as an additional indication for their employment.
Causes. The exciting causes are, checked perspiration, particularly
in warm weather, or an exposure to the cool atmosphere of an autum-
nal evening, after the pores have been opened by active exercise, or
exertion during the day; low or marshy situations, local irritations,
such as worms, hard obstructive substances, &c., and suppression of
piles, sudden transition of disease from other organs, and sometimes,
in infants, difficult dentition.
TREATMENT.
Aconitum. This remedy is peculiarly adapted to cases attended
with inflammatory fewer, and in young and plethoric patients is gene-
rally required at the commencement or in the course of the disease.
It is indicated by full and hard pulse; severe pains, generally in one
spot; belly tense and painful when touched, denoting the commence-
ment of inflammation (that is, what is termed inflammatory Dysentery);
and it is also valuable, when we find pains resembling rheumatism in
different parts of the body, with shivering, or excessive heat and
thirst.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours, until amelioration or change; but
should the subjoined symptoms occur, proceed with the next remedies, hav-
ing first paused four hours
Chamomilla should be preseribed, if, after the administration of
Aconite, we still find violent heat and thirst, rheumatic pains in the
head, and constant agitation and tossing. This remedy is also useful
when the disease seems to have had for its proximate cause the for-
mation of impurities in the intestinal tube; or when it has arisen from
268 DYSENTERY. .
exposure to a cool atmosphere when in a state of perspiration. When
we find foul tongue, with clammy, bitter taste in the mouth, and
bilious stools, before the straining declares itself, this remedy is evi-
dently indicated as most useful in the first stage of the complaint, or
that of simple relaxation of the bowels.
Dose : Of a solution of eight globules to four table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change; but if the sub-
joined symptoms should become prominent, proceed with the next medicine
after a pause of six hours.
Pulsatilla is indicated when the symptoms of derangement of the
stomach noted under Chamomilla are present, but the stools consist
entirely of mucus mingled with streaks of blood. In the catarrhal
rheumatic form of dysentery, with greenish or whitish, watery stools
mixed with mucus, cough, rheumatic pains and chilliness, Pulsatilla is
also of considerable efficacy.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the symptoms abate; and then every six
hours, until positive amelioration or change.
Ipecacuanha. This remedy is serviceable, when the dysenteric
affection seems fairly established; when the stools consist of slimy
matter containing white flocks, followed by evacuations of mucus
tinged with blood.
Dose : Three globules in a tea-spoonful of water, every four hours, until amelio-
ration or change; but if any of the subjoined symptoms occur, consider the
following medicines, pausing six hours (in the generality of cases) before
proceeding with a different medicine; or administering such medicine at once,
if the symptoms described under the head of Mercurius-corr. become urgent.
Mercurius-corrosivus may be considered to be the most im-
portant of all the homoeopathic remedies in dysentery; but, especially
when the subjoined symptoms are present, it may generally be con-
sidered specific to the case; in the red dysentery or BLooDY FLUX,
when we find severe straining, with evacuation merely of a little
mucus, sometimes succeeded by, or accompanied with, the protrusion
of a portion of the intestine, and increased discharge of pure blood, or
of putrid, corrosive, greenish, yellowish, or frothy mucus, intermixed
with blood, and sometimes followed by the evacuation of small, hard
excremental masses, after much straining; burning in the posterior
passage; severe griping and lancinating pain before, during, and even
after the motions; increased urgency to stool after each evacuation.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until distinct amelioration or change; but if, after
general improvement has ensued, the discharge of bloody evacuations should
not be progressively decreased, pause four hours, and consider Acidum-phos.
and Acidum-nitr. as below stated. *
Colocynth is not unfrequently required after the more serious
symptoms have been subdued by Mercurius-corr.; or, again, it may be
required more immediately after Ipecacuanha, or, in other cases again,
it may advantageously be administered at the onset.—In either case
the following are the indications which should lead to its administration:
—dysentery attended with violent colic and excessive distension of the
DYSENTERY. 269
belly; shivering with chills, apparently extending from the belly over
the whole body; excessive agitation and restlessness; tongue coated
white; slimy, and sometimes bloody evacuations.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every hour, until amelioration or change; but if discharge of
bloody evacuations should continue, pause three hours, and proceed with one
or the other of the subjoined medicines.
Acidum-phosph., Acidum-nitr. One or the other of these
medicines, respectively, according to the characteristic action of each
(as stated in the article on that subject), may be appropriately em-
ployed four hours after the last dose of Mercurius-corr., if the dis-
charge of blood continues to prevail.
Dose: Of either medicine thus selected, give three globules in a tea-spoonful of
water, every four hours, until positive amelioration or change.
[Additional Particulars.]
Bryonia, Rhus. Bryonia is frequently called for in those cases
in which it has been found necessary to administer Aconite, at the
commencement of the disease; but it is more particularly indicated
when the attack has occurred during the heat of summer, from the
effects of a chill, and is attended with fever akin to typhus of the in-
flammatory form, with loose evacuations of a brownish color and putrid
odor, occasionally containing lumps of coagulated mucus, resembling
undigested substances, or small, hard lumps or balls of excremental
matter, with griping during, and burning in the fundament after, the
act of evacuating, and aching pains in the limbs, aggravated by
movement.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give a
tea-spoonful every two hours, until amelioration or change; but if the sub-
joined symptoms become prominent, proceed (after a pause of four hours)
with the next medicine.
Rhus not unfrequently gives a favorable turn to the disorder, when
the disease has attained an advanced stage, and the accompanying
fever is of a low type, akin to typhus, the patient being much exhausted
and distressed with severe rheumatic or aching pains in the loins and
extremities, when reclining or sitting still, and the stools of a slimy,
frothy, white, gelatinous, or bloody nature, passed involuntarily at
night in bed.
Again, in the rheumatic catarrhal form of the complaint, accom-
panied by severe aching, tearing or gnawing pains in the extremities,
aggravated by rest, and attended with a sensation of numbness, Rhus
is a most useful medicament, particularly when the attack has been
developed after a thorough wetting.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms are modified; and then every
four hours, until positive amelioration or change.
Arsenicum. Dysentery of epidemic or infectious origin, with
fever of a putrid type, or akin to typhus; dysentery arising from ex-
posure to noxious exhalations in marshy situations, &c.
This remedy may, however, be selected in all cases, from whatever
270 PYSENTERY.
cause arising, when great weakness and even prostration exists from
the commencement, with burning pain in relieving the bowels, thirst
and aggravation of the sufferings after drinking, or, on the contrary,
absence of natural thirst : also when the disease threatens to assume
the ulcerative or gangrenous form, characterized by previous severe
pains, particularly burning, which suddenly cease; sunken countenance;
rapid sinking of the vital energies; pulse small and intermittent; cold-
ness of the extremities; highly offensive, putrid, and cadaverous-smell-
ing evacuations, both of motions and water; unconscious passing of
stools; offensive breath; and livid spots in different parts of the body.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms are modified; and then every
four hours, until distinct amelioration or change. But if the subjoined symp-
toms continue to prevail, proceed with the next medicine, after a pause of
six hours. If, again, the symptoms appear to be such as to require the alter-
nate administration of Arsenicum and Carbo-veg., dissolve six globules of each
medicine separately in two table-spoonfuls of water, and give a tea-spoonful
first of the one, then of the other (with an interval of two hours between
doses), until positive amelioration or change.
Nux-vomica may be administered with advantage six hours after
the last dose of Arsenicum, when the last-named medicine has dimi-
nished the severity of the symptoms, and warded off the impending
danger, but we find that the motions still retain a highly putrid odor;
also at any period during the course of the disease, when the following
symptoms are present: frequent and scanty evacuations of mucus or
bloody mucus, and occasionally small, compact, hard, feculent masses,
attended with violent cutting or griping pains in the region of the
navel, rumbling in the intestines, pains in the loins, straining, burning
or sensation of excoriation in the fundament, and sometimes protrusion
of the intestine; great heat and excessive thirst.
Dose: Three globules in a tea-spoonful of water every six hours, until positive
amelioration or change.
Carbo-vegetabilis is a most useful remedy in those desperate
cases where the breath is cold, the pulse almost imperceptible, and the
patient complains of severe burning pains. . Its indications closely
resemble those of Arsenicum, with the exception of the thirst, and the
aggravation caused by drinking. It may be given with benefit when
that remedy has failed, or only partially relieved; and in this, as in
other affections, many instances might be cited where a judicious
alternation of these two remedies has effected benefit, neither of them
having been singly adequate to the exigency of the case.
Dose: In every respect, whether singly or in alternation with Arsenicum, as
directed for the last-named medicine (as above).
China is a good medicine when the disease has an endemic charac-
ter, occurring in marshy countries; and in many cases where a state
of putridity remains in the motions, after the administration of the
remedies above mentioned.
Dose: Three globules in a tea-spoonful of water every six hours, until four
doses have been given ; and then (unless decided improvement or change
DYSENTERY. * 271
should sooner occur) every twelve hours, until positive amelioration or
change.
Cantharides. Sanguineous stools, mixed with whitish or solid
substances like false membranes; painful passage of water.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Colchicum-autumnale is preferable to Cantharides when the
symptoms are as described, but more particularly when the stools con-
sist almost exclusively of mucus unmixed with blood, and when pain
is experienced in the bowels at the lower part of the left side, and the
disorder rages as an epidemy during the autumnal season.
Dose : In every respect as directed for Cantharides.
Dysentery associated with Constitutional Debility.
Sulphur. When the more marked symptoms are ameliorated by
the use of the foregoing remedies, but the Dysentery still continues
obstinate, and especially when the disease occurs in subjects who have
previously been long affected with piles, or when it has from time to
time been subdued, and afterwards returned with greater or less vio-
lence,—or even when the apparently best selected remedial agents
have failed to check its course; Sulphur will, frequently, be found
most efficacious in all these cases, since, whenever they occur, we may
suspect that some latent constitutional cause is baffling our efforts.
In the first instance, denoted by the removal of the more prominent
symptoms, the affection is terminated; in the second, the predisposition
to a return of the attack is obviated; and in the third, the constitu-
tional taint alluded to being controlled, the organism becomes suscep-
tible to the specific action of the other medicaments.
Dose: Six globules in a wine-glassful of water every morning the first thing
(fasting) for ten days (unless distinctive symptoms indicating other medicines,
general change or manifest improvement, sooner occur); then pause four
days; after which the course may, if necessary, be resumed in like manner,
and so on, until distinct amelioration or change.
Phosphorus has been found sufficient to effect a perfect cure in
obstinate cases when the disease is of long standing, and has become
(so to speak) habitual.

Dose : Three globules in a tea-spoonful of water once a day, until positive
amelioration or change.
Suppressed Dysentery.
When the dysenteric evacuations have been suddenly checked by
allopathic means, and a violent inflammatory or spasmodic action de-
clares itself, distinguished by severe pains, anxiety, difficulty of breath-
ing, nausea, and empty retchings, or distension and tenderness of the
belly; suppression both of motions and water; coldness of the face,
tongue and extremities; breath also cold; with spasms of various
kinds in different parts of the body, which are renewed by any exer-
tion, either of speech or movement, the following remedies will be
found useful:
272 AFTER-EFFECTS OF SUPPRESSED DYSENTERY.
Aconitum. Against any inflammatory symptoms that may present
themselves.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms abate; and then every four
hours (if still required), until permanent amelioration or change.
Cuprum-aceticum. When spasms or cold sweats predominate.
Dose : Two globules in a tea-spoonful of water every two hours, until three doses
have been given; and then (if yet required) every four hours, until permanent
amelioration or change.
Belladonna, against inflammatory colic, or if symptoms of inflam-
mation in the bowels set in, such as are enumerated in the article on
“Inflammation of the Bowels,” and on “Colic,” respectively.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every half hour (in very severe cases), or every hour (in less urgent
instances), until positive amelioration or change.
Colocynth. Violent colic and distension of the belly, and other
symptoms, such as those enumerated in the article on “Colic,” under
the head of this medicine.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour, until amelioration or change.
Veratrum-album. Coldness of the body and extremities, and
fetching.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours (or every thirty or sixty minutes if the retching be
very violent and continual), until distinct amelioration or change.
Carbo-vegetabilis in extreme cases, with scarcely perceptible
pulse, and cold breath.
Dose: Two globules in a tea-spoonful of water every half hour (in very critical
cases), or every two hours, until positive amelioration or change.
ACCESSORY MEASUREs.
In this disease it is ever of importance to keep up a moderate degree
of warmth around the belly, which is best obtained by flannel, worn
outside the linen. *
The use of clysters of warm water has, in many instances, been found
serviceable in promoting an evacuation of the bowels, and bringing
back the suppressed discharge.
AFTER-EFFECTS OF SUPPRESSED IDYSENTERY.
When the patient has escaped the serious consequences above
noticed, chronic complaints are often the result of suppressed dysen-
tery; the most frequent being dropsy, paralysis, and rheumatism, all
of which will be most effectually treated by consulting the articles de
voted to those subjects respectively.
PREVENTIVE MEASURES DURING THE PREVALENCE OF DYSENTERY.
Mercurius-corrosivus may be named as one of the most useful
preventive medicines, particularly for cases in which the prevailing
CHOLERA. 273
disease assumes the character described under the head of this remedy
at page 268.
Dose : Four globules in a tea-spoonful of water night and morning for six days;
then a pause of two days, resuming the course as before, and so on for three
weeks, unless before the lapse of that time a degree of medicinal irritation
should have been established, in which case such medicinal action should be
allowed to subside.
Arsenicum is more generally appropriate, as a preventive medi-
cine, to almost all varieties of Dysentery which prevail as an epidemy,
attacking many persons simultaneously, accompanied with considerable
fatality, and not confined in its ravages to particular localities.
Dose : Three globules as directed for Mercurius-corr.
China may be mentioned as more especially appropriate to cases in
which this disease prevails only in certain localities, particularly in
marshy districts, or otherwise where the water is unwholesome, or
where exhalations from decaying animal or vegetable substances infest
the atmosphere.
Dose : Six globules in a wine-glassful of water every morning the first thing
(fasting), for a week; then pause four days, resuming the course as before,
and so on, for three weeks;–unless a degree of medicinal action should occur
in the meanwhile, when that should be allowed to subside.
Colchicum is more particularly apposite for the prevention of
Dysentery of the character described under the head of this medicine
at the page 271, when the ravages of the disease occur in the autumn.
Dose : Six globules as directed for China.
Diet. During the course of treatment, barely sufficient nutriment
to keep up the strength of the patient should be allowed; and the
more severe the inflammatory symptoms, the more strict must be the
abstinence, wine and alcohol being then absolute poisons. No solids
should on any account be given; but the diet should consist principally
of mucilaginous or demulgent fluids, such as thin barley-water and
gruel; in comparatively mild cases, white of egg in sugar and water,
weak chicken-broth, or beaf tea, at the discretion of the physician, may
be allowed. Even after convalescence, this course of diet should be
for a short time observed, fruit and vegetables eschewed (especially
when the disease is raging in an epidemic form), and a return to the
usual diet gradually brought about.
CHOLERA.
By the term Cholera Morbus was formerly understood a disease
attended with nausea, griping, purging, and vomiting, generally pre-
valent towards our summer-months, and at the season when fruit
abounds. But it has now become a generic term, under which are in-
cluded two varieties,—the Cholera Morbus, properly so called, and
the Asiatic Cholera.
18
274 BILIOUS OR SPORADIC CHOLERA.
BILIOUS OR SPORADIC CHOLERA,
Or that which is attributable to casual Causes only. \
Symptoms. The first-named variety, sometimes called the Spora-
dic Cholera, generally commences with a sudden feeling of nausea and
griping, followed by purging and vomiting; in severe cases, accom-
panied with coldness of the body, particularly of the extremities,
anxious and hurried breathings, excessive thirst, a feeling of cramping
in the legs, sometimes in the arms, with spasmodic contractions of the
muscles of the belly, shrinking of the features, and a hollow expression
about the eyes; pulse weak, sometimes scarcely perceptible; thin,
watery, and fetid, or bilious evacuations, sometimes with dark, bilious
vomiting, anxiety, and straining.
Causes. The most frequent are worms, gall-stones, unwholesome
—indigestible—food, fruits, or crude vegetables, alterations in tem-
perature, moist or marshy situations, damp weather, wet feet, Sup-
pressed perspiration from sudden exposure to cold, over-fatigue and
over-exhaustion, cold drinks when overheated, teething, or pregnancy.
TREATMENT.
Ipecacuanha is very frequently the most appropriate remedy in
the premonitory stage, but is often useful when the most urgent symp-
toms of cholera have been subdued by other remedies, such as Vera-
trum, &c. It is particularly indicated when there is nausea, with
copious vomiting, and more or less griping, followed by diarrhoea, the
stools still containing excremental matter mixed with slime, and pre-
senting a greenish or brownish color; sensation of weakness (or of
internal sinking); coldness of the face and limbs; sensation of shiver-
ing in the belly; slight cramps in the calves of the legs and in the
fingers and toes.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour (in cases in which the motions are very frequent), or
every four hours (when the intermission is of longer duration), until the
symptoms abate; and them every six hours, until positive amelioration or
change. But if any of the subjoined symptoms should occur, consider the
following medicines,-returning, however, to the administration of Ipeca-
cuanha, as just directed, if the vomiting should become a prominent symptom.
Chamomilla is, likewise, of great utility in the early stage, parti-
cularly when the complaint has been excited by a chill, and is asso-
ciated with great dread of the disease, or when a fit of passion has
given rise to it, in which latter case, indeed, this latter remedy is al-
most specific. The following are the symptoms which most especially
indicate its employment:-acute, colic-like pains, or heavy pressure in
the region of the navel, sometimes extending to the heart, with exces-
sive anguish; bilious diarrhoea; cramps in the calves of the legs;
tongue covered with a yellow coating; and sometimes vomiting of
acid matter.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful at each dose, as directed for Ipecacuanha,_substituting the last- '
named medicine if the vomiting should become a prominent symptom.
BILIOUS OR SPORADIC CHOLERA. 275
Colocynth is sometimes more appropriate than Chamomilla for
the treatment of cases, the origin of which can be traced to a moral
cause, particularly such as a fit of anger, or mortification attended with
2ndignation.
Dose: A solution of six globules, as directed for Chamomilla.
Pulsatilla is to be preferred to Chamomilla when the attack has
been provoked by partaking of rich, indigestible food, and also when
slime predominates in the evacuations.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours (when the motions are very frequent), or every
four hours (when the intermissions are of longer duration), until the symp-
toms abate; and then every six hours, until positive amelioration or change.
Nux-vomica may be most advantageously employed after Ipeca-
cuanha when the vomiting subsides under the influence of the latter,
but symptoms of.spasm of the stomach remain, such as—weight and
tightness in the region of the stomach; or when anxiety, griping, fre-
quent but insufficient evacuations and straining, severe headache seated
in the forehead, accompanied with shuddering and with predominant
internal chills still continue to prevail.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every three hours, until the symptoms abate; and then every six
hours, until positive amelioration or change. g
Veratrum-album is generally to be preferred for the treatment
of patients of otherwise robust and healthy constitutions, and whose
circumstances are such as to afford them all the comforts of life. This
valuable remedy, which is equally well adapted to the malignant form
of cholera, as it is to the milder variety now treated of, should at once
be employed if the disease increases, notwithstanding the administra-
tion of the preceding remedy, or if, from the first, it assumes the
following characteristics: violent vomiting with severe diarrhoea, eac-
cessive weakness and cramps in the calves of the legs, dºc.; eyes hollow
or sunken, countenance pale, and expressive of acute suffering and in-
tense anguish; coldness of the breath and tongue; yellow or livid
tongue; eaccruciating pain in the region of the navel; tenderness of
the belly when touched; great thirst ; dragging pains and cramps in
the fingers, shrivelled appearance of the skin in the palms of the
hands; extreme coldness of the extremities; cold, clammy sweat.
Dose : Of a solution of twelve globules to two table-spoonfuls of water, give a
tea-spoonful every half hour (or, in very urgent cases, even every ten or
fifteen minutes), until the symptoms abate, the pains being more bearable,
and the motions and vomiting less frequent or incessant, &c.; then every two
hours (or even every four hours when that is found sufficient, and the im-
provement is progressive), until positive amelioration or change.
Arsenicum (which is to be preferred for patients of debilitated
constitutions, or whose physical powers have been deteriorated by in-
sufficient or unwholesome food, or, by living in squalid, unhealthy and
ill-ventilated dwellings, or in districts in which ventilation and drainage
are imperfect, &c.) is useful when this malady assumes a severe cha-
racter from the beginning, but is more particularly indicated when
276 ASIATIC CHOLERA.
the disease is attended with rapid prostration of strength, insatiable
thirst, excessive anxiety, loss of articulation, with fear of approaching
death, burning sensation in the region of the stomach, almost constant
discharge from the bowels (the stools being usually very acid—creat-
ing a feeling of burning heat—and attended with straining) or renewal
of the discharge, as often as the desire for drink is gratified; sup-
pression of urine or scanty discharge of urine, followed by a burning
sensation; violent and painful vomiting, tongue and lips dry, cracked
and bluish, or black; hollow cheeks, pointed nose; pulse almost im-
perceptible, or small, weak, intermittent, and trembling; severe spasms
in the fingers, toes, &c., clammy perspiration.
Dose: A solution of twelve globules, in every respect as directed for Veratrum.
China is chiefly useful against the weakness which remains after
Cholera, but is also serviceable, occasionally, during the course of the
disease, particularly when vomiting of food, and frequent watery and
brownish evacuations, containing particles of undigested food, are
present; also when there is oppression at the chest, with eructations,
which afford temporary relief; pain in the pit of the stomach, especially
after partaking of the smallest portion of food; great exhaustion,
sometimes amounting to fainting. This remedy is sometimes required
when the disease has been excited by undigestible substances, such as
unripe fruit, &c., or by inhabiting a marshy situation; Arsenicum,
however, is preferable in this instance when the attack is severe, and
the symptoms as detailed under that remedy.
Dose : Three globules in a tea-spoonful of water, repeated every four hours, un-
til amelioration or change.
Diet and Regimen, &c. To avoid unnecessary recapitulation, all
the directions on these important particulars have been concentrated
at the close of the subjoined section on Asiatic Cholera. As regards
the Diet, Regimen, and Accessory Measures, the patient who is
afflicted with this less critical form of Cholera, should not, therefore,
consider himself exempt from the strictest application of those rules
which are afforded in the following article. These regulations apply
equally to all forms of Cholera.
ASIATIC CHOLERA-IMALIGINANT CHOLERA.
JEpidemic Cholera.
This virulent disease generally commences with giddiness, headache,
singing in the ears, and general uneasiness, a sensation of flatulence in
the stomach (rumbling of wind), or griping pains, rapid loss of strength,
and a feeling of weight and oppression in the region of the heart. In
the severest forms of the malady the patient suddenly falls senseless to
the ground, as if struck by electric fluid. But in many instances,
diarrhoea is the first symptom, which, if neglected, soon becomes
associated with vomiting, severe colic, cramps or convulsions, anxiety,
and dread of dissolution which appears to be inevitable.
In some, though not all, cases of Asiatic Cholera, we find the lips,
ASIATIC CHOLERA. 277
mails, and sometimes the whole skin, of a blue color, but, in almost
every instance, the frame loses its power of generating heat, the pulse
and pulsation of the heart are almost unfelt, and the circulation of the
blood becomes stagnant.
Patients who. have outlived the second stage sometimes fall victims
to a secondary typhoid fever in the third. º
Predisposing Causes. The predisposing influences are: intem-
perance in eating and drinking; insufficient or unwholesome food; the
use of unripe, or of cold, indigestible fruit and crude vegetables; cold
drinks when the body is overheated; exposure to exhalations from
decayed vegetable or animal matter; residence in low, damp, dark, ill-
ventilated dwellings; excessive fatigue; suddenly suppressed perspi-
ration; sudden mental shocks, or moral emotions—as fright, fear, grief,
and especially passion;–neglect of cleanliness, both personal and
domestic; constitutional debility, serious derangement of the digestive
organs, weakness of the bowels, &c. As any, or, at all events, several
of these in conjunction, tend to favor the invasion of the disease, they
ought, when practicable, to be carefully guarded against or removed.
Exciting Causes. These are generally said to depend upon
some peculiar atmospheric conditions. But it is to be remarked, that
such atmospheric conditions (properly so called—in contradistinction
to the many other immediate causes of disease, with which the atmos-
phere may be impregnated), do not appear necessarily to involve whole
regions or even extensive tracts of country. Cases are not wanting,
especially in tropical climates, in which this disease, in all its distinc-
tive features, has occurred almost in isolated instances, or has been
confined to particular spots.
Treatment. The success of treatment much depends upon the
promptness with which remedial resources are exhibited, upon the
earliest recognition of the attack. .
Tincture of Camphor, if administered upon the earliest premo-
mitory indications of the attack, will often avail to prevent the further
development of the disease, and will at all events, in the great majority
of cases, avert fatal consequences; and if, moreover, the aggregate
symptoms be such as are here subjoined, this medicine will, in most
cases, suffice to effect a cure. The following are the particular indi-
cations in the early stage, which call for the administration of Camphor:
—chilliness, shivering, giddiness, headache, singing in the ears, pain,
weight, pressure, or a distressing sensation in the pit of the stomach,
cramps with protracted rigidity in the calves of the legs, sensation of
general uneasiness, sudden loss of strength;-or when, in addition to,
or in the wake of the foregoing, the patient is seized with rigidity of
the limbs or prolonged spasms in the fingers, arms, calves of the legs,
and in the muscles of the belly; sunken, blue-encircled eyes; diminu-
tion of the senses; slow, or scarcely perceptible pulse; blueness and
icy coldness of the face and hands, and greatly diminished temperature
of the whole body; burning heat in the throat and region of the sto-
mach; distended bowels; much flatulent rumbling; nausea and even
vomiting, and diarrhoea; diminished or suppressed urine (an almost
constant symptom in Cholera); hoarse voice; countenance expressive
278 ASIATIC CHOLERA.
of excessive anguish; suffocating oppression. Camphor is sometimes,
also, of service in a later stage, in cases such as those described as in-
dicating Cuprum, when, however, symptoms of lockjaw, and general
spasms supervene.
Camphor should, moreover, be administered three times, (if very
urgent symptoms do not transpire,) as below stated, before other
treatment is adopted, when the patient has previously taken allopathic
medicines.
Dose : Take of the purest loaf-sugar, or of sugar-of-milk, finely pounded, just a
sufficiency, upon which deposit one drop of the tincture, thus administering
the dose, and repeating such dose, at first every five minutes, extending the
intervals according to the duration of the intermissions between the spas-
modic attacks, only repeating the administration as the attack returns, and
continuing this course until positive amelioration or change. Decided im-
provement is readily distinguishable: first, by increased warmth, and, shortly,
by diminution of anxiety, by comparatively healthy perspiration, and by an
inclination to sleep. After sleeping an hour or two the patient awakes with
a sensation of ease which he can scarcely believe.
Veratrum, Arsenicum, Cuprum-a., Carbo-veg. These four
medicines may be numbered amongst the most essential when Asiatic
Cholera in its characteristic malignity has fairly set in and exhibits its
worst aspect. One or more of these remedies either singly, in alter-
nation, or in succession, may yet operate with astonishing effect in
arresting the progress of the disease. The selection should depend
upon the particular symptoms exhibited, and by comparing such
symptoms with the indications subjoined in respect of each medicine
now named. But it may not be superfluous to add, that the broad
distinction which should generally determine the choice between Vera-
trum and Arsenicum, consists in the following difference of circum-
stances and conditions, namely:—1. Veratrum is preferable whilst
there is yet considerable reactive power (whereas Arsenicum is more
appropriate when the vital energies seem feeble and as if disposed to
sink rapidly). In the like manner, Veratrum is more appropriate for
persons of habitually robust and vigorous health, and who are not ex-
posed to the depressing effects of insufficient or unwholesome food, or
of squalid, uncleanly, ill-drained or ill-ventilated dwellings, or to con-
tinual residence in unhealthy districts, and to the mischievous effects
of deleterious exhalations. 2. Arsenicum, on the other hand, is usually
more efficacious for those whose constitutions are either hereditarily
defective or have been impaired by irregular habits, excesses, and in-
temperance, or who have been habitually exposed to any of the injuri-
ous circumstances just enumerated. The alternation of these two
medicines, especially, is nevertheless of considerable advantage in some
very desperate cases.
Veratrum (especially under the particular circumstances just enu-
merated) should be employed without a moment’s delay, when Cholera
sets in in its worst and characteristic form, with sudden and violent,
fits of vom ITING and PURGING, the evacuations resembling starch or
rice-water, after several paroxysms; flatulent rumblings, eaccruciating
gripes, severe cramps (either with protracted rigidity, or with rapid
alternations of contraction—particularly the latter) in the calves of the
ASIATIC CHOLERA, 279
legs, dºc. (second stage), ice-like coldness of the entire body, even of
the tongue, cold, clammy sweat, oppressed respiration, feeble pulse,
great thirst—the patient, if permitted, drinking large quantities of
water, excessive weakness, terrified look, weak, hollow Voice, groan-
ing and yawning.
Dose: If singly, six globules in a tea-spoonful of water, every quarter of an
hour (in extreme cases), or every half hour (in less urgent instances), or even
in some very desperate cases, and when a fatal issue seems imminent, eve
five minutes-until the extreme severity of the symptoms becomes somewhat
abated ; and, subsequently, every time the paroxysms return, and so on until
the symptoms yield or change. But if no positive improvement should ensue
within the first two hours, or even within the first half hour (in very despe-
rate cases) consider the subjoined medicines, especially if alternation with
another remedy may not be more effectual. If in alternation with Arsenicum,
Cuprum, Carbo, or any other medicine, give the like dose of each in rotation,
at intervals, regulated by the same considerations, continuing until decided
amelioration or change.
Arsenicum is to be preferred to Veratrum (especially if the cir-
cumstances above enumerated should further qualify the case) when
the symptoms hereafter mentioned occur. It may be premised, how-
ever, that this medicine is usually the most appropriate to be employed
after the previous employment of Veratrum, or in alternation with
that medicine, when relief has not promptly followed the previous
treatment;-the indications for alternate administration of both these
medicines consist in the combination of the indicative symptoms of
each. The particular symptoms which more distinctly identify Arse-
nicum as the appropriate medicine are as follow:—Scarity discharge
by purging or vomiting, with severe urging or retching; external cold-
ness or chilliness, accompanied with a burning Sensation in the stomach
and bowels; rapid loss of strength and eactreme prostration, intense
and insatiable thirst, with, however, inability to swallow more than a
few drops (even of water) at a time without instantly or speedily
adding to the intensity, or provoking a return or aggravation of all
the sufferings; severe spasms (generally) or cramps in the fingers,
toes, &c.; clammy sweat or extreme dryness of the skin; hollow,
sunken, cadaverous appearance of the features and pointedness of the
nose; livid spots on the skin; insuperable anxiety and intense restless-
ness; extreme oppression at the fore part of the chest and pit of the
stomach; a pulse almost imperceptible, or small, weak, intermittent
and trembling; violent and painful retching with scanty vomiting;
tongue and lips dry, cracked and blueish, or black; suppression of
urine, or scanty discharge of urine, followed by a burning sensation;
loss of articulation; dread that recovery is hopeless, and that dissolu-
tion is rapidly approaching.
Dose: If singly, six globules in a tea-spoonful of water, every quarter of an
hour (in urgent cases), or even every five minutes (when a fatal issue appears
imminent), or only every half hour (in cases of a less desperate character),
until the symptoms are modified, and the sufferings are not so incessant; then
extending the intervals according to the duration of the periods of remission
between the paroxysms, and so on, until positive amelioration or change. If
in alternation, as directed for Veratrum. But if the patient be gradually sink-
ing, and the pulse become less and less perceptible, or otherwise, if no good
280 ASIATIC CHOLERA.
effect should appear to result from the third dose of Arsenicum, consider the
other medicines herein-named, and Carbo-veg. in particular, especially as re-
gards the pulse.
Cuprum-a. should be administered within a quarter of an hour
after the last dose of Veratrum (especially), if notwithstanding the
previous administration of the medicine last named, the cramps should
continue to increase and should constitute a predominant feature in
the case, or should be converted into general spasms, or into convul-
sions, particularly of the extremities, and especially of the fingers and
toes, or convulsive twitching and jerking of the limbs, and attended
with spasmodic constriction of the chest, which obstructs respiration
and causes the patient to gasp for breath. The subjoined are addi-
tional indications for Cuprum: intense aching pains at the pit of the
stomach, aggravated even by the slightest touch; noisy deglutition of
liquids; vomiting and diarrhoea simultaneously, or in quick succession;
sometimes intense, contractive, pinching pains in the bowels without
vomiting, or vomiting preceded by a choking constriction of the chest,
or again attended with an excruciating sensation of pressure in the
region of the stomach; great restlessness; sometimes rolling of the
eyeballs; coldness of the prominent parts of the face.
Dose : If singly, six globules in a tea-spoonful of water, every quarter of an
hour, until amelioration or change. But if partial relief only be observed to
succeed the administration of Cuprum, resort to the alternate administration
of Cuprum and Veratrum. If in alternation with Veratrum, the like dose of
each medicine, the one fifteen minutes after the other in rotation, until posi-
tive amelioration or change; or, again, if partial good effect only ensue after
the first hour, consider also Cicuta and Camphor.
Carbo-veg. may often be advantageously employed after the pre-
vious administration of one or more of the preceding medicines, or
even in alternation with Arsenicum (in some cases) when the patient
is reduced to the last extremity, animation being all but completely
suspended, and the pulse scarcely perceptible; or when on the cessation
of vomiting, purging, and cramps or convulsions, determination of
blood to the head and chest ensues, attended with oppressed breath-
ing, coldness of the breath, redness or livid hue of the face (which is
covered with clammy sweat) and lethargy—the patient seeming as if
seized with an apoplectic fit.
Dose : Six globules in a tea-spoonful of water, (or, –if there be difficulty in
ensuring its being swallowed thus—dry on the tongue), at intervals of five,
ten, and fifteen minutes successively, and then (if the pulse become stronger)
every half hour until positive amelioration or change. But if, upon the
development of stronger pulse, and the subsidence of the lethargic symptoms,
the pain, vomiting, cramps, &c., should return, at once resume the adminis-
tration of Veratrum as before,
Additional Particulars.
Ipecacuanha, Nux-vomica. These remedies (the first either
singly or followed by Nua-v.) have been found efficacious either before
or after the previous administration of the other medicines (generally
when more urgent symptoms had been overcome), or at the onset of
ASIATIC CHOLERA. 281
the attack (in milder cases), when such indications as the following
could positively be identified.
Ipecacuanha may be administered under circumstances such as
those just stated, either after previous treatment, when the vomiting
becomes a prominent symptom, and the discharge attending it is more
copious, or at the onset of the attack when the vomiting (being
copious, and attended with much nausea) predominates, so as to cha-
racterize the case distinctly. Further indications for this remedy are
such as the following:—sensation of weakness (or of internal sinking),
coldness of the face and limbs, sensation of shivering in the belly,
slight cramps in the calves of the legs and in the fingers and toes; or
sometimes, again, vomiting, alternated with watery diarrhoea, accom-
panied with or preceded by griping, colicky pains; or even yellowish
diarrhoea in some cases in which the vomiting does not occur; or
loose evacuations of excremental matter mingled with slime (at the
commencement of the attack), or evacuations of a greenish or brownish
character.
Dose : Of a solution of twelve globules to four table-spoonfuls of water, give a
tea spoonful every hour, until amelioration or change. But if, after the more
violent symptoms (the vomiting especially) have yielded in a degree to the
action of Ipecacuanha, pause three hours, and proceed with the next medi-
cine, if the subjoined symptoms remain.
Nux-vomica may be employed with great advantage three hours
after the last dose of Ipecacuanha, when the vomiting has subsided
under the influence of the last-named medicine, but symptoms of
spasm of the stomach remain, such as weight and constriction in the
region of the stomach; or again, when anxiety, great debility, griping,
frequent, small evacuations with much straining, frontal headache, or
aching pain at the back of the head, and shuddering, with predominant
internal chills, continue to prevail.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour, until the symptoms abate; and then every three hours,
until positive amelioration or change.
Cicuta-virosa has proved an appropriate remedy, when there are
spasms in the muscles of the chest, continuous vomiting, and little
diarrhoea, when the eyes are turned upwards, and the patient is in a
drowsy state.
Dose : Six globules in a tea-spoonful of water, (or, if there be difficulty in this
method, dry on the tongue), every ten minutes, until the symptoms abate,
and then every half hour, until positive amelioration or change.
Stramonium may be more appropriate to cases of a very analogous
description, but when the distinctive indications for this remedy (as
stated in the article on the “CHARACTERISTIC EFFECTs”) are more pro-
minently developed.
Dose: In every respect as directed for Cicuta. ©
Secale-cornutum is very useful in cases of colorless diarrhoea,
with pains in the extremities remaining on the cessation of the vomit-
ing, but is also valuable after Veratrum and Cuprum, when the cramps
or convulsions do not yield to these remedies. The following have,
282 AFTER-EFFECTS OF CHOLERA.
however, been found the more immediate indications for this remedy:
very copious, exhausting evacuations from the bowels, violent and
painful spasms, particularly in the feet, toes, hands, and fingers,
the latter being often thereby spread asunder and drawn backwards,-
spasmodic pains in the stomach; wrinkled, shrivelled, cold, blue-
colored skin. Spasms of the above-described character, remaining or
commencing after the subjugation of other symptoms by means of
other remedies, almost invariably yield to a few doses of Secale.
Dose : Of a solution of twelve globules to two table-spoonfuls of water, give a
tea-spoonful every ten minutes, until the purging, cramps, and other symp-
toms are subject to longer remissions; and then as often only as the return
of the paroxysms renders the administration necessary, and so on until per-
manent amelioration or change.
TREATIMIENT OF THE AFTER-EFFECTS OF CHOLERA.
Carbo-veg, is of much service in the stage of convalescence when
flatulent rumblings and colic with diarrhoea and excessive flatulence
during stool remain.
Dose : Three globules in a tea-spoonful of water every hour, or after every in-
testinal evacuation, until a degree of improvement becomes apparent, and
then every twelve hours, until permanent amelioration or change.
Cicuta-virosa will be advantageously employed in cases which
exhibit symptoms analogous to those engendered by its specific action,
as stated in the article devoted to the consideration of the medicines
at the end of this work.
Dose: In every respect as directed for Carbo-veg.
Phosphorus is very useful when debilitating diarrhaea remains
after the removal of the more urgent symptoms, and particularly when
the stools are watery, and sometimes productive of an acrid, pungent
sensation in the last intestine, and attended with belching, weight or
oppression at the pit of the stomach and lateral regions (without the
heat or burning which accompanies this symptom in the cases that
call for the employment of Arsenicum), and pain in the region of the
navel, rumbling noise in the bowels, either at other times or on press-
ing the hand against the belly, pricking or shooting pains in the left
side of the chest, &c. Phosphorus is also useful when a tendency to
vomit remains, but with the distinctive indication that it only occurs
about a quarter of an hour or so after drinking, or when the cold fluid
drunk has become warm in the stomach. Again, it is a remedy of
much importance in the event of congestion in the chest, with op-
pressed and laborious breathing, in addition to the before-mentioned
symptoms during the course of the disease.
Dose : Three globules in a tea-spoonful of water, every three hours (or every
hour in more urgent cases) until the symptoms abate, and then every six
hours, until..permanent amelioration or change. But if the subjoined symp-
toms ensue, proceed at once with the next medicine.
Acidum-phosphoricum should be administered either after the
previous use of Phosphorus, or even before it in the event of the
tongue becoming exceedingly clammy or slimy; or again, if colliqua-
AFTER-EFFECTS OF CHOLERA. 283
tive diarrhoea should ensue with or without the typhoid or congestive
symptoms hereafter described; or when the dullness of the head and
pallor of the face occur; or the evacuations are watery or slimy; or
exhibit a greenish-white hue, and there is inadequate discharge of
urine.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until positive amelioration or change.
China is usefully employed against the general debility resulting
from Cholera.
Dose: Four globules in a tea-spoonful of water, every six hours, until four doses
have been given, and then every twelve hours, until permanent amelioration
or change,
Sulphur is a medicine of great importance in completing the cure
in this, as in many other diseases, when occurring in persons subject
to haemorrhoids or to cutaneous affections, or other signs of constitu-
tional derangement, especially against the irritation or weakness in
the alimentary canal characterized by frequent attacks or nearly con-
stant continuance of looseness of the bowels.
Dose: Three globules in a tea-spoonful of water, every six hours, until the
evacuations become less frequent and relaxed ; and then six globules, in a
wine-glassful of water, every morning, the first thing (fasting) for ten days,
(unless distinct improvement or change should sooner occur), after which
pause four days, resuming the course, as before, if still required, and so on,
until positive and permanent amelioration or change.
Cantharides may be advantageously administered when there is
great irritation and pain in the bladder, with scanty, loose evacuations
and straining.
Dose : Three globules in a tea-spoonful of water, every two hours, until the
symptoms abate, and then every four hours, until permanent amelioration or
change.
Rhus-tox, Bryonia. These two medicines given alternately
prove of great service when typhoid symptoms and delirium ensue.
Dose : Dissolve, separately, of each medicine, eight globules in two table-
spoonfuls of water, and give a tea-spoonful, first of one solution and then of
the other, in rotation, at intervals of two hours, until a degree of improve-
ment becomes apparent, and then at intervals of three hours, until permanent
amelioration or change.
Hyoscyamus should be administered when the patient lies in a
torpid state, or speaks confusedly, and exhibits a red and bloated face.
Dose : Three globules in a tea-spoonful of water. (or dry on the tongue,) every
three hours, until the symptoms diminish in intensity, and then every three
hours, until permanent amelioration or change. But if no apparent effect
ensue within an hour after the third dose proceed with the next medicine.
Opium should be given an hour after the third dose of Hyos-
cyamus, if no apparent effect has resulted from the previous exhibition
of that medicine, the patient still remaining in the same drowsy state.
Dose : Three globules, as directed for Hyoscyamus. But if only partial im-
provement be perceptible within an hour after the third dose, proceed with
the next medicine.
Lachesis should be given an hour after the third dose of Opium,
284 AFTER-EFFECTS OF CHOLERA.
in the event of the continuance of the symptoms without material
modification.
Dose : Three globules in a tea-spoonful of water (or dry on the tongue), every
two hours, until the symptoms are modified, and then every three hours,
until permanent amelioration—or change.
Aconitum is of service when the blue, cold stage, is succeeded by
heat of the skin, quickness of pulse, headache, noise in the ears, dry-
ness of the tongue (the tip and margins being red), and deep-colored
urine.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Belladonna becomes requisite when the symptoms which succeed
the cold stage are—extreme tenderness of the belly, redness of the
face, with fullness of the vessels of the head.
Dose : Three globules as directed for Aconitum.
Chamomilla, Antimonium-tart. These two medicines respec-
tively (according to the analogy between the symptoms present and
their specific indications, as enumerated in the article devoted to the
consideration of the medicines at the end of this work), are of con-
siderable service when the evacuations become very bilious, as the
more serious symptoms subside.
Dose : Of either remedy as thus selected, give three globules in a tea-spoonful
of water every six hours, until amelioration or change.
ACCESSORY TREATMENT.
The patient should be kept in a room of a warm temperature, the
bed should be heated by artificial means,—bottles of hot water applied
to the feet, if necessary, and hot flannels to other parts of the body.
The observance of this rule greatly facilitates the action of the medi-
cine employed. Enveloping the patient in a damp sheet (one which
has previously been soaked in warm water), and then wrapping him
in blankets, is another useful auxiliary mode of treatment. Frictions
with woollen cloths, and the act of rubbing and pinching, under the
bedclothes, the parts affected with spasms, have also been recom-
mended; but if these auxiliary measures prove distressing to the
patient, he should be left quietly under the action of the medicine.
Anything which might disturb the equanimity of the sufferer, such as
noise or contradiction, should be carefully avoided, and his spirits
should be sustained as much as possible.
Food and Drink. Cold water is the best drink, but the patient
should not be allowed to take too much at a time; the occasional ad-
ministration of a small piece of ice, if possible, or of iced water in tea-
spoonfuls, is often attended with benefit; and injections of iced water
are sometimes serviceable in relieving the colic and cramps in the
intestines, or of starch-water in the case of straining. When cold
water, in lieu of diminishing, increases the vomiting or other suffer-
ings, and the patient expresses a wish for a little nourishment, tepid
emulsion of sweet almonds, thin gruel, barley-water, toast-water, milk
PRESERVATIVE MEASUREs DURING PREVALENCE OF CHOLERA. 285
and water (all warm and given in tea-spoonfuls at a time), may be
administered.
During the convalescence following this disease, we must be careful
not to indulge the patient to the full extent of his desires. It is there-
fore advisable, when the appetite returns, to commence with semolina,
sago, arrow-root, and such-like, as also cocoa, chicken-broth, or beef.
tea; but great caution must be observed, in order to avoid the risk of
a relapse from an undue amount of nutriment. This is best accom-
plished by the administration of a table-spoonful every hour, or only
every two or three hours—diminishing or gradually augmenting and
varying the quantity and quality of the food, according to the effects
produced.
GENERAL ACCESSORY PRECAUTIONS.
Care ought to be taken to avoid excesses of all kinds, late hours,
exposure to night air, melancholy thoughts, or fear, which are all pre-
disposing causes to attacks of this malady.
Pure air and thorough ventilation are indispensable, and the pre-
caution of providing a free current of water through all drains, &c., is
not to be neglected. If it be known that stagnant or obstructed
drains, cesspools, and the like, are distributing noxious exhalations
about a dwelling, the safest course is (if possible), to remove to another
locality, the next, to endeavor to neutralize the poison which is given
out by these decomposed deposits, by means of chloride of lime or
peat charcoal, &c. It is, however, very hazardous to set about remov-
Žng such nuisances during the prevalence of the Epidemy, this should
have been done before, or should generally be left until afterwards,
and when there is no longer reason to apprehend the distribution of
additional causes of disease; a keen frost may render the cleansing of
foul places comparatively safe.
Regular exercise should be taken during the best part of the day
(in fine weather) in the open air, but excessive fatigue should be
avoided.
PRESERVATIVE IMEASURES IDURING THE PREVA-
LENCE OF CHOLERA.
Accurate observance of the Homoeopathic Preventive Regulations
will in a very great number of cases avert the attack altogether. But
even if this should not be the case, the disease will in general be
developed in a very modified form, and such as will usually be readily
subdued by the employment of Camphor (as heretofore directed at
page 277). In some few cases further treatment may become necessary
according to the directions and indications stated in the foregoing
portions of this article, but there will rarely be reason to apprehend a
SerlOUIS ISSUle.
PREVENTIVE MEDICINES.
Veratrum-alb., Cuprum-acet. These medicines, whose charac.
teristic action combined, most closely corresponds with the aggregate
286 $ g CHOLERINE.
symptoms which identify the true ASIATIC CHOLERA, may therefore be
mentioned as those which will usually act with the most positive and
specific effect when employed as preservative medicines.
Dose : Begin by giving six globules of Veratrum in a tea-spoonful of water,
twice, at intervals of twelve hours; then pause two days, after which admi-
nister two similar doses of Cuprum, in like manner; then pause three days,
after which give two doses of Veratrum as before; then pause three more
days, after which repeat the two former doses of Cuprum; then pause four
days, after which repeat the two former doses of Veratrum; then pause four
more days, after which repeat the two former doses of Cuprum; and so on,
during the continuance of the epidemy, adding one day to the length of the
pause, after every such course. But in the event of a degree of medicinal
action (see the article on the “CHARACTERISTIC EFFECTs”) being developed,
which will be distinguishable by progressive subsidence, upon suspension of
the course, suspend the administration of both until it has thoroughly sub-
sided. The doses for children should consist of three globules administered
in like manner.
Clothing. It may also be remarked, that, during the prevalence
of this disease, the clothing should be sufficient to preserve the body
at an equable temperature, and care should be taken to avoid chills or
checked perspiration, or cold and wet feet: those who are affected with
considerable perspiration in their feet, should change their stockings
at least once daily; a flannel bandage worn round the abdomen is also
a useful precaution, and should not be hastily laid aside, even when
the danger seems to have passed away.
Diet. Adherence to the homoeopathic rules is a sufficient dietetic
guide, but too sudden a change of diet is not advisable; raw vege-
tables, such as celery, salads, cucumbers, pickles, and cold fruits, for
example, melons, oranges, apples, pears, &c.—should be carefully ab-
stained from; and even the more wholesome varieties, and all cooked
vegetables should be used in extreme moderation; pure beer and non-
acid wines are unobjectionable for individuals not attacked, and accus-
tomed to their daily use, with the same limitation.
CHOLERINE.
This name has been given to those cases which are of frequent
occurrence during the prevalence of Cholera, and which present only
a few of the symptoms of that disease, diarrhoea forming the leading
feature. In the case of the strong and healthy, such attacks often pass
off without the aid of medicine. But with the less robust, and parti-
cularly the debilitated—either by other diseases or constitutional
inheritance—the symptoms either become gradually complicated with
vomiting and other characteristics of Cholera proper, or they turn into
exhausting diarrhoea, accompanied by excessive flatulence, and termi-
nate, if not attended to, or if improperly treated, in delirium and severe
convulsions.
Incipient Stage.
TREATMENT: Camphor (concentrated tincture) is appro-
priate to the treatment of the earliest stage of Cholerine in cases in
which the subjoined symptoms occur:—diarrhoea commonly associated
CHOLERINE. 287
with giddiness, headache or singing in the ears, flatulence and griping
pain, weight or suffocating oppression at the fore part of the chest, heat
in the gullet and pit of the stomach, diminished or totally suppressed
emission of urine. When these symptoms characterize the onset of
the attack, Camphor may be recommended almost as a specific remedy.
—But there are—
Eacceptions to the Fitness of Camphor in the treatment of Cholerine,
namely: 1. That it is rarely or never of service, but often does mis-
chief when the malady has already subsisted for a considerable time
(two or three days). 2. That the cases in which it has been recom-
mended as above stated, are not to be considered as simple Cholerine
(in which it is of comparatively rare advantage). 3. That the con-
ditions and symptoms should be well ascertained before its employ-
ment, because it is calculated to do mischief if inaptly administered;
whence it would follow, that we should mention
The Antidote most readily available for cases of injudicious or ex-
cessive administration which is, -a table-spoonful of strong and pure
coffee, without milk or sugar.
Dose of Camphor: When appropriately and judiciously administered, the dose
of Camphor should consist of two drops on a small lump of sugar, or in a
sufficiency of sugar-of-milk, repeated at intervals of an hour, until the symp-
toms are modified.
Advanced Stage.
TREATMENT: Acidum-phosphoricum is the remedy which
has proved specific in the majority of cases of a severe or protracted
character. It ought, therefore, to be taken in such instances without
delay, and especially when eaccessively frequent, painless diarrhoea and
flatulence, with hoarseness and gradual prostration of strength, are
the sole, or at all events the only marked symptoms.
Dose : Three globules in a tea-spoonful of water, every hour, until three doses
have been given, and then after every motion until the symptoms abate.
Subsequently, however, the doses should not be repeated more frequently
than every six hours, and so on, until permanent amelioration or change.
But if such indications as are subjoined, in respect of Ipecacuanha and Vera-
trum should occur, proceed with one or both of the last-named, according to
special indications, returning, however, to the administration of Acidum-
phosph., as just directed, should the diarrhoea continue to increase whilst the
other symptoms subside.
Phosphorus may be required either from the onset, alone, or to be
succeeded by the foregoing medicine, or may be found of considerable
service after the previous administration of Acidum-phosphoricum, in
cases in which symptoms and circumstances characterize the case, such
as the following: debilitating diarrhoea continuing (or supervening)
after the removal of more urgent symptoms, especially if the stools be
watery, and, sometimes, productive of an acrid, pungent sensation in
the last intestine, and attended with belching, weight or oppression at
the pit of the stomach and about the lateral regions (without the heat
or burning which accompanies this symptom in such cases as identify
the fitness of Arsenicum for administration), and pain in the region of
the navel, rumbling noise in the bowels either at other times or on
288 CHOLERINE.
pressing the hand against the belly, pricking or shooting pains in the
left side of the chest.
Dose : In all respects as directed for Acidum-phos.
Ipecacuanha is more especially appropriate for the treatment of
cases in which the attack has been precipitated by overloading the
stomach. This medicine is more especially successful at the onset of
the attack, but may be identified as appropriate in all stages of the
malady by such symptoms as the following: Nausea with copious
vomiting, griping pains more or less severe, followed by. relaxed
motions, consisting chiefly of feculent matter or sometimes inter-
mingled with slimy phlegm, and generally of a greenish or brownish
color; or again, if the symptoms partake of these features as well as
of those stated under the head of Veratrum, the alternate administra-
tion of both may be applied with advantage.
Dose : If singly, of a solution of eight globules to two table-spoonfuls of water,
give a tea-spoonful every half hour, until three doses have been given (or the
earlier modification of the symptoms) and then every four hours, until per-
manent relief (or distinct change) results. But if, notwithstanding treatment,
such symptoms as are below stated, should occur, pause one hour, and pro-
ceed at once with the next medicine. If, in alternation with Veratrum, dissolve
six globules of each medicine, separately, in two table-spoonfuls of water,
and give a tea-spoonful, first of the one solution, then of the other, in rotation,
at intervals of one hour, until the symptoms are modified, and then of four
hours, until they are subdued.
Veratrum may be required at any stage of the malady, whether
early or late (and should be administered one hour after the last dose
of any other medicine), when the subjoined symptoms occur: Stools
resembling rice-water, accompanied, from the onset by great general
debility, with cramps and coldness of the feet and legs, griping and,
occasionally, vomiting. In cases in which the symptoms identify both
TVeratrum and Ipecacuanha, jointly, the alternate administration of
both is the preferable method of treatment.
Dose : If singly, a solution of six globules, as directed for Ipecacuanha. If in
alternation with the last-named medicine, as directed in the foregoing pre-
scription.
Mercurius is more distinctly indicated when the symptoms are
usually worst at night, the motions copious, bilious, and greenish, or
scanty, frequent, frothy, slimy, or bloody, -when they are accom-
panied by severe griping or cutting pains and painful straining,
when they produce a smarting or burning sensation on being evacu-
ated,—and also when nausea, eructations, increased secretion of saliva,
nocturnal perspiration, Shivering, Shuddering, trembling, lassitude, and
a tendency to fainting, are associated with the above.
Dose : Three globules in a tea-spoonful of water, every two hours, until three
doses have been given, and then every four hours, until positive ameliora-
tion or change.
Pulsatilla is required in the case of bilious, slimy, watery, or pap-
like motions, of a whitish, yellowish, or greenish color; or when the
stools change their appearance, and when the diarrhoea is attended
with headache, foul tongue, flatulent rumbling noise in the bowel
CHOLERINE. 289
and other signs of deranged digestion; also chilliness, or alternate
heats and chills, lowness of spirits, pain in the back, and when the
symptoms are usually exacerbated in the after part of the day.
Dose : Three globules in a tea-spoonful of water every three hours, until ame-
lioration or change. *
Nux-vomica is indicated by such symptoms as the following:—
small, frequent, watery, slimy, or sanguineous, or whitish or greenish-
colored motions, attended with weight, pressure, and constriction in
the region of the stomach; foul tongue, griping, straining, rumbling
of wind, headache, pains in the back, anxiety, irritability of temper,
internal chilliness.
Dose : In every respect as directed for Pulsatilla.
Chamomilla is more particularly adapted to children of highly
sensitive females. Its leading indications are bilious, slimy, or watery,
green or yellow-colored evacuations, sometimes having the fetor of
rotten eggs, and attended with violent colic or a fullness at the pit of
the stomach, distension and hardness of the bowels, want of appetite,
bitter taste, foul tongue, and, with children, excessive restlessness,
crying, or screaming. When a fit of passion—a not unfrequent excit-
ing cause of diarrhoea or cholera during the prevalence of the latter
disorder—has given rise to the attack, Chamomilla is almost always
of more or less use.
Dose : Four globules in a tea-spoonful of water, every hour, until three doses
have been given, and then (if requisite) every three hours, until positive ame-
lioration or change. But if no material improvement ensue, within an hour
after the fourth dose, or, if the subjoined symptoms and circumstances be-
come apparent, proceed with the next medicine after a pause of two hours.
Colocynth should be administered six hours after the fourth dose
of Chamomilla in such cases as seem to have indicated that medicine,
but in which it has produced little or no permanent improvement; or,
again, it may be preferred to Chamomilla in cases in which the follow-
ing symptoms and conditions are especially identified: slimy, watery,
frothy, greenish-yellow, brownish or even bloody stools, accompanied
with thirst, great anxiety (as if proceeding from the fore part of the
chest), intense colicky pains, and pains in the legs, the symptoms
being aggravated soon after eating and drinking. Colocynth is espe-
cially appropriate both when these symptoms transpire spontaneously
(as it were), and yet more particularly when (as already stated under
the head of Chamomilla), the attack is attributed to a fit of passion.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give a tea-
spoonful, as directed for Chamomilla.
Ferrum-m. is often of singular efficacy in painless diarrhoea, with
inclination for stool soon after eating or drinking, especially when this
symptom is further characterized by such manifestations and con-
ditions as the following:—diarrhaea without pain, or pain only in the
back and at the termination of the last intestine, paleness of the face,
weakness of the eyes, and impaired digestive powers, are the charac-
teristic indications for Ferrum. Its alternate administration with
China is often advantageous when its sole employment is insufficient
to complete the cure.
19
290 CHOLERINE.
Dose: If singly, of a solution of six globules to three table-spoonfuls of water,
give a tea-spoonful every three hours, until four doses have been given (or
the earlier modification or subsidence of the symptoms), and then, if neces-
sary, every six hours, until positive amelioration or change. If, in alternation
with China, dissolve six globules of each medicine separately, in a wine-
glassful of water, and give a tea-spoonful first of the one solution, and ...then
of the other, at intervals of four hours, until positive amelioration or change.
China is especially indicated by copious, painless diarrhoea, or
watery, brownish stools, attended with pungent heat at the termina:
tion of the last intestine, severe, constrictive or griping pain and
flatulent rumbling in the bowels, loss of appetite, eructations, thirst,
and great weakness. Exacerbation after a meal, or at night, and at a
particular hour or period of the day.
Dose : In every respect as directed for Ferrum-met.
Arsenicum is required when the motions are scanty, watery or
slimy, of a greenish, yellowish, whitish, brownish, or blackish color,
and create a pungent, acid, burning feeling during and after the act
of evacuating. Further, when the diarrhoea is accompanied by exces-
sive colic, or burning pain in the chest, stomach and bowels, great
thirst, sleepiness, nocturnal anxiety, rapid prostration of strength,
aggravation of the complaint at night, after eating and drinking, or
regular recurrence of the complaint at a particular hour, after an inter-
val of cessation. g
Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every hour (in severe cases), or every three hours (when the diar-
rhoea is less frequent), until the symptoms are modified, and then every four
hours, until they subside or change. If the attack be periodical, give three
globules in a tea-spoonful of water, an hour before its anticipated return,
But if only partial relief ensue from the administration of Arsenicum, within
three hours after the fourth dose, pause three hours longer, and proceed with
the next medicine.
Lachesis is appropriate in the few cases in which Arsenicum (or
even Mercurius, as above stated, p. 288,) fails to afford permanent
relief, and should accordingly be administered six hours after the
fourth dose of the preceding medicine.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until positive amelioration or change.
Dulcamara is often of great service in diarrhoea without any
characteristic indications, and particularly when it has come on after
getting the feet wet, or from a chill during a moist state of the atmos-
phere. The following are, however, the symptoms which usually call
for its employment: watery, slimy, evacuations, of a yellow or greenish
color, attended with cutting pain, or colic in the region of the navel,
and sometimes nausea, &c., with want "of appetite, much thirst and
anguor: aggravation at night.
Dose : Three globules in a tea-spoonful of water, every two hours, until the
symptoms abate, and then every four hours, until positive amelioration or
change. º
Rhus is generally to be preferred to any other medicine when
diarrhoea sets in after exposure to a thorough drenching. The more
CHOLERINE. 291
immediate indications for its selection are, watery, slimy, sanguineous,
frothy, gelatinous or red-colored stools, attended with aching (rheu-
matic) pains in the limbs, headache and griping:—aggravation of the
symptoms at night, or after eating and drinking.
Dose : In every respect as directed for Dulcamara.
Carbo-vegetabilis is occasionally required when the stools are
slimy, watery or sanguineous, but more especially when flatulent
rumblings and colic form the predominant symptoms, and nothing but
an excessive quantity of flatus, or, at the most, a small quantity of
slime, or slime and blood are evacuated.
Dose : Three globules in a tea-spoonful of water every three hours, until
distinct amelioration or change.
Cantharides is useful when the motions are scanty and attended
with straining, pain in the region of the bladder, frequent desire to
urinate, with difficult emission, sometimes of only a few drops, after
much effort.
Dose: Of a solution of four globules to three tea-spoonfuls of water, give a
tea-spoonful every two hours, until the symptoms abate, and then every four
hours, until positive amelioration or change.
Treatment of protracted and obstinate Cases.
Acidum-phosph. In all cases, which although to a certain degree
modified, have not thoroughly yielded to previous treatment as here-
inbefore directed, but threaten to become protracted and exhausting,
especially if the symptoms correspond with those already set forth
under the head of this medicine (at p. 287).
Dose: Six globules in a wine-glassful of water, night and morning, until dis-
tinct amelioration or change. But if little or no permanent benefit should
succeed the employment of Acidum-phos., after the third dose, pause twelve
hours, and proceed with the next medicine.
Sulphur should be given twelve hours after the third dose of Aci-
dum-phos., in the event of inadequate improvement, resulting from
the employment of the last-named medicine. A disposition to haemor-
rhoids, or to cutaneous eruptions, is corroborative of the fitness of
Sulphur in such cases.
Dose: Six globules in a table-spoonful of water every morning. the first thing
(fasting), for a week (or until the earlier manifestation of an important change
in the state of the patient).
Rreasotum, when, along with a continued tendency to diarrhoea,
notwithstanding the use of Phosphoric Acid or Sulphur, there is utter
want of appetite, and great weakness of the digestive organs.
Calcarea is sometimes required after Sulphur in the case of females,
particularly when there is great fear of Cholera, and also in the in-
stance of infants.
Dose: In every respect as directed for Sulphur.
292 EPIDEMIC, MALIGNANT, OR ASIATIC CHOLERA.
SYNOPSIS
Of the principal indications for Remedies employed in the Homoeo-
pathic Treatment of Sporadic or British Cholera—Epidemic,
Malignant, or Asiatic Cholera, and Cholerine.
SPORADIC OR BRITISH CHOILERA.
Ipecacuanha. Copious and easy vomiting, with watery looseness
of the bowels and slight cramps—the sickness forming the most
prominent symptom. º
Veratrum. Sudden and severe fits of vomiting and purging—
violent, permanent or prolonged cramps, great thirst, and icy cold-
ness of the feet and legs, or of the whole body, cold sweat.
Arsenicum. Paroxysms of severe and distressing retching, at-
tended with acrid, scalding stools, and straining—intense colic, con-
tinuous burning pains in the stomach and bowels—eactreme prostration
of strength—excessive coldness of the skin--and insupportable ana:iety,
Testlessness, and fear of approaching dissolution.
Chamomilla. Bilious diarrhoea, griping cramp in the calves of
the legs, yellow furred tongue, anxiety, and, sometimes, acid vomit-
ing. Chiefly required at the commencement of the complaint, and
particularly when it has been excited by a chill, or by a fit of passion,
and occurs in children, or delicate and excitable females, and is asso-
ciated with great dread of the disease.
Cinchona. More especially against debility after the disorder has
been subdued—but also during the attack when it has been induced
by eating fruit, and there is vomiting of ingesta, griping, and some-
what frequent stools containing portions of undigested food. Arseni-
cum is often required before, after, or in preference to this remedy
when the attack has been produced by eating fruit.
EPIDEMIC, MALIGNANT, OR ASIATIC CHOLERA.
Ordinary Cases.
Camphora. During the preliminary stage, or, sometimes, even
when vomiting has commenced, provided the cramps or spasms are of
a tonic description of long duration; the affected parts, as, for instance,
the fingers, toes, arms, legs, or calves of the legs, and even the whole
body, continuing, for a length of time, distorted or stiffened, without
relaxation.
Veratrum. Violent, sudden and frequent paroxysms of vomiting
and purging, the evacuations consisting of a whitish, watery fluid,
with cramps or spasms either of a tonic or clonic description of short
duration, but liable to be repeated in rapid succession, and excessive
thirst, with desire for copious draughts of cold water or acidulated
drinks.
Cuprum. When there is a vomiting and purging, but the cramps
or spasms form the predominating feature of the disease, and particu-
EPIDEMIC, MALIGNANT, OR ASLATIC CHOLERA. 293
larly when convulsive movements (jerkings or twitchings) are present.
The alternate employment of Veratrum and Cuprum is often of great
efficacy when the latter alone produces only partial improvement.
Arsenicum. When the burning pains in the stomach and bowels,
which are so frequently complained of in cholera, form a prominent
symptom—when the vomiting and purging are very distressing, but
the upward and downward evacuations small in quantity, and ejected
with painful effort—the thirst insatiable, but the desire to drink easily
satisfied, the symptoms prone to be exacerbated by its indulgence—
and the anaciety, restlessness, and fear of dissolution extreme. Vera-
trum may be advantageously alternated with Arsenicum, when the
latter relieves the symptoms we have marked in italics, but not the
others mentioned above and also under “Veratrum.”
Slight Cases.
Ipecacuanha. Either at the commencement of the disease, in
mild cases—or at a further advanced period—when vomiting is the
predominating symptom.
Nux-v. When the vomiting has yielded (particularly after the
employment of Ipecac.), and when weight or pain in the region of the
stomach and bowels, with small stools, or frequent and ineffectual
efforts to evacuate, are the remaining symptoms.
Antimonium-tart. When the evacuations are of a very bilious
description at the commencement—or when, at a more advanced
stage, the stools still contain feculent matter.
Camphora should be given in the first place in cases without diar-
rhoea or vomiting, but with sudden and extreme prostration, coldness,
and livid color of the skin, cold, clammy perspiration, and feeble or
scarcely perceptible pulse. If, after the space of about an hour, no
benefit has followed, Veratrum may be given, succeeded, after the ex-
piration of an hour, by Carbo-v. in alternation. If vomiting and
purging then ensue, Veratrum, Arsenicum, or Cuprum must be
selected in accordance with the symptoms above described under
“Ordinary Cases.”
Advanced or Neglected Cases, and Sequels of Cholera.
Secale-cornutum. When the vomiting has ceased, but exces-
sive or involuntary, unnoticed, colorless diarrhoea, and pains in the
limbs remain; or when the cramps and convulsions predominate, and
do not yield to Veratrum and Cuprum, or when the spasms are chiefly
confined to the feet, toes, hands, and fingers, the latter being frequently
spread asunder like a fan and drawn backwards. It is, more especially,
in the case of old people, or in weak, debilitated persons that this me-
dicine (Secale-cornutum) is required.
Cicuta-virosa. Spasms, chiefly confined to the muscles of the
chest—continued vomiting, but little diarrhoea—eyes turned upwards,
and the patient in a drowsy, torpid state.
Carbo-v. may be employed with success when the face is deep-red,
or livid, bloated, and covered with a clammy sweat, the breathing
much oppressed, and the patient in a drowsy, inanimate state (from
294 CHOLERINE,
congestion to the chest and head), the skin icy cold, and the pulse
scarcely; if at all, perceptible. Carbo-veg. is sometimes useful in alter-
nation with Veratrum, or any of the other remedies indicated by the
symptoms, when reaction sets in.
Plumbum-metallicum. Predominating spasms in the muscles of
the belly.
Mercurius is indicated when looseness of the bowels in the form
of dysentery—with small evacuations consisting of frothy mucus, or
mucus mixed with blood, and attended with severe griping and strain-
ing—form the remaining symptoms. Phosph. and Sulph. if diarrhoea
persist. China, debility, &c.
Lastly, Aconite is useful against local inflammatory action, with
quickness and hardness of pulse and heat of skin. Belladonna when
there is determination to the head, with violent throbbing of the
vessels of the neck and temples,— Cantharides when there are signs of
irritability, &c., of the bladder, and Rhus and Bryonid when symp-
toms of low typhoid fever supervene.
CHOLEERINE.
Acidum-phosphoricum or Secale-cornutum in general cases
of a severe or protracted character.
Ipecac, and Veratrum when more of the symptoms of cholera attend
or intervene.
Mercurius when there is severe griping and straining. Arsenicum
when there is violent griping, with distressing burning heat in the
stomach, bowels, and termination of the last intestine before or after
each stool, and much thirst, anxiety, restlessness, and prostration.
JFerrum and Cinchona, painless diarrhoea, &c. Chamomilla, particu-
larly with children, when there are bilious stools and colic. Pulsatilla,
slimy or bilious stools, chilliness, or alternate heats and chills, lowness
of spirits. Phosphorus, Cinch., Puls., Sulph., Nua-v., and Carbo-v.,
diarrhoea, with loud flatulent rumblings. Colocynth, diarrhoea with
almost insupportable colic, and, as in the case of Arsenicum, Ferrum,
Cinchona, déc., inclination for stool immediately or soon after eating
or drinking.
Diet and Regimen. Acids, coffee, strong tea, fruit—unless of the
best quality, and perfectly ripe, and, even then, in moderation,-most
vegetables, except when well boiled, and with the other limitations
named after fruit, Leggs, veal and young meats in general, pastry, and
smoked or salted meat and fish,_should be strictly abstained from.
If the appetite is pretty good, at the beginning of the attack, chicken-
or mutton-broth, or beef tea thickened with arrow-root, rice, or sago,
may be taken; otherwise gruel, rice and milk, sago and milk, &c.,
made thin, are preferable. Food of a more substantial quality must
be ventured upon with great caution. .
Excrcise is to be very sparingly indulged in; and exposure to cold
and damp avoided. In severe cases, the patient ought to be kept
warm in bed.

LIVER COMPLAINT, 295
LIVER COMPLAINT.
This disease is divided into the Acute and Chronic: the latter gene-
rally goes by the name of Liver Complaint, although a careful con-
sideration of symptoms will frequently discover that the real disease
is in the stomach and intestines; however, in many cases, the liver it-
Self becomes much affected from this cause, and in itself deserves con-
siderable attention. t
When the disease has been for a long time unchecked, and the
inflammation becomes deeply seated in the substance of the liver, an
abscess frequently forms, bursting either externally or internally; in
the latter case often proving critical, inducing hectic fever.’ 3.
ACUTE INFLAMMIATION OF THE LIVER,
This disease is much more common in tropical climates than with
us. There, a high mode of living, exposure to heavy dews or damps
in the evening, and the powerful rays of the sun by day, are amongst
its principal exciting causes; but it may also arise from violent mental
emotions, the use of stimulating or alcoholic drinks, suddenly sup-
pressed evacuations, strong emetics or purgatives, the abuse of mer-
cury, gall-stones, external injuries, or injury of the brain.
Symptoms. These differ according to the seat of the inflam-
mation. When it occurs on the outer surface or convex side, the
symptoms closely resemble those of pleurisy; there is generally a vio-
lent pain under the false ribs on the right side, sometimes resembling
stitches, at others burning—shooting to the breast-bone, the right
shoulder-blade, and point of the shoulder, and even affecting the right
foot, -sensation of numbness or tingling in the arm of the same side,
the pain increased by inspiration; a short, dry cough, and the symp-
toms of inflammatory fever; bowels irregular, generally constipated,
and stools, in the majority of cases, of an unnatural color.
In this form the patient can only lie on the left side.
When the seat of inflammation is on the inner or concave side of
the liver, the pain is much less, and the patient complains rather of a
sensation of pressure than actual pain, but the whole biliary system is
much more affected. The eyes and countenance become yellow, and
sometimes complete jaundice declares itself; the urine is orange-
colored, the evacuations mostly hard, and generally of a whitish or
gray color. We also find bitter taste in the mouth, vomiting, and
considerable distress. The patient can only lie on the right side. In-
flammatory fever is present in this form likewise. In both forms, on
examination, the region of the lower ribs, on the right side, will usually
be found hot, tumefied and painful on pressure.
Inflammation of the liver, unless properly treated, is apt to assume
the chronic form; it may also end in suppuration externally, or inter-
nally by a communication either with the lungs or intestinal canal, or
by an abscess in the substance of the organ itself, or may terminate in
indurations or other alterations of structure, in gangrene, or in the
formation of adhesions. &
296 ACUTE INFLAMMATION OF THE LIVER,
The disease may terminate by resolution, critical transitions to other
organs, piles, diarrhoea, bleeding at the nose, or eruptions on the skin,
generally erysipelatous.
TREATMENT.
Aconitum, Belladonna, Mercurius, Lachesis. Aconite is
especially indicated in the commencement of the attack, and may
always precede the other remedies, when there is violent inflammatory
fever, attended with insupportable shooting pains in the region of the
liver, with tossing, restlessness, and great anxiety and anguish.
Dose : Qf a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Belladonna may be advantageously administered, after Aconite
has subdued the preceding symptoms, or from the commencement,
when the following indications present themselves; oppressive pains in
the region of the liver, which extend to the chest and shoulders, dis-
tension of the pit of the stomach, sometimes extending across the
region of the stomach, producing a sensation of tension, with difficult
and anxious respiration; determination of blood to the head, with
cloudiness and giddiness, sometimes causing faintness; great thirst,
tossing about at night, and sleeplessness. Belladonna may be advan-
tageously alternated with Lachesis in such cases as coincide with the
joint indications afforded for both of these medicines, especially if the
patient has been addicted to excessive use of fermented liquors. Bella-
donna is, moreover, especially appropriate when the temperament of
the patient exhibits a combination of the sanguine and lymphatic.
Dose: If singly, dissolve six globules in two table-spoonfuls of water, and
give a tea-spoonful of the solution every four hours, until amelioration or
change. But if symptoms of medicinal aggravation should occur (see pp. 57
and 58), the administration should be suspended, until the re-ascendancy of
the disease itself becomes manifest; or, again, if no positive and permanent
improvement should ensue within four hours after the third dose, pause two
hours more, and proceed with the next medicine. If in alternation with
Lachesis, the like solution of each administered in rotation, by tea-spoonfuls,
at intervals of twelve hours. f
Mercurius will, in the majority of cases, prove effectual when
JBelladonna has failed to produce a favorable impression on the dis-
ease, and should accordingly be administered six hours after the third
dose of the foregoing remedy in such instances. The particular indi-
cations for Mercurius are as follow: ;
Considerable fullness or tumefaction in the region of the liver, with
pricking, burning, or oppressive pains, not allowing the patient to lie
long on the right side, and sometimes augmented by movement of the
body or part affected; pain in the shoulders; bitter taste in the mouth,
want of appetite, thirst, and continual shivering, sometimes followed
by sweating, but without relief, with pale yellow color of the skin and
eyes; also, in more advanced stages of the complaint, when there is
induration of the liver. This medicine may moreover, like Belladonna,
be administered in alternation with Lachesis, under similiar conditions.
If the patient is of a lymphatic temperament, or is distinguished by
ACUTE INFLAMMATION OF THE LIVER, 297
softness of the muscular system, there will be additional reason for
selecting Mercurius.
Dose : A solution of six globules, in all respects, singly, or in alternation, as di-
rected for Belladonna.
Lachesis. In subacute cases, or in those in which Belladonna or
Mercurius has merely afforded partial relief, Lachesis is often of great
service. It may also be administered with advantage, alternately with
the said remedies, in obstinate cases occurring in drunkards.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful, at intervals of eight hours, if singly, or of twelve hours, if in alter-
nation with either of the preceding medicines.
Bryonia, Chamomilla. Bryonia, when the pains in the region
of the liver are mostly shooting, or consist of an obtuse pressure, with
tension and burning, increased by touch, coughing or respiration, and
especially during inspiration, or much exacerbated by movement; also
when the symptoms are attended with violent spasmodic oppression
of the chest; rapid and anxious respiration; bitter taste in the mouth,
tongue coated yellow, and constipation. Bryonia, like Chamomilla,
is particularly useful in cases which have been excited by mental emo-
tion, such as a violent paroxysm of anger, and is well adapted to per-
sons of nervous or bilious temperament, and of choleric disposition.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until distinct amelioration or change. In cases in
which the pain is very severe, the doses should be repeated every two, three
and four hours progressively, according as improvement ensues, and, subse-
quently, every six hours, as already stated.
Chamomilla is more particularly required in the milder forms of
the complaint, or, more correctly speaking, in simple irritation of the
liver, when there are pressive pains, pressure in the stomach, oppression
of the chest, and a sensation of tightness under the ribs; yellow color
of the skin, pains not aggravated by motion, &c.; tongue foul and
yellow, bitter taste in the mouth; paroa-ysms of great ana:iety. Cha-
momilla is also almost a specific, when the above symptoms have been
brought on by a fit of passion.
Dose: In all respects as directed for Bryonia.
Nux-vomica is particularly indicated when the pains are shooting
and pulsative, and attended with excessive tenderness in the region
of the liver, to the touch, pressure in the region of the stomach and
under the ribs, with shortness of breath and constipation; also when
enlargement and induration occur; and, in the chronic form, when
there are marked symptoms of derangement of the stomach. This
medicine is especially appropriate for the treatment of patients of a
sanguine or bilious temperament or choleric disposition.
Dose: In acute attacks, three globules in a tea-spoonful of water every three
hours, until a degree of effect is apparent, and then every six hours, until
positive improvement results. In chronic cases, six globules in a table-spoon-
ful of water, every night at bed-time, for a week, after which, a pause of four
days should ensue, the administration being similarly resumed, if necessary,
and so on. s
Arsenicum. Distension of the right side beneath the lower ribs
298 ACUTE INFLAMMATION OF THE LIVER,
with severe burning pains and sensibility to the touch, burning heat
of skin, accelerated pulse, intense thirst, anxiety, vomiting of a dark-
Colored, grumous fluid.
Dose: In very acute cases, of a solution of six globules to two table-spoonfuls
of water, give a tea-spoonful every two, three, and four hours, according as
the symptoms continue unmodified, or abate. When the sufferings are less
intense, the repetition of the like dose may be deferred for intervals of six,
eight, and twelve hours, with the like reservations.
Pulsatilla. Sensation of tension in the region of the liver, and
pressure or dull pain in the region of the stomach; oppression at the
chest, bitter taste, yellow tongue, nausea; loose, greenish, and slimy
stools; excessive ana.iety, especially towards evening or during the
night. (Temperament lymphatic; disposition mild.)
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Sulphur is valuable to follow any one of the preceding medicines,
which, although apparently indicated, does not speedily declare a de-
cided action; or when the disease continues, although in a diminished
degree; it is particularly efficacious, after Nua-vomica, to combat the
bad consequences of the disease. In many instances, moreover, in
which the distinct analogy between the symptoms of the disease and
those which characterize one or more of the other medicines enume-
rated herein has led to the administration of such other medicine or
medicines, and when such treatment has failed to be followed by ade-
quate benefit, the intermediate administration of a single dose of
Sulphur, from time to time, has served to awaken the susceptibility
of the system to the action of such other medicine (when evidently
appropriate), and the repetition of its administration after such dose
of Sulphur has been followed by admirable results.
Dose: To assist the action of the other medicines, give four globules in a tea-
spoonful of water, following up the treatment with the remedy judged most
appropriate to the case, after an interval of twelve hours; when employed
to combat the after-effects of the disease, give six globules in a wine-glassful
of water, every morning, the first thing (fasting), for ten days (or until the
earlier development of improvement or change), after which, pause a week,
resuming the course, as before, if necessary. -
China, Rhus-tox., Sepia. One or more of these medicines, also,
may frequently prove of signal service in the treatment of this disease.
The selection should be founded upon the close investigation of their
respective characteristic action as described in the article on that
subject.
Dose : Of either of these medicines, as selected, administer doses according to
the directions afforded for Pulsatilla above.
Suppurative Inflammation or Abscess of the Liver.
Sulphur, Silicea, Kali-c., Lycopodium. These four medicines
may be numbered amongst those which have proved useful in cases
of Suppuration of the Liver. The selection from amongst them must,
of course, depend upon the particular features of each individual case,
and must be regulated by instituting a comparison between the symp-
ČHRONIC INFLAMMATION OF THE LIVER, 299
toms of the disease and those which are recorded as characteristic of
each of these medicines in the article on that subject.
Dose : If singly, of the remedy selected, give four globules in a tea-spoonful of
water, night and morning, for a week, after which, pause four days, resum-
ing the treatment as before, and so on until positive amelioration or change :
it must not be omitted, however, that the development of new, collateral. Or
complicated symptoms should be most carefully watched, for the selection
and intermediate administration, if necessary, of some remedy from amongst
those mentioned in the foregoing part of this article, and in that on “INDI-
GEstion.” If two or more of these medicines be required in alternation or
succession, the like quantity should be administered of each, in such manner,
that twelve-hours’ interval be allowed to elapse between the doses.
Diet. The regulations for diet which have already been prescribed
for the treatment of Fevers in general, and such other regulations as
are detailed in the article on “INDIGESTION,” are equally applicable to
cases of Inflammation of the Liver.
LIVER COMPLAINT or CHRONIC INIFLAMMIATION OF
THE LIVEHR.
In this form of the disease we find many of the foregoing symptoms,
but in a modified degree; and, in addition, a continued pain or un-
easiness in the right side seldom leaves the patient, who gradually falls
off in flesh and loses strength; and there is, not unfrequently, present
an occasional cough with expectoration; sometimes considerable per-
ceptible enlargement of the liver, either continual or returning perio-
dically, with a number of dyspeptic symptoms; high-colored or red
urine, yellow tinge of the skin and eyes, occasional febrile symptoms;
the pulse, except during these attacks, generally quick but regular.
TREATMENT,
With proper modifications as to the frequency of doses, the regula-
tions prescribed in the foregoing article (pp. 295 to 299) are equally
applicable to this variety of the Disease. The medicines enumerated
should accordingly be selected in conformity with the indications
therein set forth. The following, however, are especially appropriate,
in the majority of cases of Chronic Inflammation of the Liver, and the
undermentioned rule for the dose is generally apposite, as regards
other medicines.
Nux-vomica, Bryonia, Arsenicum, Sulphur, Sepia. There
are comparatively few cases (if any) of Chronic Inflammation of the
Liver, in which one or more of these medicines, either singly, succes-
sively, or alternately, will not be required; wherefore, in addition to
the indications already afforded at pp. 296 and 297, the administrator
may derive much assistance in securing an appropriate selection by
consulting the article on the “CHARACTERISTIC EFFECTs” under the
head of each respectively.
Dose : Of the medicine selected give four globules in a tea-spoonful of water,
morning and evening, for a week (or until an earlier subsidence or change in
the symptoms); after which, pause four days, resuming the course, as before,
if necessary, and so on.
300 JAUNDICE.
JAUNIDICE.
Symptoms. Yellow color, varying in shade from a pale saffron
to a dark-brown yellow, appearing first in the eyes, then extending
over the surface of the whole body; hard, whitish evacuations; Orange-
colored urine; symptoms of deranged digestion, and sometimes, ten-
sive pain or pressure in the region of the liver.
In severe cases, even, the perspiration will impart a yellow hue to
the patient’s linen. º
Exciting Causes. The disease frequently declares itself without
being plainly referable to any exciting cause; the principal causes,
however, are affections of the liver, indigestion, poisonous substances,
taking cold, powerful mental emotions, emetics, drastic purgatives, or
internal obstructions, such as gall-stones, or even worms obstructing
the biliary duct.
Predisposing Causes. Amongst the predisposing causes may be
enumerated a too sedentary or irregular mode of life, indulgence in
spirituous liquors, and the frequent use of aperients.
It may be also remarked, that this disease frequently assumes the
intermittent type.
Jaundice is not, of itself, to be considered as a dangerous disorder,
but rather as an indication of some internal derangement, which, if
neglected, may entail serious consequences: for example, dropsy, hec-
tic fever, or general wasting away.
TREATMENT.
IMercurius, China. These are two of the best remedies in the
treatment of the disorder.
IMercurius may be denominated a specific remedy for jaundice in
a great number of cases, when indeed the patient has not been sub-
jected to drenching courses of Mercury under Allopathic treatment.
Dose : Three globules in a tea-spoonful of water, every six hours, until four
doses have been given, and then every twelve hours, until permanent and
positive amelioration or change.
China is, however, to be preferred to Mercurius in cases in which
Mercury has been too copiously administered. China is also particularly
appropriate when the attack has come on after violent corporeal exer-
tion, or when it can be distinctly traced to indigestible substances;
also when the disease assumes an intermittent character. In a great
number of cases, indeed, in which jaundice recurs periodically, or in
which patients already predisposed to its attacks have been unavoid-
ably or inadvertently exposed to some directly exciting cause (such
as over-exertion, cold, &c.). China will operate as a preventive re-
source and will commonly ward off the development of an incipient
attack.
Dose : For the treatment of jaundice, in an advanced stage, give four globules
in a table-spoonful of water, three times, at intervals of four hours, and then
at intervals of eight hours, until amelioration or change. As a preventive
JAUNIDICE. 301
resource, give six globules in a wine-glassful of water, night and morning,
for three days, then pause two days, suspending treatment, or resuming the
course, similarly, according to the state of the patient.
Chamomilla, which is also possessed of approximately specific
virtues against jaundice, is more especially appropriate in cases in
which a fit of passion or other violent emotion, is identified as the ex- .
citing cause, as is frequently the case.
Dose: Four globules in a table-spoonful of water every four hours, until six
doses have been given, and then every eight hours, until positive amelioration
or change.
Nux-vomica is preferable in the generality of cases, even in such
as have been directly occasioned by violent emotion, when the bowels
are confined, or alternately confined and relaxed. Wuz-vomica is also
especially appropriate when sedentary habits, or study, or indulgence
in spirituous liquors, appear to have been the predisposing, or, partly,
the eacciting causes of the attack.
Dose : Three globules in a tea-spoonful of water, as directed for Chamomilla.
Pulsatilla. Lassitude, great weakness and anxiety, especially to-
wards evening; obtuse pressure, but sometimes, also, pricking or
shooting pain, in the region of the liver, extending occasionally up-
wards, towards the right shoulder; whitish stools.
Dose: Four globules in a tea-spoonful of water, as directed for Chamomilla.
Aurum is frequently an excellent remedy in obstinate cases, after
Pulsatilla, when the disorder occurs in young females; or, in other
cases, when the affection is accompanied by pain in the liver and region
of the stomach.
Dose: Three globules in a tea-spoonful of water, night and morning, for a
week (or until the earlier development of improvement or change), after
which, pause four days, resuming treatment similarly, if requisite.
Digitalis. A most important remedy in many cases of this disease;
the following are the principal indications for its employment: nausea,
retching, or vomiting, and purging of greenish fluid; or sluggish state
of the bowels, with white, gray, or clay-colored evacuations; tongue
clean, or coated white; pressure at the pit of the stomach and region
of the liver; alternate heats and chills.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a
tea-spoonful every two hours, until the violence of the symptoms becomes
modified; and then every four hours, until positive amelioration or change.
*
Inflammatory Jaundice.
Cases in which jaundice is associated with symptoms of inflammation
and pain on pressure in the region of the Liver, are so closely ana-
logous to inflammation of the liver, that the reader is referred, on this
subject, to the foregoing articles, treating especially of that disease.
In a great number of cases, however, the subjoined course of treat-
ment will be appropriate and adequate to effect a cure. "
TREATMENT.
Aconitum should be promptly administered when evidences of in-
flammatory action are discerned.
302 INFLAMMATION OF THE SPLEEN.
Dose: Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change; but if within two hours after the third dose, the symp-
toms be only partially overcome, pause two hours longer, and proceed with
the next remedy.
Belladonna should be administered four hours after the third dose
of Aconitum, in cases such as that under present consideration, in the
event of the last-named medicine having failed to overcome the active
symptoms. -
Dose : Three globules as directed for Aconitum. But if within two hours after
the third dose, the symptoms yet resist the treatment, pause four hours longer,
and proceed with the next medicine.
Mercurius should be administered six hours after the third dose
of Belladonna, in such cases, when the last-named medicine, as well
as Aconitum, has failed in subduing the inflammatory symptoms.
Dose : Three globules in a tea-spoonful of water, every four hours, until posi-
tive amelioration or change.
Sepia is to be preferred in inflammatory cases of a subacute
description, that is, when the indications of active inflammation are
wanting, but there is considerable pain and tenderness in the region
of the liver.
Dose : Four globules in a tea-spoonful of water, night and morning, until
positive amelioration or change.
Obstinate Cases of Jaundice.
Sulphur, Hepar-s., Lachesis, Acidum-nit. One or more of
these medicines respectively, according to the symptoms present and
the characteristic action of each as stated in the article on that sub-
ject, will become essential to overcome such obstimate and intractable
cases as have resisted treatment conducted as hereinbefore directed.
Dose : If singly, of either remedy, as selected, give four globules in a table-
spoonful of water, night and morning, for a week (or until the earlier deve-
lopment of improvement or change); after whieh pause four days, resuming
treatment, similarly or not, according to circumstances. If, in alternation or
succession, an interval of twelve hours should elapse from dose to dose, the
proportion being as already stated.
Diet. The diet should be light and unstimulating; veal or chicken
broth, with bread (unfermented); roasted apples; also mild vegetables,
such as vegetable-marrow, stewed lettuce, and French beans. The
drink should chiefly be confined to water. Bacon, butter, eggs, milk,
wine, spirits, and malt-liquor must be strictly abstained from.
INFLAMIMIATION OF THE SPLEEN.
Symptoms. Sharp, pressing, or shooting pains in the region of
the spleen, beneath the lower ribs on the left side, with, in most cases,
a high degree of fever with general derangement; and sometimes
enlargement and tumefaction; when very severe, vomiting of blood.
From our very imperfect knowledge, however, of the physiology of
this organ and its relation to the others, this disease, except when it
presents itself in the tangible form above mentioned, is extremely
- INFLAMMATION OF THE SPLEEN. 303
difficult to discover. Its best characteristics are tenderness or sensi-
bility on pressure in the region about the spleen, with general debility;
paleness of the complexion, bloodless appearance of the conjunctiva
(the superficial membrane lining the eyelids, and extending over the
fore part of the eyeballs), languid circulation, and tendency of the ex-
tremities to become cold.
It is a rare disease in this country, but sometimes declares itself in
hot seasons, when it is not unfrequently mistaken for other affections.
It may, however, arise in individuals of delicate constitutions, or in
children, when exposed to the influence of marshy miasms, particularly
when to that cause has been added insufficient clothing, want of exer-
cise or proper nutriment, and long-continued mental disquietude.
TREATMENT.
Aconitum is generally required at the onset, or even from time
to time during the course of treatment as an intermediary medicine,
against the fever generally present, if the disease be severe.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours, when the febrile symptoms run
high, or every six hours, in less urgent instances, until the fever abates; when
pause four hours, and proceed with such of the subjoined medicines as may
appear best indicated.
China should be administered four hours after the last dose of
Aconitum when the inflammatory symptoms have abated, or, at the
onset of treatment, if no fever of any moment existed from the com-
mencement, particularly if the disease owes its origin to marsh miasm,
or if the accompanying fever present an intermittent type, in which
case it should be administered during the intervals. Moreover, if im-
paired appetite and general derangement be present. Also, if the
patient have been weakened by voMITING OF BLOOD, or DIARRHOEA.
When the abuse of this medicine has given rise to disease of the
spleen, benefit will often be derived from the employment of such of
the subjoined remedies as may correspond most closely with the symp-
toms of the case. The alternation of China and Arsenicum is appro-
priate when the symptoms involve a combination of the indications
afforded for each respectively. -*.
Dose : If singly, when the disease presents no positive periodical character, and
the symptoms are not violent, of a solution of six globules to two table-spoon-
fuls of water, give a tea-spoonful every twelve hours, until positive amelio-
ration or change. If the symptoms be very severe, the like dose should be
repeated at intervals of six hours. If the disease assumes a distinctly perio-
dical character, the like doses should be administered, during the respite, an
hour before the anticipated return of the attack. If in alternation with Arseni-
cum, dissolve the like quantities of each. separately, and administer, first two
doses of the one, at intervals of twelve hours, then pause twenty-four hours,
and proceed with two similar doses of the other, and so on.
Arsenicum is useful where the disease assumes the intermittent
type, or is complicated with ague; and further, when the patient com-
plains of a violent, burning pain in the region of the spleen, and a con-
stant pulsation at the pit of the stomach, attended with great anxiety;
also vomiting of a dark, grumous fluid; watery, or bloody discharge
304 INFLAMMATION OF THE SPLEEN.
from the bowels, and burning at the posterior passage; eaccessive weak-
ness, and dropsical swelling at the feet. The alternate administration
of this medicine with China, is sometimes advantageously adopted as
above stated (see China).
Dose : In all respects, whether singly or in alternation with China, as directed
for the last-named medicine.
Arnica is indicated by pressing pain in the left side, under the
short ribs, causing difficulty of breathing, and when the vomiting of
blood is very severe. When external violence has given rise to the
disorder, Arnica is especially called for.
Dose: In ordinary cases, of a solution of six globules to three table-spoonfuls
of water, give a tea spoonful every six hours, until amelioration or change.
º: if Vomiting of Blood occur, the like dose should be repeated every three
Oll I’8.
Rhus-tox. is indicated by symptoms very analogous to those which
have been enumerated under the head of Arnica, but in this instance
when the disease can be directly traced to excessive bodily exertion.
Dose : In all respects as directed for Arnica.
Nux-vomica is chiefly indicated by the symptoms of deranged
digestion, constipation, &c., which remain after the more threatening
symptoms are removed.
Dose : Three globules in a tea-spoonful of water, at bed-time, until amelioration
or change.
Bryonia is found useful in milder cases, where an aching, shooting
pain is felt in the region of the spleen, which is much aggravated by
the slightest movement; or when the patient complains of a constant
stitch in the left side, under the short ribs, and general derangement
of the stomach, with constipation.
Dose : Three globules as directed for Nur-vomica.
Chronic Enlargement and Induration of the Spleen.
Sulphur, Calcarea-c., Baryta-c. One or more of these medicines
may be required in the majority of cases of this kind. The particular
indications for each may be best gleaned from the article on “CHA-
RACTERISTIC EFFECTs.” g
Dose : Of either of these medicines, as selected, give six globules in a wine-
glassful of water every morning, the first thing (fasting) for ten days (or un-
til the earlier manifestation of any change); after which, pause a week,
resuming treatment in the same manner, if necessary.
Lycopodium, Carbo-veg, Plumbum-met. Although of com-
paratively secondary importance to the foregoing, these medicines are
also frequently of great service in the treatment of chronic disease of
the spleen. The particular indications for each may be gathered from
the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either remedy selected, as in the foregoing prescription.
Platina, Stannum. These medicines also deserve notice in the
treatment of diseases of this nature. The selection should likewise be
INFLAMMATION OF THE STOMACH. 305
guided by the indications afforded in the article on “CHARACTERISTIC
EFFECTs.”
Dose: Of either remedy selected, as in the last two prescriptions.
INFLAMIMATION OF THE STOMACH.
As some difference of opinion exists among medical authors, as to
the application of this term, it may be as well to state clearly the dis-
ease intended to be treated of in this place.
By inflammation of the stomach, then, is here meant, inflammation
of the lining membrane of the stomach, which frequently involves the
Sub-mucous tissàe, and sometimes the muscular coat.
Symptoms. Burning, pricking, or shooting pain in the region
of the stomach, increased by pressure, inspiration, or the passage of
food; swelling, considerable heat, and tension over the whole stomachic
region, sometimes with pulsation; nausea, inclination to vomit, retch-
ing, vomiting, great thirst, increased or brought on by the smallest
Quantity of food or drink; sometimes with hydrophobic symptoms;
Soreness of the throat, with inflammation; hiccough, sobbing, great
restlessness, anxiety, and prostration of strength; coldness of the extre-
mities; tongue generally red at the tip and round the edges, foul,
rough at the centre and towards the root; frequently also fainting,
violent spasms, convulsions, even spasmodic rigidity; small, sometimes
scarcely perceptible, and remittent pulse; sunken features, with expres-
sion of anxiety; and, generally, constipation, but frequently diarrhoea,
or alternations of these two states.
Results and Complications. Death may ensue either from
gangrene, in which case the pains suddenly cease, the coldness of the
extremities increases, and the pulse becomes scarcely perceptible, and
remittent; or from paralysis of the nervous system, during the attacks
of the spasms or fainting. When this disease has been neglected or
improperly treated, and the patient has the good fortune to escape
with life, it may pass into chronic inflammation, cancerous degenera-
tion, or ulceration of the stomach.
Causes. The most frequent are partaking of cold drinks or iced
water when heated or during hot weather; the admission of acid or
poisonous substances into the stomach; injury from having swallowed
any rough-pointed body, external contusion, ardent spirits, suddenly
checked secretions or evacuations, abuse of emetics, and finally, the
sudden transition of morbid actions from some other organs.
TREATMENT.
Aconite is requisite in those cases in which inflammatory fever is
developed,—and must be repeated until relief is obtained, or an alte-
ration in the symptoms calls for the selection of another remedy.
When there is such a combination of symptoms as apparently to indi-
cate both this medicine and Arsenicum, the alternate administration
of both of these medicines (if at the onset of the disease and during
the height of the inflammatory fever), may prove of great service.
Dose : If singly, of a solution of six globules to four tea-spoonfuls of water, give
20
306 INFLAMMATION OF THE STOMACH.
one tea-spoonful every hour, until distinct amelioration or change. But if
only partial relief ensue within an hour after the sixth dose, pause two hours
longer, and proceed with the next medicine. If in alternation with Arsenicum,
dissolve six globules of each medicine, separately, in a wine-glassful of water,
and give a tea-spoonful, first of the one solution, and then of the other, allow-
ing two hours to elapse between doses.
Belladonna should be administered three hours after the third dose
of Aconitum, if only partial relief has resulted from the employment
of the last-named medicine. Belladonna is additionally indicated by
inflammation of the throat, redness of the tongue at the tip and mar-
gins, difficulty if not incapability of swallowing liquors, convul-
sions, &c.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every two hours until amelioration or change. But if the subjoined
symptoms occur, proceed at once with the next medicine.
Arsenicum should be employed without delay (if indeed it should
not have been required in alternation with Aconitum, as above stated)
should the subjoined symptoms supervene, whatever may have been
the exciting cause (other than poisoning with Arsenic); internal burn-
Žng pain; eaccessive prostration of strength; thirst, with violent vomit-
ing immediately after drinking; small, quick, and, occasionally, inter-
mittent pulse; anxiety, restlessness, and apparent sinking of the vital
energies. Also when the pain suddenly ceases, or when the burning
pain continues, and the tongue becomes covered with a thick, yellow
coating, the pulse weak, irregular, or intermitting, and purulent matter
is occasionally ejected. In such cases, indeed, Arsenicum is almost a
solitary resource. Again (in the later stage of the malady), when the
eactremities have become cold, the pulse small, the features sunken and
expressive of intense anxiety, with hiccough, thirst, vomiting on par-
taking of the least morsel of food, solid or liquid, extreme debility, &c.
Arsenicum may advantageously be administered alternately with Vera-
trum. Arsenicum may also in some cases be administered with ad-
vantage in alternation with Nua-vomica (as stated under the head of
that medicine), against inflammation of the stomach incidental to habi-
tual excess in the use of spirituous liquors.
Dose : If singly, in extreme cases, of a solution of six globules to two table-
spoonfuls of water, give a tea-spoonful every quarter of an hour, until the
worst symptoms yield. In less urgent cases the like doses may be repeated
every hour, until amelioration or change. If in alternation with Aconitum, as
directed under the head of the last-named medicine; if, with Veratrum, the
like dose of each medicine, the one half an hour after the other, until amelio-
ration or change.
Veratrum may prove of great service (in an advanced stage of the
disease) in alternation with Arsenicum, as stated under the head of
the last-named medicine.
Dose : A solution of six globules, as directed under the head of Arsenicum.
Bryonia is appropriate to the milder forms of the disease, when it
has been excited by a chill from having partaken of cold drinks when
over-heated.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
INFLAMMATION OF THE STOMACH. 307
lioration or change. But if only partial relief ensue within three hours after
the third dose, pause two hours longer, and proceed with such of the sub-
joined medicines as may correspond most accurately with the symptoms of
the case. -
Nux-vomica is one of the most important remedies in the treat-
ment of inflammation of the lining membrane of the stomach peculiar
to those who indulge in excessive use of fermented liquor (especially
ardent spirits); and likewise, of the same affection when it occurs, in-
dependently of any such pernicious habit, in consequence of suppressed
piles. Nua-v. has likewise proved of service (as will also be stated of
Pulsatilla—the distinction consisting 1. in the temperament, &c., and
2. in the associated symptoms) after the previous administration of
Aconite, Bryonia, and Arsenicum, when the disorder has been directly
occasioned by a chill, from drinking iced (or very cold) water when
over-heated.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change; but if only partial relief occur within two hours after
the third dose of Nur-vomica (in cases in which this disease results from abuse
of ardent spirits, &c.), pause two hours longer, and proceed with the next
medicine.
Lachesis should be administered four hours after the third dose
of Nua:-v., in cases of inflammation of the stomach resulting from ex-
cessive use of ardent spirits, &c., if the disease continues to make head
notwithstanding the previous treatment.
Dose : Three globules as directed for Nur-vomica.
Pulsatilla is especially appropriate for the treatment of inflamma-
tion of the stomach, occurring in persons of lax fibre (especially) or in
delicate females, and arising from the sudden suppression of some
secretion, such as the menstrual discharge, &c., and also in cases pro-
ceeding from a chill in the stomach from ice, particularly after the
previous employment of Arsenicum.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms abate, and then every four
Thours, until positive amelioration or change.
Cantharides has been recommended in the more violent forms of
the disease, especially when the burning pain, so commonly attendant
on this disease, is well marked.
Dose: A solution of six globules as directed for Pulsatilla. When the sufferings
are very intense and unintermitted, however, the doses may be repeated, at
first, at intervals of an hour.
Hyoscyamus is occasionally indicated by the occurrence of such
symptoms as the following: stupor, or confusion of ideas, with inco-
herent speech; convulsions,—symptoms like those of hydrophobia.
Dose: Two globules, dry on the tongue every half hour, until the violence of
the symptoms abates, and then every three hours, until positive amelioration
or change. *
Sulphur, Carbo-veg. These medicines have also been found of
some service in the last stage of inflammation of the stomach. The
particular indications which should lead to the selection of each, re-
308 INFLAMMATION OF THE BOVELS.
spectively, may most aptly be gleaned from the article on “CHARAC-
TERISTIC EFFECTS.”
Dose: Of either medicine, as selected, give three globules in a tea-spoonful of
water (or, if that be inconvenient, dry on the tongue), every half hour, until
a degree of improvement become apparent, and then every three hours, until
positive amelioration or change.
Mercurius, Chamomilla, Colocynth. One or more of these
medicines may also occasionally prove of service in the treatment of
this disease. The symptoms which particularly indicate each, respec-
tively, may readily be gathered by reference to the article on “CHA-
RACTERISTIC EFFECTS.”
Dose: Of either remedy selected, as stated in the last prescription.
Arnica, however, should be resorted to, if the attack can be traced
to injury of the stomach from any rough or pointed substance having
been swallowed, or if it has arisen from external contusion.
Dose : Three globules in a tea-spoonful of water every two hours, until a
degree of improvement becomes manifest, and then every four hours, until
positive amelioration or change. ſº
Diet and Regimen. The regulations in these respects are so
obviously those which have been prescribed and recapitulated under
the head of each febrile and inflammatory disorder, that the repetition
of them were supererogatory in this place.
SUB-ACUTE OR CHRONIC INFLAMIMIATION OF THIE I,INING MEMIBIRANIE OF
THE STOMACH.
This is a form of disease which has been denominated Mucous Indi-
gestion, by some pathologists, in contra-distinction to Nervous Indi-
gestion (or indigestion proceeding from irritation or inflammation of
the nerves of the stomach). It consists in a deranged or inflamed
state of the whole, or, more commonly, only a portion of the mucous
membrane, which lines the interior of the stomach, and is continued
upwards to the throat, cavity of the mouth, nostrils, &c. The symp-
toms vary according to the duration and stage of the diseases But
inasmuch as this disease under the denomination of derangement of
the lining membrane of the stomach, has been considered in detail in
the article on “INDIGESTION,” the reader is referred thither for parti-
culars respecting the nature and treatment of the disorder.
INFLAMMATION OF THE BOWELS.
This disease is comparatively of rare occurrence in the uncompli-
cated form, and appears much more frequently as a symptomatic
affection, particularly in the course of certain fevers, such as low
Nervous Fever, Scarlet Fever, Measles, &c.; and also in all diseases
attended with hectic fever.
It much more frequently occurs in the sub-acute or chronic, than in
the acute form.
Symptoms of Acute Inflammation of the Bowels. In the acute
form of the disease involving the sub-mucous tissue and investing
membrane, as well as the lining or superficial coat of the bowels, the
IN FLAMMATION OF THE BOWELS. 309
symptoms are usually as follow: intense burning or pungent pain,
generally in one spot, especially in the region of the navel, increased
by the slightest pressure and by movement, with tightness, heat, and
drum-like distension of the belly; sobbing, anxiety, and violent thirst,
with aggravation of suffering from cold drinks; obstinate constipation;
violent vomiting, first of slime and bile, and sometimes even of excre-
ments; small and contracted pulse, inflammatory fever, flatulence, and
frequently obstruction of urine.
Symptoms of Sub-acute or Chronic Inflammation of the Bowels.
In the sub-acute form of the disease, or in simple inflammation of the
lining membrane of the intestines, the pain is often very slightly felt,
in comparison with that which accompanies inflammation of the outer
or peritoneal coat, and generally consists of a diffused soreness over
the belly, which is commonly, though not always, increased on pres-
sure; but indigestible food or cold drinks almost invariably cause an
aggravation of pain. The tongue is often very red, smooth, and glossy;
and, generally speaking, there is more or less redness at the tip and
margins, however foul the centre may be. We also find loss of appe-
tite and indigestion, with nausea and vomiting, more or less prominent,
according to the portion of the intestinal tube affected, being greater
the nearer the seat of the inflammation is to the stomach. When the
inferior parts are implicated, there is usually diarrhoea, the stools being
frequently slimy and mixed with blood, in severe cases consisting of
pure blood, particularly when the terminal bowel is involved, in which
case there is, moreover, considerable straining. The pulse is quick,
the thirst sometimes excessive, with a greater or less degree of fever,
and eactreme languor.
Results and Complications. Unless resolution take place, it
may terminate in induration of the intestines—laying the foundation
of chronic constipation, dropsy, suppuration, or gangrene.
The signs of approaching gangrene, or of its having set in, are the
same as in inflammation of the stomach, with the difference of situation.
General Causes. Among its exciting causes are cold in the feet,
suppressed discharges, powerful purgatives, worms, sudden transitions
of morbid affections from other organs, parturition, indigestible or
highly stimulating food, prolonged use of acids, sour wine, or beer, &c.
The state of the atmosphere appears to have some share in producing
it, from the circumstance that the disorder sometimes prevails almost
as an epidemy.
Acute Inflammation of the Bowels.
TREATMENT.
Aconitum is indispensable in commencing the treatment of this
disease (to overcome the inflammatory action) when the accompanying
fever is intense, and the skin hot and parched.
Dose: Of a solution of six globules to three tea-spoonfuls of water, give a tea-
spoonful every two hours, until the fever abates.
Arsenicum, Veratrum. One or both of these medicines, either
singly, alternately, or in succession, according to the circumstances of
&
310 INFLAMMATION OF THE BOWELS.
the case, may be denominated the most direct and appropriate reme-
dies to strike at the root of the disease in those rarer forms of this
disease when the symptoms resemble those described under these
remedies at p. 306.
Dose : If singly, of either remedy (as selected) dissolve six globules in three
table-spoonfuls of water, and give a tea-spoonful of the solution every hour,
until the violence of the symptoms becomes modified, and then every three
hours, until positive amelioration or change. If in alternation, dissolve,
separately, the like quantity of each, and give, first, two doses of the one, at
intervals of half an hour, then pause two hours, after which give two doses
of the other, similarly, and so on. If in succession, a pause of two hours
should elapse between the administration of the different medicines. But if
the subjoined symptom in particular should become predominant, proceed to
select from the following medicines.
Opium, Plumbum-met. These remedies respectively, according
to the characteristic assemblage of symptoms present (as exhibited
under the head of each in the article on that subject) are especially
appropriate when the excremental vomiting becomes a prominent
Symptom.
Dose : Of either medicine, as selected, give three globules in a tea-spoonful of
water, every half hour, until the indicative symptom subsides.
Sub-acute Inflammation of the Bowels.
TREATMENT.
Aconitum, as in the preceding variety of the disease, may fre-
Quently be rendered necessary by the degree of fever present, and
should be administered accordingly at the onset of treatment.
Dose : Three globules in a tea-spoonful of water every four hours, until the
febrile symptoms subside, after which, appropriate selection should be made
from amongst the subjoined medicines.
Belladonna, Lachesis. Both of these medicines are of great
service when indicated,—either singly, in alternation, or in succession.
Belladonna is more particularly indicated by the following symp-
toms: tongue red and smooth, or coated white or yellowish-brown in
the centre, with intense redness of the tip and margins, and inflam-
matory redness of the papillae; skin hot and dry, intense thirst, hot,
flushed face, giddiness, with occasional delirium, especially at night;
sensation of soreness or of eaccoriation either about the navel and lower
part of the belly, on the right side, or over the entire stomach, with
tenderness on pressure, and sometimes considerable distension, parti-
cularly in the region immediately above the navel.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every four hours, until three doses have been given (or until the
immediate symptoms abate) and then night and morning, until positive ame-
lioration or change. But if the improvement resulting from the employment
> of Belladonna, becomes stationary at a certain point, consider the subjoined
medicines, and especially Lachesis.
Lachesis is a most important remedy in inflammation of the intes-
times, with burning, aching, cutting pain, oppressed respiration, tense,
INFLAMMATION OF THE BOWELS. 311
distended belly, and obstinate constipation. It is often of most signal
Service after the previous administration of Belladonna, when the
latter has been inadequate to complete the cure, in which case it
should be administered twenty-four hours after the last dose of Bella-
donna (when appropriate to the symptoms present).
Dose: Three globules in a tea-spoonful of water every four hours, until the
immediate symptoms abate, and then night and morning, until positive ame-
lioration or change; returning, however, to Belladonna, if remaining and dis-
tinctive indications super-exist.
Nux-vomica is particularly indicated by the following symptoms:
Yedness of the margins of the tongue, with yellow or whitish coatin
in the centre; sensation of Soreness, with burning heat in the belly;
loss of appetite; indigestion, with vomiting after partaking of food,
and aggravation of the pain in the bowels after drinking; flatulence,
constipation, or constipation and looseness alternately; scanty, watery
stools, or stools consisting of a small quantity of mucus, sometimes
tinged with blood, and attended with straining.—This remedy is
especially useful when the above symptoms have been caused by the
sudden suppression of a haemorrhoidal discharge, or by indigestible
food, &c.
Dose : Four globules in a table-spoonful of water, every four hours, until three
doses have been given (or until the earlier occurrence of distinct change);
and then night and morning, until positive improvement or change results,
continuing this course for ten days, after which, pause four days, and pro-
ceed with the next medicine, if the progress of cure becomes stationary.
Sulphur is, in many instances, most appropriately employed after
Nua-v. when that medicine has evidently been inadequate to complete
the cure.
Dose : Six globules in a wine-glassful of water every morning, the first thing
(fasting), for ten days (or until the earlier development of some positive
change); after which, pause a week, resuming the course, as before, or not,
according to circumstances.
Mercurius is a most important remedy in this disease even in the
most serious cases, and especially after Aconite and Belladonna, or
Arsenicum, should that remedy have been called for. The following
are its principal indications: tongue very foul, coated white or dark-
brown; it is sometimes dry, but more frequently covered with thick
phlegm ; eaccessive thirst; belly hard, tense, distended, and very tender
to the touch; copious watery, bilious, and highly offensive stools, but
more frequently there is constant urging to stool, followed, after severe
straining, by the evacuation of a small quantity of mucus tinged with
blood, or, at other times, of pure blood in considerable quantity; ex-
treme prostration of strength, chilliness and shivering, with tendency
to sweating at night, which, however, brings little or no relief.
Dose: Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every four hours (against the immediate symptoms) and, subse-
quently, every twelve hours until permanent amelioration or change ; but if,
after three doses at the latter intervals (twelve hours), the improvement
should cease to be regularly progressive, or this medicine should seem inade-
quate to complete the cure, especially if the undermentioned circumstance
correspond, pause twenty-four bours, and proceed with the next remedy.
312 INFLAMMATION OF THE BOWELS,
Acidum-nitricum. The indications for this remedy are much the
same as those described under the foregoing; it is, therefore, some-
times of great service in completing the cure, when Mercurius has
effected considerable improvement, but seems inadequate to give
further relief. It is an invaluable medicine in chronic cases, attended
with tenderness of the belly, and straining, and especially when the
disorder occurs in individuals who have been previously subjected to
an abuse of Mercury under allopathic treatment.
Dose : Three globules in a tea-spoonful of water, night and morning, for a week;
after which pause two days, resuming the course similarly, if requisite, and
so on, until amelioration or change.
Bryonia. After the previous employment of Aconite, Bryonia is
occasionally a useful remedy in these cases, when the patient complains
of severe headache, with constipation, and acute pain in the belly,
aggravated by movement, when, after Aconite there remains dark
redness of the tongue, or whitish or yellow-coated tongue, with
parched mouth and considerable thirst; loose, offensive evacuations,
particularly after partaking of food or drink; nausea and vomiting
after eating.
Dose. Four globules in a tea-spoonful of water, every six hours, against the im-
mediate symptoms, and, afterwards, night and morning, until permanent
amelioration or change.
Pulsatilla. When the acute inflammatory symptoms of intestinal
inflammation, arising from the sudden suppression of some habitual
discharge, such as the monthly or the haemorrhoidal flux, or occurring
as a sequel of measles, have been subdued by Aconite, and the follow-
ing symptoms remain: tongue loaded with a thick, white, grayish, or
yellow coating; absence of natural thirst, or, on the contrary, eacces-
Sive thirst, deranged digestion, loss of appetite, with nausea and
vomiting after partaking of a little nutriment; sensibility of the belly
On pressure, or on every movement; flatulence.
Dose : Four globules as directed for Bryonia.
Colocynth. In cases where the large intestines are the seat of
inflammation, attended with drum-like distension of the belly, and
Soreness and sensibility to the touch, griping and looseness of the
bowels, with increase of pain, followed by urgent desire to go to stool,
after eating or drinking; nausea or vomiting of bilious matter; fre-
quent discharge of wind.
Dose: Four globules in a tea-spoonful of water every three hours, during
the continuance of acute suffering, and afterwards night and morning, until
permanent amelioration or change.
Chamomilla is peculiarly well adapted to the treatment of the dis-
order in the form it is likely to assume in children, or in highly
nervous and excitable females, who are extremely sensitive to pain,
and complain loudly from trivial suffering; it is indicated, moreover,
by a sensation of soreness in the belly, as if arising from internal ex-
coriation or ulceration, accompanied with painful tenderness on slight
pressure, and slimy, whitish, watery, greenish, or yellowish diarrhoea
of an offensive odor.
Dose : Four globules, as directed for Colocynth.
INFLAMMIATION OF THE BOWELS. 313
China is frequently useful after Aconite or any of the foregoing
remedies, when there is a drum-like distension of the belly; looseness
of the bowels, aggravated after a meal, with undigested food in the
evacuations; thirst, extreme weakness of digestion, and great debility.
Dose: Of a solution of six globules to three table-spoonfuls of water, give *
tea-spoonful every four hours, until relief or change ensues.
Cantharides. In very serious cases, with discharge of pure blood
at stool, and painful drop-discharge of urine; or in an advanced stage
of the disorder, with evacuations of slime and solid substances, like
shreds of membrane, this remedy will frequently be found of consider-
able service.
Dose : Against the acute symptoms, of a solution of six globules to two table-
spoonfuls of water, give a tea-spoonful every two hours, until relief or change
ensues. Subsequently, the doses should be given as directed for China.
Colchicum will also be found useful, occasionally, in advanced
stages of the disorder, with drum-like distension of the belly, looseness
of the bowels, the stools consisting of white or transparent, gelatinous
phlegm, or of blood mixed with substancés resembling false-membrane.
Dose : As directed for China (above).
Rhus. When eruptions break out about the mouth, and there is
redness of the tongue, with pain as if from soreness or ulceration in
the belly, and tenderness on pressure; watery, slimy, frothy, or san-
guineous stools; low fever, with nocturnal delirium.
JRhus is, however, chiefly useful in symptomatic inflammation of the
bowels, such as frequently occurs in low Nervous Fever (which see).
Dose : In the case of this disease, complicated with low Nervous Fever, the
doses should be in conformity with the regulations at pages 103, 104, and 105.
In other instances the doses should be administered, as directed for Cantha-
rides (above).
Obstimate Chronic Cases.
Symptoms. The chronic stage of the complaint is chiefly charac-
terized by fixed pain, fullness, or uneasiness and oppression in the
lower part of the belly, increased after meals or after cold drinks;
appetite impaired or capricious; thirst, particularly after dinner or at
night; bowels constantly relaxed, or affected by constipation alter-
nately with diarrhoea; fetid and discolored evacuations; skin hot,
harsh, and of an unhealthy hue; pulse rather quick; tongue loaded,
but red at the tip and margins,—or redness of the entire tongue, with
large and elevated papillae, especially at the root; emaciation, weak-
Iless, and languor.
TREATMENT.
In the treatment of this disease, when it assumes a confirmed and
absolutely chronic character, it will be obvious that the medicines
heretofore prescribed for sub-acute cases may severally be indicated
by the symptoms, and should be administered accordingly. The chief
difference, where such indications correspond, consists in the method
of administering the medicines; and the doses of such medicines as
314 INFLAMMATION OF THE BOWELS.
are not recapitulated in detail in the subjoined directions for treat-
ment, should be generally given in conformity with the following
regulation.
Dose : Four globules in a tea-spoonful of water, night and morning, for a week
(or until the earlier development of distinct improvement or change). After
which, pause four days, resuming the course, if necessary, as before, and so
on, until permanent improvement, or distinct change.
Acidum-nitricum is particularly indicated when there is thirst,
attended with pains in the bowels, or other uneasiness after drinking;
impaired appetite; tenderness of the belly; fetid diarrhoea, and strain-
Žng; greenish stools, with crude, undigested matter; skin dry and
harsh during the day, sometimes with nocturnal sweats.
Dose : Four globules in a tea-spoonful of water, night and morning, for a week;
then pause two days, resuming the course as before, if necessary, and so on,
until amelioration or change. {
Phosphorus. Soreness in the belly, with tenderness on pressure,
and distressing distension after meals; obstinate diarrhoea, or consti-
pation and diarrhoea alternately: stools containing crude matter; pulse
rather quick and hard; weakness and emaciation.
Dose : As directed for Acidum-nitr.
Sulphur. This remedy is one of the most useful in inflammation
of the intestines arising from the suppression of some accustomed dis-
charge, such as the haemorrhoidal, &c.; as also in cases arising from
the driving inward of a tetter, or sudden healing up of an ulcer.
Sulphur is moreover, indispensable in awakening the susceptibility of
the system to the influence of such other medicines as may be indi-
cated, in the great majority of cases in which constitutional taint is
apparent (as more particularly explained at pages 87, 88), especially
if there be a predisposition to unhealthy condition of the skin, or to
piles, &c. In such cases a dose or two from time to time (as an inter-
mediary medicine), may prove of great service. It is also indicated
when we find the tongue red, or loaded; thirst ; pain, as from eaccoria-
tion; in the belly, with tenderness on pressure; or fullness and
uneasiness in the belly, increased by cold drinks, or after meals; dimi-
nished or fastidious appetite, with aversion to meat; fetid and loose
discharge from the bowels, frequently containing crude matter; con-
stipation, or constipation alternately from diarrhoea; flatulence; skin
yellow, or otherwise unhealthy-looking, or dry and peeling, but often
covered with perspiration at night, or towards morning; pulse quick
and hard; emaciation, with considerable debility.
Dose : If generally indicated by the symptoms detailed above, give six globules
in a table-spoonful of water, every morning, the first thing (fasting), for ten
days (or until the earlier development of new symptoms, change or improve-
ment): then pause four days, resuming the course, as before, if still required,
and so on, until permanent improvement or change. If as an intermediary
medicine (to assist in perfecting other treatment), a dose of six globules
should be given forty-eight hours after the last, if any other medicine, and
again at the expiration of twelve hours, after which a pause of three days
should elapse, before other treatment is resumed.
Silicea. When the disorder has been excited by the sudden Sup-
INFLAMMATIon of THE BowRLs Associated witH worms. 316
pression of the perspiration of the feet, or the rapid healing up of a
chronic ulcer, Silicea is one of the most important remedies. The
following symptoms are some of the more immediate indications for
its selection: dryness of the mouth, loaded tongue, great thirst, with
diminished appetite, and sometimes disgust at meat, or cooked and
hot food, with desire for cold food and drinks; belly hard, hot and
tense, and painful to the touch; constipation, or extremely fetid, watery
stools; rumbling in the bowels, especially on movement; skin dry and
parched during the day, and covered with sweat towards morning ;
pulse quick and hard.
Dose: Six globules as directed for Sulphur.
Arsenicum has already been noticed as a principal remedy in
acute cases of a violent character; it is, moreover, a remedy of con-
siderable service in some of the chronic varieties of inflammation of
the intestines, characterized by a sensation, as it were, of excoriation,
or of burning heat in the belly, attended with nausea, want of appe-
tite and great thirst; increase of pain after cold drink; flatulent rumb-
ling; diarrhoea, sometimes with undigested matter; fetid, discolored
stools; skin parched, hard, and of a yellowish, unhealthy-looking hue;
emaciation, with extreme debility. dº
Dose: Three globules in a tea-spoonful of water night and morning, until posi-
tive amelioration or change. y
Calcarea, Carbo-veg., Sepia. One or more of these medicines
may also prove of considerable service in obstinate bases, and should
be selected in conformity with the indications afforded for each, re-
spectively, in the article on “CHARACTERISTIC EFFECTs ''
Dose: Of the remedy selected, give three globules, as directed for Arsenicum.
Rali-c., Hepar-s., Graphites. One or more of these medicines
also may be found appropriate to particular cases, and especially to
such as have been tampered with in Allopathic treatment. The selec-
tion will be determined by reference to the characteristic action of
each respectively, as stated in the article devoted to that subject.
Dose: Of the remedy selected, give three globules, as directed for Arsenicum.
INFLAMMATION OF THE BowFLS ASSOCIATED WITH
WORIMS.
Cases occur in which the presence of Worms may be traced as the
exciting cause of the disorder, and which, therefore, cannot be effec-
tually cured without the removal of such cause. In these cases, there-
fore, or when there are grounds for suspecting the presence of Worms,
the reader is referred for particulars of the appropriate method of
treatment to the article on “INVERMINATION.”
Diet. In acute cases of inflammation, either of the stomach or
bowels, the regimen must be placed under the same restrictions as
described under FEVER ; and in sub-acute and chronic cases the food
should be very light, and given in small quantities; raw fruit, green
vegetables, and sometimes potatoes, must be strictly prohibited; and
the drink should consist solely of toast-water, barley-water, or the like.
316 INFLAMMATION OF THE PERITONEUM.
INFLAIMIMATION OF THE PERITONEUIM. *
Symptoms. Painful tension and tumefaction of the belly, with
sensibility to the touch even more acute than that in inflammation of
the intestines, so much so that the patient cannot bear the pressure
even of a sheet upon that part. Sometimes vomiting and other symp-
toms, closely resembling those of inflammation of the bowels occur,
and frequently constipation and suppression of urine; at other times
merely the marked sensibility of the belly, and tumefaction, with
derangement of the digestive functions. But, physiologically con-
sidered, these symptoms arise from the intensity and extent of the
inflammation and the sympathy of the other and adjacent organs.
Causes. General causes of inflammation, and moreover, external
injury, parturition, chill of the stomach, and the sudden transition of
morbid affection from some other part or organ.
TREATMENT.
Aconitum is generally most appropriate as an initiatory medicine
in the treatment of this disease. It has indeed, in some cases, been
sufficient of itself to overcome the disease when promptly administered
upon the first appearance of the characteristic symptoms.
Dose : Of a solution of six globules to six tea-spoonfuls of water, give a tea-
spoonful every two hours, until the fever is more or less reduced (which will
usually be effected by from one to three doses of this medicine); after which
consider the subjoined medicines, for further treatment, if requisite.
Nux-vomica should be employed after the general and local
inflammatory symptoms have yielded to the action of Aconite, but
the following manifestations continue to prevail: distension of the
belly, with predominant symptoms of derangement of the digestive
organs, and suppression of urine.
Dose : Three globules in a tea-spoonful of water, every six hours, until amelio-
ration or change.
IMercurius is more particularly suited to the advanced stages of the
disease, with weak, quick pulse, nocturnal sweats, and great weakness.
Dose : Three globules, as directed for Nur-vomica.
Bryonia will be required when the inflammation extends to the
pleura, f and the breathing becomes affected, with acute shooting
pains, or otherwise, as stated in the article on PLEURISY.
Dose : A solution of four globules, as directed for Aconitum (above).
Arsenicum should be promptly employed when the peritoneal
coat of the upper portion of the alimentary tube or of the stomach
itself becomes affected, evidenced by an increase in the intensity of the
disease, the pain extending higher, and vomiting, generally a rare
symptom, becoming severe and continual—collapse of the features,
* The membrane that lines the cavity of the belly, and invests the stomach and
bowels.
# The membrane which lines the chest, and invests the lungs.
INFLAMMATION OF THE PERITONEUM. 317
small pulse, and a rapid sinking of the vital energies, closely resemb-
ling inflammation of the stomach.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every two hours, until the symptoms are in some degree moderated;
after which, continue the administration, at intervals of four hours, until
positive amelioration or change.
Belladonna is required in cases in which, along with great pain
and tenderness of the belly, there are evidences of the brain being
affected.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Cantharides, Chamomilla, Rhus, Colocynth. These medicines
respectively, according to the analogy between the symptoms of the
Case and the characteristic indications of each (as stated in the article
. that subject), are not unfrequently of considerable service in this
1S63,Sé.
Dose: Of either medicine, as selected, dissolve six globules in six tea-spoonfuls
of water, and give a tea-spoonful of the solution every three hours, until
amelioration or change.
Cases occasioned by Easternal Injuries.
Cases of this kind require simultaneous constitutional and external
treatment.
Constitutional Treatment.
Arnica should be promptly administered when the occurrence of
Inflammation of the Peritoneum can be distinctly traced to a blow or
fall, or even to over-exertion, &c.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every two hours, until three doses have been given, and them every
six hours (if yet required) until anielioration or change. Should Aconite
appear necessary, in alternation with Arnica, in consequence of the intensity
of the fever, it may be given, in the dose already described, every two hours,
in rotation with Arnica.
Rhus may, in some cases, be preferred to Arnica, when the injury
has been of the nature of muscular strain.
Dose : A solution of six globules, as directed for Arnica.
JEacternal Treatment.
Arnica (concentrated tincture) should be applied externally simul-
taneously with the internal administration of the same medicine.
Application of the Lotion : To ten parts of water add one of the Tincture of
Arnica, and saturate linen bandages with this lotion. The bandages should
then be applied to the parts, and the whole covered with oiled silk. From
time to time as these bandages become dry, they should be re-saturated or
changed.
Diet and Regimen. In these particulars the same precautions
should be observed as have been enjoyed under the head of Fevers in
general, Inflammatory Fever, &c., and which are applicable to all
inflammatory diseases affecting important organs.
318 TNFLAMMIATION OF THE KIDNEYS.
INTFLAMMIATION OF THE IRIDNEYS.
Symptoms. Pressing, pungent pain at each, or only on one side
of the back, in the region of the kidney, shooting along the urinary
duct to the bladder; difficult and painful urination, or suppression of
urine (when both kidneys are affected), hot and high-colored or red
urine; drawing up, swelling, and pain of the testicle on the affected
side; numbness and spasms of the foot on the same side; nausea,
vomiting, colic, and straining without effectual evacuation ; lying on
the part affected and motion aggravate the pains.
Causes. Excessive use of stimulants; shocks of the body, falls or
strains, external injuries: long lying on the back, abuse of diuretics
or cantharides, suppressed piles or menstruation, the sudden transition
of morbid manifestation from other parts or organs, or stone in the
kidney.
TREATMENT.
Aconite. In the inflammatory stage of this affection, this remedy
should be administered in repeated doses.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until the pulse becomes less fre-
quent, the skin moist, or covered with profuse perspiration, after which
pause six hours, and consider the following medicines (and Cantharides in
particular), wherewith proceed to complete the treatment.
Cantharides will be found most efficacious in prosecuting the
treatment, and may indeed be had recourse to, at the very commence-
ment of the attack, even when the accompanying fever is considerable,
particularly when the urine passes off in drops, or is tinged with blood;
or when the micturition is exceedingly painful, with burning pain in
the urinary canal; and when there are the general symptoms of shoot-
ing, cutting, and tearing pains in the loins and regions of the kidneys;
or even in the cases of complete suppression of urine.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until positive amelioration or change.
Nux-vomica is appropriate when the affection can be traced to
the suppression of a haemorrhoidal discharge, determination of blood
to the belly, excess of wine or stimulants, and sedentary habits; and
where we find constipation, feeling of faintness, nausea, vomiting, dis-
tension of the stomach, and drawing up of the testis and of the sper-
matic cord.
Dose : Three globules in a tea-spoonful of water, every six hours, until amelio-
ration or change. But if little or no improvement ensue within six hours
after the fourth dose—and the symptoms present correspond with the charac-
teristic action of one or both of the subjoined medicines as stated in the article
on that subject—pause six hours longer, and proceed with one or both of the
following remedies.
Cocculus, Arsenicum. In some instances one or both of these
medicines, singly or successively, may be found requisite for consecu-
tive treatment after the previous employment of Wuz-vomica, when
the symptoms present correspond with those detailed under the head
INFLAMMATION OF THE KIDNEYS. 819
of each of these medicines in the article on “CHARACTERISTICEFFECTs,”
and when Wuz-vomica has been followed by incomplete results. In
these cases the first dose of either of these medicines should be given
twelve hours after the fourth dose of the foregoing.
Dose: Of either of these medicines, give three globules in a tea-spoonful of
water, every four hours, until positive amelioration or change. If successively
administered, a pause of from twelve to twenty-four or forty-eight hours,
according to the urgency of the symptoms, should elapse between the last
dose of the one, and the first of the other.
Pulsatilla. In persons of phlegmatic temperament, and especially
in females, when the complaint is connected with irregular or sup-
pressed menstruation.
Dose : Three globules in a table-spoonful of water every twelve hours, until
amelioration or change. -
Belladonna. When shooting pains in the kidneys are present,
extending to the bladder, and further, when inflammation in the kid-
neys is accompanied with colic and spasm of the stomach, heat and
distension in the region of the kidneys, scanty flow of water of an
orange-yellow, or sometimes of a bright-red color, depositing red or
whitish thick sediment; anxiety, restlessness, and periodical aggra-
VatlOn.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until positive amelioration or change.
Hepar-sulphuris is useful, when we have reason to apprehend the
formation of an abscess or the commencement of suppuration. The
non-professional prescriber must be careful not to mistake the apparent
alleviation of suffering here for the subjugation of the disease, as the
distinction is difficult. The following symptoms may serve as a guide
in these serious cases; cessation of the acute pain, a sensation of
throbbing and a feeling of weight in the region of the kidneys, alter-
nate chills and slight flushes of heat, and copious perspiration.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until the symptoms become allayed,
and then every twelve hours, until positive amelioration or change.
Colchicum. When, in addition to the usual symptoms of the dis-
ease, there is eaccessive nausea, with drum-like distension of the belly,
and painful and scanty emission of bright-red urine.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change,
Inflammation of the Kidneys occasioned by Mechanical Injuries.
Arnica is appropriate for the treatment of Inflammation of the
Kidneys resulting from mechanical injuries (such as contusions or
severe concussions), and should be employed at the onset of treatment,
whatever be the course afterwards indicated by the subsequent deve-
lopment of symptoms.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change. But if only partial
relief should ensue in the course of twelve hours, proceed promptly to con-
sider the indications for other medicines, as hereinbefore directed.
320 INFLAMMATION OF THE KIDNEYS.
Chronic Inflammation of the Kidneys.
Hepar-sulphuris may be named as a medicine of some importance
for the treatment of Inflammation of the Kidneys, which has degene-
rated into a chronic disease, and thus, for cases in which induration of
the kidneys has resulted.
Dose : Three globules in a tea-spoonful of water, night and morning, for a week
(or until the earlier development of improvement or change); then pause
four days, resuming the course, if necessary, as before, after that interval,
and so on, until positive amelioration or change.
Suppurative Inflammation of the Kidneys.
Hepar-s, Arsenicum, Sulphur, Silicea. One or more of these
medicines are often required when suppuration has set in. The selec-
tion should be guided by the indications afforded for each of these
medicines, respectively, in the article on “CHARACTERISTIC EFFECTs.”
Dose : Of the first two (when selected), give three globules in a tea-spoonful
of water, night and morning, for four days, or until earlier amelioration or
change. Of the two latter six globules in a table-spoonful of water, the first
thing in the morning, in like manner.
Ill-Effects from Abuse of Cantharides.
The mischievous use of Cantharides under allopathic treatment in
the application of blisters, whereby the kidneys often become con-
siderably and even seriously affected, is promptly and effectively
counteracted by the Homoeopathic antidote employed internally and
externally.
Camphor (Concentrated Tincture) should be administered without
delay when an affection of this kind is distinctly traced to the cause
in question.
Dose (internal): One drop of the concentrated tincture of camphor on a small
lump of sugar, every hour, until three doses have been given; and, after-
wards, every half hour, until the symptoms subside. '
Application (external) : Moisten the palm of the hand with a few drops of the
concentrated tincture, and apply with friction on the inner side of each thigh.
Inflammation of the Kidneys associated with Stone.
This disease sometimes arises from the presence of stone in the
kidneys; in which case the symptoms of fever do not occur, until a
considerable time after acute pain has been experienced. Further, a
numbness of the thigh, and a retraction of the testicle of the affected
side are considered as distinguishing marks of the existence of a con-
cretion in the kidney or urinary duct.
TREATMENT.
Belladonna is useful as a palliative against the pain.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every hour until the suffering is alleviated, subsequently proceeding
with one or more of the following medicines.
Lycopodium, Calcarea. One of these medicines will frequently
succeed in procuring more permanent relief. The selection will be
INFLAMMATION OF THE BLADDER. 321
determined by referring to the stated characteristic action of each in
the article on that subject.
Dose : Of the medicine selected give three globules in a tea-spoonful of water,
night and morning, for a week (or until the earlier development of improve-
ment or change); then pause seven days, after which resume the course, as
before, if necessary, and so on, until amelioration or change.
Diet and Regimen. Patients suffering from inflammation of the
kidneys should strictly avoid wine, malt-liquor, and spirits. Bodily
rest and avoidance of over-excitement, as well as of excess of exertion
(even walking) are equally essential to facilitate and complete the cure.
INIFLAMMIATION OF THE BLADDER.
Burning pain in the region of the bladder, with tension, heat, pain
on pressure, and external tumefaction; frequent and painful discharge
(or even suppression) of urine, and generally accompanied with strain-
ing; fever and sometimes vomiting, as in inflammation of the kidneys.
Causes. The causes of this complaint closely resemble those of in-
flammation of the kidneys, but it occurs more frequently in parturition
than the latter affection.
TREATMENT.
This malady, like the previous one, ought only to be treated by
non-professional persons when medical aid is not at hand.
Aconitum is ever requisite in the initiatory treatment of this dis-
ease, if there be a considerable degree of fever, with hot, dry skin, and
quick, hard pulse.
Dose : Dissolve six globules in two table spoonfuls of water, and give a tea-
spoonful of the solution every two hours, until the pulse becomes more
healthy, and the skin moist, &c. After which consult the indications for the
subjoined medicines respectively, wherewith to continue treatment.
Cantharides * is as valuable a remedy in the treatment of Inflam-
mation of the Bladder as in that of the Kidneys, and will in the greater
number of cases be required to follow the initiatory administration of
Aconitum (or even to precede the latter when the fever has not run
so high).
Dose : Dissolve eight globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until amelioration or change.
Nux-vomica. When the affection is attributable to an indulgence
in wine and spirituous liquors this remedy, timely administered, will,
in many instances, check its further progress; and also, when it results
from suppressed piles, or other habitual discharges, or from dyspeptic
derangements.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change; but if within four hours after the fourth dose, the im-
provement should cease to continue progressively. consider the following
medicines.
* When an affection of the bladder has been induced by the local application of
Cantharides, in the form of a plaster, the tincture of Camphor should be employed as
an antidote, in the manner described at page 320.
6
322 {INFLAMMATION OF THE BLADDER.
Sulphur, Calcarea. One or both of these medicines may be
required either singly, alternately, or successively after the previous
administration of Nur-vomica. The selection is to be determined by
reference, under the head of each, respectively, to the article on
“CHARACTERISTIC EFFECTs.”
Dose: Of either remedy as selected, give six globules in a table-spoonful of
water, the first thing in the morning (fasting), for a week (or until the earlier
appearance of new symptoms, change or improvement); then pause four days,
resuming the course as before, if necessary, and so on, until permanent relief,
or distinct change.
Pulsatilla. Valuable in checking the development of the affection,
when arising from suppressed menstruation.
Pulsatilla is, moreover, serviceable in all cases, from whatever cause
arising, when occurring in individuals of phlegmatic temperament,
with the following symptoms: frequent desire to urinate, painful and
scanty emission of water, either slimy or tinged with blood, which
deposits a purulent-looking sediment; burning and cutting pains in
the lower part of the belly, with external heat and tumefaction; sup-
pression of urine.
Dose : Two globules in a tea-spoonful of water, every twelve hours, until ame-
lioration or change. -
" Hyoscyamus is useful when difficult urination is present, but the
disease is not far advanced, particularly when we have reason to sus-
pect that this symptom arises from spasmodic constriction of the neck
of the bladder, or when, in fact, it is more of a spasmodic than inflam-
matory character.
Dose: Three globules in a tea-spoonful of water, every two hours, until the
ſ symptoms are alleviated, and then every four hours, until permanent relief
or change ensues.
Digitalis, also, is valuable when, in addition to the suppression of
urine, a constrictive pain is felt in the bladder. º
Dose : Three globules, as directed for Hyoscyamus.
Carbo-veg. is of considerable service in allaying the scalding which
accompanies the emission of water.
Arsenicum is, moreover, additionally indicated when intense thirst
and distressing anxiety and restlessness prevail.
Dose : Of either of these remedies as selected, give three globules in a tea-
spoonfurl of water, every three hours, until the symptoms are modified, and
then every six hours, until permanent relief or distinct change ensues.
Helleborus-nig., Veratrum. These medicines are of considerable
service in cases of inflammation of the bladder which come on gra-
dually, but subsequently become very severe, attended with frequent
urging to pass water, and spasmodic pains, during which only a small
quantity of water is passed; to these symptoms are added, continual
inclination to vomit, aversion to all kinds of food, excessive distension
of the belly.
Dose : Of either of these remedies as selected, give three globules in a tea-
spoonful of water, every two hours, until three doses have been given, and
then every six hours, until positive amelioration or change.
INFLAMMATION OF THE BLADDER. 323
Inflammation of the Bladder associated with Stone and Gravel.
Cases of this description are subject to rules for treatment precisely
analogous to those presented for the treatment of Inflammation of the
Kidneys complicated with Stone, at page 320. Recapitulation would
therefore be superfluous.
Suppurative Inflammation of the Bladder.
Arsenicum, Sulphur, Sepia, Silicea. These medicines, respec-
tively, either singly, alternately, or successively, will be appropriate to
the treatment of some cases in which suppuration has ensued. The
selection must be made in conformity with the detailed indications
afforded under the head of each, in the article on “CHARACTERISTIC
EFFECTS.”
Dose: Of Arsenicum (when selected), give three globules in a tea-spoonful of
water, night and morning, until amelioration or change. Of the three others
(when selected), give six globules in a table-spoonful of water, every morn-
ing, the first thing (fasting), for ten days (or until the earlier occurrence of
new symptoms, improvement or change), then pause four days, resuming the
course, if necessary, and so on, until amelioration or change.
Helleborus-nig, Lycopodium, Baryta-c., Causticum. One
or more of these remedies, respectively, according to particular indi-
cations will usually be found of service either singly or successively,
when an excessive discharge of phlegm supervenes. The selection
will usually be readily determined by consulting the characteristic
action of each in the article on that subject.
Dose : Of either of these medicines, as selected, give four globules in a tea-
spoonful of water, night and morning, until amelioration or change.
Catarrh, or Chronic Inflammation of the Bladder.
Chronic Inflammation of the Bladder is accompanied by an ex-
tremely irritable state of that organ, together with a profuse secretion
of phlegm, which is discharged along with the water. From the latter
circumstance the designation of catarrh of the bladder has been given
to this form of the disease.
TREATMENT.
Previous to undertaking the treatment of this disease, the reader is
recommended accurately to investigate the symptoms present, and to
compare them with those recorded under the head of all of the medi-
cines enumerated (in the article on “CHARACTERISTIC EFFECTs.”)
Dulcamara, Pulsatilla, Sulphur. One or more of these medi-
cines either singly, alternately, or successively, will usually be required
when the Inflammation of the Bladder has degenerated into a chronic
disease.
The selection should be made in conformity with the characteristic
action of each, as stated in the article on that subject.
Dose : Of the first two (if selected), give four globules in a tea-spoonful of
water, night and morning, until amelioration or change. Of Sulphur, if se-
lected give six globules in a table-spoonful of water, the first thing in the
324 INVERMINATION.—WORMS.
morning (fasting) for ten days (or until the earlier development of new symp-
toms, improvement or change); then pause four days, resuming treatment, if
necessary, as before, and so on, until permanent relief, or change ensues.
Lycopodium sometimes affords relief if the urine has a foul odor.
Colocynth, if the trouble is attended with severe labor-like pains in
the abdomen extending down to the thighs. Carbo-veg., if the
catarrh had remained after cystitis.
Dose : Of either of these remedies, as selected, give four globules in a tea-
spoonful of water, night and morning, for a week (or until the earlier occur-
rence of improvement or change); then pause three days, and resume the
course, or not, according to the condition of the patient, and so on, until
positive amelioration or change.
INVERIMINATION. WORIMIS.
The existence of worms in the intestinal canal, in the majority of
cases, evidently arises from a peculiar constitutional taint, inducing a
certain diseased state of the mucous or lining membrane, and thereby
giving rise to the formation of these parasites; and, although no period
of life is wholly exempt from their presence, infants and children
appear to be much more subject to the affection than adults, on
account of the predominance of nutrition in early youth. Weakness
of the digestive functions, accumulation of mucus in the intestines, an
ill-regulated diet, and a degree of moisture in the atmosphere, also
favor their generation.
The three species most generally met with in the human subject are
the thread-maw-worm, the long round-worm, and the tape-worm ;
of the latter there are two varieties, the solitary tape-worm, composed
of long and slender articulations, which has been known to exceed
the length of thirty feet; and the broad tape-worm, which varies from
three to ten feet, seldom comes away entire, but in joints, which are
considerably broader and thicker than those of the variety first
mentioned.
The presence of worms, unless when passed, is not always easy of
detection, since sub-acute inflammation of the mucous membrane from
other causes will frequently present nearly the same range of symp-
toms; but here (as in the treatment of most diseases) Homoeopathy
presents two manifest advantages over the old system. In the first
place, if acting upon the certainty of the existence of worms, we ad-
minister a remedy specific to the affection; in the next, when we are
wncertain as to the true character of the complaint, and select a medi-
cament distinctly indicated by the united symptoms, this medicament
will be found applicable to the affection, from whatever cause it arises.
Symptoms. Worms, and especially thread-worms, frequently
exist in the intestines without occasioning any disturbance, and their
presence is only known from their being observed in the evacuations;
but when the alimentary tube becomes irritated by them, or rendered
unhealthy by any of the causes above alluded to, numerous symptoms
are developed, of which the following are the principal: pallor and
sickly appearance of the countenance, and sometimes flushing; livid
circles round the eyes, dilated pupils, headache or giddiness, irregula-
INVERM INATION.-WORMS. 325
rity of appetite, or great voracity, fetidity of breath, acrid eructations,
occasional nausea, and vomiting (which chiefly occurs from the pre-
sence either of round worms or of tape-worm), foul tongue, tensive
fullness and hardness of the belly, with a sensation of gnawing and
burning at particular parts of the intestines; great thirst ; discharge
of mucus from the terminal bowel, bladder, &c.; heat and itching at
the fundament (in the case of thread-worms); slight febrile symptoms,
or remittent fever, and nocturnal wakefulness, with low spirits or irri-
tability of temper, and gradual emaciation; we also generally notice
an inflammatory redness of the nostrils, with great disposition to
pricking or boring at the nose, especially in children, with sudden
screaming when waking, and grinding of the teeth. In addition to
the above general symptoms of this affection, we frequently meet with
sevére colic-like pains, with straining, and slimy and bloody evacu-
ations; difficulty and pain in passing water; involuntary discharge of
saliva, especially when asleep; convulsions in children, and epileptic
attacks, combined with affections of the brain in adults; inflammation
of the bowels. The pain is periodic, and occurs particularly in the
morning, and whilst fasting; amelioration generally after eating; the
quality of the food exercises considerable influence over the pains;
milk, sugar, and other sweets, pungent, salted food, ham, cheese, raw
fruits, &c., often produce aggravation.
In tape-worm, in addition to the above, we find a crawling, scraping
or groping, and twisting sensation, extending from the left side of the
belly towards the region of the stomach, and even as far up as the
gullet; or a sensation as of something rising into the left side of the
throat, and then falling back; the feeling of a cold ball on either side,
with an undulatory motion; a sense of suggillation in the belly, or
creeping torpor and numbness in the fingers and toes.
Exciting Causes. The principal exciting causes of worms, or
rather, according to modern ideas, to the manifestation of the symp-
toms which indicate their presence, are, insufficient and unwholesome
food (excess of vegetable, and deficiency of animal diet), uncleanliness,
impure air, with residence in a damp, dark, ill-ventilated dwelling.
Results and Complications. As already observed, the alimen-
tary tube may be infested with worms, without any other indication
of their existence being developed beyond the fact of their occasional
evacuation at stool.
But the reverse is more frequently the case, and in addition to the
anxiety and alarm which is so often created in the minds of parents by
the distressing nature of many of the symptoms, in severe cases, a
further and more serious cause for apprehension is given rise to, when
other diseases such as chronic inflammation of the mucous membrane
(sometimes followed by perforation), mucous fever, epilepsy, or hectic
fever become associated with invermination.
The progress of the disease is generally slow, and there is a constant
proneness to relapses. The opinion as to the result is generally favor-
able, particularly in the case of thread-worms. It is less so in that of
tape-worm, chiefly on account of the greater duration of the disease,
and its more uncertain cure. When the large intestine and terminal
326 INVERMINATION.—WORMS.
bowel are the seat of the disorder, the cure is more easily accomplished
than when the stomach and small intestines are affected. When the
nervous symptoms so-called, such as drowsiness, spasms, dilated pupils,
vomiting, are present, the case is liable to be confounded with water
in the head; but in the latter the belly is flat or retracted, whereas in
worm-disease it is soft and distended; the head in hydrocephalus is
hot, and the symptoms succeed each other in a regular course, whereas
here they are very changeable, periodic, and inconstant.
Thread - Worm,
TREATMENT.
Aconitum is almost invariably required as an initiatory medicine
for the treatment of worm affections; but it is especially appropriate
in thread-worm, when considerable febrile irritation exists, with rest-
lessness at night, and irritability of temper, continual itching and
burning at the fundament, and at times a sense of crawling in the
throat.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of six
hours, until the symptoms abate, or undergo a distinct change. When, how-
ever, the febrile action has been lowered by the employment of Aconitum,
pause twelve hours, and proceed to consider the following medicines (espe-
cially Ignatia), where withal to continue the treatment.
Ignatia-amara will in many cases be found most appropriate to
follow twelve hours after the last dose of Aconite, and when the febrile
symptoms have subsided under the influence of that medicine. It is
more particularly indicated when spasmodic twitchings take place in
One of the extremities or in individual muscles; or by intolerable
itching and pain, as from excoriation, in the fundament and terminal
bowel.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful night and morning, until the whole is consumed, after which
pause two days, and then suspend or continue treatment with the same or
other medicines, according to circumstances.
Ferrum-metallicum is of much service when there is frequent
vomiting and accumulation of watery fluid in the mouth.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change; but if only partial improvement be manifested within
twelve hours after the sixth dose, pause twenty-four hours, and proceed with
the next medicine.
Ipecacuanha, should be given twenty-four hours after the sixth
dose of Ferrum, in the event of inadequate effect having resulted from
the employment of the last-named medicine, in which case Ipecacu-
anha is often productive of the most decided benefit.
Dose : Three globules in a tea-spoonful of water, night and morning.
Pulsatilla will in some instances be found more appropriate than
JFerrum, and should be substituted accordingly.
Dose : In every respect as directed for Ferrum-met.
Carbo-veg. should be administered twenty-four hours after the
INVERMINATION. —WORMS. 327
sixth dose of Pulsatilla, in cases in which the last-named medicine has
been productive only of partial relief.
Dose : In every respect as directed for Ipecacuanha.
Mercurius is more appropriate when, in addition to many of the
ordinary symptoms of worms, there is especially a constant inclination
to go to stool, and diarrhoea, with straining.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful night and morning, until the whole, is consumed; after which pause
two days, and then suspend or continue treatment, with the same or other
medicines, according to circumstances.
Sulphur. This remedy is sometimes indicated from the commence-
ment, and is in some cases alone sufficient to effect a radical cure. It
is especially called for in lymphatic, leuco-phlegmatic habits, with
tendency to frequent attacks of cold in the head, and other mucous
discharges; bitter, slimy taste, aversion to meat; irresistible longing
for sugar; alternations of loss of appetite and voracity; frequent re-
gurgitation of food, together with heartburn, hiccough, retching,
vomiting, and flatulent rumbling; also when the before-mentioned
itching and feeling of soreness in the fundament and terminal bowel
are extremely distressing.
Dose : Six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, im-
provement or change); then, pause four days, and resume the same course
(or other treatment, according to the remaining symptoms), similarly, until
positive amelioration or change; or if no marked effect be produced at or be-
fore the completion of the first course, pause four days, and proceed with one
or the other of the next medicines.
Calcarea-carbonica may be administered four days after the last
dose of Sulphur, should no marked amelioration ensue. Calcarea is,
if anything, still better calculated than Sulphur to eradicate the ten-
dency to worms. It is particularly adapted to children of lymphatic
constitution, with disposition to mucous discharges, cold in the head,
and looseness of the bowels; feeble debilitated frame; defective nutri-
tion; face pale and hollow, or puffy and of diminished temperature;
weakness of the ankles; complications with scrofula and rickets;
chronic derangement of the digestive functions.
Dose: In every respect as directed for Sulphur; but if no marked effect result
at or before the conclusion of the first course, or, if the subjoined conditions
characterize the case, proceed with the next medicine.
Silicea is often of essential service after Sulphur or Calcarea, and
should be given four days after the last dose of the preceding remedy,
more especially when the symptoms are generally much exacerbated
at the first quarter, or at the period of full moon, as is very frequently
the case in worm disease.
Dose: In every respect as directed for Sulphur.
When the effect continues to be inadequate, it were desirable to
consider the characteristic action of one or more of the other medicines
enumerated, and to select the most appropriate for intermediary ad-
ministration, returning to the administration of Sulphur, Calearea,
328 INVERMINATION.—WORMS.
and Silicea, from time to time. This course of treatment persevered
in for a short time has often proved successful in most obstinate cases.
When, however, the patient remains subject to frequent relapses, or
when the local irritation becomes unbearable, the under-mentioned
measures should be had recourse to : *
Palliative and Expulsive Measures in Cases of Thread-Worm.
Urtica-urens (concentrated tincture) may be administered in cases
of thread-worm in which eaccessive irritation in the fundament is pre-
sent, and does not appear to diminish readily under the influence of
the preceding course of treatment.
Dose: One drop of the concentrated tincture in a tea-spoonful of water, or on a
small lump of pure loaf-sugar, every night, for six days in succession (or un-
til the earlier removal of the symptom); but if the itching continues un-
abated, notwithstanding, proceed with the under-mentioned application.
But an INJECTION (or Lavement) must be employed in the event of
the continuance of the troublesome itching, notwithstanding treatment
such as that just prescribed.
The Lavement: Dissolve a tea-spoonful of salt in a pint of water, and inject
one-third part of this solution (in the case of an adult, or of a person above
twelve years of age), or a sixth part (in the case of a child nnder twelve
years of age). Should this lavement act as a laxative, to four parts of water
add one of vinegar, and inject this mixture in the quantities just stated.
In inveterate cases, the nightly use (every evening at bed-time) of
large injections (a pint, and upwards, in the case of adults, and half or
a third of that quantity in the case of children of twelve years of age
or under), well thrown up, is the only effectual means of expelling the
worms, and permanently overcoming the tendency to relapses. Should
the general health continue impaired on the removal of the local irri-
tation, the course of medical treatment already prescribed should be
re-adopted and patiently pursued.
Round- Worm.
Aconitum, as already stated in the preceding portion of this
article, is generally required at the onset of treatment in every variety
of worm-affection. In the case of round-worm, it is almost invariably
preferable to commence with a course of this medicine, more espe-
cially if the irritative fever be considerable.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of six
hours, until the fever-symptoms abate: when, however, the febrile action has
been lowered, pause twelve hours, and proceed to consider the following
medicines (especially Cina) where withal to continue the treatment.
Cina. This is an eminently useful medicine in the case either of
thread or of round-worms, and is generally indicated when the follow-
ing symptoms are met with: frequent boring at the nose, obstruction
of the mose, great perverseness of temper, bashfulness, heat and irri-
tation, constant inquietude and restlessness, with, in children, a desire
for things which are rejected when offered; fits of crying when
touched; paleness of face, with livid circle round the eyes; constant
craving for food, even after a meal; griping, distension, heat, and
INVERMINATION.—WORMS. 329
hardness of the belly, with discharge of thread- and round-worms:
costiveness, constipation, or loose evacuations; fever-chills towards
evening; hard, quick pulse; little sleep or restlessness, tossing about,
startings, talking or calling out suddenly during sleep; transitory
paroxysms of delirium; heaviness of the limbs; changing of color, the
face being at one time pale and cold, at another red and hot; pupils
dilated; tongue covered with tenacious mucus, disagreeable eructa-
tions, vomiting; itching in the fundament and crawling out of thread-
worms; involuntary passing of water, and white, turbid urine; occa-
sionally, convulsive movements in the limbs, weakness and lassitude.
This medicine is particularly indicated for Colic produced by worms.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful night and morning, until the whole is consumed ; after which pause
two days, and then suspend or continue treatment with the same, or other
medicines, according to circumstances.
Nux-vomica is a valuable adjunct in cases of worms in which con-
siderable derangement of the digestive functions is present, with
irritability of temper and constipation; or excessive distension and
sensibility of the belly and of the region about the stomach; feeling
of heat in the belly ; inclination to vomit; exacerbation of symptoms
early in the morning.
Dose : Two globules in a tea-spoonful of water, at bed-time, two nights in suc-
cession, then an interval of three days, after which repeat the two doses as
before, and so on, until positive amelioration or change.
IMercurius. When we find looseness of the bowels, distension
of the belly, and hardness in the region about the navel, with increased
secretion of saliva.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful night and morning, until the whole is consumed; after which pause
two days, and then suspend or continue treatment with the same, or other
medicines, according to circumstances.
China is appropriate when the symptoms are generally exacerbated
at night, particularly the sufferings in the bowels, or when pressing,
aching pains are experienced below the region of the navel after each
meal, and are attended with distension of the belly, heartburn, pains
in the region of the stomach, and retching; also when, in addition to
the foregoing, there is an over-excitability of the nervous system, with
spasmodic twitchings of the muscles in various parts, with tremulous-
ness and debility.
Dose : In every respect as directed for Mercurius.
Ipecacuanha is very useful when there are frequent fits of vomit-
ing, and the patient has been falling off in flesh for some time pre-
viously.
Dose : Three globules to four tea-spoonfuls of water (or in the like proportion),
give a tea-spoonful night and morning, for three days, then pause two days,
after which either resume treatment with the same, or other medicines, or
suspend treatment altogether, according to circumstances. But if this medi-
cine be productive of partial relief, only, after the second course, and the
under-mentioned condition characterizes the case, pause two days, and pro-
ceed with the next medicine.
330 INVERMINATION.—WORMS.
Pulsatilla should be given two days after the last dose of the
second course of Ipecacuanha, if partial relief only should have re-
sulted from the employment of the latter, or if the tongue be much
loaded.
Dose : In all respects as directed for Ipecacuanha.
Spigelia in cases with colic, voracity, looseness of the bowels, and
chilliness; or nausea in the morning, accompanied by a sensation as if
something came out of the stomach into the throat; smarting in the
nostrils, paleness of face, palpitation, and anxiety; exacerbation of
symptoms, particularly after dinner.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful night and morning, until the whole is consumed: after which pause
two days, and then suspend or continue treatment with the same, or other
medicines, according to circumstances.
Belladonna is best adapted to cases with disturbance of the brain,
great nervous excitement; nocturnal delirium, with startings during
sleep; tendency to be startled or frightened by the most trivial cause;
also colic, headache, thirst, quick pulse, and hot, dry skin.
Dose: Three globules in a tea-spoonful of water night and morning, for four
days (or until the earlier change or abatement of the symptoms); but if the
headache, colic, thirst, &c., should continue unabated, within twelve hours
after the last dose, consider the subjoined medicines (especially Silicea, if the
fever continue, and the under-mentioned conditions qualify the case).
Silicea should be administered twenty-four hours after the last
dose of Belladonna (as above stated), if the fever-symptoms continue
without material abatement, and the patient be of a scrofulous habit
of body.
Dose: Three globules in a tea-spoonful of water night and morning, until posi-
tive amelioration or change.
Lachesis should preferably be administered twenty-four hours
after the last dose of Belladonna (as above stated), if the pain and
nervous excitement continue without material abatement.
Dose : As directed for Silicea.
Cicuta-virosa is indicated by severe worm-colic, with febrile irri-
tation and convulsions.
Dose : Six globules to four tea-spoonfuls of water, give a tea-spoonful every
half hour (in very severe cases), or every three hours (when the symptoms
are less urgent) until amelioration or change; or, if the deglutition of liquids
be difficult, three globules dry on the tongue, at similar intervals; or, if
Cicuta appears inadequate to overcome the symptoms, consider the following
remedy.
Hyoscyamus will prove of essential service in some cases in which
Cicuta fails to produce adequate results.
Dose: A solution of six globules, or three globules dry on the tongue, as di-
rected for Cicuta.
JEaºpulsive Treatment.
When, notwithstanding the employment of appropriate homoeo-
pathic remedies, in accordance with the entirety of the existing
INVERMINATION.—WORMS. 331
symptoms, the general disturbance in the system remains more or iess
unchanged—and there are the strongest reasons for concluding that
the presence of worms is the irritating source of all the mischief–the
dislodgment and expulsion of the intruder may generally be effected
by the administration of two grains of Santonicum in the white of an
egg, with a little sugar. In some cases it is necessary to repeat the
dose, and to exhibit an injection the night or morning afterwards, con-
sisting of water, a little salt, and olive oil, in the proportions of a
table-spoonful of salt and two table-spoonfuls of oil to a pint of tepid
water. For a young person of twelve or fifteen years of age twelve
ounces of the lavement will suffice, and eight ounces in the case of a
child of ten years of age.
Tape - Worm.
TREATMENT.
The treatment of tape-worm, though in many respects similar to
that of the foregoing varieties, differs in some distinct particulars.
Aconitum is in most cases requisite in the initiatory stage of
treatment to overcome the fever-symptoms which generally prevail,
further characterized by great restlessness at night, irritability of
temper, and timidity.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of six
hours, until the symptoms abate. A single dose is usually all that is re-
quired. In either case, as soon as the course of Aconitum is completed (after
a pause of twelve hours), proceed with one or other of the next medicines.
Cina should be given twelve hours after the last dose of Aconitum,
in cases in which the symptoms stated in detail, at pp. 328, 329 occur.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of twelve
hours, until positive amelioration or change; but if only partial relief ensue
in the course of a week, pause twenty-four hours, and proceed with the next
medicine.
Felix-mas. (mother tincture) should be administered twenty-four
hours after the last dose of Cina (as above stated) if partial relief
only has been secured by the administration of the last-named remedy.
Jºeliac-mas. is more particularly indicated in cases of Tape-worm, in
which anything sweet invariably disagrees with the patient (or with
the worm). A few doses usually suffice to remove all the symptoms
when the characteristic peculiarity just mentioned forms a marked
manifestation; but a frequent repetition of the remedy is often needed.
In order to effect the poisoning of the worm more certainly and
speedily, the Félia-mas. must be administered in large doses; and, in
some cases, castor-oil, or oil of turpentine, and other remedies which
have been proved to act as destructive and expulsive agents of Tape-
WOl'Iſl.
Dose : One drop of the mother tincture, in a tea-spoonful of water, night and
morning, for four days. Then pause four days, after which repeat as before,
and so on until relief or change.
332 g INVERMINATION.—WORMS.
CHRONIC INVERMINATION.
Nux-vomica should be administered, unless there be distinct
reasons for a different selection.
Dose : Two globules in a tea-spoonful of water, night and morning, for four
days; after which pause six days, and proceed with the next medicine.
Mercurius should be administered six days after the last dose of
Nuſc-v., if no such striking improvement or variation of symptoms
have occurred as to warrant the repetition of the former course, or
the adoption of some other remedy.
Dose: Two globules, as directed for Nur-vomica.
Sulphur should be administered six days after the last dose of
Mercurius, if neither the repetition of the latter, nor the selection of
any other medicine, be distinctly indicated.
Dose: Two globules, as directed for Nur-vomica.
Calcarea should be administered six days after the last dose of
Sulphur, if neither the repetition of the latter, nor the selection of any
other remedy, be strikingly indicated.
Dose : Two globules in a tea-spoonful of water, morning and evening, for
a week.
Diet, Regimen, and Preservative Means against Worms in
general. The food ought to be wholesome and nutritious; and to
consist chiefly of well-cooked meat, such as roast or boiled beef, or
mutton; sometimes chicken and occasionally a light pudding; un-
cooked fruits or vegetables must be prohibited, as also milk, pastry,
and sweetmeats; and the utmost care should be taken to prevent
children from eating raw herbs, roots, &c., which they are so prone
to pick up in their rambles, when not looked after. Care should be
taken that the water which is drunk is pure, or that it has previously
been boiled or filtered, or both. Plenty of exercise in the open air is
of essential service, and must on no account be neglected. Persons
who are infested with Thread-worms ought not to be allowed to sleep
with those who are exempt.
333
DISEASES OF ORGANS
CONNECTED WITH
THE RESPIRATORY SYSTEM.
sºmeºmºmºmºsºms
CATARRH, or COMMON COLD. CATARRHAL FEVER.
THIS term is given to an affection, which consists of a mild degree
of inflammation of the lining membrane of the nostrils and windpipe,
and occasionally also of the ramifications of the latter, induced by ex-
posure to sudden changes of temperature, or to a damp or chilly
atmosphere, with insufficient clothing, particularly as regards children.
Symptoms. This complaint is characterized by slight fever, im-
paired appetite, obstruction of the nose, sneezing, unusual languor,
pains in the head, or in the back and extremities, and subsequently
hoarseness or cough, generally preceded by transitory chills or shiver-
ings; there is also a slight degree of wheezing and difficulty of breath-
ing. When the disease is confined to the nose and sinuses, it is termed
A cold IN THE HEAD; of which latter affection, as well as of HOARSE-
NESS and COUCH, I shall treat separately.
JPremonitory Stage.
TREATMENT.
Camphor (concentrated tincture) is frequently effective in arresting
the development of incipient cold or influenza, particularly if the ex-
citing cause, to which it is immediately traced, has been wet feet.
The symptoms which usually identify the propriety of resorting to
Camphor under these circumstances are as follow: unusual weariness,
heaviness, and general uneasiness, attended with shivering and dry-
ness or coldness of the skin, and symptoms of approaching fever.
Dose: One drop of the concentrated tincture on a small lump of pure loaf
sugar every three hours, until three doses have been given; after which if
the symptoms get progressively worse, it will be desirable to pause twelve
hours, and to consider the subjoined medicines for further treatment.
Nux-vomica is the most generally useful, particularly when the
symptoms have accrued after exposure to a draught, or prolonged ex-
posure, in winter, to a cold, dry, frosty atmosphere.
Dose : Three globules in a tea-spoonful of water at night, repeated, if necessary,
after an interval of twelve hours.
Chamomilla is preferable when a copious outbreak of perspiration
has been suddenly checked by a current of dry, cold air, or by a sud-
den transition from heat to cold. In the case of children, and highly
sensitive females, this remedy is more especially useful.
Dose : Three globules in a tea-spoonful of water, as directed for Nuz-vomica.
Bryonia should be employed when the symptoms of incipient
334 CATARRH OR COMMON COLD.
catarrh have been excited by prolonged exposure to a cold easterly
wind; or when in adults, who are subject to liver complaints or to
rheumatism, the natural transpiration has been suddenly suppressed,
whilst they were somewhat heated.
Dose : Three globules in a tea-spoonful of water, repeated, if requisite, after
the lapse of twelve hours.
Dulcamara is the most appropriate remedy to be taken by those
who are subject to severe coughs, or to sore throat, whenever they
are exposed to a close, damp atmosphere (either during the day or
late in the evening), or after getting the feet wet. Its alternate ad-
ministration with Mercurius is sometimes of great advantage. In
other cases when Dulcamara fails to arrest the symptoms it should be
promptly followed by Mercurius.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful three times, at intervals of four hours; after which pause
twelve hours, proceeding with the subjoined medicines, if necessary. If in
alternation with Mercurius, three globules, first of the one then of the other,
in a tea-spoonful of water, at intervals of four hours between them, continuing
until positive amelioration or change.
IMercurius is often a most appropriate remedy upon the first de-
velopment of ill-effects resulting from exposure to a cold, raw, moist
atmosphere.
Dose : If singly, two globules in a tea-spoonful of water, repeated at intervals
of twelve hours, until the symptoms are subdued. But if symptoms charac-
teristic of Arsenicum should occur, proceed at once with that medicine.
Arsenicum is especially appropriate for the treatment of ill-effects
resulting from a chill whilst bathing, or from long-continued immersion
in the water, either voluntary or otherwise. Chills in the stomach,
produced by partaking of raw, cold fruits, or by eating ices, or drink-
ing very cold water when heated, are also most readily counteracted
by this medicine.
Dose : Two globules in a tea-spoonful of water, repeated, if necessary, every
three hours; but if after the third dose, this remedy should have produced
little or no amendment, or should appear inadequate to the entire removal of
the symptoms, pause twelve hours, and proceed with one or other of the
next medicines, according to the circumstances of the case.
Calcarea should be given twelve hours after the third dose of
Arsenicum, if the latter has effected only partial improvement, and if
the suffering has arisen from prolonged immersion in the water.
Dose : Three globules in a tea-spoonful of water, every twelve hours, until posi-
tive amelioration or change.
Pulsatilla should, however, be preferred under similar antecedent
circumstances, if drinking whilst heated, or eating cold fruit, ices, &c.,
has caused the indisposition.
Dose : Three globules, as directed for Calcarea.
Carbo-veg. is a useful remedy against the first symptoms of cold
occurring, in robust subjects, from exposure to a draught or cold
breeze when heated; also when the stomach has been chilled by iced
water, &c., and Arsenicum or Pulsatilla has failed to remove all the
symptoms.
CATARRH OR COMMON COILD. 335
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, in
twelve hours.
Rhus-tox. is most appropriate to ward off the ill-effects which
might otherwise ensue from a thorough wetting.
Dose : Four globules in a tea-spoonful of water, repeated, if necessary, after
an interval of twelve hours.
JFever Stage.
Aconitum is one of the principal remedies in febrile attacks pro-
voked by cold, and particularly from exposure to a dry, cold wind, or
to a draught, when hot, dry skin is present, or general shivering chills,
alternating with burning heat of the surface; great thirst, especially
towards evening, with a sensation of dryness, and roughness or scrap-
ing, slight burning, and sensation of excoriation in the upper part of
the windpipe, or even throughout the whole of the chest, which gives
rise to an incessant short, dry, hollow cough (more of a hoarse or
rough description at night); restless sleep, disturbed by confused
dreams, or crowding of fantastic ideas, when not by the cough.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful every four hours, until the fever-symptoms become materially
modified. After which, consult the subjoined medicines (especially Bryonia)
for particulars respecting consecutive treatment.
Bryonia may follow Aconitum, after the removal or alleviation of
the symptoms immediately indicating the last-named medicine, or it
may be selected in preference, at the commencement of the attack,
when there is an excessively dry, hollow cough, accompanied by ten-
derness of the upper part of the windpipe on pressure, inclination to
vomit, and pain in the chest, as if it would be torn asunder; severe
headache, aching pains in the limbs, increased by the slightest move-
ment, violent cold in the head, thirst, and coldness of the right half
of the body.
Dose : Three globules in a tea-spoonful of water, every six hours, until amelio
ration or change.
Nux-vomica is especially indicated by the following symptoms:
tickling.or scratching irritation in the upper part of the gullet, dry
cough, particularly in the morning, and sometimes during the day,
rarely during the night; occasionally a small quantity of adhesive
phlegm is with difficulty expectorated after a fit of coughing; and the
paroxysms are frequently attended with a painful sensation in the
region about the navel, as if arising from the effects of a bruise or
blow. This remedy is further of great utility in catarrhal fever, with
disposition to chilliness or wandéring fever-chills, worse during move-
ment, coming on and gradually increasing in the after part of the day,
and alternating with flushes of heat. Warmth and absolute rest miti-
gate these symptoms.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a
tea-spoonful at intervals of four hours, until amelioration or change.
Chamomilla. In the treatment of children, this medicine is gene-
rally preferable to Wuz-vomica in arresting the attack. It is extremely
336 CATAIRRH OR COMMON COLD.
valuable in restoring the suppressed perspiration, and removing the
following symptoms: colic, with pains in the head, ears, and teeth,
thirst, and ill humor, and impatience; dry heat of the skin, or chilli-
ness in any part of the body which may happen to be uncovered for a
short time, or on lifting up the bed-clothes; burning heat in one part
(as for instance one cheek) and chilliness in another; severe, dry
cough, especially at night, excited by tickling in the upper part of the
windpipe.
Dose : Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Coffea-cruda. This remedy is indicated where there is excessive
sensibility, fretfulness, and sleeplessness, with general pains, especially
In young persons.
Dose : Three globules, as directed for Chamomilla.
Belladonna is indicated when there is a throbbing, bursting head-
ache, attended with determination of blood to the head, and increase
of the pain from movement or exposure to cold air, pain and heat in
the head, eyes, and nose; nausea or vomiting of bitter matters; cough
at night, &c.
Dose : Two globules in a tea-spoonful of water every six hours, until amelio-
ration or change. *
Dulcamara is to be preferred when the pain is more of a passive
or dull, aching description, and felt only in particular parts of the
head, with humming in the ears, and obtuseness of hearing; catarrhal
fever, with hoarseness, dry, rough cough, or cough with copious
mucous expectoration, severe cold in the head, great heat, dryness,
and burning of the skin; pains in the limbs, increased when at rest,
and attended with a feeling of coldness, stiffness, and numbness; or
when an offensive perspiration breaks out after an attack of cold; and
when the affection has been brought on by suppressed perspiration,
from exposure to a cold and humid atmosphere.
Dose : Dissolve four globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, until amelioration or change.
China. Aching pains in the shoulder-blades, and in the extremities,
increased by the slightest pressure on the affected parts, with great
restlessness, and constant desire to change the position of the limbs.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Drosera. Painful, beaten, or bruised-like pains, and paralytic weak-
ness in the extremities; frequent attacks of shivering, with coldness
of the hands and heat in the face; hoarseness, and cough excited by
roughness and scraping in the throat, aggravated by talking.
Dose : Dissolve four globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every six hours, until amelioration or change.
Arnica-montana, when aching pains, or pains as if arising from a
bruise, are felt in the limbs after exposure to cold, causing excessive
restlessness, and a constant disposition to change the position of the
affected parts, and increase of pain from the slightest touch or
movement.
CATARREL OR COMMON COLD. 337
Dose: Four globules in a table-spoonful of water night and morning, until
amelioration or change.
Mercurius, when the lining membrane of the eyelids, nostrils and
air-tubes is highly irritated, and gives rise to copious shedding of
tears, cold in the head, and cough with profuse expectoration; head-
ache, or feeling of tightness and fullness in the head, with pulsation
extending to the nose; general heats predominating over chills; pains
in the limbs and joints, accompanied with profuse sweating, which
affords no relief.
Dose : Two globules in a tea-spoonful of water every six hours, until amelio-
ration or change. But if, after other symptoms have yielded, either of the
subjoined remain, proceed with one or other of the following medicines.
Euphrasia should be given twelve hours after the last dose of
Mercurius, if, other symptoms having yielded, the flow of tears and
cold in the head remain unmitigated.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Dulcamara should be given twelve hours after the last dose of
Mercurius, if the sweat continues to be offensive.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change.
Conium-maculatum is of great service in catarrhal fever, with
internal heat, much thirst, and great debility, scraping or scratching,
itching and creeping sensations in the throat, which produce a dry,
almost incessant cough. The patient dreads the slightest noise or
whisper, and passes a disturbed night, the sleep being unrefreshing,
and disturbed by anxious dreams; urine cloudy and whitish.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Acidum-phosphoricum. Aching pains, relieved by movement,
or cough which returns or is excited on every exposure to a current
of air.
Dose : Four globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change.
Silicea. Pains in the limbs, colic and general derangement arising
from suppressed perspiration, particularly in those who are subject to
sweating at the feet. -
Dose: Four globules in a tea-spoonful of water morning and evening, until
amelioration or change.
Sulphur, is of great service in cases of swelling of the knee, or of
the joints of the hand and fingers, from taking cold.
Dose : Three globules in a table-spoonful of water morning and evening for
three days; after which pause four days, and if the symptoms, though par-
tially removed, have become stationary, proceed with the next medicine
(Calc.). , If, however, the improvement, though slow, is uninterrupted and
progressive, resume the administration of Sulphur, as before.
Calcarea-carb. should be administered four days after the last
dose of Sulphur if the improvement ceases to be regularly progressive.
Dose : As directed for Sulphur.
22
338 CATARREI OR COMMON COLD.
Lycopodium is useful against inveterate catarrh, with expectora-
tion of lemon-colored, often bitter-tasting, phlegm; tearing, throbbing,
frontal headache, aggravated in the afternoon or evening.
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Ipecacuanha is indicated by nausea and inclination to yomit, or
difficulty of breathing, almost amounting to suffocation, arising from
having taken cold. -
Dose : Four globules in a tea-spoonful of water, repeated after the lapse of three
hours, if the indicative symptoms still predominate. If, however, after
another interval of three hours the symptoms still continue with little or no
diminution of intensity, pause three hours longer, and proceed with the next
medicine.
Arsenicum should be administered six hours after the second dose
of Ipecacuanha, if little or no relief has accrued from the employment
of the last-mentioned remedy.
Dose: Two globules in a tea-spoonful of water every three hours, until ame-
lioration or change.
Hepar-s, is indicated by many of the symptoms which call for
Mercurius, Euphrasia, and Wuz-vomica. It is moreover of service,
where the respiratory organs are solely or particularly affected, the
cough loose and attended with rattling in the chest; pain in the upper
part of the windpipe while coughing, and a feeling of weakness in the
chest, which renders talking oppressive.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Pulsatilla. Useful in cold in the head, with loss of the senses of
taste and of smelling, in consequence of a chill,—followed or preceded
by Belladonna, should there be an uncomfortable sensation of heat
in the eyes and head, and heat and smarting in the nose; or by Nua:-
vomica, should there be complete stuffing or dryness of the nose.
Dose : Three globules in a tea-spoonful of water every twelve hours, until ame-
lioration or change. Or if either of the particular conditions enumerated as
indicating consecutive treatment with Belladonna or Nuz-v. be present, pro-
ceed accordingly, twelve hours after the first dose of Pulsatilla.
Rhus-toxicodendron may be very advantageously employed
against the general indisposition resulting from exposure to a thorough
wetting, when in a state of perspiration.
Dose : Three globules in a tea-spoonful of water every four hours; but if, within
four hours after the third dose, little or no improvement be manifest, pause
three hours longer and proceed with the next medicine.
Bryonia may be administered four hours after the third dose of
IRhus if the latter has been inadequate to remove the symptoms. |
Dose: Three globules in a tea-spoonful of water every four hours, until amelio-
ration or change.
Sepia is indicated in cases of catarrhal fever, with shivering chills
on every movement in a warm room, rarely alternating with heat;
nocturnal spasmodic cough, with shortness of breath and inclination
to vomit; cold in the head, pain at the back of the head.
CATARRH OR COMMON COLD, 339
Dose: Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
PREDISPOSITION TO COLD.
JPrecautionary Management.
Some individuals, particularly among those of the fair sex, are tor-
mented with an extreme degree of susceptibility to cold; the best
corrective of which is, to rub the throat, chest, and indeed the whole
body, every morning with a wet towel, until a glow of heat is pro-
duced,—drying one part before another is commenced;—also to ac-
quire a habit of going out every day, provided there is no inherent
predisposition to pulmonary consumption; all eactremes, either of heat
or cold, should at the same time be avoided, and care taken, when the
body is heated, to let it cool gradually. The shower-bath is another
useful means of overcoming an unusual susceptibility to cold. It
should, generally speaking, be begun in summer and used tepid
at first.
JMedicinal Treatment.
In selecting appropriate remedies to overcome an extreme suscep-
tibility to cold, the surest method is to recall to memory the symptoms
which distinctly develop themselves upon the occurrence of an attack,
and the circumstances which most commonly occur as exciting causes,
and then to select accordingly from the remedies variously enumerated
in the foregoing portions of this article, referring also for additional
particulars to the article reserved for the characteristic operation of all
the medicines, and to administer that which most closely corresponds
with the case in point, in conformity with the subjoined rule.
Dose: Three globules in a tea-spoonful of water, morning and evening, eight
times at intervals of four days; or a similar dose upon every exposure to wet,
chilly or severe weather, or to night air, especially in the spring and autumn:
or otherwise upon every occasion of exposure to that condition which usually
operates as an exciting cause of cold.
ACCESSORY MEASURES.
In many instances catarrh is carried off, or runs to a salutary termi-
nation, in a day or two; and this desirable result is frequently obtained
by having timely recourse to the simple expedient of remaining a little
longer in bed, and encouraging a gentle sweat by drinking a warm
denulcent fluid, such as gruel; bathing the feet and legs in warm
water, at the temperature of about 98 to 100 degrees Fahrenheit, is
also a useful auxiliary mode of restoring perspiration, but the patient
should go to bed immediately afterwards. Very robust persons who
are accustomed to be in the open air in all weathers, but who have
caught cold after having overheated themselves, will frequently pre-
vent any bad effects by drinking one or two glasses of cold water on
going to bed. Others again, recover quickly, especially when the cold
is confined to the head, by totally abstaining from all fluids for forty-
eſght hours, or by taking a table-spoonful of fluid, thrice a day only
(at breakfast, dinner, and tea), for seventy-two hours.
340 INFLAMMATION OF THE LARYNx.
Diet and Regimen. A moderate degree of abstinence should, at
the same time, be observed;—weal- or chicken-broth, bread, Sago, or
semolina puddings, being substituted for the ordinary diet. The drink
may consist of water-gruel, barley-water, or toast-water. All strong
liquors must be abstained from. Exposure to changes of temperature,
moisture, draughts, or, in fact, to anything which may operate as an
exciting cause, should be avoided. Late hours and violent exertion
are to be numbered amongst what is objectionable, and the clothing
should be such as to afford sufficient protection.
INFLAMMATION OF THE LARYNX,
OR UPPER PART OF THE WINDPIPE.
The disease consists in a suppurative inflammation, having its seat
in the lining membrane of the upper part of the windpipe, or the con-
necting cellular tissue between it and the subjacent parts. The disease
bears a considerable resemblance to croup, of which it very generally
forms a part; but occasionally the inflammation is exclusively restricted
to the upper part of the windpipe; and it is a frequent cause of a fatal
termination in scarlet fever and smallpox. It is distinguished from
croup by a constant hawking (which the patient voluntarily exercises
in order to clear the air-passages) rather than a violent and involuntary
cough, and by the character of the expectoration, which consists of
a thick, tenacious phlegm rather than of a coagulable and mem-
branaceous-looking exudation.
Symptoms. The invasion of the disorder is announced by the
usual signs of inflammatory fever; the voice soon becomes hoarse and
inarticulate, whilst a painful sense of constriction is experienced in the
throat: the breathing is laborious and shrill during inspiration; the
upper part of the windpipe is extremely sensitive to the touch, so that
the slightest pressure against it, either externally, by the hand, or
internally, from the performance of the act of deglutition, is productive
of the most distressing spasms, which threaten death from suffocation.
The heat of skin is great, the pulse rapid and hard, the thirst con-
siderable, but incapable of being satisfied from the suffering that is
occasioned by the attempt. On examining the throat, it is often found
to present a red, inflamed, and turgid appearance; in some cases the
epiglottis (the small, oblong body, attached to the root of the tongue,
which protects the opening of the windpipe) is involved, and the
motions of the tongue are thereby rendered painful and difficult. As
the disease gains ground, the face becomes swollen, and sometimes
livid, the eyes protruded as in threatened strangulation, and life is
speedily cut short by suffocation.
Results. The disease, if not arrested, occasionally terminates
fatally within a few hours, or in a day or two at the farthest. It
ought only to be treated by the non-professional when better aid is
unattainable.
TREATMENT. ©
Aconitum must immediately be exhibited when the signs of in
INFLAMMATION OF THE LARYNX. 341
flammatory fever declare themselves, and continued until it gives
evidence of having effected an abatement of the febrile movement.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the fever abates, or the subjoined symptoms
, supervene; after which, pause six hours, or even for a longer interval, if the
improvement continues progressively, and proceed to consider the next medi-
cines for further treatment. If in alternation with one or more of the other
r medicines, the like solution of each should be separately made, and an inter-
val of four hours should be allowed to elapse between the doses of one and
of another (unless very urgent symptoms occur, when more rapid succession
becomes necessary).
Spongia should, in the generality of cases, be administered six
hours after the last dose of Aconite, or as soon as the breathing be-
comes shrill, and the pain and sensibility in the upper part of the wind-
pipe are more decided, with increase of hoarseness and difficulty of
articulation.
Lose: A solution of six globules, as directed for Aconitum, proceeding with the
next remedy, when the symptoms immediately indicating Spongia, subside,
or become modified.
Hepar-sulphuris' should be given six hours, or sooner if needful,
after the last dose of Spongia, when the latter remedy appears to have
done all that it is capable of effecting; in which case, this medicine will
either be adequate to complete the cure, or at all events to bear the
patient out of danger, and thus to leave more leisure for appropriate
selection in treating the remaining symptoms. Hepar-3, may, how-
ever, be selected to follow Aconitum in preference to Spongia, if the
fever and burning heat of the skin continue notwithstanding the pre-
vious administration of Aconitum.
JDose: Four globules in a tea-spoonful of water, repeated at intervals, of four
hours (if after Spongia as just stated), or of two hours (if after Aconitum as
just stated), until positive amelioration or change; but if, in ordinary cases,
no important improvement ensue within two hours after the second dose,
pause two hours longer, and proceed with the next medicine.
Lachesis, the peculiar action of which corresponds very accurately
with the symptoms of this disease, particularly the eactreme sensibility
of the throat, and the pain and difficulty experienced in swallowing,
should be employed three hours after the Second dose of Hepar-S., in
the event of imperfect results ensuing after the foregoing course of
treatment.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
º of the solution, every three hours, until positive amelioration or
cnange.
Belladonna has likewise rendered very appreciable service, espe-
cially when there were considerable heat of the skin, much thirst, but
complete inability to swallow liquids, owing to the spasms which the
attempt occasioned; further, when, on looking into the throat, it was
found to present an inflamed and swollen appearance. Belladonna is,
however, not to be administered in cases in which it has previously
been employed: as, for instance, if the affection of the windpipe
occurred immediately after an attack of pure Scarlet-Fever. In such
ases the subjoined method of treatment must be substituted.
C
342 AFTER-EFFECTS OF INFLAMMATION OF THE LARYNX.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change. But if Belladonna
has been previously administered, substitute the following medicine.
Hyoscyamus should be substituted for Belladonna, in cases in
which the patient has been previously treated with the latter medicine.
Dose : As directed for Belladonna.
CHRONIC INFLAIMIMIATION OF THE LARYNX.
This serious and distressing disease is generally attended with a
degree of ulceration.
Symptoms. Pain in the opening and upper part of the windpipe;
pain and difficulty in swallowing; hoarseness and difficulty of respira-
tion; frequent attacks of severe cough, with scanty, and occasionally
thin, offensive and discolored expectoration.
Results. It sometimes ends in hectic fever, which carries off the
patient.
TREATMENT.
It will suffice, therefore, to recall the reader's attention to the fore-
going particulars, recommending that selection be made, in conformity
with the symptoms present, from amongst the medicines already
enumerated, and that the administration be guided by the subjoined
general rule.
Acidum-nitricum, Calcarea-carb., Arsenicum, Kali-c. One
or more of these medicines may, however, additionally prove of service
in the chronic form of this disease. In proceeding to treat cases of
this kind, the reader should, therefore, consult the article on “CHARAC-
TERISTIC EFFECTs,” under the head of each, the better to determine
the selection of the appropriate medicine.
Dose : Of the remedy indicated give four globules in a tea-spoonful of water,
night and morning, for a week (or until the earlier development of improve-
ment or change); after which a pause of four days should be allowed to elapse
before resuming treatment. It may then be requisite to resume the previous
course, or to resort to the next medicine, and so on, until positive improve-
ment or change ensues.
AFTER-EFFECTS OF INFLAIMIMIATION OF THE
LARYINX.
Phosphorus may prove useful against remaining hoarseness, with
more or less pain and frequent expectoration of viscid phlegm.
Dose : Three globules in a tea-spoonful of water, night and morning, until posi-
tive amelioration or change.
Carbo-veg. is to be preferred when the hoarseness is accompanied
by a burning and scraping sensation in the upper part of the windpipe,
and some degree of cough, or hawking up of phlegm of a less viscid
nature than in the preceding instance.
Dose : Of a solution of four globules to four tea-spoonfuls of water, give a tea-
spoonful night and morning, until positive amelioration or change
HOARSENESS. 343
HOARSENTESS.
Hoarseness, or roughness of the voice, arises from some morbid
condition of the upper part of the windpipe. In the majority of cases
the seat of the affection is in the mucous membrane which lines that
part, which is extremely liable to be affected by the common causes
of Catarrh; hence it is a frequent accompaniment of the latter dis-
order.
TREATMENT.
Pulsatilla is indicated by almost complete loss of voice, particularly
when accompanied with loose cough, or thick, yellow discharge from
the nostrils.
Dose : Three globules in a tea-spoonful of water night and morning, until
amelioration or change; but if, after the course of a week's treatinent, al-
4. though much improved, the case be not cured but appears to have become
stationary, proceed with one or other of the subjoined medicines, according
to symptoms.
" Mercurius. This remedy will be found useful in removing any
symptoms remaining after the above, but it is to be preferred should
the hoarseness, from the commencement, be attended with thin dis-
charge from the nose; and also when a sensation of burning or tickling
is complained of in the upper part of the windpipe, with the charac-
teristic indication of Mercurius, namely, a disposition to profuse sweat-
Čng, especially at night.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of twelve
hours, until amelioration or change.
Nux-vomica. Hoarseness, accompanied with a dry, fatiguing
cough, worse in the early hours of the morning, with dry obstruction
of the nose.
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Rhus-toxicodendron. Hoarseness, accompanied with sensation
of excoriation in the chest; oppressed breathing, with frequent and
violent sneezing, unaccompanied by cold in the head, but occasionally
by a great discharge of phlegm from the nose, during the attacks of
sternutation.
Dose: Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change.
Sambucus-nigra. Hoarseness with deep, hollow cough; oppres-
sion at the chest; frequent yawning; restlessness, and thirst.
Dose : Three globules in a tea-spoonful of water, every six hours, until amelio-
ration or change.
Chamomilla. Hoarseness, with accumulation of phlegm in the
throat; cough worse at night, continuing even during sleep, and fre-
quently with a degree of fever towards evening, and great irritability
of temper. This remedy is frequently found specific in the cases of
children.
344 CHRONIC HOARSENESS.
Dose : Four globules in a tea-spoonful of water, night and morning, for three
days.
Drosera. Hoarseness, with very low, or deep and hollow voice.
Dose : Four globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Sulphur should also be employed after the previous administration
of Pulsatilla, when the improvement ceases to be progressive, and
especially if the subjoined indication be present; hoarseness, attended
with roughness and scraping in the throat; it is also of great value in
obstinate cases, where the voice is low, and nearly extinct, particularly
in cold, damp weather.
Dose: Three globules in a tea-spoonful of water, night and morning, for two
days in succession; then an interval of one day, resuming the same remedy,
as directed, for two more days, if the symptoms be yet unaltered or un-
subdued.
CHRONIC HOARSENESS.
Carbo-vegetabilis is indicated in cases of inveterate hoarseness
when the symptoms are worse in the morning and towards evening,
and aggravated by talking.
Dose : Three globules in a tea-spoonful of water, morning and evening, for four
days in succession.
Hepar-sulphuris is an admirable remedy in cases of chronic
hoarseness, particularly if occurring amongst patients who have been
submitted to drenching courses of mercurial preparations under allo-
pathic treatment. T-
Dose: Three globules in a tea-spoonful of water, night and morning, until dis-
tinct amelioration or change.
Causticum. In inveterate cases of hoarseness, when, however, the
condition mentioned under the head of Hepar-s. has not occurred to
qualify the case.
Dose : Give four globules in a tea-spoonful of water, night and morning, for
a week (or until the earlier development of improvement or change); after
which pause four days and proceed with Ammon -carb, same dose.
Sulphur, Calcarea, Silicea. One or more of these medicines
will in many cases prove indispensable to complete the cure after the
previous employment of one or more of the foregoing medicines.
Dose : Of the remedy thus selected give six globules in a table-spoonful of
water, the first thing in the morning (fasting), for a week (or until the earlier
development of new symptoms, improvement or change); after which pause
four days, and resume the course, if necessary, as before, and so on, until
positive and permanent amelioration or change.
Diet and Regimen. The avoidance of irritating and stimulating
food or drink is essential to the perfect restoration of the voice. In
other respects, also, a due degree of precaution should be observed in
avoiding whatever may tend to aggravate the mischief, such as: night
air, sudden transitions of temperature, over-exertion of voice, exposure
to a damp or nipping, dry atmosphere, wet feet, &c. &c.; the protec-
tion of the throat, without excess of covering, is therefore important.
COLD IN THE HEAD. 345
COLD IN THE HEAD.
Symptoms. This affection is a very general attendant upon com-
mon Catarrh. t
TREATMENT. .
Camphor (Concentrated Tincture). This medicine if employed
upon the earliest development of symptoms of cold in the head, will
Sometimes suffice to arrest the progress of the affection at once. It is
particularly indicated when the premonitory stage of the complaint is
characterized by fits of Shivering and headache.
Dose : One drop of the concentrated tincture on a small lump of sugar, three
times, at intervals of ten minutes, then twice at intervals of an hour, and
lastly, twice at intervals of four hours (or until the earlier development of
new symptoms, improvement or change).
Aconitum may precede, or be given alternately with any of the next
two remedies, when, in consequence of the swollen and congested state
of the lining membrane of the nostrils, a painful sensation of fullness,
heat, and smarting is experienced; and also when active febrile symp-
toms supervene.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every three hours, until the indicative symptoms subside; after
which proceed to consider the subjoined medicines, wherewithal to adopt
proper consecutive treatment. If in alternation with Nur-vomica, or with any
other medicine, dissolve, separately, six globules of each in four tea-spoon-
fuls of water, and give the solution by tea-spoonfuls, so that six hours elapse
between doses.
Nux-vomica is generally preferable to all other remedies in the
first stage, and especially when there is dry obstruction during the
night only, with pressive heaviness in the forehead and confusion in
the head; heat in the head; heat in the face, increasing towards even-
ing. If these sensations occur in combination with other catarrhal
symptoms, refer to the indications afforded for the exhibition of this
remedy under the several heads of CATARRH, HoARSENESS, and
Cough. This direction equally applies to the other medicaments here
quoted.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; but if the subjoined
symptoms should continue with little or no modification within three hours
after the fourth dose of Nur-vomica, pause six hours longer, and proceed with
the next medicine.
Lycopodium will often be found efficacious after Wuz-vomica in
pbstinate cases of stuffing of the nose, particularly at night, rendering
it necessary to sleep with the mouth open, which causes a disagreeable
dryness without much thirst, attended with much confusion in the
head and burning pain in the forehead. This remedy is frequently
more or less useful in colds in the head of all kinds.
Dose: A solution of six globules, as directed for Nur-vomica.
IMercurius is indicated by profuse discharge, producing excoria-
tion, swelling or redness of the nose, pains in the head and face. This
346 COLD IN THE HEAD.
is a valuable remedy in the generality of ordinary cases of cold in the
head, particularly when the complaint is, as it were, epidemic.
Dose: Two globules in a tea-spoonful of water, night and morning, for four
days, but if within twelve hours after the second dose, the symptoms continue
to become aggravated, notwithstanding treatment, proceed with the next
remedy; or, if the nasal disaharge and watering of the eyes predominate, con-
sider Euphrasia.
Hepar-sulphuris is chiefly of service when only one nostril is
affected, or when there is headache which is aggravated by the
slightest movement; or when the complaint is renewed on each ex-
posure to cold air; further in most cases in which Mercurius, though
apparently indicated, has produced little or no improvement, when it
should be administered six hours after the second dose of that medicine.
Dose: Three globules in a tea-spoonful of water, night and morning, until
distinct amelioration or change. If, however, the headache continue un-
abated, within six hours after the second dose of Hepar, consider Belladonna.
Euphrasia should be employed six hours after the second dose of
JMercurius in preference to Hépars, when the discharge from the
nose is excessive, and there is at the same time confusion of the head,
with redness of the eyes and eyelids, and copious, acrid or scalding
flow of tears.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change.
Belladonna should be administered, six hours after the second
dose of Hepar-3, if the headache continue unabated, or when it be-
comes associated with a sensation of heat and fullness about the head
and eyes. When the sense of smelling is variously affected, being at
one time too acute, and at another too dull, there will be additional
reason for resorting to this remedy.
Dose: Six globules in a table-spoonful of water, repeated at the expiration of
four hours, and again after an interval of eight hours, if the indicative symp-
toms be still predominant.
Natrum-m. is indicated by cold in the head, renewed by the
slightest chill, or exposure to a current of air; obstruction of the nose
every second day.
Dose: Four globules in a tea-spoonful of water, night and morning, for a week.
Kali-bichrom. is indicated by swelling of the nose and nostrils,
with copious, watery secretion, and diminished sense of smell. e
Dose : Four globules in a tea-spoonful of water, night and morning, until ame-
lioration or change; but if the symptoms continue, without abatement, six
hours after the third dose, proceed with the next medicine.
Lachesis is a most important remedy in some of the worst and
most painful forms of this affection, and should be employed six hours
after the second dose of Kali, if the foregoing symptoms, in particular,
remain unmodified by the previous treatment.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Arsenicum is indicated by obstruction of the nose, with at the
ILL-EFFECTS OF SUPPRESSED COLD IN THE HEAD. 347
same time, discharge of a thin, acrid, excoriating phlegm, and burning
heat in the nostrils, &c. Suffering relieved by heat; pain in the back,
feeling of general debility, or prostration of strength.
Dose: Two globules in a tea-spoonful of water, every three hours, until ame-
lioration or change; but if only partial relief ensue within three hours after
the fourth dose, pause three hours more, and proceed with the next remedy.
Ipecacuanha should be administered six hours after the fourth
dose of Arsenicum, in cases in which the last-named medicine has been
productive only of partial relief.
Lose: Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change; but if the subjoined conditions supervene, consider the
next medicine,
Dulcamara should be given, if, after the previous administration
of the two preceding remedies, fresh obstruction is provoked by the
slightest exposure to air.
Dose : Three globules in a tea-spoonful of water, night and morning, until per-
manent amelioration or change.
Pulsatilla is indicated when the nasal discharge is thick, fetid,
greenish-yellow, or mixed with clots of blood; loss of taste and smell,
headaches, sneezing, chill, especially towards evening; disposition to
weep, lowness of spirits, heaviness or confusion of the head in a warm
TOOIſl.
Dose : Three globules in a tea-spoonful of water, night and morning, for four
successive days.
Chamomilla should be selected when the affection has arisen from
checked perspiration, and there is an acrid discharge from the nose,
causing redness of the nostrils, and excoriation or soreness under the
nose; chapped lips; Shivering with thirst.
Dose: Of a solution of six globules to four table-spoonfuls of water, give a
table-spoonful every three hours, until amelioration or change.
Ammonium-carb. is often of service in cases of cold in the head,
with copious discharge, particularly of an acrimonious, burning, watery
fluid, hoarseness, tickling, suffocating cough, with alternate heats and
chills; or stuffed nose, especially at night; swelling and painful sensi-
bility of the nostrils; dryness of the nose.
Dose : Three globules in a tea-spoonful of water, every four hours, until ame-
lioration or change.
ILL-EFFECTS OF SUPPRESSED COLD IN THE HEAD.
JHeadache.
Aconite is required in cases in which headache occurs as the con-
sequence of suppressed cold.
Dose: Two globules in a tea-spoonful of water repeated at intervals of six
hours; but if, within three hours after the second dose, there be no decided
amelioration, proceed with the next medicine.
Pulsatilla should be administered three hours after the second dose
of Aconitum, if no decided amelioration has resulted from the employ-
ment of that medicine.
348 ILL-EFFECTS OF SUPPRESSED COLD IN THE HEAD.
Dose: Two globules, as directed for Aconite; but if, within six hours after the
second dose the nasal discharge is not restored, proceed with the next
medicine.
China should be administered six hours after the second dose of
Pulsatilla, if no decided effect has resulted from the previous adminis-
tration of that medicine.
Dº : Three globules in a tea-spoonful of water, night and morning, for four
ays.
JDifficulty of Breathing.
Ipecacuanha should usually be selected instead of Aconitum and
the successive remedies when the sudden suppression of cold in the
head is followed by difficulty of breathing.
Dose : Three globules in a tea-spoonful of water, every three hours. If, how-
ever, within two hours after the third dose, there be no decided relief, pause
four hours longer, and proceed with the next medicine.
Bryonia should be administered six hours after the third dose of
Ipecacuanha, if the employment of the latter medicine has been fol-
lowed by inadequate relief and the difficulty of breathing still continues
painfully predominant.
Dose : Three globules as directed for Ipecacuanha. If, however, there be no
positive relief within two hours after the second dose of Bryonia, pause four
hours longer, and proceed with the next medicine.
Sulphur should be administered six hours after the second dose of
JBryonia, in cases in which the second dose of the last-named medicine
has been productive of inadequate benefit.
Dose: Four globules in a tea-spoonful of water, morning and evening, for three
days.
CONSTITUTIONAL SUSCEPTIBILITY TO COLD IN THE HEAD.
Calcarea is very generally of service in overcoming the extreme
susceptibility to cold, which distinguishes some constitutions. This
remedy is, moreover, especially indicated when the attacks of cold in
the head of infants, at the period of teething, occur, accompanied by
oppressive breathing. In general, also, Calcarea is of service when
attacks are liable to be provoked by every change of weather.
Dose: Two globules in a tea-spoonful of water, at bed-time, two days in suc-
cession; after which pause four days, resuming the course or not, after this
interval (six doses on alternate days), according to circumstances. But if
within the termination of the second course an attack should occur, apparently
unmodified, and without adequate cause proceed (after treating the acute
symptoms), with the following medicine.
Silicea should be employed, upon the subsidence of a repeated
attack, in cases (as just stated) in which Calcarea has apparently failed
to modify the predisposition.
Dose : Two globules as directed for Calcarea.
Pulsatilla is generally of great service in the treatment of predis-
position to cold, when the attacks are found complicated with marked
derangement of the digestive functions, especially for persons of a mild
and sensitive disposition and lymphatic constitution. In cases of this
COUGH. 349
kind, generally Pulsatilla may be employed in preference to the fore-
going.
Dose: Three globules in a tea-spoonful of water, at bed-time, three days suc-
cessively, then an interval of four days, after which the like doses may again
be administered, every other night for a fortnight.
Sulphur is however, a most important remedy in a very great
number of cases whether characterized by marked irregularities of the
digestive or of the respiratory organs, or by unhealthy condition (such
as harshness) of the skin; or, particularly, if the patient be subject to
chilblains. The particular features of the case should lead the admi-
nistrator to distinguish whether or not the previous or intermediary
administration of one or more of the foregoing medicines be requisite;
Sulphur, in repeated doses, constituting the main point of reliance in
the eradicative treatment.
Dose Six globules in a table-spoonful of water, every morning, the first thing
(fasting), for ten days (or until the earlier development of new symptoms, im-
provement or change); after which pause a week, resuming the course or not,
after such interval, according to circumstances.
Diet and Regimen. Precautions against unnecessary exposure
to currents of air, damp or sudden transitions of temperature, are ob-
viously important. But one of the most mischievous errors is that
which runs into the opposite extreme. Close apartments are very pre-
judicial; and a reasonable proportion of exercise in the open air, and
proper ventilation within doors, tend greatly to facilitate the removal
of colds-; neither should the clothing be too heavy or cumbersome, or
such as to render activity laborious. Inasmuch, moreover, as colds
are, in the majority of cases, allied either directly or indirectly, with a
degree of derangement of the stomach, the attention should be directed
to the regulation of the digestion, and the diet such as has been re-
commended for more or less severe varieties of Indigestion.
COUGH.
Symptoms. Forced and audible expiration, with or without fever:
either dry or accompanied with expectoration.
Cough, although not dangerous of itself, may become so, or form an
important feature of other diseases. As a precursor of Consumption
it is too often neglected.
Causes. It may arise from an irritation of the air-passages or
lungs, from disease of these organs, or from cold or other causes, or
be merely sympathetic—or the consequence of derangements of other
important organs.
We purpose here to treat more particularly of simple mucous or
moist and dry Cough.
TREATMENT.
Aconitum is indicated by violent short cough, with quick hard
pulse and feverish heat; pricking in the chest when coughing, or dur-
ing inspiration.
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, at
350 COUGH.
intervals of six hours, until the pulse and skin manifest less febrile dis-
turbance.
Dulcamara. The following are indications for the selection of this
remedy: moist or loose cough, with copious expectoration after ex-
posure to a cold, damp atmosphere; or cough with hoarseness and
copious secretion of phlegm in the ramifications of the windpipe, some-
times accompanied by expectoration of bright-colored blood during
the night; barking, shaking cough, increased or excited by taking a
deep breath.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Belladonna. Short, dry, barking (spasmodic, catarrhal, or ºver-
vous), cough at night, in bed, and also during sleep, renewed by the
slightest movement; dry cough day and night, with irritation or tick-
ling in the pit of the throat, or sensation as if a foreign body were in
the windpipe, or as if dust has been inhaled; spasmodic cough, which
scarcely allows time for respiration. This medicine is also sometimes
useful in cough with rattling of phlegm on the chest, pricking in the
front or sides of the chest, and expectoration of thick, white phlegm,
coming on especially after meals; lancinating pain in the belly; hoarse-
ness, redness of the face, headache, sneezing after coughing, and pain
in the nape of the neck.
Dose : Dissolve four globules in four table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until amelioration or change; but
if only partial relief has resulted, within three hours after the fourth dose,
pause three hours longer, and proceed with the next medicine.
Hyoscyamus frequently answers when Belladonna has only
afforded partial relief, and may be preferred to that remedy when the
dry, tickling, nocturnal cough is mitigated for the time by sitting up
in bed; also when there is mucous rattling in the throat.
Dose : A solution of four globules, as directed for Belladonna.
Ignatia-amara is preferable to Belladonna and Hyoscyamus in
very tickling coughs, which continue day and night with equal severity,
and are accompanied by a running cold in the head. Ignatia is, more-
over, especially indicated by the subjoined symptoms;–shaking spas-
modic cough, or short, hacking cough, as if arising from the presence
of dust of feather-down in the throat, which becomes aggravated the
longer the paroxysm of coughing continues; dry, tickling cough with
cold in the head, occurring both day and night. This remedy is,
further, particularly efficacious, when the attacks of coughing become
aggravated after eating, or on lying down at night, or on rising in the
morning, and when the patient is of a mild and placid temper, or sub-
ject to alternations of high and low spirits. •
Dose : Three globules in a tea-spoonful of water three times a day, until ame-
lioration or change; if, however, the dry spasmodic cough at night should
appéar to resist the action of Ignatia consider the next medicine.
Conium-maculatum is not unfrequently of great service against
dry, spasmodic cough, characterized by aggravation at night.
Dose: Three globules as directed for Ignatia.
COUGH. 351
Nux-vomica. This is a valuable remedy in many cases either of
a catarrhal or nervous character, and is particularly efficacious where
there is a dry, hoarse, fatiguing, and sometimes spasmodic cough,
which occurs in an aggravated form in the MoRNING, and occasionally,
also, towards evening; or which recurs more or less during the day,
but relaxes again at night, and is then occasionally supplanted by op-
pression at the chest on lying down or on awaking during the night,
accompanied with a feeling of heat, and dryness in the mouth; if there
be any expectoration, it consists merely of a little phlegm, which is de-
tached with great difficulty. The cough is generally excited by a dis-
agreeable tickling or scraping, with a feeling of roughness or rawness
in the throat, sometimes attended with HOARSENESs and feeling of
roughness in the chest, but more frequently with severe headache, or
pain as if from a blow or bruise in the pit of the Stomach under the
Jalse ribs; it is frequently aggravated after meals, or by movement,
not unfrequently, also, by reading or meditation, and is occasionally
followed by vomiting.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change.
Pulsatilla. Severe, shaking, catarrhal or nervous spasmodic cough,
worse towards evening and at night, frequently followed by vomiting;
sensation of Suffocation, as if from the vapor of sulphur; increase of
cough when in the recumbent posture; cough which is at first dry,
then followed by copious eagectoration of yellowish or whitish phlegm,
sometimes of a salt or bitter taste; or expectoration of mucus streaked
with blood; wheezing, or rattling of mucus in the chest ; the paroxysms
of coughing are frequently accompanied with Soreness in the belly, as
if from a bruise or blow, or painful shocks in the arms, shoulders, or
back, and sometimes followed by a sensation as if the stomach became
inverted from the violence of the cough; involuntary emission of urine
when coughing; loose cough, with aching in the chest, hoarseness, cold
in the head; excited by a sensation of scraping or of erosion in the
throat; shivering.
Dose: Three globules in a tea-spoonful of water, every four hours, until amelio-
ration or change.
Chamomilla is indicated by dry cough, excited by continual
tickling or irritation in the upper part of the windpipe and chest, and
increased by talking; the cough is most troublesome during the night,
but also occurs during the day, particularly in the morning and to-
wards evening; accumulation of tenacious phlegm in the throat;
wheezing in the chest, cough during sleep, sometimes accompanied
with paroxysms, as of threatening suffocation; cough with scanty ex-
pectoration of tenacious, bitter phlegm. This medicine is well adapted
to the treatment of coughs in children, accompanied with more or less
of the symptoms above described, or with hoarseness, cold in the head,
dryness in the throat, and thirst; great fretfulness; fever towards
evening; paroxysms of coughing after crying, or after a fit of passion.
Dose : Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every four hours, until amelioration or change.
352 COUGH.
Bryonia is indicated by catarrhal cough occurring in winter during .
the prevalence of frost and cold easterly winds, with aggravation of
the fits of coughing on coming from the open air into a warm room.
The following are the general indications for its employment: dry
cough, with or without hoarseness, and eaccited by constant irritation
Čn the throat, or as if caused by vapor in the windpipe, with greatly
accelerated respiration, as if it were impossible to obtain sufficient air;
spasmodic, suffocating cough, after partaking of food or drinks, and
also after midnight; cough with prickings or shootings in the chest
and violent bursting headache, especially at the temples, also with
prickings in the pit of the stomach, or in the side: further, in loose
cough, day and night, with scanty expectoration of whitish or yellow-
ish viscid phlegm, or slight spitting of blood, the paroxysms being
sometimes followed by vomitings and accompanied by pain as from a
bruise under the collar-bones, and pain and fullness in the forehead, as
if the contents of the head were forced out, this remedy will frequently
be found of great service;—and likewise in dry, nervous cough.
Dose : Of a solution of twelve globules to three table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
Eupatorium-perfoliatum. Violent cough with soreness in the
chest—the patient supports the chest with the hands. Some physicians
consider it a specific in colds.
Dose : As directed for Bryonia.
Rhus-toxicodendron is indicated by short, dry cough, worse to-
wards evening and before midnight, excited by tickling in the chest,
attended by hoarseness, or a feeling of roughness or rawness in the
throat, congestion in the chest, a sensation of suffocating constriction,
anxiety, and shortness of breath; cough on waking in the morning, or
short cough, with bitter taste in the mouth, on lying down at night
and on waking in the morning, with expectoration of viscid phlegm,
sometimes followed by vomiting, pains in the stomach, and dartings
or pricking in the thigh. Cough with expectoration of bright blood,
with sensation of sinking or exhaustion of the chest, or shooting pains
in the chest and sides.
Dose : Four globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Gelseminum. Dry cough from tickling; burning in the larynx
and down the chest; soreness in the chest when coughing.
IJose : As directed for Rhus-toz.
Ipecacuanha is more particularly required when the subjoined
symptoms occur: catarrhal, nervous, or spasmodic cough, particularly
at night, attended with painful shocks in the head and stomach, and
followed by nausea, retching, and vomiting; or dry cough, arising
from tickling in the throat; or severe, shaking, spasmodic cough, with
oppressed breathing, almost amounting to suffocation. In the case of
children, this remedy is frequently valuable, when they appear to be
threatened with Suffocation from the accumulation of phlegm, or
where the paroxysm is so severe as scarcely to afford time for respira-
COUGH. 353
tion, causing the face to assume a livid hue, and the frame to become
quite rigid.
IDose : Of a solution of twelve globules to three table-spoonfuls of water, give
a tea-spoonful every four hours, until positive amelioration or change; but
if lingering traces of the disease should remain, after the acute symptoms
have yielded to Ipecacuanha, consider the next medicine.
Calcarea is often of great service in completing the cure after the
acute symptoms have yielded to Ipecacuanha. The more particular
indications for Calcarea will be found further on, in the details afforded
respecting that medicine. (See p. 356.)
Dose: Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
IMercurius is indicated by catarrhal cough, with hoarseness or
watery discharge from the nose, or accompanied with diarrhoea; or
dry cough, excited by irritation in the throat, or the upper part of
the chest, which becomes particularly troublesome towards evening,
and at night; sometimes with slight prickings in the chest when
coughing or sneezing; excited or increased by talking; cough in
children with discharge of blood from the nose, which coagulates as it
flows; vomiting, and headache; dry, spasmodic cough, with pain in
the head and chest as if they would burst, retching after the paroxysms,
and occasional expectoration of blood.
Dose : Two globules in a tea-spoonful of water, night and morning, until dis-
tinct amelioration or change; or, if retching be present, the like dose, every
two hours, after fits of coughing.
Carbo-vegetabilis is particularly indicated by hollow cough, ex-
cited by irritation, or a troublesome sensation of crawling in the
throat, ahd attended with burning pain and sensation as if from exco-
riation in the chest ; catarrhal or nervous spasmodic cough, frequently
followed by inclination to vomit or vomiting, occurring in paroxysms
throughout the day; cough with hoarseness, especially towards even-
ing, or morning and evening, increased by speaking. Obstinate cough
with expectoration of greenish phlegm, or even of yellowish matter,
or with expectoration of blood and burning sensations in the chest (a
characteristic indication for this remedy as well as for Arsenicum).
Dose : Three globules in a tea-spoonful of water, night and morning, for four
days
Hepar-sulphuris is indicated by obstinate cases of violent, dry,
hoarse cough, sometimes attended with a dread of Suffocation, and
ending with a flow of tears. The attacks are frequently excited or
aggravated on any part of the body being eaſposed or becoming cold
from the bed-clothes slipping off, and are generally worse at night; also
dry, deep cough, eaccited by a feeling of tightness in the chest, or by
talking, stopping, or ascending stairs; hoarseness.
Dose : Four globules in a tea-spoonful of water, three times a day, until ame-
lioration or change.
Arsenicum is required for cough with oppression at the chest,
and tenacious phlegm in the upper part of the windpipe and chest;
cough excite, a sensation of dryness and burning in the windpipe.
354 COUGH.
Dry cough, chiefly in the evening after lying down, often with diffi-
cult respiration and fear of suffocation (suffocative catarrh, catarrhal
asthma), as if arising from inhaling the vapor of sulphur; dry cough,
excited by eating or drinking, or by ascending stairs, or cough which
arises as soon as the open air is encountered; thin, acrid discharge
from the nose; sneezing; periodic dry cough, -nocturnal cough with
general burning heat; cough with expectoration of bloody phlegm ;
catarrh in the lungs of old people, attended with tenacious mucous
expectoration, which is extremely difficult to eject and causes rattling
in the chest, oppressed respiration, and, frequently, symptoms of im-
pending suffocation, or paralysis of the lungs.
Dose : Two globules in a tea-spoonful of water, every two hours, until amelio-
ration or change; but, if partial relief, only, accrue within twelve hours from
the commencement of the course, consider the following medicines.
Antimonium-tart., Baryta-c, These medicines may be found
requisite after the previous administration of Arsenicum, or even in
alternation with it, when the previous treatment has led to imperfect
results.
Dose : If singly, of the medicine selected, give three globules in a tea-spoonful
of water, every four hours, until amelioration or change If in alternation,
dissolve six globules of each, separately, in three table-spoonfuls of water,
and give a tea-spoonful, first of the one solution, then of the other, so that
four hours elapse between doses.
Aralia-racemosa, in chronic pulmonary affections, as phthisis.
IDose : As directed for Arsenicum.
Ammonium-carbonicum is indicated by dry, tickling, Suffocat-
ing cough, especially in the morning, sometimes with fever, occurring
during the prevalence of a cold, stormy, bleak state of the atmosphere,
and attended with a sensation of heat or burning behind the breast-
bone, resembling that which is occasioned by drinking spirits; hoarse-
ness; cold in the head, with copious discharge of acrid, watery fluid.
Dose : Three globules in a tea-spoonful of water, three times a day, until ame-
lioration or change. If, however, the subjoined manifestations occur, pause
twelve hours, and proceed with one or other of the succeeding medicines,
according to indications.
Ammonium-muriaticum. This remedy is sometimes serviceable
after the former, when the cough sounds looser, yet is unattended with
expectoration.
Dose: Three globules, as directed for Ammonium-c
Causticum, which may sometimes be of service in cases analogous
to that which has been named as suggesting Ammonium-c., either
before, after, or in the place of that medicine, is especially indicated
by dry, hollow cough, which even wakes the patient from sleep; short
cough, excited by tickling, crawling, or a feeling as if the throat were
excoriated, or by talking; and cold, attended at times with burning,
or a sensation of Soreness in the chest, and rattling of phlegm ; pain in
the hip, and, occasionally, involuntary emission of urine when cough
ing; pain in the chest, as if it were raw and sore (the patient compar-
COUGH. 355
ing his feelings to those which he could conceive to arise from the
application of a blister to the exterior of his chest).
Dose: Three globules, as directed for Ammonium-c.
Drosera is a useful medicine in many cases of chronic cough with
hoarseness; or deep, hollow cough, with pain in the chest and under
the ribs, alleviated by pressing the hand on the side, excited or
aggravated by laughing; cough on lying down in the evening and
during the night. Mutual cough, with bitter and nauseous eaſpectora-
tion; dry, spasmodic cough, aggravated at night or towards evening,
and frequently followed by vomiting of food, or bleeding from the
nose and mouth.
Dose : Four globules in a tea-spoonful of water, night and morning, for a week;
after which pause four days, and if (which will rarely occur) further treat-
ment be required, and the symptoms continue of the same character, renew
the course as before.
Silicea is indicated by cough with oppressed breathing on lying on
the back, or cough attended with tightness and oppression at the
chest, as if something stopped the respiration while speaking or cough-
ing. Fatiguing, or deep, hollow cough, day and night, aggravated by
movement or by speaking, and sometimes attended with aching and
pain, as if from a bruise, in the chest; cough with copious eaſpectoration
of transparent phlegm or purulent matter, sometimes streaked with
blood; cough with asthmatic breathing and emaciation, and with dread
of suffocation at night; cough irritated or excited by a sensation as if
a hair were on the tongue.
Dose : Three globules in a tea-spoonful of water, night and morning, for four
days.
Lachesis. This medicine is of great value against fatiguing cough,
excited by dryness or continued tickling in the windpipe or chest; or
by pain or tickling in the pit of the stomach; also by the slightest
pressure on the exterior of the throat; cough excited by talking,
laughing, or reading aloud, or anything which may tend to increase
the dryness or irritation in the throat; short, dry, suffocating cough,
as if caused by the presence of a crumb of bread sticking in the throat,
with ineffectual efforts to expectorate. Cough on rising from the
recumbent posture, or attacks of cough always after sleeping, or on
lying down to sleep, so that the patient is unconscious of it; continual
hoarseness, with a sensation, as if something were in the throat which
could not be detached.
Dose : Two globules in a tea-spoonful of water every two hours, until amelio-
ration or change.
Sulphur is of paramount importance in some cases of obstinate
coughs, and particularly in dry cough, which disturbs the patient at
night as well as during the day; the cough is frequently excited after
partaking of food, or during a deep inspiration, and is generally at-
tended with a sensation of spasmodic constriction in the chest, some-
times followed by inclination to vomit, or the involuntary escape of
urine, or pain as if from excoriation, or pricking pains in the chest;
headache, pains in the chest, belly, loins, and hips; also cough, with
356 COUGH.
expectoration of thick, whitish or yellowish phlegm, or of a greenish-
yellow, fetid mucus, or purulent matter, of a saltish or sweetish taste;
feverish cough with spitting of blood.
Dose : Three globules in a tea-spoonful of water, morning and evening, for four
days successively; after which pause four days, and, if necessary, resume a
course of similar doses on alternate days, and so on until positive amelioration
or change.
Calcarea-carbonica is particularly indicated when the following
symptoms occur: dry cough, aggravated towards evening, or at night,
excited by tickling in the throat, or by a sensation as if there were
ifeather-down in the throat; also loose cough, with rattling of mucus
in the chest, and expectoration of offensive, thick, yellow phlegm;
anxiety.
Dose : Three globules, in every respect as directed for Sulphur.
Sanguinaria-Canadensis. Dry cough; pain and stitch in the right
side of the chest; diseases of the lungs; it has a certain reputation in
the cure of coughs.
Dose : The same as Calc.-carb.
Euphrasia is indicated by cough, with violent, watery discharge
from the nostrils and flow of corrosive tears; diurnal cough, with diffi-
cult expectoration of mucus; or matutinal cough, with copious expec-
toration, and oppressed breathing.
Dose : Four globules in a table-spoonful of water, three times a day, until ame-
lioration or change.
Sepia. The symptoms which indicate this medicine are as follow:
cough, with copious expectoration of phlegm of a saltish taste, and of
a yellow or greenish color; also dry, spasmodic cough, particularly at
might, or on first lying down, attended, in children, with crying, fits
of choking, nausea, retching, and bilious vomiting. This remedy is
especially adapted to individuals having a constitutional taint, such as
the scrofulous, scorbutic, &c.; and, in chronic coughs, with thick,
yellowish, greenish, or even puriform expectoration, with a putrid
taste, it is also a valuable remedy.
Dose : Four globules in a table-spoonful of water, night and morning, until
amelioration or change.
Stannum is more particularly required when symptoms such as the
following are present: cough, with copious expectoration of a green-
ish-yellow color, and of a sweetish or saltish taste, attended with great
weakness and disposition to sweats; soreness at the chest as from
internal excoriation; feeling of weakness or sinking in the chest, as if
it were empty, particularly after expectorating, or even after speaking;
or dry, shaking cough, worse at night or towards morning, excited or
aggravated by speaking or laughing, and occasionally followed by
vomiting of food.
Dose: Four globules as directed for Sepia.
Lycopodium is very efficacious in obstinate coughs which are
worse at night, and are attended with expectoration of tenacious
phlegm, and sometimes vomiting; paleness of the face, emaciation,
COUGH. 357
pains and oppression in the fore part of the chest, flatulence, ill-
humor, &c.
Dose: Three globules in a tea-spoonful of water, morning and evening, until
amelioration or change.
China is useful against paroxysms of cough, as if excited by the
vapor of sulphur, with whistling or rattling in the throat from mucus;
expectoration difficult, consisting of clear, tenacious phlegm, sometimes
streaked with blood; pains in the shoulders, or prickings in the chest
and windpipe; cough, sometimes with bilious vomitings; cough after
spitting of blood.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a third
part every three hours, till the whole is consumed; then pause twelve hours:
after which continue the administration (if necessary), by giving four glo-
bules in a table-spoonful of water, night and morning, until amelioration or
change.
Phosphorus is appropriate to the subjoined manifestations: dry
cough, excited by tickſing irritation in the throat or chest, or by laugh-
ing, talking, or drinking, or by cold air, and accompanied with prick-
ing in the windpipe; hoarseness, or pains in the chest as if from
eacoriation; cough with hoarseness, fever, and depression of spirits,
sometimes with apprehensions of death; dry-sounding cough, followed
by expectoration of viscid or bloody phlegm, and attended with op-
pressed breathing and livid hue of lips and face; cough occurring in
consumptive habits.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Arnica is of great value in coughs attended with bleeding from
the nose and mouth ; headache, pricking in the chest, rheumatic pains
in the loins and extremities, and Soreness or pain, as from a bruise, in
the chest and belly.
Dose : Three globules in a tea-spoonful of water, every three hours, until four
doses have been given; then pause eight hours, and if further treatment be
requisite, and the general aspect of the symptoms the same, renew the admi-
nistration of similar doses, night and morning, until positive amelioration or
change.
Staphysagria is appropriate when the subjoined symptoms occur:
cough attended with pain under the breast-bone, as if arising from ex-
coriation or ulceration ; expectoration of yellow, purulent-looking
phlegm ; sometimes spitting of blood, and involuntary discharge of
urine; exacerbations at night.
Dose : Four globules in a table-spoonful of water, night and morning, until
positive amelioration or change.
Squilla is often a very useful medicine when the following symptoms
occur: short, dry cough, excited by a full inspiration, or chronic
cough, or catarrh with copious secretion of whitish, viscid phlegm,
which is alternately expectorated with ease and difficulty.
Dose : Four globules in a tea-spoonful of water, night and morning. until
amelioration or change.
Spongia. In acute inflammation of the lining membrane of the air-
358 COUGH.
tubes, this remedy is often of essential service; but it is of equal utility
in the chronic variety, when the chronic symptoms prevail: cough
with muco-purulent expectoration, emaciation, redness and deformity
: the points of the fingers, lividity and incurvation of the nails, hectic
€Ver.
Dose : Four globules, as directed for Squilla.
COMPLICATED CASES.
The complications of disease with which coughs appear as associated,
or in which they occur as more or less urgent symptoms, are very
yarious, and it will therefore remain with the administrator, whether,
in his judgment (after mature consideration of the various associated
symptoms, and after comparing the hints afforded in articles on other
diseases, and in that on the “INVESTIGATION of DISEASE,” p. 37), to
determine the nature of the complication in any particular case in
Question, and to treat it by assimilating the directions afforded in this
article, and in that which treats of the particular disease or condition
with which the cough appears as complicated.
In this manner STOMACH Coughs, associated with pregnancy, or
STOMACH COUGHS in general, may be appropriately treated by attaching
due importance to the directions afforded in the article on “IN-
DIGIESTION.”
Coughs which occur at the period of TEETHING will be appropriately
treated by investigation of the article on the derangements incidental
to “TEETHING.”
CouGHS which occur when the presence of Worms has been detected,
are subject in some measure to the particular directions afforded for
the treatment of “WoRMs,” but also to those which are furnished
under the head of “INDIGESTION.”
Mervous Coughs.
Obstinate nervous coughs occurring in highly-irritable, nervous,
and hysterical subjects, and which are generally dry, or attended with
scanty and difficult expectoration, consisting of a little clear phlegm,
are often relieved by change of air and scene, or even by exhilarating
or active occupation, when medicinal resources fail to ensure a perma-
nent, Cure.
ACCESSORY MEASURES.
Unmedicated jujubes, sugar-candy, or gum arabic may be allowed,
occasionally, to moisten the throat or mouth, in cases of dry, irritating
coughs.
Diet and Regimen. If the cough be attended with any inflam-
matory symptoms or with manifestations of deranged digestion, it is
obvious that the diet should be conformable, respectively, to the direc-
tions afforded in the various articles on febrile or inflammatory com-
plaints, and on Indigestion, and should be more or less strictly enforced
according to the greater or less degree of inflammatory action present.
In the majority of cases of simple cough, the diet should be nourish-
ing, but very plain, easy of digestion, and free from seasoning. Nervous
HOOPING COUGH. 359
coughs, as I have already had occasion to remark, are often most easily
relieved by change of air and scene. Early hours, and avoidance of
all conditions which are known to provoke attacks, are very essential
to cure. Wet and cold are necessarily mischievous. Some coughs are
aggravated or provoked by a cold, dry state of the atmosphere, and
by east winds especially, and therefore exposure to such atmospherie
conditions is mischievous. On the other hand, one of the greatest
errors is to resort to coddling, and to confine the patient in close
apartments without access of fresh air. Free access of air is almost
invariably essential; and the use of cold water both for drinking, and
for ablution, followed by brisk friction of the chest and stomach, is
generally calculated to do good.
HOOPING COUGH.
This is almost peculiarly a disease of childhood, and one which few
individuals escape during that period; it generally appears as an epi-
demy, and is, by the majority of writers, acknowledged to be commu-
nicable by contagion: we seldom find an instance of a person suffering
a second time from its attacks.
Over many the affection passes lightly; but in the majority of cases
it proves a distressing, and, in some, a fatal malady.
Homoeopathically, we have it in our power, by the administration
of remedies specific to the affection, sometimes to check the inflamma-
tion at its onset, to subdue the distressing attendant symptoms, and
almost invariably to shorten the duration of the complaint, without
allowing it to leave after it any of those evil consequences, such as
debility and emaciation, which oblige the patient to endure a tedious
and protracted period of convalescence.
Symptoms. Paroxysms of violent and convulsive expirations, in
rapid succession, interrupted by long, whistling inspirations, and, in
young subjects, a loud, shrill whoop, terminated by the expectoration
of a quantity of phlegm or a fit of vomiting, after which the attack
ceases for some time. If the case is severe, the features swell and be-
come livid; blood escapes from the nose and mouth, and even from
the ears; complete cessation of respiration and almost suffocation takes
place, as if from spasm of the lungs, which lasts for minutes. The
attacks return every three or four hours, and more frequently in severe
cases; the least excitement brings them on ; they are more frequent
and violent at night. Respiration is free during the intervals, and the
patient in every respect healthy, although suffering from weakness.
Progress of Hooping-Cough. Pathologists generally consider
this disease under three stages; the distinction between the second
and third is, however, not often very clearly marked.
The first or febrile stage commences with the symptoms of an
ordinary catarrh, attended with slight fever, which gradually increases;
the breathing becomes more difficult, and is accompanied with irrita-
tive cough and pains in the chest.
In the second or convulsive stage (the congestive and nervous of
360 HOOPING COUGH.
some authors), the febrile activity disappears, and the characteristic
cough and other symptoms of the disease develop themselves.
In the third or nervous stage, there are longer intermissions between
the paroxysms, but increased weakness from the duration of the cough.
First or Febråle Stage.
TREATMENT.
In the incipient, febrile, irritative, or catarrhal stage of the cough,
the most appropriate remedies are to be found amongst those which
we have already pointed out in the treatment of common Cough, and
must be selected according to the indications there given, and admi-
nistered in the same manner unless otherwise specified. By a careful
selection of these remedies, it is frequently possible to check the dis-
order in the first stage. The subjoined however, according to the
special indications mentioned, are particularly appropriate.
Aconitum is appropriate in many instances for initiatory treat-
ment, inasmuch as there is generally a considerable degree of fever
present. As soon, however, as the febrile symptoms have somewhat
subsided under the employment of Aconite, which in the generality
of cases will occur within a few hours after the first dose or two, an
appropriate selection should be made from amongst the subjoined
medicines. It should not be omitted, however, that Aconite will fre-
quently be required from time to time, as an intermediary remedy,
whenever marked febrile or inflammatory symptoms are present,
always returning to such other medicines as are most prominently in-
dicated, as soon as the symptoms which especially indicate Aconite
have been moderated.
Dose : Two globules in a tea-spoonful of water, repeated. when requisite, at
intervals of three hours, until the febrile symptoms yield : after which pause
at least three hours longer, and proceed with such of the subjoined medicines
as most closely correspond with the symptoms of the case.
Dulcamara is indicated when the attack has apparently been ex-
cited by exposure to a cold, damp atmosphere; the cough loose, with .
copious and easy ea pectoration.
Dose : Three globules in a tea-spoonful of water, every six hours, until amelio-
ration or change :-for very young children, one globule in a tea-spoonful of
water, every four hours, until amelioration or change.
Pulsatilla is appropriate when the symptoms are as follow: cough
loose, and accompanied with a flow of tears, weakness of the eyes,
sneezing, thick, discolored discharge from the nostrils, slight hoarse-
ness, and inclination to vomit after coughing; occasional diarrhoea,
especially at night.
Dose: Three globules, as directed for Dulcamara; for very young children, of
a solution of two globules to six tea-spoonfuls of water, give a tea-spoonful
every two hours, until amelioration or change.
IMercurius is indicated by hoarseness, watery discharge from the
nose, with soreness of the nostrils; dry fatiguing cough, generally
occurring in two successive fits.
Dose : Two globules in a tea-spoonful of water, immediately after the fits of
HOOPING COUGH. 361
coughing (but not more frequently than every hour), until amelioration or
change.
Belladonna is one of the most important remedies in the catarrhal
stage of Hooping Cough, when there is dry, hollow, or harsh and
barking nocturnal cough, or cough which becomes materially aggra-
wated at night. This medicine is also particularly well adapted to the
sore-throat, which is not an unfrequent concomitant, at the commence-
ment of the affection.
Dose : Three globules in a tea-spoonful of water, every four hours, until amelio
ration or change; for very young children, one globule in a tea-spoonful of
water similarly.
Hepar-sulphuris is very useful for cough worse at night, but looser
than that indicating Belladonna. This medicine is also useful in for-
warding the secretory process.
Dose: Four globules in a table-spoonful of water night and morning for two
days: then pause two days, resuming the treatment, after such interval, with
the same, or with one or more other medicines, according to the symptoms
which remain or supervene.
Chamomilla is required when the following symptoms occur: dry,
hoarse cough, or cough with difficult expectoration of tenacious
phlegm, followed by a feeling of soreness at the part from which the
mucus seems to have been detached. The paroxysms of coughing are
excited by an almost incessant irritation in the windpipe, and in the
upper part of the chest.
Dose : Three globules in a tea-spoonful of water, three times a day (or infants
one globule in a tea-spoonful of water similarly), until amelioration or change.
Nux-vomica is of great service when the cough approaches the
second stage. It is indicated by the following symptoms: dry,
fatiguing cough, attended with vomiting, and occurring particularly
from about midnight until morning;-the paroxysms so protracted
and violent as to produce apparent danger of suffocation, with blue-
ness of the face, and, occasionally, bleeding from the mouth and nose.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change. For infants a
solution of three globules to two table-spoonfuls of water, administered by
tea-spoonfuls at the like intervals. But if the discharge of blood last named be
copious, or a very prominent symptom, consider and proceed at once (or in
preference) with the next medicine, or again, if the suffocative symptoms
occur very prominently, consider also Ipecacuanha.
Arnica should be employed in preference to Nua:-vomica (or after
that remedy if the symptom supervene subsequently to its administra-
tion) when the discharge of blood from the nose and mouth is very
copious or constitutes a very prominent symptom.
Dose : Three globules in a tea-spoonful of water, every three hours, until the
indicative symptom subsides.
Ipecacuanha is, like Nuw-vomica, of great value when the cough
is attended with danger of suffocation, and each inspiration appears to
excite a fresh fit of coughing. It is further indicated when the fits are
attended with spasmodic stiffness of the body and blueness of the face,
great anxiety and accumulation of phlegm in the chest.
362 HOOPING COUGH.
Dose Of a solution of six globules to three table-spoonfuls of water, give a tea.
spoonful every three hours, until amelioration or change. For infants, a
solution of two globules to six tea-spoonfuls of water, administered by tea-
spoonfuls at similar intervals.
Bryonia, Phosphorus. Either of these medicines (according to
such distinctive manifestations as may be distinguished by reference
to the article on “CHARACTERISTIC EFFECTs”) may be required in
cases in which the cough threatens to become complicated with inflam-
mation of the lungs or of the membrane which invests them.
Dose : Of either medicine as selected, give three globules in a tea-spoonful of
water every two hours until three doses have been given (or the earlier mani-
festation of positive improvement or change), and, subsequently, every four
hours, until the indicative symptoms disappear.
Second or Convulsive Stage.
TREATMENT.
Drosera is one of the principal remedies in the treatment of the
disease, when it has reached this stage; and in cases where the consti-
tution has not been enfeebled by the transmission of hereditary weak-
ness or other causes, it will speedily declare its beneficial effects, and
materially shorten this trying and painful period of the disorder. The
particular indications for the use of this medicine are: violent parox-
ysms of cough, occurring in such rapid succession, as to threaten
suffocation, and attended with the characteristic shrill sound during
inspiration, and sometimes fever; after each fit of coughing, vomiting
of food, or of stringy mucus; relief on moving about; no fever; or, if
there be fever, it consists of regular paroxysms of chilliness and heat;
thirst after the cold fit; warm perspiration, sometimes only at night.
Dose : Of a solution of eight globules to two table-spoonfuls of water, give a
tea-spoonful after every severe fit of coughing, until improvement or change.
For Infants, the solution should consist of four globules to the like quantity
of water, and be administered by tea-spoonfuls,
Veratrum-album is indicated when the child has become reduced
in strength and emaciated; or when it suffers from cold sweats, parti-
cularly on the forehead, with eaccessive thirst, involuntary emission of
wrine, vomiting, and other symptoms common to this stage; also pain
in the chest and towards the groin ; low fever, with small, weak, and
accelerated pulse; much thirst ; aversion to conversation.
Dose : Two globules in a tea-spoonful of water, after every severe fit of cough-
ing, or every half hour; in very acute cases, until four doses have been taken;
after which the intervals may be increased to four hours, and the administra-
tion thus be continued until positive amelioration or change. But if the
beneficial effect be only partial within forty-eight hours after the commence-
ment of the course, and the symptoms continue of approximately the same
character, consider the subjoined medicines, and proceed accordingly. For
infants, of a solution of one globule to three tea-spoonfuls of water, give a
tea-spoonful at the same intervals.
Carbo-vegetabilis is frequently useful in bringing this stage of the
affection to an early and successful termination, after the previous use
of Veratrum or Drosera, or both of these important remedies; parti-
HOOPING COUGH. 363
cularly when, notwithstanding the decrease of cough, the tendency to
vomit still remains.
Dose : Two globules, in all respects as directed for Veratrum.
Conium is also of service after the previous administration of Vera-
trum, when the cough and vomiting are more distressing at night,
and Veratrum is apparently inadequate to overcome the nocturnal
symptoms. Conium is, moreover, especially indicated by the sub-
joined symptoms, which may entitle it to preference in some cases:
when the paroxysms occur particularly at night, and with great
severity, and are generally followed by vomiting of phlegm or of the
contents of the stomach.
Dose : Two globules in a tea-spoonful of water night and morning, until
amelioration or change.
Cuprum-aceticum. This remedy is found most useful in the
nervous stage, particularly when convulsions, with loss of conscious-
ness, ensue after each paroa’ysm. Also when we find vomiting after
the attacks, rattling of mucus in the chest, and wheezing at all times.
In almost all cases a marked benefit has followed the employment of
this remedy; sometimes it has been found sufficient of itself to cut
short the disease, and, in others, has so far modified it, that other re-
medies, which had before seemed to fail, have, after its exhibition,
acted with the most marked effect, and completed the cure.
Dose : Of a solution of twelve globules to three table-spoonfuls of water, give a
tea-spoonful every half hour, until ameliolation or change, or otherwise as
described for Veratrum.
Corallium-rubr., when spasms of cough are so violent that chil-
dren lose their breath and grow purple and black in the face.
Dose : As directed for Veratrum.
Cina is also a useful remedy when there are convulsions, or tetanic
rigidity of the whole body during or immediately after the fits of
coughing, particularly in children affected with worms.
Dose : As directed for Cuprum-acet.
Arnica is useful as an intermediary medicine when the flow of blood
from the nose or mouth is considerable; and also in the affection itself,
when each paroxysm is succeeded by crying.
Dose: Two globules in a tea-spoonful of water, immediately after such dis-
charge of blood, repeated on the recurrence of the same symptom, but not
within less than six hours after a former dose; unless, indeed, aggravation
should have been palpably discerned after previous administration, when it were
desirable to pause in the administration. If, however, after three doses have
been given, the same symptom should recur, it will be desirable to consider
the subjoined remedy.
Hepar-Sulphuris is sometimes of great service in cases in which
the discharge of blood from the nose or mouth is excessive, and parti-
cularly when this symptom has set in after a hoarse, dry cough.
IJose : Two globules in a tea-spoonful of water, as directed for Arnica.
Ferrum-metallicum. This remedy will be found very useful for
intermediate administration when there is invariably vomiting of food,
on coughing soon after the meal.
364 HOOPING COUGH.
Dose: Three globules in a tea-spoonful of water, soon after each fit of vomit.
ing, until amelioration or change.
Third or Nervous Stage.
Treatment. The same medicines as have already been prescribed,
are appropriate in this stage also, according to the indications that
present themselves. On the suppression of all the more serious symp-
toms, the remedies which have been recommended in the first stage
are also useful in removing any catarrhal cough which may remain
behind. Change of air is likewise beneficial. With respect to the
medicinal treatment, however, it will be necessary to add two remedies
to the foregoing list, as appropriate for obstinate and intractable cases;
and some particular directions are necessary in respect of the method
of administration, which should be adopted conformably with the sub-
joined general rule.
Dose. Of the appropriate medicine, in mild cases, give two globules in a tea-
spoonful of water, the first thing in the morning (fasting), and the last at
night, every other day; in cases in which the symptoms are more urgent and
distressing, however, dissolve six globules in two table-spoonfuls of water,
and give a tea-spoonful of such solution every four hours, during the first
day, and every six hours, during the second ; after which, give three globules
in a tea-spoonful of water, night and morning, until distinct amelioration or
change. In cases which require the employment of Veratrum or Drosera it
has been found of advantage to give the first dose immediately after a fit of
coughing, and to repeat the administration after the next paroxysm, in such
cases only in which the second fit of coughing is fully as violent as the former.
An interval of twenty-four hours should then be permitted to elapse (or more
if improvement becomes manifest before another dose is given) before further
treatment. If, however, instead of improving, the patient grows apparently
worse, after the pause just prescribed, or if symptoms of a different character
occur, the case should be carefully reconsidered, and another and more appro-
priate medicine selected ;--or again, if the symptoms (notwithstanding this
want of success) still distinctly indicate the same medicine, a single dose of
Sulphur followed by a pause of twelve hours, and then by re-administration
of the medicine previously employed, may prove of considerable service.
Obstinate and Intractable Cases.
Sulphur, Sepia. One or both of these medicines singly or in suc-
cession, will be found of great service in some obstinate and neglected
cases occurring amongst persons of delicate constitution. The more
particular indications which serve to determine the selection between
them may be gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either medicine as selected, give six globules in a table-spoonful of
water, every morning the first thing (fasting), for ten days (or until the earlier
development of new symptoms, change or improvement); then pause four days,
after which the same course may be repeated, if some lurking traces of the
disease yet remain ; and so on until a perfect cure is effected. It should not,
however, be omitted that one or more of the medicines mentioned above
(or in the article on “Cough”) should be employed for intermediary adminis-
tration, from time to time, if particularly indicated.
Diet. The diet must be light and easy of digestion; consisting of
light bread-pudding, provided the fever be not high, in which case,
weak gruel, barley-water, and the like, must also be partaken of: when
the more serious symptoms have subsided, or in all mild cases, We may
CROUP. * 365
give a little chicken, chicken-broth, or beef tea,-and so on, gradually
increasing the amount of nutriment, as the disease declines. The
drinks should consist of toast-water or barley-water.
CROUP.
This well-known disease is one that requires the promptest treat-
ment, to avert the danger. From the moment that we are assured of
the nature of the complaint, recourse must be had to the remedy most
clearly indicated by the assemblage of the symptoms, so that not an
instant be lost in arresting its further progress; since, if not skilfully
kept in check, it sometimes runs on to a fatal termination within
twenty-four hours; although in the generality of cases, when such an
event does take place, it happens about the fourth or fifth day.
Croup consists of a peculiar inflammation of the lining membrane
of the windpipe, causing the secretion of the thick, viscid substance,
generally opaque, of about the consistency of the boiled white of an
egg, which adheres to the interior of the windpipe, and takes the form
of the parts which it covers; when this, generally denominated the
the false membrane, has been allowed to form, the case becomes ex-
tremely critical.
It particularly affects early childhood. It seldom attacks adults,
though we occasionally see exceptions to this rule;—and is not unfre-
quently found in complication with other affections both of the lungs
and windpipe.
Predisposing Causes. That croup arises from inherent constitu-
tional taint is evident from the fact of some families having a peculiar
tendency to this disorder.
Exciting Causes. The principal exciting causes seem to be ex-
posure to cold or damp, and derangement of the digestive functions,
from a too nutritious or heating diet, too much animal food, or stimu-
lants. such as wine or coffee.
Symptoms. Short, difficult, and hoarse respiration, accompanied
by a shrill, whistling, squeaking, harsh, rattling, or metallic sound,
with cough of the same character; the patient throws the head back
in order to breathe more freely; fever, and sometimes lethargic state
of the brain.
The attack generally commences with the symptoms of a common
catarrh, such as cough, sneezing, and hoarseness, with a greater or less
degree of fever; in a day or two the cough changes its character, and
becomes shrill and squeaking, or deep, hoarse, or sonorous, attended
with a ringing sound during speaking and respiration, as if the air
were passing through a metallic tube; as the disease progresses, the
cough becomes more shrill, and when long continued, resembles the
crowing of a young cock. There is seldom much expectoration, and
when any matter comes up in coughing, it has a stringy appearance,
or resembles portions of a membrane. After inflammation has set in,
considerable fever and restlessness continue, occasionally varying in
intensity, but never wholly remitting; the countenance expresses
great anxiety, and alternates from a red to a livid hue; the parox.
366 CROUP.
ysms are followed by a profuse and clammy perspiration of the
whole body, more particularly of the head and face. When danger
threatens, the pulse is hard, frequent, and occasionally intermittent;
the breathing, particularly during inspiration, difficult and audible;
the features become livid, and almost purple, from the sense of suffo-
cation :--the head is thrown back; the face and forehead become
bedeved with a cold and clammy sweat. The cough either entirely
ceases or assumes a veiled and husky tone; the voice sinks to a whis-
per; the eye has a dull, glassy, or dilated appearance, and the whole
system seems in a state of utter prostration. On the other hand, when
a favorable turn takes place, the cough becomes looser, and the
paroxysms diminish in severity and frequency; the breathing becomes
freer in the intervals between the coughs; the countenance loses its
expression of anxiety; or the voice becomes stronger, and the restless-
ness subsides. Should these signs of improvement persist for twenty-
four to thirty-six hours or so, we may generally calculate that all
danger is past. Nevertheless, there must be no relaxation of watch-
ful care until the hoarseness and cough, however slight, have entirely
disappeared.
Incipient Stage.
Treatment. The remedies enumerated in the general article on
Cough, are severally applicable to the treatment of the incipient stage
of Croup, according to the particular indications present. Amongst
others, however, the following may be especially recommended.
Hepar-sulphuris, when the disease sets in with a hard, dry, hoarse
and hollow cough, attended with wheezing;-or, in general, when this
symptom is present, whether indeed, there be apprehension that the
disease will resolve itself into Croup or not, this remedy is of great
service and should be promptly administered.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until amelioration or change.
A warm bath is also of service,—but the child should be placed in
bed immediately afterwards, and the temperature of the room kept
steadily warm at about 65°.
Inflammatory Stage.
Aconite is called for during the inflammatory period of this
dangerous disease, with great febrile disturbance, burning heat, thirst,
short, dry cough, and hurried and laborious breathing.*
* The employment of a cold water compress, consisting of a piece of linen rag
wrung out of cold water, and applied over the exterior of the throat, or windpipe, is
also of much service in the inflammatory stage of croup. The moist rag should be
covered with a piece of oiled silk, and the whole secured in the proper place by
means of a dry bandage. When oiled silk is not at hand, a longer piece of wet rag
should be used, so as to admit of its being folded two or three times; and the secur-
ing bandage may consist of a double fold of flannel, or a worsted stocking, of suffi-
cient length. The compress may be continued for several hours, and should be
renewed when it becomes dry or hot. Spongia piline and gutta percha are the more
refined appliances now in vogue for the purpose specified. Waterproof cloth is a
good substitute.
CROUP. 367
Dose : In very acute cases, of a solution of six globules to two table-spoonfuls
of water, give a tea-spoonful every half hour, until the specially indicative
symptoms abate. In less urgent cases the repetition of doses should take
place every two hours, until a similar result ensues. So soon, however, as
the medicine begins to make a favorable impression, the intervals should be
extended to four, and then to six hours; or, on the other hand if the fever
has, to a certain degree, yielded to Aconitum, but such symptoms as are sub-
joined supervene or remain—pause four hours after the last dose of Aconite
(except in very urgent cases—when no pause can be allowed), and consider
the following medicines. If in alternation with one or both of the other medi-
cines, associated as above, the like solution should be separately made of
each, and administered by tea-spoonfuls, so that not less than two hours shall
elapse between doses (except in the most urgent cases, when the intervals
should be reduced to half an hour).
Hepar-sulphuris. Either when the febrile symptoms are partially
subdued by Aconitum, the skin having become moist or covered with
a profuse sweat, the cough more loose and the breathing freer, but
there remains a dry, harsh, deep, hollow cough, with a weak, hoarse
voice, and more or less difficulty of breathing; or when, from the com-
mencement, the cough so peculiar to croup has already set in, and is
accompanied by a constant mucous rattling in the respiratory organs,
during which the patient is incessantly but effectually occupied in en-
deavoring to obtain relief by expectoration,-or frequently grasps at
his throat, and bends the head back;—when, moreover, there is a
considerable degree of fever and restlessness, together with a burning
hot skin, and excessively quick and laborious respiration. This remedy
is of itself sufficient, in many instances, to arrest the progress of the
disease, if administered as soon as the incipient symptoms of the
attack are observed; but Aconite, Hepar-sulphuris and Spongia,
generally in alternation, become necessary when the affection is more
developed. g
Dose : A solution of twelve globules to two table-spoonfuls of water, or if in
alternalion, a solution of six globules of each medicine, as directed for Aconi-
tum. If, however, the subjoined symptoms and conditions occur, proceed at
once (in most urgent cases), or, after a pause of four hours (in less pressing
instances), with the next medicine.
Spongia is chiefly useful after Aconitum, when the skin has become
moist, the breathing somewhat easier, but still very labored, loud,
grating, and wheezing the patient appearing to carry on the process
of respiration more readily with the head thrown backwards, yet is
even then occasionally threatened with suffocation; further, when the
cough is dry, hoarse, ringing, hollow, and squeaking.”
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every half hour (in very acute cases), or only every
three hours (when the symptoms are not so extremely distressing), until a
degree of improvement ensues, when the intervals should be extended to
double the time. Or, one gr. of the third trit, dry on the tongue, at like in-
tervals; but if no relief should ensue within twelve hours, proceed with Bro-
mine, as directed for Aconite.
* Spongia is frequently alone sufficient to effect a cure in thoroughly-developed
croup, unaccompanied by the strong febrile symptoms mentioned under Aconite; or
before the latter, when there is no mucous rattling.
368 CROUP.
Iodium is generally required in children of marked scrofulous
habit, or of soft, flabby, plethoric constitutions, and may be preferred
to the other remedies in such cases, particularly if the affection par-
takes less of the active inflammatory character described under
Aconite. When considerable febrile disturbance, with dry, hot skin,
attends, an alternation with Aconite is beneficial ; and when, in the
absence of prominent inflammatory symptoms, the employment of
Jodine alone produces only partial or temporary improvement, Hepar-s.
should be administered alternately with it.
Dose : Twelve globules (or one drop of the tincture) to a table-spoonful of
water, a tea-spoonful every half hour—in very urgent cases, every quarter of
an hour. If in alternation with Aconitum or Hepar, proceed as directed under
Aconitum. If, however, the more urgent symptoms continue on the increase,
and this and the foregoing medicines appear incapable of arresting the pro-
gress of the disease, have recourse at once to the next set of remedies.
Phosphorus is sometimes required to follow Hepar (as in the
first course prescribed above) when the symptoms are such as have
been enumerated under the head of that medicine, but have not
yielded to its action. Phosphorus is also of service to follow Aconite
and Spongia, when these medicines have been productive only of
partial relief. But in the cases in which the administration of Lachesis
becomes necessary, and in which the fourth dose of Lachesis has been
administered without adequate relief, PHOSPHORUs should be promptly
employed.
Dose : Two globules in a tea-spoonful of water, every quarter of an hour, until
amelioration or change, or until three doses have been given; but if no ade-
Quate relief should ensue within half an hour after the third dose, proceed
with the next medicine.
Arsenicum should be administered half an hour after the third
dose of Phosphorus, in cases in which the last-named medicine has not
produced prompt relief, especially if the patient has become cold and
eachausted, and appears to be sinking.
Dose : Three globules in a tea-spoonful of water, every ten minutes, until three
doses have been given ; but if yet no positive improvement results, proceed
with the next remedy.
Antimonium-tartaricum may be given fifteen minutes after the
third dose of Arsenicum, especially when there is much oppression
and rattling of phlegm on the chest, with slow, laborious, and impeded
respiration, and frequent inclination to vomit.
Dose : Three globules in a tea-spoonful of water, or dry on the tongue, at
intervals of five, ten, fifteen, and twenty minutes, and so on (adding five
minutes to the length of every successive interval) until positive improve-
ment results.
After having subdued these threatening symptoms by the adminis-
tration of the last-mentioned remedy, we may, if the disease is not
wholly vanquished, again fall back upon Hepar-sulphuris or Spongia,
according to the indications given for those remedies. It may be
added, however, that Kali-bichromas has proved eminently success-
ful when Jodium, &c., failed to relieve; and that Iodium and Bro-
mium have also been recommended, particularly in cases occurring in
INFLUENZA. 369
very scrofulous children. As a pretty general rule, however, the early
administration of Aconitum followed as soon as needful by Spongia
or Hepar, one or both, will rarely fail to conduct this alarming and
frequently fatal disease to a happy issue.
ACCESSORY MEASURES.
It is of the utmost importance to keep the patient warm throughout
the attack, and to protect him (or her) against the slightest chill.
Putting the arms in hot water is sometimes useful at the commence-
ment of the malady.
Diet and Regimen. The food should at most consist of a little
warm milk-and-water, from time to time, during the attack. And
even after the acute symptoms have been subdued, and the patient is
convalescent, very great care should be taken to exclude every irritat-
ing or stimulating ingredient from the diet: and to allow only of very
gradual increase of quantity at each meal. The diet should, however,
by slow degrees, be improved, and rendered more and more nourish-
ing. Mucilaginous drinks, toast-and-water, milk-and-water, and the
like, should be exclusively used for some time after an attack of CROUP,
—and an unstimulating diet is sometimes necessary, even for two or
three months.
Proper precautions, in respect of clothing, &c., to prevent exposure,
are very essential;—and exposure to cold, bleak, nipping, dry winds,
as well as to damp, should be avoided. The act of standing still in the
open air would be likely to prove prejudicial, as also walking exercise
when the ground is very wet. But gentle exercise in the open air, in
favorable weather, ample circulation of air in the sleeping and sitting
apartments, when the patient is absent from either, &c., &c., are
amongst the best means of promoting a rapid restoration of sound
health.
SEE DIPHTHERIA.
INFLUENZA.
Symptoms. Catarrh appearing in an epidemic form, attended, in
addition to the symptoms described at the commencement of the
article on COMMON COLD, with eactreme oppression awd prostration of
strength; sleepiness, followed by shuddering and general chilliness;
rheumatic pains, or pains as if bruised or beaten, in the back or limbs;
intense frontal headache, sometimes extending to the bones of the
ſace, with pressive, aching pains in the other parts of the head, giddi-
ness, earache, and, in some cases, swelling of the glands beneath the
ear, and offensive sweats; slight redness of the eyes, with painful pres-
sure, and sensibility to light; discharge from, or obstruction of the
nose; dry, shaking cough, or cough with more or less expectoration,
and which produces distressing fatigue in the chest; dryness of the
throat, and, subsequently, dry, burning heat of the skin, loss of appe-
tite, nausea together with Soreness of the throat, and some degree of
hoarseness.
24
370 INFLUENZA.
Incipient Stage.
Treatment.—Camphor (saturated tincture). This medicine, when
employed upon the earliest manifestation of symptoms of Influenza (or
of Common Cold during the prevalence of Influenza), characterized
by chilliness, shivering, and general sensation of uneasiness, will fre-
quently prove effectual in arresting the further development of the
disease. In a more advanced stage, moreover, Camphor is equally in-
dicated, and is often of great service, when laborious, asthmatic
breathing, accumulation of phlegm in the air-tubes, and cold, dry skin
occur as predominant symptoms.
Dose : One drop of the saturated tincture on a small lump of fine loaf-sugar,
repeated at intervals of one hour, unti) amelioration or change.
Nux-vomica. This remedy has also repeatedly proved of great
efficacy in the first stage of influenza or Grippe; and, frequently, when
timely administered, in the cases in which it is indicated, prevents the
development of the disease. The symptoms which point out the fit.
ness of Nua-v. are chiefly as follow: obstruction of the nose; hoarse,
hollow cough, excited by tickling in the throat, and attended with
severe headache; confusion in the head, giddiness; want of appetite,
disgust at food, acid taste, or vomiting of bitter or acid matter; thirst;
pain as from a bruise under the short ribs; aching pain in the lower
part of the back; constipation; pain in the chest as if from excoria-
tion; alternate heats and chills; general aching and prostration ; sleep-
lessness, nocturnal excitement, and restlessness; pains in the face and
teeth. *
Dose : Two globules in a tea-spoonful of water, repeated for three evenings
successively.
Inflammatory Stage.
Treatment.—Aconitum is indicated when the disorder assumes
an inflammatory character, with quickness, hardness, and fullness of
pulse, dry, hot skin, and short, harsh, shaking cough.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the fever-symptoms abate, or until other
manifestations, distinctly indicative of different remedies, occur.
Nux-vomica should again be employed, in the inflammatory
stage of influenza, if, after the fever-symptoms have yielded in a degree
to the action of Aconite, the symptoms already enumerated under the
head of this medicine (Nua-v. above), recur or continue as prominent
manifestations.
Dose : Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every six hours, until distinct amelioration or change.
Arsenicum. The following are the characteristic indications for
the employment of this important remedy: heaviness and rheumatic
pain in the head; profuse, watery and corrosive discharge from the
nose, causing a disagreeable burning sensation in the nostrils; violent
sneezing; shivering and shudderings, with severe pains in the limbs;
oppression of the chest; difficulty of breathing; thirst; anxiety; rest-
INIFLUENZA. 371
lessness; GREAT PROSTRATION OF STRENGTH, with aggravation of
sufferings at night, or after a meal; inflammation of the eyes, with
sensibility to light. These symptoms may be attended with a deep,
dry, fatiguing cough, exacerbated in the evening, at night, or after
drinking; or with sensations of dryness and burning, with mucus in
the throat, which is difficult to detach.
JDose : Two globules in a tea-spoonful of water, every two hours, until the
symptoms are moderated, and then every six hours, until amelioration or
change.
Mercurius. This remedy is indicated by the following symptoms:
chilliness, or, on the other hand, alternate chills and heats, followed
by profuse perspiration, unattended by mitigation of suffering; severe
cold in the head, with copious, acrid, watery discharge; fever, with
general heat; great weakness, relaxed bowels, headache; pains in the
head, face, teeth, and chest; sore throat; swelling of the glands beneath
the ear; violent, shaking cough, at first dry, but subsequently moist,
with copious secretion of phlegm, the paroxysms of coughing being
commonly excited by irritation in the throat and chest; aching in the
bones, and slimy, bilious diarrhoea, attended with straining. This
remedy has also proved of great efficacy when symptoms of pleurisy,
with copious, unmitigating perspiration, supervened; as also when the
liver became implicated in the general derangement, the pains in that
organ partaking more of an obtuse than of an acute description.
Jose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change; but, if the subjoined symptom should become very pro-
minent, pause six hours, after the last dose of Mercurius, and proceed with
the next medicine.
Belladonna should be administered six hours after the last dose
of Mercurius, when the tonsils are inflamed and swollen. Belladonna
may, however, also be required (independently of other remedies),
when such symptoms as the following predominate: dry, spasmodic
cough, aggravated at night, and severely affecting the head and sto-
mach at each paroxysm; hot, dry skin; sore throat; excessive, almost
insupportable, headache, increased by talking, moving, or bright
light, with pain, as if the brain would be forced out of the cranium,
on coughing, stooping, or leaning forward; confusion of ideas on clos-
ing the eyes.
Dose : Three globules in a tea-spoonful of water every four hours, until the
symptoms are moderated; and then every eight hours, until positive amelio-
ration or change.
Phosphorus has frequently been found exceedingly useful when
there was excessive irritation in the windpipe and its ramifications,
bordering on inflammation, with alteration of the voice, and pain dur-
ing articulation.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change.
Bryonia has often proved of great service in relieving the violent,
pressive, aching, bursting, frontal headache, dry, hot skin, with or
without fever, and cough, both day and night, with scanty or copious,
372 INFLUENZA.
easily loosened, white or yellow-colored phlegm; or when the cough
produced pain in the upper part of the belly, and caused a pain, as if
arising from the effects of a blow, beneath the breast-bone or under
the short ribs. It has further been found of great efficacy when the
liver was tumefied, painful to the touch, or on coughing, or taking a
full inspiration; also when vomiting was liable to take place after
coughing.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change. If in alternation with
Carbo-veg (as below directed), the like solution of each should be separately
made and administered by tea-spoonfuls, so that an interval of six hours shall
elapse between doses.
Carbo-v. is useful in old people, sometimes in alternation with
JBryonia, when the chest is considerably affected, the breathing op-
!. the extremities cold, with threatening paralysis of the lungs,
SO Cà,116 Cl.
Dose : A solution of six globules in every respect, whether singly or in alter-
nation. as directed for Bryonia.
Pulsatilla is indicated by loose cough day and night, exacerbated
by lying down, thick, offensive discharge from the nose, pain in the
forehead or in the cheek-bones, red and watery eyes, tendency to re-
laxation of the bowels, loss of appetite, foul tongue, disagreeable or
insipid taste in the mouth, chilliness, sleeplessness, and nocturnal rest-
lessness.
Dose : Of a solution of six globules to four tea-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Rhus. In cases arising after exposure to a thorough wetting, and
accompanied by great anxiety, frequent, involuntary fetching of a deep
inspiration, corporeal restlessness, with incessant changing of posture,
nocturnal cough, attended with difficult expectoration of white-colored
phlegm on first awaking in the morning, and general prostration,--
this remedy is indicated.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea
spoonful of the solution every six hours, until amelioration or change.
Opium has, in some cases, been successfully employed, when other
remedies had failed, against distressing, dry cough, or cough with
difficulty in expectorating the phlegm which has been detached, the
paroxysms of which were always followed by yawning.
Dose : Three globules in a tea-spoonful of water, every four hours, until amelio-
ration or change.
Chamomilla is often of special efficacy in the case of children, after
the previous employment of Aconitum, when the voice is hoarse, and
there is rattling of phlegm in the chest; when the cough is frequent
and the paroxysms are protracted, particularly at night; further, when
there are sweating at the head, great thirst, and excessive fretfulness.
In adults, Chamomilla is also of frequent utility, especially when the
fits of coughing are excited by tickling in the throat (upper part of
the windpipe), and there is expectoration, with rattling of phlegm in
INFLUENZA. 373
the chest, and when diarrhoea accompanies or forms a prominent fea-
ture in the complaint.
Dose : Of a solution of six globules (or, for very young children, of three
globules) to four tea-spoonfuls of water, give a tea-spoonful (or for children
half a tea-spoonful) every four hours, until amelioration or change.
Arnica may be administered with advantage in some cases, parti-
cularly when pricking pains are experienced in the chest during inspi-
ration, with aching pains over the whole body, headache, and discharge
of blood from the nose.
Dose: Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Ipecacuanha may prove of great service when there is vomiting
or violent retching, during or after each fit of coughing.
IJose : Three globules in a tea-spoonful of water after each violent fit of cough-
ing (but not more frequently than every two hours), until the vomiting or
retching ceases to accompany the attacks and the cough becomes less violent,
or until some important change otherwise takes place in the character of the
symptoms.
Conium is characteristically indicated when the cough continues
almost incessantly during the night, until relieved by vomiting 8
quantity of frothy phlegm.
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Sulphur has repeatedly proved useful, when, at the termination of
the disorder, dull pricking pains in the chest are experienced on taking
a deep breath, or after a severe fit of coughing; also when there is
oppression at the chest, as if arising from a heavy weight resting
upon it.
Dose : Three globules in a tea-spoonful of water morning and evening for four
days (or until the earlier development of new symptoms, in provement or
change); then pause four days, after which the course may be repeated as
before, if still required.
Neglected or protracted Cases.
Stannum is often of great service in neglected or protracted cases
characterized by easy but excessive expectoration of phlegm.
Dose : Three globules in a tea-spoonful of water, every six hours, until four
doses have been given, and then night and morning, until amelioration or
change; but, if the subjoined symptoms and conditions supervene, pause two
days, and proceed with the next medicine.
China may advantageously be administered forty-eight hours after
the last dose of Stannum, when the expectoration has diminished, or
when the fits of coughing are excited by a rattling under the breast-
bone, as if arising from an accumulation of phlegm.
Dose : Four globules in a tea-spoonful of water, night and morning, until ame-
lioration or change,
374 DETERMINATION OF BLOOD TO THE CHEST.
AFTER-EFFECTS OF INFLUENZA.
Spasmodic Cough.
Treatment.—Hyoscyamus is a useful remedy against the dis-
tressing, spasmodic cough which occasionally remains after the acute
symptoms of Influenza have been subdued.
Dose: Three globules in a tea-spoonful of water, night and morning, until
amelioration or change.
Tendency to Pulmonary Consumption.
Stannum, Carbo-veg. These two medicines, administered alter-
nately.
Dose : First three globules of Stannum in a tea-spoonful of water, night and
morning, for four days, then an interval of three days; after which, the like
doses of Carbo-veg. should be similarly administered ; and so on, alternately
for three weeks, or until the earlier development of new symptoms, positive
improvement or change in the state of the patient.
Inflammation of the Eye.
Arsenicum is of great service in overcoming the inflammation
(with ulceration) of the Eye which is apt to ensue as a consequence of
Influenza.
Dose: Two globules in a tea-spoonful of water, night and morning, for a week;
then a pause of four days, and subsequently a similar course, renewed or not,
according to the state of the patient and the progress of the curative process.
Diet and Regimen. The diet should be very light and unstimu-
lating, yet as nourishing as it can be made in avoiding everything
which may tend to increase inflammatory action. It should consist of
arrow-root, sago, beef tea, or the like, particularly at the commence-
ment of the attack. In mild cases, light puddings and white fish may
be allowed. In severe attacks, however, and when the fever runs high,
or when there is little or no appetite, toast- or barley-water or thin
gruel will be sufficient.
The precautions as to clothing, habits, &c., which should be ob-
served relatively to Influenza, or during its epidemic prevalence, are
analogous to those which have been prescribed respecting other catar-
rhal disorders.
DETERIMINATION OF, BLOOD TO THE CHEST.
Symptoms. Sensation of great fullness, throbbing, weight or
pressure in the chest, and palpitation of the heart, attended with
anxiety, short, sighing respiration, and difficulty of breathing.
Susceptible Age. We find that the predisposition to affections
of the chest and lungs is greater during the period preceding puberty,
and for some years after, than at any other period.
There is no doubt that a particular period of human life is peculiarly
liable to chest affections, and, among others, to this disorder, which is
but too frequently the precursor of other more serious maladies.
DETERMINATION OF BLOOD TO THE CHEST. 87.5
Predisposing Causes. Some constitutions, however, especially
those in which a hereditary taint exists, exhibit a marked predisposition
to congestion of blood to the chest.
Exciting Causes. Amongst the most frequent causes of this pre-
disposition being called into dangerous activity are: exposure to
extremes of heat or cold; stimulants, such as alcoholic, vinous, or fer-
mented beverages, or coffee; the abuse of narcotic drugs; violent
exercise, such as running, dancing, &c., or over-exertion even of the
voice, either in speaking or singing; a sudden check of perspiration;
cold or damp feet; sedentary habits; repercussed cutaneous eruptions;
or suppression of customary discharges, such as the catamenial and
haemorrhoidal flux.
Treatment.—Aconitum is especially indicated, when there is
violent oppression with great heat and thirst, palpitation of the heart,
great anxiety, and shaking cough. It will be found particularly valu-
able for plethoric females of sedentary habits, who suffer considerably
from congestion before and during the monthly periods.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of eight
hours, until the subsidence of the particular indicative symptoms. In cases
of congestion, associated with the monthly periods, when the immediate
symptoms have yielded to the action of Aconitum, pause two days, and pro-
ceed with one or other of the next remedies, according to the indications
present.
Mercurius should (in some cases in which the congestion is asso-
ciated with the monthly periods) be administered two days after the
more urgent symptoms have yielded to the action of Aconitum.
When appropriately selected, Mercurius will tend greatly to obviate
a relapse. The particular symptoms which may indicate the employ-
ment of Mercurius, either from the onset or as a consecutive medicine,
are as follow: burning heat and oppression at the chest, and frequent
desire to take a deep inspiration; or cough with blood-streaked ex-
pectoration and palpitation of the heart.
Dose: Three globules in a tea-spoonful of water, every twelve hours, until ame-
lioration or change ; as soon, however, as a degree of improvement becomes
apparent, the doses should only be repeated every night at bed-time, and thus
continued until the cure is complete.
Belladonna is to be preferred to Mercurius for administration,
either after the more urgent or febrile symptoms have, in a certain
degree, yielded to Aconitum, or otherwise when the subjoined symp-
toms occur: oppression and throbbing at the chest with shortness of
breath and strong palpitation of the heart extending into the head;
short cough, chiefly at night; internal heat, and considerable thirst.
Dose : Three globules in a tea-spoonful of water, every eight hours, until ame-
lioration or change; but as soon as a degree of improvement becomes ap-
parent, the doses should be repeated only every morning the first thing, and
thus continued until the symptoms have wholly disappeared.
Nux-vomica is indicated when the affection has been developed
by sedentary habits or by habitual indulgence in the stimulants al-
ready alluded to, or owing to the sudden disappearance or suppression
of haemorrhoids; in which cases this remedy itself frequently effects a
CUll'é,
376 DETERMINATION OF BILOOD TO THE CHEST.
Dose : Three globules in a table-spoonful of water, every night at bed-time,
until amelioration or change ; but if some inconvenience should continue to
prevail. notwithstanding repeated doses of Nua-vomica, proceed with the next
medicine.
Ipecacuanha will frequently complete the cure, when Wuw-vom.
has not removed the whole of the symptoms.
Dose : Three globules in a tea-spoonful of water, every night, until the coul-
plete subsidence of the symptoms or change supervenes.
Aurum is appropriate to the treatment of the following symptoms:
extreme oppression at the chest, as if suffocation impended, sometimes
with loss of consciousness and livid hue of countenance; palpitation of
the heart, and excessive anguish.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours. until a degree of improvement becomes evident, or
change is manifested. If improvement ensue proceed with the same doses at
intervals of twelve hours, until the complete subsidence of the symptoms; if
change occurs (without improvement), suspend the administration of Aurum,
and select another remedy appropriate to the existing symptoms.
Pulsatilla is indicated by ebullition of blood in the chest with ex-
ternal heat; constriction in the chest, with impeded respiration; palpi-
tation of the heart; anxiety—and aggravation of the symptoms
towards evening; also when congestion to the chest has arisen in
phlegmatic subjects from homorrhoidal suppression, or in females,
from stoppage of the menstrual flua. tº
Dose : Three globules in a tea-spoonful of water, the first thing in the morning,
until amelioration or change.
Spongia should be employed when the symptoms are provoked
by the slightest exertion or even movement, and are attended with
anguish, sensation of threatened suffocation, nausea, prostration, and
fainting.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until a degree of improvement becomes apparent
or change occurs in the character of the symptoms. If improvement, proceed
with the administration of the same medicine in similar doses every twelve
hours, until the complete subsidence of the symptoms; if change, select
another medicine appropriate to the existing symptoms.
Bryonia. Burning heat in the chest, with a sensation of tightness,
difficulty of breathing, and anxiety; palpitation of the heart; occasional
prickings in the chest during inspiration.
Dose: Three globules in a tea-spoonful of water, morning and evening (fasting),
until amelioration or change.
China. When we can trace the affection to debilitating losses,
with palpitation of the heart and oppressed breathing.
Dose : Three globules, as directed for Bryonia.
Sulphur. Ebullition of blood, weight, fullness, and pressure in the
chest, aggravated by coughing; palpitation of the heart, difficulty of
breathing, chiefly on lying down at night; it is also most serviceable
in suppressed haemorrhoids, after Wuz-vomica or Pulsatilla, and after
the latter remedy in checked menstruation.
ACUTE BRONCHITIS. 377
Dose : Six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, im-
provement, or change); then pause four days, after which resume the course
as before, or not, according to the greater or less degree of improvement
which has been effected.
Phosphorus. In some obstinate cases this remedy is often success-
ful in affording relief, particularly when, in addition to the more usual
symptoms, shooting or pricking pains are frequently experienced on
laughing, speaking, or walking quickly; palpitation of the heart,
anxiety, sensation of heat extending from the chest into the throat.
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change.
Diet and Regimen. The diet should be such and so limited as to
preclude the risk of oppressing the stomach, or otherwise impeding,
retarding, or deranging the process of digestion. All sources of ex-
citement (whether for pleasure or pain), should be avoided, as calcu-
lated to provoke or aggravate an attack. Calm rest and regular
habits are of great importance to those who are afflicted with a pre-
disposition to such affections of the chest.
INFLAIMIMIATION OF THE IMUCOUS IMEIMBRAINE OF
THE BRONCHIAL TUBES.
BRONCHITIS.
The disease consists of a greater or less degree of inflammation of
the mucous membrane of the ramifications of the windpipe, and is
divided into acute and chronic. Of the former it is intended more
particularly to treat. The disorder is of frequent occurrence both as a
primary affection, and as a concomitant of measles, scarlatina, small-
pox, hooping-cough, &c.
ACUTE BRONCHITIS,
Symptoms. Chilliness, succeeded by fever; hoarseness, difficulty
of respiration; severe, frequent, and distressing cough, at first dry, or
with scanty expectoration of frothy or viscid mucus, which subse-
quently becomes copious, and sometimes streaked with blood; exces-
sively laborious respiration, attended with feeling of constriction and
oppression at the chest, which sometimes increases to such a degree as
to threaten Suffocation; general weakness, foul tongue, and loss of
appetite, paleness of the lips, cadaverous and anxious countenance,
loud wheezing: On applying the ear to the chest, a louder sound is
heard than that occasioned by the natural respiration, either droning,
or harsh and broken, or whistling and rattling, according to the stage
of the diseas
Favorable and Unfavorable Results. In the cases which
terminate favorably, the first symptom of improvement which sets in,
is a greater freedom of breathing, with remission of the fever, and an
alteration in the expectoration, which begomes thicker, whiter, and
diminished in quantity. But when the disease takes an unfavorable
378 A CUTE BRONCHITIS.
turn, the difficulty of breathing increases, and a state of excessive
debility and collapse supervenes; the face becomes livid, the body
covered with a cold and clammy sweat; the mucus accumulates rapidly
in the air-tubes, and the cough, which has become feeble through the
exhausted and sinking condition of the patient, is insufficient for its
ejection; ačration of the blood in the cells of the lungs is prevented;
and head symptoms declare themselves from impeded circulation, or
the effect of unarterialized blood circulating in the brain.
Insidious Variety of Bronchitis. In many cases of acute bron-
chitis, although a degree of oppression of the chest be present, no par-
ticular pain, heat of skin, or fever may exist; this is a most insidious
form of the disease, and one in which the complaint is but too fre-
quently neglected until beyond the power of the physician’s art: it
occurs most frequently in children who may apparently be only
troubled with a slight wheezing, of which scarcely any notice is taken,
nor is any medical aid called in, until suddenly suffocation threatens,
or some alteration of structure takes place; so that an affection which
probably might have been easily subdued at the onset, is now beyond
control.
Bronchitis of Children. The frequency of the disease in infancy
and early life deserves a particular notice. It generally commences,
as in adults, with the symptoms of a common catarrh; the breathing
becomes quick and oppressed, and, from the increased action of the
midriff, the belly becomes prominent; both the shoulders and nostrils
are in continual motion, but the wheezing is often more marked than
the difficulty of respiration, and on applying the ear to the chest a
mucous rattle is heard over almost every part; expectoration some-
times temporarily relieves, and occasionally the mucus is expelled from
the air-passages by vomiting; the countenance is pale and anxious,
and somewhat livid:—these symptoms are interrupted and relieved by
Occasional remissions, during which the child generally appears drowsy ;
but the return with additional severity, and if not checked, an acces-
sion of extreme difficulty of breathing ensues, and death takes place
from suffocation. When sore throat is also present, coughing produces
considerable pain, and the child for that reason frequently endeavors
to suppress it. There is also impaired appetite with thirst, although,
when the disease has advanced, it is found difficult to take a long
draught from its impeding respiration: this is very observable with
children at the breast, who, after eagerly seizing the nipple, will bite
it, discontinue sucking, cry, throw back the head, and even after
vomiting up the phlegm, continue for some time in that position.
In some cases, from the character of the voice and cough, bronchitis
has been mistaken for croup.
The tubes of one lung only, may be affected, but frequently those
of both lungs are attacked by the disease.
The exacerbation of suffering at night is a striking symptom in this
complaint.
Causes. The causes are the same as that of common catarrh.
Treatment.—Aconi?um is the remedy upon which we must
place our chief reliance in the inflammatory stage of the disease, and
ACUTE BRONCHITIS. 379
throughout its course, wherever high febrile action sets in. Its more
marked indications are, hot, dry skin, with strong, hard, and accele-
pated pulse; roughness of the voice; short, dry, and frequent cough,
excited by tickling in the throat and chest; obstructed respiration,
wheezing or sonorous noise in the chest; anxiety; restlessness, head-
ache, and thirst, with occasional, scanty expectoration of viscid
phlegm. &
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful, repeated at intervals of two hours, until the indicative symptoms
are allayed. When the skin and pulse, in particular, manifest a degree of
abatement in the fever, the intervals should be extended to six hours, and the
administration thus continued, unless some distinct indications characteristic of
one or more of the other medicines particularized should occur, when the
doses of Aconite should be suspended, and appropriate treatment adopted ; but
if the fever-symptoms should continue without abatement or modification,
two hours after the third dose of Aconitum and the subjoined symptoms be
present, proceed with the next medicine.
Bryonia is of great service, in a large number of cases of bronchitis,
at the commencement of the attack, and should be administered two
hours after the third dose of Aconitum, in the event of the unmodified
continuance of the fever-symptoms, notwithstanding the previous ad-
ministration of the last-named medicine,—the subjoined indications
being present: laborious, rapid, and anxious breathing, with constant
inclination to make a deep inspiration; hoarseness; headache; dry
cough, attended with a burning, pricking pain, extending frèm the
throat to the middle of the breast-bone; or cough, day and night, with
scanty and difficult expectoration of viscid, white or yellow-colored
phlegm, in some instances tinged with blood; wheezing ; dryness of
the mouth and lips; hot, dry skin, or dryness of the skin during the
day, and copious perspiration at night; excessive thirst. When, more-
over, a pain as if arising from the effects of a bruise, is experienced
under the breast-bone, with aching and sensation as if the contents of
the cranium would be forced through the forehead, after each fit of
coughing, or when the respiration is impeded by shootings in the
chest, and the affection threatens to become complicated with pleurisy,
this remedy is still more particularly called for.
Dose : . A solution of six globules, as directed for Aconitum ; but if Bryonia
should be inadequate to effect more than temporary relief, proceed with the
next medicine.
Spongia is often of great service after the previous administration
of Aconite, when there still remains a considerable degree of inflam-
mation in the air-tubes, especially the larger, with wheezing or sonorous
noise in the chest; and also at a more advanced stage of the disease,
when rattling of mucus is distinctly audible; hollow, dry cough day
and might, but worse towards evening; or cough with scanty, viscid,
ropy expectoration; heat in the chest; burning, tickling irritation in
the top of the windpipe; quick, anxious, laborious respiration; in-
ability to breathe unless the head is thrown backwards; hoarseness.
Dose. Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; but if within three
hours after the fourth dose partial improvement, only, should have occurred,
380 ACUTE BRONCHITIS.
or if the subjoined symptoms should remain predominant, pause three hours
longer, and proceed with the next medicine.
Hepar-s. is sometimes useful after Spongia, especially when the
mucous rattle is predominant, the skin hot and dry, and the efforts to
expectorate ineffectual; or at a more advanced stage of the complaint,
when the expectoration has become more copious, and the paroxysms
of coughing are followed by profuse sweating.
Dose : Three globules in a tea-spoonful of water every four hours, until a degree
of benefit has been effected, and then every twelve hours, until positive ame-
lioration or change.
Belladonna. This remedy is useful when there is severe head-
ache, materially aggravated by coughing; flushed face; oppression of
the chest, and constriction, as if bound, with loud wheezing and rat-
tling of mucus in the air-tubes; short, anxious, and rapid respiration ;
dry, fatiguing cough, especially at night, which is endeavored to be
suppressed on account of the pains which it creates; heat of the skin,
and thirst ; soreness of the throat. Belladonna is often exceedingly
efficacious in children, particularly in those insidious cases which com-
mence with a slight wheezing, and then suddenly become aggravated
to such a degree as to threaten suffocation; the heat of the skin being
at the same time considerable, and the pulse excessively rapid, and
Sometimes even intermittent.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until improvement or change; if improvement
ensues extend the intervals to six hours, and continue the administration
thus, until the distinct subsidence of the symptoms; if change, suspend the
administration of Belladonna, and substitute a medicine appropriate to the
new symptoms.
Nux-vomica. Difficulty of breathing, with excessive tightness of
the chest, particularly at night; hoarseness; dry cough, worse towards
morning, attended with pain, as if caused by a blow or bruise, in the
pit of the stomach or under the false ribs; cough, with difficult and
scanty expectoration of viscid mucus; dryness of the mouth and lips,
thirst, constipation, peevishness.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, and proceed as directed for Belladonna.
Lachesis. Oppression at the chest, with short and hurried respi-
ration, anxiety, and dejection; mucous rattle; dry, fatiguing cough,
sometimes followed by the expectoration of a little tenacious or frothy
phlegm, after much effort, occasionally streaked with blood; hoarse-
In 62.SS.
Dose : A solution of six globules, as directed for Belladonna.
Mercurius. . This remedy may occasionally be found useful in the
second or secretive stage, when the symptoms of bronchitis are accom-
panied by excessive perspiration; when the cough is fatiguing, worse
in the evening and at night, and excited by a tickling irritation, or
sensation of dryness in the chest, with quick, short, oppressed breath-
ing, and louder respiration than ordinary; hoarseness; cold in the
head, with watery, acrid discharge; swelling of the nose.
ACUTE BRONCHITIS. 381
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every six hours, until amelioration or change. But if the subjoined
symptom occurs, or remains predominant, after repeated doses of Mercurius,
pause twenty-four hours, and proceed with the next medicine.
Dulcamara should be given twenty-four hours after the last dose
of Mercurius, when the offensive night-sweats continue to predominate.
Dose : Three globules in a tea-spoonful of water, night and morning, until the
positive subsidence of the indicative symptoms, or until other indications
occur characteristic of some other medicine.
Phosphorus. This important remedy is frequently of great utility
in bronchitis, when the more inflammatory symptoms have been sub-
dued by Aconite, but the respiration continues much oppressed, ac-
companied with great anxiety, and heat in the chest; dry cough,
excited by tickling in the throat or chest, aggravated by talking or
laughing, and followed by expectoration of stringy phlegm of a saltish
taste. Further, when the disease has been neglected, or when, from
the phenomena which present themselves at the commencement, we
have reason to dread complication, or an extension of the inflammation
to the substance of the lungs, there will be additional reason for ad-
ministering Phosphorus. º
Dose : Three globules in a tea-spoonful of water every four hours, until distinct
amelioration or change. sº e
Pulsatilla. This remedy is often required in the second or secre-
tive stage to complete the cure, after the previous exhibition of
Aconitum, when the acute inflammatory symptoms have been sub-
dued, and the expectoration has become thicker and more copious. It
may, however, be prescribed before or after any of the medicaments
we have named, especially when the disease occurs in persons of mild
disposition, or of lymphatic constitution, and the symptoms are as
follow : respiration short, accelerated, and impeded, attended with
rattling of phlegm, heat in the chest, and anxiety; hoarseness; shaking
cough, worse towards evening, at night, or in the morning, accom-
panied with considerable expectoration of tenacious, or thick, yellowish
phlegm, sometimes mixed with blood; cold in the head, with copious
discharge of thick, discolored phlegm.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until improvement, or change. If improvement
occur the intervals should be extended to six hours, and the administration
thus continued, until the subsidence of the symptoms; if change suspend the
administration of Pulsatilla, and continue treatment with a remedy more ap-
propriate to the new symptoms,
Sepia should be selected in preference to Pulsatilla, when the ex-
pectoration is very copious, though somewhat difficult, and of salt
taste; aggravation of the cough in the morning and towards evening.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change. But if within twelve hours after the fourth dose of
Sepia the subjoined indications remain predominant, proceed with the next
medicine.
Stannum should be administered after Sepia, if the expectoration
be still profuse, but more easily detached and ejected, greenish, and
less saline, or of a Sweetish taste.
382 ACUTE BRONCHITIS.
Dose : Three globules in a tea-spoonful of water, night and morning, until per-
manent amelioration or change.
Lycopodium. When the cough is materially worse at night, and
attended with thirst and quickness of pulse, but moist skin and ten-
dency to sweat; the expectoration yellowish-gray, of a saltish taste;
oppression at the chest.
Dose : Three globules in a tea-spoonful of water, night and morning, until
amelioration or change.
Bronchētēs in Children.
Chamomilla is often a most useful remedy after the previous
exhibition of Acomitum in cases occurring amongst children, when a
slight degree of whistling or sonorous noise in the chest still remains;
dry cough, worse at night, occurring even during sleep. (See also
Belladonna.)
Dose : Of a solution of four globules to four tea-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; but if notwith-
standing the administration of Chamomilla, the subjoined symptoms and con-
ditions supervene, and become gradually or rapidly worse and worse, proceed
promptly with the following course of medicines.
Aconitum, Hepar-sulph., Spongia. When, notwithstanding the
employment of Chamomilla, the whistling or sonorous sounds con-
tinue, and the respiration becomes more accelerated and oppressed, or
becomes unequal,—the inspiration being quick and short, the expira-
tion prolonged and noisy, the face livid, and the pulse excessively
quick, these three remedies, chiefly in alternation, will usually be found
the most serviceable in averting a fatal issue.
Dose : Dissolve six globules of each separately, in two table-spoonfuls of water,
and give first a tea-spoonful of the solution of Aconitum, followed, after the
lapse of a quarter of an hour, by the like dose of the solution of Hepar-sul-
phuris, and this again after the further lapse of a quarter of an hour by the
like dose of Spongia, and so on in rotation, until the breathing becomes less
oppressed, noisy or frequent, upon which the intervals may gradually be
lengthened (first to half an hour, and then to an hour), as the amendment
advances. But if on the other hand the symptoms remain unmitigated, or
if they undergo a change within a period varying from three to six hours,
consult and select from the subjoined remedies.
Ipecacuanha is also a very serviceable remedy for children, when
there is wheezing or rattling in the chest, and when on coughing they
are almost suffocated by the excessive secretion of phlegm, and become
livid in the face; shortness of breath and perspiration on the forehead
after each fit of coughing.
Dose : Give two globules in a tea-spoonful of water, every half hour, until
amelioration or change. But if little improvement be effected within two
hours after the third dose, consider the indications for the alternate adminis
tration of Arsenicum with Ipecacuanha, or the other subjoined medicines, and
proceed promptly with further treatment. If in alternation, as directed for
Arsencum.
Arsenicum should be given two hours after the third dose of Ipe-
cacuanha, if the latter remedy has only been productive of partial
benefit, and is indeed to be selected in preference to Ipecac., if the
CHRONIC BRONCHITIS. 383
following indications occur: the pulse very quick, feeble, aad irregular,
and the patient reduced to a state of extreme debility and collapse;
the respiration obstructed almost to suffocation and attended with a
wheezing and whistling noise in the chest, cough and hoarseness.
JDose: Of a solution of eight globules to four tea-spoonfuls of water, give a
tea-spoonful (or two globules dry on the tongue), at intervals of five, ten, fif-
teen, and twenty minutes, and so on, adding five minutes to the length of each
succeeding interval. If in alternation with Ipecacuanha, dissolve six globules
of each, separately, in two table-spoonfuls of water, and give a tea-spoonful,
first of the one solution and then of the other, at intervals of a quarter of an
hour, until a degree of improvement ensues, and then at intervals of an hour,
until the urgent symptoms are subdued.
Antimonium-tartaricum is chiefly found useful in those severe
cases in which the smaller tubes are clogged with phlegm, and suffo-
cation threatens to ensue, when the cough suddenly ceases, either from
weakness or from other causes. It is also of great value when the
inflammation has extended to the substance of the lungs.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful (or two globules dry on the tongue), every half hour, until a degree
of improvement ensues, and then every two hours, until the urgent sypmtoms
subside.
Sulphur is of more or less service, in the greater number of cases,
after the previous employment of any of the medicines hereinbefore
enumerated, in winding up the cure and preventing the disease from
degenerating into the chronic form, or when the expectoration has in-
creased in quantity, and become whitish and less viscid.
Dose: Six globules in a table spoonful of water, every morning, the first thing
(fasting), for ten days (or until the earlier development of new symptoms, im-
provement, or change); then pause a week; after which the same course may
be repeated, if necessary.
Cactus-grandiflorus. Great anxiety and suffocation, with rattling
of mucus.
Dose : As directed for Sulphur. The Cactus-g. has cured Chronic Bronchitis
of many years standing.
Diet and Regimen, In the severe forms of bronchitis, the diet to
be observed should be the same as that direbted to be observed under
the head of FEVER; but when the febrile and inflammatory symptoms
have been completely removed, the patient should gradually return to
a more nutritious diet, even though a considerable degree of cough
and expectoration remain.
In the slighter forms of the complaint, spare diet, confinement to the
house—in short, the simple measures laid down for the treatment of
common colds, in another part of this work, will frequently check or
at all events materially shorten the attack.
CHRONIC ERONCHITIS.
This complaint may be the result of the acute affection, or it may
arise as a gradual and insidious inflammation of the mucous membrane
of the air-tubes, or proceed from the inhalation of dust or other minute
particles carried into the lungs; it may also be coeval with diseases of
384 CHRONIC BRONCHITIS.
the heart, or declare itself after eruptive fevers. It differs from acute
bronchitis chiefly in the greater mildness and longer duration of its
symptoms, the continuance of which varies from several weeks or
months to many years. It affects elderly persons more frequently
than the young, but is of course liable to occur at all ages as the result
of an acute attack (although such a circumstance is comparatively of
rare occurrence under proper homoeopathic treatment), as the sequel
of measles, &c.
Symptoms. A comparative exemption from cough is frequently
experienced during summer; but in winter, or in inclement springs,
the patient is tormented with harassing cough and copious, viscid ex-
pectoration, especially in the morning, which, in the severe forms of
the disorder, is peculiarly distressing. The expectorated matter in the
chronic affection is of a different nature from that in the acute, being
of a thicker consistence, and of a greenish or yellowish-white color; it
is not unfrequently muco-purulent, and sometimes decidedly purulent,
and occasionally streaked with blood, particularly in obstinate, invete-
rate cases. There is generally more or less difficulty of respiration,
with acceleration of pulse after slight corporeal exertion; but in other
respects, the health may be good and continue so. In the more trying
forms of the disorder, an aggravated state of all the symptoms enume-
rated is met with ; moreover, where the expectorated matter is of a
purulent nature, hectic fever, extreme emaciation, nocturnal sweats,
and occasional attacks of diarrhoea, are frequent adjuncts: the latter
symptoms are sometimes liable to cause the disease to be mistaken for
tubercular consumption; but in the majority of cases, auscultation,”
and percussion, # together with a careful attention to the symptoms
and the history of the case, enable us to discriminate between them.
• TREATMENT.
Sulphur is, in the majority of cases, one of the principal remedies
for the treatment of Chronic Bronchitis. The particular symptoins
which serve to indicate its employment, are as follow : dry, racking
cough, with spasmodic tightness of the chest, sometimes aggravated
by the recumbent position, and not unfrequently attended with nausea
or even vomiting; accumulation of phlegm in the air-tubes, and scrap-
ing sensation' in the throat; sensation of soreness at the chest; chronic
hoarseness, and even loss of voice; aggravation of the generality of the
symptoms in raw, damp, cold weather; dry cough at night; or cough
with considerable expectoration of thick, whitish or yellowish phlegm,
chiefly in the day time; attacks of suffocative sensation and oppression
of breath; rattling of phlegm on the chest, and occasional or even fre-
quent palpitation of the heart; pains in the head and chest during fits
of coughing; mistiness of sight, and sensation of darting; fullness in
the head.
* The act of listening through the stethoscope, or otherwise, in order to ascertain
if any unusual sound in the chest. &c., be present. tº tº
# The act of striking upon the chest, &c., in order to elicit sounds, to ascertain the
state of the subjacent parts.
CHRONIC BRONCHITIS. 385
Dose ; Six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, im-
provement or change); then pause four days, after which the course may, if
necessary, be resumed as before, and so on, until permanent amelioration or
change.
Calcarea-carb. is more distinctly indicated when the patient is
subject, from time to time, to depression of spirits, characterized by
exceeding anxiety respecting his or her health, and attended with
great languor (often to a distressing degree); stitches, and occasional
pains in the chest and in the sides; tickling sensation in the throat,
accompanied or followed by dry, violent cough; the last-named symp-
toms occur especially at night, when in a recumbent position, or even
during sleep, or in the evening; prolonged and obstinate hoarseness,
to which the patient is much subject, and which is constantly induced
by changes of weather; accumulation of adhesive phlegm in the air-
tubes, and rattling of phlegm on the chest; sometimes moist cough,
with expectoration of offensive phlegm (thick and yellowish).
Dose : Six globules, as directed for Sulphur.
Carbo-veg. is more particularly indicated by repeated fits of spas-
modic cough during the day, and in the evening; pain as of Soreness
in the upper part of the windpipe, or sensation of tickling and rough-
ness in the same part; prolonged and intractable hoarseness and rough-
ness of voice, aggravated by talking, or by raw, cold, damp weather,
and occurring more particularly in the morning or towards night;
rheumatic pains in the chest and limbs; cough with considerable ex-
pectoration of greenish phlegm.
IJose: Three globules in a tea-spoonful of water, morning and evening, until
amelioration or change.
Tulsatilla. This medicine is more particularly appropriate when
the following symptoms and conditions occur: dry cough, which
subsequently becomes moist, and is then characterized by very con-
siderable expectoration of saltish or bitterish phlegm, or of phlegm
tinged with blood, or of a yellowish or whitish appearance; soreness
of the palate and throat; frequent attacks of chilliness without thirst ;
yellowish, greenish, or offensive discharge from the nose; hoarseness,
or even loss of voice; cough with much expectoration, and with pain
on the chest; racking cough exacerbated at night and in a recumbent
position, and accompanied with rattling of phlegm, nausea (or even
vomiting), and sensation of being stifled, feeling of Soreness or contu-
sion about the belly in the act of coughing.
Dose: Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Sepia is usually of eminent service in such inveterate cases of
Chronic Bronchitis as are characterized by—cough attended with or
followed by abundant expectoration of greenish-yellow, matter-like, or
even bloody phlegm of a putrid or saltish taste, occurring chiefly in the
morning and towards might, and accompanied with a sensation of
weakness and soreness about the chest; or sometimes dry, spasmodic
cough, attended with nausea and resulting in the vomiting of bilious
25
386 CHRONIC BRONCHITIS.
matters, the cough occurring particularly at night, and being further
characterized by difficulty of breathing or shortness of breath.
Dose : Four globules in a tea-spoonful of water, night and morning, for a week
(or until the earlier manifestation of improvement or change); then pause
four days, resuming the course after this interval, if necessary, as before, and
so on until permanent improvement or change.
Causticum is also a medicine of much importance in the treatment
of this disease, and is more particularly indicated by: aching pains in
the limbs, bones of the face and jaws, and in the throat and head,
associated with a violent, racking cough, of which the fits occur parti-
cularly at night; feebleness of voice; hoarseness, or even loss of voice;
lacerated and painful sensations in the chest and throat; faltering or
feebleness of the lower extremities; rattling of phlegm ; watery dis-
charge from the nostrils accompanied with headache; flushing of heat
at night, attended with palpitation of the heart; chill during every
motion; sometimes nausea, and even vomiting of food with dainty or
deficient appetite. The open air provokes or aggravates the symptoms.
JDose: Three globules in a tea-spoonful of water, morning and evening, until
amelioration or change.
Arsenicum is a valuable remedy in severe cases, characterized by
great debility and languor, particularly if the subjoined symptoms
occur: violent, dry cough, accompanied with shortness of breath, or
even with attacks of apparent suffocation in the evening or at night,
and provoked by cold drinks, or by the least exposure to cold air; or
moist cough, with accumulation of very adhesive phlegm in the ramifi-
cations of the windpipe, which is hawked or coughed up with great
difficulty; and general aggravation of the symptoms at night or after
eating.
Dose : Two globules in a tea-spoonful of water, three times a day, until the
symptoms become less violent; and then at night and morning, until perma-
nent and positive amelioration or change.
Lachesis is of much service when the fits of coughing, and other
distressing sensations, are provoked or aggravated by the slightest
external pressure (as of the neckcloth), being applied to the front part
of the neck or upper part of the windpipe, and when the patient is un-
able to bear the least tºuch in that part; or again, when a fit of
coughing occurs as soon as the patient lies down, and he is accordingly
unable to retain a recumbent position ; or when a meal provokes or
aggravates the symptoms; cough in the evening and at night, and
even during sleep, awaking the patient with a sensation of want of
breath, and an eager effort to obtain fresh air; cough with distressing
oppression at the chest; sensation as if a quantity of phlegm were
lodged in the throat, but which no effort could dislodge; continual
hoarseness, and sometimes prolonged and obstinate watery discharge
from the nostrils; fits of coughing accompanied with pains in the
throat and head, and even in the eyes and ears; exacerbation after
sleeping.
Dose: Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change; or, in the case of very distressing attacks, arousing the
CHRONIC BRONCHITIS. 387
patient from sleep, a similar dose after every such fit of coughing until the
attacks are manifestly less violent and prolonged.
Silicea is more particularly indicated in obstinate and inveterate
cases, characterized by abundant expectoration of transparent or
matter-like phlegm, or when the cough predominates at night and is
of a suffocative character; or when there is racking cough constantly
attended with a feeling of Soreness in the throat.
Dose: Six globules in a table-spoonful of water every morning the first thing
(fasting), for ten days (or until the earlier development of improvement or
change); then pause a week, after which the course may, if necessary, be re-
sumed as before, and so on, until amelioration or change.
Phosphorus is a remedy of the greatest value, in the majority of
chronic affections of the respiratory organs, and is indicated in Chronic
Bronchitis by the subjoined symptoms among others: extreme tender-
ness of the upper part of the windpipe, hoarseness, huskiness, or total
loss of voice, attended with hacking cough, and, generally, with more
or less hectic fever; soreness of the chest, which appears to provoke a
short, hacking cough; dry cough, provoked by a sensation of tickling
in the throat, and attended with pricking pains in the upper part of
the windpipe; cough with expectoration of adhesive and blood-streaked
phlegm; or cough which is provoked by the least exertion or exposure"
to the open air, or by drinking, talking, reading or laughing.
Dose : Three globules in a tea-spoonful of water, night and morning, until posi-
tive amelioration or change.
Hepar-s., Stannum, Baryta-c., Acidum-nitr. One or more of
these medicines, singly or in succession, may in many cases, prove of
considerable service in many difficult and complicated forms of Chronic
Bronchitis, according to the particular and characteristic action of
each (as explained in the article devoted to that subject), and to the
analogy between such action and the distinctive symptoms of the
malady.
Dose. Of the medicine selected give four globules in a table-spoonful of water
night and morning, until amelioration or change. *
HCali-c., Natrum-m., Staphysagria, Conium. One or more
of these medicines, also, may become of much service in particular
cases. When, therefore, the symptoms do not correspond very closely
in their distinctive features with the indications above afforded, the
reader is recommended, before treatment is undertaken, to consider
the applicability of these by reference to the article on “CHARACTERIS-
TIC EFFECTs.”
Dose : Of either remedy selected, as in the foregoing prescription.
Diet and Regimen. The diet should be wholesome and nourish-
ing, but as free from any stimulating or irritative ingredients as
possible. Fermented liquors, and, in fact, all stimulants are prejudicial.
Wherefore, also, spices and the like seasoning materials should be ab-
stained from. Exposure to raw, cold and damp, or to bleak, dry and
cold conditions of the atmosphere are to be avoided. The same may,
in fact, be said of every thing which is known to provoke a recurrence
of, or to aggravate the attacks. Sudden transitions from one tempe-
388 INFLAMMATION OF THE LUNGS.
rature to another, or draughts, are injurious. Confinement in close,
ill-ventilated apartments is equally so. An atmosphere tainted with
gaseous exhalations (as in many factories), or by the presence of num-
bers of persons assembled together, is very injurious and should be
avoided. Early hours and moderate exercise in the open air, in favo-
rable weather (especially in mild, cloudy, still weather, without mois-
ture under foot), are very beneficial. Excessive bodily exertion is
Injurious.
INFLAMIMIATION OF THE LUNGS.
This serious and dangerous disorder consists in an inflammation of
the substance of the Lungs.
Predisposing Causes. The natural inflammatory tendency of the
lungs, occasioned by the important functions which they perform, in
connection with the circulation and in the generation of animal heat:
or, more especially, such natural tendency heightened by particular
constitutional disposition. Fever may, in general (although uncom-
plicated with local affection of the lungs at the onset), be numbered as
a predisposing cause; dry coldness of the atmosphere, and elevated
.barometric condition; redundancy of animal food, and the habitual
over-indulgence in ardent beverages, such as wines, spirits, &c.
Exciting Causes. Taking cold, the sudden suppression of natural
or habitual discharges of blood; measles (especially if neglected, or
erroneously treated—under allopathic direction); concussions, whether
of the chest or of other parts, or particularly if the back be the part so
injured: these and other analogous conditions and circumstances may
be numbered amongst the exciting causes.
Uncomplicated Cases. Symptoms. The following are some
of the principal general symptoms which characterize this disease:
shivering and chills, followed by heat or fever; short and hurried
respiration; cough, short, continuous, and distressing, dry at the com-
mencement, afterwards attended with scanty expectoration of viscid
and extremely tenacious mucus, generally, but not invariably, of a
rusty (sometimes bright-red) color; [this rusty or sanguinolent hue is
intimately combined, not in streaks: it appears, usually, about the
second or third day, and is a characteristic indication of the presence
of the disease in question; at the same time it must be borne in mind,
that its absence is by no means a certain criterion of the non-existence
of inflammation of the lungs;] the cough is excited by every deep
inspiration, or on every attempt to speak; the speech is interrupted,
or there is a pause after every articulation; occasionally there is a dull
pain in the chest, but more frequently rather a tightness than pain;
pulse variable, sometimes not beyond the natural standard, but more
generally full, strong and quick at the commencement, or, when the
inflammation runs high, hard, wiry, and greatly accelerated; tongue
parched and dark-colored; thirst; loss of appetite; physical and mental
depression. The patient, particularly in severe and extensive attacks,
lies upon his back.
In addition to the above symptoms, there are some important ones
INFLAMMATION OF THE LUNGS. 389
which are to be detected by auscultation and percussion; but a medical
man can alone determine these.
Complicated Cases. Symptoms. In severe cases, inflammation
of the lungs is often found combined with pleurisy, in which case the
pains of the chest are intense, and mostly of an acute, shooting cha-
racter. Another and still more frequent complication is formed with
bronchitis.
Issue and Results. When the disease comes rapidly to a favo-
rable termination, some striking evacuation generally attends it,
such as a very free and abundant expectoration of thick, white or
yellow matter, often slightly streaked with blood; or a profuse and
general sweat; diarrhoea; a profuse discharge of urine, with a copious
sediment; or a flow of blood from the nose.
If inflammation of the lungs be not checked in the earlier stages,
the lung is altered in structure; and the face becomes patched with
red, and sometimes livid, the vessels of the neck swollen and turgid,
and the pulse weak and irregular.
In the advanced or suppurative stage of the disorder, the expecto-
ration becomes purulent or converted into a brown, serous fluid, and
slight shiverings generally supervene; the pain or sense of fullness and
tightness becomes abated, and the patient is commonly enabled to lie
on the affected side without much inconvenience; but the pulse be-
comes weak and thready, and the strength commonly sinks rapidly: a
fatal result is, however, sometimes, even then, avoided by proper
homoeopathic treatment.
Treatment. The great danger attendant upon this disease renders
the assistance of professional experience, when that can be obtained,
absolutely indispensable. But to provide, in some measure, for the
contingencies in which such aid cannot be secured, the following direc-
tions are subjoined, to enable even unprofessional persons to entertain
some hope of insuring a successful issue.
Aconite. In the stage of simple inflammatory congestion, with
severe inflammatory fever, whether or not accompanied or followed
by violent shooting pains in the chest, this remedy is unquestionably
of great service.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every three hours, until the pulse becomes reduced in
volume and frequency, or the skin moist, or covered with profuse perspira-
tion,-upon which the intervals may be extended to six hours, and the admi-
nistration thus continued, until absolute amelioration or change:—except,
however, in such cases as manifest conditions akin to those under-mentioned,
when consider the following medicines. If in alternation with Belladonna, a
similar solution of each, separately, administered in like doses, at intervals of
four hours, in rotation, until improvement or change.
Cimicifuga-racemosa. Intense pain in the right side, the patient
could not move at all without increasing the pain.
Doge : As directed for Aconifum.
Bryonia is frequently the best remedy to follow Aconite, when the
more severe febrile symptoms have been lowered by that medicine, or,
more especially, when such symptoms as the following predominate:
390 INFLAMMATION OF THE LUNGS.
cough with expectoration of stringy or tenacious phlegm of a brick-
dust color, oppression and acute shooting pains in the chest ; or
rheumatic pains in the chest and extremities, with aggravation on
movement; foul, dry, tongue, constipation, and other indications of
derangement of the stomach. When the pain in the chest is excessive,
and of a shooting, cutting, or pricking character, the membrane which
invests the lungs is generally involved, and the case thereby compli-
cated with pleurisy. In such cases the alternate use of Bryonia, with
such other medicine as may further embrace some of the symptoms, is
sometimes necessary, or, at all events, conducive to more speedy
recovery.
Dose : In every respect, as directed for Aconitum, singly, but if such symptoms
as are subjoined ensue, proceed at once with the next medicine.
Belladonna is, however, generally required before (or even after)
Bryonia, when the fever returns after having been apparently sub-
dued by Aconitum, and the difficulty of breathing, and pain, or feeling
of uneasiness in the chest, continue; the expectoration tinged with
blood, and difficult to bring up; the cheeks flushed, lips and tongue
dry and parched, the skin hot, and the thirst incessant; the pulse hard,
quick, and full; the sleep disturbed by frightful dreams and delirium.
In young, robust subjects, Acomitum and Belladonna may be ex-
hibited in rapid alternation, with the most satisfactory results during
the first stage.
In such cases, indeed, the further progress of the disease is not un-
frequently arrested, or at all events such a degree of improvement is
effected, that any remaining symptoms, such as some degree of oppres-
sion, and expectoration of viscid phlegm, readily yield to the adminis-
tration of Bryonia.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful repeated at intervals of two hours, until three doses have
been given, and then at intervals of four hours, until very essential improve-
ment or change. If in alternation with Aconitum, as directed under the head
of that medicine. But if such improvement occur, with the super-existence
of those symptoms which have been mentioned as requiring a recurrence to
Bryonia, pause six hours, and proceed with that medicine at intervals of six
hours, until the remaining symptoms yield.
Phosphorus. This remedy has been employed with striking suc-
cess in almost every stage of the disease in question, under whatever
form it presented itself, and even when the disease had already attained
a somewhat advanced stage. Much fever, with hard, full pulse, cough,
and blood-stained expectoration, are the salient general indications for
Phosphorus. It is also more or less necessary in all cases occurring in
consumptive habits.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every three hours, until amelioration or change. If in
alternation with Aconitum or Bryonia (in particular), as directed for each of
those medicines, at page 389.
Additional Particulars.—Serious Cases.
IMercurius has been found a useful medicine in some cases (when
indicated by the correspondence between the symptoms of the disease
INFLAMMATION OF THE LUNGS, 391
and those which are its specific products), either singly or followed,
according to circumstances, by one or more of the subjoined.
Dose: Three globules in a tea-spoonful of water, every two hours, until ame-
lioration or change. But if, although there be general improvement, the
subjoined symptoms remain, or, if otherwise, they supervene, proceed with
the next medicine. If on the other hand, no change whatever ensue, after the
administration of six doses of Mercurius, consider the course of Lachesis,
Arsenicum, and China. -
Belladonna should be administered after Mercurius, if spasmodic
constriction of the chest, with dry, hacking cough should remain or
supervene.
Dose : As directed for Mercurius.
Lachesis has been sometimes found serviceable, singly (but more
particularly in alternation with Arsenicum and China), in those very
serious, and indeed almost desperate cases, which threaten to terminate
in gangrene of the lungs, and which are attended with eactreme pros-
tration of strength, coldness of the feet, and offensiveness of the breath
and expectoration. |
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every quarter of an hour, until a degree of improvement sets in, and
then every hour, until the urgent symptoms subside. If in alternation with
Arsenicum and China, the like solution of each, separately, administered by
tea-spoonfuls, every half hour in rotation, until manifest improvement, or de-
cided change.
Antimonium-tartaricum is frequently of service when the op-
pression at the chest and anxiety continue to increase, and the pulse
becomes small, weak, and irregular; or, moreover, either when there
is no expectoration, or when the expectoration is not tinged with
blood, and occurs chiefly at night; or, again, when difficulty of breath-
ing, anxiety, and other dependent symptoms are always temporarily
relieved after expectorating.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful, first at intervals of a quarter of an hour, and then of half an
hour, and so on, extending the intervals to three hours, as improvement gra-
dually ensues. When, however, the urgent symptoms have subsided, con-
sider the general aspect of the symptoms, and suspend or continue treatment
accordingly.
Sulphur is a medicine of great service when a relapse threatens to
succeed the improvement previously effected by other treatment; and
in repeated courses, upon the accession of convalescence, to restore
the vigor and equilibrium of the system, and to neutralize the remain-
ing susceptibility to affections of the same organs.
Dose : If against an impending relapse, three globules in a tea-spoonful of water
every three hours, until the progressive improvement, previously manifested,
becomes apparent. If as an after-remedy, against the remaining susceptibility
of the lungs, give six globules in a table-spoonful of water, every morning.
the first thing (fasting), for a week (or until the earlier development of new
symptoms, or general change); then pause four days, after which the course
may, if necessary, be repeated, and so on until the cure is complete.
Diet. It is scarcely necessary to remark that, during the inflamma-
tory period, an almost total abstinence must be observed: even during
392 INFLAMMIATION OF THE PLEURA.
convalescence there is caution required, and care must be taken not to
allow the patient to over-indulge his returning appetite, as any error
in this respect may entail troublesome consequences. The drinks may
consist of water, toast-water, and sometimes whey, rice- or barley-
water, sweetened with a little sugar if desired. Refer also to the
directions in this respect, in the general article on FEVERs, or in that
on INFLAMMATORY FEVER in particular.
INFLAMMIATION OF THE PLEURA.
(THE MEMB RAN E LINING THE CHEST AND INVESTING THE LUNGs.)
IPLEURISY.
Symptoms. Like other acute inflammatory affections, Pleurisy is
ushered in by shivering of longer or shorter duration. The patient
then complains of severe cutting, lancinating pain in the side, remain-
ing in one circumscribed spot (over which the patient can place his
finger), interfering with breathing, and acutely increased by taking a
deep inspiration, or by coughing; difficult and anxious respiration, but
not so oppressed as in inflammation of the lungs or of the bronchial
tubes; quick, hard pulse; hot skin, particularly over the chest, or the
seat of the disease, at which spot there is sensibility to eacternal pres-
sure; short, dry cough ; parehed tongue; scanty and high-colored
urine; general prostration, and, occasionally, brain symptoms, head-
ache, wandering, &c. Position in bed, usually on the back, or on the
affected side.
Bxceptional and Complicated Cases The above are the more
constant general symptoms of this inflammation; but the disease may
exist, and even terminate fatally, without giving rise to them in any
marked degree. If within reach, a medical man ought, therefore, to
be sent for in all sudden cases of illness which commence with shiver-
ing, followed by a hot stage, and are attended with more or less pros-
tration of body and mind, thirst, heat of the skin, loss of appetite,
anxiety, and general uneasiness; auscultation, percussion, &c., being
usually the only certain means of determining the exact nature of the
(1ISéâ.Sé.
Issue and Results. If the heat and other febrile indications
generally subside, and if the performance of the act of respiration be-
comes more free and less painful, and copious and free expectoration
ensues, an early recovery may be expected; but if the fever and in-
flammation have been intense, and the pain should suddenly terminate,
followed by a sinking of the pulse and a change of countenance, danger
is to be apprehended.
Treatment. Like Inflammation of the Lungs, this disease is sub-
ject to so many minute but very essential modifications which are
barely to be detected but by a practised and professional observer,
that written directions for its domestic treatment must necessarily be
imperfect and insufficient. To provide, however, for such cases as
OCCUll’ º the reach of professional aid, a few directions are sub-
joined. It may be remarked, however, that there exist so intimate a
INFLAMMATION OF THE PLEURA. 393
relation between Pleurisy and Inflammation of the Lungs, that the
reader would do well, in treating the one, to refer to the directions
which have been afforded for the other.
Aconitum is an indispensable remedy in allaying the intense fever
(with quick and full pulse) which is often attendant on Pleurisy; and
is in many cases, indeed, when timely administered, alone sufficient to
cure the disease. It completely supplies the place of the lancet in
such cases, and rarely fails to effect improvement in from six to eight
hours; should it not do so in that space of time, another remedy must
be selected.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the pulse becomes more healthy. the skin
moist, and the breathing less painful and impeded. If, however, such symp-
toms as are subjoined should remain or supervene, pause four hours, and pro-
ceed with the next medicine; or consider also Sulphur, which may sometimes
be preferably or previously employed, especially when a third or fourth dose
of Aconite appears to produce only partial effect against the acute febrile
symptoms.
Bryonia-alba should, in general cases, follow Aconitum when the
fever has been somewhat allayed by that remedy. It is more particu-
larly indicated, either in simple or complicated pleurisy, when the
following symptoms are encountered, at an early stage of the disease:
aching, burning, but more especially acute shooting or cutting pains
in the chest, much increased during inspiration or on movement; op-
pression and ana:ious respiration; palpitation of the heart; dry,
cracked, brown, or yellow-coated tongue; bitter taste, nausea, and
occasionally vomiting of mucus, or of a bitter, bilious-looking fluid;
aching or painful pressure at the pit of the stomach and under the false
ribs; intense thirst, especially at night; constipation ; head confused
and giddy; giddiness on sitting-up in bed; aching and shooting pains
in the head, or pain as if the head would burst, particularly at the
temples, with exacerbation on coughing, or moving; fiery, or bluish
redness, and puffiness of the face; restless, disturbed sleep, frequent
startings; nocturnal delirium, with alternations of lethargic sleep;
burning heat of skin; occasionally, partial, clammy perspiration; pulse
generally frequent, hard, and small, but sometimes full, unequal, inter-
mittent, and weak; aching in the limbs. Lastly, when, in connection
with many of the above, the following symptoms are met with: cough
on lying on the side, or impossibility of lying otherwise than on the
back; dry cough, or cough with expectoration of dirty yellow-colored
phlegm, streaked or tinged with blood, and attended with great exa-
cerbation of pain,_Bryonia will rarely fail to render much service,
and can, indeed, with difficulty be dispensed with.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours (or in very severe cases every two hours), until
amelioration or change. But if the symptoms appear to be only partially
affected by either this or the foregoing medicine (or by both), consider the
next remedy ; if great improvement has been effected by Bryonia moreover,
Sulphur may, then also, be advantageously employed to complete the cure.
Sulphur may with advantage follow Bryonia, when the pain
mentioned has been removed by that medicine, and often completes
394 SPURIOUS OR BASTARD PLEURISY.
the cure, when Aconite or Bryonia, or both of these, have been
insufficient. This remedy is, however, not uncommonly, of essential
service as an intermediary resource, administered from time to time,
to awaken a susceptibility in the system to the action of others, -in
such cases (associated with constitutional taint) as are not adequately
influenced by either of the foregoing. In such cases the reader is,
moreover, recommended to refer to the remarks in respect of Sulphur,
at page 87.
Dose : If as an intermediary medicine, two globules in a tea-spoonful of water,
four hours after the last dose of any other medicine, followed, in six hours, by
such treatment as may be particularly indicated. If as a conclusive resource
to perfect the cure (already advanced) three globules in a tea-spoonful of
water, every six hours, until four doses have been given, and then six globules
the first thing in the morning (fasting) for four days ; then pause two days,
resuming the course as before, if necessary, and so on, until all traces of the
disease have been removed.
These three are the most important remedies in the greater number
of cases of Pleurisy, and are frequently found sufficient to effect a
speedy cure. There are often occasions, however, in which other
remedies are called for, but which require the skill of an experienced
practitioner for their proper selection.
Diet. As directed in the foregoing article on “INFLAMMATION OF
THE LUNGS.”
SPURIOUS OR BASTARD PLEURISY.
By this term is here meant that painful affection usually referred to
the intercostal muscles (the muscles which occupy the spaces between
the ribs), which is productive of many of the symptoms of true pleurisy,
and is consequently liable to be mistaken for that disease, particularly
when attended with febrile excitement, as is frequently the case in
hysterical females.
Distinctive Characteristics. The history of the commencement
of the affections enables us to discriminate satisfactorily between the
two diseases. Thus, in Pleurisy, the attack is invariably preceded by
chills, and the disease is accompanied by fever and general prostration;
whereas Spurious Pleurisy is not ushered in by chills, and is unat-
tended with fever, quickness of pulse, and heat of skin, but generally
commences with rheumatic pains in the neck and shoulders; moreover,
in the latter affection the pain is not fixed, and it is accompanied by
great tenderness over a large surface of the chest, and more especially
between the ribs. The medical man is further guided in distinguish-
ing one disease from the other by auscultation and percussion.
TREATMENT.
Arnica, Pulsatilla. These two medicines are frequently of ser-
vice in alternation as well as singly.
Arnica. In the majority of cases Arnica is the principal remedy,
and is occasionally sufficient to effect a speedy cure, after a single dose.
In other instances, however, the disorder does not yield so readily, and
SPITTING OF BLOOD. 395
consequently one or more of the other remedies enumerated must be
had recourse to.
Dose: If singly, of a solution of four globules to three tea spoonfuls of water,
give a tea-spoonful every four hours, until amelioration or change. If in
alternation with Pulsatilla, separate solutions of six globules of each, adminis-
tered by tea-spoonfuls at intervals of six hours, until amelioration or change.
Pulsatilla is more particularly indicated when the pain becomes
exacerbated towards evening, and is sometimes experienced more
during the act of eac-haling the breath than during inspiration. This
remedy is also distinctly appropriate to the treatment of patients of a
phlegmatic temperament. Pulsatilla is also frequently very useful
administered in alternation with Arnica.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every six hours, until amelioration or change. If in alter-
nation with Arnica, as directed for the last-named medicine (above).
Bryonia is more especially indicated when the pain is of an acute,
darting description, as if from a sharp instrument running into the
side, and is increased by the act of respiration, particularly when some-
what accelerated, or is aggravated by the slightest movement of the
body; and when the patient is of a nervous or bilious temperament.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until four doses have been given, and then (if still
requisite) every six hours, until positive amelioration or change.
Nux-vomica. Shooting pains in the region under the false ribs,
increased by the respiratory movements of the chest, especially when
the affection occurs in hypochondriacal subjects, or in those who are
addicted to indulgence in vinous or spirituous drinks. This medicine
is, moreover, especially appropriate to the treatment of patients of a
bilious or sanguine temperament.
Dose : Dissolve six globules in four tea-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or...change. In
some cases, in which there is a susceptibility to the return of such symptoms,
from time to time, a course of four globules in a tea-spoonful of water, every
night at bed-time for a week, is sometimes desirable.
Diet and Regimen. In these respects the directions afforded
under the head of Indigestion, may be held as applicable to cases of
FALSE PLEURISY.
SPITTING OF BLOOD.
DISCHARGE OF BLOOD FROM THE LUNGS.
O
RUPTURE OF A BLOOD-VESSEL.
Symptoms. Expectoration of blood, in greater or less quantity,
induced by coughing, attended by symptoms more or less severe.
Various Forms. This disease discovers itself in three varieties:
first, by an effusion of blood from the mucous lining of the air-tubes;
secondly, by congestion of the lungs; and, thirdly, by the rupture of a
blood-vessel in the tubular cavity of the lungs, during the course of
Consumption. It is however, proposed to deal generally with the sub-
396 SPITTING OF BLOOD.
ject, and to point out the different remedies found useful in the treat-
ment, according to the symptoms present.
Distinctive Characteristics. We must be careful not to con-
found this disease with affections of the mouth or gums, or the occur-
rence of discharge of blood from the nose escaping through the
posterior opening of the nostrils, and being returned by the mouth.
When the blood proceeds from the chest, it is almost invariably
attended with a sensation as if it came from a deep-seated source, is
Warm, generally tastes sweet, and there is, frequently, a simultaneous
burning and painful sensation in the chest.
Precautions to be observed. When the attack is imminent
and is preceded by well-known premonitory symptoms, the patient
should refrain from loud or prolonged speaking, calling, singing, blow-
ing wind instruments, violent exercise of the arms, running, ascending
stairs, or, in short, from anything calculated to increase the respiratory
action, or otherwise to fatigue the chest.
Issue and Results. When spitting of blood occurs in a robust
and healthy person of sound constitution, it is not very dangerous;
but when it attacks slender and delicate persons, it is more serious
and difficult of removal. It is, however, chiefly when the patient has
had a succession of severe attacks, and the blood is discharged in a
large quantity, that the case may be considered dangerous.
Symptoms. The disease may present itself without any marked
pains or difficulty of breathing, and pass off with no return of the
attack; or be preceded by dry cough, oppression, or tightness at the
chest, shivering, coldness of the extremities, great lassitude, and high
pulse, and be accompanied by hacking or husky and distressing
cough, anxiety, quick pulse, pale and livid countenance,—cease, and
then return in a few hours, and be followed by difficulty of respiration
and cough : in still more severe cases, when a marked tendency to
Consumption exists, the anxiety, oppression at the chest, and febrile
symptoms are more severe, pure blood is coughed up, and the parox-
ysms frequently return.
[Rupture of a Blood-vessel.]
[The rupture of a blood-vessel is a rare occurrence, although it some-
times occurs in Consumption. When, however, a blood-vessel of any
consequence, included in a tuberculous excavation, does give way, the
result is generally fatal.]
Causes. Indulgence in spirituous beverages, overheating the body
by in moderate exertion, or too great external heat; blowing wind-
instruments; contusion of the chest or back; falls; injury of the lungs;
breathing a vitiated atmosphere, or vapors charged with acrid sub-
stances; colds or coughs; violent mental emotions; diseased state of
the lungs, whether as the immediate result of inflammation or during
the progress of actual consumption; a general scrofulous habit; sup-
pressed menstrual, haemorrhoidal, or other discharges; or repelled
cutaneous eruptions. gº
Treatment. In by far the greater number of cases, the discharge
SPITTING OF BILOOD. 397
*
or spitting of blood soon ceases of its own accord; the most important
object, therefore, is to seek to cure the complaint when the hºmºr-
rhage has ceased, and thereby to prevent its return, or to cheek the
development of organic disease of the lungs (that is, disease attended
with alteration of structure).
Pulsatilla, Cocculus, Sepia, Sulphur. One or more of the last
three of these remedies will sometimes be required, successively, after
the previous employment of Pulsatilla, when this remedy is insufficient
to restore the regularity of the periodical discharges, and the spitting
of blood is associated with suppression of the menses.
Pulsatilla is, however, the medicine which is most appropriate
where withal to commence treatment, in the majority of cases arising
from suppression of the monthly discharge in females or of a haemor-
rhoidal flux in either sex (particularly when the individual is of leuco-
phlegmatic temperament), and also in other instances characterized by
the following symptoms: expectoration of dark, clotted blood, attended
with shivering, especially towards evening, or at night, and great
anxiety; pain in the lower part of the chest; feeling of flaccidity in the
region of the stomach, and weakness.
Dose : Three globules in a tea-spoonful of water night and morning, for a week;
then pause four days, after which the course may be resumed as before, if
necessary, and so on, until amelioration or change. But if the improvement
be evidently limited to a certain degree of progress, or the symptoms recur,
without apparent modification, four days after the termination of the secºnd
course, consider the subjoined medicines. When the discharge of blood is
very copious and long-continued (or either), of a solution of eight globules to
three table-spoonfuls of water, give a tea-spoonful every two hours, until
manifest improvement or change.
Cocculus, Sepia, Sulphur. One or more of these medicines
singly, alternately, or successively, should be administered four days
after the termination of the second course of Pulsatilla, in cases in
which that medicine has not been productive of adequate results, or
of the restoration of regularity in the periods. The distinctive indi-
cations of each, respectively, may be gathered from the article on
“CHARACTERISTIC EFFECTS.”
Dose : Of either remedy (except Sulphur), as selected, give three globules in a
tea-spoonful of water, night and morning, for a week (or until the earlier de-
velopment of new symptoms or change); then pause four days, after which,
if manifest improvement has resulted from one course of any particular medi-
cine, and further treatment be requisite, proceed with a similar course of the
same, -if otherwise, with a similar course of one of the othe, s, and so on, un-
til permanent amelioration or change. Of Sulphur give six globules in a
table-spoonful of water, every morning the first thing (fasting), in similar
COlll'SéS.
Refer also to the articles on “GREEN SICKNEss” and “SUPPRESSION
of THE MENSES.”
Bryonia is a good remedy in cases where the expectoration of
blood, which is often in a coagulated state, is excited by a tickling
cough; and where there is oppression at the chest, with frequent
necessity to take a deep inspiration; anxiety and irascibility.
Dose : In every respect as directed for Pulsatilla.
398 SPITTING OF BILOOD.
Nux-vomica is adapted to individuals of an irritable temper, in
whom this affection owes its origin to a haemorrhoidal suppression, a
fit of passion, or exposure to cold. It is further indicated by dry
cough, which causes headache, with excessive tickling in the chest,
and exacerbation of the symptoms towards morning.
Dose : Three globules in a tea-spoonful of water, night and morning, for a
week; then pause four days, after which repeat the same course if yet requi-
site, and so on until permanent relief or change ensues. In cases in which
the discharges are very copious or prolonged, the like doses should first be
repeated every three hours, until the more alarming symptoms are allayed,
and then at the longer intervals as just prescribed. When the effect of Nua-
vomica appears incomplete, consider Sulphur, p. 87.
Rhus. When the blood expectorated is of a bright-red, the mind
much agitated, and the patient irritable and rendered worse after the
slightest vexation or contradiction. it.
Dose: In all respects as directed for Nur-vomica.
Arnica-montana is principally useful in cases arising from exter:
nal injury, such as a severe blow on the chest, or from lifting a heavy
weight, or any other exertion, even blowing wind instruments; but
also in almost all cases where the stethoscope detects effusion of blood
into the air-cells, attended with a sensation of constriction and burning
in the chest, pain as from contusion in the back and shoulder-blades,
and difficulty of breathing. Moreover, profuse expectoration of dark-
colored blood or clots, brought up without much exertion, or bright,
frothy blood, mixed with mucus and clots; sensation of tickling behind
the breast-bone; general heat, great weakness, and fainting.
Dose: Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every two hours, until three doses have been given, and then
every six hours, until manifest improvement or change. But if the subjoined
conditions occur, consider the next medicine.
Acidum-sulphuricum is frequently of service after Arnica when
the cough continues, and brings on fresh bleeding.
~ Dose : Three globules in a tea-spoonful of water, night and morning, until per-
manent amelioration or change.
TREATMENT OF VERY SEVERE CASES.
Aconitum is often found most serviceable in warding off an attack,
by the great power which it possesses in controlling the circulation,
and is indicated, previous to the paroacysm, by the premonitory symp-
toms of shivering, with accelerated pulse, palpitation of the heart, a
sensation of ebullition of blood in the chest, with burning and fullness
in the same region; paleness and expression of anxiety in the face;
great anguish and anxiety, aggravated by lying down ; or during the
attack, when the expectoration is profuse, coming on in gushes, and
excited by a slight, dry cough.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of two
hours, until manifest improvement or change; or, if the subjoined indications
occur, pause three hours, and proceed with the next (or two next) medicines.
Ipecacuanha is required when a taste of blood remains in the
mouth a few hours after the employment of Aconite has been com
SPITTING OF BI.OOD. 399
menced, and there is frequent cough, with nausea, weakness, and ex-
pectoration streaked with blood. In some instances in which neither
this remedy nor Arsenicum avails singly to subdue the symptoms, the
alternate administration of both has been resorted to with admirable
results.
Dose: If singly, three globules in a tea-spoonful of water, repeated at intervals
of three hours (or even every hour in very urgent cases), until amelioration
or change; but if the subjoined symptoms occur proceed at once with the
next medicine. If in alternation with Arsenicum a solution of four globules
of each, separately, to four tea-spoonfuls of water, administered by tea-spoon-
fuls every half hour, in rotation, until manifest improvement or change.
Arsenicum becomes necessary when the anaciety, anguish, and
palpitation of the heart increase, notwithstanding the previous admi-
nistration of Aſconite or Ipecacuanha (or both); and when, in addition,
we find extreme restlessness and general, dry, burning heat.
Dose : If singly, two globules in a tea-spoonful of water every hour, until ame-
lioration or change. If in alternation with Ipecacuanha, as directed for that
medicine, above. But if, after the Spitting of Blood has yielded to these
medicines, this symptom particularly should recur, consider the following
medicines, and also Sulphur, at page 87.
Sulphur followed by the subsequent administration of Arnica is
of essential service in cases in which the Spitting of Blood recurs,
after having previously yielded (with the associated symptoms) to the
action of the foregoing medicines.
Dose : Three globules of Sulphur in a tea-spoonful of water, repeated in six
hours, and followed by a pause of twelve hours, and then by the consecutive
administration of similar doses of Arnica every six hours, until manifest im-
provenient or change results.
Opium is more especially indicated by heat, difficulty of breathing,
with sensation of burning heat at the region of the heart; coldness,
particularly of the extremities; tremor in the arms; dry, hollow cough,
with expectoration of blood and frothy phlegm, and sometimes also
weakness of the voice; drowsiness, with sudden starts; aggravation
of cough after swallowing. It will be found useful in the most serious
cases, particularly to persons addicted to Spirituous liquors.
Dose : In very urgent cases, of a solution of twelve globules to two table-spoon-
fuls of water, give a tea-spoonful every half hour, until manifest improve-
ment or change. In less severe cases a solution of six globules to two table-
spoonfuls of water, similarly administered at intervals of three hours.
Nux-vomica is also appropriate for the treatment of persons who
have been addicted to over indulgence in spirituous liquors. The
general indications will be found at page 398.
Dose : Three globules in a tea-spoonful of water, every three hours, until ame-
lioration or change.
China is one of our best remedies in restoring the vital energies of
the patient, after considerable loss of fluids, whether blood or other
secretions; it is, therefore, particularly efficacious after a severe attack
of this affection; but it is also indicated during its course, when the
spitting of blood takes place after a violent cough, or when there is a
continual taste of blood in the mouth, or when we find shivering alter-
400 AFTER-TREATMENT OF SPITTING OF BILOOD.
nately with accesses of heat, frequent and short-lived perspirations,
tremor, and confusion of vision, with a sensation of vacuity or lightness
in the head, weakness, and desire to remain constantly recumbent.
Dose: If against actual discharge of blood, give three globules in a tea-spoonful
of water, every three hours, until amelioration or change. But if partial
effect only be manifest, within three hours after the fourth dose, consider the
subjoined medicine. If as a restorative agent after an acute attack, give four
globules in a table-spoonful of water, night and morning, until manifest
improvement or change.
Ferrum-metallicum may be exhibited with advantage after
China, in severe cases, and when the fourth dose of the last-named
medicine has been productive only of partial effect; or may be pre-
ferred if the expectoration follow a slight cough, and is scanty, but
consists of pure bright-red blood, attended with pain between the
shoulder-blades, with inability to remain long in a sitting posture; the
patient feels the concomitant symptoms relieved by movement, but is
speedily fatigued, especially by conversation.
Dose: If against actual discharge of blood three globules, if, as a restorative
remedy, four globules, as directed for China.
Acidum-nitricum is generally of considerable utility, after the
previous employment of China or Ferrum, particularly in bilious,
dark-complexioned, exhausted subjects.
Dose : Three globules in a table spoonful of water, morning and evening, for a
week, or until evident general improvement or change.
Sulphur. This remedy is frequently useful in completing the treat-
ment after the administration of other medicines; and it is also particu-
larly suitable for individuals disposed to haemorrhoidal affections, in
cases of spitting of blood, resulting from derangement of the menstrual
flux, or arising from suppressed cutaneous eruptions, such as itch, &c.
Sulphur is also of much service as an intermediary medicine in deve-
loping the susceptibility of the system to other and distinctly appro-
priate medicines (which without its influence sometimes remain
inoperative), particularly when constitutional taint is present, as
exemplified by chronic derangements, such as have been enumerated.
Dose: If as an intermediary medicine give six globules in a table-spoonful of
water, six hours after the last dose of any other remedy; after which pause
twelve hours, and proceed with such other treatment as is evidently appro-
priate. If Sulphur, however be indicated by the assemblage of symptoms, in
an acute attack, against the actual discharge of blood, three globules should
be given in a tea-spoonful of water, every three hours, until anielioration or
change.
AFTER-TREATIMIENT OF SPITTING OF BLOOD.
Phosphorus is chiefly of service in reducing any irritability or in-
flammatory tendency which may remain in the lungs, particularly, and
thereby in warding off the possible degeneracy of the attack into pul-
monary Consumption.
Dose : Three globules in a tea-spoonful of water, night and morning, for a
week; then pause four days, after which proceed with the next medicine.
Sulphur is, however, very generally of great service in restoring
DETERMINATION OF BIOOD TO THE HEAD. 401
the vigor and equilibrium of the system, and thereby in warding off
relapses or future attacks.
Dose : Six globules in a table-spoonful of water, the first thing in the morning
(fasting), for four days (or until the earlier development of new symptoms,
improvement or change), then pause a week, after which the same course
may be repeated, if necessary.
Sepia is also useful in this affection when occurring in consumptive
habits, but more particularly when it is rather to be looked upon as
one of the general symptoms, than as forming a disease of itself: by
its power over the economy of the womb, it is also of great service in
cases of Spitting of Blood arising from derangements connected with
that Organ.
Dose: Six globules administered at night, in all other respects as directed for
Sulphur.
Diet and Regimen. The rules given under the head of Vomiting
of Blood should be observed in these respects; both mind and body
should be kept perfectly quiet; the patient should speak as little as
possible, and be kept in a semi-recumbent posture, or, if his strength
allow of it, sit upright.
DERANGEMENTS OF THE CEREBRAL SYSTEM.
IDETERIMINATION OF BIOOD TO THE HEAD.
GIDDINESS.
This is an affection to which many individuals who lead a sedentary
life are subject; intense mental application, and habitual indulgence in
the use of spirituous liquors, or other stimulating liquids, such as
coffee, &c., are also its frequent exciting causes, particularly in those
who inherit a predisposition to the disorder.
Predisposing Causes. General redundancy or superabundance
of blood in the vessels, or what is termed a full habit of body; or, on
the other hand, local debility of the vessels of the parts or organs
affected, either occasioned by mechanical or other causes, or by deple-
tions, &c.
Symptoms. Fullness of the vessels of the head and neck, the pul-
sation of which the patient experiences throughout the entire frame;
heat, redness, and turgidity, or pallor and puffiness of the face, with
anxious expression of countenance; repeated attacks of giddiness, par-
ticularly on sleeping; sitting in a warm, confined apartment, or on
exposure to the rays of the sun when exercising in the open air; head-
ache, generally above the eyes, and in the forehead, increased by
stooping or coughing; dimness of vision; buzzing in the ears; tight-
ness around the *: oppressed breathing; furred, red pointed, or
2
402 DETERMINATION OF BIOOD TO THE HEAD,
enlarged and very red-looking tongue; indigestion, constipation; dis-
turbed, unrefreshing sleep; drowsiness during the day.
TREATMENT.
Aconitum. This is the principal remedy to commence with, in all
recent cases, and is alone sufficient speedily to remove the affection,
particularly in children, when fright and anger, combined, have been
the exciting causes.
Dose: Three globules in a tea-spoonful of water, every six hours, until amelio
ration or change; but if within six hours after the fourth dose the symptoms
be not conpletely renoved, or if more particularly the subjoined indications
remain or supervene, pause six hours longer, and proceed with the next
medicine.
Belladonna. After a previous administration of Aconite, when
necessary, this is one of our most important remedies in the treatment
of congestion to the head. Indications: great distension of the vessels
of the head, attended with severe jerking, burning pains in one half
of the head, aggravated by the slightest movement or the least noise;
fiery redness and bloatedness of the face; redness and protrusion of
the eyes, sparks before them, and sometimes dimness of vision; dark-
ness before the eyes (obscurity); double vision; buzzing in the ears;
bright redness of the throat; attacks of fainting; somnolency.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Nux-vomica. As has already been repeatedly observed, this
remedy is exceedingly efficacious in complaints arising from sedentary
habits, intense study, or that much more culpable habit, the excessive
indulgence in spirituous or vinous liquors, &c.; it is accordingly one
of the most useful remedies in determination of blood to the head, in-
duced by such causes; it is also very serviceable in cases arising from
a violent fit of passion, and is more particularly indicated when we
meet with the following symptoms: distension of the veins, with violent
pulsation in the head; heat and redness, or paleness or sickly hue of
the face; attacks of giddiness, violent headache, particularly in the
forehead and over the eyes, aggravated by reflecting, or by any
attempts at mental application, and also by stooping or coughing;
disturbed sleep; nervous excitability, and disposition to be angry at
trifles; constipation.
Dose : Against the actual attacks three globules in a tea-spoonful of water, every
six hours, until amelioration or change. Against the predisposition four glo-
bules in a tea-spoonful of water, every night at bed-time for a week; then
pause four days, subsequently resuming the course, in like manner, if neees
sary, and so on until permanent improvement or change. But if the improve
ment be but partial (the subjoined conditions being present—for otherwise
consider Sulphur at page 87), within four days after the termination of the
second course, proceed with the next unedicine.
Calcarea-carb, is frequently of signal service after Nua-vomica,
in obstinate cases, occurring amongst persons who have been addicted
to over-indulgence in fermented or spirituous liquors. This medicine
should, in such cases, follow four days after the termination of the
second course of Wuz-v.
DETERMINATION OF BLOOD TO THE HEAD. 403
Dose: Six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, im:
provement or change); then pause four days, after which the course may, if
necessary, be resumed as before, and so on, until permanent amelioration or
change.
Opium is of speedy service in cases arising from fright; but it is,
moreover, a remedy of extreme value in the most serious cases of con-
gestion, either arising suddenly—from the effects of a draught of cold
or iced water, especially when heated,—or from other causes, with the
following symptoms: giddiness, heaviness of the head, humming in the
ears, dullness of hearing, stupor; also when the attack is occasioned
by constipation, or the effects of a debauch, with pressure in the fore-
head from within outwards, redness and bloatedness of the face, great
depression; fugitive heat; violent thirst; dryness of the mouth; acid
regurgitations, nausea, or vomiting.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours (or, when the symptoms are extremely distressing,
every hour), until manifest improvement or change.
Coffea is useful in cases arising from excessive joy; this remedy will
be found to exert a salutary influence; excessive and uncontrollable
liveliness; great heaviness of the head, or aggravations of the sensa-
tions when speaking; sleeplessness.
Dose : Three globules in a tea-spoonful of water, repeated after the lapse
of six hours, and then at intervals of twelve hours, until amelioration or
change.
Chamomilla. Congestion caused by vexation, or a fit of passion,
particularly in children, is speedily relieved by this remedy.
Dose : Three globules (or otherwise as directed at pages 66, 67, &c.), in a tea-
spoonful of water, repeated, if requisite, at intervals of four hours.
Ignatia. When induced by stifled vexation, or harrowing, concen-
trated grief.
Dose : Four globules in a tea-spoonful of water, every night at bed-time for a
week (or until the earlier manifestation of improvement or change).
Arnica is often very useful in cases characterized by the following
symptoms: heat in the head, with coldness of other parts of the body;
sensation of obtuse pressure on the brain; painful burning or throbbing
in the cranium; humming in the ears; giddiness, with confused vision,
especially on assuming the erect posture, after sitting for some time.
Dose: Three globules in a tea-spoonful of water, repeated after the lapse of six
hours, and afterwards, night and morning, until the total subsidence or change
of the symptoms.
Mercurius. Congestion, with sensation of fullness, or as if the
head were compressed by a band; nocturnal aggravation, with darting,
piercing, tearing, or burning pains; disposition to sweating.
Dose : Three globules, as directed for Arnica.
Pulsatilla. This remedy, as will be found stated in the proper
place, is well adapted to many cases of congestion occurring in young
girls at a critical age, or to all cases occurring in cold, lymphatic tem-
peraments with the following symptoms: distressing semi-lateral pain
404 DETERMINATION OF BLOOD TO THE HEAD.
in the head, particularly of a pressive character, or if the pain in the
head commences at the back of the head and extends to the root of
the nose, or invertedly. Amelioration of the symptoms from exercise,
or from pressing or binding the head; exacerbation while sitting;
sense of weight in the head; giddiness: pale and wan-like, or red and
bloated face; inclination to weep; anxiety; coldness or shivering.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of four
hours, until three doses have been given, and then every twelve hours, until
permanent relief (or change) results.
Lycopodium is a valuable remedy in some obstinate cases of con-
gestion, attended with giddiness, throbbing of the vessels of the head,
flatulence, anxiety, and habitual constipation.
Dose: Four globules in a tea-spoonful of water, night and morning, until ame-
Iloration or change.
Dulcamara is indicated by congestion attended with continual
buzzing in the ears, dullness of hearing, and particularly when the
affection has arisen from getting the feet wet, or from a chill, in cold,
damp weather.
Dose : Three globules in a tea-spoonful of water, at bed-time, repeated after the
lapse of twelve hours, and again at night, if requisite, and so on, until mani-
fest improvement or change.
Cases resulting from repeated Loss of Blood.
China. Congestion occurring after repeated bloodlettings, or loss
of blood in general, is usually relieved by this remedy. f
Dose : Three globules in a tea-spoonful of water, morning and evening, for three
days, after which pause four days, and, if necessary, proceed with the next
medicines successively.
Suipmur is almost always more or less useful in cases of this nature,
and should, therefore, be given four days after the second dose of
China.
Dose : Three globules in a tea-spoonful of water, morning and evening for a
week; then pause a week, and proceed with the next medicine.
Calcarea-carb. should be given a week after the last dose of Sul-
phur in similar cases.
Dose : As directed for Sulphur.
Nux-vomica, Veratrum. One or both of these medicines, also,
may sometimes be of essential service in cases of determination of
blood resulting from debilitating losses of animal fluids. The distinc-
tive indications of each may be gathered from the article on “CHA-
RACTERISTIC EFFECTS.”
Dose : Of either remedy, as selected, give three globules in a tea-spoonful of
water, night and morning, for a week (or until the earlier development of
manifest improvement or change); then pause four days, and, if requisite, re-
sume the course, as before, and so on until amelioration or change
Rhus-tox, Bryonia, Cicuta-v., Hepar-s, Silicea. One or more
of these remedies may also prove of signal service in some very serious
cases, in which habitual determination of blood to the head, or predis-
position to this affection, occurs as the consequence of excessive loss
DETERMINATION OF BLOOD TO THE HEAD. 405
of animal fluids. The distinctive indications which should lead to the
selection of each, respectively, may be gathered from the article on
“CHARACTERISTIC EFFECTS.”
Dose: Of either remedy, as selected, three globules, according to the directions
afforded in the last prescription.
Cases previously treated by periodical Bloodletting.
Aconitum, Belladonna. These two medicines, alternately admi-
nistered for a short time, usually suffice to overcome not only the
apparent necessity for the depletion, to which the patient has been in
the habit of looking as the only resource, but also the predisposition
to the return of the malady—in cases in which persons have been
accustomed to the abstraction of blood, from time to time, against
determination of blood to the head.
Dose : As soon as premonitory symptoms occur, give three globules of Aconitum,
in a tea-spoonful of water, repeated after the lapse of six hours: then pause
twenty-four hours, and administer two doses of Belladonna in like manner,
and so on, in rotation for a week, or until the earlier development of improve-
ment or change :—renewing the course every time a relapse threatens to
occur, provided some other remedies, such as Nur-vomica, Sulphur, or Cal-
carea, do not then become requisite.
Cases occasioned by Easternal Injuries.
CONSTITUTIONAL TREATMENT.
Arnica is, in the generality of cases, the appropriate medicine, when
the determination of blood can be directly traced to external violence,
such as severe falls or contusions, followed by stupefaction, giddiness,
sensation of pressure or coldness over a small circumscribed space,
tendency to close the eyes, disposition to be frightened, and vomiting.
In such cases the early application of Arnica, internally and externally,
will generally operate specifically.
Dose (internally): Of a solution of four globules to two table-spoonfuls of water,
give a tea-spoonful every two hours, until the indicative symptoms yield.
FXTERNAL TREATMENT.
Arnica (concentrated tincture), as just stated, is equally appropriate
for external application to the part or parts especially exposed to
injury, and should be employed as a lotion simultaneously with its in-
ternal exhibition.
Application : To ten parts of water add one part of the Tincture of Arnica, and
bathe the injured parts with this lotion freely, every two hours, during the
first day (in severe cases)—or, in less urgent instances, three times during the
first day,+and afterwards, night and morning, until every sensation of sore-
ness and stiffness has been removed.
Giddiness.
TREATMENT.
In cases of giddiness, simply, or when that is the prevailing symp-
tom, the following remedies are amongst the most useful.
IMercurius is indicated when the giddiness comes on only in the
406 DETERMINATION OF BLOOD TO THE HEAD.
evening, especially on assuming the erect posture, or in the morning,
on getting out of bed, and is attended with nausea, dimness of sight,
heat, anxiety, and desire to lie down.
Dose: Three globules in a tea-spoonful of water, morning and evening, until
amelioration or change.
Nux-vomica is especially appropriate for giddiness during mental
application, or after a meal, or when in the recumbent posture, parti-
cularly in nervous or bilious subjects; and in cases where sedentary
habits or dissipation have given rise to the affection.
Dose: Three globules as directed for Mercurius; or, in obstinate and protracted
cases, four globules in a tea-spoonful of water, every night at bed-time, for a
week (or until the earlier development of improvement or change); then pause
four days, after which the course may, if necessary, be resumed as before,
and so on, until permanent improvement or change.
Pulsatilla is preferably indicated by giddiness, especially on look-
ing upwards, or when sitting, or at other times, such as during or after
meals, attended with heaviness of the head, buzzing in the ears, head-
ache, and paleness of the face, sometimes alternating with heat; con-
fusion of sight; lowness of spirits; nausea, and inclination to vomit;
phlegmatic temperament.
Dose : Three globules, or, for inveterate cases, four globules, as directed for
Nwa-vomica.
China is required for giddiness on elevating the head, or during
movement, relieved by reclining.
Dose : Three globules in a tea-spoonful of water, repeated, if necessary, at inter-
vals of twelve liours.
Rhus is useful against giddiness on lying down, but which becomes
relieved after retaining the recumbent posture for some time, and then
returns on assuming the erect posture, sometimes to such an extent
as to occasion falling, attended with fear of dissolution; giddiness after
a hearty meal.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of three
hours, until the symptoms decrease in intensity, and afterwards, at intervals
of twelve hours, until permanent relief or change.
Chamomilla is indicated by giddiness on rising, with tendency to
faint ; giddiness during a meal; irritability.
Dose : Four globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Arnica is required for violent giddiness during dinner or after a
hearty meal.
Dose : Two globules in a tea-spoonful of water, every hour, until the indicative
symptom subsides.
Aconitum is distinctly indicated by attacks of giddiness, occurring
upon rising from a recumbent position or when stooping.
Dose : Two globules in a tea-spoonful of water repeated at intervals of twelve
hours (if necessary), until amelioration or change. But, if the subjoined
symptoms occur, proceed with the next medicine.
Belladonna should be administered six hours after the last dose of
DETERMINATION OF BLOOD TO THE HEAD. 407.
Acomitum, if, in addition to the symptoms mentioned respecting the
last-named medicine there be frequently partial loss of consciousness,
with cloudiness of sight.
Dose : Three globules as directed for Arsenicum.
Hepar-sulph. may be required when attacks of giddiness, some-
times with disposition to faint, occur in consequence of riding in a
carriage.
Dose: Three globules in a tea-spoonful of water, repeated after the lapse of three
hours, if a reeling sensation remain ; but if these attacks become habitual,
and are constantly provoked by passive motion, or do not readily and com-
pletely yield to the repeated use of Hepar-s., substitute the next medicine.
Silicea, in cases in which attacks of giddiness are provoked by
riding in a carriage, and when the last-named medicine has been pro-
ductive of inadequate results.
Dose: Three globules in a tea-spoonful of water, night and morning, for a week.
Sulphur is often very serviceable after Pulsatilla, when the attacks
of giddiness are most liable to come on while sitting; or it may be
selected in preference to the said remedy, when the giddiness generally
comes on whilst walking up a hill, or ascending stairs, or is, at other
times, attended with nausea, fainting, or bleeding at the nose.
Dose : Against the immediate attack give three globules in a tea-spoonful of
water, repeated (if necessary), at intervals of six hours, until amelioration or
change. Against the predisposition give six globules in a table-spoonful of
water, every morning the first thing (fasting) for a week (or until the earlier
development of new symptoms, improvement, or change); then pause four days,
resuming the course (if necessary), as before, and so on, until permanent
exemption is secured. is
Lycopodium is indicated by giddiness, with tendency to conges-
tion, accompanied with flatulence, headache, anxiety, and obstinate
constipation.
Dose: Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change. *
Lachesis is required for giddiness, with absence of mind, or pale-
ness of the face, nausea, or voimiting ; fainting, or bleeding from the
nose, particularly when the attacks come on chiefly in the morning on
waking.
Dose : Three globules in a tea-spoonful of water, or dry on the tongue, upon
the occurrence of every attack, and repeated twelve hours afterwards, and so
on, until amelioration or change; but if after repeated trials, the symptoms
do not yield to this remedy, Nur-comica and then Sulphur may be had re-
course to, as above.
Opium is indicated by threatening giddiness with confusion of
ideas; or decided giddiness, with humming in the ears, and clouded
vision on sitting up in bed, which renders it necessary to lie down.
again; giddiness from fright.
Dosc : Three globules in a tea-spoonful of water, repeated at intervals of six
hours, until the sensations wholly disappear.
Conium is more especially indicated by violent giddiness, with
dread of falling to one side on looking backwards.
Dose : Three globules, as directed for Opium.
408 APOPLEXY.
Giddiness occasioned by disordered Stomach.
Aconitum should, generally speaking, be administered at the
onset of treatment, against giddiness arising from derangement of the
stomach, and accompanied with nausea, or even with vomiting.
Dose : Two globules, repeated after the lapse of three hours; but if, within six
hours after the second dose, there be remains or a recurrence of the symp-
toms, proceed with the next medicine.
Antimonium-crudum is of much service in cases of this kind,
and should be administered six hours after the second dose of Aconi-
twm, if the symptoms continue or recur.
Dose : Three globules as directed for Aconitum ; but if there be remains or a re-
currence of the symptoms six hours after the second dose, proceed with the
next remedy.
Pulsatilla should be employed in cases which have resisted the
influence both of Aconitum and Antimonium-c., and should in such
instances be given six hours after the second dose of the latter.
Dose: Three globules in a tea-spoonful of water every six hours, until amelio-
ration or change.
Diet and Regimen. The homoeopathic regimen already given, in
the Introduction, should be rigidly adhered to, and stimulants of all
kinds carefully avoided; moreover, early rising, and daily exercise in
the open air should not be neglected; the use of the flesh-brush in the
evening is also of some service.
APOPLEXY.
Characteristics. Sudden or gradual loss of consciousness, sen-
sation, and motion, with greater or less disturbance of the pulse and
respiration.
Few diseases offer a greater number of varieties in form than Apo-
plexy; and there is scarcely a single classification of the many that
eminent medical writers have given to the world, which is not more
or less liable to objection.
It is also extremely difficult to distinguish clearly between the
different varieties, the external symptoms not always bearing a uni-
form relation to the internal injury; thus all the indications of serous
Apoplexy may declare themselves from sanguineous extravasation;
and it is not always possible to decide, in Apoplexy, whether effusion,
or simple congestion of the vessels of the brain, has taken place.
Premonitory Symptoms. Continued inclination to somnolence;
heavy, profound sleep, with snoring respiration; nightmare, grinding
of the teeth, shocks, or cramps, eactreme drowsiness, or a general feel-
ing of heaviness, or disinclination to the least exertion; frequent yawn-
ing and fatigue after the slightest exercise. A sense of weight and
fullness, and pains in different parts of the head, sometimes very deep-
seated. Headache and megrim, or giddiness and fainting; pulsation
of the arteries of the temples and neck, with swelling of the veins of
the head and forehead; disturbance of the functions of the brain,
evinced by loss of memory, irritability of temper, or mildness and in-
APOPLEXY. 409
difference, despondency and weeping; infiltration of the conjunctiva,
dimness of vision, specks or motes before the eyes, or flashes of fire or
sparks during darkness; acuteness of vision or double vision, some-
times, also, the words in a line appear to run into one another; diffi-
culty of opening or closing the eyes; noises, humming, singing, &c., in
the ears; dullness of hearing; dryness of the nostrils, pinched appear-
ance of the nose, with false perception of an unpleasant odor; sneezing,
and slight bleeding of the nose; stammering, and indistinct enunciation:
difficulty of swallowing; numbness or torpor, or pricking sensation in
the extremities, with inarticulate speech, and occasional partial attacks
of paralysis in the face (distorting the features), or in some of the
muscles of the limbs; pains in the joints; weak or unsteady mode of
progression, difficulty of passing water, &c.
Confirmed Attack. Symptoms. The attack itself is commonly
ushered in by either of the following group of symptoms:
The patient suddenly falls to the ground, and is instantaneously
deprived of sense and motion. The limbs are relaxed and perfectly
motionless, or the whole of one side is rigidly contracted, whilst the
other is relaxed and powerless; in some instances one limb (such as an
arm) is alone implicated. The speech is either entirely suppressed, or
a few inarticulate sounds are all that can be uttered; the countenance
is flushed, or livid and puffed, and there is foaming at the mouth, with
contortion towards the affected side. The respiration is slow, impeded,
and usually accompanied by a rough, harsh snoring. The pulse varies,
but is usually weak at the commencement, and fuller and stronger,
but slower, as reaction supervenes. In other cases, again, the patient
is suddenly seized with partial paralysis, comprising either an arm or
leg, or the whole of one side of the body, attended with loss of the
power of utterance, and pale, sallow, or livid and bloated countenance.
In the course of a few hours, all or the greater part of the symptoms
mentioned under the first variety of apoplexy, are prone to supervene.
Issue and Results. When, in either form of the disease, recovery
is about to take place, consciousness gradually dawns upon the patient;
he begins to recognize persons and objects around him, answers when
spoken to, or makes signs for writing materials, in order to express his
wants on paper, when the power of speech is still denied him.
But when a fatal termination is to be apprehended, the breathing
becomes more and more oppressed, the face becomes pallid, and a cold,
clammy sweat bedevs the brow; the act of swallowing is rendered
difficult or impracticable, the teeth become clenched, the eyes dim and
glazed, and the evacuations are passed involuntarily.
Predisposing Causes. Chronic derangement of the primary
organs of digestion, and, in some cases, disease of the heart, are the
principal predisposing causes of Apoplexy. The conformation of the
frame is also considered to predispose persons to attacks of Apoplexy.
Old age is more subject to this disease than the robust or mature
periods of life. Particuhar seasons, such as the equinoxes (the transition
from winter to summer, and from autumn to winter), increase the pre-
disposition to attacks of Apoplexy. Sudden changes of the barometric
conditions of atmosphere are also known to operate as predisponents.
410 APOPLEXY.
Exciting Causes. The exciting causes of Apoplexy are, intem
perance in eating and drinking; mental emotions; obstructed circu-
lation, arising from tight articles of dress around the neck or waist, or
from prolonged stooping, or keeping the head in a dependent position;
intense study; blows on the head; the use of opiates; baths at too
high a temperature; violent vomiting, or strong muscular efforts; the
suppression of habitual discharges; exposure to the rays of the sun;
extremes of temperature; accidental loss of blood, or excessive vene-
Sect1On.
Premonitory Stage.
Treatment. Homoeopathy possesses many remedies, by means of
which it is frequently possible to ward off an impending attack of
Apoplexy.
In order the better to facilitate the selection of the appropriate
medicine, inasmuch as the immediately exciting cause frequently serves
to modify the course to be adopted, the subjoined table of medicines,
especially appropriate for the treatment of cases distinctly traced to
particular causes, has been pre-attached to the distinctive indications
afforded for each medicine, separately, further on this article.
But it is at the same time necessary to caution the reader against
holding the cause as paramount to the particular indications present,
jor the cause is ever the subordinate reason for selection. But when
any one of the remedies named as appropriate for the treatment of
cases traceable to PARTICULAR CAUSES, is also found upon reference to
PARTICULAR AND DISTINCTIVE INDICATIONS, to correspond with the re-
quirements of the case, we have thus ascertained a double reason for
being assured that the selection is correct.
INDICATIONS AFFORDED BY PARTICULAR CAUSEs,
during the Presence of premonitory Symptoms.
When the attack is directly traced to a CHILL, select especially
from: * Aconitum, Opium, Nuaº-vomica, and MERCURIUs.
When the attack is traceable to a suppEN FRIGHT, select especially
either:* Aconitum or OPIUM, or both alternately.
When CONCENTRATED GRIEF is ascertained to be the exciting cause,
select especially from : * IGNATIA and Lachesis.
When SEDENTARY HABITS or over-application to STUDY is distin-
guished as the exciting cause, select especially: * Wua:-vomica.
When the attack is directly traced to a FIT OF PASSION, select espe-
cially from: * Aconitum, BRYONIA, and Nua:-vomica.
When ExcESSIVE JOY is distinguished as the exciting cause, select
especially from: * CoFFEA and Opium.
* The selection from one or more of the medicines thus enumerated, must, how-
ever, as already observed, depend upon the correspondence between the symptoms of
the case, and those hereinafter enumerated in respect of each of these medicines
separately. But if the indications for two or more medicines (hereafter afforded) be
so closely identical as not to be decisive between them,--whereas both are not appli-
cable to the treatment of cases arising from the same cause,_then this discrepancy
will be decisive between them if the cause be clearly ascertained.
APOPLEXY. 411
When the attack is directly traced to over-INDULGENCE in vinous
and spirituous liquors, select especially from : * NUx-vOMICA, Opium,
LACHESIs, and Pulsatilla.
When DERANGEMENT from overloading the STOMACH is recognised
as the exciting cause, select especially from : * PULSATILLA, IPECA-
CUANHA, and Nua:-vomica.
When Exposure. To THE SUN or a HOT BATH (too hot) is distinguished
as the exciting cause, select especially from : * BELLADONNA and Aco-
nite, or both alternately.
When the attack is directly traced to suppEEssion of an habitual
EV ACUATION OF BLOOD, select especially from : * Wua:-vomica and PUL-
SATILLA.
Aconitum is required in all cases where there are evident symp-
toms of fullness of the vessels, determination of blood to the head,
characterized by redness and fullness of the face, distension of the
veins of the forehead, quick, full pulse, restlessness, and anxiety.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change; but if, after three
doses have been given, the improvement does not become speedily progres-
sive, proceed with the next medicine.
Belladonna is of essential service when the symptoms of congestion
do not speedily or thoroughly yield to Aconite, or should only a partial
degree of amelioration have taken place, in which case this remedy
should be administered four hours after the last dose of the foregoing,
—or further, should the following symptoms present themselves: red-
ness and bloatedness of the face, injection of the conjunctiva (the
mucous membrane which lines the eyelids, and covers the front of the
eyeball), violent beating of the arteries of the neck and temples, noises
in the ears, darting pains in the head, with violent pressure at the fore-
head, increased by movement, the least noise or bright light; double
vision, and almost all the symptoms relative to the eyes already men-
tioned; dryness of the nose, with unpleasant smell and bleeding of the
nose; fiery redness of the throat; difficulty of swallowing; slight
attacks of paralytic weakness or heaviness in the limbs.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful (or two globules dry on the tongue) every six hours, until ame-
lioration or change. It is essential to watch the case closely for indications
of medicinal aggravation (in respect of which see pp. 60, 61), or for new symp-
toms, upon the earliest appearance of which the administration should at once
be suspended.
Nux-vomica is particularly suited to cases in which the Apoplexy
threatens individuals of sedentary habits, addicted to the use of ardent
spirits or too great an indulgence in the pleasures of the table, or in
those who have long been affected with indigestion, either bilious or
nervous, and have consequently more or less of the rheumatic or gouty
constitutional tendency; and also when the following symptoms pre-
sent themselves: headache deep-seated or frontal, but more especially
at the right side, with giddiness, confusion, and humming in the ears;
* See note on page 410.
412 APOPLEXY.
nausea; and inclination to vomit; turgescence of the superficial vessels
of the face, or redness only of one cheek; drowsiness; feeling of
languor, with great disinclination to exertion, either mental or bodily;
cramps of the limbs, especially at night, and weakness in the joints;
constipation, and difficulty in passing water; irritability of temper;
aggravation of the symptoms in the morning, or after a meal, and also
in the open air; bilious, sanguine, or nervous temperament.
Dose : A solution of six globules, as directed for Belladonna; but, if only partial
improvement is effected, within three hours after the fourth dose, pause three
hours longer, and proceed with the next medicine.
Cocculus is sometimes very serviceable in cases when Nua:-vomica
produces only partial amendment, and when nausea and giddiness
constitute the prominent symptoms; in such cases this remedy should
be given six hours after the fourth dose of the foregoing.
Dose : A solution of six globules to two table-spoonfuls of water, administered
by a tea-spoonful every six hours, until manifest improvement or change.
Pulsatilla is indicated under nearly similar conditions as Wuz-
vomica, with these distinctions: the symptoms are generally increased
towards evening, the spirits are depressed, and the patient is more
sensitive than irritable or passionate. Pulsatilla is moreover more
especially adapted to persons of lymphatic temperament, and to
females who suffer from irregularity or suppression of the menstrual
discharge.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until improvement or change.
Opium is a more important remedy in almost all severe attacks, but
particularly in old people, when we find the following symptoms:
marked congestion to the head, indicated by stupor, giddiness, heavi-
ness in the head, and violent pressure in the forehead; singing in the
ears and obtuseness of hearing; sleeplessness, or agitating dreams, or
frequent and almost overpowering drowsiness during the day; redness
of the face, and constipation; pulse slow, but full.
JDose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful (or two globules dry on the tongue), every two hours, until amelio-
ration or change. Where the symptoms are less urgent, and have been of
some duration, four globules may be given in a table-spoonful of water
morning and evening, for four days, followed by a pause of four days, at the
expiration of which the course may be renewed, if needful, or another remedy
selected, in accordance with the reinaining or altered symptoms.
Lachesis is indicated by many of the same symptoms which have
been enumerated under the head of Wua-v., together with the follow-
ing distinctive characteristics: frequent abstraction of mind, or giddi-
ness with congestion: pains deep in the brain, or severe aching pains
at the left side of the head, and lowness of spirits; face pale and
puſſy, or turgid and somewhat livid; stiffness of the joints; pulse weak
and slow.
Dose : A solution of six globules as directed for Opium.
Ignatia is also indicated by many of the symptoms mentioned
under the head of Nua:-vomica, but it is chiefly called for when de-
APOPLEXY. 413
pressing emotions (particularly severe and protracted grief) have been
the exciting cause, and when the person affected is of nervous tem-
perament.
Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
INDICATIONS AFFORDED BY PARTICULAR CAUSEs,
wpon the Occurrence of an Attack.
When MECHANICAL INJURIES or violent muscular exertions are dis-
tinguished as the immediate causes of the attack, select especially
from : ARNICA, Aconitum, and Belladonna (sometimes alternated).
When the attack is immediately traced to IMPEDED CIRCULATION,
occasioned by a tight neckcloth, tight lacing, and the like, prolonged
stooping, or retention of the head in a dependent position, select espe-
cially: OPIUM.
When the attack is immediately traced to Loss of BLOOD, select
especially from : CHINA, Nual-vomica, Lachesis, and Cocculus.
Aconitum. There are few cases in which this remedy is not more
or less useful at the onset of the attack. The following symptoms are,
however, its more immediate indications: marked signs of active febrile
excitement, characterized by full, quick, and strong pulse, heat of skin,
flushed face, &c. g
Dose : Three globules in a tea-spoonful of water, or dry on the tongue, repeated
at intervals of two hours, until the flushing and other febrile symptoms abate.
Opium is held as a most important remedy in all cases of Apoplexy,
when the disease has attained considerable height. It is one of the
best remedies to commence with, when the attack has arisen from ex-
cess in drinking, and the symptoms are as follow : slow, stertorous
breathing; red and bloated face; heat of the face and head, which
latter is also covered with sweat; insensible and dilated pupils; stupor;
rigidity of the entire frame, or convulsive movements and trembling
in the extremities; foaming at the mouth. In elderly persons, Opium
is as has already been stated, a remedy of primary importance.
Dose: Three globules in a tea-spoonful of water, or dry on the tongue, every
quarter of an hour, until the more alarming symptoms subside, and then
every two hours, until a general and manifest improvement or change results.
Nux-vomica has been found of great service in completing the
cure after the previous use of the above remedy; but may also be ad-
ministered at the commencement, when the attack has occurred in an
individual of bilious, Sangwine, or nervous temperament, and of irri-
table temper, in consequence of over-indulgence in vinous or spirituous
liquors; or when the attack has resulted during or after a fit of passion,
and the patient appears in a state of drowsiness approaching to stupor;
the breathing stertorous; eyes dull and glassy; face bloated and red,
or pale and puffy; hanging of the lower jaw, with copious secretion
of saliva; paralysis, particularly of the inferior extremities; paralysis
of the whole of one side.
Dose : Three globules, as directed for Opium.
Lachesis is also a valuable remedy in this disease, especially when
414 APOPLEPY.
occurring in habitual drunkards; or in choleric, hypochondriacal per.
sons, or those who are frequently affected with melancholy, and are
of a spare habit, or of exhausted constitution, with drowsiness or loss
of consciousness, lividity, or, on the contrary, paleness and puffiness of
the face, convulsive movements or tremor in the extremities; stupor,
or paralysis, especially of the left side: pulse weak and slow.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful (or otherwise three globules dry on the tongue) every quarter of an
hour, until the lividity, fremor, and tardiness of pulse cease to be prominently
manifested, and then every three hours, until the patient exhibits symptoms
of returning consciousness; but, if after these results have accrued, the semi-
lateral paralysis should continue, proceed with similar doses every twelve
hours until general improvement or change.
Arnica. Apoplexy, with loss of consciousness (drowsiness or
stupor); stertorous breathing; moaning or inarticulate muttering; in-
voluntary evacuations; paralysis of the eactremities, or of the left side;
pulse strong and full.
Dose : A solution of six globules to two table-spoonfuls of water, or two glo-
bules dry, as directed for Lachesis.
Belladonna, Red, turgid, swollen face, with fullness and violent
throbbing of the vessels of the head and neck; dilated, immovable
pupils, lethargy, loss of consciousness; the patient lies speechless, with
the mouth drawn to one side; convulsive movements of the limbs or
facial muscles; paralysis of one side, particularly the right; impeded
deglutition; foaming at the mouth.
Dose : A solution of six globules to two table-spoonfuls of water, or three glo-
bules dry on the tongue, as directed for Lachesis.
Pulsatilla. Lethargy, loss of consciousness; bloated and bluish-
red, or pale and puffy face, occurring after a full meal, which has been
hurriedly swallowed; or sudden loss of the power of movement; pal-
pitation of the heart; with pulse almost entirely suppressed, snoring
respiration; especially for persons of phlegmatic temperament.
The alternate employment of Pulsatilla and Ipecacuanha is some-
times of great service when surcharge of the stomach and want of
proper mastication are recognised as the exciting causes.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful (or otherwise three globules dry on the tongue), every
half hour, until the pulse improves, and afterwards every two hours, until
general improvement or change ; but if within half an hour after the second
dose the urgent symptoms (of pulse, &c.) remain but little moderated, con-
sider the subjoined medicine, and also whether its alternate or single adminis-
tration be advisable If in alternation with Ipecacuanha, a similar solution
(separately) of each (or three globules dry), administered by tea-spoonfuls in
rotation, at intervals of a quarter of an hour, until manifest improvement or
change.
Ipecacuanha is equally indicated when the attack has arisen from
a full and hurried meal, and may therefore be employed after, or in
alternation with, Pulsatilla, should the latter remedy not afford speedy
relief.
Dose : In every respect as directed for Pulsatilla.
Baryta-carbonica. This remedy, like Opium, is peculiarly well
INFLAMMATION OF THE BRAIN. 415
adapted to the treatment of many of the affections of old people. It
has accordingly, like the latter medicine, been found very serviceable,
when the serious affection, at present under consideration, is met with
in patients of advanced age, particularly when the following symptoms
are encountered: lethargy, with moaning and muttering; circumscribed
redness of the cheeks; mouth drawn to one side; paralysis of the
tongue, or of the upper extremities; paralysis of one side (the right);
confusion of ideas; childish manners.
Dose : Three globules dry on the tongue (in most cases characterized by para-
lysis of that organ), or, sometimes, dissolved in a tea-spoonful of water,
every half hour, until the more urgent symptoms relax, and then every three
hours, until general improvement or change becomes manifest.
Paralysis resulting from Apopleaſy.
Belladonna, Rhus, Lachesis, Stramonium. These are
amongst the most valuable medicines which are available for cases of
paralysis remaining as the sequel of an Apoplectic fit. But inasmuch
as the direct exciting cause of the attack (if ascertained) may modify
the method of treatment, the reader is recommended to refer to the
two tables in the foregoing portion of this article (pp. 410 and 413),
exhibiting the medicines especially appropriate for the treatment of
attacks of Apoplexy traced to particular causes, and, if consistent with
the general or particular symptoms of the case, to select accordingly.
ACCESSORY MEASURES.
During the paroxysm of Apoplexy, the patient ought to be placed
in a cool room, with the head raised, or put, in short, in such a position
as will least favor determination of blood to the head. The clothes
ought to be loosened, especially about the neck; and the feet or legs
allowed to hang down. It may also be useful to increase the force of
the circulation in the lower extremities by means of friction, and by
applying hot water in bottles and flannels, or putting the feet in warm
water. An injection of tepid water may be employed when the bowels
are loaded and the belly feels hard and distended.
Diet and Regimen. Water, toast-and-water, barley- or rice-water
may be given from time to time in spoonfuls, when the patient makes
signs indicative of thirst. When recovery sets in, nourishment must
be cautiously administered. Refer, moreover, to the directions afforded
in these respects in the general article on FEVER.
INIFLAMIMIATION OF THE BRAIN AND ITS TISSUES.
IBRAIN FEVER.
Symptoms. Drowsiness or constant delirium, or both, with signs
of determination of blood to the head; fullness and redness of the face
and eyes; beating of the arteries of the neck and temples; occasional
attempts to grasp the head.
In inflammation of the brain or its membranes, the symptoms are
prone to be exceedingly diversified; the extent and duration of the
disease, the age, the sex, and constitution of the patient, all combine
416 INFLAMMATION OF THE BRAIN.
to give to the affection a variety of character. Much assistance may
be derived, in ascertaining whether the brain is affected or not, from
examining the eyes and general expression of the countenance. The
pupils in the first stages are commonly found more or less contracted,
but as the disease advances they often become dilated. Occasionally
the attack is preceded by premonitory symptoms, such as congestion
of blood to the head, attended with sensation of weight or stupefying,
pressive, constrictive, and sometimes shooting pains in the head. In
some instances slight feverish symptoms are complained of, with ring-
ing in the ears for about the space of a week; giddiness, and a sense
of weight on the crown of the head; pulse rather quick, and the heat
of the skin somewhat increased at night, attended with restlessness
and a difficulty of lying long in one position; moreover, the patient is
observed to be irritable and annoyed at trifles; anomalies in the mental
powers may next be observed, such as obstupefaction, drowsiness, with
slight delirium: or a high degree of excitement, in which the patient
is affected by the slightest noise, and the eyes have a brilliant and
animated expression, or are bloodshot, and intolerant of light, with
fiery redness of the face; violent delirium. According to the seat of
the inflammation, or the constitution of the patient, the accompanying
fever is of greater or less intensity; the pulse is very variable in the
course of the same day; it may be regular, intermitting, quick and
weak, or very slow and strong. A very slow or a very quick pulse
generally indicates danger. The patient frequently complains of heat
in the head, whereas the extremities are cold; and there is, commonly,
a considerable degree of prostration both of body and mind. When
there is stupor, or a tendency to it, the eyes look heavy and void of
all expression; vomiting sometimes takes place, and proves very in-
tractable; the stupor becomes more profound, convulsions appear, and
death sooner or later ensues. The peculiar and delicate structure of
the brain and its membranes in children, renders them much more sus-
ceptible of the attacks of this serious disease, and great attention
ought to be paid to the following symptoms: heaviness and tendency
of the head to gravitate backwards, attended with pain, (of which
latter circumstance we are sometimes made aware, in very young chil-
dren, by the little sufferer frequently raising its hands to the head;)
alternations of temper; intolerance of light; nausea, occasionally fol-
lowed by vomiting; tendency to costiveness; drowsiness; wakefulness,
or starting during sleep. Secondly, continued boring of the head
against the pillow; a high state of excitement, in which the slightest
noise, or ray of light, throws the child into a fit of screaming, or a
state of discontentment; heavy sleep; great heat in the head; redness
and swelling of the face, with perceptible throbbing in the vessels of
the head and neck; great agitation, with continued tossing about,
especially at night; eyes red, sparkling, convulsed, or fixed ; pupils
immovable, and generally dilated. ©
Distinctive Characteristics. When it is caused by inflammation
of the tissues, the pain is more acute than that arising from inflamma-
tion of the substance of the Brain
INFLAMMATION OF THE BRAIN. 417
Results. Paralysis is more frequently associated with inflammation
of the substance than with that of the tissues of the Brain.
Exciting Causes. Anything tending to irritate the brain, such as
extremes of heat or cold; the abuse of ardent spirits; external injuries
of the head; concussions from falls; mental emotions, or over-exertion
of the faculties; excesses of all kinds; sanguineous congestion; the
sudden transition of disease from another part or organ; contagious
diseases; repressed eruptions, &c.
TREATMENT.
With regard to the treatment of this disease, we may premise by
stating that medical aid should always be procured, if within reach;
but when it is impossible or difficult to secure such assistance, the ſol-
lowing remedies may be resorted to:
Aconite is invariably required at the commencement of the attack,
when the skin is hot and dry, and the pulse rapid, with the ordinary
indications of pure Inflammatory Fever, which is especially liable to
be the case in young plethoric subjects.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until the pulse diminishes in force
and frequency, and the skin becomes moist or covered with profuse perspi-
ration ; after which the intervals may be extended to six hours, and the
administration be proceeded with, if no other medicine appears to be indi-
cated, until general and progressive improvement becomes apparent. But if
any of the subjoined symptoms remain or supervene, consider the following
medicines, and select that which is indicated by the symptoms present.
Belladonna seems to possess a certain specific influence over in-
flammation of the brain and its membranes, and is generally the
remedy we should select, when the following, amongst other symp-
toms, present themselves: great heat of the head; redness and bloated-
ness of the face, with violent pulsation of the arteries of the neck;
burying the head in the pillow, and increase of suffering from the
slightest noise, with extreme sensibility to light; violent shooting and
burning pains in the head; eyes red and sparkling, with protrusion or
wild ea pression; contraction or dilatation of the pupils; violent and
furious delirium; loss of consciousness; sometimes low muttering;
convulsions,—occasionally symptomatic hydrophobia; vomiting; in-
voluntary evacuations of faeces and urine.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change. In the event of dis-
tinct medicinal aggravation (respecting which, see pages 57, 58), the adminis-
tration should be suspended until the reaction has taken place. But if dis-
tinct improvement supervene (without intervening apparent aggravation), the
intervals should be extended to six hours, and, again, after two more doses,—
if the amelioration be regularly progressive—to eight hours; and so on, until
permanent improvement or change. But, in very urgent cases, and when
repeated doses of Belladonna have produced inadequate results, consider the
next medicine, and proceed accordingly. If in alternation with Zincum, a
similar solution of each (separately) administered by tea-spoonfuls, at inter-
vals of half an hour (or even of fifteen minutes), in rotation, until the urgent
symptoms abate,
Zincum may be had recourse to, after, or in alternation with Bella-
donna, when that remedy effects only partial amendment. In those
27
418 INFLAMMATION OF THE BRAIN.
extreme cases where symptoms of threatening paralysis of the Brain
are manifested by the following indications: loss of consciousness—
half-closed eyes—dilated, insensible pupils–icy coldness of the eatre-
mities, or of the entire surface of the body—blueness of the hands and
..ſeet; impeded respiration; small, weak, scarcely-perceptible pulse,_
Zincum has been found occasionally effectual in averting a fatal issue.
Dose : If singly, dissolve six globules in three tea-spoonfuls of water, and give
a tea spoonful of the solution (or otherwise, three globules dry on the tongue),
every hour (or in very urgent cases even every quarter of an hour), until the
lividily and coldness, and the indications of the pulse assume a more natural
aspect, and then every three hours, until general improvement or change.
If in alternation with Belladonna, as directed for that medicine (above).
Bryonia. This remedy will frequently be found of great efficacy in
children, when Aconite and Belladonna have produced but trivial im-
provement, and the symptoms manifested resemble those enumerated
in the article on WATER IN THE IIEAD.
Dose : Dissolve six globules in four tea-spoonfuls of water, and give a tea-
tea-spoonful of the solution every four hours, until amelioration or change;
but if partial improvement only should become apparent within four hours
after the third dose of Bryonia, pause two hours longer, and proceed with the
next medicine.
Helleborus-niger is required after Bryonia in cases exhibiting the
characteristic features of Water in the Head, when the last-named
medicine has been inadequate to overcome the disease. In such cases,
and when partial improvement only has resulted from the previous ad-
ministration of Bryonia, Helleborus should be given six hours after
the third dose of the last-named medicine.
Dose : As directed for Bryonia.
Hyoscyamus is appropriate when there are, drowsiness, loss of
consciousness, delirium about one's own affairs—inarticulate speech—
tongue coated white, with frothy mucus about the lips—dilatation of
the pupils—fixedness of vision—skin dry and parched—redness of the
face, and picking of the bed clothes with the fingers.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Opium. When there is lethargic sleep, with snoring respiration;
half-open eyes, and confusion or giddiness after waking; congestion of
blood to the head; complete apathy and absence of complaint.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful (or otherwise three globules dry on the tongue), every hour, until
amelioration or change.
Stramonium. When there is starting or jerking in the limbs;
sleep almost natural, followed by absence of mind after waking, but
‘sometimes attended with moaning and tossing about ; vision fixed, and
the patient frequently appears in a state of dread, and utters cries;
redness of the face; feverish heat, with moisture of the skin. In many
of the symptoms this remedy bears a close resemblance to Belladonna,
with the exception of being indicated by signs of a more spasmodic
character, and by less acute pain in the head.
Dose : As directed for Hyoscyamus.
INFLAMMATION OF THE RFAIN. 419
Cuprum-aceticum. The value of this remedy in cases of reper-
cussed eruptions, and the consequences arising therefrom, has been
already noticed in the articles on ScARLET RASH, MEASLEs, &c.; under
the head of which also some of the symptoms indicating its employ-
ment are commented upon : it is also called for in a peculiarly sensitive
or irritable rather than an inflammatory state of the brain, which not
unfrequently appears in children, during the course of catarrhal fever
or difficult teething, of which affection the following are the symp-
toms: at the commencement crossness or fretfulness, or apathy and
indifference; sleep disturbed and restless. As the disease gains
ground, drowsiness, with inability to sleep; incapability of holding the
head erect, and flushing of the face; dryness of the mouth without
increase of thirst; disgust of food, nausea, and even vomiting; torpor
of the bowels, rarely diarrhoea; shudderings, followed by heat; and
occasionally burning; unfrequent perspiration; pulse variable, gene-
rally rather accelerated and full; exacerbations and fever towards and
at night; twitchings of the tendons, and grinding of the teeth during
the exacerbations. :
Dose : Dissolve six globules in four tea-spoonfuls of water, and give a tea-
spoonful of the solution every four hours, until the more immediate symp-
toms yield; and then at intervals of six hours, until general improvement or
change ensues.
Brain Fever from Check of an Eruption.
Cuprum-aceticum is, as above stated, and as previously mentioned
in the article on SCARLET RASH (p. 158), and on MEASLEs (p. 162), &c.,
a medicine which has frequently proved successful in promoting the
re-evolution of the eruption whilst it simultaneously operates specifi-
cally upon the seat of disease.
Dose : Three globules in a tea-spoonful of water every six hours, until the erup-
tion begins to re-appear, and the symptoms of cerebral disturbance to sub-
side; and subsequently every twelve hours, until general amelioration or
change. If, however, partial amelioration only be the result of repeated
doses of Cuprum, consider the subjoined medicines.
Belladonna, Rhus, Lachesis, Mercurius. One or more of these
medicines (all of which are of great importance in cases of this nature)
may be required when Brain Fever occurs as the result of a checked
eruption. Particular indications for each, respectively, may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of the remedy selected, give three globules, as directed for Cuprum-acct.
Brain Fever from Sun-Stroke.
Tincture of Camphor when administered upon the earliest de-
velopment of symptoms of Inflammation of the Brain, after prolonged
exposure to the direct rays of a hot sun, may be numbered amon gst
the most effective of remedial agents. Additional and especial indi-
cations for its administration may be gathered from the article on
“CHARACTERISTIC EFFECTS.”
Dose : One drop of the saturated tincture on a small lump of fine loaf-sugar, or
in a sufficiency of sugar of milk, every hour, until the symptoms abate or
assume a character distinctly indicating another medicine.
420 INFLAMMATION OF THE BRAIN.
Arnica. As directed for Cuprum. Also external application of
the Tincture. See Wounds.
Aconitum in particular is required at the onset when the attack
sets in with marked symptoms of inflammatory fever.
Dose: In alternation, as directed under the head of Belladonna (p. 417) in the
previous part of this article.
Brain Fever from a violent Chill in the Head.
Aconitum, Bryonia, Arsenicum, Hyoscyamus. Aconitum
followed by one or more of the other medicines here enumerated, is
required in those cases of Inflammation of the Brain (of occasional
occurrence), which result from violent chill in the head. Aconitum
is, as already stated in the earlier portion of this article, (p. 417), ap-
propriate at the onset (in most cases), but especially when the symp-
toms of inflammatory fever are well defined and prominently developed.
The subsequent employment of one or more of the others should be
governed by the indications present, and by those which have been
mentioned as characterizing each of these remedies separately (in the
previous part of this article—pp. 417,418), as well as by such detailed
distinctive particulars as may be gathered from the article on “CHA-
RACTERISTIC EFFECTs.”
Dose : See pp. 417,418 under the head of Aconitum, Bryonia, Belladonna, and
Hyoscyamus.
JBrain Fever from suppressed Discharge from the Ear.
Sulphur or Pulsatilla will be found most efficacious in removing
the cause of irritation, and thus allaying the inflammatory action.
{º
Dose : Of either medicine, as selected, give three globules in a tea-spoonful of
water every four hours, until the discharge in a degree returns, and the in-
flammatory symptoms accordingly abate; and then at intervals of six hours,
until general and decided improvement ensues.
JBrain Fever from Easternal Injuries.
Dose: Of Arnica, dissolve eight globules in three table-spoonfuls of water, and
give a tea-spoonful of the solution every thre hours, until improvement or
change ; but if the successive employment of Belladonna or Mercurius (or both)
become needful pause six hours after the last dose of Arnica, and proceed
with similar doses of the next selected, at intervals of three hours; and so on,
until manifest improvement or change results. -
JBrain Fever from Abuse of Ardent Spirits.
Opium, Lachesis, Sulphur, Calcarea. One or more of these
medicines according to the distinctive indications afforded in the pre-
vious part of this article and in that on “CHARACTERISTIC EFFECTs,”
may be named as most appropriate for the treatment of cases of
Inflammation of the Brain, which can be distinctly traced to such a
Call Se.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea.
spoonful of the solution every four hours. until amelioration or change. In
cases in which Lachesis and Opium (particularly) are indicated, and after the
more violent symptoms have yielded to their influence, the administration
should be continued at intervals of six hours, until three more doses have
TETANUS. 421
been given—and subsequently, again, night and morning, until all traces of
inconvenience have been removed.
Drain Fever from Eaccessive Mental Application.
Belladonna is the remedy which may be named as most commonly
appropriate for the treatment of cases of this nature.
Dose: In every respect, as directed for the same medicine in the earlier part of
this article (p. 417).
Irritation of the Brain occasioned by Worms.
Cina is a medicine of great service in cases of the irritation of the
Brain occurring amongst children afflicted with Worms.
Dose : Two globules in a tea-spoonful of water, night and morning, for four
days (or until the earlier development of distinct improvement or change);
then pause two days (or longer—according to circumstances), resuming as
soon as any signs of a relapse sets in, and so on, until permanent amelioration
or change.
AFTER-EFFECTS OF INFLAIMIMIATION OF THE BRAIN.
JProtracted or Chronic Cases.
Sulphur, Helleborus-nig, Arsenicum, Lâchesis. The par-
ticular indications which should lead to the selection of one or more
in particular, may be gathered from the article on “CHARACTERISTIC
EFFECTS.”
Dose : Of either of these medicines respectively (as selected), give three glo-
bules in a tea-spoonful of water, morning and evening for a week (or until
the earlier development of new symptoms, improvement or change); then pause
a week; after which the course may be resumed as before, if necessary, and
so on, until permanent improvement or change.
Diet and Regimen. In the first stage drinks are alone required.
They should consist of water, or toast-water. In these particulars, how-
ever, the regulations prescribed for the treatment of FEVERs in general,
and of Inflammatory Fever in particular, are equally applicable to the
management of cases of Brain Fever.
TETANUS.
This is a disease characterized by a general spasmodic rigidity of the
muscles.
Varieties. 1. what is termed lockjaw; 2. that in which the body
is drawn or bent backwards by the spasmodic contraction of the
muscles, sometimes to such a degree that the back of the head touches
the heel, which is of the most frequent occurrence; 3. that in which
the body is bent forwards, a rare form of the disease; 4. that in which
the body is bent to one side, a still more rare variety.
Causes. The disorder is chiefly occasioned either by exposure to
cold (idiopathic tetanus), or by some irritation of the nerves resulting
from local injury, particularly of tendinous parts (traumatic tetanus).
It is of much more frequent occurrence in warm than in cold climates.
In this and in other climates, the amputation of a limb, or the twitch-
422 TETANU.S.
ing of a nerve by a ligature, are not unfrequent sources of its occur.
rence. When it takes place, in consequence of such a cause, or of
any other external injury, the symptoms generally set in about the
eighth day, and, sometimes later; but when it supervenes on exposure
to cold, they usually declare themselves much earlier.
Symptoms. In some cases the attack comes on suddenly, and
with extreme violence; but it more generally approaches in a gradual
manner; a slight stiffness being at first experienced in the back part
of the neck, together with an uneasy sensation at the root of the
tongue, and a difficulty in performing the act of deglutition; an op-
pressive tightness is complained of in the chest, with a pain at the
inferior extremity of the breast-bone, or the pit of the stomach, ex-
tending into the back; the respiration is impeded; the countenance
pale, pulse small, bowels constipated, and urine high-colored; a stiffness
also takes place in the lower jaw, which ere long increases to such an
extent, and compresses the jaws so closely and firmly, that the smallest
opening is unattainable, and the patient is now afflicted with what is
termed lock-jaw. In some instances, the spasmodic contractions pro-
ceed no further; in others they return with great frequency and in-
creased severity, and also extend to the arms, the muscles of the belly,
the back, and inferior extremities, so as to bend the body forcibly in
one or other of the directions before stated. Finally, the arms, lower
extremities, head, and trunk become rigidly extended, from an equi-
poised spasmodic action of the flexor and extensor muscles. The
tongue is also seized with spasm, and is, not unfrequently, injured by
the teeth becoming clenched together, just as it happens to be con-
vulsively darted out.
As the affection advances, the eyes becomes fixed and immoveable,
the whole countenance frightfully distorted and expressive of extreme
anguish, the pulse irregular, the strength completely exhausted, and a
termination is put to the sufferings, generally about the fourth day in
acute cases, by one concentrated spasm. In some cases the fatal ter-
mination is protracted considerably beyond the stated period.
TREATMENT.
Belladonna is one of the most important medicines in the treat-
ment of this disease, particularly in idiopathic tetanus, properly so
called, or in lock-jaw; it has also proved useful in the traumatic variety
as well, after the previous employment of Arnica. It is principally
indicated when a sensation of constriction is experienced in the throat,
with tightness of the chest, grinding of the teeth, spasmodic clenching
of the jaws, distortion of the mouth, foaming, obstructed deglutition,
and a renewal or exacerbation of the paroxysms on attempting to
drink. In some cases of lockjaw, the alternate use of Belladonna
and Lachesis or of Belladonna and Cicuta-virosa has been found
necessary.
Dose : If it be possible to introduce the medicine into the mouth, give four glo-
bules in a tea-spoonful of water, or dry on the tongue, at intervals of four
hours, until a degree of relaxation becomes apparent, and, subsequently,
morning and evening, until some decided beneficial result or change. If it be
TETANU.S. 423
impossible to introduce the medicine into the mouth, dissolve twelve globules
in a wine-glassful of water, and moisten the lips and nostrils with this solu-
tion, or cause the patient to inhale it through the nostrils, from the bottle in
which the globules of Belladonna or of one of the subjoined Inedicines as
selected for administration are dissolved But if no apparent effect ensue
within forty-eight hours, consider the following medicines.
Lachesis is sometimes required after the previous administration
of Belladonna, or in alternation with that medicine in cases of lockjaw.
Dose : As directed for Belladonna ; consider also the next medicine.
Cicuta-virosa is also appropriate either after the previous admi-
nistration of Belladonna or in alternation with that medicine, in some
cases of lock-jaw.
Dose : As directed for Belladonna.
Arnica-montana. In cases of traumatic tetanus, which is by far
the most fatal variety, this remedy is, in very many instances, the most
appropriate to commence with, and, besides its internal administration,
should be applied externally in the form of an extremely weak lotion.
Any local irritation which may seem to have excited the disease, ought,
at the same time, if possible, to be carefully removed.
Dose (internal) : Four globules in a tea-spoonful of water, or dry on the tongue,
every two hours—or otherwise applied in solution to the lips and nostrils (as
directed for Belladonna—above), until manifest improvement or change. But
if no apparent benefit be effected in the course of twenty-four hours, pause
six hours after the last dose, and proceed with the next medicine.
Application (external) : To half a pint of water add one tea-spoonful of the con-
centrated Tincture of Arnica, and bathe the injured parts freely with this
lotion every two hours, so long as the internal exhibition of the same remedy
is continued (that is, only until relaxation of the contracted muscles ensues).
Opium has proved extremely useful in some of the severest forms
in which the body is bent backwards arising from cold; but, as above
stated, it is also valuable in traumatic tetanus, in which latter case it
should be promptly employed (as just directed), if, within twenty-four
hours after treatment had been commenced with Arnica, no apparent .
benefit should have been effected by the last-named medicine. Opium
is also distinctively indicated when fright has been the exciting cause.
Dose : Four globules as directed for Arnica; but if no apparent benefit be
effected in the course of twelve hours, pause six hours, and proceed with the
next medicine.
Hyoscyamus should be employed six hours after the last dose of
Opium, when that medicine has also been incapable of producing the
desired effect.
Dose : Four globules, as directed for Arnica.
Rhus-tox, Ignatia. These two remedies singly, alternately, or
successively, have been found very efficacious in severe cases, in which
the body has been bent up (backwards) in the form of an arch, and
on some occasions with the back of the head touching the heels; (the
latter remedy particularly when the complaint has arisen from terror
the former when it has been caused by wounds of the joints or
tendons).
424 IETRYSIPEI, AS.
Dose : If singly, of either remedy as selected, administer four globules in a tea-
spoonful of water (or dry on the tongue), if either method be practicable,_
every half hour, until a degree of relaxation takes place, and, afterwards,
every two hours, until the position becomes natural. If in alternation, the
like dose of each in rotation, at intervals, first of an hour, and then of six
hours; consider, also, the directions prescribed for the exhibition of Bella-
donna.
Mercurius has frequently succeeded in curing inflammatory lock-
jaw, with swelling of the angle of the lower jaw, and tension of the
muscles of the throat and neck, from cold.
Dose : As directed for Rhus or Ignatia.
ADDITIONAL PARTICULARS.
Of the Administration. In those cases in which it is impossible
to introduce tire medicines into the mouth, and in which neither the
inhalation through the nostrils, nor the moistening of the lips or nostrils
with the medicinal solutions proves of any avail, it may be found ad-
vantageous to have recourse to the injection of the medicines after the
subjoined method.
The Enema. Of any of the medicines prescribed according to
the symptoms present (the above-stated indications being of equally
distinctive application for this method of treatment), add twenty drops
of the tincture at the second dilution (excepting Mercurius and
Lachesis, and these at the fifth dilution) to half-a-pint of water, and
inject one half pint of this solution, repeating the injection after the
lapse of six hours, if necessary.
Diet and Regimen. In respect of diet (except in cases attended
with local or constitutional inflammatory action), inasmuch as the in-
capability of receiving food is more to be dreaded than the food itself,
the patient may be suffered or encouraged to gratify his own taste (if
any preference be manifested), so long as the food selected is plain,
wholesome, and easy of digestion.
In lockjaw the employment of nutritious enemata (injections) is
frequently necessary.
CUTANEOUS DISEASES.
IERYSIPELAS.—ST. ANTHONY'S FIRE.—ROSE.
Symptoms. The first local symptoms are heat, tingling or prick-
ing pains, with diffused swelling, tension, and deep, shining redness of
the affected part. This is, ere long, followed by pungent, burning, and
sometimes tearing or shooting pain, which is aggravated by motion or
pressure. On pressure, the redness disappears for a moment, but im-
mediately returns on removing the finger. The constitutional symp-
toms vary according to the severity of the case; they generally consist
of shiverings, succeeded by flushes of heat; sleepiness, wandering
ERYSIPELAS. 425
pains, dry tongue, nausea, oppression at the stomach, and headache;
vesications frequently arise on the affected parts, attended with in-
crease of fever. In a few days the redness changes into a yellowish
hue. When the face is attacked, the features become much disfigured
by the swellings, and delirium supervenes. The disease assumes a
very serious aspect when it affects the face and scalp, and accordingly
requires the utmost attention and discrimination in the treatment
pursued.
The hair often falls off after a severe attack of erysipelas of the face.
Causes. Derangement of the digestive functions, exposure to cold,
or powerful mental emotions; occasionally it appears during menstrua-
tion: certain kinds of food also provoke, it in some persons; for
example, lobsters, oysters, or other shell-fish.
TREATMENT.
Aconite may be required at the onset, only however in case there
be much fever, or hot, dry skin at the commencement;-or even dur-
ing the course of the disease, if required.
Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until the pulse becomes dimi-
nished in force and frequency, and the skin moist, &c., when another remedy
should be administered, in accordance with the distinctive features of the
affection.
Belladonna, when the redness expands in rays, and an acute shoot-
ing pain with heat and tingling, is experienced in the affected part,
which is aggravated by movement. Erysipelas of the face, with burn-
ing heat, excessive swelling, so that the eyes are almost closed, violent
headache, thirst, dry, hot skin, restlessness, disturbed sleep, delirium.
In such instances, Belladonna is, generally, alone sufficient to effect
a cure. There are cases, however, in which it will be found necessary
to have recourse to Lachesis or Rhw8-toacicodendron, in alternation
with Belladonna, according to the particular symptoms, or group of
symptoms present.
Dose : If singly, of a solution of six globules to two table-spoonfuls of water,
give a tea-spoonful every three hours, until amelioration or change, when
the intervals should be extended to six hours, until the symptoms are wholly
overcome, or assume distinctive features indicative of another remedy. In
cases, however, in which the symptoms possess and retain a very benign
aspect from the onset, a dose of three globules in a tea-spoonful of water, re-
peated, after the lapse of twelve hours, will usually suffice to subdue all traces
of the affection. But in those cases, of occasional occurrence, in which the
symptoms. being severe, are but little moderated, within three hours after the
fourth dose of Belladonna, consider Lachesis or Rhus, a similar solution of each
medicine, administered by tea-spoonfuls, at intervals of four hours, until ame-
lioration or change.
Rhus-toxicodendron is to be preferred particularly when the
disease manifests a tendency to extend itself to the brain and its mem-
branes, and the symptoms closely resemble those which characterize
Brain Fever, as stated at pages 415,416. It may likewise be remarked,
that Rhus is especially suitable for the treatment of erysipelas, arising
from particular kinds of food, operating upon certain individual
426 ºRYSIPELAS.
peculiarities of constitution which predispose the patient to such
attacks.
Dose : In cases of a benign description, it will suffice to º three glo-
bules in a tea-spoonful of water, and to repeat the dose after the lapse of
twelve hours. But in all severe cases, whether singly, or in alternation with
Belladonna (or even with Arsenicum), the doses should be prescribed accord-
ing to the regulations prescribed for Belladonna. If, however, after the
symptoms have been generally moderated by such course of treatment, cer-
tain manifestations indicative of Belladonna, or even of Pulsatilla (in vesicular
Erysipelas), remain or supervene, proceed with the remedy or remedies so
indicated, accordingly, after a pause of twelve hours.
Arsenicum is required either after the previous administration of
one or more of the foregoing medicines (principally), or in alternation
with Lachesis or Rhus (especially); or again singly, and at any stage
of treatment, according as the symptoms manifested offer the com-
bined characteristics of one or more of the medicines named, when
vesicles of a blackish hue, with a tendency to degenerate into a gan-
grene, present themselves; or, still more essentially, if great (and rapid)
prostration of strength occurs.
Dose : In all respects, whether singly or in alternation, as directed under the
head of Belladonna above.
Pulsatilla is more especially indicated when the hue of the skin is
less intense, or of a blueish-red, and the morbid spots frequently dis-
appear from one place to reappear in another (fugitive erysipelas). It
is furthermore appropriate when the disease affects the internal and
external ear, especially in the vesicular variety of erysipelas, and after
the employment of Rhus-toa-icodendron.
Lose : Three globules in a tea-spoonful of water, morning and evening, until
amelioration or change.
Nux-vomica is often of service in cases of erysipelas developed in
the knee or foot, and characterized by extremely painful, bright-red
swelling. It is more especially advantageous in cases of spurious ery-
sipelas, occurring in irritable subjects, particularly females, and when
mortification of the sub-cutaneous cellular tissue has ensued.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of three
hours, until the pain and other symptoms become moderated, and, afterwards,
at intervals of twelve hours, until manifest and general improvement or
change.
Bryonia is frequently useful when the disorder affects the joints ex-
clusively, and when the pain is exacerbated by the slightest movement.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change; but if, within four
hours after the third dose, the symptoms. although moderated, do not con-
tinue progressively to yield, consider the next medicine.
Sulphur is of great service after the previous employment of
Bryonia in the cases just particularized, and should be administered
twelve hours after the third dose of the last-named remedy, when the
previous treatment has not produced any amendment. Sulphur, more-
over, occurs as of great service in the majority of cases in which ery-
sipelas is either obstinately protracted, or recurs frequently; in which
ERYSIPELAS. 427
cases it may be employed in long and repeated courses (if no other
remedy be better indicated), or from time to time as an intermediary
medicine (when some other remedy is very distinctively indicated, but
does not produce adequate results).
Dose : If after the previous administration of Bryonia, to complete the cure,
give three globules in a tea-spoonful of water, repeated at intervals of twelve
hours, until manifest improvement or change. If as an intermediary medicine,
to develop the activity of one or more of the other medicines prescribed,
pause six hours, after the last dose of the medicine previously exhibited, and
then give four globules of Sulphur in a tea-spoonful of water, repeating the
dose after the lapse of six hours, and then, again, pausing twelve hours, be-
ore the re-administration of the distinctively appropriate medicine. If as an
eradicative resource in cases in which other distinctive indications are wanting,
give six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, im-
provement, or change), then pause four days, after which the course may be
resumed, as before (if necessary), and so on, until manifest and permanent
amelioration or change.
Erysipelas imperfectly Evolved.
Cuprum-aceticum is a remedy which has proved of great value
in promoting the thorough evolution or re-establishment of many
cutaneous eruptions (attended with more or less fever), and of ery-
sipelas amongst others, when it has been checked by some untoward
Cll’Cullſ).Stan Ce.
Dose : Three globules in a tea-spoonful of water, every three hours, until the
skin-symptoms begin to reappear, and the constitutional disturbance, conse-
quently, to abate ; and then every six hours, until the thorough evolution of
the erysipelatous eruption.
JFrysipelas terminating in Ulceration.
Sulphur, Arsenicum. See the article on “Ulcers.”
Susceptibility to Ersysipelas in the Face.
Belladonna, Rhus, Lachesis. When this disease is repeatedly
developed in the face, and there is, in fact, an habitual tendency to
attacks of this nature, Belladonna and Rhus (in particular), either
singly, alternately, or successively, according to circumstances, are
frequently capable of permanently removing the complaint, and of ob-
viating the return of attacks.
Dose : If singly, of either remedy. give three globules. night and morning, for a
week (as soon as the acute symptoms of an attack have been subdued); then
pause four days, after which the course may be repeated, as before, and so
on from time to time. If in alternation—give first the one (as just directed),
and then, after an interval of five days, proceed with the other, in like man-
ner, in rotation, at intervals of five days, and so on, occasionally, until the
predisposition seems conquered.
Comocladia-dentata. Soreness of the eye-balls; inflammation of
the eyes; face swollen, worse at night, and stitches in the eyes.
Dose: As directed for Cuprum-acet.
Chimney-sweeper's Cancer.
Arsenicum, Rhus. The variety of erysipelas known by this de-
428 BOILS.
nomination, is most advantageously treated with Arsenicum (especially),
or Rhºws.
Dose: Of either medicine, whether singly or in alternation, as directed in the
last prescription.
Diet and Regimen. In cases attended with inflammatory fever,
pure water, toast-water, or thin water-gruel, should alone be given at
the commencement. When the fever yields, a light vegetable diet
may be allowed, as more particularly directed in those respects, in the
general article on FEVER. If the accompanying fever is of a typhoid
kind, and the pulse begins to sink, or, if the pulse is weak from the
commencement, or, again, if the erysipelas is of a gangrenous type—a
more nutritious diet, and even wine or brandy in small quantities, fre-
Quently repeated, become necessary.
The greatest care must be observed to avoid the risk of taking cold
even during convalescence; such an accident occurring during the dis-
ease is, as is well known, frequently attended with the most dangerous
results. The troublesome itching, so frequently attendant upon ery-
sipelas, is often relieved by the application of wheaten starch, or the
flour of maize. The inflamed parts should, therefore, be copiously and
frequently sprinkled either with the one or the other, or even with
common flour.
BOILS.
Symptoms. Round, or rather cone-shaped, hard elevations, of
different sizes, slowly inflaming and suppurating, discharging matter,
generally at first tinged with blood, but still retaining a portion of
morbidly altered cellular tissue, which may form the nucleus of other
elevations, after those which appeared first have healed.
Causes. A peculiar constitutional tendency. Boils are, however,
frequently critical, as in gout; they also, sometimes, follow acute fevers
or eruptive diseases, or form the termination of chronic eruptions, such
as itch, &c.
Arnica is the most appropriate remedy against the pain, Soreness,
tenderness, and other acute symptoms (unless severe constitutional
disturbance, requiring one or more of the subjoined medicines, should
occur).
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change. If the acute symptoms promptly yield, pause forty-eight
hours, and proceed with the administration of Sulphur. But if any of the
subjoined symptoms occur, consider the following medicines, and administer
that which is appropriate to the case.
Sulphur should be given forty-eight hours after the last dose of
Arnica in cases in which the acute symptoms (pain and tenderness)
have materially yielded to the action of the last-named medicine.
Dose ; Six globules in a table-spoonful of water, every morning the first thing
(fasting), for a week (or until the earlier development of new symptoms, ini-
provement, or change); then pause four days, after which the course may, if
necessary, be repeated as before, and so on, from time to time, so long as Boils
are occasionally evolved, until their permanent removal.
Aconitum, when the boil presents an extremely inflammatory
CARBUNCLE. 429
appearance, and the affection is accompanied with considerable fever
and restlessness, is promptly efficacious in subduing these symptoms,
and may precede a more specific remedy for those which remain.
Dose : Two globules in a tea-spoonful of water, repeated, if necessary, at inter
vals of six hours, until the indicative symptoms and conditions subside.
Belladonna, should the boil have an inflamed, fiery, or erysipela-
tous, red appearance; or, moreover, should it, if situated upon the
extremities, be associated with swelling and tenderness of the glands
under the arm-pit, or upon the groin ; dry, hot skin, thirst, head-
ache, &c.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change. But if, after other improvement has accrued, the swelling
should remain predominant, pause twenty-four hours, and proceed with the
next medicine.
TMercurius is usually effectual (twenty-four hours after the last
dose of Belladonna), should the swelling refuse to yield to the last-
named remedy, after the inflammatory redness has been subdued.
Dose : As directed for Belladonna.
Hepar-sulphuris is of service, when matter has accumulated in the
Boil, in bringing the tumor to a head, and thereby curtailing and alle-
viating suffering.
Dose : As directed for Belladonna.
Lycopodium. When the Boils are inordinately large, and occur
in persons who are extremely subject to them, this medicine is appro-
priate to the treatment.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
LOCAL OR EXTERNAL TREATMENT.
A piece of wet, linen rag, folded double, should be applied, covered
with a dry one, also folded double. As soon as the wet rag becomes
dry, it should be remoistened. When there is much pain and inflam-
mation, a hot linseed meal poultice forms a soothing application.
Diet and Regimen. In all cases the diet should be very plain,
easy of digestion, and nutritious; but, if the attacks be attended with
much fever, it should be regulated by the directions afforded in the
general article on FEVERs. A superfluity of animal food is, neverthe-
less, not to be enjoined in any case. The free use of cold water,
drinking a copious draught night and morning, is very beneficial in
promoting a vigorous and healthy action of the skin and absorbents.
CARBUNCLE.
Symptoms. A hard, circumscribed, extremely painful, inflamma-
tory swelling, resembling a boil, but of a large size, and having no
defined central core. The tumor speedily assumes a shining appear-
ance, and a livid, bluish, or black pustule forms in the middle. If the
disease is unchecked, mortification spreads widely and rapidly, and a
sanguineous matter is discharged through several small orifices. Ulti-
430 CHILBI, AINS,
mately the slough (or dead part) is thrown off, and a deep, ragged
cavity is exposed to view. The disease is attended by headache,
thirst, foul tongue, sickness, loathing of food, languor, tossing, restless-
ness, and sleeplessness. If the slough be small and easily detached,
the constitutional disturbance soon abates; but if the mortification be
extensive, typhoid symptoms of the worst form often supervene, and
the patient generally sinks rapidly.
INTERNAL OR CONSTITUTIONAL TREATMENT.
Silicea, when administered from the commencement in simple non-
contagious carbuncle, is frequently found sufficient to effect a perfect
cure. .
Dose: Four globules in a tea-spoonful of water, the first thing in the morning,
(fasting), repeated, if requisite, at intervals of twenty-four hours, until pro-
gressive improvement (or change) ensues.
Lachesis, when the Carbuncle presents a livid appearance, and
seems disposed to extend rapidly or to burrow.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of four
hours. until three doses have been given, and, subsequently, night and morn-
ing, until progressive improvement (or change) ensues.
Arsenicum, when the Carbuncle threatens to terminate in mortiſi-
cation; and when there is great prostration, with small, quick pulse;
it is also the most efficacious remedy when the disease has arisen from
contagion.
Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea-
spoonful repeated at intervals of four hours, until three doses have been
given, and, subsequently, at intervals of twelve hours, until the distinctive
symptoms have been removed, or undergo a change. If, however, after the
more serious indications are overcome, the improvement should cease to con-
tinue progressively, pause forty-eight hours, and consider the subjoined
remedies.
LoCAL or ExTERNAL TREATMENT. See Boils.
Diet. This should be simple, and easy of digestion, in slight cases;
but when the mortification is extensive, a highly nourishing diet is
necessary during the separation of the sloughs. If the vital powers
are much reduced, or the patient is of a very debilitated habit, wine,
in small but frequently repeated quantities, is commonly required
CHILBLAINS.
Arnica. In case of a sub-acute character, this remedy is often very
useful during the first or inflammatory stage, particularly when the
swelling is hard, shining and painful, attended with itching. (See also
“ExTERNAL TREATMENT,” below.)
Dose : Two globules in a tea-spoonful of water, morning and evening, or night
and morning. giving four doses in succession. Allow a lapse of four days,
and resume the same or another remedy (if necessary), according to the
symptoms then present.
Pulsatilla is to be preferred when the inflammation is of a livid
hue, with itching and beating in the part affected, and when the suffer
CHTI,BILAINS. 431
ing comes on, or is exacerbated in the evening, or towards mid-
night.
Dose: Two globules in a tea spoonful of water, night and morning, giving
four doses successively. Then pause for four days, resuming the same, or
another remedy, according to symptoms.
Belladonna should be selected when the inflammation is severe, and
the parts affected are of a blueish or bright-red color, attended with a
creeping, tingling sensation.
Dose: Two globules in a tea-spoonful of water, night and morning, during the
prevalence of the indicative symptoms.
Rhus-toxicodendron is of much efficacy when there is considerable
inflammation, attended with heat, swelling, tingling, itching, and the
formation of blisters.
Dose : Four globules in a tea-spoonful of water, at bed-time, until amelioration
or change.
Urtica-dioica is of equal efficacy with Rhus, when there is little or
no swelling, but the symptoms are otherwise the same.
Dose : Four globules as directed for Rhus-tor.
Nux-vomica is particularly indicated when the inflammation is of
a bright-red color, with swelling, attended with itching, increased by
warmth, and when the chilblains are soft, swollen, and evince a ten.
dency to burst.
Dose : Three globules in a tea-spoonful of water, morning and evening, or night
and morning, giving four doses in succession. Then pause for four days,
and resume the same remedy, or another (if necessary), according to the
symptoms.
Sulphur is a valuable remedy when the inflammation and itching
are very severe, and the affection has failed to yield to the foregoing
medicines. .*
Dose: Two globules in a tea-spoonful of water, night and morning.
EXTERNAL TREATMENT.
Tincture of Arnica may in many cases be advantageously applied
externally to the parts affected simultaneously with the internal ex-
hibition of the same medicine, and when the symptoms are such as are
described under the head of this medicine for Constitutional Treat-
ment (p. 430, above).
Application: To five parts of water add one of the concentrated Tincture of
Arnica, and bathe the parts freely with this lotion, three times a day, until
amelioration or change.
Tincture of Cantharides (second dilution). In recent chilblains,
induced by exposure to intense cold, this remedy may be applied ex-
ternally with great success. . It operates against the formation of
vesicles or blisters, and aids in subduing the congestive action.
Application : Add four drops of the tincture, at the second dilution, to two table-
spoonfuls of water, and bathe the parts with the lotion three times a day,
until amelioration or change.
Urtica-dioica, Urtica-urens, Rhus-tox. (Concentrated tinc-
tures.) These remedies respectively, according to the distinctive indi-
cations for their internal exhibition. in the foregoing remarks on the
432 FROZEN LIMBS.—CORNS.
Constitutional Treatment, are preferable in the case of old chilblains,
when the tendency to blistering no longer exists, and when the severe
pain has been replaced by a smarting, itching, and irritation.
Application : To six parts of water, add one of the tincture selected, and bathe
the parts freely with this lotion three times a day, until permanent improve-
ment or change.
Tincture of Causticum (second dilution) is to be preferred to
either of the foregoing, for broken chilblains of old standing, and for
those cases in which the ulceration has eaten deeply into the flesh.
Application : Add four drops of the Tincture at the second dilution to two table-
spoonfuls of water, and apply the lotion as directed for Cantharides,
FROZEN LIMIBS.
Application of Snow. In slight cases of “FROZEN FINGERs,” or
other limbs, or portions of the body, the well-known practice of apply-
ing Snow to the affected parts is more or less beneficial.
Camphor (Saturated Tincture). When Snow cannot be procured,
this is a valuable substitute. For young children this is more parti-
cularly applicable, especially when the face is the seat of the injury.
Application: To five parts of Spirits of Wine add one of the Tincture of Camphor,
and bathe the parts with this lotion freely twice a day.
Acidum-nitricum is a most efficient remedy in severer cases, both
for internal and external exhibition.
Dose : Of a solution of six globules to the wine-glassful of water, give a tea
spoonful every three hours, until amelioration or change.
Acidum-nitricum (eacternally—second dilution). This remedy
may simultaneously with its internal administration, be applied ex-
ternally.
Application: Add four drops of the tincture, at the second dilution. to two table-
spoonfuls of water, and bathe the parts with this lotion three times a day. If
convenient, it were preferable to saturate a piece of linen rag with the lotion,
and to apply it to the frost-bitten part, covering the whole over with oiled silk.
Diet and Regimen. Plain, wholesome, nutritious, but unstimu-
lating diet; a sufficiency of active exercise in the open air; free venti-
lation; frequent change of linen; the free use of cold water.
CORNS.
That these troublesome excrescences not unfrequently arise from an
inherent vice of constitution, is evident, from the fact of many indivi-
duals who wear tight boots and shoes (unquestionably the principal
exciting cause) escaping them, while others, with every precaution,
suffer severely; such being the case, the main object must be, by a
course of properly-selected internal remedies, to eradicate the predis-
posing cause or condition.
PALLIATIVE TREATMENT.
Great alleviation of suffering has been found to result from bathing
the feet in warm water, and from subsequently resorting to the follow-
ing application.
ABSCESSES. 433
Tincture of Arnica. A lotion composed of a weak solution of
the Tincture of Arnica should be employed to bathe the corn, after
it has been previously soaked in warm water and pared down with
great care.
Application : To a wine-glassful of water, add forty drops of the Tincture of
Arnica, and bathe the corn with this lotion at bed-time (after the preparatory
operations just described).
The skilful reduction of the corn by an experienced operator may
likewise be mentioned as a ready and prompt palliative measure.
ERADICATIVE TREATMENT.
Antimonium-c., Sepia, Silicea, Sulphur, Calcarea. One or
more of these medicines, according to the particular indications which
serve to point out the employment of each, respectively, will usually
be required in the course of treatment, adopted for the purpose of
eradicating the inherent tendency to the formation of corns. The dis-
tinctive indications may be discerned by reference to the article on
“CHARACTERISTIC EFFECTs.”
Dose : Of the remedy thus selected, give four globules in a table-spoonful of
water, every morning the first thing (fasting), for a week; then pause five
days, after which the course may be repeated as before, and so on, from time
to time, so long as corns continue to form and to become very painful.
Swelling of the Heel.
Nux-vomica has been found serviceable in cases of swelling and
redness of the heel, resembling chilblains, attended with acute, burn-
ing, shooting pains, materially increased by the pressure of the boot
or shoe, or by walking.
Dose : Three globules in a tea-spoonful of water, every six hours, until the
pain, swelling and redness subside; but if, after the fourth dose, these symp-
toms continue to recur, although somewhat lessened in intensity, pause
twenty-four hours, and proceed with the next medicine.
Arnica may be recommended for the same symptoms, should Nua:-
vomica be found insufficient to relieve; in which case, this medicine
should be employed twenty-four hours after the fourth dose of the
last named.
Dose : Three globules, as directed for Nur-vomica.
ABSCESS.–I.YIMPHATIC TUMIORS.—DISEASE OF THE
CONGLOBATE GLANDS.
By the term abscess is meant a collection of purulent matter, result-
ing from morbid action, contained in a sac or cyst of organized coagu-
lating lymph, furnished with absorbent and secreting vessels.
Varieties. Abscesses are divided into acute and chronic.
Symptoms of Acute Abscess. The acute species is preceded
by sensible inflammation in the affected part, which is soon followed
by suppuration. . The commencement of the suppurative process is
evidenced by a change in the description of pain, which becomes more.
obtuse and throbbing, by an increase of the swelling, and, when matter
434 ACUTE ABSCESS.
is formed, by the perceptible fluctuation of the part, when the abscess
is not too deeply-seated; lastly, when the formation of matter is in con-
siderable quantity, the fever which attended the previous inflammation
is lessened, and irregular chills or rigors supervene, succeeded in turn
by heat and increase of fever.
When the abscess is mature, the tumor becomes pointed, or presents
a sort of conical shape, generally near the centre of the cutaneous sur-
face; over this spot the skin assumes a reddish hue, becomes thin, and
ere long gives way, and allows the contents of the cavity to escape.
Symptoms of Chronic Abscess. The signs of the formation or
existence of a chronic abscess, on the other hand, are in the generality
of instances devoid of any apparent disorder, either local or constitu-
tional, until it begins to approach the surface and to form an external
swelling. The secreted matter is unhealthy, thin and serous, and con-
tains substances resembling curds or flakes. When the contained
matter is evacuated, and the air admitted into the cavity, inflammation
of the cyst arises, and is productive of a salutary effect if the abscess
be small; but if it be large, great constitutional disturbance ensues, the
cavity, instead of contracting and filling up, under the process of
healthy granulation or incarnation, goes on discharging copiously, and
hectic fever is produced.
TREATMENT OF ACUTE ABSCESS.
The lancet is never necessary, except when the purulent matter, by
its extensive diffusion or pressure (especially when seated under liga-
mentous or tendinous expansions), is liable to injure important parts;
or when, from its situation, there is reason to apprehend its discharge
into any cavities of the body.
Jocal Treatment.
In order to moderate the tension and to lower the inflammatory
action, which often render an abscess extremely painful, the repeated
fomentation of the parts with hot water, is frequently of much service,
as a temporary, palliative measure whilst the operation of medicinal
agents is in progress. It is also frequently of service to employ local
applications of the nature of poultices as more particularly described at
page 66.
Constitutional Treatment.
Hepar-sulphuris is of eminent service during the local treatment,
above described, in promoting and forwarding the suppurative process.
Dose : Three globules in a tea-spoonful of water every four hours, until four
doses have been given ; and then every six hours, until discharge ensues But
if little apparent progress become manifest, within twenty-four hours from
the commencement of the treatment, consider the following medicine. If in
alternation with Silicea, give a similar dose, first of the one and then of the
other, at intervals of six hours, until suppuration takes place.
Silicea is sometimes required in alternation with Hepar-Sulph., and
particularly when repeated doses of the latter remedy have not been
productive of adequate progress; in which case the alternate adminis-
CHRONIC ABSCESS. 435
tration of these two medicines should be resorted to, six hours after
the last dose of the former (as singly administered).
Dose : As directed under the head of Hepar-sulph. ; but if the subjoined mani-
festations ensue, proceed with the next medicine
Lachesis is required, either after the previous employment of
JHepar-s. or of Hepar-S. and Silicea (in alternation), or at the onset,_
when a large portion of the skin is much distended, and presents a
deep-red or blueish appearance, or when its structure has been de-
stroyed by the magnitude of the abscess.
Dose: Three globules in a tea-spoonful of water every four hours, until amelio-
ration or change.
IMercurius is occasionally useful, wherewith to commence treat-
ment, when there is induration.
Dose : Three globules in a tea-spoonful of water night and morning, until ame-
lioration or change; but if the subjoined indications occur, consider the next
medicine.
Baryta-carbonica is also useful in such cases, particularly when
there is considerable swelling round the abscess, as well as induration,
even after the natural discharge of the abscess.
Dose: Three globules, as directed for Mercurius.
TREATMENT OF CHRONIC ABSCESS,
Jocal Treatment.
In chronic abscesses, it has usually been found most beneficial to
make an outlet for the matter as early as possible, to prevent its
copious accumulation, and thereby avoid the consequent frightful con-
stitutional disturbance, which is so prone to occur in such cases, from
the extent of the inflammation after the bursting of the abscess.
When the collection of matter is very extensive, it frequently accu-
mulates again, after having been evacuated; hence it has been recom-
mended to heal up the opening immediately, and to make a new one
again, when necessary, but before the purulent matter has accumulated
in any considerable quantity.
Constitutional Treatment.
Mercurius should usually be administered as soon as discharge
has taken place.
Dosc: Three globules in a tea-spoonful of water, repeated at intervals of three
hours, until a healing process promises to ensue; but if, within three hours,
after the fourth dose, little or no improvement appears to have set in, and the
re-formation of successive abscesses threatens to take place, pause nine hours
longer, and proceed with the next medicine.
Hepar-sulphuris should be given twelve hours after the fourth
dose of Mercurius, should the latter appear inadequate to effect a heal-
ing process, and if fresh matter begins to form.
Dose: As directed for Mercurius. When, however, in cases of open abscess, the
parts betray, a tendency to chronic ulceration, proceed with one or both of
the next medicines (after a pause of four days, from the last dose of the medi-
cine previously given).
436 CHRONIC ABSCESS.
Patty Tumors.
Calcarea is to be recommended as a most efficacious remedy in the
ease of fatty tumors.
Dose : Six globules in a table-spoonful of water every morning the first thing
(fasting), for ten days (or until the earlier development of new symptoms, im-
provement or change); then pause a week; after which the course may be re-
sumed, as before, and so on, from time to time, until manifest improvement
or change.
JEnlargement of the Glands, déc. (See Scrofula.)
IMercurius. Occurring amongst persons of a scrofulous habit of
body.
Dose : Give three globules in a tea-spoonful of water morning and evening, for
a week, until amelioration or change.
Belladonna is required when there is considerable inflammatory
redness of the skin over the tumor.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of twelve
g hours, until amelioration or change. If, however, the subjoined indications
occur, pause twelve hours, and proceed with the next medicine.
Conium should be employed twelve hours after the last dose of
Belladonna, or, indeed, of any of the foregoing remedies, when the
glands have become indurated and do not decrease in size under the
employment of the above-named medicines.
Dose : Three globules in a tea-spoonful of water night and morning, for a week;
after which pause four days, resuming the course, if necessary, and so on, until
amelioration or change.
Treatment of Inveterate Cases. (See Scrofula.)
Hepar-s, being required at the onset to promote the suppurative
process, followed by Silicea (after a course of six doses, and a further
interval of four days) to promote the healing process; and Lachesis
being occasionally required as an intermediary remedy if the swelling
assume a livid appearance, or, if a degree of improvement having fol.
lowed the administration of Silicea, the symptoms should subsequently
become stationary.
Dose : Of Hepar-sulphuris, give four globules in a tea-spoonful of water, night
and morning, for three days; then pause four days; after which give six glo-
bules of Silicea, in a table-spoonful of water, the first thing in the morning
(fasting), for a week (or until the earlier development of improvement of
change); then pause four days, resuming the course, in like manner, after
each interval (if necessary), and so on, from time to time, as long as this me-
dicine appears to be acting beneficially. But in the event of the above-named
indications for the employment of Lachesis ensuing (in which case consider
also Arsenicum and Phosphorus), pause twenty-four hours, after the last dose
of the medicine previously administered, and give three globules of Lachesis
in a tea-spoonful of water, every six hours until four doses have been given,
and then every twelve hours, if still Requisite, until the indicative symptoms
disappear; after which pause four days before proceeding with further treat-
ment (considering Arsenicwm and Phosphorus, or returning to Silicea), if such
a method should be necessary; or to Sulphur.
NETTLE-RASH. 437
Removal of the Cicatrices resulting from Ulceration of the Glands.
Hepar-sulph., Silicea, Calendula, Sulphur, Calcarea. One
or more of these medicines, either singly, in alternation, or in succes-
sion, but generally a successive course of two or more of them, may be
enumerated as the most effectual resources in removing or, at all
events, improving the unsightly cicatrices which otherwise ensue from
ulceration of the glands.
In order to facilitate the appropriate selection, the reader is recom-
mended to refer to the article on “CHARACTERISTIC EFFECTs” under
the head of each of these medicines respectively. The administration
should then be resorted to as soon as the healing process begins to
be developed, and should be continued, from time to time, until the
parts are thoroughly healed.
Dose : Whether singly or successively, as directed in the foregoing prescription.
Diet and Regimen. Inasmuch as the cure of morbid manifesta-
tions of this nature, can be perfectly accomplished only by improving
the general tone of the system, and promoting the regular functional
action of the absorbents and lymphatic vessels, the strictest adherence
to every precaution in these essential respects, cannot be too strongly
enjoined; but as very explicit directions have been already afforded,
as regards these particulars, in the article on “ERADICATIVE TREAT-
MIENT' (pp. 83, 84, 85), the reader is requested to refer to that sec-
tion, especially devoted to the consideration of this subject, in order
that unnecessary recapitulation may be avoided. Suffice it, therefore,
to add, that the diet should ever be as nourishing, as easy of diges-
tion, and as regularly administered as possible. During the inflam-
matory stage of acute abscess, animal food should usually be avoided
(for a time); but during the chronic continuance of disorders of this
kind, an equal proportion of animal and vegetable food, prepared
with a fair proportion of the pure gravy of sound and wholesome
meat, is commonly required. Roasted meat should be taken in pre-
ference to any other—especially mutton and beef. Eggs, when found
to agree, lightly boiled (soft), and eaten with a fair proportion of good,
home-baked, stale, wheaten bread, are allowable. Sometimes a milk
diet is found beneficial (when it does not disagree, as is sometimes the
case in particular instances). Of beverages, pure water is the only
fluid which is universally safe;—really good and wholesome beer is not
always to be forbidden; but it should be borne in mind, that any fer-
mented, vinous, or spirituous liquor, is more or less injurious to those
who are very susceptible to its stimulating action, and that, in such
cases, at all events, stimulating beverages should be strictly prohibited.
NETTLE-RASH,
Characteristics. Spots or wheals, flat or prominent, and of a
dull-white color, like the sting of a nettle, or redder than the surround-
ing skin, generally encircled with a rosy areola, disappearing in warmth,
and reappearing in the cold, evolved suddenly, and continually chang-
ing their situation.
438 NETTLE-RASH.
Predisposing Causes. This disease, in almost all cases arising
from a constitutional cause, requires, for its total eradication, a regular
course of treatment.
Exciting Causes. The eruption is brought to the surface by
Various causes, not unfrequently arising from indigestion, caused by
the use of improper articles of food; prolonged exposure to cold is,
likewise, sometimes productive of its sudden development.
Premonitory Symptoms. Before the eruption discloses itself,
the patient is affected with restlessness, languor, oppression, want of
appetite, derangement of the digestive functions, and fever.
Symptoms of the Actual Attack. When the eruption breaks
out, the above symptoms become relieved, but considerable suffering
arises from heat and itching, sometimes accompanied with swelling of
the parts affected.
Treatment.—Dulcamara is appropriate when the exciting cause
has been cold or damp, when the affection occurs in wet weather, or
when we find considerable fever, with bitter taste in the mouth, foul
tongue, looseness of the bowels, pains in the limbs, and extreme itch-
ing, with a burning sensation after scratching.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea-
spoonful night and morning, until the indicative symptoms subside, or assume
characteristics which render different treatment necessary.
Aconite becomes requisite either at the onset, or subsequently to
other remedies, when the febrile symptoms are more intense, the pulse
being high, the skin hot and dry, and great restlessness and anxiety
being present.
Dose: Of a solution of three globules to three tea-spoonfuls of water, give a tea-
spoonful every six hours, until the fever-symptoms subside. But when this
result has been secured, if the subjoined symptoms remain or supervene,
pause twelve hours, and proceed with such of the next remedies as may be
more especially indicated.
Nux-vomica is particularly indicated when there is considerable
derangement of the stomach, with constipation, more especially when
arising from wine, stimulants, or indigestible substances; it may, there-
fore, under such circumstances, be employed twelve hours after the
last dose of Aconitum, and when the fever-symptoms have, in a
degree, yielded to the action of the last-named medicine.
Dose : Three globules in a tea-spoonful of water, repeated at intervals of six
hours, until the indicative symptoms subside. But, if such other indications
as are subjoined should superven consider the following medicines.
Pulsatilla deserves a preference, under similar circumstances, to
those mentioned as indicating Wua:-vomica, but when the bowels are
relaxed, and the patient is of a quiet disposition and lymphatic tem-
perament, and the attack has apparently been excited by indigestible
food.
Dose : Three globules as directed for Nur-vomica But if little improvement
should accrue within six hours after the second dose, proceed with the next
medicine.
Antimonium-crudum should be administered sia, hours after the
INETTLE-RASH. 439
Second dose of Pulsatilla, should the latter have failed to relieve the
affection.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change.
Belladonna is indicated when the affection is attended with a
severe, throbbing headache, with redness of the face.
Dose : Of a solution of four globules to four tea-spoonfuls of water, give a tea-
spoonful every three hours, until amelioration or change.
Hepar-sulphuris has frequently been found useful when cold in
the head is present, particularly if it affects only one nostril.
Dose : Of a solution of four globules to six tea-spoonfuls of water, give a tea-
spoonful night and morning, until amelioration or change.
Rhus-toxicodendron is one of the most useful remedies, in a great
majority of cases of this eruption, and especially when, owing appa-
rently to a peculiarity of constitution, the eruption has been thrown
out by the use of some particular article of food.
Dose : Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution, night and morning, until manifest improvement or
change.
CHECK OF THE ERUPTION.
In this, as in every other cutaneous eruption, great care ought to be
taken to avoid the check of its development, by external applications
or lotions; its sudden suppression, as before noted under the head of
ScARLATINA, MEASLEs, and SMALLPOX, being sometimes attended with
fatal consequences.
Treatment.—Bryonia should, however, be administered, when
from improper treatment, we have reason to dread that this accident
has occurred; and this remedy will generally be found sufficient to re-
evolve the rash, and to prevent further dangerous consequences.
Should, however, marked head-symptoms declare themselves, the
complaint should be treated as before prescribed under the head of
Measles at page 165.
Dose : Of a solution of eight globules to three table-spoonfuls of water, give a
tea-spoonful every three hours, until the eruption beguns to reappear, and then
every six hours, until its thorough evolution.
..º.BATMENT OF CIIPONIC CASES.
In cases of a chronic or extremely obstinate character, one or more
of the suljoined remedies may become necessary to overcome the
inherent predisposing causes which lurk in the system.
Calcarea-carbonica is more particularly indicated when the erup-
tion becomes re-evolved by exposure to the open air in cold weather;
but it may also be added, that, in almost all cases of a chronic charac-
ter, this medieine is more or less essentially requisite.
Dose : Three globules in a table-spoonful of water, night and morning, for four
successive days ; then pause six days, after which the course may, if neces-
sary, be repeated as before, from time to time, so long as the patient con-
tinues to be subject to the occasional occurrence of this troublesome affection
Acidum-nitricum is also of signal service in a great number of
440 ITCH.
chronic cases, but is more especially indicated when the eruption is
liable to be re-evolved, or aggravated by going into the open air, after
two or three days of confinement within doors.
Dose: Two globules in a tea-spoonful of water, as directed for Calcarea.
Conium. In chronic cases, especially if the eruption is liable to re-
appear after violent exercise, or exertion of any kind.
Dose : Give three globules in a tea-spoonful of water, night and morning, for
ten days, then proceed with Natrum-m., as directed for Conium.
Sulphur is of essential service in eradicating the predisposition to
Nettle-Rash.
Dose : Give four globules in a tea-spoonful of water, every morning the first
thing (fasting), in courses such as those directed in the last prescription. If
of Sepia, Lycopodium, or Carbo-veg. in every respect as directed for Conium
and Natrum-m.
Diet and Regimen. The regulations laid down in these respects
in the article on Indigestion, and in that on Eradicative Treatment
(pp. 83, 84, 85), are equally applicable, more or less stringently, to the
treatment of NETTLE-RASH, especially if it degenerate into the obstinate
variety just described. -
ITCH.
This contagious, inflammatory affection of the skin, is characterized
by an eruption of pointed vesicles, transparent at the summit, and filled
with a viscid and serous fluid. These are subsequently mixed with, or
terminate in pustules. With the exception of the face, they appear
in every part of the body, but much more frequently and abundantly
about the wrists, between the fingers, and at the bend of the joints,
&c., and are accompanied by incessant and almost insupportable itch-
-ing, without fever. There are several varieties of the disorder, but it
is often very difficult to distinguish their characteristic differences.
TREATMENT.
Sulphur is unquestionably one of the most important remedies in
this disorder, particularly at the commencement, and is, in some cases,
beneficially employed, both externally and internally. In the milder,
wncomplicated forms of the malady, and even in the purulent variety,
especially when confined to the fingers and wrists, it is indeed specific.
Dose (internal): Six globules in a table-spoonful of water, every morning the
first thing (fasting), for ten days (or until the earlier manifestation of increased
irritation, new symptoms, improvement or general change); then pause a week,
after which the course just prescribed may, if necessary (or if any additional
irritation possibly developed by the Sulphur has entirely subsided), be repeated
as before, and so on, from time to time until the gradual diminution of the
irritation, and other unpleasant sensations, the gradual disappearance of the
vesicles, pustules, &c., leaving a healthy skin (not cracks or rawness), and,
finally, the total removal of the eruption by such regular degrees of progress.
External Treatment. The local application of Sulphur, either in
the form of lotion or ointment, should be had recourse to simul-
taneously with its internal administration.
ITCH. 441
The Lotion: To two table-spoonfuls of water, add six drops of the saturated
alcoholic Tincture of Sulphur (or otherwise, in the like proportions), and .
this lotion by means of a linen rag moistened there with, to the parts affected,
night and morning, from time to time during the internal exhibition of Sulphur
(only), until the cure is complete.
The above method of treatment, combined with the free and fre-
quent use of soap and water, undoubtedly suffices, in mild and recent
cases, to remove this troublesome affection; but as in those of longer
standing it may be found inadequate to destroy the mites which have
now been clearly demonstrated to be the cause (not the result) of the
disease, the following course of treatment should be adopted, and will
usually succeed in accomplishing a speedy and permanent cure:—Let
the patient be placed in a hot bath, and the hands, wrists, and other
affected parts, be well rubbed with fine sand (or a sand ball), for the
purpose of tearing open the passages and cells where the vermin have
burrowed and located themselves. In persons of tender or delicate
skins, brisk rubbing with a coarse towel, after the bath, may be suffi-
cient to effect the required object; but the use of fine sand, or pounded
chalk, is to be preferred. When the patient has been dried, all the
affected parts should then be well rubbed with a lotion made of olive
or almond oil and a few drops of some essential oil, thus:
To two table-spoonfuls of Almond-oil add twenty drops of Volatile Oil of Anise.
The rubbing in, and, if needful, in inveterate cases, the hot bath and
frictions, should be repeated every five days for a fortnight or so, or
until the cure is complete. When, as is sometimes the case in certain
habits, boils are associated with itch, and continue to break out for
some time after the removal of the latter, the remedies prescribed in
the article on BoILs should be had recourse to ; and again, when some
other rash has been developed, either in consequence of the previous
treatment or the prolonged irritation of the mite and constant scratch-
ing, the following remedies will generally be found effective.
Arnica.--Dose: Six globules, morning and evening, in a table-spoonful of
water, for a week. If, at the expiration of that period, no improvement be
apparent, select Rhus or Graphites; but if indications of improvement have
set in, continue the same medicine once a day, for one week longer, or until
the cure is complete.
When the above remedies fail, or when none of them correspond to
the exact features of the eruption, choose one of the following which
may seem the most appropriate: Antimonium, Dulcamara, Graphites,
Lycopodium, Arsenicuºn, Sepia, Staphysagria.
Dose : Same as above described.
The sudden suppression, by external means, of some of the erup-
tions which occasionally follow, or have been developed during the
existence of inveterate itch, has, undoubtedly, as not unfrequently
happens in other chronic eruptions, been repeatedly attended with
serious consequences.
Diet and Regimen. In all cases, but more especially in those of
an obstinate and inveterate character, the regulations in respect of
diet and habits, &c., prescribed in the article on “ERADICATIVE TREAT-
442 SCAJLY TETTER. —DRY SCALL.
MENT,” (pp. 83, 84,85) should be strictly enjoined. The clothes of
the patient should either be destroyed, or, if worth retaining, tho-
roughly fumigated, or exposed to a strong heat (baked in an oven)
long enough to effect the destruction of any of the parasites that may
be secreted in them.
SCALY TETTER—DRY SCALL (Psoriasis).
This cutaneous, noncontagious, affection is distinguished by a rough
and scaly condition of the skin, sometimes in isolated spots or patches,
which are elevated above the level of the adjacent healthy parts, and
of an irregular form; at other times continuous, and almost always
attended with clefts or fissures, but especially when a large extent of
surface is affected. In severe and extensive cases it is generally pre-
ceded, and sometimes accompanied, by constitutional disturbance, such
as deranged digestion, with headache, and more or less languor and
weakness, which usually subside with the development of the eruption.
The affection may break out on all parts of the body; and it may be
general, or purely local and in one or more patches. The forearms,
elbows, and wrists are, on the whole, its most frequent seats. The
spring and autumn are the usual seasons for periodical recurrences of
the disease. Its duration is frequently very protracted ; even in milder
cases it may continue for many weeks or months, while in the intenser
forms it may endure for several years.
Treatment. The cure of the disease is generally difficult and
tedious, especially when it occurs in the inveterate form characterized
by nearly universal scaliness, with a harsh, dry, thickened and rigid
state of the skin, which is, at the same time, red and deeply fissured.
Cases which are confined to the palm of the hand are also most obsti-
nate. In the mild or simple forms of the disease Bryonia or Rhus
will frequently, if not habitually, be found effective.
Lycopodium, in doses of a drop of the tincture, or six globules,
morning and evening, in a table-spoonful of water, for one week, and
then once a day for a fortnight, or longer, if required, not unfrequently
accomplishes a cure in from four to eight weeks, even when the affec-
tion is of long standing. In other cases a selection will require to be
made from Sulphur, Sepia, Calcarea, Graphites.
In inveterate scaly tetter Arsenicum is of more or less utility, gene-
rally tending to modify or otherwise improve, if insufficient to effect
3, CUl I'ê.
Dose : One drop of the tincture (fifth decimal), or six globules, morning and
evening, every other day, until relief or change. But should no improvement,
either constitutional or local. take place after the lapse of a month, select
another remedy from amongst the following.
Sulphur, Lycopodium, Acidum-nitricum, Graphites, Aurum,
Silicea. For general indications, see the article on “CHARACTERISTIC
EFFECTs.” See also the articles on GouT and T’ILEs, as this variety of
scaly tetter is not unfrequently associated with these diseases.
When the palm of the hand is the exclusive or principal seat of the
affection, Sulphur, Sepia, Acidum-muriaticum, or Zincum, are some-
HUMID SCALL OR TETTER, 443
times of permanent value; whilst in those cases in which there is a
discharge of an offensive smell from the clefts or fissures, Rhus, Gra-
phites, Lycopodium, Mercurius, or Hepar, are often of important
service. See “CHARACTERISTIC EFFECTs.”
Diet and Regimen. The diet, in general cases, should be simple,
nourishing, and unstimulating. Salted food should be abstained from,
and irregularity in the hours of meals avoided. Pure air and daily
exercise are to be inculcated; and baths, but particularly the Roman
or Turkish bath, are of great service in all obstinate cases.
HUMID SCALL or TETTER (Eczema.)
This disease of the skin is characterized by an outbreak of numerous
small vesicles on different parts. It undergoes various modifications
according to its cause, duration, and locality. Not merely the skin,
but the mucous membrane is liable to be affected by it. The scalp
and other hair-bearing parts are also frequent seats of its develop-
ment. It is unattended with fever, and is not contagious.
The little vesicles are so closely packed together, in some places, as
to become confluent and form one continuous vesicle. They terminate
by absorption of the lymph or fluid which they contain, or are ruptured
and followed by the formation of thin scales or scabs on the excoriated
surfaces. In the chronic variety of the affection, clefts and fissures are
met with from which an acrid fluid exudes. Desquamation, to a more
or less copious extent, ensues in all cases.
Treatment. In the milder and uncomplicated types of the affection
there is usually little difficulty in accomplishing its removal. When a
chill, or exposure to the rays of the sun, has been the exciting cause,
and there is no important constitutional disturbance, the remedies most
frequently required are
Rhus-toxicodendron, Dulcamara, Sulphur. In general cases
IRhus may be administered first, unless there be marked indications for
a different selection. (See article on “CHARACTERISTIC EFFECTs.”)
Dose : Six globules, morning and evening, in a table-spoonful of water, for a
week; after which one dose daily the first thing in the morning or the last at
night, until improvement or change; but if, after the subsidence of any pre-
existing burning, itching pains, the vesicles continue to be evolved, or the
scales or tettery scabs to increase in quantity and in extent of surface, have
recourse to
Dulcamara, which will often suffice to complete the cure.
Dose : As directed for Rhus.
HUMID SCALL.
Sulphur. When the affection improves under the employment of
the above-named remedies, yet does not wholly succumb, or when a
relapse threatens, the aid of this remedy will usually be required.
Dose : Six globules every night at bed-time, dry (undissolved in water), for four
days; at the expiration of which time pause two days, and then resume the
administration of Rhus and Dulcamara as before, if needful.
In the chronic and more complicated forms of the disease the treat-
444 WHITLOW.
ment is often most tedious and difficult. The following remedies are
here more commonly required, and, when perseveringly employed, will
often be found effective in eradicating the constitutional disturbance
along with the eruption, which latter, indeed, is frequently, if not
always, in such cases, but a sequence of the former.
Graphites, Lycopodium, Sulphur, Antimonium-c., Vera-
trum, Silicea. The particular indications which may lead to the
appropriate selection of each respectively may be gleaned from the
article on “CHARACTERISTIC EFFECTs.” See also the articles on “IN-
DIGESTION” and “MENSTRUATION,” as the “Humid Scall” is often
associated with disturbances connected therewith.
When there is much irritation and inflammation of the affected
parts, fomentations, sustained poulticing, and the warm and vapor
baths, both local and general, are useful palliative means. The Roman
or the Turkish bath has also been found of great service in cases of
long standing.
Diet and Regimen. The same rules which have briefly been
alluded to under “DRY SCALL or SCALY TETTER” equally apply here.
WHITLOW.
By this term is understood an abscess more or less deeply seated,
forming near the end of the finger, attended with severe pain and
considerable swelling; it commences in the form of a hard tumor,
which soon becomes hot and painful. In a day or two, the formation
of matter is announced by an increase of the local heat and swelling,
with an alteration of the previous acute to a more obtuse pain, and
violent throbbing. When the abscess is mature, it comes to a head:
and discharges, on the occurrence of which the pain at Önce gives
way. The complaint has a great disposition to re-appear in individuals
who have once suffered from its attacks, which clearly demonstrates
the advantage of treating it as a constitutional, and not merely local
affection.
CONSTITUTIONAL TREATMENT,
Incipient Symptoms.
Sulphur, if administered upon the earliest development of incipient
symptoms of Whitlow, is often efficacious in preventing the further
development of the painful tumor.
Dose : Three globules in a tea-spoonful of water, every six hours, until the
threatening symptoms subside, or the whitlow be more perfectly developed;
in which latter case consider the subjoined course of treatment, and proceed
accordingly.
Ordinary Cases.
Mercurius is, generally speaking, the most appropriate medicine
where withal to commence the treatment.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of six
hours, until four doses have been given, and then at intervals of twelve hours,
until relief or change results. But if the pain and swelling should not de-
WHITLOW. 445
crease after the sixth dose of Mercurius, pause twelve hours, and proceed with
the next medicine.
Hepar-sulphuris should be administered twelve hours after the
sia:th dose of Mercurius, if the swelling should not have decreased, or
if the pain should become intense and throbbing.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every three hours, until the whitlow discharges
Complicated Cases.
Aconitum is indicated in severe forms of this affection, when there
is generally a considerable degree of fever, characterized by quick, full
pulse, thirst, and intense, almost insupportable pain.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
tea-spoonful every three hours, until the fever-symptoms abate; then pause
six hours, and consider the subjoined medicines, proceeding with such as are
evidently most appropriate to the case under consideration.
Silicea is preferable to Hepar-S., in a corresponding stage of treat-
ment, but in severe forms of whitlow, and when the matter is deeply-
seated, the swelling very considerable, hot, tense, and attended with
excruciating pain; or, more especially, when there is reason to appre-
hend that the bone is affected.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea-
spoonful every four hours, until the whitlow discharges. But if this result
should not occur in the course of twenty-four hours, or the progress be evi-
dently retarded, pause six hours, and proceed with the next medicine. In
these cases, however, if is often requisite to have an incision made to effect a
passage for the discharge of the matter.
Sulphur should be administered as an intermediary remedy, six
hours after the last dose of Silicea, or in alternation with Silicea, when
the latter does not promptly promote suppuration.
Dose : Four globules in a tea-spoonful of water, repeated after the lapse of six
hours; then pause twelve hours, and if the whitlow has not yet discharged,
recur to the administration of Silicea as before.
Lachesis is chiefly required when the affected part is of a dark-red
or blueish hue, and the pain excessive.
Dose: Two globules in a tea-spoonful of water, every three hours, until amelio-
ration or change.
Arsenicum is indicated if an angry, black and painfully burning
sore forms on the affected finger.
Dose : Two globules in a tea-spoonful of water, every three hours, until amelio-
ration or change. But if no positive improvement result, within three hours
after the fourth dose, proceed to the alternate administration of the subjoined
medicine with Arsenicum. If in alternation with Carbo-veg first give three
globules of Arsenicum (as just prescribed), then pause six hours, after which
give the like dose of Carbo-veg. similarly, and so on, in rotation, at intervals
of six hours, until manifest improvement or change.
Carbo-vegetabilis should be administered in alternation with
Arsenicum, in cases in which little apparent improvement has ensued
within three hours after the fourth dose of the last-named medicine.
Dose : As directed under the head of Arsenicum.
446 IRRITATION OR ITCHING OF THE SEIN.
Rhus-toxicodendron should be administered when intense, local
inflammation predominates without constitutional fever.
Dose : Four globules in a tea-spoonful of water, every three hours, until amelio-
ration or change.
ERADICATIVE TREATMENT.
Sulphur, Silicea. These two remedies alternately administered
as soon as the acute attack has been overcome, will be found of great
advantage in eradicating the susceptibility to the return of this painful
affection.
Dose: Give six globules (or otherwise, as directed at pages 60, 61) of Sulphur,
in a table-spoonful of water every morning the first thing (fasting), for a
week; then pause eight days, after which administor a similar course of
Silveea. These courses should be repeated after cwery recurrence of whitlow,
—in the rare cases in which it recurs, after the previous recourse to such era-
dicative treatment, until the susceptibility is wholly overcome.
IEXTERNAL OR LOCAL TREATMENT.
External or local treatment may be resorted to, as a palliative
resource, for the purpose of lessening pain, pending the action of the
internal remedies hereinbefore prescribed, and especially at the periods
at which Hepar-s. and Silicea have been respectively recommended,
and during the administration of one of those medicines.
This treatment should consist of an unmedicated poultice, or appli-
cation of the nature of a poultice, as described at p. 66.
An application of this kind is sometimes of much service, moreover,
after suppuration has taken place, when considerable inflammation, or
a tendency to sluggish ulceration, is developed.
Application : Saturate a linen or lint pad with cold water, and fasten it on the
whitlow by means of a clean linen bandage, covering the whole with oiled
silk, so as to exclude the air, and renewing the saturated pads as fast as they
become nearly dry, and so on, until suppuration or a healthy healing process
sets in.
Diet and Regimen. In cases in which considerable constitutional
fever accompanies the development of the whitlow, the directions
afforded in these respects, in the general article on FEVER, will be
equally applicable. Generally, however, it is to be remarked, that in-
asmuch as a susceptibility to the recurrence of whitlows implies an
inherent constitutional taint, the method of general treatment, recom-
mended in the article on “ERADICATIVE TREATMENT,” (pp. 83, 84, 85)
should be pursued.
IRRITATION OR ITCHING OF THE SRIN.
(THE FALLING OFF OF THE CUTICLE OR SCA RF-SKIN IN THE FORM OF scALEs.)
This affection is usually an accompaniment of the other diseases, and
is to be treated accordingly; however, in some cases, it declares itself
in a primary form, and is generally caused by scarcely perceptible,
colorless elevations under the cuticle, which, however, are sometimes
of a considerable size, soft and smooth, but without desquamation, or
any peculiar eruptive appearance.
IRRITATION OR ITCHING OF THE SEIN. 447
Treatment.—Sulphur is frequently the specific remedy against
this extremely distressing irritation, particularly when exacerbation
ensues in the evening, or when the body is warm in bed; but in other
and more ordinary cases, one or more of the subjoined remedies will
be required as intermediary resources to assist in completing the cure.
Dose : Of a solution of four globules to two table-spoonfuls of water (to which
add ten drops of proof spirit), give a tea-spoonful of water, morning and
evening, for four successive days; then pause six days, after which the similar
administration of a solution in the like proportions may, if necessary, be re-
sumed as before. But if the subjoined indications should occur, consider the
following medicines, and proceed accordingly.
Ignatia-amara is indicated when the irritation is most severe after
going to bed, and resembles flea-bites all over the body, and after
scratching, which relieves, shifts readily from one part to another.
Dose : Of a solution of six globules to four tea-spoonfuls of water (to which add
ten drops of proof spirit), give a tea-spoonful, night and morning, pausing
four days after the second dose, and resuming the administration or not, after
that period, according to the nature of the symptoms present.
Pulsatilla is preferably indicated when the irritation comes on in
the warmth of the bed, and is aggravated by scratching.
Dose : In every respect as directed for Ignaſia. But if partial improvement
only result within two days after the second course, consider the following
remedies.
Mercurius should be given when the irritation continues through
the whole night, and Pulsatilla proves insufficient; also in cases when
the parts affected bleed readily after scratching.
Dose : Two globules in a tea-spoonful of water repeated after the lapse of twelve
hours (the first dose being given at bed-time), then pause three days. after
which two similar doses may be repeated as before. But if symptoms of
occasional irritation be developed after the completion of the second course
(although considerable improvement has taken place), recur to the adminis-
tration of Sulphur, as above directed, and then, again, after two doses of Sul-
phur, to Mercurius, and so on, until permanent relief ensues.
Rhus-toxicodendron is required when itching is accompanied by
a violent burning sensation.
Dose : Of a solution of six globules to two table-spoonfuls of water (to which
add ten drops of proof spirit), give a tea-spoonful of water, night and morn-
ing, every other day, until four doses have been given, then pause four days,
and if after that period symptoms yet remain, proceed with the next medicine.
Hepar-sulphuris should be administered four days after the last
dose of Rhus-toa., if the irritation should continue to be more or less
troublesome.
Dose : Two globules in a tea-spoonful of water, night and morning; then pause
three days (after the second dose), after which the administration may, if ne-
cessary, be repeated as before.
Nux-vomica should be administered when the irritation or itching
occurs upon undressing.
Dose : First give two globules of Nur-vomica in a tea-spoonful of water, at bed
time, repeating the dose after the lapse of twelve hours; then pause three
days, after which give two similar doses of Arsenicum in like manner, and so
on, in rotation, until permanent amelioration or change.
448 RINGWORM.
Treatment of obstinate Chronic Cases.
Sulphur is a remedy of essential service in all obstinate and pro-
tracted cases.
Dose Six globules in a table-spoonful of water, every morning, the first thing
(fasting), until new symptoms supervene, or distinct improvement or change
results; pausing, however, for a week, after every course of seven doses. But
if, after repeated courses, although much advantage has been derived from
the administration of Sulphur, that remedy should appear inadequate to com-
plete the cure unassisted, and proceed with Carbo-vegetabilis and take four
globules in a tea-spoonful of water, night and morning, until the permanent
subsidence of the irritation.
Opium is a remedy which often proves of signal service against the
chronic irritation of the skin, to which aged persons are occasionally
subject.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change; pausing, however, for a week, after every course extend-
ing over six days.
Lycopodium, Graphites, Silicea. These three medicines may
also be named as frequently affording relief in chronic cases of irri-
tation of the skin, in which all other appliances (singly) fail It may
be remarked, however, that the occasional administration of Sulphur,
as previously directed, in intermediate courses, is generally required to
develop the full activity of these remedies in such cases. Lycopodium
and the two consecutive medicines may be administered singly, alter-
nately, or successively according to circumstances, and the article on
“CHARACTERISTIC EFFECTs” should be consulted to determine the
selection with precision.
Dose : If singly, of either remedy (as selected) give three globules, night and
morning, until amelioration or change ; pausing, however, for a week, after
every course extending over six days. If in alternation, first give two similar
doses of the one, at intervals of twelve hours; then pause two days, and pro-
ceed with two similar doses of the other in like manner, after which again
pause two days, and so on, in rotation, until permanent improvement ensues.
If, however, although moderated, the symptoms be not subdued, within ten
days, recur to the intermediary administration of two doses of Sulphur (as
above directed, p. 448), preceded and succeeded by a pause of six days.
Diet and Regimen. In mild and tractable cases ordinary pre-
cautions against wet, cold, and also against indigestible food, proper
exercise, ventilation, &c., will suffice to forward the cure. In obstinate
or protracted cases, however, the reader should act upon the instruc-
tions afforded in the article on INDIGESTION, and in that on ERADICATIVE
TREATMENT (pp. 83, 84, and 85).
RINGWORM (HERPETIC or VESICULAR.)
This affection generally occurs in children. It has been considered
contagious from the circumstance of several children of one family, or
at the same school, being sometimes attacked at the same time; but
there is every reason to believe that this opinion is erroneous, from
the fact of none of the other species of tetter being communicable by
contact. When not complicated with another disease, it is not attended
with any general constitutional derangement.
RINGWORM. 449
Symptoms. The disorder is characterized by an eruption of small
rings or circular bands, the vesicles only occupying the circum-
ference, these are small, and have a red-colored base of greater or less
intensity. About the third or fifth day the vesicles become turbid, and
then discharge, when little brownish scabs form over them. The por-
tions of skin within the circlets are usually healthy at first ; but, for
the most part, subsequently become rough, of a reddish hue, and scale
off as the vesicular eruption dies away. The duration of the eruption
frequently does not extend beyond a week or two; but when there is
a series of consecutive rings on the face, neck, arms, and shoulders, as
frequently happens in warm climates (where the affection moreover
assumes a more serious and obstinate character), or during hot weather
in this country, it is necessarily protracted considerably beyond this
period.
TREATMENT.
Sepia will, in the majority of cases, suffice to subdue this affection.
Dose : Two globules in a tea-spoonful of water, the first thing in the morning
(fasting), repeated at intervals of four days, if indicated by the continuance
of the eruption, or the threatening development of fresh rings.
Rhus-toxicodendron and Sulphur alternately administered are
sometimes required in obstinate cases.
Dose : First give two globules of Rhus-toz., in a tea-spoonful of water, at bed-time;
then pause four days, after which a similar dose of Sulphur should be given
the first thing in the morning (fasting), and so on, in rotation, until amelio-
ration or new symptoms ensue. But if no apparent effect ensue after the second
dose of each of these medicines, pause four days, and proceed with the next
medicines.
Calcarea, Natrum-m. These two medicines alternately adminis-
tered have been recommended for cases in which the second dose of
each of the two foregoing remedies has not been productive of any
apparent benefit.
Dose : Two globules of each in alternation, as directed in the last prescription.
Every kind of outward application must be avoided.
Diet and Regimen. The management in these particulars should
be conducted as directed in the article on “INDIGESTION,” and in that
on “ERADICATIVE TREATMENT,” at pages 83, 84, and 85.
RINGWORIM OF THE SCALP.-PUSTULAR RING-
WORM.
This disease is still more popularly known than the above by the term
of Ringworm (or Ringworm of the Scalp.) It is unquestionably of a
highly contagious nature, being readily communicated among children
who make use of the same comb and brush, or even towel, and is of
long and uncertain continuance :-indeed there are few cutaneous
affections which have more frequently baffled the unwearied efforts of
practitioners than this; and it would have been well had less been
attempted by those of the old school in the way of treatment; for in
too many instances the so-called cure has proved worse than the
disease.
29
450 RINGWORM.
Varieties, Age, &c. Pustular ringworm commonly attacks chil-
dren from the age of two years to the period of puberty; it is not
confined to the scalp, but also appears on the neck, trunk, and extre-
mities; when confined to the trunk, it proves by no means so obstinate
and rebellious a disease as when located in the hairy scalp.
Symptoms. The affection is characterized, at the commencement,
by the appearance of isolated, red-colored, irregular, circular patches,
on which appear numerous small, yellowish points or pustules, which
do not rise above the level of the skin, and are generally traversed in
the centre by a hair. These pustules, which are much more thickly
studded in the circumference than the centre of the circular patches,
Soon break and form thin scabs (sometimes cup-shaped, or concave—
characteristic of one variety, and at first of a tawny, but subsequently
of a light yellow or whitish color; when they crack and break up, they
become reduced to a powder, which looks like pulverized sulphur),
which frequently unite with the adjacent patches, and assume an ex-
tensive and irregular appearance, but commonly retain a somewhat
circular shape. The incrustations become thick and hard by accumu-
lation, and are detached from time to time in small pieces, which bear
a close resemblance to crumbling mortar. When the scabs have been
removed or torn off, the surface which they had occupied looks red
and glossy, but is studded with slightly-elevated pimples, in some of
which minute globules of matter subsequently become apparent.
By these repeated evolutions of the eruption, the incrustations be-
come thicker, the areas of the primary patches extend, and new ones
are formed, so that the corresponding edges become blended, and
frequently the whole head thus becomes affected. The circular cha-
racter of the original groups is still indicated, however, by the appear-
ance of partially-formed arcs within the circumference of the larger
incrustations. As the patches or clusters extend, the hair covering
them usually becomes lighter in color, and breaks off short ; and as the
process of scabbing is repeated, it is thrown out by the roots, and
finally there remains only a narrow chaplet of hair round the head. If
the hair-follicles are destroyed, the baldness remains permanent.
Causes. The disease is chiefly propagated by contagion, but ap-
pears to originate spontaneously in children of scrofulous, flabby, or
feeble and emaciated habit, if they be ill-fed, ill-lodged, uncleanly, and
deprived of a wholesome degree of exercise.
TREATMENT.
General Remarks. It cannot be denied that, even under homoeo-
pathic treatment, the disease frequently proves extremely obstinate;
but in many cases the difficulty experienced in effecting a cure, arises
from the previous treatment which the patient has undergone, or from
culpable conduct on the part of the patient or others, in allowing the
disorder to pursue its course for a lengthened period, unchecked and
utterly neglected, ere proper assistance is sought.
The medicines must be selected according to the various changes
which take place during the continuance of the disease; but as it
would be wholly impossible, in so general a work, to give appropriate
RINGWORM. 451
directions for the treatment of every case, we can merely enumerate a
few of the leading indications for some of the more important remedies,
referring at the same time to others, as being worthy of attention in
cases which do not yield to the ordinary remedies.
CONSTITUTIONAL TREATMENT.
Rhus-toxicodendron will usually be found the most appropriate
remedy, whilst the patches exhibit an irritable and inflammatory
aspect.
Dose: Two globules in a tea-spoonful of water, once a day, for a week. But
if, meanwhile, such symptoms as are subjoined should ensue, suspend the ad-
ministration of Rhus, pause two days, and proceed with such of the follow-
ing medicines as may be distinctly indicated.
Sulphur should be administered if a dry exfoliation or scaliness,
with the formation of scabs, should ensue.
Dose : Two globules in a tea-spoonful of water, the first thing in the morning
(fasting), for ten days (or until the earlier development of new symptoms, im-
provement or change); then pause four days, after which the course may, if
necessary, be repeated as before, and so on until manifest improvement or
change. But, if any of the subjoined symptoms meanwhile occur, suspend
the administration of Sulphur; pause two days, and proceed with such of the
other medicines herein prescribed as may be distinctively indicated.
Staphysagria should be administered two days after the last dose
of any other medicine (previously required), if the following symptoms
occur: an offensive discharge breaking out, attended with very violent
itching without much redness.
I)ose : Two globules in a tea-spoonful of water, night and morning, in courses
such as have been directed in the foregoing prescription ; but if the same
symptoms continue unabated at the close of the first course, pause twenty-
four hours, and return to the administration of Rhus as above directed ; or, if
such other symptoms and conditions occur, as are subjoined, proceed with the
next remedy.
Arsenicum should, however, be given twenty-four hours after the
last dose of any of the foregoing medicines, if, notwithstanding the
previous treatment directed to be pursued, very little favorable pro-
gress be made, or if, on the contrary, all the symptoms become rather
worse, and the discharge become thin, acrimonious, and productive of
an extension of the disease, or of the formation of ulcers.
Dose : Two globules in a tea-spoonful of water, every morning the first thing,
until amelioration or change. But if little favorable progress ensue within
twenty four hours after the sixth dose, pause twenty-four hours longer, and
recur to the administration of Rhus-toz., as above directed.
Additional Particulars.
When the foregoing means are insufficient to effect a cure, which is
unfortunately not a rare circumstance, i. when scrofulous or
debilitated subjects are afflicted with the disease, the subjoined reme-
dies must be used.
452 RINGWORM.
Hepar-sulphuris. When the eruption is not confined to the scalp,
but also appears upon the forehead, face, and neck; when, moreover,
the eyes and eyelids become inflamed and weakened, and soreness and
ulceration break out on or behind the ears.
Dose : Three globules in a tea-spoonful of water, every morning the first thing,
for a week, or until the earlier development of amelioration or change ; then
pause four days, after which the course may, if necessary, be repeated as be-
fore. But, if partial improvement only should ensue within four days after
the termination of the second course, consider the next remedies, and proceed
accordingly.
Dulcamara is more especially indicated in cases in which the
glands of the throat and neck are enlarged and indurated.
Dose: Two globules in a tea-spoonful of water, night and morning for a week
(or until the earlier development of improvement or change); then pause
four days, after which the course may, if necessary, be repeated as before.
But if little or no manifest benefit should result within four days after the ter-
mination of the second course, consider the subjoined medicines, and proceed
accordingly.
Bryonia should, however, be preferred either at the onset or after
the previous administration of Dulcamara (twelve hours after the last
dose), when the glands of the throat and neck become inflamed and
tender.
Dose : Two globules in a tea-spoonful of water, repeated at intervals of six
hours, until amelioration or change. If, however, the characteristic symp-
toms of Ringworm, as directed above, should remain predominant, after the
immediate indications for Bryonia have been subdued, pause two days, and
proceed with the next medicine.
Staphysagria should be employed two days after the last dose of
Bryonia, if, after the removal or modification of the inflammation and
tenderness of the glands, the symptoms mentioned as indicating this
medicine (above, p. 451), should prominently recur, or, indeed, if the
eruption simply, with much itching, should constitute the predominat-
ing indications.
Dose : In every respect as directed for this medicine above (p. 451). But if
such other symptoms occur prominently, as have been described as indicat-
ing one or more of the medicines above mentioned, pause two days and pro-
ceed there with accordingly (and especially with Rhus-toz., Arsenicum, or
Sulphur), or otherwise consider the subjoined.
Sulphur, Graphites, Calcarea, Lycopodium, Phosphorus.
In those comparatively rare instances in which the method of treat-
ment hitherto prescribed, proves insufficient to effect a complete cure,
one or more of these medicines, singly, successively, or alternately
administered, will usually be found to meet the emergency, and will
suffice to overcome the disease. The particular indications which
should lead either to the single, successive, or alternate administration,
may be discerned by reference to the article on “CHARACTERISTIC
EFFECTS.”
Dose : If singly, of Sulphur, Calcarea, or Graphites, give six globules in a table-
RINGWORM. 453
spoonful of water, every morning the first thing (fasting), for four days; then
pause for a week, after which the course may, if necessary, be resumed as
before, and so on, until manifest amelioration or change. If of Lycopodium
y or Phosphorus (singly), give three globules in a tea-spoonful of water, night
and morning, in similar courses. If after two courses of either medicine, no
| change of any kind become apparent, proceed to the alternate administration
thus:–First, the like dose of one medicine at similar intervals for two days,
then pause four days, after which proceed in like manner with the next, and
so on, in rotation, until manifest improvement or change.
Sulphur, or Calcarea. These two medicines, alternately adminis-
tered, generally exercise the most beneficial influence in cases in which
the eruption is characterized by a dry, inert, and scaly appearance.
Dose : As directed in the last prescription. But if the eruption should not be
manifestly modified, after the second repetition of such courses, consider the
following.
Hepar-s., or Phosphorus. These medicines are, like Sulphur and
Calcarea, also applicable to the treatment of cases characterized by
the dry, inert, and scaly appearance of the eruption, and are worthy
of consideration in cases in which the preceding medicines have not
been capable of effecting more than partial improvement. These, also,
are useful in alternation.
Dose: Three globules of the one in a tea-spoonful of water, night and morning,
for two days; then pause two days, after which proceed with a like series of
doses of the other, and so on, in rotation, until manifest improvement or
change.
Lycopodium, Staphysagria. These medicines, whether singly,
alternately, or successively employed, are of chief importance in cases
in which the eruption is characterized by a humid or moist appearance.
Dose : If singly, three globules in a tea-spoonful of water, night and morning,
for four days; then pause a week, after which the course may, if necessary,
be repeated as before, and so on, until manifest improvement or change. If
in alternation, give similar doses, first of the one at intervals of twelve hours,
for two days; then pause two days, after which proceed with a similar series
of doses of the other, and so on, in rotation, until manifest improvement or
change. If partial effect only should result from such treatment, consider the
following remedies, and proceed accordingly.
Rhus-tox, Arsenicum, Sepia, Silicea. These medicines are
also of great service, and sometimes succeed in cases in which the
foregoing have failed, when the eruption presents a moist or humid
appearance.
Dose : Whether singly or alternately, as directed in the last prescription.
Other Varieties of Ringworm.
Of the varieties of which the subjoined details afford the distinctive
and characteristic features respectively, the first, second, and third are
subject to such methods of treatment as have been suggested in the
foregoing regulations. These varieties are:
First, that which is characterized by small, dry, circular scabs, of a
yellowish-white color, having raised margins, and a central depression,
like that on the seeds of the lupin. The incrustations are deeply set
in the skin, to which their edges are firmly adherent.
454 RINGWORM.
Secondly, that which commences with the eruption of small pustules,
containing a straw-colored fluid, which soon discharge, dry, and form
thin laminated crusts, with scale-like exfoliations. The affection is
confined to the scalp, and is attended with considerable itching and
soreness, although there is but slight excoriation; the hair partially
falls off, and, occasionally, afterwards becomes somewhat lighter in
color.
Thirdly, a variety distinguished by the eruption of large, soft, straw-
colored pustules, generally somewhat flattened, possessing an irregular
margin, and surrounded by a slight inflammatory redness. They are
met with on other parts of the body as well as the scalp, and are
accompanied by much itching. On breaking, these pustules discharge
a viscid matter, which hardens into semi-transparent, greenish-yellow
scales. The disease extends to the face, and eventually the ulceration
spreads over the entire head, and, from the continued discharge, the
hair and moist scabs become matted together. Pediculi are generated
in large numbers, and aggravate the excessive irritation. The inerus-
tations thicken in regular masses, bearing some resemblance to a
honeycomb. The acrid exudation from the ulcerated patches on the
scalp exhales an offensive and pungent vapor.
A fourth variety, however, occurs, which is characterized chiefly
by patches of baldness, and which usually indicates a selection from
amongst the following medicines in particular.
Graphites, Phosphorus, Baryta-c., Lycopodium, Zincum.
In those cases of Ringworm, in which bare patches appear upon the
hairy scalp so as to form a prominent and characteristic feature of the
disease, one or more of these medicines, singly, alternately, or succes-
sively, may prove of pre-eminent service in conducting the cure. The
distinctive indications for each, respectively, may be discerned by
reference to the article on “CHARACTERISTIC EFFECTs.”
Dose : If singly, of either of these medicines give three globules in a tea-spoon-
ful of water, night and morning, for four days; then pause a week, after
which the course may, if necessary, be resumed as before, and so on, until
manifest amelioration or change. If in alternation, give the like dose at simi-
lar intervals, first of the one, for two days, then pause two days, after which
proceed similarly with the other, and so on, in rotation, until manifest im-
provement or change.
Sulphur, Calcarea, Silicea. One or more of these medicines,
singly or successively, may, in the majority of cases, suffice to complete
the cure, when the preceding course of treatment has been followed
only by partial improvement.
Dose : If singly, of either medicine give six globules in a table-spoonful of
water, every morning, the first thing (fasting), for a week (or until the earlier
development of new symptoms, improvement or change); then pause ten days,
after which the course may, if necessary, be repeated as before, and so on,
until the cure is complete. If in alternation, give two doses, first of the one,
(as above directed), then pause four days, after which proceed similarly with
the other, and so on, in rotation, until progressive improvement, or complete
cure is the result.
Diet and Regimen. Adults affected with this disorder, or indeed
with any other cutaneous disease, ought wholly to abstain from fish
ULCERS. 455
and salt meat. Children ought to be placed under similar restrictions,
and should not be allowed to partake of heating farinaceous food.
Undeviating attention to cleanliness must be observed throughout the
entire course of the complaint, and the homoeopathic diet rules must
be strictly adhered to in the majority of cases. The hair ought gene-
rally to be removed early in the disease. Further regulations, in
respect of the diet and habits, may be gathered from the article on
“ERADICATIVE TREATMENT’’ (pp. 83, 84, and 85).
SORES.—ULCERS.
An ulcer, or sore of continuance, may be the result of a wound,
bruise, burn, or abscess; it may also arise from a bad condition of
body, particularly when combined with sedentary habits, and gross or
otherwise unwholesome living. In the latter case, its formation is pre-
ceded by a greater or less degree of pain, heat, redness, and swelling
in the part. In many instances a little vesicle or pustule appears,
which, on bursting, exposes a gap or breach in the skin. Sometimes
there is at the commencement a single small excavation; in other
cases, several contiguous ulcerated spots are observed, which speedily
become blended together and form a sore of considerable magnitude.
When no effort at cicatrization or healing is taking place, the ulcer
always presents an excavation or hollow, the margins of which are red,
sharp, sometimes thick, prominent, rounded, or callous, and often
jagged and irregular. The surface of the ulcer, at the same time,
presents a dirty-white or yellowish color, and is usually covered with,
and discharges a thin, watery humor, or sanies, frequently tinged with
blood, and sometimes so acrid as to inflame and corrode the skin.
While the process of ulceration is extending, the edge of the adjacent
skin is inflamed and painful; but as soon as a tendency to heal sets in,
this ceases, and healthy granulations form, which present a florid color,
are of a firm consistence, and have a pointed shape, resembling minute
cones. The matter secreted is altered to a bland, thick, and whitish
or cream-like fluid (healthy matter), not adherent to the granulating
surface. These granulations do not rise higher than the surrounding
skin, and when they have risen to the level of it, those at the margin
of the ulcer become covered with a smooth, thin, blueish film, which
is at first semi-transparent, but soon changes to opaque on being con-
verted into new skin.
Treatment. In the treatment of ulcers in general, the following
are some of the most important remedies:
Arsenicum is chiefly useful when the ulcer presents a livid aspect,
or looks bloody, and bleeds on the slightest touch, and instead of
healthy matter, secretes a thin, unhealthy discharge mixed with blood;
the edges of the sore are at the same time hard and irregular, and the
patient complains of great pain, particularly of an intense burning
description.
Dose : If singly, three globules in a tea-spoonful of water, night and morning,
for a week (or until the earlier development of improvement or change); then
pause four days, after which the course may be repeated as before, if neces-
456 TJICERS.
sary, and so on, until amelioration or change; but, if the subjoined conditions
should occur, suspend treatment for two days, and proceed with the next
medicine. If in alternation with Carbo-veg., first give two doses of Arsenicum,
as above stated, at intervals of twelve hours: then pause forty-eight hours,
and proceed in like manner with Carbo, and so on, until amelioration or
change.
Carbo-v. is indicated under similar circumstances, and is, there.
fore, very useful in alternation with the former remedy, especially
when the discharge from the ulcer is of a very offensive nature, and
the burning pains are much exacerbated towards evening and during
the night.
Dose : In all respects, whether singly or alternately, or as a consecutive medi-
cine, as directed for Arsenicum. But if the subjoined symptoms occur, con-
sider the next medicine,
Lachesis forms a most important and eminently useful remedy
when the ulcer is large, or seems disposed to extend rapidly, or when
it is surrounded by numerous small ulcerations or pustules; further,
when there is considerable swelling and discoloration of the surround-
ing parts, the leg presenting a mottled, dark-blue or purple appearance.
Dose : In all respects as directed for Carbo-veg.
Mercurius will usually be found very serviceable when the ulcer
is deep, and secretes a thin and offensive discharge.
Dose : Three globules, in all respects as directed for Arsenicum, and with the
' like provisions for alternate and consecutive administration ; but if healthy
granulation should not ensue after two courses of Mercurius, consider Sulphur
and Silicea, or, if the discharge continugs thin and offensive, return addition-
ally to Arsenicum.
Treatment of Chronic Cases.
Sulphur is almost indispensable in nearly every case of long stand-
ing, and is sufficient of itself to effect a cure in many chronic cases. It
is more particularly indicated, however, when excessive itching, burn-
ing, or gnawing and smarting pains are experienced in the sore, which
bleeds much when dressed, presents no distinct appearance of granu-
lation, secretes a thick, yellow, unhealthy, or thin fetid matter, and has
its irregular and elevated margins frequently surrounded by groups
of pimples, which add to the irritation created by the sore; further,
where there is a considerable surrounding swelling, and a reddish-
brown discoloration of the limb, when the ulcer is seated in the inferior
extremities.
Dose : Six globules as directed for the same medicine above (that is, in six-day
courses). If in alternation with Silicea, give first a course of six doses of
Sulphur (at intervals of twenty four hours); then pause a week, and proceed
in like manner with Silicea, and so on, until manifest improvement or change;
but if after repeated courses the disease should appear to continue unmodified,
consider the subjoined medicines more especially.
Silicea is of nearly equal importance with Sulphur, in the treat-
ment of ulcers. The secretion of a thick and discolored matter is a
definite indication for Silicea; at the same time, when the discharge is
thin, acrid, and offensive, this remedy is of like utility, particularly in
TJLCERS. 457
sores with imperfect granulation, or the repeated formation of large
and flabby vegetations.
Dose : In all respects, either singly or in alternation with Sulphur (or sometimes,
as below stated, with Sepia or Acidum-nit., or both), as directed for Sulphur.
But if the disease appears, after a degree of improvement, to become station-
ary, pause four days, and proceed with the alternate administration of th
subjoined medicines. t
Sepia may occasionally be required in alternation with Silicea in
very intractable cases.
Dose : Four days after the second (or other) dose of Silicea, give six globules
of Sepia in a table-spoonful of water, repeating the dose after the lapse of
twenty-four hours; then pause four days, and continue treatment with three
globules of Acidum-nit., in a tea-spoonful of water, repeated after the lapse
of twelve hours; then pause four days again, and return to Silicea as before,
and so on, in rotation, until the healing process sets in and progresses re-
gularly,
Lycopodium may be given with advantage when the discharge is
of a citron-yellow color, the margins of the ulcer callous or inverted,
and an intolerable itching, sometimes with a pain of a burning de-
scription, is experienced at night in bed. In superficial chronic ulcers,
Lycopodium is, moreover, one of the most useful medicaments.
Dose : Three globules in a tea-spoonful of water, night and morning, for a
week, or until the earlier development of improvement or change; then
pause a week, after which the course may be repeated as before, if necessary
(and still indicated), and so on, until manifest improvement or change.
EXTERNAL AND ACCESSORY APPLIANCES.
The subjoined applications may be found of service in allaying the
pain, but their employment is subject to these important exceptions,
V12. .
1. That in chronic, indolent ulcers on the inferior extremities, such
as are frequently met with in elderly persons, the treatment ought to
be solely internal at the commencement, and the doses administered at
intervals of a week and upwards; and 2. that the appropriate con-
stitutional treatment, as hereinbefore directed should be prosecuted.
In this last respect, 2. if the eacternal application be pure water, there is
no reservation to the free selection of the medicine; but if the easternal
application be medicinal, the constitutional treatment must only be con-
ducted (if simultaneously) with the same medicine, as before directed.
Warm Water. When the ulcer is inflamed or extremely painful,
a soothing effect is often derived from the application of linen dipped
in warm water; and if the ulcer be seated in the leg, the affected limb
should be kept at rest, and not allowed to remain in a depending
position.
Application : Saturate a pad, or folded bandage of linen rag, with water mode-
rately warm (but not above 100°), and wrap such bandage, or fasten such
pad about or on the parts, so that it may cover the contiguous inflamed cir-
cumference, repeating the application from time to time when the throbbing
inflammatory pain becomes extremely severe.
Cold Water. The application of lint dipped in cold water is
another simple but highly useful form of dressing, and is frequently
458 ULCERS.
of greater efficacy than the preceding, especially when the ulcer pre-
sents a sharp, jagged, and undermined appearance, with no distinct
formation of granulations, but exhibits a surface consisting of a whitish,
spongy substance, covered with a thin and acrid discharge, and bleeds
on being dressed. In many cases it will be found sufficient to resort
to this application as below directed, continuing the constitutional
treatment.
Application : Fold a piece of lint so as to form a pad, and saturate it with cold
water, applying it to the parts, and fastening it by means of a linen bandage,
also movstened (but not saturated), over the whole of which bind a strip of
oiled silk; this pad and bandage should be constantly resaturated as fast as
they become dry (or nearly so), until the suffering abates; if, however, this
method should appear insufficient, consider the subjoined directions for the
use of the bandage and of medicated Lotions.
JBandages and Medicated Lotions.
When, however, the granulations are sufficiently developed, but of
a pale color, and often large and flabby, with a smooth and glossy sur-
face, the edges of the surrounding skin being at the same time thick,
prominent, and rounded, the discharge thin and watery, intermixed
with flakes of coagulating lymph, which adheres closely to the surface
of the sore, but the pain is trifling, and the sore comparatively insen-
sible, comsiderable assistance will generally be derived from the
employment of a moderately-tight bandage properly applied ; the pro-
motion of healthy granulation and cicatrization being further materi-
ally forwarded by the external employment of the same remedy which
we are prescribing internally,–such as Arsenicum, Carbo-veg., Sulphur,
Silicea, and Acidum-nitricum, in particular.
Application: The bandage should consist of a strip of linen about three inches
wide, and from four to six feet long, so rolled about the limb as not to con-
vey a sensation of pressure or numbness, or to impede the circulation, but to
avoid its slipping off, &c.; this bandage should only be removed for the pur-
pose of cleaning the wound and adjacent parts, but this dressing should be
repeated at least twice a day, and more frequently when the discharge is con-
siderable.
The Lotion should consist of ten drops of the tincture of Carbo, Arsenicum,
Sulphur, Silvcea, or Acidum-nitr., &c. (as the case may be), to three table-
spoonfuls of water, and with this the ulcer should be bathed twice a day
(after being washed with tepid water), until relief or change occurs.
Jºžeternal Treatment of Healing Ulcers.
In the treatment of healthy or healing Ulcers, dry lint may be
applied to the wound, and the dressing changed Only once in forty-
eight hours, when the secretion of matter is scanty and insufficient to
moisten the lint in a shorter period.
VARICOSE ULCERS.
Ulcers attended with, or arising from a varicose state of the veins,
are usually very obstinate and difficult to heal, particularly when it is
inconvenient or impossible for the patient to be kept at rest. Under
such circumstances, it may be beneficial that a properly fitting bandage
or laced stocking should be worn, although this is by no means essen-
tial to the homoeopathic treatment of such cases.
U},CERS. 459
Constitutional Treatment.
Arnica, or Pulsatilla. These two medicines, either singly, alter-
nately, or successively employed, but chiefly in alternation, are of the
first importance in the treatment of Varicose Ulcers, if administered
before the disorder has subsisted for any length of time.
Dose : If singly, of either medicine give three globules in a tea-spoonful of
water, night and morning, for a week (or until the earlier development of
improvement or change); then pause four days, after which the course may,
if necessary, be repeated as before, and so on, until amelioration or change.
If in alternation, first give two similar doses of Arnica at intervals of twelve
hours, then pause two days, and proceed with two similar doses of Pulsatilla
at the like intervals, and so on, in rotation, until manifest improvement or
change. But if (a degree of improvement having resulted) the amelioration
should become stationary or even retrogressive, consider the subjoined medi-
cines, and proceed according to indications.
Lachesis, Sulphur, Silicea, Arsenicum, Carbo-veg. These
medicines respectively occur as of considerable service in all protracted
cases, or in those in which the foregoing course is inadequate to effect
a cure. Indeed, there are few instances in which one or more of these
remedies may not be important in completing the healing process, and
in obviating the consequences of an improper suppression of the dis-
charge. The particular indications for each, respectively, may be
gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose : Of Lachesis, Arsenicum, or Carbo-reg, give three globules as directed for
Arnica and Pulsatilla. Of Sulphur or Silicea, give six globules in a table-
spoonful of water, at intervals of twenty-four hours, in similar courses.
Acidum-phos. is extremely useful in cases of more or less indolent
ulceration, particularly when the patient has before been injuriously
affected by the employment of Mercury under Allopathic treatment.
Dose : Three globules in a tea-spoonful of water, night and morning, until ame-
lioration or change : pausing, however, for four days, after every series of
doses extending over a week. But if the second course of this medicine should
fail in the development of some change for the better, pause a week, and pro-
ceed with the next.
Acidum-nitr. will prove of essential service in cases in which
Acidum phos. has, after repeated administration, proved inadequate
to complete the cure, in which case it should be employed a week
after the last dose of the foregoing medicine. #
Dose : Three globules, as directed for Acidum-phos.
Diet and Regimen. In these respects, the regulations should be
conformable to those already detailed in respect of ABSCESS, in the
article on that subject, page 433.
460 GOUT.
GENERAL DERANGEMENT OF THE SYSTEM.
G O U T.
This disease, particularly when it has assumed the chronic form,
requires a long discriminative course of treatment. The chief danger
arises from its liability to transfer its seat from the part first attacked
to some of the principal internal organs, such as the head or stomach;
in such instances it assumes a peculiarly critical character.
Predisposing Conditions. From some constitutional taint, gout
is often hereditary; until, therefore, this constitutional tendency is
eradicated by a proper mode of treatment, where practicable, it is
useless to expect a permanent cure.
Exciting Causes. Among the exciting causes of gout may be
numbered the following: a luxurious mode of life; stimulating diet or
drinks; a sudden check of perspiration ; mental emotions; sedulous
application of studious pursuits; neglect of proper exercise in the
open air; and the use of aperient medicines and tonics.
Symptoms. Pains in the joints, with inflammatory or chronic
swelling, and symptoms of deranged digestion.
These signs, however, may only partially declare themselves, or be
masked by some other chronic malady; indeed, there is scarcely any
disease of that character with which gout may not be complicated.
Prior to the attack, we usually find symptoms of general derange-
ment of the digestive functions, with a slight access of fever; the
veins of the feet become swollen, and a sense of numbness, cramp, or
twitching is present, with a deficiency of perspiration. When the
attack comes on, which most frequently occurs in the evening or
during the night, it is generally attended with a feeling of dislocation
in the joints of the feet, and burning or severe scalding pain in the
part attacked, more or less intense; after a time these sensations dis-
appear, leaving the part red and tumefied; the fit occurs again at
intervals, generally diminishing in intensity; and in many instances
considerable fever is present.
TREATMENT.
Aconite is required for persons of plethoric or corpulent habit,
where there is considerable inflammatory fever, with hard and quick
pulse. Aconite should also be employed *from time to time (in single
doses) as an intermediary remedy in cases which are attended with
much local heat and inflammatory redness.
Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea-
spoonful of the solution every three hours, until the pulse becomes diminished
in force and frequency, and the skin moist, when the intervals may be ex-
tended to six hours, and the administration thus continued until general
improvement or change.—referring, however, to the subjoined medicines for
further treatment as other manifestations occur.
GOUT. 461
Pulsatilla is appropriate when the pains are of a shifting nature,
exacerbated towards evening or in bed, with a paralytic or torpid sen-
sation in the part affected, and more particularly when the symptoms
of stomach derangement present themselves, and when the pain is
relieved by uncovering the affected limb.
Dose: Against the immediate symptoms, give three globules in a teaspoon-
ful of water, at intervals of four hours, until amelioration or change; sub-
sequently, against the predisposition, give the like doses night and morning,
for a week.
Arsenicum will be found of material service in affording relief,
when, on the contrary, the pain is increased by uncovering, and relieved
by warmth, and the patient is weak, depressed, and exhausted.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
three hours, until a degree of improvement (or change) becomes appa-
rent, and then at intervals of six hours, until very decided improvement
or change results.
Rhus toxicodendron is of especial service when the following
symptoms occur: pains worse at night, and attended with restlessness
and constant necessity to change the position of the extremities; pale
and anxious or haggard countenance, &c.
Dose: As for Arsenicum.
China is not uncommonly of service in cases where extreme sensi-
bility to the touch, and aggravation of the sufferings from the most
trivial pressure or touch, occur as strikingly prominent conditions.
Dose: Three globules, as directed for Arsenicum.
Nux vomica should be selected when the pains are worse towards
the morning; a paralytic and torpid sensation, with cramps and throb-
bings in the muscles; and, moreover, when, in addition to other symp-
toms of deranged digestion, we find constipation and piles, or an
inclination to the last-named affection, and an irritable or choleric
temperament; furthermore, when indulgence in wine or fermented
liquors has been the inducing cause.
Dose: As for Arsenicum.
Bryonia, where the pains are increased by the slightest motion; ag-
gravation of suffering at night; coldness and shivering, with general
perspiration or fever. Bryonia is, moreover, indicated in cases of
Gout characterized by the same group of symptoms as have been de-
tailed under the head of this medicine in the article on “INDIGES-
TION’ (page 208).
Dose: In all respects as directed for Arsenicum.
TREATMENT OF CHRONIC CASES.
Eradicative Treatment.
Sulphur, Calcarea, Hepar-s., and Kali-c. may be named among
the most important medicines for the removal of the inherent taint of
constitution whence the origin of this disease is derived. The discrim-
inative selection between them will be facilitated by reference to the
article on “CHARACTERISTIC EFFECTS.” It is, however, to be observed,
462 GENERAL DERANGEMENT.
that in many cases the successive administration of two or more of
these medicines may be required.
Dose: Of the medicine selected give six globules in a table-spoonful of water,
every morning the first thing (fasting), for ten days (or until the earlier
development of new symptoms or change); then pause a week, after which
the course may be once more repeated as before, and so on, from time to
time, after every acute attack, or in the event of the constant presence
of some symptoms, until manifest improvement or change.
Lycopodium, Aurum, Phosphorus, and Causticum may
also be named as appropriate to the treatment of Chronic cases. The
indications for each of these also, respectively, may be gathered from
the article on “CHARACTERISTIC EFFECTs.”
Dose: In every respect as directed in the last prescription; but if these
should not appear to embrace the symptoms of the case, consider the fol-
lowing.
Colchicum, Conium mac., and Staphysagria are also appro-
priate to the treatment of some Chronic cases of Gout, and should be
Selected in accordance with the symptoms present, and by comparing
such symptoms with those which are detailed under the head of each
respectively in the article on “CHARACTERISTIC EFFECTs.”
Dose : Three globules in a teaspoonful of water, night and morning, for
courses such as those directed to be given in the two foregoing prescriptions.
WANDERING GOUT.
Colocynth, Pulsatilla, Kali-bich., Sulphur, Arnica, and
Plumbum. When the repeated transition of the seat of disease, or
rather of pain from one part to another forms a very striking charac-
teristic feature of the case, that is, in cases of what is called Wander-
ing Gout, which assume a chronic character, these medicines are espe-
cially applicable to the treatment, in addition to those which have
been enumerated as appropriate to the eradicative treatment. The
selection from amongst these medicines will be facilitated by reference
to the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of the medicines as selected, give three globules in a teaspoon-
ful of water, night and morning, for a week, (or until the earlier develop-
ment of improvement or change); then pause four days, after which the
course should (if necessary) be repeated as before, and so on, from time
to time, until manifest improvement or change.
KNOTTY ENLARGEMENTS OF JOINTS.
Calcarea, Sepia, Lycopodium, and Graphites may be men-
tioned as amongst the most important in cases of knotty enlargements
of joints. The indications for each, respectively, may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose: Give six globules in a table-spoonful of water, every morning the first
thing (fasting), for ten days (or until the earlier manifestation of new
symptoms, or of evident improvement or change); then pause a week,
after which the course may be repeated as before, if necessary, and so on,
until manifest improvement or change. If, however, neither of these
remedies should appear to correspond with the assemblage of symptoms,
consider the following.
GOUT. 463
Aurum-met., Staphysagria, and Ledum pal. are also not un-
frequently of considerable service in the treatment of these enlargements
associated with gout. The indications which should lead to the selec-
tion of each, respectively, may be gathered from the article on “CHAR-
ACTERISTIC EFFECTS.”
Dose: Three globules in a teaspoonful of water, night and morning, in
courses such as those directed to be administered in the last prescription.
CONTRACTION OF LIMBS AND JOINTS.
Sulphur, Causticum, Bryonia, and Rhus tox. may be named,
and Sulphur in particular, as of the chief service in the treatment of
contractions resulting from gout. The particular indications which
should lead to the selection of each respectively, may be gathered from
the article on “CHARACTERISTIC EFFECTs.”
Dose: Give six globules in a table-spoonful of water, every morning the first
thing (fasting), for ten days (or until the earlier development of amelio-
ration or change); then pause a week, after which the course may, if
necessary, be resumed as before, and so on, until manifest improvement
or change.
w
GOUT OF PERSONS EXPOSED TO WORK IN WATER.
Sulphur, Calcarea, Arsenicum, Dulcamara, Nux mos-
chata, and Rhus tox. are amongst the most important remedies in
the treatment of gout which occurs in individuals whose occupations
compel them to work in water. To discriminate between these medi-
cines the article on “CHARACTERISTIC EFFECTs” should be consulted.
Dose: Of either of these medicines, as selected, give three globules in a
teaspoonful of water, repeated at intervals of six hours (during the con-
tinuance of acute symptoms), until manifest improvement or change; then
the intervals between the doses are to be lengthened, or the medicine is to
be discontinued.
SUIDDEN TRANSITION OF THE DISEASE TO SUPERIOR ORGANS.
Belladonna, if promptly employed, is one of the most useful med-
icines in cases in which the disease abruptly disappears and is trans-
ferred to superior organs (especially the BRAIN), accompanied with
high inflammatory and febrile action. (See INFLAMMATION OF THE
BRAIN, APOPLEXY, and PARALYSIs.)
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful, repeated at intervals of three hours, until manifest improve-
ment or change.
Nux vomica is to be preferred when the stomach becomes espe-
cially affected by the transition of gout from its local seat, and the
patient is seized with a peculiar feeling of anxiety and oppression, or
uneasiness in the stomach generally, accompanied by violent pain,
nausea, and vomiting.
Dose: A solution of six globules, as directed for Belladonna.
Bryonia is more especially applicable to the treatment of cases in
464 REIEUMATISM.
which the chest is the part particularly involved, and the patient com-
plains of pain, constriction, and difficulty of breathing.
Dose: In all respects as directed for Belladonna.
Arsenicum should be promptly employed in those serious cases in
which the heart becomes especially affected, which is usually indicated
by fainting, by the breathing becoming much oppressed, the pulsation
of the heart violent or intermittent, and the pulse very feeble and fre-
quent or intermittent. It is further called for in such cases, if the
palpitation of the heart becomes tremulous and fluttering, and does
not accord with the pulse, and the vital energy greatly depressed.
Dose: Two globules in a teaspoonful of water, repeated at intervals of a
quarter of an hour until the more urgent symptoms abate, and, subse-
quently, at intervals of two hours, until very decided improvement or
change.
Spigelia or Cactus grandiflorus may be called for in cases in
which there appears to be a transition of gout to the heart. In order
to discriminate between these medicines, the article on “CHARACTER-
ISTIC EFFECTs’ should be consulted.
Dose: In all cases, when selected, as directed for Arsenicum.
Diet and Regimen. The diet should be light, easy of digestion,
more sparing than when in the ordinary health, and unstimulating ;
but if the patient has long been accustomed to a free mode of living,
he must not be too suddenly lowered. In the intervals between the
attacks, regular exercise must be taken daily, the state of the digestive
organs strictly attended to, and the diet regulated accordingly. In
chronic cases the diet should mainly, and sometimes exclusively, be
selected from the vegetable kingdom. The remedies required for gouty
derangement of the stomach, gouty headache, palpitation, asthma, &c.
(atonic gout), are the same as those enumerated in this article. Fur-
ther particulars may also be gathered from the article on “INDIGES-
TION’ especially.
RHEUIMATISIMI — RHIEUIMIATIC E'EVER.
This disease occurs in two forms, the acute and the chronic.
Characteristic Symptoms. Pains in the muscular or mem-
branous structure, generally with swelling of the adjacent cellular tissue
(the fine net-like membrane enveloping or connecting most of the
structures of the body), with slight redness, and increased generation
of heat, caused by taking cold.
Symptoms of Acute Rheumatism. This variety of the dis-
ease is accompanied by fever, preceded by restlessness; heat alternating
with chills; thirst; coldness of the limbs and extremities; constipation
and accelerated pulse, followed by pains in the harge joints, generally
shifting their situation, leaving redness, swelling, and tenderness of the
parts affected; it is also frequently attended with excessive perspiration
and weakness.
Symptoms of Chronic Rheumatism. The swelling of the
parts, except in very severe cases, is commonly less perceptible; some-
times there is present a feeling of general stiffness or numbness, with
little or no fever.
RHEUMATISM. 465
[Other symptoms incidental to this complaint we shall notice more
particularly under the head of the different medicaments most effica-
cious in the treatment.]
Predisposing Conditions. People who have resided long in a
tropical climate, or have been subject to continual exposure to cold or
wet, are very liable to suffer from rheumatism. Those who have once
been attacked are liable to its recurrence.
Exciting Causes. The principal exciting causes are damp, chill,
or a sudden check of perspiration.
TREATMENT.
In the treatment of this affection, the following medicaments have
been found particularly useful : —
Aconitum is generally to be selected when the subjoined symp-
toms constitute the characterizing features of the case: high fever, dry
heat, thirst, and redness of the cheeks; excessive shooting or tearing
pains, extremely violent at night; occasionally redness or shining
swelling of the parts affected; aggravation of pains by the touch or
by stimulating food or drink; excessive irascibility of temper.
Dose: In cases in which the fever-symptoms do not run high, give two glob-
ules in a teaspoonful of water, repeating the dose after the lapse of six
hours, and so on, until the fever subsides. But in cases in which the fever
assumes a severely inflammatory character, dissolve six globules in a table-
spoonful of water, and give a teaspoonful of the solution, repeated at
intervals of three hours, until the skin becomes moist, the pulse less hard
and frequent, and the pains and restlessness less intense If, after the
more aggravated symptoms of fever have yielded, such symptoms as the
subjoined should supervene, consider one of the following medicines.
Sulphur is often an invaluable remedy in the treatment of rheu-
matic fever at the onset, either before or after the administration of
Aconite (according to the state of the patient), as well as in completing
the cure and removing the susceptibility to relapses or repeated attacks
after any of the other medicines, herein enumerated, have been suc-
cessfully administered against the more acute symptoms. In the com-
mencement of the attack and against the acute symptoms, Sulphur is
indicated by such manifestations as the following: drawing, pricking
or tearing pains in the extremities and joints, with slight swelling of
the latter; mitigation of pain by the external application of warmth,
and aggravation by the similar application or contact of cold bodies;
exacerbation or accession of pain, when in a condition of rest, and
relief induced by movement; chiefly, however, when the pains are of
a fixed character. Rheumatic fever, with alternate heats and chills,
feeling of anxiety in the forepart of the chest, pains in the back and
neck, and severe pricking in the lower part of the back; intense rest-
lessness and sleeplessness, or disturbed and agitated sleep, and inca-
pacity of retaining any position quietly — symptoms which are much
aggravated by the extreme violence of the headache; the fever-symp-
toms are especially characterized by aggravation in the evening or
after retiring to rest, chiefly consisting of violent, shivering chills,
which no artificial application of warmth is capable of allaying, but
which are followed by the hot fit after the lapse of an hour or two,
30
466 THEUMATISM.
and even by sour-smelling sweats towards morning; complete absence
of appetite, or desire for acid food only, with great thirst, parched
mouth (or sensation of dryness), sour eructations, distension of the
pit of the stomach and belly, and sensibility of those parts to the
touch ; and, lastly, costiveness.
Dose : In every respect as directed for Aconitum (above).
Belladonna is useful when the pains are of a shooting or burning
description, principally in the joints, aggravated by movement, and
worse at night; when the parts attacked are much swollen, rigid, very
red, and shining, and particularly when there is fever, with determina-
tion of blood to the head, throbbing of the vessels of that part, and
redness of the face; heat of skin, thirst, accelerated pulse, and sleep-
lessness.
Dose : In cases in which the symptoms exhibit a mild aspect, two globules;
but when the sufferings are intense, a solution of six globules, as directed
for Aconitum.
Bryonia should be employed when the subjoined symptoms are
most characteristically predominant: severe shooting pains, much in-
creased by motion of the affected part, or by a cold draught of air;
swelling of the joints of the upper and lower extremities; fever; thirst,
with desire for large draughts of cold water; headache, indigestion,
and constipation; pains aggravated at night, or particularly on the
slightest irritation; irascibility and perverseness of temper; the pains
seem situated more in the muscles, and particularly about the joints,
than in the bones. Bryonia is, like Belladonna, particularly indicated
in rheumatic fever when the pains are excessively increased by the
slightest movement, but when the accompanying fever is less of an
inflammatory type than that which calls for the administration of
Pelladonna.
Dose: Two globules in a teaspoonful of water, repeated at intervals of four
hours, until manifest improvement or change.
Chamomilla is more especially indicated when we find dragging
or tearing pains, with a sensation of numbness or of paralysis in the
parts affected; feverishness; great agitation and tossing; desire to
remain lying down; perspiration, sometimes confined to the head; ex-
acerbation of suffering at night, with temporary relief from sitting up in
bed, or frequent changing of posture; dragging, rheumatic pains in the
gums or upper and lower extremities, with nocturnal exacerbations;
aching pains all over on waking in the morning; chilliness, with dis-
inclination to leave the recumbent posture.
Dose : Two globules in a teaspoonful of water, repeated at intervals of six
hours, until manifest improvement or change.
Nux vomica should be selected when there is a sensation of
numbness, paralysis, or tightness in the parts affected, with cramps and
twitching of the muscles; pains of a dragging description, chiefly con-
fined to the joints, trunk of the body, back, loins, and chest, aggravated
by cold, worse after midnight or in the morning; deranged digestion ;
constipation; irritability of temper; excessive sensibility to external
impressions, as noise, jarring, touch. In rheumatism in the muscles of
the neck, with stiffness and drawing of the head to one side, and noc-
RHEUMATISM. 467
turnal exacerbations, as also in rheumatism having its seat in the gums,
muscles of the chest, belly, and back, with flatulence and constipation,
Nua, vomica is one of the best remedies.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a
teaspoonful night and morning, until manifest improvement or change.
Cimicifuga should be administered where the rheumatism affects
principally the muscles, with burning, crampy, stitchy pains; intoxi-
cated feeling of the head, and distress of mind; the eyeballs pain, the
pain being aggravated by moving them; chilliness alternating with
heat. It is indicated, also, in rheumatism of the muscles of the chest,
which is very painful.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give
a teaspoonful every four or six hours, until manifest improvement or change.
Dulcamara is indicated in rheumatism which becomes worse after
even a slight exposure to cold, or by a change from warm to cold
weather; also when rheumatic pains set in after acute skin diseases;
or when the rheumatism alternates with diarrhoea.
Dose : Two globules in a teaspoonful of water, repeated at intervals of
twelve hours, until manifest improvement or change.
IMercurius should be administered in cases where the pains are
increased by the warmth of the bed or by exposure to damp or cold
air, aggravated at night, and especially towards morning ; also where
there is considerable puffy swelling of the parts affected. This medi-
cine is particularly useful when the pains seem seated in the bones or
joints; profuse perspiration, without alleviation of suffering, is also a
good indication for its employment; rheumatic fever with continual
alternations of chills and heats, or internal heat, with fugitive chills in
the affected parts; collection of saliva in the mouth, of a coppery taste;
slimy tongue.
Dose: Two globules in a teaspoonful of water, repeated at intervals of twelve
hours, until manifest improvement or change.
Lachesis may be administered with advantage after Mercurius in
cases in which the last-named medicine has been inadequate effectually
to remove the symptoms. Lachesis has also been found of great efficacy
in rheumatic fevers, and especially in those occurring after the abuse
of mercury. It is chiefly indicated by pain and stiffness, with swelling
of the affected part, sensibility to the touch, and exacerbation of the
pains during movement; perspiration towards evening and at night,
which brings no relief. The pains are generally worse after sleeping;
the left side is generally the most affected, or the affection begins in
the right, and goes over to the left side.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every four hours, until a degree of improvement (or change)
results, and, subsequently, every six hours.
Caulophyllum should be given for rheumatism of the wrist and
finger-joints, which are swollen; also when shifting to the back and
nape of the neck; with rigidity of the muscles of the back and neck;
shortness of breath, high fever, and nervous excitement.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
six hours, until the pain is alleviated, or such change occurs as to indi-
468 RHEUMATISM.
cate some other medicine very distinctly, in which case pause six hours,
and proceed accordingly.
Pulsatilla is useful in the case of shifting rheumatic pains, partic-
ularly if attended with a sense of torpor or paralysis in the parts upon
which the patient has been lying, relieved by exposure to cool air, and
exacerbated in the evening or at night; rheumatic fever with predomi-
nance of chills and pains in the long-bones.
Dose : As for Caulophyllum.
Rhus toxicodendron should be employed in cases in which,
after the last-named medicine has effected partial or temporary relief,
the paralytic torpor of parts continues to prevail predominantly. Rhus
toº. is, however, more particularly indicated by the subjoined symp-
toms. Sensation of torpor, dulness and crawling, with feeling of numb-
ness, or creeping in the parts affected, especially in those on which the
patient lies; paralytic weakness, or trembling of the extremities upon
moving them ; a sensation of bruising or of laceration, as if the flesh
were torn from the bones, or as if the bones were being scraped; pains
worse during rest, relieved by motion; inflammatory or shining redness
in the joint, with stiffness, and sometimes a darting pain when handled;
rigidity and pain in the joints, particularly on waking in the morning,
or on commencing to move the parts affected after rest, but followed by
relief on persevering with movement. This remedy is particularly
useful when rheumatism or rheumatic fever has arisen after a thorough
wetting, or when the sufferings are aggravated in cold or damp weather,
and when, in rheumatic fever, the pains set in especially during the
chills, and the chilliness alternates with heat throughout the course of
the disease, except during the night, when heat prevails and gives rise
to a constant inclination to stretch the limbs.
Dose : In all respects as directed under the head of Caulophyllum.
Ferrum is sometimes of service when the pains are relieved by
frequently shifting the position of the limbs; or when the rheumatism
affects principally the large muscle forming the cap of the shoulder.
Dose: Two globules in a teaspoonful of water, repeated at intervals of twelve
hours, until manifest improvement or change.
Camphor is often of great service in cases characterized by pains
which disappear from one part to reappear in another, (as, for instance,
from the feet to the arms,) and so on, and in which the administration
of other medicines has afforded only temporary relief. In such cases
the first dose of Camphor should be administered twenty-four hours
after the last of the preceding medicine.
Dose : One drop of the concentrated tincture on a small lump of the best
loaf-sugar, repeated at intervals of six hours, until the indicative condi-
tions cease. &
Arsenicum is a most valuable remedy when the pains are of a
tearing, dragging, lancinating, burning character, accompanied by
anxiety and uncontrollable restlessness and sleeplessness, with great
heat of skin and excessive thirst, small accelerated pulse, and swelling
of the extremities. In rheumatic transition of disease to internal
organs, especially to the heart, Arsenicum has been strongly recom-
RHEUMATISM. 469
mended. Accessions of sweat with mitigation of suffering constitute a
characteristic indication of Arsenicwm.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a
teaspoonful every four hours, until amelioration or change.
Colchicum is more especially required for rheumatism, with stom-
achal derangement and slight fever, during the prevalence of cold,
damp weather; or rheumatic fever, exacerbated in the afternoon, with
general dry heat, palpitation of the heart, thirst, and fugitive sweats;
shooting, tearing pains in the affected parts, becoming almost insup-
portable at night, subsiding towards morning, and then suddenly fixing
upon some other part of the body, which in its turn becomes painful
and inflamed, whilst the previously affected part loses its former red-
ness, but remains in a tumefied state for a few hours.
Dose: Three globules in a teaspoonful of water, repeated at intervals of four
hours, between noon and midnight, and during the particular prevalence
of pain, until manifest improvement or change.
China is of much service at the commencement of an attack of
rheumatic fever, when the following symptoms are met with: nocturnal,
pressive, aching pains in the head, with excessive general restlessness,
which disturbs sleep; fugitive chills in the back, and tendency to
sweat on covering up the parts, or on the slightest excess of clothing;
the chilliness gradually extends over the whole body, but consists
more of an internal than an external feeling of chilliness, with the
exception of the hands and feet, which are as cold as ice; by degrees
partial heat supervenes, with exacerbation of headache, and distension
of the vessels, dragging, tearing pains in the back, sacrum (the bone
which forms the basis of the spinal column), thighs, and knees, with
weakness in the affected parts, and aggravation or renewal of suffering
on the slightest touch.
Dose: Two globules in a teaspoonful of water, repeated at intervals of six
hours, until manifest improvement or change. g
Arnica is characteristically indicated when the extremities are
affected with tensive, tearing pains, or pains as if caused by a bruise,
attended with debility, redness, and swelling; exacerbation from the
slightest movement, and yet it is found impossible to retain the limbs
long in one posture, in consequence of the unremitting pain and the
restlessness which arises therefrom ; fears even the possibility of being
touched. In pains of a similar description affecting the chest, partic-
ularly the posterior portion, this remedy is still more efficacious, with
the contradistinction that they are mitigated by movement. Shiver-
ing chills and heat prevail at the same time; i. e. whilst the one part
feels warm to the touch, another feels cold.
Doge: Two globules in a teaspoonful of water, repeated at intervals of six
hours, until manifest improvement or change.
Gelseminum may be used in cases of rheumatic neuralgia, or
muscular pains; dull aching pains across the loins, or deep-seated
dull aching pains in the limbs, which are attended with inability to
move the limbs; feverishness.
Dose: As directed under the head of Arnica.
Nux moschata should be administered for wandering, aching,
470 RHEUMATISM.
or drawing pains, worse during rest, or in the open cold air, caused
by protracted wet weather.
Dose : As directed under the head of Arnica.
Ledum should be given when the rheumatic pains have commenced
in the feet, and extend upwards; they are aggravated by motion, in
the evening, and before midnight; the warmth, of the bed, and the bed-
coverings are unbearable.
Dose : As directed under the head of Arnica.
Veratrum viride is indicated in some cases of inflammatory
rheumatism, with gastric disturbances, especially if the left shoulder,
hip, and knee are attacked.
Dose : As directed under the head of Arnica.
Veratrum album may be administered when there are jerks in
the affected limb, as from electric shocks; the pains are worse in bed,
necessitating the patient to sit up and let the legs hang out of bed,
which relieves, or the pains are relieved by walking about; sometimes
the pains are so violent as to cause delirium.
Dose: As directed under the head of Arnica.
Calcarea carbonica is well adapted to persons of a scrofulous
nature, or who constantly have cold and damp feet; and is particu-
larly suited to persons who contract rheumatism by working in water.
It may be given after Rhus tow. if that medicine does not sufficiently
relieve.
Dose : Two globules in a teaspoonful of water, repeated at intervals of twelve
hours, until manifest improvement or change.
COMPLICATED AND SERIOUS CASES.
The chief danger connected with acute rheumatism consists in the
complications with which it is liable to become associated, and more
especially with the transitions which frequently occur, particularly to
the respiratory organs and to the heart. In these cases prompt and
appropriate treatment becomes essential to avert serious consequences.
When the Respiratory Organs are especially implicated.
Aconitum should be promptly administered, and should be rapidly
repeated in the event of a sudden transition of the disease to the chest,
characterized by oppressed respiration, palpitation of the heart, exces-
sive agitation, anxiety and acute pain, and fever.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give
a teaspoonful, repeated after the lapse of half an hour, and, afterwards,
at intervals of two hours, until the pulse becomes more tranquil, and the
breathing less oppressed. If, however, the beneficial effects of Aconitum
be but temporary, proceed at once with the following remedies.
Bryonia, Belladonna, Pulsatilla, or Sulphur are of great
service in cases in which the respiratory organs become involved, when
the symptoms correspond with the effects of any of them as detailed
in the article on “CHARACTERISTIC EFFECTs,” which should be con-
sulted.
Dose: In every respect as directed for the administration of Aconitum.
RHEUMATISM. 471
When the Heart is especially implicated.
Such cases are of a very serious character, and liable to terminate in
incurable disease of the heart, if, indeed, they do not prove fatal, and
medical aid should always be sought when obtainable. Inability to
lie on the left side, and an anxious expression of countenance, with
tumultuous action of the heart—the action of which is usually found to
be at variance, as to strength or harmony, with the pulse at the wrist—
commonly characterize this dangerous complication. The following
remedies may be used, as indicated. e
Aconitum is useful in the beginning, if there be a full, hard, quick
pulse, great heat of the skin, thirst, anxiety, fear of death, restlessness,
loud complainings; sharp shootings in the region of the heart.
Cactus grandiflorus should be administered in cases in which
there is oppression of breathing; pricking pain at the heart; dry
cough ; impossibility of lying on the left side; quick, hard pulse;
sharp stitches in the heart, which causes the patient to weep and to cry
out ; constriction in the region of the heart, as if that organ were
grasped by an iron hand.
Lachesis is indicated by spasmodic pain in the heart, causing pal-
pitation; shortness of breath at every motion, especially on moving the
hands; inability to lie downton account of a sense of suffocation, with
oppression about the throat and desire to remove all pressure from the
throat and chest; the patient feels much worse on awaking from sleep.
Spigelia should be given when the heart is easily excited ; the pal-
pitation is violent and loud, and does not keep time with the pulse;
sharp shooting pains through the heart, with oppressed respiration and
anxiety.
Spongia is useful when there is a violent and loud cough; the
action of the heart is violent and rapid, with loud blowing sound, as of
a bellows, on applying the ear to the left chest, over the heart.
Pulsatilla, when the palpitation is increased by mental emotions,
or by speaking, and accompanied with anxiety; intolerance of the
pressure of the clothes; the patient cannot lie on the left side.
Phosphorus will be found useful when there is a feeling as of a
great weight pressing on the breast-bone, and over the upper part of
the chest, the patient cannot lie on his back.
Cimicifuga for intense anxiety about the heart, with pain in the
left shoulder extending down the left arm, with sensation as if that
limb were bound to the side.
Arsenicum should be given when there is great prostration of
strength, the skin is cold and damp, or there is cold and sticky perspira-
tion; very great restlessness and anxiety; boring pains in the region of
the heart; worse at night, especially after midnight; inability to lie on
the back. It is best suited when the case has continued for some time.
Veratrum viride is indicated by a feeling of distressing burning
in the region of the heart, with pricking pains there; fluttering sensa-
tion and palpitation on taking the least exercise.
Dose : Of either of the above medicines, as selected, give three globules in
a teaspoonful of water, repeating the dose at intervals of one or two hours
(according to the urgency of the symptoms), until the palpitation, accel-
/
472 FHEUMATISM.
erated or intermittent pulse, or other symptoms become less marked, and
the angiety is diminished ; and, subsequently, every three or four hours,
until all the symptoms subside.
Chronic Rheumatism.
Sulphur is one of the most valuable medicines for the treatment
of obstinate and chronic cases of rheumatism, even when all other
resources fail, and often when other medicines (for which some distinct
indication, occurs) have been administered, to all appearance without
effect. In cases of this kind the medicine thus particularly indicated
should be readministered ten days after the first course of Sulphur has
been completed, and will then, in many instances, operate with prompt
and effectual activity. In other cases Sulphur, either singly or followed
by such other medicines as may be subsequently indicated, will be
more especially required from the absence of any characteristic and
distinctive features in the disease (or otherwise as directed in the article
on “ERADICATIVE TREATMENT,” p. 83.)
Dose: Six globules in a table-spoonful of water, every morning the first
thing (fasting), for six days (or until the earlier development of new symp-
toms, or manifest improvement or change); then pause a week, after which
the course may, if necessary, be repeated once again as before. If, how-
ever, little or no effect be manifest, withia ten days after the completion of
the second course, proceed with the next medicine. If distinct change
should have occurred, consider the other medicines enumerated. *
Calcarea should be administered ten days after the completion of
the second course of Sulphur, when the last-named medicine has failed
to develop any very positive effects. Calcarea is, moreover, to be pre-
jerred to Sulphur for the treatment of cases characterized by return or
aggravation of the pains upon every change of weather.
Dose: Six globules as directed for Sulphur. Consider also the following.
Carbo veg., Hepar sulph., Lycopodium, or Veratrum
may frequently occur as of great service in the treatment of cases of
chronic rheumatism. The particular indications which should lead
to the selection of each, respectively, may be gathered from the article
on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, night and morning, until manifest improvement or
change.
Phosphorus, Causticum, or Lachesis may also prove of
greater or less service in some very obstinate and intractable cases, in
which such indications occur as are recorded under the head of each
of these remedies, respectively, in the article on “CHARACTERISTIC
EFFECTs,” or in the foregoing portion of this article more particularly.
Dose: Of the remedy selected, give three globules in a teaspoonful of water,
night and morning, until manifest improvement or change.
PRECAUTION.
When acute rheumatism or rheumatic fever occurs in children or
young persons, medical aid should, if within reach, immediately be
sought, as the heart is very liable to become dangerously affected. If,
LUMBAGO. 473
however, no homoeopathic professional advice be accessible, the treat-
ment should be very promptly pursued in conformity with the regula-
tions which have been afforded in the foregoing portions of this article.
Diet and Regimen. When fever prevails, and is of an active
character, water, toast-, barley-, or rice-water, &c., must alone be given;
in fact, the diet should be such as has been prescribed in the general
article on “FEVER,” and in that on “INFLAMMATORY FEVER,” or on
any other inflammatory disorder. It cannot, however, be too strongly
impressed upon the reader, that, whether fever be an attendant devel-
opment or not, those who are subject to rheumatism ought always to
live temperately.
This disease is to be considered as invariably associated with greater
or less derangement of the organs of digestion, and should, therefore,
be subjected to a regimen which would be appropriate to cases of
Indigestion of equal intensity. It were well, therefore, if the reader
would also refer to the article on “INDIGESTION,” and regulate the diet
accordingly.
LUIMBAGO.
Symptoms. Violent pain, of a rheumatic character, in the loins,
either periodical or permanent, frequently accompanied with a con-
siderable degree of fever.
TREATMENT.
Aconite may be given at the commencement, if much fever de-
clare itself.
Dose : Three globules in a teaspoonful of water, repeated if requisite, at
intervals of six hours, until the fever-symptoms subside (or at similar inter-
vals, from time to time, in the event of their recurrence), after which
consider the subjoined medicines.
Bryonia should be administered when the pains in the back are of
a severe, aching, or darting description, constraining the individual to
walk in a stooping posture; when they are aggravated by the slightest
motion or draught of cold air, and attended with a general sensation
of chilliness.
Dose: Three globules in a teaspoonful of water, repeated at intervals of twelve
hours, until four doses have been given; then pause twenty-four hours,
after which, if the symptoms still prevail and continue of a precisely analo-
gous character, repeat the course of Bryonia as before; if, on the other hand,
such symptoms as are subjoined be apparent, consider Nua, vomica and
Rhus toa, , and proceed according to the indications which occur.
Nux vomica. This is a valuable medicine in obstinate cases,
and is often well adapted to follow Bryonia in acute lumbago. It is
particularly indicated when the pains resemble those produced by a
bruise, or excessive fatigue; also when they are much increased by
motion and by turning in bed at night, and are attended with consid-
erable weakness; further, when irritability of temper and constipation
are present.
Dose: Three globules in a teaspoonful of water, night and morning (in
general acute cases), or the like doses, repeated at intervals of six hours
(in acute and very painful cases), until amelioration or change; in obsti-
nate chronic cases the doses should consist of four globules repeated every
474 INFLAMMATION OF THE PSOAS MUSCLE.
night at bedtime, pausing seven days after every sixth dose, and continuing
the administration thus, by courses of a week’s duration, until permanent
relief (or change).
Rhus toxicodendron is sometimes useful after Bryonia. It
should, however, be selected in preference to that remedy when the
pains complained of are much increased by rest. It is further more
especially indicated by the following symptoms: dragging or shooting
pain in the back and loins; severe aching, or pain in the loins, as if
from the effects of a bruise or sprain; a sensation of tension or stiff.
ness in the affected parts on movement, or when the seat of the pain is
pressed upon. It is also a useful remedy in long-standing cases.
Dose: Three globules in acute cases, and four globules in chronic cases, as
directed for Wuz vomica. g
Belladonna, when the pains are deeply seated, causing a sensation
of heaviness, gnawing, or stiffness; it may follow Aconite with consid-
erable benefit, when slight inflammatory symptoms are present.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
six hours, until amelioration or change.
Pulsatilla, when the pains, resembling those mentioned under the
head of Nua, vomica, are moreover attended with a sensation of con-
striction at the affected parts; it is particularly indicated, as remarked
in other parts of this work, for females, or individuals of mild, sensi-
tive, or phlegmatic temperaments.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, until amelioration or change.
IMercurius, when the pains are much of the same description as
those detailed under the head of Nua, vomica, but considerably aggra-
wated at night, incapacitating the sufferer from taking rest.
Dose: Three globules, as directed for Pulsatilla.
Additional Particulars.
Further details respecting the treatment of lumbago may be derived
from the article on “RHEUMATISM’’ (pp. 464 to 472), the medicines
which are appropriate for the treatment of the last-named disease
being, in many instances, similarly indicated in this disorder.
Diet and Regimen. In these respects the regulations which
would be apposite would be merely recapitulations of those already
prescribed, in respect of Indigestion and Rheumatism, to the articles
on which, therefore (at pp. 222 to 223, and 464 to 472), the reader is
referred. It may, however, be remarked, that a careful restriction to
plain diet and to regularity of habits is always of Service, and is often
essential to the cure.
INIFLAIMIIMIATION OF THE PSOAS IMIUSCLE.
Symptoms. Pain in the region of the kidney, hip, and down-
wards to the leg. The limb can neither be stretched down or drawn
upwards without pain; in walking there is a hobbling in the gait, with
the body inclined forward; turning in bed or lifting any weight
increases the pain. The affection in some measure resembles INFLAM-
INFLAMMATION OF THE PSOAS MUSCLE. 475
MATION OF THE KIDNEYS, from which, however, it is distinguishable
by the absence of disturbances of the urinary system, &c.
Issue and Results. This disease is generally more painful than
dangerous; it may, however, prove fatal from matter forming and dis-
charging itself internally into the cavity of the belly; but more fre-
quently abscesses open in the groin, the anus and its vicinity, or
thighs; it may also produce ulceration of the bones of the spine, &c.
* TREATMENT.
The medicines heretofore recommended for the treatment of Rheu-
matism and Lumbago are in like manner to be selected, in many
cases, for the treatment of this disease. The following may, however,
be more particularly or additionally mentioned : —
Aconitum (followed or not by Belladonna, according to the sub-
sequent development of symptoms) should, in most cases, be adminis-
tered at the onset of treatment to overcome the febrile disturbance
which usually prevails more distinctly in this disease than in Lumbago.
Dose: Three globules in a teaspoonful of water, repeated after the lapse of
six hours; then pause twelve hours, and if the inflammatory or febrile
symptoms be still strongly manifested, proceed with the next medicine,
Belladonna should be administered twelve hours after the second
dose of Acomitum in the event of the continuance of inflammatory or
febrile symptoms after the treatment just prescribed.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, until decided improvement or change ; or, again, consider
the subjoined medicine.
Colocynth is more especially required when there is a feeling of
contraction in the psoas muscle when walking, and the disease is more
of a chronic nature.
Dose : Two globules in a teaspoonful of water, repeated at intervals of
twelve hours, until manifest improvement or change.
SUPPURATIVE IN FLAMMATION OR LUMBAR ABSCESS.
Previous to the detailed consideration of the treatment of such
cases it may be remarked, that in the great majority of instances the
psoas or lumbar abscess exhibits none of the premonitory symptoms
which are subjoined as indicative of treatment, or which might lead
us to anticipate such a development of disease, and it generally occurs
that the first intimation of the actual existence or progress of this dis-
order, is evinced in the appearance of an easternal tumour. For the
purposes of treating cases, which have already attained this advanced
stage, the more accurately and appropriately, it were well if the reader
would refer to the article on “CHRONIC ABSCEss.”
Staphysagria should be administered, when fits of shivering or
rigors occur, followed by a sensation of throbbing, and increase of
pain in the affected part, and we have reason to apprehend incipient
suppuration. It is also indicated when the abscess discharges a pecu-
liarly offensive matter.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every four hours, for twenty-four hours; then pause twelve
476 SCIATICA.
hours, and, if no change has taken place, proceed with one of the sub-
joined medicines.
Hepar sulph, should be administered twenty-four hours after the
last dose of Staphysagria, to assist in bringing the abscess to a head,
and thereby to relieve the sufferings of the patient.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every four hours, until manifest improvement or change.
Silicea is characteristically indicated, and is a medicine of essential
service, in cases in which the abscess is distinctly traceable to a dis-
eased condition of the spinal bones. It is also useful after an abscess
has been discharging freely; or when the matter is thin and acrid.
Dose: Give three globules in a teaspoonful of water, every morning the first
thing, fasting, for a week, followed by a pause of six days, and, subse-
quently, by a repeated course as before, and so on, until manifest or gen-
eral improvement or change.
Aurum met. or Plumbum met. may also be required for the
treatment of Lumbar Abscess, complicated with a diseased condition
of the bones of the spine. The particular indications which should
lead to the selection of each, respectively, may be gathered from the
article on “CHARACTERISTIC EFFECTs.”
Dose: Of the remedy selected give three globules in a table-spoonful of
water, night and morning, for a week (or until the earlier manifestation
of improvement or change); then pause five days, after which the course
may, if necessary, be repeated as before, and so on until manifest ameli-
oration or change.
Diet and Regimen. In cases of simple inflammation of the
PSOAS MUSCLE, the diet and general treatment should be regulated in
accordance with the general directions afforded in the article on “SIM-
PLE FEVER,” or should be more or less rigidly conformable to the regu-
lations afforded respecting other inflammatory disorders, according to
the greater or less intensity of the symptoms. In cases of LUMBAR
ABSCESS the diet should be plain, but nourishing, and should be regu-
lated more particularly in accordance with the directions afforded for
the treatment of “ABSCEss” (p. 434).
SCIATIC A.
Symptoms. Pain in the region of the hip-joint, which frequently
extends to the knee and foot, following the course of the sciatic nerve
on the posterior part of the leg. It often interferes with the motion
of the foot, causing stiffness and contraction. The disease is almost
invariably connected with derangement of digestion.
TREATMENT.
Arsenicum is preferably indicated when burning pains are com-
plained of, or sometimes a sensation of coldness in the affected part —
acute dragging pains in the hips, with great restlessness, obliging the
patient to move the limb frequently in order to obtain relief, occasional
intermissions of suffering or periodical returns; great weakness and
inclination to lie down, - mitigation from the external application of
heat. It is also useful in those cases of wasting or emaciation which
SCIATIC A. 477
arise from a long continuance of want of rest, the result of pain, and
from derangement of the digestive system.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
four hours, until three doses have been given, and then at intervals of
twelve hours, until manifest improvement or change.
Chamomilla is more particularly indicated when the pains are
frequent at night, attended with excessive sensibility and irritability,
setting the patient beside himself.
Dose : Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, until manifest amelioration or change.
Ignatia is required when the pains are of an incisive nature, par-
ticularly on moving the limb, and more especially when occurring in
individuals of a mild, melancholic temperament, or in dispositions
disposed to alternations of extremely high or low spirits.
Dose: Three globules as directed for Chamomilla.
Nux vomica is more particularly indicated when the pain becomes
aggravated towards morning, and is attended with a sensation of stiff.
ness and contraction, so as to interfere with the motion of the foot, and
also a sensation of paralysis or torpor and chilliness in the parts
affected,—particularly in individuals of an irritable temperament.
Dose: Three globules in a teaspoonful of water, repeated at intervals of twelve
hours, until amelioration or change.
Gnaphalium, when there is intense pain along the sciatic nerve, a
feeling of numbness occasionally taking the place of the acute pains,
when walking becomes very fatiguing.
Dose: Three globules as directed for Nua, vomica.
Colocynth is an important remedy in this distressing disease. It
has been found of the greatest service in cases where the right leg was
affected, and the lancinating pains liable to be excited, or much aggra-
wated by a fit of anger or indignation.
Dose: Three globules as directed for Nuz vomica.
Rhus. This medicament is more peculiarly indicated when the
pains are aggravated by rest, and relieved by motion, or by warmth;
with intense restlessness, particularly at night.
Dose : Three globules in a teaspoonful of water, in every respect as directed
for Wuz vomica.
Veratrum, Ruta grav., Conium, or Staphysagria, respec-
tively, according to the particular indications present, are also to be
enumerated as of considerable service in cases of SCIATICA, and de-
serve attention in those instances in which the symptoms present do
not distinctly correspond with the indications afforded for the medi-
cines already enumerated. The particular indications which should
lead to the selection of one or more of these medicines, may be gath-
ered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines as selected, give three globules in a table-
spoonful of water, night and morning, for a week, or until manifest im-
provement or change. Consider also the subjoined medicines.
Hepar sulph., Kali carb., Phosphorus, and Sepia are also
to be enumerated as of considerable value for the treatment of cases
478 RHEUMATISM IN THE HIP.
of SCIATICA which assume an obstinately chronic character, or in
which the symptoms present do not correspond with those mentioned
in respect of any of the preceding remedies. The particular indica-
tions for each, respectively, may be gathered from the article on
“CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines as selected, give six globules in a table-
spoonful of water, every morning the first thing (fasting), for ten days (or
until the earlier development of new symptoms, improvement, or change) :
then pause a week, after which the course may, if necessary, be repeated
as before, and so on, until decided amelioration or change.
Diet and Regimen. A very plain but nutritious diet, regular
habits, early hours, a sufficiency of exercise in the open air (without
fatigue), occupation and diversion of mind, and avoidance of exces-
sive application to study, or of sources of vexation, and, above all, of
excitement (whether for pleasure or pain), or of exposure to wet or
cold, – may be mentioned as tending materially to assist in the cure.
PAIN IN THE HIP – HIP-GOUT — RHEUIMIATISIMI IN
THE HIP.
General symptoms. A pain in the hip-joint dependent upon a
true gouty inflammation, almost universally of an acute description;
the pain is extremely violent, and extends from the hip-joint to the
adjacent parts: it consequently sometimes reaches upwards to the back
or downwards to the thigh, rendering motion excessively painful, either
in walking, rising up, sitting down, or turning in bed. When the pain
is not deeply seated, there is generally absence of either swelling or
redness.
Issue and Results. This species of Gout usually assumes the
irritable character, runs its course quickly, and forms an active local
inflammation, which very rapidly terminates in suppuration when
unchecked.
Sex, &c. It occurs more frequently in the male than in the female
subject.
Symptoms of the suppurative variety. When suppura-
tion supervenes, the pain becomes more obtuse, pressing, and throb-
bing; the inflammatory fever assumes the suppurative character, indi-
cated by shivering and shuddering, alternating with heat, to which a
number of other sufferings become united, such as swelling, pains in
the knee, limping, spontaneous dislocation, &c.
TREATMENT.
The following remedies have been found most effective in the treat-
ment of the more common varieties of this affection ; but when-recent
cases do not readily yield to the employment of such medicines, medi-
cal aid ought, if possible, to be procured ; for if the disease be not
promptly arrested, it may run on to the second stage (the formation
of matter), or become incurable.
Aconitum, Belladonna, Bryonia, Mercurius, Pulsatilla,
Rhus tox., Colocynth, and Arsenicum will be found useful in
the treatment of this painful affection. The indications for the em-
HIP-I)ISEASE. 479
ployment of each, respectively, may be gathered from the preceding
articles on “GOUT,” “RHEUMATISM,” and “SCIATICA.” The article
on “CHARACTERISTIC EFFECTS” should also be consulted, in order to
still further distinguish between these medicines.
Dose: Of a solution of six globules of the medicine selected to two table-
spoonfuls of water, give a teaspoonful every six hours, until manifest im-
provement or change. If, however, the symptoms should only be partially
removed by the medicine selected, within six hours after the fourth dose,
pause three hours longer, select another medicine, and proceed as before.
Additional Particulars.
Rali bich., Sulphur, Silicea, Calcarea, or Sepia may prove
of essential service in the treatment of cases which assume a chronic
character; or, again, in removing the constitutional susceptibility, and
in eradicating the taint to which the predisposition to Hip-gout owes
its origin;– or sometimes even during the presence of an acute attack,
when indicated by such symptoms as are more particularly detailed,
in reference to each respectively, in the article on “CHARACTERISTIC
EFFECTS.”
Dose: If to complete the cure, or as eradicative remedies, of either of these
medicines (as selected), give six globules in a table-spoonful of water, every
morning the first thing (fasting), for ten days (or until the earlier devel-
opment of new symptoms, improvement, or change); then pause a week,
after which the course may, if requisite, be repeated as before, and so on,
until manifest and permanent improvement or change. If against the pre-
vailing acute symptoms (when thus indicated), give three globules in a tea-
spoonful of water, every six hours, until improvement or change. If in
succession (in chronic cases), allow a lapse of ten days to expire between
the last dose of one, and the first dose of another.
HIP-IDISE ASE.
Symptoms. Chronic inflammation of the bones, cartilage, and
tissues composing the hip-joint, frequently commencing only with pain
or uneasiness in the knee of the limb attacked, or a slight weakness
of the part affected, attended with limping; afterwards emaciation,
and elongation of the limb itself takes place, and, as the complaint
progresses, a severe fixed pain is felt in the neighborhood of the joint,
extending down to the knee, ankle, and foot, which is accompanied
with feverish symptoms, restlessness, and flattening to that part of the
hip which is generally fullest and roundest, depression of the crest of
the haunch-bone, and distortion of the spine, &c. &c.
Age, Sex, &c. The complaint is most frequently met with in
children, but no age, sex, or condition of life is exempt from its attacks.
Premonition, Progress, and Results. It is peculiarly insidi-
ous in its approach, the pain and uneasiness in the knee, above men-
tioned, being frequently the first symptom denoting its presence; hence
it is not unfrequently taken for some complaint of that joint, by inatten-
tive or inexperienced practitioners, – a deplorable oversight, since it is
only in the incipient period of the disease that a favorable opinion of the
result can be entertained; if no appropriate relief be timely adminis-
tered, matter forms within the joint; the bones comprising which
480 HIP-IXISEASE.
become destroyed by ulceration, and the limb, which had previously
been prematurely elongated, now becomes contracted and shortened;
the sufferer is then either destroyed by excessive constitutional irrita-
tion, or recovers with a stiff joint.
Predisposing Causes. An inherent constitutional taint, such as
scrofulous habit of body, is no doubt the principal predisposing cause.
Exciting Causes. It is generally attributed to external violence,
or exposure to damp or cold, lying down upon damp grass in sum-
mer, &c.
TREATMENT.
Professional aid should, if possible, be secured in this disease. For
the assistance, however, of those who are not within the reach of a
competent medical attendant, I will endeavor to enter into such few
details as I consider available for the unprofessional in such instances.
Belladonna is more especially called for in the inflammatory stage,
when the patient suffers great pain.
Dose: Give three globules in a teaspoonful of water, repeated at intervals
of six hours until four doses have been given, and then at intervals of
twelve hours, until manifest improvement or change; but if within twelve
hours after the sixth dose little effect should be apparent, or if the follow-
ing conditions in particular occur, pause twelve hours longer, and proceed
with the next medicine.
IMercurius. This remedy is of itself sometimes found to act as a
specific in the early and curable stage of the disease; it is more par-
ticularly indicated when the patient is of scrofulous appearance, with
a sallow complexion, and when no pain is complained of, but the
disease is insidiously advancing. Mercurius should, moreover, be
employed (twenty-four hours after the sixth dose of the foregoing) as
a consecutive medicine after Belladonna, in cases in which the last-
named medicine singly has effected little or no improvement.
Dose: Three globules in all respects as directed for Belladonna.
Rhus toxicodendron is of service in the first stage of the dis-
order, when indicated by darting, dragging, or tearing pains in the
hip-joint, increased by suddenly pressing the head of the thigh-bone
into its socket, accompanied with tension or stiffness of the muscles,
most painful when in a state of rest; and severe pain on rising from a
sitting posture.
Dose: Three globules in a teaspoonful of water, repeated at intervals of six
hours, until four doses have been given, and then at intervals of twelve
hours, until manifest improvement or change.
Colocynthis has proven a valuable remedy in the treatment of
this disease. It is indicated in any stage. The patient lies upon the
affected side, with the knee bent; the pain is of a crampy nature, as
though the parts were screwed in a vice.
Dose : In every particular as directed for Rhus toz.
Sulphur is generally called for in protracted cases, particularly
when arising from a scrofulous re-development of the disease in other
parts, or when other medicines, though distinctly indicated, are appa-
rently inoperative.
AFFECTIONS OF TEIE KNEE. 481
Dose: Six globules in a table-spoonful of water, every morning the first
thing (fasting), for ten days (or until the earlier development of new symp-
toms, improvement, or change); then pause a week, after which if symp-
toms distinctly indicative of some other medicine should occur, proceed with
the administration of such medicine (three globules to the dose), at inter-
vals of twelve hours; —if otherwise, and treatment be yet required, repeat
the course of Sulphur as before, and so on until manifest improvement or
change.
Calcarea carbonica has been recommended as particularly worthy
of attention at the commencement of the second stage of the disorder.
The particular indications which should lead to the selection of this
medicine, may be gathered from the article on “CHARACTERISTIC
EFFECTS.”
Dose: Six globules, as directed for Sulphur.
Silicea is often of service in cases of abscess or of ulceration of the
bones, in this disease; but the advice of a surgeon should, if possible,
be obtained in such a state of matters.
Dose: Three globules in a teaspoonful of water, night and morning, until
manifest improvement or change, pausing, however, for two days, after
every course extending over four days.
Lycopodium, Hepar sulph., Acidum phos., Phosphorus,
and Silicea are to be enumerated as of considerable importance in
the treatment of hip-disease. It should not be omitted, therefore, that
the particular indications, as detailed under the head of each in the
article on “CHARACTERISTIC EFFECTs,” should be considered in all
cases in which none of the foregoing medicines appear to correspond
very distinctly with the symptoms and conditions which illustrate the
case under treatment.
Dose: Of either medicine as selected, give three globules in a teaspoonful
of water, every twelve hours, until manifest improvement or change.
Diet and Regimen. As a general rule it may be stated, that the
diet should be light and somewhat sparing during the acute or inflam-
matory stage; subsequently it ought to be simple, but nourishing. It
may not, however, be superfluous to refer the reader to the more detailed
directions respecting the diet, habits, and general management, in the
article on “ERADICATIVE TREATMENT’’ (pp. 83 to 89.)
AFFECTIONS OF THE KNIEE,
Inflammation of the Synovial Membrane.
TREATMENT.
Silicea may be mentioned as the medicine of the chief importance
in the treatment of inflammation of the synovial membrane of the
knee-joints, or subsequently for the treatment of the enlargements, and
other mischiefs resulting from such inflammation.
Dose: Three globules in a teaspoonful of water, night and morning, until
amelioration or change; pausing, however, for four days after every course
extending over four days, when the treatment requires to be continued so
long. Consider also the following medicines.
Acidum nitr., Acidum phos., Aurum met., Lachesis, and
Lycopodium may be mentioned as next in importance to Silicea, for
31
482 AFFECTIONS OF THE KNEE.
the treatment of inflammatory affections of the synovial membrane,
resulting from excessive use of mercury under allopathic treatment.
The particular indications, which should determine the selection of
each, respectively, may be gathered from the article on “CHARACTER-
ISTIC EFFECTS.”
Dose: Of either of these medicines as selected, give three globules in a tea-
spoonful of water, night and morning, for a week; then pause eight days,
after which the course may be repeated as before, if necessary, and so on,
until manifest improvement or change. Consider also the following rem-
edies.
Sulphur and Calcarea are indicated at the onset, or after the
previous administration of some other medicine, to complete the cure.
They are of chief importance in scrofulous enlargements of the knee,
and may also be required as intermediary remedies, when other medi-
cines, apparently indicated, cease to produce any decided effect. To
discriminate between them, see the article on “CHARACTERISTIC EF-
FECTS.”
Dose : Give six globules in a table-spoonful of water, every morning, the first
thing (fasting), for ten days (or until the earlier development of new
symptoms, amelioration, or change); then pause ten days, after which the
course may, if necessary, be repeated as before, and so on, until decided
improvement or change.
Bryonia may be given if the trouble results after rheumatism,
with red and very painful swelling of the knee, particularly if the
slightest motion aggravates the pain.
Dose : Three globules in a teaspoonful of water, night and morning, until
decided amelioration or change.
Rhus tox. will prove useful also when the patient has had rheu-
matism, or more particularly for “Housemaid's Knee,” which consists
of swelling, with considerable pain, stiffness or inflexibility of the knee,
in consequence of continual kneeling, and to which housemaids and
others, from the nature of their avocations, are particularly liable.
Dose : In every particular as directed for Bryonia.
Pulsatilla is an excellent remedy for the treatment of glazed or
shining, white, soft, or doughy swellings of the knee, and is, indeed,
more or less especially appropriate for the treatment of soft, colorless
swellings of the knee, in general, whether painful or otherwise.
Dose : In every particular as directed for Bryonia.
When Suppuration occurs.
Silicea and Hepar sulph., respectively, are of the principal
importance for the treatment of cases which result in suppuration, and
should be respectively selected, according to the particular indications
detailed under the head of each in the article on “CHARACTERISTIC
EFFECTS.”
Dose: Of either of these medicines as selected, give three globules in a tea-
spoonful of water, night and morning, for six days (or until the earlier
development of improvement or change); then pause a week, after which
the course may be repeated, as before, and so on, from time to time, until
manifest improvement or change.
DETERMINATION OF BLOOD TO THE BOWELS. 483
DETERIMINATION OF BILOOD TO THE BOWELS.
This derangement is characterized by a disagreeable or painful sensa-
tion of weight, heat, and burning, with hardness and tension in the
lower portion of the belly.
TREATMENT.
Nux vomica is one of the most frequent sources of relief in those
who lead a sedentary life, or are much addicted to over-indulgence in
the pleasures of the table, particularly when the following symptoms
are complained of: hardness, tension, and fixed pain in the abdomen;
sense of great weakness or prostration, rendering it difficult or almost
impossible to walk about; constipation, with pains in the loins; spirits
oppressed and irritable.
Dose: Four globules in a table-spoonful of water, every night at bedtime,
for a week, or until manifest improvement or change.
Leptandria will prove beneficial when there is a constant dull
burning distress in the abdomen; the stools are profuse and black, and
the urine dark.
Dose : Four globules, as directed for Nuz vomica.
Podophyllum should be administered when the abdomen feels
full, with pain and Soreness in the abdomen below the ribs; the stools
are hot and watery, and cause great prostration.
Dose : Four globules, as directed for Nuz vomica.
Sulphur will frequently be found serviceable in completing the
cure after the above, or it may be selected in preference in cases of
long standing, when we meet with the following indications: dull pains,
and a disagreeable sensation of distension in the abdomen, constipa-
tion, tendency to obstinate haemorrhoidal attacks, extreme dejection.
Dose: Six globules in a table-spoonful of water, the first thing in the morning
(fasting), for a week (or until the earlier manifestation of new symptoms, or
general change); then pause six days, after which the course may, if neces-
sary, be repeated as before, and so on, until manifest improvement or
change; consider also the following medicines.
Sepia is often of eminent service in the treatment of females, and
when the determination of blood is dependent upon or associated with
some derangements of the menstrual or other functions of the womb,
and particularly if the symptoms present be analogous to those de-
scribed under the head of Sulphur.
Dose: Six globules, in all respects as directed for Sulphur.
Carbo vegetabilis when the symptoms are accompanied with
excessive flatulency.
Bose: Six globules, in all respects as directed for Sulphur.
Arsenicum will also be found useful, especially when there is a
disposition to diarrhoea, with extreme weakness.
Dose : Six globules, in all respects as directed for Sulphur.
Diet and Regimen. Daily exercise in the open air, together
with a careful attention to diet, must be observed by those who are
afflicted with this disease. The more detailed regulations in these
484 ACUTE INFLAMMATION OF THE EYES.
respects afforded in the article on “INDIGESTION?’ (p. 196), and in that
on “ERADICATIVE TREATMENT’’ (pp. 83 to 89), are equally applicable
to cases of this nature—with more or less rigor, according to the inten-
sity of the derangement.
ACUTE INFLAIMIMIATION OF THE EYES,
Symptoms. Superficial, bright scarlet redness, pain, and heat of
the eye, generally with marked sensibility to the action of light; either
with dryness or an increased secretion of tears, and sometimes a thick,
glutinous discharge. When severe, accompanied by headache, febrile
symptoms, and increased intolerance of light, particularly when the
entire eyeball, or the white of the eye is affected, in which latter case,
moreover, the redness presents a pink appearance.
Causes. This affection may be excited by a variety of causes,
such as exposure to extreme light, the strong heat of a fire, particu-
larly after coming out of an extremely cold atmosphere, external
injuries, or cold.
TREATMENT.
The following remedies are those most generally required in the
treatment of this affection, according to the form in which it presents
itself, namely: —
Aconitum is a valuable remedy at the commencement of the treat-
ment, when there are febrile symptoms, such as fulness and quickness
of pulse and thirst, with heat of the skin. A conte is further required
when the inflamed eye presents a deep-red color, and is attended with
severe burning, pricking, smarting pains, sensibility to light, and pro-
fuse discharge of tears.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every four hours, until the fever-symptoms subside. If, how-
ever, after the general fever-symptoms have abated, the sensibility to light
should remain predominant, pause twelve hours, and proceed with Bella-
donna.
Belladonna should be given if, after the general fever-symptoms
have yielded to the last-named medicine, great sensibility to light
remains. Belladonna is also required independent of Aconite, when
the following symptoms present themselves: redness in the conjunctiva,
(the mucous membrane which covers the forepart of the eyeball and
lines the eyelids,) margin of the eyelids, and corners of the eyes, with
a swollen and turgid appearance; or pinky redness of the eyes, with
intolerance of, and pain increased by, light; great sensibility of the
eyes and eyelids; aching pains above and around the orbits, (the cavi-
ties in which the eyes are fixed,) or pains which penetrate deeply into
the orbits and head, with aggravation on moving the eyes; flashes of
light, sparks, or darkness before the eyes, with extreme dimness of
vision towards evening; objects appearing reversed or double; more-
over, when there are the following catarrhal symptoms: severe cold in
the head, with acrid discharge, causing excoriation, and sometimes an
eruption of pimples under the nose, and on or about the lips; periodi-
cal return of short, dry, barking spasmodic cough, aggravated towards
might, and severe headache.
ACUTE INFLAMMATION OF THE EYES. 485
Dose: Two globules in a teaspoonful of water, repeated at intervals of six
hours, until a degree of improvement becomes apparent, and then at inter-
vals of twelve hours, until manifest amelioration or change.
IMercurius should be employed twelve hours after the last dose of
Belladonna, to complete the cure in cases in which partial improve-
ment has been effected by the last-named medicine. Mercurius is,
however, more especially indicated, independently of any previous
treatment, by the following symptoms:– Lancinating pains, or painful
and irritating pressure, as if from sand, especially on reading, or other-
wise fatiguing the eyes, but also when at rest in bed; pricking and
itching in the eyes, particularly in the open air; rose-colored redness
of the eyes, with injection of the veins; profuse flow of tears; great
sensibility to light, but especially that of a fire or a candle; vesicles
and pustules on the white part of the eye; ulcers on the cornea ; pus-
tules and scabs round the eyes and at the margins of the eyelids; cloudi-
ness of the sight; violent pains in the orbit and forehead; renewal of
the inflammation on the slightest exposure to cold. In inflammation
of the iris (or colored parts of the eye) this medicament is often of
great service.
Dose: If after partial relief has resulted from the administration of Bella-
donna, give two globules in a teaspoonful of water, night and morning,
until manifest improvement or change. If against the more acute symp-
toms, similar doses repeated at intervals of six hours, until amelioration or
change.
Sulphur is an important remedy in inflammation of the eyes, when
of an obstinate or inveterate character, and should be employed when
indicated by the following symptoms:–Pressure, burning, and Smarting,
as if from sand; itching in the eyes or eyelids; dimness of sight, with
dusky appearance of the cornea, and specks, vesicles, or pustules, and
wlcers upon it; pustules of granular elevations on the eyelids, and
scabs round the orbits; inflammation of the iris, with irregularity of
the pupil; copious flow of tears, excessive intolerance of light, and aggra-
vation of suffering on moving the eyes; painful dryness of the eyes,
especially within doors; contraction of the eyelids; imperfect vision,
with sparks before the eyes; headache, and violent pains in the orbit, &c.
Dose: Two globules in a teaspoonful of water, repeating the dose after the
lapse of twelve hours; then pause twenty-four hours, after which, if
requisite, readminister two doses as before; then pause again for two
days, and, if requisite, repeat the administration once more, as before, and
so on, until manifest improvement or change.
Euphrasia will be found to be very valuable when indicated as
follows:—White of the eye much inflamed and of a pink or rose color;
painful pressure and smarting in the eyes; profuse and acrid flow of
tears, excited or increased by exposure to cold; or bright redness of
the conjunctiva, with distension of the veins; minute pustules on dif-
ferent parts of the conjunctiva; white opaque specks on the cornea;
excessive intolerance of light; severe cold in the head, with profuse,
fluent discharge from the nose; violent headache; aggravation of the
symptoms towards evening.
Dose: Two globules in a teaspoonful of water, repeated at intervals of four
hours (when the symptoms are very intense), or every six hours (in milder
486 INFLAMMATION OF THE EYES.
cases), until a degree of improvement becomes apparent, and then at
intervals of twelve hours, until important improvement or change.
Pulsatilla. Aching, or burning and smarting irritation in the
eye, as if from the insertion of sand under the lids, with scarlet redness
of the eyes and eyelids, and copious secretion of mucus, disordered
stomach, foul tongue, and chilliness towards evening, followed by febrile
heat; or pricking, shooting, piercing pains in the eyes, with bright
redness, and profuse flow of tears, especially on looking at the light, or
on going into the open air, and generally of a scalding or acrid nature;
or, on the other hand, excessive dryness of the eyelids, especially in the
evening, with nocturnal agglutination; intolerance of light; swelling of
the eyelids; aggravation of the symptoms towards evening; sensitiveness
with disposition to weep.
Dose: Two globules in a teaspoonful of water, repeated after the lapse of
six hours, then again after the lapse of twelve hours more, and, subse-
quently, at intervals of twenty-four hours, until manifest improvement or
change.
Apis mellifica should be given when the inflammation is very
acute, coming on suddenly, with burning, stinging pains, like a bee-
sting, in the parts; profuse flow of tears, and swelling of the eyelids
and adjacent parts. .
Dose: Two globules, as directed for Pulsatilla.
CHRONIC IN FLAMMATION OF THE EYES.
Hepar sulphuris is one of the most valuable remedies in chronic
cases, or to follow such other medicines (particularly Mercurius or
Belladonna) as may have been indicated in the acute stage when the
disorder assumes a protracted and intractable character; and it is
equally beneficial for the removal of the natural susceptibility or pre-
disposition to this complaint, by which some persons are.continually
rendered liable to inconvenience and suffering upon the occurrence of
the slightest exciting cause.
Dose : Two globules in a teaspoonful of water, night and morning, until
decided improvement or change. But should no improvement follow after
ten days, pause a week, and then proceed with another medicine.
Arsenicum, Sulphur, and Calcarea are often of much service
in chronic inflammation of the eyes of an inveterate character. Indi-
cations for their selection will be found in the article on “CHARACTER-
ISTIC EFFECTs.”
Dose: Give three globules in a teaspoonful of water, morning and evening, for
a week (or until the earlier development of improvement or change); then
pause five days, after which the course may, if necessary, be repeated as
before, and so on.
SCROFULOUS IN FLAMMATION OF THE EYES.
Sulphur, Rhus tox., and Arsenicum may be mentioned as of
primary importance for the treatment of Scrofulous Inflammation of
the Eye, more particularly when it is accompanied with eruptions on
the scalp. The particular indications which should regulate the selec-
IN FLAMMATION OF THE EYES. 487
tion, may be gathered from the articles on “SCALD-HEAD,” and on
“CHARACTERISTIC EFFECTS.”
Dose : If of Sulphur, give six globules in a table-spoonful of water, the first
thing in the morning (fasting), if of Rhus or Arsenicum, three globules in a
table-spoonful of water, night and morning, for ten days (or until the
earlier manifestation of new symptoms, improvement, or change); then pause
a week, after which the course may, if necessary, be repeated as before
from time to time, until general improvement or change takes place.
Mercurius, Conium, Hepar s., and Euphrasia, respectively,
according to the particular indications present, are also of great ser-
vice in the treatment of Scrofulous Inflammation of the Eyes. The
selection should be regulated by comparing the symptoms of the case
with those which are detailed under the head of each in the article on
“CHARACTERISTIC EFFECTS.” See also the indications which have been
given for Mercurius and Euphrasia under the head of “ACUTE INFLAM-
MATION OF THE EYES ’’ (pp. 485, 486).
Dose : Of either of these medicines, as directed for Rhus and Arsenicum in
the foregoing prescription.
Pulsatilla, or Acidum nit., should be preferred in some cases of
Scrofulous Inflammation of the Eyes of a somewhat milder character
than those which require the remedies above mentioned. Pulsatilla
should in such cases be first employed, more especially when the patient
is of a lymphatic temperament and mild or sensitive disposition.
Acidum nitricum should be administered after Pulsatilla, in cases in
which the last-named medicine has been evidently inadequate to remove
the symptoms. In cases in which its characteristic effects (as detailed
in the article on that subject) more especially correspond with the
, symptoms of the case, Acidum nit. is to be preferred to Pulsatilla from
the onset.
Dose: Of either of these medicines, as directed for Rhus and Arsenicum in
the foregoing prescription.
INFLAMMATION OF THE EYES CONSEQUENT UPON EXTERNAL INJURY.
If inflammation of the eyes occur as the result of external injury
caused by a blow or by the entrance of any foreign body into the eye,
such as sand or (as is frequently the case in travelling by railway) of
particles of coal, &c., the subjoined course of treatment should be
promptly adopted, and will speedily remove all the pain and inconve-
nience. It should be premised, however, respecting cases in which the
injury is occasioned by the lodgment of a foreign body within the eye-
lids, that the parts should be freely bathed with tepid water to remove
the particles so lodged, and if this be not sufficient, the lids should be
gently but firmly reverted by a third person, and the offending parti-
cles, when discovered, carefully removed by means of a pointed feather or
camel's hair pencil. So long as a sensation of pricking continues, now in
one part then in another, apparently shifting, and often being intensely
aggravated by the movement of the eyes or eyelids, however we may
have failed to distinguish the offending particles, there is reason to infer
that all have not been removed, and the search should be repeated;
nor should we be discouraged by some repeated and fruitless attempts,
488 INFLAMMATION OF THE EYES.
for those particles are often so small that it will require very close
observation to detect them, although they may be sufficient to irritate
the surface of the eye. *
When, however, we have reason to believe that the offending cause
is effectually removed, the subjoined treatment will avail to obviate all
mischievous consequences.
Aconitum should be administered when there is much inflamma-
tion, attended with more or less constitutional irritation and general
febrile action, as well as local congestion.
Dose: Two globules in a teaspoonful of water, repeated after the lapse of
six hours.
-
Arnica should be exhibited internally simultaneously with its
external and local application, twelve hours after the last dose of Aco-
hitum, when the inflammatory and febrile symptoms have been allayed
by the last-named medicine.
Dose (Internal): Two globules in a teaspoonful of water, repeated after the
lapse of twelve hours, if the sensation of smarting and laceration be still
present.
Application (External): To two table-spoonfuls of water add five drops of the
concentrated Tincture of Arnica, and bathe the parts freely with the lotion
three times a day, until the sensation of smarting and laceration is removed,
but only so long as the internal administration of the same medicine is con-
tinued.
If pain and other evidences of inflammation still remain, after the
use of Arnica, consult the medicines mentioned under the article
“ACUTE INFLAMMATION OF THE EYES.”
SQUINTING.
Belladonna, Hyosciamus, or Gelseminum may be found
useful, in some cases, when the symptoms correspond, particularly if
the squint appears to result from brain irritation.
Dose: Two globules of the medicine selected, in a teaspoonful of water,
at intervals of twelve hours, until amelioration or change.
Cina, Spigelia, or Sulphur should be exhibited when it appears
to arise from intestinal irritation caused by worms.
Dose: Of a solution of six globules of the medicine selected, in three table-
spoonfuls of water, give a teaspoonful at intervals of twelve hours.
FISTULA. LACHRYMALIS.
This term has been given to an ulcerated opening in the little sac or
bag, which is situated near the inner angle of the eye, and which is
technically denominated the lachrymal sac. Its office is to receive the
tears and mucus of the eye, in order that they may be transmitted
from thence into the nose. In the early stage the affection consists in
a thickened condition of the lining membrane of the sac and adjacent
lachrymal parts, the result of inflammatory action, and in consequence
of which the tears and mucus are obstructed in their passage to the
nose and escape down the cheek, giving rise to an habitually weeping
eye and an agglutination of the lids after sleeping.
Children of scrofulous habit, and adults who have suffered from
INFLAMMATION OF THE EYES. 489
rickets or from glandular obstructions in youth, and who are more or
less troubled with derangement of digestion, are the most frequent
subjects of the disease.
When the affection is not checked, or in consequence of frequent
returns of active inflammation sloughing ensues, the contents of the
tumor escape through the breach thus formed in the skin. When
the complaint has reached this stage it presents a much more unsightly
appearance, and if neglected, or ill-managed, as it so frequently is,
under irritating allopathic treatment, extensive inflammation and
excoriation are produced in all the surrounding parts. In some rarer
cases a diseased state of the bones of the nose precedes or accompanies
the malady.
TREATMENT.
In recent cases the cure is easily and speedily accomplished by
homoeopathic treatment, without the aid of the painful, irritating,
and disfiguring local means resorted to in allopathic practice. In
those of long standing or of complicated character occurring in scrof-
ulous, cancerous, or otherwise debilitated constitutions, the successful
issue is necessarily of more difficult and tedious attainment.
Aconitum is to be selected in all recent cases, but particularly
when the inflammation and pain are considerable, when this remedy is
of much efficacy.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every three hours, until the pain and redness are removed or
diminished, or until other symptoms, such as those which are subjoined,
occur to indicate other treatment, more particularly, -in which case pause
twelve hours, and proceed accordingly.
Pulsatilla is more especially appropriate for the treatment of per-
sons of phlegmatic temperament and of mild disposition, and when the
symptoms have a tendency to become aggravated in the evening or
at night. In such gases Pulsatilla should be administered twelve hours
after the last dose ºf Aconitum.
Dose: Three globules in a teaspoonful of water, night and morning, until
amelioration or change.
Nux vomica is more especially appropriate for the treatment of
persons of sanguine or bilious temperament and of irascible disposition,
the symptoms, generally speaking, tending to become exacerbated in
the morning.
Dose: Three globules as directed for Pulsatilla.
Graphites, Calcarea. G., Silicea, or Sulphur are frequently
required to complete the cure, or to overcome the tendency to recur-
rences of the disease, after previous treatment, according to the instruc-
tions above afforded. In the severer forms of the complaint occurring
in persons of bad constitutions, with or without implication of the
nasal bones, or in uncomplicated cases of long standing, occurring
either in children, with or without glandular enlargements, or in adults,
they are still more frequently needed. For the more particular indica-
tions of each, respectively, refer to the article on “CHARACTERISTIC
EFFECTS.”
490 INFLAMMATION OF THE EYES.
Dose : Of either of these medicines, as selected, give two globules in a tea-
spoonful of water, morning and evening, for a week, (or until the earlier
development of new symptoms, improvement or change); then pause four
days, after which the course may, if necessary, be repeated, as before,
and so on until decided and permanent improvement or change. It is,
however, to be observed that any distinct amelioration or change occurring
during the progress of such treatment should lead (1) to the temporary
suspension of treatment (if the amelioration should afterwards cease), or
(2) to the permanent abstinence from further treatment (if the amelioration
continue progressively to cure), or again (3) to the application of different
measures (should change without such improvement occur). Consider also
the following medicines in the third case.
Staphysagria and Stannum may occasionally be of service in the
treatment of obstinate and chronic cases, whether at an earlier period
or after the previous administration of one or more of the foregoing.
More particular indications for each, respectively, may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, when selected, give three globules, in
other respects as directed for Calcarea, Silicea, and Sulphur.
BLOODSEIOT EYE.
**
This derangement may arise from a blow or fall, the act of retching,
vomiting, or violent coughing, crying, &c. It presents a bright, Scarlet
appearance in most instances at the commencement, but usually assumes
a livid hue at a subsequent period. The affection generally disappears
of itself; but as it is occasionally liable to prove exceedingly obstinate,
the subjoined method of treatment may be required, or such other
management as may be more particularly enjoined in the article on
“ExTERNAL INJURIES,” (Section – “Concussion ”) or also in that on
“INFLAMMATION OF THE BRAIN.”
Arnica should be employed internally and externally when this
derangement has been caused by easternal injury, such as a blow or
fall, and does not disappear spontaneously, in which case this remedy
will quickly promote absorption, and remove the unsightly appearance.
Dose (Internal): Three globules in a teaspoonful of water, repeated after
twelve hours, and subsequently, if necessary, at intervals of twenty-four
hours, until the discoloration is removed.
Application (External): To two table spoonfuls of water add six drops of the
concentrated Tincture of Arnica, and bathe the eye or eyes freely with this
lotion, three times a day, until the discoloration disappears, – only, how-
ever, during the internal administration of the same medicine as above
directed.
Belladonna is preferably indicated when the Bloodshot Eye is
associated with symptoms of fulness and throbbing of the vessels of the
neck, flushing of the face, oppressive pain in the head and the like,
even in cases in which the direct cause of these symptoms is distin-
guished in a blow, fall, or other external injury; or again, in cases in
which the Bloodshot Eye appears as a symptom of cerebral derange-
ment, as evinced by the associated symptoms, conditions, and circum-
StanceS.
Dose : Two globules in a teaspoonful of water, repeated at intervals of four
hours, until manifest improvement occurs, or such change should ensue as
to render other treatment necessary.
INFLAMMATION OF THE EYES. 491
Nux vomica should be preferred when the Bloodshot Eye arises
from derangement of the stomach, or more especially when it is directly
traceable to over-indulgence in fermented or spirituous liquors.
Dose: Three globules in a teaspoonful of water three times a day, until man-
ifest improvement or change. But if little or no improvement should result
in the course of two days, pause twelve hours, and proceed with the next
medicine.
Lachesis should be employed twelve hours after the last dose of
Nua, vomica, in cases arising from similar gauses, but in which the last-
named medicine has been inadequate to &mplete the cure.
Dose: Two globules in a teaspoonful of water, night and morning, until
manifest improvement or change.
Chamomilla is more particularly indicated when this affection
owes its origin to violent excitement, to a fit of passion, or to exposure
to cold, or to the play of a bleak current of air upon the eyes, and
more especially when it occurs in children.
Dose: Three globules in a teaspoonful of water, three times a day, until
amelioration or change.
SHORT-SIGHT, NEAR-SIGHTEDNESS.
Pulsatilla and Sulphur, according to indications, may be men-
tioned as of the chief importance in the treatment of short-sightedness
when this affection remains as an affter-effect of Acute Inflammation of
the Eyes.
Dose: Of either medicine, as selected, give three globules in a teaspoonful of
water, morning and evening, for a week (or until the earlier development of
improvement or change); then pause four days, after which the course
may, if necessary, be repeated as before, and so on from time to time until
amelioration or change.
Acidum phosphoricum is to be preferred in cases in which short-
sightedness occurs as the consequence of a severe attack of Typhus,
or has been occasioned by debilitating loss of blood or other animal
fluids.
Dose: Three globules, as directed for Pulsatilla and Sulphur.
Carbo veg., Acidum nit., or Sulphur will be appropriate for
the treatment of short-sightedness, when this condition can be traced to
excessive use of Mercury under allopathic treatment.
Dose: Of Carbo veg or Acidum nit. give three globules in a teaspoonful of
water, night and morning, — or, of Sulphur, six globules in a table-spoonful
of water, every morning the first thing (fasting), for ten days (or until the
earlier development of new symptoms, improvement, or change); then pause
a week, after which the course may, if necessary, be repeated as before,
and so on, from time to time, until manifest amelioration or change.
Phosphorus, Conium, Ammonium-c., and Petroleum may
be mentioned as appropriate to some cases of near-sightedness. The
selection from amongst them should be regulated in accordance with
the indications afforded under the head of each, respectively, in the
article on “CHARACTERISTIC EFFECTS.”
Dose: Of either of these medicines, give three globules as directed for Carbo
veg. and Acidum nit. in the foregoing prescription.
492 INFLAMMATION OF THE EYES.
Sudden Attacks of Blindness.
Aconitum is the medicine of chief importance in cases of this
kind when characterized by a general fulness of the vessels, or by a
full, hard pulse, and should be given, first, against the congestion which
is identified by the development of this symptom as affecting the vessels
of the head. It is the more appropriate when this symptom occurs
associated with derangement of the stomach, and the congestion of the
vessels of the head is recognized as of sympathetic origin.
Dose : Three globules in a baspoonful of water, repeated at intervals of
twelve hours, until general improvement or change.
Causticum for sudden and frequent loss of sight, as from a pellicle
drawn over the eyes, or as if looking through a mist.
Dose : Three globules, as directed for Aconitum.
Gelseminum is indicated by sudden and total blindness, with gid-
diness; the eyes look heavy and dim.
Dose: Three globules, as directed for Aconitum.
Lachnanthes should be administered when the sight is obscured
when looking at anything steadily, when gray fixed rings are seen; the
eyes are brilliant, and the pupils enlarged, with red cheeks.
Dose : Three globules, as directed for Aconitum.
Mercurius will prove of service when there are momentary par-
oxysms of blindness, the eyes being very sensitive to light or the glare
of a fire. *
Dose : Three globules, as directed for Aconitum.
Cicuta virosa should be given when there is frequent vanishing
of sight, as if from absence of mind, with great giddiness, particularly
when walking; when reading, the letters appear to move to and fro
irregularly.
Dose: Three globules, as directed for Aconitum.
Phosphorus is most valuable when the obscuration of vision occurs
at twilight or at night; objects appear as if seen through a thick gray
vail; blackness, or black points, or sparks before the eyes.
Dose: Three globules, as directed for Aconitum.
Pulsatilla should be selected in cases where there is a sensation
as if the dimness of sight could be removed by wiping the eyes; great
dread of light; frequent and copious lachrymation; the pupils are
contracted.
Dose: Three globules, as directed for Aconitum.
Sulphur and Silicea may be indicated in some cases of long
standing, or where the medicines apparently indicated have failed to
produce a permanent, good effect. Further indications for their use
may be obtained by consulting the article on “CHARACTERISTIC EF-
FECTs.”
Dose: Six globules of the medicine selected in a table-spoonful of water,
every morning, the first thing (fasting), for a week (or until the earlier
manifestation of new symptoms, or of manifest and general improvement
or change); then pause eight days, and if, after this, any symptoms recur,
repeat the course, or proceed with the medicine that may be better indicated.
ACUTE INFLAMMATION OF THE EYELIDS. 493
Diet and Regimen. During the prevalence of active inflamma-
tion the diet should be light, plain, and unstimulating, as in all other
complaints of an inflammatory character. Fermented or other stimu-
lating drinks and highly-seasoned food should be carefully avoided,
and the avoidance even of animal food, for a time, would be proper in
very severe cases, or in such as are attended with much constitutional
disturbance. The eyes should, moreover, be protected from the light,
and the sight should on no account be overstrained,—in some cases
even it should not be exerted. In the general management of Scrof-
ulous Inflammation of the Eyes, a continued adherence to the regula-
tions for diet and habits prescribed in the article on “ERADICATIVE
TREATMENT’’ (pp. 83 to 86) together with a proper course of medicinal
treatment, as above described, can alone be available in overcoming
the excessive predisposition to irritation.
INIFLAIMIIMIATION OF THE LINING IMIEIMIBIRAINIE OF
THE EYELIIDS.
This complaint may be divided into the acute and chronic forms.
Symptoms. Redness, swelling, and Soreness of the eyelids, at-
tended with smarting, burning pain, and itching, — which, in young
persons, is the means of keeping up the irritation by inducing them to
rub the eyes incessantly. There is sometimes an increase and altera-
tion of the natural secretion, the product of inflammation, causing an
agglutination of the eyelids in the morning. The eyelashes are often
turned upwards or they are drawn inwards, and thereby create addi-
tional suffering and inconvenience. They are usually thrown off when
the attack has been severe or protracted.
Predisposing Conditions. In persons in whom inflammation
and Soreness of the eyelids or margins of the eyelids and of the adja-
cent glands, is an habitual or frequent condition, a scrofulous taint of
constitution is evinced. Inflammation of the eyelids may, however,
occur as a casual circumstance, apart from any such inherent predis-
position, when the predisposing causes are generally to be discovered
in peculiar conditions of the atmosphere, excessive application to study,
or to writing or fine work in particular, and especially by candle-light,
or to constant exposure to certain effluvia, such as the ammoniacal
exhalations of manure, &c., which may also operate more immediately
as exciting causes.
Exciting Causes. The most frequent, perhaps, are sudden changes
of temperature, check of the natural transpirations, cold, exposure to
keen draughts, to an excessive glare of light, or to driving dust, the
application of irritating substances, or effluvia, or sometimes the Sud-
den application of very cold water when the eyes are smarting with
irritation, and under the mistaken idea of thereby relieving the incon-
venience, want of proper rest, over-straining of the sight, especially by
candle-light, &c., &c.
Acute Inflammation of the Eyelids.
TREATMENT.
Aconitum should be administered when the eyelids are swollen,
494 ACUTE INFLAMMATION OF THE EYELIDS.
hard, and red, with heat, burning, and dryness, with extreme dread of
light; particularly if resulting from a cold, and accompanied by febrile
manifestations.
Dose : Two globules in a teaspoonful of water. at intervals of eight hours, until
a degree of effect becomes manifest, when the intervals should be extended
to twelve hours, and the administration thus continued, if indicated by a
continuation of the irritability, until all the symptoms are entirely removed
or change supervenes. If, however, the subjoined conditions should occur,
pause twelve hours, and proceed with the medicine indicated.
Sulphur is frequently suitable after Aconitum, to complete the
cure, or is more particularly indicated, when there are burning pains
in the lids, with itching, and secretion of eye-gum ; the lids are agglu-
tinated in the morning.
Dose: Two globules in a teaspoonful of water, at intervals of twelve hours,
until the symptoms become moderated, after which the intervals should be
extended twelve hours, and the treatment thus continued until decided
improvement or change.
Arsenicum should be given when the eyeball is involved, the eye-
lids are very dry, particularly their margins, with burning pains, and
nightly agglutination.
Dose: Two globules in a teaspoonful of water, as directed for Aconitum.
Belladonna will be found useful when there is very great redness
of the lids, with burning and itching, great sensitiveness to light, head-
ache, and feeling of fulness of the head; the lids are sometimes turned
outwards, or have a tendency to droop.
Dose: Two globules, in all respects as directed for Aconitum.
Hepar sulphuris is well adapted to inflammatory redness of the
lids, with ulcerations, or contusive pains on touching them; the eyelids
are agglutinated nightly.
JDose: Two globules, in all respects as directed for Sulphur.
Mercurius will be found very serviceable when the lids are swollen
and hard, and can be opened with difficulty; pustules and crusts around
the eyes, stitching and burning pains, or when there is no pain at all.
Dose : Two globules, in all respects as directed for Sulphur.
Nux vomica is very useful in cases attended with slight burning,
itching, and smarting, but great sensibility to the touch (tenderness),
and agglutination of the eyelids in the morning only. This medicine
is also of great service when severe cold in the head is present.
Dose: Two globules, in all respects as directed for Aconitum.
Euphrasia may be substituted for Nua, vomica when the aggluti-
nation of the eyelids takes place early in the night, and there is a
constant flow of tears, and it is also, like Nua, vomica, of great service
when the inflammation of the eyelids accompanies a severe cold in the
head, and the flow of tears constitutes the predominant symptom.
Dose : Two globules, in all reſpects as directed for Aconitum.
Pulsatilla is to be mentioned as of importance for administration
after the previous administration of Nua, vomica or of Euphrasia (as
above directed), and should be employed twelve hours after the third
CEIRONIC INFLAMMATION OF THE EYELIDS. 495
dose of either, in cases in which such previous treatment has proved
unavailing, or more particularly if the eyelashes exhibit a tendency
to become inverted, or if they begin to fall off.
Dose: Two globules, in all respects as directed for Aconitum.
Chronic Inflammation of the Eyelids.
In the majority of cases, Chronic Inflammation of the Eyelids
appears as one of the most positive and marked indications of a very
ascendant scrofulous taint of constitution. I will, however, draw some
distinction in the regulations for treatment respecting this malady, and
will assign a separate and distinct section in this article to the medi-
cines which are particularly indicated by the characteristically scrofu-
lous inflammation, because the neglect of a casual and accidental attack,
or its erroneous treatment with topical applications, may possibly cause
this disorder to degenerate into a chronic and very troublesome form,
without such marked and inherent scrofulous condition.
TREATMENT.
Arsenicum may be mentioned as a remedy of the chief import-
ance in the treatment of Chronic Inflammation of the Eyelids, to
whatever cause it may have owed its origin, -but more particularly in
cases in which w!ceration of the internal surface of the eyelids has
supervened, by which condition it is characteristically indicated; — or,
again, if the prevailing sensation is one of burning, and if the dis-
charge (when such occurs) is of an acrid, corrosive character.
Dose: Three globules in a teaspoonful of water, night and morning, for a week,
(or until the earlier development of marked improvement or change); then
pause eight days, after which the course may be resumed as before (if neces-
sary), and so on, from time to time, until permanent improvement or change
occurs Consider also the following remedies, – or if the symptoms other
than a susceptibility to irritation should have yielded, pause a week, and
proceed with Sulphur and Calcarea in particular.
Sulphur or Calcarea. These medicines should be administered,
commencing a week after the last dose of Arsenicum, in cases in which
the immediate symptoms having yielded to the last-named medicine, a
susceptibility to irritation upon the least exposure to any exciting
cause, such as cold draughts of air, &c., remains. But the adminis-
tration of these medicines is also requisite in the majority of cases
which assume a chronic and very obstinate character, and in which
the continual irritation of the eyelids continues without any active
development of inflammatory symptoms, and in spite of the adminis-
tration of medicines apparently appropriate to the case; or, again,
when no marked and characteristic indications occur to direct the
treatment; – or, again, when the symptoms of the case correspond
with those recorded under the head of these medicines in the article on
“CHARACTERISTIC EFFECTS.”
Dose : Three globules, in all respects as directed for Arsenicum.
Sepia and Causticum may also be mentioned as of considerable
importance in the treatment of Chronic Inflammation of the Eyelids,
496 STYE.
*
and should accordingly be selected when the symptoms of the case
correspond with such indications as are enumerated under the head of
each, respectively, in the article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, as selected, give three globules, as
directed in the foregoing prescription.
Scrofulous Inflammation of the Eyelids.
Arsenicum, Calcarea, and Sulphur, according to the partic-
ular indications afforded in respect of each, respectively, in the article
on “CHARACTERISTIC EFFECTs,” and under “Acute” and “Chronic
Inflammation of the Eyelids,” may be mentioned as of the chief im-
portance in the treatment of Scrofulous Inflammation of the Eye-
lids, more particularly when this symptomatic manifestation is further
characterized by the presence of eruptions on the scalp.
Dose: Of either, as selected, give three globules in a teaspoonful of water,
night and morning, for ten days (or until the earlier development of new
symptoms, improvement, or change); then pause eight days, after which
the course may be repeated as before, and so on, from time to time, until
the gradual but progressive subsidence of the symptoms becomes apparent.
Consider also the following medicines.
IMercurius, Phosphorus, Causticum, or Baryta-c, may
also become requisite for the treatment of Scrofulous Inflammation of
the Eyelids (whether one or more of the preceding should have been
previously administered or not), when the symptoms of the case exhibit
a marked analogy to the indications which are afforded under the head
of each, respectively, in the article on “CHARACTERISTIC EFFECTs.”
Consult also the foregoing headings, as above.
Dose: Of either of these medicines, as selected, give three globules, as directed
in the foregoing prescription. Consider also the following medicines.
Staphysagria, Lycopodium, Hepar s., and Silicea may
also be mentioned as sometimes of very great service in the treatment
of Scrofulous Inflammation of the Eyelids. The particular indications
which should lead to the selection of each, respectively, may be gath-
ered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, as selected, give three globules, as directed
in the foregoing prescription.
Diet and Regimen. In these respects the regulations prescribed
for the general management of Inflammation of the Eyes (at p. 493),
are equally appropriate in this case; and such particulars as relate to
the diet and habits of patients affected with the scrofulous variety, will
be found more especially stated in the general introductory article on
“ERADICATIVE TREATMENT' (at pp. 83, 84, and 85.)
STYE}.
Symptoms. This is a little, hard tumour, appearing like a small
dark-red boil, generally in the corner of the eyelid, attended with
severe inflammation, and frequently causing fever, considerable pain
and suffering. It suppurates slowly and imperfectly, and has no tend-
ency to burst spontaneously.
STYE. 497
TREATMENT.
Pulsatilla alone will, in most cases, suffice to remove the stye if
given upon its earliest appearance.
Dose : Give three globules in a table-spoonful of water, morning and even-
ing, until the stye is removed, or such change takes place as to require
other treatment.
Aconitum should be employed when the inflammation runs high,
and is attended with great pain, fever, and restlessness.
Dose: Of a solution of three globules to four teaspoonfuls of water, give a
teaspoonful repeated at intervals of six hours, until the inflammatory symp-
toms abate. If, however, the subjoined condition ensues, pause twenty-four
hours, and proceed with the next medicine.
Hepar sulphuris should be given twenty-four hours after the last
dose of either of the foregoing medicines, when matter threatens to
form (indicated by increased swelling and heat, usually attended with
throbbing), in order to expedite the ripening and bursting of the tumor.
Dose: Two globules in a teaspoonful of water, repeated six times, at intervals
of three hours. If, however, the subjoined conditions should occur, pause
two days, and proceed with the next medicine.
Staphysagria should be given two days after the last dose of any
medicine previously administered, to complete the cure, particularly
when the swelling degenerates into a hard white tumor.
Dose: Three globules in a teaspoonful of water, night and morning, for a
week (or until the earlier manifestation of decided improvement or change);
then pause four days, after which the course may, if necessary, be repeated
as before, and so on, until the dispersion of the tumor or the accidental
occurrence of new symptoms. But if no effect be produced within four
days after the second course, proceed with the next medicine.
Silicea should be employed after the foregoing medicine in some
cases, in which, after a second course, the treatment just recommended
has failed to produce any effect whatever, a condition which sometimes
prevails in bad constitutions.
Dose: In every respect as directed for Staphysagria.
Arsenicum, Lycopodium, Sulphur, and Aurum may be
required in addition to those above prescribed, in cases of stye which
occur as associated with marked scrofulous taint of constitution. The
particular indications which should determine the selection, may be
gathered by reference to the article on “CHARACTERISTIC EFFECTs,”
under the head of each, respectively. Aurum, it may however be here
observed, is particularly indicated when there is obstinate obstruction
and formation of scabs in the nose, with redness, and swelling in the
eyelids.
Dose: Of Arsenicum or Lycopodium, give three globules in a teaspoonful of
water, night and morning — or, of Sulphur and Aurum, six globules in a
table-spoonful of water, every morning the first thing (fasting)—for a
week (or until the earlier manifestation of new symptoms, or of general
improvement or change); then pause eight days, after which the course
may, if necessary, be repeated as before, and so on, from time to time,
until manifest improvement or change.
Diet and Regimen. During the inflammatory stage the diet
should be sparing, and the restrictions should be more or less rigid,
32
498 SCROFULOUS SWELLING OF THE LIPS.
according to the degree of local inflammation, or of general disturb-
ance present. Subsequently, especially as regards persons of a very
marked scrofulous taint of constitution, the general regulations, afforded
in the article on “ERADICATIVE TREATMENT’’ (pp. 83, 84, and 85),
should be applied. Sudden changes of temperature, exposure to bright
light, or to a bleak, cold wind, or to a raw fog, ought, as much as pos-
sible, to be avoided.
SCROFULOUS SWELLING OF THE LIPS.
TREATMENT.
Belladonna and Mercurius. In almost all varieties of this
affection (or morbid symptom) these medicines will prove of the
greater or less service, if, indeed, they may not be mentioned as the
most important curative agents. Whether there be simultaneous re-
traction of the lips– or ulceration and incrustations ensue—or there
be simply enlargement (swelling) — they may prove equally available
for the first steps in the treatment.
Belladonna should be given at the onset, under either of the cir-
cumstances just enumerated.
Dose : Give three globules in a teaspoonful of water, repeated at intervals
of twelve hours, for four days; then pause two days, after which (whether
there be a degree of improvement or not), the course should be resumed as
before; then pause again for four days, and if, after this, a manifest im-
provement has resulted, repeat the course, as before, and so on, until the
swelling gradually subsides, or the improvement becomes stationary. If,
however, upon the completion of the second course, there be no apparent
effect whatever, or, if subsequently, the improvement effected by Belladonna
should become stationary, pause a week, and proceed with the next medicine.
IMercurius should be employed a week after the completion of the
second course of Belladonna (in the event of no effect having resulted
from the administration of the last-named medicine), or a week after
subsequent courses of Belladonna (in the event of the improvement
effected by it ceasing to be progressive). If, however, a second course
of this medicine should fail to produce decided effect, resort to the
medicines mentioned below.
Dose: In every respect as directed for Belladonna.
Hepar s. and Calcarea are also medicines of great value in the
treatment of some obstinate cases of swelling of the lips, whether for
administration at the onset (if particularly indicated), or after the
previous employment of Belladonna and Mercurius (in cases in which
these medicines have failed, or have produced only partial effect).
They are equally applicable to cases of simple swelling, or to those
which are accompanied with ulceration and incrustations. The partic-
ular indications which should lead to the selection of each, respectively,
may be gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines as selected, give six globules in a table-
spoonful of water, every morning, the first thing (fasting), for ten days (or
until the earlier development of new symptoms, improvement, or change);
then pause a week, after which the course may, if necessary, be repeated
as before, and so on, until manifest amelioration or change. But if within
a week after the termination of the second course no improvement what-
TUM(OR OF THE LIPS. 499
ever should have been effected, consider the following medicines, and espe-
cially Sulphur.
Apis mel, Aurum met., Bryonia, or Lachesis, may prove
of essential service in the treatment of simple swelling of the lips, and
should, accordingly, be selected with regard to such distinctive indica-
tions as may be conveyed for each respectively, in the article on
“CHARACTERISTIC EFFECTS.”
Dose: Of either of these medicines as selected, give three globules in a tea-
spoonful of water, night and morning, in courses such as those prescribed
for Hepar s. and Calcarea (above). But if little apparent effect should
result within a week after the termination of the second course, consider
Sulphur.
Staphysagria and Silicea may be mentioned as more especially
appropriate for the treatment of obstinate and intractable cases of
swelling of the lips, which is accompanied with ulceration and incrus-
tations:–Staphysagria being more especially indicated, if there be an
offensive odor emitted by the ulcerated surfaces.
Dose: If of Staphysagria, give three globules in a teaspoonful of water, night
and morning : if of Silicea, six globules in a table-spoonful of water, the
first thing in the morning (fasting), for a week (or until the earlier devel-
opment of new symptoms, improvement, or change); then pause eight days,
after which the course may be repeated as before, and so on, until manifest
improvement or change. But if no effect whatever, or only a very partial
degree of improvement should result within eight days after the second
course, proceed with Sulphur, either as an intermediary remedy, or in con-
tinuous courses.
Sulphur is, perhaps, the most valuable resource of all in the swell-
ing of the lips, as in all other scrofulous developments which assume
an intractable character, and which are not, apparently, affected in
the least degree by medicines which appear to be very positively indi-
cated by the general assemblage of symptoms, or by particular and
decidedly characteristic conditions. It is equally of service, either in
cases of simple swelling, or when ulceration and incrustations occur,
when such of the other medicines enumerated as may seem to be indi-
cated, are apparently inoperative, and should, in such cases, be admin-
istered merely as an intermediary remedy, to arouse the susceptibility
of the system. But it is, moreover, individually, of the greatest value
in cases which seem to grow neither better nor worse, and which exhibit
no positive indications for any other medicine.
Dose : If as an intermediary remedy, give six globules in a table-spoonful of
water, the first thing in the morning (fasting), repeated after the lapse of
twenty-four hours; then pause six days, after which recur to the adminis-
tration of the medicine more especially indicated. If for a distinct course
of treatment, give similar doses every morning the first thing (fasting), for
ten days (or until the earlier development of new symptoms, improvement,
or change); then pause eight days, after which the course should be
repeated, as before, if necessary, and so on, from time to time, until the
swelling and other symptoms gradually disappear, or some specific indica-
tion for different treatment occurs.
HARD CANCEROUS TUMIOR OR ULCERATION OF THE LIPS.
Arsenicum, Conium, Carbo veg., and Staphysagria may
be enumerated as of much importance in the treatment of those serious
500 CANCEROUS ULCERATIONS.
and indurated tumors which appear to threaten the development of
cancer, and are generally to be mentioned as amongst those, with one
or more of which the treatment should be commenced. The particular
indications which should determine the selection of each, respectively,
may be gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, give three globules in a teaspoonful of
water, night and morning, for ten days (or until the earlier manifestation
of improvement or change); then pause eight days, after which the course
may be repeated as before, and so on, until manifest improvement or change.
But if little or no effect should become apparent within eight days after
the completion of the second course, consider the subjoined medicines, and
especially Sulphur, and proceed accordingly.
Phosphorus, Sulphur, or Silicea may be required in the
treatment of indurated tumors, either at the onset, when particularly
indicated by the general state of the patient, or after the previous
administration of one or more of the foregoing, when they have failed
in producing a beneficial effect. The particular indications for each,
respectively, may be gathered from the article on “CHARACTERISTIC
EFFECTS.”
Dose: Of Phosphorus, give three globules in a teaspoonful of water, night
and morning — or, of Sulphur or Silicea, six globules in a table-spoonful of
water, the first thing in the morning (fasting), for ten days (or until the
earlier manifestation of new symptoms, improvement, or change); then pause
eight days, after which the course may be repeated as before, and so on,
until manifest improvement or change.
CANCEROUS ULCERATIONS.
Arsenicum, Lachesis, and Conium, respectively, according
to the distinctive symptoms present, are to be mentioned as being fre-
quently of great value in the treatment of cancerous ulcerations. The
particular indications which should determine the selection of each,
respectively, may be gathered from the article on “CHARACTERISTIC
EFFECTS.”
Dose: Of either of these medicines, give three globules in a teaspoonful of
water, three times a day, for four days; then pause two days, after which
similar doses should be administered, night and morning, for a week; then
pause again for six days; after which, if a degree of improvement be
apparent, repeat the course again for a week, pausing again after such
course, and so on, from time to time, until general and progressive improve-
ment sets in, or until such improvement becomes stationary. If, however,
zzo effect at all be apparent within six days after the completion of the second
course — or, if subsequently, a degree of improvement having ensued, the
progress should cease to advance satisfactorily — consider the subjoined
medicines, especially Sulphur (as also at page 87).
Sulphur, Silicea, and Acidum nit. will often prove of essential
service in the treatment of cancerous ulcerations, either from the com-
mencement (when characteristically indicated), or after the preceding
employment of one or more of the foregoing medicines. If, after such
previous treatment, the administration should be commenced six days
after the termination of the second course (no effect whatever having
resulted), or six days after a subsequent course (should the improve-
ment cease to be regularly progressive). Sulphur, in particular, is,
moreover, of essential service as an intermediary medicine, as above
WARTS. 501
more particularly stated (at p. 491), under the head of Swelling of
the Lips.
Dose: If of Acidum nit., give three globules in a teaspoonful of water, night
and morning, — if of Sulphur or Silicea, six globules in a table-spoonful of
water, the first thing in the morning (fasting), for ten days (or until the
earlier manifestation of new symptoms, improvement, or change); then pause
eight days, after which the course should be repeated as before, and so on,
from time to time, until general improvement or change. If of Sulphur,
as an intermediary medicine, pause two days after the last dose of any med-
icine previously employed; then give six globules (as just directed), repeat-
ing this dose after the lapse of twenty-four hours, after which pause four
days, and then proceed with the medicine more especially indicated.
Diet and Regimen. The strictest attention should be paid to
the rules in respect of diet or of general habits, which have been
stated at large (or more especially) in the article on “ERADICATIVE
TREATMENT * (pp. 83 to 89).
WARTS.
The application of Lunar Caustic (Nitrate of Silver) or the use of
the Knife for the removal of warts is in every case reprehensible, and
is often attended with the worst results, and the general rules for treat-
ment more particularly stated below, will generally prove effectual.
TREATMENT.
Causticum is perhaps as a general rule the most serviceable med-
icine for the treatment of warts developed on the face, or on the hands
and other parts of the body, when they are large and painful.
Dose: Three globules in a teaspoonful of water, night and morning, for a
week; then pause ten days, after which the course may be resumed as
before, and so on, until three courses have been completed. If after the
termination of such third course, the warts be evidently waning, pause
three weeks, and then resume the same courses as before, and so on, tintil
their total disappearance; but if, on the contrary, there be no apparent
decrease in the size of the warts, pause ten days, and proceed with the
next medicine, or consider also Sulphur.
Thuja should be employed ten days after the completion of the
third course of Causticum in cases in which the last-named medicine
has produced no apparent effect. It is particularly serviceable for the
treatment of moist warts, and may be used externally as well as inter-
nally.
Dose: Three globules in a teaspoonful of water, as directed for Causticum.
Sulphur should be employed ten days after the completion of the
second course of Thuja when neither the last-named medicine nor
Causticum has produced any apparent effect. There are cases also
(such as those in which the patient exhibits very predominant scrofu-
lous taint) in which the treatment should be commenced by the admin-
istration of two doses of Sulphur as a preparatory medicine.
Dose: Give six globules in a table-spoonful of water, every morning the first
thing (fasting), for ten days (or until the earlier manifestation of new
symptoms, improvement, or change); then pause fourteen days, after which
the course may be repeated as before, and so on, from, time to time, until
the warts progressively decrease in size, or disappear.
502 INFLAMMATION OF THE EARS, AND EARACHE.
Rhus tox., Dulcamara, Acidum nit., Kali-c., and Sepia
may also prove serviceable in some cases, and when the general indi-
cations point to them preferably to the foregoing. The particular
indications for each, respectively, may be gathered from the article on
“CHARACTERISTIC EFFECTS.”
Dose : Of either of these medicines as selected, give three globules in a
teaspoonful of water, as directed for Causticum.
Lycopodium is preferably indicated when the warts are large
and intersected with deep clefts or crevices.
Dose : Three globules, in every respect as directed for Causticum in the fore-
going prescription.
Sabina has also been found of service in some cases of moist warts
on the hands or on other parts, and should be employed when indicated
by the symptoms which are mentioned in detail in the article on
“CHARACTERISTIC EFFECTs.”
Dose: Three globules in a table-spoonful of water, night and morning, for
a week; then pause ten days, after which the course may be repeated as
before, and so on, until the progressive decrease of the warts becomes appa-
rent; but if this should not occur within ten days after the completion of
the third course, consider Sulphur and Culcarea below.
Sulphur and Calcarea may be mentioned as the most serviceable
in all cases of long standing or for the treatment of warts on the hands
or on other parts of the body which may have resisted the action of
any of the other medicines enumerated. Any particular distinctions
serving to determine a selection between them for cases in which the
individual employment of the one or of the other is to be preferred,
may be gathered from the article on the “CHARACTERISTIC EFFECTs,”
under the head of each, respectively.
Dose : Of either of these remedies, give six globules in a table-spoonful of
water, the first thing in the morning (fasting), for a week; then pause ten
... days, an 1, subsequently, resume the course as before, and so on, from time
to time, until the progressive decrease of the warts, or some particular
condition characteristically indicative of other treatment, becomes apparent.
INFLAMMATION OF THE EARS, AND EARACHE.
Inflammation of the Ears may be divided into that which affects the
interior of the Cavity of the Ear (Internal Inflammation) and that
which affects the easternal parts only (External Inflammation). In
some cases these two varieties occur simultaneously from the extension
of the internal inflammation to the external parts about the orifice.
Earache may either exist as the effect of inflammation of the ears,
or, if neglected, may pass on to inflammation ; in many cases again, it
may arise by sympathy from toothache, or declare itself as a purely
rheumatic or nervous affection proceeding from cold.
Inflammatory Symptoms. Violent, frequently insupportable,
pain in the ear, with sensibility and even inflammation of the tube of
the ear, and greater or less fever.
Issue and Results. The pain when excessive, communicating
with the whole head, may bring on delirium, or even inflammation of
the brain.
INFLAMMATION OF THE EARS, AND EARACHE. 503
Inflammation of the Ears.
TREATMENT.
Aconitum is required in commencing treatment when the affection
is attended with considerable febrile disturbance, — dry heat of the
skin, with fulness and quickness of pulse.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every six hours, until the indicative symptoms subside. But
if any of the subjoined indications should occur, proceed at once with the
medicine or medicines thus more especially characterized.
Belladonna is indicated when there is determination of blood to
the head, with redness of the face, by digging, boring, tearing or shoot-
ing pains extending to the throat, fever, and extreme sensibility to the
slightest noise; when the pains are more severe internally; also when
the brain partakes of the inflammation, and delirium is present. Also
in Eaternal Inflammation of the Ears, when the inflammation runs high,
and threatens to extend to the face and scalp.
Dose: Six globules, as directed for Aconitum.
Hepar sulphuris should be administered twelve hours after the
last dose of Belladonna, if, after the second day from the commence-
ment of treatment, the pain and inflammation be not completely
reduced; or again and more especially in cases in which suppuration
and discharge have taken place. --
Dose: Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, until decided and permanent improvement or change.
Sulphur. This medicine should be administered twelve hours after
the last dose of Hepar sulphuris if the discharge of matter, in partic-
ular, should continue unarrested;— or more immediately twelve hours
after the fourth dose of Mercurius, if, in addition to the discharge of
matter, there should be humming in the ears and pricking pains.
Dose : Three globules, as directed for Hepar sulphuris.
IMercurius should be selected when the following symptoms and
conditions characterize the case: —Shooting or tensive pains in the ear,
extending to the cheeks and teeth; sensation of coldness in the ear;
exacerbation of suffering in the warmth of the bed; inflammation and
induration of the ear, with soreness of the orifice and discharge; swelling
of the glands. Also in Easternal Inflammation, particularly when the
adjacent glands are involved.
Dose : Six globules, as directed for Aconitum.
Pulsatilla is a most valuable remedy in this affection. It is par-
ticularly indicated when the easternal ear is simultaneously much affected,
and appears inflamed and swollen; attended with heat, shooting and
tensive excoriating pain internally; moisture in the ear, or somewhat
copious discharge. This medicament is particularly useful for females
and individuals of chilly habit. Applicable, also, to most cases of
External Inflammation of the Ears.
Dose : Six globules, as directed for Aconitum.
504 INFLAMMATION OF THE EARS, AND EARACHE.
Mervous or Rheumatic Earache.
TREATMENT.
Pulsatilla is not unfrequently indicated for the treatment of cases
of Nervous or Rheumatic Earache, which ensue from time to time as
the consequence of antecedent inflammation; or more particularly if
there be a tendency to discharges from the ear, or if the ear be habit-
ually moist.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every half hour (when the pain is very distressing), or every
three hours (in less severe cases), until a degree of improvement takes
place; after which the intervals should be gradually extended to twelve
hours, and the administration thus continued, until the cessation of the
pain, or the occurrence of other symptoms requiring different treatment.
Phytolacca should be administered when there is shooting pain in
both ears, the right being worse, aggravated by swallowing; feeling
as if the ears were stopped up, with cracking sounds in them; the sense
of hearing seems dull, while it is really more acute.
Dose : A solution of six globules, as directed for Aconitum.
Nux vomica is preferably indicated when the pains are of a tear-
ing, shooting nature, extending to the forehead, temples, and bones of
the face, worse towards morning; dryness of the ear; particularly
when the affection occurs in persons of a lively, choleric disposition.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every hour (when the pain is unbearably severe), or every three
hours (in less distressing cases), until a degree of amelioration becomes
apparent; after which the intervals should be gradually extended to twelve
hours, and the administration thus continued until permanent and decided
improvement or change.
Dulcamara should be selected when the affection has arisen from
a chill or wetting, and will, in many cases, prove sufficient for.its
removal; it is also indicated when the pains increase at night, and are
attended with nausea.
Dose: A solution of six globules, as directed for Wuz vomica.
Mercurius should be employed when the pain is attended with a
sensation of coldness in the ears, and is characterized by exacerbation
in the warmth of the bed; or again, when there are shooting or tensive
pains in the internal ear, extending to the cheeks and teeth.
Dose: A solution of six globules, as directed for Wuz vomica.
Chamomilla should be administered when there are stabbing pains
in the ear, as if knives were driven into the head; great sensitiveness
of noise, and even of music ; extreme sensitiveness, susceptibility, and
irritability.
Dose : A solution of six globules, as directed for Nuz vomica.
Sanguinaria should be exhibited when there is burning of the
ears, with bright redness of the cheeks, and headache accompanying
the earache; the neck feels stiff; painful sensitiveness to sudden sounds.
Dose : A solution of six globules, as directed for Wuz vomica.
Arnica is often of much service for the treatment of individuals
of a nervous, excitable temperament, subject to attacks of earache
p
HUMMING OR BUZZING IN THE EARS. 505
provoked by trivial causes, and is, moreover, characteristically indi-
cated when there is an excessive sensibility to noise.
Dose: A solution of six globules, as directed for Nuz vomica.
China is frequently suitable after Arnica, in cases in which the
last-named medicine has been productive of partial relief only, and
when, moreover, the pains are aggravated by lying on the ear, or by
Contact. *
Dose: A solution of six globules, as directed for Nuz vomica.
Sulphur should be administered, if the excessive sensibility to
noise should constitute a predominant indication; it is especially suit-
able to persons subject to catarrh or tendency of the blood to the head.
Dose: Three globules in a teaspoonful of water, night and morning, until
permanent improvement or change.
Diet and Regimen. Patients who are subject to attacks of nerv-
ous or rheumatic earache should be very careful and moderate in the
indulgence of their appetite; and the food should be simple but nour-
ishing. Fermented and spirituous liquors, coffee and strong tea, &c.,
are capable of themselves of provoking an attack; and inasmuch as a
tendency to derangements of the digestive functions is very frequently
to be distinguished as characterizing the predisposition to earache, it
is very essential that those things should be avoided which are likely
to engender irregularities of digestion, however apparently trivial.
Everything which is known to operate as an exciting cause should, as
much as possible, be avoided.
HUMMING OF BUZZING IN THE EARS.
Nux vomiea will be found of service in the treatment of recent
cases of humming or buzzing in the ears, when this annoying affection
is most predominant or the symptoms are aggravated at night.
Dose: Three globules in a teaspoonful of water, morning and evening, for a
week; then pause a week, resuming the administration after the lapse of
that time, if yet required.
Pulsatilla is to be preferred when the evening is more especially
the period of eacacerbation, and for persons of a mild character, par-
ticularly females.
Dose: Three globules, as directed for Wuz vomica.
Causticum. Loud vibration of all sounds, and even of the
patient's own voice.
Dose : Three globules, as directed for Nuz vomica.
Mercurius is more distinctly indicated when the attacks are
attended with sweating.
Dose : Three globules, as directed for Wuz vomica.
China, Carbo veg., and Acidum nit. are severally indicated
when this affection occurs amongst persons who have been subjected
to excessive doses of Mercury under allopathic treatment. It may
sometimes become necessary to administer them successively, but the
determination of such a requirement must entirely depend upon the
degree of improvement or change resulting from the treatment as it
506 DISCHARGE FROM THE EAR.
progresses, and should in all cases be regulated by the distinctive indi-
cations afforded under the head of each of these medicines, respectively,
in the article on “CHARACTERISTIC EFFECTs.”
Dose : Ff singly, of either of these medicines give two globules in a teaspoon-
ful of water, night and morning for four days (or until the earlier devel-
opment of improvement or change); then pause four days, after which
the course may, if necessary, be repeated as before, and so on, until man-
ifest amelioration or change. If in succession, allow an interval of a week
to elapse between the last dose of the one and the first dose of the other.
DISCHARGE FROM THE EAR.
Arsenicum should be given when the discharge is préfuse, smells
very badly, and makes the adjacent parts sore; also when there is
prostration and weakness.
Dose : Give three globules, in a teaspoonful of water, night and morning,
for four days (or until the earlier development of manifest improvement or
change); then pause four days, after which the course may be repeated as
before, if necessary, and so on, until manifest improvement or change.
Aurum will be found to be useful in chronic cases, particularly
after the abuse of Mercury under old-school treatment, where the
discharge is fetid, and the bones of the ear are diseased.
Dose : Three globules, as directed for Arsenicum.
Calcarea carb. should be administered, in chronic cases, when
the discharge looks like matter, the glands of the neck are swollen,
the abdomen is large, and there are other evidences of a scrofulous con-
stitution.
Dose : Three globules, as directed for Arsenicum.
Carbo veg. is suitable after suppression of itch, or itch-like erup-
tions; the discharge is offensive, the ear is inflamed and sensitive to
touch.
Dose : Three globules, as directed for Arsenicum.
Hepar sulphuris may be administered when the discharge is very
profuse and mild, particularly in scrofulous persons, or when it results
from acute inflammation of the internal ear.
Dose : Three globules, as directed for Arsenicum.
Sulphur is indicated when the discharge consists of offensive mat-
ter, particularly if the left ear be affected ; eruptions behind the ears,
which itch, and bleed after scratching.
Dose : Three globules, as directed for Arsenicum.
Mercurius is indicated if the affection be of syphilitic origin; the
ears itch, the face is covered with little pimples which secrete matter.
Dose: Three globules, as directed for Arsenicum.
Pulsatilla will be found to be a very valuable remedy in the
treatment of this troublesome affection. It is indicated when the dis-
charge is the result of a cold (catarrhal) or follows acute inflammation
of the ear. The discharge is usually thick and yellow ; the ear is red
and swollen, and there are stitch-like pains in it. The left ear is most
commonly affected.
Dose: Of a solution of six globules in two table-spoonfuls of water, give a
IDEAFNESS. 507
teaspoonful every six hours, until the appearance of improvement or
change, when the intervals should be lengthened.
Elaps should be exhibited when the discharge is greenish, and im-
parts a greenish stain to the linen it touches; it is also suited when
there is lachrymation at the same time.
Dose : Solution of six globules, as directed for Pulsatilla.
Further indications for the use of the foregoing medicines, may be
gathered from the chapter on “CHARACTERISTIC EFFECTs,” which
should be carefully consulted.
ILL-EFFECTS OF SUPPRESSED DISCHARGE FROM THE EAR.
Sulphur, Calcarea C., Belladonna, Pulsatilla, Mercurius,
Nux vomica, Bryonia, or Dulcamara, one or more of which
may be required, according to the circumstances of the particular case
under consideration, may be enumerated as those which are applicable
to the treatment of general cases, in which the discharge from the ear
has been suddenly or otherwise improperly suppressed, and in which
other morbid developments ensue as the result of such suppression.
It will be necessary to consult the article on “CHARACTERISTIC EF-
FECTs,” under the head of each, respectively, and to select from amongst
them, by comparing the general and particular symptoms and condi-
tions present, with those which are therein enumerated.
Dose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, repeated at intervals of six hours, until three doses
have been given (or until earlier improvement or change), and subse-
quently, at intervals of twelve hours, until the discharge recurs, or general
improvement (or change) becomes manifest.
IDEAFNESS — HARDINESS OF HEARING.
From Determination of Blood.
*
Belladonna, Hyoscyamus, Sulphur, Mercurius, Phos-
phorus, Graphites, Silicea. When deafness is occasioned by
determination of blood to the head (generally), or to the vessels about
the cavity of the ears (in particular), one or more of these medi-
cines will usually be required for the treatment. The selection from
amongst them should depend upon the particular symptoms and char-
acterizing conditions present, which, by comparison with such as are
elicited by the specific properties of each, respectively (as stated in the
article on that subject), will serve to determine the choice. In cases
of this kind, however, it is to be observed, that the medicine should
preferably be given in sparing and unfrequent doses.
Dose : Of either medicine, as selected, give two globules in a teaspoonful of
water, repeating the dose after the lapse of twenty-four hours, if the
attack continues or should recur with undiminished intensity. But if the deaf-
ness be evidently less intense or troublesome, it will be necessary to pause,
until the improvement ceases to proceed progressively, or the attack returns
with its original intensity, and so on, as occasion requires.
Nervous Deafness.
Gelseminum, Causticum, Phosphorus, Acidum phos.,
508 DEAFNESS.
Petroleum. . When deafness is occasioned by purely nervous causes,
as may be distinguished by the general state of the patient, and the
absence both of the sensation of fulness or heaviness, &c., - which
characterizes determination of blood to the vessels of the head—of any
aching pains or symptoms of a catarrhal description —and of any an-
tecedent diseases, or treatment which might have occasioned such a
consequence — and further, by the fitful or periodical nature of the
deafness, – one or more of these medicines will usually be found
effectual, if selected in accordance with the specific properties of each,
respectively, as stated in the article on that subject.
Dose: Three globules in a teaspoonful of water, night and morning, for a
1 week (or until the earlier manifestation of some distinct change in the
general or particular nature of the symptoms); then pause ten days, after
which should the deafness recur, a similar course may be repeated, and so
on, from time to time, until manifest improvement or change.
Catarrhal or Rheumatic Deafness.
Rhus tox., Hydrastis, Mercurius, Pulsatilla, Belladon-
na, Ledum pal., Sanguinaria. These medicines (one or more of
which may be required during the progress of treatment) may be men-
tioned as especially appropriate, when deafness occurs as a catarrhal
or rheumatic symptom. The selection should be determined in accord-
ance with the indications afforded in the article on “CHARACTERISTIC
EFFECTs.”
Dose : Of either of these medicines, as selected, give three globules in a
teaspoonful of water, repeated at intervals of twelve hours, until im-
provement or change becomes apparent. If improvement should succeed,
the treatment must be suspended, and will probably not require repetition
— if change (without amelioration) the symptoms should be re-investigated,
and a new selection made accordingly.
Coffea 6r Chamomilla are more especially appropriate for the
treatment of catarrhal or rheumatic deafness occurring in highly sensi-
tive females or children, and particularly if there be much irritability,
fretfulness, and nervous excitement.
Dose : Two globules in a teaspoonful of water, repeated, if necessary, after the
lapse of twelve hours, and again, after a further interval of twenty-four
hours, if necessary, suspending treatment, however, as soon as manifest
effect ensues.
Deafness occasioned by sudden suppression of a Chronic Eruption.
Antimonium c., Sulphur, or Calcarea may be required during
the progress of treatment in cases in which deafness occurs, manifestly,
as a consequence of the repercussion of a chronic eruption; that is,
when this sympton Supervenes upon the sudden and unaccountable
disappearance (or the rapid drying or healing up, by means of improper
lotions or ointments) of such an eruption.
Dose : Six globules in a table-spoonful of water, the first thing in the morn-
ing (fasting), repeating the dose at intervals of twenty-four hours, until
new symptoms supervene, – the eruption re-appears, – or general im
provement ensues.
DEAFNESS. 509
Deafness resulting from Eruptive Fevers.
Belladonna, or Hepar sulph., respectively, according to the
particular symptoms present — or successively in some cases (that is,
Hepar 3. following Belladonna, in the event of inadequate effect), may
be mentioned as particularly appropriate for the treatment of deafness
resulting from Scarlet Fever. -
Dose: Of either of these medicines, give three globules in a teaspoonful of
water, night and morning, for six days (or until the earlier development
of improvement or change); then pause four days, after which the course
may, if necessary, be repeated as before, and so on, until manifest
improvement or change. If in succession, allow an interval of four days to
elapse between the last dose of the one, and the first dose of the other.
Pulsatilla is usually effectual in obviating deafness, which ensues
as the consequence of Measles.
Dose : Three globules, as directed in the last prescription.
Carbo veg. should, in most eases, be given six days after the
termination of the second course of Pulsatilla, in cases in which the
employment of the last-named medicine has not been productive of
adequate improvement, as regards the deafness (resulting from measles),
however other and general improvement has ensued.
Dose : Three globules in a teaspoonful of water, repeated after the lapse of
twenty-four hours, and, subsequently, if yet requisite, every fourth day,
until manifest improvement or change.
Mercurius, followed by Sulphur, may be mentioned as the most
appropriate course of treatment for the generality of cases in which
deafness occurs as the sequel of Smallpox.
Dose: Two globules of Mercurius in a teaspoonful of water, repeated after
the lapse of twelve hours, and again after a further interval of twenty-four
hours; then pause four days, after which proceed with four globules of
Sulphur in a teaspoonful of water, the first thing in the morning (fasting)
for six days (or until earlier improvement or change); then pause again
for a week, subsequently repeating the course of Sulphur, if necessary, as
before.
Deafness occasioned by abuse of Mercury.
Acidum nit., Aurum, Staphysagria, Hepar s., Sulphur.
When deafness ensues, without any other apparent cause but the pre-
vious treatment with excessive doses of Mercury, under allopathic
management, and when, therefore, the hardness of hearing is definitely
traced to such antecedents, one or more of these medicines (respective-
ly, according to the other symptoms and conditions present), may serve
to modify, if not to overcome, the deafness. Long courses of treat-
ment are, however, generally required. The article on “CHARACTER-
ISTIC EFFECTS’ should be consulted for more particular indications.
Dose: If of Sulphur, give six globules in a table-spoonful of water, every
morning, the first thing (fasting) — if of either of the others, three globules
in a teaspoonful of water, night and morning, — for six days (or until the
earlier development of new symptoms, improvement or change); then
pause ten days, after which the course may be repeated as before, and so
on, from time to time, until manifest improvement or change.
510 BLEEDING OF THE NOSE.
Deafness from Enlargement of the Tonsils.
Mercurius, Aurum, Acidum nit., Staphysagria. When
deafness occurs in consequence of enlargement of the tonsils, the em-
ployment of Mercurius is usually to be adopted. Inasmuch, however,
as particular conditions may entitle one or more of the other medicines
here named, to a preference in some cases — it were better to refer to
the article on “CHARACTERISTIC EFFECTs.”
Dose : Of either medicine as selected, give three globules in a teaspoonful
of water, night and morning, for a week (or until earlier change ensues);
then pause ten days, after which the course may, if necessary, be repeated
as before, and so on, from time to time, until manifest improvement or
change.
Deafness resulting from Nervous Fevers, &c.
Baptisia, Phosphorus, Acidum phos., Veratrum, Arnica.
When the deafness occurs as the result of any acute febrile disease,
and especially of Fevers of a nervous character, one or more of these
medicines should be employed, the selection from amongst them being
governed by the particular indications, in respect of each, afforded in
the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these remedies, as selected, give three globules as
directed in the preceding section.
Diet and Regimen. — In cases of Inflammation of the Ears, and
during the earlier stage of the disorder, it will be necessary to restrict
the patient to such regimen as has been more especially prescribed in
the general article on FEVERS. In cases, however, in which discharge
from the ears ensues, or in which deafness occurs as the result of pre-
vious acute disease (whether eruptive or not), — the diet should be
more generous and invigorating, but still all stimulating ingredients,
whether of food or drink, should be excluded. When deafness re-
rults from the check of a chronic eruption, the diet should be very
plain and easy of digestion, but should, nevertheless, be nourishing;
and when it ensues as the result of Smallpoa, the regulations prescribed
in the article on that subject should be observed.
BLEEDING OF THE NOSE.
Bleeding of the nose often appears at the termination of many dis-
eases, such as fevers, epilepsy, &c., and is, in such instances, salutary;
it also frequently relieves or cures headaches, giddiness, &c., and ought,
therefore, not to be interfered with, unless it be excessive, last too
long, recur too frequently, or take place under a debilitated state of
the system. The attack is occasionally preceded by a degree of quick-
ness of the pulse, flushing of the face, throbbing in the arteries of the
temples, confusion or dimness of sight, heat and itching in the nostrils,
and other signs of congestion.
TREATMENT.
INDICATIONS AFFORDED BY PARTICULAR CAUSES AND CONDITIONS.
When the discharge of blood from the nose is occasioned by local
BLEEDING OF THE NOSE. º 511
DETERMINATION OF BLOOD, select especially from:* – Aconitum, Bella-
donna, Crocus, Graphites, Rhus, and Hamamelis.
When caused by being OVERHEATED, or by over-indulgence in FER-
MENTED LIQUORs, select especially from : * – Nua, vomica, Aconitum,
Belladonna, and Bryonia.
When occasioned by LOSS OF HUMORs and other DEBILITATING
CAUSEs, select especially: * – Ferrum and China. *
When occasioned by PHYSICAL ExERTION, select especially *— Rhus
or Arnica.
When occasioned by a BLOW or CONTUSION, select especially *-
Arnica.
When readily provoked by the SLIGHTEST CAUSE, select especially
from : * – Sulphur, Silicea, Sepia, Calcarea, Carbo, Graphites, and
Lycopodium.
When the discharge is ExcessIVE, select especially from : * – Aconi-
twm, Arnica, Belladonna, Mercurius, Pulsatilla, and Rhus.
When associated with SCANTY MENSTRUATION, select especially
from : *— Pulsatilla, Graphites, Causticum, and Sepia.
When associated with ExCESSIVE MENSTRUATION, select especially
from : * – Aconitum, Calcarea, and Crocus.
When (in children) associated with worMs, select especially * —
Mercurius and Cina.
When bleeding of the nose occurs with every attack of COLD IN THE
HEAD, select especially * – Pulsatilla.
Aconitum is indicated by prolonged or violent bleeding at the
nose, in plethoric subjects, with a considerable degree of fever, flushing
of the face, pulsation of the arteries of the temples and neck, or general
fulness of the vessels of the head.
Dose : Of a solution of four globules to two table-spoonfuls of water, give a
teaspoonful every half hour, until amelioration or change.
Belladonna is frequently of the greatest service when there is
bleeding from the nose at night, which awakens the patient from sleep,
and sometimes returns in the morning; bleeding from the nose from
being overheated. ©
Dose : Four globules, as directed for Aconitum.
Bryonia is preferably indicated by bleeding from the nose, chiefly
fin the morning, or at night during sleep, causing the patient to awake;
or when it arises from suppressed menstruation, or from overheating
during warm weather; obstinate or irritable disposition.
Dose : Four globules, as directed for Aconitum.
* These indications afforded by particular causes and conditions, are not to be
considered paramount. In very many cases, it will, indeed, be found that the
one or other of the medicines thus indicated, otherwise corresponds to the particu-
lar symptoms present, as described in the subsequent portions of this article, in
respect of each, separately. But, if it should occur that although indicated by
such particular cause or condition, the medicine, thus appropriate, offers no other
relation to the case, and that one or more of the others do more particularly cor-
respond, the latter should be selected. If, however, two medicines are identically
indicated in all respects, except by the cause, or particular condition here named,
— such cause or condition will be decisive between them, and should then de-
termine the selection.
512 BLEEDING OF TEIF, NOSE.
Mercurius is of great service against bleeding of the nose during
sleep, or while coughing, with speedy coagulation, so that the blood
hangs in clots at the nostrils; or when the affection is preceded by a
sensation of tightness round the head, as if it were bound.
Dose : Four globules, as directed for Aconitum.
Carbo v. is of essential service against bleeding at the nose during
the night, with ebullition of blood; violent nasal haemorrhage in the
morning while in bed, followed by pain in the chest; discharge of a
few drops of blood from the nose every forenoon; excessive bleeding
from the nose several times a day, particularly after stooping, or after
every exertion, preceded and followed by great paleness of the face.
JDose : Two globules in a teaspoonful of water, morning and evening, for
three days (or until the earlier development of improvement or change);
then pause four days, after which the course may, if necessary, be
repeated as before.
Graphites may sometimes prove useful against bleeding of the
nose towards night, with heat in the face, preceded by determination
of blood to the head, in the after-part of the day, particularly in
females who have scanty menstruation.
Dose: Two globules, as directed for Carbo v.
Pulsatilla is indicated by discharge of blood from the nose every
afternoon, evening, or before midnight, especially in females with sup-
pressed or scanty menstruation, or in those of a mild and placid dispo-
sition.
Dose : Four globules, as directed for Aconitum.
Hamamelis should be administered in cases in which the blood is
dark colored and flows sluggishly but profusely. It is also useful if
the nose bleed be complicated with bleeding of the lungs, or if re-
sulting from suppressed menstrual flow.
Dose : Four globules, as directed for Aconitum.
Veratrum alb. will be found efficacious when there is present,
death-like paleness of the face, coldness of the surface of the body, and
slow, intermitting pulse. *
Dose: Four globules, as directed for Aconitum.
Arnica, in addition to being the principal medicine in violent
nasal haemorrhage from external injury, or from great physical exer-
tion, is, moreover, an important remedy in all cases in which the
haemorrhage is preceded by itching in the nose and forehead ; and
when the nose feels hot, and the blood discharged is red and liquid.
Dose: Four globules, as directed for Aconitum.
Rhus is appropriate for the treatment of bleeding of the nose
occasioned by physical exertion, such as lifting a heavy weight, or when
blowing the nose, spitting, &c.; or for discharge of blood from the nose,
which becomes aggravated or renewed on stooping, or during the night.
Dose: Four globules, as directed for Aconitum.
China is generally to be selected when the loss of blood has been
very considerable, and when the patient is much weakened before as-
sistance is rendered.
Dose: Four globules, as directed for Aconitum.
BLEEDING OF THE NOSE. 513
Ferrum should be employed after the previous administration of
China, in cases in which the last-named medicine has been productive
of partial amelioration only. Ferrum is, moreover, of much service in
the treatment of bleeding of the nose occurring in debilitated subjects,
with excessive paleness of the face.
Dose: Two globules, as directed for Carbo v.
Sepia. — Frequent attacks of haemorrhage from the nose, with
pale or sallow complexion, especially in females with obstructed men-
struation.
Dose: Two globules, as directed for Carbo v.
Nux v. is more particularly indicated by bleeding of the nose,
especially in the morning, from being overheated, or from the suppres-
sion of an accustomed discharge, such as that of piles; also after drink-
ing wine, &c., or in habitual drunkards.
Dose: Four globules, as directed for Aconitum.
Dulcamara is more particularly indicated by bleeding at the
nose after getting the feet wet ; flow of hot, clear blood from the nose.
Dose: Four globules, as directed for Aconitum.
Crocus is useful for discharge of dark-colored, thick, or viscous
blood from the nose, the blood hangs in long black strings; particu-
larly in females who menstruate too copiously, sometimes followed by
fainting.
Dose : Four globules, as directed for Aconitum.
Moschus is frequently serviceable when the bleeding of the nose
occurs in nervous, hysterical females, or when the bleeding has con-
tinued to depletion, and there is spasmodic jerking of the muscles.
Dose: Four globules, as directed for Aconitum.
Ammonium c. is more especially required for bleeding from the
nose after a meal, or in the morning when washing.
Dose : Four globules, as directed for Aconitum.
Silicea is an excellent remedy for the treatment of those obstinate
and sometimes habitual discharges of blood from the nose, which occur
in persons of a marked scrofulous habit of body.
Dose: Two globules, as directed for Carbo v.
ACCESSORY MEASURES.
When the haemorrhage is of an active kind, the patient should be
placed in the erect posture, and kept cool and quiet for some time
afterwards.
When there is reason to fear suffocation from the bleeding continu-
ing inwardly, and getting into the throat, as is liable to happen in ex-
tremely debilitated subjects, in whom little or no reaction appears to
follow the administration of the remedies, the anterior and posterior
outlets from the nose may be plugged; the latter by passing threads
up the nostrils, and bringing them out at the mouth, then securing
pieces of sponge, or small rolls of lint, to the ends; after this the
33
514 SWELLING OF THE NOSE, ETC.
threads should be drawn back, and tied sufficiently tight so as to bring
the plugs somewhat firmly against the orifices.
Diet and Regimen. In all cases in which bleeding of the nose
occurs otherwise than as the result of a mere casual accident (and even
then until the discharge is thoroughly subdued), the diet should be
plain and unstimulating; it should, nevertheless, be nourishing, for —
although in many cases, as this discharge occurs in the place of some
other natural evacuation, the system is not so much exhausted thereby
as might be anticipated —it may still be looked upon as an indication
of some local or general debility. The state of the organs of digestion
should, therefore, be subjected to close attention, that any irregularities
may be obviated, and that proper nutrition may be promoted. Reg-
ular habits, early hours, avoidance of over-intense application, ex-
tremes of temperature, or of excesses of any kind, a fair proportion of
exercise in the open air, in favorable weather (but without enduring
fatigue), and the like, are essential.
In cases of very debilitating and long-continued discharges of blood
from the nose, change of air and scene will often materially assist in
the restoration of the patient.
SWIELLING AND OTHER AIFFECTIONS OF THE
NOSE.
TREATMENT.
Arnica should be employed internally and externally at the same
time, when swelling of the nose has been occasioned by a blow or con-
tusion.
Dose (Internal): Three globules in a teaspoonful of water, repeated at inter-
vals of twelve hours, until the swelling subsides (unless, meanwhile, such
other symptoms should occur as to demand different and especially appro-
priate treatment).
Application (External): To two table-spoonfuls of water add forty drops of
the concentrated Tincture of Arnica, and bathe the parts freely with this
lotion three times a day, until the swelling, soreness, tenderness, &c.,
abates.
Arsenicum, Nux vomica, or Lachesis should be employed
when swelling of the nose can be traced to habitual excesses in the use
of fermented and spirituous liquors. Arsenicum is more especially
indicated when the redness is of a coppery hue. For more particular
.indications, refer to the article on “CHARACTERISTIC EFFECTS.”
Dose : Three globules, as directed for Arnica, internally.
Bryonia, Belladonna, Mercurius, or Hepar s., according to
the particular nature of the symptoms present, may be required for the
treatment of cases in which the Swelling of the Nose is characterized
by intense redness and pain.
Dose: Three globules, as directed for Arnica.
Rhus tox., and Calcarea may also be named as often appropri-
ate in the treatment of difficult chronic cases, or for such as do not ap-
pear to be controlled by either of the foregoing. A more particular
CANEER OF THE MOUTH. e 515
indication is, however, in this instance, afforded when the point of the
nose is especially the 8eat of redness.
Dose : Three globules, as directed for Arnica.
ULCERATION OF THE BONES OF THE NOSE.
IMercurius is to be preferred when the ulceration is of syphilitic
origin, provided the patient has not already been placed under an inju-
rious course of that powerful medicine.
Dose : Four globules, in a table-spoonful of water, the first thing in the
morning (fasting), for ten days (or until the earlier development of im-
provement or change); then pause eight days, after which the course may,
if necessary, be repeated as before, and so on, from time to time, until
manifest improvement or change.
Aurum is the most important remedy in cases of ulceration of the
bones of the nose, whether of a scrofulous or mercurial origin.
Dose : Four globules, as directed for Mercurius.
Acidum phos., Acidum nitr., Sulphur, Calcarea, Silicea.
In cases of Ulceration of the Bones of the Nose, which have resulted
from the abuse of Mercury, and when Awrum, singly, does not appear
to be capable of effecting a cure, or more especially when the system
generally has become involved by the mischievous effects of the mercu-
rial treatment, one or more of these medicines, respectively, according to
the particular symptoms of the case, may be required for further treat-
ment. In the great majority of cases, indeed, long courses of Sulphur
and Silicea, especially, become necessary to complete the cure, even
when very striking improvement has been effected by Aurum, as previ-
ously administered. For particular indications refer to the article on
“CHARACTERISTIC EFFECTs.” +.
Dose: If of Acidum nit., three globules in a teaspoonful of water, night and
morning; if of either of the others, six globules, the first thing in the
morning (fasting), in other respects as directed for Mercurius above.
Diet and Regimen. A simple diet, regular habits, early hours,
and such other precautions as have been enumerated in the article on
“ERADICATIVE TREATMENT * (pp. 83 to 89), must be more or less
rigidly enjoined.
CANKER OF THE MOUTH. SCURvy IN THE
IMIOUTH.
Symptoms. This affection consists of a fetor in the mouth, with
a viscid, bloody discharge from the gums, which are at the same time
hot, red, tumid, spongy, very sensitive, retracted from the teeth, and
subsequently ulcerated along their margins. Sometimes there are also
glandular swellings and salivation; and usually looseness of the teeth,
impeded mastication and deglutition, great debility, and slow fever.
TREATMENT.
Mercurius is the most useful remedy here, and may, generally,
form the first prescription in almost every case of the kind, as it will
516 SCURVY.
rarely fail to prove serviceable, if not sufficient to effect a perfect
CUII'ê.
Dose: Three globules in a teaspoonful of water, morning and evening, for
four days (or until earlier change); then pause four days, and, if the
symptoms still retain the same character, though in a less intense degree, re-
peat the course as before, and so on, until manifest improvement or change.
But if any of the subjoined indications occur, proceed, promptly, with one
of the following medicines.
Carbo v. will be found of primary importance, and should be em-
ployed when we have reason to conclude that the symptoms above
described have in reality been created by the injurious employment of
mercury, under allopathic treatment Carbo v. is, moreover, of great
service when the disorder has arisen from unwholesome food, the daily
use of kitchen salt in excess, or the prolonged use of salt meat; when
the gums smell most offensively, and bleed during mastication ; the
teeth being loose, the mouth hot, and the tongue much excoriated and
moved with difficulty.
Dose : Three globules, as directed for Mercurius.
Staphysagria should be employed more immediately after the
previous employment of Carbo veg. (or indeed at any period of treat-
ment), if fungous excrescences be observed to form on the gums.
Dose: Three globules, as directed for Mercurius.
Arsenicum should be adopted, when, in addition to the ulceration,
the gums present a black, spongy, gangrenous appearance; more par-
ticularly if the patient complains of burning pains in the gums, with
grèat prostration of strength.
Dose: Three globules, as directed for Mercurius.
Nux v. is an efficient remedy in this disorder, particularly when
it occurs in meagre, dark-complexioned subjects, of bilious tempera-
ment and choleric disposition, who lead a sedentary life; the gums
presenting a putrid aspect, and being so much swollen as completely
to cover the teeth; countenance pale and sunken.
JPose: Three globules, as directed for Mercurius.
Natrum m. is indicated when the ulcers are indolent, and do not
acquire a healing aspect; the gums being at the same time much swol-
len, very sensitive to heat or cold, and disposed to bleed upon the
slightest touch ; moreover, when painful vesicles or blisters are ob-
served on the tongue, inner surface of the lips and cheeks, which im-
pede speech, and, together with the irritable gums, render the act of
mástication a work of labor and excessive torture.
Dose: Three globules, as directed for Mercurius.
Sulphur should be employed eight days after the last dose of Na-
trum m., or other selected medicine, in cases in which the improvement
effected by that medicine ceases to advance progressively.
Dose : Three globules, as directed for Mercurius.
SCURVY.
General Symptoms. This disorder is characterized by exces
sive debility, pale and bloated countenance, dropsical swelling of the
SCURVY. 517
inferior extremities; discharge of blood from the orifices, livid spots on
the skin, – or foul ulcers, – offensive urine and extremely fetid stools.
The gums are spongy, or otherwise diseased, as described in the pre-
ceding article on “CANKER OF THE MOUTH,” page 515.
Predisposing Causes. Intemperance, want of exercise, impure
air, uncleanliness, with depressing emotions, &c., often tend to predis-
pose to the disease, more especially when combined with deficient or
unwholesome food.
Exciting Causes. This disease chiefly affects sailors, or others
who from circumstances are deprived of fresh provisions and an adequate
quantity of vegetable food, and are exposed to cold and moisture,
together with fatigue.
TREATMENT.
In the cure, as also the prevention of this malady, it is requisite, in
the first place, to remove the probable causes of its invasion, where
that is practicable; and to supply the patient, if possible, with whole-
some diet, fresh vegetables, and those fruits which furnish citric acid,
such as the lemon, the juice of which made into a drink forms an
invaluable remedy. Sour kraut, and other substances which have un-
dergone the acetous fermentation, cider, spruce-beer, and the like, as
also vinegar, have been likewise recommended.
But it should be observed, that the use of lemon-juice, or of any
other acids, must most strictly be avoided, during the course of such medi-
cinal treatment as may become requisite, and for which directions are
subjoined.
Natrum m., Mercurius, Carbo veg., and Arsenicum may
be mentioned as the medicines of the chief importance for the treat-
ment of SCURVY when the disease has not been of long continuance.
In general, the indications which should lead to the selection of the one
or the other, respectively, may be deduced from such details as have
been afforded under the head of each, in the foregoing article on
“CANKER OF THE MOUTH" (pp. 515, 516). The reader should, how-
ever, consult the article on “CHARACTERISTIC EFFECTs,” for more
particular details.
Dose: Of either of these medicines, give three globules in a teaspoonful of
water, night and morning, for four days (or until earlier change); then
pause four days, after which the course may, if necessary, be repeated as
before.
Acidum nitricum is often of service in cases which have ap-
peared to indicate Carbo veg. more especially, but in which the last-
named medicine has been productive of partial effect only.
Dose: Three globules, as directed in the last prescription.
Ammonium c., Nux vomica, and Sulphur may be men-
tioned as also of essential service in particular cases, or more particu-
larly when partial effect only is obtained from the administration of
the foregoing. For more particular indications refer to the article on
“CANKER OF THE MOUTH,” and to that on “ CHARACTERISTyC EF-
FECTS.”
Dosc: Three globules, as directed for Watrum m., Mercurius, Arsenicum, &c.
518 GUMIBOIL-
Staphysagria is more especially required if there be fungous ex-
crescences on the gums.
Dose: Three globules, as directed for Watrum m., &c.
GUIMIBOIL.
Symptoms. A gumboil consists of an inflammatory swelling in
the gums, attended with considerable pain, heat, and tenderness to the
touch. The tumor very generally terminates in the formation of mat-
ter, then comes to a head and discharges.
TREATMENT.
Mercurius is indicated, and will generally suffice to effect a cure,
when the affection is accompanied by a profuse flow of saliva.
Dose : Dissolve six globules in two table-spoonfuls of wate”, and give a tea-
spoonful of the solution every four hours, until amelioration or change.
Pulsatilla is indicated when the case is characterized by promi-
nent derangement of the digestive functions, with the following dis-
tinctive symptoms: — Relaa’ation of the bowels, or alternate relaa’ation
and costiveness accompanying great depression of spirits, and, more
particularly, when the patient is of a mild but sensitive disposition.
Dose: Six globules, as directed for Mercurius.
Hepar sulphuris should be promptly employed, whether at the
onset of treatment or after another medicine, whenever indications of
the formation of matter become manifested, in the increase of the
swelling and heat, and in the softening of the tumor, sometimes attended
with throbbing ; – except, however, in cases in which the gumboil is
attributable to the irritation occasioned by a decayed tooth, in which
case, the following medicine is more especially appropriate.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every three hours, until decided amelioration or change.
Silicea is, however, the more appropriate medicine when the symp-
toms just described are attendant upon gumboil which has been occa-
sioned by a decayed tooth, and should accordingly be employed either
at the onset, or after one or more of the medicines first enumerated.
Silicea is additionally and very distinctly indicated when swelling of
the jaw with suppuration supervenes, either as the consequence of de-
cayed teeth or of the unskilful extraction of a tooth.
Dose : Six globules, as directed for Hepar sulphuris.
BLEEDING OF THE GUMS.
Staphysagria may be mentioned as one of the most important
remedies for the treatment of bleeding of the gums, in general cases,
or, more especially, when fungous growths are developed upon them.
Dose: Three globules in a teaspoonful of water, night and morning, for six
days (or until earlier change); then pause a week, after which the course
may be repeated as before, if necessary, and so on, until permanent
amelioration (or change) results.
Mercurius is more particularly required (except when the affec-
INFLAMMATION OF THE TONGUE. 519
tion occurs as the result of abuse of Mercury, under allopathic treat-
ment), when the gums are painful, swollen, spongy, and jagged at the
margins.
Dose : Three globules, as directed for Staphysagria.
Acidum phosphoricum is a remedy of much importance for the
treatment of bleeding of the gums, in some cases even in which other
remedies fail, but more particularly when the bleeding is readily ea:-
cited by touching or rubbing the gums, or when the gums feel as if
excoriated.
Dose : Three globules, as directed for Staphysagria.
Carbo veg., China, Causticum, Ruta grav., Natrum m.,
Lycopodium. In very obstinate or protracted cases — in which
ulceration of the gums has taken place, and when the bleeding is pro-,
voked by the most trivial cause, and sometimes takes place apparentl
without a cause, and so as to lead the patient to believe that the blood
is discharged from other sources, – one of these medicines may become
appropriate to the treatment, respectively, in accordance with the par-
ticular symptoms of the case. For particular indications refer to the
article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines give three globules, as directed for
Staphysagria.
Diet and Regimen. In simple cases of gumboil, the observance
of moderation in diet, and the avoidance of exposure to cold, would be
preferable, during the continuance of any inflammatory symptoms.
In the more obstinate cases of ulceration, swelling, sponginess, and
bleeding of the gums, a very light and digestible diet, consisting pre-
dominantly of vegetables and totally free from spices or seasoning
should be enjoined, and the other regulations prescribed under the
heads of “CANKER OF THE MOUTH,” (at p. 515), “ScuRVY,” (at p.
516), and of “ERADICATIVE TREATMENT,” (at pp. 83 to 89), should
usually be consulted and applied.
INFLAIMIIMIATION OF THE TONGUE}.
Symptoms. Tumefaction, with heat and redness of the tongue;
the swelling is sometimes so great as to fill the whole cavity of the
mouth, rendering Swallowing impossible, and threatening suffocation ;
unless resolution takes place, it may terminate in induration, suppura-
tion, or gangrene.
Predisposing Condition. A peculiar taint of constitution or
scrofulous habit of body.
Exciting Causes. Local injuries, acrid substances, rheumatism,
catarrh, or the transition of disease from some other part or organ.
TREATMENT.
Arnica (Concentrated Tincture) is appropriate, as a local applica-
tion, for the treatment, in cases of lesion of the tongue from the points
of decayed teeth, or by biting the tongue.
Application. — To six table-spoºnfuls of water, add twenty drops of the con-
520 INFLAMMATION OF THE TONGUE.
§
centrated Tincture of Arnica, and rinse the mouth with this lotion three
times a day, until amelioration or change. But in severe cases, or when
the inflammation is not readily reduced by this method, consider the fol-
lowing medicines.
Urtica urens (Concentrated Tincture) is, in some instances, to be
preferred to Arnica as a local application in cases in which there is a
burning sensation with little alteration of appearance, and when it has
ensued simply as the consequence of a burn or scald.
Application. — To six table-spoonfuls of water, add twenty drops of the con-
centrated Tincture of Urtica urens, and rinse the mouth with this lotion,
every two hours, until the pain abates.
IMercurius is almost specific when the disease is attended with ex-
cessive inflammatory swelling or induration.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every two hours (when the symptoms are very severe), or
every four hours (when the inflammation is less intense), until manifest
amelioration or change.
Belladonna is required when the affection does not speedily yield
to Mercurius, or when the inflammation is of an erysipelatous or active
nature.
Dose: A solution of six globules, as directed for Mercurius.
Pulsatilla has been found useful in cases arising from suppressed
haemorrhoidal and gouty affections.
Dose: Six globules, as directed for Mercurius.
Apis mellifica should be given when the tongue is dry, swollen,
and inflamed, with inability to swallow, and stinging, burning pains in
the tongue and throat, which is also involved.
Dose: Six globules, as directed for Mercurius.
Arsenicum or Lachesis may be more particularly required, or
may become imperatively necessary, when symptoms of threatening
gangrene present themselves. In such instances, however, if profes-
sional assistance be within reach, it should be sought.
Dose: Of either of these medicines, dissolve six globules in two table-spoon-
fuls of water, and give a teaspoonful of the solution every four hours,
until manifest amelioration or change.
In some rare cases, when, from great tumefaction of the tongue, suf.
focation threatens, it has been recommended to have recourse to longi-
tudinal incisions; such cases will, however, rarely, if ever, occur under
homoeopathic treatment, if the disease be taken in time, and the reme-
dies judiciously selected.
Diet and Regimen. In very severe cases no solid food whatever
should be allowed during the presence of inflammatory symptoms,
although it may be observed that this injunction becomes superfluous,
owing to the pain occasioned by mastication. The heat of the food or
drink should also be barely more than tepid, although absolutely cold
drinks are equally to be avoided. Very thin gruel-water, or toast and
water, should, in such instances, be the only food or drink allowed until
the inflammation subsides, and even then solid food, even of the plain-
est description, should be very cautiously allowed for some time.
FACIAL NEURALGIA. 521
OFFENSIVE BRIEATH.
Causes. The most frequent causes of this unpleasant affection are,
(1) uncleanliness, leaving particles of food in the teeth; (2) an accu-
mulation of tartar, carious teeth; (3) a diseased state of the gums,
white vesicles or ulcerations in the mouth ; an abuse of mercury; and,
lastly, but more especially, derangement of the stomach.
TREATMENT.
(1.) When there is reason to suppose that the first-named circum-
stance is the chief cause of the complaint, its removal will be readily
effected by proper attention, rinsing the mouth with tepid water, and
brushing the teeth with a moderately hard brush night and morning,
as also after every meal.
(2.) When attributable to the second cause, a dentist of known skill
and respectability ought to be consulted.
(3.) Lastly, when the annoyance can be traced to any of the remain-
ing sources enumerated, the remedies given under their different head-
ings should be had recourse to.
Diet and Regimen. In cases in which offensiveness of the breath
results from an habitually disordered state of the gums, a predomi-
nance of vegetable food, very light and digestible diet used with great
moderation, abstinence from salted articles, or from stimulating drinks,
and most of the directions prescribed at pages 83, 84, and 85, in these
respects, should be observed. Even when the offensive breath results
from simple derangement of the stomach, much caution should be ob-
served in respect of diet.
IFACIAI, NEURALGIA — NERVE-PAIN — FACE-
AGUE.
TIC-T)OULOUREUX.
This distressing malady consists of an excruciating pain, which has
its most frequent seat in the branches of the fifth pair of nerves, and is
accordingly experienced with great acuteness under the eye, and some-
times before the ear, from whence it shoots over the entire half of the
face, and frequently into the orbit and head. The paroxysms occa-
sionally continue, with shorter or longer intervals, for several days or
weeks in succession. It is frequently of great obstinacy, and sometimes
incurable.
TREATMENT.
Belladonna is indicated (when the pain chiefly affects the nerve
that makes its exit beneath the eye, but sometimes also the other
branches of the fifth nerve) by darting pains in the cheek-bones, nose,
jaws, or in the bones adjoining the ears; or cutting and tensive pains,
with stiffness at the nape of the neck, and clenching of the jaws;
twitching in the eyelid, or violent shooting, tearing, and dragging pains
522 FACIAL NEURALGIA.
in the ball of the eye; jerking pains in the facial muscles, and mouth;
heat and redness of the face. The pain is generally preceded by itch-
ing and creeping in the affected side of the face, and at times becomes
so severe as to be almost insupportable. The paroxysms are prone to
be excited by rubbing the usual seat of the sufferings.
Dose: Three globules in a teaspoonful of water, repeated at intervals of four
hours, for the first two days (should the pains continue or recur without
change of character during this period), and, subsequently, at intervals of
twelve hours, for two days (if yet required); then pause four days; after
which (if necessary and still indicated) the course may be repeated as be-
fore, and so on, until decided and permanent amelioration or change.
Platina is appropriate when the subjoined symptoms are predomi-
nant: — Feeling of coldness and torpor in the affected side of the face,
with severe, spasmodic pain; or tensive pressure in the bones adjoining
the ears, with a sensation of creeping or crawling, and aggravation or
renewal of the sufferings in the evening, and when in a state of rest;
flow of tears; redness of the face, &c.
Dose: Three globules, as directed for Belladonna.
Gelseminum should be given when the pain comes on in distinct
paroxysms, and is very severe, accompanied with twitching and draw-
ing in the muscles around the part affected; the parts in and around
the orbit of the eye are most commonly affected.
Dose : Three globules, as directed for Belladonna.
Colocynth. Violent rending and darting pains, which chiefly oc-
cupy the left side of the face, are aggravated by the slightest touch, and
extend to all parts of the head, temples, nose, ears, teeth, &c.; miti-
gated by perfect rest, and by external warmth.
Dose: Three globules, as directed for Belladonna.
Arsenicum should be given when there is a tendency to periodi-
city in the attacks or paroxysms, and the pains partake more especially
of a burning, pricking, and rending character, and are experienced
chiefly around the eye, and occasionally in the temples; the sufferings
being occasionally of so severe a description as almost to drive the
patient distracted; great anguish ; excessive prostration, with desire
for the recumbent posture; sensation of coldness in the affected parts;
exacerbation during repose, from fatigue, in the evening, when in bed,
or after a meal ; temporary amelioration from external heat.
Dose : Three globules, as directed for Belladonna.
China should be selected when, as in the instance of the foregoing
remedy, there is a tendency to periodicity in the attacks, and when
the pains are excessive, attended with extreme sensibility of the skin,
and consequent aggravation from the slightest touch; the pains are
located below the eye and in the cheek; great prostration after the
paroxysms.
Dose: Three globules, as directed for Belladonna.
Veratrum is more especially indicated by insupportable pains,
which almost drive the patient to distraction; excessive weakness, even
to fainting; general chilliness; exacerbation of suffering on getting
warm in bed, or towards morning; temporary relief on moving about.
Dose: Three globules, as directed for Belladonna.
FACIAL NEURALGIA. 523
Spigelia is frequently a useful palliative remedy in all cases when
the pain is excessive; but it is more especially required when the
pains are of a jerking, tearing character, exacerbated by the slightest
touch or by movement of the affected parts, or when they appear to
shoot from the centre of the brain to the sides of the head or the ears;
flow of water from the eyes and nose; further, when the pains partake
of a burning and pressive aching character, and have their seat in the
zygomatic proëss; glossy tumefaction of the affected side of the face;
excessive agitation and anguish ; rheumatic pains elsewhere.
Dose : Three globules, as directed for Belladonna.
Mezereum is more especially indicated for burning, pressive pains,
coming very suddenly, and which leave the parts numb, attended
with chilliness and shuddering; they are worse from eating warm
food, or from entering a warm room ; there is frequently redness and
burning of the throat, and a stiff feeling of the jaws. It is especially
suited after abuse of Mercury, or in syphilitic persons.
Dose : Three globules, as directed for Belladonna.
Iris versicolor is adapted to such cases as are associated with
“sick headache,” where there is a good deal of vomiting of a sweetish
mucus, and sometimes of bile.
Dose: Three globules, as directed for Belladonna.
Nux vomica should be administered when the pain is mostly be-
low the eye, and the eye is inflamed and watery; profuse watery dis-
charge from the nostrils; the affected side feels numb. The patient
is morose, irritable, belches a great deal, and is constipated. It is
especially suitable after abuse of coffee, liquors, or drugs.
Dose: Three globules, as directed for Belladonna.
Rhus tox. will be found useful for drawing, burning, tearing pains
in the face, and a feeling as though the teeth were too long; very great
restlessness, and tossing about; particularly adapted if brought on by
getting wet, or after wet weather.
Dose: Three globules, as directed for Belladonna.
Verbascum should be given in cases in which the pain, which is
very violent, and jerking, like lightning, is aggravated by the slightest
touch, even of a light cloth, or by sneezing, talking, or chewing.
Dose : Three globules, as directed for Belladonna.
Bryonia may be administered, particularly in cases of rheumatic
face-ache, when the pains are of an aching, pulling, or tearing descrip-
tion, exacerbated by movement; irritability of temper and general tend-
ency to rheumatic attacks.
Dose: Three globules, as directed for Belladonna.
Hepar sulphuris is also of much service against face-ache result-
ing from excessive mercurial treatment, and is more particularly indi-
cated when the pains are so much aggravated by the pressure of the
teeth or by eating, that the patient is afraid to allow the crowns of the
teeth to meet ; pains of a drawing or jerking character, often aggra-
wated by entering a warm room, or by the warmth of the bed at night;
also when there is great sensibility of the cheek and base of the tem-
524 FACIAL NEURALGIA.
ple, with extension of the pains into the ears and up the side of the
face.
Dose: Three globules, as directed for Belladonna.
Sulphur is frequently a medicine of considerable value whether for
the treatment of the immediate acute symptoms (as subjoined), or for
the after-treatment, in cases in which abuse of Mercury has developed
a predisposition to face-ache. This remedy is especially indicated by
throbbing, drawing and jerking, or burning, aching pains in the bones
of the face, and in the jaws and all of the teeth, whether sound or de-
cayed; or when the pains involve the whole face, and even head, and
are accompanied with determination of blood to the head, redness and
swelling of the cheeks and of the nose, and with suffused redness and
inflamed appearance of the eyes; or when there are also aching, weary
sensations in the limbs or in the small of the back, or catching, stitch-
ing, darting pains in the ears; general chilliness and susceptibility to
the least current of air, with sleeplessness during the whole or greater
part of the night, and drowsiness towards morning or in the day; cold
water or cold applications, and mastication greatly aggravate or pro-
voke a return of the pains, which are also renewed or aggravated
generally towards evening, at night, or by currents of air.
Dose: If against the immediate acute symptoms, three globules, as directed
for Belladonna. If for after-treatment, four globules in a teaspoonful of
water, the first thing in the morning (fasting), for ten days (or until the
earlier development of change); then pause ten days; after which the
course may be repeated, as before, if any tendency to a return of the
attack should yet be perceptible or be dreaded.
Causticum is more especially indicated by severe drawing and
aching pains in the bones of the face, and sometimes attended with
humming in the ears, partial deafness, and rheumatic pains in other
parts of the body.
Dose : Three globules, as directed for Belladonna.
Phosphorus is indicated by tearing pains which occur, more
especially, about the left side of the face, and which are further char-
acterized by determination of blood to the head, and by a sensation of
tightness in the skin of the face, — by aggravation upon the slightest
touch or movement of the parts, – or by pains extending deep into the
ear, and to the root of the nose, and often attended with a confused,
shell-like roar in the ears.
Dose : Three globules, as directed for Belladonna.
Pulsatilla, on the other hand, is to be preferred when the pains are
usually aggravated towards evening, and at night, or in the morning
when seated, and when they are somewhat moderated in the open air;
or further, when there is general chilliness, with depression of spirits;
or, again, when the patient is of a phlegmatic temperament.
Dose: Three globules, as directed for Belladonna.
Diet and Regimen. In cases of an inflammatory character, and
during the prevalence of local heat, &c., or of general disturbance, of
more or less intensity, the precautions directed in the general article
on “FEVERs” should be observed; and in all cases of Nerve-pains,
abstinence from fermented, spirituous, or other stimulating drinks, or
PALPITATION OF THE HEART. 525
from the use of highly seasoned food, is usually of essential importance.
When, however, these painful affections are developed in exhausted
and debilitated subjects, a sound, wholesome, and nourishing diet, and
the general rules prescribed at pages 83 to 89 should be enjoined, inas:
much as the restoration of the general vigor of the system is essential
to permanent relief.
IPALPITATION OF THE HEART.
By this term is understood the occurrence of unusually strong and
frequent palpitation of the heart without any organic injury. It is
most readily excited in sanguine and nervous temperaments; and
although slight and transient in its early stage, it becomes eventually
extremely distressing, and if neglected may ultimately lead to struc-
tural diseases, either in the heart itself or in some other important
Organs. 49
TREATMENT.
Aconitum may be recommended for palpitation of the heart
attended with a sensation of anguish and intense oppression at the chest,
and generally with weight and weariness of the extremities, flushing
of heat, especially in the face, short, painful, and anxious respiration,
or shortness of breath, particularly during sleep; sometimes pricking
sensations in the chest, or sensation of compression, or as if bruised in
the left side, or, again, shooting pains in the left side, particularly
during motion, and on going up stairs; palpitation caused by fright.
Dose: Three globules in a teaspoonful of water, repeated at intervals of four
hours, until the particularly indicative symptoms are moderated ; or after-
wards again, from time to time, should those indications occur.
Belladonna, when there are violent pulsations of the heart, rever-
berated, as it were, through the whole chest, and sometimes to the ex-
tremities and head; sensation as of a heavy weight on or firm band
about the chest, with pains in the shoulder-blades; irregular and some-
times interrupted breathing, with an occasional effort to expand the
chest for breath, or short, anxious, and very accelerated respiration;
palpitation, sometimes attended with intense anxiety, particularly in
the evening in bed; tremulous palpitation of the heart, with anguish,
or palpitation generally on going up stairs.
Dose : Three globules, in a teaspoonful of water, as directed for Aconitum.
Nux vomica is more particularly of service for palpitation of the
heart, occurring in persons of dry, meagre habit, but also in persons
of robust constitution and sanguine or bilious temperament, and par-
ticularly when the paroxysms are liable to come on either in the morn-
ing — sometimes attended with nausea, and even inclination to vomit,
or with pressure at the chest—or more especially upon first lying down
or after eating (80metimes after every meal), heat, or even burning sen-
sation in the chest, occasionally occurring at night, and attended with
great anxiety, sleeplessness, and agitation; or if coming on after the
use of coffee or liquors.
Dose: Three globules, as directed for Aconitum.
526 PALPITATION OF THE HEART,
Sulphur is generally of service after one or more of the foregoing
medicines, in completing the cure, but particularly when the attacks
are provoked by ascending stairs, &c., and are accompanied by a feel-
ing of anxiety or dread. This remedy is also very serviceable when
the affection has ensued after the suppression of an eruption or the
Sudden healing of an old sore.
Dose: Three globules, as directed for Aconitum.
Arsenicum may sometimes be required after the previous admin-
istration of Sulphur, in cases in which the symptoms have not yielded
to a second course of the last-named medicine, and when the affection
has ensued as the consequence of a suppressed eruption, or of the sudden
healing of an old sore.
Dose : Three globules, as directed for Aconitum.
Lachesis is indicated when there is frequent desire to draw a long
or deep breath, or shortness of breath chiefly prevalent after eating or
after any exertion of the limbs (particularly of the arms), generally
attended with deep despondency; also by suffocative attacks at night;
or spasmodic affections of the heart, attended with a peculiar pulsative
sensation deep (as if on the drum) in the ear, which make it appear as
if the membrane would burst; —or again, in very severe cases, and
when fainting-fits and cold sweats attend upon spasmodic attacks of
the heart, and there is extreme shortness of breath.
Dose : Three globules, as directed for Aconitum.
Pulsatilla is a remedy of great value in the generality of cases in
which palpitation of the heart occurs as a nervous or hysterical symp-
tom, or in young girls during the time of puberty, or from suppressed
menstruation.
Dose : Three globules, as directed for Aconitum.
Cocculus is more particularly required when there is a suffocative
palpitation of the heart associated with weakness, trembling of the limbs
and extreme languor, dizziness and faintishness, and when the attacks
are aggravated or excited by talking, eating, or drinking.
Dose : Three globules, as directed for Aconitum.
Cactus is indicated in palpitation occurring in persons who are
usually low-spirited or hypochondriacal; palpitation worse when walk-
ing, and at night, when lying on the left side; general prostration of
strength, and sleeplessness.
Dose : Three globules, as directed for Aconitum.
Coffea is more especially required, in recent cases particularly,
when the palpitation is attended with excessive nervous excitement,
with suffocative attacks and excessive anxiety, attended with groundless
apprehensions, torture of conscience, great despondency, restlessness,
and sometimes complaints; or again, when sudden emotions of joy
have induced the attack.
Dose : Three globules, as directed for Aconitum.
Chamomilla is more particularly indicated when the palpitation
is attended with shooting pains in the region of the heart, and with
difficulty of breathing; or with general oppression at the chest, some-
CRAMPS IN THE LEGS, ETC. 527
times attended with extreme anxiety;-further, when the attack has
been occasioned by emotions of anger or chagrin.
Dose: Three globules, as directed for Aconitum.
Gelseminum. Palpitation occurring from fright or fear, with
fulness of the head and vertigo; or in persons who are very irritable,
and easily excited.
Dose: Three globules, as directed for Aconitum.
China is, generally speaking, the most serviceable remedy when
palpitation of the heart occurs as the consequence of debilitating losses
of blood, or of other animal fluids.
Dose : Three globules, as directed for Aconitum.
Diet and Regimen. Above all things it is essential that the
exciting cause of attacks, when known, should be, as much as possible,
avoided. When the affection is in the least degree complicated with
disease of the heart, or with derangement of the stomach, or is inci-
dental thereto, a plain and sparing diet should be enjoined, or all
articles known to disagree with the patient should be avoided. Coffee
(especially), and sometimes tea, and all fermented or spirituous liquors
should be avoided. Early hours, regular habits, proper exercise in
the open air (when not contra-indicated by fits of exacerbation after
the slightest exertion), are all likewise of importance. When palpita-
tion of the heart has been occasioned by losses of blood or other
depletions, change of air, and a good, sound, wholesome, and nourish-
ing diet, become more or less essential, and are even desirable. When
associated with fulness or redundancy of blood — a very sparing, low,
and chiefly vegetable diet should be enjoined.
CRAMPS IN THE LEGS, &c.
TREATMENT.
Veratrum is frequently one of "the most serviceable remedies in
eradicating the tendency to frequent returns of this painful and
troublesome disorder (as well as in removing the immediate symptoms),
when it does not appear to be connected with any other marked
derangement of the system.
Dose : Three globules in a teaspoonful of water, night and morning, every
fourth day, for a fortnight (or until earlier change); then pause a week;
and if, afterwards, there be any return or continuance of the affection,
proceed with one of the next medicines.
Sulphur should be employed a week after the last dose of Vera-
trum, if, notwithstanding the previous employment of the last-named
medicine, there be still a continuance or recurrence of the symptoms.
Dose: Three globules in a teaspoonful of water, as directed for Veratrum.
Colocynth should be employed after the last dose of Sulphur, in
cases in which, notwithstanding the previous treatment, as above
directed, the symptoms yet continue or recur from time to time. Colo-
cynth is, moreover, particularly indicated when stiffness and pain are
experienced in the limb for some time after the cramp has relaxed.
Dose: Three globules, as directed for Veratrum.
528 GOITRE-
Rhus should be selected when the attacks occur during the day
while sitting, as well as at night.
Dose: Three globules, as directed for Veratrum.
Nux vomica is more especially required when there is a sensation
of rigidity in the limbs, or of numbness, as if they would go to sleep
(as it is called).
Dose : Three globules, as directed for Veratrum.
Calcarea, when stretching out the limb brings on the cramp.
Dose: Three globules, as directed for Veratrum.
Camphor (saturated Tincture) employed by inhalation through the
nostrils is often sufficient to arrest a threatening attack of local cramp,
as of general spasm.
Application: Hold a phial, containing the saturated Tincture of Camphor,
to the nostrils, for a few instants, closing the lips, and performing the act
of inspiration only through the nostrils.
ACCESSORY MEASURES.
During a paroxysm of cramp, the readiest mode of relieving the
pain is to grasp and strongly compress the affected part, or to press
the foot firmly against the wall, bedstead, or any other fixed body.
Friction is also serviceable in some cases. g
Diet and Regimen. Local cramps, as well as general spasms,
being often associated with some irregularities of digestion, a cautious
observance of moderation is very serviceable. The mischievous habit
of taking ardent spirits against cramps and spasms cannot be too
strongly condemned, and it is not of unfrequent occurrence that the
excessive use of stimulants is the primary cause of such affections. It
is always desirable to avoid undue exposure to cold or to chills when
heated, and to the still more frequent casualty of wet feet.
GOITRE – IDERIBYSHIRE; NECRC.
This disfigurement arises from a tumefied state of the thyroid gland,
—a large body, situated on the front of the throat. As the enlarge-
ment increases, it is productive of a considerable degree of obstruction
to free inspiration, from the pressure which it exerts against the wind-
pipe. The disorder is most frequently encountered amongst the
inhabitants of mountainous districts. Women are more prone to be
afflicted with it than men, and particularly those who have suffered
from severe labors. An inherent constitutional taint seems to be the
chief predisposing cause.
TREATMENT.
Spongia has generally been found the most useful remedy in the
treatment of this affection.
Dose: Three globules in a teaspoonful of water, night and morning, for six
days (or until earlier change); then pause a week; after which the course
should be repeated as before, and so on, until decided amelioration or
change. But if any of the subjoined symptoms occur, proceed accordingly.
GOITRE. 529
Thuja is, however, particularly indicated when the superficial
veins of the swelling are in a distended, turgid, varicose, and painful
State.
Dose: Three globules in a dessert-spoonful of water, repeated at intervals of
six hours, until four doses have been given ; then pause four days, after
which proceed with the like doses, if necessary, at intervals of twelve
hours, for four days, or until earlier change, then pause again for six days,
and so on, until decided amelioration or change.
Belladonna is preferably indicated when, either from exposure to
cold or otherwise, the thyroid gland has become tumefied, and there is
at the same time redness of the integuments over and around the swell-
ing, attended with impeded deglutition, violent headache, cough, and a
considerable degree of fever.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every six hours, until manifest amelioration or change.
Aconitum should be given eight hours after the last dose of Bel-
ladonna, in cases in which the fever-symptom becomes intense.
Dose: Six globules, as directed for Belladonna.
IMercurius should be prescribed if, on the other hand, there be no
discoloration of the surrounding skin, and the fever be of a less active
character.
Dose: Six globules, as directed for Belladonna.
Iodium, Natrum m., Conium, Sulphur, or Calcarea, may
be found effectual in some cases in which the symptoms indicative of
Belladonna or Mercurius respectively, do not completely yield to the
influence of either of those medicines. The particular indications for
each, respectively, may be gathered from the article on “CHARACTER-
ISTIC EFFECTs.”
Dose : A solution of six globules of the medicine selected, as directed for
Belladonna.
Hepars. is called for when symptoms of suppuration have set in,
and should then be administered in order to forward the bursting of
the abscess.
Dose : A solution of six globules, as directed for Belladonna.
Silicea is sometimes required, if the suppurative process proceeds
very tardily.
Dose: A solution of six globules, as directed for Belladonna.
Carbo veg., Lycopodium, or Sepia, respectively, according to
the indications afforded in the article on “CHARACTERISTIC EFFECTs,”
may prove of great Service in obstinate and inveterate cases.
Dose: Of either of these medicines (when selected) give three globules, as
directed for Spongia.
Diet and Regimen. Inasmuch as the goitre is to be looked upon
as an evidence of constitutional taint, the regulations under these
heads, which have been stated at large in the article on “ERADICATIVE
TREATMENT’’ (pp. 83 to 89), are equally applicable to cases of this
kind, more particularly.
34
530 SLEEPLESSINESS.
SWIEATING IFEET.
Some individuals are much troubled with a disagreeable, clammy
sweating of the feet, to such an extent as to render it necessary to
change the stockings several times daily. This evil is, moreover, a
source of extreme annoyance to others, from the offensive odor which
is usually exhaled at the same time. The utmost attention to cleanli-
ness is insufficient to remedy the complaint: and to attempt to suppress
the secretion by cold water, or powerful astringents, is highly culpable,
from the dangerous consequences which are liable to ensue from pro-
ducing a sudden suppression.
TREATMENT.
Silicea and Rhus tox. may be mentioned as of the chief im-
portance in the treatment of sweating of the feet, as also against the
deleterious and sometimes serious consequences which may result from
improperly checking the transpiration.
Dose : First of Silicea, give three globules, night and morning, every third
day, until six doses have been given (or until earlier change); then pause
a week; and if, during this interval, improvement should occur, repeat
the course as before ; if otherwise, proceed with the administration of Rhus
in like manner. — returning again to Silicea, if necessary. But if, after re-
peated courses, these two medicines should fail in permanently removing
the symptoms, consider the following.
Mercurius, Baryta c., Graphites, or Kali c., respectively,
according to the particular symptoms present, may be required in ob-
stinate and inveterate cases, and when both of the foregoing are pro-
ductive of partial effect only. For particular indications, refer to the
article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines give three globules, as directed for Silicea.
Sulphur, Calcarea, Lycopodium, and Carbo veg. may be,
in some cases, appropriate for the treatment, and especially Sulphur,
either as an intermediary remedy, or in long courses, when other medi-
cines, which are apparantly well indicated, fail to produce marked and
permanent benefit.
Dose : Of either of these medicines give three globules, as directed in the
foregoing prescription.
Diet and Regimen. In the generality of cases, a predominance
of vegetable food (other than heating farinaceous articles) would be
desirable. Sudden chills of the feet, wet feet, and check of the trans-
piration, should be carefully avoided.
SLEEPLESSINIESS,
In almost all cases sleeplessness is but symptomatic of some other
disease, and can only be remedied by its removal. It frequently, how-
ever, forms so prominent a feature as to render it necessary that we
should treat it as an original disease, and direct our attention to the
selection of medicines conformably. Intense mental application, con-
finued up tº he period of going to rest; sedentary habits, the habitual
SLEEPLESSINESS. 531
{} ſº * * * * * *
use of coffee (often for the express purpose of warding off inclination
to sleep), also weakness of the digestive functions, are frequent causes
of sleeplessness.
TREATMENT.
Nux v. will generally be found the most appropriate remedy,
when sleeplessness can be traged to intense mental application or
general weakness of the digestive functions; or when it is occasioned
by excessive use of coffee, or wine; but, unless the acquired habits
above detailed are given up, or materially altered, no permanent ben-
efit can be expected from the employment of the remedy referred to.
Dose : Three globules in a teaspoonful of water, morning and evening, for
two days (or until earlier change); then pause two days; after which the
course may, if necessary, be repeated as before, and so on, until decided
amelioration or change.
Pulsatilla will be administered with great advantage when the
disturbed sleep is occasioned by overloading the stomach, particularly
towards night, combined with the habitual use of stimulating or rich
and indigestible food. In all such cases, however, no decided good
can be effected without the observance of a more simple mode of living.
Dose : Three globules, as directed for Wuz vomica.
Coffea should be selected when excessive joy is the evident cause
of sleeplessness. This remedy should also be chosen when the emotion
cannot be traced to any particular cause. Also if arising from abuse
of tea.
Dose: Three globules in a teaspoonful of water at bedtime; the same
dose repeated after the lapse of twelve hours, if necessary.
Ignatia amara should be selected when the affliction arises from
dejection, caused by grief, unpleasant reflections, vexations, &c., &c.
JDose: Three globules in a teaspoonful of water at bedtime, until amelio-
ration or change. -
Opium is specific when the affection is attributable to fear or
fright; or when the sleep is fitfully disturbed by fantastic or frightful
visions. This remedy is again indicated in sleeplessness arising from
excessive nervous irritability in consequence of exciting or depressing
emotions, severe mental exertion, or long-continued night-watching,
when the patient complains of a feeling of over-excitement, attended
with lively and incessant flow of ideas, and when, on falling asleep, a
convulsive jerking or twitching takes place in the whole body, or only
certain limbs, which instantly gives rise to the preceding state of vigil-
ance, until at length, as morning dawns, a heavy, stupefying, dreamful
slumber ensues, from which he awakes late and unrefreshed.
Dose : Three globules in a teaspoonful of water at bedtime, until amelio-
ration or change.
Aconitum is especially indicated when feverish anxiety, caused
by annoying or agitating events, disturbs or retards the sleep.
Dose : Three globules in a teaspoonful of water at bedtime.
Belladonna is indicated when there exists a strong but ineffectual
desire to obtain sleep, with frequent determination to sleep in spite of
one's-self; when agitation or anguish, with frightful visions, timidity or
532 NIGHTMARE.
terror, apprehension of real objects, &c., are complained of; or when
the sleep is disturbed by frequent starting, when there is extreme sleep-
lessness early in the evening or towards morning.
Dose: Three globules in a teaspoonful of water at bedtime, until amelio-
ration or change.
China, amongst other antidotes of tea, will usually be found the
most efficacious remedy, when sleeplessness occurs from abuse of
strong tea.
Dose : Three globules in a teaspoonful of water, morning and evening, for
a week (or until earlier change). i
Chamomilla is more particularly indicated when sleeplessness,
occasioned by the use of coffee, occurs in conjunction with other
derangements, such as headache, colic, &c., in nervous, highly eaccitable
and irritable subjects, who are extremely impatient, even under compara-
tively trivial suffering.
Dose: Three globules, as directed for Nua, vomica.
Cocculus is indicated when symptoms are present, such as those
which have been mentioned under the head of Chamomilla, with this
distinctive indication — that a sensation of emptiness or lightness is
present.
Dose: Three globules, as directed for Nuz vomica.
Moschus is useful in sleeplessness occurring in hysterical or hypo-
chondriacal individuals, arising from nervous excitement.
Dose : Three globules, as directed for Wuz vomica.
Diet and Regimen. The diet should be plain, easy of digestion,
and unstimulating. Early rising should be adopted, and the sooner the
patient can retire to bed before midnight the better, provided a suffi-
cient time (at least two hours) is allowed to elapse after the last meal,
which should be a light one, has been disposed of Regular exercise
should be taken, but over-fatigue of body or mind must be abstained
from ; hot rooms are to be avoided ; and the bedchamber should, if
possible, be light and well ventilated. Bad sleepers ought, moreover, to
be accustomed to a hard bed; and they should be supplied with light
but warm bedclothes, rather than those which are thick and weighty,
when the season requires it. Bed-curtains ought to be entirely dis-
pensed with, particularly those which are heavy, and overhang or sur-
round the whole bed, so as to intercept the free circulation of the
air. When the sleeping chamber is not large and airy, it is generally
advisable to sleep with the door ajar, or even with the window open.
The windows ought to be thrown open as soon as the sleeping apart-
ment is vacated, and the bedclothes suspended or turned down, so as to
be well exposed to pure atmosphere. Most plants give out a noxious
vapor during the night; they ought, therefore, to be excluded from a
dormitory.
INIGHTIMARE.
When this well-known and distressing disturbance occurs very fre-
quently, and in an aggravated form, it becomes necessary to prescribe
for it.
ACUTE INFLAMMATION OF THE SPINAL CORD. 533
TREATMENT.
Aconitum should be given when there is considerable febrile ex-
citement, with quickness of pulse, thirst, palpitation of the heart, heat
in the face and head, oppression at the chest, anxiety, and agitation.
A dose of Aconite may be taken immediately after an accession of
nightmare, when the patient feels hot and feverish, and much excited,
even if some other remedy is employed against the source or primary
cause of the complaint.
Dose: Against the immediate symptoms, when the sleep is disturbed, one
dose should be taken, consisting of three globules in a teaspoonful of water.
When indicated by the general condition of the patient, give two globules in
a teaspoonful of water, night and morning, for six days (or until the
earlier development of improvement or change); then pause four days;
after which consider the subjoined medicines, and proceed accordingly,
with renewed treatment, if necessary.
Nux v., when nightmare is occasioned by sedentary habits, the
habitual indulgence in spirituous or malt liquors, &c.
Dose : Two globules in a teaspoonful of water, every night at bedtime, for a
week, or until the earlier occurrence of decided amelioration or change.
Pulsatilla, when there is derangement in the digestive functions,
arising from gross living, heavy suppers, &c.
Dose: Three globules, as directed for Nuz vomica.
Opium is a remedy of importance in all cases of a severe charac-
ter; but particularly when, during the attack, the respiration is nearly
suspended or snoring, the eyes only half closed, the mouth open, the
countenance expressive of extreme anguish, and bedeved with cold
perspiration; slight convulsive motions or twitchings.
Dose: Two globules, as directed for Nuz vomica.
Sulphur will generally be required in cases in which such of the
foregoing medicines, as have been more especially indicated, may have
failed entirely to remove the tendency to attacks of nightmare; and in
such instances it will usually suffice to complete the cure, if the excit-
ing causes be at the same time avoided.
Dose : Two globules, as directed for Nuz vomica.
Diet and Regimen. Every apparently exciting cause of the
attack must at the same time be avoided; the diet should be light and
wholesome, suppers altogether abstained from, and a glass of cold
water taken instead, on retiring to rest. Daily exercise in the open
air, the shower-bath, or sponging with cold water, every evening, are
useful preventives or auxiliaries during treatment.
ACUTE INFLAMMATION OF THE SPINAL CORD
AND ITS IMEIMIBRANTES.
Characteristic. This affection is indicated by pain, more or less
severe, in some cases of an intermittent character, either confined to
the region of the loins, back, or neck, or embracing the entire length
of the spine.
General Symptoms of Acute Inflammation. The pain is
534 ACUTE INFLAMMATION OF THE SPINAL CORD.
aggravated by the slightest movement, and an exalted sensibility of
various parts of the cutaneous surface is often perceptible, from the
dread and shrinking which the patient exhibits at the slightest touch.
Sharp pain at the pit of the stomach, sometimes spreading over the
whole of the belly, and increased on pressure; palpitation of the heart;
sensation of constriction and weight in the fore part of the chest, with
oppressed respiration; small, quick, hard pulse, - are symptoms which
are generally encountered in the course of the disorder.
Varieties and their Symptoms. When the inflammation oc-
cupies only a part of the cord, the symptoms vary according to its
locality. Thus: — (1.) When the commencement or upper portion is "
principally affected, squinting, spasm of the throat, lock-jaw, with loss
of voice; spasm or other unnatural conditions of the muscles of the
neck, chest, and superior extremities, with general convulsions, intense
but of brief duration, declare themselves.
(2.) When the middle portion of the cord is the seat of the inflam-
mation, the body usually becomes rigidly curved backwards.
(3.) When the lower region is seized, retention of urine, or paralytic
or spasmodic affections of the bladder and lower intestine, are generally
met with. ,
[In each of the latter cases, the inferior extremities are commonly
either convulsed or paralyzed.]
(4.) When the membranes of the cord are principally or solely
affected, the sensibility of the surface is said to be always increased,
the spasms more frequently general, and of a lasting character, and the
bowels are, generally speaking, confined.
(5.) When the inflammation is confined to the substance of the cord,
the sensibility is usually lessened, the muscles of the extremities are
affected with brief spasm or paralysis, those of the back only being in
a state of long-continued contraction, and diarrhoea has almost uni-
formly been found to predominate.
Chronic Inflammation of the spinal cord and its coverings is
generally accompanied with a trivial degree of local pain, and its prom-
inent features chiefly consist in derangement of the functions of the in-
ternal organs, deprivation or diminution of the sense offeeling, paralysis,
cramp, and emaciation. The chronic variety is even more dangerous
than the acute.
Issue and Results. The disease, when confined to the substance
of the cord, may terminate in Softening, induration, suppuration, gan-
grene; in effusions of a watery fluid, purulent matter, or blood; or in
thickening of their structure, when the membranes have been the seat
of the inflammation. The services of a physician should always be
procured when practicable.
TREATMENT.
Aconitum must be prescribed in all cases where the accompany-
ing fever is intense.
Dose: Of a solution of eight globules to two table-spoonfuls of water, give a
teaspoonful, repeating the dose, after the lapse of two hours, and again
(if the inflammatory symptoms be yet unallayed) after a further interval
ACUTE INFLAMMATION OF THE SPINAL CORD. 535
of four hours, and so on, so long as the fever and inflammatory symptoms
(simply) afford the most prominent indications. If, however, any of the
subjoined symptoms occur, proceed accordingly.
Belladonna is the most important remedy, when the upper part is
the seat of the disorder. If from the invasion of delirium, &c., there
is some reason to apprehend an extension of the inflammation to the
brain, this remedy will still be the most appropriate, and, indeed, that
on which we must rest our chief hope in so serious a complication of a
malady sufficiently dangerous in its simple form. This medicine is
further well indicated when the body becomes spasmodically bent
backwards, as the consequence of inflammation of the middle division
of the cord, or when there are continued spasms affecting different parts
occasioned by inflammation of the entire cord, or, more properly, of its
enveloping membranes.
Dose : Of a solution of eight globules to two table-spoonfuls of water, give a
teaspoonful (or two globules dry on the tongue) every hour. until the more
violent inflammatory symptoms, delirium, &c., abate, or general change
takes place; after which extend the intervals to four hours, and continue
the administration, if necessary (or consider one or more of the subjoined
medicines), until important amelioration or change.
Hyoscyamus is also required in cases of this kind, and is more
especially indicated by violent convulsive jerkings, attended with cries;
or when there is a meaningless smile, and a quick pulse, with swollen,
turgid veins; vivid redness of the tongue; spasmodic clenching of the
eyelids, with dilated pupils (as observed by examination), or red, im-
movable, and convulsed eyes; inability to swallow liquids; sometimes
frothy saliva about the mouth, extreme sensitiveness of the stomach to
the touch, and involuntary discharge of excrement and urine. Hyos-
cyamus is, moreover, appropriate for the treatment of long-lasting
spasms resulting from inflammation of the entire cord, or of its envel-
oping membranes; and, again, in cases in which inflammation of the
spinal marrow has been occasioned by external injuries.
Dose : In every particular as directed for Belladonna.
Stramonium is more especially indicated, in similar cases to the
above, by violent and frantic fits of delirium, the face being deep-red,
puffed, and bloated, and the expression peculiarly vacant; grinding of
the teeth, or extraordinary distortion of the features; suppression of
urine, and alvine evacuations; trembling of the hands and feet, and
convulsive jerking or spasmodic attacks affecting the arms in particu-
lar, but sometimes also the legs; bending backwards of the body in
the form of an arch; imperfect articulation, or total loss of capability
to articulate; fixedness and sparkling of the eyes, with dilated pupils,
which are, however, insensible, no attention being paid to objects
which are passed before the eyes.
Dose: In every particular as directed for Belladonna.
Bryonia is often of service when there is delirium, running on very
anxious thoughts, or on apprehensions for the future, characterized by
utter despondency; and when there is universal dry heat of the whole
body, the eyes being glassy and apparently suffused with tears, or dull
and turbid; the face burning and red, and the lips dry, cracked, and
536 ACUTE INFLAMMATION OF THE SPINAL CORD.
swollen; the tongue dry; or when there are convulsive movements in the
arms, with painful stiffness of the knees; hot, dark-colored, and scanty
urine, suppressed or hard, dry, and scanty stools; short, interrupted,
and oppressed breathing, with violent pulsation of the heart; — this
medicine being of service more especially in cases in which the inflam-
mation attacks the upper and lower portion of the cord.
Dose : In every particular as directed for Belladonna.
Sulphur may not unfrequently prove of service either as an inter-
mediary medicine, when such others as appear to be well indicated do
not promptly moderate the symptoms, or after the previous employ-
ment of one or more of the foregoing; and when general exhaustion
appears to supervene after severe attacks of inflammation of the upper
or lower portion of the cord; or more particularly when, notwithstand-
ing the treatment previously directed, general convulsions ensue, at-
tended with clenching of the teeth; or when the patient sinks into
complete lethargy; or when low, moaning delirium succeeds to more
violent frenzy, the eyes being half-open, the respiration snoring and
laborious, and the position persistently on the back, the body remain-
ing motionless, except as it is slightly shaken by feeble jerkings of the
limbs; incoherent attempts to communicate the wants and wishes; ex-
treme sensitiveness or total insensibility of the eyes to light; immova-
ble and dilated pupils; trembling of the eyelids; dry and cracked
tongue; frothy and putrid evacuations; involuntary micturition, &c.,
are further indications for this medicine.
Dose : In every particular as directed for Belladonna.
Arsenicum, Pulsatilla, and Digitalis may be named as of
special service for cases in which the chest is prominently affected, as
evidenced by laborious and anxious breathing, irregular action of the
heart, &c., whether the upper or central portion of the cord be the seat
of inflammation. The more particular indications, which should lead
to the discriminative selection from amongst these medicines, may be
gathered from the article on “CHARACTERISTIC EFFECTs,” under the
head of each respectively.
Dose: Of either of these medicines, when selected, as directed for Belladonna.
Veratrum, Nux vomica, Cocculus, and Ignatia are espe-
cially appropriate when the bowels become prominently affected,
and when coldness and spasms supervene in those parts, whether the
upper or the lower portion of the cord be the seat of inflammation, but
especially the latter. The particular symptoms which should lead to
a discriminative selection between them, may be gathered from the arti-
cle on “CHARACTERISTIC EFFECTs,” under the head of each, respect-
ively. Ignatia is, however, also of service in cases in which long-con-
tinued spasms result from inflammation of the enveloping membranes
of the entire cord, or when the body becomes spasmodically bent back-
wards, owing to inflammation of the middle portion of the cord.
Dose : Of either of these medicines, when selected, as directed for Belladonna.
Rhus toxicodendron is indicated in cases in which the attack
has been induced by prolonged exposure to wet, or when the following
symptoms are encountered : —General spasm of the whole frame, bend-
ACUTE INFLAMMATION OF THE SPINAL CORD. 537
ing the body backwards (in consequence of inflammation of the lower
portion of the cord); — or when the toes, in particular, are affected
with distorting spasmodic contractions.
Dose: In every particular, as directed for Belladonna.
Opium is indicated by general and long-continued spasmodic con-
tractions, or by spasmodic bending of the body backwards, accom-
panied by noisy, snoring respiration, and apparent attacks of suffoca-
tion; trembling of the hands and arms; convulsive jerkings of differ-
ent parts of the body; pale, ash-like and hollow, or puffed, bloated,
and red face; spasmodic twitchings at the corners of the mouth; fixed,
half-closed, glassy, distorted, protruding eyes; paralytic falling of the
eyelids from muscular relaxation; hardness of the belly; very black
and offensive motions, or suppressed evacuations; — or, again, involun-
tary evacuations; scanty, deep-colored, or suppressed urine; lethargic,
prostrate condition; full, slow, intermittent pulse; coldness of the skin
throughout the body; utter imbecility, and sometimes rambling, inco-
herent expressions.
Dose: In every particular as directed for Belladonna.
Lachesis may be held to be one of the most reliable remedies in
those very severe and protracted cases of spasmodic rigidity, resulting
from inflammation of the entire cord, or, more properly, of its enveloping
membranes, which are attended with imminent danger, and which seem
to resist all other appliances, – particularly when the pulse becomes
intermittent, feeble, tremulous, irregular, or almost extinct, and cold
sweat appears upon the surface;— or when the whole surface, or only
the feet, may become intensely cold, the complexion being earthy or
lead-colored, and the countenance hollow, sunken, or collapsed.
Dose : Two globules dry on the tongue, repeated, after the lapse of five, ten,
fifteen, or twenty minutes, and so on, successively, until improvement or
decided change becomes apparent.
Arnica, Hyoscyamus, and Opium are more especially appro-
priate for the treatment of inflammation of the spinal marrow result-
ing from external injuries, and should, accordingly, be selected con-
formably to the indications afforded for each, respectively, in the arti-
cle on “CHARACTERISTIC EFFECTs.”
Arnica is, however, in most cases to be considered only for imme-
diate administration after the occurrence of the accident, or again, in
cases in which paralysis supervenes or threatens to result.
Dose : In every particular as directed for Belladonna.
Calcarea, c., Stannum, Causticum, Sulphur, Silicea,
Lachesis, and Zincum may be mentioned as the more important
of those medicines which are appropriate to the chronic form of this
disease, such as has been more particularly described at p. 534. The
selection from amongst them should be conformable to the indications
afforded under the head of each, respectively, in the article on “CHAR-
ACTERISTIC EFFECTs.”
Dose: Of either of these medicines, as selected, give four globules in a table-
spoonful of water, the first thing in the morning (fasting), for a week (or
until the earlier development of amelioration or change); then pause six
days; after which the course may, if necessary, be repeated as before, and
538 CEREBRO-SPINAL MENINGITIS.
so on, from time to time, until decided and permanent amelioration or
change.
Diet and Regimen. During the prevalence of an acute attack
of inflammation of the spinal cord, there is not such inclination to eat
as need render particular directions respecting diet necessary. The
thirst may, however, be intense, although there is often so constant a
spasmodic closure of the throat as to render the admission of fluids im-
possible. Water and toast-and-water alone, should be allowed as bev-
erages. In the chronic form of the disease, as also for some time after
an acute attack, the diet should consist of the lightest, and generally
of fluid food; every excess of exertion or source of excitement should
be avoided, and, if possible, the quiet of a country retreat should be
secured.
CEREBRO-SPINAL IMIENINGITIS – SPOTTED
FEVER.
Characteristics. This disease almost always sets in suddenly,
and commences with a chill, followed by headache and often vomiting;
the pulse is greatly accelerated, while the heat of the body is not pro-
portionably increased, and the breathing becomes more rapid ; the
headache becomes very violent; there is great restlessness; extraordi-
nary prostration of strength ; great aching in all the limbs, with con-
siderable sensitiveness to touch; stupor; convulsions; contraction of
the nape or one side of the neck, throwing the head backwards or
sideways; squinting and double vision; flabbiness of the enlarged
tongue. These symptoms are found in most cases, and to them may
be added a great many others of greater or less importance. The term
spotted fever was applied to this disease from the fact that irregular,
purplish spots, varying from the size of a pin's head to large patches,
appear upon different parts of the body, most commonly upon the
chest, abdomen, and thighs, on the second or third day of the disease.
They do not grow white under pressure, have sometimes the appearance
of measles, and are occasionally of a rose-colored hue. They do not
appear in all cases.
Results. This is a disease of great magnitude, and sometimes
proves very rapidly fatal. Under the most approved allopathic treat-
ment, the mortality has hitherto been absolutely appalling, but under
homoeopathic medication much more favorable results have been
attained. It most commonly attacks children, and is usually so viru-
lent, that the services of a homoeopathic physician should be obtained,
in all cases where it is at all practicable.
TREATMENT.
Aconitum, Gelseminum, and Veratrum viride are reme-
dies that will be found most useful, more particularly at the com-
mencement of the disease. Aconitum should be administered when the
febrile symptoms run very high, and should be followed by one of the
medicines mentioned in conjunction with it, as the symptons indicating
their use become prominent. The article on “CHARACTERISTIC EF-
CEREBRO-SPINAL MENINGITIS. 539
FECTs” should be carefully consulted, to aid in discriminating between
them.
Dose: Of either of these remedies, as selected, dissolve eight globules in
three table-spoonfuls of water, and give of the solution a teaspoonful every
two, three, or four hours, until the manifestation of improvement, when
the intervals between the doses should at once be lengthened; or, if other
symptoms should become manifest, indicative of one of the subjoined
medicines, proceed at once to the consideration of that particular remedy.
Belladonna and Hyoscyamus may be more particularly relied
on when cerebral symptoms predominate. Active delirium has set in,
the patient is inclined to sleep, the white of the eye is greatly con-
gested, the pupils are alternately contracted and dilated, or one pupil
is contracted and the other dilated, spasmodic twitchings of the mus-
cles ensue, and spasms, in which the body is bent backwards in the form
of a bow. The article on “CHARACTERISTIC EFFECTs” and the pre-
ceding article on “INFLAMMATION OF THE SPINAL CORD’’ (p. 533)
should be consulted.
JDose: In every particular as directed in the preceding prescription,
Bryonia or Rhus toxicodendron should be resorted to when
the high inflammatory condition seems to give way to one of a typhoid
character, and more particularly when the following symptoms present:
Lockjaw; partial loss of consciousness; stupor, with an expression of
deep suffering in the countenance; difficulty of protruding the tongue;
the corners of the mouth are drawn down ; the muscular pains are
very severe. A very great degree of restlessness and uneasiness is
more especially indicative for the use of Rhus toa. The article on
“CHARACTERISTIC EFFECTS ’’ and that on “INFLAMMATION OF THE
SPINAL CORD,” &c., should be carefully consulted, in order to aid in
discriminating between these two valuable agents.
Dose : In every particular as directed for Aconitum, &c.
Arsenicum should be administered in the advanced stages of the
disease, when the symptoms indicate a very great degree of poisoning
of the blood, and when there are foul discharges from the bowels, and
the purple spots are of a very dark hue and malignant-looking.
Dose : Two globules should be administered, dry upon the tongue, every one,
two, or three hours, as may be deemed most advisable.
Opium may be resorted to when the stupor and the paralytic
symptoms do not yield to Belladonna or Hyoscyamus, or exhibit a tend-
ency to become inveterate.
Dose : In every particular as directed for Aconitum, &c.
Cuprum aceticum has been used with benefit to the paralytic
symptoms and the mental derangement which sometimes remain as
sequelae of severe attacks of this disease.
Dose : Three globules in a teaspoonful of water, every morning and evening,
until the manifestation of improvement or change; the course to be re-
peated, if deemed advisable.
Arnica, Cimicifuga, and Crotalus may be mentioned as med-
icines that may be indicated during the course of the disease: indica-
tions for the use of each, individually, may be gathered from the article
on “CHARACTERISTIC EFFECTs.”
540 PALSY, OR PARALYSIS.
Dose : º: either of these medicines, when selected, as directed for Aconi-
tum, &c.
Diet and Regimen. The remarks found under this heading in
the article on “INFLAMMATION OF THE SPINAL CORD,” &c., relating
to acute attacks, are equally applicable to this disease. It may be
remarked, however, that stimulants, alcohol for instance, are admissible,
and may be resorted to when there is a tendency towards sinking, but
should even then be very cautiously administered. When it is decided
that stimulants may be resorted to, two teaspoonfuls of pure alcohol
should be added to eight teaspoonfuls of water, and a teaspoonful of
the solution given every half-hour, or hour, as the case may seem to
indicate.
PALSY, OR PARALYSIS.
This affection consists in the abolition or diminution of the power of
voluntary motion. It usually comes on suddenly, but in some instances
it is preceded by numbness, coldness, paleness, and slight convulsive
jerking or twitching in the parts affected.
TREATMENT.
Arnica is especially appropriate when the paralytic weakness affects
the joints generally, or the hip and knee joints in particular; more
particularly if the paralysis results from rheumatism.
Dose: Three globules in a teaspoonful of water, night and morning, for a
week (or until earlier change); then pause for six days; after which the
course may, if necessary, be repeated as before, and so on, from time to
time, until manifest amelioration or change. But if only partial effect
should result after the completion of the second course, consider some
other medicine.
Rhus toxicodendron should be employed for paralysis resulting
from rheumatism, after getting wet, or after great muscular exertion;
painful stiffness of the whole body, frequently with numb feeling in
the parts, worse during rest and when first commencing to move, and
from every change to bad weather,
Dose : In every respect as directed for Arnica.
Sulphur is a medicine of paramount importance in all obstinate
and protracted cases, and may be most advantageously employed after
other remedies, or even as an intermediary remedy, during other treat-
ment, in cases in which the medicine, thus particularly indicated, either
seems to fail in producing any impression upon the malady or produces
only partial and inadequate effect.
Dose: If as an intermediary remedy, pause, four days after the last dose of
the remedy previously employed; then give six globules in a table-spoonful
of water, the first thing in the morning (fasting), repeating the dose after
the lapse of twenty-four hours, then pausing six days, and, subsequently,
resuming the previous course of treatment. If as a consecutive medicine,
give six similar doses in succession, at intervals of twenty-four hours (paus-
ing, however, upon any earlier manifestation of amelioration or change);
then pause ten days, after which the course may, if necessary, be repeated,
and so on, until decided amelioration or change.
Cocculus is a most valuable medicine for paralysis affecting the
PALSY, OR PARALYSIS. 541
face or tongue, or other parts of the body, occurring in weakened and
nervous subjects who have been for some time in ill health, and who
are inclined to fainting fits and palpitation of the heart; likewise when
occurring after apoplexy.
Dose : In every respect as directed for Arnica.
China or Ferrum may be required for the treatment of cases of
paralytic debility, resulting from excessive loss of blood, or of other
fluids. The particular indications which should lead to a discrimina-
tive selection between them, may be determined, by reference, under
the head of each, respectively, to the article on “CHARACTERISTIC
EFFECTS.”
Dose : Of either of these medicines, when selected, give three globules, in
every respect as directed for Arnica.
Nux vomica should be given in cases in which the paralysis is
incomplete, and is accompanied by vertigo; weak memory, darkness
before the eyes, ringing in the ears, and general gastric derangement;
more especially if occurring in drunkards.
Dose : In every respect as directed for Arnica.
Opium is a medicine of great value in cases in which habitual
exposure to the vapor of lead, or to the deleterious effects of handling
white lead, has developed complete torpor and palsy of the legs, as
well as of the arms, – further characterized by livid swelling of the
parts, and when there is, moreover, general relaxation of the muscles
of the face,—the bowels being obstinately confined, or the motions
very hard, black, and offensive.
Dose: In every respect as directed for Arnica.
Belladonna is to be preferred in cases of paralysis resulting from
the deleterious effects of lead when the palsy affects the lower extrem-
ities, and there is also torpor of the arms and hands, with stiffness of the
hip-joint, and when the evacuations àre suppressed, or hard and insuf-
ficient. It is also indicated in cases of paralysis following apoplexy,
and where there is a predominance of cerebral and congestive symptoms;
or where the tongue is paralyzed, with sensation of heaviness in it, and
trembling of the organ when protruded.
Dose: In every particular as directed for Arnica.
Gelseminum is particularly indicated when there is loss of mo-
tion, but sensation is preserved; and when the paralysis has been pre-
ceded for some time by vertigo and heaviness of the limbs. In paraly-
sis occurring after diphtheria it is frequently of very great service.
Dose : In every respect as directed for Arnica.
Causticum is appropriate to the treatment of paralysis of the
muscles of the face, as evinced by the relaxation of the features, the
powerless falling of the eyelids or of the lower jaw, &c. Its selection
may more accurately be determined by reference to the article on
“CHARACTERISTIC EFFECTS.”
Dose : In every respect as directed for Arnica.
Phosphorus should be employed for paralysis occurring from spi-
542 HERNIA — RUPTURE.
nal affections, after sexual excesses, or after child-birth. Tingling and
tearing pains running from the back down into the limbs.
Dose: In every respect as directed for Arnica.
Plumbum will be found useful occasionally in cases of complete
paralysis, with trembling and emaciation, and accompanied by mental
derangement.
Dose: In every respect as directed for Arnica.
Lachesis is of great value in those severe cases in which either the
mouth and tongue are intensely dry, or there is copious drivelling of
watery saliva, and when the tongue is of a glossy, bright-red hue, and
cracked and swollen, or when the articulation of particular sounds
fails.
Dose : In every particular as directed for Arnica.
Arsenicum, Baryta. C., Graphites, Caulophyllum, and
Cuprum may be appropriate for the treatment of particular cases of
paralysis; wherefore, when neither of the foregoing appear to corre-
spond with the indications above detailed, it were desirable to refer to
the article on “CHARACTERISTIC EFFECTs,” under the head of each of
these, respectively, to determine more particularly as to the treatment.
Dose : Of either of these medicines, as selected, exhibit three globules as
directed for Arnica.
ADDITIONAL DIRECTIONS.
The article on “CHARACTERISTIC EFFECTs” should be carefully
consulted, under the head of each of the above medicines, respectively,
in order the more accurately to determine the appropriate remedy.
The article on “APOPLEXY " may also be referred to as containing
some valuable indications.
ACCESSORY MEASURES.
Q
Electricity or galvanism, in moderation, is frequently of considera-
ble service in facilitating the cure, or, at all events, in promoting im-
provement in obstinate cases, and particularly when painful jerkings
or twitchings frequently take place in the affected parts.
Diet and Regimen. In the generality of cases of palsy, other
than those incidental to loss of animal fluids, the diet should be very
sparing, simple, light, and unstimulating, and, generally speaking,
little solid food should be allowed, - even in the latter case, the food
should be strengthened in quality and increased in quantity, by very
slow degrees, and only as evidence of a healthy process of digestion is
manifested. Stimulating or irritating articles of food and strong drinks
should be habitually avoided by those who have once been affected
with paralysis, as being likely to induce a return of the attack.
HERNIA—RUPTURE.
Characteristics. By this term is understood a swelling occa-
sioned by the protrusion of some of the bowels from the cavity of the
belly. In the generality of cases, the displaced intestines are included
HERNIA – RUPTURE. 543
or contained in a bag, derived from the membrane which lines the
walls of the belly and invests the bowels, which they push before them
in their descent. The situations in which the swelling most commonly
makes its appearance are the navel, the groin, the scrotum, the labiae
pudendi, and the upper and anterior part of the thigh; but it may
occur at various other parts.
Varieties, &c. The parts which are most frequently protruded
are—(1.) the omentum, which consists of folds of the investing mem-
brane of the bowels connected together by cellular tissue, and lies upon
the anterior surface of the bowels, being attached superiorly to the
stomach and transverse portion of the large intestines; — (2.) the small
and large intestines; — or (3.) a portion both of omentum and intes-
time.
General Symptoms. A rupture, for the most part, appears
suddenly after some violent corporeal exertion; or, where a predisposi-
tion exists, owing to some local or general weakness, after even the
slightest exertion, such as coughing, sneezing, straining at stool, &c., it
may occur suddenly or gradually. It presents an indolent and usually
soft and elastic tumor, at some of the points or situations already
referred to. The swelling is subject to a change of size; being smaller,
or quite imperceptible, when in the recumbent position ; larger or only
apparent on assuming the erect posture, and particularly when taking
a full breath, coughing, or sneezing; also on walking or standing long
after a hearty meal. It is frequently diminished, or caused to recede
completely when pressed upon, but returns as soon as the pressure is
removed. Vomiting, constipation, colic, and other signs of a deranged
state of the stomach and intestines, are frequent concomitants of rup-
ture, arising from the unnatural situation of the intestines.
Issue and Results. Rupture is termed reducible, when it can at
any time be readily returned into the abdomen, and when, in an unre-
duced state, it is productive of no pain or hindrance to the perform-
ance of the intestinal functions; irreducible, when it cannot be replaced,
in consequence of its bulk, or from the contraction of adhesions; and
strangulated, when the protruded parts are not only incapable of being
returned, but are moreover affected with constriction, pain, and inflam-
mation, attended with nausea, frequent retching or vomiting, tension
of the belly, obstruction of the bowels, quick, hard pulse, and more or
less fever. If the return of the intestine be not effected under such a
state of matters, an aggravation of all the said symptoms at first en-
sues, and subsequently the vomiting is exchanged for a convulsive
hiccough, with frequent bilious eructations; after the abdominal tension,
fever and extreme restlessness have continued for a few hours in an in-
creased degree, the patient suddenly becomes relieved from pain, the pulse
low, feeble, and intermittent, the eyes dim and glassy, the belly ceases
to be tumid and tense, and the skin, particularly that of the extremi-
ties, becomes cold and moist; the ruptural swelling disappears, and the
skin over the part often changes to a livid hue, but invariably conveys
a crackling sensation to the touch, indicative of the establishment of
gangrene: finally, spasmodic shuddering and convulsive twitching in
the tendons supervene, and death soon terminates the scene.

544 HERNIA – RUPTURE.
TREATMENT.
When the disease has not been neglected, or is not of long standing,
it may be cured by means of internal homoeopathic remedies. No truss
should be applied until the rupture is completely reduced; and care
should then be taken that the truss fits properly, as it is intended only
to keep the rupture from protruding, and not for effecting a cure.
Mechanical Means of Reduction.
In effecting the reduction of a rupture by manipulation, the patient
should be laid upon his back, a pillow being placed under the chest
and lower part of the back, so as to curve the trunk of the body, and
thereby relax the muscles of the belly. If the case be one in which
the tumor is developed in the groin or at the inner side of the bend
of the thigh, the muscles, &c., of the thigh must also be relaxed, by
placing the limb in a state of flexion, so as to be rotated inwards.
Then gently compressing the tumor, we should push upwards and out-
wards, in the case of rupture of the groin ; and first backwards and
then upwards, in the case of ruptural tumor of the bend of the thigh,
if the tumor be small; but first downwards, and then backwards and
upwards, when it is large and has passed farther up. In navel rupture
the pressure should be made directly backwards. In most cases, the
following simple method may be pursued by the uninitiated:—Place the
left hand on the swelling as if for the purpose of grasping it, then
introduce the fore and middle fingers of the right hand between the
thumb and fingers of the left, on the top of the tumor, and rub and
press it gently; persevere softly and patiently for half an hour and
upwards when the rupture is considerable. The palm of the hand
should also be occasionally employed, by giving it a rotatory motion
combined with gradually increasing pressure, especially when the
tumor begins to diminish in bulk, or when it has been small from the
first. Even strangulated rupture is capable of being reduced by the
hand with facility, after the employment of the proper remedies; the
operation, which is always more or less dangerous, being thereby
avoided. When the rupture is painful and very tender to the touch,
medicine must first be prescribed to remove the irritability; after which
the protrusion has often been found to recede of itself. In some cases,
the application of warm fomentations to the part reduces the rupture,
and the general relaxing effects of a warm bath are well known as be-
ing useful in facilitating reduction. The application of crushed ice,
enclosed in a bladder, has also been employed with good effect. The
following medicinal appliances have been strongly recommended, when
the symptoms encountered are as described.
Medicinal Treatment.
Aconitum should be employed when there is considerable fever,
with quick, hard, full pulse, inflammation of the affected parts, with
excessive sensibility to the touch ; violent burning pain in the abdo-
men; bitter, bilious vomiting ; agonizing restlessness, and cold perspir-
HERNIA — RUPTURE. 545
ation. In the majority of cases, marked benefit has resulted after the
administration of the first dose of Aconitum, under the circumstances
mentioned.
Dose: Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful, repeating the dose, at intervals of half an hour or an hour,
until decided change. But if little or no amelioration result within an
hour after the third dose, (or sooner, if the following indications occur,)
proceed with the next medicine.
Sulphur should be administered four hours after the third dose of
Aconitum, if the last-named medicine has not been productive of
decided improvement; or it should be employed earlier, if the sub-
joined conditions become strikingly manifest, viz., if the bilious eruc-
tations and vomiting become of an acid character. If, after the first
dose of Sulphur, the patient should fall asleep, the best of all methods
is to encourage rest by abstaining from any interference, by darkening
the apartment, avoiding noise, and simply watching for any change.
Dose : Two globules in a teaspoonful of water, repeated at intervals of an
hour, if necessary.
Nux vomica is to be preferred when the tumor is not so painful
or tender to the touch as above mentioned, and the vomiting less
severe, but when the respiration is oppressed and laborious, and the
strangulation has arisen from errors in diet, from exposure to cold,
from being overheated, or from a violent fit of passion, &c.
Dose : In every particular as directed for Aconitum.
Opium should be employed after Nua, v., if the last-named medi-
cine should have been productive of no effect. Opium is, moreover, to
be preferred from the onset, should there be hardness and distension of
the abdomen, putrid eructations, or even vomiting of faecal matter.
Dose: If as a consecutive remedy after Wuz vomica, of a solution of six glob-
ules to two table-spoonfuls of water, give a teaspoonful every hour, until
decided amelioration or change. If individually indicated from the onset,
repeat similar doses every quarter of an hour, until decided amelioration
or change But if, in the latter case, little or no decided effect should have
resulted within a quarter of an hour after the fourth dose, pause three
quarters of an hour longer, and proceed with the next medicine.
Lycopodium may be had recourse to after Nua, v., in preference
to Opium, when the abdomen is much distended with wind.
Dose: A solution of six globules, as directed for Opium.
Plumbum should be administered an hour after the fourth dose of
Opium, when that medicine (being particularly indicated, as above
stated,) has failed to produce prompt and decided effect.
Dose: A solution of six globules, as directed for Opium.
Veratrum should be administered when there are retching and
vomiting, with cold, moist skin, and coldness of the eactremities.
Dose: A solution of six globules, as directed for Opium.
Belladonna should be given an hour after the second dose of Vera-
trum, in cases in which that medicine has failed to produce a decided
change in the state of the patient.
Dose: A solution of six globules, as directed for Opium.
35
546 HERNIA—RUPTURE.
Neglected and very Serious Cases.
In cases of this kind, and when the symptoms more particularly de-
scribed under the head of the following medicines occur, if no profes-
sional aid be within reach, the subjoined method of treatment should
be promptly adopted. If professional assistance be secured, the prac-
titioner would, probably, determine upon the operation, a method which
is always more or less hazardous, and which should be discouraged
until the under-mentioned medicines have proved evidently inadequate
to restore the patient, particularly as it is to be borne in mind, that if
symptoms of immediate danger to life do not supervene, no mischief
can result from the delay, and because these medicines will, in many
cases, obviate the necessity for an operation. If, however, symptoms
of imminent danger should supervene, or the medicines should fail, a
professional adviser, being at hand, should be suffered to operate.
Lachesis should be promptly administered when the case has been
neglected, or we find the malady already advanced so far, on reaching
the patient, that the skin over the rupture has assumed a livid hue,
and there is reason to apprehend the invasion of gangrene.
Dose : Of a solution of eight globules to two table-spoonfuls of water, give a
teaspoonful, repeated at intervals of a quarter of an hour, until four doses
have been given (or earlier change); then pause an hour; after which, if
no decided effect has resulted, proceed with the next medicine.
Arsenicum should be given an hour after the fourth dose of
Lachesis, in cases in which the last-named medicine has not been pro-
ductive of decided amelioration.
Dose : A solution of eight globules, as directed for Lachesis.
Rhus toxicodendron may serve to avert a catastrophe in ex-
treme cases, when no surgical aid is within reach, and when both of
the preceding medicines have been ineffectually administered. In less
urgent cases arising from straining, and particularly if the patient has
at the same time been exposed to wet, Rhus is, again, a useful remedy.
It is also of service to persons who are predisposed to rupture, or who
have previously suffered from incarceration of the protruded bowel,
&c., when threatening symptoms always become manifest in wet relax-
ing weather. *
Dose : A solution of eight globules to two table-spoonfuls of water, adminis-
tered by teaspoonfuls (or two globules dry on the tongue), repeated at
intervals of ten, fifteen, and twenty minutes successively, and then every
half hour, until a decided change for the better becomes apparent; after
which the intervals should be extended to three hours, and the adminis-
tration thus continued, until such amelioration follows as to warrant at
least a temporary suspension of treatment.
Diet and Regimen. It is obvious that during the continuance
of the acute symptoms, described in the foregoing regulations for treat-
ment, taking food will be inadmissible. In less urgent cases, however,
should the patient express a desire for food, fluid, mucilaginous prepa-
rations may be allowed, and when all inflammatory or febrile symp-
toms have subsided, if the patient be much exhausted, some very thin
and weak beef-tea may be administered in very small quantities at a
time. Solid food should for some time be withheld, and but very
FAINTING. 547
cautiously and gradually given after and during the progress of recov-
ery. It is needless to add that perfect quiet is essential; and that the
position in which the patient is placed and retained, should be such as
has been described under the head of “Mechanical Means” (at p. 544),
as favoring the reduction of the rupture.
i
FAINTING — SWOONING.
It is proposed here chiefly to treat of that kind of fainting which
proceeds from some manifest cause, such as transitions from cold to
heat, breathing vitiated atmospheres, great fatigue, loss of blood, long
fasting, deranged digestion, grief, fear, and other mental emotions; and
not of those serious and dangerous forms which arise from diseases of
the heart or great vessels, or from excessive loss of blood.
TREATMENT.
General Management of the Patient.
When fainting occurs, let the patient be immediately removed to
where a stream of pure fresh air can be obtained, and let all tight
clothing about the neck, chest, and stomach be loosened; the patient
should, at the same time, be placed in a comfortable position, with the
head low. If the foregoing prove insufficient to effect restoration,
sprinkle cold fresh water on the face and neck, and, if necessary, on
the pit of the stomach. Should there still be no marked benefit pro-
duced, or if the patient becomes cold, a little spirits of camphor may
be applied to the nose.
In cases in which the fainting fit or fits have been induced by loss
of blood or of other fluids, or by any exhausting depletion, wine, in
very small quantities at a time, or a little bread or biscuit soaked in
wine, and sometimes a little strong soup, may be administered when
the patient has rallied. º
MEDICINAL TREATMENT.
China should be classed as the most serviceable remedy in general
cases of fainting of a mild character, but more especially where fainting
proceeds from loss of blood, or other debilitating causes.
Dose: Three globules in a teaspoonful of water, repeated once, after an
interval of six, and then after a lapse of twelve hours, if necessary.
Nux vomica. In cases where fainting is caused by excessive
mental application, or occurs in those who have been addicted to the
excessive use of ardent spirits, or arises from debility, this remedy is
particularly appropriate, particularly if it occurs after a meal, in the
morning, or after taking exercise; with nausea and pale face.
Dose : Three globules in a teaspoonful of water, once a day for a week (or
until earlier change); then pause six days, after which the course may,
if necessary, be repeated as before, and so on, until decided amelioration
or change.
Aconitum is of service when there is palpitation of the heart,
with determination of blood to the head, humming in the ears; or
548 FAINTING.
when the paroxysms come on usually on assuming the erect posture, and
are accompanied by shivering and flushing of the face, succeeded by
deadly paleness; or when occurring from fright.
Dose : Three globules, as directed for China.
Coffea may be prescribed after Acomitum (being administered
twenty-four hours after the last dose of that remedy) in highly excita-
ble or nervous subjects, when the fainting-fit has arisen from fright, and
the last-named medicine has not afforded much relief.
Dose: Three globules, as directed for China.
Hepar sulphuris, when the fits generally come on towards even-
ing, and are preceded by giddiness; or when slight pain causes fainting.
Dose: Three globules, as directed for Nuz vomica.
Lachesis, when the fainting-fits are either preceded, accompanied,
or followed by asthmatic symptoms, giddiness, paleness of the face, nausea,
vomiting, convulsions, spasms of the jaw, rigidity of the body; bloated
appearance of the face, bleeding of the nose, aching pain or stitches in
the fore part of the chest, or cold perspirations.
Dose: Three globules, as directed for Nuz vomica.
Moschus. Fainting-fits, attended with spasms in the chest, or
succeeded by headache, and occurring towards evening, during the
night, or in the open air.
Dose : Three globules, in other respects, as directed for Nur vomica.
Veratrum, when the attacks are excited by the slightest fatigue;
or when they are often preceded by a feeling of eactreme anguish and
excessive dejection, or despair, and accompanied by spasmodic clenching
of the teeth, and convulsive movements of the eyes and their lids.
Dose: Three globules, in other respects, as directed for Nuz vomica.
Nux moschata is adapted to the general disposition to faint, par-
ticularly in females with suppressed or otherwise irregular menstruation,
and who are constantly drowsy, even after a good night's sleep.
Dose: Three globules, as directed for Nuz vomica.
PRECAUTIONS.
Persons who are subject to fits of fainting or swooning should, if
possible, strictly avoid all those frequent causes of fainting-fits which
have been alluded to at the commencement of this article; as, also,
where practicable, any other cause known by experience to be produc-
tive of the attacks; otherwise the cure will be rendered difficult, or even
hopeless.
Diet and Regimen. With whatevef cause fainting be associated
when it is of frequent occurrence, inasmuch as it indicates a greater or
less degree of debility, or of functional or organic disease, the diet
should be as plain and unstimulating as possible, but should, in the
absence of inflammatory symptoms, be nutritious and strengthening.
Early and regular hours, and exercise in the open air (short of
fatigue), are also of importance as accessories to the cure. In very
obstinate cases, change of air and scene become necessary.
EIEAD ACHE. 549
HEADACHE.
Headache is often but symptomatic of disease, and, in such cases, is
only to be cured by the removal of the primary affection. . When,
therefore, it arises from derangement of the stomach, constipation, cold
in the head, mental emotions, congestion of blood in the vessels of the
head, &c., the remedies most appropriate to the treatment of these dif-
ferent disorders must be had recourse to.
TREATMENT.
Belladonna is of the chief importance when headache is periodical
or nearly constant, and the pain is increased by the slightest movement,
either of the head or body, and particularly on stooping, or by moving
the eyes; or when a bright light or the most trivial noise tends to
aggravate the pain, which consists of a dull pressure at the crown of
the head, or is of a lancinating description, and occupies either the
entire head, or merely one side, extending from the back of the head
into the orbit and root of the nose, and is then described as a violent,
screwing, piercing, bursting, or tearing pain, sometimes attended with
great heat at the crown of the head; or when the seat of the pain is in
the forehead, and is of a dull, aching, or cutting description, attended
with redness and watering of the eyes, fulness and throbbing of the
vessels at the temples, sometimes flushing of the face, and a sense of
fulness or a feeling as if the brain would be forced through the fore-
head on stooping. At times these pains become so violently increased
as almost to deprive the patient of consciousness whilst they last; or the
headache is attended with extreme restlessness, sleeplessness, and delir-
ium; and there is falling off of the hair in consequence of the head-
aches. Occasionally there is secondary or sympathetic irritation of the
nerves of the stomach, giving rise to nausea, eructations, inclination
to vomit, or actual vomiting, and a sensation of weight, or a pressive,
aching pain in the region of the stomach.
Dose : In acute cases, three globules in a teaspoonful of water, repeated at
intervals of four hours, until amelioration or change. In chronic cases the
like dose repeated, at intervals of twelve hours, until decided improve-
ment or change. But if little permanent improvement should be effected
within four hours after the third dose (in acute cases), or within twelve
hours after the sixth dose (in chronic cases), consider the subjoined medi-
cines, and proceed accordingly.
Platina answers well, in some cases, after Belladonna, when the
pain is chiefly lateral, and of the same description; or when there is,
at the same time, coldness of one half of the face, &c., with humming
or buzzing in the head.
Dose: Three globules, as directed for Belladonna.
Mercurius is often of service in effecting a cure in cases in which
a third or sixth dose of Belladonna (as above specified) has failed in
effecting more than temporary relief. The remedy is, however, more
especially indicated by rending and burning or lancinating and piercing
pains, generally lateral, sometimes extending to the teeth and neck,
with shooting in the ears; tightness round the head; excessive noc-
550 HEAD ACHE.
turnal aggravation of the headaches, often accompanied by profuse
sweating.
Dose: Three globules, as directed for Belladonna.
Sepia is one of the most valuable remedies in the treatment of
severe and inveterate megrim. It is more especially required in peri-
odical headache aggravated by mental emotion, particularly in hyster-
ical females; the pain is either of a lancinating description, or it is a
pressive, aching, shooting, or a tearing, piercing, or jerking pain, and
affects the whole head, or is merely seated under the eye, or occupies
one half of the head or forehead; in the latter case, the pain is expe-
rienced chiefly in the morning, and is frequently attended with extreme
sensibility of the eyes to the light. Sepia is also very efficacious in
cases of obstinate megrim, with violent piercing or rending pain, inter-
mingled with lancinations so excruciating that the patient is afraid to
move, and can only obtain a trivial degree of relief by remaining per-
fectly quiet with the eyes closed ; at other times the pain is so violent
as to cause the patient to scream out, and is attended with heat in the
head, or faintness and giddiness, followed by nausea and vomiting.
The source of the nervous headaches which call for the employment of
Sepia is to be found in derangement of the digestive organs, or more
particularly of the womb in the case of females. The headache is,
consequently, a secondary and not a primary affection. We accord-
ingly find that it is of the greatest efficacy in cases attended with green
sickness, or with whites in the intervals between the periods, when a
sensation of heat and fulness in the lower part of the belly, and also a
peculiar offensive-smelling sweat, particularly in the armpits and in the
soles of the feet, prevail; lastly, pale, dirty, or yellowish complexion,
shrunken features, or a countenance expressive of suffering; spare
habit of body; constipation.
Dose : Three globules in a teaspoonful of water, morning and evening, for a
week (or until earlier change); then pause six days, after which the
course should, if necessary, be repeated as before, and so on, until decided
and permanent improvement or change.
Glonoine is particularly efficacious for headaches occurring from
exposure to the sun; or for headaches which, coming on almost daily,
increase as the sun rises, and decrease as it sets. Congestion of the
brain; throbbing, pulsative pain from below upwards, with fulness
and feeling of enlargement of the head; it feels like the motion of
waves in the brain; congestion of the eyes; ringing in the ears; pal-
pitation of the heart; inability to wear the hat.
Dose: In every particular as directed for Belladonna.
Silicea is especially useful where a sensation is experienced as if
the brain were about to protrude through the forehead or eyes; or pain
so severe that the head feels as if it would split; or semilateral, shoot-
ing, rending pains, commencing at the temple, and extending to the
nose, the upper and lower jaw-bones and teeth of the same side. When
there is a tendency to frequent sweating of the head, or when there is
frequently great tenderness of the scalp, Silicea is further indicated.
Dose: Three globules, in every respect, as directed for Sepia.
HEADACHE. 551
Bryonia. Aching, piercing, or digging, tearing pain, at a small
fixed spot; or piercing, aching pain in the forehead daily after a meal,
or coming on in the morning, and afterwards becoming lancinating;
or pain coming on in the morning, disappearing in the afternoon, and
returning again in the evening with great violence, when it is attended
with a sensation as if the head were pressed together, particularly at
the temples; burning, tearing pain over the entire head; shootings in
one side of the head. The pains are increased by movement, and are
attended with irascibility and disposition to chilliness or shivering ;
they are sometimes relieved or terminated by a fit of vomiting.
Dose: In every particular as directed for Belladonna.
Nux vomica should be employed when the following symptoms
are complained of: – Pain commencing with a slight pressure, or a sen-
sation of coldness at the part which is subsequently affected, succeeded
by throbbing, and then an intense shooting, piercing, rending, or
stunned pain confined to a small space, which can frequently be cov-
ered with the point of the finger, and is extremely sensitive to the
touch ; or the pain causes a sensation as if a nail were being driven
into the head; at other times the pain extends over the nose down to
the lip, and also to the gums; or, on the other hand, it commences at
the eyelid or the orbit, causing a constant flow of tears, and extends
over the forehead and temples to the ears, back of the head, and nape
of the neck; or it is seated in the crown of the head, and produces a
sensation as if the head would split or were being opened at the top; or
rending, aching pain, affecting only one side of the head, sometimes
combined or alternating with shooting; the pain becomes heightened
to such a degree occasionally, and more particularly in the morning, as
wellnigh to drive the patient to despair, or deprive him of conscious-
ness; great heaviness of the head, and sensation as if the brain were
bruised or lacerated ; tenderness of the scalp. The pains are aggra-
wated by movement, such as walking or stooping, or by reflection ; also
after eating, or on going into the open air, and are frequently attended
with considerable giddiness or confusion in the head ; the headache.is
generally attended with extreme irascibility, and is renewed or aggra-
wated after partaking of coffee, the constant habit of drinking which,
and of over-indulging in vinous or spirituous liquors, as also the con-
stant addiction to sedentary habits, or to severe mental application, are
not unfrequently causes of the complaint; sudden attacks of this head-
ache are frequently excited by a fit of passion, a fright, the effects of a
chill, or an overloaded stomach. Constipation, and suffering from
piles generally attend the symptoms which call for Nua. v. in males;
and in women, too early and too protracted periodical returns, together
with a costive state of the bowels.
Dose : Three globules, as directed for Belladonna.
Rhus toxicodendron is sometimes of service after the previous
administration, whether of Nua, vomica or of Bryonia, and is more
especially indicated by such symptoms as the following: — Shooting
and rending pains, extending to the ears and root of the nose; burn-
ing and pulsative pains; headache after a meal, with desire to lie down
552 HEADACHE,
and to remain motionless; fulness and weight of the head; renewal of
the headache upon the slightest contradiction, or on going into the
open air; sensation of undulation in the brain at every step; or sensation
as if water were in the head, or as if the contents of the skull were in
a relaxed or loosened state, and shifted about with every movement of
the head ; feeling of creeping or crawling in the head.
Dose : Three globules, in every particular as directed for Belladonna.
Pulsatilla is a remedy of great value for the treatment of megrim,
characterized by rending or shooting pains, with heaviness of the head,
giddiness, dimness of the sight, sensibility to light; or buzzing or
singing in the ears, and earache; nausea, paleness of the face, low-
ness of spirits; headache, with pain in the nape of the neck; aggra-
vation of the headache, with chilliness, towards evening, during repose,
or particularly when sitting; amelioration in the open air. Disposi-
tion mild ; temperament phlegmatic. In females, retarded periodical
returns.
Dose : In every respect as directed for Belladonna.
Ignatia is especially appropriate for one-sided headaches, proceeding
from irritation of the spinal nerves, or may be required in cases in
which the previous administration of Pulsatilla, as just described, has
been attended with imperfect results. It is also an excellent remedy,
and should be preferably selected, in cases in which the pain is confined
to a small space, and causes a sensation as if a mail were being driven
into the brain; also when the pain is of a pressive, aching, or of a shoot-
ing description, proceeding from within outwards, and chiefly confined
to the forehead and root of the nose; and when there are nausea, dim-
ness of the sight, and sensibility of the eyes to light; paleness of the
face, and temporary alleviation from change of posture; aggravation
from noise or strong odors, or after partaking of coffee. Ignatio is,
moreover, especially applicable to nervous, hysterical females of a mild
and sensitive disposition, or to those in whom the attacks are prone to
be excited by depressing emotions.
Dose: In every respect as directed for Belladonna.
China is often a remedy of considerable efficacy against headache,
worse at night, accompanied with a sensation as if the head would
split; or dull, aching, pressive, or boring pains, particularly at the
crown of the head, increased by movement or by the open air; tender-
ness of the scalp; debility from loss of fluids; great sensibility to
pain; irascibility, taciturnity, and obstinacy.
Dose : Three globules, as directed for Belladonna.
Veratrum is indicated by headache preceded by coldness and
shivering; pain in the head as if the brain were bruised or lacerated;
or lateral, aching, constrictive, and throbbing pains, sometimes attend-
ed with a sensation of constriction or tightness in the throat; feeling
of coldness at the crown of the head, as if ice were placed upon it; or
sensation both of coldness and heat on the exterior of the head, with
deep-seated or internal burning heat; headache, with paleness of the
face, nausea, and vomiting, and preceded by a copious discharge of
colorless urine; headache, with pain at the pit of the stomach, or pain-
HEADACHE. b53
ful stiffness of the neck; headache, with extreme weakness and melan-
choly; painful sensibility of the hair to the touch; chilliness, with gen-
eral cold perspiration.
Dose: In every particular as directed for Belladonna.
Arsenicum should be employed when the subjoined symptoms are
predominantly developed :-Headaches so intolerable as almost to drive
the patient distracted, and which occur periodically, and are aggravated
by partaking of food; the pain sometimes extends to the gums, where
it is so excruciating as to render it impossible to fall asleep; exces-
sive restlessness, the patient imagining himself relieved by constantly
changing position ; tenderness of the scalp to the touch, and excessive
sensitiveness to cold air; sometimes there is temporary amelioration of
the headaches from the application of cold water, but more commonly,
the pain is relieved by the external application of warmth; extreme
prostration of strength; sallow complexion; chilliness.
Dose : In every particular as directed for Belladonna.
AEsculus hip. should be employed when there is confusion of the
head with giddiness; fulness, heaviness, and pressure, rather than acute
pain; particularly when occurring in persons who suffer much from
piles, or from dyspepsia.
Dose: In every respect as directed for Belladonna.
Lachesis is more especially required for deep-seated pains in the
head, or severe aching pain in the back part of the head, in the sockets
of the eyes or above them, with stiffness of the neck, particularly at
the nape; heaviness and feeling of expansive pressure, sometimes as
intense as if the head would burst; tension in the head, as if caused by
strings or threads drawn through the back of the head towards the
eyes; lancinations in different parts of the head; violent throbbing at
the temples; headache every morning on waking, or after dinner, or
at every change of weather.
Dose : Three globules, as directed for Sepia.
Gelseminum should be employed for nervous headaches com-
mencing in the nape of the neck, and thence spreading over the entire
head; great heaviness of the head, with a sense of relief from shaking
it; dimness of sight and vertigo; objects have a greenish appearance;
swooning sensation or sense of lightness in the head ; the headache is
relieved by sitting with the head reclining on a pillow.
Dose: Three globules, as directed for Belladonna.
Colocynth is often of service for the treatment of nervous head-
aches, attended with smarting in the eyes; excruciating aching at the
sides of the head ; rending, dragging pains; nausea and vomiting; feel-
ing of compression in the forehead, increased by stooping or lying on
the back; headache every afternoon or evening, with great anguish and
excessive restlessness, rendering it impossible to remain in the recum-
bent posture; offensive perspiration; profuse discharge of colorless urine
during the headache. The attacks are prone to be excited by mental
emotions, particularly indignation and exasperation, or chagrin in con-
sequence of personal affronts, or undeserved ill-treatment.
Dose: Three globulés, in every respect as directed for Belladonna.
554 HEADACHE.
Coffea is a very useful medicine for the treatment of megrim (a pain
confined to one side of the head), which has been induced by medita-
tion, vexation, exposure to cold, or sudden and pleasurable excitement;
when attended with irritability, sensibility to noise, great anxiety, and
chilliness, and a sensation as if a mail were being driven into the brain,
or a feeling as if the brain were bruised, -occurring in individuals
who are extremely impatient of suffering, and are not accustomed to
the habitual use of coffee as a beverage.
Dose : Three globules, in every respect as directed for Belladonna.
Chamomilla should be employed three hours after the third dose
of Coffea (as above specified), in recent cases in which the last-named
medicine has produced only partial or temporary relief. This medicine
may, however, be preferably selected when the subjoined symptoms and
conditions more especially characterize the case: – Headaches occur-
ring in individuals who are extremely impatient under suffering, and
are exasperated by the slightest pain, or who exhibit symptoms and
expressions of suffering apparently uncalled for by the nature of the
complaint; the headaches are often confined to one side of the head,
and the pains are of a rending, aching, or shooting character, and
sometimes extend into the upper and lower jaw; Sweating at the head
is a frequent concomitant symptom.
Chamomilla will, moreover, avail in most instances to afford material
relief, if not to perfect the cure, in cases of megrim attended with ex-
treme excitability, arising from the daily use of black coffee, but which
is usually relieved for a time by partaking of a cup of that beverage.
Dose : In every particular as directed for Belladonna.
Aurum. Headaches in hysterical persons, attended with buzzing
or other noises in the head; and pain as if the head had been bruised,
especially on rising in the morning, or during mental occupation.
Dose : Three globules, in every respect as directed for Belladonna.
Spigelia is often useful for the treatment of nervous headache,
chiefly confined to the left side, of gouty origin, and consisting of tear-
ing, pressive, aching pains, which are increased by walking (out of
doors), by stooping, and by noise.
Dose: Three globules, as directed for Belladonna.
Iris versicolor. Pains in the forehead and right side of the head,
aggravated by rest and on first moving the head, but relieved by con-
tinued motion ; accompanied by lowness of spirits, nausea and vomiting;
sick headaches, arising from derangement of the stomach or liver, with
vomiting and great prostration.
Dose : Three globules, as directed for Belladonna.
Sanguinaria is particularly indicated for what are called sick
headaches. The pain commences, frequently, in the back part of the
head, rises and spreads over the head, and settles especially above the
right eye; there exists nausea, vomiting, and chilliness; the patient is
obliged to seek a dark room, and to lie perfectly still.
Dose: Three globules, as directed for Belladonna.
Thuja. Headaches of long standing, occurring in persons who
HEADACHE. 555
have formerly suffered from rheumatic or gouty affections. The pain is
more exclusively confined to the left side, and sometimes extends to the
entire fore part of head and to the face. Occasionally a sensation is
experienced, as if a knob were being forced upwards at the centre of
the head, or, on the other hand, as if a nail were being driven into the
head; aggravation of the pains in bed, or when at rest and in a warm
room; amelioration on looking upwards and holding the head back.
Dose: Three globules, as directed for Belladonna.
Asclepias syriaca is indicated for headaches which pass off by
profuse urination; dull and stupid feeling in the head, with stabbing
from one temple to the other; it is particularly suitable for headache
coming on after suppressed perspiration.
Dose : In every particular as directed for Belladonna.
Cactus grandiflorus may be administered with advantage in
attacks of headache dependent on disease of the heart; or where there
is great orgasm of the blood, with congestion to the head; great anxi-
ety, driving the patient from bed; continued and tormenting pul-
sations in the head; headache brought on by the least excitement.
Dose: In every respect as directed for Belladonna.
Cimicifuga will be found useful in headaches with feeling as if
the brain were too large for the skull; the headache is situated princi-
pally in the back part of the head, is worse in-doors, and relieved by
going into the open air. -
Dose: Three globules, as directed for Belladonna.
In those very obstinate and intractable cases in which headaches
occur habitually, and are associated with other evidences of deep-seated
and inherent taint of constitution, and with chronic derangements of
the organs of digestion and nutrition, one or more of the subjoined
medicines singly or successively will generally be required to complete
the cure, even after the immediate symptoms may have yielded to some
other medicines (perhaps more positively indicated). They are also
sometimes of great service when other remedies, although apparently
well indicated, produce little or no permanent impression.
Sulphur is more especially indicated, however, by — chronic head-
ache; headaches occurring daily, or every eight days, worse in the
morning, or during the night, and attended with heaviness of the head,
aching, or pressive pains in the forehead above the eyes (causing the
patient to knit the brows, or keep the eyes closed), or over the entire
head; incapability of mental exertion from the pains in the head;
pains as if the head would split; or rending, shooting, dragging, jerk-
ing pains on one side of the head; aggravation of the headaches from
meditation, the open air, or movement; extreme tenderness of the scalp
to the touch; falling off of the hair.
Dose: Three globules, in every particular as directed for Sepia.
Calcarea is a remedy of the first importance in obstinate nervous
headaches depending on some constitutional taint, and may be required
to follow Sulphur, as above directed; or may, even, be preferably
selected from the onset in the case of female patients when the sub-
joined indications are present. In the case of those who have formerly
556 * HEADACHE.
suffered from glandular disease, and who still present signs of a scrof.
ulous habit, it is an indispensable medicine. The attacks are frequent-
ly attended with a sensation of extreme coldness, either interiorly or on
the scalp; the pains either affect the entire head, or merely the fore-
head, the (right) side, or the crown of the head, and are chiefly of a
stunned, aching, throbbing, or hammering description, compelling the
patient to retain the recumbent posture; at times the head feels as if
compressed in a vice, or the forehead feels as if it would burst open,
particularly when in the open air, and there is great tenderness to the
touch ; headache, with humming noise in the head, confusion of ideas,
excited or aggravated by close application to study, or by movement ;
falling off of the hair. In females, there is an additional reason for the
selection of Calcarea, if the periodical return is usually too copious and
several days before the ordinary time.
Dose : Three globules, as directed for Sepia. But if inadequate effect should
result within eight days after the completion of the second course, proceed
with the next medicine.
Lycopodium should be employed eight days after the completion
of the second course of Calcarea (as just specified), in those very obsti-
nate and difficult cases in which the previous treatment has been pro-
ductive of imperfect results.
Dose: Three globules, as directed for Sepia.
Acidum nitricum should be administered eight days after the
completion of the second course of Lycopodium, if partial relief only
has resulted from the previous treatment, and more particularly if the
patient should previously have been subjected to excessive mercurial
treatment under allopathic direction.
Dose : Three globules, as directed for Sepia.
GENERAL REMAIRES.
One remedy is seldom sufficient to effect a cure of headache of long
standing, particularly when of a nervous character; and, indeed, in
some cases of this description, it is only possible to effect a degree of
amelioration.
ACCESSORY MEASURES.
Bathing and rubbing the feet as far as the ankles in a shallow bath
of cold water for from ten to twenty minutes; or, in other cases, the
temples, hands, and arms as far as the elbows, sometimes arrests a
threatened attack of nervous headache. The use of the flesh-brush is
also useful at times.
Diet and Regimen. In general cases of headache which does
not simply occur as the result of casual and accidental circumstances,
but which is associated with general derangements involving irregular-
ities of digestion, the diet should be plain but (in the absence of
inflammatory symptoms) nutritious, and the meals should be regular.
Regularity in the general habits, and early resting and rising, together
with a fair proportion of exercise in the open air (short of fatigue), are
also valuable accessories in promoting and assisting a permanent cure.
DELIRIUM TREMENS. 557
Everything which is known to provoke or aggravate an attack, should
be carefully and sedulously avoided. More particular directions may
also be found in the article on “INDIGESTION,” for the management of
cases in which there is predominant derangement of digestion.
IDELIRIUIMI TRIEIMIENS.
Exciting Cause. This disease generally comes on in persons who
have habitually resorted to over-indulgence in fermented or ardent
liquors, during the state of prostration which ensues when they have, in a
great measure, given up, or been suddenly deprived of, their accus-
tomed stimulus.
Premonitory Symptoms. The first symptoms of the malady
are generally indicated by extreme irritability of temper, weakness of
memory, but constant activity of mind, anxiety, and uncontrollable
restlessness, with increased muscular mobility. The appetite is often
pretty good, but more frequently impaired in consequence of the previ-
ous habits, and the tongue is sometimes foul but moist.
Symptoms of the Confirmed Attack. Soon after these pre-
monitory signs, vigilance sets in, and little or no sleep can be obtained;
or it is unrefreshing and disturbed by frightful dreams, imaginary
visions, and sounds. Fixed ideas then take firm possession of the pa-
tient's mind, such as the supposition that some one is bent upon poison-
ing him, or doing him some other grievous injury, &c.; yet he gener-
ally dreads being alone. The speech is frequently stuttering and
inarticulate; the countenance quick, wild, and exceedingly variable,
according to the prevailing impression on the mind; the face in most
cases pale or sallow; the eye rolling, expressive, and restless, and the
conjunctiva (or portion of the mucous membrane which covers the
front of the eyeball and lines the eyelids) blanched; the skin damp,
or covered with sweat, chilly and relaxed, very rarely above the nat-
ural temperature; the hands are commonly tremulous, and muscular
twitchings are often observable. As the disease advances, sleep is
completely banished ; loquacity, with perpetual bustling occupation,
becomes incessant; and eventually, when it is fully developed, delir-
ium supervenes. The pulse is soft and compressible, and rarely quick,
when unruffled by the struggles or exertions of the patient — for his
corporeal activity keeps pace with the restlessness of his mind, and it
is difficult to confine him to his bed or apartment; at the same time,
exhaustion is liable to come on very rapidly after great exertion, and
the patient is prone to drop down from fatigue. Occasionally, convul-
sions take place; but though sometimes serious, they are usually not
of a fatal character. The history of the case, together with the dis-
tinctive nature of most of the above-described symptoms, enable us to
discriminate between this disorder and that of inflammation of the
brain or its membranes.
TREATMENT.
Nux vomica is particularly useful in the first stage of the disor-
der, and may frequently be the means of arresting its further progress
558 DELIRIUM TREMENS.
when administered at that period. It is more particularly indicated
when there is great trembling, loss of strength, and violent starting;
inability to keep the limbs quiet; stammering articulation; great irri-
tability of temper; great anguish; belching, and other gastric symp-
toms; constipation ; sleeplessness, or very restless sleep; red face and
eyes, and delirium.
Dose : Eight globules in a teaspoonful of water, repeated, after the lapse of
two hours, and, subsequently, at intervals of four or eight, until the total
subsidence of the premonitory symptoms, or general change.
Confirmed Attack.
Opium is more especially and individually appropriate, and should
be promptly employed when the disease has become fairly established,
and the patient is affected with violent delirium, attended with constant
movement of the hands, &c., or convulsions, and we find an aggravated
degree of all the symptoms remarked at the commencement of the
attack. The curative properties of this drug, in the malady under
consideration, do not, as is erroneously supposed by the majority of
allopathic practitioners, arise from its property of producing sleep,
but from its homoeopathicity or specificity, if I may use the expressions;
the characteristic effects which it produces being exactly similar to
those symptoms which are developed in the course of the disease, as it
occurs in consequence of excess in the use of ardent liquors.
Dose : Eight globules, as directed for Nur vomica.
Aconitum, Belladonna, Lachesis, Hyoscyamus, Stramo-
nium, and Cimicifuga may be mentioned as more particularly
appropriate for the treatment of those less common varieties of this
disease which are more liable to occur in young, robust subjects, or
amongst young persons of a full habit of body, accompanied with indi-
cations of active determination of blood to the brain, and such cerebral
and convulsive symptoms as are incidental to inflammation affecting
the brain and spinal column or their tissues.
Aconitum should in such cases be employed at the onset to reduce
the general inflammatory condition of the system.
Dose : Three globules in a teaspoonful of water, repeated at intervals of
three hours, until four doses have been given (or until the more active
inflammatory symptoms are sooner diminished in intensity); after which, if
the symptoms be not very urgent, pause twelve hours (but if they be very
urgent, only three hours), and proceed with one or more of the subjoined
remedies according to the indications present.
Belladonna should be employed (as just specified) after the last dose
of Aconitum, when there is great heat of the head and violent pulsation
of the arteries of the neck, together with extreme tenderness of the eyes
upon exposure to light, or red and sparkling, or protruding eyes, with
wild expression, redness and bloatedness of the face, and excessive sus-
ceptibility to noise, or sometimes even frantic delirium.
Dose : Three globules in a teaspoonful of water, or dry on the tongue, re-
peated at intervals of two hours until three doses have been given (or
earlier and manifest change), and subsequently, at intervals of six hours,
until decided amelioration or change.
IDELIRIUM TREMENS. 559
Hyoscyamus is to be preferred to Belladonna in cases in which
the mental hallucination dependent upon the disease assumes the char-
acteristic tendency of extreme and groundless jealousy; or the patient
manifests a great disposition to uncover himself completely, or an
intense desire to escape.
Dose : Three globules, as directed for Belladonna.
Stramonium may be mentioned as calculated to be of service in
cases in which, although apparently indicated, Opium, Hyoscyamus, or
Belladonna may have failed to produce important and beneficial results;
or when the mental disturbance assumes the form of a religious mania.
Dose : Three globules, as directed for Belladonna.
Arsenicum is chiefly indicated in inveterate cases, when profuse
sweat, excessive restlessness, fear of solitude, spectres, and death, are
the most prominent symptoms.
Dose: In every particular as directed for Belladonna.
Coffea may be named as a medicine of much service as an interme-
diary remedy in cases in which incessant watchfulness, or mental and
bodily restlessness, and excessive irritability are the predominant and
characteristic indications.
Dose: Three globules, as directed for Belladonna.
Delirium Tremens occasioned by Vapor of Lead.
Opium, Belladonna, and Nux vomica, and especially Opium
and Belladonna, may be mentioned as those which have proved of the
chief service in the treatment of Delirium Tremens resulting from ex-
posure to the vapor of lead. The pâticular indications which should
lead to the selection of each respectively, may be discerned on reference
to the foregoing portion of this article (pp. 557-559,) and to that on
“CHARACTERISTIC EFFECTs,” under the head of each.
Dose: Of either of these medicines respectively, when selected, as directed
in the foregoing portion of this article.
Morning Sickness of Drunkards.
Acidum sulphuricum. This medicine is of great service
against the morning sickness of those who have been inveterately ad-
dicted to excess in the use of ardent liquors, or to what may be termed
habitual drunkenness.
Dose: Three globules in a teaspoonful of water, morning and evening, for
a week (or until the earlier development of amelioration or change); then
pause eight days, after which the course may, if necessary, be repeated as
before, and so on, from time to time, until decided amelioration or change.
Diet and Regimen. Inasmuch as this disease may be said to be
inevitably associated with one of the worst forms of derangement of the
primary organs of digestion in which the tributary nerves are more
especially involved, the regulations which would be appropriate to be
observed respecting the diet, habits, &c., would be such as have been
stated in greater detail in that portion of the article on “INDIGES-
TION” which is devoted to the consideration of the particular form of
derangement.
560 EPILEPSY.
IEPILEPSY.
Characteristics. This is a malady which consists of brief but
reiterated spasms, or convulsions, with loss of consciousness and volun-
tary motion, and generally foaming at the mouth.
General Symptoms. The attacks come on by fits, and are
usually characterized by the suddenness of the attack, although it is
occasionally preceded by pain in the head, dimness of vision, flashes or
sparks of fire, 8inging in the ears, palpitations, flatulency, and languor;
or, by a peculiar feeling, partaking partly of pain, and partly of a
sense of cold, commencing in some remote part of the body, as in the
toes, belly, or fingers, and proceeding gradually upwards towards the
heart or head. During the paroxysms, the muscles of one half of the
body are commonly more severely agitated than those on the other, and
those concerned in the performance of respiration are always more or
less implicated; the eyes are hideously convulsed, and turned in
various directions, but at length become fixed, so that the whites of
them alone are seen; the fingers are firmly clenched, and the muscles
of the jaws are often spasmodically affected, in consequence of which
the tongue is sometimes lacerated by being thrust out immediately
before the sudden and violent approximation of the teeth; the mouth
is frequently filled with phlegm, which is expelled with considerable
force in a frothy state. The face is either of a dark red or livid color,
or it is pale, or alternately pale and red, or pale on one side and red
on the other. The evacuations from the bowels and the urine are
sometimes passed involuntarily. On the abatement of the spasms the
patient gradually recovers. Soºnetimes a fit of vomiting terminates
the attack.
Issue and Results. The memory and judgment are generally
somewhat impaired for some little time after the fit, and a sensation of
languor and exhaustion, or weight, and other uncomfortable feelings
in the head are complained of Comparatively few patients are carried
off during the fit ; but it sometimes happens that one fit succeeds
another in rapid succession, or with increasing intensity, until a leth-
argic state ensues, and the patient sinks. Idiocy is an occasional mel-
ancholy result of this distressing malady.
Anticipations. The opinion is more or less favorable according
to the age of the patient and the species of the epilepsy. When the
disease occurs before the age of puberty, or when purely sympathetic,
it is generally curable without much difficulty by means of homoeopa-
thic remedies. On the other hand, when it comes on after the age of
puberty, is an original malady, or of hereditary origin, and has been
of long duration, the gure is not easily accomplished. It is generally
possible, however, even in the most inveterate cases, to lengthen the
intervals between the attacks, and to mitigate their violence by means
of steady and judicious treatment.
TREATMENT.
In many respects the treatment must be regulated by the character
and causes, as well as by the symptoms of the disease; wherefore the
EPILEPSY. 561
subjoined classification of medicines, as respects the particular indica-
tions, afforded by the cause, period, or particular conditions, may be of
service in assisting to determine the selection. The symptoms oftthe
case must, nevertheless, be held paramount if they should not be cor-
roborative of a choice dependent upon such causes, conditions, &c.
INDICATIONS AFFORDED BY PARTICULAR CAUSES AND CONDITIONS, &c.
When the disease is occasioned by full or redundant habit, with de-
termination of blood to the head, select especially from : * – BELLA-
DONNA, Opium, Nua, vomica, Mercurius, Ignatia, SULPHUR, VERATRUM,
Silicea, Gelseminum, Glomoine, Veratrum viride.
When occasioned by debility, or by loss of blood or of other fluids,
select especially from: * – Nua wom., SULPHUR, Calcarea, Silicea.
When occasioned by worms, select especially from: * – Hyoscyamus,
Belladonna, MERCURIUs, and Sulphur.
When associated with teething, select especially from: * – Belladon-
na, IGNATIA, Sulphur, CALCAREA, and Stannum.
When associated with hysterical affections, or menstrual or uterine
derangements, select especially from : * – Belladonna, Ignatia, Ipeca-
cuanha, Sulphur, Nua, vomica, Cocculus, Veratrum, Stramonium, Hyoscy-
amus, Platina, Moschus, Cawlophyllum, Cimicifuga, and Gelseminum.
When attributable to the check of an eruption, select especially
from: *—SULPHUR, Calcarea, Silicea, LACHESIS, Nua, v., Stannum,
Ipecacuanha, and CUPRUM.
When caused by abuse of ardent liquors, or of narcotics, – such as
wine, spirits, tobacco, opium, adulterated beer, &c., -select especially
from : * – NUx VOMICA, LACHESIS, Cuprum, OPIUM (except as to
abuse of Opium), Hyoscyamus, and Belladonna.
When caused by exposure to the vapor of arsenic or copper, select
especially from : * – CAMPHOR, Mercurius, VERATRUM, Cuprum (ex-
cept as to the vapor of copper), Arsenicum (except as to the vapor of
arsenic).
When caused by exposure to the fumes of Mercury, select especial-
ly: * – Stramonium.
When occasioned by check of perspiration, select especially from : *
—SULPHUR, Aconitum, Belladonna, Nua, vomica, Lachesis, Cicuta, and
Silicea.
When occasioned by moral emotions, – such as fright, alarm, &c.,
—select especially from : * – OPIUM, CHAMoMILLA, Cuprum, Hyoscy-
amus, and NUx VOMICA.
When caused by indigestible food, select especially from : * – IPE-
CACUANHA and Nua, vomica.
When occasioned by injuries in the head, select especially from : *—
Aconitum, COCCULUS, CICUTA viros A, Belladonna, and Sulphur.
* The particular and symptomatic indications for each of these medicines are
stated in detail in the subsequent portion of this article, and it is to be under-
stood that the general indications afforded by the cause or condition, &c., as here
stated, are subordinate to such other symptomatic characteristics, the last being
paramount. It is, however, to be remarked that, in some instances in which the
36
562 EPILEPSY.
Belladonna should be employed when the subjoined indications
are more especially apparent : — A sensation of crawling and torpor in
the ºpper extremities; jerking of the limbs, especially of the arms, con-
vulsive movements of the mouth, muscles of the face, and eyes; con-
gestion in the head, with giddiness, deep redness, heat and bloatedness of
the face, or paleness and coldness of the face, with shivering; intoler-
ance of light; convulsed or fixed eyes; dilated pupils; cramps in the
wpper part of the windpipe and throat, with obstructed deglutition and
danger of Suffocation; foam at the mouth ; unnoticed emission of faeces
(and of urine), or loose evacuation of undigested substances; oppression
on the chest and anxious respiration; renewal of the fits on the slightest
contact or the least contradiction; dizziness, or complete loss of conscious-
ness; sleeplessness between the fits, with agitation and tossing, or deep
and lethargic sleep, with Smiles and grimaces; waking with a start, with
67°06'S.
Dose : Two globules in a teaspoonful of water, every four hours, until the
immediate symptoms have passed away, and then only every twenty-four
hours, for four days; then wait four days, when the course should be
renewed, and so on, until decided amelioration or change
Hyoscyamus is more especially indicated by: —Bluish color and
bloatedness of the face, foam at the mouth, prominent eyes; convulsive
movements of certain limbs, or of the whole body; violent tossing ;
retraction of the thumbs; renewal of the fits, on endeavoring to swal-
low the least drop of liquid ; cries; grinding of the teeth; loss of con-
sciousness; unnoticed emission of urine ; congestion of the brain; deep
and lethargic sleep, with snoring.
Dose: Two globules, as directed for Belladonna.
Ignatia may advantageously be employed when the following indi-
cations occur: — Convulsive movements of the limbs, eyes, eyelids, mus-
cles of the face and lips; throwing back of the head; retraction of the
thumbs; red and bluish face, or redness of one side and paleness of the
other, or paleness and redness alternately; frothy salivation ; spasms in
the throat and larnyx, with threatening suffocation, and difficult deglu-
tition; loss of consciousness; frequent yawning, or drowsy sleep; great
anxiety, and deep sighs between or before the attacks; daily paroxysms.
Dose : Two globules, as directed for Belladonna.
Nux vomica is more particularly required for shrieks, throwing
back of the head, trembling, or convulsive jerks of the limbs or mus-
cles; renewal of the fits after contradiction or an angry emotion ; un-
noticed evacuation of faeces and urine; sensation of torpor and numbness
in the limbs; vomiting, profuse perspiration, constipation, ill-humor,
and irascibility between the attacks.
Dose : Two globules, as directed for Belladonna.
Opium is more particularly indicated by the occurrence of the fits
symptomatic indications for two medicines might be so nearly analogous as to in-
volve a doubt as to the selection, both might not be appropriate for cases charac-
terized by one or more of these conditions, in which case such difference would
be decisive between them. The medicines printed in capitals are those of chief
importance.
EPILEPSY. 563
at night or in the evening; throwing back of the head, or violent move-
ments of the limbs, especially of the arms; loss of consciousness, insen-
sibility, cries; closed fists; threatening suffocation; deep and lethargie
sleep after or between the paroxysms.
Dose: Two globules, as directed for Belladonna.
Cocculus is especially appropriate for attacks in women during
the menstrual periods, or also from an external injury.
Dose : Two globules, as directed for Belladonna.
Stramonium is indicated by the following symptoms: — Throwing
back of the head, or convulsive movements of the limbs, and especially
of the upper part of the body and of the belly; pale and haggard face,
with stupid eaſoression, redness or bloatedness of the face, loss of conscious-
ness and of sensation, sometimes with cries, &c., renewal of the fits by
contact, and also by the sight of bright and brilliant objects.
Dose : Two globules, as directed for Belladonna.
Chamomilla is sometimes of much service, particularly for the
treatment of the epileptic convulsions of children, and more especially
when the attacks are characterized by paleness of one cheek and
redness of the other, or by redness and bloatedness of the face; the
tongue, eyes, eyelids, and extremities being convulsed, and the respira-
tion hurried, rattling, and exceedingly anxious : or when the attacks
are preceded, followed, or accompanied with distension of the belly and
pains in the bowels, with or without relaxation, or by short rattling
cough, or starting and jerking of the limbs during sleep, or the exuda-
tion of hot perspiration on the head.
Dose: Two globules (or for very young and susceptible children, or if dur-
ing dentition, one globule). If, after an interval of three hours, the fits
have continued to recur, but with diminishing intensity, repeat the dose;
but if, on the other hand, the attacks increase in frequency and intensity,
proceed with the next medicine.
Ignatia should be given three hours after the first dose of Chamo-
milla in cases such as have just been described, in which, notwith-
standing the administration of the last-named medicine, the fits have
continued to recur more frequently, and with increased intensity.
Dose: Two globules (or for very young children one globule), as directed for
Chamomilla.
Ipecacuanha is often of much service for the treatment of the epi-
leptic convulsions of hysterical females, or of children more particularly
when there is utter loathing of food and continual desire to vomit with-
out vomiting; or vomiting accompanied with loose discharge from the
bowels, and coming on by fits; and when there is rattling of mucus on
the chest; the face being pale, but bloated (the eyes often seeming
buried as if in redundancy of flesh, or heavy and half-closed,) and there
being violent and continued agitation of the muscles of the face and
j especially convulsive catching of the corners of the lips or
of the eyelids, and uncontrollable snatching of the hands and arms;
sometimes the fits are accompanied with loss of consciousness.
Dose: Two globules, as directed for Belladonna.
Platina is sometimes of service against convulsive agitations of all
564 EPILEPSY.
the limbs, but more especially of the muscles of the face, without loss
of consciousness, but in which the powers of articulation are often much
impaired, if not prostrated, for the time, and when the attacks are apt
to recur early in the morning.
Dose: Two globules, as directed for Belladonna.
IMoschus is occasionally of service for the treatment of the epileptic
convulsions of highly hysterical patients.
Dose : Two globules, as directed for Belladonna.
Sulphur should usually be employed after Belladonna (in cases in
which that remedy has been required at the onset, but has only pro-
duced temporary improvement); or it may be required immediately in
cases of chronic epilepsy in which the paroxysms are characterized
more especially by the following symptoms and conditions: — the
attack being often preceded by a sensation as if a mouse, or some other
small animal, were running over the muscles, cries, stiffness of the body,
fits excited by cool air, or by a current of air.
Dose : Three globules in a teaspoonful of water, night and morning, for a
week (or until earlier change); then pause a week (supposing no recur-
rence of the fits); after which the course may be repeated as before, and
so on, from time to time, until permanent amelioration or change. Con-
sider also the next medicine.
Calcarea is sometimes required at the onset, or more immediately
after Belladonna, or after Sulphur.
Dose: In all respects as directed for Sulphur.
Silicea is chiefly useful in chronic epilepsy, more especially after the
previous employment of a course of Calcarea (or of Sulphur, followed
by Calcarea), and when the fits have, nevertheless, recurred with
undiminished violence, more especially if the attacks be characterized
by great fulness, or determination of blood to the head, with heat
chiefly in the forehead; or, if there be perspiration on the head at
night, or frequent attacks of pain, extending upwards, from the nape
of the neck to the crown of the head, or constant morning headaches,
with giddiness, cloudiness of sight, and sensation as if the head were
too heavy, and when the patient is incapable of, or easily fatigued by,
the least exertion of the intellectual faculties; the complexion being
usually pallid and inanimate, or of a dull, leaden hue.
Dose: Three globules, as directed for Sulphur.
Arsenicum, chiefly when the fits are attended with burning in the
stomach, spine, and belly; and are preceded by a sensation as of warm
air streaming up the back into the head.
Dose: Two globules, as directed for Belladonna.
Cuprum should be employed against the fits when these are char-
acterized by the following symptoms and conditions: —The convulsive
movements commencing in the fingers or toes, or in the arms; retragtion
of the thumbs; loss of consciousness and of speech; salivation, sometimes
frothy; redness of the face and eyes; recurrence of the fits every month,
and especially at the menstrual periods.
Dose: Two globules, in all respects as directed for Belladonna.
Lachesis is a medicine of great value in chronic epilepsy when the
EPILEPSY. 565
fits are characterized by loud cries, falling, and loss of consciousness,
foaming at the mouth, cold feet, eructations, pale face, giddiness, heavi-
ness and pain in the head, palpitation of the heart, distended belly,
lethargy, nausea, &c.
Dose: Two globules, as directed for Belladonna.
Camphor (Saturated Tincture) is often of service as an interme-
diate remedy, and also as a means of shortening the attacks, or after-
effects, when they are of long duration; in cases of chronic epilepsy,
against the fits, when these are characterized by snoring, red and puffed
face, and lethargic condition, and sometimes complete loss of conscious-
ness; great drowsiness and oppressed breathing after the fits.
Dose: One drop of the Tincture of Camphor, on a small lump of fine loaf-
sugar, repeated at intervals of three hours, until decided amelioration or
change.
Cicuta virosa is to be preferred, when paleness or yellowish color
of the face, clenching of the jaws, distortion of the limbs, cries, accu-
mulation of frothy spittle in the mouth, and colic, like that incidental
to Worms, characterize the attacks; sometimes, also, complete loss of
consciousness, and almost imperceptible respiration.
Dose : Two globules, in all respects as directed for Belladonna.
Stannum. Jactitation of the limbs, retraction of the thumbs,
paleness of the face, backward traction of the head, loss of conscious-
ness, appearance of the fits in the evening.
Dose: Three globules, as directed for Sulphur.
Veratrum album. LOSs of sense and movement, distortion of
the eyes, and convulsive movements of the eyelids; anguish, discour-
agement and despair, between the fits.
Dose : Two globules, as directed for Belladonna.
Caulophyllum is indicated for epileptiform spasms coming on at
or near the menstrual period, and associated with deranged menstru-
ation.
Dose : Two globules, as directed for Belladonna.
Gelseminum should be given when the fits occur after sup-
pressed menses, with severe spasms in the throat as if the patient would
choke; after the fit, dull feeling in the forehead and on top of the
head, with pain and fulness in the back of the head before the attack
COI)162S OI!.
Dose: Two globules, as directed for Belladonna.
Glonoine should be employed when the fit is preceded and charac-
terized by intense congestion of the head, feeling of fulness, with ring-
ing in the ears, and sense of congestion in the chest as if it would burst;
during the fit there are convulsive movements and spreading apart of
the fingers and toes.
Dose : Two globules, as directed for Belladonna.
ACCESSORY MEASURES.
During the epileptic seizures or paroxysms, the patient should be
placed in the horizontal posture, and such precautions taken as will
566 ASTHMA.
obviate any injury which may be sustained by the violence of the con-
vulsive movements. In order to prevent any injury of the tongue,
something ought to be inserted between the teeth. The neckcloth
should be removed, the stays loosened, and cold water sprinkled over
the face, especially when the breathing is much affected by the spasms
of the muscles concerned in respiration.
An operation may sometimes be necessary to remove the source of
irritation, particularly when we have reason to apprehend that a morbid
growth of bone is pressing upon the brain. And in this respect, as in
others, for a disease of so formidable a nature, it is obvious that the
assistance of an experienced homoeopathic practitioner should, if pos-
sible, be secured.
Diet and Regimen. The diet of epileptic patients ought to be
very moderate, simple, and easy of digestion. Stimulants ought to be
strictly avoided where there is redundancy of blood, with tendency to
congestion. Debilitated persons require a somewhat more generous
diet than the robust, but in all cases care should be taken never to
overload the stomach. Excessive corporeal or mental eatertion must be
abstained from. Change of air and scene is, in some cases, of much
service in promoting the cure, when all other available means seem to
fall short of cure.
ASTHIMA.
General Symptoms. During the attack the patient feels much
worse in the recumbent posture, and consequently sits up, requests the
door or window to be thrown open, to admit more air into his apart-
ment, and uses every effort to dilate and empty the lungs. He also
experiences great restlessness, making frequent attempts to force some-
thing out of the air-passages, which he thinks impedes the breathing,
by coughing. The face is pale or livid, and wears an anxious expres-
sion. The extremities, and even the nose and ears, are frequently cold,
and the face and chest covered with cold perspiration; the heart pal-
pitates; the pulse is variable, being quick and full, or small and quick,
or weak and irregular; often intermitting. These symptoms continue
with a greater or less degree of violence for some hours or even days,
until expectoration takes place, which affords relief as it increases in
quantity. A remission also sometimes takes place soon after an acces-
sion of copious perspiration, or a profuse discharge of urine. The dis-
ease is more frequently met with at an advanced than at an early period
of life, and oftener in men than women. The attacks occasionally
come on in the afternoon, or on retiring to rest, but much more fre-
quently during the night, and in the midst of a sound sleep, from which
the patient is suddenly awakened by a sense of suffocation.
Varieties. The quantity of expectoration is small and even
entirely absent in some cases of asthma, whilst in others it is exceed-
ingly copious; and hence, the disease has been divided into dry and
humid asthma. In the former variety, the attack is usually sudden,
violent, and of short duration, the cough slight; in the latter, the par-
oxysm is gradual and protracted, and the cough severe.
ASTHMA. 567
Issue and Results. One attack generally leads to another, and
the paroxysms commonly become more and more frequent and distress-
ing; still, if no disease result, with substantial alteration of important
organs (such as those connected with the processes of circulation, or
the function of respiration in particular), patients who are subject to
returns in considerable frequency, sometimes survive to an advanced
age. But this is unfortunately not often the case, for unless the dis-
ease be arrested, the repeated obstruction and disturbance which is
offered to the respiration and circulation seldom fails, in the majority
of cases, to induce organic injury either of the heart and large vessels,
or of the lungs, with the usual concomitants of water in the chest or
belly.
TREATMENT.
Ipecacuanha. During the paroxysms of acute asthma, this rem-
edy is one of the most frequently useful, whether the attack occurs in
children or adults. It is more especially indicated when the patient is
awakened from a sound sleep, with a suffocating sensation of constriction
in the windpipe, with quick laborious breathing and gasping for breath ;
wheezing and mucous rattling in the chest; short dry cough ; paleness
and coldness of the face, sometimes alternately with heat and redness;
coldness of the feet; anxiety and dread of suffocation ; feeling as if
dust were inhaled during the act of respiration, and caused the suffo-
cating sensation in the chest; spasmodic rigidity of the body, and livid
hue of the face.
Dose: Three globules in a teaspoonful of water, repeating the dose, if neces-
sary, in half an hour (in very distressing cases), or only after two hours
(in less urgent instances). But if little relief should have resulted within
an hour after the second dose (in the one case), or within three hours (in
the 6ther case), or, if the subjoined indications occur, consider the follow-
ing medicines, and proceed accordingly.
Arsenicum should be employed (either in acute or chronic asth-
ma) when, during the attack, the respiration appears to become more
and more laborious, and is attended with extreme agitation, moaning,
and restlessness; great eachaustion and anguish, as if at the point of
death, with cold perspiration. In confirmed asthmatics, it forms a most
important remedy, when the breathing is liable to become much op-
pressed when walking rather quickly, or when going up a hill, or
ascending stairs; and when, particularly in the case of old people, even
the effort of laughing, or the exertion of getting into bed, brings on
a fit of difficult breathing. Arsenicum (as well as Ipecacuanha) is
further indicated when the paroxysms of asthma are most liable to
occur on retiring to rest, or before midnight, the patient being dis-
turbed from sleep by a sense of spasmodic constriction in the chest and
wpper part of the windpipe, which is soon followed by laborious panting,
and whistling respiration, with gasping for breath. These symptoms
are occasionally relieved by remissions, but the attack is prone to recur
on using the slightest exertion; for the most part, however, the parox-
ysm continues with more or less intensity until relieved by the acces-
sion of a fit of coughing, with expectoration of viscid phlegm filled
with vesicles. Arsenicum, though principally called for in cases in
568 ASTHMA.
which the attacks come on at night, is also useful when they are liable
to be excited during the day, on exposure to a cold bracing air, or on
going out during the prevalence of disagreeable, damp, or stormy
weather. Likewise when changes of temperature, or tight and very
warm clothing, are frequent sources of fits of difficult breathing. Sen-
sation of burning heat in the chest during the fit of asthma, is an addi-
tional indication for Arsenicum.
Dose: In acute cases, give two globules in a teaspoonful of water, repeating
the dose at intervals of half an hour (in very distressing cases), or every
four hours (in less urgent instances), until decided amelioration or change.
In chronic cases, give similár doses, repeated at intervals of twelve hours,
for four days in succession (or until earlier change); then pause six days,
and, if necessary, repeat the course as before, and so on, until decided
amelioration or change.
Bryonia should be selected in cases in which the subjoined indica-
tions are more especially apparent : — Obstructed respiration at night
or towards morning, with frequent cough, pains under the short ribs,
and inability to recline on the right side, or without inconvenience on
the left, so that the patient is constrained to lie on the back; frequent
coughing, with expectoration, at first frothy, and subsequently thick
and glutinous, and frequently attended with retching or vomiting ;
aggravation of the fit of difficult breathing from talking, or from the
slightest movement; frequent efforts to obtain sufficient air by deep
inspirations, accompanied with moaning, palpitation of the heart, and
great anxiety. The attacks are often attended by shootings in the
chest on taking a full inspiration, also on coughing, or after any move-
ment of the arms or trunk.
Dose: In every respect as directed for Ipecacuanha.
Nux vomica is indicated by the following symptoms:--Nocturnal
attacks of Suffocating tightness, especially at the lower part of the chest,
preceded by disagreeable or anxious dreams; also when the paroxysms
are prone to occur in the morning, or after a meal, and are attended
with anxiety, aching, and pressive pains in the fore part of the chest,
as also in the sides under the short ribs; flatulence; inability to bear
the slightest pressure from the clothing, particularly around the chest
and waist; the clothes seem to fit tightly and increase the difficulty of
breathing, whilst in reality they are quite the reverse; difficulty of
breathing when walking and conversing in the open air, especially if
the temperature be somewhat cold; also after trivial corporeal exer-
tion of any kind. Amelioration of the asthmatic sufferings when
reclining on the back, or on changing from one posture to another, such
as sitting up, and then lying down again, or turning from one side to
the other. Disposition irritable and passionate.
Dose : In every respect as directed for Ipecacuanha.
Pulsatilla is more especially indicated by the subjoined symptoms:
— Oppressed, rapid, and laborious breathing from a feeling of spasm-
odic constriction in the chest, especially at the inferior portions; or
suffocating feeling in the windpipe as if caused by the vapor of Sulphur;
tension, and sensation of fulness, pressure and aching, attended with
mucous rattling in the chest ; short fits of coughing in rapid succession,
ASTHMA. 569
and appearing to threaten suffocation; or cough with copious expectora-
tion of phlegm. The attacks usually come on at night, or in the even-
ing when in a horizontal posture; extreme anguish, palpitation of the
heart, and sometimes lancinating pains in the chest during the parox-
sms. Pulsatilla is generally more suitable for hysterical females, or
individuals of a mild, timid, sensitive, or fretful disposition.
Dose: Three globules, in every respect as directed for Ipecacuanha.
Antimonium tartaricum should be employed against difficulty
of breathing with suffocating cough and anxious oppression at the fore
part of the chest, arising from an excessive 8ecretion of phlegm in the air-
tubes; this remedy is frequently of great service either in aged persons
or in children.
Dose: Two globules, as directed for Arsenicum.
Opium is more particularly indicated by obstructed breathing, either
from congestion or from spasms of the lungs, with suffocating cough
and livid hue of the face; loud mucous rattling in the chest, with
extreme anguish from dread of suffocation; difficult breathing during
sleep, resembling nightmare.
Dose: Three globules, as directed for Ipecacuanha.
China. Paroxysms of asthma at night, as if caused by an accu-
mulation of phlegm in the windpipe; wheezing in the chest during
inspiration; difficult expectoration of thick, transparent phlegm; op-
pression at the chest, palpitation of the heart, and inability to breathe,
unless the head and shoulders are propped up with pillows; great
weakness, and tendency to copious sweatings upon the slightest exer-
tion, or when too warmly clothed.
Dose: Two globules, in every particular as directed for Arsenicum.
Veratrum should be administered four hours after the third dose
of China, when the last-named medicine has been productive of inade-
quate benefit; more especially in those violent attacks of spasmodic
asthma, with symptoms of threatening suffocation, cold perspiration,
coldness of the nose, ears, and lower extremities. In such instances
Weratrum may sometimes be employed with success after other medi-
cines, such as Arsenicum in particular.
Dose: Two globules, as directed for Arsenicum.
Sambucus. Rapid and laborious respiration, with loud wheezing;
oppression at the chest as if from a weight, attended with anguish and
dread of suffocation, and sometimes swelling and livid hue of the face
and hands; general heat, tremor, inability to talk much above a whis-
per; suffocating cough ; aggravation of the symptoms in the recum-
bent posture. In the case of children this remedy is often of great
service, when, in consequence of a chill, they are seized with spasms in
the chest, and awake from sleep with a start, and exhibit many of the
symptoms detailed.
1908e : Three globules, as directed for Ipecacuanha.
Moschus is useful against acute asthma occurring in hysterical
females, or in children from exposure to cold; sense of spasmodic con-
striction in the upper part of the windpipe and its ramifications; or op-
570 ASTHMA.
pression at the chest with paroa-ysms of Suffocating feelings, as if caused
by the inhalation of the vapor of sulphur, commencing with a fit of
coughing, and succeeded by distressing, oppressive constriction, some-
times to such a degree as almost to drive the patient to exasperation
and distraction.
Cuprum is indicated by nearly the same train of symptoms as
Moschus, and frequently succeeds when the latter has failed to relieve.
Dose : As directed for Ipecacuanha.
Belladonna is more particularly of service when the following
symptoms constitute the predominant features of the case:—Difficulty of
breathing, particularly when occurring in females of an irritable habit,
and subject to spasms, with tension in the chest, and lancinating pain
behind the breast-bone; dry cough at night with moaning respiration,
which is sometimes deep and full, at others short and rapid, with gasping
for breath and great efforts to dilate the chest to the utmost to obtain
a sufficient supply of air; sensation of constriction in the upper part
of the windpipe, and feeling as if suffocation would ensue on putting
the hand to that part, or on turning the neck; paroxysms of asthma,
with loss of consciousness, &c.
Dose: As directed for Ipecacuanha.
Lobelia inflata is a valuable medicine when the following indica-
tions are present: — Tightness of the chest, and laborious breathing,
with disposition to keep the mouth open in order to breathe; oppression
of the chest, causing a deep breath to be taken to relieve the pressure;
slight tickling under the breast-bone, on drawing a deep breath; asth-
ma coming on in spells; when drawing a deep breath, a feeling as if
something had fallen out of its place, and which goes back only with great
pain; sensation of weakness and pressure in the region of the stomach;
feeling as of a lump or a quantity of mucus clogging the windpipe.
Dose : Two globules, in all respects as directed for Arsenicum.
Cactus grandiflorus. Periodical attacks of suffocation, with
fainting, cold perspiration on the face, and loss of pulse; sensation as
though a cord were tightly bound around the lower part of the chest;
feeling of congestion of blood to the chest, with oppression and pal-
pitation, preventing lying down; better in daytime, but anxious feel-
ing returns in the evening.
Dose: Three globules, as directed for Ipecacuanha.
Phosphorus is one of the most important medicines for the treat-
ment of chronic cases of asthma, particularly of the humid variety.
Dose : Three globules in a teaspoonful of water, night and morning, for a
week (or until earlier change); then pause eight days, after which the
course may, if necessary, be repeated as before, and so on, until decided
amelioration or change.
Sulphur, Calcarea, Sepia, or Lycopodium may also be re-
quired for the treatment of very obstinate and inveterate cases of
chronic asthma. The more particular indications which should lead to
a discriminative selection from amongst them, may be gathered from the
article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, as selected, give three globules, as
directed for Phosphorus.
I)ROPSY. 571
Diet and Regimen. Asthmatic patients should sedulously ad-
here to the general dietetic rules, more particularly detailed in the
introductory article (at pp. 55 and 56). They should strictly avoid all
stimulating or irritating articles, both as to food and drink. The diet
should, in the majority of cases, however, be generally of a nourishing
description, although plain, wholesome, and easy of digestion. Heavy
meals should be avoided, more especially at night.
DROPSY.
Definition. We apply the term dropsy to collections of watery
fluid, in one or more of the closed cavities of the body, or in the meshes
of the cellular tissue, or in both, such watery accumulations being alto-
gether independent of inflammation. Dropsy being itself rather a
symptom of disease than the actual disease, it might be esteemed more
scientific to consider, in the first instance, the original disease upon
which the watery effusion depends. But there are reasons which ren-
der it advisable for the person undertaking the treatment to consider
the dropsy as the disease in reality to be treated; for, in many cases,
during the life of the patient, the organ on whose disease the dropsy
depends is not always quite obvious; and, in the next place, the drop-
sy itself becomes, in its turn, the cause of other annoyances, interfering,
by reason of the imprisoned fluid, with the performance of several im-
portant organic functions; so that, in a practical view of the matter,
the dropsy becomes something more than an effect, or mere symptom
of disease. It is clear, in fact, that, in a case of dropsy depending
upon organic disease, two sets of symptoms have to be attended to :
first, those depending on the primary disease giving rise to the dropsy ;
and, in the second place, those depending on the accumulated fluid.
DISTINCTIVE CHARACTERISTICS, ETC., OF VARIETIES.
Dropsy of the Brain.
In respect of the symptoms, treatment, and other particulars relat-
ing to this variety, the reader is referred to this subject under the gen-
eral head of “DISEASEs of INFANCY AND CHILDHooD,” in the subse-
quent part of this volume. '
Dropsy of the Chest.
Dropsy of the Chest is dependent upon organic disease of the heart
and large vessels, which is the most frequent form of the disease; or is
the consequence of inflammation of the lungs, or of their investing
membrane.
General Symptoms (1, when dependent upon organic disease
of the heart). Those symptoms which generally indicate this kind of
dropsy are — difficulty of breathing, which is increased by lying down,
palpitations of the heart, pale or livid appearance of the face, sudden
startings from sleep in alarm, and with palpitation, a dropsical state
of the legs, and scanty urine. When these symptoms are present in
572 IDROPSY.
any case, we may be tolerably certain of the existence of dropsy in the
chest. Another prominent symptom of, and one well deserving of no-
tice, is a watery, or dropsical state of the eyelids. This at first may
not attract attention, and may pass entirely unnoticed, until swelling
of the feet and ankles may awaken the attention of the patient, or his
friends, to the real nature of the case. When the dropsy of the chest
is dependent on some disease of the heart, as is generally the case, the
early progress of the disease is slow; but as soon as the feet and ankles
begin to swell, the difficulty of breathing generally becomes much
aggravated. The patient now feels more difficulty in lying down, and
finds it necessary to have his head raised with additional pillows, -at
length, the breathing becomes so very difficult that he finds it neces-
sary to sleep in a chair. This difficulty of breathing also is observed
to undergo very severe exacerbations, and to become more alarming
every now and then, the cause of which is not very obvious.
In dropsy of the chest, incidental to inflammation of the lungs or their
lining membrane, the palpitations and other symptoms referable to the
heart are wanting; the prominent and most striking symptom being
great difficulty of breathing.
Issue and Results. These are generally unfavorable, the disease
causing the dropsy being in general a complicated one.
TEEATMENT.
By means of homoeopathic medicines, however, we may very materi-
ally alleviate the sufferings of the patient, and in some cases, even so
far modify, or even suspend the ravages of the disease, as to restore the
patient to comparative health and comfort.
Ammonium c. is particularly indicated when there is present
great shortness of breathing, especially on going up a height, when the
breathing is very much oppressed, and great palpitation of the heart
takes place after the least bodily exertion ; or when there seems to be
a pressure of blood to the chest, and a feeling of weight in the same
region.
Dose : For the general treatment, give four globules in a teaspoonful of water,
night and morning, for eight days (or until the occurrence of decided
change); then pause a week, after which the course may be repeated as
before, and so on, from time to time, until decided amelioration or change.
If against a paroxysm of palpitation, &c., give three globules in a tea-
spoonful of water, repeated at intervals of three hours, if necessary, until
the symptoms are allayed.
Arsenicum is required in cases attended with great difficulty of
breathing and shortness of breath, great oppression in ascending a height,
as also in every motion, and even on laughing; Suffocative attacks, more
especially at night, and in bed, with panting and wheezing respiration
amid great distress, as if the patient were going to die; and, more espe-
cially, when with the paroxysms great debility sets in.
Dose : Three globules (for the general treatment), and two globules (for the par-
oxysms), in other respects as directed for Ammonium c. In some instances,
however, in which the symptoms are very distressing and urgent, and
the prostration excessive, it becomes necessary to repeat the doses at in-
tervals, varying from five to thirty minutes.
DROPSY. 573
Carbo v. is more particularly indicated when the case is character-
ized by the symptoms of spasmodic flatulent asthma, with oppression
and tightness of breathing; as also heavy and short breathing, more
especially in walking; with pressure and a feeling of lassitude in the
chest.
Dose : In every particular as directed for Arsenicum.
Bryonia. When, among the other symptoms, we observe great
difficulty of breathing, more especially at night, or towards morning,
with inability to lie on the right side, pressure and tension through the
entire chest; when there is increased difficulty in breathing, in speak-
ing, and in every kind of exertion; whilst the patient experiences
great relief as soon as he raises himself from the recumbent posture.
Dose : In every respect as directed for Arsenicum.
Ferrum is often of much service in case there is violent excitement
of the sanguineous system, accompanied with oppression of the chest,
the motions of the chest during inspiration being almost entirely
imperceptible; also when there is great shortness of breath, especially
at night ; or in the evening, in bed, in case of lying on the back.
Dose: In every particular as directed for Ammonium c.
Pulsatiila is of service when the patient complains of an arrest
of the respiration as from the vapor of sulphur; also of breathlessness,
and Suffocative paroxysms, with great distress, palpitation, &c.
Dose : As directed for Arsenicum.
Lachesis is indicated in individuals who complain of shortness of
breath after meals, in walking, after sleeping, and after violent move-
ment of the arms; also of suffocative paroxysms on lying down; of
slow and whizzing respiration.
Dose : As directed for Arsenicum.
Apis mellifica is a valuable remedy for dropsy of the chest when
the oppression is very great; there is inability to lie down; absence of
thirst ; very dark urine, looking like coffee. It is particularly suited
to cases resulting from catching cold after scarlet fever.
Dose: In every particular as directed for Arsenicum.
Apocynum cannabinum should be given when there is an
almost total inability to speak, with catching of the breath; the irri-
tability of the stomach is so great that even cold water is rejected; the
urine is very scanty.
Dose: In all respects as directed for Arsenicum.
Digitalis will prove useful when dropsy of the chest exists in
persons who have a very pale or bluish appearance, and who are sub-
ject to fainting; the pulse is intermittent, the face pale, and the skin
cold; urination is difficult, and the urine scanty.
Dose: In every respect as directed for Arsenicum.
Squilla will be found very useful in many cases of dropsy of the
chest. It is more particularly indicated when there is strong urging
to urinate, with scanty and dark-colored urine; and continuous cough,
with expectoration of mucus.
Dose : In every particular as directed for Arsenicum.
574 IDROPSY.
Sulphur is a remedy of much value in this variety of dropsy, as in
all others which ensue as the consequence of acute disease, and in such
instances will tend materially to promote the efficiency of other medi-
cines more especially indicated. Sulphur is again of much value, in
the same manner, in cases which are slowly and gradually developed,
and which ordinarily depend upon a debilitated or exhausted condition
of the system.
Dose: Give six globules in a teaspoonful of water, the first thing in the
morning, fasting, from time to time, as an intermediary resource, (if other treat-
ment be imperatively called for), or for a week in succession (if no other
remedy be very positively indicated for immediate administration),
Dropsy of the Belly.
This form of dropsy is technically termed ascites. It varies in the
method and progress of the attack. Sometimes the enlargement is
quite sudden, and unattended with marked constitutional disturbance
at the onset, and unpreceded by any premonitory symptoms; in other
instances the enlargement takes place gradually, with the same absence
of constitutional disturbance, &c.; but in some instances there is a
marked premonitory stage preceding the actual development of the
disease.
General Symptoms. In this kind of dropsy, the progressive en-
largement of the belly is regular and uniform as respects the two sides
of the body. If the patient lies on his back, the weight of the fluid
causes the sides of the belly — the flanks — to bulge outwards, or to
swag over. The swelling of the belly is more or less hard, and when
struck with the fingers conveys a dull sound; and in cases in which
the accumulation is considerable, if one side be gently struck with the
finger of one hand (the patient being in a recumbent posture), and the
other, hand be laid lightly upon the opposite side, the fluctuation of
the fluid will be sensibly felt. The patient is generally affected to a
greater or less degree with difficulty of breathing, and with incapabil-
ity of lying down, more especially as the accumulation increases, and
extends to the cavity of the chest. Emaciation commonly attends
upon this variety, as well as upon general dropsy, so that, when the
dropsical swelling does not affect the extremities, these become very
spare, meagre, and attenuated. The swelling, however, generally
involves the lower extremities to a greater or less extent; and the con-
stitutional disturbance, such as variations of pulse, restlessness, &c., are
sometimes well marked in cases which are gradually developed. This,
however, is not invariably the case, for in many instances the advance
of the disease is very insidious. In some very unfavorable cases the
pulse is feeble, irregular, and intermitting ; spots or stains appear on
the skin; there is fever, with cough and difficulty of breathing; dis-
charges of blood occur (or have preceded the development of the dis-
ease), the prostration of strength is excessive, and the urine is scanty
and offensive. Examination of the belly by pressure will enable us to
decide whether liquid is contained in the serous membrane which in-
vests the belly, technically called the peritoneum.
It is a matter of the utmost importance in practice to be able to de-
DROPSY. 575
termine whether the fluid is accumulated in the membrane in question,
or in any other organ or structure. As this point, however, belongs
more properly to the professional attendant, we shall say nothing of it
here, confining our attention to the consideration of the treatment of
dropsy of the belly, as indicated by particular manifestations, which
afford the unprofessional reader an opportunity of discriminating in
the selection of the appropriate medicine.
Complication. Dropsy of the belly may be complicated with
general dropsy, or with dropsy of the chest, or it may ensue as the re-
sult of irregularities attending the development of eruptive diseases, or
of the suppression of some habitual discharge.
Issue and Results. If dependent upon structural disease of
some important organ, the issue is usually unfavorable, although much
hope of alleviation may be anticipated from appropriate homoeopathic
treatment. The same may be said of cases occurring amongst persons
advanced in years, or sickly children. As regards cases which are
traceable to an immediate cause, such as irregularities attending the
development of some eruption, sudden suppression of an habitual dis-
charge, cold, fatigue, &c., - these are far more within the range of
remedial treatment; and a cure is to be anticipated or hoped for, if
proper treatment be properly undertaken.
General Dropsy.
By this term it is intended to designate that variety which may in-
include all the other varieties, or which invades the entire system,
either simultaneously or progressively.
General Symptoms. This comprehensive variety of dropsy may
obviously evince a combination of the chief symptoms which more
especially characterize the other varieties, individually and distinctive-
.ly. It will suffice here, therefore, to pass in review the general mani-
festations of the disease only, without recapitulating the particular
symptoms already mentioned under each of the foregoing heads. Gen-
eral Dropsy of the system is commonly characterized by pale and sickly
complexion; dryness of the skin; red and parched, furred and moist,
or unnaturally clean and florid, tongue; want of appetite, and general
derangement of the organs and functions of digestion; constipation
generally, but sometimes also looseness of the bowels; or, in some
instances again, constipation and looseness in alternation; scanty and
high-colored urine; the pulse being sometimes quick, and in other
instances slow, and often irregular and intermittent; general loss of
strength, more or less rapid, and always progressive, attended with ex-
cessive languor; habitual feverishness, more especially aggravated
towards and during the night. To these symptoms are sometimes
superadded a painful, hacking, and generally dry cough. There is
usually shortness of breath, more particularly exacerbated by the least
exertion, or upon lying down, when a sense of suffocation also ensues.
Violent palpitation of the heart is a general concomitant. The nights
are restless, and even sleepless; or the sleep is disturbed by frequent
starting, often with an intense sensation of oppression and anxiety. In
576 IDROPSY.
addition to the symptoms resulting from Dropsy of the Chest or of the
Belly, as above described, General Dropsy is usually characterized by
such as are more particularly manifested by —
Dropsy of the Cellular Tissue, local and general.
This variety of Dropsy consists in the excessive accumulation of the
watery constituent of the blood in the cellular membrane immediately
under the skin, or in the vicinity of important glands, &c., and is
usually associated with the last-named variety; but it also occurs in
Some instances as a symptomatic development of some other organic
disease, or in other instances again as a primary disease. It may be
either acute or chronic.
Issue and Results. As regards the acute form, it may generally
afford better hopes of cure; but if neglected, and when it takes an un-
favorable turn, it may lead to a fatal issue, sometimes in a few days;
or in other cases it may be protracted for several weeks, and finally
terminate fatally. As regards the chronic form, the prospect of cure is
very precarious; but much alleviation may be afforded by appropriate
homoeopathic treatment.
TREATMENT.
When incidental to Eruptive Fevers, &c.
The treatment of cases which result from scarlet fever, or from other
eruptive diseases, has already been detailed under the head of each
respectively. To such articles, therefore, the reader is referred.
General Cases dependent upon other Causes.
Aconitum. This medicine is occasionally of service in either of
the foregoing varieties of dropsy at the onset of treatment, when the
feverish excitement is very predominant; but it is more especially
required in those sudden attacks of the acute or inflammatory form of
dropsy of the cellular tissue, which occur in persons of a full habit of
body and vigorous frame, and should, in such instances, be given pre-
paratory to farther treatment during the active predominance of fever-
symptoms.
Dose: Three globules in a teaspoonful of water, repeated, if necessary, after
the lapse of two hours ; proceeding, however, promptly with such other
treatment as may be required, as the heat of the skin and agitation of the
pulse become moderated.
Helleborus niger is to be mentioned as especially appropriate
to the treatment of cases of an acute character, either characterized
by considerable febrile excitement, or when the fever-symptoms are
attended with great debility, and (especially in Dropsy in the Belly)
when there is a tendency to torpor or lethargy; the urine being ex-
tremely scanty, or almost suppressed, and the evacuations from the
bowels relaxed and gelatinous; or, when shooting pains in the extrem:
ities prevail. Or again, when the fever-symptoms are accompanied
with tightness and oppression at the chest, or with darting pains in the
DROPSY. 577
same part; the breathing being short and hurried—the thirst intense,
and when prolonged shivering occurs. Helleborus is again of much
value as an intermediary remedy in the chronic forms of the disease of
either variety of development.
Dose : Of a solution of six globules in four table-spoonfuls of water, give a
teaspoonful every four hours (or in very urgent cases, every two hours),
until manifest improvement, whereupon the medicine should be given
every morning and evening. If no improvement be manifested in two, or
at most three days, consider some other medicine, more particularly Ar-
Sø72?CM772.
Arsenicum is one of the most valuable medicines for the treat-
ment of the various forms of Dropsy above described, whether of an
acute or chronic character, and should be promptly employed (six
hours after the last dose of the foregoing medicine in acute cases) after
the previous treatment above described, when Helleborus does not
appear capable of effecting more than partial relief. Arsenicum is also
more especially indicated at any period when extreme debility (or
very rapid prostration of strength) is, or has constituted a characteriz-
ing feature in the case. Or, when (in acute cases) the disease has made
considerable progress before treatment is undertaken. Arsenicum is
again of great value in cases of Dropsy of the Cellular Tissue, ensuing
as the result of very severe and mismanaged acute and inflammatory
diseases. Or again, in those chronic and protracted cases which have
been gradually induced in shattered constitutions, or in those which
obviously depend upon organic disease of the heart, or of any other
important organ. The indications for the use of this medicine given
under the article on “Dropsy of the Chest” should be consulted,
together with the article on “CHARACTERISTIC EFFECTs,” under the
appropriate heading.
Dose: Against acute symptoms give two globules in a teaspoonful of water,
every half hour (or, in very urgent instances, at intervals of half an hour),
until a degree of reaction becomes apparent, subsequently extending the
intervals to three, six, or even twelve hours, according to the greater or
less urgency of the case. In chronic cases, give three globules in a tea-
spoonful of water, night and morning, for a week (or until the earlier de-
velopment of marked change); then pause six days, after which resume
the course as before, and so on, from time to time, until very decided
amelioration or change.
Apis mellifica should be administered in cases in which the dropsy
is characterized by great Soreness of the muscles of the abdomen;
stinging, burning pains in different parts of the body; the urine is
scanty and of a very dark color; great difficulty in breathing, partic-
ularly when lying down, even leaning backwards causes a suffocative
feeling. The article entitled “Dropsy in the Chest” should likewise be
consulted, together with that on “CHARACTERISTIC EFFECTs.”
Dose : In every particular as directed for Helleborus niger.
Apocynum cannabinum is a medicine which has frequently
proved of great service in dropsy of the belly, and in general dropsy.
It is particularly indicated in cases where there is a sinking or gone.
feeling at the pit of the stomach, with great irritability of the stomach,
to such an extent that even a draught of water is not retained; the
37
578 IDROPSY.
urine is scanty, and muddy in appearance. The article on “Dropsy
of the Chest,” and that on “CHARACTERISTIC EFFECTs,” should be
consulted.
Dose : In every particular as directed for Helleborus.
Mercurius is occasionally of much service in some chronic cases
of Dropsy of the Belly, dependent upon organic diseases of the liver,
spleen, &c., especially when characterized by great debility, short,
shaking cough, &c. Or again, in acute cases of general dropsy,
attended with oppression at the chest, incessant, short, and extremely
fatiguing cough, or in the chronic form associated with derangement
or organic disease of the liver; and further characterized by general
heat, prevailing thirst, and great weakness.
Dose: In every respect as directed for Arsenicum.
China is useful in cases of Dropsy of the Belly, dependent upon an
enfeebled condition resulting from excessive loss of blood, or of other
animal fluids. Or again, in those cases which are associated with or-
ganic disease of the liver or spleen, (more especially the latter,) and
which are further characterized by short, distressing cough, with, or
without expectoration, extreme paleness of the skin, general chilliness,
small, feeble, and slow pulse, frequent urging to pass water, either
resulting in very scanty discharge, or sometimes totally ineffectual.
China is also of service for the treatment of cases of general dropsy,
which have resulted from excessive discharge of blood, whether natural,
accidental, or artificial, or from protracted diarrhoea or dysentery.
Dose : In every respect, as directed for Arsenicum.
Ferrum should be administered six hours after the last dose of
China (as regards the parocysms), or six days after the last dose (as
regards the general treatment), in cases in which the last-named medi-
cine has been productive of inadequate or barely perceptible benefit.
Ferrum is, moreover, well indicated in cases of Dropsy of the Cellu-
lar Tissue, or of general dropsy, characterized by a pale, sickly, and
cadaverous hue of the skin, or by pricking and shooting pains in the
parts affected with dropsical swelling.
Dose : As directed for Arsenicum.
Bryonia is of much service in cases of Dropsy of the Cellular Tis-
sue, or of general dropsy, particularly in those of an acute or inflam-
matory character, whether occurring as a primary disease, or otherwise,
but especially, if provoked by incautiously drinking quantities of cold
water when heated ; and further characterized by great oppression at
the chest with acute pricking pain during a full inspiration, and by
increase of the dropsical swelling during the day and diminution at
night; these symptoms being associated with constipation. Bryonia is
also of service in cases of dropsical swelling which occur during an
attack of inflammation of the lungs.
JDose : In all particulars as directed for Helleborus niger.
Phosphorus is principally of service in the treatment of Dropsy
of the Cellular Tissue, or of general dropsy, accompanied with inflam-
mation of the lungs.
Dose : As directed for Helleborus.
SCROFULA. 579
Sulphur is of pre-eminent service in completing the cure, in almost
all instances in which this disease occurs in persons of a marked scrof.
ulous habit of body; or, in which it has been incidental to foregoing
acute and inflammatory diseases, or when other medicines apparently
offering a very closely specific analogy to the symptoms of the case ap-
pear to be limited in their efficacy, in which instances, Sulphur should
generally be employed as an intermediary remedy.
Dose: If of Sulphur, as an intermediary remedy, give six globules in a table-
spoonful of water, the first thing in the morning, fasting, repeating the
dose after the lapse of twenty-four hours; then pause four days, and
return to such treatment as may appear distinctively appropriate. Other-
wise and for consecutive treatment, of either of these medicines, give a sim-
ilar dose every morning, the first thing, fasting, for ten days (or until
earlier change); then pause a week, after which the course may, if
necessary, be repeated as before, and so on, until decided amelioration or
change.
Additional Particulars.
For additional particulars, refer to the foregoing details relating to
Dropsy of the Chest, at pp. 572–574.
Diet and Regimen. In acute and inflammatory cases, the diet
and general treatment should be such as has been detailed under the
general head of “FEVER.” In chronic cases, the particulars de-
tailed, in the article on “JERADICATIVE TREATMENT,” at pp. 88–89,
should be consulted. iº
SCROFUL.A.
By the term Scrofula, we understand not only, as is popularly imag-
ined, a particular disease affecting the glands and terminating in ulcer-
ation, — but rather a general morbid condition whose universal charac-
teristic is debility or want of tone, and which operates as a very
constant predisposiny cause to every variety of disease, especially to
such as assume a malignant character during their acute stages, or to
such as have a tendency to degenerate into protracted and chronic
affections ultimately resulting in organic disease, or disease with alter-
ation of structure.
Scrofula, therefore, may generally be defined as the great parent
of disease. It may remain latent or passive until its mischiefs are de-
veloped by the co-operating influence of some exciting cause of disease,
or it may continue to affect the system generally in a marked and ob-
vious manner, without, however, any definite development; or, again,
may assail particular parts in a distinctly characteristic manner:—as,
for instance, when the glands become enlarged or ulcerated, or the bones
become affected with curvature or other unnatural developments, or
when decay and CONSUMPTION settle upon some important organ, such
as the Lungs, &c.
From the almost universal prevalence of Scrofulous disease in some
form or other, from the well-known fact of its sparing in its ravages
neither age, sex, nor condition, and from its assumption of so many
and such different appearances, it certainly becomes a matter of the
utmost importance to obtain as intimate a knowledge as possible of its
580 SCROFULA.
causes, nature, and symptoms. As far as the morbid structure and the
concomitant symptoms are concerned, very great progress has been
attained, yet but little has been done in the investigation of the remote
causes, or towards our determination of what may be considered the
Scrofulous constitution. This is the more to be wondered at as from
the remotest period we meet with constant allusion to what they called
the Scrofulous habit of body, or the Scrofulous temperament. Now,
though experience has fully proved that no original temperament, com-
plexion, or make of body, confers immunity from the invasion of
Scrofulous disease, still it must be admitted that there are certain traits
or physical peculiarities which may be fairly assumed as characteris-
tics of the Scrofulous constitution.
Characteristics. These may be enumerated as follows:—Extreme
whiteness and fineness of the skin, with a remarkably fair complexion,
light, silky hair, long, shining eye-lashes, watery, and often blue eyes
with dilated pupils; it is to be observed, also, that the skin is peculiarly
irritable even on the application of the slightest causes. Scrofulous
children, for instance, are more liable to chilblains, which are to be
observed on their hands; and in Scrofulous persons the application of
a blister is frequently followed by the eruption of pustules on the sur-
rounding skin.
The form of the body also is, in general, soft and rounded, owing, no
doubt, to a full development of the cellular tissue, which effaces all
lines and muscular prominences. Scrofulous persons often present the
aspect of a florid habit and full robust health ; the external surfaces
often present to the eye an appearance of firmness and elasticity,
though when examined by the touch, they are found to be soft and
flabby; the countenance, which is generally full and rounded, presents
an expression of softness; the cheeks, presenting a bright, roseate hue,
form an almost brilliant contrast with the white skin; the teeth, which
are of a pearly white color, evince a tendency to premature decay; the
lips, more especially the upper, are usually swollen ; further, the upper
lip is, in general, chapped in the centre. The Scrofulous habit is,
ordinarily, deficient in stamina. Children possessing this constitution
are familiarly known as feverish children; the least irregularity of diet
or exposure to cold or moisture throwing them into a state of febrile
excitement. Their frames betray an undue proportion of irritability,
and they are peculiarly prone to attacks of inflammation. In Scrofu-
lous persons the conjunctiva (or mucous membrane which covers a por-
tion of the eye and lines the eyelids) is very liable to inflammation,
and the mucous membrane of the intestines is soon and easily irritated
and diarrhoea thus produced. In such persons, also, the mucous secre-
tions are very copious, and often acrid, various portions of the mem-
brane themselves thickened ; whence arise excoriations of the nostrils
and of the upper lip, with swelling of these parts. So irritable has the
skin of Scrofulous children been observed to be, that barely washing
them with scented soaps has been known to produce the appearance of
a pimply eruption. Most Scrofulous subjects are of small stature, and
have slender limbs; still it must be remembered that multitudes of
Scrofulous subjects are met with of a very different description,--indi-
SCROFULA. 581
viduals remarkable for their lofty stature and apparent strength, as
also for the symmetry and beauty of their persons.
The moral and mental faculties of such persons are oftentimes rather
of an agreeable cast, though frequently accompanied by irritability
and impatience. The temper is hasty and irritable; the desires and
the passions are ardent, the intellect, in early age, is lively, full of viva-
city and cheerfulness; the perception is keen; the imagination pre-
dominates over the judgment; nothing is more striking than the
ready appreciation of thought and feeling in children of this constitu-
tion; there is generally found to be, however, in such persons, a defi-
ciency in firmness.
Such is the ordinary description given of the Scrofulous constitution;
it corresponds pretty closely with that which has been called the san-
guineous temperament. Some there are, however, who will have it, that
the melancholic is also characteristic of this disposition, and, no doubt,
there is much truth in this opinion. In such persons the complexion
is dark, the skin harsh, and the habit indolent; the countenance is
swollen and pasty, and all the functions of the body are indolent and
sluggish; the nervous energy is feeble, the feelings obtuse, and both the
moral and intellectual powers occupy but a low rank.
The best pathologists are agreed that, in this temperament, the worst
forms of Scrofula are to be met with. Others, again, will have it that
the scrofulous constitution is more exclusively confined to the lymph-
atic or phlegmatic temperament. This temperament is character-
ized by a fineness and whiteness of the skin, roundness of form, want
of firmness in the chest, muscular feebleness, and apathy of mind; all
of which, however, present a condition perfectly consonant with health.
Whatever may be the relative frequency of this morbid condition in
different constitutions, it is evident from what has been just said, that
no one particular temperament can strictly be called scrofulous. Still
there really do exist certain characteristics, by which an inherent pre-
disposition to scrofulous disease is indicated, and any state of the
system, which, under certain exciting causes, is liable to its develop-
ment, may be fairly called the scrofulous habit of body. These char-
acteristics, it may be observed, are progressive, and are generally more
marked and striking when this morbid condition is hereditary in its
origin than when it is acquired.
The general form of the body is rather deficient in proportion and
symmetry, the head being relatively larger than the trunk (as for
instance, in Rickety children, &c.), and the limbs small with large
rounded joints; the belly is also generally prominent. In those who
are dark-complexioned, the skin becomes sallow, whilst in those who
are fair, it bears some resemblance to blanched wax. The skin is very
thin in texture, and the veins are seen ramifying beneath it; —it rap-
idly shrinks away under privation, fatigue, or disease; but these effects
are soon recovered from, and its previous state of fulness is quickly
restored. The powers of the body are extremely inadequate to the
idea formed of them from viewing its external appearance; fatigue is
very soon felt; the circulation is feeble, as marked by a weak pulse
and cold extremities. The state of the circulation may be said to form
582 SCROFULA.
an element in the Scrofulous habit. The powers of digestion are also
observed to be very feeble; the bowels, for the most part sluggish, are
in general irregular; the discharges from the bowels, more especially
in infancy, present an unhealthy character; the urine is in general
scanty and turbid ; the secretions from the skin are very irregular,
being sometimes suppressed, at other times excessive. It is a remark-
º fact, that Scrofulous children indulge in protracted and profound
sleep.
History and Progress of Scrofulous Disease. For getting
a more correct idea of SCROFULA, it may be as well to consider it in
its different forms and stages of development; and first (1) we shall
view it in its simple, uncomplicated, and ordinary forms, which may
be divided into three distinct stages, supposing the morbid condition to
advance progressively, and to assume the character of active disease,
and next (2) as it shows itself in particular organs, when it may assail
one or more important organs simultaneously, and assume the charac-
ter of various organic diseases in its progressive development.
(1.) The Simple Form. First period or stage. —What we shall
here consider the first period of the simple form of the morbid condi-
tion in question is the period of the disease which has been particularly
overlooked. We have already observed, that the countenance, to an
indifferent or inattentive observer, generally presents the appearance
of good and excellent health ; on a more attentive observation, this
impression will be discovered to be deceptive, the cheeks being found
to be loose, soft, and flaccid. . The countenance is often observed to be
indicative of great distress, if very keenly observed; it assumes a hag-
gard and worn expression. In the progress of this state, the appear-
ance of the countenance becomes changed; it now puts on a jaded and
distressed aspect. In this early stage nothing is more distressing than
the great liability to colds and slight feverishness. Inflammatory
action is most readily excited in the various portions of the mucous
membrane. Frequent perspirations are complained of, which alter-
nate with a dry feverish state of the skin. The mucous membrane of
the nose becomes thickened and inflamed, discharging a thin, acrid
matter. The air passing through with difficulty renders it necessary
for the patient to breathe through his mouth. The inner membrane
of the eyelids is frequently irritable and inflamed ; the eyelashes also
drop off, and leave the eye unprotected.
On the accession of this stage, we observe in those of a sanguineous
temperament an exaltation of the intellectual powers. The perceptive
power is quickened; whilst in subjects of the phlegmatic temperament
the natural dulness of perception is increased, and the tendency to
inaction and sluggishness becomes more marked. The irritability of
the nervous system becomes more aggravated. The sleep also becomes
disturbed with dreams.
Second stage or period.—The next period, and one which occurs be-
tween the second and twelfth years of life, is characterized by indolent
swelling of the glands, cellular system, and joints. These ordinarily
occur, at least in the milder forms, in the form of small rounded tumors,
movable under the skin; it may be observed, that an effusion of fluid
SCROFULA. 583
is often perceptible, exterior to the body of the gland, circumscribed
by the adjacent cellular membrane. The glandular swellings are soft,
with a feeling of elasticity. Their ordinary seat is the neck, under
the chin and ears. The joints of the elbows, fingers, toes, knees, &c.
become swollen, and at times stiff.
Whether it be the glandular or the cellular tissue, or the joints them-
selves, that are thus affected, there is every reason to suppose that they
pass through all the stages of inflammation; but it is deserving of re-
mark that, in each stage, phenomena are exhibited which are peculiar
to the scrofulous habit. These swellings are not ordinarily attended
with the same degree of heat or pain as we find in common inflamma-
tion. The lymphatic glands of the neck are those most frequently the
seat of this inflammation; sometimes only a few of them in number,
Sometimes several. These tumors are very variable in their size, being
one day more prominent and tense, and the next more sunk and flac-
cid. The lymphatic gland, when first affected with Scrofula, is soft and
fleshy, and its size is increased ; the texture then becomes firmer, and
the color paler than in health.
Third period or stage.—As the disease proceeds, portions of the gland
are observed to have altogether lost their flesh-color, and acquired a
degree of semi-transparency, and a texture approximating to that of
cartilage ; at length a deposition of soft white or yellowish, curd-like
substance, is found to have taken place, and the true scrofulous deposit
now becomes manifest. This, which may be considered as marking the
third stage, is further characterized by lancinating pains, febrile ex-
citement, &c. Some portions of the skin covering the inflamed part
become pale, and one or two openings spontaneously occur, by which
fluid is poured out. This fluid, though like ordinary matter at first,
differs from that which is discharged from a common abscess. As the
discharge continues it becomes less thick, until at length it assumes the
appearance of a sticky, watery matter, intermixed with white matter,
resembling the curd of milk. The period of suppuration is arrived at
in three different modes. In the first mode we have an early effusion
external to the gland. The fluid discharged, when the abscess bursts,
consists of flakes of a coagulable lymph, swimming in a half-matter-like
fluid. This matter is formed externally to the gland, so that when the
skin and cellular membrane are absorbed, the cavity of the abscess is
very superficial, and the tumor continues almost as prominent as be-
fore the discharge of the fluid. In the second, the progress of the
ulcer is marked by simple enlargement of the substance of the gland,
or of the adjacent parts, caused, of course, by the pouring out of coagula-
ble lymph. In the third species, the abscess is formed in the substance
of the gland, and a part of its walls must be absorbed before ulceration
can take place.
In the cellular tissue beneath the skin, the scrofulous affection generally
presents itself under the form of chronic inflamed tumors, passing into
abscess. The matter of these abscesses is like to that found in scrofu-
lous glands in general. The abscesses immediately under the skin may
form on the hairy scalp, neck, chest, or belly. The contents of these
584 SCROFULA.
abscesses frequently become chalky, especially when the course of the
abscess has been rather indolent. *
Characteristics of the Scrofulous Ulcer.—The characteristics of the
scrofulous ulcer are as follows:–Its margins are smooth, obtuse, over-
lapping, and hard, presenting a dull-red color; the surface of the sore
is of a light red; while the granulations, somewhat like to raw flesh,
are flabby, and display a glossy appearance. The discharge is thin,
somewhat ropy, abundant, and contains in it curdy flakes.
Such may briefly be set down as the ordinary form of the simple
Scrofula.
(2.) Complicated Forms. The affections, however, may assume
a variety of modifications; many of what are called the eruptive dis-
eases are deemed essentially scrofulous, from their oftentimes accom-
panying the affection. The fact, however, of their being unattended
by scrofulous deposit would appear to exclude them from the place of
scrofula.
In the Mucous Membrane. —The various portions of the mucous
membrane are a very frequent seat of scrofulous affections. The scrofu-
lous deposit has been frequently seen on the free surface of this mem-
brane, it being sometimes found deposited in the air-cells. iº
The Nose.—The mucous membrane of the nose is often attacked
very severely, commencing with a trifling swelling and redness about
the wings of the nose, attended by a discharge which blocks up the
nostril. The discharge is very thin, like matter, and gives off a very
offensive odor.
The Primary Organs of Digestion.—The mucous membrane of the
digestive tube is very likely to be the seat of Scrofula. Small spots
of ulceration, of a decidedly scrofulous character, are met with on the
surface of the throat and gullet, or the tube leading down into the
stomach. There is a form of indigestion which is considered to be
peculiar to persons of a scrofulous habit of body.
The Serous Membranes.—As well as the mucous membrane, so also
the serous membranes are subject to tuberculous or scrofulous deposi-
tions. Of this we have numerous instances in the serous membrane
belonging to the brain; to that investing the lungs; to that covering
the solid and membranous intestines contained in the belly, as well
as the stomach and intestines generally, the liver, spleen, &c.
The Synovial Membranes of Joints and the Bones.—The smooth mem-
branes covering the joints, called synovial, are sometimes the seat of
scrofulous disease. The bones are as frequently affected with scrofu-
lous disease as any other parts of the body. In persons carrying about
with them the characteristics of the scrofulous habit of body, the bones
are observed to be more slender; and what is a matter of every-day
observation is, that it is the soft and spongy bones that are the more
frequently attacked by Scrofula—as, for instance, the heads of the
long, cylindrical bones, as of the leg and thigh, the bodies of the spinal
bones, or those bones constituting the back-bone.
The Joints.—When scrofulous disease attacks the joints, the affection
is very insidious, there being so little local uneasiness as scarcely to
call attention to the part affected. As the disease, however, becomes
SCROFULA. 585
more established, the symptoms become more marked; a dull, heavy,
constant pain, which, though felt to be deep-seated, is neither increased
by pressure nor aggravated by motion.
The Lymphatic Glands. –The lymphatic glands were once thought
to be the peculiar, nay, even the exclusive seat of the scrofulous poi-
son; we have already seen that such is not the case. The glands more
ordinarily so affected are the submaxillary (or those under the lower
jaw), and the sublingual (or those under the tongue); sometimes the
parotid gland (that is, the gland near to, and anterior to the ear,) and
the tonsils are attacked. When scrofulous habit is well marked, the
tonsils seldom escape being affected. A large number of glands, situ-
ated in the belly, or that portion called the mesentery, are frequently
affected with scrofulous disease. To enlargement of these glands we
are to refer the tumid belly so often observed in children.
The Lungs. – When Scrofula attacks the lungs, it gives rise to one
of the most serious diseases to which man is liable—viz., PULMONARY
Or TUBERCULAR CONSUMPTION.
Characteristics of Hereditary Scrofula. According to Lugol,
the hereditary transmission of scrofulous disease may be recognized
chiefly by the two following characters: 1st, the general occurrence of
the disease in the family affected ; and, 2dly, by the mortality which it
occasions. *
The first and most striking fact in the study of scrofulous diseases is
the frequency of their occurrence in the family affected. There is, how-
ever, one circumstance to be observed in scrofulous families at first sight,
which is a certain comple.cion or physical constitution common to all
the children; which is called the family constitution or temperament.
This it is which first reveals the fatal predisposition to Scrofula. I have
already, however, said sufficient regarding the physical constitution of
those bearing about them marks of the scrofulous habit (in the fore-
going part of this article, at pp. 580, 581), and have, I believe, entered
sufficiently into detail on that subject when giving the characteristics
of the scrofulous habit. According to Lugol, we are fully warranted
in inferring the scrofulous habit of body, in several individuals, from
the fact of knowing that Scrofula has existed among their progenitors.
And it is especially in considering this hereditary character of scrofu-
lous disease that I am compelled, as it were, to recapitulate some
remarks which I have already made, in order to maintain their connec-
tion with such other phenomena as now come under consideration. I
should therefore repeat, that scrofulous families may be at once recog-
nized by the general aspect of debility which pervades the children;
their scale of health is at the best negative, and totally deficient in the
attributes of robust and healthy organization. There is always a want
of harmony in the external configuration of scrofulous children; their
trunk and extremities are not proportionably developed, but the limbs
are either too long or too short, with large joints, and are awkwardly
attached to the body. “The median line,” says Lugol, “is frequently
not in the centre, the lateral halves of the body appearing unequal,
and, as it were, improperly joined together.” This conformation, which
depends on irregular development, is of the worst augury, as far as
586 SCROFULA.
regards future disease. It is not uncommon to observe a want of union
in one or more portions of the median line, as in cases of hare-lip, fis-
sured palate, and deficiency in portions of the fibrous line which is
observed to divide the belly. In certain scrofulous children the chest
is keel-shaped, the different portions of the breast bone being distinctly
visible beneath the skin and tilted forwards. In such cases the ribs are
variously distorted, and the diameter of the chest from before back-
wards greatly exceeds the lateral.
This mal-conformation may, in favorable cases, improve progressively
between the ages of eight and twelve; and even if the change does
not take place at this period, we may still hope that puberty will oper-
ate beneficially in remedying the deformity. This abnormal condition,
however, is more commonly persistent, and, by preventing the due ex-
pansion of the lungs, plainly shows that the taint of Scrofula has struck
deep root into the system.
The physiognomy appears to be in advance of the age during the
period of infancy alone. A sort of nonchalance or mental apathy is a
frequent characteristic of this constitution. Scrofulous children are
also subject to a spontaneous feeling of lassitude, which repose rather
aggravates than relieves: — they sometimes awake more fatigued than
they went to bed. The same thing is a matter of frequent observation
in Consumption of the Lungs.
It may be laid down as a general rule, that scrofulous subjects, or,
more properly speaking, those in whom Scrofula is a morbid condition
of inheritance, and is very predominant, are impatient both of bodily
fatigue and mental disturbance. They possess, in many instances, con-
siderable intelligence, but rarely the powers of application and concen-
tration of ideas; they are devoid of energy, whether physical, intellec-
tual, or moral; there is nothing natural or healthy in their whole con-
dition; they have neither strength nor powers of endurance;—in a
word, as Lugol forcibly expresses himself, all the phases of their exist-
ence are abortive, – they know neither puberty nor manhood, the dif.
ficulties which oppose themselves to their development are endless; —
they are beings physically and morally incomplete.
Pathological Causes.—Some medical writers state that Scrofula has
been introduced into the system with the matter of smallpox. The
best medical men, however, discard this view. Others state, that Scrofula
may be communicated to a child by a scrofulous nurse: – such a nurse
is certainly objectionable for many reasons. Others, again, have sup-
posed that the syphilitic virus has been a cause of Scrofula. These
opinions are not entertained by some of the best writers, or the most
experienced practitioners on the subject.
External Causes. – The eacternal causes of Scrofula are certain pecu-
liarities in diet, place of habitation, and atmosphere. That bad diet is
considered as likely to produce Scrofula, is easily conceivable, as any-
thing likely to induce debility is sure to do so —however, we are dis-
posed to think that the effects of diet in causing this disease have been
much exaggerated.
Habits. –Want of cleanliness has been set down as an exciting cause;
and its mode of operating is said to be by its opposing free transpira-
SCROFULA. 587
tion. We see the disease, however, occurring in those who cannot be
charged with uncleanliness.
Atmospheric Vicissitudes, Heat, Light, &c.—The nature and variation
of the atmosphere have with much probability been said to exercise
considerable influence in the production of Scrofulous affections;– with
much probability, we say, seeing that it is the medium by which heat
and light, moisture and electricity, all such important agents, as regards
the animal economy, are applied to the system. Humboldt thinks that
a diminution of electricity in the atmosphere concurs to the develop-
ment and progress of Scrofula. On this subject, further observations
are still wanting. The beneficial results of solar light are universally
admitted in Scrofulous cases; whilst it strikes us very forcibly, that the
want of sufficient light must constitute one of the external causes which
produce those deviations of form in children affected with Scrofula,-
a conclusion which is supported by the observation, that this disease is
most prevalent in poor children living in confined and dark streets.
Baudelocque attaches great importance to the agency of light in the
bringing up of healthy children.
Baudelocque thinks that temperature, of itself, exerts no influence
in the production of Scrofula, for it obviously is not a disease either of
warm or cold latitudes, as it occurs most commonly in temperate cli-
mates. We can scarcely doubt, however, that temperature and moisture
combined, do exercise considerable influence on health. A temperate
and moist climate presents the condition which is likely to render it a
source of disease generally, but especially of Scrofula. The influence
of vitiated air has been acknowledged by many as exercising consider-
able influence on the occurrence of Scrofulous disease. Baudelocque
insists much on the great influence of vitiated air in the production of
this morbid condition.
PREVENTIVE AND ERADICATIVE MEASURES.
Additional Particulars at pp. 83–89.
In the General Introduction to this Work, I have already devoted
some space to, and laid great stress upon, the Preventive and Eradica-
tive methods of treatment, which are so valuable in obviating the mis-
chiefs of an inherent predisposition to disease, or in removing or modi-
fying the activity of the Scrofulous habit when that has actually been
induced or developed.
As, however, there are some few more remarks, which I think it
advisable to add to what has already been said upon the subject, and
as no question is of more vital importance to the well-being and physical
comfort of families as well as the dispersion of morbid moral sentiments 80
often dependent upon some of these physical causes, I do not think I can
exceed the limits of my space in dealing with this subject, and I shall
accordingly resume. In the prevention of this affection, we may sug-
gest the observance of the following rules as possessing no slight influ-
ence. Where a scrofulous taint obviously exists in the mother, the
state of her health during pregnancy should be attended to with the
utmost care; that wherever either or both parents evince a taint, or at
least, any appearance of the scrofulous predisposition, on the birth of
588 SCROFULA.
the child, preventive and precautionary measures must be adopted from
the earliest infancy in bringing up the child. When there is no appear-
ance of predisposition, whether in the father and mother, or in the col-
lateral branches of the family of either, those external causes above
enumerated must be sedulously removed.
In the case of a child born of scrofulous parents, every means must
be adopted regarding food, air, clothing, &c. If the father alone is
affected, and the mother is in every respect qualified to nurse, the infant
should be nursed by her in preference to any one else.
When a wet-nurse is employed, she should not have given suck to her
own child more than a few days; and she during the time of her nurs-
ing, as well as the infant, of course, should occupy large, airy rooms;
she should attend most carefully to the state of her stomach and bowels.
The infant should be weaned at the end of nine, or at farthest twelve
months, as the nurse's milk after twelve months becomes too poor for
the infant. After this, the food should consist in a great measure of
cow’s milk, with light nutritious matters taken from the vegetable king-
dom; and with the slight addition of broth. s
The clothing of infants is of the utmost importance; their clothing
should neither be excessive nor deficient; — to the same end, it will con-
tribute much to keep the organs of the circulation and respiration in a
state of vigor, by sufficient exercise in the open air, by living in well-
ventilated apartments, and keeping up a healthy condition of the sur-
face of the body.
The beneficial effects of fresh air are of great importance— the rooms
should be large and airy, well ventilated, and not too many inhabiting
them ; there should be no curtains to the child’s bed or cot.
GENERAL TREATMENT.
In respect to the general treatment of scrofulous patients, I have
already entered into some detail on the method which has proved chiefly
effectual, and of which Homoeopathy alone is capable. The general
article on Preventive and Eradicative Treatment, but more especially
the latter portion, was essentially devoted to this particular branch of
treatment. To avoid repetition, therefore, I would briefly refer the
reader to the article in question, at pp. 78 – 89.
With respect to the various dependencies, and the many groups of
affections which appertain to the extensive order, recognized under the
head of Scrofulous Disease, among which may be enumerated Rickets,
Dropsy of the Brain (under the head of “Diseases of Infancy,” &c.),
Green Sickness (under the general head of “Diseases of Females”),
Pulmonary Consumption, Hip Disease, White Swelling of the Joints,
Scrofulous Ulcers, Scrofulous Enlargement and Ulceration of the
Glands, Affections of the Knee, Affections of the Nose, Abscesses, &c.,
Scrofulous Inflammation of the Eyes and Eyelids, Swelling of the Lips,
&c., &c., and the host of other diseases, particularly such as assume a
chronic, intractable, or malignant character, and which have been con-
ventionally enumerated as off-shoots of this afflicting malady, - the
reader is, for obvious reasons, referred for the treatment to each indi-
vidual disease, as separately considered in its own proper place, in the
foregoing or succeeding portions of this work.
DISEASES PECULIAR TO TROPICAL CLIMATES. 589
IDISEASES PECULIAR TO TROPICAL CL.IIMATES.
PRELIMINARY REMARKS.
THE successful practice of Homoeopathy has gradually extended its
beneficial influence to the tropics, and will, doubtless, before long, be
very generally adopted by the natives of temperate climates, whose call-
ing requires their emigration, whether temporarily or permanently, to
regions immediately under the influence of a vertical sun, rapid and
exuberant vegetation, and yet more rapid and noxious decomposition.
The growing necessity for some directions, which might be available
to the Missionary or Emigrant, who may be placed beyond the reach
of any professional assistance, and still more beyond that of Homoeo-
pathic medical aid, and the strong solicitations which have been com-
municated to me, have induced me to attempt a brief and familiar outline
of the management of Tropical diseases, in the hope that it may answer
the purpose to which it is devoted. Fortunately, indeed, the broad
expanse of the United States, embracing, as it does, tropical as well as
temperate climates and districts, which are peculiarly subject to some
of the most dangerous endemic diseases of the teeming swamps, in re-
gions extending, for several degrees, northward and southward of the
Equator, and the extension of homoeopathic practice in India, have
furnished some important materials for our assistance, in addition to
those which have reached us from other quarters.
It will be readily observed, however, that the recapitulation of any
disease which has already come under consideration in the preceding
portions of this work, would be wholly unnecessary, except in so far as
particular precautionary measures may be appropriate in a hot climate,
which would hardly be applicable to the general consideration of such
disease as it is known elsewhere. And the great bulk which this
work has already necessarily attained, renders it additionally neces-
sary that I should be as brief in my details respecting tropical diseases
as I can be.
I trust, however, that, limited as this part of the work will necessarily
be, when duly compared with other portions in which diseases of an
analogous description are considered, it will be found to render some
Service.
GENERAL PRECAUTIONS TO BE OBSERVED IN A TROPICAL CLIMATE.
Food and Drink.
1. One of the first and most important precautions which should be
observed by the natives of temperate zones, upon proceeding to a trop-
ical climate, should be to reduce the proportion of animal food, and to
abstain from stimulating articles of diet, in fact to maintain a regular,
simple, nourishing, but very plain diet.
2. A second, and no less important precaution, is to abstain entirely
from all stimulating beverages (especially fermented or spirituous
liquors). Water is the only wholesome beverage. Water-drinkers
590 DISEASES PECULIAR TO TROPICAL CLIMATES.
have invariably been found less subject to the frightful diseases of the
tropics, and less seriously affected when attacked. This is more espe-
cially applicable to the first year or two of residence. After this, how-
ever, and when, owing to the excessive loss of animal fluids, which is
generally attendant upon the first visit to a hot climate, the patient has
become somewhat exhausted in system, the occasional use of very weak
brandy- or wine-and-water may be allowed.
3. The water used as a beverage should not be artificially chilled as
a general rule, or only slightly so; and never, when drunk immediate-
ly after violent exertion, or when, from any other cause, the perspira-
tion is profuse. The habit of drinking iced water is likely to be very
prejudicial under such circumstances. *
4. The meals should be taken at regular hours, and consistently
with the peculiar effect of the climate upon the system. The first meal
should be taken about sunrise, and should be very plain. Animal
food should not be allowed at breakfast. The second meal or dinner
should be taken about noon, that is, about the period selected for the
“tiffin' in India; but the addition of a late dinner is not only super-
fluous, but very mischievous; and the third meal, which, like break-
fast, should be a very light one, consisting chiefly of fluids, such as
weak black tea (in the instance of those who have been habituated to
the use of this beverage), very thin cocoa, &c., should follow the second
after the lapse of from four to six hours.
5. Fruit should be very sparingly and cautiously taken, particularly
by the recent resident; cocoa-nut milk should be very cautiously al-
lowed; excess has often proved most prejudicial.
6. The new resident cannot be too strongly cautioned against occa-
sional transgression in respect of food or drink which may seem to be
warranted by his habitually regular and simple method of living ; for
he is, perhaps, during the first one or two seasons, the more susceptible
to ill-effect, from the absence of the habit of indulgence.
State of the Body — Heat.
7. It is very essential that the body should be kept as cool as possi-
ble, whether by avoiding heavy or excessive clothing, exertion during
the heat of the day, &c., &c., or by the free use of the punkah, or of
some similar appliance during the night. In the heat of the day the
apartment should be cooled, if possible, by means of the simple appa-
ratus called “tatties '' in the East.
Dress.
8. The best stuffs for dress, in a tropical climate, are those of light cot-
ton texture, —such as fine calico. Linen should be avoided. Flannel is
to be preferred to cotton, for climates in which great changes of temper-
ature take place suddenly; in general, however, it is too heavy, too irritat-
ing, and too slow a conductor. An outer-flowing wrapper of fine silk
is often conducive not only to comfort, but to health. Supposing the or-
dinary head-covering of Europe to be used, -a substitute for the protec:
tion of the turban, by means of a cotton wrapper, folded up and inserted
IDISEASES PECULIAR TO TROPICAL CLIMATES. 591
into the hat, would be serviceable; and the habit of wearing some fine
woollen texture (such as a shawl) round the waist, may advantageous-
ly be adopted, especially in districts in which sudden transitions of
temperature are common, or by persons who, either from debilitation
resulting from long residence, from acute disease, or from other causes,
are subject to irritability of the bowels. Above all things the dress
should be quite loose (when that can be contrived without interference
with the avocation). On the whole, as regards India, the European
cannot do better than to follow the example of the native, in respect
of clothing, as closely as he can.
Eacercise.
9. During the heat of the day, that is to say, from three hours after
sunrise to three hours before sunset, in the hot season, exercise is out
of the question. The natives of tropical climates, even, abstain from
any corporeal exertion ; and, if quiescence be requisite for them, it is
doubly so for the European. The expeditions and amusements which
Europeans are sometimes induced to indulge in, in defiance of all cau-
tion, are almost certain preludes of disease. The European should,
therefore, seclude himself in a partially darkened and well-ventilated
apartment (cooled if possible by artificial means), during the heat of
the day, and restrict his hours of exercise to the early part of the morn-
ing, and the cool of the evening. Dancing, which has been a popular
amusement in some parts of the East and West Indies, is by no means a
very prudent recreation. During the rainy season, the life of the Euro-
pean is necessarily rendered, if possible, still more inactive. The pas-
sive motion of the palankeen, and the artificial exercise of the swing,
may, in some cases, do good service.
Rest—Sleep.
10. The comfort of sleep is a great desideratum, which it is often
difficult in the Torrid zone, to enjoy undisturbed; for what with insects
(such as musquitoes), the intensity of the heat, and nightmare, quiet,
undisturbed, and thoroughly refreshing sleep is not easily secured.
Coolness should be induced by artificial means, such as fanning with
the punkah, &c, Sleeping in the open air, even, is desirable is seasons
and in districts in which the sleeper would be secure from the excessive
dews, or from the noxious exhalations of decomposing animal and
vegetable matter (as in the immediate vicinity of marshes, of water-
courses, half dried up, &c.), or from rain, or the influence of the hot
land-winds of some parts of India; that is, therefore, generally in the
hot and dry season of the East Indies, otherwise than when a change,
of monsoon is taking place. The bedding should consist of a light
hair-mattress only, provided with a muslin sheet and coverlet, and with
thin gauze curtains, which will suffice to ward off the insects, or, some-
times, even moisture, without excluding the air. Sound and healthy
sleep, moreover, cannot be expected in hot climates, unless the hours
of resting and rising be early and regular; and, as regards nightmare,
the method of treatment (for prevention), and the general precautions
prescribed under the head of that subject, in the earlier part of this
592 DISEASES PECULIAR TO TROPICAL CLIMATES.
work, should be observed. Fruits, excess of flatulent vegetables, &c.,
should generally be avoided (in addition to the other precautions above
noticed), when the sleep is habitually disturbed by Nightmare.
General Habits.
11. Exposure at night to the heavy dews or exhalations, which are
so injurious in a tropical climate, should be avoided.
12. All the predisposing or exciting causes to endemic disease, which
are, locally, well known, should be avoided.
13. The intense depression, and the exciting or depressing passions,
generally, should be moderated, avoided, or warded off. Excessive in-
dulgence in any way is injurious, and the depression of spirits often
induced by the physical causes which have operated upon the organs
of digestion (in particular), or by the mere monotony, and, sometimes,
real desolation of life, should be tempered by any innocent diversion.
14. The practice of using aperient medicines, especially, under the
foolish idea of securing “regularity of the bowels,” cannot be too
strongly condemned ; and the use of mercurial preparations, which has
long been so popular amongst Europeans in the tropics, is a frequent
predisposing cause to fatal disease.
15. Cold bathing, or thorough ablution, with cold water, twice a day,
is highly beneficial in the majority of cases, and is a powerful preserva-
tive against disease. Ablution with tepid water is sometimes to be
preferred when there has been chronic affection of the Liver; but the
ablution of one kind or the other should be invariably performed every
day when in health.
16. The bedding ought to be exposed to the sun during the day; the
clothing should be changed after any violent exertion; but under-
clothing, which was clean, and has not been discolored by the perspira-
tion, should be dried and worn again.
EFFECTS OF CLIMATE AND SEASON.
The most palpable and immediate effects of hot climates generally
upon the native of temperate latitudes, are developed upon the extreme
vessels of the external surface, and sympathetically upon those of the
biliary system.
The first mischief consists in excess of secretion; the reactionary
result is a proportional deficiency. Whence it is deducible that the
course which tends to moderate secretion, at the onset, is likely to
obviate the subsequent inactivity of those important portions of the
human economy. In both cases the nature of the secretions is not
‘healthy, and is calculated to react upon the entire organism, and more
immediately upon the functions and organs of digestion.
In the removal of any irregularities in the Biliary system, and in effec-
tually obviating other important and more serious derangements which
may follow, it is very desirable that, on their first manifestation, such
incipient indispositions, resulting from the transition from a temperate
or cold to a hot climate, should be efficiently and promptly treated with
the appropriate homoeopathic medicines.
INCIPIENT BILIARY DERANGEMENTS. 593
SITUATIONS, LOCALITIES, ETC.
In respect of the situations, localities, &c., which are particularly
healthy or unhealthy, in certain districts, the local knowledge of those
who have resided in them is most to be relied upon. It is, however, to
be mentioned, generally, that experience, as well as common sense has
indicated the insalubrity of the immediate vicinity of swamps, or of
partially dried water-courses, beds of rivers, lakes, estuaries, or of
periodical floods, especially in those seasons in which the rise of the
water over tracts hitherto uncovered takes place, and in which the dry-
ing-up of periodical floods commences. Hence a certain elevation is
desirable, and it is also advantageous to avoid situations in which the
prevailing winds set directly from such swamps, water-courses, &c.
The luxuriant vegetation of the tropics extending to the very brink
of the sea or of tidal estuaries, such as that of mangroves, exhales
gases which are very deleterious, and which almost inevitably induce
disease whenever they are repeatedly inspired, and often, upon a single
instance of exposure to their influence.
The upper floors of houses, which are above the range of altitude at
which the condensed vapors of the evening float, are, for analogous
reasons, more healthy than basements.
INCIPIENT BILIARY DERANGEMENTS.
Symptoms. Disagreeable taste in the mouth, sometimes of a
putrid description upon first rising in the morning; dark-colored and
hot urination, often with scanty and generally with diminished dis-
charge, and conveying a pungent or burning sensation during the act
of passing water; generally there is a degree of nausea in the first of
the morning, and there is a sensation of general weariness or languor
with extreme disinclination to exert one's self, and sometimes with
particular aversion to mental labor ; the part of the tongue near the
root, and sometimes the centre of the tongue, all along, is slightly dis-
colored by a yellowish or brownish fur; the skin, especially around the
eyes and mouth, is often slightly tinged with a yellowish hue, of which
the white of the eyes occasionally partakes; the bowels are irregular in
their operation, sometimes fitfully relaxed, but more generally costive,
and the evacuations vary in color and odor; they are usually very
offensive; the spirits are unaccountably depressed, the temper is fretful
and irritable; commonly a slight attack of looseness, attended with
griping pains in the stomach and bowels, will be followed by inaction
of the bowels; the appetite is gradually impaired, the sleep becomes
disturbed or interrupted; the patient loses flesh and grows pale, and
there is often a peculiar disliking for fat or greasy articles of food.
TREATMENT.
The medicines which are most appropriate for the treatment of the
various symptoms which may be developed, are such as have been
enumerated, with the particular symptoms indicative of their selection,
in the article on “INDIGESTION,” (pp. 196-222.) *
38
594 IDISEASES OF TROPICAL CLIMATES.
Diet and General Precautions. These should consist of the
strictest observance of the precautionary injunctions already prescribed
(at pp. 55, 56, and, also, very particularly, at pp. 589 – 592.)
PRICKLY HEAT.
Prickly heat is usually to be considered an evidence of good health,
but it is a very troublesome and often a most irritating testimony of
soundness.
Symptoms. It is very difficult to describe the peculiar sensations
known by this denomination; the sensation of intense itching or irri-
tation combined with a peculiar tingling, &c., would be most intelligible
to those who have been the victims of bugs in Europe, but, with the
prickly heat, there are no blains such as those produced by the bite of
those insects. Sometimes an eruption accompanies the irritation, and
more particularly characterizes it; in many respects, as regards its
evolution and disappearance, this eruption (otherwise than in appear-
ance) resembles Nettle Rash, being not uncommonly intensified by the
application of cold water; this eruption consists of bright-red pimples,
usually about the size of a millet-seed, sometimes appearing near the
root of the hair on the upper part of the forehead, but more generally
upon the chest (especially), as well as about the thighs, and often, also,
about the neck and the upper part of the arms. These pimples are
sometimes also observable upon the back.
TREATMENT.
The treatment of Prickly heat resolves itself mainly into the pre-
caution of keeping as quiet and cool as possible, and in avoiding stimu-
lating or hot drinks, which immediately provoke or aggravate its
redevelopment. When very annoying or of long continuance, the
patient should consider the regulations afforded for the treatment of
Irritation of the Skin, at page 446.
DISEASES OF TROPICAL CLIMATES, &c.
DYSENTERY.
The symptoms and treatment of Dysentery in the fatal form in which
it attacks Europeans in hot climates, do not so essentially differ from
such as have already been described at pp. 267 – 273, as to require
a recapitulation in detail. The reader is therefore referred in these
respects to the article in question. But the following precautionary
and accessory measures which may be more especially applicable to
this disease, as it prevails in inter-tropical countries, merit the assidu-
ous attention of those whose calling removes them to such latitudes.
PRECAUTIONS, DIET, AND ACCESSORY MEASURES.
Above all things, the patient, who has had any premonitory indica-
tions of an attack of Dysentery, or who has recovered from an actual
attack, should avoid exposure to the damp atmosphere and heavy dews
ACUTE EIEPATIC DYSENTERY. 595
of a tropical night. The sudden transitions of temperature (from heat
to cold) which take place so remarkably in climates in which the range
is very high, are also most pernicious, and are capable of causing re-
lapse if not of provoking the attack. The sudden check of perspiration
is one of the most frequent causes of the disease, more especially when,
after being heated and perspiring freely, a person sits or lies down
expºsed to a damp or to a very much lower degree of temperature, the
underclothes being saturated with sweat, and thus becomes chilled.
After any exertion or exposure to other causes of profuse transpiration,
the change of the clothing is very essential, especially of such articles
as come in contact with the abdomen.
It has been urged by some writers that the particular condition of
atmosphere which encourages the development of Dysentery is more
decided and pernicious at the periods of new and full moon than at
other times. If this be true, the night air should be especially avoided
at such periods. At all events the caution may not be prejudicial.
The convalescent should wear a thin flannel over the belly and next
to the skin, as a protective resource against relapse. He should also
be very cautious in indulging the appetite to the extent of the desire
upon its return, for excesses or errors in diet are the too frequent
causes of relapse.
Under circumstances and conditions calculated to provoke or en-
courage the development of Dysentery, a very guarded restriction in
diet should be observed, and the most rigid temperance should be en-
joined, and the food should chiefly consist of farinaceous articles, and
of very plain but nourishing broths.
During the continuance of Dysentery (in its chronic form) such
articles as arrow-root, rice, tapioca, Sago, or other unirritating farina-
ceous substances, alone should be allowed.
HEPATIC DYSENTERY.
The author of a valuable work on the diseases of India” has drawn
a marked distinction between the uncomplicated form of Dysentery,
and that which is complicated with marked derangement, and, subse-
quently, with organic disease of the Liver. This variety he has divided
into two distinct forms, the acute or subacute, accompanied with a
highly vitiated state of the bile, and the chronic form which is attended
with organic disease of the Liver itself.
Acute Hepatie Dysentery.
Premonitory Symptoms. General sensation of chilliness, with
an irregular condition of the bowels, and predominant constipation;
coldness of the skin, with sensations of crawling and shuddering,
attended with pallor of the face, and sensations of coldness and discom-
fort in the lower part of the back and round the body, below the loins.
These symptoms are more or less speedily followed by pinching pains
throughout the bowels and the region under the ribs, oppression about
* Annesley.
596 , DISEASES OF TROPICAL CLIMATES.
the chest and stomach, sensation of fulness in the stomach, sometimes
a degree of shortness of breath or even vomiting, and generally extreme
depression of spirits.
Symptoms of the Attack. Dark, offensive discharge from the
bowels, generally becoming more and more frequent, and commonly
abundant at the onset, constantly varying in appearance, color, &c., as
the disease makes progress, but continuing for some time to be, free
from froth or slime, and preserving a dark-green color, or perhaps be-
coming black with the admixture of blood. The stools subsequently
become mingled with watery, slimy, or frothy matter, still, however,
retaining a greenish hue, afterwards becoming of a deep yellow, brown,
or reddish color, or, on the other hand, being rather characterized by
the predominance of watery matter, with the admixture of a greater or
less quantity of blood. The disease is always accompanied with a
greater or less degree of fever, and the restlessness is often intense. In
Some instances a dry, hacking cough prevails, the pulse being quick
and frequent, but generally small. All these symptoms have a
tendency to become worse towards night, when the urging to stool,
which is sometimes excessively troublesome, is more frequent and pain-
ful. There is a scalding sensation attendant upon the discharge from
the bowels, and there is also generally a heavy pain or an uneasy sen-
sation (worse on pressure) about the stomach and region of the liver,
or pains in the chest or in the shoulder-blade on the right side, with or
without tightness and pressure in the right side; headache, shortness
of breath, and extreme anxiety, the urine at the same time being dis-
charged with considerable pain, and being deficient in quantity, and
thick as well as deep-colored. There is generally much thirst, with
preference for cold beverages. The appearance of the skin is variable,
but it is usually dry and harsh, and commonly presents a dingy sallow
appearance. The tongue is also variable in appearance, being at first
usually covered with a yellowish coating, and becoming clean, red,
smooth, and dry, or covered with a dark coating particularly at the
root as the disease progresses. Sometimes a kind of oily perspiration
appears upon the skin, and in these cases extreme nausea or even vom-
iting is apt to occur. Profuse sweats are of common occurrence in the
latter stages.
TREATMENT.
IMercurius, Lachesis, Bryonia, Nux vomica, China.
Looking at the peculiar complications evinced in the course of this
disease, the medicines here quoted are probably amongst those which
would prove of the greatest service in the earlier stages of the disease,
and which might suffice to arrest its progress. The selection must,
however, wholly depend upon the analogy existing between the symp-
toms of the disease and those which specifically belong to each medi-
cine, respectively, as stated in the article on the “CHARACTERISTIC
EFFECTs.”*
Dose: During the premonitory stage, the dose of either of these medicines
should consist of four globules in a teaspoonful of water, repeated at in-
* See also the article on Dysentery, p. 267.
CHRONIC HEPATIC DYSENTERY. 597
tervals of six hours. When the attack is fairly declared, the repetition of
the doses should occur, at intervals, varying from one to four hours,
according to the urgency of the symptoms. Consider also the following.
Acidum phosph., Acidum nit., Cantharides. In cases
which assume an unfavorable aspect, these medicines also may prove of
signal service, as, indeed, the two former have been practically found
to be, in the treatment of most of the diseases chiefly affecting the
stomach and bowels in hot climates. Cantharides, o e other hand,
may prove of service in cases in which the painful discharge of urine
becomes a predominant symptom. The other particular indications of
each may be determined by reference to the article on the “CHARAC-
TERISTIC EFFECTs.”
Dose : Of either of these medicines, as directed in the last prescription. Con-
sider also the following.
Arsenicum, Phosphorus, Sepia, Sulphur. These are also
medicines which may probably be found of service especially in the
treatment of difficult and protracted cases, and of such as appear to be
only partially controlled by the medicines already enumerated. The
selection must necessarily depend upon the indications afforded for each
of these medicines, respectively, in the article on the “CHARACTERIS-
TIC EFFECTS.”
Dose: Of either of the medicines, as directed for Mercurius, &c., above.
Chronic Hepatic Dysentery.
This variety of Hepatic Dysentery is, according to the writers on the
subject, sufficiently well defined, although it is less distinctly charac-
terized, and necessarily more obscure than the acute form.
Symptoms. There is a general and gradual exhaustion of the
vital energy, with extreme depression of spirits and sallow countenance,
with dirty hue of the skin. The general symptoms of derangement or
disease of the Liver as regards the seat of pain, &c., are very often ab-
sent, but there is occasionally a pain as well as a sensation of weight
and tightness in the right side of the chest, below the ribs on the same
side, and extending over the region of the stomach, and even over the
left side. The frequent urging to stool is not so distinct a symptom;
indeed, as compared with that which characterizes the acute form, it
may be said to be very trifling. The evacuations are, however, char-
acteristically dysenteric, and are more or less altered in composition,
color, and consistency in different cases. The straining which is so
prominent a symptom of the acute form of dysentery, and the acute
pains in the belly which accompany it, are very often wholly absent,
and are never so violent or distressing. This insidious form of disease
is the more to be dreaded if the previous career of the patient has been
marked by habitual intemperance.
TREATMENT.
Arsenicum, Mercurius, Phosphoric acid, Lachesis, Sul-
phur, Silicea, Kali c. From the value of these medicines in the
treatment of some obstinate forms of Dysentery, as well as from their great
598 CHOLERA. IN HOT CLIMATES.
value in many, if not in most cases, of suppurative inflammation of the
Liver, which is the chief complication to be dreaded in the chronic variety
of Hepatic Dysentery, it is probable that one or more of them, singly or
successively, might prove of much service in the treatment of the dis-
ease now under consideration. The more particular indications which
may serve to determine the selection of each, respectively, may, how-
ever, be gathered from the article on the “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, three times a day, for a week (or until earlier change);
and subsequently, night and morning, until decided amelioration or
change; pausing, however, for four days, after every course extending
Over a week.
Diet and Regimen. It is to be observed that whilst the greatest
care should be taken to guard the patient against the least transgres-
sion of the general precautionary rules enumerated under the head of
Dysentery above (pp. 594, 595), or against the least errors in diet, &c.,
it is necessary that the system should be sustained as much as possible,
and that such nourishing and very simple articles of food as are found
to be capable of being digested should be used.
CHOLERA IN HOT CLIMATES.
With reference to this disease, which is well known, and of which
the symptoms and homoeopathic method of treatment, &c., &c., have
been considered at length at pp. 276 – 286, it may not be superfluous
to add a few remarks which are more particularly applicable to hot
climates in general, and which may serve as an additional caution to
those who are exposed, during the prevalence of this frightful epidemy,
in countries in which its ravages are still more violent than in our own
latitudes.
Precautions. Above all things, it is most essential to avoid or to
obviate all depressing emotions, which operate strongly as a predispos-
ing cause whereby the susceptibility of the system to the influence of
the epidemy is awakened.
The general rules, prescribed at pages 589 – 592, should also be more
stringently observed; inasmuch as everything which tends to disturb
the general health will render the patient subject to the attack of
Cholera. Too long fasting or excessive fatigue are also to be dreaded,
as well as excesses in eating or drinking. All acts of intemperance are
to be reprehended; and nothing can be more mistaken than the idea
that ardent spirits, and brandy in particular, may serve to obviate a
threatened attack. The use of saline purgatives is another great error;
and many an attack of Cholera is induced by this mistaken method of
seeking to provide against it, by “keeping the bowels free from accumu-
Iations.”
Deficiency of rest is another condition which tends more strongly in
India to induce attacks of Cholera than in our own climate; on which
account it is ever desirable that any interference with proper repose
should be avoided.
Exposure to the heat of the day (Cholera being most fatal in the hot
seasons, and generally in the months of May and June) should be avoided,
INFLAMMATORY OR ARDENT FEVER OF INDIA. 599
and above all, any excessive exertion during the prevalence of great
heat. On the other hand, persons should not be induced, by the fresh-
ness of the evening air, to remain exposed to the dews and chills which
result from the extreme vicissitudes of temperature.
Excess of fruit, acids, and vegetable food (of an indigestible kind),
especially of raw vegetables, is well known in temperate climates to be
provocative of Cholera, and is equally to be dreaded elsewhere.
TREATMENT.
In respect of the treatment, every particular has been afforded in
the former article on the same subject, at pp. 276-286, to which the
reader is referred.
INFLAMMATORY OR ARDENT FEVER OF INDIA.
Characteristics. This Fever, which is apt to be induced by ex-
posure to climatic influences, &c., during the hot season, is usually of
the continuous type, but has also been known to assume a remittent
character. The Brain appears to be chiefly implicated. The disease
is confined to the unacclimated.
Issue and Results. This disease is very rapidly fatal when un-
arrested, and has been known, even, to afford no opportunity for treat-
ment, attacking patients without any premonitory symptoms, and prov-
ing fatal within a very short period. It is a remarkable instance of
the danger and uselessness of the allopathic resources of bleeding, &c.,
such measures being usually followed by fatal results. Even in cases
in which recovery takes place, this disease not unfrequently leaves in-
delible traces of organic injury, and not uncommonly develops a pre-
disposition to Liver disease or to Dysentery.
Exciting Causes. The principal exciting causes are exposure to
the intense heat of the sun, and over-exertion or fatigue during the pre-
valence of great heat.
Predisposing Causes. Intemperance, in the general acceptation
of the term, may be mentioned as the principal of the predisposing
Cà,UlS62S. .*
General Symptoms. The attack is generally sudden, and is
rarely, if ever, preceded by any premonitory symptoms; the skin is
intensely hot, dry, and parched; the thirst is excessive and insatiable;
the Pulse very frequent, and generally full and quick; the face is flushed,
and often also puffed or bloated; the breathing is oppressed and labori-
ous, and there is a great degree of oppression about the region of the
chest and stomach; the brain is principally disturbed, and there is
usually violent pulsation of the arteries of the head and neck in parti-
cular. To these symptoms quickly succeed general indications of
stomachal derangement, and generally vomiting; giddiness, and quickly
afterwards loss of consciousness, sometimes with frantic delirium, or in
other instances inability to move (the tongue being tremulous), and
twitchings of particular muscles, especially of those of the face, may
ensue, succeeded again by involuntary discharge from the bowels, and
evident prostration of the nervous system. In the latter cases the face
600 TYPHOID FEVER OF INDIA.
usually presents a perfectly livid aspect, and the pupils are extremely
dilated, and generally insensible. These symptoms are sometimes pre-
ceded by intense, burning pain in the eyes. Death is sometimes, how-
ever, almost instantaneous, and is almost the first signal of the disease.
TREATMENT.
The treatment would probably be analogous to that prescribed for
“Inflammatory Fever,” to the article on which, therefore, the reader is
referred. The article on “Inflammation of the Brain and its Tissues.”
should, however, be consulted. The principal difference in the method
of treatment should consist in the frequency of the Doses, consistently
with the very rapid course of the disease. The administration may, at
the onset, be repeated every quarter of an hour, until three or four
doses have been given, the intervals being extended as the inflammatory
symptoms become modified.
ACCESSORY MEASURES.
It is absolutely necessary that all articles of clothing which offer
any pressure to the adjacent parts of the body, should be unfastened
and removed; and if the patient be conscious and desirous of drinking,
water should not be withheld.
TYPHOID FEVER OF INDIA.
Characteristic. The fever which prevails in India, during the
cold season, has been appropriately denominated, by authors who have
devoted much attention to the subject, as the “CONGESTIVE FEVER.”
The type of this disease is usually of the continuous character; and,
when it occurs in the remittent form, this is generally to be traced to
mismanagement, or to the protracted continuance of the fever.
General Causes. The fact that few, if any, foreigners, however
circumspect, are exempt from the attacks of this disease, tends to prove
that the causes are very general, and essentially climatic. They may,
in fact, be summed up in the sudden suppression of the excessive secre-
tory processes induced by the effect of the intense heat and moisture
of the hot and rainy seasons.
Premonitory Symptoms. Amongst the premonitory indications
of the Typhoid Fever of the cold season, are, — a sensation of oppression
and fulness in the region of the stomach, which sometimes contºues,
gradually becoming more troublesome, for several days, which may be
accompanied by other indications of deranged digestion, and which is
attended with increasing harshness and dryness of the skin. So slow
and insidious, however, is the advance and development of this disease,
that these premonitory indications too often remain unnoticed, until
finally the symptoms of the actual attack declare themselves.
General Symptoms. As the attack becomes confirmed, head-
ache, more or less intense, prevails; the tongue becomes very foul, often
exhibiting a thick, brownish fur; the appetite, already irregular and
squeamish, becomes wholly suspended; the sleep is disturbed or inter-
rupted, or very uneasy; the pulse becomes quick and frequent, and the
YELLOW FEVER. 601
breathing hurried and anxious; there is intense languor or lassitude,
and the countenance wears an anxious expression. By degrees the
headache becomes worse and worse, until it is almost insupportable;
the stomach-symptoms are generally exacerbated; the urine is cloudy,
thick, and generally high-colored; the belly is distended and tight; the
eyes, sometimes, are tinged with a yellowish hue, and occasionally the
skin, in different parts, manifests the same appearance; the oppression
about the chest and stomach increases; delirium and torpor sometimes
ensue; and occasionally these symptoms are accompanied with retention
of urine. If unarrested, the disease rapidly degenerates into the worst
form of Typhoid Fever, the restlessness becoming intense, the patient
tossing about and moaning, and the yellowness of the surface becoming
more decided. The tongue sometimes becomes excessively dry, and
exhibits a blackish hue in the latter stages. If remissions take place,
which may sometimes occur, they are followed by a return of the attack,
with symptoms of a still more depressed condition. In some instances
vomiting and purging, indicative of an inflammatory or very irritable
condition of the stomach and bowels, or actual symptoms of local in-
flammation in those organs, become apparent.
TREATMENT.
The treatment of this disease would not vary materially from that
prescribed for the treatment of Nervous Fever, or Typhus (as stated
at pp. 98–119.) In referring to the article in question, however, the
reader should be careful to distinguish whether the brain, or the
stomach and bowels, be predominantly disturbed, as these distinctions
have already been prominently drawn,
YELLOW FEVER.
Characteristics, etc. The dreadful scourge, which has been
very generally known by this somewhat inapposite denomination, is of
two distinct descriptions. Indeed, the fever might be said to appear
under other forms; but the two varieties included in the classification
here adopted, involve all the distinction that is practically important.
Thus the one variety is liable to be induced by any accidental cause
which, under a tropical sun, would naturally provoke febrile action ;
and the other is almost purely of epidemic origin, and induced by
such general atmospheric causes as do not relate to individuals, but to
the entire population.
Varieties. From what has just been said, it will appear that we
should divide Yellow Fever into two varieties, according to the type
and exciting cause: —
(1.) The sporadic or continued Yellow Fever, which is of the nature
of inflammatory gastric fevers generally, and which is dependent upon
casual causes; and (2) the epidemic or generally remittent Yellow
Fever, which afflicts all those who are predisposed to the effect of the
poison, or who are accidentally or continually exposed to particular
atmospheric conditions, &c., which may operate partly as predisposing,
and partly as exciting causes. The yellow suffusion of the skin, and
602 YELLOW FEVER.
the black vomit, as it is called, may occur in either case, but are
essential neither to the one nor to the other.
Predisposing Causes. As regards the sporadic variety, the
more generally predisposing causes are irregularities of living, and
derangement of the digestive functions or organs, when these conditions
are brought into juxtaposition and combination with any direct excit-
ing cause. As regards the epidemic Yellow Fever, the chief predis-
posing condition is the effect of the change of temperature (to which
especially a new immigrant is exposed) upon the system; wherefore,
when at all prevalent as an epidemy, Yellow Fever is observed
to attack new comers from temperate climates, or to attack the same
person as often as he may return to a district in which it is preva-
lent. Hence, as a general rule, it has been urged that the action of
an intense heat (the long continuance of a very high temperature upon
those who are casually exposed to the directly exciting cause) should
be considered as the predisposing cause. The Negroes and Creoles are
less liable to its attacks. Europeans and others who have long resided
in a district in which Yellow Fever frequently recurs as an epidemy,
are less liable to be attacked than new comers. Habitual excesses are
liable to predispose to the epidemic variety.
Exciting Causes. As regards the sporadic variety, the following
may be numbered amongst the exciting causes, viz., a chill when heat-
ed, or what may be generally defined as “taking cold;’ excessive in-
dulgence, either in indigestible food, or in fermented or spirituous
liquors; over-exertion, especially if the person so exerting himself is at
the same time directly exposed to the sun. Moral emotions may also
operate as exciting causes. As regards the epidemic variety, want of
due regard to cleanliness and ventilation may possibly operate as
auxiliary causes; and the foulness which accumulates in the holds of
ships, &c., undoubtedly exhales noxious vapors when influenced by the
decomposing processes as they occur in very hot climates, which may
be recognized as capable of becoming one exciting cause. What is
called the marsh poison, or miasm—that is, the exhalations emitted
in the immediate vicinity of the sea-shore, or of swampy grounds, or
wherever the contiguity of vegetation and water occurs, exposed to the
action of intense heat, and rapid decomposition of animal and vegeta-
ble matter is going forward, may be generally named as the chief ex-
citing cause.
Age, Condition, &c. . It is only proper that persons of robust
and vigorous health, and who are young and generally little subject to
disease, should be cautious not to presume upon their strength, but to
be the more careful to avoid undue exposure to any predisposing or
exciting cause, because the young and robust are particularly liable
to be attacked by Yellow Fever, if recently arrived from a temperate
climate.
General Symptoms. In the subjoined description of symptoms,
those which characterize both varieties have been included, the chief
difference consisting in the continuance and intensity of the febrile
action, or in its temporary remission.
Premonitory Symptoms. The outbreak of the disease is gen-
YELLOW FEVER. 603
erally preceded by sudden debility and restlessness, and a general feel-
ing of illness, which are soon followed by headache, giddiness, faintness,
and slight chilliness (sometimes with severe fits of shuddering), and
subsequently by oppression about the region of the chest and stomach,
the appetite being deteriorated, or rather suspended, and the stomach
evincing other indications of derangement.
General Symptoms. First Stage. — Immediately after these
premonitory symptoms violent reaction sets in (with greater or less
intensity according to the greater or less vigor of the patient—that is,
more intensely with young, robust subjects recently arrived from tem-
perate climates), announced by a high degree of fever, with great heat
of the skin, which is also excessively dry and parched, strong throb-
bing of all the arteries of the body, and excessive determination of
blood to the head. The respiration is hurried and often laborious,
attended with deep sighing and gasping for air; the face is flushed; the
eyes are heavy, and affected with burning sensations, and often also
with redness, and throbbing pain; the tongue is usually white and
furred, but sometimes red, and soon becomes parched and dark-colored,
being usually tinged with yellow after the vomitings come on ; the
thirst is intense and insatiable. A burning pain is sometimes experi-
enced at the pit of the stomach; and there is excessive tenderness to
the touch, both in that part and in the region under the ribs on the
right side. The stomach, excessively irritable from the first, is rendered
so much so, as the disease advances, that everything which is taken
into it, is almost immediately rejected along with a quantity of bilious
matter. Severe darting pains traverse the head, the small of the back,
and even extend down the thighs. The pulse is subject to variations,
being in some cases quick and strong, in others quick, low, and irregular;
in plethoric individuals, who have not been long exposed to the relax-
ing effects of the warm climate, it is accelerated, full, and bounding,
for some hours after the development of the reaction; the urine is
suppressed, or scanty and offensive; the stools have likewise a most
disagreeable fetor; the patient is excessively restless, tormented with
spasms in the belly and legs, and tosses about with anguish. These
symptoms constitute the first or inflammatory stage of the fever, and
may continue from twenty-four to sixty hours and upwards, accord-
ing to the severity or mildness of the attack; after which a remission
ensues (when the fever assumes this type), which is of greater or less
duration, and is sometimes characterized by such complete suspension
of all the symptoms, as to lead to the inference that the disease has
passed off; the pulse becomes calm and regular, the intellect clear, the
skin moist and cool, and the general sensations easy. Sometimes, how-
ever, this remission consists rather of a complete stupor; and often,
however the symptoms may appear to have subsided, the vomiting will
be provoked by pressure of the stomach.
Second Stage. — The second stage commences with the abatement
of several of the preceding symptoms, and the increase or substitution
of others. The skin and eyes present a yellow tinge; the head is con-
fused, or delirium supervenes, and the eyes look glassy. The fits of
vomiting are more violent, and the matter ejected becomes thicker and
604 YELLOW FEVER.
darker; the patient occasionally drops asleep, but instantly awakens
in a fright; and sometimes he springs out of bed in a state of furious
delirium, but instantly sinks to the ground in a state of tremor and
exhaustion; the pulse flags, but is sometimes soft, at others high ; the
tongue, is generally parched, harsh, and discolored, but sometimes
moist and covered with a dark fur; there is frequent hiccough, and
the skin is soft and clammy. The second stage is sometimes a mere
continuation of the first; and in these cases the patient passes directly
from the remission to the third or exhausted stage (which is then,
properly speaking, the second). The duration of this stage is also
variable, rarely if ever longer than forty-eight hours, sometimes only
twelve.
Third Stage.—The termination of the first, or of the first and sec-
ond stages, by a remission of the more alarming symptoms, and the
hope of recovery which has been entertained, is too often doomed to
disappointment by the insidious degeneration of the disease into the
third stage, in which the pulse sinks, becomes irregular and intermit-
tent, yet sometimes increases in frequency. As the pulse sinks, the
pain and burning heat in the stomach often becomes unbearably
intense; the vomiting becomes incessant, and is attended with great
straining and noise, from the violent belching of flatulency; the mat-
ter vomited resembles coffee-grounds, and is named the black vomit.
The breathing becomes more labored; the tongue black, or shrunk,
dry, and red; the eyes hollow and sunken, and the features shortened.
A gradual aggravation of the symptoms then ensues, attended with
startings or twitchings of the tendons; the limbs become deadly cold,
and the hiccough distressingly constant. Oozing of blood takes place
from different orifices and parts of the body, such as the gums, nostrils,
and sometimes from the internal lining surfaces generally; the urine
is dark-colored, and often perfectly putrid, sometimes being passed in-
voluntarily; but sometimes, on the other hand, it is totally suppressed;
the discharge from the bowels is black, often mingled with, effused
blood of the same appearance as the vomits, and sometimes takes place
involuntarily. Sometimes the belly is tight, and distended with drum-
like inflation. The excessive weakness of the patient compels him to
be totally prostrate, as if in a state of lethargy, and sometimes there is
low muttering delirium. Dingy or livid patches make their appear-
ance upon the skin ; and death ensues generally by a gradual exhaus-
tion of the vital energy, but sometimes suddenly.
All these symptoms, as detailed, would hardly be present in a single
case, and are therefore to be regarded as typical of the disease. More-
over, the line of demarcation between the stages is by no means to be
sharply drawn, the one stage frequently passing into the other by insen-
sible steps, particularly the second into the third stage, and the symp-
toms of the one stage sometimes pervading another stage.
Issue and Results. The hope of cure depends materially upon
the greater or less success in moderating the activity of the inflamma-
tory action at the onset, or during the first stage, or the first and
second stages. It is too true that there is but little hope when the last
stage, characterized by general exhaustion, has ensued. Fatal results
YELLOW FEVER. 605
sometimes occur in the earlier stages from organic affection of the
brain, and in these cases the vomiting does not constitute a predom-
inant symptom. In cases which extend to the subsequent stages, the
stomach becomes more fatally implicated, and life generally holds out
until the fourth or fifth day. The duration of the insidious remissions
may, however, defer the fatal issue for a longer period. Life, however,
is sometimes saved under homoeopathic medication, that system hav-
ing proved itself wonderfully efficient in the treatment of yellow fever.
Out of 140 cases treated homoeopathically by Dr. Holcombe, nine died,
and out of 415 cases treated homoeopathically by Dr. Davis, there
were but twenty-four deaths. Favorable symptoms are: — A slow
pulse and moderate temperature of the body, and a quiet stomach.
Free copious urine, no matter how dark or bilious, is the most favora-
ble of any sign. On the other hand, the more fiery crimson the tip
and edges of the tongue, the more irritable the stomach, the severer
the headache, the more unfavorable is the first stage. In the second
stage, the earlier and more complete the suppression of urine, the
greater the danger. A faltering articulation is a bad sign, and diffi-
culty of protruding the tongue adds to it. A recent residence in a
temperate climate; the race or complexion of the individual; the fact
of his previously having suffered from an attack, will enter into an
estimate of his chances of recovery.
TREATMENT.
Aconitum has been named as the most direct and positive reme-
dial agent in the early stage of Yellow Fever; and, indeed, its specific
effect upon the human economy in a healthy state, especially under
conditions of temperature provocative of the generation of fevers of this
kind, tends greatly to confirm this opinion. In case of an attack of
fever of an inflammatory character, whether it be apprehended that it
may resolve itself into this form or not, the prompt administration of
Aconitum can only have been productive of benefit.
Dose: Three globules in a teaspoonful of water, or dry on the tongue, re-
peated, after the lapse of one or two hours, and, subsequently, at intervals
of three or four hours, until the fever-symptoms abate, the breathing be-
comes less laborious, and the pulse more regular, or less quick and fre-
quent. But if symptoms of severe exacerbation should threaten to suc-
ceed, notwithstanding the administration of Aconitum, proceed promptly
* such of the subjoined medicines as may offer the closest analogy to
the case.
Belladonna may prove of much service after the previous admin-
istration of one or two doses of Aconitum, for the treatment of those
cases (during the first stage) which attack young, full-habited subjects,
with very marked and predominant brain-symptoms. It is useful in
the first or second stages, when indicated; to determine which the arti-
cle on “CHARACTERISTIC EFFECTs” should be consulted.
Dose : As directed for Aconitum.
Bryonia may be called for in the first, or even in the second stages,
where Aconite or Belladonna have not sufficed to allay the symptoms.
It is more particularly indicated when the pains assume a rheumatic
606 YELLOW FEVER.
character, and all the symptoms are aggravated by motion. The arti-
cle on “CHARACTERISTIC EFFECTs” should be referred to.
Dose : As directed for Aconitum. *
Lachesis has proved to be a most valuable medicine in the
treatment of this disease. . It may be called for in any of the stages,
but is more particularly adapted to the second and third. The symp-
toms and conditions indicative for its employment may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose : Three globules in a teaspoonful of water, every ten or fifteen min-
utes, in urgent cases, or at intervals of from half an hour to an hour in those
of a less alarming kind. Or one drop of the tincture (30th dilution) in three
table-spoonfuls of water, a teaspoonful as above.
Arsenicum is likewise one of the most important medicines in the
treatment of Yellow Fever; and it has proved curative in a number
of cases. Many of its symptoms, as detailed in the article on “CHAR-
ACTERISTIC EFFECTs,” will be found to closely simulate those pro-
duced by the disease. A careful examination of that article, under the
appropriate heading, will indicate its sphere of usefulness.
Dose : In every particular as directed for Lachesis.
Crotalus has been employed in some cases with very marked suc-
cess, all danger having been subdued after a few hours, even in cases
which had reached the fully developed third stage. It is more espe-
cially indicated by the hemorrhages occurring from the eyes, nose,
mouth, ears, stomach, and bowels.
Dose : As directed for Lachesis.
Argentum nitricum has been employed in some cases, with
good effect, where the patient is sinking, the vomiting becomes worse,
with brownish stains in the matter ejected, or other evidence is given
of effusion of blood upon the mucous lining of the stomach.
Dose : As directed for Lachesis.
Opium is said to have próved of service when the remission be-
tween the first and second stage is characterized by complete stupor, as
is sometimes the case.
Dose : As directed for Lachesis.
Pulsatilla, Mercurius, Nux vomica, Acid nitricum, and
China may prove of service in the first or second stages, more partic-
ularly, and Cantharis, Digitalis, Carbo veg., Croton tiglium, Rhus tow.,
and Veratrum album in the second and third stages, more particularly.
The selection should be guided, in each case, by the analogy existing
between the symptoms of the disease, and those which are specific to
each of these medicines, as stated in the article on the “CHARACTER-
ISTIC EFFECTs.”
Dose : As directed for Aconitum or Lachesis, as above.
Additional Particulars.
The following medicines may be found useful as intercurrents, or to
allay troublesome or distressing symptoms.
Veratrum album may be found very useful in allaying the vom-
LEVANTINE PLAGUE. 607
iting and abdominal pains. Tartar emetic has succeeded promptly in
some cases of prolonged and distressing nausea. Ghamomilla will fre-
quently prove most valuable, particularly in women and children, in
allaying the irritability of the stomach. Mercurius, Phosphorus, or
Colocynth should be given for supervening diarrhoea or dysentery.
Cantharides will usually promptly relieve the great distress accom-
panying the act of urinating. Belladonna, Coffea, or Hyoscyamus may
be required at night for nervous sleeplessness. When the strong char-
acteristics of Yellow Fever have subsided, leaving the system pros-
trated and torpid, Rhus tow, and Bryonia were used with good effect.
Dose : Of either medicine, as required, as directed for Aconitum.
ACCESSORY MEASURES.
The free administration of cold water, especially in the first stage, as
soon as the inflammatory character of the disease is declared, has been
found of much efficacy in averting the fatal degeneration of the Fever
in its second and third stages, and has been strongly recommended
from experience by some eminent practitioners of the old school. The
efficacy of cold water as a diluent is sufficiently intelligible; and so
simple and harmless an agent is equally available for the homoe-
opathist pending the reactionary effect of the medicines which he
administers.
Diet and Regimen. In these respects, it is obvious that the
directions which are applicable to the treatment of Fevers generally
(as stated at p. 92) would be equally applicable in these cases. As
regards food, there is little occasion for the exercise of discrimination,
for the patient has naturally no inclination to eat. If it be possible to
administer some simple mucilages when the fever threatens to run on
into the second and third stages, which are characterized by depression
of vital power, it may be doubtful whether the organs of nutrition
will be capable of conveying even such sustenance to support the cir-
culation. If, however, there should appear to be a hope of sustaining
the strength of the patient, it should be done. During convalescence,
the slightest imprudence in eating is apt to produce a relapse. Even
toasted bread, chicken broth, or soft-boiled eggs have produced unfavor-
able symptoms. When the patient is able to pass from farinaceous food
to something gore nutritious, he may be permitted at once to chew
pieces of good beef-steak. This is much better than beef-tea, because
the act of mastication extracts the saliva, and incorporates it with the
juice of the meat, thereby facilitating its digestion.
LEVANTINE PLAGUE.
History, &c. The term Plague is employed to designate a ma-
lignant disease which frequently prevails on the coast of the Levant,
and which appeared in England about 200 years ago. Most au-
thors who have written on the subject consider the Plague to be a
pestilential contagion, which is propagated almost solely by contact,
either with a diseased person, or with porous substances, such as wool
and woollen cloths, which have absorbed and retained the specific
608 LEVANTINE PLAGUE.
poison; but it would seem that it occasionally prevails also as an epi-
demic disease. It has been observed that the disease generally appears
as soon as the fourth or fifth day after infection.
Premonitory Symptoms. Sometimes premonitory symptoms,
in the form of slight headache, and some degree of languor, are ex-
perienced by the patient, for many days previous to the outbreak of
the disease.
Symptoms of the Attack. It more frequently happens, how-
ever, that great depression of strength, anxiety, palpitation of the
heart, fainting, giddiness, violent headache, delirium, and stupor, to-
gether with a weak and irregular pulse, very soon supervene. Nausea,
and vomiting of a dark, bilious substance are shortly superadded; and
as the disease proceeds on its course, swellings form in the glands of
the armpits, neck, jaw, and in those beneath the ears; carbuncles also
arise, or spots or stains make their appearance; or discharges of blood,
and an exhausting diarrhoea ensue.
Issue and Results. This disease is always regarded as serious
and pregnant with danger when it presents itself in a severe form.
Much appears to depend upon the particular character of the epidemy.
When accompanied by glandular tumors, it is commonly less fatal than
when unattended by these inflammations. The invasion of healthy
suppuration in the glandular tumors is always held as critical, and con-
ducive to recovery. The breaking out of a gentle perspiration has also
been known to prove critical. Spots, discharges of blood, excessive
relaxation of bowels, and a tendency to gangrenous degeneration of
the carbuncles or glandular tumors, have hitherto been regarded as
positive indications of a fatal termination.
TREATMENT.
The most available remedies and their respective indications as regards
the typhoid fever, will be found in the article on “NERvous FEVER,”
to which, therefore, we beg to refer our readers.
Arsenicum, in addition to being appropriate to the fever, is well
adapted to the excessively irritable state of the stomach, with rejection
of everything that is partaken of, or vomiting of blackish bilious matter,
the great prostration, and the excessive loose discharge from the bowels,
which so frequently accompany the disease. It is, fuether, well cal-
culated to be of essential service in warding off a tendency to gangren-
ous degeneration when carbuncles arise, and may even prevent a fatal
issue when gangrene has already commenced. Arsenicum is again char-
acteristically indicated by the development of the peculiar spots or
stains upon the skin.
Dose : Give three globules in a teaspoonful of water, repeated, after the lapse
of one hour, and subsequently, at intervals of two hours, until the symptoms
are manifestly moderated ; subsequently, again, extending the intervals
and continuing the administration (if still indicated), at intervals of six
hours, until decided amelioration or change.
Lachesis or China may also prove efficacious, in some cases,
even, in which Arsenicum appears to exercise only a partial control over
the progress of the disease, and when, notwithstanding the employment
BILIOUS REMITTENT FEVERS. 609
of the last-named medicine, the glandular tumors and carbuncles
threaten to terminate in mortification. Lachesis, in particular, is avail-
able in those almost desperate cases in which the utter prostration of
the vital energy appears imminent. China, on the other hand, may suc-
ceed when the disease has throughout its course been characterized by
exhausting diarrhoea.
JDose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, every quarter of an hour, until four doses have been
given, or a degree of improvement sets in, and subsequently, at intervals
of an hour, until some important and decided change takes place.
Mercurius may, on the other hand, be employed with much good
effect after any of the medicines previously indicated, as against the
typhoid fever, when the glandular tumors form and threaten to become
indurated, although they do not assume a livid appearance; and, more
especially, if the glands adjoining the ears become affected and the
region about the liver is much distended.
Dose : Three globules in a teaspoonful of water, repeated at intervals of four
hours, until decided amelioration or change.
Silicea should be promptly employed, if, after the previous adminis-
tration of Mercurius, the surface over the glandular tumors should
present a livid appearance, or, if the carbuncles should suppurate and
discharge, but instead of manifesting a tendency to heal should exhibit
an angry or even gangrenous aspect.
Dose: Three globules, as directed for Mercurius.
Acidum nitricum would in all probability prove a medicine of
much value in cases in which, notwithstanding the previous adminis-
tration of Mercurius and Silicea, the glandular ulcers continue to ex-
hibit a more unfavorable aspect, and the general condition of the patient
to grow worse. This medicine would also, probably, be of much service
against the exhausting discharge of bloody evacuations which some-
times occurs.
Dose: Three globules, as directed for Arsenicum.
Diet and Regimen. Proper ventilation, if it can be obtained,
would doubtless be conducive to the promotion of the curative efficiency
of the medicines. In general, however, the regulations in these respects
may be stated as analogous to those already afforded in the articles on
“NERVOUS FEVER'' and “MALIGNANT TYPHUs.” Cleanliness is essen-
tial, both as regards habitation and person.
BILIOUS REMITTENT FEVERS.
This class of diseases, which constitutes the most fatal group of acute
maladies to which the natives of temperate climates, or, more particu-
larly, of Northern latitudes are subject, when exposed to the clima-
torial influences of South European or inter-tropical countries, is so
analogous in its nature, notwithstanding the local distinctions and the
various degrees of intensity and rapidity, that it has appeared less con-
fusing to condense them all under one general head. There will be
occasion to add to those which are peculiar to the torrid zone; such,
also, as are prevalent even in the South of Europe. The coasts of the
39
610 BATAVIAN FEVER.
Mediterranean, indeed, are not exempt from Yellow Fever, properly
so called, and they are also exposed to the ravages of a species of
Bilious Remittent Fever, of a somewhat distinctive character.
Again it should be noticed, in reference to the class of Fevers here
included under the general head of Bilious Remittent Fevers, that they
are occasionally wanting in the distinct and characteristic remissions,
under particular circumstances; but as this is a merely casual circum-
stance, and as it is unimportant to the general practical purposes of
a work of this nature, minute distinctions of type must necessarily be
overlooked.
Another remark, however, is of more importance respecting the
Bilious Remittents of hot climates, inasmuch as it may serve to affect
the general precautions available to a certain extent, as means of pre-
vention, namely, that they are of two distinct forms: — (1) those which
are purely local, or which are peculiar to a certain district, and which are,
therefore, termed the Endemic Fevers; and (2) those which sweep over
whole regions, hurrying mortality to a frightful extent in their career,
and which are distinguished by the name of Epidemic Fevers. To these
might be added a third variety, which is, however, less positively Re-
mittent, but also frequently of the continued type, and which is purely
incidental to casual causes, such as exposure, &c. As regards the
third variety, for the sake of convenience, and as it is often, also, of
the remittent type, it will be included with this class.
These diseases are not to be looked upon as contagious and this is a
remark which may give courage to those who might otherwise be timid
in fulfilling the duties of common humanity to the sufferers. The method
of promoting the cure of patients suffering from Endemic Bilious Fevers,
and of obviating the possible attack of those who are thus attending
upon them, is, if possible, to remove the sick to some situation (often
near at hand,-even to the upper floor of the same house!), in which
all are beyond the range of the miasm whence the disease is derived.
It is also to be generally remarked that the method of treatment,
which is jà one local variety is (subject to a few, and often
unimportant distinctions,) as applicable to another.
BATAVIAN FEVER.
Characteristics. This fever, which has proved so fatal to Euro-
peans, offers much analogy in its symptomatology to the Yellow Fever.
It is apparently, however, rather of Endemic than of Epidemic origin.
Like all the Bilious Remittents of the tropics, it may be affirmed that
it is not propagated by contagion.
General Symptoms. First Stage. --The attack comes on some-
what suddenly, and without any distinct premonitory stage, and is char-
acterized by very severe chills and shuddering, attended with violent
giddiness, and quickly followed by severe pain extending over the entire
region of the stomach, and over the eyes; or, sometimes, by total loss
of consciousness, the pit of the stomach being intensely hot, but the
body, in other parts, generally covered with a cold, clammy perspiration.
There is usually a rapid or even sudden prostration of strength, and
BATAVIAN FEVER. 611
sometimes vomiting from the onset; and the pulse is very frequent and
quick, but small; sometimes there is perfect lethargy from the onset,
or, in other cases, low, muttering delirium, and, in some instances also
convulsions occur: the delirium generally turns upon previous occupa-
tions, &c. In general the attack is preceded or accompanied with ex-
trenue apprehension, anxiety, and despondency. By degrees this first
stage or fit passes over, and all the symptoms appear to be temporarily
moderated; but—
The Second Stage quickly follows, characterized by a general reac-
tion, attended with flushes of heat throughout the body; except, indeed,
about the legs and feet, which are sometimes cold, clammy, and
moist,--or occasionally, even covered with cold perspiration ; the res-
piration becomes more and more oppressed, and laborious; the pain
over the eyes, which characterized the first stage, becomes more violent,
and extends over the whole anterior part of the head; the pains in the
region of the stomach and belly become more severe, and assume an
intense burning character; the patient suffers from excessive anxiety
and restlessness, and from great oppression at the chest and stomach;
delirium sets in (if, indeed, it did not characterize the first paroxysm,)
which usually is of the low, muttering description,--but, occasionally,
active and violent; the patient in the latter case raving violently, and
grasping furiously at objects within his reach ; the skin is intensely
hot, dry, and parched; and the pulse still accelerated and small, or
sometimes full and hard; if the patient be conscious, it may be ascer-
tained that he suffers from pains about the loins, thighs, and lower ex-
tremities generally; the tongue is thickly covered with a white coating;
the belly is full, hard, and distended; the face is flushed; the eyes are
red and protruded, and violent retching generally sets in sooner or
later during this stage, which terminates in the expulsion of bilious
matter, generally dark and offensive. This paroxysm is variable in
duration; but, if not fatal at an earlier period, rarely lasts more than
twelve hours, being followed by a brief and imperfect remission of the
more violent symptoms, but usually characterized by low delirium,
and often chills and shuddering.
The Third Stage sets in after a partial remission of greater or less
duration, and is characterized by the rapid aggravation of all the pre-
vious symptoms, the vomiting becoming more frequent, urgent, or
even incessant; the pains in the head and region of the stomach
intolerable; and these symptoms being sometimes followed or accom-
panied by violent evacuation of foul, bilious matter from the bowels,
or sometimes, again, by total inaction of the bowels; the vomiting and
purging often consist of blackish or dark-brown matter, like the black
vomit, described under the head of Yellow Fever (at p. 604); twitch-
ings of the muscles of various parts ensue; the faculty of hearing
becomes much impaired; the breath becomes exceedingly offensive;
aphthous vesicles sometimes appear in the mouth; or, in other in-
stances, blackish or brownish spots or patches appear about the mouth;
and the interior of the mouth, the tongue, throat, gums, and even the
teeth become covered with a dark-brown coating. In a few cases, dis-
charge of blood from the nostrils, or even from the mouth and the
612 IBATAVIAN FEVER.
internal lining surfaces, occurs. The skin sometimes assumes a bright-
yellow hue ; in other instances it exhibits a dull, earthy, and somewhat
livid hue. The pulse is, generally, very feeble, accelerated and wiry,
or small, hard, and fluttering, — but it is also, at times, observed to be
regular, even at the approach of fatal symptoms; and lock-jaw has
been known to accompany the last stage. An absolute insensibility to
danger, and absence of consciousness of his situation usually precedes
a fatal issue, the patient being, apparently, insensible to suffering, and
unaware of any ground of apprehension.
Predisposing Causes. The chief predisposing causes which have
been observed to render persons extremely susceptible to the attacks
of this fever, consist in the reckless excesses, especially in ardent or
fermented liquors, to which Europeans are apt to abandon themselves
in the unhealthy climate of the region in which this disease prevails,
and in the ill effects of exposure to the intense heat of the day.
Exciting Causes. The exciting causes may evidently be traced
to the noxious exhalations or miasms, which arise from the stagnant
swamps and jungles, and which impregnate the atmosphere; and
especially to those miasms, when condensed at nightfall; and, con-
sequently, it is to be presumed that the most active and fatally effectual
cause would be exposure to the heavy dews and damp chilly air of the
night.
Issue and Results. The hope of cure is exceedingly precarious,
except, indeed, in cases in which the patient has been habitually cir-
cumspect in his indulgences. Those who are attacked may sink during
the first paroxysm, or, very frequently, during the second stage, that is,
within from twenty-four to thirty-six hours. Some again may be
carried off in the third stage, or may even linger on for several days,
and finally die from exhaustion. Some have been known to rally
after the second paroxysm, and to have been, apparently, recovering,
but to have suffered what seemed to be a relapse, but which was really
the third stage (after a longer remission), and which proved fatal at
periods varying from the seventh to the thirteenth day. Even in the
case of recovery the dregs of this frightful malady often entail a long
period of suffering upon the convalescent, either from organic injury
sustained by the stomach, bowels, liver, or spleen, or, sometimes, even
by the brain, or from an obstinate and protracted continuance of In-
termittent Fever, which may involve the many local attacks (such as
the apoplectic or paralytic), or the painful mental affections which this
last class of diseases often conveys with it in the East.
TREATMENT.
The treatment of this disease, homoeopathically, must necessarily
depend upon analogical deduction, as we are not in possession of any
material which furnishes the result of actual experience. It is, how-
ever, to be observed, that with the well-defined properties of our
medicines, which so pre-eminently distinguish the practice of homoe-
opathy, a very approximate inference may be drawn from the known
nature of the disease as regards the method of treatment thereby
indicated.
EPIDEMIC FEVER OF AFRICA. 613
Aconitum, Bryonia, Arsenicum, and Nux v. would appear
to be variously indicated by the conditions evinced in the first stage, or
sometimes, also, in the second; and it is probable, that one or more of
these remedies, therefore (Aconitum being administered at the onset),
might serve to arrest, or materially to mitigate, the progress of the
fever. The particular indications which might serve to determine the
selection between them must wholly depend upon the assistance to be
derived, in these respects, from the article on “CHARACTERISTIC EF-
FECTS.”
Dose : Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, or dry on the tongue, repeating the dose, after the lapse
of half an hour, and again at intervals of an hour, until decided change
OCCUII*S. ;
Belladonna, Lachesis, Mercurius, or China would, proba-
bly, be applicable to the treatment of the second stage, according to
the predominance of head or stomach symptoms, and in addition to
those already enumerated. The selection must entirely depend upon
the details which may be gathered, with respect to the prevailing symp-
toms, and to those which should indicate these medicines respectively,
as stated in the article on “CHARACTERISTIC EFFECTS.”
Dose: In general as directed in the last prescription.
Veratrum, Phosphorus, Acidum mur., or Carbo v. may
be had recourse to, in the third stage, if Arsenicum has already been
employed in the second, against the indications (such as the prostration
of strength, burning pains, vomiting, and purging of dark matter, and
so on), without arresting the progress of the disease. Although there
is but little hope of warding off a fatal issue in such desperate cases, no
possible means should be overlooked so long as life is not extinct, in
attempting to effect the restoration of the patient; for success may
attend our efforts, even under the most unpromising circumstances.
Dose: In general as directed for Aconitum, &c., above.
Diet and Regimen, &c. In some instances in which apparent
recovery is taking place, the patient will express a desire for food, and
will, if suffered to obtain it, eat to excess. Inasmuch as this is often
the foreboding indication of a dangerous relapse (or rather succeeding
parozysm), a very small quantity, only, of some thin, mucilaginous fluid
should be allowed, the quantity and consistence of the food being very
cautiously increased as progressive improvement takes place.
EPIDEMIC AND ENDEMIC FEVER OF AFRICA.
Epidemic Fever. t
Characteristics. This disease, which belongs to the class of Bil-
ious Remittent Fevers, is distinguishable from the local or endemic fever,
chiefly by its prevailing generally in all or most of the settlements,
either successively or simultaneously, and by its being equally obnox-
ious to the old settler, or the recent immigrant, as well as to the natives
themselves, who are not exempt from its attacks. It is apt to invade
the whole of the settlements, and native provinces of the Western
Coast of Africa, to the extent to which they are known. The remis-
614 ENDEMIC FEVER OF AFRICA.
sions are more regular and well defined than in others of the analogous
Fevers of hot climates, and the course is more uniform to the crisis.
Symptoms. In respect of the symptoms, it may be generally
stated, that those which are more particularly described under the head
of the Endemic form of Fever peculiar to the Western Coast of Africa
(as below stated), also occur in the Epidemic variety, but in an exag-
gerated degree.
General Causes. The occurrence of the frightful and fatal Remit-
tent Fever of the Western Coast of Africa as an epidemy, has been
pretty satisfactorily traced to the occurrence of the rains at an earlier
season than usual, as well as to the absence of the predominant period-
ical tempests of wind which serve to bear away, or to dilute much of
the rankling miasm generated by the vegetable decomposition. It may,
therefore, be generally stated, that variations in the atmospheric condi-
tions are capable under certain circumstances of developing this as well
as other Epidemic diseases.
Endemic African Fever.
Characteristics. The Endemic Fever differs from the Epidemic
Fever, above described, very distinctly in respect of the range of its
ravages. This variety is almost entirely innocuous, if not wholly so,
as regards the natives of the locality, or even as regards the natives of
hot climates in general, and attacks old residents or settlers, even, more
rarely than new comers; but it assails all those who have recently
arrived from temperate latitudes, with very few eacceptions, and rages
with greater or less malignity, according as the person attacked has
immigrated from a cold, or temperate, or comparatively warm region.
The endemic Fever is, moreover, of purely local prevalence.
Symptoms. Premonitory, Stage. — Amongst the first foreboding
indications of the access of this disease are: —a general sensation of
uneasiness and of indescribable discomfort, often unattended with any
pain, or with any marked variations or irregularities of the pulse —
and equally uncharacterized by any positive skin-symptoms. Some-
times the external surface will be covered with profuse perspiration,
and it is comparatively rare that, at the onset, the very decided dryness
and harshness, or even withering of the skin becomes apparent. In
other instances, again, a more or less apparent yellow suffusion of the
skin and eyes characterizes the premonitory stage. There is invariably
a more or less rapid loss of strength and of inclination to exertion of
any kind, generally followed by pains in the limbs, and in the lower
portion of the back and loins, or more especially in the principal joints,
and subsequently, by occasional fits of vomiting. The bowels are often
regular, and the evacuations evince no positive indications of derange-
ment; but in cases in which the yellowness of the skin is apparent at
the onset, this manifestation is usually followed by very dark and offen-
sive evacuations, and by vomiting of green bile, of a greater or less in-
tensity (or darkness) of color. . The pulse, meanwhile, sometimes con-
tinues regular and almost healthy for some days, being only slightly
more frequent than in the habitual condition; in other instances, how-
ever (according to Boyle), “it is hard, small, and contracted, or soft,
FNDEMIC FEVER OF AFRICA. 615
fluttering, and stridulously undulating.” The tongue is, usually, more
or less covered with yellowish or brownish, or sometimes with a white
coating, which subsequently becomes darker as the tongue becomes
dry. By degrees the pulse becomes more and more accelerated and
frequent, as the other symptoms become aggravated, and the skin be:
comes very hot and dry. In some instances, the pulse is “full and
bounding.” As the disease advances, especially in cases occurring in
persons of a full habit of body, there is a sensation of weight, confu-
sion, and pressure in the head, with a pain either affecting the forehead
in particular, or chiefly seated in the cavity of the eyes, or above the
eyebrows, or apparently in the eyeballs themselves, or again conveying
the idea of a general pressive, aching pain throughout the interior of
the head. Immediately preceding these symptoms, a slight chill and
fit of shuddering sometimes occurs, immediately followed by intense
restlessness, &c., these latter symptoms being usually accompanied,
however, with a strong inclination to sleep, which, nevertheless, is im-
possible. The incipient or premonitory stage, or the stage of incuba-
tion, as it might also be termed, may extend variously over a period of
from three days to a week, or even longer.
Second Stage (or Confirmed Attack).-The second stage is ushered
in by decided aggravation of all the symptoms, but is more especially
characterized by the intense restlessness and tossing, and by the wild
delirium and hallucination which accompany it. The prevailing idea
of the delirium is, that the patient is maintained under restraint,
and that he is exposed to a variety of dreadful catastrophes. The
patient complains of being held down in bed, and makes efforts to es-
cape, or will actually dash through a window, if not prevented from
doing so; he is not conscious of bodily pains, but raves about the treat-
ment to which he is subjected, and it is not unfrequent that he may
contrive to elude the vigilance of the attendants and actually spring
from bed, and in the last struggle of life, even, exert the extraordinary
physical strength of frenzy.
So long as the active stage of the fever continues there are, usually,
regular but partial remissions occurring every other day, in which case
the remissions consist of a general lessening of the intensity of the
symptoms. In other instances, however, there are also more positive
diurnal remissions, in which case the paroxysms return about the latter
part of one afternoon and last until the ensuing morning, when the
patient gradually becomes tolerably calm until the afternoon again.
In this case, also, the attacks are more severe on the alternate days.
During the positive diurnal remission above described, the only sensa-
tions expressed by the patient usually consist of an excessive feeling of
weariness and exhaustion, resulting from the foregoing delirious ex-
citement, of the hallucination of which he usually retains a pretty defi-
nite impression, and generally affords a graphic description. There is,
generally, little or no sensation of pain during these intervals.
Crisis, or Third Stage.—These alternations of paroxysms and remis-
sions usually run a regular course until the critical day, which com-
monly falls about from the end of the seventh to the tenth day since
the attack. After a more or less frequent alternation of attacks and
616 ACCII) ENTAL FEVER OF AFRICA.
remissions, according to the greater or less intensity of the symptoms
to the strength, &c., of the patient, and the attainment of the critical
period of the disease, and generally after a violent paroxysm of frenzy,
either the disease takes a salutary turn ; or, if it be taking a fatal or
very desperate turn, the patient sinks into a low, lethargic state;
twitchings of particular muscles ensue, the discharge from the bowels
and the evacuations of the urine become very frequent, and are usually
passed involuntarily; there is either a low, rambling, muttering deliri-
um with total prostration, the patient lying almost motionless, except
as regards the twitching movements; or in other cases, the delirium
even is absent, and total tranquillity prevails from excessive prostration
of strength; – hiccough often accompanies or follows these symptoms,
and there is snatching at the bedclothes, or catching at imaginary
bodies, and the extremities become cold and clayey to the touch, when
the patient gradually sinks and expires.
Predisposing Causes. Under this head we may probably enu-
merate the effect of the intense and moist heat of the climate, act-
ing upon the unhabituated system, especially of the native of a cold
climate, recently arrived in an African settlement. Intemperate
habits always predispose to this as to analogous diseases; as it has also
been observed that the sudden discontinuance of stimulants, amongst
those who have habitually indulged in them to excess, is also a fre-
quent predisposing cause.
Exciting Causes. Exposure to the noxious exhalations of the
swamps, and particularly of the low, level tracts in which the vegeta-
tion stretches to the very brink of the sea, or of the innumerable tidal
estuaries and other channels which intersect the settlements on the
Western Coast of Africa in every direction. Exposure to the night
air in particular, as well as to the intense heat of the day (which is
rather to be considered as a predisposing cause), is certainly one of
the most direct of the exciting causes in this, as in other districts in the
torrid zone, in which a heavy, malarious vapor floats close to the sur-
face of the soil or water (along the coast) after Sunset.
ACCIDENTAL FEVER OF AFRICA.
Characteristics. This variety of fever, which is more frequently
of the continuous type, as above stated, but which sometimes assumes
the character of the other remittents, has been appositely denominated
the Climatorial Fever of Africa. It is to be distinguished from the
others by the absence of any general prevalence of the endemic or epi-
demic varieties, by the absence of general or local causes, and by the
suddenness with which it attacks the patient, as also by the particular
nature of the antecedents to which it is traced. It is more properly
and purely of an inflammatory character—that is to say, it is less
likely to degenerate into the low variety, and runs a more rapid and
positive course, either to a fatal or salutary issue.
Symptoms. The earlier symptoms of this fever are barely to be
distinguished from those which may be of consecutive development,
owing to the suddenness of the attack. Sometimes, indeed, the attack
EPIDEMIC AND ENDEMIC FEVER OF AFRICA. , 617
and the fatal issue, when attributable to exposure to the sun, are almost
simultaneous. If, however, the progress of the disease is better defined,
there is usually a greater or less degree of constipation, and often a
total absence of evacuation from the bowels, symptoms which are
commonly characterized by a foregoing sensation of chilliness, and
impaired appetite, with nausea; and the patient complains of severe
aching pains in the back and loins, and in the principal joints, and
particularly in those of the lower extremities, which give under him
when he attempts to stand or to walk. There is intense pain at the pit
of the stomach, with excessive heat and dryness of skin; and, in the
majority of cases, an intolerable pain in the anterior part of the head,
and chiefly above the eyebrows. Violent retching soon sets in, followed
by vomiting of green, bilious matter, of more or less dark color, and
offensive odor. The thirst is generally a marked and prominent symp-
tom; the eyes are generally red and bloodshot, and surrounded by a
dark ring; the expression is depressed; the face is usually much
bloated, and almost crimson, but in other instances it is quite purple;
and this latter symptom is often characterized by an absence of the
very marked vascular excitement otherwise evinced by the pulse. In
eneral, however, the pulse is very frequent, and either quick and hard,
or full and bounding. The tongue exhibits the same general appear-
ances as have already been described under the head of the “ENDEMIC
REMITTENT FEVER,” at p. 615.
TREATMENT.
Epidemic and Endemic Remittent Fever.
China, which has been used with success as a preventive medicine,
may be advantageously employed at the onset, if the first incipient or
premonitory symptoms be distinguished in time, and before the active
fever-symptoms become developed. The specific properties of this
medicine would seem to confirm the statement of its efficacy; and if
indeed (as is most likely the case) it be insufficient to arrest the
progress of the disease when once the miasm has been imbibed, it may
yet serve materially to mitigate the course of the malady, to assist the
treatment subsequently required, and thereby to afford a better pros-
pect of ultimate cure. The nature of the inducing cause of these dis-
eases—viz., marsh miasm—is also a strong confirmation of the general
applicability of China (provided Arsenicum or Nua. v. be not better
indicated by all the symptoms) in the treatment of the incipient or
incubating stage. This medicine is, moreover, of service, according to
some statements, after the complete subsidence of the fever, and during
the stage of convalescence.
Dose: During the incipient stage, give four globules in a teaspoonful of water,
three times a day, until the fever-symptoms become more positively devel-
oped, or until the first sensation of chill and shuddering, which announces
the approach of the inflammatory stage, when the subjoined medicine
should be promptly administered. If during the stage of convalescence, give
four globules in a teaspoonful of water, night and morning, for ten days,
or until some new and decided change takes place.
Aconitum has been named as of great efficacy in the treatment of
618 EPIDEMIC AND ENDEMIC FEVER OF AFRICA.
the inflammatory stage of the Bilious Remittents of hot climates, and
its particular properties would seem to confirm us in the belief of its
direct and specific homoeopathicity.
Dose: Three globules in a teaspoonful of water, repeated, at intervals of two
hours, during the paroxysms, until the moderation of the fever-symptoms, as
indicated by the pulse, skin, &c., or the greater calmness of the patient;
unless, however, the delirium should become exceedingly violent, or such
symptoms as, upon reference, would seem more distinctly to indicate one or
more of the subjoined medicines, when it would be desirable to proceed
accordingly.
Bryonia, Nux v., Belladonna, Pulsatilla, and Mercurius,
respectively, according to the particular symptoms developed, may be
named as offering a series of analogies to the symptoms of the active
stage of the Bilious Remittent Fevers above described. The selection
must wholly depend upon such particular indications as may be
gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose: The dose, which should be rapidly repeated, during the paroxysms,
should consist of four globules (of either of these medicines, as selected) in
a teaspoonful of water, or dry on the tongue, given every half-hour, until
the excitement becomes subdued; and, subsequently, if still indicated, at
intervals of two hours, until the remission or general modification of the
Symptoms.
Arsenicum, Veratrum, Acidum nit., and Acidum mur.
may be particularly enumerated as appropriate for the treatment of the
third or critical stage of these diseases. There are, however, no prac-
tical particulars on the subject, and the selection must wholly depend
upon the indications afforded under the head of each in the article on
“CHARACTERISTIC EFFECTS.”
Dose : Of either of these medicines, as selected, give three globules in a
teaspoonful of water, or dry on the tongue, repeated at intervals of five,
ten, fifteen, and twenty minutes successively, and, subsequently, at inter-
vals of an hour, until a salutary reaction promises to take place.
PREVENTIVE TREATMENT.
China has been mentioned, as of some efficacy in the prevention of
these as of other marsh fevers. But this can only apply to those who
have not been so directly exposed to the miasm as to be already uncon-
sciously under the influence of the poison.
Dose : When persons are likely to be exposed to such conditions as have been
described under the general heads of “Causes,” or when the Fever is preva-
lent, four globules should be taken three times a day, for two days, and
subsequently, night and morning, for a week, from time to time, during
the continuance of the unhealthy season, or of the general exciting causes.
Arsenicum, or even Nua, v., may claim a preference to China,
when the leading features of the prevailing disease correspond better to
the specific properties of these remedies, respectively, as stated in the
article on “CHARACTERISTIC EFFECTS.”
Dose: Of either of these medicines, as directed for China.
Diet and Regimen. The method which has been most success-
fully adopted as recovery was progressing, has been to allow the patient
any article of food (not positively noxious) for which he may express
an inclination, but to limit the quantity, administering only very small
INDIAN MARSH-REMITTENT FEVER. 619
quantities at the time, and only increased by very slow degrees until
the balances of healthy action become very decidedly restored. Wine,
or, more properly, wine-and-water or brandy-and-water, much diluted,
may be administered by teaspoonful doses, when nothing remains but
the debility necessarily resulting from such severe diseases. During
the remissions, pending the continuance of the active stage, if the
patient should manifest any inclination to take food (or otherwise, if
there is a chance of his not refusing it,) a little very thin arrow-root
should be given by teaspoonfuls. This is, however, to be done with
much circumspection. *
Climatorial or Accidental Fever.
We have no material which should lead to a positive distinction in
the course of treatment, or to any material deviation from the rules
already prescribed for the two foregoing varieties. It is probable,
indeed, from the great analogy which exists between the symptoms of
all, that the same medicines would be available in all three, with vari-
ations (indicated by the course of development) in the successive ad-
ministration, or in the selection as regards different stages. The same
phenomena are prone to occur in all three forms, if not in all the fear-
ful bilious fewers of the tropics; and these phenomena indicate an
apposite and similar selection of the medicine. It may, however, be
stated that China would probably be of no service in this variety. .
Camphor (Saturated Tincture) might probably be of service if
immediately administered, if life be not extinct, as is too often the case, in
those very severe cases in which instantaneous loss of consciousness and
of motion results from exposure to the intense heat of the sun (that is,
from sun-stroke). I am not aware, however, that it has ever been tried
in these cases. I merely mention it as homoeopathically indicated in
analogous cases.
Dose: If the patient is considered capable of swallowing, one drop of the
Saturated Tincture of Camphor, on a small lump of loaf-sugar, or in a little
arrow-root, &c., should be placed upon the tongue; if otherwise, the phial
containing the Tincture should be held to the nostrils for a few instants.
In either method the exhibition of the Camphor should be repeated at
intervals of a quarter of an hour, until some signs of improvement set in.
The subsequent treatment would depend upon the course and character of
the disease.
ACCESSORY MEASURES-
The warm bath has been strongly recommended by practitioners of
the old school of medicine, who have had much experience in the treat-
ment of the Climatorial Fever of Africa. I see no positive objection
to its being once employed at the onset of the attack. It is generally
necessary to shave the head, and cold affusion during the course of the
fever is sometimes a serviceable accessory or palliative resource, provided
the skin be dry.
INDIAN MARSH- REMITTENT FEVER.
Characteristics. ... This disease, which corresponds in many re-
spects with the other bilious remittents of hot climates, differs in some
620 INDIAN MAESH-REMITTENT FEVER.
respects, however, from those already described. It does not run the
regular course to a critical period, but bears more analogy to the Bata-
vian fever, and may also be divided into three distinct stages, defined
by well-marked remissions. The stomach is the organ chiefly affected,
and the head symptoms are not generally so positively marked from
the onset. The natives do not appear to be exempt from the attacks
of this disease, although they are not by any means as subject to them
as the unseasoned and reckless European.
Symptoms. Premonitory Stage.—The premonitory symptoms are
sometimes wholly wanting, particularly if the persons attacked have
been exposed to direct transition from the heat of the day to the damp
chill and heavy dews of night, and more particularly to the condensed
and malarious vapors which gather upon the immediate surface of
land and water at nightfall. In other cases, however, and when the
exciting cause has been less decidedly and more gradually incurred,
the bowels will continue to be irregular, and sometimes for several
days before any other symptoms appear; in other cases there will be
total inaction of the bowels; presently the pulse becomes feeble, quick,
and small, and this sometimes before the shuddering fit or chill sets in ;
the spirits then become intensely depressed, and oppressive sensations
about the chest and stomach, and sometimes headache, ensue; after
which nausea and vomiting are commonly not tardy to follow.
Second Stage. — The development of the malady in this stage too
frequently constitutes the first evidence of disease, in which case, gen-
erally, there is either agonizing pain in the stomach and excessive
oppression, quickly followed by vomiting of bilious matter, or a sudden
swoon with ghastly, pallid countenance, and total loss of consciousness,
the gradual return of which is evinced by movements indicative of
intolerable pains in the stomach and head, which also issue in the ejec-
tion of bilious matter from the stomach; and although consciousness
is usually restored after the vomiting, the patient shortly afterwards,
in many cases, becomes violently delirious, the pulse having become
full, very frequent, and accelerated, the headache much aggravated,
the thirst intolerable, and the eyes usually red and blood-shot. The
duration of this stage is variable, but usually averages about twelve
hours, after which a decided remission of all the symptoms, with sub-
sidence of delirium and of the wascular excitement (but characterized
by great exhaustion, and general nausea,) is ushered in by the breaking
out of a copious perspiration. During the remission the patient often
complains of a bitter taste in the mouth, and a return of all the symp-
toms in greater intensity shortly follows, constituting the –
Third Stage — in which the delirium is at first more violent, but has
a tendency to degenerate in the low, muttering, wandering description;
in which latter case the tongue usually becomes covered with a black
or dark-brown coating, the vomiting often being almost incessant, and
assuming the character of the black vomit described under the head
of “Yellow Fever” at p. 604; the pulse becomes very feeble and
irregular, but is often excessively frequent; the pain in the stomach is
intense, and almost unbearable, the skin being clammy. In other in-
stances which do not assume so desperate a character, the yellow suffu-
INDIAN MARSH-REMITTENT FEVER. 621
sion of the skin (sometimes very strongly developed in the second
stage), the pain in the stomach, and the delirium, only, become more
violent, and the vomiting of bile, of a more natural character, very
frequently, the skin continuing exceedingly hot and dry.
Predisposing and Exciting Causes. These are similar, in
most respects, to the predisposing and exciting causes mentioned under
the preceding Tropical Fevers.
Issue and Results. The course of the fever is variable in dura-
tion. In some cases, a series of attacks, rather like relapses than
remissions and exacerbations, continue to afflict the patient, who ma
finally sink at periods varying from one to three weeks; but a fatal
termination more commonly occurs before the expiration of the first
week. Some patients are carried off a few hours after the attack, and
others early in the second stage. Recovery is, in any case, slow, and
very gradual, and then too often involves organic disease of the liver.
The skin usually betrays the traces of the disease, by the yellow hue
which remains long after recovery.
TREATMENT.
CHINA has been mentioned as of service during the very earliest
period of the premonitory symptoms in cases in which the attack is
very slow and gradual, and the indications mentioned under the head
of the Premonitory Symptoms (page 620) occur. The efficacy of this
medicine in the earlier stages of Bilious remittents, caused by marsh
miasm, has already been alluded to at page 616.
Dose: The method of administration should probably be analogous to that
already prescribed at page 618
Aconitum, Mercurius, Belladonna, and Bryonia may be
named as offering such analogy to the various symptoms developed
during the second or active stage of the fever, as to warrant the expect-
ation that they might prove of great service in the treatment. The
selection must, however, wholly depend upon the indications afforded
under the head of each, in the article on “CHARACTERISTIC EFFECTS.”
Dose : Of either of these medicines, as selected, give four globules in a tea-
spoonful of water, or dry on the tongue, at intervals of two hours, during
the paroxysms, until decided amelioration or change.
Arsenicum, Digitalis, Veratrum, and Lachesis are to be
named as affording the most analogous specific symptoms to those
which, in the majority of cases, characterize the third stage of this
disease. The selection from amongst them must, however, wholly
depend upon the indications afforded in respect of each, in the article
on “CHARACTERISTIC EFFECTs.”
Dose: In very urgent cases, in which the patient appears to be sinking
rapidly, two globules, of either of these medicines should be administered
dry on the tongue, or in a teaspoonful of water, at intervals of five, ten,
fifteen, and twenty minutes, successively, and subsequently every half
hour, until a salutary reaction begins to set in. In less urgent instances,
the repetition of the doses should be commenced at intervals of half an
hour, these intervals being extended, as soon as possible, during the con-
tinuance of the paroxysm. Consider also the following.
Acidum nit., Acidum mur., and Acidum phos. are also
O
622 LEPRA – LEPROSY.
medicines which offer much analogy in their action to some of the worst
symptoms of the third stage, and are, therefore, to be recommended for
trial, in very urgent cases, in which, by referring to the article on
“CHARACTERISTIC EFFECTs,” the one or the other is found to corre-
spond with the symptoms of the case.
Dose : Of either of these medicines, as selected, the administration should
be conducted as mentioned in the last prescription.
PREVENTIVE TREATMENT.
The Cold Bath. There is reason to believe that, as a general
preventive measure, against the predisposing influences of the climate,
the cold bath at noon, or a little before midday, is of great service.
It is almost invariably observed by Europeans, that there is a daily
feverish attack which sets in towards night, and continues until early
in the ensuing morning, and another analogous attack about or soon
after noon, which is more particularly apparent at the periods of new
and full moon; and the cold bath has been recommended by those
whose experience in the treatment of the diseases of India deserves
attention. Dr. Martin has found the greatest benefit arise from cold
bathing before the access of this midday attack. These means, by
lessening the morbid effect of the climatorial influences, doubtless
tend to sustain the system in its resistance to the eacciting causes of
the remittent fever, and, by modifying the general predisposition, to
lessen the hazard of attacks, even under moderate exposure to the
exciting causes above mentioned,—or even to render the prospect of
cure less precarious in the event of an actual attack.
LEPRA – LEPROSY.
General Characteristics and Symptoms. From the fact of
Lepra being a rather common disorder, it has sometimes gone by the
name of Lepra vulgaris (or Common Leprosy). It consists of red
scaly patches, of various dimensions, but always affecting a circular or
elliptical shape, and scattered over different parts of the body. It
usually commences on the limbs, mostly near the joints, just below the
knees or elbows; it has further been remarked, that these patches,
especially when they are few, and the disease is recent, are distributed
symmetrically, each spot on one limb answering in situation to a simi-
lar spot on the fellow-limb. In the majority of instances the disease
is developed on both legs or both arms at the same time. It is then
apt to extend, by the successive formation of new scaly patches, along
the arms and thighs to the breast and shoulders, and to the lumbar and
lateral regions of the abdomen. The patches are often more numerous
and prominent on the lower part of the belly than elsewhere. The
disease rarely extends to the hands or hairy scalp. The patches that
do occur on the head are generally of small size; a few are now and
then observed around the outer angles of the orbits, from whence they
spread along the eyebrows to the forehead and temples. The patches
are disposed to coalesce by their corresponding edges; but the origin-
ally orbicular form of the parts composing these aggregate patches, is
O
LEPIRA – LEPROSY. 623
still proclaimed by the arcs of circles which are seen in their circum-
ference.
The lepra vulgaris of Willan invades in the shape of small, solid
elevations, around which numbers of other reddish-colored, prominent
spots, about a line in diameter, of a circular form and firm consistency,
are evolved. This induced Willan to imagine that lepra was owing to
an induration of the papillae of the skin.
The summit of these elevations, the appearance of which is fre-
quently successive, smooth in the earlier stages of their existence, be-
come covered, some few days after their formation, with a small
epidermic scale, white, semi-transparent, smooth, and polished. This
minute, spangle-like scale is detached before long, and its fall is
announced by a feeling of tingling and itching. The small space of
skin, which it covered, is now found red, and is rough to the touch.
In the centre of the inner surface of the scale which is thrown off, a
minute eminence may be perceived, less consistent than the other parts,
and which appears to have been lodged in a slight depression of the
skin; it is even observed to be tinged with blood when violence is em-
ployed in removing the scale.
These small scaly spots, after having thus shed their covering once,
enlarge in rather a rapid manner, until they measure an inch, and even
more, in diameter, but always preserving a circular shape. They are
soon again covered with scales, which are dry, glistening, somewhat
opalescent, tough, and of a pearl-gray or pale-yellow tint. They are
bounded by a rosy, or purplish and slightly elevated margin, so that
the centre of each patch appears somewhat depressed. The scales,
which almost always adhere very firmly to the skin, are by no means
evenly and regularly spread over the surface of the leprous patches,
which are never seen covered by a single scale. The scales are super-
posed, especially in the circumference of the patches, and become
thicker and thicker, so as to form prominent layers. The leprous
eruption sometimes covers the entire body, commencing in general from
the extremities; it rarely spreads to any extent on the face. When
the scalp becomes affected, the scales are very minute, and generally
cover an exudation derived from the inflamed bulbs of the hair. In
very severe cases, when the disease extends over the hands, and invades
the root of the nails, these become changed in structure, curved, and
of a dirty yellow color. The constitutional disturbance attending on
leprosy is, for the most part, very trifling; sometimes there is a slight
fever, accompanied with gastric symptoms. Its most troublesome
accompaniment is a disagreeable itching, attending its commencement
and increase.
A form of this disease, which they call lepra alphoides, is but a mere
variety of common lepra. There is, in this form, less redness of the
skin; the scales are smaller, and of a more pearly whiteness. It sel-
dom reaches the trunk; and it generally attacks children, aged per-
sons, or those of a weakly habit of body.
Lepra alba, the leuce of the Greeks. White elephantiasis, -character-
ized by spots and white crusts, - commences by the appearance of mor-.
phea alba, or white morphew, on thespots of which these areformed, which
624 LEPRA – LEPROSY.
are covered with scales or white crusts. If this phenomenon does not
take place, the spots are seen to extend more and more, the skin beneath
becomes insensible, there are formed tumors in the cellular tissue under
the skin, produced by the stagnation of coagulated lymph, and the
outer skin frequently falls, several times in the year, in large flakes like
those thrown off by serpents when they cast their slough. At length
there come on fissures and ulcers, the face becomes affected with drop-
sical swelling, the gums fungous and putrid, the hair falls off, the
senses are blunted, the blood taken from the veins is blackish and tur-
bid, and life is terminated by dropsy or consumption.
Black lepra, a variety characterized by black spots and scales. It
commences by a black morphew; the characteristic patches extend in
the form of rings; these form a great quantity of scales and crusts.
The skin between the scales is inflamed, and the seat of burning pains,
which torment the patient more especially during night.
Tuberculous Lepra. A more advanced degree of scaly lepra.
This seems to be the form more commonly described by authors under
the names of Elephantiasis, Leonine, or elephantine lepra, lepra of the
Arabians, &c. It announces itself, like the black, scaly lepra, by a
deep-colored leprous eruption, and frequently becomes developed after
the scaly lepra. In general the glands of the groin and those of the
armpit are observed to become engorged, the face puts on a red or
leaden tint, and there form, first at the eyebrows, then all over the
face, indolent and insensible tubercles from the size of a small pea
to that of a hen's egg, and which disfigure the face horribly. The
same takes place on the arms, legs, and belly. In the interval between
these tubercles the skin is chapped and wrinkled. Chaps form chiefly
on the lips, which are traversed with veins that are injected and bleed
readily; the gums are fungous and ulcerated; the eyes are prominent;
the look of the patient is either fixed or wild, or without life or fire;
the patient becomes either melancholic or maniacal ; the senses are
blunted; the voice becomes guttural; the respiration is embarrassed,
and the case terminates in Consumption. After death all the skin is
found hypertrophied, the cellular tissue and muscles are transformed
into one uniform lardaceous mass, strongly adhering to the bones, the
blood-vessels dilated and lacerated, the bones softened, the intestines
presenting indurations and lacerations. There are two distinct varie-
ties of the tubercular lepra, namely: (1) the Elephantiasis of the
Greeks, and (2) the Arabian Elephantiasis.
(1.) The tubercular lepra, properly so called, or the Elephantiasis of
the Greeks, is a variety in which the tubercles occupy the entire body,
and especially the face, to which they give a hideous aspect, making it
resemble that of a lion. These tubercles are transformed into cancer-
ous ulcers, with callous edges, with a surface spongy and covered with
excrescences like raspberries, accompanied with lesions in the Osseous
system, &c., &c., which make the entire limbs become mortified, and
be detached from the body.
(2.) The elephantine lepra, or Arabian Elephantiasis, is a variety
characterized by local intumescence of a limb, of the scrotum, the
female pudendum or the face, and more especially by that of one of the
LEPRA – LEPROSY. 625
lower extremities, called the elephant's foot. This affection generally
commences by swelling of the glands of the groin, whence a red line
shoots off in the direction of the lymphatic vessels, the foot or arm be-
comes swollen and hard, and pressure with the finger produces no im-
pression on the tumor; the latter becomes longer and larger, without
any defined form, entirely insensible, and the skin becomes covered
with scales; the nails become rough and tuberous; the general health
is often but little changed; but frequently, also, there is added a
quartan fever to the affection, a characteristic in leprous affections.
In many cases the disease may remain stationary for life, unless the
affected limb begins to ulcerate. *
Distinctive Characteristics. The distinction of lepra presents
no difficulty when we take this affection in its whole aspect, and the de-
scription now given of these different varieties may entirely suffice to
distinguish this disease from all other skin-affections.
General Causes. With respect to the causes of this affection,
there is nothing positive regarding those which occasion the cases evi-
dently not attributable to contagion. Ordinarily the affection is hered-
itary, contagious, and communicated chiefly by sexual intercourse.
It is developed principally at puberty, is more frequent in hot weather
than in cold, and is much favored in its development by great heat,
moist atmosphere, and one filled with marshy emanations, as also by
the use of pork, fish, &c. The causes which favor lepra, particularly
in certain countries, are to be referred to the habits of living of the
inhabitants, and to the nature of the climate or soil. The white lepra,
now very rare, was formerly very frequent in Egypt, Arabia, and Pales-
time; the black lepra prevailed more especially in Greece, and spread
over Europe; the tubercular lepra, according to some authors, origin-
ated in Egypt, and thence spread to Europe and throughout Africa.
It is, however, unhappily prevalent in the East generally; we find it
also in South America and chiefly in Brazil.
TREATMENT.
For the treatment of lepra we are indebted to Dr. Hering, who
treated, for several years, very many cases of this affection in South
America. The medicines preferred were in general as follows:
Alumina for coppery tubercles in the face; ears and nose tumefied;
veins injected at the eatremity of the nose; leprous spots, skin of the legs
tense, and covered with tubercular spots; forearm wrinkled and rough ;
rose-colored tubercles: inflammation of the eyes, and flow of tears, with-
out pain, with a feeling of weight in the face, as if swollen; looks sad
and dull; lips swollen, chapped and exfoliated; nose stopped, and much
thick tenacious phlegm, voice hoarse, and rattling of phlegm ; nostrils
excoriated and scabby; tickling and itching, and burning feel at the
extremity of the tongue; toes shining and red, as if with chilblains,
with pain, on external pressure; intense itching in small parts; dar-
trous spots, which itch chiefly at night; appearance of vesicles united in
groups; finger painful at the extremity, as if from subcutaneous ulcera-
tion; ulcers on the soles of the feet; corns painful; itching in old Scars.
Dose : Six globules in a teaspoonful of water, the first thing in the morning,
40
626 LEPRA – LEPROSY.
fasting, for ten days (or until the earlier manifestation of new symptors, or
general change); then pause a week; after which the course should, if
necessary, be repeated, as before, and so on, until decided amelioration or
change.
Arsenicum, for burning ulcers, with bloody secretion, of a dirty
color, and fetid; thin scabs, surrounded by inflammatory, raised edges;
much pain during repose, chiefly at night; gangrenous ulcers, with burn-
ing pains: burning itching, with painful feeling of the skin; circular
spots on the skin; yellow spots on the chest; elastic swelling of the skin,
face, forehead, eyelids, lips, &c., with pimples; color of the face changed;
twitching in the bones of the nose; tubercular tumefaction of the nose,
with stopping of the nostrils, and weight in the forehead: burning in the
skin, in the ulcers, and in the intestines; corroding ulcers on the soles
of the feet, and in the toes; burning ulcers at the end of the fingers; in-
dolent ulcers on the leprous tubercles; white leprous spots.
Dose: Six globules, as directed for Alumina.
Baryta carb. for ulceration around the nails; eruptions around the
ears; tubercular tumefaction of the face; tension of the skin of the
face, as if it was covered with a spider's web; sense of swelling, and
fulness in the upper lip; dryness of the skin of the hands; tickling in
the palms. Q
Dose: Six globules, as directed for Alumina.
Calcarea is seldom indicated in tuberculous lepra; but may be ap-
plicable in other varieties of this disease, especially in case of itching,
and eruptions in the face; stopping of the nose by fetid, purulent
matter; hoarseness, cough at night in bed; great sensibility to cold;
heat and restlessness at night.
Dose : As directed for Alumina.
Carbo vegetabilis; more especially when they are red, brownish
streaks, without a grayish centre; spots, with the centre more deeply
colored than the edges, remaining after the tubercles.
Dose : Six globules, as directed for Alumina.
Causticum, for shortening of the flexor muscles of the fingers and
hands; ulcers at the ends of the fingers; vesicles and corroding ulcers
in the heels; shortening of the muscles of the instep ; painful torpor of
the thumb and fore finger, especially on touching an object. *
Dose: Six globules, as directed for Alumina.
Colocynthis may be useful against shortening of the muscles in
some cases of lepra, and again when there is casting of the whole scarf-
skin.
Dose: Six globules, as directed for Alumina.
Conium may be useful for itching in the face; morning stopping
of the nostrils; purulent discharge from the nose; lips rough and dry;
brown spots on the skin of the body; sulky and gloomy temper.
Dose : Six globules, as directed for Alumina.
Graphites is not less important than Argenicum, especially when
there are dry scabs in the nostrils; stopping of the nose; falsetto voice
for singing; tetters on the thighs; toes ulcerated: toe nails thick, shape-
less, and curved; cross look; eruptions on the face, mouth, chin, ears,
ABSCESS OF THE LIVER- 627
and buttocks; red, indolent spots on the thighs and the leg; stiffness in
the joints of the foot; failure of transpiration; fetid sweats; leprous spots,
and remnants of these spots; copper-colored, annular spots, raised on the
face; coppery tubercles on the ear; callous ulcers on the ears; rose-colored
tubercles; rigid and torpid feel of the toes.
Dose : Six globules, as directed for Alumina.
Rali carb. may be useful in some cases. The particular indications
may be gathered from the article on “CHARACTERISTIC EFFECTs.”
Dose: Six globules, as directed for Alumina.
Natrum carb. This medicine is very important, chiefly for obsti-
nate tubercles in the face, and black pores; white pimples under the
tongue; tuberculous spots on the thighs and legs; leprous spots on the
arm; yellow rings, remains of dartrous spots; circular dartrous spots,
brown and coppery, with round edges, and of a tubercular character;
obstinate ulcers, after corrosive and spreading vesicles on the heels; itchy
eruption on the belly; rose-colored tubercles, &c.
Dose: Six globules, as directed for Alumina.
Natrum muriaticum. In some case this medicine may be use-
ful, especially when there are tubercles on the forehead, and at the back
of the neck, &c., &c.
Dose : Six globules, as directed for Alumina.
Petroleum. This medicine is of great importance, especially when
there are yellow spots on the arms; chaps in the hands, and at the ex-
tremity of the fingers; vesicles on the heel; tubercles on the face ; dar-
trous and tubercular spots on the body; obstinate ulcers on the fingers, with
raised and callows edges, and with a flat, moist, and red bottom; fetid
ulcers at the end of the fingers; ulcer broad, dirty-looking, with much
proud flesh; hoarseness, Suffocating cough at night.
Dose : Six globules, as directed for Alumina.
Phosphorus is a very important medicine, for:-flat spots, of a
clear brown color; tubercles on the body, especially on the thighs;
thick patches on the skin of the face; white spots on the arms; pains
and heat in the swollen fingers; stopping of the nose; pains in the
tubercles of the face.
Dose: Six globules, as directed for Alumina.
ABSCESS OF THE LIVER,
This is, unfortunately, a disease of much frequency in India, as well
as in other hot climates, and it is as fatal as it is insidious and obscure
in its first attack.
History, &c. When inflammation of the liver, especially of its
internal structure, is not treated with sufficient decision in its early
stages, the formation of one or of several abscesses is a frequent con-
sequence. This arises from one of two causes: — either from want of
decisive and prompt treatment in the first instances; or from the insid-
ious way in which it runs its course in the substance of the organ, in
cc.nsequence of which its nature and extent are not detected, until the
particular organic change has manifested itself sufficiently.
628 ABSCESS OF THE LIVER,
Characteristics. We may look on abscess of the liver as on
abscess of any other part of the body. We know that collections of
matter sometimes form in external parts of the body without any
marked rigors or constitutional disturbance, and even without much
fever; and a similar occurrence may supervene with respect to the liver.
Investigation of Abscess of the Liver. The symptoms
which usher in the formation of abscess, in many instances, seem to
depend more on the constitution of the individual, or the extent of
mischief at the time the suppurative process is commencing, than
upon any invariable change in the system necessary to its commence-
ment, and regularly indicated by certain signs. When the inflammatory
action, going on in a part of the organ, is not very acute, and when the
constitution is characterized by a scrofulous habit, then abscess super-
venes in the liver without giving any precise warning, until the very
last stage of the suppurative process, when the aggregate of the symp-
toms may lead us to infer its existence, or its communication with some
other important internal organ renders it manifest. When the inflam-
mation is acute and the habit not much impaired, the progress, as well
as the commencement, of abscess of the liver may often be detected, if
the inquiries be made with precision.
Indications afforded by easternal investigation. When the inflamma-
tion is active, the liver is very large from previous or simultaneous
congestion. This is more particularly the case when the upper surface
is the one affected. When the increase of bulk is chiefly on the con-
cave surface, it extends more in the direction of the stomach and large
intestine. Adhesions are then often formed either with the stomach,
large and small intestines, or right kidney.
Adhesions to opposite surfaces are not always the result of the point-
ing of an abscess in any particular direction. If it form and point in
the superior and anterior surface of the liver, adhesions to the adjoining
wall are often the consequence, and then an operation may be performed
with a prospect of advantage, and the mechanical treatment should not
be neglected if surgical aid be at hand.
When the abscess points easternally, the circumstance may be readily
detected; and in some cases when it is formed in the body of the liver,
and points in the direction of some other important organ, it may be
recognized by the symptoms present, and sometimes by the hand; coun-
terpressure on the posterior parts of the lower ribs being made at the
same time. Abscess, however, may form and point either on the mid-
riff, or on the intestines, more especially in weakly or scrofulous habits
with evident symptoms.
When acute attacks of inflammation of the liver are not subdued by
decisive treatment in the early stages, they run rapidly into abscess.
If abscess be actually found, and is seated in the convex part of the
right lobe, the enlargement is evident over the whole region immedi-
ately under the ribs in the right side, the swelling extending below the
ribs towards the navel. When the abscess is likely to form below the
ribs, we find generally great swelling and increased heat of the surface
of the part. If the abscess form on the superior surface of the liver,
and point on the midrift, there will seldom be felt any great increase
ABSCESS OF THE LIVER, 629
of temperature in the region below the ribs. The abscess may point
between the ribs.
When the abscess is fully formed and is seated on the superior part
of the liver, the enlargement and swelling felt beneath the ribs, previous
to and during the formation of matter, become considerably diminished;
but if it be in the inferior and anterior part of the organ, the enlarge-
ment becomes more and more reduced, until it assumes the character
of a distinct tumor, and the pain either ceases altogether or is but
little felt.
Indications afforded by the external surface. The supervention of
abscess is often not manifested by decided symptoms, especially when
the consequence of chronic inflammatory action, complicated with dys-
entery. The presence of rigors in such cases can seldom be expected;
but slight shuddering is more frequently observed. Even the occur-
rence of rigors is not decisive respecting the formation of matter in this
disease, as Liver Disease is often complicated with Ague.
Indications afforded by internal sensations and perspiration. Some-
times an internal sense of throbbing and fluttering has been felt in the
region of the liver, and has been followed by a broad, soft pulse, and
might perspiration. The supervention of night perspiration is one of
the most certain signs we can have of the formation of an internal abscess.
The indications next in importance are frequent cold sweats, but only
in the advanced stage of abscess. Frequent fainting sensations deserve
much reliance.
Indications afforded by the Pulse. The pulse, at the commencement of
the formation of matter, is generally soft and full, is subject to acceler-
ation in the evening, and, in the progress of the disease, becomes more
irritable, quick, and contracted.
Indications afforded in the Chest. In the more advanced stages of
abscess, and especially when it is seated in the posterior part of the
liver, and presses on the midriff, we have anariety and oppression in the
region about the chest, heart, and stomach.
Indications afforded by the position. The easiest position for the patient
in abscess of the Liver varies. It is more frequently on the back and
left side, when the abscess points towards the stomach or large intestine.
Frequently there is most ease from the sitting posture, and from leaning
gently forwards.
*
TREATMENT.
In addition to the subjoined particulars, those which have already
been furnished on the subject of Inflammation and Suppuration of the
Liver, should also be referred to.
Silicea is more especially indicated when a sensation of internal
soreness is felt in the region of the Liver, under such circumstances;
and when the least pressure, or even the jar of walking or riding is
extremely painful; also when there is excessive costiveness; these indi-
cations being further characterized by a throbbing in the part or by
swelling. This medicine is of great value either in averting such a
result when suppuration is not inevitable, or in promoting a more satis-
factory turn when this result has actually ensued.
Dose: Four globules in a teaspoonful of water, repeated at intervals of six
630 ABSCESS OF THE LIVER,
hours, until four doses have been given, and subsequently, at intervals of
twelve hours, for a week (or until the earlier manifestation of general
change); then pause four days, and determine whether to resume treat-
ment immediately, or to defer it for four or six days longer, according to
the state of the case.
Lachesis is to be preferred to Silicea when the symptoms, detailed
under the head of that remedy, occur in individuals who have been
addicted to intemperate habits.
Dose: Four globules, as directed for Silicea.
Kali carb. is applicable to the treatment of cases closely analogous
to those indicating Silicea; but more particularly when, with great
physical weakness, there are burning, darting, cutting pains in the
Liver, or when there is a constant pressive, heavy, dull, aching pain in
the same part, more especially aggravated by bending the body forward,
&c.; looseness of the bowels, sometimes with discharge of mucus or even
of blood, more particularly at night; scanty evacuations and deficient
(almost suppressed) discharge of urine, what is discharged being thick
and high colored, and urination being attended with more or less pain.
Dose: Four globules, as directed for Silicea.
Acidum phosphoricum is more particularly serviceable when the
bowels are in an irritable condition, and the patient is much incon-
venienced by urging to stool, the evacuations being scanty, often crude,
pale colored, slimy and loose; but when, sometimes, there is little or no
sensation of pain actually in the liver except when pressure is applied,
or when, in other instances, there is a feeling as if a great bulk or weight
were in the right side; or when, again, in other cases, cramp-like, con-
tractive, nipping, or shooting pains are suddenly experienced in the
right side.
Dose : Four globules, as directed for Silicea.
China, Sepia, Sulphur, and Lycopodium may also be enu-
merated as of occasional service in the treatment of abscess of the Liver,
and may advantageously interpose to meet particular and collateral
developments as they occur. As respects Sulphur, there are compara-
tively few cases in which its employment would not be required. For
the particular indications of each, however, the reader is referred to
the article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines as selected, give four globules, as directed
for Silicea.
Additional Particulars.
It may prove of much assistance in treating cases of this nature to
consult also the general article on “Indigestion,” and on “Dysentery,”
whence many important features of the case may be extracted and
thence facilities afforded for the appropriate treatment.
Diet and Regimen. The food must be taken in very small
quantities at a time, more frequently than would be required in health,
and with great regularity. Above all, every irritating ingredient
should be sedulously excluded, and every stimulating article of food or
drink withheld. At the same time the support of the strength as far
as we are able to effect it must not be neglected; and good, plain,
CHRONIC AFFECTIONS OF THE LIVER, 631
nourishing food, such as broth, and plain, farinaceous substances,
should be taken. Exposure to vicissitudes of temperature, whether to
heat or chill, or to exertion, fatigue, &c., cannot be undergone without
danger.
CHRONIC AFFECTIONS OF THE LIVER .
Chronic disease of the Liver is by no means to be looked upon as
essentially incidental to residence in hot climates. I have had oc-
casion to enter into the consideration of this class of diseases in the
earlier part of this work. But, at the same time, many of these disor-
ders are far more frequent in hot climates, and more particularly in
India, and therefore they are entitled to especial consideration in this
place.
Chronic Inflammation of the Liver.
Nature and Origin. Chronic Inflammation of the Liver may
supervene primarily, or the acute form may subside into a slow, inactive
state. If it occur primarily, its seat is generally the internal texture
of the organ. When it is incidental to the acute form, it is generally,
but not uniformly, seated in the substance of the liver.
Symptoms. Chronic inflammations of the Liver generally com-
mence, and are accompanied with much disorder of its functions.
There are generally appearances either of disordered biliary secretion,
or of obstruction to the discharge of this fluid into the superior intes-
tines. Sometimes it appears to be more abundant than is natural, but
this arises from obstructions to its free discharge into the first bowels,
and its consequent accumulation in the hepatic ducts and gall-bladder.
Torpor of the organ, when it accompanies a state of chronic disease of
the organ itself, may also lead occasionally to attacks of more acute
disorder, attended with an increased and vitiated secretion of this
fluid; and this effort may proceed from the elements of bile accu-
mulated in the blood, owing to the deficient functions of the liver,
irritating or exciting it to increased or morbid action. The secretion of
bile may therefore be various in quantity, according to circumstances;
but it is more generally diminished, and almost always changed in
quality.
In the slightest and most chronic forms of inflammatory action of the
biliary organs, the symptoms are very often indistinct; it is chiefly, in
cases of this description, through disorder of the digestive and assimi-
lative functions, that we are often led to infer the existence of disease
of the Liver. The loss of flesh, the symptoms of disordered digestion,
particularly the slow and painful digestion, accompanied with acid and .
acrid eructations, flatulency, nausea, and sometimes vomiting ; torpid
state of the bowels, or dark-colored, offensive, strong, greenish, tena-
cious, or watery and muddy motions; the frequent calls to stool, and
the scanty and morbid state of the evacuations; the dark-colored and
disordered condition of the urine; the distension and oppression at the
region about the stomach and below the ribs on the right side; the oc-
casional aching pain and weight in these situations; the uneasiness and
pain about the right shoulder or shoulder-blade; the slight acceleration
632 CHRONIC AFFECTIONS OF THE LIVER,
of the pulse towards evening, with an irritable beat, and considerable
heat and restlessness through the night; the burning heat of the palms
of the hands and of the soles of the feet in the evening, and chilliness in
the morning; the white, foul, and excited tongue; the bitter or dis-
agreeable taste of the mouth ; the hardened state of the gums, &c. &c.,
—and by such as these, constituting the principal symptoms, – that
we are guided in determining the existence of Chronic Inflammation
of the Liver.
Issue and Results. The terminations of chronic inflammation
of the liver are various. The greater number of them, however, may
be viewed in the light of advanced stages of the inflammatory state;
others merely as organic changes, to which this state invariably leads
in particular habits and constitutions, rather than as actual termina-
tions of chronic inflammatory action, since the vascular disorder may
be considered as still existing. As, in the more acute forms of the
disease, these forms may terminate in resolution, by a gradual diminu-
tion of the morbid symptoms and a return of the healthy action of the
diseased organ and of those related to it in function; they may also
give rise to a more acute form of disease, or to organic changes of a
serious and even fatal tendency. Amongst the latter are, active inflam-
mation of the organ, or of the gall-bladder and ducts; the latter em-
braces all the organic changes to which the organ is liable, – and these,
indeed, are of more common occurrence in temperate climates than in
WàI’Ill OneS.
Enlargement. The Liver, in cases of long-continued and slight
inflammatory action, becomes much enlarged. The enlargement is
often accompanied, also, with deposits of purulent matter in various
parts of the organ, with a friable state of its texture, and a dark and
congested condition of both its internal structure and surfaces.
Induration seems to be merely the consequence of slow inflammatory
action, with a deposit of organized matter, and an increased consist-
ence of the cellular internal structure of the organ, and frequently
with an effusion in the granulated tissue composing the greater portion
of its internal structure.
Tubercles of various kinds, some encysted, others without any evident
cyst or distinct envelope, are often severally detected in examinations
of the more chronic forms of inflammation of the Liver. These various
changes are chiefly remarked in the most chronic cases.
In these cases, also, particularly in those addicted to drinking spirit-
uous and intoxicating liquors, the substance of the liver is tuberculated,
and of a cheesy consistence and texture; it is generally, at the same
time, much enlarged.
Atrophy. In many chronic cases the Liver becomes smaller than is
natural; and in some it is diminished in size. Atrophy of the Liver may
be the result of slow inflammatory action. The cause of the diminution
of size may be abscess.
In addition to these organic changes referable to the substance of the
liver, others appertain to the Gall-ducts. These are, collections of very
viscid bile in the hepatic ducts, and biliary concretions in the same sit-
uation. Biliary concretions frequently form, in warm climates, in the
sº
CHRONIC AFFECTIONS OF THE LIVER, 633
gall-bladder, and often produce inflammatory action in this receptacle,
or in the cystic or common duct, not unfrequently attended with spasm.
TREATMENT.
Chronic Inflammation of the Liver.
With respect to Chronic Inflammation of the Liver, the directions
already afforded for the treatment of this disease, as it occurs amongst
us, are equally applicable to its treatment in tropical climates. To the
article in question, therefore, the reader is referred.
Enlargement and Induration of the Liver.
Arsenicum is a medicine which is frequently of considerable service
for the treatment of enlargements and indurations, such as have been
above described, and is more especially appropriate when the Liver
Disease is complicated with enlarged Spleen. It is indicated by a small,
quick, irritable pulse; tightness and fulness in the right side about the
region of the liver, with sensibility to touch, and predominance of
burning pains; heat of skin, thirst, anxiety, and restlessness; great
dryness of the mouth ; bitter taste in the mouth ; foul, chiefly brown,
and dry tongue; and sometimes vomiting of a dark-colored, grumous
fluid ; or diarrhoea, occasionally sanguineous; prostration of strength,
and swelling of the feet.
Dose: Three globules in a teaspoonful of water, night and morning, for six
days (or until the earlier development of new symptoms or general change);
then pause four days, after which the course should, if this remedy is still
indicated, be repeated as before, and so on, until decided amelioration or
change.
Mercurius is very characteristically indicated by swelling and indu-
ration of the liver, more particularly if there be obstructions in the
gall-bladder and ducts, and complete jaundice supervene; the region
of the liver is full and incapable of sustaining pressure. Sometimes
the case is further characterized by occasional shooting and burning
pains in the region of the liver.
Dose : Three globules, as directed for Arsenicum.
Calcarea is useful for enlargement and induration of the liver,
attended with excessive tightness and pressure below the lower ribs of
the right side,-these parts being incapable of sustaining the least press-
ure: or when the enlargement is characterized by occasional darting
pains, or by a continual sensation of tightness and pressure, with gen-
eral, dull, dragging pain in the same region, sometimes extending
through to the right shoulder-blade; evacuations deficient of bile,
usually whitish, and sometimes streaked with blood; bitter taste in the
mouth, almost invariably in the morning; predominance of thirst, and
very feeble powers of digestion, every meal occasioning much inconve-
nience; white-coated tongue; daily feverish attack soon after midday;
excessive dejection of spirits, irritability, impatience, and anxiety;
sometimes shortness of breath, and generally short, dry cough.
Dose: Six globules in a table-spoonful of water, the first thing every morn-
ing, fasting, for eight days (or until the earlier development of marked
change); then pause a week, after which the course should, if necessary,
634 CHRONIC AFFECTIONS OF THE LIVER,
be repeated as before; and so on, from time to time, until decided amelio-
ration or change.
China is more especially of service in cases complicated with simul-
taneous enlargement and induration of both the liver and the spleen,
and when pains, as from a bruise or sore, are provoked in the region
of the liver by the least touch, or when there is a prevailing heavy pain
along the lower ribs on both sides; the evacuations are almost invari-
ably slimy, often yellowish or greenish, and sometimes also watery; the
urine is cloudy and deposits much sediment; everything eaten has an acid
or bitter taste; there is predominant thirst, with great desire to drink;
the tongue is much loaded with a yellowish or white coating; there is usu-
ally a yellow suffusion of the skin, and the sleep is much disturbed; pains
in the limbs often occur; and stitching pain in the region of the liver,
during inspiration, is also a symptom, which, when associated with the
foregoing, should indicate China; there are pains in the shoulder-blades,
and often a short, interrupted, muffled cough, with sensation of suffoca-
tion at night; pressive pain in the forehead; evening fever, with great
heat, and with excessive heat and dryness of the lips, and sometimes
with determination of blood to the head.
Dose : Three globules in a teaspoonful of water, night and morning, for six
days (or until the earlier development of amelioration or change); then
pause four days; after which the course may, if necessary, be repeated as
before, and so on, until decided amelioration or change
Nux vomica, Lycopodium, Sulphur, or Sepia may be
required, especially in cases of long standing. There are few instances
in which they will not be required, either in courses, or for intermediary
administration from time to time (especially in cases of simple enlarge-
ment). For the particular indications which should lead to the selec-
tion of each, respectively, refer to the article on “CHARACTERISTIC
EFFECTS.”
Dose: Of either of these medicines, when selected, give three globules, as
directed for China.
Diet and Regimen. In cases in which Enlargement or Indura-
tion of the Liver has taken place, the directions which have been stated
at length in the article on “Eradicative Treatment,” at pp. 83–89,
should be referred to.
Tubercle and Atrophy of the Liver.
Arsenicum, Silicea, Sulphur, and Lycopodium may be
named as being likely to be of some service. There are others, however,
which the tact and experience of a medical practitioner in attendance
might find more appropriate in many cases. It should not be omitted,
however, that in all cases in which organic disease of the liver is detected
in an advanced stage, if there be any hope of retrieving comparative
health and of prolonging life, the medicinal treatment should, if prac-
ticable, be seconded by removal to a climate more consistent with the
constitution. The selection from amongst these medicines must depend
wholly upon the indications afforded under the head of each, respec-
tively, in the article on “CHARACTERISTIC EFFECTs.”
Dose: If of Arsenicum or Lycopodium, give three globules in a teaspoonful of
CHRONIC AIFFECTIONS OF THE LIVER, 635
water, night and morning,-if of Silicea or Sulphur, give six globules in a
table-spoonful of water, every morning, the first thing—fasting, for ten
days (or until the earlier manifestation of marked change); then pause a
week; after which the course should, if indicated, be repeated as before;
and so on.
Affections of the Gall-Bladder and Ducts.
Belladonna is sometimes productive of speedy relief, of longer
or shorter duration, in the treatment of Biliary Concretions or Gall-
Stones, and of other morbid accumulations in the Gall-ducts, &c.,
when excessive pain is experienced at the pit of the stomach, darting
through to between the shoulders.
Dose : Four globules in a teaspoonful of water, repeated three times a day
for two days, and subsequently, night and morning, if the pain continues
in a diminished degree, for a week (or until the earlier manifestation of
decided change).
Calcarea, Lachesis, Silicea, and Sulphur are to be men-
tioned as frequently of service in the treatment of obstructions in the
Gall-Ducts, &c., especially in protracted cases, or in cases associated
with long-continued and inveterate derangements of the biliary appa-
ratus. The general indications for each, respectively, may be gathered
from the article on “CHARACTERISTIC EFFECTs.”
Dose : If of Lachesis, give three globules in a teaspoonful of water, night
and morning, — if of Silicea, Calcarea, or Sulphur, six globules in a table-
spoonful of water, the first thing in the morning — fasting, for ten days
(or until the earlier manifestation of decided change); then pause eight
days, after which the course may, if necessary, be repeated as before,
and so on, until decided amelioration or change.
China and Nux vom. are always of greater or less service in
the treatment of chronic diseases of the Liver, Spleen, Gall-Ducts, &c.,
and their associated derangements of the whole apparatus of digestion,
when the disease is not of too long standing, or beyond the reach of art.
Dose : Of either of these medicines, when selected, as directed for Lachesis,
in the foregoing prescription.
636 CONCUSSION OF THE BRAIN.
CASUALTIES.
CONCUSSION, BRUISES, SPRAINS OR STRAINS, WOUNDS,
DISLOCATIONS, AND FRACTURES.
BIEMARKS ON TEXTERNAL REMEDIES.
WITH respect to the chief distinctions which serve to determine the
fitness of one remedy, as a local application, in preference to another,
the reader is referred to the Introductory article at pp. 66–70, in
which this subject has been considered in detail.
CONCUSSION OF THE BRAIN.
In concussion of the Brain (which may arise from a violent shaking
of the brain or of the whole body, without any direct violence having
been offered, such as a severe blow or fall on the head,) the symptoms
vary, according to the degree of injury which the brain has sustained.
Symptoms. When the concussion is very severe, there is im-
mediate deprivation of sense and power of motion, and death is the
general result ; but when slight, a temporary stunning or confusion,
with more or less headache, is produced, followed by increased action
of the pulse, giddiness, and sickness. When, on the other hand, the
violence done is greater than in the latter instance, though not so
severe as to cause the fatal termination alluded to above, we may
divide the progress of the results of such accident into three distinct
stages, as follows:—
(1.) The first stage, – in which the patient is rendered insensible
and incapable of movement; his limbs become cold ; the pulse weak,
slow, and intermittent; the respiration laborious, but usually without
Snoring.
(2.) The second stage, – in which, as the patient begins to recover
from this condition, the pulse and respiration improve, and warmth
begins to be felt in the extremities; the sensibility to touch then
returns, and the contents of the stomach are in most cases ejected; still
he continues to remain in a dull, confused state, and inattentive to, or
almost unconscious of, slight external impressions. On the gradual
subsidence of the first effects of the concussion, the patient becomes
enabled to respond to questions spoken in a loud tone.
(3.) The third stage. —When, however, the stupor has considerably
or entirely abated, inflammation of the brain, of an active character,
will, in many cases, then begin to develop itself, with all its wonted
symptoms; and if not checked, suppuration or effusion within the
head, preceded by sudden coldness and shivering, will result.
TREATMENT.
Arnica is the specific remedy in all cases of injury arising from ex-
ternal violence, and its timely administration internally, simultaneously
with its external application (if there be a wound), in cases of concus-
sion of the brain, will, in most instances, if the injury be not very
CONCUSSION OR CONTUSION OF THE CHEST. 637
severe, suffice to remove all traces and evil consequences of such mis-
fortunes.
Dose (internal): Two globules in a teaspoonful of water (if requisite, and no
other remedy should meanwhile become more distinctly indicated), at in-
tervals of three hours, until decided amelioration or change.
Application (external) : Add twenty drops of the Concentrated Tincture of
Arnica to two table-spoonfuls of water, and bathe the parts with this
lotion three times a day, until the dispersion of the bruise, swelling, &c.
Should the swelling, pains, and other symptoms increase, after one or two
applications, the Lotion should be discontinued, until these symptoms of
aggravation have subsided.
When, however, the contusion has been serious, the subjoined symp-
toms usually characterize the case: – Extreme restlessness or jactita-
tion, and irritability of temper, with sensibility of the eyes to light; small,
quick pulse ; delirium ; or subsequently coldness and shivering, &c.
The treatment which is called for in cases of this nature, is identical
with that which has already been detailed in the article on Inflamma-
tion of the Brain, to which therefore the reader is referred for par-
ticulars.
Diet and Regimen. After an injury to the head, particularly
if it has been of a somewhat severe character, the patient ought not to
be allowed to partake of any stimulating liquids, such as wine, spirits,
&c., until at least three or four weeks have elapsed, even although he
may appear to have entirely recovered from the effects of the accident.
He ought likewise to be kept quiet, and not be permitted to expose
himself to excitement of any kind, otherwise the most serious con-
sequences may result.
CONCUSSION OR CONTUSION OF THE CHEST.
TREATMENT.
Arnica should be promptly employed, in those instances in which
the chest has been injured by a contusion, or violent concussion, &c.,
and when the subjoined symptoms ensue: Soreness, or a sensation as if
from incipient suppuration, with heat and throbbing, is experienced in
some particular spot; fever, or alternate chilliness and heat followed
by fever, which becomes aggravated in the evening; sleeplessness or
disturbed sleep, with general heat, and sometimes perspiration towards
morning; short, dry cough which increases the pain, or cough with
spitting of blood; further, when the pain in the chest is rendered more
acute by taking a full inspiration, laughing or sneezing, or when
pricking pains or a sensation of fulness or pressure, as if caused by ex-
travasated blood, is experienced, together with a feeling of constriction
, that obstructs the freedom of respiration. If the febrile symptoms
should be very intense a dose of Aconitum should be given, either at
the commencement, or as an intercurrent.
Dose : Six globules to two table-spoonfuls of water, a teaspoonful at inter-
vals of four hours, until decided amelioration or change.
Mercurius. In cases in which the cough, more especially, con-
tinues and increases, and when, moreover, expectoration of thick, yel-
low phlegm (occasionally streaked with blood) ensues.
Dose: Two globules, in other respects as directed for Arnica.
638 SHOCK TO THE NERVOUS SYSTEM.
China is not unfrequently of much service in completing the cure
when a degree of delicacy of the chest remains behind, with tendency
to suffer from shortness of breath, and a short dry cough, combined
with paleness of the face, impaired appetite, and restless, unrefreshing
sleep.
Dose: Three globules in a teaspoonful of water, night and morning, for six
days (or until earlier change); then pause four days, after which the
course may, if necessary, be repeated as before, and so on.
Stannum, Acidum nit., Silicea, Kali c. In cases in which the
continuance of ill-effects, resulting from concussion, &c., of the chest,
has been unduly protracted, or in which the accident was neglected
at the time, and has entailed chronic mischiefs, with apprehension of
terminating in CoNSUMPTION, one or more of these medicines may
prove of service in obviating the imminent development of organic
disease. The selection from amongst them should be guided by the in-
dications afforded under the head of each, in the article on “CHARAC-
TERISTIC EFFECTS.”
Dose: Of either of these medicines, when selected, give three globules, as
directed for China above.
Phosphorus, Lycopodium, Calcarea, and Sulphur are
also to be mentioned amongst those of importance in cases in which
organic disease threatens to attack the lungs, in consequence of a
neglected injury to the chest. The particular indications which should
lead to the selection of each, respectively, may be gathered from the
article on “CHARACTERISTIC EFFECTS.”
Dose: Of either of these medicines, when selected, give three globules, as
directed for China above.
SHOCK TO THE NERVOUS SYSTEM.
TREATMENT.
Arnica should be employed in almost all cases of the kind, occa-
sioned by stumbling or making a false step, &c., either at the com-
mencement or during the progress of the course of treatment, subject
to characteristic indications, such as those detailed respecting this
remedy in the article on that subject.
Dose: Three globules in a teaspoonful of water, morning and evening for
four days; unless, in the meanwhile, symptoms, such as those described
under the other remedies, strikingly supervene, in which case proceed
accordingly. t
Aconitum should be given when there is great fearfulness resulting.
The patient is afraid of a crowd, to cross the streets, &c.
Dose: Three globules, as directed for Arnica.
Belladonna should follow Arnica when headache has resulted from
a contusion, or from stumbling, which the latter remedy has failed to
relieve.
Dose: Three globules, as directed for Arnica.
Cocculus, Cicuta, and Acidum phos. are also to be men-
tioned as sometimes appropriate for the treatment of headache inci-
dental to such an accident. The selection from amongst them should
SPRAINS. 639
be regulated by the indications afforded for each, respectively, in the
article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, when selected, give three globules, as
directed for Arnica.
Pulsatilla and Bryonia should be selected according to their re-
spective indications (as stated in the article on that subject) against the
effects of the shock to the nervous system, occasioned by stumbling or
making a false step, when pains in the limbs are present.
Dose: Of the remedy selected, give three globules, as directed for Arnica.
Opium should be the first remedy selected, when the accident has
been accompanied by fright.
Dose : Three globules, as directed for Arnica.
Chamomilla and Ignatia are indicated when, from extreme
pain, convulsions ensue. The particular and distinctive indications of
each, respectively, may be gathered from the article on “CHARACTER-
ISTIC EFFECTs.”
Dose : Of the remedy selected, give three globules, as directed for Arnica.
Coffea is preferable when uncontrollable agitation and agonizing
restlessness result.
Dose: Three globules, as for Arnica.
Diet and Regimen. Under these circumstances a little circum-
spection in respect of diet is ever desirable. Stimulating articles
should be avoided, and the patient should at the same time remain
quiet, and avoid any exertion, whether of the body or mind, until the
pain, &c., be removed.
SIPRAINS.
EXTERNAL OR LOCAL TREATMENT.
Arnica (Concentrated Tincture) should be employed at the com-
mencement in the treatment of these troublesome casualties, especially
when there is much swelling and redness, or lividness from the extrav-
asation of blood, with great pain on the slightest movement.
Application: To four table-spoonfuls of water add one teaspoonful of the
Concentrated Tincture of Arnica, and bathe the parts affected with this
lotion every three hours during the first day after the accident has oc-
curred.
Calendula (Concentrated Tincture). For persons in whom Arnica
is productive of irritation, especially those who have a predisposition
to affections of the character of Erysipelas, and in whom the Tincture
of Arnica is apt to produce inflammation of the skin, or to develop a
troublesome rash, this remedy must be substituted for Arnica.
Application : As directed for Arnica.
Rhus toxicodendron should be applied after either of the fore-
going remedies, or should be preferred before any, when there is no
extravasation of blood. It is, in fact, more especially specific in this
description of external injury, and should, in the absence of Calendula,
be employed alone in a great number of cases, more particularly in
640 STRAINS.
those in which Arnica produces inflammation of the skin, or develops
a troublesome rash.
Application : To two table-spoonfuls of water add twenty drops of the Con-
centrated Tincture of Rhus toz. ; and bathe the parts affected every three
hours.
INTERNAL OR CONSTITUTIONAL TREATMENT.
During the external application of the above remedies, it may be
advisable to administer them internally to assist in the cure.
Dose: Three globules in a teaspoonful of water, once a day for four days.
Bryonia, Sulphur, or Calcarea may become necessary, when
severe pain, particularly on movement, together with stiffness or weak-
ness of the part, remains after the use of the above.
Dose : Of the remedy selected, give three globules in a teaspoonful of water,
once a day, for four days.
Sepia, Causticum. In some instances in which the stiffness,
weakness, &c., are much protracted, and have not been wholly
removed by the foregoing course, these two medicines should subse-
quently be administered in succession, at intervals of ten days, as
above directed.
Aconitum must, however, interpose within not less than four hours
after the administration of any other remedy, internal or eaternal, at
any period when the local pain, heat, and redness resulting from a
severe sprain are attended with fever and restlessness. During the
administration of Acomitum, all other treatment must be suspended,
and not resumed until six hours have elapsed after the last dose of
this remedy.
Dose: Three globules in a teaspoonful of water, repeated at intervals of six
hours, till the fever abates. -
STRAINS.
TREATMENT.
Bryonia should be administered when pricking or other pains are
experienced in the back, &c., after a strain caused by any powerful
or sudden exertion, such as lifting a heavy weight, or throwing up a
window, with aggravation from the slightest movement of the arms
or trunk.
Dose : Three globules in a teaspoonful of water, night and morning, until
the symptoms subside.
Rhus tox. should be administered when headache results from a
strain, or when the pains are confined to the extremities, or if the
pains in the back or loins are equally severe during rest as on move-
ment, if not more S0.
Dose: Three globules, as directed for Bryonia.
Calcarea should follow Rhus toa., if, after the fourth dose of the
latter, there be no material improvement.
Dose: Three globules in a teaspoonful of water, twice a day, for two
days.
Veratrum or Nux vom. is more distinctly indicated when
INCISED WOUNIDS. 641
sickness and great pain in the belly are produced by the effects of a
strain.
Dose: Three globules in a teaspoonful of water, every three hours, until
the symptoms subside.
Diet and Regimen. When there is no fever the diet should be
plain and unstimulating, but sufficiently nutritious. The parts which
have been injured should be kept in a state of absolute rest, when it
is practicable to do so.
WOUNDS.
Wounds are generally divided into, or classified as (1) incised,
(2) lacerated, (3) contused, (4) punctured, (5) gunshot, and (6) poi-
soned wounds.
(1.) By an incised wound is meant one which has been produced by
a sharp instrument, as a sword, knife, &c., and is not accompanied
with any contusion or laceration. Incised wounds, although more
liable to be attended with a greater loss of blood, are, generally speak-
ing, the least dangerous, and the most easily healed.
(2.) Lacerated wounds are those in which the muscular fibres, in-
stead of being divided by a sharp-cutting instrument, have been torn
asunder with some violence; the edges, in place of being even and
regular, are jagged and unequal. They are commonly attended with
little or no bleeding, rarely heal without suppurating, and are fre-
quently succeeded by violent inflammation.
(3.) The terms contused wounds or bruises, are applied to those
injuries which are occasioned by some blunt instrument, or hard, blunt
surface, being brought in violent collision with a part of the body.
When severe, they are dangerous, from being prone to terminate in
mortification and sloughing.
(4.) Punctured wounds are those which have been caused by pointed
instruments; they partake more of the nature of lacerated than of
incised wounds, and are dangerous from the great depth to which they
frequently penetrate, and the serious consequences they often entail.
(5.) Gunshot wounds partake of the character of lacerated and
contused wounds.
(6.) Poisoned wounds are considered under the head of Hydro-
hobia.
p DEGREE OF THE INJURY. Wounds of the arteries are, for the
most part, the most serious: they are to be distinguished by the bright
color of the blood, which, moreover, issues very rapidly and in jets;
while that from a vein flows in a smooth, uninterrupted stream, and
has a darker hue.
INCISED WOUNDS.
EXTERNAL TREATMENT.
In the treatment of wounds of a severe description, our first object
is to arrest the flow of blood. The tourniquet (an instrument used
for this purpose), the ligature, compression, cold water or ice, and
41
642 INCISED WOUNIDS.
astringents, are all appliances to this end, variously appropriate,
according to the degree or source of the hemorrhage.
When the injured vessels are of a small size, they spontaneously
cease to bleed, or do so, at all events, as soon as the wound is dressed;
but when the discharge of blood is considerable, one or more of the
subjoined measures must be immediately resorted to for the purpose
of arresting it.
Mechanical Means — Dressing.
Woun Ds OF ARTERIES AND VEINs. When, therefore, there is
reason to conclude that an artery has been wounded, a tourniquet
should be applied around the limb to check the flow of blood; the
external wound must then be closed, covered with a graduated com-
press, and firmly secured with a bandage. When a proper tourniquet
is not at hand, its place may be tolerably well supplied by a handker-
chief secured round the limb, and tightened by two or three turns of
a stick passed under the handkerchief, until the discharge of blood
ceases; or the substitute may consist of a cork cut longitudinally,
and firmly fixed over the artery, the site of which is readily to be
found at the inner surface of the limb, in spare or emaciated subjects,
by its pulsation: but as, in robust and muscular patients, it is more
difficult to find the artery, it will, in such cases, be advisable first to
tie a handkerchief or non-elastic garter, tightly round the limb, above
the wound; which will have the effect of rendering the artery more
prominent. In order to make the compression of the cork the more
effectual, several plies of lint or linen, or a piece sufficiently large
to form a few inches square and one in thickness, should be placed
over the cork (which should be held firmly in the required position
during the preparation of the compress), and the whole then tightened,
and retained as long as may be requisite. The application of ice to
the wound is also of unequivocal service. Bleeding may also be ar-
rested by twisting the divided ends of the artery firmly with a pair of
forceps, if the vessel be of small size; or by the application of lint
saturated with “Monsell’s Solution” (persulphate of iron) to the wound,
secured with a compress and bandage. This latter method is also
well adapted to the arrest of bleeding from wounded veins. When
the discharge of blood comes from a large artery, it must sooner or
later be stopped by ligature.
It is to be remembered that when an artery is wounded, compression
is to be made between the wound and the heart; and vice versa when
a wounded vein needs compression, as the blood flows through the
arteries, from the heart, and through the veins, to the heart. It is
sometimes necessary, in cases of wounded arteries, to make compression
both above and below the wound.
Wounds IN THE MOUTH. Bleeding from wounds, &c., in the
mouth, sometimes requires the application of styptics, such as alcohol,
kreosote water, “Monsell’s Solution,” &c. The same may be said of
slight superficial wounds, as also of fungous tumors, and other dis-
eased surfaces, when cold water fails to answer the purpose.
Copious discharge of blood after the extraction of a tooth is, usually,
INCISED WOUNDS. 643
readily suppressed by pushing a compress of lint into the hollow space
left; or by the aid of styptics, when requisite. A simple, and some-
times extremely efficacious mode of checking the flow of blood, is by
replacing the extracted tooth, and keeping it in its former position
until the risk of further discharge of blood is obviated.
The next step to be taken in wounds of every description, after the
hemorrhage is stopped, is to remove all extraneous matter, such as
sand, fragments of glass, splinters, &c.; then to relax the muscles by
placing the injured limb or part in such a position that the wound
may not be made to gape; finally, to bring the lips or sides of the
wound in accurate contact, and keep them so by bandages, plasters,
stitches, &c. Bandages are usually indispensable in deep, and even
in small, superficial, incised wounds; but care must be taken not to
apply them too tightly, nor when there is excessive inflammation.
Stitches are commonly found necessary in wounds of the face or
belly, and sometimes of the hands, and in old people generally. In
the young and vigorous they are seldom called for, and may be even
improper and hurtful when the patient is of an irritable habit of body.
Strips of adhesive plaster, — cut narrow and sufficiently long to retain
their hold as firmly as possible, and act with the required compressive
power, — form, in the majority of incised wounds, the most frequently
useful means of bringing the sides into close approximation and effect-
ing adhesion. It sometimes happens, however, that even incised
wounds, particularly when deep and of considerable magnitude, ter-
minate in suppuration. It is consequently necessary to leave inter-
vening spaces between the slips of plaster, to admit of the exit of the
matter in such an event. Again, when it is found impracticable to
cleanse the wound of all foreign substances, it ought to be only lightly,
and so to speak, incompletely dressed, as it will be necessary to renew
the dressings repeatedly. In some cases it is necessary to dilate the
wound, to facilitate the abstraction of a splinter, &c. When it is
necessary to dress the wound, and the compress is found adherent, it
is advisable to remove it with caution and gentleness, in order to avoid
tearing asunder the closing wound: the employment of tepid water
will facilitate the separation of the linen. It is best to keep all wounds
as much secluded from the external atmosphere as possible.
INTERNAL OR CONSTITUTIONAL TREATMENT.
Arnica is the first remedy in the constitutional treatment of wounds
of all kinds, and its internal administration should commence as soon
as the patient has been rendered as comfortable as circumstances will
admit.
Dose: Three globules in a teaspoonful of water, to be repeated every twelve
hours, if necessary.
Aconitum is found necessary, if the patient be robust and strong,
and sympathetic fever runs high.
Dose: Three globules in a teaspoonful of water, every three hours, until
the febrile indications have abated.
China is required for the treatment of those serious injuries by
644 L.A.C.ERATED WOUNDS.
which very severe loss of blood is occasioned, resulting in all the signs
of extreme exhaustion, characterized by severe and repeated fainting-
fits, with deadly paleness of the face or livid appearance of the coun-
tenance, twitching of the tendons, &c. In cases, moreover, in which
reaction does not speedily follow the first dose of this medicine, two or
three teaspoonfuls of good wine should be administered, after which,
if a general improvement takes place, the next medicine should be
subsequently employed. But if, on the other hand, the wine only acts
as a temporary stimulant, the dose of China must be repeated before
proceeding with further treatment.
Dose: Three globules in a teaspoonful of water, followed in half an hour, if
the patient does not rally, by the administration of a teaspoonful of wine
(repeated three times, at intervals of five minutes). After which, if the
patient sinks again, repeat the dose of China as before. But if the worst
symptoms have subsided, proceed with the administration of Arnica.
When matter forms in Incised wounds, the same treatment must be
pursued as is described under the head of Laceratºd wounds.
LACERATED WOUNDS.
EXTERNAL OR LOCAL TREATMENT.
In the treatment of lacerated wounds we must, after having carefully
cleansed them, closely approximate all the parts that will admit of the
process, and retain them in their places by means of plasters and an
appropriate position of the body or limb, for the purpose of endeavor-
ing to unite them by the first intention. If the laceration be exten-
sive, and arteries of any considerable magnitude have been divided,
they must be secured by ligature. During the process of sloughing,
which commonly ensues, the wound must be closely watched, as sec-
ondary bleeding is liable to ensue.
Arnica and Calendula (Concentrated Tincture) are of great im-
portance in the treatment of Lacerated, Contused, and other wounds.
When the discharge of blood is profuse, and the wound is of such a
character as threatens to leave a severe scar, or to terminate in exten-
sive suppuration before healing, Calendula is found most efficacious,
and will frequently greatly modify the severity of the symptoms.
When, on the other hand, the parts are severely bruised, and show a
disposition to turn black in the neighborhood of the wound, or when
the wound is slight, Arnica is to be preferred, - except in persons in
whom it produces inflammation of the skin, or is apt to develop a
rash. Calendula has likewise been found to be a useful application,
during the healing process, when the granulations are excessive or
redundant.
Application : To sixteen parts of water, add one of the Concentrated Tincture
of Arnica or Calendula (as the case may be), and saturate there with a pad
made of linen rag, which place carefully over the wound, remoistening
and reapplying the same as often as may be necessary.
CONSTITUTIONAL TREATMENT.
Chamomilla becomes essential when copious suppuration ensues,
the pain becomes very severe, and the wound shows no disposition to
CONTUSED WOUNDS OR BRUISES. 645
heal under external treatment alone. The application of Arnica or
Calendula to the parts must be simultaneously discontinued.
Bose: Three globules in a teaspoonful of water, morning and evening, for
three days.
Hepar sulphuris should follow after Chamomilla, if the latter
remedy has not been capable of effecting material amelioration.
Dose: Three globules, as directed for Chamomilla.
Silicea should be administered after Hepar sulph., if that remedy
appears incapable of inducing a healing action.
Dose : Three globules, as directed for Chamomilla.
Sulphur should be adopted, if the administration of Silicea has
not been followed by manifest healing action.
Dose: Three globules, as directed for Chamomilla.
Further indications for the discriminative use of the above remedies
may be obtained by consulting the article on “CHARACTERISTIC EF-
FECTS.”
If the patient becomes extremely weak, with thirst, &c., hot, dry
skin, and gangrene threatens,. Arsenicum must be given; or, if the
symptoms correspond, Carbo veg., China, or Lachesis are to be em-
ployed.
Dose : Of the remedy selected, give three globules in a teaspoonful of water,
every three or four hours, until amelioration or change.
CONTUSED WOUNDS OR BRUISES.
EXTERNAL TREATMENT.
In cases in which gangrene ensues from very severe injuries, by con-
tusion, notwithstanding the appropriate treatment as below directed,
the question of Amputation is at once presented, and the services of a
surgeon should be had without delay.
In cases in which the membrane investing the bone (the periosteum)
has been injured by a contusion, if effused blood or matter is evidently
pent up beneath it, and the suffering attendant upon the injury is very
intense, an incision may be necessary, whereby the effused fluid may be
allowed to escape, the constitutional treatment being, at the same
time, pursued as appropriate to the symptoms and conditions of the
CàS62.
COLD WATER. In the first instance, the only external application
in cases of contusion should consist of cold water. In those very
severe cases in which the injured part has been squeezed out of shape,
or otherwise absolutely disfigured, the application of the cold water
should be continued simultaneously with the appropriate constitutional
treatment, a remark which also applies to such cases as have demanded
recourse to a surgical operation.
Application : Bathe the part freely with cold water for five minutes, repeat-
ing the operation in the course of three hours; or otherwise Saturate a
linen rag with cold water, place it over the part, covering the whole with
oiled silk, and remoistening the rag as fast as it becomes dry.
Arnica (Concentrated Tincture) should, however, be applied, when
646 CONTUSED WOUNDS OR BRUISES.
there is considerable extravasation of blood, to promote absorption,
and otherwise forward the cure.
Application : To ten parts of water add one of the Concentrated Tincture of
Arnica, and bathe the parts well with this lotion every three hours, until
evident indications of amelioration.
Rhus tox. (Concentrated Tincture) is to be preferred in cases in
which the joints, synovial membranes, or tendons are injured by a
contusion, and this remedy should be employed, simultaneously with
its internal administration, at the onset in such instances.
Application : To sixteen parts of water add one of the Concentrated Tincture
of Rhus toz., saturating a piece of linen rag with this lotion, and applying
it to the parts injured, covered with oiled silk, and remoistening this
dressing as often as it becomes dry, until the pain and other symptoms
abate (suspending the application, however, and substituting cold water,
as above directed, if an eruption should be developed in the parts).
CONSTITUTIONAL TREATMENT.
Arnica. This medicine must be administered internally, during
the first period, and whilst cold water or the Tincture of Arnica, only,
is being applied externally to the parts. In very severe cases, even,
in which the contusion has been so violent as to squeeze the limb
nearly flat, or otherwise to disfigure it, this medicine should be em-
ployed at the onset. When amputation has become necessary and has
been performed, Arnica is generally to be recommended as the appro-
priate medicine for constitutional treatment.
Dose : Three globules in a teaspoonful of water, repeated after twelve hours.
Rhus toxicodendron is to be preferred simultaneously with the
external administration of the same medicine, for the treatment of
cases in which the joints, synovial membranes, or tendons have been
especially injured by the contusion.
JDose : Three globules, as directed for Arnica.
IMezereum has proved of service in cases in which the joints,
bones, or periosteum especially, have been injured.
Dose : Six globules in a table-spoonful of water, night and morning, for a
week (or until the earlier manifestation of new symptoms or general change);
then pause ten days, after which the course may, if necessary, be repeated
as before.
Arsenicum may be employed in those very severe cases in which
gangrene threatens to ensue, and the skin has assumed a livid and
black appearance, if, indeed, amputation be not absolutely necessary.
So long as there is a prospect of avoiding the loss of the limb, the
employment of this and the successive medicines should not be ne-
glected.
Dose: Three globules in a teaspoonful of water, repeated at intervals
of three hours, until some degree of improvement or change becomes
apparent; but if little or no effect be evinced, within four hours after the
fourth dose, proceed at once with the following medicine.
Lachesis should be employed when the last-named medicine has
failed to produce decided effect, and amputation appears almost inev-
itable. In cases in which there is not some deep-seated constitutional
CONTUSED WOUNDS OR BRUISES. 647
taint to contend with, these medicines, if promptly employed, might
frequently obviate the necessity of an operation.
Dose: Three globules, as directed for Arsenicum.
Arnica is again of service (as has been stated above) for immediate
treatment after amputation has been performed.
Dose : As directed for this medicine above (at p. 646). Consider, also, the
following.
Calendula is to be preferred to Arnica, when the operation has
been an extensive one; it has, in such cases, proved exceedingly useful
in promoting the effectual healing of the parts.
JDose : As directed for Arnica.
Hepars., Silicea, Sulphur. In some cases, one or more of these
medicines may be required, singly or successively, to promote the heal-
ing process. For the particular indications which should lead to the
selection of each, respectively, refer to the article on “CHARACTERIS-
TIC EFFECTs,” under the head of each, respectively.
Dose : Of either of these medicines, as selected, give six globules, as directed
for Mezereum.
Bunions and other Swellings from Pressure or Contusion.
Silicea is a very efficacious remedy in the treatment of swellings
of different parts of the body, which have been caused by constant
pressure, or, which is the same thing, a kind of repeated contusion, —
and for bunions in particular. Also in the treatment of swellings in
the finger-joints, and, indeed, of those in any situations where tendons
play.
Dose: Three globules in a teaspoonful of water, once a day, for seven days;
pause six days, and resume the course similarly once more.
Arnica is sometimes required before Silicea, especially in recent
cases, or when the pain and Soreness are eaceS8ive.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every six hours, until amelioration or change.
During the treatment of these swellings it is very necessary that the
patient should, at the same time, be careful to avoid pressure on the
part affected, and that he should expose the parts as little as possible
to the effect of motion.
Contusions of the Breast.
Aconitum is the most appropriate remedy when inflammation
results.
Dose: Dissolve four globules in a wine-glassful of water, and give a tea-
spoonful of the solution every six hours, until the inflammatory action
subsides.
Conium must be administered when induration has ensued.
Dose : Of a solution of four globules to three table-spoonfuls of water, give
a teaspoonful at intervals of twelve hours, until amelioration or change
takes place.
Phosphorus should, however, be selected without delay, when
suppuration threatens to follow.
Dose : A solution of four globules, as directed for Conium.
648 PUNCTURED WOUNDS.
Diet and Regimen. So long as any inflammatory symptoms
are present, the diet should necessarily be sparing and very simple,
and such generally as would be appropriate to Fever in general.
Stimulating food and beverages should, at any rate, be avoided.
PUNCTURED WOUNDS.
EXTERNAL TREATMENT.
The external treatment of punctured wounds is, in every respect,
similar to that directed for wounds in general; but unless compression,
by means of adhesive plaster or a bandage, can be brought to bear
against their entire extent, the cure by the first intention must not be
attempted.
CONSTITUTIONAL TREATMENT.
Arnica will generally be found sufficient to avert all more serious
symptoms, if it be administered in time. This medicine should also
be administered, pending the arrival of medical aid, when lockjaw
ensues in consequence of an injury of this nature. Refer also to the
article on “Tetanus.”
Dose : Three globules in a teaspoonful of water, repeated four times, at inter-
vals of twelve hours.
Aconitum should, however, be administered, if the constitutional
disturbance be severe and the febrile action run high.
Dose: Three globules in a teaspoonful of water, as directed for Arnica.
Chamomilla is generally useful, if there be excessive nervous
irritability, with impatience of the pain, which is severe.
Dose: Of a solution of six globules to two table-spoonfuls of water, give one
teaspoonful every six hours, until amelioration or change.
Belladonna or Rhus tox., according to the characteristic action
of each, should be selected, when the inflammation partakes of an
erysipelatous character.
Dose: Of either of these medicines, when selected, as directed for Chamo-
milla.
Cicuta virosa will be found serviceable when muscular twitch-
ings ensue.
Dose: A solution of six globules, as directed for Chamomilla.
Ledum palustre will be found efficacious when there is coldness
during the fever which ensues.
Dose: A solution of six globules, as directed for Chamomilla.
Silicea should be administered, when suppuration ensues, and the
external treatment, just particularized, has been insufficient to promote
a healing process.
Dose: Three globules in a teaspoonful of water, every six hours, until
amelioration or change.
IMercurius should be administered twelve hours after the last
dose of Silicea, in cases in which the process of healing does not pro-
GUNSHOT WOUNDS. 649
ceed satisfactorily, and the matter discharged becomes unhealthy and
watery.
Dose: Three globules, as directed for Silicea.
Sulphur should be employed twelve hours after the last dose of
Mercurius (that medicine having been administered for three days),
when inadequate or only very partial effect has been produced, - or
more especially (and irrespective of any length of period as regards
previous treatment) when the discharge from the wound becomes
offensive.
Dose : Four globules in a teaspoonful of water, night and morning, until
decided amelioration or change.
Diet and Regimen. In all severe cases of punctured wounds,
the diet should be such as would be appropriate to fevers or to inflam-
matory affections generally. Perfect rest is essential.
O
GUNSHOT WOUNDS, SPLINTERS, &c.
| EXTERNAL OR LOCAL TREATMENT.
When splinters of bone, a ball, &c., are lodged in the wound, they
should be extracted with as little irritation as possible, if they press
wpon some important part; if otherwise, however, they may be allowed
to remain (particularly when deep-seated and difficult to be found)
until loosened by suppuration, this process being forwarded by the
appropriate constitutional treatment, as below stated.
CoLD WATER constitutes one of the most generally useful of local
applications in cases of gunshot wounds, or wounds of an analogous
description.
Application : Saturate a linen rag or lint pad with cold water, and apply it
to the part, constantly remoistening the pad as it becomes hot. Consider,
also, the following method.
Arnica (Concentrated Tincture) is, in some cases, to be preferred
to the simple application of water, more especially if the parts be
much lacerated; or if, in addition to the immediate wound, the adja-
cent parts have been bruised, and there be considerable extravasation
of blood.
Application: To two table-spoonfuls of water add twenty drops of the Con-
centrated Tincture of Arnica, and apply this lotion as directed for the pre-
ceding application of Cold Water.
INTERNAL OR CONSTITUTIONAL TREATMENT.
Silicea is of much value in cases in which there is a lodgment of
foreign bodies in the wound which can only be detached by suppura-
tion.
Dose: Four globules in a teaspoonful of water, repeated at intervals of six
hours, until three doses have been given, and then at intervals of twelve
hours, until suppuration is determined.
Hepar S. or Sulphur may sometimes be required, either at the
onset or after the previous administration of Silicea, when the last-
named medicine has been productive of imperfect results.
Dose: Of either of these medicines, when selected, as directed for Silicea.
650 DISLOCATIONS — LUXATIONS.
When Fever, Gangrene, &c., ensue, the course of treatment already
prescribed under the heads of Contused and of Punctured Wounds
(pp. 646–648) should be pursued, according to the particular indica-
tions afforded.
Acidum nitricum is, however, to be named, in addition to the
medicines already mentioned (in the sections just referred to), as espe-
cially appropriate for the treatment of punctured wounds, or even of
those from splinters, &c., when sluggish ulceration ensues, or when the
wound assumes a very unhealthy character.
Dose: Three globules in a teaspoonful of water, night and morning, until
decided amelioration or change.
Phosphorus is one of the most serviceable medicines for the treat-
ment of all cases in which, after having healed up under the foregoing
treatment, the wounds reopen.
Dose : Three globules, as directed for Acidum nitricum.
DISLOCATIONS — LUXATIONS.
Symptoms. Violent pain, swelling, distortion of the joint, loss
of motion, with an alteration in the shape, length, and direction of
the limb, characterize the existence of this species of injury.
EXTERNAL OR LOCAL TREATMENT.
The reduction of a dislocation ought to be effected as soon as possi-
ble by the surgeon. Preceding this operation, however, the appropriate
treatment, as below particularized, should be adopted. When the
luxation is reduced, the appropriate treatment, whether local or con-
stitutional, should again be pursued, if called for. In compound dis-
locations (that is, dislocations accompanied with a wound communi-
cating with the joint), the same treatment must be pursued, in the first
instance, as described below ; and the wound treated so that it may be
healed, if possible, by the first intention, as has already been described
under the general head of “Wounds,” at page 642.
Arnica (Concentrated Tincture) should be employed, externally, to
the part injured, provided the constitutional symptoms of disturbance
be such as to render Arnica, alone, a sufficient remedy for intermal
administration; and this remedy is equally appropriate, whether before
the dislocation has been reduced by proper mechanical means, or after
the reduction has taken place, if requisite.
Application: To ten parts of water add one of the Concentrated Tincture of
Arnica, and saturate a linen rag with this lotion, which place over, or bind
gently and loosely round the parts, constantly remoistening it as fast as
it becomes hot and dry, until the pain subsides. But if the constitutional
disturbance should be so severe as to require the employment of other
remedies internally, suspend the use of this lotion, and substitute the fol-
lowing.
CoLD WATER should be employed in preference to Arnica in cases
in which it becomes necessary to administer Aconitum, or some other
medicines besides Arnica, internally.
Application: As directed for the lotion of Arnica, by saturating the rag with
Cold Water only.
FRACTURES. 651
CONSTITUTIONAL TREATMENT.
Arnica should be administered first in cases of luxation, where
surgical aid cannot readily be obtained, and when the pain and inflam-
mation are excessive; and, again, if required, after the reduction of
the dislocation.
Dose : Three globules in a teaspoonful of water, every four hours.
Aconitum should be given, however, if the pain continue violent,
and the inflammatory action be acute; and this remedy should con-
tinuously be given until the symptoms subside.
Dose : Three globules in a teaspoonful of water, every four hours.
Diet and Regimen. When there is fever, the patient ought to
be kept low; but in slight cases, unattended with constitutional dis-
turbance, food should be simple, easy of digestion, and nutritive or
generous.
FRACTURES.
Symptoms. The symptoms of fracture are: pain, swelling, de-
formity, and sometimes shortening of the limb; loss of power, with
praeternatural mobility, when we attempt to bend the limb, and crack-
ling on rubbing of the broken surfaces of the bone together.
Varieties. Fractures are divided into transverse, oblique, and
longitudinal; but also, and more explicitly, into (1) simple, (2) com-
pound, (3) complicated, and (4) comminuted.
(1.) By a simple fracture is understood one in which the bone is
broken, without there being at the same time a wound of the soft parts.
(2.) A compound fracture consists, not only of a solution in the
continuity of the bone, but also of the co-existence of an external
wound, caused by the protrusion of the extremity of one or both frag-
ments of the bone through the integuments, or otherwise produced.
(3.) Again, a fracture is termed complicated when it is attended with
a wound of a large artery, extensive laceration of the soft parts, or
with dislocation of a joint.
(4.) Lastly, it is designated comminuted when the bone is broken into
several pieces.
TREATMENT.
General Precautions. .
As soon as the limb is discovered to be fractured, the patient ought
to be placed on a litter of any kind which happens to be at hand, such
as a board or shutter, and removed to some neighboring place of
shelter, or to his own abode if it be not far distant, and a surgeon sent
for. Great care and gentleness ought to be exercised in lifting and
transporting the patient from one place to another; otherwise a fracture,
originally of the simple kind, is liable to be converted into a compound,
or at all events into a complicated one, from laceration of the soft
parts, &c., by the serrated extremities of the fractured bone; whereby
the probabilities of recovery will be rendered much more unfavorable,
particularly if the accident has happened to a debilitated or aged indi-
vidual.
652 BURNS AND SCALDS.
Mechanical Measures.
(1.) For Simple Fractures. – In the case of a simple fracture, the
adjustment should be immediately effected, by placing the limb in the
E. best calculated to relax the principal muscles attached to the
roken bone; it should then be gradually extended, until the upper
and lower fragments are brought into their proper position; after the
execution of which, splints and bandages must be applied to retain
the fragments in their situation.
(2.) In Compound fracture, the protruded extremities of the bone
should be restored to their natural position as soon as possible, the
limb supplied with splints, &c., and the external wound attempted to
be healed by the first intention. Consecutive inflammation and consti-
tutional disturbance must be suppressed by the appropriate local and
constitutional treatment.
(3.) In Fracture complicated with a wounded artery, or with a dis-
located joint, the artery requires to be ligated, and the luxation reduced
before the bone is set.
Medicinal Treatment, Local and Constitutional.
In all cases the same medicinal treatment is to be pursued as we
have already prescribed for that of Contusions, Wounds, &c., in
general (pp. 643 – 650).
BURNS AND SCALIDS.
A Burn or Scald implies an injury of some part of the body, arising
from the application of excessive heat. It is customary, however, to
confine the latter term to cases in which the effect has been produced
by the agency of some fluid at boiling heat; whereas the former desig-
nates all injuries inflicted by dry, red, or dull heat, as by a hot iron,
brand, flame, or burning substance, or by the explosion of some inflam-
mable or combustible substance, such as gunpowder, gas, &c., &c.
Burns have generally been divided, by most authors, into three
kinds: — (1) first, those which only excite an inflammation of the skin,
accompanied or not with a vesication; (2) secondly, those which injure
its vitality, inducing separation of the cuticle or scarf-skin, and sup-
puration of the subjacent or dermal surface; (3) thirdly, those in
which the vitality of the integuments is either at once destroyed or so
seriously affected that sloughing ensues.
The amount of danger from the effects of a burn depends upon
several conditions. A scald or burn, of great extent, frequently proves
fatal immediately or after the lapse of a few hours, the patient never
rallying from the collapse or utter prostration, incidental to the first
shock. The extent and depth of the burn, wherever its seat may be,
together with the age, temperament, and habit of body of the patient,
determine the degree of danger to be apprehended.
EXTERNAL OR LOCAL TREATMENT.
In slight burns or scalds, the injured part should be held for a
couple of minutes to the fire; a temporary increase of pain will be
BURNS AND SCALDS. 653
amply repaid by the prevention of future suffering and annoyance.
In cases, however, in which the injury is more severe, it will be
necessary to have immediate recourse to such of the subjoined applica-
tions as may be appropriate to the condition of the injury.
Arnica (Concentrated Tincture) will often prove sufficient, in
slight and superficial burns or scalds, speedily to remove the pain
and to obviate other inconveniences. g
Application : To one part of the Concentrated Tincture of Arnica add six parts
of water, and bathe the part freely with this lotion for ten minutes imme-
diately after the accident.
Tincture of Cantharides (second dilution). This remedy is
especially efficacious in obviating vesication (amongst persons in whom
a burn or scald is known to produce this effect), and will, with very
few exceptions, be found successful in cases of burns or scalds, if
applied immediately after the accident has occurred, and before cold
water or any other improper appliance has been resorted to.
Application: Add ten drops of the Tincture of Cantharides (second dilution) to
an ounce of water. Use this lotion as directed for Arnica, above.
Urtica urens (Concentrated Tincture) will be found useful in
cases and under circumstances precisely similar to those indicated
under the head of Cantharides, with this distinction, that Urtica should
be used for persons with whom the effect of a burn is to produce an
erysipelatous tumefaction of the skin, and not the formation of blisters,
when this has previously been ascertained.
Application : To ten parts of water add one of the Tincture of Urtica, and
apply the lotion as directed for Arnica.
Spirits of Wine. In mild burns or scalds, if diluted Spirits of
Wine can be procured immediately, and applied warm to the affected
part, speedy relief, and the prevention of future suffering and annoy-
ance, are commonly afforded thereby. While the Spirits of Wine is
being heated, the injured part should be held close to the fire.
Application : Dip and saturate a piece of linen rag in the spirits of wine, and
bind it round the parts, then cover the whole with oiled silk.
Kreosote has likewise been recommended for the preparation of a
lotion in the treatment of burns of all kinds, either at the commence-
ment of the treatment, or subsequently to induce healthy granulation
and cicatrisation.
Application : Two drops of the Kreosote (second dilution) to every teaspoonful
of water, applied as directed for Arnica.
Crocus sativus (Concentrated Tincture) has also been spoken of
as most serviceable for the furtherance of healthy granulation, &c., in
the wounds occasioned by burns, &c., and attended with considerable
loss of substance and disposition to mortification and sloughing.
Application : To every teaspoonful of water add two drops of the Concen-
trated Tincture of Crocus sativus, and apply the lotion as directed for
Arnica.
Calendula officinalis (Concentrated Tincture) is also to be men-
tioned as of considerable importance in those very severe cases in which
sloughing takes place.
Application : As directed for Arnica.
654 BURNS AND SCALDS.
Raw Cotton. The application of raw or carded cotton to the part
is most efficacious, especially when the injury presents a large surface,
and should be applied immediately after the parts have been bathed
with the selected lotion, in order to seclude the sore from the air, which
is of great importance in the treatment of burns or scalds.
Application: Having previously punctured any blisters that may have arisen,
and bathed the sore, cover it with carded cotton or wadding, in three
layers. When suppuration sets in remove the upper layer only, and sub-
stitute fresh. When the suppuration is excessive, and the weather hot, it
will be found best to substitute the soap plaster for the cotton. During the
application of the cotton, the directions for internal treatment, as stated
under the head of “Constitutional Treatment,” must be observed.
Soap (a remedy generally at hand) is extremely serviceable in
burns, where not only the cuticle, but the true-skin has been destroyed:
pure, white, castile is the best for this purpose. In serious cases,
which have been previously treated with the Lotion of Cantharides, or
of Urtica, in which the inflammatory action and pain have been subdued
by those valuable remedies, but which are too severe (owing to the
injuries inflicted on the true-skin and adjacent muscles) to heal without
suppuration, the soap plaster is a very useful accessory.
Application : Make a thick lather, and spread it upon linen in the form of a
plaster; apply it to the injured part, and secure by a bandage. Any
blisters which may have formed should be carefully punctured, and all
loose skin removed. Care ought also to be taken that the whole of the
affected surface be covered with the soap ; otherwise the healing of those
portions of the sore, to which it has not been applied, will be retarded.
The application of soap will, as in the instance of radiating heat, &c., at
first increase the pain; but this temporary inconvenience will be followed
by a marked amelioration. After the lapse of twenty-four hours, the
plaster may be gently removed, and a fresh one substituted ; generally
speaking, however, we must be guided by the feelings of the patient, and
renew it as often as a return of pain is complained of, and so continue
until the injury is completely healed.
Flour. When neither Cotton nor Soap is within reach, common
Flour may be copiously sprinkled over the injured parts. When the
encrusted masses of Flour require to be removed, they should be
loosened by the application of poultices.
Linseed Oil and Powdered Charcoal, made into a paste, may
likewise be used as a dressing for severe burns and 'scalds.
CONSTITUTIONAL TREATMENT.
Arnica is often sufficient, if administered at the onset, and simulta-
neously with its external application, as above directed, to remove all
inconvenience resulting from a burn or scald; provided, indeed, the
injury be slight and merely superficial.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
three hours, until decided amelioration or change.
Carbo vegetabilis is to be preferred to Arnica at the onset for
the treatment of superficial burns or scalds, when the pain is eaccru-
ciating; or, again, it should be promptly employed, even after the
previous administration of Arnica, when the pain subsequently becomes
thus excessively distressing.
Dose: Three globules, as directed for Arnica.
BURNS AND SCALDS. 655
Coffea should be employed after Carbo veg., if the pain still con-
tinue to be unmitigated, and the patient cannot sleep from the pain or
in consequence of nervous excitement.
Dose: Three globules, as directed for Arnica.
Aconitum may be given when there is considerable fever, with
fulness and quickness of pulse.
Dose: Three globules, as directed for Arnica.
Very Severe Cases.
These are generally of a nature to require the interference of a pro-
fessional adviser, if such aid be within reach. But as this work is
intended to provide, in some measure, for cases in which such aid is
not to be promptly procured, the subjoined directions for treatment have
been added.
Opium is preferable when the system has received a severe shock
in consequence of the severity of the scald or burn, and the patient is
in a state of stupor, with weak, scarcely perceptible pulse, general
chilliness, shivering, &c. Fright having attended the accident, is an
additional indication for Opium. The warm bath is sometimes ser-
viceable in such a state of matters, particularly in the case of children.
Dose: Four globules in a teaspoonful of water, or if that be not possible,
the same dry, every four hours, until reaction takes place. If, then, fever
and inflammation supervene, proceed with the next medicine; or if, on
the other hand, the patient does not readily recover from the state of pros-
tration, consider Arsenicum.
Aconitum should, however, be promptly employed, and in repeated
doses, when reaction takes place, or when, in other words, the patient
recovers from the state of prostration above described, but fever and
inflammation supervene.
Dose: Three’ globules in a teaspoonful of water, every three hours, until
decided amelioration or change.
Belladonna is, in some cases, of much service in this stage of treat-
ment, but should be selected only with due regard to its specific prop-
erties, as particularized in the article on “CHARACTERISTIC EFFECTs.”
Dose : As directed for Aconitum.
Arsenicum should be given when the patient does not rally from
the state of prostration, &c., described under Opium; and especially
when there is reason to apprehend extensive mortification or slowghing.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours, until improvement ensues.
Rhus toxicodendron is of much service in some instances in
which, notwithstanding previous treatment, and owing to the severity
of the injury and the consequent disturbance of the system, the fever-
symptoms have degenerated into those of a low, typhoid character.
Dose : As directed for Arsenicum.
* Hepar sulphuris is required in cases where sloughing is severe,
producing a marked effect on the system. China should also be thought
of under such circumstances.
Dose : As directed for Arsenicum.
656 FATIGUE.
Diet and Regimen. The diet should be sparing and unstimu-
lating at first when the injury is somewhat severe. When there is
much fever, with extensive inflammation, the regulations prescribed in
these respects under the general head of “Fever,” must be most rigidly
enforced. As the inflammatory symptoms subside, however, and are
succeeded by extreme exhaustion and debility, it will be advantageous
gradually to administer more nourishing diet, such as good broths, or
even to give small quantities 6f wine from time to time. These remarks,
of course, apply to the very severe cases, in which burns involve very
Serious consequences.
FATIGUE, CORPOREAL AND MENTAL.
TREATMENT.
Arnica internally administered, and in some cases, also, externally
applied, will generally be found the most appropriate remedy to afford
relief, when a feeling of lassitude and contusion is experienced in all
the limbs.
Dose (internal): Four globules in a teaspoonful of water, repeated after an
interval of twenty-four hours, should any of the symptoms remain.
Application (external): In cases in which the feet or hands have become
swollen and painful, to a pint of water add a table-spoonful of the Concen-
trated Tincture of Arnica, and bathe the parts freely once or twice with the
mixture.
Gelseminum will be found very valuable when fatigue and mus-
cular pain result from severe physical exertion, as in walking a great
distance, &c.
Dose : Four globules, as directed for Arnica for internal administration.
Rhus toxicodendron will usually be found effective in removing
pain in the joints, &c., arising from lifting heavy weights, or from
violent physical exertion of any kind.
Dose: Four globules, as directed for Arnica for internal exhibition.
China will frequently assist in renovating the strength, when there
has been profuse perspiration attendant upon prolonged bodily exertion,
and followed by great languor and prostration.
Dose : Four globules, as directed for Arnica for internal exhibition.
Veratrum is to be preferred when tendency to fainting ensues
from the effects of extreme fatigue.
Dose : Four globules, as directed for Arnica above.
Coffea should be selected when abstinence from food, combined
with violent exercise, has produced a state of exhaustion.
JDose: Four globules, as directed for Arnica.
Cocculus is more properly indicated when fatigue occurs after the
most trivial exertion either of body or mind.
Dose: Three globules in a teaspoonful of water, on each occasion on which
the indicative symptoms are present, repeated, if necessary, at intervals
of six hours. But if, after repeated instances of its employment, this
medicine fails to mitigate the predisposition, consider the following.
Calcarea should be employed in instances in which the reiterated
FATIGUE. 657
exhibition of Cocculus at various times, has only served to palliate the
symptoms at the moment without affecting the predisposition.
Dose: Six globules in a table-spoonful of water, every morning the first
thing, for four days: then pause ten days; after which, if requisite, repeat
the course as before.
Aconitum is a useful remedy when difficulty of breathing, with
palpitation of the heart, pain in the side, or aching in the limbs arises
after running a short distance, or even from walking quickly.
Dose: Three globules, as directed for Cocculus.
Bryonia is sometimes required after Aconitum, when partial alle-
viation only has been effected by the last-named medicine, but more
especially when aching pains in the limbs constitute the predominant
symptoms.
Dose: Three globules in a teaspoonful of water, repeated, after the lapse of
twelve hours, if necessary.
Fatigue from long Watching. *
Cocculus is the more generally useful medicament for the treat-
ment of cases of fatigue arising from long watching, and attended with
confusion or sensation of emptiness, or of tightness in the head, pains
in the eyes and forehead, &c.
Dose: Three globules in a teaspoonful of water, on each occasion on which
the symptoms prevail, repeated, if requisite, at intervals of six hours, until
amelioration or change.
Nux vomica is to be preferred to Cocculus in cases either arising
from over-application to study, or from watching night after night at
the sickbed, when severe headache, bewilderment, drowsiness with
restless, unrefreshing sleep, and considerable nervous excitability with
general lassitude are present. *
Dose: Three globules, as directed for Cocculus.
Coffea is serviceable (provided coffee has not been taken as a
beverage for the express purpose of warding off sleep, — in which case,
such of the other medicines named, as may be especially appropriate,
'must be selected) when there is sleeplessness, with extreme restlessness
and excitement, or with crowding of ideas or excessive mental activity;
one-sided headache.
Dose: Three globules, as directed for Cocculus.
China, again, is useful when there are—confusion of mind, with
pressive pain in the forehead, great languor or a feeling of sinking,
and sleeplessness, with a flow of ideas, in consequence of night-watching.
If strong tea has been taken to drive away sleep, or as a temporary
stimulant, there will be additional reason for the employment of this
remedy.
Dose: Three globules, as directed for Cocculus.
Lachesis has proved of service in cases in which excruciating nerve-
pains, affecting the face or entire side of the head, or darting through
the jaws and under the eyes, together with intense irritability, have
resulted from excessive application to study, and more particularly
42
658 SUN-STROKE – OVER-HEATING - EXPOSUIRE TO HEAT.
\
when stimulating beverages have been resorted to for the purpose of
obviating drowsiness, &c.
Dose : Two globules in a teaspoonful of water, repeated at intervals of two
hours, until the pain and other symptoms are mitigated; and then, night
and morning, for four days (or until earlier and general change).
Diet and Regimen. When fatigue has been induced by long
watching, — or in all other cases in which excessive excitability, or a
degree of derangement of digestion or of fever has been developed, -
some circumspection and abstinence as regards diet will be necessary.
Strong tea, coffee, and other stimulating beverages should be avoided,
and early hours observed, at all events until the inconveniences just
enumerated have disappeared.
SUN-STROKE – OVER-HEATING – IEXPOSURE TO
HEAT.
*When heat in the head and flushing of the face, with quickness and
fulness of pulse, have arisen from over-exertion in hot weather, care
should be taken not to drink cold water until a sufficient time has
elapsed to admit of a diminution of the temperature of the body.
TREATMENT.
Aconitum, administered as early as possible, in such cases fre-
quently affords speedy relief, and acts as a preventive to any ulterior
troublesome consequences. It is well adapted to the consequences of
Sun-Stroke, or to the effects of sleeping in the sun or before a hot fire.
Dose : Six globules in two table-spoonfuls of water, and give a teaspoonful
of the solution every three hours, until improvement sets in.
Glonoine should be given for coup de Soleil, with accelerated pulse,
red face, sweat on the face, fulness in the head, as if the brain were
expanding, or moving in waves.
Dose : Six globules, as directed for Aconitum.
Belladonna should be given if violent headache, with throbbing
of the vessels of the temples, fever, vomiting, sleeplessness, gréat.
anguish or despair, and a sense of weight at the forehead on bending
forward, or on stooping, as if the contents of the skull would burst
forward out of their containing cavity, supervene.
Dose: Six globules, as directed for Aconitum.
Bryonia may be selected in preference to Belladonna, when there
is ill-humor and apprehension of some future misfortune. Also when
headache with loss of appetite, a degree of fever with thirst, or diarrhoea,
is brought on by exposure either to the rays of the sun or to the heat
of the fire during any exertion.
Dose: Six globules, as directed for Aconitum.
Silicea will generally be found the more efficacious medicament
if nausea is the only or principal symptom which is produced by ex-
posure to heat.
Dose: Three globules in a teaspoonful of water, repeated after the lapse
of twelve hours, if necessary.
STINGS OF INSECTS. 659
Carbo v. usually affords speedy relief against headache from over-
heating, with weight above the eyes and pain in the ball of the eye on
looking intently at any object.
Dose : Three globules, as directed for Silicea.
Consult the article “Brain Fever from Sun-stroke,” p. 419.
Diet and Regimen. It is obvious, from the degree of derangement
above described as indicating the various medicines, respectively, that
abstinence should be observed at all events for a short time. The
general directions afforded under the head of Fever (at p. 92) would
be equally applicable to cases of this kind.
STINGS OF INSECTS.
INTERNAL TREATMENT.
Camphor (Saturated Tincture). The severe pain and febrile irri-
tation which sometimes ensues from the stings of insects, such as bees,
wasps, &c., are often speedily alleviated by the olfaction of the Spirits
of Camphor.
Administration : Inspire freely through the nostrils the scent and vapor of
saturated Tincture of Camphor.
Aconitum should be administered if considerable inflammation,
with swelling, supervene, notwithstanding the employment of Camphor.
Dose: Three globules in a teaspoonful of water, every three hours, until the
inflammatory action abates. But if the subjoined symptoms remain, pro-
ceed with the next medicine.
Arnica should follow Aconitum after an interval of six hours, as
soon as the inflammation has abated, more especially if great tender-
mess, Soreness, and Smarting remain about the parts when touched, with
extreme susceptibility to contact. This remedy should, at the same
time, be applied externally as a lotion, as directed under the head of
“External Treatment,” below.
Dose: Three globules in a teaspoonful of water, every six hours, until
amelioration ensues.
Ledum palustre has been commended as a valuable remedy for
the treatment of stings of insects — particularly of mosquitoes.
Dose: Three globules, as directed for Aconitum.
Stings in the Mouth, &c.
In the case of Stings in the mouth, which not unfrequently occur
to children, when unconsciously eating ripe fruit which is hollowed
out by wasps, and in which one or more of these insects are lodged,
Arnica should be employed before the following remedies, in the method
described under the head of “External Treatment.”
Belladonna should be administered if it be the tongue or any part
of the mouth in which the sting has been inflicted, and the suffering
has not been arrested by the employment of Arnica Lotion.
Dose: Dissolve three globules in a wine-glassful of water, and give a tea-
spoonful of the solution every hour, until relieved.
Mercurius should follow Belladonna six hours after the third
660 SEA-SICKNESS.
dose, if the pain has yielded to the latter remedy, but the swelling
continues to prevail.
Dose: Dissolve three globules in a wine-glassful of water, and give a tea-
spoonful of the solution every three hours, until amelioration or change.
EXTERNAL TREATMENT.
Arnica (Concentrated Tincture) should be applied externally to
the parts injured, simultaneously with internal treatment, in the case
in which this remedy has been prescribed to follow Aconitum, under
the head of “Internal Treatment,” above. It should also be used as
a lotion or gargle to rinse the mouth, in cases of stings within the
mouth, previous to internal treatment, as hereinbefore directed. This
remedy will also be found very useful against the annoying consequences
which follow the bites or stings of gnats, bugs, &c. Severe nettle-stings
will likewise often yield to this application.
Application : To ten parts of water, add one of the Concentrated Tincture of
Arnica, and bathe the parts well with the lotion, at first every hour, and,
after two applications, every three hours, until relief ensues.
Ticks. These parasites are to be destroyed and removed from their
firm hold of the skin by rubbing them with equal parts of oil and
tincture of camphor, or a strong solution of salt and water.
Bugs, Gnats, Fleas, &c. Arnica lotion (one part of Arnica to ten
of water), “lemon juice,” aqueous solution of ammonia, are useful in
alleviating the pain and itching caused by the attacks of these depre-
dators. The Ledum Palustre, and also Camphor, will frequently, if
not always, ensure an undisturbed night from the onslaught of bugs
and fleas.
SEA-SICRCNESS.
TREATMENT.
Nux vomica should be taken fasting, from six to twelve hours
before embarkation, and repeated on going on board. This precau-
tion will, in some cases, be found sufficient to ward off the attack.
Dose: Three globules in a teaspoonful of water.
Cocculus may be given, should, however, a feeling of giddiness
be experienced before long, attended with headache, nausea, and in-
clination to vomit, as the motion of the vessel increases, which is aggra-
vated by standing erect.
Dose: Three globules, in a teaspoonful of water, twice repeated, at intervals
of one hour, then at intervals of three hours, until amelioration or change.
Arsenicum should be given if, after the administration of Coccu-
lus, the sickness becomes excessive, and is attended with a feeling of
witer prostration and helplessness, violent retching, burning sensation in
the throat, and the other severe concomitants of this malady.
Dose : Dissolve six globules in a wine-glassful of water, and give a tea-
spoonful of the solution during the interval between the paroxysms, until
relief is experienced, or such change supervene as to indicate any other
remedy.
SEA-SICKNESS. 661
Cocculus or Nux vomica should be given against the nausea
or swimming in the head which may remain.
Dose: Three globules in a teaspoonful of water, every two hours, until
amelioration or change.
Ipecacuanha is useful in attacks of free and copious vomiting,
wn attended with the great prostration of stength mentioned under the
head of Arsenicum. It is also serviceable when there is no vomiting,
but continuous and distressing nausea.
Dose: Six globules, as directed for Arsenicum, above.
Petroleum is also to be named as of very considerable service for
the treatment of Sea-sickness, and more especially for those severe and
protracted cases in which the patient is unable to become habituated
to the motion of the vessel, and continues to be affected during a great
portion of a long voyage.
Dose : Four globules in a teaspoonful of water, three times a day, until
decided amelioration or change.
Diet and Regimen. It is to be understood that, in order to
avoid interfering with the action of the medicines, the homoeopathic
regimen, according to the more particular regulations stated in detail
at pp. 55, 56, should be carefully observed during the period of their
administration. The recumbent posture ought at the same time to
be retained as constantly as possible, whilst the tendency to sickness,
or even to nausea, continues to prevail.
After-effects of Sea-sickness.
Arnica is very useful against the after-effects of Sea-sickness, which
N'e prone to occur in delicate females, and is especially indicated when
a general feeling of Soreness is experienced, but particularly in the
region of the stomach, and under the ribs.
Dose: Three globules in a teaspoonful of water, repeated after an interval
of twelve hours; then pause for twenty-four hours, and proceed with the
next remedy, if necessary.
China should follow the second dose of Arnica, after an interval
of twenty-four hours, if there is great lassitude with aversion to move-
ment.
Dose : Three globules, as directed for Arnica.
Nux vomica should follow the . second dose of China, after a
pause of two days, if confusion in the head, or a degree of dizziness
remain, accompanied by nausea, or aversion to all kinds of food, and
more or less thirst.
Dose: Three globules, as directed for Arnica.
Diet and Regimen. In consequence of the greater or less degree
of derangement of stomach which necessarily attends and follows Sea-
sickness, care must be taken not to over-tax its debilitated digestive
powers, when appetite begins to return. A cup of tea, or, to those who
prefer it, coffee, sweetened or not with sugar, according to taste, may
often be taken with advantage, and will frequently tend to restore the
tone of the stomach, and prepare it to receive a little nourishing food
of a light description. When these are loathed, which sometimes
662 APPARENT DEATH.
happens, in consequence of their aroma having been inhaled during
the voyage, a few spoonfuls of good, not too-highly seasoned, soup may
be substituted. When it becomes necessary to have recourse to the
remedies we have alluded to for the after-effects of Sea-sickness, coffee
and other remedies mentioned in Diet Tables must be abstained from.
APPARENTT DEATH.
General Remarks. In every instance where an individual has
to all appearance suddenly expired from external causes, animation
may only be suspended. There are many cases, of course, where sudden
death is no mere suspension of animation ; but there are others where
apparent death is far from uncommon. In all cases, therefore, where
there is the least uncertainty, care should be taken to do nothing that
may cause death, and interment should be avoided until certain signs
of putrefaction set in. As regards the homoeopathic treatment of
many of the accidental cases of this nature, we are indebted to Dr.
Hering, of Philadelphia, and others, for much valuable information.
GENERAL AND SPECIAL TREATMENT.
Apparent Death from Hunger.
In cases of this kind, one of the best immediate resources is, to have
recourse to small injections of warm milk repeatedly. Great care must
be taken to give the food, when the patient begins to rally, in the
smallest possible quantity at a time. Milk may be given drop by
drop, and gradually increased to a teaspoonful, and, after some interval,
a small quantity of beef-tea and a few drops of wine. After a sound
sleep has succeeded, but not till then, a small meal may be given; but
it is best that the patient should eat little at a time, but often, so that
he may gradually return to his natural mode of living. It must be
borne in mind, that in all persons suffering from starvation, eating too
much and too quickly is in the highest degree dangerous.
Apparent Death from a Fall.
Place the patient cautiously on a bed, with his head high, in a place
where he can remain quiet, and proceed with remedial treatment. It
is, however, to be noticed, that.in case a fracture, dislocation, serious
concussion, or contusion, or other injury should have been inflicted,
the thorough examination of the patient's person becomes necessary.
Arnica should be administered pending the examination of the
person, or the arrival of a surgeon, if there be one at hand; and it is
not unfrequently very desirable to effect the exhibition of Arnica by
injection, as well as by the mouth.
Dose: Four globules dry on the tongue.
Injection : To half a tumblerful of water add sixty drops of the Concentrated
Tincture of Arnica, and employ this mixture as a clyster.
China. In cases in which there has been profuse and excessive
loss of blood, in consequence of injuries sustained in the fall, and six
hours after the previous or immediate administration of Arnica, it were
APPARENT DEATH. 663
W.
desirable to employ China to obviate the mischiefs of severe depletion.
This medicine also becomes of eminent service in cases in which, before
the arrival of homoeopathic assistance, the surgeon called in has re-
sorted to copious bleeding.
Dose: Four globules dry on the tongue, repeated, after the lapse of three
hours, and again, after a further interval of six hours, if necessary. After
this it may be advisable to repeat similar doses, night and morning, for a
week (if no other treatment, meanwhile, be required).
Apparent Death from Suffocation (Hanging, Pressure, Choking).
Remove all tight clothing; put the patient in a proper position, the
head and neck rather high, the neck quite easy, not bent forward.
Begin by rubbing the patient gently but constantly with warm cloths,
the direction of the rubbing being, as far as possible, toward the heart,
continuing the use of friction until reanimation or a fatal issue becomes
apparent, employing also the remedial resources below particularized.
Hold from time to time a mirror before the mouth, to see if the breath
dims it: open the eyelids, and see if the eyes contract; put warm
clothes on ; hot stones, wrapped in blankets, to the feet, between the
thighs, to the sides, neck, and shoulders. The act of respiration must
also be encouraged by the process recommended at p. 665, section 5.
Opium. During the progress of the frictions, and as an additional
resource in promoting reanimation, the employment of this medicine,
by injection as well as by the mouth, may prove serviceable.
Dose: Four globules dry on the tongue, repeated, if necessary, after the
lapse of twenty minutes.
Injection : To half a pint of water add three drops of the Concentrated Tinc-
ture of Opium, and inject this mixture very slowly. But if, after the lapse
of an hour, reanimation has not taken place, proceed with the subjoined
reSOUl I’Ce.
Bitter Almonds, employed in the manner explained below, may
prove successful, when, after the lapse of an hour, no change has taken
place in the state of the patient.
Application : Take a bitter almond, pound it fine, and then mix it in a pint
of water, of which solution place three drops on the tongue, or into the
nostrils, and slowly inject the rest as a clyster.
Apparent Death from Lightning.
The body should be immediately removed into a current of cool
fresh air, and cold water dashed frequently on the neck, face, and
breast. If the body be cold, warmth, with friction, must be employed
in the same manner as recommended for restoration after immersion
in water, in the ensuing section, whence also the regulations for the
inspiration of air into the lungs should be derived. It has also been
recommended to place the patient in a half-sitting, half-recumbent
posture, and to cover him over with newly-excavated earth (leaving
the face alone exposed, which should be turned towards the sun), until
the first signs of returning animation become apparent, after which
the subjoined medicinal resource should be employed.
Nux vomica is to be recommended, both for administration by
the mouth, and by injection, either during the employment of friction,
664 APPARENT DEATH.
as above directed, or after reanimation has taken place, and against
the constitutional mischiefs which would afterwards ensue.
Dose: During the frictions, give four globules dry on the tongue, repeated,
if necessary, at intervals of half an hour. After reanimation has taken
place, give three globules in a teaspoonful of water, dry on the tongue,
repeated at intervals of six hours, until three doses have been given, and
then, night and morning, for four days, unless some change, requiring
other treatment, should sooner occur. iº
Injection : To half a pint of cold water add two drops of the Tincture of Wuz
vomica, and inject this mixture slowly, during the application of friction,
as above described.
Apparent Death from Drowning.
Dr. Marshall Hall's so-called “ready method” of recovering persons
from apparent death by drowning, has proved so successful in some
cases, when zealously and indefatigably employed, even after a sub-
mersion of half an hour's duration, that it ought always to be tried
in the first instance. The following is a summary of his directions:
RULES.
1. Treat the patient instantly, on the spot, in the open air, freely ex-
posing the face, neck, and chest to the breeze, except in severe weather.
2. Send with all speed for medical aid, and for articles of clothing,
blankets, &c.
I. — To Clear the Throat.
3. Place the patient gently on the face, with one wrist under the
forehead.
(All fluids and the tongue itself then fall forwards, and leave the
entrance into the windpipe free).
II. — To Excite Respiration.
4. Turn the patient slightly on his side, and
(i.) Apply snuff, or other irritant, to the nostrils; and
(ii.) Dash cold water on the face, previously rubbed briskly until
it is warm.
If there be no success, lose no time; but
III. — To Imitate Respiration.
5. Replace the patient on the face.
6. Turn the body gently, but completely, on the side and a little
beyond, and then on the face alternately; repeating these measures
deliberately, efficiently, and perseveringly fifteen times in the minute
onlu.
&hen the patient reposes on the chest, this cavity is compressed by
the weight of the body, and expiration takes place; when it is turned
on the side, this pressure is removed and inspiration occurs.)
7. When the prone position is resumed, make equable but efficient
pressure along the spine; removing it immediately before rotation on
the side.
APPARENT DEATH. 665
(The first measure augments the expiration, and the second com-
mences inspiration.)
IV. — To induce Circulation and Warmth, continue these Measures.
8. Rub the limbs upwards, with firm pressure and energy, using
handkerchiefs, &c.
9. Replace the patient's wet clothing by such other covering as can
be instantly procured, each bystander supplying a coat or a waistcoat.
Meantime, and from time to time,
V. —Again, to Eacite Inspiration.
10. Let the surface of the body be slapped briskly with the hand or—
11. Let cold water be dashed briskly on the surface, previously
rubbed dry and warm.
The measures formerly recommended, and now rejected by Dr. Hall,
are “Removal of the patient, as involving dangerous loss of time; the
bellows or any forcing instruments, and the warm bath, as positively
injurious; and galvanism and the inhalation of oxygen as useless.
The inhalation of diluted pure ammonia has in it more of promise.”
Avoid all rough usage: Never hold up the body by the feet: Do not
roll the body on casks: Do not rub the body with salts or spirits: Do
not inject smoke or infusion of tobacco, though clysters of spirits and
water may be used.
Another method (Sylvester's) is:
Lay the patient on his back, and, having pulled the tongue forward,
draw the arms up slowly over the head, by which means the ribs are
elevated by the large fleshy muscles of the chest, which are attached
to the arms, and inspiration is produced; the arms are then to be
brought down to the side of the chest, which they are to compress in
a slight degree, thereby inducing expiration. These movements are
to be repeated as slowly as in the Marshall Hall method, and it is said
that they give a more complete charge of air to the lungs.
The means employed should be persisted in for several hours, till
there are signs of death.
When symptoms of recovery begin to show themselves, stimulating
enemata of wine or brandy may be useful; but be careful not to admin-
ister any liquids by the mouth until animation is fully restored, lest
they pass into the lungs, and so suffocate the patient. At this period
the patient should never be left alone, as some have been lost from
want of care, who otherwise might have been saved.
Apparent Death from being Frozen.
When an individual is found in a state of apparent death from the
effects of frost, he should be removed with great gentleness and caution,
to guard against any injury, such as fracture, &c., to a place of shelter,
such as a barn or unheated apartment, since even a moderate degree
of heat might annihilate all hope of restoring animation; at the same
time the patient ought to be protected against the slightest draught.
He should then, especially if the limbs have become stiffened by the
666 APPARENT DEATEI.
frost, be covered with snow to the height of several inches, the mouth
and nostrils alone being left free.
The patient ought to be put in such a position that the melted snow
may run off readily, and its place be supplied by fresh. When there
is no snow, a cold bath, the temperature of which has been reduced by
ice (or bath of cold sea or salted water) may be substituted, and the
body immersed therein for a few minutes.
The process of thawing is by these means to be effected, and when
every part has lost its rigidity, the patient should be undressed by
degrees, or the clothes cut from the body, if requisite. As the mus-
cular or soft parts become pliable, they may be rubbed with snow
until they become red; or the body should be wiped perfectly dry, if
snow is not to be had, placed in flannel, in a moderately warm room,
and rubbed with the warm hands of several parties simultaneously.
In the event of no signs of returning animation declaring themselves,
the following remedial appliance may be employed with advantage.
Camphor. This medicine employed by injection may prove of
great service.
Application : To six table-spoonfuls of water, add one teaspoonful of the
saturated Tincture of Camphor; shake the mixture thoroughly, until the
whole appears equally curdy, and then inject it as a clyster. Should
symptoms of reanimation follow, proceed with the subjoined means.
As soon as any symptoms of approaching restoration become per-
ceptible, small injections of lukewarm black coffee (coffee without
milk) may be thrown up; and as soon as the patient is able to swallow,
a little coffee may be given.
The measures above detailed ought to be persevered in for several
hours; and should excessive pain ensue, the subjoined medicines must
be employed.
Carbo vegetabilis should be administered after reanimation has
taken place if intolerable pain should ensue.
Dose : Of a solution of twelve globules to two table-spoonfuls of water, give
a teaspoonful (or two globules dry on the tongue), repeated at intervals of
ten, fifteen, and twenty minutes, – and, afterwards, at intervals of half
an hour, until decided amelioration or change. But if, within six hours
after restoration, the pain should not have materially abated, proceed with
the next medicine.
Arsenicum should be administered without delay, if, within six
hours after the first administration of Carbo veg., as above directed,
•no alleviation of suffering should be manifested.
Dose : Two globules in a teaspoonful of water, repeated at intervals of an
hour, until decided amelioration or change.
IPRECAUTIONS.
The party rescued must avoid subjecting himself to the heat of the
fire or stove for a considerable length of time after his recovery, as
serious consecutive ailments, and particularly disease of the bones, is
liable to result therefrom.
Apparent Death from Chloroform, Carbonic Acid, &c.
In cases of apparent death from the inhalation of Chloroform, Car-
HYDROPHOBIA. 667
bonic Acid Gas (fire-damp, choke-damp), &c., fresh air should be freely
admitted to the patient, and bystanders should not be allowed to crowd
around; cold water should be dashed over the chest, to assist in pro-
ducing a forcible inspiration. These failing, the measures directed for
producing respiration under the head of “Apparent Death from Drown-
ing,” should at once be resorted to. Galvanism may be tried, pro-
vided it does not interfere with the artificial respiration, which should
be continued for at least an hour before the case is given up as hope-
less.
There appears to be a disposition in many of these cases for the
tongue to drop or be drawn back, so as to obstruct the orifice of the
windpipe; it should therefore be firmly grasped, and drawn out of the
mouth, so that there may be free access of air to the lungs.
HYDROPHOEIA.
Definition. Hydrophobia is a disease which arises in consequence
of the bite of a rabid animal, and sometimes spontaneously, particularly
in the course of some other disease, – in which form it is known under
the term of symptomatic hydrophobia.
For the more clear exposition of the course and peculiarities of the
disease, it may be more simple to divide the progress of this fright-
ful malady into three distinct stages: (1) the first or incipient stage;
(2) the second or convulsive stage; and (3) the third or hydrophobic
Stage, º that in which the characteristic climax of the disease is de-
veloped.
symptoms. First or incipient Stage. The first symptoms that
show themselves in a person who has been bitten are usually, general
uneasiness, anxiety, and disturbed sleep; the eyes are glassy, inflamed,
and sensitive to light; there is also ringing in the ears, giddiness, and
paleness of countenance; frequent paroxysms of chilliness; oppressed
respiration, and quickness of pulse, which latter is usually at the same
time small, contracted, and irregular; and loss of appetite. These
symptoms generally come on at some indefinite period, occasionally
after"the bitten part seems quite well; sometimes not for months after-
wards.
Second or convulsive Stage. In the second or convulsive stage, the
wound, which may have already become completely cicatrized or
healed, begins to assume a somewhat inflamed appearance, and a slight
pain and heat, now and then attended with itching, is experienced in
it. It now breaks out afresh, and an ulcer, with elevated margins of
proud flesh, which secretes a dark-colored and offensive discharge, is
subsequently formed; and wandering, drawing, and shooting pains
from the lacerated part upwards towards the throat present themselves.
These symptoms, with the state of testiness and anxiety, increase daily;
and the patient complains of a state of confusion in the head, or giddi-
ness, with sparks before the eyes; is afflicted with sudden startings,
spasms, sighing, and is fond of solitude; the pulse is small, irregular,
and intermittent; the breathing laborious and uneasy; the skin cold
and dry, and general chilliness, especially in the extremities, is com-
668 HYDROPEIOBIA.
F. of: then hiccough, colic, and palpitation come on ; the patient
ooks wild, and the eyes have a fixed, glassy, and shining appearance;
the act of deglutition is impeded by a sense of pressure in the gullet,
which occasionally renders every attempt to swallow liquids impracti.
cable; convulsions also take place in the muscles of the face or neck.
In this stage, however, the deglutition of any solid substance is per-
formed with tolerable ease.
Third or hydrophobic Stage. In ordinary cases the sufferer remains
affected in the above manner for a few days, after which the disease
passes into the hydrophobic stage, in which it is utterly impossible for
him to swallow the smallest drop of liquid; and the moment that any
fluid, especially water, is brought in contact with the lips, it occasions
the individual to start back with dread and horror, although he may,
at the same time, suffer the most excessive thirst; even the sight of
water, or the very noise produced by pouring it from one vessel into
another, in fact, anything that tends to remind him of that fluid, pro-
duces indescribable anxiety, uneasiness, convulsions, and even furious
paroxysms of madness; he dreads even to swallow his own saliva, and
is constantly spitting; vomiting of bilious matter soon comes on, suc-
ceeded by intense fever, great thirst, dryness and roughness of the
tongue, hoarseness, and fits of delirium or madness, with disposition
to bite and tear everything within reach, followed at intervals by con-
vulsive spasms. These attacks commonly last for a quarter or half an
hour, and at their expiration the patient is restored to reason, but
remains in a state of great despondency; finally, the paroxysms come
on more violently and frequently, and in some instances a fit of furious
delirium closes the frightful scene; in others, nature sinks exhausted
after a severe attack of convulsions.
General Causes. The disease may be communicated to the human
subject from the bites of cats and other animals, not of the canine race,
which have been previously inoculated with the poison.
It may be remarked in this place, that the best and most experienced
of our writers upon this subject consider the human species as the least
susceptible of contagion from the hydrophobic poison, —scarcely one
out of twenty, or even thirty, of those actually bitten by an animal in
a state of rabies suffering from its effects. I consider it my duty, while
making this statement, which I hope may prove a means of relieving
the minds of many from painful apprehensions, to enforce, at the same
time, the necessity of taking those precautions, which are about to be
pointed out, against the danger.
It may also be added, before proceeding to the treatment of the
malady, that the possibility of the poison being communicated through
mere contact of the external surface of the inside of the lips or of other
portions of the mucous membrane in general, is exceedingly question-
able; but scarcely a doubt exists of the incapacity of the scarf-skin to
absorb it. As many have been made wretched from having allowed
a dog, which has afterwards shown symptoms of rabies, to lick their
hands, it may be stated with confidence, that if no abrasion of the
surface exists, there is not the slightest danger.

HYDROPHOEIA. 669
PREVENTIVE TREATMENT.
ExcISION. If it can be done immediately after a person has been
bitten by a rabid animal, a free excision of the parts may be the best
preventive measure. The blood should be allowed to flow freely.
Absorption of the virus may thereby be prevented. Excision will be
of no avail, however, unless resorted to immediately after the bite.
The subjoined method has likewise been commended.
RADIATING HEAT. As soon as a person is ascertained to have been
bitten by a rabid animal, or by an animal suspected to be either rabid
or in the incipient stage of the disease, the employment of radiating
heat, simultaneously with the use of the medicines most applicable to
the prevention of further mischief, should be resorted to. The appli-
cation of heat should, according to Dr. Hering of Philadelphia, be
effected by the readiest means at hand—a red-hot iron or live coal,
or even a lighted cigar, for instance, must be placed as near the wound
as possible, without, however, burning the skin, or causing too sharp
pain; but care must be taken to have another instrument ready in the
fire, so as never to allow the heat to lose its intensity. It is essential,
also, that the heat should not exercise its influence over too large a
surface, but only on the wound and the parts adjacent. If oil or grease
can be readily procured, it may be applied round the wound, and this
operation should be repeated as often as the skin becomes dry; 80ap,
or even saliva, may be employed where oil or grease cannot be obtained.
Whatever is discharged in any way from the wound ought to be care-
fully removed. The application of burning heat should be continued
in this manner until the patient begins to shiver and to stretch him-
self; if this takes place at the end of a few minutes, it will be better
to keep up the action of the heat upon the wound for an hour, repeat-
ing this operation thrice a day until the wound is healed, without
leaving a colored cicatrix.
If, after the lapse of seven or eight days, a small vesicle should
appear under the tongue, accompanied with feverish symptoms, it will
be necessary to open it with a lancet or sharp-pointed scissors, and to
rinse the mouth with salt and water. w
Medicinal Measures.
Belladonna has been justly inferred, from the accurate investi-
gation of its specific properties, to be equally and powerfully effica-
cious, as a preventive and curative medicine, for the treatment of
Hydrophobia; and the inference has been to some extent borne out
by experience. With these precautions, however, the patient may be
allowed to pursue his usual occupation, those around him being careful
to avoid making any allusion which may tend to remind him of his
misfortune.
Dose : Four globules in a teaspoonful of water, repeated at intervals of
twelve hours, for two days; then pause three days, after which repeat the
four doses as before, and pause again for five days, and so on, extending
the length of the pause, until the healing of the wound is complete, with- .
out any unfavorable appearances.
Lachesis may yet be capable of modifying the violence of the attack,
670 HYDROPHORIA.
if not of averting its development, if, after the previous employment
of the foregoing precautionary measures, some suspicious symptoms,
such as have been described above, under the head of the “Premoni-
tory Stage,” occur.
Dose : Three globules in a teaspoonful of water, repeated three times a day,
until abatement of the symptoms mentioned, or until a decided change,
requiring other treatment, should occur.
GENERAL TREATMENT OF THE ATTACK.
Lachesis may generally be administered at the commencement of
the convulsions.
Dose : Three globules in a teaspoonful of water, or, dry on the tongue,
repeated every three hours, or at every return of the convulsions, until
benefit result, or until decided symptoms of medicinal action make their
appearance. But should this remedy appear to exert no perceptible in-
fluence in checking the progress of the malady, proceed at once with the
next medicine.
Belladonna should be employed if Lachesis should have failed to
produce decided benefit, particularly when the following characteristics
are present: — Drowsiness, with constant but useless efforts to sleep,
chiefly in consequence of excessive anguish and great agitation; sense
of dryness and burning in the throat; or great burning, with accumu-
tation of frothy phlegm in the mouth or throat; frequent desire for drinks,
which are immediately pushed aside when presented; or a Suffocating
or constricting sensation in the throat on attempting to perform the act of
deglutition, or complete incapacity to swallow, with glowing redness
and bloated appearance of the face; pupils immovable and generally
dilated ; great dread; occasional desire to strike, spit at, bite, and tear
everything; inclination to run away; continual tossing about, and
great physical activity, with twitching in various muscles, especially
those of the face ; ungovernable fury, with foaming at the mouth, and
tetanic convulsions.
Dose : Four globules dry on the tongue at every threatening of a return of
the convulsions; pausing, however, upon the first appearance of unequivo-
cal medicinal symptoms, or considering the other medicines enumerated,
if this remedy should fail in producing decided beneficial effect.
Hyoscyamus is more particularly indicated either before or after
Belladonna, when convulsions are severe and of long duration; where
there is not so much inclination to bite or spit, but a desire to injure
those that stand around, in some manner or other. The spasms in the
throat are not so violent, but great dryness and burning are com-
plained of, attended with a sense of shooting or pricking, which causes
a difficulty of swallowing, resembling a sensation of constriction in the
throat, and threatening to produce suffocation on attempting to satisfy
the thirst; dread of liquids, in consequence of the pain and difficulty
that is experienced in deglutition, with ejection of the saliva for the
same reason; eaccessive convulsions, with loss of consciousness, coming on
soon after the distressing act of swallowing has been performed. There
is, moreover, foaming at the mouth, with constant raving; sometimes
the patient seems wrapped up in his own thoughts, or is full of fear,
and inclined to run away from the house, being afflicted with a sort of
ENVENOMED WOUNDS. 671
dread of mankind or of society; there are also attacks of excessive
fury, attended with apparently supernatural physical power; or ex-
cessive anguish and fear, alternating with fits of trembling and con-
vulsions; the individual exhibits a peculiar dread of being bitten by
animals; the pupils are dilated; sleep is much disturbed by great
nervous eaccitement; starts, and agonizing dreams.
Dose: Four globules, as directed for Belladonna.
Stramonium is chiefly indicated in this disease, when we observe
severe convulsions taking place whenever the eye becomes fived on brilliant
objects, or on whatever tends to remind the patient of water; great
thirst; dryness of the mouth and throat, with horror of water and all
liquids; spasmodic constriction in the gullet, with foaming at the mouth
and frequent spitting; mania, with great loquacity and gesticulations;
fits of laughter and singing, sometimes alternately with violent fits of
passion and moaning; the convulsions, when severe, are generally
attended with ungovernable fury, restless, agitated sleep, sudden shrieks,
and starting up with wild gestures; insensible and dilated pupils; and
great disposition to bite, or tear everything with the teeth.
Dose: Four globules, as directed for Belladonna.
Cantharides. This medicine also possesses various pathogenetic
properties, which bear a close resemblance to the symptoms that are
met with in many cases of this disorder, and should be selected in
preference to any of the foregoing remedies, when we meet with the
following indications: — Great dryness and burning in the mouth and
throat, much aggravated on attempting to swallow; paroxysm of fury,
alternating with convulsions, which are renewed by any pressure on
the throat and belly, and also by the sight of water; fiery redness and
sparkling of the eyes, which become prominent and frightfully con-
vulsed; spasms in the throat, excited by the pain produced by the act
of swallowing, especially fluids; continual burning, titillation, and
other irritating sensations in the lower part of the belly, &c.
Dose : Four globules, as directed for Belladonna. In all cases in which im-
mediately, or soon after the first dose of the medicine, a more violent
paroxysm of convulsions occur than heretofore, the medicine should not be
repeated until one or two more attacks have occurred ; and if these prove
less and less intense, suspend the administration whilst the improvement
lasts; but if, on the contrary, they recur with increasing severity, repeat
the dose When no change occurs either for better or worse, continue to
give a dose every two hours, until amelioration or change.
The Vapor-Bath. In addition to the above resources, it may
be mentioned that the vapor-bath, at a temperature of 107 degrees,
Fahrenheit, has proved an effective remedial agent in some cases of
hydrophobia. It may be used either soon after the bite, or when the
convulsions have commenced. When used as a preventive, it should
be employed several times; or each time until the convulsions cease,
if they have already set in.
ENVIENOMED WOUNDS.
Bites of Serpents.
With respect to the Bites of Serpents, the treatment also resolves
itself into the local and constitutional resources.
672 ENVIENOMED WOUNDS.
EXTERNAL TREATMENT.
RADIATING HEAT, applied in the manner prescribed under the
head of “Hydrophobia” at page 669, is also, in these cases, to be
looked upon as one of the most useful resources.
Olive Oil. The following means may be resorted to:—Tie a ligature
tightly around the limb, above the wound, excoriate the parts freely,
and rub in pure olive oil. This should be done promptly, or it will be
of no avail.
INTERNAL TREATMENT.
In the case of a bite from a venomous serpent, Dr. Hering of Phila-
delphia recommends the following treatment: —Take from time to time
a mouthful of salt and water, or a pinch of kitchen salt, or of gun-
powder, or, again, if they be at hand, some pieces of garlic. Ammonia
and “eau de luce” have repeatedly proved successful in effecting a
cure in bites by the Cobra di Capello.
If, notwithstanding these precautions, ill effects should ensue, a
table-spoonful of good whiskey or brandy should be administered every
five minutes, and this should be continued until the sufferings are re-
lieved, and repeated as often as they are renewed. The subjoined
medicines should, at the same time, be considered for timely adminis-
tration. ſº
Arsenicum should be promptly administered if the shooting pains
become aggravated, and proceed from the wound towards the heart;
or if the wound becomes bluish, marbled, or swollen, and vomiting,
giddiness, and fainting ensue.
Dose: Four globules in a teaspoonful of water, or dry on the tongue, re-
peated, after the lapse of half an hour, if the sufferings continue to become
aggravated, - or after the lapse of two hours, if no alteration for the better
or worse takes place ; or again only upon the return of the symptoms,
with their former violence, in cases in which marked improvement has
followed the first or other dose. But if, after three doses have been taken,
no effect at all is produced, proceed with the next medicine.
Belladonna should be administered half an hour after the third
dose of Arsenicum, in cases in which the last-named medicine has been
productive of no effect.
Dose : Four globules in a teaspoonful of water, or dry on the tongue, every
half hour, until decided amelioration or change.
Mercurius and Acidum phos. are to be mentioned as the
most appropriate for the chronic mischiefs which may result from the
bite of a serpent.
Dose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, night and morning, for eight days (or until the earlier
occurrence of decided change); then pause six days; after which the
course may, if necessary, be repeated as before, and so on.
Wounds Poisoned with Putrefied Matter.
PREVENTIVE MEASURES.
As a preventive measure against the mischiefs which may result from
the introduction of the noxious matter of putrefying animal substances
POISONS. 673
into accidental fissures, or very slight and imperceptible as well as
considerable wounds or abrasions, those whose avocation may render
it incumbent on them to touch or handle morbid animal substances,
envenomed wounds, or ulcerated sores of human beings or of inferior
animals under the influence of contagious diseases, the best resource
that can be adopted consists in exposing the hands (or parts which
have thus been brought in contact with pernicious matter), for ten
minutes, to the greatest heat that can be borne, and then to wash them
thoroughly with soap and water, or with water to which has been
added a teaspoonful of a solution of Carbolic Acid.
MEDICINAL TREATMENT.
Arsenicum is usually the most appropriate medicine in the case
of wounds which have been poisoned by the introduction of animal
matters in a state of putrefaction, or of the purulent matter from the
ulcerative sores of human beings, or inferior animals in a state of
disease.
Dose : Three globules in a teaspoonful of water, repeated' at intervals
of six hours until four doses have been given, and then at intervals of
twelve hours, until decided amelioration or change.
Diet and Regimen. The precautions, in these respects, which
have been prescribed under the head of Eradicative Treatment, at
pp. 83–89, should be carefully observed. Errors in these respects are
very likely to aggravate the mischief, and particularly excesses in the
use of stimulating or irritating articles of food or drink.
POISONS.
When any poisonous substance has been taken into the stomach,
our first care must be its immediafe evacuation by producing vomiting,
or its neutralization by its antidote; our next, the removal of any
injurious consequences that may remain after warding off the more
imminent danger.
Thus the treatment is divided into (1) the immediate, mechanical
or antidotal treatment, and (2) the after-treatment.
To promote a speedy evacuation of the contents of the stomach, the
stomach-pump should be immediately put in requisition, particularly
when any vegetable or narcotic substance has been swallowed; but
when the poison is of a corrosive nature, an antidote, which will pre-
vent its action upon the coats of the stomach, or neutralize it by
chemical affinity, should be forthwith resorted to; the stomach-pump
being contra-indicated in such cases in consequence of the injury the
throat and stomach have sustained.
Vomiting should be promoted by the following means: —
Swallowing large quantities of tepid water, tickling the throat with
a feather, and, if these fail, placing snuff or mustard mixed with salt
upon the tongue; or still better — particularly with those who are
habituated to the use of tobacco — a tumblerful of warm water, to
which a teaspoonful of the flour of mustard has been added, should be
43
674 MINERAL POISONS.
taken at one draught, and then again warm water, as before, or a full
dose of Ipecacuanha may be at once administered.
It is not my intention to enter at any length into this subject, but
merely to point out some of the ordinary and simple means which have
been recommended to be adopted against the most common poisons, in
order to give time for the proper assistance to be sent for.
IMINTERAL POISONS.
These are, almost without exception, of a corrosive nature.
IMIMEDIATE TREATMENT.
When such have been swallowed by accident or design, soap-water
in large quantities, the carbonate of magnesia — two or three drachms
to half a pint of water, — or the same quantity of chalk and water,
or about a teaspoonful (or from fifteen to twenty grains) of common
potash or soda to a tumblerful of water, — a large gulp of the mixture
to be taken after every fit of vomiting, or whenever the pains increase
or return ; enemas of the same may be also employed, particularly when
the poison seems to have affected the lower intestines. When the pain
and vomiting have ceased, mucilaginous drinks, such as barley-water
or milk, must be given in large quantities, to lubricate the surface
of the stomach.
After mineral poisons, when vomiting ensues, in consequence of the
substance swallowed, we must promote and sustain it by copious drinks
of the same nature.
Arsenic.
IMMEDIATE TREATMENT.
If vomiting sets in, sustain it by the means above mentioned: if
not, provoke it, and give white of egg in water — sugar and water, or
milk in large quantities; the specific action of Arsenic being upon
the stomach and terminal bowel, inject also soap and water. Various
preparations of iron, particularly the hydrated perchloride, have been
much lauded, but are not always promptly accessible.
AFTER-TREATMENT.
Ipecacuanha may be administered first, to allay the irritation
of the stomach, and the tendency to nausea and vomiting.
Dose: Three globules in a teaspoonful of water, repeated at intervals of two
hours, until four doses have been given, and then at intervals of six hours,
until decided amelioration or change.
Veratrum should be given twelve hours after the fourth dose of
Ipecacuanha, if, notwithstanding the employment of the last-named
medicine, there still remain nausea, vomiting, heat, and coldness of
the body, and prostration of strength.
Dose: Three globules, as directed for Ipecacuanha.
China is appropriate if great irritability, with disturbed sleep and
great restlessness during the night, still continue to prevail.
Dose : Three globules in a teaspoonful of water, night and morning, until
decided amelioration or change.
IMINERAL POISONS. 675
Nux vomica. Worse during the day, and especially after sleep-
ing, with constipation or loose slimy evacuations.
Dose: Three globules, as directed for China.
Oaxalic Acid.
IMMEDIATE TREATMENT
Vomiting should be produced and encouraged (no stomach-pump),
and chalk suspended in water immediately administered, or magnesia
in water, if more readily obtained.
Lead.
IMMEDIATE TREATMENT.
The antidotes of lead are Epsom or Glauber's salts, in the propor-
tion of two drachms dissolved in half a pint of water, in addition to
which, the same measures as have already been prescribed for the
immediate treatment of poisoning with Arsenic, may be advantageously
employed both by the mouth and in the form of enema.
AFTER-TREATMENT.
Opium, Belladonna, Alumina, Platina, Nux vom. For
the after-treatment of poisoning with lead, or for the treatment of
slow or chronic poisoning with this mineral, that is, against the chronic
morbid developments which are induced by its deleterious effect, these
medicines may be enumerated as amongst those of the greatest service,
and more especially when paralysis, colic, or delirium tremens are
amongst these mischievous consequences. For the more particular
indications which should determine the selection from amongst them,
the reader is referred to the articles on “Colic,” “Paralysis,” and “De-
lirium Tremens,” respectively, as well as to that on the “CHARACTER-
ISTIC EFFECTs.”
Dose: Of either of these medicines as selected, give three globules, in a tea-
spoonful of water, repeated at intervals of four hours, for two days; and,
subsequently, night and morning, until decided amelioration or change;
pausing, however, for a week, after every course extending over a period
of six days.
*
Verdigris and Corrosive Sublimate.
IMMEDIATE TREATMENT.
The measures prescribed for the immediate treatment of poisoning
with Arsenic are also applicable to cases of this nature, in addition
to those which are more particularly subjoined as regards these poisons.
Moreover, for Verdigris, iron-filings in vinegar, mixed with gum-water,
have been recommended ; and for Corrosive Sublimate, in addition to
the above remedies, milk in copious draughts, or starch in the form
in which it is generally used for domestic purposes, and white of egg
in large quantities.
676 CAUSTIC AI, KALIES.
VEGETABLE AND NARCOTIC POISONS.
IMMEDIATE TREATMENT.
The substance must be dislodged from the stomach as soon as possi-
ble; the stomach-pump may here be used to great advantage, and
subsequently to wash out the stomach; or, if this be impracticable,
among the best means to counteract its effects are Camphor by olfaction,
sometimes Spirits of Ammonia, and strong black coffee taken internally;
the patient must be kept continually in motion, and his attention
roused by every means in our power; electricity has also proved useful
in many instances; and dashing cold water upon the head and nape
of the neck, chest, and back, has been successfully employed in pre-
venting the lethargic sleep, or in restoring animation when that had
actually ensued.
AFTER-TREATMENT.
Ipecacuanha is often of service in counteracting the mischievous
after-effects which are likely to ensue, even after recovery from the
state of narcotism, from poisoning with Opium or Laudanum, if strong
black coffee or vinegar should have been employed as immediate anti-
dotes.
Dose : Three globules in a teaspoonful of water, repeated at intervals of
six hours, until amelioration or change. But if within six hours after the
fourth dose the mischief should appear unmitigated, consider the follow-
ing medicines.
Belladonna, Nux vom., and Mercurius are also of much
service in obviating the mischievous effects of Opium, and should be
considered for selection, the appropriate medicine from amongst them
being administered six hours after the fourth dose of Ipecacuanha, in
cases in which the last-named medicine has not been productive of
satisfactory results. The selection should depend upon the indica-
tions afforded in respect of each of these medicines, in the article on
“CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines as selected, give three globules in a tea-
spoonful of water, night and morning, until decided amelioration or
change.
IMINTERAI, ACIDS.
Poisoning by the mineral acids is readily recognized by the imme-
diate violence of the symptoms, and the burns and stains upon the lips
and clothes.
TREATMENT.
Magnesia or chalk, suspended in oil or milk, are the most appro-
priate antidotes. The stomach-pump cannot ordinarily be used, for
the reasons given above.
CAUSTIC AI, KALIES.
A solution of caustic potash, or “saponifier,” or other caustic alkalies,
are sometimes taken by accident or design.
ANIMAL POISONS. 677
TREATMENT.
Vinegar and water, or very dilute lemon-juice, should be given,
together with olive or almond oil.
PRUSSIC ACID.
The inhalation of Ammonia, or two drops of liquid ammonia to a
large tumblerful of water, and a teaspoonful of the liquid taken every
five minutes. Afterwards strong black coffee should be administered
in large quantities, both as a potion and as an enema. The vapor of
Camphor or Vinegar has likewise been found useful, as also the cold
affusion. This poison is very rapidly fatal.
AFTER-TREATMENT.
Coffea is calculated to be useful in most cases for after-treatment
as soon as the first alarming symptoms have been overcome, unless,
indeed, copious draughts of strong coffee should have been administered
as an antidote.
Dose : Four globules in a teaspoonful of water, repeated at intervals of six
hours, until decided amelioration or change.
Ipecacuanha and Nux vom. are also of much value for the
purpose of counteracting the after-effects of poisoning with Prussic
Acid. The selection should, however, depend upon the indications
afforded for each of these medicines, respectively, in the article on
“CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, when selected, give four globules, as
directed for Coffea.
Poisomous Mushrooms.
IMMEDIATE TREATMENT.
Provoke vomiting; give copious draughts of cold water, and admin-
ister charcoal in sweet oil, at the same time applying sal volatile to
the nose of the patient.
After narcotic poisons have been evacuated from the stomach, vege-
table acids may be used with advantage.
ANIMIAL POISONS.
A poison develops itself in the rancid fat of pork, or hog's lard ;
against it, vinegar, diluted with an equal quantity of water, or the
juice of a lemon in strong black coffee, or, better still, strong black tea,
are the antidotes.
AFTER-TREATMENT.
Bryonia should be administered if any dryness of the throat remain
after the more immediate danger has passed off.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
four hours, until decided amelioration or change. Consider also the follow-
1ng.
Arsenicum and Acidum phos. have also been employed with
success against some symptoms elicited as after-effects; and one or the
678 MENTAL EMOTIONS.
other should accordingly be selected, if, upon reference to the article
on “CHARACTERISTIC EFFECTs,” the symptoms of the case be found
to correspond with the indications therein afforded.
Dose : Of either of these medicines, when selected, as directed for Bryonia.
Mussels.
IMMEDIATE TREATMENT.
The antidotal treatment consists in the administration of charcoal
mixed with sugar and water; afterwards, camphor by olfaction, and
strong coffee, without milk or sugar.
Poisonous Fish.
IMIMEDIATE TREATMENT.
The immediate treatment should consist of the administration of
charcoal in a small quantity of brandy; if this does not speedily relieve,
strong coffee, – and this failing, sugar and water in large quantities;
or again, if the last resource should not relieve, vinegar with twice its
quantity of water.
AIFTER-TREATMENT.
Belladonna will be found appropriate should an eruption or red-
ness of the skin declare itself, particularly if accompanied with swelling
of the face and sore throat.
Dose: Three globules in a teaspoonful of water, repeated at intervals of four
hours, until six doses have been given (unless change should sooner
occur); and afterwards, at intervals of twelve hours, until decided amelior-
ation or change.
IMIENTAL, IEIMIOTIONS.
We shall conclude this part of the work with the consideration of
those particular Mental Emotions which exercise so great a control
over the human organism, among which we find fright, passion, or
anger, and concentrated grief the most prominent and continually re-
curring. §
TREATMENT.
Opium should be employed when the sufferer has been exposed to
sudden fright, with terror, horror, or fear; and it is generally effica-
cious, if administered immediately, in restoring the patient, and obvi-
ating any evil consequences, such as convulsive fits, swooning, lethargic
sleep, involuntary evacuations, diarrhoea, &c.
Dose : Three globules in a teaspoonful of water, repeating the dose, if neces-
sary, at intervals of three hours, until decided amelioration or change.
Aconitum should be employed, if, within three hours after the
second dose of Opium, no apparent benefit has resulted, and if more
especially great acceleration and fulness of pulse prevail as predomi-
nant symptoms. Aconitum is, moreover, the appropriate medicine at
the onset, when the system is laboring under the joint influence of
MENTAL EMOTIONS. 679
fright and passion; and especially when headache, feverishness, heat in
the face and head (congestion), quick and full pulse, fear, &c., prevail.
Dose: Three globules, as directed for Opium. &
Ignatia. When the cause of suffering is concentrated and stifled
grief; or it may be required to follow either Opium or Aconitum, as
above directed, when the convulsions continue, notwithstanding their
employment.
Dose : Three globules, as directed for Opium.
Sambucus should be employed in cases in which oppression at the
chest, with snoring respiration, had resulted from fright, but had not
been allayed by the previous employment of the last-named medicine.
Dose: Three globules, as directed for Opium.
Belladonna is indicated when there is a particular liability to
be startled by trifles, or extreme general nervous excitement after a
fright, &c.
Dose: Three globules, as directed for Opium.
Hyoscyamus should be given for the ill effects of jealousy or dis-
appointed passion, as well as for the consequences of fright.
Dose : Three globules, as directed for Opium.
Veratrum should be administered after either Belladonna or
Flyoscyamus, in cases in which neither of the foregoing medicines has
been capable of subduing the convulsive symptoms.
Dose: Three globules, as directed for Opium.
Causticum may be mentioned as a serviceable medicine for the
treatment of cases in which constant dread haunts a child after previous
fright.
Dose: Two globules in a teaspoonful of water, night and morning, for a week
(or until earlier change); then pause fourteen days, after which the course
should be repeated as before, if the same timidity still prevail, and so on,
from time to time, until permanent amelioration or change.
Pulsatilla is appropriate in cases of fright, fear, or timidity,
particularly when accompanied with an effect upon the stomach and
bowels, as also heat of the body, with coldness of the extremities; or
passion, in people of generally mild temper; it is also suitable for
highly sensitive but not easily irritable temperaments.
Dose : Two globules in a teaspoonful of water, repeated, if requisite, after
the lapse of six hours.
Chamomilla is of much service, particularly in the case of children,
or females of nervous temperament, — when suffering has arisen from
passion or vexation.
Dose: For adults, three globules in a teaspoonful of water; for very young
children, one globule, every three hours, until decided amelioration or
change.
Nux vomica is appropriate for the treatment of suffering arising
from a sudden fit or outbreak of passion or rage.
Dose: Three globules, as directed for Pulsatilla.
Staphysagria is more especially indicated by anger and vexation,
arising from just cause.
Dose : As directed for Pulsatilla.
680 IMIENTAL, EMOTIONS.
Arsenicum is useful, where passion is followed by great weakness
and dangerous prostration of the vital powers.
Dose : Three globules, as directed for Pulsatilla.
Bryonia is indicated, where a fit of passion is followed by coldness
and shivering over the whole body, great irascibility, want of appetite,
nausea, vomiting, and bilious sufferings, more particularly if the attack
is developed in a patient of bilious temperament.
Dose : Three globules, as directed for Pulsatilla.
Colocynth when indignation accompanies the above-described
effects of a fit of anger.
JDose : As directed for Pulsatilla.
Coffea is the most useful remedy against the injurious effects which
occasionally result after excessive joy, such as headache, trembling,
and tendency to fainting; unless, indeed, the consequences are more
serious, and violent headache, with congestion to the head, frequent
vomiting, diarrhoea, swooning, violent almost convulsive trembling, &c.,
or such other symptoms as have been more particularly described as
indicating the first series of medicines prescribed in this article should
ensue, when the treatment must be regulated accordingly.
Dose : Three globules, as directed for Opium.
Diet and Regimen. In all instances in which feverish excite-
ment is present the general directions afforded in the article on
“FEVERs” will be appropriate. If derangements of digestion ensue,
as the consequence of Emotions, the directions particularized in the
article on “INDIGESTION” should be observed.
PART III.
TREATMENT OF WOMEN AND OF THEIR
PECULIAR DISEASES.
GREEN-SICRINESS.
Symptoms. Pale, blanched complexion and lips, sometimes with
flushes of heat and redness; a depravity of appetite; a longing after
innutritious substances, such as chalk, &c., and a general languor,
both mental and physical; the patient complains of weariness, lassitude,
and debility, and becomes emaciated; the lower extremities frequently
assume a dropsical appearance, generally attended with cold in those
parts, and headache, with flatulent distension of the belly, particularly
after meals, and in the evening; bowels irregularly confined, sometimes,
at a later period, very easily irritated and relaxed ; a harsh, harass-
ing cough, occasionally with periodical expectoration of dark-colored
clotted blood, and hurried respiration, frequently declares itself, if the
affection has been allowed to proceed unchecked. As the disease
advances, the sufferer often seems to be on the verge, or even passing
through the different stages, of a decline, the disease appearing — as in
reality it generally does — to stand in closer relation to the functions
of the lungs than to those of the womb. It generally appears in young
females, about the age of puberty.
Predisposing Causes. The predisposing causes of this affection
are very remote, and are to be traced to an inherent taint of constitu-
tion, or, in fact, to a scrofulous habit of body.
TREATMENT.
Pulsatilla is peculiarly efficacious in the treatment of Green-
sickness, when the complaint is intimately associated with derange-
ment of the digestive functions, or when it is accompanied by frequent
attacks of semi-lateral headache, with shooting pains, extending to the
head and teeth, sometimes shifting suddenly to the other side; sallow com-
pleasion; palpitation of the heart; coldness of the hands and feet, often
changing to sudden heat; disposition to diarrhoea and leucorrhoea ; pains
in the loins; sensation of weight in the belly; almost constant chilli-
ness and shivering; spasms in the stomach, with nausea, inclination to
vomit and vomiting; periodical expectoration of dark, clotted blood;
hunger, with repugnance to food, or want of appetite, with dislike to
food; swelling of the feet and ankles; great fatigue, especially in the
legs; the patient feels better in the open air. This medicine is pecu-
681
682 GREEN-SICKN ESS.
liarly adapted to females of mild or phlegmatic disposition, disposed
to sadness and tears.
Dose: , Three globules in a teaspoonful of water, night and morning, for a
week (or until the earlier manifestation of amelioration or change); then
pause eight days, after which the course may, if necessary, be repeated
as before, and so on.
Sepia should be employed eight days after the completion of the
second course of Pulsatilla, in cases in which the last-named medicine
has been productive only of partial relief. Sepia is, however, indi-
vidually indicated when, in addition to the symptoms just enumerated,
the following are predominantly manifested:—hysterical megrim;
sallowness of complexion, with dark-colored spots upon the face, fre-
quent attacks of colic, and contused or bruised pain in the limbs.
Dose: Three globules, as directed for Pulsatilla.
Graphites is of much value when there is retention of the period,
which is scanty, with congestion of the vessels of the head and chest;
dark-red flushing of the face, oppression at the chest, and a feeling of
anxiety when in the recumbent posture.
Dose : Three globules, as directed for Pulsatilla.
Belladonna is often called for when the congestion of the head
and chest is of an active character, and accompanied with violent
throbbing of the bloodvessels of the neck; laziness and indisposition
to work; alternately red and pale face.
Dose : Three globules in a teaspoonful of water, repeated at intervals of six
hours, until the indicative symptoms subside.
Bryonia is indicated by frequent congestion in the head or chest;
bleeding at the nose; dry cough ; coldness and frequent shivering,
sometimes alternated with dry and burning heat; constipation or colic;
bitter taste in the mouth, tongue coated yellow; sense of pressure in the
stomach, as if from a stone ; irascibility; the symptoms are aggravated
by moving about.
Dose : When the symptoms are active and violent, give three globules, as
directed for Belladonna ; and subsequently, give similar doses, night and
morning, for a week (or until earlier change); then pause eight days,
after which the course may, if necessary, be repeated as before, and so
OIl.
Sulphur is one of the most valuable of our medicines in perma-
nently overcoming the taint of constitution to which Green-sickness in
many, if not most, cases owes its origin, and is therefore of much ser-
vice as an intermediary medicine, administered during the course of
other treatment, — when such other treatment is more particularly
indicated by the symptoms, but, nevertheless, fails to effect any striking
alteration in the state of the patient. In other instances, again, Sulphur is .
more particularly and individually indicated, and in such cases it
should be employed from the onset. The symptoms which thus espe-
cially call for the employment of Sulphur are as follows: — Pressive and
tensive pain in the back of the head, eatending to the nape of the neck;
humming in the head; pimples on the forehead and round the mouth;
pale and sickly complexion, with red spots on the cheeks; voracious
appetite; pressive fulness and heaviness in the stomach, whder the lower
GREEN-SICKNESS. 683
ribs, and in the belly; bowels irregular; difficulty of breathing; pains in
the loins, and fainting; excessive fatigue, especially in the legs, with
great depression after talking; great tendency to take cold; sleepiness in
the daytime. Sulphur is again of much value, as well as the subjoined
medicines, when there is complication with Consumption, or when
symptoms, such as cough, hectic fever, &c., which seem to threaten the
issue of the disease in this manner occur; or when such symptoms are
developed simultaneously with the appearance of Green-sickness.
Dose : If as an intermediary medicine, six days after the last dose of any other
and especially appropriate remedy, give six globules in a table-spoonful of
water, the first thing in the morning, fasting, repeating the dose after the
lapse of twenty-four hours; then pause eight days, after which return to
the former treatment, as before. If distinctively indicated, give six globules
in a table-spoonful of water, the first thing in the morning, fasting, for
eight days (unless change should sooner occur); then pause ten days, after
which the course may, if necessary, be repeated as before, and so on until
decided amelioration or change.
Calcarea carbonica is often productive of the most striking
benefit, and is even in some cases singly capable of effecting a complete
cure, — even in the worst cases, attended with dropsical swellings of
the feet and extreme difficulty of breathing. This medicine, like the
foregoing, is also to be mentioned as of great service in those cases in
which a disposition to Consumption is manifested simultaneously with
the development of Green-sickness, as evinced by the presence of cough,
hectic fever, &c.
. Dose: Six globules, as directed for Sulphur.
Ferrum met. is often of much value after the previous employ-
ment of Calcarea, and should be administered ten days after the com-
pletion of the second course of the last-named medicine, if the worst
symptoms having abated, the pale and sickly hue of the skin should
continue predominantly manifest; with ringing in the ears; palpitation
of the heart, &c. &
Dose: Three globules in a teaspoonful of water, night and morning, for a
week (or until earlier change); then pause ten days, after which the
course should, if necessary, be repeated as before, and so on, until decided
armelioration or change.
Phosphorus in deep-seated chronic cases, with tendency to Con-
sumption; brought on by depressing mental influences, such as grief,
worriment, disappointed love, or by loss of blood, night-watching,
night-sweats, diarrhoea, self-abuse, &c.
Dose: Three globules, as directed for Pulsatilla.
Natrum muriaticum is a most waluable remedy in many obsti-
nate cases; particularly when the skin looks dead, dirty, and withered.
Dose: Three globules, as directed for Ferrum.
Lachesis has proved of essential service in the treatment of enlarge-
ment of the belly occurring in young girls at the critical age.
Dose : Three globules, as directed for Pulsatilla.
REMARKs. Sometimes the periodical discharges do not appear for
some time afterwards, although the general health may have been
thoroughly renovated by the remedies prescribed.
684 SUPPRESSION OF THE MONTHLY FLOW.
Diet and Regimen. The predisposing causes of this disease suffi-
ciently point to the general management of the patient which is appro-
priate to the condition.
SUPPRESSION OF THE IMONTHLY FLOW.
Suppression of the periodical discharge occasionally takes place
suddenly from some accidental cause, such as an exposure to cold,
powerful mental emotions, &c. In other instances the suppression is
symptomatic of some other disease, either organic or functional, and
can only be removed by the cure of the primary malady. It is of the
former that we here propose to treat.
TREATMENT.
Pulsatilla should be employed when a suppression takes place
from the sudden effects of a chill, when the symptoms generally corre-
spond with those already described under the head of that remedy, in
the article on “GREEN-SICKNESs,” at p. 681.
Dose: Three globules in a teaspoonful of water, night and morning, for a
week (unless a change should sooner occur); then pause eight days, after
which the course may, if necessary, be repeated as before, and so on, until
decided amelioration or change.
Graphites should, more particularly, be selected when the suppres-
sion of the menstrual discharge is accompanied with dull, pressive
aching, or wrenching pains in the small of the back, and a troublesome
itching, sometimes associated with a tettery eruption on the skin.
Dose : Three globules, as directed for Pulsatilla.
Causticum should be administered when the case is characterized
by spasmodic pains in the bowels, and small of the back, at the time
at which the period should occur if regular.
Dose: Three globules, as directed for Pulsatilla.
Cocculus in cases in which there are habitually attacks of colic-
like pains in the bowels at the periods at which the menstrual dis-
charge should occur if it were regular, more especially if the patient
complains of great weakness of the lower extremities, languor and
lassitude, precarious appetite, and generally also nausea, with much
oppression at the chest and in the region of the stomach, &c.; especially
when this functional derangement occurs in full-habited and apparently
healthy persons, particularly if the suppression be traced to mental
emotions.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
six hours, until the indicative symptoms are alleviated.
Nux moschata when the suppression is accompanied by spasms
and other hysteric affections; disposition to sleep and faint away; great
nervousness; complete exhaustion after slight exertion; pains in the
loins, &c.
Dose: Three globules, as directed for Pulsatilla.
Caulophyllum should be given when there are spasmodic, bearing-
SUPPRESSION OF THE MONTHLY FLOW. 685
down pains; and sympathetic, crampy, spasmodic pains in the bladder,
rectum, or bowels.
Dose: Three globules, as directed for Pulsatilla.
Aconitum should be employed in cases in which fright has mani-
festly been the exciting cause of the derangement. Aconitum is, more
especially, appropriate in full-habited subjects, and when symptoms of
general redundancy of blood, or of determination of blood to the head,
or to any other important organ, are developed, and the pulse is full,
hard, and more or less accelerated.
Dose : Three globules, as directed for Cocculus.
Opium should be employed in cases in which the suppression has been
occasioned by fright, and when, notwithstanding the employment of the
last-named medicine, convulsive attacks, or the other symptoms men-
tioned as indicating this medicine, in the article on “MENTAL EMO-
TIONS” (at p. 678), should ensue or continue.
Dose: As directed for Cocculus.
Veratrum should be administered in cases in which the convulsive
and other symptoms incidental to the suppression, when caused by
fright, have failed to yield to the last-named medicine; and when there
are: pale, livid face; frequent nausea and vomiting; cold hands, feet,
and nose; great weakness, with fainting turns.
Dose : Three globules, as directed for Cocculus.
Lycopodium has proved of service in cases in which the patient
complains of headache and giddiness; flatulent distension of the bowels
before each period at which the secretion ought to have returned; and
habitual costiveness.
Dose: Three globules, as directed for Pulsatilla.
Belladonna should be employed in cases which are associated with
fulness of blood, determination of blood to the head, violent throbbing
of the arteries of the head and neck, and nose-bleed.
Dose : Three globules, as directed for Pulsatilla.
Platina is often of essential importance in the treatment of cases
of suppression of the menstrual discharge, associated with a plethoric
state or full habit of body. The particular indication for its use may
be discovered by reference to the article on “CHARACTERISTIC EF-
FECTS.”
Dose: Three globules, as directed for Pulsatilla.
Senecio gracilis should be employed in cases of suppression, when
there are: inability to sleep; nervous irritability; loss of appetite;
coated tongue; constipation; constant feeling of lassitude; disinclina-
tion to move about; wandering pains in back and shoulders.
Dose : Three globules, as for Pulsatilla.
Sulphur is one of the most important remedies for the treatment
of cases which assume a chronic and obstinate character, more particu-
larly if such cases occur in persons of a feeble or exhausted constitution,
or who bear about them, in a marked degree, the traces of a scrofulous
habit of body, or who are affected with the piles; or, again, when the
prevailing symptoms are such as have been described in detail under
686 EXCESSIVE MENSTRUATION.
the head of this medicine, in the article on “GREEN-SICKNESs,” at p.
682.
Dose: Six globules in a teaspoonful of water, the first thing in the morning,
fasting, for six days (unless change should sooner occur); then pause ten
days, after which the course may, if necessary, be repeated as before,
and so on, until decided amelioration or change.
Sepia is also of great value, whether at the onset or after the
previous administration of Sulphur, for the treatment of chronic and
difficult cases, and for such as are complicated with scrofulous taint of
constitution, or which occur in otherwise feeble and exhausted subjects.
Sepia is more especially appropriate when the prevailing symptoms
are such as have been described in detail under the head of this medi-
cine, in the article on “GREEN-SICKNEss,” at p. 682.
Dose: Four globules, in other respects as directed for Sulphur.
Natrum muriaticum is most valuable for the treatment of
chronic cases of deficient, irregular, and suppressed menstrual dis-
charge, more particularly when characterized by habitual and in-
superable depression of spirits, or when there is, from time to time, a
scanty but retarded discharge.
Dose : Four globules, in other respects as directed for Sulphur.
Diet and Regimen. In all cases of suppressed menstruation,
associated with a full and redundant habit, and with determination of
blood to the head, or to some other important part, it will be necessary
to enjoin regular and sufficient exercise (without incurring fatigue), to
be taken daily in the open air – the weather being favorable, – and
early resting and rising. As regards diet, the proportion of animal
food should, in general, but especially in cases attended with congestion
of the head or chest, be diminished, and only very plain, simple, and
unstimulating articles, whether for food or drink, should be allowed.
When these derangements are incidental to, or associated with, an
enfeebled and exhausted condition of the system, on the other hand,
change of air, if attainable, will generally render good service ; and
such other general regulations as have been afforded in detail, in the
article on “ERADICATIVE TREATMENT,” at pp. 88–89, should be
observed. -
IEXCESSIVE IMIENSTRUATION.
The quantity of menstrual discharge varies a good deal in different
women. The duration of the discharge and the period of return are
also variable. In some women, it continues from four to ten days, in
others it lasts only a few hours: from three to six days is, however, the
most usual period. The regularity is, in many, exact to a day, or even
an hour; while in others a variation of several days is a usual occur-
rence, without the slightest disturbance to the general health resulting
therefrom.
When the discharge is excessive, and attended with pain in the
back, loins, and belly, resembling those of labor, it becomes necessary
to prescribe remedies calculated to arrest it, and to correct the tendency
thereto.
EXCESSIVE MENSTRUATION. 687
TREATMENT.
Ipecacuanha is one of the more generally useful medicines in
severe cases of this derangement, as well as in flooding after labor, and
may, in most instances, be administered first, unless there are strong
indications for a preference being given to any of the others.
Dose: Three globules in a teaspoonful of water, repeated at intervals of six
hours, until amelioration or change.
Crocus is more especially called for when the discharge is of a
dark color, viscid, stringy, and very copious, and the menstrual period
has appeared before the usual time.
Dose: Three globules, as directed for Ipecacuanha.
Sabina is indicated when the discharge is excessive, of a bright
color, and occurs in full-habited females who are prone to miscarry;
or when the subjoined symptoms prevail: rheumatic pains in the head
and limbs; great weakness; pains in the loins similar to those of labor.
Dose: Three globules, as directed for Ipecacuanha.
China, is of considerable utility where there is great debility in
consequence of a more copious menstrual discharge than is natural.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, if necessary,
Nux vomica is especially appropriate when the following symp-
toms prevail:—The discharge being of too frequent occurrence, too
profuse, and of too long duration; and when it commonly stops for a
day or so and then returns, attended with spasms in the belly; some-
times nausea and fainting, especially in the morning; pains in the
limbs; restlessness; irascibility. Nua, vomica is especially serviceable
when the above symptoms occur in females who are addicted to the
daily or frequent use of coffee, liqueurs, and other stimulants, or have
been extensively drugged by old-school practitioners.
Dose: Two globules in a teaspoonful of water, repeated at intervals of four
hours, until three doses have been taken ; then at intervals of twelve hours,
during the continuance of the menstrual discharge.
Chamomilla is frequently useful when there is a discharge of
dark, clotted blood, with severe colic, or pains like those of labor;
great thirst; paleness of the face, and coldness of the limbs.
Dose: Three globules in a teaspoonful of water, repeated at intervals of six
hours, until amelioration or change.
Ignatia is of considerable service in cases resembling the above,
when the derangement happens in hysterical or sensitive females, of
mild and uncomplaining disposition; or who have had a great deal of
trouble.
Dose: Three globules, as directed for Chamomilla. Subsequently, and seven
days after the cessation of the discharge, give a similar dose, repeated
every night, at bedtime, for a week.
Platina is indicated by inordinately increased menstrual discharge,
attended with painful bearing-down pains, and venereal orgasm ; thick,
dark-colored menstrual blood; great excitability.
Dose: Three globules, as directed for Chamomilla.
688 PAINFUL AND DIFFICULT MENSTRUATION.
Veratrum is more particularly required for too early or too
copious menstrual discharge, always attended with diarrhoea.
Dose: Three globules, as directed for Chamomilla.
Trillium should be given when menstruation returns évery four-
teen days, lasting seven or eight days; and in the intervening time
there is profuse, yellowish, and thick leucorrhoea.
Dose : Three globules, as for Chamomilla.
Gelseminum is indicated in cases in which there is scarcely an
interval between the periods; which are not, however, attended with
much suffering; or, the flow having ceased, is brought on again by
fright or other mental emotion.
Dose: Three globules, as for Chamomilla.
ICreosote will be found useful when the menstrual blood has a
decidedly offensive odor, is too profuse, and lasts too long; the abdo-
men becomes distended before the periods; leucorrhoea, which excori-
ates the parts, between the periods.
Dose : Three globules, as directed for Chamomilla.
Ammonium carb. should be administered when the flow comes
too early, and is too profuse, Fº at night, when sitting, or
when riding. Symptoms somewhat resembling those of cholera, usher
'in the period.
Dose : Two globules, as directed for Nuz vomica.
Diet and Regimen. Patients who are habitually affected with
excessive menstrual discharge should live with great regularity, keeping
early hours, taking regular, but moderate daily exercise in the open
air (during the intervals) in favorable weather, and partaking of
nothing but the most digestible, simple, and unstimulating diet, which,
at the same time, should be of a nourishing and strengthening descrip-
tion. Emotions of all kinds should be avoided, as much as possible;
and during the continuance of the discharge the semi-recumbent posture
should be retained, and the body should be kept cool. Neither food
nor drink should be taken hot; the food should be as cool as it can be
relished, or chiefly cold, and the beverage quite cold. In addition to
these directions more explicit particulars may be derived from the
article on “ERADICATIVE TREATMENT,” at pp. 83–89.
PAINFUL AND IDIFFICULT IMENSTRUATION.
TREATMENT.
It will be well to consult, in connection with the remedies and their
indications below, the preceding chapters on “Suppressed” and on
“Excessive Menstruation” (at pp. 684, 686), and that on “Green-
Sickness” (at p. 681), as great assistance may be derived therefrom.
Chamomilla is to be recommended, particularly if, at the men-
strual period, there be an irregular and unusually relaxed state of the
bowels, attended with colicky pains, or bearing-down or dragging pains,
proceeding from the small of the back, and succeeded by griping in
the lower part of the belly, analogous to those of labor; or if, again,
PAINFUL AND IDIFFICULT MENSTRUATION. ' 689
there be great soreness and sensitiveness of the belly to pressure, with a
sensation as if the interior of the bowels were closed, and cutting colic,
with painful drawing in the thighs. Chamomilla is, moreover, particu-
larly indicated when such symptoms occur shortly before the return
of the menstrual periods, or during the periods when the discharge is
of a dark color and clotted, and nausea and unpleasant eructations
prevail; also when excessive irritability and peevishness attend.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
six hours, during the continuance of the discharge, until decided amelior-
ation or change.
Pulsatilla when the menstrual period is retarded, and the discharge
is either very dark and lumpy, or pale and watery, the periods being
preceded and alternated with extreme depression of spirits and uneasi-
ness, – or, again, with pains of a colicky character in the bowels, and
tearing or pressive pains in the small of the back, and on the right
'side; bearing down with pressure or even forcing during micturition,
and much urging to evacuate; spasms of the stomach, and prevailing
nausea, - or sometimes even vomiting of sour, slimy matters; gen-
eral derangement of the stomach and disordered digestion; often very
marked and predominant chilliness, with shivering fits, and generally
extreme paleness of the face. Pulsatilla is also of much service for the
treatment of analogous derangements occurring about the period when
menstruation should set in, with young females who have not yet had
the discharge. It is also more particularly indicated for fair, lymphatic
females of rounded and symmetrical figure, phlegmatic temperament,
mild, inanimate, and listless disposition, the sufferings being greater
towards evening and at night.
Lºose : Three globules, as directed for Chamomilla.
Belladonna is more especially indicated, particularly for young,
robust, and full-habited females, when the periods are preceded and
announced by severe attacks of colicky pains, sensation of weakness
and languid feeling, with failure or fastidiousness of appetite, and
sometimes also giddiness and cloudiness of sight, — the menstrual
discharge consisting either of very dark or very pale matter, or, again,
of bright-red blood, and being attended with disposition to attacks of
determination of blood to the head, - with pressure and giddiness,
sensation of throbbing and heat about the head, or simply redness and
puffed appearance of the face,—or to the chest with oppression, anxiety,
or even extreme anguish ; another decided indication for this medicine,
in cases which occur in full-habited subjects, is a continual yawning,
which sometimes constitutes a marked symptom.
Dose : As directed for Chamomilla.
Nux vomica is of service in cases of excessive or scanty men-
struation attended with much suffering; painful sensation as from
bruises in the small of the back, and aching pain, sometimes very
intense, and extending down to the thighs; there is very often much
urging to pass water, but either without effect or with very slight dis-
charge ; the temper is very irritable, and the patient is disposed to find
fault with everything; there is predominant constipation or costiveness,
with frequent desire to evacuate, and sometimes painful urging but
690 PAINFUL AND DIFFICULT MENSTRUATION.
without discharge, or with very scanty, hard, detached motions; nausea
sometimes prevails to such a degree as to induce fainting-fits, more
especially in the morning, when, indeed, all the symptoms are exacer-
bated. This medicine is more especially useful in the treatment of
nervous or bilious subjects, or of highly-excitable females, and generally
for those of spare habit and dark complexion.
Dose : A week before the expected return of the periods give four globules
every night at bedtime, for four days During the continuance of the
discharge, give three globules in a teaspoonful of water, night and morn-
ing, until amelioration or change.
Coffea is sometimes of service as an intermediary medicine when the
sufferings are intense, and are attended with increased discharge, or
when, generally, excessive nervous irritability and excitability prevail.
Dose : Three globules in a teaspoonful of water, repeated at intervals of four
hours, if necessary.
Phosphorus is indicated when the menstrual flow is attended with
great sleepiness, so that the patient can hardly keep awake. There are
colicky pains, with great rumbling and fermentation in the bowels;
constipation, the faeces being dry; vertigo; blue margins around the
eyes; a feeling as of great weakness in the abdomen. It is most suitable
for tall, slender women.
Dose: In every particular as directed for Nuz vomica.
Magnesia carb. The menstrual discharge is dark, acrid, and
thick; and occurs only during a cessation of the pain, or during sleep;
neuralgic pains in the head and shoulders; the knees ache during
walking, and the feet feel painful at night in bed.
Dose: In every particular as directed for Wuz vomica.
*
Sepia is of especial value for the treatment of subjects of tainted, ex-
hausted, or debilitated constitutions, who are affected with whites during
the intervals between the periods, and who complain much of unbearable
headaches, chiefly occupying one side of the head or one eyebrow, or
who are from time to time attacked, especially at the menstrual periods,
by sudden and very distressing toothaches; the bowels, whether during
the intervals or at the periods, have a tendency to be costive; the
spirits are apt to be extremely depressed before and during the con-
tinuance of the discharge, and the disposition is desponding; burning
or pinching pains are experienced in the passages, and dragging weight
low down in the belly. The discharge is variable in quantity and in
the frequency of the return, sometimes being too frequent, excessive,
and lasting unnaturally long, sometimes being retarded, insufficient,
and of brief duration, and sometimes even natural in both these respects,
but attended with much suffering.
Dose : In every particular as directed for Nuz vomica.
Lachesis. Before the menses: vertigo, headache, and nose-bleed.
The first day of the menses: tearing in the abdomen, beating in the
head, pains in the small of the back, and bruised feeling in the hips –
all of which are relieved when the flow is fully established.
Dose: In every particular as directed for Nuz vomica.
PAINFUL AND DIFFICULT MENSTRUATION. 691
Sulphur is particularly appropriate for the treatment of chronic
cases, and of such as are associated with a scrofulous constitution,
or for patients who suffer from piles, whether the discharge be very
dark or Bale, thick or watery, or even bright-red, and more partic-
ularly for the sufferings attendant upon the first menstrual period of
young females when that has been unduly retarded. The quantity
of the discharge is variable, sometimes being excessive, and in other
instances scanty. Sulphur is to be, more especially, selected when the
patient is subject to flow of blood to the head, or to discharge of blood
from the nose, whether before, during, or after the period; and when
she frequently complains of aching pains in the small of the back,
with or without cramp-like or griping pains in the bowels; or when
she is apt to suffer from very severe headaches, especially just before
the discharge occurs; or when there is a continual prevalence of whites
during the intervals, the discharge of which suddenly becomes more
profuse as the period approaches; and when, again, there is a great tend-
ency to evening fever, with heat, dryness, and harshness of the hands,
but often coldness of the feet; and when the discharge is accompanied
by restless or disturbed sleep at night, or by violent tossing in dis-
turbed dreams, or even by convulsions; there is generally a slight or
even hacking cough, and oppressed breathing; sometimes heartburn or
even spasms of the stomach before and during the periods, and gen-
erally toothache more or less severe.
Dose : In every particular as directed for Wuz vomica.
Calcarea carb. should be resorted to when there is great nervous
debility; pale bloatedness of the face; cannot bear anything tight
about the waist; stiffness of the neck; cold and damp hands and feet;
sensitiveness to cold air; the menses are always premature and exces-
sive. It is particularly suitable to women of scrofulous constitution.
Dose: In all particulars as for Wuz vomica.
Cactus grandiflorus should be given when menstruation is ac-
companied with terrible pains, causing the patient to cry out and
weep; the pains come on periodically, mostly in the evening; the
discharge is scanty, and ceases on lying down; constriction or other
ill feeling in the region of the heart.
Dose: Three globules, as directed for Chamomilla.
Collinsonia will be found very useful when difficult menstruation
is accompanied or complicated by obstinate constipation, or piles.
Dose : Three globules, as directed for Chamomilla.
Caulophyllum may be administered when the menstrual flow is
scanty, and the attending pains, which are cramp-like, extend to the
bladder and rectum; or there are hysterical spasms of the chest.
Dose: Three globules, as directed for Chamomilla.
Diet and Regimen. The directions more particularly afforded
under the head of “Green-Sickness” (at p. 684), “Excessive Men-
struation” (at p. 688), “Eradicative Treatment” (at p. 83–89), should
be respectively consulted and applied to the circumstances of the case;
as also should the directions further given in the ensuing article on
“Whites.”
692 THE CHANGE OR TURN OF LIFE.
THE CHANGE OR TURN OF LIFE.
The period which is well known by this term, is that at which the
menstrual function ceases to be performed. But there is ‘ho precise
limit to the age at which this may occur. Indeed the final cessation
of the menstrual discharge is apt to occur at any period between five
or six and thirty, and over sixty years of age. It is usually regulated
by the original early or late appearance of the secretion. In the
majority of cases, in this country, the cessation occurs between the
fortieth and forty-eighth year.
TREATMENT.
The medicines which are generally appropriate for the treatment of
the sufferings incidental to the cessation of the menstrual discharge
are, in the generality of cases, the same as have been enumerated in the
foregoing article on “Painful or Difficult Menstruation” (pp. 688–691).
The following may, however, be additionally or more especially partic-
ularized.
Aconitum is to be employed, if indicated by a general fulness of
blood, determination to the head, headache with buzzing in the ears,
full, or small and accelerated pulse, sensation of heaviness in the fore-
head and temples, or sometimes stupefying headache, &c., all of which
symptoms are aggravated by motion or by the least exertion.
Dose : Three globules in a teaspoonful of water, repeated after the lapse of
six hours, and then (if yet requisite) at intervals of twelve hours, until
decided amelioration or change.
Cocculus is doubly indicated by the sensation of nausea, or even
by the occasional bilious vomiting which sometimes occurs, as well as
by the violent spasmodic and cramp-like pains in the bowels, which
are apt to ensue upon the cessation of the menstrual discharge.
Dose: Three globules in a teaspoonful of water, night and morning, until
amelioration or change ; or, if against severe spasmodic pains, at intervals
of three hours, until these sufferings are allayed.
Nux vomica is to be preferred for the treatment of persons of
nervous or bilious habit, of spare frame, and dark complexion, or who
have been subject to piles, and in whom the sufferings are aggravated
or chiefly present upon rising in the morning, more especially if there
be painful distension of the region of the stomach, pit of the stomach,
and region under the false ribs, with much restlessness and irritability,
and even disposition to violent outbursts of temper; or, again, if, not-
withstanding the restlessness, there be a constant inclination to lie down.
Dose: Three globules in a teaspoonful of water, night and morning, until
decided amelioration or change.
Pulsatilla is, on the other hand, to be preferred for the treatment
of persons of habitually mild and sensitive disposition, round, full, and
soft frame, phlegmatic temperament, and lymphatic constitution, and
when, moreover, the sufferings are greater or only present towards even-
ing or at night, or when such other symptoms occur as have been men-
tioned as indicating this medicine, in the article on “Painful or Diffi-
cult Menstruation,” at p. 689.
Dose: As directed for Wuz vomica.
LEUCORREICEA – THE WHITES. 693
Lachesis is, generally, more or less useful at the critical age. It
is more especially indicated when excessive nervous excitation exists,
with tendency to giddiness, throbbing headache, spasms of the stomach,
flatulency, thq generally with predominant confinement of the bowels,
but sometimes with sudden attacks of the contrary condition.
Dose: Three globules, as directed for Wuz vomica.
Natrum muriaticum is sometimes indicated when, in addition
to symptoms of weak or deranged digestion, fastidious or impaired ap-
petite, constant headache, chiefly seated across the forehead, and total
inability to apply to mental labor, there is a characteristic, sullen,
morose ill-humor, and avoidance of all 80ciety, the patient seeking ab-
solute seclusion, or being even disposed to be irritable or angry when
mixing with her friends or family.
Dose: Three globules, as directed for Wuz vomica.
Belladonna is sometimes required for the removal of the heavy,
pressive, bearing-down pains, and the sensation of weight which is apt
to be felt (sometimes accompanied with dull, aching pain) in the small
of the back; or, again, when redness with bloatedness of the face, and
the strong pulsation of the arteries of the neck and temples prevail as
further indications of determination to the head. Or, again, when
there is a constant sensation of weight or pressure, and oppression with
or without aching pain in the chest and region of the stomach.
• Dose : Three globules, as directed for Aconitum.
, Acidum sulphuricum. When flushes of heat and sudden ex-
cessive or profuse sweats, which diminish on movement, form prominent
features, and are associated with dry tongue, thirst, weakness in the
back and legs, and general languor, with feeling of tremulousness.
Dose : Three globules, as directed for Natrum m.
Diet and Regimen. Plain, simple, unstimulating diet, regular
hours and exercise, change of air and of scene, abstinence from all
stimulating drinks, avoidance of every source of emotion or excite-
ment, and regular ablution with cold water, followed by brisk friction,
are among the best and most simple rules to be observed by those to
whom the climax of life is a period of much suffering or inconvenience.
LEUCORREHOEA – THE WHITES.
Characteristics, &c. This affection demonstrates itself in the
form of an irregular discharge from the womb and passage, of a fluid
which, though commonly of a white color at the commencement, fre-
quently changes to a yellow, green, or even a brown hue. It may either
depend upon simple debility, in which case it is usually bland and not
in excess, and is more prone to occur in delicate women of relaxed
constitution at each returning summer, or to become continuous on
their removal to a warm climate; or, and much more frequently, it
may arise from some affection of the womb, &c., of a more or less serious
character, in which cases it is more copious, sometimes coming away in
gushes, and is often of an offensive and acrid nature, producing sore-
ness and excoriation of the parts, and accompanied by smarting in
694 LEUCORRFICEA – THE WHITES.
passing water, pain in the back and loins, want of appetite, impaired
digestion, or general derangement of the health.
TREATMENT.
The radical cure of this disorder is attended with much difficulty,
and can only be effected by long, patient, and careful treatment in those
cases in which it is incidental to serious derangements of the womb or
of its appendages.
Pulsatilla is indicated when the discharge is thick, like cream, or
milky, and sometimes gives rise to a burning sensation; when, more-
over, it is associated with indigestion, and occurs in females of relaxed
fibre and lymphatic temperament, or in whom the monthly flow is
irregular and scanty; the discharge is often worse when lying down.
Dose : Four globules in a teaspoonful of water, morning and evening, for
four days (unless a decided change should sooner occur); then pause four
days, after which the course may, if necessary, be repeated as before, and
so on. But if, within four days after.the completion of the second course,
very partial effect only should be apparent, proceed with the next medicine.
Calcarea is indicated by the same symptoms as Pulsatilla, and
should be administered four days after the completion of the second
course of that medicine, when only a partial improvement has resulted
from its employment; or it may be selected in preference to Pulsatilla,
when the malady occurs at the turn of life, attended with distressing
local itching, or when it appears in females with whom the periodical
flux is always excessive, with paleness of the face, weak feeling in the
chest, and weakness of the knees.
Dose : Six globules in a table-spoonful of water, the first thing in the morn-
ing, fasting, for a week (unless change should sooner occur); then pause
eight days, after which the course may, if necessary, be repeated as be-
fore, and so on, until decided and permanent amelioration (or change).
Sepia should be selected when the affection occurs in delicate and
exhausted females, the discharge being yellow or green, generally
watery, and more or less acrid or corrosive; and when it is accompanied
by a tendency to profuse perspiration, particularly on sitting down, after
walking. Sepia is also additionally indicated if the monthly discharges
are irregular; and, further, when bearing-down pains are often expe-
rienced.
Dose : Four globules, in other respects as directed for Calcarea.
IMercurius is a useful remedy when the discharge is thick, re-
sembling the matter of an abscess, or when it is greenish-colored, very
corrosive, and accompanied by local itching, and, more particularly,
when the flow is increased at night.
Dose : Six globules, as directed for Calcarea.
Alumina is to be recommended when the discharge is profuse, very
corrosive, and attended with itching about the parts; and when the
monthly flux is generally exceedingly scanty, though not often irreg-
ular, and the bowels are constipated.
Dose : Six globules, as directed for Calcarea.
Graphites is indicated when the discharge is profuse, very watery,
and often acrid, and productive of much excoriation; and when, as in
LEUCORREICEA-TEIE WHITES. 695
the above case, the periodical secretion is scanty, or when it is irregu-
lar; particularly in women who are subject to pimply eruptions.
Dose : As directed for Calcarea.
Acidum nitricum º be employed when the discharge is of
a brown color, or is slimy, offensive, and corrosive.
Dose : As directed for Pulsatilla.
Sulphur is also to be recommended for intermediary administration,
from time to time during the progress of treatment, when either the case
is exceedingly obstinate, or the medicines most decidedly indicated,
though productive of a certain degree of relief, appear to be limited to
that point in their efficacy.
Dose: Four days after the last dose of any medicine previously administered,
give six globules of Sulphur, in a table-spoonful of water, repeating the
dose after the lapse of twenty-four hours; then pause six days; after which
return to the administration of the medicine previously employed, if yet
indicated, or proceed with such other medicines as may now be indicated.
China should be given when the discharge is very profuse, and
gives rise to great debility; the menses seem to be suspended, or the
leucorrhoeal discharge occurs instead; painful pressing towards the
groins and anus. º
Dose: Four globules, as directed for Pulsatilla.
AEsculus hip. is indicated where the whites are accompanied by
intense pain and lameness in the back and hips, so that it is almost
impossible to rise after sitting, or to walk a long distance; constipation,
and piles.
Dose: Three globules, as directed for Pulsatilla.
Rreosotum. The discharge precedes and follows the menses, and
is greatest when standing or walking; it is yellow, offensive, acrid,
and corrosive, causing Soreness of the parts, and violent itching.
Dose : Three globules, as directed for Pulsatilla.
Podophyllum should be administered in cases in which the dis-
charge is thick and transparent, and there are constipation, and a feel-
ing of bearing or pressing downwards in the genitals; falling of the
womb, and protrusion of the intestine during stool.
Dose: Three globules, as directed for Pulsatilla.
Collinsonia is indicated by cases in which the discharge, which
may be thick or thin, is accompanied by great itching of the parts;
and there are obstinate constipation, and disordered and painful men-
struation.
Dose: Three globules, as directed for Pulsatilla.
Iodium may be found very useful in cases of long standing; partic-
ularly in scrofulous subjects; the whites are most abundant at or near
the time for the menstrual flow; and the discharge is so very acrid
and corrosive that not only are the adjacent parts made sore, but the
underclothing is made rotten and destroyed.
Dose: Six globules, as directed for Calcarea.
Diet and Regimen. The diet ought to be simple, but generally
very nutritive. Coffee and tea ought to be avoided, and cocoa or arrow-
696 HYSTERICS.
root substituted. Regular exposure to the benign influence of the fresh
air is commendable, but over-fatigue and prolonged standing should be
sedulously avoided.
HYSTERICŞ.
The consideration of this disease should be divided (1) into that of
the state or condition of the system, or constitutional tendency which
is especially susceptible of the fits or paroxysms; and (2) of the fits or
paroxysms themselves,
1. The consideration of the constitutional tendency involves a gen-
eral inquiry into the age and condition of the patient.
2. The consideration of the fits or paroxysms involves a more ex-
plicit detail of symptoms and of the exciting causes, which may gen-
erally be particularized as follow :-
Hysterical affections are more frequent in single than in married
life, and usually occur between the age of puberty and that of thirty-
five, and generally about the period of menstruation. The disorder is
readily excited in those who are subject to it, by sudden mental emo-
tions. Hysterics have also been known to arise from sympathy and
imitation. *
Women of delicate habit, and of extremely nervous sensibility, are
chiefly prone to be affected with hysteria, and are predisposed to the
attack by an inactive or sedentary life, distress of mind, suppression or
obstruction of the periodical illness, excessive depletion, or constant
use of spare or unwholesome diet. Females of a nervous, sanguine, or
plethoric temperament, are chiefly liable to this disease.
Symptoms. The attacks, fits, or paroxysms, are generally pre-
ceded by depression of spirits, anxiety, effusion of tears, difficulty of
breathing, nausea, and palpitation; also with pain in the left side,
which seems to advance upwards till it gets to the throat, when it feels
as if a ball were lodged there; if it advances further, there is a sense
of Suffocation, stupor, and insensibility, with spasmodic clenching of
the jaws; the trunk of the body is moved about, and the limbs are
agitated; alternate fits of laughing, crying, and screaming; incoherent
expression and foaming at the mouth occur; and relief ensues generally
with eructation, and frequent sighing and sobbing, followed by a sense
of Soreness over the whole body. Hiccough is sometimes a concomi-
tant, and a very distressing one, in hysteria. These are the usual
symptoms indicating this disease, but the complaint appears in a great
variety of forms; and in many cases the patient is attacked with a
violent spasmodic pain in the back, which extends from the spine to
the breast-bone, and eventually becomes fixed at the region of the
stomach, and is often so intense as to cause clammy perspiration, a
pale cadaverous countenance, coldness of the extremities, and a febrile,
thread-like, or scarcely perceptible pulse.
PREVENTIVE AND ERADICATIVE TREATMENT.
It may generally be stated, that the medicine which offers the closest
analogy to the symptoms of the fits, when they occur, and which is
most successfully employed in restoring the patient as regards the par-
HYSTERICS. 697
oxysms, may, in many cases, be administered in repeated doses, for the
purpose of overcoming, or, at all events, of moderating the predisposi-
tion. It should also be borne in mind, that if this condition be asso-
ciated with other derangements, the treatment which is particularly
appropriate for such derangements is also the best, preventive and
eradicative resource. There are, however, a few medicines which are
especially and particularly applicable to the removal or modification
of this constitutional tendency; these, however, I shall simply ºnu-
merate, with their chief and characterizing indications.
Sepia is, in the great majority of cases, the medicine upon which
the chief reliance can be placed, more particularly if the patient has
been affected with Green-sickness, Whites, or with other chronic de-
rangements or diseases of the womb and its appendages; or, again,
when she is liable to be seized with sudden attacks of debility, approach-
ing to general but temporary palsy, and attended with the outbreak
of profuse and often clammy perspiration.
Dose : Four globules in a table-spoonful of water, every night at bedtime, for
ten days (unless change should sooner occur); then pause a fortnight, after
which the course may, if necessary, be repeated as before, and so on, from
time to time.
Calcarea carbonica, on the other hand, is more especially ap-
propriate for the treatment of persons of an attenuated, sickly-looking
frame, and pale, wan, sunken countenance, with whom the general
convulsion attending the attacks is very violent, and who are subject
to fainting-fits, or to an habitually impaired and capricious appetite,
the menstrual discharge occurring too frequently and in excess.
Dose : Four globules, as directed for Sepia.
Natrum muriaticum is to be preferred, also, in cases in which
the countenance is sickly, pallid, and sunken, but more particularly
when there is an habitual dislike to society, and when constant gloom,
sadness, or despondency is apt to affect the patient; whilst feeble
powers of digestion, and prevailing chilliness, with occasional flushing
of the face, and retarded menstrual discharge, further characterize the
CàS€.
Dose: Four globules, as directed for Sepia.
Veratrum is of much service in overcoming the constitutional
tendency to hysteric attacks, as well as in modifying their immediate
violence, in cases in which they are attended with clenching of the
jaws, or general spasm, coldness of the extremities, and clammy sweat,
especially on the face and forehead.
Dose: Three globules, as directed for Sepia.
TREATMENT OF THE ATTACK.
Belladonna is appropriate when the paroxysms are characterized
by and commence with a sensation of choking, with spasmodic closing
or obstruction in the throat, and every sensation as if suffocation would
ensue; the face being hot, bloated, and of a dark-red hue, and there
being other indications of determination of blood to the head; or
when, as the paroxysm proceeds, the eyes become prominent, wild, and
698 HYSTERICS.
staring, and the pupils much dilated; or when, again, during the
intervals between attacks, the patient habitually sleeps in a disturbed
and restless manner, suddenly tossing in, or even starting from, sleep.
Dose : When the sensations of an approaching attack are apparent, give
two globules in a teaspoonful of water, repeating the dose after the lapse
of a quarter of an hour, and again, half an hour later, if the symptoms do
not sooner subside; or, again, after the subsidence of the attack. or during
the momentary intervals of calmness, give similar doses from time to time.
If after the attack, the doses should be repeated every six hours, for
twenty-four hours.
Ignatia is of great value for the treatment of hysterical paroxysms
affecting patients of a mild and very sensitive disposition, or those who
are subject to extreme variations of spirits, and when the attacks are
apt to be somewhat suddenly announced by convulsive laughter, pro-
voked by some slight or imperceptible cause; the face, previously pale,
becoming flushed, deep-red, or even livid, and the laughter terminating
in screams; or, more especially, when the attack is preceded by the
sensation of a ball in the gullet, which gives rise to a feeling of Suffo-
cation, attended with spasmodic eructation; further, when convulsive
movements of the extremities, with clenching of the thumbs, occur
during the paroxysm; or when, again, there is alternation of flushing
and pallor; or when the patient is affected with frequent fits of yawn-
ing, or with drawing of a deep breath upon recovery.
Dose : Two globules, as directed for Belladonna.
Pulsatilla is appropriate for the treatment of patients of mild and
sensitive or exceedingly timid dispositiqn, or of phlegmatic or lympathic
constitution, and when there is an habitual or very frequent derange-
ment of menstruation; or more particularly with predominant derange-
ment of the organs and functions of digestion at the period of the
menstrual discharges, and when the attacks are characterized by tear-
fulness or fits of crying without any ostensible cause.
Dose : In all respects as directed for Belladonna.
Chamomilla is sometimes of service when the attacks are preceded
by flushing, with burning heat of the skin, sensation of extreme an-
guish, and with anxious and hurried respiration, and when they occur
in females of extremely excitable and peevish dispositions, and who
have been habitual coffee-drinkers.
JDose : As directed for Belladonna.
Gelseminum should be given when the hysterical paroxysms as-
sume the proportions of convulsions; there are: excessive irritability
of body and mind; a semi-stupid condition, with languor and pros-
tration; nervous headache, commencing in the back of the neck, and
thence spreading over the head; vertigo and dimness of vision; diffi-
cult menstruation. a-
Dose : As directed for Belladonna.
Aurum met. is to be preferred when the patient is habitually
of a gloomy, desponding disposition, or manifests paroxysmal attacks
of violent excitement, with attempts at self-destruction; and when the
attacks are preceded by and accompanied with extreme anxiety, insup-
portable oppression at the chest, and palpitation of the heart.
Dose : As directed for Belladonna.
HYSTERICS. 699
Stramonium may be named as especially appropriate when the
attacks are characterized by the predominance of hiccough, and are
attended with convulsive movements of the arms, and with an expres-
sion of extreme exhaustion or of vacancy, and difficult articulation; or
sometimes with violent raving, sudden desire to remove as if from the
reach of some fancied danger, and with alternations of crying, or even
discordant attempts to sing, and violent convulsive laughter; or when,
again, the violence of the attack is liable to be reinduced or aggravated
by the sight of shining or glistening objects.
Dose : As directed for Belladonna.
Nux vomica is to be preferred when the patient is habitually of
an irritable disposition, or of nervous or bilious temperament, and of
costive habit, —or generally, moreover, of a meagre frame and pointed
features; the attacks being preceded or accompanied with twitchings
of the limbs or of particular muscles, and when a vexation or disappoint-
ment has been the exciting cause of the attack; also when stimulants of
various kinds have been too freely employed from time to time.
Dose : In every particular as for Belladonna.
Veratrum is generally to be recommended when the attacks are
characterized by clenching of the jaws, or general spasmodic affection
of the entire frame, coldness of the extremities, and clammy perspira-
tion, especially on the face and forehead, and when a considerable
quantity of pale urine is generally voided before or after the attack.
Dose : As directed for Belladonna. O
Conium should be administered when there is much vertigo, par-
ticularly on lying down; she cannot turn in bed, without exciting great
dizziness. The breasts swell, and become painful and hard, as the
menstrual period approaches, at which time the hysterical symptoms
are usually developed. Choking sensation in throat, as though a ball
were ascending from the stomach.
Dose: In every particular as directed for Belladonna.
Moschus. Violent, long-continued scolding, until she falls down
in an hysterical paroxysm. Great anguish; she feels as if she must
die, and insists that she will die. Feeling of constriction or tightness
on the chest during the paroxysm.
Dose : As directed for Belladonna.
Caulophylium will prove of value in some cases, when the hysteria
can be traced to disordered condition of the menstrual flow, or to some
disease of the womb.
Dose : As directed for Belladonna. ū)
Cactus grandiflorus should be given when there is great sadness,
taciturnity, and irresistible inclination to weep; love of solitude, and
fear of death; menstruation is excessively painful, and there is great
prostration at the menstrual period. It is particularly suitable for
cases in which there is a disordered condition of the heart.
Dose: As directed for Belladonna.
ACCESSORY MEASURES.
Above all things it is necessary that any portion of the clothing
700 PREGNANCY.
which may fit tightly should be loosened as an attack ensues, or
threatens to ensue; all strings and fastenings should be undone, and the
stays should be unlaced. Whatever may tend to impede the circula-
tion should be removed, and the patient should be stretched out in a
recumbent position (the floor being the safest and best place), beyond
the reach of any article which she might strike against in the convul-
sive movements. A free current of air should then be admitted, and
the face of the patient should be sprinkled with cold water. Friction
of the wrists, ankles, and palms of the hands, is often also of service.
GENERAL REMAIRKS.
In order to overcome the constitutional tendency to Hysteria, a long
and judicious course of treatment is always required in inveterate
Ca,SeS.
Diet and Regimen. Persons who are subject to hysterical
attacks should avoid tight lacing, or any articles of clothing which fit
too closely and firmly round the body. Elastic jackets are much to
be preferred to stays. They should also take regular exercise in the
open air, without fatiguing themselves; avoid all depressing and ex-
citing emotions; live regularly ; keep early hours; abstain from rich,
seasoned, or stimulating food or drinks, and partake only of plain but
nourishing food. To these regulations may be added such others as
have been enumerated under the head of “Green-Sickness,” “Sup-
ressed Menstruation,” “Excessive Menstruation,” “Difficult or Pain-
ful Menstruation,” “Whites;” and also the general rules prescribed in
the article on “Eradicative Treatment” (at pp. 83–89).
PRIEGINANCY.
GENERAL OBSERVATIONS.
This period may be looked upon as one of the most interesting eras
of a woman’s life. She is now no longer acting for herself alone, but
becomes invested with a new and serious responsibility; and upon
some of the most apparently trifling of her actions may depend the
future health and happiness of a being bound to her by the fondest
ties.
From the mass of evidence collected by careful observers of the
operations of Nature, we are warranted in drawing the conclusion,
that the actions of the mother exercise a great influence over not only
the constitutional and physical, but also the mental organization of her
offspring. Keeping this º: in view, we shall endeavor to point out
the course that mothers, who prefer the welfare of their future offspring
to their own indulgence, should pursue, and from which they will
derive a double benefit, — an improvement in their own health, with
exemption from suffering, and the delight of seeing their children pass
safely through the anxious period of infancy; whilst in after-life, be-
holding them flourishing around them in the full enjoyment of health
and vigor, they will reap the additional, rich reward of a slight, tem-
porary self-denial, in the delightful consciousness of having performed
their duty.
AIR AND EXERCISE DURING PREGNANCY. 701
So far is the period of pregnancy from being destined for one of
suffering or danger, that Nature has taken every precaution for the
protection of the female and her future offspring. While pregnancy
runs its equable and uniform course, the expectant mother enjoys an
almost complete exemption from the power of epidemic or infectious
diseases, and even chronic complaints are frequently suspended; in
fact, with the exception of some slight morning sickness, and occasional
trifling uneasiness, a well-constituted organism should enjoy as good
health during pregnancy as at any other time; and many women pass
through this period, and give birth to vigorous children, without even
the most trifling inconvenience.
Though, as we have said, Nature seems during this period to adopt
every possible precaution for the health and preservation of the parent
and her future offspring, yet are her wise arrangements, in too many in-
stances, rendered nugatory by a direct contravention of her laws. The
expectant mother should therefore bear in mind, that the duty of
leading a regular and systematic course of life, so essential to every
individual, devolves upon her with double force, since every neglect
or breach of these ordinances of Nature upon her part, is frequently
visited with fearful energy upon her yet unborn infant.
AIR AND EXERCISE.
During this epoch, passive or carriage exercise is not sufficient;
walking brings not only the physical, but the whole of the organic
muscles into play, and communicates the increasing vigor of the mother
to her offspring; whilst, on the contrary, continual passive exercise in
a carriage has been found particularly injurious during and towards
the end of the second period of pregnancy, and is frequently the cause
of premature and abnormal births; exercise on horseback, even with-
out taking into consideration the risk of fright or accident to the rider,
and the fearful consequences that may thence result, is still more ob-
jectionable for many reasons.
Some women take a great deal of exercise, yet without a corre-
sponding benefit, from their work occupying them wholly in-doors; this
is a strong proof of the inutility of exercise in itself, unless combined
with pure air. Moreover, some of these, from too great activity of
temperament, and others, coerced by hard necessity, frequently over-
fatigue themselves, go to bed late, rise early, and sometimes unrefreshed,
and thus in a manner deaden the energies of the organic powers, to
their own injury, and to that of the unborn child.
Others, again, injure their health, and frequently induce miscarriage,
through their excessive levity and thoughtlessness, by unrestrained
indulgence in active exercise, riding on horseback, dancing, &c. A
woman ought to recollect that, if through her own folly she has brought
on miscarriage, the greatest possible care is necessary to prevent its
recurrence; that a second attack increases her liability in future; and
that she who has suffered twice or thrice from this misfortune, even
when she escapes it, rarely attains her full time. Moreover, continued
casualties of this nature not unfrequently terminate in premature
death, from that serious and painful disease, cancer of the womb.
702 CLOTHING DURING PREGINANCY.
The best exercise, therefore, during this epoch, is walking every day
(when the weather permits) in the open air. In order to prove benefi-
cial, and not to interfere with the process of digestion, exercise ought
to be taken two or three hours after a moderate meal, about midday,
or in the afternoon, except during hot weather, when the evening may
be preferred, care being taken to avoid the night damps, by not remain-
ing out too late.
CLOTHING.
The dress of the woman should, of course, be suited to the season;
and if she pass from a warm into a cold atmosphere, she ought to have
her neck and throat well protected, so as to avoid any risk of taking
cold. But a point of far greater importance is the adaptation of her
clothing to her form, so as to preclude all unnecessary pressure upon
any part of the frame, calculated to interfere with the functions of those
important organs which are destined for the birth and nourishment of
the infant: tight lacing, therefore, at all times most objectionable, is
particularly so during this period, inasmuch as it cramps the natural
action of the body, and, bearing directly upon the muscles appertain-
ing to the belly, the bloodvessels, lymphatics, and the whole intestinal
economy, produces narrowness of the chest, disturbed circulation, and
induration or other derangements of the liver, and exercises a most
baneful effect upon the breasts and womb. We should bear in mind
that a pressure upon these organs during development takes place in
direct contravention of the operations of Nature. Women, in their
efforts to preserve the elegance of their shape during pregnancy, are
little aware that the constringent force thus exercised upon the abdomi-
nal muscles destroys their elasticity, prevents a proper retraction after
parturition, and thus proves one of the most common causes of perma-
nent abdominal deformity. Moreover, to the culpable vanity of their
mothers, in this and other respects, many, it is probable, owe their club-
feet and other malformations; and in addition to these evils, this prac-
tice not unfrequently deranges the position of the infant in the womb,
—a displacement which, together with the consequent want of energy
in the muscles and the parts concerned, generally brings on protracted
and dangerous labors. Besides this, continual pressure on the womb
is liable to produce premature labors. To tight lacing, also, may be
attributed the difficulty many women of the present day experience in
suckling their offspring, from the incipient process, required for the
subsequent secretion of milk, being deranged by the unnatural pressure
on the beautifully-constructed mechanism of the breasts: from this,
also, sometimes result those dangerous indurations, cancers, and other
affections of the breasts, and also retraction and diminution of the
nipple, from which the act of suckling is rendered difficult, and in
some cases impracticable.
Garters too tightly bound are generally injurious to pregnant women;
for the pressure thereby exercised upon the bloodvessels encourages
the development of varicose veins in the inferior extremities (to which
affection the system is already sufficiently predisposed), which, in many
instances, become exceedingly painful and troublesome.
DIET, HABITS, ETC., DURING PREGNANCY. 703
DIET.
The greatest simplicity should regulate the diet of the pregnant
woman; she should avoid taking too great a quantity of nourishment,
because an excess in this respect, besides causing disordered digestion
and general uneasiness, has a bad mechanical effect upon the future
offspring; and, moreover, the unborn infant shares in the derangements
of the mother.
Much depends upon the quality of her food; nothing should be taken
that is not of a simply nutritive nature, and everything possessing a
medicinal property, avoided. Coffee and strong tea should be laid
aside. Wine, liquors, beer, and other stimulating beverages, are also
injurious. The usual homoeopathic diet, subject to the general or par-
ticular regulations prescribed in the Introduction, at pp. 55, 56, &c.,
should be adopted as closely as possible during pregnancy.
EMPLOYMENT OF THE MIND, ...AND HABITS DURING
PREGNANCY. f
It is not sufficient that the body should be in perfect health; the
mind must also be kept in a state of serenity. An easy cheerfulness
of temper is essentially useful in promoting the well-being of the un-
born infant. Experience has presented us with many instances, in
which the predominant feeling on the mind of the mother during preg-
nancy has influence on the future mental organization of the child.
This shows how essential it is for women to keep their minds well em-
ployed during this period; to avoid all improper meditation, and dissi-
pation; and to abstain from reading works not calculated to improve
their understanding. The effect of any unpleasant or unsightly object
upon the imagination of the mother, and the transmission of that effect
to the offspring, evidenced in various mental or physical peculiarities
after birth, is a theory as old as tradition. Without entering upon the
various arguments brought forward both for and against it, we would
simply advise women to keep as much as possible out of the way of
such objects; to preserve both body and mind in a state of health,
which will lessen every fear of being affected by such occurrences; and
to endeavor, as constantly as possible, to direct their attention to
pleasing subjects; as it must be perfectly evident that brooding over
such unpleasant impressions can scarcely fail of being both physically
and mentally injurious.
MENTAL EMOTIONS.
This subject has been already treated of in the Second Part of this
work, at pp. 678-680, to which the reader is referred, as the remedies
there mentioned are equally applicable to affections arising from these
sources in either sex.
A not unfrequent symptom during pregnancy is, great despondency
of mind, and uneasiness about the future. Some women, whose spirits
are generally good at other times, suffer much from such an affection”
during this period; and in others, we find the same feeling and exces-
704 MENTAL EMOTIONS.
sive lowness of spirits, during the time of nursing. This symptom,
however, is not permanent, and, when it commences early in gestation,
usually disappears before delivery, without material injury to the gen-
eral health.
TREATMENT.
As this affection is apt to create some uneasiness, both to the sufferer
herself and to her friends, we have thought it advisable to mention it,
and at the same time to point out remedies which will frequently be
found efficacious.
Aconitum is often serviceable when the state of despondency is
preceded by one of excitement, marked by heat of skin and frequency
of pulse, attended with apprehension and presentiment of approaching
death.
Dose : Two globules in a teaspoonful of water, repeated at intervals of
twenty-four hours, until amelioration or change.
Bryonia is more particularly indicated by great inquietude and
fear for the future, attended with irascibility and derangement of the
digestive functions.
Dose : Two globules, as directed for A comitum.
Nux vomica is usually efficacious against morning sickness and
melancholy, with great uneasiness, impaired appetite, constipation, fret-
fulness.
Dose : Two globules in a tea-spoonful of water, every night at bedtime,
until amelioration or change. But if little effect should be apparent, as
regards the sickness, twenty-four hours after the fourth dose, pause four
days, and proceed with the next medicine.
Natrum muriaticum should be employed five days after the
last dose of Nua, v., in obstinate cases of morning sickness, and when
the last-named medicine has produced little or no effect. Natrum m.
is, however, more particularly and individually indicated by melan-
choly, with weeping; uneasiness about the future.
Dose : Two globules, as directed for Aconitum.
Phosphorus should be employed when the affection comes on dur-
ing the period of nursing, arising from an over-secretion of milk, so
that this fluid escapes involuntarily, and is attended with great ema-
ciation, melancholy, and apprehension of the future.
Dose: Two globules, as directed for Aconitum.
Calcarea is also efficacious when the above symptoms present
themselves, and more particularly so when there is eacessive dejection
with great lassitude. This remedy is further very serviceable when
there is suppression of the secretion, and also excessive obesity, or the
individual is of a plethoric habit.
Dose: Two globules, as directed for Aconitum.
China is more especially serviceable when there is lowness of
spirits, attended with derangement of digestion, which may arise from
the energies of the mother being too severely tasked % the nourishment
of her offspring, either from keeping the child too long unweaned, or
from rearing twins.
Dose : Two globules, as directed for Aconitum.
DERANGEMENTS DURING PREGINANCY. 705
IDERANGEMENTS DURING PREGINANCY.
MORNING SICKNESS.
Morning sickness, nausea, vomiting, and heartburn are the most
distressing symptoms attendant on the course of pregnancy. These
troublesome complaints generally harass women most upon their first
rising from a horizontal position in bed. They generally disappear
soon after quickening, but sometimes continue during the whole period.
TREATMENT.
When this affection shows itself in a mild form, we may leave it to
nature, adopting at the same time the homoeopathic rules for regimen,
and being careful not to overload the stomach. The homoeopathic
treatment of this derangement, at once simple, prompt, and efficacious,
has in almost all cases been attended with success.
Aconitum is the best medicine for employment at the onset in
those somewhat severe cases which depend upon full-habited condition
of the system.
Dose : Four globules in a teaspoonful of water, repeated, if necessary, after
the lapse of twelve hours; after which, consider the following medicines.
Ipecacuanha is usually sufficient to overcome the affection in
simple and uncomplicated cases, further characterized by a tendency
to relaxation of the bowels.
Dose : Four globules, as directed for Aconitum.
Nux vomica should be preferably selected when there is nausea
or vomiting every morning on rising: heartburn, depraved appetite,
or craving for chalk, earth, beer, &c., constipation and irritability of
temper.
Dose: Two globules in a teaspoonful of water, every night at bedtime, until
decided amelioration or change.
Cocculus should be employed after Nua, vomica in cases in which
the last-named medicine has been productive only of very partial
relief.
Dose: Four globules, as directed for Aconitum.
Arsenicum is sometimes required, more particularly when the
following indications prevail : — Excessive vomiting after eating or
drinking, with attacks of fainting; burning pain in the stomach and
gullet; great weakness and emaciation.
Dose: Four globules, as directed for Aconitum.
Pulsatilla is indicated by nausea after every meal, vomiting of
food, heartburn, depraved appetite, or longing for particular articles,
such as acids, beer, wine, &c. Disposition peevish and sensitive, though
naturally mild.
Dose: Four globules, as directed for Aconitum."
AEsculus hip., Caulophyllum, and Gelseminum have
proved useful in some cases of morning sickness. Discriminative
45
706 CONSTIPATION.
directions for their use may be obtained by consulting the article on
“CHARACTERISTIC EFFECTS.”
Dose: Of either medicine, as selected, four globules, as directed for Aconitum.
Natrum m., Sulphur, and Sepia are chiefly needed in cases
occurring in scrofulous or otherwise unhealthy constitutions. See
“CHARACTERISTIC EFFECTs” for general and special indications.
Dose: Two globules in a teaspoonful of water, once a day, until ameliora-
tion or change.
Diet and Regimen. The strict observance of the general rules,
prescribed at pp. 700–703, will be found sufficient for the great
majority of cases. For the management of persons of marked scrofu-
lous taint of constitution, the further directions afforded in the article
on “ERADICATIVE TREATMENT,” at pp. 83–89, should be consulted.
CONSTIPATION.
Constipation is a very common attendant upon pregnancy, and those
females usually suffer most from it who are naturally of a costive
habit, and are addicted to sedentary habits.
ACCESSORY MEASURES.
When it does not arise from some unusual cause, active exercise in
the open air, and partaking frequently of cooked or fully ripe sub-acid
fruits and well-boiled, tender vegetables, (at the same time avoiding
coffee and other stimulating liquids,) is generally sufficient to remove
or ameliorate the complaint.
TREATMENT.
When nature requires further assistance, the following medicines
may be advantageously administered:—
Nux vomica should be employed at the onset, in those instances
in which symptoms of general derangement are associated with the
constipation, and particularly when there is frequent inclination for
stool with insufficient or fruitless results, feeling of heat in the bowels,
and dull, continuous headache, or dulness, heaviness, and confusion of
the head.
Dose : Four globules in a teaspoonful of water, at bedtime; after which,
pause twenty-four hours, and then repeat the dose ; but if, after another
interval of twenty-four hours, inconvenience be yet experienced, proceed
with the next medicine; or, if little or no amendment be produced, con-
sider Bryonia.
Ignatia should be employed two days after the last dose of Nua.
vomica, as just directed, if, notwithstanding some general improvement,
symptoms of inconvenience should still prevail; more particularly, if
stool be followed by prolapsus of the rectum, or “falling of the body,”
as it is called.
Dose: Three globules, as directed for Wuz vomica. But if all traces of de-
rangement be not removed, after the lapse of three days, return to the
administration of Nuz vomica, as before.
Bryonia should be preferably selected, to follow Nua, vomica, in
FAINTING AND HYSTERICAL FITS. 707
cases in which the last-named medicine has been followed by very
partial (if any) effect, and generally for the treatment of cases of some
standing, and of an obstinate character, attended with extreme irri-
tability of temper. The stool is mostly dark, dry, and hard, as if
burned.
Dose : Three globules in a teaspoonful of water, morning and evening, every
other day, for a week, or until the earlier development of amendment or
change.
Opium is indicated when the constipation is attended with a sensa-
tion of weight in the stomach, dryness of the mouth, and deep-colored
flushing of the face. The stool is generally in round, hard, black-look-
ing balls.
Dose : Three globules, as directed for Bryonia.
Zincum metallicum should be given, when the stools are re-
markably dry, and insufficient, and are expelled only after much
forcing, and with the greatest difficulty.
Dose: Three globules, as directed for Bryonia.
Alumina is indicated by conditions similar to those indicating
Zincum. The stool is not expelled, seemingly because of paralysis of
the rectum.
Dose: Three globules, as directed for Bryonia.
Sulphur, Sepia, and Silicea may be required in very obstinate
cases. Consult the chapter on “CHARACTERISTIC EFFECTs.”
Dose: Of either medicine, when selected, three globules every evening, until
amelioration or change.
ADDITIONAL PARTICULARS.
The medicines above enumerated are those which are of the chief
importance in the treatment of the ordinary forms of constipation in
pregnancy; but, inasmuch as there may be material variations in the
symptoms present, dependent upon particular complications, the reader
is referred for additional particulars respecting the treatment to the
general article on “Constipation,” at pp. 241–247.
DIARRHOEA DURING PREGNANCY.
As regards the treatment of diarrhoea, occurring during pregnancy,
as I shall have occasion to treat of this derangement as connected with
delivery, in an ensuing article, and as it has already been considered
at length in the foregoing portion of this work (at pp. 260–266),
I should wish to refer the reader to the two articles in question for
particulars respecting the method of treatment.
FAINTING AND HYSTERICAL FITS.
Many delicate and nervous women are frequently attacked with
fainting fits during pregnancy. The attack generally passes over easily,
and without deleterious consequences.
708 FAINTING AND HYSTERICAL FITS.
TREATMENT.
Aconitum is chiefly of service for administration when the prin-
cipal characterizing feature of the case is the redundant habit of the
patient, under which circumstances it may suffice of itself to obviate
the return of the attacks.
Dose : Give two globules in a teaspoonful of water, repeated after the lapse
of twenty-four hours, if necessary.
Belladonna is to be preferred, when there is determination of blood
to the head, with simultaneous flushing of the face and perceptibly
increased action of the arterial system.
Dose : As directed for Acomitum.
Chamomilla is to be preferred when the fainting is liable to be
excited by sudden fits of anger.
Dose : Three globules in a teaspoonful of water, repeated after twelve hours.
Nux vomica is indicated when the attacks arise from general
irritability of the system, and consequent derangement of the digestive
Organs.
Dose: Three globules, as directed for Chamomilla.
Nux moschata should be given to overcome the predisposition to
fainting. It will also be found useful in hysterical fits, characterized
by violent laughter.
Dose : Three globules, as directed for Chamomilla.
Gelseminum is indicated by dark or dusky hue of the face, ring-
ing in the ears, vertigo; objects have a greenish hue.
Dose: Three globules, as directed for Chamomilla.
China is to be recommended when the attacks are attributable to
general weakness, and especially from loss of blood.
JDose : Two globules in a teaspoonful of water, night and morning, for six
days, after each attack (unless change should sooner occur.)
Pulsatilla is indicated when the attacks are further characterized
by general excitability and disposition to hysteria, with depression of
spirits, and great general susceptibility.
Dose: Two globules, as directed for China.
Coffea is more especially indicated when there are spasmodic pains
in the bowels, with oppressed respiration, twitching of the tendons, cold
perspiration, and uncontrollable agitation and tossing, with inability to
sleep, from nervous excitability.
Dose: Two globules in a teaspoonful of water, repeated, at intervals of three
hours, until the indicative symptoms subside or change in character.
Ignatia is appropriate for the treatment when the patient suffers
from severe headache, as if a nail were driven into the head; sadness,
concealed Sorrow, and sighing.
Dose : Two globules in a teaspoonful of water, repeated, at intervals of three
hours, until the pain in the head abates (or change occurs); and, subse-
quently, night and morning, for a week (unless change should sooner
occur).
Additional Particulars.
In cases in which neither of the medicines above enumerated ap-
TOOTHACHIE. 709
pears to answer to the case under consideration, the reader should con-
sult the article on “Fainting,” at pp. 547–548, and that on “Hys-
terics, &c.,” at pp. 696–700.
Diet and Regimen. Exercise in the open air, and attention to
the rules of regimen, are the best safeguards against the affection; but
in cases where these are insufficient, and the attacks prove distressing,
we must endeavor to ascertain their origin. If the fits arise from tight
lacing, warm rooms, or any other obvious excitant, the simple removal
of the cause will prove sufficient.
TOOTHACHE.
This is a frequent affection with pregnant women, and is sometimes
too valuable an indication of some taint lurking in the constitution to
be neglected. We must particularly caution women in this situation
against having teeth extracted, as the affection frequently occurs in
sound teeth."
TREATMENT.
Sepia is particularly indicated when there is a pulsative shooting,
drawing toothache, with pain extending to the ears, or to the arms and
fingers, excited by compressing the teeth, or by cold air, and attended
with impeded respiration, swelling of the cheek, and enlargement of
the glands under the jaw.
Dose: Two globules in a teaspoonful of water, repeated, at intervals of three
hours (against the immediate attack), until amelioration or change; and,
subsequently, at intervals of twelve hours (against the predisposition), for a
week (unless change should sooner occur).
Calcarea is to be preferred when the toothache is eaccited or aggra-
wated by cold air, or by anything hot or cold, and attended with painful
sensation in the gums, and pulsative gnawing or shooting pains, which
are aggravated by noise. -
Dose: As directed for Sepia.
Pulsatilla should be given when the toothache generally comes on
in the evening, and is accompanied by chilliness and paleness of the
face; the pain is usually jerking or tearing; the toothache always ceases
entirely in the open air, but returns in a warm room.
Dose : As directed for Sepia.
Nux moschata will be found valuable in some cases characterized
by: aggravation from drawing cold air into the mouth; amelioration
by holding warm water in the mouth, or by making warm applications
to the cheek; the tooth feels as if it were being wrenched from the
socket; the teeth of the affected side have a blunt feel.
Dose : Two globules, as directed for Sepia.
Additional Particulars.
If neither of the medicines above enumerated should appear to an-
swer to the requirements of the case, – that is, if the indications afforded
for their selection do not correspond with the symptoms and conditions
of the case, – the reader should consult the article on “Toothache,” at
pp. 179–182.
710 SWELLING OF THE LOWER LIMBS.
DRINARY DIFFICULTIES.
As pregnancy advances, urinary difficulties are sometimes expe-
rienced, from pressure of the womb upon the bladder, or from other
causes. There may be very frequent calls to micturate, or, on the other
hand, there may be more or less difficulty in urinating, amounting, in
Some cases, almost to complete suppression.
TREATMENT.
Cantharides is the most frequently efficacious remedy. It is in-
dicated by very frequent urination, with violent cutting or burning
pains; almost constant desire to urinate, with a feeling as if it were
impossible to do so; strangury.
Dose: Six globules in a table-spoonful of water, repeated at intervals of six
hours, until decided amelioration or change.
Pulsatilla should be given when there are: retention of urine,
with feeling of heat and soreness in the region of the bladder; con-
tinual pressure on the bladder, without a desire to urinate; after
urinating, pain in the neck of the bladder, extending into the thighs.
Dose: Six globules, as directed for Cantharides.
Belladonna will prove efficacious in many cases of plethoric women
who are affected during pregnancy with urinary troubles, and who
have frequent attacks of vertigo and determination of blood to the
head. Special indications for its use are: constant involuntary drib-
bling of urine; great difficulty is experienced in passing even a small
quantity of urine; it flows in drops.
Dose : Three globules, in other respects as directed for Cantharides.
Nux vomica should be administered in cases where the urinary
trouble is accompanied by extreme constipation of the bowels; partic-
ularly in women of an irascible temper, or who are addicted to the
use of wine, malt liquors, or other injurious beverages.
Dose : Four globules in a teaspoonful of water, every evening, until decided
amelioration or change.
Aconitum, Apis mellifica, Mercurius, Lycopodium, or
Sulphur may be required in some cases. Indications for their use
may be derived by consulting each, respectively, in the article on
“CHARACTERISTIC EFFECTs.”
Dose: Of either medicine, as selected, give six globules, as directed for Can-
tharides. *
SWELLING OF THE LOWER LIMBS.
General dropsical effusion is by no means of infrequent occurrence
during pregnancy; but the swelling is usually limited to the lower
limbs, and gives rise to considerable suffering, inconvenience, and fre-
quently to depression of spirits. The remedies mentioned below will
generally be found to afford prompt relief, and even to dissipate the
effusion completely. Should they fail, however, medicines more appro-
priate to the case may be found by consulting the article on “Dropsy,”
pp. 571-579.
VARICOSE OR SWELLED VEINS. 711
TREATMENT.
Silicea is the most frequently efficacious remedy for the treatment
of this affection, and should be promptly administered as soon as the
enlargement of the limbs is observed.
Dose: Six globules in a teaspoonful of water, the first thing in the morning,
fasting, for two days; then pause four days, when the course may be
resumed, as before, if necessary. Should no improvement be manifested,
however, four days after the completion of the second course, proceed with
one of the subjoined remedies.
Arsenicum or Apis mellifica will be found valuable in some
cases in which little or no change has been effected by the previous
employment of Silicia. Discriminative indications for their employ-
ment will be found under the head of each, individually, in the arti-
cle on “Dropsy" (pages 571-579), and in that on “CHARACTERISTIC
EFFECTS.”
P. : Of either of these medicines, as selected, six globules, as directed for
ºlicea.
VARICOSE OR SWELLED VEINS.
Many women'suffer fluch during pregnancy from distension of the
veins in the thigh and other parts, which, becoming exacerbated, event-
ually causes great pain and inconvenience. These varicose veins gen-
erally arise from obstructed circulation caused by the pressure of the
gravid womb upon the bloodvessels, but are also frequently a sure
indication of the existence of constitutional debility, particularly when
they occur in an aggravated form. They are much increased by par-
taking of stimulating liquids, which should consequently be avoided.
TREATMENT.
Pulsatilla is one of the most useful medicines, particularly when
there is excessive pain and swelling, with a good deal of inflammation,
or when the veins are of a livid color, which is imparted to the whole
limb.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
twelve hours, until amelioration or change.
Arnica is to be preferred either at the onset or after the previous
employment of Pulsatilla, when the occupations of the patient render
it impossible for her to lay herself up, or to avoid much standing and
moving about in discharge of her domestic duties. A bruised, sore
feeling is experienced in the affected limbs.
JDose : As directed for Pulsatilla.
Nux vomica should be employed when the affection is attended
with constipation, piles, and irritability of temper.
Dose: Three globules, as directed for Pulsatilla.
Hamamelis may be used with advantage in some cases of varicose
veins, particularly when there are stinging pains in the affected limbs,
or a feeling of enlargement or distension therein. It may be admin-
istered internally, or as an external application.
Dose: Internal. Six globules, in other respects as directed for Pulsatilla.
External. Add a teaspoonful of the concentrated Tincture of Hamamelis
712 PAINS IN TEIE BACK AND LOINS.
to a half pint of water. Saturate compresses of muslin with this lotion,
and lay them over the swollen veins, covering the limb loosely with a
piece of muslin.
Arsenicum is to be selected when the veins are of a livid color,
and are attended with severe burning pain.
Dose: As directed for Pulsatilla.
Carbo vegetabilis should be administered twenty-four hours after
the fourth dose of Arsenicum, when the last-named medicine has not
been sufficient to subdue the constant scalding or burning.
Dose: Three globules, as directed for Pulsatilla.
Belladonna is usually well indicated by the prevalence of varicose
veins, with considerable erysipelatous inflammation.
Dose: Two globules in a teaspoonful of water, every six hours, until the
inflammatory symptoms yield.
Lycopodium has been employed with success in some inveterate
C2S6S.
Dose : Four globules in a table-spoonful of water, the first thing in the morn-
ing, fasting, for a week (unless change should sooner occur); then pause
ten days, after which the course may, if neceſſary, be repeated as before.
C.
ACCESSORY MEASURES.
Considerable alleviation is experienced from constant bathing with
water, or with diluted alcohol; also by bandaging from the foot up-
wards with a gentle and equable pressure, and by preserving a recum-
bent posture, — which is requisite in severe forms of the complaint,
accompanied with considerable swelling of the feet, ankles, &c.
PAINs IN THE BACK AND LOINS DURING PEREGINANCY.
TREATMENT.
Rali carbonicum may be mentioned as the medicine of the chief
service in the treatment of this affection, when the prevailing symp-
toms are: almost indescribable aching in the back and loins; or drag-
ging and pressure, as if caused by a dead weight resting on the affected
parts.
Dose : Four globules in a table-spoonful of water, the first thing in the morn-
ing, fasting, until amelioration or change. But, if the subjoined symptoms
ensue, consider the following medicines. º
Nux vomica should be employed in cases in which piles appear,
simultaneously with the pains in the back and loins, and Kali c. is then
insufficient to alleviate the suffering. --
Dose : Two globules in a teaspoonful of water, night and morning, until
amelioration or change.
Sulphur should be administered after Nua, vomica, when piles ap-
pear in complication with the pains in the back and loins, and when
the last-named medicine has been incapable of effecting permanent
relief.
Dose : Four globules, as directed for Kali carb.
Sepia is also appropriate for the treatment of cases in which the
pains in the back and loins are complicated with piles, but more par-
MISCARRIAGE. 713
ticularly when the patient has been subject to a chronic derangement
of menstruation, &c.
Dose : Four globules, as directed for Kali carb.
Secale. When the pain is associated with bearing-down sensations
in the lower part of the bowels, aggravated by movement.
Dose: As directed for Kali carb.
MISCARRIAGE.
Peculiarities, &c. Women who have once suffered from this
affection are exceedingly obnoxious to its recurrence; and this liability
is still further increased, if the event have taken place a second or
third time.
Issue and Results. When it occurs before or about the third or
fourth month, it is frequently attended with but little pain or danger;
although repeated miscarriages, from the great discharge that is gen-
erally present, break down the constitution, and frequently develop
severe chronic diseases. When miscarriage takes place at a more
advanced period, it assumes a very serious complexion, and is often
accompanied with a considerable degree of peril to the sufferer.
Exciting Causes. Sudden mental emotions, or great physical ea:-
ertion, mechanical injuries, a luaurious mode of life, fashionable habits,
powerful aperients, neglecting to take air and eacercise, &c., are a few of
the exciting causes of this affection, which is particularly apt to occur
both in highly plethoric, and delicate or nervous habits.
Predisposing Causes. An unhealthy state of the constitution,
giving rise to multifarious local and general derangements, is undoubt-
edly the predisposing cause.
General Symptoms. The premonitory and accompanying Symp-
toms of miscarriage vary much in their nature; sometimes the discharge
is exceedingly profuse, at others moderate or inconsiderable; the pains,
in many instances extremely severe and protracted, are in others very
slight and of short continuance.
Miscarriage is, in most cases, preceded and attended by the majority
of the following symptoms:– A sensation of chill, followed by fever,
with more or less bearing-down, particularly when occurring late in
pregnancy; also severe pains in the belly, drawing and cutting pains in
the loins, or pains frequently bearing a close resemblance to those of
labor; discharge of viscid mucus and blood, sometimes of a bright red,
not unfrequently mixed with clots, at other times dark and clotted,
followed by the emission of a thin colorless fluid. The miscarriage
generally takes place during this discharge, which occasionally con-
tinues, if not properly checked, to flow for hours after, placing the suf.
ferer in considerable jeopardy. When the pains increase in intensity,
and the muscular contractions become generally established, with their
characteristic regular throes and efforts to dilate the mouth of the
womb, miscarriage is almost inevitable.
TREATMENT. g
I shall here endeavor as briefly, but at the same time as clearly, as .
714 MISCARRIAGE.
possible, to point out a course of treatment to be pursued, until medical
aid can be procured, both in preventing its occurrence, and in obviating
the consequences which it entails, when it has been found impracticable
to avert the evil.
Preventive and Eradicative Measures.
Sabina. The administration of this medicine, at an early stage of
pregnancy, will, combined with appropriate diet and regimen, and the
removal, when possible, of any of the ordinary exciting causes already
alluded to, frequently overcome the predisposition, and prevent the
accident, in cases where there is an evident disposition to miscarriage,
in plethoric females, or where, from a variety of reasons, it is appre-
hended; but as there are other remedies which may be called for in
preference to this, under certain conditions, the aid of a practitioner
should, as already advised, be sought in place of putting implicit reli-
ance on this remedy, in every instance of the kind.
Dose: Three globules in a teaspoonful of water, repeated after the lapse of
twenty-four hours, and again after the lapse of four days more, gradually
lengthening the interval for each successive administration, until the
period of danger be past; — being careful, however, to watch the effect of
each dose, to discontinue the medicine whenever any indications of its
action on the system become apparent, and to abstain from repeating until
the symptoms attributable to the medicine have passed away, and then
only with increased caution, and at longer intervals.
Secale cornutum has been strongly recommended, as useful in
similar cases, but particularly when this misfortune has already oc-
curred more than once; it is generally of much greater efficacy than
the former remedy in weak, exhausted women, and should be adminis-
tered from time to time, commencing immediately after the cessation
of the monthly period, and continuing until the period at which mis-
carriage usually occurs is passed; one dose more, at the utmost, being
allowed after this period.
Dose: Three globules, as directed for Sabina.
Sepia is one of our most important medicines when the predis-
posing cause consists in a constitutional delicacy, evidenced by a
tendency to local congestions, with pressive or bearing-down pains in
the lower part of the belly, or a relaxed state of the system, with
excessive and habitual whites, frequently of an acrid character, giv-
ing rise to excoriation, and attended with troublesome local itching.
Further, when the tendency to miscarriage occurs in women of feeble
habit, with a tender and irritable skin, which is liable to be affected
with brown or yellowish eruptive spots, particularly on the face;—
lastly, when there is constant disposition to copious perspiration after
the most trivial exertion, and when, during the unimpregnated state,
the monthly discharge is scanty, and usually premature, and frequently
associated with headache, toothache, and extreme depression of spirits.
Dose: Three globules, as directed for Sabina.
Sulphur. The following are the more important indications for
the employment of this medicine: — Disposition to blind or bleeding
piles; constipation; liability to colds, with copious secretion of phlegm ;
MISCARRIAGE. 715
unhealthy, irritable, and itching state of the skin; frequent formations
of pimples and other eruptions,—or when the patient has been subject
to or affected with troublesome cutaneous affections in early life;
general debility; dragging weight in the lower region of the belly,
with frequent urging to pass water; during the unimpregnated state, a
periodical discharge either *. profuse and premature, or feeble,
delayed, and accompanied by whites, with much local heat, itching,
and Smarting.
Dose: In every respect as directed for Sabina.
Calcarea is frequently of service after the previous employment
of Sulphur, in eradicating the predisposition to miscarriage. It may
be selected in preference to Sulphur when the following symptoms
characterize the case: — General fulness of blood, frequent attacks
of headache, colic, pains in the back, lancinations or other pains in the
breast (which are excessively distended); also when there is excessive
redominance of whites; and when, in the unimpregnated state, the
monthly discharge is excessive, and commonly occurs before the proper
time. A craving for potatoes is another indication for Calcarea.
Dose: As directed for Sabina.
Lycopodium. A troublesome sensation of dryness in the anterior
passage, or an actual dryness, as an alternate state with previous dis-
charge of whites, capricious appetite, aversion to bread, heartburn,
morning sickness, general pulsation through the body after a meal,
constipation, languor and extreme weakness, flatulence, intolerable
pain in the back before urinating, which is entirely relieved as soon
as the urine flows.
Dose : As directed for Sabina.
The Actual Attack.
The remedies which are more commonly required when the pre-
monitory symptoms of miscarriage have set in, or when the mishap
has already taken place, — as even in these cases their administra-
tion is decidedly beneficial, either in obviating further injurious con-
sequences, or in alleviating the sufferings of the patient, — are as
follows: —
- Arnica. When the symptoms have been excited by an accident,
such as a fall, blow, or concussion, &c., this remedy should be imme-
diately administered.
Dose : Of a solution of eight globules (or one drop of the concentrated tinc-
ture), to two table-spoonfuls of water, give a teaspoonful every ten, fifteen,
and twenty minutes (in very urgent cases), and, subsequently, every half
hour, gradually extending the intervals to three hours, and continuing the
administration, until decided amelioration or change.
Rhus. If the symptoms have originated in a strain from lifting,
pulling, or dragging a heavy weight.
Dose: As directed for Arnica.
Sabina, which has been mentioned as a valuable preventive medi-
cine, is also of decided service when miscarriage becomes imminent,
or has actually occurred, and is then indicated by dragging and
716 MISCARRIAGE.
forcing pains, extending down the back and loins, profuse and bright-
colored discharge of blood; sensation of sinking and faintness in the
belly; frequent desire to relieve the bowels; diarrhoea, nausea, or
vomiting; chilliness, and heat with fever.
Dose : A solution of eight globules, as directed for Arnica.
Secale cornutum is indicatedeby the subjoined symptoms: —
Incessant expulsive efforts, with profuse discharge of dark liquid blood,
followed by considerable debility; this medicine is also efficacious
when the patient is of feeble and exhausted constitution, and the
pulse is almost extinct, and the patient being seized at the same time
with fear of death, and tendency to convulsions.
Dose : A solution of eight globules, as directed for Arnica.
Chamomilla is to be preferred when a fit of passion has developed
the attack; or it may be selected, in any case, when the subjoined
symptoms prevail: — Excessive restlessness, severe pains in the loins
and back, worse at night, generally of a sharp, cutting description,
extending downwards, strongly resembling those of labor; sometimes
also spasmodic pain in the bowels, with a species of sanguineous dis-
charge; or discharge of deep-red or dark-clotted blood; frequent
yawning; coldness and shivering; frequent urination.
Dose : Of a solution of twelve globules to three table-spoonfuls of water,
give a teaspoonful, repeated, at intervals of half an hour, until three doses
have been given; and, subsequently, at intervals of three hours, and so
on, extending the intervals, until decided amelioration or change. If,
however, a severe throe follow, succeeded in turn by others of decidedly
diminished severity and frequency, do not repeat the dose, until a relapse
threatens, for a single dose will, in some cases, suffice to arrest the mis-
chief. The same rule may be applied to the other remedies.
Apis mellifica should be employed when the trouble commences
with stinging pains in the lower part of the abdomen, which become
stronger and more frequent, until labor pains are finally produced;
sometimes with flooding, and finally abortion.
Dose : As directed for Chamomilla.
Nux vomica is indicated by obstinate constipation; every pain
causes a desire to evacuate the bowels or bladder, particularly the
former; also when the patient has been accustomed to a stimulating
diet, and the use of coffee; severe burning or wrenching pains in the
loins; painful pressure downwards, and mucous discharge.
Dose : As directed for Chamomilla.
Bryonia should be employed an hour after the sixth dose of Nua.
vomica, when the symptoms are such as have been just described, and
when the last-named medicine has been productive of inadequate effect.
Dose : Two globules in a teaspoonful of water, every two hours, until amelio-
ration or change.
Ipecacuanha is indicated by chill with heat; violent pressure
downwards; flooding or excessive discharge of bright-red blood; cramp
and rigidity of the frame; sometimes convulsions; vomiting, desire to
vomit; disposition to faint whenever the head is raised; cutting pains in
the region of the navel.
Dose : As directed for Arnica.
MISCARRIAGE. 717
Hyoscyamusis required when there are very severe convulsions, with
cries, great anguish, oppression of the chest, and loss of consciousness.
Dose: As directed for Arnica.
Belladonna. Great pains in the loins and entire abdomen; 86vere
bearing-down, as if the whole of the intestines would be pressed out;
pain in the back, as if it were dislocated or broken ; bruised pain in
the lowest part of the back; sensation either of spasmodic constriction
or of expansion in the belly. It is also particularly valuable in cases of
profuse discharge of blood, the blood sometimes feeling particularly hot.
Dose: A solution of eight globules, as directed for Arnica.
Crocus is especially indicated in cases which are attended or fol-
lowed by discharge of dark, clotted, or viscid blood, with a sensation as
of something moving or fluttering about in the region of the navel,
and increased bloody discharge on the slightest movement. This med-
icine is frequently useful in obstinate cases, after the employment of one
or more of the above-mentioned remedies.
Dose : A solution of eight globules, as directed for Arnica.
Ustilago madis will be found very valuable in cases in which, the
miscarriage having taken place, the flow of blood is very profuse, or
flows continuously, or comes away in lumps; or, again, in cases in which
the flow of blood is unaccountably continued for days and even weeks
after miscarriage.
Dose: Four globules in a teaspoonful of water, every three hours, until
amelioration or change.
China is valuable in restoring the eachausted energies after the dis-
charge of blood, and materially assists in checking the discharge, if
there be spasmodic pain in the womb or a bearing-down sensation, with
considerable discharge of blood at intervals.
Dose: Three globules in a teaspoonful of water, repeated at intervals of three
hours, until four doses have been given ; and then, night and morning, for
a week (unless change should sooner occur).
Miscarriage induced by Mental Emotions.
When threatening or imminent symptoms of miscarriage occur in
consequence of such an exciting cause, in addition to the medicines
above enumerated, the reader should consult the articles on “Mental
Emotions,” at pp. 678-680, and 703–704.
ACCESSORY MEASURES AND PRECAUTIONS.
When miscarriage is threatened, the individual must assume the
recumbent posture, and in some cases, indeed, should be strictly con-
fined to bed, sleeping with few bedclothes; the apartment should be
kept cool, and every means must be employed to ensure perfect tran-
quillity of mind.
In all cases of threatened miscarriage, medical assistance should be
summoned as promptly as possible; but as life may be lost, in urgent
cases, before a physician can be had, the following additional particu-
lars should be observed : —
When the misfortune gives evidence of being unavoidable, and the
718 TREATMENT BEFORE PARTURITION.
hemorrhage is excessive, and is not promptly controlled by the pro-
perly selected medicaments, the application of cold to the abdomen, in
the form of cold cloths, &c., will very frequently have the desired effect,
by causing the womb to discharge its contents. Permanent cessation
of the flow of blood cannot be expected until this is accomplished; and
as it is frequently slow to dilate sufficiently for the effecting of that
purpose, the passage should be plugged to prevent the flow until the
womb be sufficiently dilated. A piece of sponge, of sufficient size, may
be used for this purpose; or a plug made of old muslin or linen rags
(technically called a tampon) should be inserted cautiously. It should
be of sufficient size to fill the passage, and entirely obstruct the flow of
blood. These measures should only be resorted to in extreme cases,
and when a physician cannot be procured. If they are employed, the
indicated homoeopathic remedy should be given at the same time, and
frequently, in a few hours, upon removing the plugs, the womb will be
found dilated, and will expel its contents. If hemorrhage occurs after
this, it may be arrested by the proper medicines, or by the application
of dry, cold articles to the abdomen, over the region of the womb. The
tampom, however, is only to be used in miscarriages occurring before the
period of quickening; never afterwards.
Diet and Regimen. In addition to the other precautionary
measures, just enumerated, it should not be omitted, that the plainest
and least stimulating, but at the same time nourishing diet is essential,
and the food, and more particularly the beverages, should be taken
nearly, if not quite, cold. All stimulating beverages should be avoided.
TREATIMIENT BEFORE PARTURITION.
PREPARATION OF THE BREASTS.
Young mothers frequently find great difficulty in suckling their
children, in consequence of some organic defect or incapacity of the
nipple. In many instances the structure of the breasts is disorganized
from an ignorant nurse having compressed them in childhood, under
the idea of such a process being needful for the expulsion of some
matter in the breasts of the child—a vulgar error, against the practice
of which mothers ought to be particularly watchful. Incapacity of
function is also likely to occur from the pressure of stays in after life,
by which the cuticle is rendered so tender as to preclude suckling.
The first two cases are beyond the power of art; and if suckling be
attempted, induration of the nipple and breast ensues, attended with
severe suffering. When, however, a simple tenderness exists, this evil
is much alleviated by bathing the nipples with brandy twice a day,
for several weeks anterior to delivery. Another difficulty, frequently
accompanying this state, is a shortness or retraction of the nipple, so
that the infant cannot take hold of it. In this case appropriate
shields may be applied to accustom the nipple to elongate and pro-
trude, so as to present sufficient hold for the infant, when the period
FALSE PAINs. 719
for suckling arrives, and when the efforts of the child will still further
contribute to effect this object. In this case, also, bathing with brandy
will naturally tend to correct any tenderness of the skin, and prevent
subsequent excoriation. It may also be here remarked, that when
any tenderness exists during the period of nursing, the shield should
be resumed between the intervals of the infant being applied to the
breast, and the bathing continued, - due care being always taken to
lave the nipple carefully with tepid water, before it is again offered to
the child.
Sulphur will frequently be found to be very useful in some cases;
three globules of which may be taken, dry on the tongue, the first
thing in the morning, fasting.
PREPARATION FOR LABOR.
TREATMENT.
Fulness of Blood.
When the approach of labor is attended with symptoms of fulness
or redundancy of blood, Aconite or Belladonna will suffice to obviate
what the exhausting resources of bleeding and aperients, under the
old system, have failed to ward off.
Aconitum should, in such instances, be employed at the onset;
to be followed by Belladonna if Aconitum does not suffice to remove
the fulness of blood, particularly if there be tendency to congestion to
the head.
Dose: Two globules in a teaspoonful of water, repeated, if necessary, after
an interval of six hours. -
The Bowels.
Lavement. An artificial evacuation, previous to delivery, may
be obtained by a lavement of luke-warm water, repeated with a small
quantity of linseed oil, when necessary from a failure in the first
attempt to obtain the desired effect.
Injection: If of luke-warm water, simply, inject about a tumblerful; if the
addition of linseed oil be necessary, to a tumblerful of water add two
table-spoonfuls of the oil ; shake them well together in a bottle or other
closed vessel, and inject the mixture.
Diet and Regimen. The diet should be especially plain, con-
sisting chiefly of farinaceous and fluid food, taken in moderate quan-
tities, only, at a time; and perfect calmness (all disturbance, noise,
or sudden causes of alarm being avoided,) is absolutely essential.
FALSE PAINS.
Characteristics. These pains sometimes precede labor but a
few hours, – but in many cases come on some days, and even weeks,
before delivery, — and chiefly differ from labor-pains in the irregu-
larity of their recurrence, in being unconnected with contraction of the
womb, and chiefly confined to the belly, with sensibility to touch and move-
ment, and in not increasing in intensity as they return.
720 TREATMENT AFTER DELIVERY.
TREATMENT,
Bryonia is indicated when there are pains in the loing resembling a
dragging weight, much increased by motion, with abdominal pains pre-
2eding those in the back. This remedy is more particularly indicated
when the above symptoms have been excited by a fit of passion, or by
taking cold.
Dose: Of a solution of six globules to four teaspoonfuls of water, give a tea-
spoonful. If, soon after the administration of the first dose, an aggrava-
tion of pain ensues, pause until two or three more paroxyms have occurred;
and, if these succeeding pains prove to be of diminishing intensity or fre-
quency, do not repeat the dose, until a relapse threatens. If on the other
hand no improvement results, repeat the dose, after an interval of six
hours; and so on, if the proper time for the expected labor is not nearly
due, – discontinuing immediately on relief or change.
Nux vomica, when the exciting cause appears to be constipation,
or mental irritation, or a too luxurious mode of living, stimulants,
coffee, or spirituous liquors.
Dose : As directed for Bryonia.
Pulsatilla. Similar abdominal pains; pains in the loins resembling
those from continued stooping, or the pressure of a tight bandage,
attended with a sensation of rigidity, and painful dragging and aching
in the thighs; constipation or relaa’ation; mildness of temper or great
sensibility; particularly when these pains appear to have arisen from
indigestion, brought on by rich, indigestible food.
JDose : As directed for Bryonia.
Aconitum. When these pains occur in young plethoric subjects
attended with accelerated and strong pulse, flushing of the face, and
increased temperature of the skin, the employment of this: remedy
completely obviates the supposed necessity for abstraction of blood.
Dose: As directed for Bryonia.
TRIEATIMIENT AIFTER DELIVERY.
After the termination of delivery, both body and mind must be kept
in a state of perfect repose; everything which may tend to arouse the
excitability of the patient, such as noise, strong light, and odor, must
be carefully avoided, and the room kept at a moderate temperature.
Restlessness.
After the birth, the woman should be allowed to enjoy that slumber,
which, in natural cases, generally follows, without interruption. Some-
times this desirable state of rest is kept off by a great nervous excitement
on the part of the female, with incessant tossing in bed and restlessness.
TREATMENT.
Coffea is usually sufficient of itself to overcome the restlessness in
Question, and to secure a calm and healthy slumber.
Dose : Three globules in a teaspoonful of water, repeated, if necessary, in
three hours.
AFTER-FAINS. 721
Aconitum will generally avail to overcome the restlessness in cases
in which Coffea has been ineffectually employed, and when fever symp-
toms, such as dry heat of the skin, quick pulse, &c., set in.
Dose: As for Coffea.
When these remedies, which answer in the majority of cases, fail of
their accustomed success, the article on “Sleeplessness” (at pp. 530–
532) should be consulted.
General Management, Diet, &c.
Here again we must severely reprobate the practice of invariably
administering stimulating, and even spirituous, beverages after delivery,
which, far from possessing a strenthening property, tend only to excite
and irritate the whole nervous system. For some time after parturi-
tion, Nature calls for but little nourishment; it should be given only
when the woman herself expressly feels the want of it, and then be of
the lightest and most digestible kind, and in very small quantities. It
is highly reprehensible to endeavor to induce a woman to partake of
food, under the absurd idea of strengthening her. We must allow
Nature to pursue her own course, which prescribes but little nourish-
ment for the first five or six days after delivery, and thereby avoids
the necessity of calling the bowels into action, which state of Constipa-
tion (if it may be so called), is ordained for the wisest purposes, and
attended with the most beneficial results; while the temporary inac-
tivity of the alimentary canal is compensated by the vicarious action
of the skin (demonstrating itself by increased perspiration), and the
balance of the system thus kept up. We cannot, therefore, sufficiently
condemn the use of aperients, which only tend to promote irritation,
and occasionally aid in bringing on puerperal fever and other evil
consequences; in many cases, also, this artificial relaxation interferes
with the proper secretion of milk. After the fourth or sixth day,
Nature generally acts spontaneously. When it appears necessary to
afford early mechanical assistance, we may do so by the application of
warm friction to the abdomen, or the employment of a simple lavement,
consisting of tepid water, with a little linseed oil or thin gruel. When
a costive state of the bowels continues so long as to cause inconvenience,
the appropriate medicine may be selected, and administered according
to the directions afforded in the articles on this subject, at pp. 241–
247, and 706, 707.
AFTER-PAINS.
These pains are considered salutary, and perhaps justly so, to some
extent; at the same time, when they occur in an aggravated form, and
are unduly protracted, as frequently occurs in women of exalted nerv-
ous sensibility, they tend to deprive the patient of her rest, and ought,
under such circumstances, to be subdued as speedily as possible; their
early mitigation, in all cases, by means of homoeopathic remedies, is,
moreover, always attended with the most satisfactory results.
TREATMENT.
Arnica employed internally, and likewise externally as a lotion,
46
722 FLOODING.
when the labor has been somewhat severe, is sufficient to prevent the
excessive development of these pains, as also in most cases to ward off
fever and inflammation. Indeed, the salutary effects of this remedy in
preventing the development of the various derangements which are
liable to occur after labor, is so decided that it is a safe procedure to
have recourse to it in all cases.
Dose: Internal. Of a solution of six globules to a table-spoonful of water,
give one teaspoonful immediately after delivery; and again, when the after-
birth has come away; and, subsequently, at intervals of three hours, until
three more doses have been given; but if, notwithstanding the use of this
medicine, the subjoined symptoms should ensue, proceed with one of the
subjoined medicines.
Application: External. To four table-spoonfuls of tepid water, add fifteen
drops of the Concentrated Tincture of Arnica, and apply this lotion to the
parts.
Chamomilla should be administered an hour after the second dose
of Arnica, when the after-pains still continue to a severe extent, and
the patient is highly excitable and sensitive.
Dose : Two globules in a teaspoonful of water, repeated, if necessary, after
the lapse of an hour; then pause three hours, and, if the pains still con-
tinue severely, proceed with the next medicine.
Nux vomica should be employed when the after-pains are very
severe, and there is a continual inclination to relieve the bowels when
in a recumbent posture, but passing away when rising, followed by
spasmodic pains in the lower parts of the abdomen, and the patient is
of a quick and irritable temperament.
Dose: Two globules, as directed for Chamomilla.
Coffea cruda ought to be selected if the woman be sleepless, and
the pain is of an insupportably intense description, followed by convul-
sions, coldness, or rigidity of body.
Dose: Two globules, as directed for Chamomilla.
Pulsatilla is to be preferred when the convulsions do not super-
vene, but the pains are protracted and the patient is of a mild and
gentle disposition, but sensitive and easily alarmed about herself; the
pains become worse towards evening.
JDose : As directed for Chamomilla.
Secale is indicated in feeble, thin, and delicate women, when the
pains are, more particularly, of a pressing or forcing nature, simulating
labor pains.
Dose: Two globules, as directed for Chamomilla.
Cuprum should be administered when the after-pains take the form
of severe cramps, with cramps of the extremities; particularly in women
of highly nervous or hysterical temperament.
Bose: Two globules, as directed for Chamomilla.
FLOODING.
With respect to the treatment of Flooding, or of excessive discharge
of blood as incidental to Delivery, the medical and general treatment,
which is appropriate for this condition, is, in every respect, analogous
INCONTINENCE OF. URINE. 723
*
to that which is required for similar circumstances, as attendant upon
miscarriage, to the article on which (at pp. 713–716), the reader is
therefore referred. It is to be remembered, however, that while in
flooding after labor, at the full term, the application of cold to the
abdomen is admissible in severe cases, the tampon or plug is never to be
resorted to. It may be mentioned, in addition, that pressure made
upon the womb, through the relaxed abdominal walls, by clasping
it with one or both hands, equally and forcibly, but yet gently and
without roughness, very frequently arrests the hemorrhage with great
promptness.
RETENTION OF URINE.
A retention of urine after delivery, particularly when the labor has
been protracted or severe, is not an unfrequent occurrence, and is one
which naturally gives rise to great anxiety and uneasiness when pro-
fessional aid is not at hand.
TREATMENT.
Belladonna. This medicine is, in the majority of cases, sufficient
to remove the symptoms, often even without repeating the dose, but at
all events after two or three doses have been given.
Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea-
spoonful of the solution every two hours until relief is obtained.
Cantharides should be administered if Belladonna should fail to
produce the desired result within two hours after the third dose, and
particularly when there is constant urging to urinate, with inability to
effect urination.
Dose : As directed for Belladonna.
INCONTINENCE OF URINE,
An incapability of retaining the urine is, on the other hand, another
not unusual sequel of protracted or severe labors.
TREATMENT.
The employment of Arnica, internally and externally, as advised
under the head of “After-Pains,” at p. 721, is, in the majority of cases,
sufficient to overcome this weakness. When it fails to accomplish
this object, the following remedies should be had recourse to.
Pulsatilla is frequently successful in remedying the defect in from
two to four days.
Dose: Three globules in a teaspoonful of water, morning and evening, for
two days. Consider also the following.
Belladonna may be administered, if, two days after the last dose
of the foregoing medicine has been given, only partial relief has
ensued.
Dose : As directed for Pulsatilla.
Cicuta, Zincum met., Sulphur, Natrum m. When the
affection does not yield to the foregoing medicines, or when it has
become chronic before remedial aid has been sought or employed, one
724 DISEASES FOLLOWING PARTURITION.
of these remedies may be required to effect a cure. For the particular
indications which should lead to the selection of each, respectively,
refer to the article on “CHARACTERISTIC EFFECTs.”
Dose: Of either of these medicines, as selected, give three globules in a tea-
spoonful of water, night and morning, for a week (unless decided change
should sooner occur); then pause five days, after which, if some degree of
improvement is evident, and appears to be progressive, repeat the same
medicine as before.
DURATION OF CONFINEMENT, ETC.
Strict attention should be paid to cleanliness and ventilation of the
lying-in chamber. Everything that emits an offensive odor should
be promptly removed from the room ; and a draught of air should pass
through the room (not, however, across the patient’s bed). The parts
should be bathed, under the bedclothes, with lukewarm water, once or
twice a day, so long as the after-discharge continues. The patient
should make no exertion during the first three or four days. As soon
as she is able, she may be moved from one side of the bed to the other;
thus leaving a fresh side to be transferred to, for the first nine or ten
days. During this period she should not get up. After the tenth
day she may sit up out of bed, if she is able, for a short time, which
may be lengthened gradually from day to day, as she gains strength.
Thus, too, she may begin to walk, little by little, until she gradually
grows stronger, and more accustomed to exercise. In summer she may
ride out during the third week, and in winter during the fourth week,
all things being favorable.
Diet and Regimen. The diet should at first be light, and not
generally of a very nutritious quality, but exceptions to this rule are
necessary in many cases; the patient ought only gradually to partake
of food of a more nourishing nature, and rarely have recourse to stimu-
lants; all strong odors from flowers, or other aromatic substances, must
be carefully avoided, and the mind also kept in as perfect a state of
tranquillity as possible.
IDISEASES FOLLOWING PARTURITION.
SUPPRESSED SECRETION OF MILK.
It is of paramount importance that the natural operations of the
organism, peculiar to this state, proceed with due regularity. Among
these the secretion of milk takes a prominent position; and its sudden
suppression is apt to be followed by internal and local inflammation,
determination of blood to the head, &c.
TREATMENT.
Pulsatilla should be promptly employed in cases of sudden sup-
pression of the secretion of milk, whether occasioned by mental emo-
tion or other causes; and this medicine will, in such cases, frequently
EXCESSIVE SECRETION OF MILK. 725
be found sufficient to restore the natural flow of milk, and to reëstablish
the general equilibrium of the system.
Dose: Three globules in a teaspoonful of water, repeated, if necessary, at
intervals of six hours (or only every twelve hours, in very mild cases)
until amelioration or change.
Bryonia is to be preferred when the suppression of the milk has
been followed by oppression at the chest, or even by stitching pains
in the chest or side; or perhaps, more particularly, if the suppression
can be traced to some sudden mental emotion, or to catching cold.
Dose: Three globules in a teaspoonful of water, repeated at intervals of
four hours (if necessary), until amelioration or change.
Chamomilla should be selected if the patient be particularly
irritable and excitable, and the suppression be followed by hurried
and anxious respiration, and by intense flushing of heat, or burning
heat of the hands and face, either with crimson flush, or with evanes-
cent and alternate flushing and paleness; and especially if the suppres-
sion has been occasioned by a sudden mental emotion or perturbation.
Dose : Three globules, as directed for Bryonia.
Belladonna should be given in cases in which the suppression is
characterized by: redness of the face, and general symptoms of con-
gestion to the head; the breasts feel heavy, and appear red, the redness
running in streaks over them; sensitiveness to noise, light, or touch.
Dose : Three globules, as directed for Belladonna.
Aconitum should be administered if active feverish symptoms,
such as hot, dry skin, &c., set in; and under such circumstances will fre-
quently remove the whole disordered condition with great promptitude.
Dose: Three globules, as directed for Bryonia.
EXCESSIVE SECRETION OF MILK.
Occasionally, on the other hand, it happens that too abundant a
secretion takes place, causing distension of the breasts, with involuntary
emission of milk, and producing extreme emaciation, and weakness.
TREATMENT.
Aconitum may be exhibited, as a precautionary measure, when
there is high febrile action of the whole system, and we are ignorant
of the exciting cause.
Dose: Of a solution of four globules to two table-spoonfuls of water, give a
teaspoonful, repeated at intervals of six hours, until the frequency of the
pulse is diminished, and the skin becomes moist, &c.
Rhus toxicodendron frequently proves of much service when
febrile symptoms arise from distension of the breasts, induced by an
excessive secretion, and indications of what is generally denominated
milk-fever (which, however, frequently arises from other causes).
Dose: Two globules in a teaspoonful of water, night and morning, until ame-
lioration or change.
Calcarea should, however, be employed in cases in which excessive
distension of the breasts, spontaneous emission of milk, and loss of flesh
occur without any marked and active fever symptoms, – or after the
726 SUPPRESSION OR EXCESS OF PERSPIRATION AFTER DELIVERY.
previous employment of Aconitum or of Rhus, when the fever symptoms
have been allayed.
Dose : Two globules, as directed for Rhus tor.
Phosphorus is of especial value in cases of this kind, when the
patient exhibits marked signs of a tendency to consumptive disease,
and emaciation takes place rapidly; under which circumstances (if
Calcarea has effected little apparent benefit) it should be employed
eight days after the last dose of that medicine. Phosphorus is yet fur-
ther indicated when there are prevalent sensations of determination of
blood, with oppression at the chest, and sometimes, even, short, dry,
hacking cough.
Dose: Three globules, as directed for Rhus toz.
SUPPRESSION OR EXCESS OF PERSPIRATION AFTER
DELIVERY.
Suppressed Perspiration.
The increased perspiration, which takes place after child-birth, is, as
we have before observed, a substitute for the suspended action of the
alimentary canal, consequently its sudden suppression is unavoidably
followed by an injurious result, and, not unfrequently, by fever.
Exciting Causes. Exposure to cold, or a sudden chill, is the
most frequent cause.
TREATMENT. "
Dulcamara should be promptly administered when the perspira-
tion has been suddenly checked by a chill, and, in such cases, it will
often suffice singly to restore the action of the skin, and to prevent fur-
ther injurious consequences.
Dose: Three globules in a teaspoonful of water, repeated (if there be a degree
of effect) after the lapse of four hours. But, if no evident reaction should
have occurred, proceed with the next medicine.
Bryonia is to be preferred when extreme oppression at the chest is
the predominant symptom ; or when there is a feeling of Soreness and
aching in all the limbs, aggravated by movement.
Dose: Three globules, as directed for Dulcamara.
Sulphur should be employed after the foregoing medicines, in cases
in which such treatment is insufficient, and there is, more especially,
intense heat of the skin, and distress.
Dose : Three globules, as directed for Dulcamara.
Eaccessive Perspiration.
On the other hand, an eaccessive perspiration is almost equally prejudi-
cial; it is chiefly injurious from the extreme debility and high suscep-
tibility of taking cold which it occasions. It is generally brought about
by keeping the room at too high a temperature, the use of too great a
quantity of bedclothes, or by stimulating beverages.
TREATMENT.
Our first care must be a removal of the exciting causes.
MILK FEVER. 727
Sambucus nigra should, however, be administered if the exces-
sive perspiration should not subside, upon the removal of the causes, in
which instances this medicine will generally be found effectual in its
removal.
Dose: Two globules in a teaspoonful of water, repeated at intervals of six
hours, until decided amelioration or change.
China should be employed six hours after the second dose of Sam-
bucus, if, notwithstanding the administration of the last-named medi-
cine, the excessive perspiration should continue, and should be of an
exhausting character, and attended with great debility.
Dose : Two globules, as directed for Sambucus.
Acidum sulphuricum is, however, to be preferred when the per-
spiration is excessively profuse, when lying still, but is diminished by
movement.
Dose : Two globules, as directed for Sambucus.
Diet and Regimen. Above all things, the use of stimulating
beverages should be avoided. In other respects, the general regula-
tions, prescribed at pp. 720, 721, for immediate treatment after de-
livery, should be observed.
MILK FEVER.
The secretion of milk must be looked upon rather as an operation of
nature, than one requiring medical aid for its regulation. Neverthe-
less, many women suffer some slight uneasiness for a few days follow-
ing confinement, during the first period of that process; and when any
of the under-mentioned group of symptoms present themselves, the
affection is known by the name of Milk Fever.
Symptoms. Shivering and heat, terminating in perspiration; the
pulse, at first weak, changing to various phases, sometimes quick and
frequent, at others soft and regular; and, in some instances, these
symptoms are attended with a drawing pain in the back, extending to
the breast, a disagreeable taste in the mouth, thirst, oppressive breath-
ing, anxiety, headache, and diminution and suppression of the secretion
of milk, &c.; the exacerbation declares itself regularly about evening,
and towards morning perspiration comes on, with alleviation of suffer-
ing, or temporary termination of the attack, which not unfrequently
recurs on the following day, but rarely rises to such a height as to
threaten danger.
Exciting Causes. Neglecting to put the infant sufficiently early
to the breast, with consequent absorption of the milk into the circula-
tion, is a frequent source of the derangement. Mental emotions are
also not unfrequently to be distinguished as the exciting causes of such
irregularities.
TREATMENT.
Nature herself, if not disturbed by improper treatment, will, in most
cases, suffice to restore the equilibrium of the system. When the secre-
tions are reëstablished, the derangement generally ceases; should, how-
ever, the affection become aggravated, we may dread the setting in of
puerperal fever.
728 CHILD-BED FEVER.
Aconitum may be had recourse to in all instances where consid-
erable fever is present; and will usually suffice to remove the entire
group of symptoms.
Dose : Give three globules in a teaspoonful of water, repeated, after the lapse
of six hours, if necessary.
Coffea should be employed, when the case is characterized by ex-
treme restlessness, anxiety, and dread.
JDose : As directed for Aconitum.
Bryonia may with great advantage follow Aconitum, when the
active febrile symptoms are in a great measure subdued; and it is fur-
ther particularly indicated, when there are oppressed and laborious
breathing, intense headache, and obstinate constipation.
Dose : Three globules, as directed for Aconitum.
Pulsatilla will be found particularly useful in severe cases, espe-
cially when caused by taking cold, and bearing a closer approximation
to a rheumatic affection than to the general symptoms of milk fever.
Dose: Three globules, as directed for Aconitum.
Belladonna is very useful in particular cases, in which complica-
tions with severe disturbance of the brain, or with inflammatory action
in the breasts, may supervene.
Dose: Two globules in a teaspoonful of water, repeated at intervals of four
hours, until a degree of improvement sets in ; and then, at intervals of six
hours, until decided amelioration or change.
Rhus is also of considerable service, when extreme fulness, tension,
and painfulness of the breasts, with excessive secretion of milk, partic-
ularly characterize the case.
Dose: Two globules, as directed for Belladonna.
Diet and Regimen. The greatest precaution should be observed
in the food and drink allowed. Very thin gruel, or some other simple
farinaceous or mucilaginous fluid, alone should be allowed. The apart-
ment should be kept cool, without, however, exposing the patient to a
direct draught, and the bedclothes should be light. Excessive heat is
a frequent cause of untoward complications.
CHILD-BED FEVER.
This malady is of such gravity, that, in all cases where it is at all
possible, the services of a homoeopathic physician should be secured.
As this work, however, will be used, perhaps, when no physician can
be had, it has been thought judicious to treat of the disease at sufficient
length to be available in cases of emergency.
Characteristics. This disease assumes various types and degrees,
and has received a variety of names. It commonly attacks on the third
day after delivery, but its incipiency may be manifested immediately
after labor; or, again, in some instances, it occurs even when the lying-
in woman has well progressed in convalescence. It is, fortunately, of
unfrequent occurrence; and, while difficult or tedious labor by no means
implies greater liability to an attack, even the quickest and least diffi-
cult labor does not, necessarily, imply immunity from its ravages. The
CHILD-BED FEVER. 729
more prominent symptoms, in a majority of cases, are: chills, or chilli-
ness, followed by severe headache, fever, quick and sometimes weak-
ened pulse, suppression of the milk and of the lochia, pain and tender-
ness to pressure over the region of the womb, which gradually increases
in degree, and extends over the entire abdomen. The patient becomes
listless and languid, losing all interest in surrounding circumstances,
and even in her child, and the expression of the face indicates anxiety
and great prostration; or, again, on the other hand, she may be unduly
excited, nervous and tremulous. If the disease progresses in spite of
treatment, delirium commonly supervenes, vomiting, and sometimes
diarrhoea set in, and bloatedness of the abdomen ensues. Rattling of
the breathing, with enormous distension of the abdomen, are usually
regarded as fatal symptoms. As the disease advances, the womb, the
peritoneum, and other organs and tissues of the abdomen, become in-
volved in the prevailing inflammation.
Causes. This disease may occur in consequence of a chill occa-
sioned by a draught of air, or other cause, or from the use of damp or
wet linen; or it may be occasioned by violence; or, again, it may be
impossible to assign any reason for its occurrence; in which case we
are led to believe that it is due to infection, or arises in consequence
of some lurking taint or predisposition of the system.
Issue and Results. Under allopathic treatment, puerperal fever
is most commonly fatal; but different results obtain under the gentle
and specific measures pertaining to homoeopathy; so that a good de-
gree of hopefulness as to a favorable termination may be entertained,
even in apparently desperate cases. The initiatory symptoms of this
disease are very similar to those of “milk fever;” but the distinction is
to be made by the fact of absence of pain, and more particularly by
absence of tenderness of the abdomen. It is well to make the distinc-
tion, when possible, at an early period; but as homoeopathy directs that
medicines are to be prescribed according to existing symptoms and
conditions, errors of diagnosis are not, necessarily, attended with such
grave results as under other and less direct systems of medication.
TREATMENT,
Aconitum should be employed at first, being indicated by the
febrile condition, and by other circumstances; and will, in very many
cases, when promptly administered, particularly in those of a more
simple form, serve to dissipate the entire disordered condition, and
restore harmony to the system in an almost magical manner.
Dose: Of a solution of twelve globules to four table-spoonfuls of water, give
a teaspoonful every hour, or half hour, according to the severity of the
symptoms. If, at the end of twelve hours, the symptoms have abated, the
intervals may be extended two or three hours. If, however, after the
lapse of six or twelve hours, no evidences of amelioration are manifested,
consult one of the subjoined remedies.
Belladonna should be administered when the pain is violent and
cramp-like, with swelling of the abdomen; or the pains are forcing, as
if the contents of the abdomen would be pressed out; sensitiveness of
the belly to touch; chilliness and heat occurring simultaneously; burn-
730 CHILD-IBED FEVER.
ing heat, especially of the head and face; redness of the face and eyes;
headache; dry mouth, with red tongue; sleeplessness, with restlessness;
delirium ; suppression of the lochia, or escape of red and fetid blood;
the breasts are red and inflamed, or swollen and empty.
Dose : As directed for Aconitum.
Hyoscyamus may be used in some cases of a similar nature to that
indicative of Belladonna; but where the disease has been developed by
mental emotions, and is characterized by spasmodic symptoms, jerks,
and twitches, delirium, throwing off of the bedclothes, and desire to be
uncovered, &c., it is more particularly indicated.
Dose : As for Aconitum.
Bryonia will be found useful in cases in which the abdomen is
swollen equally, and is sensitive to touch; violent, splitting headache;
the pains are aggravated by the slightest motion; sitting up, or even
raising the head, cause nausea and fainting; great thirst, with desire
for cold drinks; the patient is irritable, or restless, and apprehensive
as to the result of her sickness.
Dose : As for Aconitum.
Rhus tox. is suitable when the fever is of a low or typhoid grade;
the patient is very restless, constantly tossing about ; the least contra-
diction aggravates the symptoms; the lochia, having changed, is again
tinged with blood, or clots of blood are discharged; aching, Soreness,
and stiffness of the limbs; the tongue is red.
Dose : As for Aconitum.
IMercurius is indicated by dejected expression of countenance;
great thirst; constant flow of saliva; lancinating, boring, or pressive
pains in the belly; profuse sweat, which, however, gives no relief;
mucous or bloody diarrhoea, or ineffectual desire for stool; very offen-
sive wind; the symptoms are usually aggravated at night.
Dose : Of a solution of twelve globules to four table-spoonfuls of water, give a
teaspoonful every two hours, until manifest improvement or change.
Nux vomica is suitable at the commencement, when the lochia
has been suddenly arrested by some untoward mental emotion, such as
vexation; frequent desire to urinate, with pain, scalding, and burning;
heaviness and burning in the abdomen; pain in the small of the back,
worse on moving; frequent and ineffectual urging to stool; despondent;
sleepless, or dreams frightful dreams; the symptoms are usually aggra-
vated early in the morning.
Dose : As directed for Mercurius.
Colocynth will be found valuable when the abdomen is greatly
distended, and the pains are insupportable, being of a sharp, cutting,
or lancinating character, which cause the patient to draw the thighs up
as close to the belly as possible; diarrhoea, with colicky pains, aggra-
vated or excited by eating or drinking.
Dose: As for Aconitum.
Chamomilla is useful for cases in which the breasts are flaccid,
and without milk; diarrhoea, with whitish stools; pains in the belly,
like the pains of labor; general heat, with redness of the face, or one
IRREGULARITIES OF THE LOCHIAL DISCHARGE. 731
cheek is red, and the other not; great agitation, impatience, and nerv-
ous irritability; the disease is the consequence of a fit of anger.
Dose : As for Mercurius.
Arsenicum will prove valuable when there are: great anguish ;
sudden prostration; sunken countenance, with a sallow or livid com-
plexion; extreme restlessness and anguish, with fear of death; sleep-
lessness; dry and parched lips; great thirst, with desire to drink but
little at a time; burning heat in the belly; feeble and intermittent
pulse; with coldness and desire to be covered.
Dose : As for Aconitum.
Lachesis. The abdomen is extremely sensitive to pressure, so that
she cannot even bear the pressure of her clothing; the pains feel as if
ascending towards the chest; all the symptoms are worse after sleeping.
Dose : As for Mercurius.
Acidum phos., Carbo veg., Opium, and Secale may be
found available in some cases, after the above-mentioned remedies have
failed. A selection from among them may be made by consulting the
article on “CHARACTERISTIC EFFECTS.”
Dose: Of the medicine selected, as directed for Aconitum.
Diet and Regimen. The most absolute repose of body and mind
should be secured ; all noise should be shut out, the chamber darkened,
and a moderate temperature maintained ; the room should be well ven-
tilated, so as to have the air changed without admitting a cold draught.
Privation of all aliment must be enforced, and the thirst allayed by
teaspoonfuls of cold water, which should be iced in summer, or if there
be vomiting. If the lochia are suppressed, flannels wrung out of hot
water may be applied to the external genitals; or a tepid injection may
be thrown into the rectum, if there be great constipation; but it must
be a small quantity, that the bowels may be not much disturbed. The
infant should be removed, and fed on cow's milk and water, until the
patient is out of danger.
IRREGULARITIES OF THE LOCHIAL DISCHARGE.
This discharge varies considerably in different women; with some
it continues for several weeks, in others only a few days; sometimes it
is thin and scanty, at others so profuse and long-continued, as impera-
tively to call for medical assistance.
Causes. Profuse and protracted lochial discharge may be fre-
quently traced to sitting up too soon after confinement, to errors in
regimen, keeping the chamber at too high a temperature, or to mental
emotions.
TREATMENT.
If, after nine days, the discharge continues profuse, containing pure
blood, whereby an unnatural state is indicated, one or more of the
subjoined medicines may be required.
Eaccessive Discharge.
Crocus is to be recommended in most cases where the discharge is
732 IRREGULARITIES OF THE LOCHIAL DISCHARGE.
of too long duration, and particularly when the blood is of a black or
dark color, and viscid consistency.
Dose : Three globules in a teaspoonful of water, night and morning, until
amelioration or change.
Bryonia is to be preferred when the discharge is of a deep-red
color, and is attended with internal burning pains in the region of the
womb.
Dose : As directed for Crocus.
Nux v. is usually required when a chill, or the use of stimulants,
has produced the mischief, and the patient is affected with severe pains
in the back, and a constant and fruitless urging to stool.
Dose : As directed for Crocus.
Calcarea is more particularly indicated, when troublesome itching
is experienced in the internal parts; or when the discharge is very
protracted, and occurs in women of full habit.
Dose: Three globules, as directed for Crocus.
Silicea should be employed when pure blood follows with the
lochial discharge, every time the infant is placed at the breast.
Dose: Three globules, as directed for Crocus.
Suppressed Discharge. ,
Pulsatilla. When the lochial discharge is suddenly suppressed, -
which it sometimes is, from a variety of external causes, such as men-
tal emotions, &c., - and from this source puerperal fever threatens to
ensue, the danger may frequently be warded off by the administration
of this medicine.
Dose: Three globules in a teaspoonful of water, repeated at intervals of six
hours, until a degree of improvement results; and, subsequently, night
and morning, until the return of the discharge.
Aconitum will generally suffice, if promptly administered when
the sudden suppression arises from fright, and is attended with febrile
symptoms.
JDose : Three globules, as directed for Pulsatilla.
Opium should more especially be employed, whether at the onset
or after the previous administration of Aconitum, when convulsive
symptoms prevail.
JDose : As directed for Aconitum.
Dulcamara will be found efficacious when the suppression is
caused by exposure to cold or damp.
Dose : As directed for Pulsatilla.
Belladonna. Where sudden suppression is followed by conges-
tion of the brain, with flushed face, delirium, &c.
Dose: As directed for Aconitum.
Colocynth is to be preferred in cases of suddenly suppressed
lochial discharge, when there is intense colic, with excessive flatulent
distention of the bowels, and diarrhoea, and aggravation of symptoms
after drinking, or taking the smallest morsel of nourishment.
JDose: As directed for Pulsatilla.
IDIARREICEA. IN LYING-IN WOMEN. 733
Offensive Discharge.
Belladonna should be promptly administered when the discharge
becomes thin and offensive, and will usually suffice to restore it to a
healthy condition.
Dose: Two globules in a teaspoonful of water, night and morning, until
amelioration or change.
Carbo v. should be administered twelve hours after the third dose
of Belladonna, if, notwithstanding the employment of the last-named
medicine, the discharge should continue to be equally offensive.
Dose: Two globules, as directed for Belladonna.
Ereosote or Secale cornutum should be given twelve hours
after the third dose of Carbo v., if the offensiveness of the discharge
should not have been removed by the previous treatment.
Dose: Two globules, as directed for Belladonna.
Diet and Regimen. If the discharge be excessive without
becoming offensive, the diet should be very plain and unstimulating,
and the food or drink taken nearly cold, if not quite so. If, on the
other hand, 8wppression arises, the general precautions prescribed un-
der the head of “Fever” (at p. 92) should be observed. If, again,
offensive discharge should ensue, very great caution must be observed
in the nature of the food. In all cases great cleanliness is doubly
conducive to the comfort of the patient and to the prevention of
untoward complications.
DIARRHOEA IN LYING-IN WOMEN.
Diarrhoea, during this period, is a state to be looked upon as highly
injurious, and immediate means should be taken for its correction, by
proper treatment.
TREATMENT.
Dulcamara is generally indicated by the cause being a check of
the naturally increased perspiration, in lying-in women, from a chill;
and when timely administered, it will generally be found sufficient to
answer the purpose required.
Dose : Two globules in a teaspoonful of water, every four hours, until
amelioration or change.
Acidum phos. is most effectual for the treatment of painless and
almost involuntary evacuation.
Dose : Two globules, as directed for Dulcamara.
Antimonium crudum is generally to be recommended when
the evacuations are very watery or liquid, and offensive; the tongue is
coated white. \
Dose : Two globules, as directed for Dulcamara.
Rheum palmatum is to be preferred, whether at the onset, or
after the previous administration of Antimonium c., in cases in which,
in addition to the indications afforded for the last-named medicine, the
evacuations emit a sour smell.
Dose : As directed for Dulcamara.
734 ABDOMINAL DEFORMITY.
Phosphorus should be administered in very obstinate cases, when
the discharge is watery, almost involuntary, and painless.
Dose : As for Dulcamara.
Veratrum should be given if the discharges are very profuse and
watery, attended with much pain; chilliness, coldness of surface, and
cold sweat on the face.
Dose : As directed for Dulcamara.
Additional Particulars.
In cases in which neither of the medicines above enumerated appear
to meet the symptoms and conditions which occur, consider the in-
structions afforded in the general article on “Diarrhoea.” (at pp. 260–
266).
Diet and Regimen. Consult the article on “Diarrhoea.” (at pp.
260–266).
ABDOMINAL DEFORMITY.
Abdominal deformity is more commonly incidental to women who
have borne many children, or who present a predisposition to corpu-
lency; and is found especially difficult of treatment, when tight stays
have relaxed the abdominal muscles, and, by so doing, increased the
existing bias to the affection. It may, however, ensue as the conse-
queace of a strain upon the muscles of the belly during pregnancy.
TREATMENT.
Rhus toxicodendron should be administered internally, simul-
taneously with its external application, when there is reason to attribute
the condition in question to a strain upon the muscles of the belly,
occurring during pregnancy.
Dose (Internal): Three globules in a teaspoonful of water, night and morn-
ing for a week.
Application : To four table-spoonfuls of water add twenty drops of the Con-
centrated' Tincture of Rhus toxicodendron, and apply this lotion to the parts
by means of gentle friction, twice a day for four days (unless the lotion
should prove irritating).
Calcarea carb. is to be recommended as of the chief importance
in the treatment of the general obesity which sometimes occurs, and is
more especially serviceable for lymphatic subjects.
Dose: Four globules in a table-spoonful of water, the first thing in the
morning, fasting, for a week.
ACCESSORY MEASURES.
An elastic bandage, laced at the back, and exerting an equal press-
ure over the whole of the abdominal region, may, at the same time,
be worn with advantage. In some cases, where there is a tendency to
this affection, particularly in corpulent habits, we may, soon after de-
livery, have recourse to mechanical aid, by transferring the weight
from the abdominal muscles to the shoulders, by the aid of a properly-
constructed apparatus; but we must, in the strongest manner, object to
this or any other pressure being exercised upon the abdominal region
WEAKNESS AFTER DELIVERY. 735
during pregnancy, as such a measure is obviously calculated to entail
injurious consequences upon the offspring.
Diet and Regimen. Spare diet and regular exercise must, in
both varieties of corpulency, be inculcated.
FALLING OFF OF THE HAIR.
TEEATMENT.
Calcarea carb. is to be chiefly recommended, especially in cases
in which the falling off of the hair occurs in patients who have had
profuse or protracted lochial discharge, or who have been habitually
subject to excessive menstrual discharges; or who sweat profusely
about the head.
Dose : Four globules in a table-spoonful of water, the first thing in the
morning, fasting, for a week (unless some change, requiring other treat-
ment, should sooner occur); then pause ten days, after which the course
may be repeated, as before.
Kali carb. is also of much service in cases in which the hair is
very dry and brittle.
Dose : As directed for Calcarea.
Sulphur is, however, to be preferred in a great number of cases in
which there is determination of blood to the head; the patient is sub-
ject to piles, and exhibits marked indications of an enfeebled or tainted
constitution.
Dose : As directed for Calcarea.
Lycopodium and Natrum mur. will be found very useful in
some cases in which the foregoing remedies have failed to produce a
decided effect.
Dose : As directed for Calcarea.
WEAKNESS AFTER DELIVERY.
We frequently find a high degree of weakness or exhaustion remain-
ing after delivery, when it has been caused by very considerable loss
of blood, during or after that period; or by other causes.
TREATMENT.
China is particularly indicated in such cases, and will generally be
found efficient in restoring the vital energies; especially when the
weakness is referable to loss of blood, or to very profuse sweating.
Dose: Three globules in a teaspoonful of water, repeated, morning and even-
ing, for four days (unless decided change should sooner occur).
Aconitum should generally be given at the onset, when the
derangement is attributable to nervous weakness, and is attended with
great restlessness and want of sleep.
Dose: Two globules in a teaspoonful of water, repeated, if necessary, at
intervals of six hours.
Coffea should be administered four hours after the last dose of
Aconitum, if the restlessness and nervous excitement should become
excessively predominant.
Dose : Two globules, as directed for Aconitum.
736 OBSTACLES TO SUCKLING.
Hydrastis will be found very efficacious in restoring tone to the
system in some cases, more particularly when the weakness is due to
severity or long-continuance of labor.
Dose: Three globules, as directed for China.
Veratrum should, however, be preferably employed after Aconi-
tum, when eaccessive prostration of strength ensues.
Dose : As directed for Aconitum.
Diet and Regimen. The patient should be kept very quiet, all
noise being avoided; and everything calculated to induce excitement,
such as general conversation, the presence of many persons (members
of the family), or intelligence, should be withheld. Beef tea, and good
broth free from grease, with a little dry toast, and simple farinaceous
articles, constitute the best diet for the first four days. Stimulants
should by no means be allowed, in almost all cases, until the milk-
fever has passed, and then at the utmost, if necessary in particular
instances, a few teaspoonfuls of weak wine and water.
OBST ACLES TO STUCKLING.
DISINCLINATION OF THE INFANT.
Even some healthy mothers find a difficulty, before they become
accustomed to it, in nursing their children, which, however, a little
perseverance will soon effectually overcome.
TREATMENT.
In cases of a simple nature the subjoined medicines will usually
suffice, but in those of a more complicated character, and when medi-
cines enumerated fail to overcome the difficulty, it is sometimes neces-
sary to select a wet-nurse, or to resort to the nursing bottle.
Cina. When the child itself refuses to take the breast, although
applied within a few hours after delivery (a rare instance), the admin-
istration of this medicine has, in some cases, succeeded in removing this
repugnance in the course of a few hours.
Dose : Four globules should be placed upon the tongue of the infant, and
allowed to dissolve. But if, after the lapse of six hours, the infant be still
disinclined to suckle, proceed with the next medicine.
Mercurius should be employed six hours after the administration
of Cina (as just directed), when the infant still refuses the breast.
Dose : As directed for Cina. g
Silicea is likewise occasionally very serviceable, in cases in which
the infant takes the breast readily enough but immediately afterwards
returns the milk.
Dose: As directed for Cina.
EXCORIATION OF THE NIPPLES.
In the majority of those cases in which no malformation of the parts
EXCORIATION OF THE NIPPLES. 737
is present, the main difficulty arises from the nipples having become
sore and cracked, which the efforts of the infant tear open afresh, and
cause to bleed.
This excoriation of the nipples is frequently prevented by following
up the treatment of which we have already spoken under the head of
“Preparation of the Breasts” (at p. 718); of course taking the pre-
caution of laving the nipples with a little warm milk and water, before
the child is applied to the breast. The shield before mentioned ought
always to be worn during the intervals of suckling. In case, however,
the nipples should be insufficient, or their tenderness should remain in
spite of treatment, nursing may yet be accomplished by using a proper
shield and artificial teat, numerous and excellent varieties of which
may be procured.
TREATMENT.
Arnica, internally and externally employed, at the same time, will
frequently suffice to obviate further inconvenience, if employed at the
onset; unless, indeed, there be a lurking taint of constitution, which
can only be overcome by the use of one or more of the subjoined medi-
cines. The external application of Arnica may also be employed with
advantage in the preparation of the breasts, when irritation or inflam-
mation appears to arise from the pressure of the shield.
Dose (internal): Three globules in a teaspoonful of water, repeated, if neces-
sary, after the lapse of twelve hours.
Application (external): To two table-spoonfuls of water add ten drops of the
Concentrated Tincture of Arnica, and bathe the parts with this lotion three
times in the course of the day, washing the nipple with tepid water, or
milk and water, before giving it to the infant. But if these means should
not be followed by decided relief, consider the following medicines.
Sulphur should, in the majority of cases, be administered when the
external and internal employment of Arnica has not been productive
of prompt and decided good results.
Dose: Four globules in a table-spoonful of water, the first thing in the morn-
ing, fasting, for four days, unless some important change should sooner
occur; then pause eight days, after which, if any inconvenience be yet
experienced, proceed with the next medicine.
Calcarea should be employed eight days after the last dose of Sul-
phur, in cases in which the last-named medicine has not completed the
CUITé.
Dose : As directed for Sulphur.
IMercurius is to be recommended in preference to the foregoing
medicines, when the excoriation is attended with a burning sensation.
Dose : Two globules, in other respects as directed for Sulphur.
Chamomilla is well adapted to meet the milder forms of sore
nipples, with extension of the inflammation to the surrounding skin;
the woman is irritable and cross.
Dose : Four globules, as directed for Sulphur.
Silicea may be required after any of the above-named medicines, for
the treatment of very obstinate cases, in which the method prescribed
in the foregoing directions has proved insufficient to complete the cure.
Dose: Four globules, as directed for Sulphur.
47
738 INFLAMMATION OF THE BRIEASTS.
Diet and Regimen. Heating and stimulating articles of food
should be carefully avoided. A moderate temperature should be main-
tained, and as much fresh air admitted into the apartment as possible;
at the same time, the advantageous use of proper ablution should not be
neglected. Scrupulous cleanliness is of very important consideration.
INFLAMMATION OF THE BREASTS.
Characteristics. Another, and one of the greatest obstacles to a
mother nourishing her infant, is inflammation and swelling of the
breasts. The breasts become red, inflamed, and indurated, occasionally
suppurating in some parts, which open and discharge; while others
remain still hard and inflamed, and ultimately either end in suppura-
tion, or in the formation of obstinate nodosities.
General Causes. Anything tending to disturb the lacteal secre-
tion, such as fright, passion, cold, &c., may operate as an exciting
cause of this affection, although we frequently find it present, without
being able to trace its origin; it not unfrequently arises from a too
tardy application of the infant to the breast, or from a sudden cessa-
tion of suckling, occasioned by the death of the child, or other reasons.
Issue and Results. This disease, if not checked, as but too fre-
quently happens under allopathic treatment, exhibits a variety of
phases; and the suppuration that takes place leaves behind it disfigur-
ing scars. Frequently the breasts are so far destroyed, as to be rendered
ever after incapable of performing their functions.
TREATMENT.
Bryonia is the principal remedy in this affection, before the in-
flammation becomes fully developed, especially when the breasts are
hard, red, tense, and tumefied, and feel heavy; and when there is some
degree of fever.
Dose: Of a solution of six globules to four teaspoonfuls of water, give a tea-
spoonful every four hours, until amelioration or change.
Belladonna is, however, required when the inflammation is more
intense, and the erysipelatous appearance of the skin is clearly defined,
usually running in radii; and is, in such instances, usually sufficient to
subdue all inflammatory symptoms.
Dose : As directed for Bryonia.
Sulphur may be required, more especially for the treatment of
scrofulous subjects, and when the previous administration of Belladonna
has been productive of partial or limited improvement, an evident sus-
ceptibility remaining, even if the active inflammatory symptoms have
been allayed. It is also useful when, after the bursting of an abscess
in the breast, the cavity is slow in healing up, and the discharge ex-
cessive.
Dose: Three globules in a teaspoonful of water, morning, noon, and night, for
four days (unless change should sooner occur); and then, every other night,
at bedtime, for four days more.
Graphites should be employed, particularly in scrofulous subjects,
where the breasts are in such bad condition from previous inflammations
INFLAMMATION OF THE BREASTS. 739
and abscesses, that the milk cannot flow, and its retention threatens
inflammation and abscess. Graphites will in most cases ward off the
difficulty. Should Graphites fail, Phytolacca should be tried, no other
remedy being more prominently indicated.
Dose: As directed for Sulphur.
Phytolacca decandria will be found to be a most valuable
remedy in many cases; more particularly where the breasts are hard
from the commencement of the disorder, sensitive to touch, and more
or less painful. It will also prove useful for “lumps” in the breasts.
Dose: As directed for Bryonia.
Mercurius may be required after any of the foregoing medicines,
when, notwithstanding the previous treatment, and the reduction of the
inflammatory symptoms, a degree.of induration still remains.
Dose: As directed for Sulphur.
Phosphorus is indicated when symptoms of threatening formation
of matter (abscess), such as increase of pain, with transitory chills, and
throbbing in the breast ensue. Its immediate employment, under such
circumstances, will often succeed in speedily relieving pain, and pre-
venting the ripening and bursting of the abscess. It is also indicated
in severe cases where there are already fistulous ulcers formed, of blue
appearance, and having callous edges; and the patient has hectic fever
and night sweats.
Dose: Three globules every six hours, until relief is obtained.
Lachesis is indicated when the affected parts present a bluish or
purplish appearance, the patient having chills at night, and flushes of
heat by day.
Dose : As directed for Bryonia.
Veratrum viride is indicated when the inflammation of the
breasts is accompanied with orgasm of the blood, quick pulse, and
general excitement of the arterial system.
Dose : As directed for Bryonia.
Hepar should be given when the intense heat with throbbing pain
continues or increases, and when it becomes absolutely necessary to
bring the matter to a head; or when suppuration has already set in.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful every four hours until decided amelioration or change.
Silicea. In many instances in which we find a fetid, watery dis-
charge, which is frequently brought about by neglect or by improper
treatment, such as the application of deleterious salves, &c., this medi-
cine will often be amply sufficient to restore the breast to its former
condition.
Dose : As directed for Sulphur.
Diet and Regimen. During the continuance of simple and active
inflammation, the general regulations to be observed are those which
have been prescribed in the article on “Fevers” (at pp. 92, 93).
When, however, suppuration takes place, especially if the healing
process becomes protracted, the reader should consider the instructions
respectively afforded in the article on “ERADICATIVE TREATMENT,”
(at pp. 83–89,) and in that on “Abscess,” (at pp. 433–437.)
740 MOTHERS NOT STUCKLING THEIR CHILDREN.
MENTAL EMOTIONS AFFECTING THE MILK.
It is a well-known fact, confirmed by numerous examples, that
Mental Emotions have a most powerful effect upon milk, -in a mo-
ment changing it from a source of nutriment into a substance Imost
injurious to the infant. Mothers ought to bear this in mind, and after
having suffered from fright, passion, &c., should desist from suckling
until they are perfectly composed; and ere the infant be again applied
to the breast, a portion of the milk should be drawn off.
TREATMENT.
Fortunately, for evils arising from these causes, homoeopathy presents
prompt and efficacious remedies, which, if at hand, should be adminis-
tered immediately, according to the tause and symptoms. The appro-
priate treatment may be readily discerned by reference to the articles
on “Mental Emotions,” (at pp. 678-680, and again at pp. 703 and
704.)
DEFICIENCY OR SUPPRESSION OF THE MILK.
TREATMENT.
Pulsatilla is generally capable of restoring a proper and healthy
flow of milk, in the majority of simple cases dependent upon temporary
want of functional energy.
Dose : Three globules in a teaspoonful of water, night and morning, until
the flow of milk begins to be more healthy, and sufficient.
Agnus castus will be found useful in similar cases, when Pulsa-
tilla has failed to effect a favorable change. It is more particularly
indicated when a sad or despairing mood on the part of the woman
predominates.
Dose : As directed for Pulsatilla.
Calcarea is to be preferred when the patient has been subject to
profuse menstrual discharges, and is of a scrofulous habit, and of
leuco-phlegmatic temperament.
Dose : As directed for Pulsatilla.
Causticum is to be preferred for the treatment of patients whose
menstruation has been habitually feeble and retarded, but not always
deficient; and when the nipples are cracked and sore, and surrounded
by an eruption.
Dose: As directed for Pulsatilla.
MOTHERS NOT SUCKLING THEIR CHILDREN.
In the present state of society there are many mothers who, from a
variety of circumstances, find themselves necessitated to engage the
services of a nurse for their offspring, — when precautionary treatment
to obviate the possible ill-effects of such a circumstance should be
adopted.
TREATMENT.
Pulsatilla, when timely administered—that is, as soon as the
MOTHERS NOT STUCKLING THEIR CHILDREN. 741
infant is withheld from the breast, or immediately after the proper
treatment demanded by the symptoms and conditions incidental to
delivery has been effectually employed, (in cases in which the infant
is from the onset withheld from the mother's breast,)—will very fre-
quently suffice of itself to disperse the secretion of milk.
Dose: Three globules in a teaspoonful of water, night and morning, until the
fulness of the breasts begins to decrease very decidedly and rapidly.
Calcarea is to be recommended when the breasts are extremely
distended with milk, and the distention occasions considerable pain
and inconvenience.
Dose : As directed for Pulsatilla.
Bryonia, Belladonna, Phosphorus. One or more of these
medicines, singly, or successively, will be required when, in conse-
quence of the pent-up accumulation of milk, inflammatory symptoms
set in and occasion considerable suffering. The particular and appro-
priate selection of these medicines, respectively, may be discerned,
upon reference to the article on “Inflammation of the Breasts,” (at
pp. 738, 739.)
Dose : Of either of these medicines, when selected, as directed under the
head of each, respectively, (at pp. 738, 739.)
ACCESSORY MEASURES.
The employment of dry cupping at the outer surface of the arm, a
little below the shoulder, or at the inferior extremities, will materially
hasten the suppression of the lacteal secretion.
Diet and Regimen. In such cases a woman, who has the slightest
regard for her health, should be particularly careful in her diet, and
until the secretion has completely ceased, she should live as low as
possible.
PART IV.
TREATMENT OF INFANTS AND CHILDREN.
TRIEATIMIENT AFTER BIRTH.
As soon as the child is born, it should be wrapped in fine flannel,
with a piece of soft linen rag inside, the flannel itself being too rough
for its delicate skin ; the wrapper should be heated to a temperature
of 98 degrees, as it is only gradually that the infant becomes inured
to the temperature of the surrounding atmosphere. The skin should
be gently washed with a little lukewarm water and bran, applied with
a sponge, or it may be anointed with lard ; but care must be taken not
to continue the first washing too long, for fear of irritation; the room
should be kept rather dark, and perfectly quiet, and all strongly-
scented substances removed. After washing, the body ought to be
dried immediately, to avoid the risk of taking cold; the child should
be bathed twice a day, to keep up the action of the skin, – the tem-
perature of the water being gradually lowered, after weaning.
The best time for bathing the infant is in the morning, when it is
taken out of bed, and again on returning to it for the night; immersing
the whole body, with the exception of the head, is preferable to any
other mode of washing; as the practice, of placing it in a tub, with
part of the frame alternately laved with tepid water, and exposed to
the action of the atmosphere, is apt to bring on a chill.
Nothing can be more evidently opposed to nature and the dictates
of common sense, – although, like many other absurdities, it bears the
impress of custom, - than the practice of swathing and bandaging the
tender bodies of infants, and loading them with a superfluity of cloth-
ing, which, by its weight and length, presses upon the lower extremities,
and is the frequent cause of deformity and weakness in after-life.
STILL-BORN CHILDREN — SUSPENDED
ANIIMIATION.
Causes. Natural debility; difficult parturition ; injury from the
forceps; pressure of the umbilical cord round the neck; accumulation
of phlegm in the throat; too sudden an alteration of temperature, the
respiratory action of the lungs not having commenced.
TREATMENT.
Mechanical Measures, &c.
The usual mechanical means, under the direction of a competent
742
SWELLING OF THE HEAD. 743
person, must, of course, be instantly had recourse to. First in im-
portance among these, is now pretty generally considered to be the
method recommended by Sylvester, of which a description will be
found in the article on Apparent Death from Suffocation. Should this
method fail after persevering trial, respiration may be excited by an
adult person applying his or her lips to those of the child, and then
blowing in air, – having previously gently compressed the pit of the
child's stomach with the fingers of one hand to prevent the entrance
of the air into that organ, and closed the nostrils with the finger and
thumb of the other hand to prevent its exit from these orifices. The
chest should, when it has thus been distended, be emptied again by
gentle pressure with the hand. This process ought to be repeated
until signs of natural respiration become apparent. Among other
means of this kind, are, exposure for a short time to cold air, or
placing the child in a cold bath, the dashing of cold water on the
chest, and the slapping of the body somewhat briskly, gentle friction
of the limbs, &c., &c.
Medicinal Treatment.
But should the infant continue to breathe feebly and imperfectly
after animation has been restored, the following homoeopathic remedies
may be resorted to:
Antimonium tartaricum. The child shows little signs of
vitality, the face is pale, and the limbs relaxed, or, on the other hand,
the face is swollen and purple; also if the air-passages appear to be
clogged or obstructed with phlegm.
JDose: Place two globules on the tongue of the infant.
Opium is to be recommended if no improvement ensues a quarter
of an hour after the use of the above-named remedy; or it should be
preferred if the face is livid and bluish.
Dose : As directed for Antimonium tart.
Aconitum should be employed when the child is reviving and
beginning to breathe, if the face has been previously flushed or of a
blueish tint, and the child is large or plethoric.
Dose : As for Antimonium tart.
China should be preferably selected if the face be pale, during the
suspension of animation, and the infant of small, delicate, or emaciate
frame; also when the child is reviving and respiration commencing—
if the same indications present themselves.
Dose: As directed for Antimonium tart.
ACCESSORY MEASURES.
The removal of any phlegm or other substance, which is capable of
preventing the entrance of air into the respiratory organs, should first
be accomplished, before the above medicaments and other remedial
measures are employed.
SWELLING OF THE HEAD.
Immediately after birth, the head of the infant appears more or less
744 NAVEL-RUPTURE IN INFANTS.
swollen ; this is in most cases but a trifling affection, and generally
goes off of itself. But medicinal treatment may, nevertheless, be some-
times required.
TREATMENT.
Arnica. The internal administration of this medicine will usually
suffice materially to hasten the subsidence of this swelling. When,
however, it is very extensive, it may be desirable to resort simultane-
ously to the external application of the same remedy.
Dose (internal): Dissolve two globules in a teaspoonful of water, and infuse
the solution into the mouth of the infant, gently and with great care.
Application (external): To a wine-glassful of water add six drops of the Con-
centrated Tincture of Arnica, and apply this lotion to the part, repeating
the operation after the course of twelve hours.
Rhus toxicodendron. Occasionally, a considerable swelling in
the anterior fontanel, consisting of fluid, is observable; this affection is
of greater import than the other; and, though seldom dangerous, if it
does not disappear in a day or two, the administration of the medicine
now named may prove of material service.
Dose : As directed for Arnica (internally).
NAVEL-RUIPTURE IN INFANTS,
Mechanical Treatment.
The mechanical treatment of navel-rupture may be summed up as
follows:–Take a piece of lint, just sufficiently large, when folded five
or six times, to cover the rupture effectually; then press in the pro-
trusion, and keep it reduced with the hand, until the compress is
rightly adjusted and secured in its position by means of two strips of
adhesive plaster, placed over the compress in the form of a cross.
It is still better, however, to get an efficient bandage made to
measure by an intelligent and experienced maker.
This disease being frequently brought on by the violent fits of
crying, to which delicate children are subject, — the bandage may be
worn, and retained for some time after the cure, as a precautionary
measure against its return.
Medicinal Treatment.
Nux vomica. In cases in which the mechanical measures, just
mentioned, fail to complete the cure, the administration of this medi-
cine will generally effect the purpose. In every instance, indeed,
whether subsequent treatment be required or not, Nua, vomica may be
looked upon as the medicine of primary importance.
Dose : Of a solution of four globules to six teaspoonfuls of water, give a tea-
spoonful, repeating the dose after the lapse of twenty-four hours; then
pause five days; and if only very partial improvement be apparent, admin-
ister two more doses as before; then pause again for six days; and if,
after this time, there be not very decided improvement, proceed with the
next medicine.
Veratrum should be employed six days after the last dose of Nua.
EXPULSION OF THE MECONIUM. 745
vomica, when the last-named medicine has been inadequate to effect a
CUIT e.
Dose: As directed for Nuz vomica.
Chamomilla is sometimes of service in difficult cases, and when
the foregoing method of treatment has not been completely effectual,
more particularly if the infant be very fretful, and the motions be too
relaxed, and of an unhealthy color, or if there be evidence of griping
pains in the bowels.
Dose: As for Nuz vomica.
Sulphur is also of great service, after any of the foregoing medi-
cines, in obstimate cases, and when, though followed by partial im-
provement, the treatment prescribed has been incapable of effectually
completing the cure. This medicine is also to be recommended for
the treatment of Soreness of the navel remaining after the falling off
of the ligature, or even before this takes place.
Dose : As for Wuz vomica.
Silicea should be given six days after the second dose of Sulphur,
in cases of Soreness of the navel, in which no decided improvement has
been effected by the last-named medicine.
Dose: As for Nuz vomica.
Rupture in the Groin.
All the medicines just enumerated are equally useful in those cases
of rupture in the groin we occasionally meet with.
EXPULSION OF THE IMECONIUMI.”
After having been permitted to sleep for five or six hours undis-
turbed, the infant should be applied to the breast, as soon as the
mother feels herself sufficiently recovered to permit it, which is gener-
ally from six to eight hours after delivery; and this should never be
deferred, as we have elsewhere observed, longer than twelve hours, –
the milk of the mother exciting the action of the alimentary canal,
and assisting in the expulsion of the meconium. Here, again, we
cannot too strongly reprobate the too general practice of administer-
ing laxative medicines for this purpose, exercising, as they do, a most
deleterious effect upon the tender organism of the infant, and, if not
productive of jaundice, — a too frequent consequence of their repeated
administration, — at least laying the foundation of bowel complaints,
debility of the stomach, and a host of diseases in after-life.
Mothers need not be under apprehension, should a temporary delay
occur in the passing of the meconium; far greater evils result from the
violent methods taken for its expulsion, than can possibly occur from
its continuance in the alimentary canal for a few hours later than is
ordinary.
TREATMENT.
Should, however, an unusually long period elapse, and the child
* The excrementitious matter discharged from the bowels of the newly-born
infant.
746 THE CHOICE OF A NURSE.
appear costive, the administration of a few teaspoonfuls of warm sugar-
and-water will generally answer every purpose; if it should fail to
produce speedy relief, we may then make use of a lavement of equal
parts of sweet oil and water.
If these simple means do not effectually accomplish the desired ob-
ject, and the infant appears to suffer from inconvenience, consult the
Subsequent article on “Constipation of Infants.”
SUCKLING OF THE INFANT.
While upon this subject, we shall quote the expressions of a well-
known writer,” in whose opinion, in this respect, we perfectly coincide.
“Unless very peculiar urgent reasons prohibit, a mother should sup-
port her infant upon the milk she herself secretes. It is the dictate of
nature, of common sense, and of reason. Were it otherwise, it is not
probable that so abundant a supply of suitable food would be provided
to meet the wants of an infant, when it enters upon a new course of
existence.
“It is difficult to estimate the mischief resulting from infants being
deprived of their natural nourishment; for, however near the resemblance
may be between food artificially prepared and breast milk, still reason
and observation demonstrate the superiority of the latter to the former.
“As a further inducement, it should be remembered that medical men
concur in the opinion, that very rarely does a constitution suffer from
secreting milk; whilst the health of many women is most materially
improved by the performance of the duties of a nurse.
“Presuming that the laudable determination is formed to indulge
the child with that nutriment which is designed for its support, it be-
comes necessary to state, that unless very strong objections should exist,
twelve hours should never elapse before the infant has been put to the
breast. Instinct directs it what to do, and the advantages of allowing
it to suck soon after birth are many and important, both to the mother
and child.
“By this commendable practice, the patient is generally preserved
from fever, from inflamed and broken breasts, and from the distressing
and alarming consequences resulting from those complaints.
“If the breasts should not have secreted milk previous to delivery,
the act of suckling will encourage and expedite the secretion. Thus
the mother will be saved from much of the pain connected with dis-
tended breasts. Besides which, if the infant be not put to the nipple
till the breasts become full and tense, the nipple itself will sometimes
almost disappear on account of its being stretched; and without much,
and often ineffectual labor on the part of the child, it cannot be laid
hold of; and even then the pain endured by the mother is exquisitely
severe, and not unfrequently the cause of sore nipples.”
THE CHOICE OF A NURSE.
For those who do not, or cannot, suckle their own children, the selec-
tion of a nurse is of great importance, and the medical attendant ought
* Conquest’s “Outlines of Midwifery.”
IDIET I)URING NURSING. 747
generally to be consulted; and the following points merit particular
attention: —
She should be of sound constitution and in good health, of full and
moderate plumpness, with a fresh complexion, and clear eyelids, free
jrom any appearance of redness, Scurfiness, or thickening. She should be
thoroughly exempt from glandular enlargements, and possess deep red
lips without cracks, sound white teeth, and well-formed, moderately
firm breasts, with nipples free from excoriation or appearance of erup-
tions; the child of the nurse is one of the best criterions to judge by-
its being plump and healthy is a great point in her favor. We should
also endeavor to discover if she is free from any hereditary taint; she
should, moreover, be of a mild, patient, and equable temper, not irri-
table, or disposed to fits of passion, or nervous; of regular and tem-
perate habits, and fond of children. She ought also to be about the
same age, and to have been delivered about the same time, or, at least,
within three months of the same period as the mother; with respect to
age, we must, of course, avoid extremes. A woman, having given birth
to a child very late in life, should choose a nurse several years her
junior, and fully qualified for her duties; the reverse of the rule applies
to extremely young mothers.
IDIET IDURING INURSING.
As regards the nurse's diet, it should be simple and easily digested,
and she ought to live upon a proper proportion of animal and vegeta-
ble food. Nature generally provides for the increased call upon her
powers, by the suppression of the menstrual discharge, and a moderate
increase of appetite, which may be safely indulged; but all food of a
highly concentrated, heavy description is injurious, causing the milk to
become unsuited to the delicate digestion of the infant; the best guide,
in the majority of cases, is the regular homoeopathic regimen, which
may be consulted with advantage. Reference must, however, be had
to constitution; thus, a strong woman of full habit will not require
much animal food, and will have, generally speaking, a plentiful sup-
ply of good milk, if she drink nothing but gruel, barley water, toast
water, cocoa, tea, &c.; whilst, on the other hand, a woman of somewhat
delicate constitution and languid circulation, will want more nourish-
ing food, milk, &c.
But we cannot too strongly repudiate the too prevalent but deeply
erroneous idea that women, during the period of suckling, necessarily
require stimulants to keep up their strength; under this impression,
both wine and malt liquors, –and, among the latter, more particularly
porter, -are frequently resorted to. Porter is not only injurious, from
its stimulating properties, but the deleterious effect which the different
ingredients composing it produce upon the milk, forms one of the most
prolific causes of the many evils that attack infancy. We shall con-
clude this part of the subject with a single quotation from a well-known
medical writer: —
“There is an evil too generally prevalent, and most pernicious in its
consequences on individuals and society, and by no means confined to
748 SUPPLEMENTARY DIET OF INFANTS.
mothers in the lowest classes of the community, which cannot be too
severely reprobated; it is the wretched habit of taking wine or spirits
to remove the languor present during pregnancy and suckling. It is a
practice fraught with double mischief, being detrimental both to mother
and child. The relief afforded is temporary, and is invariably fol-
lowed by a degree of languor which demands a more powerful stimulus,
which at length weakens, and eventually destroys the tone of the
stomach, deteriorates the milk, and renders it altogether unfit to supply
that nutriment which is essential to the existence and welfare of the
child.”
SUPPLEMIENTARY DIEHT OF INFANTS.
Unfortunately, some mothers do not possess sufficient milk for the
proper nourishment of their offspring; if this arises merely from a
deficiency in the secretion, and the woman is in other respects healthy,
we must have recourse to supplementary diet to make up for the
diminished quantity of the natural nutriment. Goat's, ass's, and
cow’s milk are excellent substitutes, especially the latter, diluted with
one-third of water; goat's milk being apparently objectionable from its
peculiar aroma. The milk therefore of the cow ought, when possible,
to be obtained, and, if given undiluted, to be boiled, - cow's milk
being generally considered too heavy, which boiling in a great measure
obviates; it ought also to be slightly sweetened; so as to resemble as
closely as possible that of the nurse, and should, moreover, be about
the same temperature, say from ninety-six to ninety-eight degrees, – a
point less regarded than it should be, and easily determinable by the
thermometer. If any constitutional taint exist in the mother, the
sooner the child is transferred to another breast, the better for both
parties; and if a nurse be not procurable, the above will generally
prove sufficient nourishment, until the front teeth appear, which is a
clear indication that the digestive organs are prepared for more solid
food: if, however, the milk-diet appears to disagree with the infant, we
may give thin water-gruel, or mix a little thin arrow-root, rusk, or
well-toasted bread in water, to which the milk may be afterwards
added; such alterations in diet are, however, but rarely required.
We may here observe that no portion of the milk ought to be
retained for a subsequent meal, from the quickness with which it
becomes sour; the same remark applies to any of the above prepara-
tions, in which milk forms the principal ingredient.
In the cow's milk, at first diluted as above prescribed, we may,
after two or three weeks, gradually diminish the quantity of water, as
the digestive organs become stronger; but we cannot too stringently
press the point, that, where it is at all practicable, the child ought to
derive as great a portion of its nutriment as possible from the breast,
no food being able efficiently to supply the place of that which nature
intended for it at its birth.
When it is necessary to give supplementary nourishment, a sucking-
bottle ought to be used, as the best imitation of nature, in giving the
food slowly; particular care being taken to observe the utmost cleanli-
ness. The child ought, in feeding, to be kept in a reclining, not

IDURATION OF SUCKLING – WEANING. 749
supine, position, as the latter frequently causes it to incur the risk of
suffocation; and when it evinces disinclination to its food, no more
should be offered.
The child should be accustomed to take its nourishment from each
breast alternately; as, if this precaution be not adopted, inflammation
is likely to arise in the breast not used, and the child is apt to become
crooked, from being always retained in the same position.
The physician is frequently asked how often the child ought to be
applied to the breast: the best rule on this point is, to give the breast
when the infant appears to desire it, and to withdraw it when the
child appears satisfied. As the infant increases in strength, it may
easily be accustomed to regular hours. It should not be permitted to
“lie at the breast” during the night; which is a most pernicious
practice for both mother and child.
IDURATION OF SUCHCLING — WEANING.
The period of suckling ought seldom to last longer than forty weeks;
but in this we must be guided, in a great measure, by the constitution
of the infant: weak, ill-conditioned children, in whom the teeth are long
in making their appearance, it has been recommended to continue at
the breast for eighteen months, or even a longer period. Weaning
ought, in fact, to be regulated by the constitution both of mother and
child. The full development of the front teeth, which in healthy
children is from nine to ten months, but in delicate or scrofulous
constitutions is delayed for several months later, has been considered
the best indication for weaning; but this is by no means an unexcep-
tionable rule. If the strength of the mother appears unequal to the
task, and the supply of milk begins to fall off, the child may be
gradually weaned, even before the teeth appear; still, even when the
supply is ample, and the mother and child are apparently strong, a
continuance of suckling beyond the tenth month is generally injurious
alike to parent and child.
Weaning should not take place suddenly, but the infant should be
gradually accustomed to other food, and a less frequent administration
of the breast, till entirely weaned; the time to commence this gradual
course is upon the first appearance of the front teeth, so that the
weaning may terminate with their full development; thereby the secre-
tion lessens by degrees, preventing all evil consequences of swollen or
inflamed breasts, and the child also becomes quietly reconciled to the
deprivation.
Weaning ought not, however, to take place, if the child suffers con-
siderably from the irritation of teething, or any acute infantile disease.
When, however, it is found absolutely necessary to wean, the above
precautionary measures should be observed, both with respect to the
mother and child.
FOOD OF THE INFANT.
After the child has been weaned, its nourishment should generally
consist of the same simple food as before mentioned. The transition
750 SLEEP – SLEEPLESSNESS.
to a more substantial diet ought to be extremely gradual and guarded,
and no material alteration made till after the appearance of the eye-
teeth.
SLEEP — SLEEPLESSINIESS,
From the inability of the infant itself to maintain a proper degree
of warmth, it should sleep by its mother's or nurse's side, for at least
the first six weeks, particularly during winter or early spring. Care
must be taken not to overburden it with bedclothes, and to place it in
such a position as to prevent it slipping under them, and thereby be-
coming exposed to the risk of breathing a vitiated atmosphere, or even
of suffocation; after six or eight weeks, when the organism becomes
stronger, and able to preserve a proper degree of natural warmth, a
separate bed or cradle will be more conducive to the health of the in-
fant; this change of arrangement will be found beneficial to both par-
ties, – to the child, from its breathing a purer air; and the mother,
being freed from the necessary watchfulness and restlessness consequent
upon the child sleeping with her, will enjoy better health, and be more
likely to secrete good and nutritious milk. Moreover, sleeping in the
same bed with an adult, and particularly with an old person, is some-
what detrimental to the health not only of infants, but even of children.
As to the length of sleep allowed to the infant, the chief business of
the first months of its existence being sleep and nourishment, we may
safely leave the point to nature, and not attempt to coerce the inclina-
tions of the child; if the infant is lively on waking, we may conclude
it has not slept too much ; and as it increases in vigor, and is able to
endure longer intervals of wakefulness, we may proceed (recollecting
that night is the proper period for sleep) so to regulate its habits of tak-
ing its food and rest, as to accustom it to an uniform system, and par-
ticular hours. Children, up to two years of age, require rest during
the day; and the nurse ought to endeavor to get them into the habit of
taking it in the forenoon, for if it be taken in the afternoon, it gen-
erally interferes with the night's sleep. Whether by night or day, we
must carefully exclude both light and noise from the nursery; for
although they may be insufficient to arouse the infant, still they cause
its sleep to be disturbed and unrefreshing, and, by acting upon the
nervous sensibility, predispose the child to convulsions or spasmodic
attacks from slight accidental causes.
It is true that, during the first month, the infant sleeps immediately
on leaving the breast, and no evil, consequences ensue; but it must be
borne in mind, that it takes but little at a time, and milk is at that
time wisely adapted to its delicate digestion; but as the secretion be-
comes richer, and suited to the increasing power of those organs, it is
injurious to put the child asleep immediately after a full meal; for its
rest is then unquiet and disturbed, from the process of digestion being
interfered with, more particularly when nurses foolishly endeavor to
force nature, by resorting to the baneful practice of rocking.
Nothing causes greater annoyance and even anxiety to the mother,
than a disposition to wakefulness on the part of her infant. A healthy
child should always be prepared for its rest at the usual hours; if,
SLEEP - SLEEPLESSNESS. 751
instead of going to sleep, it appears restless, fretful, and disinclined for
its accustomed rest, it is an evident indication of some derangement of
the child's general health; frequently, through ignorance, nurses, instead
of attending to this warning voice of nature, — which by the sleepless-
ness ºf the infant demands appropriate relief, -endeavor to stifle it,
and sometimes, to free themselves from a little temporary annoyance,
administer opiates, often in the form of “carminatives,” “soothing
sirups,” &c., which induce an unrefreshing slumber, and not unfre-
quently a deep stupor, mistaken for sleep, while the original evil still
continues to make head against the vital power. This baneful practice
has not only been the ruin of many constitutions in after life, but to it,
conjoined with improper diet, stimulating or unwholesome drinks,
quack medicines, together with the highly erroneous practice of a fre-
quent administration of laxatives, in infant maladies, a considerable
number of diseases and even deaths are annually attributable. Every
mother should not only caution her nurse against the use of opiates,
but use her utmost vigilance to detect any breach of her injunctions,
which should be visited with the immediate discharge of the person so
offending; for she must be truly unfitted for such an important trust,
who, after being warned of its injurious tendency, will persevere in a
practice placing in jeopardy the life of her infant charge.
TREATMENT.
Amongst the homoeopathic remedies which have been found the more
generally useful in removing restlessness and sleeplessness in children,
the subjoined deserve especial notice.
Coffea is very efficacious when the child seems unusually lively,
restless, and wakeful; but will commonly fail to answer its purpose
when the nurse is in the daily habit of taking coffee as a beverage.
Dose: Two globules, dry, at night, repeated after the lapse of twenty-four
hours.
Opium may be substituted for Coffea when the nurse is in the daily
habit of taking coffee, and is especially indicated if the face of the child
looks red.
Dose: As for Coffea.
Chamomilla will do good when the child is tormented with flatu-
lence, and distension of the bowels, and appears to suffer from colic,
indicated by drawing up the legs, screaming, &c.
Dose : As for Coffea.
Aconitum is preferable to any of the preceding, when there is gen-
eral febrile heat and great restlessness.
Dose: Two globules, dry, on the tongue, every twelve hours.
Additional Particulars.
The reader should further consult, if necessary, the general article
on “Sleeplessness,” and that on “Crying, Wakefulness, and Colic of
Infants,” in the subsequent pages.
752 EXERCISE.
IEXERCISEH.
For the first six or seven months the great business of nature seems
to be the proper development of the infant frame, and particularly of
the respiratory and digestive organs. During this period, alsº, the
cartilage is gradually forming into bone, and the infant's delicate mus-
cles are acquiring power and strength. We find, however, that con-
sciousness is yet indistinct, and the infant evinces no anxiety to indulge
in voluntary motion, the muscles of the neck and back not possessing
sufficient power to support the head, or to keep the body in an erect
position; for this reason, children during this period should, when car-
ried in the arms, be kept in a reclining position, so as to avoid an undue
pressure upon the spinal column; a neglect of this precaution, and a
premature carrying of the infant in an upright position, is a too fre-
quent cause of deformities of the spine, and derangement of the func-
tions in after life.
As its powers gradually develop, the infant seems inclined to exer-
cise them, and evinces a desire to sit upright, which we may safely in-
dulge, taking care not to overtask its strength by keeping it sitting up
during the greater part of the time it is awake. A careful attention to
nature in this, as in all other cases, is the best guide.
The practice of dandling the child in an upright position, seems
rather to proceed from the pleasure of indulging the feeling of parental
affection, than from any benefit the child can, by any possibility, be
expected to derive from it; in fact, it is highly injurious, even at a
rather more advanced period, as exciting a premature involuntary ex-
ercise of the muscles, and consequent deformity. The act of respira-
tion bringing into play a great variety of muscles, occasional crying
seems sufficiently active exercise during this period.
In mild spring and summer weather the child may, under favoring
circumstances, after the first fortnight has elapsed, be carried out into
the air for a quarter of an hour at a time, and the period of exercise
gradually increased; in fact, if the weather be fine, it can scarcely be
too much in the open air. Should its birth occur in winter, advantage
may be taken of a fine day, after it is a month or five weeks old, as the
frame is gradually acquiring the power of generating heat; but, at
the same time, great care must be taken to prevent its catching cold;
and should the child exhibit the slightest sign of being affected by the
atmosphere, the practice of carrying it out of doors should be imme-
diately discontinued, and it should be carried up and down in a well-
ventilated room, the nurse moving it quietly in her arms from side to
side. Many children are lost through a foolish idea of making them
hardy, by accustoming them to endure cold; this can occur only
through ignorance; for nature, in very early infancy, does not possess
sufficient energy of reaction to overcome the power of a sudden or
long-continued chill. We may recommend an occasional gentle fric-
tion of the hand over the body and limbs, which materially assists in
the promotion of the circulation of the blood, and will, in unfavorable
weather, serve, in Some measure, as a substitute for exercising the
infant out of doors.
IDISEASES OF INFANCY. * 753
The practice of assisting children to walk, or of exciting them to a
premature exercise of their powers, is highly reprehensible, causing, in
many cases, curvature of the limbs, the bones not being yet sufficiently
formed to bear the burden imposed upon them. By allowing Nature
to act, the infant's powers will become more gradually, but at the
same time more fully developed; its carriage will be more firm and
erect, and its limbs straight and well formed; moreover, it will walk
with greater confidence and independence by the expiration of the
first year, than those who have been taught to walk by the assistance
of the nurse, leading strings, or mechanical inventions.
Retarded Strength of the Limbs.
TREATMENT.
Calcarea carb. is, in the majority of cases, the appropriate medi-
cine when the child continues to be feeble, and any attempt to walk,
or the capability of sustaining an erect position, is unduly procrastinated.
Dose: Two globules in a teaspoonful of water, every morning, the first thing,
fasting, for four days (unless some condition requiring other treatment
should sooner arise); then pause eight days, after which repeat the course
as before; then pause again for three weeks, and repeat the course once
more. But if within three weeks after the completion of the third course
no very apparent change should have taken place, consider the following
medicines.
Silicea or Sulphur may be required after the previous employ-
ment of Calcarea, when the last-named medicine has been productive
of no very apparent improvement, more particularly if the child mani-
fests a generally feeble or scrofulous habit, and is affected with enlarge-
ment of joints or tendency to curvature of the bones, or rickety affec-
tions.
Dose: Of the remedy selected, give two globules, as directed for Calcarea.
IDISEASES OF INFANCY.
INFLAMMLATION OF THE EYES IN INFANTS.
Causes. A sudden exposure to the strong light of day, cold, or
the glare of a fire; or the constitutional state of the mother, &c., may
be numbered as the general causes of this affection; or it is sometimes
epidemic; and no doubt many children, who are what is commonly
denominated born blind, owe their misfortune to the neglect of proper
precaution, — in many cases the external indications of this affection
being so very slight as to escape observation.
TREATMENT.
[Additional Particulars, at pp. 484-496.]
Aconitum should be administered as soon as, on a careful exami-
nation, we become aware of the existence of this evil: two doses of this
48
754 & COLD IN THE HEAD.
remedy will generally be found promptly efficacious in subduing this
affection, in all mild and simple cases.
Dose : Two globules in a teaspoonful of water, repeated after the lapse of
twelve hours.
Sulphur should be selected when, from the constitution of one or
both of the parents, we have reason to suppose that the exposure to
light has been merely the exciting cause, but that the real origin of
the evil is more deeply seated, or if Aconitum seems to produce only
temporary effect.
Dose: One globule in a teaspoonful of water, repeated, after the lapse of four
days, if requisite.
Calcarea is, in some cases, found requisite, especially where a con-
stitutional taint, such as scrofula, is the radical cause of this affection.
Dose: As directed for Sulphur.
HICCOUGH.
This affection, though in itself of slight importance, frequently
causes no inconsiderable degree of uneasiness to young mothers; it
generally arises from exposure of the body, even in a warm room, to
the atmospheric air, even during the operation of dressing and un-
dressing the new-born child. Wrapping the infant warmly in the
bed, or, better still, applying it to the breast, will frequently lead to a
cessation of the affection ; should it, however, continue, the adminis-
tration of a small quantity of white sugar, as much as will cover the
end of a teaspoon, dissolved in a teaspoonful of water, will, in general,
effectually remove the evil.
COLD IN THE HEAT).
This affection frequently becomes exceedingly distressing to the
infant, when it appears in the form of an obstruction of the nose, –
impeding the action of suckling, by not allowing the breath to pass
through the nostrils, obliging the infant to release the nipple fre-
quently in order to breathe, and causing it to become fretful and
irritable; sometimes also leading to irritation and excoriation of the
nipple, and thus, in its repeated efforts to suck, the child causes suffer-
ing both to itself and the nurse.
Whilst this state continues, it operates considerably against the
infant's thriving, both by hindering it from taking a sufficient quantity
of nutriment, and, by the impediment it causes to respiration, prevent-
ing the child from sleeping at night. When the nose is dry, and the
secretion of mucus suspended, we may, whilst administering a remedy
calculated permanently to remove the evil, afford relief, by imitating
the natural secretion by the application of a little almond-oil or cream
to the interior of the nostrils with a feather.
TREATMENT.
[Additional Particulars at pp. 345–349.]
Nux vomica has been most frequently successful, particularly
when the following symptoms are present: – Obstruction of the nose,
CRYING AND WAKEFULNESS OF INFANTS – COLIC. 755
with dryness or nocturnal obstruction, with slight discharge during the
day; irritability and peevishness.
Dose : Two globules in a teaspoonful of water, repeated after the lapse of
twenty-four hours, if necessary.
Sambucus nigra is frequently efficacious when Nua v. fails to
relieve; but is also of service in cases when there is an accumulation
of thick and viscid phlegm in the nostrils.
JDose: As directed for Wuz vomica.
Antimonium tartaricum should be had recourse to, when, in
addition to the cold in the head, there is a suffocating cough, with
wheezing in the chest, and quick, laborious breathing, if Sambucus
does not soon relieve the latter symptoms.
Dose: As for Nuz vomica.
Chamomilla is very useful when there is cold in the head, with
a watery discharge from the nose; more particularly when there are
febrile symptoms, soreness of the nostrils, and redness of one cheek.
Dose: As for Wuz vomica.
Pulsatilla is indicated by thick, green or yellow, bloody, or matter-
like discharge from the nose, attended with a frequent sneezing.
Dose : As for Wuz vomica. t
Sulphur should be employed two days after the fourth dose of
Pulsatilla, if the last-named medicine should produce only very limited
and partial improvement.
Dose : As for Nuz vomica.
Calcarea should, however, be employed when the nose is appar-
ently dry and obstructed during the night, and discharges a yellow,
mattery-looking, and sometimes offensive, humor during the day; also
when there is soreness of the nostrils, and particularly when the child
is of a full, round, leuco-phlegmatic habit.
JDose: As directed for Nuz vomica.
CRYING AND WAKEFULINESS OF NEW-EORN
CHILDREN — COLIC.
As we have already remarked, the occasional crying of new-born
children is a wise provision to bring the respiratory organs into play,
and to expand the chest. When, however, the crying becomes exces-
sive, and threatens to prove injurious, we must, in the first place,
endeavor to discover its origin, which frequently will be found to be
some mechanical cause, such as derangement in the infant's dress,
or a pin sticking into its flesh, &c.
TREATMENT.
Belladonna will frequently be found sufficient to remove the evil
when no exciting cause or guiding symptoms of disease present them-
selves, and the infant is peevish and irritable, affected with incessant
whimpering and wakefulness, or prolonged fits of crying.
Dose: Two globules in a teaspoonful of water, repeated at intervals of four
hours, until amelioration or change.
756 REGURGITATION OF MILK.
Chamomilla is often more efficacious than Belladonna when the
infant is of a very spare and delicate habit; or when we can trace the
fits of screaming and wakefulness to a derangement of the digestive
functions, and the child appears to suffer from griping pains (colic),
indicated by contortions of the body, and drawing up of the little
limbs upon the belly; and when a whitish, yellowish, or greenish,
watery, excoriating diarrhoea is present; or when the child wants to be
carried all the time.
JDose : As for Belladonna.
Jalapa is useful in similar cases, but without diarrhoea, or with
motions tinged with blood.
Dose : As directed for Belladonna.
Coffea cruda will generally prove efficacious when a fit of crying
arises from the child having been irritated or excited by any cause,
such as suddenly rousing it from its rest, and when it seems willing to
sleep, but finds a difficulty in composing itself to slumber.
Dose : As for Belladonna.
Aconitum should, however, be employed after the previous
administration of Coffea, when, in addition to the symptoms just
described, there is considerable heat of the skin, with extreme restless-
IleSS.
Dose : As for Belladonna.
Rheum is more appropriate when, in addition to screaming and
wakefulness, combined with griping, there are ineffectual efforts to
relieve the bowels by frequent straining; or when at the utmost, only
scanty, sour-smelling motions are passed, of grayish appearance, and
which seem to afford no relief; the child has a sourish smell.
Dose: As directed for Belladonna.
Nux vomica will commonly succeed in restoring ease when flatu-
lent colic, accompanied by sudden fits of crying, drawing up of the legs
or of the scrotum, and a costive state of the bowels appears to be the
source of the disturbance.
JDose: As for Belladonna.
Pulsatilla is very efficacious when the derangement arises from
over-loading the stomach, or improper food, and the crying or wake-
fulness is accompanied with colic, flatulence, and diarrhoea.
Dose : As directed for Belladonna.
REGURGITATION OF MILK–ACIDITY,
FLATULENCE, &c.
TREATMENT.
Ipecacuanha will generally afford relief, and may be repeated, if
the first dose be not followed by some amendment, the medicine being
allowed twenty-four hours for its action.
Dose : One globule in a teaspoonful of water, repeated, if necessary, after
the lapse of twenty-four hours.
Pulsatilla may be administered, should the vomiting or flatulence,
MILK-CRUST, MILK-SCAB, MILK-BLOTCHES. 757
and also the diarrhoea, when present, not decrease after two doses of
Ipecacuanha.
Dose : As for Ipecacuanha.
Antimonium crudum should follow the second dose of Pulsa-
tilla, after the lapse of twelve hours, if the symptoms which indicated
the latter remedy still continue to prevail, though in a mitigated form.
Dose : As for Ipecacuanha.
Nux vomica is indicated when Regurgitation of Milk is attended
with flatulence, constipation, uneasiness, or irritability of temper.
Dose: As for Ipecacuanha.
Bryonia should follow the second dose of Nua. v. after the lapse of
twelve hours, if the indicative symptoms mentioned under the head of
the latter remedy have not yielded to its action.
Dose : As for Ipecacuanha.
Flatulent Distension of the Stomach and Bowels.
Gentle friction with the palm of the extended hand, which has been
previously warmed, is a simple and frequently efficacious method of
affording temporary relief, when the stomach and bowels are painfully
distended with flatulency. At the same time, if this should not occur
as a merely casual circumstance, the subjoined medicines should be
employed.
Nux vomica should be employed at the onset for children of a
spare, meagre habit, or who are more subject to a costive condition
than the contrary. \
Dose: One globule in a teaspoonful of water, repeated, if necessary, at in-
tervals of twenty-four hours.
Pulsatilla is to be preferred for the treatment of children of a
relaxed habit, or who are subject to discharges from the eyes and eye-
lids; or particularly when diarrhoea is present.
Dose : One globule, as directed for Nuz vom.
Chamomilla should be administered twelve hours after the second
dose of Nuz v., or of Pulsatilla (as above directed), if no permanent
relief should have resulted from the previous treatment; or, more espe-
cially, if convulsions or diarrhoea be developed as attendant symptoms.
Dose : One globule, as directed for Nuz vom.
Diet and Regimen. The diet must, at the same time, be attended
to, and altered if of an indigestible nature, and the undoubted cause
of the mischief.
MILK-GRUST, MILK-scAB, MILK-BLOTCHES.
Characteristics. This affection, as it occurs in infants at the
breast, usually consists of an eruption of numerous small, whitish vesi-
cles, which appear in clusters upon a red ground. The vesicles gen-
erally show themselves, in the first instance, on the face, particularly
the cheeks and forehead, but sometimes spread over the whole body.
The lymph contained in them soon becomes yellow, dark, or even san-
758 MILK-CRUST, MILK-SCAB, MILK-BLOTCHES.
guineous, and, on their bursting, forms into thin yellowish crusts. The
scalp is either primarily or secondarily affected, so that, in bad cases,
the top of the head is one great crust, and the face appears as if cov-
ered with a mask.
Frequently there is considerable surrounding redness and swelling,
with distressing itching, which renders the little patient excessively
restless and fretful, and causes it to keep continually rubbing the
affected parts, by which the discharge and crusts are repeatedly re-
newed, and increased in thickness, often to such an extent that the
whole face becomes covered, the eyes and nose alone remaining free. Its
sudden expulsion, by means of medicated external applications, is to
be guarded against, as very serious consequences result from its sudden
suppression.
TREATMENT.
Aconitum should commence our treatment, when we find exces-
sive restlessness and excitability produced by this affection, and when
the skin around the parts is red, inflamed, and itching.
Dose: Of a solution of two globules to three teaspoonfuls of water, give a
teaspoonful, repeated at intervals of six hours, until the infant becomes
more calm ; after which, consider the following medicines.
Viola tricolor. As soon as beneficial effect has resulted from
the administration of Aconitum, and twelve hours after the last dose
of that medicine, it will be desirable to proceed with the employment
of the remedy now under consideration, which, in the simple and
uncomplicated form of the disease, is often sufficient to effect a cure.
Dose: One globule in a teaspoonful of water, night and morning; then
pause two days (unless active treatment should become necessary); after
which, if a degree of improvement is observable, repeat the two doses as
before. But, if the affection has manifested a disposition to extend or
otherwise to grow worse, consider the following medicines.
Graphites should be given when a transparent, glutinous fluid
exudes, which causes the crusts to fall off; the eruption appears more
particularly upon the chin and behind the ears; emits a fetid odor, and
the itching is intolerable.
Dose: One globule, as directed for Viola tricolor.
Arsenicum is indicated when the eruption is very dry and scaly,
and causes destruction of the hair. &
Dose : As directed for Viola tricolor.
Rhus toxicodendron when the scalp is considerably affected and
thickly studded with incrustations; a bright-red margin surrounds the
eruption, and the itching is worse at night; the child being very rest-
less.
JDose : As directed for Viola tricolor.
Calcarea is to be preferred for administration after Rhus toa., in
cases in which a limited degree of improvement has been effected, and
when there is little or no discharge from the vesicles; particularly
when there is considerable irritation from teething, and the child is of
scrofulous parentage.
Dose : One globule in a teaspoonful of water, every morning, for four days;
APEITHAE-THRUSH. 759
then pause two days, after which repeat the doses for two days, if neces-
sary.
Lycopodium is more efficacious when there has been a limited
degree of improvement from the administration of Rhus toa., but when
there is considerable discharge or oozing of matter, or of blood, and
the eruption smells badly.
Dose: One globule, as directed for Calcarea.
Sulphur should be employed, if, after the administration of Rhus,
the affection is found to have made but little favorable progress, or,
indeed, if no apparent improvement has been effected, as not unfre-
quently happens in debilitated or scrofulous subjects. It is more
particularly indicated when the eruption spreads over the entire body;
with very great itching.
Dose : As directed for Calcarea.
Hepar, Sepia, or Staphysagria may be required for the treat-
ment of cases of an obstinate character and of long standing, and when
the treatment previously directed above has been pursued with com-
paratively indifferent results; or more especially when there is still
excessive itching, and discharge of an offensive odor.
Dose: Of the medicine selected, one globule, as for Viola tricolor.
APHTHAE — THRUSH.
Characteristics. This disease commences by the formation of
small, isolated, round, white vesicles, which, if not checked, become
confluent, and sometimes present an ulcerated appearance, or form a
thin white crust, which lines generally the whole of the cavity of the
mouth, and, in severe cases, extends to the throat, and even throughout
the alimentary canal. This affection, although of itself neither malig-
nant nor dangerous, frequently causes not only considerable suffering
to the child by preventing it from suckling, but great pain and incon-
venience to the mother, by being communicatéd to the nipples, and
causing excoriations, &c.
Causes. The complaint is most commonly produced by the want
of proper attention to ventilation and temperature, and to cleanli-
ness, as regards the constant personal laving of the infant, but more
especially from the sucking-glass, when employed, not having been
carefully washed after use. Improper aliment is another of the
principal causes; thus we find that children, who are what is com-
monly called reared by hand, either partially or wholly, are more
liable to this affection than those whose sole nourishment has been
derived from the breast.
TREATMENT.
General External Applications.
The mouth should be carefully washed, after nursing, with a soft
old-linen rag dipped in tepid water; or in water containing a small
quantity of honey in solution. A weak solution of borax may like-
wise be used with good effect in some cases.
760 CONSTIPATION.
CONSTITUTIONAL TREATMENT.
Ordinary Cases.
Mercurius is to be recommended for ordinary cases, but more
especially when there is much salivation, or the thrush indicates a
disposition to ulceration.
Dose : One globule in a teaspoonful of water, repeated after the lapse of
twenty-four hours; then pause two days, and, if a slight amendment has
resulted, repeat as before ; but, if no improvement has taken place, pro-
ceed with the next remedy.
Sulphur should follow the second dose of Mercurius after the lapse
of two days, if the same symptoms still prevail, notwithstanding the
previous administration of that remedy.
JDose : As directed for Mercurius.
Acidum sulphuricum should follow the second dose of Sulphur,
after the lapse of two days, if the symptoms have not improved under
th9 foregoing treatment; the mouth appears to be very painful, and
the child is weak.
Dose : One globule, as directed for Mercurius.
Pulsatilla or Nux vomica are valuable remedies in some cases
where there is much acidity and excessive regurgitation, or vomiting of
milk. The choice between them must be governed by the characteristic
£ndications, for which see the article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, as selected, give one globule as directed
for Mercurius.
Borax has sometimes succeeded when the above remedies have
failed. It is more particularly indicated by: great heat and dryness
of the mouth; the child frequently lets go of the nipple as though it
caused pain ; is very nervous; cannot bear a downward motion, or the
rustle of a dress or a paper.
Dose: As directed for Mercurius.
Baptisia tinctoria is likewise recommended, in cases in which
there is a fetid smell from the mouth, and the vesicles appear to tend
towards ulceration. It will frequently effect a speedy cure in such cases.
Dose : As for Mercurius.
Arsenicum. In very bad cases, when the vesicles assume a livid,
blue, or violet appearance, and are attended with excessive weakness
and diarrhoea, Arsenicum is highly useful.
Dose: One globule in a teaspoonful of water, repeated at intervals of four
hours, until amelioration or change.
Diet and Regimen. Great cleanliness ought to be observed in
all cases, and proper attention paid to the state of the mother or nurse,
the quality of the milk, &c., as well as to proper ventilation, &c.
CONSTIPATION.
This derangement generally appears in children who are either
wholly or partially reared by the hand, and also in those whose mothers
or nurses are similarly disposed; if it arises from a peculiar diet or want
CONSTIPATION. 761
of exercise, such as too much animal food, &c., on the part of the last
mentioned, it may be removed by a proper attention to these points;
but in many instances it is necessary for them also to have recourse to
proper remedial agents at the same time with the infant.
TREATMENT.
Mechanical Measures.
Before proceeding to enumerate the homoeopathic remedies which
are in general most appropriate in this affection, we may observe that
an injection or lavement of tepid water, or of milk and water, may occa-
sionally be had recourse to, if required, in consequence of occasional
obstructions of forty-eight hours’ duration; or a suppository, consisting
of a small strip of paper or linen, spirally twisted, and lubricated with
oil, may be introduced by a gentle rotatory movement. When nearly
two days have elapsed, and the above means have failed to produce an
evacuation, the lavement must be repeated, with the addition of a little
brown sugar or molasses thereto. Rubbing the stomach and bowels
frequently, in the course of the day, with a warm hand, sometimes assists
the means employed. In order, however, to overcome the constitu-
tional tendency, the appropriate medicines for constitutional treatment
must be selected and administered according to the subjoined regulations.
Medicinal Means.
Nux vomica. The presence of flatulence, foul tongue, hardness
of the belly, peevishness, sleeplessness, or drowsiness, with disturbed or
restless sleep, and debility, are special indications for Nua, v.; as also
costiveness, with knotty, hard, dark-brown colored stools, languor,
sleeplessness, with drowsiness during the day, and frequent ineffectual
efforts to evacuate.
Dose: In ordinary cases, give two globules in a teaspoonful of water, re-
peated, after an interval of twenty-four hours; then pause four days, after
which proceed with the next remedies, if necessary. In very urgent cases,
and when the lavement fails, dissolve one globule in three teaspoonfuls of
water, and give a teaspoonful of the solution every six hours, until ame-
lioration or change.
Bryonia may be substituted for Nua, v., when the child seems con-
stantly chilly, or feels cold to the touch, and is very fretful. In chil-
dren who are able to walk, Bryonia is, moreover, generally better
adapted than Nua, vomica to constipation occurring during summer, or
costiveness, with stools of an unusually large size; it is, furthermore,
equally applicable to costiveness, in infants at the breast, when the
stools are more formed than is commonly the case with infants at the
breast.
Dose: In every particular, as directed for Wuz vom.
Sulphur should follow the second dose either of Nua, v. or of Bry-
onia, after the lapse of four days, if no material or only a limited im-
provement has followed the previous treatment.
Dose: Two globules in a teaspoonful of water, repeated after the lapse of
twenty-four hours, if necessary; then pause five days, and return, if
necessary, to Nuz v., as above.
762 EOWEL COMPLAINTS OF INFANTS.
Opium is well adapted to robust-looking children, particularly
when the belly is somewhat hard and full, or there is lumpy irregu-
larity of surface at the sides to the touch, but the child is otherwise
apparently healthy; costiveness, with hard, knotty, dark-brown motions.
Dose: Two globules in a teaspoonful of water, repeated after an interval of
twenty-four hours.
Habitual Costiveness, &c.
Alumina is more particularly required when there always appears
to be defective expulsive power, and when there are frequent indica-
tions of deranged digestion, such as acidity and flatulency, with drum-
like distension of the bowels, and when, in children from three years
of age and upward, an exacerbation of all the symptoms invariably
follows when potatoes have been eaten.
Dose: Two globules in a teaspoonful of water, morning and evening, every
other day, for eight days, unless a favorable or other change should sooner
become apparent, in which case the medicine should be discontinued, as
long as the improvement exists, or other treatment pursued, if necessary.
Lycopodium is often of much service in obstinate constipation or
costiveness, arising from the abuse of aperients; or in congenital slug-
gishness of the bowels occurring in children of delicate or scrofulous
constitutions, with foul tongue and other signs of impaired digestion.
Dose : As directed for Alumina.
Acidum nitricum is often an almost indispensable remedy in
chronic cases of costiveness, which have either been aggravated or
induced by the frequent use of Calomel, and other mercurial prepara-
tions, under allopathic treatment.
Dose: Two globules, as directed for Opium.
Veratrum. Obstinate constipation, necessitating the use of artifi-
ºcial local means (lavements, &c.) from inactivity or torpor of the
rectum, with consequent deficiency of expulsive power, or of inclina-
tion thereto ; also when there is loss of appetite, occasional sickness,
acidity (acid risings), and flushing of the face.
Dose : As directed for Opium.
Silicea is more especially indicated when there is evidently fre-
quent inclination for stool, but with ineffectual result; but more espe-
cially when the affection occurs in scrofulous or worm-infested children,
and when there is acidity (sour regurgitation), with hard, distended
bowels, associated with frequent attacks of colic.
Dose: As directed for Alumina.
BOWIEL COMPLAINTS OF INFANTS.
Diarrhoea, like Constipation, is to be regarded merely as a symptom,
not as a disease; the real disease here consists in irritation or inflam-
mation of the mucous membrane of the intestines, arising from the
effects of aperients, indigestible food, cold, fright, &c.
General Causes. The administration of laxative medicines, the
introduction into the stomach of inappropriate, indigestible food,
deranged condition of the mother's milk, induced by mental emo-
BOWEL COMPLAINTS OF INFANTS. 763
tions, improper diet, or other causes on the part of the mother, fright,
and exposure of the infant to cold, &c., may be enumerated as the
most frequent exciting causes of this disorder.
Distinctive Symptoms. A healthy infant at the breast passes,
on an average, from three to six motions in the twenty-four hours;
but in some instances the evacuations are more frequent, yet, without
in any degree affecting the health of the child; in such cases, then,
there ought to be little or no interference, so long as the stools remain
free from fetor, possessing merely the slightly acid smell peculiar to
the infantile state, and are evidently unattended with pain, or any
other unnatural indication. When, however, the stools become green
and watery, or yellow and watery, brown and frothy, as if fermented,
mixed with phlegm, or consisting entirely of phlegm, or emit an offen-
sive odor, and are generally preceded or accompanied by signs of
suffering, it becomes imperative to have recourse to remedial aid.
TREATMENT.
[Additional Particulars at pp. 260–266.
% pp.
Aconitum will frequently be found sufficient to arrest the dis-
ordered action of the infant’s bowels, without the aid of any other
remedy, when the following indications are presented:— Feverishness,
the skin is hot and dry, and the mouth is dry, the lips looking dry
and red; the child is restless and excitable, throwing itself about, or,
on the other hand, lies perfectly still, with fretfulness; the stools are
often watery, and of dark color.
Dose: Of a solution of four globules to three table-spoonfuls of water, give a
teaspoonful every three hours, until amelioration or change.
Chamomilla is invaluable in bowel complaints, when the follow-
ing symptoms are apparent: — Redness of the face, or of one cheek;
hardness and tension and fulness of the belly, attended by severe colic,
which is indicated by a state of peevishness, restlessness, desire to be
carried, constant crying, and drawing up of the legs; sickness; frequent
evacuations of a bilious, watery, slimy, or frothy description, of a whitish,
Ayellowish, or greenish color, sometimes bearing a resemblance to beat-
up eggs, and of an offensive odor, similar to that of rotten eggs.
Dose : As directed for Aconitum.
Rheum is of great utility, provided the disorder has not been
excited by frequent use of Rhubarb. It is particularly appropriate
when acidity has been generated by indigestion, or has arisen from the
prolonged use of antacids, such as magnesia, &c., and when there is a
flatulent distension of the belly, colic, crying, restlessness, straining
before and after the evacuations, which are either of the consistence of
pap, or watery and somewhat slimy, occasionally grayish, or of a brown
color, and when a sour smell is emitted from the body of the infant.
Dose : As directed for Aconitum.
Pulsatilla. Diarrhoea arising from indigestion, or from a chill, with
watery, slimy, whitish, or bikows, greenish-looking evacuations, occurring
chiefly at night; where the affection has been brought on by the abuse
764 BOWEL COMPLAINTS OF INFANTS.
of Rhubarb or Magnesia; the stools are changeable, no two successive
stools being alike.
Dose : As directed for Aconitum.
Ipecacuanha is particularly valuable when the diarrhoea is ex-
cited at the period of weaning from the sudden change of food, which
the stomach is unable to digest, — and when the following symptoms
are present: — Repeated attacks of vomiting; the child seems sick at
its stomach all the time; paleness of the face; stools watery, slimy, or
greenish yellow, sometimes blackish, or streaked with blood, and of a
putrid odor, or resembling matter in a state of fermentation, or con-
taining white flakes, followed by straining.
Dose : As directed for A comitum.
Antimonium crudum should be employed four hours after the
last dose of Ipecacuanha, if the vomiting in particular should not have
subsided. It is more particularly indicated when the tongue has a
thick white coating.
Dose : As for Aconitum.
Mercurius. The following are the princigal indications:–Watery,
frothy, or slimy stools, sometimes streaked, or mixed with blood; or
stools of a blackish, greenish, or whitish yellow color; griping before,
and, frequently, severe straining during each evacuation, with relief
immediately after; diarrhoea, with redness of the whole body, as from
general excoriation; thighs and legs are cold and clammy, especially
at night.
Dose : As directed for Aconitum.
Dulcamara is generally a serviceable remedy when the complaint
recurs every time the child is taken into the open air, particularly
when the air is rather damp or the temperature low, or when a sudden
change has occurred from heat to cold.
Dose : One globule in a teaspoonful of water, thrice a day, for two days; and
then, every night, for three days more, unless decided change of any kind
should sooner occur.
Arsenicum. Watery or slimy stools, mostly profuse, of a greenish,
whitish, dark, or brownish color, or of a putrid or gangrenous odor, or
hot and irritating, taking place chiefly during the night, or after drink-
ing or partaking of any kind of food, often preceded by crying and
restlessness, and followed by eachaustion; great thirst, sleeplessness, pale-
ness of the face, sunken cheeks, and blue circles round the eyes; great
'restlessness and distressing enlargement of the belly; extreme weakness
and eaccessive emaciation. In diarrhoea attended with vomiting, Arseni-
cum is one of the most valuable remedies.
Dose: As directed for Aconitum.
Podophyllum should be employed when the diarrhoea occurs
mostly in the morning, and the stools are green and watery; or, the
stools may have a natural appearance, but be much too frequent; it
will be found curative, also, in most cases when there is “falling of the
body” during stool. &
Dose: As directed for Aconitum.
CHOLERA. INFANTUM-SUMMER COMPLAINT. 765
Belladonna should be given when there is great sensibility of
the belly on pressure, and the infant cries constantly; or when it is
drowsy, lying half asleep and half awake, with moaning ; the stools are
greenish.
Dose: As for Aconitum.
Croton tiglium should be administered when the diarrhoea, with
colic, comes on immediately after nursing; the stool escaping suddenly
and with force, like a jet of water from a hydrant.
Dose: As directed for Aconitum.
Diet and Regimen. When the derangement can be traced to
any particular kind of food, an alteration in the diet becomes impera-
tive; at the same time the quantity of food or drinks must be dimin-
ished, until improvement sets in. In cases, however, in which great
debility has resulted from the depleting effects of the diarrhoea, supple-
mentary nourishment ought at the same time to be given in the case
of infants at the breast, and diet of a nutritive quality to children of
more advanced age.
CHOI,ERA. INFANTUTMI — SUMIMER COIMPLAINT.
This is a special form of bowel complaint, which is worthy of special
mention. It is an infantile scourge, which very frequently proves
fatal, more particularly from the fact that it usually prevails in
the latter part of summer, when the young organism is debilitated
by the preceding hot weather; but it frequently assumes the form
of an epidemic, particularly in large cities; in which case infants
are mostly attacked suddenly, and the disease often assumes great
virulence from the first. Children under two years of age are most
liable to attack.
Characteristics. Vomiting and Diarrhoea are the most promi-
ment, and often simultaneous symptoms. The stomach is evidently in
a very irritable condition, as everything taken into it is rejected at
once, and sometimes with great violence. The discharge from the
bowels usually consists of a colorless, or sometimes greenish, inodorous,
and watery fluid, occasionally with shreds of mucus mixed with it.
The stools are generally discharged without effort—sometimes uncon-
sciously — or are squirted out as though thrown from a syringe. Fre-
quently there is considerable pain, with straining, the infant mani-
festing its sufferings by a whining, plaintive cry, by restlessness, and
by drawing up and extending its limbs. As the disease advances,
vomiting becomes spontaneous, and the matter ejected resembles that
passing from the bowels; while the number of stools increase. Some-
times there is a sudden lull in the whole force of the disease, or the
diarrhoea may abate while the vomiting continues, or vice versa. There
is extreme languor and prostration, and generally very rapid emacia-
tion; which conditions, together with the vomiting and diarrhoea, as
above described, clearly and unmistakably point to cholera infantum.
As the malady progresses the discharges from the bowels become
still more frequent, are passed involuntarily, and are usually more
profuse, resembling dark-colored, dirty water, or the “washings of
766 CHOLERA. INFANTUM – SUMMER COMPLAINT.
meat,” and are very offensive; emaciation becomes extreme; the eyes
are languid and dull, or hollow and glassy, and the child takes no
notice of surrounding objects or persons; the lips are dry and shrivelled.
In many cases the child lies constantly in an imperfect doze, with
half-closed eyes, and entirely insensible to external impressions. The
abdomen frequently becomes distended and hard, or is sunken and
flaccid. Frequently, in fatal cases, the child falls into a complete
state of stupor, and convulsions ensue. It not unfrequently happens,
particularly in children predisposed to affection of the brain, that in
an early stage of the disease the brain becomes involved, and the child
dies, with all the symptoms of inflammation of the brain.
Issue and Results. The mortality from this disease differs greatly
in different seasons; but usually, under homoeopathic treatment, a favor-
able termination may be looked for, particularly in the case of children
of a previously healthy condition. In favorable cases, there is a gradual
mitigation and final cessation of the symptoms; the vomiting and diar-
rhoea become less and less frequent, prostration is not so great, and the
fretful whine, together with the distressed appearance of the counte-
nance, give place to natural sleep and a placid look. In some cases,
however, the severity of the symptoms abates, while the disease con-
tinues in a mitigated form and becomes chronic; under which circum-
stances it is evident that the intestines and mesenteric glands are very
seriously affected, and death from marasmus is not unlikely to occur.
TREATMENT.
Much of what has been said under the head of Treatment, in the
preceding article on “Bowel Complaints of Infants” (pp. 762–765),
may be made available in selecting the remedy suited to a case of
cholera infantum, and that article should be, therefore, carefully con-
sulted. The subjoined medicines, however, are those most frequently
called for in the treatment of the disease under consideration, and are
approved as of the utmost efficacy when carefully selected for the in-
dividual case.
Aconitum is very frequently indicated, and should be given, in
cases in which there is febrile excitation, manifested by acceleration of
the pulse, heat and dryness of the skin, and thirst. Under such cir-
cumstances, it often happens that Aconitum, when promptly adminis-
tered, not only removes the febrile indication, but, as well, cuts short
the entire disease, and very promptly aids in restoring the babe to
health.
Dose: Of a solution of three globules in two table-spoonfuls of water, give a
teaspoonful,— or one globule, dry, on the tongue, L- every one or two hours,
according to the severity of the symptoms, until manifest improvement or
change. If a favorable change should result, however slight, at once
lengthen the intervals between the doses to two, three, or four hours, as
the case may be, according to the existing condition,- and finally cease
giving the medicine upon the exhibition of marked and decided ameliora-
tion and improvement. Should, however, no evidence of improvement be
manifested after the sixth dose, or should symptoms indicative of Some
other remedy sooner occur, proceed at once to the administration of
another and better indicated remedy.
CHOLERA. INFANTUM – SUMMER COMPLAINT. 767
Arsenicum is suited particularly to cases in which there is great
weakness from the first, so that the child does not care to hold its head
up; there is much thirst, while drinking induces vomiting and stool;
vomiting and purging occur at the same time, and greatly exhaust the
child; the child has a pinched and distressed look, and is very restless,
which restlessness, together with the other symptoms, grow worse after
midnight; coldness of the hands and feet, &c.
Dose: In every particular as directed for Aconitum.
Ipecacuanha should be given when the stools, which are very fre-
quent, have a fermented appearance, or resemble greenish water; and
when, more particularly, nausea and vomiting predominate, the child
seeming to be sick at its stomach almost constantly.
Dose: In every particular as directed for Aconitum.
Chamomilla will frequently prove useful in the early stages of
some cases, particularly if the child be suffering from the irritation
incident to dentition; it is more particularly indicated by the presence
of griping, colicky pains, with greenish stools; fretfulness and crossness,
with desire to be carried.
Dose : One globule, dry, on the tongue, every three hours, until manifest
improvement or change.
Veratrum is required in cases in which the purging and vomiting
are almost constant and simultaneous, and are excited by even the
smallest quantity of nourishment or drink; motion even excites nausea;
there is very great prostration, with coldness of the face and extremi-
ties, and cold sweat forming on the forehead, and an almost impercep-
tible pulse.
Dose: As directed for Aconitum.
Secale is indicated by a chain of symptoms very similar to those
pointing to Veratrum, but is more particularly indicated by paleness
of the face, with sunken eyes, dry heat of the body, restlessness, and
sleeplessness.
Dose : As directed for Aconitum.
Podophyllum should be given in cases in which the dejections
have an exceedingly offensive odor, and are passed most frequently in
the morning; the child moans during sleep, lying with half-closed eyes,
and rolls its head from side to side.
Dose: In all respects as directed for Aconitum.
IMercurius should be given, particularly at the commencement, if
there be much colicky pains, which are relieved by the purging, the
stools being slimy or bloody; or, when there is a great deal of perspira-
tion, particularly on the thighs.
IJose : As directed for Aconitum.
Croton tiglium should be administered in cases in which the stool
is forcibly expelled, as though forced from a syringe, – one gush and
it ceases.
Dose : As directed for Aconitum.
Belladonna is required in some cases, particularly if there be great
heat of surface, with flushed face, and evidences of a tendency to con-
768 . INCONTINENCE OF URINE.
gestion of blood to the head; the child is very thirsty, drinks hurriedly,
and thrusts its hands constantly into its mouth.
Dose : As for Aconitum.
Calcarea carb. will prove valuable in cases in which the stools are
whitish and watery, and have a sour smell, as does the matter vomited;
there is great emaciation, while the abdomen is bloated; the face has an
old, wrinkled look; the extremities are cold. It is especially adapted
to scrofulous children, with retarded dentition, or where the case has
become chronic.
Dose: One globule, dry, on the tongue, repeated every twelve hours, until
manifest improvement or change.
Sulphur may be called for in cases similar to those indicative of
Calearea. It should be given likewise in cases where the patient, hav-
ing got better, relapses, and this process is again repeated, so that the
case seems to linger, and has a tendency to become chronic.
Dose : As directed for Calcarea.
Bryonia, Nux vomica, Opium, and China may be called for
in the treatment of this malady, in its earlier or later stages. For dis-
criminative indications for their use, consult, under the heading of each
medicine, respectively, the article on “Bowel Complaints of Infants,”
(at pp. 762–765), and that on “Diarrhoea’’ (at pp. 260–266).
Diet and Regimen. Very little nourishment will be taken by
an infant suffering from cholera infantum. Breast-milk should con-
stitute its chief source of food and drink, in cases in which the child
suckles; but in other cases, however, great care must be taken to avoid
giving anything that can add to the irritation already existing in the
stomach and bowels. Pure dilute milk, boiled and sweetened, or thin,
well-boiled oat-meal gruel, will afford sufficient food and drink. Water
may be given in small quantities, if it does not excite vomiting; in
which latter case, the infant may be permitted to suck small pieces of
ice from time to time, if its lips be parched and dry, or a small piece
of ice may be enclosed in a linen rag, and the child allowed to suck at
it. Every effort should be made to sustain the natural warmth of the
body, particularly of the abdomen and lower extremities, by the appli-
cation of warmed woollen cloths; but the resort to the application of
cloths wrung out of hot spirits, or claret wine, or other poultices, is
highly objectionable, and should not be resorted to.
INCONTINENCE OF URINE.
Wetting the Bed.
Causes. Involuntary flow of urine usually proceeds from relaxa-
tion or a paralytic affection of the bladder; or from irritation of the
bladder, in consequence of the secretion of acrid urine, or a diseased
state of the organ itself. With children, however, it is generally de-
pendent upon a general debility, the presence of worms in the intestinal
canal, or upon cerebral irritation.
INCONTINENCE OF URINE. 769
PRECAUTIONS.
In the case of children, if the emission of urine takes place only at
an early hour in the morning, the nurse ought to get into the habit of
raising the child from bed before the time of the usual occurrence of
the mishap.
TREATMENT.
When, in spite of every precaution on the part of the nurse, children
wet the bed every night, and no other symptom of derangement can be
detected, the following remedies are often effectual in surmounting the
weakness. -
Sepia is to be preferred when the mishap generally occurs during
the first sleep. *.
Dose : Two globules in a teaspoonful of water, at bedtime, for four nights
in succession; then pause four days, and resume the administration, if
necessary, on alternate days, four times, and so on.
Acidum phosphoricum will prove useful in some cases, when
large quantities of urine are emitted, so that the child's bed is “flooded”
nightly. &
Dose: As for Sepia.
Belladonna is appropriate in cases in which the weakness is evi-
dently incidental to a relaxed condition of the bladder, or to cerebral
irritation.
Dose: One globule in a teaspoonful of water, repeated, if necessary, every
fourth day. *
Sulphur should be perseveringly employed in almost all chronic
cases occurring in delicate children, but particularly in those who are
or have been subject to eruptions on the skin.
Dose: As directed for Sepia.
Cina is a useful remedy when the existence of worms appears to be
the irritating cause.
Dose: Two globules, as directed for Sepia.
jº
Additional Particulars.
In cases in which this weakness is evidently associated with the
presence of worms in the intestinal canal, and when Cina is insufficient
to remove it, the reader should consult the general article on “Worms,”
and proceed according to the directions therein afforded. If, on the
other hand, the wetting of the bed is associated with evident derange-
ment of digestion, the article on “Bowel Complaints” should be con-
sulted.
Retention of Urine.
TREATMENT.
Aconitum should be promptly employed when infants or children
are seized with retention of urine, and there is great restlessness, with
some degree of fever, and with urging.
Dose: One globule in a teaspoonful of water, repeated, if necessary, after an
interval of three hours.
49
770 EXCORIATIONS – CHAFING, ABRASIONS OF THE SKIN.
Pulsatilla, should be given two hours after the second dose of
Aconitum, when no relief has followed the administration of that med-
icine, and when there is considerable heat in the lower part of the
bowels, the child being of a leuco-phlegmatic temperament.
Dose : As directed for Aconitum, until decided amelioration or change.
Nux vomica is to be preferred for administration (two hours after
the second dose of Aconitum), under similar conditions to those men-
tioned as indicative of Pulsatilla, but when the child is of bilious or san-
guine temperament, and subject to confinement of the bowels, or when
the bowels are actually in a confined state.
Dose : One globule, as directed for Aconitum, until decided amelioration or
change.
Cantharides becomes of essential service when neither of the fore-
going medicines have succeeded in relieving the retention of urine.
Dose : One globule, as directed for Aconitum.
EXCORIATIONS.–CHAFING, ABRASIONS OF THE
SKIN.
! | PRECAUTIONARY MEASURES.
Against this affection cleanliness is the best preventive; however,
we frequently find it proceed to such an extent as to require the aid of
medicine for its removal.
TREATMENT.
Chamomilla will be found speedily effective, in most instances,
but particularly in those which proceed from acidity.
Dose : Two globules in a teaspoonful of water, night and morning; then
pause three days, after which the two doses should, if necessary, be re-
peated as before.
Mercurius should be given three days after the second course of
Chamomilla, when there is a yellowness of the skin, which the last-
named medicine has not removed, and when the excoriation is exten-
sive and severe.
Dose: Two globules in a teaspoonful of water, repeated at intervals of three
days, until amelioration or change.
Sulphur is especially indicated in obstinate cases which have been
preceded by, or are associated with, a miliary eruption, in which case it
should be preferred to any of the foregoing remedies.
Dose: Two globules, as directed for Mercurius.
Rhus should be administered when the heat, redness, and swelling
of the parts are excessive, and associated with a considerable discharge,
occasionally fetid, either in the bend of the knees or arms, about the
neck, or behind the ears.
Dose: Two globules, daily, in a teaspoonful of water, for a week.
Graphites, Sepia, Calcarea. For those comparatively rare
cases which do not yield to any of the foregoing remedies, and partic-
ularly when the space behind the ear is the principal seat of the affec-
tion, one of these three remedies should be had recourse to. The more
EIIVES – NETTLE-RASH. 771
particular indications of each, respectively, may be discerned by refer-
ence to the article on “CHARACTERISTIC EFFECTs.”
Dose : Of either of these medicines, as directed for Mercurius.
JAUNIDICE.
Causes. This disease, as we have before observed, frequently takes
its rise from the mischievous practice of administering aperients imme-
diately after birth; exposure to cold is also one of its exciting causes.
TREATMENT.
Aconitum is indicated in most cases, at the commencement, by the
febrile indications, and will frequently, in such cases, be sufficient to
remove the entire disorder.
Dose: Of a solution of two globules to three table-spoonfuls of water, give a
teaspoonful, morning, noon, and night, until manifest improvement or
change.
Chamomilla will be found prompt in affording relief, when the
affection has arisen from exposure to cold—that is, from a sudden
chill — or from mental excitement, such as a fit of passion; and when
there is, together with the distinguishing characteristic of the disease
— a yellow hue of the skin — considerable distension of the stomach.
Dose: As directed for Aconitum.
Mercurius may, in many cases, follow Chamomilia, after an in-
terval of three days from the last dose, if the last-named medicine has
only partially relieved.
Dose : Two globules, as directed for Aconitum.
China may be preferred, if the affection has assumed an intermit-
tent form, accompanied by profuse sweating; or, it should follow the
fourth dose of Mercurius, after a pause of three days, if any symptoms
still remain, after the employment of the last-named medicine.
Dose : As for Aconitum.
Nux vomica is to be preferred when the complaint is combined
with costiveness, and the patient appears generally of an irritable
temper.
Dose : As for Aconitum.
Additional Particulars.
For more particular #dications for the medicines above given, and
for further information, the reader is referred to the article on “Jaun-
dice,” in a former part of this work, at pp. 300–302.
HIVES – NETTLE - RASH.
This is an eruption usually consisting of red inflamed patches, irreg-
ularly distributed upon different and often distant parts of the body.
In its appearance, and in the sensations it excites, it resembles the
effects produced by application of stinging nettles to the skin. Some-
times the eruption takes the appearance of white wheals. The disease
usually appears in summer, as an effect of hot weather, in which
772 SWELLING OF THE BREASTS.
case the warm bath will be found very useful in relieving the intense
itching and burning that sometimes ensues. As a general thing, it is
a trifling and evanescent ailment, but sometimes, owing to complica-
tions with diarrhoea, fever, &c., it becomes of greater gravity. In some
instances the eruption suddenly disappears, and may as suddenly re-
appear, on some other part of the body.
TREATMENT.
Aconite will usually relieve all the symptoms, and remove the
eruption promptly, in cases in which there is much feverishness, and
thirst. &
Dose: Of a solution of three globules to two table-spoonfuls of water, give
a teaspoonful every two hours, until manifest improvement or change.
Should, however, no improvement be noticed after the sixth dose, wait
two hours, and then proceed to administer the next most suitable remedy.
Apis mellifica will be found useful in many cases, when the erup-
tion consists of red, inflamed, raised patches, resembling bee-stings,
with burning and stinging pains; or when there is considerable swell-
ing of the parts affected.
Dose : As directed for Aconitum.
Urtica urens will prove useful in some cases, resembling the stings
from nettles; the eruption is pale, and the child wants to have it rubbed
all the time.
Dose : As for Aconitum.
Rhus toxicodendron should be given when the eruption is bright
red, itches a great deal, which rubbing does not relieve, and when, on
the contrary, rubbing or scratching seems to aid in spreading the
eruption.
Dose : As for Aconitum.
Pulsatilla will be found useful in some cases, when hives is asso-
ciated with gastric disturbance or diarrhoea, or has been occasioned by
the use of too heavy or otherwise unsuitable food.
Dose : As directed for Aconitum.
Arsenicum, Bryonia, Nux vom., and Belladonna will be
found available in some cases which refuse to yield to the foregoing
remedies. Consult the article on “CHARACTERISTIC EFFECTS.”
Dose: Of the medicine selected, as directed for Aconitum.
SWELLING OF THE BREASTS.
These organs, in female infants, sometimes become swollen and
hard, which is usually the result of the absurd and wicked practice
on the part of nurses of squeezing them, under the erroneous opinion
that if “the milk is not squeezed out of them,” they will not perform
their proper functions in after-life. This practice is a cruel one, and
very often brings about the state of affairs it is intended to prevent,
for, by squeezing the gland, inflammation, swelling, and perhaps Sup-
puration and destruction follow, and the breast is rendered useless,
and the source of a great deal of trouble and suffering in after-life.
DERANGEMENTS DURING TEETHING. 773
TREATMENT.
Aconitum should be given if there be much fever accompanying
the inflammation and swelling of the breasts, and will sometimes dissi-
pate the entire difficulty.
Dose: One globule, dry, on the tongue, repeated every six hours, until
manifest improvement or change. -
Arnica should be used if it be known that the breasts have been
squeezed, and they are merely hard, with no apparent inflammation,
or the redness has not yet appeared.
Dose : One globule, as directed for Aconitum.
Belladonna should be employed when the breasts are of a bright-
red color, the inflammation being disposed to run high, and in streaks
or rays.
Dose: As directed for Aconitum.
Bryonia will be useful when the breasts are very hard, and of a
pale color.
Dose : As for Aconitum.
Hepar will prove useful if matter has already formed.
Dose: One globule, dry, on the tongue, repeated every twelve hours, until
manifest improvement or change.
Silicea will be requisite after the administration of Hepar, particu-
larly to assist the healing process following the suppuration.
Dose: As directed for Hepar.
IDERANGEIMIENTS IDURING TEETHING.
Distinctive Symptoms. In order, as much as possible, ...tº
allay the anxiety of parents, who may be led to mistake the natural
symptoms attendant upon dentition for those of disease, we shall, in
the first instance, briefly enumerate those which frequently take place
in healthy children, and may be safely left to nature; and afterwards
proceed to point out in what cases, from any of the symptoms diverg-
ing from the usual track, it may be necessary to have recourse to
medicines, or to procure professional assistance.
During the teething, the child is more restless than usual, especially
at night; has flushes of heat, alternating with paleness; the gums
gradually swell and become hot; it evinces a difficulty in sucking,
sometimes forcibly bites, and frequently lets go the nipple; it drivels
at the mouth, and its bowels become relaxed;—the two latter symp-
toms may, in some measure, be looked upon as a wise provisional
measure of nature to prevent a congestion to the head and lungs, to
which all children are at this time more or less disposed; and the
sudden cessation of either, after having once set in, is a sign of a
derangement of functions demanding prompt attention.
TREATMENT.
Coffea may be administered when the child is in an excited state,
and unable to sleep, irritable, liable to start, and difficult to soothe.
Dose: Two globules in a teaspoonful of water, repeated in six hours; if,
774 DERANGEMENTS DURING TEETHING.
however, no amelioration follow within twelve hours after the second dose,
proceed with the next remedy.
Chamomilla may be given if the following symptoms are encoun-
tered:— Extreme excitability; the infant starts at the slightest noise;
evinces great thirst; spasmodic twitches or convulsions in the limbs
during sleep; short, quick, and loud respiration, sometimes with a
hacking cough ; excessive diarrhoea, with green, whitish, or watery
evacuations, and especially when the mother has been in the habit
of taking coffee.
Dose: One globule in a teaspoonful of water, repeated at intervals of four
hours, until three doses have been given (unless decidcd change should
Sooner occur), and subsequently at intervals of twenty-four hours, until
decided amelioration or change.
Mercurius is, in some cases, required twelve hours after the third
dose of Chamomilla, when the last-named medicine has not produced
any decidedly good effect on the state of the bowels, — that is to say,
if the child evidently suffers from undue and protracted relaxation,
because, in general, a simply relazed state of the bowels is rather
salutary than otherwise.
Dose: One globule, as directed for Chamomilla.
Ignatia should be given when the tendency to convulsions is asso-
ciated with a costive state of the bowels. More particular indications
for the employment of this medicine may also be derived from the
article on “Convulsions,” at p. 778.
Dose: One globule, as directed for Chamomilla.
Aconitum should be preferred when the child is feverish, the skin
being hot, the face flushed, and the pain in the swollen and inflamed
gums evidently very distressing.
Dose: As directed for Chamomilla.
Belladonna must be resorted to when strong symptoms of irrita-
tion or inflammation of the brain supervene, as more particularly
described under the head “Belladonna,” in the article on Inflamma-
tion of the Brain, at p. 417.
Dose: Dissolve and administer one globule, as directed for Chamomilla.
Cuprum aceticum. When marked irritabilitg of the brain de-
clares itself, and the child almost spasmodically clenches the spoon
or cup with its gums when drinking. t
Dose : As directed for Chamomilla.
Zincum has been found useful in apparently hopeless cases, with
symptoms of incipient paralysis of the brain, such as profound sleep,
half-closed or motionless eyes, with insensible pupil; loss of conscious-
ness; moaning; icy coldness of the whole body, and bluish color of
the skin; pulse nearly imperceptible; respiration interrupted.
Dose : Two globules, dry, on the tongue, repeated in the course of half an
hour, and afterwards every two hours, until the surface becomes warmer,
the pulse stronger, and the breathing more regular.
Calcarea should be administered when the irritation seems to arise
from difficulty of teething, — the gums being pale, tense, swollen, and
CONWULSIONS IN CHILDREN. 775
painful, the motions pale-colored, and the child feeble and irritable.
This remedy will materially assist the protrusion of the teeth.
Dose: One globule in a teaspoonful of water, morning and evening, once a
week for a month (unless some change requiring other treatment should
sooner occur).
Apis mellifica is indicated by the child frequently waking at
night with sharp and violent screams; the body is covered here and
there with red blotches.
Dose: As directed for Chamomilla.
Nux vomica is more particularly indicated by flatulency, foul
tongue, hardness of the belly, feverishness, sleeplessness, or drowsiness,
with disturbed or restless sleep, and debility; dry cough; costiveness,
with knotty, hard, dark-brown stools, languor, sleeplessness at night, with
drowsiness during the day.
Dose: Give two globules in a teaspoonful of water, repeated after the lapse
of twenty-four hours; then pause four days, after which, if a decided
change has not taken place, consider Sulphur.
Bryonia is to be preferred to Nua, vomica, when the child seems
constantly chilly, or feels cold to the touch, and is very fretful.
Dose : As directed for Nuz vomica.
Sulphur may be advantageously employed, four days after the last
dose either of Bryonia or of Nua, vomica (as above directed), when
either of the last-named medicines, although previously well indicated,
has been productive only of very partial benefit.
Dose: Two globules in a teaspoonful of water, repeated after the lapse of
twenty-four hours; then pause four days, after which resume the admin-
istration of Nua, vom., or Bryonia, as before, and so on, until decided and
permanent amelioration or change.
CONVUILSIONS IN CHILDREN.
General Causes. Convulsions generally arise from the prepon-
derance of the nervous and cerebral systems over the other parts of the
frame, hereditary predisposition called into activity by dentition, re-
pelled eruptions, irritating substances in the stomach, intestinal worms,
mechanical injuries, fright, and lastly, from some occult cause, in many
instances bidding defiance to the powers of medicine.
Premonitory Symptoms. Convulsions may occur suddenly in
apparently healthy children, without premonitory warning, or without
any assignable cause. When harbingers of a convulsive attack are
present, they usually display themselves in the form of occasional
twitchings of the fingers or toes, clenching of the thumb, downward
torsion of the hand or foot, and retraction of the toes. The pupils are
observed to be suddenly dilating or contracting; or one is being con-
tracted whilst the other is dilating; the eyes are either fixed or in con-
stant and rapid motion. An irregularity in the breathing, a livid
appearance about the mouth, and frequent changes of color, are also
deserving of notice.
Symptoms of the Attack. During an attack of convulsions of
a mild character, the face is sometimes alone affected with slight twitch-
776 CONVULSIONS IN CHILDREN.
ings, combined with distortion of one or both eyes; or only one limb,
or one-half of the body may be convulsed, sometimes alternately or
successively with the other half. In the severer varieties, all the limbs
are more or less affected, and likewise the muscles of the face and those
of respiration. The eyes seem about to start from their sockets, and
are much distorted, or roll about in various directions; or the eyelids
open and shut in incessant motion; the tongue is protruded, or alter-
nately elongated and contracted; the mouth foams; the breathing is
impeded; the hands are firmly clenched; the limbs violently jerked or
tossed about; and the face and head, which are often red at the begin-
ning of the seizure, assume a dark or purple hue towards the conclu-
sion, as also, at times, the entire surface of the body. As the attack
declines, the convulsive movements become less violent and of less fre-
quency, the contractions of the muscles relax, and the child, after a fit
of crying, recovers its natural appearance. A quiet sleep often ensues,
accompanied by a copious perspiration, from which the child awakes
calm and refreshed. At other times, the paroxysm is succeeded by a
secondary state of great languor, attended with complaints of head-
ache, &c.
Duration, Results, &c. Convulsions vary in duration as well
as intensity; sometimes the paroxysm will last only a few minutes, but
occasionally it is protracted for hours, and after a short interval of ces-
sation it may recur with undiminished violence. When very severe,
or frequently repeated, a fatal issue, or an irrecoverable, state of par-
alysis may be the consequence. Neither fever nor loss of consciousness
necessarily accompany an attack; but when they do, or when the pulse
is much accelerated, and the skin exceeds the natural temperature,
which is more liable to be the case in robust, plethoric children, an
inflammatory disease (of the brain or its membranes, for instance,) is
commonly to be dreaded.
ACCESSORY MEASURES.
When no professional aid or medicines are at hand, and the danger
is imminent, we may, in the first place, recommend the immersion of
the lower extremities up to the knees in water, as hot as can be borne
with safety to the infant, for the space of eight or ten minutes, until
the paroxysms seem in a measure subdued; after which, the child
should be wiped perfectly dry, and placed in a warm wrapper; if the
first immersion be followed by no relief, it should be repeated, and at
the same time we may pour a small stream of cold water upon the
crown of the head, until reanimation becomes apparent, when the child
ought again to be warmly covered up; this course, frequently repeated,
has been found to restore children, although the prior attempts have
proved inefficient. Lavements of equal parts of sweet oil and warm
, milk are sometimes beneficial.
TREATMENT.
General Remarks and Precautions.
Remove, if possible, the exciting cause, when it can be discovered;
avoid every excitement, and keep the child perfectly quiet, and free
CONVULSIONS IN CHILDREN. 777
from every disturbing influence of light, noise, &c., and with great
care select and administer the remedy which appears to be indicated
by the exciting cause, the nature of the case, and the attending con-
ditions.
Convulsions are liable to be excited in infants, when they are put to
the breast immediately after the mother or nurse has had a fright, a fit
of anger, a paroxysm of grief, &c. In most cases, a medicine which is
appropriately indicated by the mental perturbation ought to be taken by
the mother as soon as possible, and the first milk drawn from the breast
by some artificial means. It is only after such PREVENTIVE measures,
and when the mother or wet-nurse has become thoroughly calm, that the
infant should be allowed to take its nourishment from the usual source.
INDICATIONS AFFORDED BY THE PARTICULAR CAUSE, ETC.
As regards the particular and distinctive indications for selection
which are afforded by the cause, the subjoined abstract may serve to
facilitate the determination.*
When occasioned by FRIGHT, select especially—OPIUM, Hyoscyamus,
Aconitum, Belladonna, Gelseminum.
When occasioned by EXTERNAL INJURY, such as a blow or fall,
select especially—ARNICA, Cicuta, Belladonna.
When occasioned by ACIDITY of the stomach, select especially from-
CHAMOMILLA, Nua, vomica, Belladonna.
When occasioned by overloading the stomach, or by INDIGESTIBLE
FOOD, select especially from —IPECACUANHA, Nua, vomica, Pulsatilla.
When incidental to worMs, select especially from –CINA, Mercurius,
Cicuta.
When occasioned by a fit of PASSION, select especially — CHAMO-
MILLA.
When occasioned by some incipient affection of the BRAIN, or of its
vessels or membranes, select especially—Belladonna, Hyoscyamus.
When incidental to DENTITION, select especially from— Chamomilla,
Ignatia, Calcarea carb.
Camphor (Saturated Tincture) may be advantageously employed
by inhalation, or by friction of the gums, when there is lock-jaw, or
rigid extension of the entire frame, and general coldness of the surface.
Camphor is also of very general service in almost all cases of emer-
gency, and when none of the other medicines subjoined, as appropriate
to particular manifestations, are within reach; when, if the Saturated
Tincture, or Spirit of Camphor, be obtainable, it should be promptly
employed, pending the arrival of some further assistance.
Administration : Hold the unstoppered bottle, containing the saturated Tinc-
* The selection from one or more of the medicines thus enumerated must, how-
ever, depend upon the correspondence between the symptoms of the case, and those
detailed in the subsequent portion of this article, as indicating each medicine,
separately and respectively. But, if the indicative symptoms for two or more med-
icines (hereafter afforded) be so closely identical as not to be decisive between
them, whereas both are not applicable to the treatment of cases arising from the
same cause, then this discrepancy will be decisive between them, if the cause be
clearly ascertained.
778 CONVULSIONS IN CHILDREN.
ture of Camphor, to the nostrils of the infant for an instant, from time to
time, until the violence of the convulsive fits becomes somewhat abated.
In cases of Lock-jaw, it is often most useful to apply a weak solution of the
Tincture (consisting of six drops to two table-spoonfuls of diluted Spirits
of Wine), by means of friction to the gums.
Chamomilla stands in the first rank, particularly in very young
children, when the convulsions have been excited by teething, as well
as for children who have passed that period, who are extremely sensi-
tive, and peevish, or when the attacks have been excited by acidity
and colic, a chill, or a fit of passion or vea’ation. The characteristic
indications for its administration are: restlessness, fretfulness, and
disposition to drowsiness when awake; one cheek red, the other pale;
diarrhoea; eyes half-closed; quick and loud breathing; moaning;
twitches of the eyelids and muscles of the face; jerks and convulsions
of the limbs, with clenched thumbs; constant rolling of the head from
side to side; loss of consciousness.
Dose : Dissolve six globules in four teaspoonfuls of water, and administer
one teaspoonful of the solution at the commencement or immediately after
the attack; if fresh paroxysms come on, but decreased in intensity, we ought
not to repeat the remedy, but allow it to exhaust its action; if the con-
vulsions increase, on a second or third attack, we may give another
spoonful — unless other symptoms, declaring themselves, intimate that We
ought to have recourse to any of the under-mentioned medicaments. If,
however, no change should occur within two hours after the second dose,
or, if the subjoined indications more particularly ensue, proceed with the
next medicine. Again, if a paroxysm of greater or less severity ensues
immediately or very soon after the first dose, it is prudent to wait for one
or two subsequent recurrences to guide the necessity for repeating or
changing.
Belladonna is the most important remedy in all cases which pro-
ceed from, or are connected with, a more or less serious disturbance in
the brain ; and it should, moreover, be employed two hours after the
second dose of Chamomilla, if the last-named medicine should have
produced no apparent effect, and the convulsions should recur. It is
more particularly indicated when the child starts suddenly, when asleep,
or stares about wildly; the pupils are much dilated ; the body or indi-
vidual members become rigid; the head is hot and face flushed; occa-
sionally, clenching of the hands; involuntary passing of water after
returning to consciousness; the slightest touch will sometimes provoke a
renewal of the attack.
Dose : As directed for Chamomilla.
Ignatia is frequently found successful, particularly during the time
of teething, more especially in children that appear of a melancholy
temperament, or in pale, delicate infants, of peevish dispositions. The
characteristic symptoms are: the infant, while reposing in a moaning,
light slumber, becomes suddenly flushed with burning heat, awakes
with a convulsive start, and the utmost soothing scarcely quiets the
excitement; a tremor of the entire body, attended by violent crying and
shrieks; the muscles of single limbs seem convulsed; the fit returns every
day at a regular hour, or every other day at variable hours.
Dose: As directed for Chamomilla.
Aconitum. In robust, plethoric children, this remedy is fre-
CONWULSIONS IN CHILDREN. 779
jºr
quently of much service as an auxiliary remedy, when the pulse is
full and accelerated. It may, under such circumstances, be given
either previously, or subsequently to the medicament otherwise indi-
cated, until the unnatural rapidity of the circulation has been sub-
dued.
Dose : Dissolve six globules in three teaspoonfuls of water, and give a tea-
spoonful of the solution every four hours, until amelioration or change.
Ipecacuanha is useful when great difficulty of breathing, nausea,
aversion to food, vomiting and diarrhoea, either precede, accompany, or
follow the attacks; also if the convulsions are preceded, followed, or
accompanied by spasmodic stretchings; and when the child has a
constant inclination to remain in the recumbent posture. When indi-
gestible food, or an overloaded stomach, has given rise to the attack,
there will be additional reason for the selection of this remedy.
Dose : As directed for Aconitum.
Gelseminum should be administered when the child's head seems
heavy, and it lies in a semi-stupid condition, after the paroxysms;
during the convulsions the face is flushed, of a dark or dusky hue, and
the arteries of the neck pulsate violently.
Dose : As directed for Chamomilla.
Nux v. is chiefly required in cases which arise from indigestion,
with vomiting of food, constipation, convulsive jerking of the limbs,
and tossing backwards of the head; and when the attacks are the
result of high living on the part of the nurse.
Dose : As directed for Chamomilla.
Cina is useful, particularly during the second teething, for children
of a melancholy temperament, scrofulous constitution, and who are
troubled with worms, or habitually wet the bed; the characteristic
symptoms are: spasms, commencing with constriction of the breast,
followed by stiffness of limbs, paleness, and rigidity of the whole
frame.
Dose : As directed for Chamomilla.
Mercurius is useful in spasms which are caused by the presence
of worms; the stomach is swollen and hard before, during, and after the
fit; the child is attacked with painful eructation, and a species of
salivation; the limbs tossed and convulsed, attended by fever and
moist skin; after the paroxysms, the child lies for a long time ex-
hausted, and apparently dying.
Dose : Of a solution of six globules, as directed for Chamomilla.
Cicuta virosa is exceedingly serviceable when there is a clear
indication of the presence of worms; when the child is first attacked
with severe griping and colic, terminating in convulsions; the charac-
teristic features of the fit are: tremor of the limbs; jerks like electric
shocks, terminated by insensibility.
Dose: As directed for Chamomilla.
Acidum hydrocianicum should be given when the muscles of
the back, face, and jaws are principally involved in the convulsive
action, and the body assumes a bluish tint.
Lºose: As directed for Chamomilla.
780 WATER IN THE HEAD – DROPSY OF THE BRAIN.
Arsenicum has proved very valuable in severe cases of convulsions,
during dentition, with the following symptoms:—A burning heat diffuses
itself over the whole body of the child; it stretches its feet out, and the
hands convulsively backwards; then throws its hands about, and rolls
over with violent shrieks, changes its position, and bends forward with
clenched fingers and extended thumbs; it is irritable, restless, and per-
verse; evinces insatiable thirst, but drinks little at a time; is affected
with diarrhoea, sometimes of undigested food; frequently vomits imme-
diately after taking food; the paroxysms recur frequently, and all
attempts at soothing seem only to irritate the child.
Dose : As directed for Chamomilla.
Arnica is to be recommended in those instances in which convul-
sions result from mechanical injuries.
Dose : As directed for Chamomilla.
Coffea should be given for convulsions occurring in weak, nervous,
and excitable children, who are subject to convulsive attacks; particu-
larly if the spasms are brought on by the excitement of excessive laugh-
ing, or playing.
Dose : As directed for Chamomilla.
Opium should be administered at the onset, when convulsions have
ensued as the consequence of a fright, and when the following appear-
ances are present: — General trembling; throwing about the limbs; va-
cant stare; cries, seemingly unconscious; snoring respiration, and final
insensibility.
Dose : Of a solution of six globules, as directed for Chamomilla.
Stramonium is to be preferred when the child becomes suddenly
and violently convulsed and senseless from fright; or when the attack
is attended with the involuntary discharge of faeces and urine, and the
fits are renewed by the sight of any bright or luminous object, such as
a candle, mirror, &c.
JDose : As directed for Chamomilla.
Hyoscyamus, when sudden fright causes very violent convulsions,
with twitchings in the face and other parts of the body; diarrhoea, and
involuntary emission of urine; frothing at the mouth. &
Dose : As directed for Chamomilla.
Diet and Regimen. The diet, if artificial, should be very spar-
ing, light, and unirritating, so long as the paroxysms continue to recur;
and great caution must be observed for some length of time. Stimu-
lating fluids, above all things, should be avoided, and any source of
sudden excitement obviated, as far as this is practicable.
WATER IN THE HEAD — DROPSY OF THE BRAIN.
Varieties. It occurs in three distinct forms, namely: (1) the
slow, insidious, or torpid variety, which is of an acute or sub-acute
character; (2) the highly active or inflammatory form, exhibiting all
the features of Inflammation of the Brain, but which is the least fre-
quent form; and (3) the essentially chronic form.
WATER IN THE HEAD — DROPSY OF THE BRAIN. 781
Acute Dropsy of the Brain.
(1.) The low, torpid, or insidious form (First stage).-Generally comes
on very insidiously, and often creates no alarm at first, the signs of in-
disposition being attributed to the effects of teething or to peevishness.
The first of these indications of deranged health consists in great lan-
guor, and tendency to fatigue from the slightest exertion. The child
consequently shuns movement; totters in its walk; or drags one leg
after the other. There is excessive fretfulness, particularly when the
head is raised, and pain is frequently complained of in the back of the
neck, in the eyes, limbs, and stomach. The stomach is exceedingly irri-
table, vomiting being generally induced whenever the child sits upright
or is placed in an erect posture; the head is hot; the eye looks inflamed,
or the pupil is contracted, and the countenance wears a peculiar ex-
pression. There is some fever, the skin being usually hot, and the pulse
being rather quick, but often variable, especially at night, with grind-
ing of the teeth during sleep, and starting, or fits of Screaming on being
awakened. The evacuations are unhealthy, or the bowels are obsti-
nately confined; the urine scanty or suppressed. The child often an-
swers correctly when spoken to, but often stutters or hesitates in using
a particular word.
(Second stage.)—As the disease progresses, pain is commonly less
frequently complained of; the child becomes quiet when allowed to
remain in the horizontal posture, but utters a shrill, peevish cry when
lifted up. Drowsiness or stupor now prevails; the head sinks upon the
pillow; the eyes are half closed; the pupils dilated or immovable, or
alternately dilated and contracted, and attended with impaired or
double vision, or with squinting. A diminution or a complete cessa-
tion of sickness, sometimes combined with a slight return of appetite,
occurs at this stage; but emaciation proceeds rapidly; the child moans
and frequently lifts its hands to its head with a tremulous motion, and
often sighs deeply. This, the second stage, may continue for eight,
twelve, or fourteen days; after which the affection enters upon the
(Third stage) — with its convulsions of greater or less intensity.
There is constant moaning or raving, but complete loss of conscious-
ness; the eyes are dim, glazed, and turned upwards; the pulse may be
invariably quick throughout the whole course of the disease; or after
having grown slow and weak at the termination of the first stage, it
may now become much accelerated for a short period, and then grad-
ually decline. The limbs become relaxed, the belly retracted, and the
breathing very unequal. Extreme prostration, with increased stupor,
supervene, and the child is carried off in a state of collapse, or the scene
is terminated by a severe convulsive fit.
(2.) The acute and inflammatory form (First stage). —In the acute
and less frequent variety of the complaint, the symptoms are much
more strongly marked. In robust children it occasionally sets in very
suddenly, with fever or violent convulsions, the child dying on the
third or fourth day. In other cases, the child is seized with severe
headache; the face is red, the head hot, and the vessels full and throb-
bing; the child starts at the slightest noise; the eye is preternaturally
brilliant, and is very sensitive of the light. The pulse is, at first, full
782 DROPSY OF THE BRAIN.
and very quick, and the respiration hurried and labored. The stomach
is excessively irritable; the tongue white and furred, and perhaps en-
larged; the bowels usually very costive, or the motions unnatural, gen-
erally presenting a singular green color; the urine scanty, or sometimes
altogether suppressed. The countenance is strikingly peculiar, present-
ing a mixed expression of terror and pain; the hands are frequently
raised to the head; and the child is extremely fretful, particularly when
taken up from the bºd; whilst the screams which occasionally escape
from it are piercing and frantic. As the disease advances, the pulse
becomes slow, feeble, and unequal or irregular; any movement has,
however, a tendency to accelerate it.
(Second and Third stages). —The complaint then passes through the
stages already described, and terminates in a like manner.
Chronic Dropsy of the Brain.
Symptoms. This form of the disease is sometimes a sequel of the
preceding variety; but, more commonly, it sets in slowly and insid-
iously, without any antecedent acute stage. The head gradually en-
larges, whilst the face retains its natural size; and if the child affected
be of tender age, the bones of the head separate to a considerable ex-
tent, the fontanels become transparent and prominent, and a sense of
fluctuation is detectable on pressure. In some cases, the head is unu-
usally large originally, and does not increase in magnitude during the
course of the disease.
The first general symptoms usually observed are languor, lassitude,
and loss of flesh. The physical power is much enfeebled, and one or
the whole of the senses are impaired, or become entirely suppressed as
the malady advances. In some cases, the intellectual faculties are pre-
served much longer than could be imagined from the extent of the
disease. Occasionally the head attains an enormous size, and is inca-
pable of being kept erect by the debilitated and attenuated frame which
supports it. Violent general convulsions sometimes occur, and certain
limbs remain constantly in a rigid state. At other times the convul-
sions are only partial, affecting merely the face, the muscles connected
with the act of breathing, or those of one or more extremities. Some
degree of giddiness in the erect posture is occasionally complained of;
or there may be heat and pain in the head; vomiting; nocturnal fever,
with great restlessness, and movements of the head from side to side,
or sinking of the head deep into the pillow; repeated working of the
tongue and lips, or continuous action of the lower jaws, as if the pro-
cess of chewing. Squinting is not an unfrequent attendant.
Issue and Results. The more acute the inflammation the greater
are the prospects of cure in general cases of Water on the Brain. A
copious outbreak of perspiration, with diminished rapidity and oppres-
sion of breathing, and increased flow of urine taking place, announce
a happy result. On the other hand, when the disease, even in its acute
or sub-acute form (as is more frequently the case), comes on gradually
and insidiously in the wake of some other malady, and especially if it
occurs in a child of scrofulous habit, the chances of recovery are much
less. When the chronic form of the complaint follows an acute attack,
DROPSY OF THE BRAIN. - 783
or when, during its progress, delirium, convulsions, and stupor super-
vene, a fatal result can with difficulty be warded off.
Distinctive Investigation. Dropsy of the Brain is liable to be
confounded with other diseases, as worms, inflammation and ulceration
of the mucous membrane of the small intestines, drowsy state from ex-
haustion, occurring after protracted debilitating disease, &c. The his-
tory of the case, together with a close scrutiny of the whole of the
symptoms, will rarely fail in enabling an intelligºt person to establish
the distinction.
TREATMENT.
Acute Dropsy of the Brain.
Medical aid should, if possible, be obtained at the earliest period at
which the symptoms of this dangerous and so frequently fatal malady
display themselves. The following medicaments may, however, be men-
tioned as the more appropriate.
Aconitum should be administered at the onset, if the existence of
the disease has been discovered upon the first indications of its active
progress, when the skin is hot and dry, and the pulse quick, more par-
ticularly if the patient exhibit the appearance of a full habit of body,
the face having habitually the color of robust health.
Dose : Of a solution of three globules to four teaspoonfuls of water, give a
teaspoonful every six hours, until amelioration or change. Should ame-
lioration ensue, the medicine should be given every twelve hours, the in-
terval to be subsequently increased to twenty-four hours, as improvement
continues. Should, however, no amelioration be apparent after the lapse
of four days, or should other change be earlier manifested, consider and
select the most suitable medicament from the subjoined.
Belladonna. Great heat of the head; redness and bloatedness of
the face, with strong pulsation of the arteries of the neck; loud com-
plaint of pain in the head; burying of the head in the pillow, or moving
the head from side to side; great increase of suffering by the least noise,
and extreme sensibility to light; frequent flushing of heat; violent shoot-
ing and burning pains in the head, the eyes being red and sparkling,
or of unusual brilliancy, with protrusion, or with bold or wild expres-
sion; contraction or dilation of the pupils; sickness at the stomach;
violent delirium; drowsiness and stupor; loss of consciousness; frantic
screams; sometimes low muttering; grinding of the teeth; convulsions
and vomiting, or even involuntary evacuation from the bowels, or of
Ull’IIl€. *
Dose: As directed for Aconitum.
Hyoscyamus is more especially appropriate, when there are vio-
lent convulsions; loss of consciousness, or inarticulate speech; delirium;
redness of the face; wild, fived look; white, coated tongue, with frothy
phlegm about the lips; dilatation of the pupils; skin dry and parched;
thirst; diarrhoea; picking at the bedclothes with the fingers.
JDose : As directed for Aconitum.
Apis Mellifica will be found valuable in cases in which the child
emits shrill, piercing screams, while asleep, as though it suffered from
sudden and severe pain; it is also indicated by the disease occurring
784 IDROPSY OF THE BRAIN.
after the suppression of eruptions, as scarlatina, measles, &c.; or, when
the case is characterized by sweating about the head, squinting, grating
of the teeth, trembling of the limbs, and irregular, slow pulse.
Dose : As directed for Aconitum.
Bryonia may be administered when there is heat in the head, with
dark redness of the face, and great thirst ; eyes convulsed; delirium ;
sudden starts, with cries, or constant inclination to sleep; continued
movement of the jaws, as if engaged in chewing ; tongue coated yellow ;
the bowels obstinately confined, and the belly distended; urine suppressed,
or the passing of it appears to cause pain; great thirst, especially at
night; skin hot and dry; respiration hurried, laborious, and anxious;
constipation.
Dose: As directed for Aconitum ; or, in very severe cases, one globule dry on
the tongue, repeated at intervals of one, two, three, and four hours, suc-
cessively, and then at intervals of six hours, if yet required.
Helleborus niger. Complete apathy; the child cannot raise itself
without assistance; frequent rubbing of the nose; no desire for anything
but drinks; swallowing greedily; easily made angry; striking with the
hands; does not want any one near; scanty, dark urine, depositing a
sediment that looks like coffee grounds.
Dose : As directed for Bryonia.
Opium is more properly indicated when the subjoined symptoms
prevail: lethargic sleep, with snoring respiration; half-open eyes, and
confusion or giddiness after waking; and complete apathy and absence
of complaint; it is particularly useful when the disease follows an
attack of cholera infantum.
Dose : As directed for Acomitum.
Zincum has occasionally been employed with success in the last
stage of acute Dropsy of the Brain, with symptoms of incipient paralysis
of the brain. This remedy is more especially indicated by loss of con-
sciousness; half-closed eyes; dilated, insensible pupils; icy coldness of
the extremities, or of the entire surface of the body; blueness of the
hands and feet; impeded breath, and small, weak, scarcely-perceptible
pulse.
Dose : Two globules, dry, on the tongue, repeated at intervals of two hours,
until the warmth returns, the pulse grows stronger, the breath easier, and
the eyes capable of communicating sensations, objects, &c.; after which
the other medicines, above enumerated, should be considered for further
treatment.
Artemisia may be of use in the second stage, other remedies
having failed, with convulsions on the right side of the body, while
the left side is paralyzed ; stupor; greenish diarrhoea; the face is pale,
and old looking, and the body is cold all over.
Dose : As directed for Zincum.
Digitalis is sometimes indicated in the second stage of Water on
the Brain, particularly when the pulse is very slow, weak, and irregu-
lar.
Dose : As directed for Zincum.
Arsenicum is to be preferred when the face is pale and waxy, the
ASTHIMA OF MILLAR. 785
emaciation and debility excessive, the pulse quick, weak, and unequal
or irregular, and when marked intermissions are observed in the course
of the disease. This medicine is again of the chief value in the treat-
ment of the chronic variety.
Dose : As directed for Acomitum.
Sulphur is very serviceable as an intermediary medicine, during
the course of treatment with one or more of the medicines above named,
when the improvement effected by the remedy which is evidently indi-
cated by the symptoms, is limited to a certain point. Sulphur is also
of great service in completing the cure, after an attack of the active or
inflammatory form.
Dose: If as an intermediary medicine, give two globules in a teaspoonful of
water, or dry on the tongue, repeated after the lapse of six hours; then
pause (if possible) twelve hours, after which resume treatment with the
medicine previously and appropriately employed. If, to complete the cure,
repeat the like dose the first thing every morning, for ten days (unless
some striking change should sooner occur).
Chronic Dropsy of the Brain.
Calcarea carb., Zincum, Helleborus, Arsenicum, and
Sulphur should be mentioned as those which have proved to be of
the most use in the treatment of the chronic form of this disease.
The particular indications for each, respectively, may be derived from
the previous part of this article, or from that on “CHARACTERISTIC
EFFECTS.”
Dose: Of either of these medicines, as selected, give one globule in a tea-
spoonful of water, night and morning, for a week (unless some decided
change should sooner occur); then pause ten days, after which the course
should, if necessary, be repeated as before, and so on, until decided
amelioration or change.
Diet and Regimen. For particulars in these respects, the
reader is referred to the article on “ERADICATIVE TREATMENT,” at
pp. 83–89.
ASTHIMA OF IMILLAR — SPASIM OF THE OFIENING-
OF THE WINDPIPE.
Characteristics. This affection is by some denominated the
Spasmodic Croup, or Acute Asthma of infants; it bears a considerable
resemblance to croup, yet differs from it in many respects, –as, for
instance, by the extreme suddenness of the attack, while that of croup
is generally preceded, for one or two days, by hoarseness and a slight
cough, and by the cessation from suffering the patient enjoys between
the attacks, whereas, when croup has set in, the excitement is perma-
nent. The suffering appears to arise from a spasmodic contraction of
the windpipe, impeding the progress of respiration.
Symptoms. The attack commences with a sudden spasmodic
inspiration, accompanied by a species of stridulous or crowing noise;
if the fit continues, the face becomes purple, and the extremities
partake of the same hue, frequently attended, as in convulsions, with
a clenching of the thumbs inside the palm, and spasmodic constriction
50
786 SPASM OF THE GLOTTIS.
of the toes, giving an appearance of distortion to the foot; if proper
means are not promptly taken, these attacks recur frequently, and at
short intervals, and occasionally the little patient perishes during one
of the paroxysms.
General Causes. This disease rarely occurs except in infants of
delicate constitution, when due means should be taken to endeavor to
eradicate it by a proper course of treatment; it frequently accompanies
the period of teething, and is excited by similar causes to those bring-
ing on convulsions.
TREATMENT.
Aconitum is indicated when a suffocating cough comes on at
night, with shrillness and hoarseness of voice; respiration short, anx-
ious, and difficult; skin hot and dry; pulse hard, full, and much
accelerated.
Dose : Of a solution of six globules to two table-spoonfuls of water, give a
teaspoonful, repeated at intervals of three hours (in moderate cases), or
even every hour (in somewhat severe instances); or, again, every quarter
of an hour, until three doses have been taken, and subsequently every
hour (in cases in which the symptoms are very urgent), — proceeding in
such manner until amelioration or change.
Ipecacuanha is to be preferred when the attack has been excited
by indigestible food, and has been preceded by sickness or purging;
or especially when the symptoms consist of −rattling in the chest from
an accumulation of phlegm, with spasmodic constriction, and symp-
toms as from suffocation; anxious and short, or sighing respiration,
with purple color of the face, and cramps, or rigidity of the frame.
JDose: Of a solution of three globules to six teaspoonfuls of water, give a tea-
spoonful every quarter of an hour, until three doses have been given, after
which the intervals must be lengthened, or the medicine suspended, if
decided improvement, or a cessation of the symptoms of impending suffo-
cation ensues.
Arsenicum should be employed half an hour after the last dose
of Ipecacuanha, if the latter medicine should fail in producing speedy
relief, and many of the symptoms above enumerated are still predomi-
nant or only partially subdued; or, again, Arsenicum is more particu-
larly indicated, and should be employed at the onset, when the sub-
joined symptoms prevail: — Great anguish, cold perspiration, and
considerable prostration of strength during and after the paroxysms.
Dose : As directed for ſpecacuanha.
Sambucus is indicated by lethargy, or ineffectual inclination to
sleep, with oppressed respiration and wheezing; livid hue of the face;
agonizing tossings; dry heat of the trunk; no thirst; pulse small,
irregular, and intermittent.
Dose : As directed for Ipecacuanha.
IMoschus is of value in cases that occur at a more advanced period
of life, when there are: a constriction in the laryna, as if caused by the
vapor of sulphur, severe spasms in the chest, with inclination to cough,
after which (especially in children) the paroxysms become much eſc-
acerbated.
Dose : As directed for Ipecacuanha.
RICKETS. 787
Diet and Regimen. It may be deemed almost superfluous to
caution parents against the needless exposure of their children to any
of the causes which may possibly excite attacks of this kind.
RICKETS.
Progress. This distressing disease commonly begins to show itself
about the tender age of from one to two years. It is generally pre-
ceded, for a longer or shorter period, by derangement of the general
health, before any of its well-known characteristic features become
developed.
Premonitory Symptoms. Pale and sickly countenance; dry,
harsh skin; soft and flabby flesh ; irregular appetite, sometimes with
desire for indigestible or unnatural food; constipation or diarrhoea;
general febrile excitement, fretfulness, and languor.
General Symptoms. Subsequently, the head is observed to
become preternaturally enlarged, and the forehead unusually promi-
nent. The breast-bone projects; the ribs appear flattened; the belly is
much distended; while the rest of the body, and the limbs in par-
ticular, are greatly emaciated, and the debility is extreme. As the
disease advances, the muscles become more flaccid; the wrists and
ankles become swollen ; the legs, thighs, and arms distorted ; and the
spine partakes in the general deformity, by becoming shorter, and
curved in various directions.
Issue and Results. When the disease is early attended to, and
the more general exciting causes, – such as defective nursing, damp
or wet, ill-ventilated dwellings, insufficient exercise out of doors, im-
proper food, and uncleanliness, – are capable of being removed, - the
chances of recovery are much increased, and the deformity is fre-
quently materially, if not wholly, diminished as the patient grows up.
Otherwise, if life be spared, it is liable to be rendered miserable by a
state of almost continuous suffering.
TREATMENT.
General Precautions and Management.
When there is an hereditary predisposition to this disease, too great
attention cannot be paid to the first manifestations of ill-health. Great
care should, at the same time, be taken to avoid undue pressure upon
the chest and other parts. The bones of a rickety child are wanting
in the natural and requisite strength or firmness to support the weight
of the frame. Consequently, when every precaution is not adopted,
and the child is allowed, or rather compelled, by its heedless or culpa-
ble nurse or others, to use muscular exertion, deformity inevitably
results. It will, therefore, be necessary to deal gently and cautiously
with the child from the first day of its earthly existence. And while
every care is observed to escape the mischief alluded to, other means,
having for their object the improvement of health, must be strictly
followed. The child should be regularly in the open air, when the
weather permits; its apartments ought to be well ventilated; its per-
sonal cleanliness should be constantly ensured; and wholesome and
788 RICKETS.
appropriate nourishment provided. When the health and strength
are improving, but the limbs and other parts have become deformed
to a greater or less extent, in defiance of every solicitude, – or, as
more frequently happens, from oft-repeated infractions df the rules
laid down, – considerable benefit may yet be accomplished by judi-
ciously applied mechanical aid.
MECHANICAL MEASURES.
At the head of the artificial contrivances for counteracting deformity,
may be placed the gentle and cautious use of gymnastic exercises, as
soon as the child is old enough to undergo them; and it is surprising
how early they may be advantageously resorted to. Without these all
instruments are often futile, not to say hurtful. But in combination
with them, the objection to the temporary employment of an appro-
priate apparatus for the purpose of exercising compression, is, I believe,
in certain cases removed. I allude, more especially, to the instance in
which the legs have become very much bent, either in consequence of
negleet, or from its having been found impracticable to prevent a high-
spirited child from constantly getting on his feet before his delicate
frame had become sufficiently invigorated by suitable treatment. I
am free to admit, however, that instruments should always be rejected
whenever and wherever they can possibly be dispensed with.
Medicinal Treatment.
The homoeopathic treatment, required for the subjugation of the
constitutional disturbance which ushers in the local peculiarities of the
disease, is so analogous to what is recommended in the article on
“Infantile Rºmittent Fever,” that the reader is referred thereto, (at
pp. 789–793.) •
If the local manifestations of the disease have supervened, the sub-
joined medicines more especially should be considered:—
Calcarea is a medicine of the most essential importance in all
cases of rickety disease, and is more particularly required when the
fontanels remain open too long, and when the process of teething is
unduly protracted, or the teeth that are protruding have a tendency
to premature decay; or again, when there is curvature of the spine
and of the limbs, with enlargement of the joints, and very undue
dimension of the skull. Calcarea, again, is yet more especially indi-
cated, if, in addition to these manifestations, there be incrustations on
the face, or if the belly be enlarged and hard, and whilst rapid or
gradual loss of flesh takes place, the appetite is morbidly voracious;
the skin is commonly dry and flaccid, and the child wears the appear.
ance of being much older than it really is, although it be commonly
diminutive and fragile; the bowels are habitually costive, or are fre-
quently affected with excessive and protracted relaxation.
Dose: Two globules in a teaspoonful of water, the first thing every morning,
for a week (unless decided change should sooner occur); then pause ten days;
after which the course should be repeated, as before, and so on, until
some distinct signs of general improvement or change.
Baryta carbonica will be found adapted to some cases, particu-
INFANTILE REMITTENT FEVER. 789
larly of dwarfish children, where there appears to be a general arrest
and suspension of development, particularly if there be a tendency to
glandular enlargements in the neck and elsewhere.
Dosół: As directed for Calcarea.
IMercurius should be employed if the following symptoms should
ensue:–Pains in the bones, as if of soreness, or as if bruised, with ex-
treme tenderness of the shin-bone and knee-joints to pressure, with or
without curvature of the limbs; dandruff, and other obstinate affections
of the scalp and face; incrustations on the face; extreme susceptibility
to take cold, with constant or very frequent prevalence of cold in the
head or on the chest, and tendency to excessive perspiration, whether
offensive or not; and often a chronic, slimy, or clay-colored diarrhoea.
Dose: Two globules, as directed for Calcarea.
Silicea is appropriate to the treatment of almost all cases of disease
of the bones; and is more particularly and decisively indicated by a
peculiar tendency to ulceration manifested by the skin upon the least
abrasion, — that is, when it “heals badly,” as it is popularly termed;
or when there are scabby eruptions on the scalp, the glands being dis-
posed to suppurate, the complexion pallid but puffy, and the ears being
constantly or frequently affected with discharges of matter. Silicea
may be required after Calcarea, to complete the cure.
Dose : Two globules, as directed for Calcarea.
Sulphur should be employed after Calcarea or Silicea, if these
medicines, having previously been productive of decided good effect,
should cease to operate so beneficially, or if the subjoined symptoms
should prevail (which, if predominant, however, might more distinctly in-
dicate the employment of Sulphur at the onset): — Extreme susceptibility
to take cold, and to protracted discharges from the nose or from the
windpipe, or, again, to excessive or continued relaxation of the bowels;
but still more especially by obstinate and intractable constipation, with
flabbiness of the flesh and skin, pallor and puffiness of the face; pro-
tracted inability to use the legs or to maintain the erect position ; tend-
ency to be easily thrown into a violent perspiration by any exertion;
the skin being otherwise dry, and even harsh, and the eyes and eyelids
appearing to be habitually more or less inflamed, and both mind and
body languid, and unfit for exertion of any kind.
Diet and Regimen. In these respects the reader is referred back
to the remarks on “General Precautions and Management,” in the
foregoing portion of this article, and to the article on “ERADICATIVE
TREATMENT,” pp. 83–89.
INFANTILE REIMITTENT FEVER.
Characteristics. By infantile remittent is here chiefly meant
that form of fever which occurs in infants and children, arising from
morbid irritability of the stomach and bowels.
Symptoms. The affection is usually preceded by languor, irrita-
bility of temper, drowsiness, with very restless nights, want of appetite,
foul tongue, offensive breath, nausea, or vomiting, thirst, slight heat of
790 INFANTILE REMITTENT FEVER.
the skin, headache, or pain in the stomach, flatulence, constipation, or
diarrhoea, and orange-colored or white and turbid urine, which fre-
Quently deposits a chalk-like sediment. Ere long these symptoms pre-
sent themselves in a more aggravated form, together with aefurther
development of morbid phenomena, such as hurried and oppressed
breathing, quickness of pulse, with occasional flushes in the face, vom-
iting, distension and tenderness of the belly; obstinate constipation,
sometimes diarrhoea; motions discolored, fetid, frequently mixed with
mucus, and occasionally with blood, or containing worms. The hands
and feet are often cold, and the rest of the body is parched; the head
hot and heavy, attended with lethargy, &c. The tongue, at first moist,
loaded, and occasionally very red at the tip and along the margin,
often becomes dry over a triangular spot at the point, and the lips are
sometimes covered with a brown fur.
As soon as the fever is regularly established, remarkable aggrava-
tions with consecutive remissions take place during the twenty-four
hours. When the febrile exacerbation takes place at night, it is accom-
panied by vigilance and tossing; when during the day, there is, on the
other hand, drowsiness and stupor; and extreme irritability of temper,
with constant picking at the nose, lips, or tongue, particularly during
the periods of remission, are frequent concomitant symptoms. An an-
noying cough, succeeded by wheezing and expectoration, sometimes
appears.
Issue and Results. Although, as is characteristic of remittent
fever, the febrile symptoms never entirely subside, still the patient will
frequently appear to be steadily recovering for a time; and the unwary
and inexperienced may consequently be led to pronounce an unduly
favorable opinion, which will too often be contradicted by the occur-
rence of a relapse, followed, perhaps, again by another encouraging
but deceptive remission, and so on — unless the progress of the disease
be checked — until either the mesenteric glands become affected, or
dropsical effusion into the cavity of the belly, or unequivocal signs of
disease of the brain supervene; or the little sufferer is so emaciated and
reduced by protracted disease, that the vital powers give way, and it
sinks exhausted.
TREATMENT.
In mild attacks, occurring in tolerably healthy children, the disease
is generally readily subdued in a few days, by means of one or more of
the following remedies: —
Ipecacuanha may be given, if the attack has been excited by
over-feeding, or by indigestible food, and the symptoms encountered are
as follows:– General dry heat, or harsh and parched skin, especially
towards evening; thirst, extreme restlessness, burning heat in the palms
of the hands; perspiration at night; quick, oppressive breathing, foul
tongue, nausea, vomiting, or fastidious appetite with sickness after eating;
great languor, apathy, and indifference. •,
Dose : Of a solution of six globules to three table-spoonfuls of water, give
a teaspoonful every six hours (during the prevalence of the premonitory
symptoms), until amelioration or change; or at intervals of four hours,
during the remissions (when these are well marked), and during the active
INFANTILE REMITTENT FEVER. 791
stage of the fever; or, again, morning and evening, in mild cases, and
when the remissions are less decided.
Pulsatilla should be employed, if notwithstanding the administra-
tion of Ipecacuanha, at the stated intervals, for twenty-four hours, the
symptoms remain unaltered, or the bowels become very relaxed, the
motions fetid, whitish, bilious, or of variable color at different times,
and accompanied with griping and distention of the belly, turbid,
reddish, orange-colored urine, and fever towards evening or during the
night.
Dose : As directed for Ipecacuanha.
Aconitum is generally of considerable efficacy against the par-
ticular symptoms which follow : — When the patient is of a full habit of
body, or in all cases in which the febrile action is excessive, the thirst
great, the pulse full and much accelerated, the skin dry and much
above the natural temperature, the water scanty and high-colored.
Dose : As directed for Ipecacuanha.
Gelseminum will be found to be a valuable remedy in many
cases, in which the symptoms bear some resemblance to those of Aconi-
tum, but are not so active and intense. There is dark flushing of the
face during the febrile exacerbations, which commonly occur about
noon; the child will probably be playful and cheerful in the morning,
and towards noon, or in the afternoon, will droop and become languid,
and the fever will become exacerbated at once.
Dose : As directed for Ipecacuanha.
Nux vomica is efficient when the bowels are costive, or when
there is straining, followed by scanty, watery motions, generally mixed
with mucus, or occasionally with a little blood; belly tumid and rather
painful; further, when the child is excessively peevish ; the tongue
foul, or vivid-red at the tip and margins; appetite impaired; or there
is nausea, with disgust at food; restlessness; fever worse towards morn-
tng.
Dose : As for Ipecacuanha.
Chamomilla is indicated if the tongue is red and cracked, or
coated yellow ; sleep restless and agitated, attended with frequent
starts and jerkings of the limbs; flushes of heat in various parts of
the body; the head is hot, the skin hot, the face flushed, the pulse
quick ; thirst, nausea, vomiting; greenish evacuations, with straining;
orange-colored urine; and the child is very fretful and irritable, and
wants to be nursed or carried about.
Dose: In every particular as directed for Ipecacuanha.
Belladohna may be employed if the tongue be loaded, or coated
white or yellow in the centre, and very red at the edge; thirst; nausea
or vomiting; great heat of the belly, with tenderness on the slightest
pressure; oppressed breathing; very red face; moaning during sleep;
with starting and jumping; delirium ; red eyes; and general predomi-
mance of brain symptoms.
Dose: As directed for Ipecacuanha.
Mercurius should be given for the following symptoms:–Loaded
tongue, nausea or vomiting, with tenderness of the belly; thirst, some-
792 INFANTILE REMITTENT FEVER.
times with aversion to drinks when offered; cloudy or milk-like urine;
no motions, or diarrhoea with excessive straining, the stools generally
consisting merely of a little slime, sometimes mixed with blood; yel-
lowish tinge of the skin, profuse sweat, which affords no relief.
Dose: As directed for Ipecacuanha.
Bryonia should be preferably selected when the head is hot and
heavy, the pulse quick, the tongue foul (yellowish-brown), or very dry,
particularly at the tip, and other symptoms of stomachic derangement
are prominent, together with a tumid and painful state of the belly,
constipation, or alternate diarrhoea and costiveness; headache, thirst,
quick, laborious respiration, and delirium, particularly at night, with
drowsiness during the day.
Dose: As directed for Ipecacuanha.
Cina is particularly indicated when all the symptoms of invermina-
tion or worms accompany the fever, —such as boring and picking at the
nose, starting and screaming during sleep, dilated pupils, colic, diarrhoea,
—or loose, bilious, or white papescent stools, sometimes containing worms.
Dose : Two globules in a teaspoonful of water, morning, noon, and night,
until amelioration or change.
Sulphur may be given with advantage to complete the cure, in
many cases, after the previous employment of any of the foregoing
medicines. It is, however, when the attack is characterized by the
following features, that this remedy is more directly called for: —
Feverish heat, especially towards evening; flushes, alternately with
paleness of the face; dryness of the skin; hurried and laborious breath-
ing; nocturnal perspiration; languor and great weakness, particularly
in the inferior extremities; tense, tumid, and painful belly; whitish
urine; dry, hard, or loose and slimy motions.
Dose: Two globules in a teaspoonful of water, morning and evening, until
amelioration or change.
Silicea is to be recommended when there is great emaciation, lan-
guor and debility, paleness of the face, want of appetite, or craving for
dainties; shortness of breath on movement; feverish heat in the morn-
ing or towards evening. This remedy is also a most important one,
when the patient is afflicted with worms, and when the disease is in a
great measure attributable to that cause.
Dose : Two globules, as directed for Sulphur.
Calcarea is more especially indicated by the following symptoms:
— Great debility, with flabbiness of the muscles, dryness of the skin,
and excessive emaciation; frequent flushes, or general heat, followed
by shivering towards evening; exhaustion, or dejection after speaking;
impaired, fastidious appetite, with weak and slow digestion, or, on the
contrary, extreme voracity; perspiration towards morning; hard, tense,
and tumid belly. It is particularly adapted to scrofulous ghildren,
with open fontanels, &c.
Dose: Two globules, as directed for Sulphur.
Arsenicum is indicated by extreme prostration of strength and
emaciation, with desire to remain constantly in the recumbent posture;
dry, burning heat of the skin; parched tongue, with great thirst, but
ATROPHY — EMACIATION – MARASMUS. 793
desire to drink little at a time, or merely to moisten the lips, which
are frequently parched; or clammy perspiration, with coldness of the
limbs; impaired appetite, and sometimes excessive irritability of the
stomach, so that very little food can be retained; hard and tense belly;
Soreness and ulceration of the mouth ; restless, unrefreshing sleep, and
frequent starts, or twitching of the tendons; pulse scarcely perceptible,
or intermittent; fretful and capricious disposition.
Dose: Two globules in a teaspoonful of water, three times a day, until
amelioration or change.
Rhus is useful when the tongue is dry and brown, or furred, and
there is trembling of the hands and arms, with extreme debility; copi-
ous, yellowish, or loose sanguineous stools; general heat, or a clammy
state of the skin; pulse quick and weak; eaccessive restlessness, or fre-
quent drowsiness or stupor; the disease has a disposition to take a
typhoid character.
Dose: As directed for Ipecacuanha.
Phosphorus is chiefly required in protracted cases attended with
low fever, distended bowels, and debilitating diarrhoea; milky-looking
urine, or turbid urine, which deposits a white sediment.
Dose : As directed for Ipecacuanha.
Lachesis may be advantageously employed when the ensuing
symptoms supervene: — Deep, prolonged sleep; grinding of the teeth;
or somnolency alternately with sleeplessness; tremulous, intermittent,
or scarcely perceptible pulse; the child invariably is worse after sleep-
Ing.
JDose : As directed for Cima.
Diet and Regimen. The utmost possible attention should be
paid to diet in the treatment of Infantile Remittent Fever. There is,
generally, much aversion to food during the height of the disease, and
we should on no account entice the patient to take more than the
weakened digestive powers can sustain, even when the appetite is
returning. When diarrhoea, or symptoms of intestinal inflammatory
action prevail, the dietetic regulations to be observed are such as have
been more particularly enumerated under the head of “Bowel Com-
plaints” (at p. 765). Light farinaceous diet alone should be allowed,
even in an advanced stage of convalescence. Solid food, particularly
meat and fish, must be strictly prohibited, even though the appetite
should be good—as it is in some instances, while, in other cases,
indeed, it is ravenous. – In protracted cases, change of air is often of
great service. It may be added, that when the skin is hot and parched,
the sleeplessness and restlessness are often temporarily removed by
sponging the body with tepid water; this expedient is, however, only
to be had recourse to when the remedies fail to afford this relief, and
that in a more permanent degree.
ATROPHY-EMACIATION.—MARASMUs.
General Causes. Emaciation of infants and children usually
arise from a predisposing constitutional cause, which frequently be-
comes developed during the irritation of teething, or is called into
794 ATROPHY – EMACIATION – MARASMUS.
activity by inappropriate or unhealthy nourishment, either from the
breast, or in the form of supplementary diet, at an earlier period; or
again, and, unfortunately, not unusually, it is engendered or developed,
and rendered more complicated, and almost incurable, at a somewhat
more advanced age, by the pernicious habit of a free and reiterated
use of mercurial preparations, in the vain hope of bringing about a
healthy state of the primary organs of digestion, when these have
become deranged by repeated infractions of appropriate rules, as to
diet and general habits. The manifestation of worms and the usual
attendant symptoms of invermination, and the enlargement and indu-
ration of the mesenteric glands, are frequent, antecedent, occasional
causes of the disease.
TREATMENT.
Sulphur is appropriate in almost all cases at the commencement
of the treatment, when the disease has become fairly developed, or
occurs in scrofulous children, but is more especially indicated by the
following symptoms:– Craving appetite for food and drink, watches
eagerly for the cup or spoon, and clutches at them, thrusting every-
thing into its mouth; enlargement of the glands in the groin or arm-
pits; slimy excoriating diarrhoea, or obstinate constipation; pale com-
plexion, sunken eyes; jumping, starting, and screaming; restless sleep.
Dose: Three globules in a teaspoonful of water, every morning, the first thing,
for ten days (unless decided change or new symptoms should sooner occur);
then pause five days, after which the course may, if still indicated, be
repeated as before, and so on, until decided amelioration or change.
Calcarea should either be employed at the onset, or after the
previous administration of Sulphur (as just directed), if the following
symptoms be more especially predominant, or should supervene, or if
again Sulphur should not have been productive of apparent improve-
ment within eight days aftor the completion of the second course.
The indicative symptoms are, — great emaciation, with craving appetite;
enlargement and induration of the mesenteric glands and of the belly;
great weakness, clayey evacuations, a dry and flabby skin; too great a
susceptibility of the nervous system ; large open fontanels; profuse
sweat about the head; cough, with rattling of mucus.
Dose: Three globules, as directed for Sulphur. *
Chamomilla is chiefly required when the following symptoms
occur: — Frequent screaming, with drawing of the legs towards the
stomach; hardness and fulness of the belly; great restlessness and
feverishness; acidity; flatulence, ſequent purging, the stools being of
a deep grass-green, or very yellow color, or whitish, yellow and frothy,
sometimes resembling beaten eggs, and of an offensive odor, often like
that of rotten eggs; occasional sickness, the matter vomited being more
or less of a bilious description; thirst; want of appetite; frequent change
of complexion.
Dose : Of a solution of three globules to six teaspoonfuls of water, give a tea-
spoonful thrice a day.
Podophyllum should be administered when the child rapidly
becomes emaciated; a great number of evacuations take place daily,
ATROPHY – EMACIATION - MARASMUS. 795
all of which have a natural appearance; the greater number occurring
in the morning.
Dose : As directed for Chamomilla.
Pulsatilla is indicated when less restlessness and peevishness pre-
vail than under Chamomilla, and little or no thirst, with complete
loss of appetite; or, on the contrary, voracious and inappeasable hun-
ger, with acid or other disagreeable risings; or disposition to vomiting
the contents of the stomach; frequent papescent stools of a greenish,
bilious description; or watery, slimy evacuations, at times of a light or
whitish color; the child is always better in the open air.
Dose : As directed for Chamomilla.
Antimonium c. may be had recourse to, twelve hours after the
last dose of the preceding remedy, if no improvement has resulted; or
this remedy may be preferred, from the commencement, if the child
cannot bear to be looked at, or touched by any one; or if its tongue be
covered with a thick, white coating.
Dose : As directed for Chamomilla.
Ipecacuanha is usually a most useful medicine, when nausea, or
copious and frequent vomiting form more prominent features in the
case than purging; or, when there is both vomiting and purging, —
the substance ejected from the bowels being chiefly of a greenish-yel-
low color, and often bearing a resemblance to matter in a state of fer-
mentation.
Dose : As directed for Chamomilla.
IMercurius is required when the evacuations from the bowels are
very frequent, but generally scanty and slimy, and usually attended
with distressing straining; or greenish, Sour-smelling, or fetid; also
when small white ulcers make their appearance on the inner surface
of the lips and cheeks, or on the tongue, &c.; when, with less flatulency,
most of the symptoms mentioned under the head of Chamomilla are
present; or, and more particularly, when the patient is affected with
enlarged joints and glands, and distorted limbs, – provided always
these latter symptoms have not been induced, or at least materially
aggravated by the abuse of Calomel, or other mercurial preparations,
under allopathic treatment, — this medicine is also of much efficacy.
Dose : As directed for Sulphur.
Nux vomica. The interposition of constipation, or alternate
states of costiveness and relaxation, with fickle, variable, or entire loss
of appetite; regurgitations or vomiting, flatulency, acidity, excessive
irritability of temper, great feebleness, Soreness of the mouth, or forma-
tion of small, white, ulcerative specks or spots, are all indicative symp-
toms for the employment of this remedy.
Dose : As directed for Chamomilla.
Bryonia. Vomiting occurs almost immediately after eating ; con-
stipation; the child always feels cold; the lips are dry and parched,
and the mouth is dry.
Dose: As directed for Chamomilla.
Arsenicum is one of the most important remedies: it is indicated
J
796 ATROPHY
EMACIATION — MARASMUS.
by dryness of skin, which resembles parchment; hollow eyes; desire to
drink often, but little at a time; excessive agitation and tossing, especially
at night; short sleep, interrupted by jerks; colic, with relaxed stools
of greenish, brownish, or blackish color, or evacuations containing undi-
gested food; night-sweats; eactreme prostration ; pale, waxy appearance.
Dose: As directed for Sulphur. &
Baryta carb. is indicated by enlargement of the glands of the nape
of the neck; tenderness of the belly, with tumefaction and induration of
the abdominal glands; continual desire to sleep; great indolence, and
aversion to exertion and amusement; dysenteric or loose stools, some-
times containing thread-worms.
Dose : As directed for Sulphur.
Acidum nitricum is chiefly required in cases which have been
developed or exacerbated by the abuse of mercurial preparations; the
bones and joints being swollen and tender, the mouth and gums more
or less inflamed and sore, the mesenteric and other glands much
enlarged; the bowels confined, or much relaxed, and attended with
straining.
Dose : As directed for Sulphur.
Conium is indicated by hardness and excessive distension of the
bowels, sometimes with coldness of the feet and legs, or only of one
foot; constipation; but more frequently exhausting watery diarrhoea,
attended with griping, — the stools, occasionally, containing undi-
gested substances.
Dose: As directed for Chamomilla.
Phosphorus is more or less useful, in cases with protracted and
debilitating watery diarrhoea, and when the mesenteric glands are dis-
eased.
Dose : As directed for Sulphur.
Staphysagria is suitable for children who are subject to boils;
large abdomen; woracious appetite; swelling of the glands of the neck,
and of those under the lower jaw; frequent attacks of cold in the head,
with scurf around the nostrils; unhealthy skin.
Dose : As directed for Chamomilla.
Aethusa cynapium. The child throws up its milk soon after
nursing, with great force, and suddenly; then falls asleep, as if from
exhaustion — to awaken for a fresh supply.
Dose : As directed for Chamomilla.
Belladonna is to be preferred when the prevailing symptoms and
conditions are as follows:–Capriciousness and obstinacy; nocturnal
cough, with rattling of phlegm ; enlargement of the glands of the neck;
unquiet sleep; precocity of intellect; (blue eyes and fair hair.)
Dose : As directed for Chamomilla.
China is required for excessive emaciation ; voraciousness; diarrhoea.
at night, or frequent, white, papescent motions, or evacuations of undi-
gested matter; frequent perspirations, especially at night; great de-
bility and languor; unrefreshing sleep.
Dose: As directed for Chamomilla.
DIPEITHERIA. 797
Cina is more particularly required when the patient suffers from
worms; or for wetting of the bed, insatiable appetite, &c.
Dose: As directed for Chamomilla.
Rhus should be selected, when there is slimy or sanguineous
diarrhoea; debility; and excessive languor, with constant desire for
the recumbent posture; great restlessness; the symptoms are all aggra-
wated after midnight.
Dose: As directed for Chamomilla.
Diet and Regimen. When the disease is manifested in infants
at the breast, recovery will, in many cases, take place on the substitu-
tion of a good nurse of sound constitution, or of appropriate artifi-
cial feeding — such as goat's milk, or, sometimes, weak broths — for the
faulty nutriment which has originated the disease. But when the
child is of scrofulous constitution, and glandular enlargements, &c.,
have become developed, the addition of regular and appropriate me-
dicinal treatment is required. Again, when the affection has been
engendered by improper food, in children who are being reared by
the hand or who are past the age of infancy, if the progress of decay
is not too far advanced, and no organic disease be developed, a cure
may, as in the former case, be accomplished by the correction of the
main source of all the mischief. The improper food ought, therefore,
to be at once withdrawn, or the quantity reduced, if that has been too
great. Goat's milk or cow's milk, which has previously been boiled
and diluted (one part of water to about three of good milk), and,
occasionally, chicken-broth, or, to children of more advanced age, fari-
naceous food, generous beef-tea, or mutton-broth, free of fat, may be
substituted for food of a more solid or indigestible nature with which
the child has been dieted. Pure air and regulated exercise are also of
great importance.
IDIIPHTHER.I.A.
Much difference of opinion formerly existed, and to some extent .
still exists, as to the nature of the external manifestations of this seri-
ous, and so frequently fatal disease. This decrepancy may, in a great
measure, be attributable to the various aspects which the malady has
assumed in different localities, and at different epochs. In the present
chapter it is meant to treat briefly of the more distinctive form of true
diphtheria, characterized by extreme prostration of strength, fetid ex-
halations, and the formation of what is denominated a false membrane,
comprised of a yellowish, yellowish-white, or ash-colored, more rarely
grayish, exudation, varying in thickness and consistency, and appear-
ing either in one continuous layer, or in patches, on the soft palate,
uvula, tonsils, lips, &c. This exudation is, in general cases, easily
broken up or detached, and the mucous membrane under it is found to
be entire, but usually highly irritable, and of a peculiarly livid color.
In the milder forms of the affection the exudation is confined to the
throat and mouth. In the severer types it extends upwards into the
nostrils, or downwards into the windpipe; and, in the malignant varie-
ties, it is associated with excessive swelling of the glands, &c., of the
798 IXIEPHTHERIA.
throat, front of the ear and neck, and, occasionally, also with bleeding of
the gums, or oozing of blood from the entire mucous membrane of the
mouth and throat; lastly, in complicated cases, there may be putrid
ulcerations with thin, acrid, offensive discharge, extreme prostration of
strength, or, in short, the ordinary indications of malignant putrid
sore-throat of the most aggravated form.
Symptoms. In the first stage of the disease there is often little
or no derangement of the general health; but, in some of the severer
forms, sudden prostration of strength, chilliness, fretfulness, and loss
of appetite, are early noticeable. A slight pain in the throat may also
be complained of, with a little difficulty in swallowing. On looking
into the throat, the palate and uvula are usually found to be inflamed,
while the tonsils are observed to be somewhat enlarged, and speckled
with small whitish spots, which, in a few hours, deepen into a yellowish
hue, and frequently coalesce. This peculiar exudation then extends
to the Soft palate, uvula, &c., in a more or less continuous form, thus
completing the development of the characteristic false membrane above
alluded to. It sometimes varies in color and consistence, as the disease
advances, in different epidemics. It exhales a fetid odor, and is some-
times accompanied by flow of saliva. After having been frequently
dispersed, and again renewed, it permanently disappears, in the simple
form of the disease, in the course of a few days, and recovery is estab-
lished. In too many instances, however, the affection, in place of
retaining this simple form, rapidly passes into the severer variety; or,
it assumes, soon after its invasion, the dreadful features of the malig-
nant type. Even in the milder forms of the affection, the false mem-
brane occasionally continues to be reproduced incessantly at longer or
shorter intervals, and the patient sinks from exhaustion or suffocation.
In the majority of fatal cases, sudden collapse or gradual exhaustion is
the cause of the fatal issue. The disease generally runs its course
in about a week; but death may ensue as early as the close of
the first or second day, and as late, in malignant cases, as the twentieth
day. Even after the lapse of several weeks, death has ensued from
prostration and paralysis.
In some epidemics of this disorder there is an eruption upon the
skin, which appears in the form of a rash, and is sometimes of a dark
or purplish color, bearing a close resemblance to that of measles; at
others, bright and scarlet, like that of scarlet fever. The disease
may be modified by a prevailing epidemic of measles or scarlet fever;
and is sometimes complicated with croup.
In favorable cases, and under appropriate treatment, the putrid
odor of the breath speedily decreases; the exudation or deposit gradu-
ally diminishes, or shrivels up and drops off; the swelling and redness
steadily subside, and the mucous membrane is restored to its natural
healthy aspect. Unfavorable signs are: an acrid discharge from the
nostrils; invasion of the windpipe, or complication with croup; hemor-
rhage from the nose or mouth; coldness of the surface of the body;
diarrhoea and vomiting; convulsions; complications with scarlet fever,
measles, &c. Cases which are apparently mild at first, not unfre-
quently terminate unfavorably; and sometimes, after the disease has
TXIPHTHERIA. 799
subsided, it is found that paralysis, either general, or of special parts,
or derangement of the special senses, such as hearing, Smell, taste, &c.,
remain as sequelae of this formidable malady.
TREATMENT.
Belladonna is frequently of great value in the early stage of mild
cases, more particularly when the disease sets in with marked febrile
symptoms, and there is marked redness and inflammation of the ton-
sils; the patient is uneasy and restless, and complains of the throat; is
drowsy, and cannot sleep, or starts up suddenly out of every sleep.
Dose: Of a solution of twelve globules to five teaspoonfuls of water, give a
teaspoonful every two hours, until amelioration or change. Many mild
cases, with the above characteristics, will be promptly relieved and cured,
by this remedy alone; and should amelioration be noticed, the interval
between the doses should be lengthened to three or four hours, according
to circumstances. Should the symptoms recur with violence, however,
after having been once mitigated under the action of Belladonna, do not
resort to that remedy again, but select one of the subjoined.
Acidum muriaticum. This remedy has proved of great efficacy
in a number of cases of simple diphtheria, and may very generally be
administered as soon as the membranous deposit begins to appear, and
particularly when there is not much glandular swelling, but consider-
able prostration of strength and fetid breath; with little fever, but
marked lassitude and weariness.
Dose: Three drops of the second decimal dilution in a teaspoonful of water
every hour, until relief or change. In the event of improvement, lengthen
the intervals to two hours, then to three hours, and so on, until the cure
is complete; but if the exudation spreads to fresh surfaces in spite of the
employment of Acid, muriaticum for from twenty-four to forty-eight hours,
another remedy must be selected.
Mercurius protiodatus. Should the throat present a deep-red
appearance, and the tonsils and the surrounding parts be considerably
swollen and studded with specks of exudation; and if, moreover, there
be cold in the head, accumulation of mucus in the throat, and eacces-
sive secretion and flow of saliva of a fetid odor, Mercurius is a useful, if
not an indispensable remedy. It is an important remedy in all forms
of the disease.
Dose: One grain of the third centesimal trituration in six teaspoonfuls of
water, a teaspoonful every two hours; or as much of the trituration as
can be carried on the point of a penknife, administered dry (undissolved),
at the same intervals, until amelioration or change; but if, after the lapse
of forty-eight hours, or even a shorter period, the eacudation, fetor, and
swelling increase, proceed with the more appropriate remedy.
Rali bichromicum. In the event of no improvement, from
thirty-six to forty-eight hours after the employment of Mercurius protio-
datus, and particularly when the disease extends into the posterior parts
of the throat, and thence into the nostrils, Kal, bichromicum should be
selected. It is, moreover, indicated by a tough and stringy discharge
from the nose or mouth; pain in the left ear; swelling of the glands
under the ears; croupy cough ; measle-like eruption, and red and shin-
ing tongue.
Dose : As directed under Mercurius protiodatus.
800 DIPHTHERIA.
Acidum nitricum. When, notwithstanding the employment of
Acidum mur. or Mercurius, superficial patches of exudation continue
to present themselves; and when the throat, in place of healing, becomes
painful and of a vivid-red color; also when there is a tendency to ulcera-
tive complication, and the gums are disposed to bleed, this remedy
may be employed with advantage. It is further indicated by the
presence of ulcers on the mucous membrane of the mouth, and by an
acrid, corrosive discharge from the nose.
Dose : Two drops of the third decimal dilution in a teaspoonful of water,
every two hours, until relief or change.
Rali chloricum. When, after a period of not longer than forty-
eight hours, the above-described symptoms either remain stationary, or
become aggravated; or when the gums are more or less red and swollen,
and the exudation is extensive, but confined to the mouth and palate,
Ral: chlor. may be substituted with the best results.
Dose: Same as directed for Acidum nitricum.
Phytolacca is a remedy which has been promptly curative in
many cases of diphtheria, particularly in the mild, or non-malignant
variety. It is indicated more particularly when there is considerable
febrile manifestation; headache; violent aching pains in the back and
limbs; great weakness, so that the patient cannot stand, and gets faint
and dizzy even when rising up in bed.
Dose : As directed for Acidum muriaticum.
Lachesis will prove useful when the inflammation and the diph-
theritic deposit commence on the left side of the throat, and either
remain there or spread to the right side. It is further indicated when
the patient is always worse after sleeping, and cannot bear the slightest
pressure on the throat. It is frequently useful after the previous em-
ployment of Belladonna, and in malignant forms of the disease, when
mortification or sloughing of the parts threatens.
Dose: As directed for Belladonna.
Lycopodium should be given, in mild cases, when the right side
of the throat is first invaded, and the soreness is aggravated by warm
drinks; the nostrils are stopped up, and the patient cannot breathe
with his mouth closed; starting and jerking of the lower limbs; dread
of being left alone.
Dose: As directed for Belladonna.
Apis mellifica should be given when there is great debility from
the commencement of the disease; the false membrane presents a dirty-
grayish hue ; there is puffiness around the eyes, pain in the ears when
swallowing; an itchy, stinging eruption on the skin; numbness of the
feet and hands. *
Dose : As directed for Belladonna.
Cantharides will prove very efficacious in many cases when the
diphtheritic exudation appears in patches; the adjoining surfaces of
the mucous membrane being of a bright-scarlet redness, with intense
burning and dryness of the throat, and great thirst, the burning resem-
bling that produced by the application of a blister. It is further indi-
LARYNGEAL DIPHTHERIA. 801
cated by derangement of the urinary apparatus, manifested by burning
and scalding on urinating, or by a suppression or increased discharge
of urine; as well as by extreme prostration, and an irritable-looking
rash upon the skin.
Dose: As directed for Acidum nitricum.
Arsenicum. In cases in which the prostration of strength is ea:-
cessive, or threatens to increase, notwithstanding the employment of
Acidum muriaticum, or any of the above-mentioned remedies, together
with nourishing diet and stimulants, this remedy should be brought
into requisition. It is further indicated by an excessive and distress-
ing restlessness, which is worse after midnight.
Dose: A drop of the third centesimal dilution every hour, or half-hour, in a
teaspoonful of water, until reaction sets in, when the intervals between
the doses may be lengthened to two hours, or another remedy selected if
needful.
LARYINGIE AI, DIPHTHER.I.A.
This dangerous variety of diphtheria may, from neglect or otherwise,
occur during the progress, or even towards the apparently successful
close of a mild attack, from an extension of the exudation into the air-
passages. It presents some resemblance to the worst forms of croup,
particularly as regards the accompanying impeded respiration, cough,
and hoarseness, with the distinctive foul-smelling exudation or false
membrane, and the throat symptoms, described in the preceding obser-
vations. The remedies which have hitherto been employed with the
most success in laryngeal diphtheria, as soon as the first indications of
its invasion become manifest, are—IODIUM, BROMIUM, KALI BICHRO-
MICUM, and MERCURIUS PROTIODATUS.
Iodium. When, in addition to the formation of specks or patches
of exudation of greater or less extent, with sore throat, enlargement of
the tonsils, or glands of the neck, great languor, disinclination for
food, – difficulty of breathing, cough, and alteration of the voice, super-
vene, the administration of Iodium may at once be resorted to.
Dose : Six drops of the first centesimal dilution to four table-spoonfuls of
water, a teaspoonful at first every quarter of an hour for one hour, and
then every hour until amendment or change. In the event of improve-
ment, lengthen the intervals of repetition to two hours for six hours
more, and so on. But if no improvement take place after from twenty-
four to thirty-six hours, or so, or if a change for the worse set in within
a shorter period, Bromium may be substituted for Iodium, and administered
in the same way. Should Bromium fail to make a favorable impression,
or should there be manifestations of ulceration, or an extension of the
disease to the nostrils, with offensive acrid discharge from the nose, KALI
BICHROMICUM may be employed — dose same as the above.
Again: if these three seem to produce little or no improvement, and
if there be intolerably pungent fetor of breath, or flow of fetid saliva,
and much glandular swelling, MERC. PROTIODATUS should be adminis-
tered.
Dose: A grain of the first centesimal trituration in a table-spoonful of water,
a teaspoonful as above described.
51
802 MALIGNANT DIPHTHERIA.
IMIALIGINANT IDIPHTHER.I.A.
The remedies which have mainly been employed in this truly for-
midable, and so frequently fatal type of the disease, are Kali bi-
chromicum, Merc. iod., Iodium, Bromium, Ammonium
carb., Ammonium causticum, Arsenicum, and Lachesis.
The leading indications for some of these remedies have already been
given; but as cases of this desperate kind are beyond the pale of do-
mestic management, too often, indeed, beyond the known resources of
medical art, it may suffice to say that Ammon. carb. has been chiefly
recommended after the previous employment of Iodide of Mercury, and
Bichromate of Potash (Kali bich.); Ammonium causticum when the
air-passages are involved, or, when oozings of blood from the mucous
membrane of the mouth and throat increase the exhaustion, and fail
to be controlled by Kali bich. ; and, lastly, Arsenicum, when there is
excessive swelling of the neck and glands, putrid exhalations, and low
typhoid exhaustion, or utter prostration of the vital energies. It is in
the earliest possible stage of diphtheria, and particularly in the milder
forms, that medicine, coupled with appropriate diet and hygiene, can,
under favorable circumstances, with any certainty, avail; and it is
here that, firstly, ACIDUM MURIATICUM, BELLADONNA, and PHYTO-
LACCA, and, secondly, MERC. IOD., and KALI BICHROMICUM, have
been found of undoubted efficacy in homoeopathic practice.
Nore. — Palpable doses, in the form of tinctures and triturations, have hitherto
been chiefly employed in the treatment of Diphtheria, and it will be observed
that with most of the medicines above mentioned, larger doses than usual are
recommended. When the medicines, in these forms, are not at hand, and in the
case of very young children, globules may be used, say twelve globules for one
drop or grain of tincture or trituration. g
LOCAL TREATMENT.
The application of pure Glycerine has, in many cases, been found a
valuable solvent of the exuded false membrane. It should be applied
by means of a thick camel's-hair brush. After a few hours, or, as
soon as the exudation has been dispersed, the exposed diseased mucous
membrane may then be carefully painted in like manner with ACIDUM
MURIATICUM, first decimal dilution ; and so on, as often as the mem-
brane threatens to form again; the internal use of ACID. MURIAT.
being proceeded with at the same time. When Glycerine fails to exer-
cise any solvent property, Acidum muriaticum may be applied alone,
twice a day. When Phytolacca is used internally, it may, at the same
time, be topically applied, by throwing a weak solution (twenty drops
of the Concentrated Tincture to the ounce of water) by means of the
atomizer or spray-distributer, against the affected parts. Unfortu-
nately, it is often difficult, sometimes impossible, to accomplish the
local treatment effectually with some children, and especially those of
tender age. Kali bich... may also be applied locally, as above, when
being administered internally. In laryngeal diphtheria, inhalations of
Iodium and of Bromium have been recommended, by putting three or
four drops of the tincture (pure) in plates filled with water and placed
in the room of the patient. Bromium has been recommended in this
PARALYSTS FOLLOWING DIPHTHERIA, 803
manner as a preventive against the propagation of the disease. A solu-
tion of Carbolic Acid in water may be equally serviceable, and should
be placed daily afresh in the water-closet, if not in the apartment.
Free ventilation is the simplest, as it is the safest, if not the best pre-
servative, however.
Diet and Regimen. In a disease of such depressing and ex-
hausting properties, it is necessary to give as much nourishment, and
of the most concentrated form, as possible. Eggs beaten up with a
little wine or brandy, warm water, or milk and sugar; strong beef tea;
milk; and, when the strength continues to fail, stimulants in the form
of wine, champagne, – sometimes malt liquors, – in small, but fre-
quently repeated quantities, and even added to the beef-tea, milk, etc.,
when needful. The strong repugnance frequently shown by the little
sufferers to take nourishment must be sedulously counteracted in every
conceivable way; and our efforts should be aided by consulting the
palate as much as possible. Nutritive injections, consisting of beaten-
up eggs and good fresh milk, or the essence of beef, etc., in the quan-
tity of about an ounce each time, may be thrown up about every two
hours, when, either from pain or nausea, etc., food is either entirely
rejected or taken in insufficient quantities. Free ventilation, with pre-
cautions against currents of air, or exposure to a chill, particularly
in patients subject to croup, is essential. The spoons, etc., used by the
patient should be washed in hot water immediately after being used,
and any portions of ejected false membrane should be carefully re-
moved. Great cleanliness of house, person, and sick-room is also most
important; and the slightest foul Smell from drains, water-closets, cess-
pools, and dust-holes, effectually remedied immediately, or as early as
possible, otherwise a mild attack may be rapidly converted into a
malignant one; or, as is usually the case under such baneful circum-
stances, the disease assumes the worst form, almost from the com-
mencement, and speedily terminates fatally. The patient should,
especially in the severer cases, be kept quiet in bed; attacks of faint-
ing, sometimes fatal, being occasionally liable to take place from com-
paratively trifling exertion. This has repeatedly occurred about the
fifth day of the disease. Even during convalescence considerable care
is required, both as regards general management, and the regulation
of digestible, generous diet. When diphtheria shows itself in a child
where there are other children in the family, those unaffected by the
disease should be removed to another locality; and, indeed, great
benefit may be derived by the sick child from being removed to an
atmosphere not impregnated with the poison, when the removal can be
safely accomplished.
PARALYSIS FOLLOWING DIPHTHERIA,
It not unfrequently happens, that at longer or shorter intervals after
an attack of diphtheria, and sometimes even when convalescence is rap-
idly progressing in an apparently satisfactory manner, symptoms of
local or general paralysis manifest themselves. The limbs may be
powerless while all the senses are intact, or again, on the other hand,
804 VACCINATION.
the patient may enjoy the full use of the limbs while some of the
organs of special sense are seriously affected, so that taste, smell, and
touch — more rarely sight and hearing— are impaired. Most of these
disorders readily yield to pure air and generous diet, as their tendency
is commonly towards spontaneous recovery — particularly the loss of
power in the limbs; but in cases where no such improvement is mani-
fested, or in order to aid and hasten the reparative processes of nature,
one or more of the subjoined medicaments may be employed.
TREATMENT.
Gelseminum may be regarded as of the utmost importance in the
treatment of various forms of post-diphtherial paralysis, and will, in a
majority of cases, alone accomplish a cure.
Dose : Six globules in a teaspoonful of water, morning and evening, for a
week; then pause four days, when the course may be resumed, if neces-
sary, as before. Should, however, no evidences of improvement be mani-
fested after the time of the completion of the second course, pause two
days, and then proceed with one of the subjoined medicines.
Cocculus, Conium, and Zincum may be mentioned as reme-
dies of importance in the treatment of post-diphtherital paralysis; one
of which should be employed after the completion of the second course
of Gelseminum, when that remedy has failed to produce an apprecia-
ble improvement. Indications for discriminative selection may be had
by consulting the article on “CHARACTERISTIC EFFECTs,” and that on
“Paralysis,” (at pp. 540–543.)
Dose : Of the medicine selected, as directed for Gelseminum.
VACCINATION.
This is an operation purely homoeopathic ; and one which has been
frequently quoted by Hahnemann and his disciples, as affording one
of the best illustrations of the immutable law, whereby medicines,
which, when given in rather large and repeated doses, are capable of
developing in a healthy subject, symptoms analogous to those of a par-
ticular disease, are also capable of removing them when they appear
as the manifestation or result of natural disorder induced by other
CàUISéS.
It might be supposed that the efficacy of vaccination as a preserva-
tive against the ravages of small-pox, had been placed by the experi-
ence of many years, beyond the region of doubt; but this is not the
case. There are individuals, and even communities, who argue against
its employment, and who resort to every means to make it appear a
curse rather than a blessing to mankind. The machinations of these
evil-disposed and notoriety-seeking persons, are, however, fortunately
in vain; for faith in the protective virtues of vaccination is too firmly
implanted in the minds of the people, to be uprooted by anything short
of the most convincing statistical proofs, which cannot of course be
produced, of its injurious effects, or even of its inutility.
Since the introduction of vaccination, the mortality from small-pox,
and small-pox itself, have steadily declined. The following table,
extracted from the work of Dr. E. C. Seaton, Medical Inspector to the
V ACCINATION. ' 805
Privy Council of England, shows the average number of yearly deaths
from small-pox, in London, for periods of ten years, from 1751–
1860: —
Average yearly number of Deaths
Periods. from Small-pox.
1751 – 1760.......................................... 2,061
1761 – 1770.......................................... 2,445
1771 – 1780.......................................... 2,204
1781 – 1790.......................................... 1,705
1791 – 1800.......................................... 1,780
1801 – 1810...... ................................... 1,253
1811 – 1820................................. * e º e º ºs e º ºs 793
1821 – 1880 ......................................... 699
1831 – 1840.......................................... 573
1841 – 1850.......................................... 841
1851 – 1860..... ..................................... 715
This remarkable diminution can be attributed to no other cause
than the spread of vaccination.
Again, in Ireland, vaccination was made compulsory, by law, in
1863, and all children born after January 1st, 1864, were required to
be vaccinated within six months from birth. The effects upon small-
pox mortality were striking and unmistakable. Whereas, in the
periods 1830–40, 1840–50, and 1850–60, the respective average
mortalities from small-pox had been 5,800, 3,827, and 1,272; in the
years 1864–25–6–27 and ’8, they were 854, 347, 187, 20, and 19
respectively; in the first quarter of 1869, there were only three deaths,
and in the second quarter, none.
In addition to diminishing the fatality of the disease and the fre-
quency of its occurrence, vaccination greatly mitigates its severity, as
shown in the largely reduced amount of disfigurement that it leaves
behind.
Vaccination, when the child is strong and healthy, may be safely
performed during the fourth or fifth month; but when the small-pox is
prevalent, as an epidemic, or the child is exposed to its influence, re-
course should be had to this preservative at once, even in infants of
tender ages. If, however, a choice of time be permissible, summer is
the best period for performing the operation, as then the infant, after
having taking the infection, incurs less risk of catching cold; and for
other obvious reasons.
It is of the utmost importance to obtain the matter from a perfectly
pure source, as other disease may, from a neglect of this precaution, be
transmitted to healthy children. For this reason, a child that has
suffered from eruptions on the skin, affections of the glands, or soreness
of the eyes, or one born of scrofulous parents, is an unfit subject for
taking the vaccine matter from, although at the time apparently in
health. Diseases are, however, but rarely transmitted by vaccination;
but it sometimes happens that even when the greatest care has been
exercised in selecting the matter from a perfectly pure source, the
operation is followed by the appearance of an eruptive disease, of more
or less importance, upon the skin; owing to the fact that the reception
806 WACCINATION.
within the system of the vaccine virus has aroused a latent or dormant
dyscrasia of the system, which has resulted in the throwing out of the
eruptive disease. Parents should bear this important fact in mind,
ere they hastily censure physicians, or accuse them of carelessness.
The operation is a very simple one, and may be performed as fol-
lows:– A portion of vaccine crust (scab) having been broken up and
softened to a, pulpy consistence with the aid of a drop or two of water,
a few scratches with a lancet or other sharp instrument should be
made upon the arm of the child, of sufficient depth to cause a very
slight effusion of blood. Upon these the matter is to be placed, using
the point of the lancet for the purpose, and gently worked into the
superficial scratches. Care should be taken that the matter is not
rubbed off, and the sleeve of the child’s dress should be tied up until
the matter is thoroughly dried. If lymph from the cow be used, the
operation is proceeded with in the same manner, and the point of a
needle being inserted into the lymph-tube, sufficient can be withdrawn
to effect the purpose intended.
If the vaccination be successful, on the fourth day a small, red, and
somewhat elevated spot will be perceptible, or may be felt with the
point of the finger, which will continue to enlarge, bearing a strik-
ing resemblance to a small-pox pustule, and becoming flat or de-
pressed in the centre about the eighth or ninth day. It commonly
happens that the child becomes fretful and peevish, and a degree of
feverishness is manifested during the process, and sometimes a rash
appears over the body. . These symptoms usually subside without detri-
ment; but should the fever and irritability appear to be excessive, a
few globules of Aconitum, in a teaspoonful of water, given morning and
evening, will be speedily found to have a very beneficial effect. It
has been recommended that a dose of Sulphur be given after vaccina-
tion; but this procedure does not appear to be at all necessary in cases
in which there are no particular manifestations calling for the exhibi-
tion of that medicine.
PART W.
CHARACTERISTIC EFFECTS AND INDICATIONS OF
MEDICINES REFERRED TO IN THIS WORK.
PRIEI, IIMIIINARY FEIMARES.
THE reader should be careful to observe accurately the assemblage of the symp-
toms in consulting this article; a single symptom is rarely characteristic. It is,
therefore, essential to the right use of this article, that the conditions and accom-
paniments should be closely marked, and that the symptoms should be studied in
groups. I have grouped the symptoms produced, cured, or relieved, connected with
different parts or organs, in that order in which they afford the most important
indications for the medicine under the head of which they are enumerated.
ACIDUM MURIATICUM.
Nervous System, Brain, Senses, &c. Agitated, disturbed sleep, with low mut-
tering delirium or groaning, and with evident agitation (but without the power
to move), or with sudden tossing, noisy breathing, and sinking towards the foot of
the bed; extreme apprehension, but gloomy silence; the mind busied or agitated
with the predominant thought of occupations or events which have immediately
preceded the illness, or running upon habitual occupations; mistiness of sight;
giddiness; heavy drowsiness in the daytime shaken off by exertion; yielding of
the knees upon attempting to stand or walk; extreme dejection and sensation of
general oppression and anxiety; feeling as if the brain were bruised.
Stomach, Bowels, and Evacuations. Feeling of sinking and vacancy in the
stomach; tightness round the waist; the belly full and distended ; sickness at
the stomach, and frequent belching at night, with vomiting; feeling of emptiness
and sinking, as well as of uneasiness in the bowels; difficulty in expelling the
evacuations; looseness of the bowels, with sensation of scalding or smarting in
the orifice ; or liquid and involuntary discharge from the bowels whilst passing
water; soreness of the pile-swellings, with discharge of blood, or swellings of a
purplish hue, with scalding and soreness, or protrusion of the intestine upon
passing water; the anus is very sensitive to even the slightest touch.
External Surface. Cold feet; oozing eruptions forming scabs, and affected
with very troublesome itching; dropsical swellings, general or local; perspiration
breaks out at night as soon as the patient falls asleep; general flushing of heat
during the night, with inclination to uncover one's self; general itching of the
skin, with pricking sensations and constant inclination to Scratch one’s self;
itching and tingling in the palms of the hands; burning heat, with swelling of
807
808 ACIDUM NITRICUM.
the finger ends; burning heat, with swelling of the tips of the toes; dark, angry-
looking elevations on the skin.
Pulse. The pulse is feeble, or in many cases intermittent.
Pains. Bruised pain in the brain; aching pains in the head; shooting pains
across the eyes; pains in the teeth as if they were being wrenched asunder;
throbbing toothache, alleviated by warmth, but much aggravated by the intro-
duction of cold fluids into the mouth; pulling, clawing, or throbbing pains in the
ears; bruised pains in all the joints; burning, shooting pains in the head; claw-
ing, pinching pains in the bowels; strained pain in the back; tearing or aching
pains in the arms, or wrenching pain in the shoulder or elbow-joint.
Breathing, Chest, &c. Pressive, heavy sensation in the back part of the chest;
oppression at the chest, with deep and groaning respiration; stitches in the
chest on taking a long breath.
Nose, Ears, Mouth, Gums, Tongue, Eyes, &c. Accumulation of thick, yellow
humor in the nose, or flow of watery and acrid fluid from the nostrils; stoppage
of the nose, and internal soreness of the nostrils; oozing eruptions, forming scabs
in the ears; motionless and palsied, or dry, parched tongue, with absence of all
moisture in the mouth ; deep ulceration of the tongue; copious flow of saliva in
the mouth ; swollen, unhealthy, sore, and bleeding gums; soreness and raw
feeling in the throat, and over the roof of the mouth; the lower lip swollen ;
the eyelids red and swollen, or the corners of the eyes affected with smarting
and itching.
ACIDUM NITRICUM.
External Surface. Swellings of the glands, with inflammation or suppuration;
hard, knotty swellings in the breasts; brown, reddish spots, boils and black
pores upon the skin; the lips are ulcerated, the face is characterized by the
development of pustular eruptions; eruptions of an ulcerative tendency on the
skull, with shedding of the hair; eruptions of the nature of nettle-rash; freckles;
chapping of the skin after exposure to the least cold; warts; coppery or violet
spots on the skin; oozing eruptions, with intense itching, in various parts; sweat-
ing of the feet; copper-colored spots on the hands; roughness, harshness, and
chapping of the hands; chilblains on the toes; sour-smelling sweat, or sweat with
the smell of horse’s urine; wasting away of the breasts.
Breathing, Chest, &c. Dry cough, worse in the evening, and in a recumbent
posture; matter-like expectoration, and hoarseness, or rough, harsh sound, deep
in the chest, when breathing; short, impeded breath; brisk walking, or an
ascent, puts the patient quite out of breath (and induces palpitation of the heart);
wheezing breath, particularly during physical exertion; loud, noisy cough, a
cough which prevails only in the daytime; whistling breath ; fits of coughing,
terminating in vomiting; harshness or roughness in the windpipe after speaking
or reading aloud.
Stomach, Bowels, and Evacuations. Digestion habitually deranged, and morbid
appetite; desire for clay, chalk, and lime; repugnance to sweet things and to
meat; continued thirst; sweetish taste in the mouth, or bitter taste, especially
after eating; (eating is attended by outbreak of perspiration;) sensation of
fulness in the stomach after a slight meal; sour and flatulent risings; very fre-
quently sickness at the stomach, and desire to vomit, or vomiting of sour and
ACIDUM NITRICUM. 809
bitter matters after eating; chronic looseness of the bowels; frequent and violent
desire to evacuate, attended with burning and itching in the orifice; piles, with
discharge of blood at stool; diarrhoea, with putrid evacuations; dysenteric, bloody
evacuations, with straining; nervousness and debility after an evacuation; flatu-
lent distension of the bowels, particularly in the morning; offensive involuntary
flow of urine; frequent urging to pass water, with scanty drop-discharge (and
much pain).
Nervous System, Brain, Senses, &c. Giddiness of various kinds, especially in
the morning and evening; sad and melancholy, or selfish and irritable disposition;
sleep is attended with anxious dreams, and is often interrupted by starting, — it
is either dispelled early, or the patient is slow and difficult to awaken in the morn-
ing; buzzing and roaring sounds in the ears, and hardness of hearing; tremulous
weakness; appearance as of gauze before the eyes, or of undulating spots or
sparks; violent cramp in the calves of the legs; palsy, and falling of the upper
eyelid.
Pains. Pains (with inflammation or ulceration) in the bones, or in the mem-
brane investing the bone; pains returning or aggravated upon changes of weather;
pains of a pricking, stinging character, such as those caused by splinters; pains
which are accompanied by acute sensation during sleep; pains in the joints, such as
those produced by sprains (or accompanied with cracking on change of position);
pains about the parts where former wounds existed, especially when the bone
has been affected, recurring when changes take place in the weather; stitching
pains in the eyes; aching and shooting pains in the eyes; shooting and throbbing
pains in the ears; bone-pains in the skull; pains in the back generally, and in the
small of the back in particular; tearing pains in the forehead, back of the head,
and crown of the head; burning pain, with rawness in the throat; shooting pains
in the pit of the stomach; pinching and cutting pains in the bowels.
Ears and Eyes. Inflamed and ulcerated eyes; specks on the anterior trans-
parent portion of the eyes; obstruction of the ears; cracking in the ears in using
the jaws.
Mouth, Tongue, Gums, Teeth, Throat, &c. Soreness, or even rawness of the
whole surface inside the mouth, and of the tongue, palate, and gums; dryness, or
sometimes profuse flow of saliva in the mouth; soreness, rawness, and burning
in the throat, with heat, redness, and swelling, which implicates the tonsils; or
even ulcers in the mouth and throat, or ulceration of the tonsils; very offensive
odor from the mouth ; looseness of the teeth.
Nose. The nose emits an offensive smell, which is distinguishable by the
patient when breathing; the nostrils are sore, dry, stuffed up, raw, and charac-
terized by the formation of scabs; discharges of black blood from the nose, more
especially in the morning; oozing vesicles, forming scabs on the tip of the nose,
which is red and sometimes swollen; accumulation of very offensive yellow
humor in the nose; partial, interrupted sneezing.
Menstruation, &c. Menstrual discharge suppressed; very offensive slimy dis-
charge of whites during the intervals, with soreness and rawness of the thighs and
adjacent parts, with itching; or pressive, heavy sensations and spasmodic affections
during the menstrual flow ; brownish or reddish and offensive discharge between
the periods.
810 ACIDUM PHOSPEIORICUM.
ACIDUM PHOSPHORICUM.
Stomach, Bowels, and Evacuations. Sensation of weight, or undulation in the
stomach after eating (attended with faintness, sinking, and depression, or with
drowsiness, uneasiness, and muddled feeling in the head); aversion to bread ;
bitterish taste of bread; the taste of the food remains long in the mouth ; scald-
ing, sour risings; sickness at the stomach to such a degree that the patient is
obliged to lie down ; thirst, which cannot be allayed, with a general feeling of
being parched; feeling of coldness in the stomach, or, on the other hand, burn-
ing sensation in the stomach; vomiting of sour matters, or of food; tight distended
belly; noisy gurgling of wind in the intestines very frequently; sour things induce
the development of much flatulency in the bowels, and bitter risings from the
stomach; evacuation of the bowels at very short intervals; small, hard, detached
stools ejected with difficulty, or relaxation of the bowels, with discharge of the
contents of the bowels, or of whitish, slimy matters, or of watery and undigested
matters, followed by severe straining, and attended with the forcing downward
of the pile-swellings: whitish-looking urine depositing a blood-stained or jelly-
like sediment; or discharge of watery urine at short intervals, and in large quan-
tities, and which quickly precipitates a white, cloudy-looking sediment; scalding
during and after (and cutting pains during) the discharge of urine; unbearable
urging to pass water, with insufficient discharge, or predominant discharge at
night. &
Nervous System, Brain, Senses, &c. Great disinclination to physical exertion,
with general debility; feebleness and insensibility of the limbs; nervous debility;
weight and weariness of the limbs; complete stupor and apathy (attendant upon
malignant typhoid fever); very heavy sleep; jerking and snatching movements
of the hands, with low muttering, convulsed and half-opened eyes, whining, and
sometimes singing; dreams, by which the sleep is disturbed, and which leave an
impression of alarm ; much inclination to sleep during the day, or towards night,
with tardy sleep in the night, and heavy sleep towards morning ; gloomy, taciturn
ill-humor; incapability for mental application; home-sickness, with great depres-
sion of spirits; total indifference to everything; giddiness; embarrassment of the
head, as if after drinking intoxicating liquors; sounds otherwise agreeable are
unbearable; sounds from a distance, although audible, are unheard, or very
&ndistinctly heard; sounds seem to re-echo loudly in the ears.
External Surface. Boils above and behind the thighs ; Soreness or rawness
between the toes, and burning feeling in the soles of the feet, or all over the
feet; harsh, dry, puckered skin on the hands; ulcers fringed at the bottom
emitting offensive matter, flat and sluggish; swelling or sweat of the feet; large
pimples, or moist oozing eruptions, forming scabs, on the cheeks, chin, or fore-
head; crimson efflorescence on the skin; tingling, creeping sensations under the
skin; fingers and hands cold, with general shivering fits, particularly in the
evening; alternate flushing of heat and shivering fits; perspiration in the morn-
ing; profuse and habitual perspiration at night; weak, limp hair, which turns gray;
shedding of the hair; red patches on and swelling of the bridge of the nose ;
tightness of the skin of the face, with a feeling as if gum had been spread over
it, and had dried on ; pointed features, and blue rings round the eyes, which are
sunken; hollow, pale, and haggard face.
ACIDUM SULPHURICUM. 811
Breathing, Chest, &c. Weakness at the chest, and deficiency of breath, so that
the patient is unable to sustain a conversation long, or to speak loud, or feels
exhausted after speaking; cough, followed by vomiting of food, or by expectora-
tion of matter-like fluid (and attended with headache); or dry cough towards
night, and cough followed by expectoration of yellowish or whitish phlegm in the
morning; tickling, harsh sensation in the upper part of the windpipe, which ex-
cites coughing; loss of voice, or very rough, hoarse voice.
Pains. Aching pains in the stomach after eating; burning pain at the bottom
of the stomach ; aching, clawing pains in the region along the lower ribs, or
more especially in the liver (especially during the menstrual period); tearing,
jerking pains in the limbs; burning pain in the lower part of the body, which,
however, feels cold externally ; burning pain in the corners of the eyelids, or in
the eyelids generally, especially when exposed to candle-light; shooting pains in
the ears, with dragging pains in the teeth, jaws, and bones of the face; continued
headache, much aggravated by noise, or by the least disturbance; habitual aching
pain in the head in the morning; violent tearing toothache, worse in the warmth
of the bed, or upon the introduction of hot or cold fluids into the mouth; clawing,
cramp-like pains in the bowels.
Menstruation, Womb, &c. Puffing up of the womb as if inflated with air; vari-
able menstrual discharge (generally attended with suffering, and chiefly with
aching or shooting pains in the region of the liver); discharge of whites, con-
sisting of yellowish humor, with much irritation after the periodical discharge
has ceased.
Mouth, Tongue, Gums, Teeth, Throat, &c. Collection of sticky phlegm in the
mouth and on the tongue; enlargement of the tongue (so that speaking is painful);
soreness of the mouth, which smarts and feels raw when the patient attempts to
chew solid food; soreness, burning heat, and rawness of the back part of the
palate; burning sensation of the tongue, dry mouth, and biting of the tongue
during sleep; swelling and development of knotty (and painful) protuberances
in, and discharge of blood from, the gums; yellow appearance of the teeth;
smarting, soreness, and sensation of rawness in the throat in swallowing solid
food.
Nose and Eyes. Discharges of blood and matter from the nose; redness, heat,
&c., of the edges of the nostrils, with profuse flow of watery fluid (cold in the
head, cough, and burning sensations in the throat and chest) from the nose;
boring at the nose; offensive smell from the nose ; dull, depressed eyes; sensation
as if the eyeballs had not room in the sockets; stye on the eyelids, or heat,
swelling, and redness of the eyelids; great fulness of the small blood vessels in
the corners of the eyes, with red suffusion and heat of the eyes; considerable
flow of tears; glazed-looking, inanimate eyes; feeling in the eyes as if the inner
edges of the lids were cold; yellow stain on the white part of the eye.
ACIDUM SULPHURICUM.
Stomach, Bowels, and Evacuations. Heartburn, acid risings in the throat;
rising of bitter, sweetish, or saltish matters from the stomach; burning heat, or
feeling of coldness in the stomach; extreme tenderness of the region of the
stomach to the touch or to pressure; sensation of coldness attending the descent
of all fluids into the stomach, unless some cordial be mixed with them; continual
812 ACIDUM SULPHURRUUM.
urging to evacuate; chronic relaxation of the bowels; fetid, putrid stools; watery,
greenish, soft, loose motions; very large, hard, lumpy, black, and slow motions;
discharge of blood at stool; gritty, watery urine; urine forming a thin, glairy
film on standing, and depositing a sediment having the appearance of containing
blood; scalding when passing water, and scanty discharge; urine depositing a
slimy sediment.
External Surface. Spots on the skin of a red or bluish hue; sores on the skin,
attended with gangrenous ulceration; appearance of extravasations of blood;
cracked lips; considerable ruptural protrusion in the groin; cold or swollen feet;
red, hot, and itching or livid swellings (chilblains) on the fingers; bluish spots
on the lower part of the arms; numbness and insensibility of the legs; eruption
of small, red, itching spots over the hands and between the fingers; eruption
with much irritation among the hair; swelling of the veins of the legs.
Nervous System, Brain, Senses, &c. Tremulous condition of the frame; great
feeling of tremulousness, without trembling; melancholy, morose, lachrymal,
and impatient disposition; cannot do anything fast enough, and when done is not
Satisfied with the work; lassitude of the whole frame; feeling as if the brain were
undulating in the skull; obtuseness of the intellectual faculties; loss of the sense
of Smell; buzzing or humming sounds in the ears, or sounds as if there were a
distant but loud peal of bells being rung; dulness of hearing, as if something
were tied over the ears; the patient falls asleep late and wakes early ; the nervous
symptoms, in particular, are more apparent on the left side ; sensation of weight
in the legs and arms; tottering of the knees and stiffness of the ankles; great
inclination to draw up and stretch the limbs; attacks of cramp affecting the
hands.
Breathing, Chest, &c. Speaking exhausts the patient ; the open air induces fits
of coughing; difficulty of breathing; coughing which terminates in the rising of
food from the stomach; cough followed by spitting of blood; sensation of strangu-
lation in the upper part of the windpipe.
Pains. Pains of a wrenching description in all parts of the body; pains which
are suddenly suspended; forcing pains in the lower part of the belly, like those
of labor; griping, clawing pains in the bowels; sufferings generally aggravated
in the open air ; dragging pains in the back and loins; tearing, gnawing pains
in the teeth, generally relieved by warmth, and renewed or aggravated in the
open air; pains which are chiefly felt in the left side.
Mouth, Tongue, Gºlms, Teeth, Throat, &c. Aphthous vesicles in the mouth, and
very copious flow of saliva; chronic discharge of blood from the mouth; dryness
of the tongue, and sensation of great dryness throughout the mouth; the gums
are swollen, ulcerated, and readily provoked to bleed, the teeth blunted and
adhesive, and the throat rough.
Nose and Eyes. One nostril stopped up, the other discharges an abundance of
clear watery fluid ; discharges of blood from the nose, particularly occurring
towards night; cold in the head, with dry obstruction of the nose; continued
inflammation of the eyes, with burning or soreness, and watering, more particu-
larly when the sight is intently fixed; tightness and stiffness of the eyelids, with
inconvenience in attempting to open them in the morning.
Menstruation, &c. During the intervals very white, milky discharge, with
scalding and soreness; painful menstruation (attended by cutting pains down-
ACONITUM NAPELLUS, 813
wards and through the lower part of the belly, and often preceded by deranged
digestion, with disturbed, oppressive dreams at night). Excessive menstrual
discharge, occurring before the proper time and continuing too long, or discharge
of blood from the womb at other times.
ACONITUM NAPELLUS.
Pulse and Circulation. Determination of blood to the head, and to other important
parts, and violent beating of the heart (accompanied with flushing of the face;
or even general heat, lassitude of the limbs, and extreme anxiety); full, hard,
quick, and frequent pulse.
External Surface. Burning heat and dryness of the skin over the whole body; or
puffed, red, hot, or even purplish face; flush-patches on each cheek; evanescent
flushing of the face, succeeded, suddenly, by deadly pallor (especially when the
head is raised); yellow suffusion of the skin; dry, burning heat of all parts
wherein swelling is manifested; alternation of paleness, with flushing of the face,
or flushing of one cheek with pallor of the other; inflamed, burning, and red
eruptions; great, general heat, with inclination to be uncovered, and a chill and
rigor upon uncovering, or upon the least exposure ; great heat of the head and face
(with determination of blood to the head); a sensation of smarting or soreness
over the surface of the head, as if the hair were pulled ; harsh, red, and swollen
lips; the intense, dry, burning heat generally follows a violent chill and shiver-
ing fit; burning heat of the extremities of the ears, with general coldness of the
body, and local coldness of the forehead (and intense heat internally); dryness
and blackness of the lips; heat and swelling of the hands, and coldness of the feet;
sweating of the soles of the feet, with coldness of the tips of the toes; cold per-
spiration breaks out in the palms of the hands.
Stomach, Bowels, and Evacuations. Repulsiveness to food, with excessive and
insatiable thirst, bitter taste in the mouth, impregnating everything eaten or
drunk except water; great pressure, as of a weight at the pit of the stomach; dis-
tension of the stomach; the stomach acutely sensitive to the touch or to pressure;
oppression in the region of the stomach (with difficulty of breathing); sensation
of weight and fulness in the region of the liver; and tightness along the lower
ribs on both sides; vomiting of frothy, bilious, greenish, or even bloodylºmatter;
great tenderness of the belly, especially felt during motion or upon contact; burn-
ing sensation about the navel; extreme tenderness of the region of the liver;
scanty, soft motions, attended with straining; white motions, with red urine ;
suspension of evacuation from the bowels; scalding sensation in passing water,
which is scanty and of a deep color; suppression of urine; watery evacuations from
the bowels, with much uneasiness.
Breathing, Chest, &c. Short, hurried breath; sensation of suffocating tightness
at the chest ; short, dry, hacking cough, attended with expectoration of phlegm
tinged with blood, or of blood only; shortness of breath, particularly whilst
sleeping; groaning, painful, anxious breathing; continual inclination to cough,
with a sensation as if coughing would afford relief; sensation of extreme anguish,
with arrest of breath ; extreme oppression at the chest ; shortness of breath on
sitting up.
Pains. Pricking pains, or sharp local pains; acute sensitiveness, with pain
throughout the body, or of the particular part affected, when touched or moved;
814 ALUMINA.
stupefying pain in the head, with violent throbbing; aching pain in the eyes;
pressive or dragging pain at the pit of the stomach; stitching and twinging,
cutting pains in the chest, and especially in the side (excited or increased by
breathing, coughing, or motion); aching pain (with weariness) in the limbs;
aching pain in the head (with sickness at the stomach and vomiting); shooting
pains in the head, exacerbated by motion or by talking; bursting pain, affecting
the forehead and temples especially; shooting pains in various parts; burning,
pricking pains in the throat; aching pain along the lower ribs on either side;
burning and aching pain in the region of the liver (with obstruction of breath);
dragging pains in the belly, when the patient stoops; strangling pain in the
upper part of windpipe; bruised pain in all the limbs; throbbing pains in the
teeth, and shooting pains in the region of the heart; tingling, or feeling of numb-
ness in different parts.
Nervous System, Brain, Senses, &c. Intense nervous excitement, or great
debility, and proneness to fainting; mental apprehension, despondency, anguish,
and lamentation; foreboding of death; disposition to start; delirium; frequent
attacks of swimming of the head, with obscurity of sight; stupefying tightness
and oppression about the forehead, as if a band were tied tightly round it : dread
of light, and dilatation of the pupils; susceptibility to noise or smell; stiffness of
the nape of the neck, hips, and small of the back; indistinct, stammering, and
tremulous speech ; buzzing in the ears; sensation as if the brain undulated in
the skull; giddiness, with hazy sight on sitting up; extreme sensitiveness, with
vexed, irritable humor; disposition to make one's escape from bed; crying and
laughing alternately; bad effects of fright or fear.
Menstruation, &c. The menstrual discharge too copious; determination of
blood to, sometimes with discharges of blood from the womb, and yellowish,
stringy discharge of whites during the intervals.
Mouth, Tongue, Throat, Nose, &c. Dry mouth ; sore throat, with dark redness
of the parts affected, and difficulty of swallowing; the tongue coated white;
sneezing with much effort, and which shakes the whole body; discharges of blood
from the nose; pricking and burning of the tongue.
Eyes. Red and inflamed eyes, with heat and irritation; fulness, with dark and
turgid appearance of the vessels which traverse the eyes, sometimes, also, with
swelling, and generally with copious watering of the eyes; inflamed eyes from
dust, sparks, &c.
ALUMINA.
Stomach, Bowels, and Evacuations. Preference for vegetable food or fruits;
ravenous but capricious appetite, or sinking sensation, with want of food, but no
relish ; very capricious and variable appetite : aversion to animal food; habitual
and very frequent belchings: heartburn, with acrid or sour risngs; sickness at
the stomach, occurring in the morning; tenderness of the region of the liver upon
leaning forwards or stooping ; stoppage of the bowels; slow and difficult evacuations,
dependent upon want of contractile energy in the bowels; discharge of blood with and
after the evacuations: discharge of urine with the evacuations; constipation
of pregnant women ; of painters; pain in the stomach, nausea, and colic after
eating potatoes: scanty, hard evacuations at distant intervals; slimy discharge
with the evacuations; increased discharge of urine, more especially at night, ap-
pearing thick and whitish, and depositing a whitish-looking sediment: or scald-
ALUMINA. 815
ing and abundant discharge of watery urine, with great urging to pass it; or
scanty discharge, with gritty, reddish, brickdust-looking sediment.
Menstruation, &c. Painful, scanty, premature menstrual discharges, preceded
and attended with much constitutional disturbance (palpitation, flushing, in-
creased excitement of the circulation, disturbed sleep, colicky sufferings, megrim,
&c.); the menstrual discharge does not continue long enough ; acrid discharge
of whites preceding and succeeding the menstrual discharge, and producing raw-
ness and smarting of the parts.
Breathing, Chest, &c. Difficulty of breathing when sitting down; feeling of
intense tightness with oppression at the chest, particularly when leaning for-
wards, stooping, &c.; or intense weight at the chest at night; obstructed breath-
ing, with cough (and attended with strained pain in the nape of the neck and
head); cough which is more especially dry in the morning, and which is subse-
Quently relieved by resulting in the dislodgment of phlegm.
xternal Surface. Chaps on the hands, which bleed on the least touch ; oozing
erúptions, forming scabs on the lower part of the arms; chipping of the nails;
peeling of the skin from the hands, like scurf; redness and irritation of the toes,
with feeling of great heat under them ; numbness and torpor of the legs during
the night ; whitlow on the finger-ends; red and swollen nose ; coppery redness
of the face; eruption of pimples, oozing and forming scabs on the lips; cracking,
dryness, and scaling off of the skin from the lips; great scurfiness, with continual
itching of the head amongst the hair; great deficiency of natural warmth, with
predominant chilliness, coldness, and shivering towards night, and even in front
of the fire.
Nervous System, Brain, Senses, &c. Complete exhaustion or weariness, after
speaking, or after the least exercise; trembling of every part of the body; the
patient is obliged to lie down, but feels only the more weary; the least quantity
of spirituous liquor, or every attempt to smoke tobacco, produces a feeling of
giddiness and sickness at the stomach ; spinning of the head, with darkening of
sight, and generally attended with falling; there is total incapability for mental
application, or for physical exertion; the sleep is tardy, and disturbed by dream-
ing, or very heavy and stupefying ; feeling of weight in the face; continual desire
to stretch one’s self when sitting down; weight and weakness in the arms and
legs. tº
Pains. Aching pains in the loins whilst at rest; aching or tearing pains in
the teeth during mastication; shooting, darting, piercing pains in and through
the back; incisive, clawing, griping pains in the bowels, relieved by the external
application of heat; shooting pains in the liver after stooping; sore pain in the
pit of the stomach and along the lower ribs on either side, worse or especially
occurring when the patient stoops or turns in bed; bruised pain in the back and
loins; tearing pains, extending from the shoulder through the arms to the
finger-ends; griping, clawing, cramp-like pains in the bowels before and during
menstruation ; pains in the head as if some one were lugging at one’s hair; vio-
lent headaches during menstruation and pregnancy; headache, alleviated by
gently supporting the head or by lying down, and much aggravated by motion,
especially in the open air; aching pain in the head, as if it were in a vice.
Eyes, Nose, and Ears. Watering of the eyes during the day, and adhesion of
the lids during the night, with constant feeling of burning heat in the eyes;
816 AMMONIUM CARBONICUM.
coldness of the eyes; discharge of thick, yellow humor from the nose; heat,
swelling, and redness (inflammation) of the nose; complete obstruction of the
nose ; cold in the head, with stuffing of the nose at one time and flow of discharge
at another, or with obstruction of one nostril and discharge from the other;
ulceration of the nostrils, and acid smell in the nose; gnawing scabs in the nose;
discharge of blood from the nose; redness, with heat of one ear from time to
time towards night; sensation of great heat, with irritation in the ears; matter-
like discharge from the ears.
Mouth, Tongue, Gums, Throat, &c. Soreness (like rawness) of the whole of the
interior of the mouth; ulceration of the gums; very offensive smell from the
mouth ; minute sores in the mouth, blood-stained phlegm in the mouth, or readily
bleeding and swollen gums; the tongue covered with a yellowish coating; feeling
as if the teeth were too long; the throat dry and the tonsils swollen; soreness of
the throat, relieved by warm fluids, and always worse towards night and during
the early part of the night; thick, sticky phlegm in the throat, which it is diffi-
cult to detach ; sensation as if the throat were contracted, when swallowing even
a small morsel of food; — it is felt until it enters into the stomach.
AMMONIUM CARBONICUM.
External Surface. General loss of flesh ; bright-red efflorescence on the skin;
habitual, fine, grain-like eruptions on the skin; small glandular protuberances
in various parts; soreness of the skin in parts which come in contact, as between
the thighs and buttocks; local itching of particular parts, which the patient
scratches violently, and by which an eruption of pimples or blisters, with burn-
ing heat, is developed; free perspiration in the latter part of the night; sweating
of the feet; attacks of chilliness in the evening; unhealthy, pallid complexion ; loss
of the hair; irritation and soreness of the skin amongst the hair; enlargement of
the glands of the neck and armpits; peeling off of the skin on the hands; swell-
ing of the hands when the arms are hung downwards; swelling of the joints of
the fingers; swelling in the groin, as if puffed up with air; bleeding, cracked,
dry lips, with burning heat; itching eruptions on the face; inflammatory boils
on the face; scaly eruptions, with peeling off of the skin from the chin, the corners
of the mouth (especially), or from the cheeks.
Nervous System, Brain, Senses, &c. Debilitated condition of the intellectual
faculties; attacks of nightmare on falling asleep; sprained feeling in the joints;
general debility; aversion to physical exertion (which is generally attended or
followed by palpitation of the heart); sleeplessness at night, or constant drowsi-
ness; general sensation of weakness, with anxiety; appearance of black spots or
bright rays before the eyes; roaring and ringing sounds in the ears; fatigue and
weariness of the legs; numbness and stiffness of the arms and fingers; cramps in
the feet; hardness of hearing; unmanageable disposition, and complete disgust
at existence; the nervous symptoms (as well as others) predominantly affect the
right side; giddiness (with sickness at the stomach), especially when sitting still
and reading ; objects appear multiplied to the sight; cramps in the fingers.
Stomach, Bowels, and Evacuations. Metallic taste in the mouth ; aversion to
milk, and desire for sweet things; the patient cannot eat without drinking first :
bitter taste in the mouth the first thing in the morning; acrid risings, with harsh
sensation in the throat after eating; extreme tenderness of the pit of the stbmach,
AMMONIUM CARBONICUM. 817
with sickness and sensation of repletion after eating ; sensation of intense heat in
the stomach; sensation of fulness, weight, and burning in the region of the liver;
small, detached, hard, and difficult evacuations, with habitual costiveness; or
slimy, relaxed, or soft motions; or, again, and generally, discharge of blood at
and after stool, and bleeding piles, with soreness and smarting in the orifice;
gritty, whitish urine; discharge of blood, with the urine or without the urine,
from the passage; the discharge of urine takes place chiefly or more abundantly
during the night, or there may be a continual want to pass water with insufficient
discharge.
Womb, Menstruation, &c. Acrid and black discharge of blood at the menstrual
period; menstruation painful, preceded and attended with much disturbance
(depression of spirits, toothache, pressive and tugging pains, pressive pains in
the loins, and griping in the bowels, chilliness, pallid complexion, and continual
inclination to lie down); excessive menstrual discharge, occurring before the
proper time; scalding, acrid, and irritating discharge of whites during the inter-
vals; Soreness, burning sensation, swelling and great irritation of the parts ex-
ternally.
Chest, Breathing, &c. Habitual cough, recurring at particular periods of the
day, such as the morning (very early); short, stified cough, with asthmatic, im-
peded breathing; weight and pressure at the chest, with determination of blood
to that part; extreme shortness of breath on ascending stairs; harsh, rough,
hoarse voice; tightness and oppression at the chest, with cough, particularly at
night ; coughing induces spitting of blood; or fits of coughing, followed by
Spitting of mingled blood and phlegm ; cough, with tickling sensation, and fol-
lowed by dislodgment of phlegm.
Pains. Stitching pains at the heart; shooting pains in the outer surface of
the chest; aching, weary pain in the thighs, &c., relieved by exercise, and most
felt before rising in the morning; pain in the great toe at night, especially felt
upon moving it; clawing, cramp-like pains in the pit of the stomach, especially
felt in stretching one’s self; pulling and pressive pains in the lower part of the
belly, and aching pains in the loins (before and during the menstrual period),
or violent pains in the teeth (during the menstrual period); aching pains in the
teeth, when closely approximated, or when cold air is inhaled through them, or
at night upon first lying down; burning pains in the eyes in the morning, and
also in the evening; hammering, bursting headache, chiefly in the forehead; severe
pain in the head, chiefly felt when pressed or moved; or darting pains deep in
the brain.
Nose, Mouth, Teeth, Gums, Throat, &c. Discharges of blood from the nose,
especially upon the application of cold water, in the morning, or after eating, and
extreme tenderness of the nostrils; sensation of weight, as if from rush of blood
to the nose when stooping; eruption of small blisters in the mouth and on the
tongue ; feeling, in the interior of the mouth, as if swollen, with heat, redness,
and soreness; the mouth particularly dry at night; the teeth habitually loose,
and feeling too long; the gums swollen, red, hot, and sometimes suppurating;
the gums bleed on the least touch ; the tonsils are swollen, and the throat is
sore, especially in the morning, and towards night; sensation as if a hard sub-
stance were lodged in the throat.
52
818 AMIMONIUM MURIATICUM.
AMMONIUM MURIATICUM.
Nervous System, Brain, Senses, &c. Excessive depression and melancholy, with
disposition to weep; excessive and general weakness, with incapability of muscu-
lar exertion, especially affecting the legs and feet, and sometimes attended with
swimming in the head; peculiar repugnance conceived against particular persons;
swimming of the head, with haziness of sight; generally alleviated by the open
air; obtuseness of hearing, with buzzing in the ears; the weakness and other
Symptoms principally affect the right side ; great reluctance to exertion, and drow-
siness during the day, or towards evening; stiff neck (painful when moved);
shortening of the tendons behind the thigh, or stiffness of the knee; heaviness,
stiffness, and debility of the arms.
Breathing, Chest, &c. Difficult breathing during the night, or in the open air,
with sensation of weight and oppression at the chest ; impeded breathing, on
raising or extending the arms; roughness or weakness of voice, with sensation
of great heat in the upper part of the windpipe ; drawing a deep breath, particu-
larly when resting on the right side, induces a fit of coughing; coughing renewed
or aggravated by drinking cold fluids, lying with the head too low, or after every
meal; shaking cough, when the patient lies on the back, more especially towards
night, or during the night.
Menstruation, Womb, &c. Excessive and premature menstrual discharge at-
tended with much suffering (sometimes with relaxation of the bowels and vom-
iting, or with discharge of blood when at stool, and generally attended with
dragging, squeezing pains in the back, and aching, dragging pains in the loins);
discharge of whites during the interval between the periods, transparent and
gelatinous (and attended by clawing pains about the navel and flatulent disten-
sion of the belly).
Stomach, Bowels, and Evacuations, Rising of the food, mingled with sour or
bitter matter, or partial eructations, with bitter taste; flatulent distension of the
bowels; costiveness, with hard motions; or relaxation of the bowels, with greenish,
slimy discharge; deep-colored but clear urine, with increased discharge, espe-
cially at night, and depositing no sediment.
External Surface. Scaling off of the skin in various parts, especially between
the fingers; habitual coldness of the feet; eruptions of small vesicles, which end
in the deposit of a dry scurf; puckered, cracked, dry, sore, and burning lips;
puffing of the face, with general heat (and much thirst); tenderness of the nose,
which is swollen, to the touch; swelling (with painful throbbing) of the glands
beneath the jaw ; eruption of vesicles which ooze and form incrustations on the
wrists; the wrists become swollen; offensive sweat on the feet; swelling (with sore
pain, especially when touched) in the groin.
Pains. Shooting pains issuing from the ears; aching, weary pains in the loins
and lower extremities; strained and weary pain outside the chest; pain, with
stiffness in the loins (felt during motion) so that the patient cannot walk upright;
sharp, tugging pains in the collar-bone and neck, on either side; disjointed pain
in the wrists; shooting pains in the calves of the legs, especially or only felt after
much walking exercise; tugging pains as it were in the bones of the legs, at
night; gnawing, dragging, or burning pains in the stomach; pulling pains in the
bones of the face, and in the teeth.
ANTIMONIUM CRUDUM. 819
Nose, Mouth, Gums, and Throat. Stuffing of the nose, with cold in the head,
oozing of blood and incrustations in the nostrils; discharge of acrid, clear fluid
from the nose; accumulation of sticky phlegm in the throat, particularly observa-
ble in the morning; eruption of small vesicles, with burning sensation at the tip
of the tongue, or sometimes in the cavity of the mouth, generally; very unhealthy
condition of the gums, which are puffed and sometimes ulcerated, and either
livid, or of an ash-color.
Ears and Eyes. Discharge of matter or humor from the ears, or eruption of
gnawing vesicles in the interior of the ear; throbbing in the eyelids; the eyes
tender of light, and affected with a burning sensation, especially in the morning,
or towards night; burning sensation in the corners of the eyes.
ANTIMONIUM CRUDUM.
Stomach, Bowels, and Evacuations. Wausea, sometimes attended with vomiting
of bile or mucus; frequent eructations tasting of the food; absence of appetite,
oppression at the stomach; rising of watery fluid, or of acrid matters, into the
mouth ; sickness at the stomach after wine-drinking; predominance of thirst at
night; sensation in the stomach as if overloaded; great accumulation of flatulency
in the bowels; rumbling and bubbling of wind in the intestines; complete repug-
nance to all food; hard and difficult motions, with urging; discharge of yellow
mucus from the bowels; discharge of urine when coughing ; bright-yellow or
pale, watery urine, or brownish-red urine, depositing a deep-colored sediment;
continual flow of slime from the urinary passage, and frequent and copious dis-
charge of urine; continual desire to pass water, with insufficient discharge.
External Surface. Dropsical swellings; pimply eruptions on the skin, akin to
that of chicken-pox; tumors and blisters on the skin, such as are produced by
the sting or bite of insects; spots on the skin; freckles; hard and horny excres-
cences, such as warts; perspiration at night and in the morning, especially every
other day ; soreness of the corners of the mouth, and about the nostrils; frequent
appearance of pustules on the face, particularly on the chin, followed by casting
of yellow scabs; general dropsical swellings of the whole body: sometimes un-
healthy and general deposition of fat; unhealthy degeneration of the skin; itching
and heat in the cheeks; bright-yellow, grain-like eruptions on the face; swelling
and redness of the heel; great tenderness of the soles of the feet if walking over
a hard surface; horny growth under the toe-nails (especially the nails of the
great toes).
Pulse and Circulation. Variable condition of the pulse, chiefly slower or
quicker than in the state of health ; determination of blood to the head.
Nervous System, Brain, Senses, &c. General loss of strength, and sensation of
lassitude, more particularly felt upon waking during the night; lethargic heavy
sleep, with low delirium ; heavy sleepiness towards night and in the morning, or
also during the day; impulses to self-destruction, and very fretful, irritable humor;
dulness of hearing, as if the orifice of the ears were obstructed; loss of sight; ex-
treme tenderness to the daylight; the lower extremities become numbed after
retaining the sitting posture for some time; swimming and confusion of the head
(with a sensation as if the patient had overstrained his intellectual faculties, or
as if he had a violent cold in the head, and attended with sickness at the stomach);
sudden falling, with loss of sense and motion, and with accumulation of frothy
spittle in the mouth ; gritting of the teeth whilst sitting or sleeping.
820 ANTIMONIUM TARTARIGUM.
Pains. Severe pains which traverse the forehead and temples; aching pain in
the crown of the head, as if in the bone; obtuse aching pain across the top of the
head and the upper part of the forehead; very severe cutting pains in the bowels;
clawing, contracting pain at the pit of the stomach ; shooting pains in the eyes
and ears; jerking pains in the teeth after eating, and at night in bed; aching,
pricking, tugging, or gnawing pains in the hollow teeth, relieved in the open air,
but renewed or aggravated every time cold water is introduced into the mouth,
or after every meal; pain in the region of the stomach, on pressure or contact;
pain in the stomach after eating, as if one had eaten too much ; burning pain in
the pit of the stomach ; bruised pains in the chest, when the arms are raised or
extended; aching, gouty pains in the arms or joints of the finger; shooting pains
in the skin and knee-joint; burning pain in the corns, or pain as if they were
exposed to severe pressure; dragging or very violent pains in the legs and thigh-
joints.
Nose, Eyes, Mouth, Tongue, Teeth, and Gums. Cracking and scurfiness of the
nostrils; the corners of the nostrils as well as the interior are sore ; collecting
of yellowish, thick humor in the nose; complete obstruction of the nose, or great
dryness of the nostrils, particularly in the open air; discharges of blood from the
nose, more particularly towards night; collection of secreted mucus, &c., in the
corners of the eyes; adhesion of the lids at night, with irritation and inflamma-
tion of the eyes; redness, heat, and swelling of the eyelids; collection of limpid
fluid in the mouth, or copious flow of saliva, or, on the other hand, great dryness
of the mouth; collection of sticky phlegm in the throat, with harshness and dry-
ness; the margins of the tongue feel sore; sensation of a foreign body in the
throat, with soreness and difficulty of swallowing; white-coated tongue, or eruption
of vesicles on the tongue; the gums retracted from the teeth; discharge of blood
from the teeth and gums; the lips very dry, or cracked, or exhibiting an eruption
of pimples.
Ears. Swelling, with heat and redness inside the ears.
ANTIMONIUM TARTARICUM.
Breathing, Chest, &c. Short, difficult, and impeded breathing, or paroxysms
of actual suspension of breath, amounting almost to absolute suffocation, and
occurring more especially towards night or in the morning, when in a recumbent
position; sensation of heat rising from the region of the heart, with extreme op-
pression at the chest and anxiety; noisy, rattling breath, with copious accumulation
of phlegm on the chest; very hurried, anxious, and difficult breathing; cough, which
results in vomiting of the contents of the stomach, and occurs after eating; cough, com-
ing on by fits, of such violence as to terminate almost in suffocation; (sweating
of the forehead and hands, and heat of the latter during a fit of coughing;)
hollow-sounding and rattling cough ; fits of coughing, coming on in the latter
part of the night, and attended with much detachment of phlegm, great hoarse-
ness; heat, with oppression at the chest; cough, with great muscular effort from
the region of the stomach, and often followed by aching, weariness, and prostra-
tion, as if from excessive exertion.
Stomach, Bowels, and Evacuations. Heat and oppression in the stomach ; con-
siderable vomiting, with excessive muscular exertion and straining in heaving ; the
substance vomited has an acid or bitter taste; the bowels are much relaxed, and
ANTIMONIUM TARTARICUM. 821
the diarrhoea is characterized by an extreme sense of exhaustion which attends
it ; the vomiting and purging are sometimes simultaneous, or in other cases there
is violent retching or effort to vomit (with sinking in the legs, profuse perspira-
tion on the forehead, and abundant flow of water in the mouth); sour, acrid
risings; vomiting and purging of mucus, or of frothy or slimy matters; intense
pressure at the pit of the stomach, with continual sickness at the stomach, and
desire to vomit, alleviated by the expulsion of flatulency; sensation of intense
weight at the stomach, and at the pit of the stomach, after every meal, as if one had
eaten too much ; great development of flatulency, with much rumbling and bubbling
in the intestines; sensation of constant discomfort about the region of the stomach
and bowels, which induces the patient to stretch himself backwards, and to lie down;
pap-like, or slimy, watery, bloodstained, or pale-brown, or even yellow evacuations;
alternation of costiveness and relaxation; very painful discharge of urine, in a
great quantity, but in a small jet (attended with pressure or cutting pain in
the bladder), accompanied with burning, scalding, and drawing sensations in
the passage, and between the thighs, and becoming bloodstained as the discharge
is nearly effected ; cloudy, dark-brown, or very red urine, the latter depositing
blood-colored, thready matter, after standing; frequent urging to pass water
during the night, the discharge, however, being insufficient (and attended with
intense thirst).
External Surface. Pustular eruptions on the skin, the pimples being surrounded
by a red base (of inflammatory appearance), suppurating, becoming depressed
in the centre, oozing or forming incrustations, and subsequently leaving a pit on
the surface, especially if disturbed; oozing and scabby eruptions of various kinds;
perspiration breaks out on the affected parts; coldness and shivering predomi-
nate over heat; or, on the other hand, there is sometimes burning heat of the
entire frame; heat, especially at night, attended with excessive perspirations,
occurring in repeated and quick succession; the perspiration is often cold;
anxious expression of countenance, with haggard, pallid face, or puffed and
crimson face; fine grain-like eruptions on the skin, and particularly on the arms
and nape of the neck; hardness and numbness, or intense coldness of the ex-
tremities of the fingers; the feet cold ; flea-bite-looking, red spots on the hands
in particular; dark-yellow stains on the fingers.
Nervous System, Brain, Senses, &c. Continued tremulous state of the head;
the eyes are characterized by a sensation of being tired, or worn out by labor; there
is an inclination to close the eyes, as it were, for relief; great desire to sleep in the
daytime, or deep, lethargic, drowsy sleep; sleep easily disturbed, with abundance
of light or fanciful dreaming; tremulous state of the limbs, with screams and
fixed look during sleep; sensation upon waking as if the sleep had not been suf-
ficient; jerkings of the body, or of particular limbs during sleep; twitches of the
muscles; extreme languor and weakness, and sometimes habitual fainting fits;
tremulous state of all the limbs; great reluctance to exertion, and sensation of
weight in the limbs; continual desire to be carried in children; sensation of
weight in the head, especially at the back; numbed, stupefied, and embarrassed
sensation in the "head, with obtuseness of the senses, and confusion of ideas; fre-
quent talking in the sleep ; the feet are benumbed upon sitting down; convulsive
twitching in the muscles of the face.
Pains. Tearing and dragging pains in the limbs; aching pain in the head
822 APIS MELLIFICA.
(with giddiness and palpitation of the heart); digging, dragging, or tearing pain
in the head ; throbbing pain in one side of the head; darting pains in the head,
piercing to the eyes (which the patient closes for relief); aching pain in one side
of the head; pain, with sensation of compression in the brain ; violent toothache
in the morning; bruised pain in the eyeball, especially felt on pressure ; darting,
shooting pain, with feeling of intense heat in the inner corners of the eyes;
aching pains in the eyes; severe throbbing pain, or shooting pain in the pit and
region of the stomach; cramp-like, spasmodic pains in the bowels; aching pain
in the left side of the chest ; or sore pain, occurring now and then in the chest,
or only in the left side; aching pain in the back, or in the back and loins, when
sitting down; aching pains in the legs and hips, or tearing pains down the arms to
the hands.
Nose, Eyes, Mouth, and Tongue. Cold in the head, with copious, watery dis-
charge; loss of taste, and of the sense of smell; shivering fits and continual
sneezing; watery eyes; parched, peeling, and cracked lips; brown-coated, or
moist, clean tongue, and abundant flow of spittle in the mouth.
APIS MELLIFICA.
Stomach, Bowels, and Evacuations. Great sensitiveness to touch and pressure
in the region of the stomach, with violent pain in the stomach; burning pain in
the stomach; vomiting of bile and mucus, and accompanied with loose evacuations
from the bowels; evacuations of yellowish-green mucus, occurring particularly
in the morning; or which have a very offensive odor: evacuations accompanied
with or succeeded by a discharge of blood, with straining and burning in the
orifice; scanty evacuations of highly-colored urine, with pain and burning, or
burning, smarting, and stinging in the urethra during or after the passage of
urine; profuse discharge of watery, colorless urine; piles, with stinging pains in
them. --
External Surface. Cold swellings in various parts of the body, of a bluish hue,
with stinging or pricking pains; swelling of the lower lip, as though occurring
from the sting of an insect, with stinging or pricking pains; sudden, acute swell-
ings; nettle rash or hives, with great burning, itching, and stinging; styes upon
the eyelids; carbuncles, boils, felons, all characterized by burning and stinging
pains; erysipelatous inflammation of various parts, appearing like the effects of
stings of insects; sensation of soreness below the ribs, or over the ribs; burning,
stinging heat in the face, which is of a purple color; erysipelas, or swelling of the
face; redness and swelling of the ears; swelling of the eyelids; dropsical swell-
ings of various parts, with scanty emissions of urine; hands bluish, and inclined
to be cold; cold legs; swelling of the feet, ankles, and legs.
Nervous System, Brain, Senses, &c. Restlessness, and constant changing of
position; delirium; great awkwardness; giddiness, when sitting, standing, lying,
or when closing the eyes, with nausea and headache; congestion of blood to the
head, arising after suppression of the monthly flow ; the brain feels as if
tired; water in the head, of children, characterized by the following conditions:
copious sweat about the head, torpid condition of the system, delirium interrupted
by sudden, shrill cries, boring of the head deep into the pillow, squinting,
grinding of the teeth, scanty urine, twitching of the limbs on one side of the
body, while the other side is paralyzed; twitching of the eyeballs; intense dread
ARNICA MONTANA. 823
of light, in consequence of inflammation of the eyes; great feeling of being tired,
as if some hard work had been done; sleep disturbed by many dreams; awakens
from sleep with a shrill shriek.
Breathing, &c. Hoarseness and huskiness of voice, particularly in the morning;
shortness of breathing, with oppression at the chest, particularly on ascending a
height; inability to remain in a close or warm room, in consequence of shortness
of breath ; sensation within the chest of soreness, as if from a bruise; cough after
lying down and sleeping.
Pulse and Circulation. The pulse is full and rapid, or small and tremulous, or
intermittent; chilliness coming on towards evening, or chilliness excited by the
least movement, with heat of the face and hands at the same time; perspiration,
alternately with dryness of the skin.
Menstruation, Womb, &c. Dropsical swellings of the ovaries, particularly of
the right, with sharp, cutting, stinging pains in the affected ovary, which are
worse during the menstrual flow ; the monthly flow is either suppressed, or very
much diminished in quantity, this condition being accompanied by fulness and
congestion of the head; feeling of pressure downwards in the womb ; dropsical
enlargement of the womb.
Mouth, Gums, Teeth, and Throat. Swelling of the lips, particularly the upper
lip; dry, swollen, inflamed tongue, with inability to swallow ; white, dry tongue
(accompanying attacks of diarrhoea); offensive odor of the breath, accompanying
attacks of headache; accumulation of tough and frothy spittle in the mouth ; the
throat is dry, without thirst; burning and stinging sensation in the throat;
inflammation of the throat, with swelling, redness, and stinging pains; ulcerated
sore-throat, especially in scarlet fever, when the eruption does not come out ;
diphtheritic sore-throat, with stinging pains.
ARNICA MONTANA.
External Surface. Hot, hard, red, and shining swelling of the affected parts,
the lower extremities of the body cold, whilst the upper parts are hot; irritation, itching
and tenderness of the head; crawling, stinging sensations in the face and scalp,
and smarting in the lips; crawling sensation of chill, as if cold water were run-
ning down the body, and with shivering, especially towards night; intense feverish
heat in some cases preceding the shivering fits (and attended with considerable
thirst); fits of shivering, especially on the least exposure to the air, but with
great heat (and often characterized by aching pains in the limbs and back);
much swelling (with considerable suffering) of the glands of the neck and beneath
the jaw; glossy, red, hard, and hot swelling of one cheek (further characterized
by pulsating pain); hollow, haggard, drawn, and pallid face, or heat and flush-
ing of the face only; enlargement and hardness of the belly; swelling of the veins
of the hands; colorless swelling of the knee; tightness of the skin over the knee ;
red, hot, and glossy (painful) swelling of the feet and of the great toes, and
tingling, pricking, or crawling sensations in the feet.
Pains. Pains as of a bruise or sore about the parts affected; crawling and stinging
pains in different parts; pains akin to those produced by a blow or contusion; lacer-
ating and sudden twinging pains in the head; stinging, crawling pains in the
face, or throbbing pain (in the swollen cheek); stinging pains in the gums, and
smarting pains in the lips; sudden stitching pains, especially in the sides and
824 ARNICA MONTANA.
chest when walking; stitches and other shooting pains about the heart (with
unaccountable fits of fainting); aching pain in the head, chiefly in the forehead;
shooting pains, especially through the temples; dull, heavy, or sometimes violent
pains in the head, re-induced or aggravated by motion and by eating: sore,
darting pain in the eyes; aching pain in the head, above one eye (in some cases
attended with vomiting of greenish matter); aching pain in the back (or through
the back); and pain upon expanding the chest, such that the shoulders are drawn
together forwards; aching pains in the teeth, with sore, crawling pains in the
gums ; shooting pains in the pit of the stomach; cramp-like, contractive pain in
the stomach ; bruised pain in the chest, especially towards the shoulders (or in the
muscular part of the breast on either side); shooting pains behind and through
the ears; or tugging and severe pains; or, again, bruised pains in the ears.
Pulse and Circulation. The pulse is unusually full and strong, and there is
often very violent beating and agitation of the heart, with predominant determi-
nation of blood to the head, or perhaps, also to the chest.
Nervous System, Brain, Senses, &c. Pressure about the forehead and temples,
as if the forehead were violently squeezed; a dread of raising the brow for fear
of pain being caused or aggravated thereby ; the teeth are on edge, as if they had
been jarred or loosened by a violent blow ; unaccountable fainting fits (with
sudden shooting pains about the heart); the fingers are devoid of strength for
the grasp ; the knees fail, totter and yield when walking ; or the joints, both of
the hips and knees, are affected with a paralytic deficiency of strength ; the taste
is clammy, or putrid; the eyes protrude, and are only in part closed; the sight
is misty and darkened; the pupils are strikingly contracted; the expression is
anxious and intent; the hearing is obtuse, or buzzing, humming sounds are heard
in the ears; giddiness, often attended with sickness at the stomach; the lower
jaw hangs down from paralysis of the muscles, or the jaws are clenched.
Stomach, Bowels, and Evacuations. Loathsome eructations; bitter or putrid
flatulent risings; sickness at the stomach, with utter loathing of food; violent
effort to vomit, or sudden vomiting of food mingled with blood; vomiting of clotted
blood ; scanty but frequent motions; discharge of undigested substances in the
evacuations; spontaneous, or even involuntary evacuations, – sometimes also
constipation; discharge of dark, brownish urine, with thick, reddish sediment;
discharge of blood with the urine, or of bright-red blood instead of urine, some-
times attended with discharge of dark clots of coagulated blood.
Womb, Menstruation, &c. Discharge of bright-red blood subsequently to pre-
mature delivery; the same discharge, especially when aggravated by motion,
exertion, mental excitement, or sudden revulsion of posture; discharge of pure
blood from the womb during the intervals between the menstrual periods.
Breathing, Chest, &c. Excessive offensiveness of the breath; anxious, oppressed,
impeded, and hurried breathing ; sensation of weight and tightness, or of extreme
fulness, of the chest ; Spitting of black, clotted blood without coughing; fits of
coughing after crying or sobbing (in children); cough as if from an effort to expel
phlegm, but with great difficulty in effecting this; (coughing induces a sensation as
if the chest were bruised, and darting pains in the head;) short, dry cough, or
cough followed by spitting of blood or oozing of blood, either bright and clear, or
mingled with clots and phlegm, or with froth ; cough whilst sleeping.
Mouth, Tongue, Teeth, Throat, and Nose. The mouth excessively dry ; the lips
ARSENICUM ALBUM. 825
hot, swollen, and cracked; the gums sore, and the teeth feeling as if too long;
the tongue thickly covered with a white coating, or very dry, and sometimes also
bright-red; irritation and soreness of the tongue; burning, acrid sensation in the
throat, or accumulation of bitter phlegm, or sensation as if a hard body were in
the throat; active discharge of blood from the nose: swelling of the nose, with
or without extravasation of blood, or with glossy redness, heat, and tingling;
dry, burning heat in the nostrils, or even ulceration of the interior of the nose.
Eyes. Soreness and smarting in the eyelids; swelling and redness or bluish
hue of the eyelids, and redness and heat of the eyes; the eyes bloodshot ; sensa-
tion as if the eyelids were stiff as well as sore; dulness or prominence of the
eyes.
ARSENICUM ALBUM.
Stomach, Bowels, and Evacuations. Excessive loathing and sickness at the
stomach, great thirst, but without being able to drink more than a few drops at a time;
vomiting of food, blood, or of dark substances, or of frothy, slimy, yellowish, or
greenish matters; constant and empty eructations; after eating or drinking the
patient is unable to sit up or to sustain an erect position, the nausea being ex-
cessive, and the attendant exhaustion unbearable; repeated attacks of violent
hiccough, especially during the night; rising of sour matter from the stomach ;
(drinking is followed by shivering;) craving after acids, cold water, or brandy;
vomiting sets in violently after partaking of the least food; cold water sets
heavily upon the stomach after drinking, with feeling of coldness in the stomach;
excessive sensibility and tenderness of the stomach, with intense heat and burn-
ing sensation; scalding and watery diarrhoea (with spasmodic colic), and with
ineffectual straining to evacuate ; burning sensation in the orifice ; violent purg-
ing (with the vomiting); coldness or intense burning sensation in the bowels; exces-
sive looseness, especially at night, with extreme prostration of strength, and
discharge of very offensive frothy, slimy, yellowish, greenish, brown, or even
black matters; suppressed discharge of urine, or discharge of urine mingled with
blood, and attended with excruciating scalding of the passage; the bowels are
apparently gathered up into knots by cramp; whitish and loose discharge from
the bowels, containing undigested matters, and very painful; scanty discharge
of urine, with slimy or gelatinous sediment.
External Surface. General chill (with extreme prostration); dropsical swell-
ings of various parts, with burning sensation in them; rapid and general loss of
strength, with exhausting sweats; trembling over the whole body, or of any par-
ticular part, upon attempting to move or exert it ; attacks of chill and shivering,
especially after drinking, or even in bed during the night, or chiefly in the open
air; fits of shivering in the morning and towards night, with feeble flushing of
heat (and with uncontrollable agitation and restlessness, and burning thirst); coldness
of the entire surface, with cold, clammy perspiration; very frequent fits of
sweating, very profuse and exhausting, and occurring chiefly upon falling asleep,
or generally during the night; reddish, brownish, or even blackish spots or stains
upon the skin; eruption of pimples, discharging blood or thin corrosive humor;
or eruption of large, angry-looking pimples, which, upon breaking, form scabs,
these scabs being subsequently cast, and leaving angry ulcers on the surface;
harsh dryness of the skin; skin cold and livid; a bluish hue about the extremities
and the nails, and also below the eyes and around the mouth ; eruptions and
826 ARSENICUM ALBUM.
ulcers of a burning character upon the skin; dry, mealy, or moist and oozing,
often gnawing and itching eruptions, characterized by a burning sensation at
night; horny-looking, fissured ulcers throwing up unwholesome excrescences;
enlargement of the belly (from swelling of the glands of the mesentery), or drop-
sical swelling of the belly; ulcers characterized by an angry, gangrenous appear-
ance, with burning sensations; eruptions offering the appearance of nettle-rash;
cold, parchment-like skin; ulcers discharging a thin corrosive matter, and affected
with a burning sensation; oozing eruption with continual gnawing, burning sen-
sations, and forming scabs upon the scalp; cadaverous countenance; swelling and
ulceration of the glands of the neck and beneath the lower jaw; red or purplish,
or livid and bloated face; swelling of the face, especially under the eyes; wax-like,
leaden, grayish, clayey, yellowish, or even greenish complexion; ulcers on the
face, forming and casting scabs, and having a tendency to spread and to assume
a gangrenous character; distortion of the features often very distressing ;
blackish, fissured, scaly, dry, or ulcerated lips; excessive inflation of the stomach
and bowels; sensation of scalding wnder the skin, as if some boiling fluid were
running there; extreme tenderness of the scalp.
Pulse and Circulation. Very frequent, quick, small, and feeble pulse; or flut-
tering, evanescent, and sinking pulse; or small, darting, pointed, contracted
pulse; or irregular and very feeble, or scarcely perceptible pulse; violent and
oppressive, or irregular beating of the heart, sometimes by snatches, with short,
contracted movement. *.
Nervous System, Brain, Senses, &c. Extreme restlessness at night, with repeated
tossing, and desire to change the position for relief; excessive anguish (with bodily
suffering), especially at night; spasmodic grinding of the teeth ; tremulous con-
dition of the tongue; general trembling, with extreme and sudden prostration of
strength, and indescribable depression, or sometimes total indifference to one’s con-
dition; the lower jaw hangs down as if paralyzed : violent cramps and spasms
in various parts, especially in the lower extremities, bowels, and stomach, some-
times extending to the chest and heart (as indicated by the interruption of breath-
ing, and the irregular, contracted action of the heart); drowsy lethargy, without
sleep, and with catching or jerking of the limbs; heaviness, confusion, and weak-
ness of the brain; fainting-fits, preceded by extreme anguish, anxiety, and agita-
tion; extreme impatience, and inclination to find fault; the patient dreads to be
alone, yet loathes those who are attending him ; extreme apprehension of disso-
lution; disturbance of conscience; low, muttering delirium; the human voice is
very imperfectly heard, other sounds sometimes acutely, or the hearing is gene-
rally dull, sometimes quite wanting; constant bitterness of taste; extreme ten-
derness of light, with weakness and dimness of sight; spasmodic closing of the
eyelids; violent cramps in the calves of the legs; great fatigue of the legs and
feet; hurried and precipitate articulation.
Chest, Breathing, &c. Attacks of extreme oppression, amounting almost to
suffocation; short, difficult, impeded, anxious, hurried, and groaning respiration;
cough during the night, with expectoration of bloodstained phlegm ; sensation
of extreme dryness, parching, burning, and tightness (as if strangled) in the
opening of the windpipe; dry, short, hacking cough, as soon as the patient lies
down at night; extreme tightness of the chest; accumulation of viscid, stringy,
sticky phlegm in the windpipe ; suffocative catarrh; paralysis of the lungs.
AURUM METALLICUM. 827
Periodicity. The fever-fits, in remittent or intermittent diseases, have a tend-
ency to return, or to become aggravated about sunrise or sunset, at intervals of
forty-eight or seventy-two hours. In remittent fevers, the interval affords a very
imperfect subsidence of the symptoms, and there is usually a low, drowsy, motion-
less, or prostrate condition, sometimes complete stupor. In all cases, whether
remittent or intermittent, the intervals are characterized by extreme weakness.
Pains. The pains are relieved by moving the part affected; paroxysms of pain
(with coldness, anxiety, loss of strength, or complete prostration); burning pains
in the extremities, stomach, bowels, head or other parts; cramp-like, clawing,
and insupportable pains in the stomach and bowels; pains at night, which become
perfectly insupportable; aggravation of the sufferings on first rising in the morn-
ing, or upon lying down at night, or more especially when lying on the affected
part; intolerable aching, burning pain across the forehead; aggravation of the
pains in the head by eating, or at different periods; burning, aching pains in
the eyes; intolerable cutting, clawing, griping, or burning pains in the bowels;
excessive pain (with cramps) in the calves of the legs; sore and burning pains in
the knee-joints; intolerable wrenching pains in all the teeth; very keen, drawing
pains extending from the hips to the groins, thighs, knees, and even ankles.
Mouth, Tongue, Throat, Gums, Teeth, and Nose. The mouth is parched and
intensely dry, and emits an offensive odor; collection of greenish or grayish
phlegm in the mouth and throat; eruption of angry ulcerative vesicles in the
mouth ; the tongue is completely dry, parched, blackish, fissured, and ulcerated,
or of a whitish or bluish color, tremulous (sometimes quite cold at the tip), or
sometimes unnaturally and brightly red; the throat is intensely dry, hot, inflamed,
and sometimes bright-red or purple, usually ulcerated; the gums are swollen, and
bleed on the least touch or without apparent provocation; the lips are dry,
cracked, and blackish or ulcerated ; the teeth loosened; and the nose discharges
a scalding, corrosive, and thin fluid, with stuffing and burning heat in the cavity
about the bridge of the nose; dry feeling of the nose; or swelling of the nose,
with copious and continued discharge of blood.
Eyes. Dimness and watery swelling of the eyes; yellowish suffusion of the
white of the eye; ulceration of the anterior transparent portion of the globe of
the eye; heat, redness, and swelling of the eyelids, with glossy appearance of the
margins; adhesion of the eyelids, with exudation of sticky humor; redness of the
white of the eyes, with burning heat, and redness, with heat of the internal sur-
face of the eyelids; flow of scalding, corrosive tears, which induce soreness of the
skin where they moisten it.
Menstruation. The menstrual discharge occurs before the proper time, and
in great excess, and there is corrosive, acrid discharge of whites during the
intervals.
AURUM METALLICUM.
External Surface. Sensation of coldness over the head, as if cold air were
blowing on it when uncovered ; red, scaly eruption on the nose, and over the
eyebrows or forehead; purplish hue, sometimes with bloatedness, of the face
(during fits further characterized by loss of consciousness, suffocation, and pre-
cipitate falling); profuse sweat all over the body early in the morning ; the whole
surface of the body is cold, and the extremities and nails assume a purplish hue:
extreme sensitiveness of cold over the entire surface of the body; shivering all
828 AURUM METALLICUM.
over the body when first lying down in bed; the upper jaw, bones of the forehead,
and sometimes the glands under the jaw are swollen; shedding of the hair.
Nervous System, Brain, Senses, &c. Unnatural conditions of sight, smell, and
hearing; obstructed hearing, or humming in the ears; sectional division of objects
to the sight, as if traversed by level lines; flashing of luminous rays or sparks, or
dark spots appearing before the eyes; yielding and palsied condition of the knees,
or paralytic incapability of bending the knees backwards and forwards; weak-
ness in the fingers; excessive anguish, with inclination to or actual attempt at self-
destruction ; the brain is readily exhausted by mental application; extreme keen-
ness of sensibility, and susceptibility to the least pain; uncontrollable impulse to
abandon one’s self to a fit of crying; despair, deep depression, and insuperable
melancholy; agitating, anxious dreams, with restless, unrefreshing sleep; low
interrogatory talking during sleep; weariness, debility, and languor upon waking;
dulness, or excessive keenness of smell.
Nose, Ears, Mouth, Gums, Throat, and Teeth. Inflammation of the nose, with
heat and swelling, and ulceration of the interior, characterized by the formation
of dense incrustations, and gnawing, spreading ulceration of the bones of the
nose themselves; discharge of thin fluid from the nostrils; stinging, gnawing
sensation in the nose, or discharge of yellowish or greenish matter from the nostrils,
emitting an offensive odor; stuffing of the nose; internal ulceration of the ears, and
discharge of very offensive matter; ulceration and decay of the bones of the roof
of the mouth, with excessively offensive, rotten smell; unhealthy, spongy, ulcer-
ated state of the gums; ulceration, swelling, heat, and redness of the tonsils, or
the tonsils enormously enlarged; the teeth loose; sound of the voice as if the
patient spoke through the nose.
Pains. Very keen, drawing pains in the bones and joints of the toes and
fingers; aching, continued, dull pain in the head; sore pain in the bones of the
nose, provoked by pressure ; or aching pains in the eyes, which become aggravated
by the touch; drawing, tensive pains in the bones of the upper jaw ; griping pains
(with flatulency) in the bowels; pains in the bones, particularly of the affected
parts, at night; bruised pains in the joints or bones of the limbs generally; dull,
aching, sinking pains in the stomach, or shooting pains in the region of the
stomach; pressive, bearing-down pains in the lower part of the belly (during the
menstrual period).
Pulse, Circulation, &c. Paroxysmal agitation of the heart, with violent beating
from time to time by fits and starts, and apparently without a cause ; great deter-
mination of blood to the head, chest, and womb ; irregular beating of the heart.
Pulse sometimes full (but unusually compressible), generally quick, and most
frequently small, irritable, or irregular.
Menstruation, Womb, &c. Falling down of the womb, with chronic enlargement
and hardening; menstrual discharge commonly coming on all of a sudden (or in
other cases preceded by much bearing-down pain).
Stomach, Bowels, and Evacuations. Aversion to food generally, or more par-
ticularly to animal food; inordinate appetite and constant thirst; pad-like accu-
mulation of flatulency in one spot in the bowels; fulness and distension of the
bowels; retention of urine, which causes much pain; thick, curdy-looking, whitish
urine, depositing a jelly-like or slimy sediment; or pressive urging at the bladder,
without discharge, or with scanty discharge at very short intervals.
BARYTA CARBONICA. 829
BARYTA CARBONICA.
External Surface, Swelling and hardness of the glands generally; predisposi
tion to excessive perspiration at night; extreme susceptibility to chill from the
least exposure (cold generally affecting the throat); dry or moist, and oozing or
Scaly, or mealy and Scurfy eruptions on the external part of the ears and behind
them ; sore patches, with oozing on the skin in various parts; unbearable irrita-
tion of the skin; oozing or dry and Scurfy eruptions on the face, or red, blotchy
eruptions; the glands beneath the jaw are swollen; dry, or moist, scabbing erup-
tions on the head, chiefly in circular patches, with complete casting of the hair;
extreme sensitiveness of the scalp to the touch; fatty tumor on the nape of the
neck; flaccid, colorless tumor in the armpit ; very offensive sweating of the feet;
puffiness or dropsical swelling of the skin, especially about the trunk and face,
with extreme and general loss of flesh; tingling in the skin in various parts,
chiefly in the hands, arms, feet, and legs (or what is popularly called pins and
needles); whitlows on the tips of the fingers; swelling and hardness of the glands
of the neck.
Stomach, Bowels, and Evacuations. Sensation of weight and oppression at the
stomach after every meal, even after very moderate and scanty meals of the
lightest description ; sensation of rawness or soreness over the surface of the throat
and stomach as the food is swallowed; hard and lumpy evacuations, expelled
only with much effort ; or loose, soft, pappy evacuations, with scarcely control-
lable and very frequent desire to relieve the bowels, and with crawling chills over
the thighs ; Soreness and oozing, with intolerable gnawing and burning itching
in the orifice, and expulsion of thread-worms at stool; soreness in the mouth
before eating; slow, feeble, and imperfect digestion; reluctance to eat after a few
mouthfuls. -
Throat, Mouth, Teeth, Tongue, Nose, and Ears. Sensation as of a lump ob-
structing the throat; inflammatory swelling and suppuration of the roof of the
mouth and tonsils, with Soreness of the throat and very great pain in swallowing;
extreme susceptibility to sore throat, which almost invariably results from the
least chill; the gums are swollen, readily provoked to bleed, and unnaturally
pale, and the teeth very sensitive of pressure ; formation of scabs under the
nostrils; excessive dryness, with heat of the nose, or copious discharge of thin,
watery fluid, and collection of thick humor in the nostrils; the nose is easily pro-
voked to bleed by any effort; there is a throbbing sensation deep in the ears,
particularly at night, and constant gnawing itching beyond the reach, deep in
the cavity, and apparently near the throat.
Breathing and Chest, &c. Sensation of weight, oppression, heaviness, and ful-
ness in the chest, with short and sometimes difficult breathing, and with deep,
hollow, hoarse voice (sometimes rattling of phlegm), or total loss of voice (with
whispering), and dry or rattling cough, especially at night.
Pains. Keen, dragging or tearing pains in the limbs generally; heavy pain
(aching) in the stomach after eating, or dull or acute pain on pressing the
stomach after a meal, or sore pain in the act of swallowing; shooting, burning,
hammering pains in the hollow teeth; aching pains above the eyebrows; aching
pains in the teeth (as the menstrual period approaches); aching pains in the
small of the back; digging, boring, or darting pains through the head; sore pain
830 IBELLADONNA.
in the throat, especially on swallowing (with constant desire to swallow the
saliva); aching pains in the chest, alleviated by friction or warmth, and by
belching of flatulency; throbbing and burning pain in the back.
Menstruation. The menstrual discharge is preceded by whites; menstruation
insufficient, feeble, and too short.
Eyes. The eyes are swollen in the morning, and the lids adhere; the eyelids
and ball of the eye are inflamed, and feel excessively dry, gritty, and sore.
Nervous System, Brain, Senses, &c. The hearing is obtuse, the sense of smell
very acute, the sight confused, readily dazzled, and the eyes are very tender of
light; there is much weakness of the nervous system generally; extreme dislike
to society; very restless, agitated, and disturbed sleep; the whole body feels too
heavy for the strength, and the patient constantly longs to lie down; the arm
becomes numbed when rested upon, and the fingers are benumbed; the nape of
the neck and small of the back are stiff; giddiness is immediately induced by
stooping; and the legs and feet tremble.
BELLADONNA.
Nervous System, Brain, Senses, &c. Muscular twitches, with spasmodic fits,
attended with screaming; lethargic drowsiness, or sleeplessness with unsuccess-
ful attempts to sleep; excessive irritation of the senses, with whining and lament-
ation; frantic delirium; dizziness, with buzzing in the ears (and with pain in the
head, and violent pulsation of the arteries of the head and neck); eyes convul-
sively starting from their sockets (to appearance), or faint and distorted; pupils
dilated or extremely contracted; eyes very tender of light; spasmodic rigidity of
the body, or clenching of the jaws; violent trembling of the whole body, or°of
particular parts; convulsive fits, with screams; paralytic attacks, affecting the
whole of one side, or general or local palsy ; sensation as if the limbs were too
heavy for the strength ; drowsy lethargy, interrupted by sudden starting from time
to time, with wild and even furious expression ; continual starting from sleep,
with screams and groans, the sleep being disturbed or interrupted by anxious
dreams; excessive agitation, and constant tossing, particularly at night; delirium
of various kinds at night; desire to escape from some imaginary ill, with suspi-
cion of those about one; frenzy, with destructiveness, and desire to bite, tear, or
mutilate everything; low, gloomy melancholy ; sudden fits of reeling giddiness,
with spinning of the head and wavering gait; sensation as if the brain were
expanded; sensations of weight, fulness, and oppression in the head, especially above
the eyes; complete stupor; boring the head into the pillow during sleep; flinging
the head backwards; sensation as if fluid were lodged on the brain, and were
undulating, and too heavy to be borne ; humming, ringing, or loud roaring sounds
in the ears, and generally dulness of hearing; objects appear upside-down to the
sight, or every object appears to be doubled; light appears to be surrounded by
luminous halos; feeble and confused sight; the eyelids drop half over the eyes;
twitchings in the eyes, and quivering of the eyelids; palsied and trembling
tongue; expression vacant, agitated, and distracted ; spasmodic closing of the
throat, and incapability to swallow liquids; complete horror of liquids (generally
attended with burning and insatiable thirst); violent, convulsive hiccough; vio-
lent twitchings or jerkings in the muscles of the arms and hands, and sensation
of weight, with complete palsy of the legs, &c.; violent jerkings of the limbs, as
BELLADONNA. 831
soon as the patient falls asleep; in children, fits of crying, apparently without a
cause ; touch, and the least contradiction, induce a return of the convulsive fits;
sudden attacks of dizziness, with extreme anxiety, precipitate falling, and loss of
consciousness.
Pulse and Circulation. Full, slow pulse; or strong, full, and frequent pulse;
or hard, wiry, contracted pulse; or small and frequent, or small and tardy pulse;
determination of blood to the head, especially on stooping, with violent throbbing of the
arteries of the head and neck; determination of blood to the chest, womb, or other im-
portant organs, and violent beating of the heart, with extreme anguish.
External Surface. Heat and chills in alternation; puffed, fiery-red, and hot face;
boils on the skin, with excessive heat, and bright, glossy redness' in the circum-
ference; glossy, hot, red swellings of various parts, and hot and red swellings
of the glands generally ; eruption of red spots, like flea-bites, on the skin; or
eruption of bright, Scarlet patches, with great heat, on the skin; erysipelatous
swellings, with heat and redness; exacerbation of the fever symptoms (alternate
heat and chill) towards night, or during the night ; shuddering in particular
parts; intense dryness, heat, &c., of the skin (generally attended with much thirst,
swelling of the veins, puffing and redness of the face, and throbbing of the arteries
of the head and neck); swellings, with heat and redness of the glands of the neck,
and beneath the lower jaw; eruptions of pimples, or even ulcers, on the lips, or of
pimples forming scabs; purplish hue of one cheek, and eruption of pimples on the
chin, and about the corners of the mouth ; sallowness and pallor of the complexion,
sometimes with sudden and transient flushing, of a crimson hue; swelling (with
pain and stiffness of the nape of the neck); chilblains on the extremities, with
glossy, red swelling, and heat; perspiration breaks out on the head; swelling of
the large intestine in the upper part of the belly; extreme irritation over the
belly; eruption of large, angry-looking elevations, with dirty-white margins, and
forming a blackish surface.
Breathing and Chest, &c. Extreme oppression of breath, with rattling of mucus in
the air-tube; short, imperfect, interrupted, anxious breathing; very rapid breath-
ing, without inflation of the chest; or deep, slow (and feeble) breathing : extreme
weight at the chest, with difficulty of breathing, or with irregular respiration:
hollow, hoarse, deep cough, or short, dry cough ; cough chiefly prevalent at night,
and provoked or renewed by the least movement or change of position in bed;
feeble, hoarse, guttural voice, or total loss of voice; accumulation of thick, adhe-
sive phlegm in the chest, hoarseness and expectoration after coughing; (cough-
ing induces a stitching pain in the belly ;) short, dry, spasmodic cough.
Stomach, Bowels, and Evacuations. Rising of putrid, bitter, sour, or burning
matters from the stomach; convulsive retching, but without discharge; sickness
at the stomach, which ends in violent retching, and the discharge of mingled
food and bilious matters from the stomach; extreme weight at the stomach, prin-
cipally apparent after having eaten ; bloating or inflation, with much distension
of the bowels; soreness all over the stomach and bowels, especially the latter;
sensation as if a portion of the intestines were seized with the nails and Sud-
denly drawn up into a knot; constipation, and total suppression of evacuations;
or, on the other hand, involuntary evacuations of dark or frothy matters, or
of slime; incapability to retain the urine, with spontaneous and abundant dis-
charge ; cloudy, bright-red, or very clear urine; profuse discharge of urine —
critical—(with abundant perspiration).
832 BRYONIA. ALBA.
Pains. Burning or stinging pains, with bruised pains, and swelling of the
parts affected; tensive, forcing, and violent pain in the forehead, which seems as
if it would burst; very acute inflammatory and periodical nerve-pains in the face;
burning and stinging pain over the eyes; pain in the head (with violent pulsation
of the arteries of the head and neck, attended, also, with giddiness and buzzing
in the ears); clawing pains in the bowels; sore pain in the upper part of the
windpipe and throat; pain (with stiffness) in the neck; cutting, piercing, or ham-
mering pains in the head; aching pain in the head, greatly aggravated by moving
the eyes, or by any motion, or by cool air; aching pains in the eyes; and deep in
the sockets; shooting, burning pains in the balls and corners of the eyes; shoot-
ing pains in the glands adjoining to the ears, extending to the latter, and piercing
deeply into the head; great pain, soreness, and burning in the tongue: shooting
pains in the throat when swallowing ; very acute or continuous, aching, drawing
pains in the arms, and in the shoulder-joints, and thence to the wrists; periodical
pains in the head, returning every afternoon, and becoming worse as night ad-
vances, but subsiding again towards morning; burning, shooting pains in the
loins and in the hips, and digging pains in the belly; violent bearing-down, or
forcing pains (of females); the belly sore and painful when touched.
Periodicity. The fever-symptoms and pains have a tendency to recur at inter-
vals of twenty-four hours, commencing between noon and sunset daily, and sub-
siding between midnight and sunrise.
Womb, Menstruation, &c. Determination of blood to the womb ; sensation of
great weight, fulness, pressure, and forcing towards the lower regions of the belly, as
if the intestines would be thrust out; profuse floodings of hot blood; darting and
cutting sensations towards the womb ; flow of milk; menstruation irregular — a
discharge of menstrual fluid taking place at indeterminable periods; depression
(falling) of the womb; insufficient lochial discharge after delivery ; menstrual
discharge too pale.
Mouth, Tongue, and Throat. Extreme dryness of the mouth ; great accumula-
tion of slimy, sticky phlegm, of a whitish appearance, in the mouth and throat;
soreness of the inside of the mouth ; profuse discharge of blood from the mouth;
the papillae of the tongue raised and swollen; the tongue cracked or swollen, and
inflamed, and sometimes covered with slimy, whitish phlegm, or dry, fiery-red,
and hot tongue, or — again, coated tongue, with crimson tip and margins; tongue
very sore and painful; soreness and rawness in the throat, with great inflammation of
the tonsils, and back part of the throat and palate; soreness of the throat (with
shooting pains extending to the ears) whenever the patient attempts to swallow ; in-
tense dryness, with redness and burning heat in the throat, and sometimes sup-
puration of the tonsils; the throat affected with a sensation of constriction.
Nose and Eyes. The nostrils ulcerated ; the extremity of the nose intensely
hot, and perfectly crimson; the eyes red and glittering, and seeming as if they
would start from their sockets; or distortion of the eyes, and excessive squinting;
great heat in the eyes; yellow suffusion of the white of the eyes; adhesion of the
eyelids at night ; flow of scalding tears; fixed and motionless pupils; inflamma-
tion of the eyes.
BRYONIA. ALBA.
Stomach, Bowels, and Evacuations. Sense of loathing and repulsion towards
food; hankering after wine, acid drinks, and coffee; vomiting of food and of
BRYONIA. ALBA. 833
bitter substances; belching of flatulency; relish in eating, but sickness at the
stomach afterwards; sickness at the stomach whilst sitting still, or upon attempt-
ing to drink; vomiting of all that has been drunk, without the solid food; extreme
weight and pressure in the region of the stomach; insipid, clammy taste of everything
eaten ; extreme sensibility of the region of the liver; bowels obstinately confined;
or loose, yellow evacuations at night or in the morning; very offensive relaxed
evacuations; scanty, brown, and hot urine; motions too large, or scanty, de-
tached, small, and hard; nausea, and feeling of faintness on attempting to rise
from a recumbent position — even when merely raising the head, has to lie down
again immediately.
External Surface. Swellings, with tension, heat, and redness; inflammatory
heat, redness, swelling, and tingling of the skin; about the joints; chilliness
often attended with flushing or redness of the face; perspiration, sometime greasy,
day and night; coldness and shivering when in bed; intense dry heat throughout
the body, most felt internally; profuse perspiration at night and in the morning;
greasiness of the hair with the exudation of the skin; dirty, sallow, pallid, and
yellow hue of the face; swelling of the face, and swelling and cracking of the
lips; the face marked with patches of red on the cheeks; or with redness and
bloated appearance; great heat, redness, and swelling of the feet, with feeling as
if the skin were too tight when moved; sensation in the calves of the legs as if
the skin were too tight; great swelling, with heat and tightness of the skin (and .
pain) in the knee-joints; tight, hot, but colorless swellings in general, especially
of the joints; dry, scaly, or mealy eruptions, with intense irritation on the eye-
lids; tenderness and swelling of the nose.
Breathing, Chest, &c. Cough dry and hacking (or sometimes attended with
vomiting of food); coagulated or brownish blood, emitted by the act of coughing;
stitchings in the chest, and sides of the chest, aggravated to a great degree by coughing,
breathing (deeply), or moving ; deep, panting, or anxious and hurried breathing;
the breathing is impeded or interrupted — so that a deep breath is impossible —
by dartings in the chest ; the dartings and impeded breathing compel the patient
to lie on his back, on which only he can remain lying permanently: great heat
in the chest ; attacks of hoarseness (with breaking out of perspiration); rattling
of phlegm on the chest; spasmodic suffocative cough, when vomiting or after a
meal; yellowish matter expectorated after coughing.
Pains. Dragging and tearing pains, with extreme tension of the parts affected,
much aggravated by motion ; bruised or contused pain, as if the flesh were detached
from the bones by external violence; extreme heavy pressure and sore pain in
the stomach, much aggravated by the least pressure; stitching pains in the chest
and sides of the chest, much aggravated by coughing, or by any muscular effort,
or the least motion or jarring of the step, and even by breathing; pains gener-
ally attended with shivering and sensation of coldness; all the pains have a tend-
ency to be aggravated by motion, eating, or in the evening or during the night;
pains in the head, as if the brain were alternately expanded and contracted; ach-
ing frontal pains aggravated by movement, or digging, boring pain, forcing
towards the fore part of the head; shooting pains through the head, or only on
one side; aching pains in the teeth, worse on the contact of warm food or drink;
darting pain in the throat upon pressure or contact; aching pain in the stomach
after eating, as if a hard body were lodged there; colicky pains in the bowels, or
53
834 CACTUS GRANDIFLORUS.
dull, aching pain (with inflation) in the belly and region of the stomach, or cut-
ting, piercing pains in the bowels after eating; burning pain in the chest ; ach-
ing pain and stiffness in the neck and nape of the neck; pain in the articulations
of the foot in walking; pains in the small of the back and head (with flooding
of females); drawing, darting pains in the calves of the legs, extending to the
feet; burning pain in the lower part of the belly on the left side (in females)
during pregnancy, much aggravated by movement; drawing pain in the waist
(under the ribs) to the stomach and back.
Nervous System, Brain, Senses, &c. Excessive nervousness, compelling the
patient to lie down; disposition to be angry; determination of blood to the head
at night, attended with heat, disagreeable dreams and delirium ; determination of
blood to the head, with great heat of that part; confused and stupefied sensations
in the brain; great and unaccountable dread of imaginary ills and desire to
escape; swimming of the head on raising it from the pillow, or on assuming an erect
position; fulness and heaviness of the head; numbness and yielding of the limbs;
sleep much disturbed or impossible, with extreme agitation or anxiety at the
chest before midnight; the patient walks in his sleep; heavy, drowsy, lethargic
sleep, interrupted only by delirium; capricious humor; swimming of the head
on stooping, and then only ; the patient has no hope of recovery; very dark
appearance or bright flashing before the eyes; extreme sensitiveness of noise and
light; extreme susceptibility of the sense of smell; humming sounds in the ears.
Mouth, Tongue, Teeth, and Throat. The mouth is extremely dry; the tongue is
completely parched, and covered with a yellow, brown, or blackish coating, or
with a dirty-white coating; the teeth feel too long, and the throat is completely
parched (so that the patient cannot speak clearly for lack of moisture in the
mouth); soreness of the throat with difficulty of swallowing.
Eyes, Ears, and Nose, Glassy, dull appearance of the eyes, sensation as of
sand in the eyes; sensation in the ears as if they were stuffed up ; stuffing with
intense dryness, and much heat, in the nose; or swelling of the nose, with
extreme tenderness to the touch; ulceration of the interior of the nostrils.
Womb, Menstruation, &c. Discharge of blood from the womb of a dark color;
bearing-down pains in the small of the back, and headache, with the flooding;
menstrual discharge occurring before the proper time or not appearing at all.
CACTUS GRANDIFLORUS.
Nervous System, Brain, Senses, &c. Disposition to sadness, or to ill-humor;
indifference, and indisposition to talk: imagination of evils which are expected
to happen; vertigo, with rush of blood to the head; sensitiveness to sounds,
even to voices; dimness of vision, objects appear as if obscured ; buzzing or
humming in the ears, which interferes with the sense of hearing; tingling in the
arms, with feeling as if they were very heavy: crawling sensation in the arms, as
if produced by insects crawling over the skin; general weakness, and prostration
of strength; sleeplessness, without apparent cause, or sleeplessness in conse-
quence of throbbing in the region of the stomach, or in the ear; on awaking,
delirious mutterings.
External Surface. Dry, scaly eruptions, which rub off like bran, on the outside
of the elbow, or on the right inner ankle joint; swelling of the hands and arms,
more particularly of the left; swelling of the feet, and extending upwards to the
CALCAREA CARBONICA. 835
knees; the skin has a shining appearance, and pressure of the finger leaves an
indentation; the face is swollen and red, with pulsation in the head.
Stomach, Bowels, and Evacuations. Nausea, in the morning, or lasting through-
out the day; acrid or acid risings from the stomach; vomiting of blood; consti-
pation of the bowels, the stools being hard and very dark; sensation of great
weight in the orifice; swelling, and painfulness of the piles; irritation, with
desire to pass water frequently; the urine passes by drops, accompanied with
much burning; profuse urine, of a straw-color, or depositing a reddish, sandy
sediment.
Respiration, &c. Feeling of constriction on the chest, as if it were tightly
bound with a band, hindering breathing; attacks of suffocation, with fainting,
cold sweat on the face, and sinking of the pulse; chronic irritation of the
windpipe, with rattling of mucus; spasmodic or convulsive cough, with copious
expectoration of phlegm ; pricking pains in the chest, with oppression of breath-
ing, hard cough, and expectoration of bloody phlegm.
"Pulse, Heart, Fever, &c. Acceleration of the pulse; intermittent beats of the
pulse; chilliness in the morning, with chattering of the teeth; burning heat,
with shortness of breath ; intense feverish heat at night, with headache, pre-
ceded by a chill and followed by sweat; intermittent fever, occurring every day
at the same hour; sensation of constriction of the heart, as if a hand were clasp-
ing it with great force and preventing its movements; acute pain and stitches in
the heart; palpitation of the heart, which is worse while walking, and at night,
when lying on the left side.
CALCAREA CARBONICA.
External Surface. General loss of flesh, and wasting away of the body; con-
tractions of the limbs and joints generally; numbness of the parts affected;
swelling of the parts affected; extreme sensitiveness to cold, damp air, and to changes
of weather, especially in chronic disorders; rough, harsh, and dry skin; ulcera-
tive, moist, scabbing, and itching — or dry, mealy, or scurfy, and itching erup-
tions; great predisposition to ringworm ; ulcers, especially on the extremities,
discharging offensive matter; great Scurfiness of the head amongst the hair;
pale, thin, and wrinkled face, with premature appearance of age, even in children;
swelling of the glands of the mesentery; tendency to perspire freely on the least
exertion; the skin (and other) symptoms are usually aggravated by the applica-
tion of moisture—as by washing ; swelling of the veins, especially of the legs;
hard swellings of the glands generally; flushing of the face and general heat,
followed by chills and shivering, recurring periodically, especially on alternate
evenings; protuberances on the head amongst the hair; intense coldness over the
surface of the head, more particularly on the right side; shedding of the hair;
scabs and oozing eruptions amongst the hair; hollowness of the eyes, and sunken
appearance of the countenance, with dark rings around the eyes; the upper lip
especially is often much enlarged; eruptions of various kinds, with intense, gnaw-
ing, itching on the face; prickling and tingling, with insensibility of the fingers;
swelling and sweating of the hands; swellings (usually colorless, but, sometimes,
red and glossy) on the knee-joints; inordinate accumulation of unhealthy fat,
and general bloatedness of the body, especially in children; flaccid, circumscribed
tumors in various parts; sweating of the feet, and burning heat of the soles of
836 CALCAREA CARBONICA.
the feet; enlargement of the head; retarded closing of the fontanels in infants;
corns on the feet ; sweating of the head in children; rickety affections of the bones,
with enlargements of joints, and curvature of the long bones, and of the spine;
SWelling suppuration and ulceration of the glands of the arm-pits; prominence,
with irregular course of the spinal bones; swelling and coldness of the feet at
night; damp feeling of the feet.
Stomach, Bowels, and Evacuations. Loathing of meat; craving after wine and
delicacies; capriciours, fastidious, and dainty appetite; hankering after salted
food, and succulent vegetables; risings of acrid, hot, watery fluid, after eating
(or even after sudden exertion); foul taste in the mouth; bitter, or sour taste,
and risings; inflation of the bowels, with flatulency, which accumulates in one
fixed spot; or accumulation of flatulency in the lower region of the belly; hard
distension of the belly; habitual constipation, or continued relaxation of the
bowels, and burning sensation in passing water; generally scanty and dark-col-
ored, but sometimes profuse and watery discharge of urine, or these two condi-
tions in alternation (in children); frothy and spontaneous evacuations, or sour-
Smelling evacuations; looseness during teething ; discharge of blood, with, after,
and before urine.
Menstruation and Womb, &c. Profuse and premature menstrual discharge; great
predisposition to miscarriage (menstruation, attended with aching pains in the
teeth, and flushing of blood to the head); discharge of whites, either acrid and
corrosive, or painless, occurring by fits and starts, and generally in jets, when
passing water ; floodings at irregular periods; excessive irritation of the parts,
chiefly outside. (Various derangements, and usually swellings of the breasts,
precede the menstrual discharge.)
Nervous System, Brain, Senses, &c. Extreme and general debility; insensi-
bility or deadness of various parts of the body; great nervousness; melancholy
disposition; constant languor; excessive dejection of spirits; predisposition to
fainting-fits; fatigue, after speaking or after a short walk; illusions of the
imagination (fancying some one is watching behind one); the patient is startled
by his or her own shadow ; cramps along the upper part of the thighs, toes, soles
of the feet, and calves of the legs; heaviness and stiffness of the legs; weakness
of the fingers; drowsiness in the early part of the evening, or during the whole
day, with sleeplessness at night, and extreme mental activity; sleep much dis-
turbed and agitated, and very often interrupted by starting, accompanied with
groaning, or even with screaming, and occasioned by dreams; total indifference
to everything; giddiness or dizziness when in an elevated position; misty sight,
or extreme length of sight, or sometimes great tenderness of light, with dilata-
tion of the pupils; ringing or creaking sounds in the ears, or loud roaring, or
humming noises; extreme sensitiveness, or dulness of the sense of smell.
Breathing, Chest, &c. Habitual or long-continued hoarseness, or sometimes
total loss of voice; excessive accumulation of phlegm on the chest (in the air-
passages and cells); excessive susceptibility to hoarseness and to loss of voice;
cough, attended with offensive expectoration, — partly matter, partly blood, and
partly phlegm, - or expectoration of nearly pure blood; habitually dry (but
sometimes moist and rattling) cough at night; burning sensation in the chest.
Pains. Wrenching pains in the back, small of the back, and nape of the neck;
shooting pains through the sides and chest; drawing and shooting pains in the
*
CAMPHOR. -- CANTHARIDES. 837
thighs and hips; lancinating or dragging pains in all the limbs; contusive pains
in the limbs (with stiffness); throbbing pains in the head, which completely
prostrate the patient; aching pains in the eyes, and boring pains in the forehead;
burning, cutting, and smarting pains in the eyes, and throbbing pains in the
ears; aching, dull, and continued, or tearing pains in the teeth, worse when
exposed to contact of hot or cold food or drink, and to the inhalation of cold air;
pinching, clawing, or dull aching pains in the bowels, or cutting pains, coming
on by fits and starts in the region of the stomach: dull, aching, or clawing and
cramp-like pains in the stomach (sometimes followed by vomiting of the contents
of the stomach); or dull, aching pain in the stomach, when empty; pain (with
swelling) in the breasts (before the menstrual period).
Nose, Mouth, Throat, Tongue, &c. Excessive and constant internal dryness of
the nose, often with complete obstruction of the nostrils, or with very offensive
smell in the nose; predisposition to habitual discharges of blood from the nose;
accumulation of very sticky, stringy mucus in the mouth and throat, which can
only be dislodged with much effort; excessive and constant dryness of the tongue;
or, sometimes, red or purplish angry-looking swellings, on the side of or under-
neath the tongue, and extreme tenderness of the gums; internal and external
soreness of the nose.
Eyes and Ears. Prominent swelling of the eyelids, with great redness and heat,
and constant irritation; constant itching in the eyes and eyelids; tremulous con-
dition of the eyelids; suppuration of the corners of the eyes and discharge of
matter from the ears.
CAMPHOR.
General Symptoms. Lethargic sleep; excessive prostration, often accompa-
nied with convulsions and spasms, with rigidity, also loss of consciousness, and
delirium ; the pulse either small and retarded in the extreme, or very full and
excessively accelerated; coldness all over the body, with pallor of the face, lividity
of the skin, cold, clammy perspiration and violent shivering ; a burning sensation in
the mouth, jaws, and stomach; internally there is heat, externally there is chilliness;
convulsive spasms, which have the effect of drawing the head on one side; the
eyes are chiefly characterized by an excessively anguished expression, and by
being turned upwards convulsively, so that the white only is seen; the jaws are
rigidly clenched together; collection of mucus in the air-tubes, so great as some-
times to impede respiration; exacerbation of the symptoms on movement at night
or from cold; giddiness and weight of the head, which compels the patient to
lean it backwards; urine turbid and red; spasms affecting the chest; suffocating
oppression at the chest, and tightness of the upper part of the windpipe; exces-
sive, burning, insatiable, or continued thirst ; great pressure in the region of the
stomach; red, hot, and tingling swellings of the skin ; great tenderness of the
skin ; violent cramps in the calves of the legs; total suppression of urine, or discharge
of blood.
CANTHARIDES.
Kidneys, Bladder, &c. Excessive irritation of the neck of the bladder; constant
urging to pass water, and scanty discharge; spasmodic suppression of urine, or what
is called spasm of the bladder; painful discharge of urine; difficult and drop-
discharge of deep-colored urine, or, on the other hand, copious discharge of pale
urine; discharge of blood immediately after the evacuation of water, sometimes
838 CANTHAIRIDES.
with it (attended with the most excruciating pain in the bladder, and down-
wards as if everything would be forced through); excessive tenderness of the
parts about the bladder to pressure; smarting or scalding sensation during the
discharge.
Pains. There is usually much pain in cases requiring this medicine, and the
right side is especially affected. The sufferings are commonly relieved when the
patient lies down. Darting, cutting, and very severe pains in the bladder and
subordinate passages, especially during the discharge of urine, and immediately
afterwards; sore, scalding, or burning pains in internal parts generally, espe-
cially in the lower paris of the belly; dragging, tearing pains in the limbs, espe-
cially about the joints, or in the extremities; violent pain in the head, with pre-
dominance of heat in the same part at night ; darting, cutting, pressive, or
cramp-like pains shooting from the nape of the neck to the forehead ; burning
pain deeply seated in the head; throbbing pains as if in the brain; pains in the
head, conveying the sensation of the hair being violently pulled or torn out;
burning or scalding pains in the throat, as well as in the stomach, and even through-
out the extent of the alimentary ducts from the throat throughout the stomach
and bowels; shooting, darting, and cramp-like pains in the region under the ribs
on the right side; burning pain and sore sensation in the eyes; dragging pains
in the hips, back, and arms, and the like, or pains of a lancinating description.
Nervous System, Brain, Senses, &c. Convulsions affecting the entire frame, or
spasmodic affections of the throat and extremities in particular; spasmodic con-
traction of the muscles of the jaw, and lock-jaw; spasmodic rigidity of the whole
body, the body being bent backwards; spasmodic sensation of choking in the
throat, with total inability to swallow liquids; spasmodic tightness of the chest,
and of the opening of the windpipe; palsied affection of the hands; total prostra-
tion of nervous power, and general palsy ; furious raving, or intense agitation
and total inability to remain quiet, or to be calmed : yellow appearance of
objects to the sight; convulsive rolling of the eyes; convulsive tossing of the
limbs, attended with shrieks; total absence of taste, or morbid, bitter taste as of
resin in the mouth ; faint, nauseating, or offensive smell in the nose.
Pulse and Circulation. Violent palpitation of the heart; full, hard, quick, and
frequent pulse, or very frequent, small, and wiry pulse.
External Surface. Fiery redness of the face; extreme tenderness of the whole
body to pressure; sensation of soreness in the scalp, as if the hair had been
pulled; redness, swelling, and inflammatory heat in the cheeks; yellow tinge in
the complexion; scalding vesicles on the skin, which, however, are apt to itch
until rubbed; deplorable and dejected expression of countenance; sunken, drawn,
and pallid face and features; offensive-smelling sweat.
Stomach, Bowels, &c. Total absence of appetite, and intense thirst generally
after the shivering-fit, or intense and burning thirst, with parched lips, tongue,
and throat, and aversion to fluids owing to the pain occasioned by attempting to
swallow them ; discharge of blood from the stomach, or vomiting of blood and
inflammation of the stomach ; bilious or slimy vomiting; soreness and burning
sensation about the navel, especially upon the least exertion of the adjacent
muscles; occasionally obstinate costiveness, but more frequently (whether after
or without the previous occurrence of constipation) relaxed, greenish, and frothy
evacuations, scanty in quantity, and occasioning a very painful, scalding sensa-
CARIBO WEGETABILIS. 839
tion; discharge from the bowels, mingled with blood or with white, thread-like
matter; white, frothy, or slimy evacuations, especially at night; inflammation of
the bowels or liver; evacuations looking like scrapings from the bowels.
Menstruation. The menstrual discharge is usually excessive, very dark, and
occurs before the proper time, and is commonly preceded by whites during the
interval; burning, cutting, and forcing sensations, with gushes and scalding
sensations during the ordinary discharge.
Breathing, Voice, &c. Sensation of weakness at the chest, with feeble voice;
oppression and difficulty of breathing; arrest of breath during an ascent (with
sensation of giddiness or sickness), and with rattling of phlegm on the chest;
hoarseness, rattling of phlegm, and inflammation of the opening of the windpipe.
Mouth, Throat, &c. Frothy and involuntary flow of saliva; fiery redness, heat,
and often swelling of the inside of the cheek, lips, tongue, and tonsils; cracking
of the lips; inflammatory redness, heat, and swelling, with extreme tenderness
of the whole of the mouth and throat; extreme dryness of the tongue, gums, and
lips, with glossy, bright redness.
CARBO VEGETABILIS.
External Surface and Mucous Membrane generally. Disposition to perspire
freely; profuse perspiration at night; sweating of the feet, or sour-smelling
sweat in the morning; perspiration whilst eating; offensive burning ulcers, easily
provoked to bleed, and emitting a thin, acrid discharge; chilliness, alternated
with sudden flushes of heat; predominant shivering-fits, with coldness; great
loss of flesh; pallid countenance, with a grayish hue ; predisposition to be affected
by cold, sometimes even without any apparent cause; sensation as of burning heat
in the skin in different parts of the body; enlargement and induration of the
glands; the scalp is acutely sensitive, and conveys a sensation of pain, even when
merely touching the hair; discharge of offensive matter from the ears; redness,
with great heat of the external parts of the ear towards night; the hands, and
sometimes also the feet, are very hot, especially at night; in other cases the hands
and feet are very cold, particularly at night; the extremities of the fingers and
toes are ulcerated; eruption of pimples on the back, attended with very trouble-
some itching; pimples on the face ; itching all over the body upon becoming
warm, especially towards night; swellings of the nature of chilblains; falling off
of the hair; swelling and bluish appearance of the veins; sunken appearance of
the face, with drawn and pointed features.
Stomach, Bowels, &c. Stomach-ache, with general derangement of digestion,
and generally excessive and very offensive flatulency; rumbling of wind in the
bowels; habitual aversion to fat or greasy food, and even to all animal food; ex-
cessive inflation and distension of the belly after eating; habitual nausea; tight-
ness and sensation of weight at the pit of the stomach; rising of food in the
gullet, or rising of acid matter; excessive water-brash; or difficulty and straining
at stool, and sometimes costiveness; discharge of blood after a motion; putrid
and involuntary discharge from the bowels; cannot bear tight clothing about the
waist. &
Breathing, &c. Short, difficult, interrupted, or laborious respiration, with
sensation of intense pressure or tightness in the chest; soreness in the chest;
cough on taking the least cold; cough, accompanied with expectoration of
840 CARBO VEGETABILIS.
greenish, purulent phlegm; intense oppression at the chest ; habitual hoarseness,
which is especially apparent or prevails chiefly or solely in the evening, or in
the morning and evening; attacks of oppression amounting almost to suffocation,
and occasioned by flatulency; shortness of breath on the least exertion; spas-
modic or convulsive cough, like whooping-cough ; rattling of phlegm, and copious
expectoration. *
Pains, Sensations, &c. Burning pains, particularly in the limbs and bones;
predisposition to numbness in the limbs; pains as if from bruises in the limbs,
particularly on rising in the morning; intense burning pain in the belly; spas-
modic and burning pains in the stomach; headache, chiefly at night or after a
meal; shooting pains in the top of the head; aching or burning pains in the eyes;
Soreness and burning, or lacerative pain in the throat; burning, aching, drag-
ging, or pinching pains in the chest; sharp, burning, or dragging pains in the
shoulder; burning pain in suppurating abscesses.
Pulse and Circulation. Weak, fluttering, and irritable, or weak and compressi-
ble, – or again, feeble, small, and sinking, or totally imperceptible pulse, with
stagnant circulation; pulsation in different parts.
Disposition. Despondency; tendency to be easily startled; dread of imagi-
nary beings; intense anxiety and depression, especially towards night; great
reluctance to exert one's self bodily or mentally; timid or forward, despairing or
irascible temper; great mental depression after eating.
Nervous System, Brain, Senses, &c. Sudden and complete prostration of strength,
and general depression of vital or nervous energy, or sudden loss of physical
power only; anxious or appalling dreams; or constant dreaming, with sudden
starting from sleep and great alarm, or without starting from sleep, but with
violent and sudden changes of position; cloudiness of sight, accompanied with
giddiness, and even sickness; confused state of the brain; retching and giddiness
after sleeping; or giddiness induced by walking, moving the head, or stooping;
shortness of sight; bitter, sour, or saltish taste in the mouth; deficiency of or
morbidly ravenous appetite; twitching or jerking movements in the limbs, either
in the daytime or during sleep ; rapid loss of muscular strength, and incapa-
bility of clenching the hands tightly.
Mouth, Gums, Teeth, &c. Excessive and spontaneous flow of water in the
mouth ; or, on the other hand, intense heat and dryness of the mouth ; want of
power to move the tongue; sensation as if the throat were raw, especially when
detaching the phlegm, or when swallowing; protracted looseness of the teeth, the
gums and teeth being easily provoked to bleed, and the former being spongy and
ulcerated; swelling, cracking, or ulceration of the lips.
Menstruation. Excess of discharge; return of the periods too frequently, or
before the proper time, and generally preceded by thick, yellowish discharge, or
more immediately by much irritation and soreness, with corrosive discharge.
Bladder, Kidneys, &c. Dark, thick, muddy discharge of urine, often attended
with a sensation of soreness; deep-red or brick-colored urine; spontaneous dis-
charge during sleep; cloudy, whitish, or clear, yellowish, and abundant discharge,
or, on the other hand, deficient, or even very scanty discharge, not uncommonly
attended with incessant urging.
Rest. Drowsiness in the daytime, which may be shaken off by exercise;
sleeplessness, restlessness, and agitation at night, or disturbed and unrefreshing
CAULOPHYLLUM THALICTROIDES — CAUSTICUM. 841
sleep, with continual shifting of position; or, again, inability to sleep until morn-
ing, followed by heavy, drowsy sleep, and accompanied by hoarse, rattling res-
piration.
Body, Legs, and Arms. Stiffness of the neck and of the spine; stiffness of the
thighs and knees; deadness of the feet, and even of the legs, with a sensation as
if they were too heavy, but without sensation of pain; dulness of sensation in
the feet; painful cramp in the soles of the feet, especially on turning the toes
downwards'; or, also, generally in the legs, but particularly in the calves at night,
occurring even during sleep, so as to awaken the patient.
CAULOPHYLLUM THALICTROIDES.
General Symptoms. Irregularities of the menstrual flow, with pains and suf-
ferings of a spasmodic character, with sympathetic cramps or spasms of neigh-
boring parts or organs, such as the bladder or bowels; the periodical discharge
is scanty ; deficient pains during labor, occurring as if the womb had no power
to exert itself; passive hemorrhages from the womb, the blood slowly oozing
away, with great debility of system ; the lochial discharge lasts too long ; hys-
terics, accompanied by many spasmodic symptoms; complete inability to sleep
from nervous weakness; rheumatism, and rheumatic pains, particularly of the
wrists and hands, or affecting only the finger-joints; rapidly shifting pains in
the arms and legs; restlessness and nervousness, with hot and dry skin ; dull,
aching, or dragging pains in the Small of the back.
CAUSTICUM.
Nervous System, Brain, Senses, &c. Spasmodic contraction of particular parts,
or of several parts at once; rapid succession of contractions and relaxations, or
alternations of rigid extension, with renewed agitation and convulsive efforts;
snatching or twitching of particular muscles or tendons; grinding of the teeth;
or, again, want of control over the muscles of voluntary motion, or of power to
exert them; jerking or other convulsive movements of the limbs, even during
sleep, or frequent starting from sleep, occasioned by painful dreams; trembling
twitchings of the eyelids; sensation of buzzing or drumming, or of loud noises,
such as of thunder, in the ears; absence of the sense of smell; appearance as of
flashes of light or fire-flies flickering before the eyes; or as if a dark but trans-
parent veil or vapor were moving before the eyes; or as if a thin film obstructed
the sight; very indistinct articulation after much effort; or, again, total inability
to articulate; repugnance to food, from a sensation that it will be unpalatable;
or, again, rancid taste in the mouth, or particular distaste for sweets ; difficult
deglutition.
Breathing, &c. Cough, chiefly prevalent at night or in the morning, or a harsh
hoarseness at the same periods; darting, cutting pains in the chest on drawing a
deep breath, or pains of a similar character in the region of the heart, attended
or not with a stifling sensation, and violent beating of the heart; deep, hollow
cough, which shakes the whole body, and is accompanied with a sensation as if
the interior of the chest or lungs were raw ; habitual or protracted hoarseness,
with feeble and muffled sound in speaking, more especially apparent when the
patient attempts to raise the voice; shortness of breath, or fits of almost inter-
rupted breathing, with apparent incapability of expanding the chest to admit a
&
842 CAUSTICUM.
sufficient inspiration; dry, hollow cough, with soreness in the chest, caused by
tickling and phlegm in the throat, with expectoration; cough, which is relieved
by a swallow of cold water; sensation of soreness and rawness in the windpipe ;
disposition to hawk up mucus; complete loss of voice.
External Surface. Flushing of the face, with straining at stool; sour-smelling
sweat at night, or profuse perspiration induced by every physical exertion, or
even by walking quietly; sensation as if the scalp were not sufficiently expansive
for the head; habitual or frequent excoriation of the skin, or chronic eruptions,
especially of the nature of itch; enlargement of the belly (scrofulous), dependent
upon enlargement of the glands of the mesentery; swelling and commonly pre-
vailing coldness of the feet; warts exceedingly sensitive of contact, &c., particu-
larly on the face, arms, and hands; swelling of the veins of the legs, which occa-
sions much inconvenience; itching eruptions on the skin, of the nature of tetters;
swelling of the glands of the neck, as in Derbyshire neck; yellowish hue of the
complexion, with livid or purplish tint of the lips, or with very red-colored pim-
ples in different parts of, or all over, the face; sensation of pricking and itching
in the soles of the feet and palms of the hands; excessive susceptibility of the
whole external surface to draughts, chills, &c.; external swelling of the ears.
Pains. Rheumatic or aching pains in the ankles, knees, thighs, and instep, or
dragging pains in the arms and hands, especially at night; pains, with peculiar
stiffness, in the back and nape of the neck, or very severe rheumatic pains in the
shoulder-blades; pains in the bowels, chiefly of a dull, aching description, in
the morning, with desire to stretch one’s self; severe incisive pains in the loins
during the menstrual periods, or pains in the hip-joint, provoked or aggravated
by any sudden muscular effort ; spasmodic or aching pains in the stomach,
relieved by recumbency, and aggravated by movement; or pain (with piles)
in the posterior passage; heavy, dull headache throughout the head, or throb-
bing pain in the temples, with or without the like suffering from the teeth, and
even in the ears; dull, bruised, or stunned pain in the head, sometimes accom-
panied with nausea, and chiefly prevalent in the morning on waking; pressive
pains in the head, as if pinched; aching pain in the eyes, or as if the pupil were
unduly expanded.
Mouth, Throat, Gums, Teeth, &c. Collection of phlegm in the mouth and
throat, which is hawked up from time to time, but which constantly gathers
again; soreness of the gums, with extreme tenderness to the touch, and sensation
as if the teeth met too soon, or were too long, and as if they were forced into the
jaw by pressing one upon the other; bleeding of the gums, sometimes without
apparent cause, and often from sucking at the teeth; the inside of the mouth is
sometimes excessively dry, and there is a constant desire to swallow, but with a
sensation as if the throat were dry or closed by swelling of the surfaces, or as if
the latter were grazed.
Nose and Eyes. Habitual dryness, with heat of the nostrils, or stuffing of the
nose, with disposition to discharges of blood from the nose, and sneezing, particu-
larly in the morning; constant watering of the eyes; or chronic redness, heat,
and swelling about the margins of the eyelids, and other inflammatory symptoms
affecting the eyes; ulceration of the anterior transparent portion of the eye.
Digestive Organs and Evacuations. Constant and fruitless straining to relieve
the bowels; habitual costiveness, or hard, detached, partial, knotty evacuations;
CHAMOMILLA. 843
or, again, relaxation of the bowels towards and during the night, with slimy,
adhesive, stringy, whitish, evacuations; swelling of piles, with constant itching,
irritation, and even soreness, in the passage; or relaxed, but partial evacuations,
followed by much suffering and uneasiness, and by a scalding sensation in the
passage; spontaneous discharge of urine with any sudden muscular effort, or
during the night, and even during sleep; sometimes, also, discharge of blood
either before, after, or without reference to the urine; the urine is variable in
quantity and color, sometimes being scanty (with frequent urging), and either
very acrid, causing soreness of the orifice, or of a brownish or brick-dust color—
or, on the other hand, increased, pale, watery, and limpid.
Menstruation and Milk. Soreness and excoriation of the thighs, with discharge
chiefly at night, and spontaneously (whites), during the intervals between the
periods, which are generally after their time, but which are attended with
increased discharge, and with an admixture of pure, but coagulated blood; defi-
ciency or total absence of the supply of milk (with pains in the region of the
womb, and stinging, cutting, or darting pains through the breasts, especially on
the left side, and generally with Soreness or cracking of the skin about the
nipples).
Body and Extremities. Faltering step, and incapability to sustain the weight
of the body, especially in feeble and scrofulous children; tingling, itching, or
indescribable irritation of the back; feebleness, and tremulous condition of the
hands, and stiffness, or want of flexibility, or even of strength in the joints to
sustain any muscular effort; stiffness of the legs, as if affected with cramp, and
cramp-like rigidity of the soles of the feet when in a horizontal position, espe-
cially if the toes be turned upwards; abscesses of the nature of whitlows on the
extremities; sensation of dislocation in the joints; excessive languor, heaviness,
weariness, and sensation of being borne down throughout the whole body, bar-
ticularly or only perceptible towards night; or even general paralysis, or gen-
eral and indescribable uneasiness of the whole frame, with extreme depression.
Disposition. Agitated, anxious, restless, and very desponding disposition, with
extreme gloominess of anticipation, and unaccountable timidity; or deep, indom-
itable gloom, and depression of spirits.
CHAMOMILLA.
Pains. Pain is usually very acute, and constitutes a prominent indication for
this medicine when it is subject to the following particular conditions: — Exces-
sive prostration immediately ensuing at the commencement of the pains; general,
or local and acute aching or cutting pain, attended with flushing of the face,
much increase of heat, and generally intense thirst; or dragging, aching pains,
chiefly predominant, or aggravated at night, and alleviated by the external appli-
cation of heat; excessive susceptibility, and impatience of pain; and sometimes local
throbbing pain; drawing, aching pain in the hip, or aching pains in the arms at
night, with loss of power in the limbs; very intense pain in the loins, or shoot-
ing pains in the right and left sides of the chest; pain in the head, of which the
patient is conscious even during sleep; cutting, gnawing, or clawing pains in the
bowels, especially at, or just before, the menstrual periods; beating, darting
pains in the head, especially on one side; bruised, or dull, heavy pain in the
head; headache, chiefly prevalent in the morning, when the patient awakes;
844 CHAMOMILLA.
very acute pains in the stomach, with intense local pressure, or acute burning
pain along the lower ribs on the right side, and at the pit of the stomach; shoot-
ing, burning, and cutting pains in the region of the stomach, and in the belly,
particularly felt when pressure is exerted on the part, or during any muscular
effort; intense colicky pains; dragging, throbbing, pulling, and jerking pains in
the teeth, jaws, and face; intolerable toothache, especially on one side, increased
by warmth, and worse when in bed; shooting, burning, smarting pains in the
throat; pains in the ears; throbbing, smarting, and burning pains in the eyes;
severe bearing-down, or forcing pains from the womb.
Pulse and Circulation. Full, hard, quick, and frequent pulse; or small, hard,
quick, and frequent pulse, with occasional attacks of palpitation of the heart.
External Surface, &c. Very great increase of heat, especially towards night;
intense heat and redness of one cheek; feverish heat, with the cheeks red and
flushed, and hot perspiration on the forehead and head, and amongst the hair;
constant change of color in the face, or one cheek pale and the other red at the
same time; deep-red, or purplish and puffed appearance of the face (with convul-
sions); almost livid, inflammatory swelling of the face on one side; livid rings
around the eyes; flatulent distension of the belly; itching, with great heat, in
the feet; alternate flushes of heat, and chills affecting particular parts only.
Nervous System, Brain, Senses, &c. Convulsions affecting the back, sometimes
terminating in rigid bending backwards of the body; convulsive agitation of the
fingers, or even of the arms; or cramps, especially affecting the calves of the
legs; convulsive distortion of the eyes, with twitching or tremulous state of the
eyelids, and contraction of the pupils; delirium at night; the sleep is disturbed
by dreams, which run upon alarming subjects, or upon disputes or disappoint-
ments; sudden interruption of the sleep by dreams, with starting, great agita-
tion, and screams; excessive nervous irritability, and intolerance of pain; lameness
or numbness of the affected parts, with constant inclination to move them ; con-
vulsive twitches of the lips, and muscles of the face, as well as of the eyelids;
excessive restlessness (sick children desire to be carried constantly); anguish,
with tossing about, as if in despair; excessive intolerance of noise, and over-
acuteness of hearing; fluttering, or buzzing noise in the ears; melody, even,
aggravates the irritability; misty sight, affecting both eyes, chiefly in the morn-
ing; appearance of flashes of light before the eyes; convulsive agitation of the
tongue; attacks of giddiness, chiefly predominant in the morning, after eating, or
in the evening; or giddiness, so severe as to end in fainting; fainting-fits, com-
mencing with a sinking sensation in the region about the heart; sudden weak-
ness, with stiffness, and sensation as of palsy of the legs and arms; reeling and
tottering, upon first getting out of bed; morbid taste, often offensive, but gen-
erally bitter, or foul; violent attacks of general convulsions of the nature of
epilepsy, generally subsiding, after a while, into a drowsy, dull, sleepy state, or
setting in with cutting, clawing pains in the bowels; the sense of smelling is un-
usually acute and sensitive.
Rest and Motion. Drowsiness, with inability to sleep; restless, agitated, or
interrupted sleep; prevailing desire to assume or retain a recumbent position ;
total inability to sleep during the night. º
Organs of Digestion and Evacuations. Great thirst; vomiting of bitter, bilious
matter, or vomiting of acid matter; violent pressure at the pit of the stomach ;
CHINA. 845
sour rising in the throat, and nausea, with general uneasiness, especially percep-
tible or aggravated in the morning, and after taking food; sensation of faintness,
sinking, and emptiness in the bowels; loose discharge from the bowels, glutinous,
frothy, and greenish, or like beaten eggs, these symptoms being chiefly apparent,
or much aggravated at night; and sometimes soreness, cracking, &c., in the
passage, attending upon piles; the urine often having a yellowish tinge, and
being very hot, depositing a yellowish-looking sediment.
Breathing, &c. Difficulty and oppression of breathing accompanying the press-
ure at the stomach; excessive anxiety, and oppression in the region of the chest,
and especially on the left side, the inspiration being sometimes arrested by a
sharp, pricking, cutting pain, and the patient at the same time having a very
strong desire to draw a deep breath ; offensiveness of the breath, worse after
eating ; during the night there is frequently a continual dry cough, which affects
the patient even whilst sleeping, generally accompanied by other symptoms of
common cold, or especially with hoarseness, and followed, not unfrequently, with
the ejection of a bitterish phlegm ; sensation of tightness, or like throttling, at
the opening of the windpipe, and of oppression, extending throughout the chest.
Mouth, Throat, and Tongue. Offensive smell from the mouth; eruption of
small blisters in the mouth ; the mouth, throat, and tongue usually intensely
dry, but sometimes covered with a very white mucus; the tongue is red and fis-
sured; or, in other instances, there is a dense yellow-tinted fur on the tongue; the
glands of the throat, as well as those of the neck, below the ears, and under the
chin, are swollen and hot; the act of swallowing solids is very painful.
Eyes and Nose. Yellow suffusion of the white of the eye, or red, blood-shot
appearance of the eyes, with great heat; the eyelids adhere in the morning on
waking, and are red, hot, and sometimes extremely dry, especially after exposure
to the air, or in the latter part of the day; the nostrils are dry, hot, stuffed, and
red, or sometimes even sore, and there is much discharge of blood from the
IłOSé.
Menstruation. Absence of proper menstrual discharge (with great general
uneasiness, and commonly with acute, insupportable, bearing-down, and forcing
pains); or frequently excessive and long-continued discharge of dark-colored
blood from the womb, generally consisting of, or accompanied with, the discharge
of clotted masses (and attended with excessive bearing-down, soreness, or burn-
ing sensations), and not unfrequently preceded by whites.
Disposition. Vezed, irritable, and hypochondriacal, or with much tendency to
hysterical excitement.
CHINA.
Organs of Digestion and Evacuations. Thirst, after the cold stage (of the fever),
and during the sweating stage; hardness and swelling in the region of the liver;
the food has a bitter taste, and the digestion is slow and feeble; great flatulency
and offensive expulsion of wind; the appetite is fastidious and capricious, and
the patient rarely feels hungry until he has begun to eat, or, on the other hand,
the appetite is morbidly increased, whilst the capability of digesting food is in an
equal degree deficient, and every meal is followed by rising of food conveying the
taste of what has been eaten; great tightness of the stomach and at the bottom
of the belly; much uneasiness, and generally accompanied by extreme languor,
disinclination to exert one’s self, or even drowsiness—or by insipid, bitter, or
846 CHINA.
sour rising of the contents of the stomach, and sensation of intense weight, with
or without spasmodic feelings at the pit of the stomach and in the belly; relaxa-
tion of the bowels and discharge of crude and undigested food; or whitish,
watery, yellowish, or slimy evacuations, occurring generally after a meal, and
being more predominant at night; sluggish and scanty, or sometimes very offen-
sive evacuations containing bilious matter; or unusually frequent and frothy
stools; dark-colored or cloudy urine, with reddish or whitish deposit, and some-
times much urging, with suppressed or scanty discharge; or, again, spontaneous
discharge during sleep; nausea; vomiting of mucus.
Pulse and Circulation. At the onset the pulse may be full and quick, after-
wards, however, and more generally, we notice small, weak, but very irritable
pulse, readily excited to become exceedingly quick and frequent, and great sus-
ceptibility to attacks of violent agitation and beating of the heart; and sometimes,
during the menstrual periods, violent throbbing of the arteries of the neck.
Periodicity. In the case of periodical or intermittent disorders, especially
agues, there is a tendency to daily attacks, more frequently recurring towards
night or in the latter portion of the day, or at a given time in the morning; some-
times, however, the attacks recur at intervals of forty-eight hours, commencing
at noon and lasting till midnight.
External Surface. The complexion is yellow and swarthy ; the face pale, and
sometimes puffed and sunken ; the eyes hollow ; and the nose sharp and meagre;
the hairy scalp is painfully tender to the touch; the flesh falls away, especially
on the legs and arms; inflammatory or dropsical swellings may occur; the skin
over the whole body is characterized by yellow suffusion, and by extreme sensi-
tiveness; there is sometimes a greasy perspiration in the morning, but generally
perspiration breaks out freely upon the least exertion, or during sleep, particu-
larly about the nape of the neck and on the back, and sometimes the night-sweats
are profuse and exhausting; the fever-fits commonly set in with general coldness,
but local heat of the head, especially of the forehead, and with flushing of the
face; there is usually much shivering, with predominant symptoms of derange-
ment of the stomach at the onset of the fever-fits, followed by great increase of
heat, sometimes with swelling of the veins, and terminating in profuse sweat;
the skin may be loose and flaccid, but is usually dry, and sometimes harsh, and
is affected with extreme irritation, with pricking, burning, or itching; the ex-
terior of the ear and nose may be red and hot, the face flushed, and the glands
under the jaw swollen; the belly hard, swollen, and tense, or inflated, or dis-
tended by dropsical accumulation; the finger-nails are often livid; the feet and
knees swollen, and sometimes exceedingly hot and tender.
Nervous System, Brain, Senses, &c. General debility, with tremulous condi-
tion, especially observable upon attempting to exert the limbs; nervousness,
lameness, and tremulous weakness; anxious or agitating conceptions of the im-
agination, which disturb or prevent rest; anxious and agitating dreams as soon
as the patient dozes; weakness and dimness of sight, and ringing in the ears;
bitter taste in the mouth, all food appearing to partake of this taste, or to convey
no taste at all, or, again, to be nauseous; totally indifferent to what is going on,
does not complain, and seems unconscious of much suffering, or of any appre-
hension; determination of blood to the brain, with sensation of fulness and much
local heat; or dulness, and confused or muddled condition of the brain; bright or
CHINA. 847
dark specks, like gnats flickering before the eyes; the faculty of speech is some-
times suspended; the hearing is dull; excessive weariness of the joints, or numb-
ness or deadness of the limbs when retained in one position; or, again, a sensa-
tion of discomfort in the limbs, which induces a continual desire to change the
position.
Pains. Contused pains of the bones in the joints, particularly when lying down,
relieved by moving about ; pains aggravated, particularly by contact, and at night;
painful pressure between the shoulder-blades; cutting and shooting pains along the
course of the lower ribs, in the region of the liver, or about the navel; shooting
and stitching pains in the chest and side; bruised or tearing, jerking pains at the
bottom of the back, through the loins, in the shoulder-blades, and in the nape of
the neck — or in the muscles and bones of the legs and arms, attended with lame-
ness and weakness of the parts; bearing-down pains in the womb during exer-
cise or exertion; a tendency to spasmodic pains in the chest during the menstrual
period; bursting or splitting headache; or pinching and sore pain in the head;
intense pain in the head, becoming worse upon movement or exposure to a
draught of cool air; sore, burning pains, or thrusting pains, in the eyes — or pains
as if pressure were exerted on the eyeballs, with smarting of the eyelids; drag-
ging, jerking, throbbing, or dull, continuous, aching pains in the teeth, especially
in hollow teeth; toothache, aggravated at night, rendered more intense by
touching the teeth lightly or gently, but relieved by clenching the teeth firmly
together.
Menstruation. Deficient menstrual discharge ; discharge of blood from the
womb and its appendages, with sensation of weight and fulness, and severe bear-
ing-down or forcing sensations, and with discharge of offensive matter, or occa-
sionally of mingled blood and watery fluid, with itching and soreness of adjacent
parts; generally obstinate whites, especially preceding the flow ; determination
of blood to the womb, with general disturbanºe, chiefly of the head, but also of
the digestive functions.
Breathing and Chest. The breathing is sometimes slow during sleep; fits of
suffocating sensation, towards evening and at night, occasioned by phlegm in the
upper part of the windpipe; or suffocative cough, during the night; difficulty
and oppression of breathing, as if from the rush of fluid to the chest, the patient
requiring to be propped up with pillows; or intense oppression, with difficulty
of breathing, or sometimes with short, hurried, anxious breathing, and a sensa-
tion as if the stomach were overloaded ; shaking, convulsive cough, sometimes
terminating in retching, or with a sensation as if vomiting were unavoidable, or
in the ejection of blood-stained or white phlegm, with or without specks, having
the appearance of soot.
Mouth, Tongue, and Teeth. Dry or clammy mouth, or even oozing of blood from
the mouth ; the tongue much loaded with whitish, yellow, or brown deposit, or
even fissured and dark-brown or black, or again swollen and indented by the
teeth, more especially at the back part of the mouth, or characterized by the
appearance of irritating pimples; the teeth on edge, or jarring upon contact, and
sometimes loaded with a dark deposit; or, again, the mouth and lips hot and dry,
and the latter cracked, dark-colored, and swollen, especially during the fever-
fits.
Nose and Eyes. Copious discharges of blood from the nose ; heat and redness,
848 CICUTA VIEOSA.
or yellow suffusion of the eyes, or glassy, filmed, dull, and protruding eyes – or,
again, suffused with water, and prominent.
Best. Drowsiness during the daytime, and sleeplessness at night; or disturbed,
agitated, interrupted sleep, from which the patient awakes more weary and lan-
guid than before.
Disposition. Either totally listless (a bad symptom), or very anxious, uneasy,
and desponding.
CICUTA WIROSA.
Nervous System, Brain, Senses, &c. Involuntary discharge of urine, as if
arising from palsy of the bladder; constant and vacant starting, as from absence
of mind; foolish manifestation of craziness; nervousness, the patient being very
subject to become excited, alarmed, or violently startled by the most trifling inci-
dent ; giddiness and loss of sense, attended with darkening and vanishing of
sight ; darkness of sight; double sight; lockjaw, with grating of the teeth; con-
vulsive jerkings of the arms or legs (more especially), the limb being sud-
denly tossed up, particularly when the patient makes an effort to speak, the
articulation being habitually indistinct, impeded, and difficult; toppling and
reeling sensations in the head ; snatching and starting movements of the head
and extremities; tremulousness of the limbs; morbid alterations of the sense of
sight, all objects appearing to be surrounded by a lucid halo, or sudden attacks
of giddiness, with immediate loss of sight when walking; swaying or agitation
of objects upon which the eye is fixed; there is also a peculiarly distressing,
vacant, fixed stare of the eye, which, without being expressive of pain, is some-
times painfully indicative of helplessness and dependence; during actual spas-
modic or convulsive fits the pupils become exceedingly contracted, and the eyes
very tender of exposure to light, or, on the other hand, the pupils expand to the
utmost, appearing to absorb the colored portion of the eye, and are mostly insen-
sible, being unaffected and immovable, whatever object be introduced before
them; spasmodic contraction of particular limbs in the most unnatural positions,
and being insensible to pain; in some cases the whole frame is violently con-
vulsed, or the face exhibits the most frightful distortions, in other cases, although
the features may be appallingly disfigured by the convulsion, the frame is mo-
tionless, and apparently lifeless, and consciousness of pain, even, is apparently
suspended, and this condition sometimes continues after the convulsive symptoms
have subsided, and the muscles have become relaxed; the faculty of hearing is
much affected, being dull and confused; the throat is so effectually closed by the
spasmodic contraction that swallowing is impossible; there may be very convul-
sive, loud, and shaking hiccough, morbid desire to eat charcoal; the muscles of
the chest are spasmodically contracted; the dreams are agitating, and generally
active, and constantly disturb or interrupt the sleep; the body may be spasmod-
ically bent backwards; the fingers thoroughly numb, and the joints of the lower
extremities uncertain and faltering.
External Surface. Oozing eruptions, forming scabs upon the scalp or upon the
forehead: confluent pustular eruptions, with yellow Scurfs; oozing tetters or ring-
worm ; burning sensations in the parts affected with such eruptions, or the like
with intense irritation all over the body; or pale, sunken cheeks, with dark ring
surrounding the eyes, and coldness of the face and hands; extreme sensation of
chilliness and much shivering, with or without external sensation of cold; eruption
CIMICIFUGA RACEMOSA - CINA. 849
of oozing pustules, &c., around the ears, and on the external portion of the ears;
incrustations in and about the nostrils; puffing and deep redness, or purplish
hue of the face; the patient crouches near the fire; frequent sweats break out at
night, when the sleep is disturbed, and generally allay the agitation for a time.
Disposition. To distrust every one and avoid society; or to be dissatisfied or
feel aggrieved, with a morbid preference for gloomy or pathetic subjects, and
yet to be much distressed and dejected by them; to complain loudly and bitterly,
or to brood silently and moodily on supposed grievances.
Organs of Digestion and Evacuations. Intense and insatiable thirst, more par-
ticularly accompanying the spasmodic paroxysms ; impaired appetite; vomiting
of blood; violent attacks of vomiting intervening between the spasmodic par-
oxysms; accumulated flatulency in the stomach and bowels; complete suspension
of discharge of urine, or continual urging to pass water; liquid, generally small
and scanty, but repeated discharge from the bowels; involuntary discharge from
the bowels and bladder; frothy spittle in and about the mouth during the par-
oxysms.
CIMICIFUGA RACEMOSA.
General Symptoms. Great sensitiveness to cold air; nervous weakness, and
continual restlessness; bruised feeling, as if sore, particularly of the left side ;
burning, cramping, stitching pains in the muscles; rheumatism, affecting the
fleshy parts of the muscles principally ; nervous prostration, similar to that
resulting from an attack of delirium tremens; sleeplessness, particularly after
mental excitement, imagining strange objects in the room, on the bed, &c., with
trembling; vertigo, accompanied with deranged vision; strange, wild feeling in the
head; heaviness and dulness of the head, relieved in the open air; headaches of
drunkards, and of students; aching pains in the eyeballs; sensation as if the
eye were enlarged; profuse greenish, and slightly sanguineous discharge from
the nose; the root of the tongue and back part of the throat are swollen; Sore-
ness of the throat, with difficulty in swallowing ; hoarseness, roughness, and
scraping in the throat; dry cough, from irritation and tickling at the lower part
of the windpipe; a dry spot in the throat occasions cough; weak feeling in the
stomach; profuse discharge of pale and watery urine ; disagreeable sensations,
as from electric shocks, in various parts of the body; rheumatic or neuralgic
affections of the muscles and tendons in the small of the back; lumbago; difficult
menstruation, attended with symptoms of a rheumatic or neuralgic character;
rheumatism Ór neuralgia of the womb ; after-pains, with great mental excitement
and nervous irritability, sleeplessness, lowness of spirits, and sensitiveness.
• CINA.
Nervous System, Brain, Senses, &c. General or local convulsions, or convulsions
of the character of epilepsy, with bloated and livid appearance of the face, or
blueness of the skin about the mouth ; spasmodic affection of the chest, with
sudden jerking or twitching movements, arrested breath, and convulsive cough ;
the legs rigidly and spasmodically stretched out, but usually convulsive contrac-
tion of the arms and fingers, with starting movements; spasmodic closing of the
throat against the introduction of liquids: violent agitation during the night,
which prevents the patient from sleeping; general convulsions, with violent
agitation of the limbs, or with rigid contraction of the body backwards, or in
54
850 COCCULUS.
unnatural positions; undue expansion of the pupils; hazy, dazzled, or muddled
sight when fixed attentively upon objects; feebleness of sight; tenderness of
exposure to light; the patient is apt to grit or grind the teeth during sleep; loss
of consciousness.
Organs of Digestion, Vomiting and purging immediately after a meal: nause-
ous or offensive rising of the contents of the stomach; inordinate and voracious
hunger, unsatisfied by eating, and further characterized by a general predomi-
nance of thirst, or of thirst and hunger, with sinking and faintness, in alterna-
tion; violent, almost convulsive, retching, followed by the ejection of mucus;
longing for sour things, which are eagerly eaten; very relaxed, whitish, and
pap-like evacuations, with the admixture of worms, or bilious matter; spontane-
ous, loose discharge from the bowels, and discharge of whitish, thick, cloudy
urine, or of urine which quickly becomes thick and cloudy after standing; dis-
charge of urine often increased, and generally characterized by constant urging;
involuntary discharge of urine at night, while asleep (in children).
Pains. Pinching, gnawing, cramp-like, or clawing pains in the bowels, or
agonizing forcing pains in the lower part of the belly; drawing pains in the ex-
tremities; pain in particular parts, as if in a vice; the pains are chiefly prevalent
or aggravated towards or during the night, and in the morning.
Nose, Mouth, and Tongue. Continual boring at the nose, with stuffing in the
nostrils; flow of thin, watery, acrid discharge, which appears to pass over an
ulcerated surface, and to scald as it flows; violent shaking attacks of sneezing,
and constant tickling or irritation in the nostrils; harsh, dry, disagreeable feeling
in the mouth; deficiency of spittle, the articulation being sometimes rendered
difficult by insufficiency of moisture; the tongue is generally clean, but exhibits
a morbidly bright-red color.
External Surface. Cold perspiration breaks out on the hands and on the fore-
head; the eyes are surrounded with a bluish ring; the complexion is generally
ghastly pale or cadaverous, or exhibits a slightly yellow hue ; sometimes, how-
ever, during the fever-fits or convulsive attacks the cheeks are flushed and puffed;
during the fever-fits there is excessive and general heat, but especially in the
Thead ; at other times the patient is habitually chilly, and appears incapable of
‘being warmed; there may be alternations of heat, with flushing— and of coldness,
with extreme pallor of the face; the whole surface is painfully sensitive, and the
-slightest touch appears to inconvenience the patient; attacks of shivering and
-shuddering, even when exposed to considerable heat. Q
Periodicity. The fever-fits have a tendency to recur daily towards evening,
setting in with a shivering-fit towards night, and continuing during the night, or
they may recur in the same manner at intervals of forty-eight hours.
Disposition. There is a constant disposition to complain and to be dissatisfied,
a wish being no sooner gratified than the interest excited in the object desired is
satiated.
COCCULUS.
Stomach, Bowels, and Evacuations. Sudden and very severe fits of nausea and
sickness, resulting in a fainting-fit; very intense oppression in the region of the
stomach ; sickness, retching, and vomiting caused by passive motion — such as
the rolling of a vessel; profuse flow of water in the mouth, with nausea and
urgent inclination to vomit; faint, empty, collapsed sensation in the bowels, or
COCCULUS. 851
the belly puffed up with flatulency; very relaxed and putrid evacuations from
the bowels, generally preceded by costiveness, with hard and difficult discharge,
but attended with urging; during pregnancy, constant desire to effect a discharge
of urine, with sensation of pressure in the bladder, and discharge of clear, lim-
pid urine; or acrid, yellow, scalding, and relaxed discharge from the bowels.
Menstruation. Difficult, painful, scanty, or totally suppressed menstrual dis-
charge, with general derangement of the digestive functions; or very painful
menstruation, with, however, copious discharge of clots; or, again, the men-
strual discharge occurs before the proper time; thin and blood-stained discharge
of whites during the interval between the periods, or discharge of thin, watery,
and bloody matter from the womb after conception, and usually until the fifth
month.
Nervous System, Brain, and Senses. Reeling giddiness, with incapability of
maintaining an erect position, or of walking straight; extreme debility and loss
of strength after the least exertion, or sleepless rest; general cramps and con-
vulsions, or the like, affecting particular limbs only; epileptic paroxysms; con-
vulsive yawning ; frightful visions, with starting from sleep, or jerking of the
hands and arms during sleep; confused, dull, stupid sensation in the head;
extreme nervous sensibility; prevalence of acid or mineral taste in the mouth;
complete loathing of food, especially of sour things; confused humming or buz-
zing sounds in the ears; fantastic objects appear to be seen, or dark spots seem
to flicker, or to descend before the eyes; the eyeballs are convulsively rolled about
or turned upwards, and the pupils are excessively dilated ; reeling giddiness,
terminating in a fainting-fit, with total loss of consciousness; complete loss of
muscular power in the arms and legs, with deadness or torpor of the extremities;
sensation of emptiness and hollowness of the head.
Pains. Pain and burning sensation in the gullet; heavy, dull or cramp-like
clawing or pinching pain in the stomach after eating; headache, as if caused by
a tight band; one-sided pains; pains aggravated by touch, drinking, smoking,
and passive motion; darting or cutting pains in the arms, or bruised pains in
the bones of the arms and thighs; clawing, pinching, cramp-like pains in the
stomach and bowels; distressing pain in the decayed teeth during mastication;
internal and general or local pains, like those occasioned by a bruise; heavy,
aching, pressive pains in the eyes, as if they suffered from the effects of a blow.
Pulse and Circulation. Hardness and frequency of pulse, generally, also, with
fulness—or subsequent, small, wiry, quick and irritable pulse—in either case
with tendency to violent beating of the heart from time to time, excited, as it
were, by thinking of particular subjects, especially by apprehensions as to one's
state of health.
Disposition. To melancholy and anxious forebodings.
External Surface. Color of the skin as in green-sickness; heat and redness of
the cheeks, with burning sensation; tendency to ruptural swelling in the groin;
perspiration in the morning and evening; evanescent flushes of heat in the face.
Mouth, Throat, Tongue, and Teeth. Excessive deficiency of moisture in the
mouth and throat; frothy saliva in the mouth, which is spluttered out in bubbles
during the convulsions; the gums swollen and tender, and the palate extremely
irritable; the teeth on edge, or loose and jarring; the tongue yellow and thighly
coated.
852 COFFEA CRUDA - COLCHICUM AUTUMINALE.
COFFEA CRUDA.
Nervous System, Brain, and Senses. Excessive nervous sensitiveness; nervous-
ness, excitability, agitation, and extreme susceptibility to pain; painful sensitive-
ness of the affected parts; excessive action of the muscles; dread of the open
air, with aggravation of symptoms during a walk in the open air; incapability of
sleeping, induced by excessive excitability both of mind and body; anguish with
trembling; convulsive fits, characterized by coldness of the extremities and grit-
ting of the teeth; unnatural keenness of sight, and distinctness or even tender-
ness of hearing ; uncertain grasp with the hands, which tremble violently when
the patient attempts to hold anything firmly ; spasmodic contraction of the soles
of the feet upon turning the foot downwards; sometimes dulness or hardness of
hearing, with humming, confused sounds in the ears; excitement and activity of
the imagination, with vivid alacrity of expression; excessive talkativeness, with
great excitement or agitation ; trembling of the feet; any derangement of the
system which is characterized by a predominant and excessive irritability and
susceptibility of the nervous system, and by extreme agitation or pains inordi-
nately severe, with or without fever; derangements consequent upon sudden
emotion, especially of pleasure, and attended with determination of blood to the
head. *
Pains. Pain constitutes a very prominent and characteristic indication for the
employment of Coffea, being always more intense than the general disturbance
of the system would seem to lead one to anticipate; pains deep in the brain, as
if lacerated, or as if a nail were driven into the head; excessive pains, driving
the patient to despair; darting, jerking, boring pains, almost intolerable, in one
side of the head; intense bearing-down and forcing pains in the womb, or, more
particularly, excessive labor-pains and after-pains; clawing, shooting, pressive
pains in the bowels; dreadful pains in the bowels, especially at or before the
menstrual period.
External Surface. Violent attacks of shivering, quickly followed by excessive
flushing of heat, tightness and oppression about the chest, and a sensation as if
something were fastened tightly round the stomach; flushing and excessive heat
of the face.
COLCHICUM AUTUMNALE.
Organs of Digestion and Evacuations. Extreme tenderness of the stomach upon
pressure; fixed or local sensation, either of great coldness or of intense heat in
the stomach ; nausea while eating, or nausea, increased to an excessive degree
by the scent of particular kinds of food; total repugnance to food as soon as it
is set before one ; sensation as of soreness or laceration in the stomach, and sim-
ilarly in the intestines, with pressing, heavy, crushing sensation upon the blad-
der; accumulation of water in the belly; protrusion of the intestine, with strain-
ing at stool, and discharge of quantities of frothy and slimy, whitish or trans-
parent matter, mixed with blood and thread-like shreds, and burning sensation
in the passage; dysentery; urging and straining in passing water, with discharge
of dark urine in very small quantities; repeated and frequent calls to pass water,
with discharge of limpid or blood-red, or very dark, brownish urine; and much
scalding and straining, as also with a pressive, forcing sensation at the neck of
the bladder.
COLOCYNTH, 853
Breathing. Short, dry, and constant cough, more especially at night; cough,
preceded and accompanied, and apparently provoked, by a tickling, irritative
sensation in the windpipe; oppression of breath, with violent agitation and beat-
ing of the heart.
External Surface. Dropsical swelling of the belly and face, and especially of
the lower eyelids; pricking, itching, tingling sensations all over the body, but
especially in parts affected with the dropsical swellings; or sensations in the
extremities, as of the numbness, tingling, and burning which ensue after the
extremities have been exposed to excessive cold, and are coming to; great
increase of natural heat at night; pale, drawn, and unhealthy appearance of the
face; excessive tenderness, with feeling as of internal soreness in the left side
of the belly when exposed to pressure; swellings, with much heat in the legs.
Pains. Pains in the limbs of a drawing, aching description, accompanied with
loss of muscular power; darting, cutting, throbbing, or aching pains in muscular
parts, or in the membrane investing the bones, recurring or becoming aggravated
with every fall of temperature; gout and rheumatism; tearing pains on one side
of the head; burning or lacerative pains in the stomach, bowels, and bladder,
or cutting pains in the pit of the stomach ; lacerative, sore pain in the chest and
in the loins, aggravated by any muscular effort, as by changing position, walk-
ing, coughing, sneezing, &c.; tearing, jerking pains in the arms, legs, hands,
fingers, feet, and toes; aching pains in the nose; very severe pains in the gums,
and tearing pains in the teeth; or pain in the cheek-bones, as if they were
crushed.
Nervous System, Brain, Senses, &c. Great nervous irritability, which prevents
sleep, or frequently disturbs it by alarming thoughts or dreams; exhaustion, or
feeling as if the nervous energy was worn out by excessive application to mental
labor at night ; the patient appears unable to sustain his sufferings; the sense
of smell is unnaturally keen ; the tongue appears stiff, heavy, and devoid of feel-
ing; the patient is troubled with incessant hiccough ; the palate conveys no taste
— that is, there is loss of taste, all food having the same mawkish taste.
Mouth, Teeth, and Throat. The mouth is hot, and sometimes there is a collec-
tion of phlegm in the mouth and throat, of a grayish or greenish tint, with a
sensation as if the orifice of the throat were swollen, or as if something were
tied too tightly round the throat; the teeth are on edge, and appear to be pain-
fully thrust into the jaw when their extremities come into contact; the lips are
often cracked; and the tongue generally dry, and covered with a whitish coating.
COLOCYNTH.
Organs of Digestion and Evacuations. Great sensation of weight in the stom-
ach ; habitual nausea, with unpleasant risings of the contents of the stomach ;
vomiting accompanied with purging; impaired appetite, with preference for fluid
food or for beverages, without, however, a predominance of thirst ; the patient
cannot keep food on the stomach, but it is thrown up together with greenish,
bilious matter; the belly is distended like a drum, and blown out with flatulency;
discharge of blood at and after stool; the evacuations from the bowels are usu-
ally very relaxed, frothy, greenish, tinged with blood, or slimy ; the discharge
from the bowels emits a sour or putrid smell, and is followed by a spasmodic
closing of the passage; the relaxation of the bowels is often preceded by a con-
854 CONIUM MACULATUM.
trary condition, and is accompanied by the sufferings described under the head
of “Pains,” or the discharge may be loose and yellow ; motions like those of
dysentery, mingled with blood and mucus; the pains are often relieved after the
evacuations, coming on again, to be again relieved in the same way; the urine is
offensive, and becomes thick and coagulated after standing; there is straining
and urging at the neck of the bladder; or, again, there may be copious discharge
of bright-colored urine; usually, however, the discharge is scanty; bubbling of
flatulency in the intestines; sensation of emptiness and soreness in the bowels;
weakness and prostration after every evacuation from the bowels.
Pains. Spasmodic, constrictive colic (with a sensation as if the bowels were
pressed between stones), attended with diarrhoea or constipation; all kinds of
severe colic ; colic, with cramps in the legs; nipping, pinching, cutting, clawing
pains in the bowels after eating ; cramp-like pains in the stomach after taking
food; pains of the character of cramp, internally and externally ; the pains in
the bowels, particularly those of a very severe cutting nature, are frequently
mitigated by bending forward and making pressure upon the belly; pain on one
side of the head, attended with vomiting; pain as if a heated brand were applied
to the forehead and scalp ; pinching pains in the fore-part of the head, worse
when the patient lies on his back or bends forwards; shooting, cutting pains,
which pierce from the head to the feet; pains shooting inwards in the eyes, and
sometimes, also, in the forehead ; clawing, stiffening pains in the hands; darting
and cutting pains in the hips and loins; pains shooting downwards from the bot-
tom of the back to the knees; dragging, aching, or tensive pains in the back,
neck, shoulder-joints, and shoulder-blades; pain, as from a bruise upon the cap
of the shoulder; or aching pains in the arms; cutting, shooting, and burning
pains in the eyes; darting, cutting, and burning pains on one side of the face;
throbbing pains in the jaw and teeth on the left side; or pain as if the teeth
were wrung out.
External Surface. Scaling-off of the scarf-skin; during the fever-fits the face
is puffed and of a dark-red hue; or generally there is puffing and redness of the
left cheek especially; the expression is care-worn, and the face pallid and emaci-
ated; eruptions forming incrustations, especially on the face; scaly eruptions
on the skin ; or dry, scurfy eruptions; general heat and dryness of the surface;
or excessive heat of the face, with coldness and shivering in the rest of the body.
Extremities. Want of flexibility in the joints generally ; stiffness of the knee-
joint; the legs appear too heavy, and tremble or totter as the patient walks or
assumes an erect position; repeated attacks of cramp in the calves of the legs;
muscular contractions.
CONIUM MACULATUM.
Breathing, &c. Impeded and difficult breathing the first thing in the morning;
short, hurried, anxious breathing upon the least exertion, sometimes accompanied
with dry, convulsive cough; violent paroxysms of convulsive coughing, or of
cough with protracted and noisy inspiration during the night, generally termi-
nating in the ejection of blood-stained phlegm ; local dryness and irritation of the
windpipe, which occasions coughing; the cough is worse when in a recumbent
position, and usually becomes aggravated towards night, and continues worse
until morning; dry or suffocative cough (with flushing of the face); expectoration
of yellowish and offensive matter after coughing.
CONIUM MACULATUM. 855
Extermal Surface. Acrid, offensive sweats breaking out in particular parts;
predominant coldness of the body; occasionally, however, with sensation of heat
internally, or with general increase of heat, accompanied or followed by profuse
perspiration; sweat breaking out as soon as the patient falls asleep, and con-
tinuing more or less during the night; livid or purplish appearance of the skin;
eruption of white blotches on the skin after violent exertion, the intervening
surface being scarlet, hot, and itching; unhealthy ulcers in different parts, emit-
ting a thin, bloodstained, and very offensive discharge ; evanescent stains of a
brownish hue upon the skin, generally developed by heat (as after violent exer-
tion), and accompanied with intolerable itching and irritation; heat, redness,
and swelling of different parts, with active inflammation of the skin; hard swell-
ings of the glands in different parts, or dropsical accumulations, especially in the
extremities; falling off of the hair; eruptions of the nature of tetters, with in-
tense irritation in the face, or of pimples over the forehead; or of painful ulcers
on the face, and, more particularly, unhealthy ulceration of the lip; yellow suffu-
sion of th9 white of the eye, or a great predisposition to styes; the glands of the
neck are much enlarged; the finger-nails exhibit a yellowish hue, or there may
be yellow stains on the fingers; constant perspiration or excessive moisture in
the palms of the hands; oozing eruptions, terminating in the formation of scabs
in different parts of the body, and excessive irritation from the finger-nails to the
knuckle-joints of the hands; the feet are habitually cold, or are readily chilled;
and the patient is extremely susceptible of taking cold by chill or wetting of the
feet; the breasts are flaccid, - or hard, knotty swellings are formed in them.
Nervous System, Brain, Senses, &c. General nervous debility, with deficiency
of vigor or activity; want of power to exert or to concentrate the intellectual
faculties; weakness of the head, and tendency to be overcome by very small
quantities of fermented liquor; extreme susceptibility to noise, the patient can-
not even bear to be spoken to, or that any one should speak within his hearing;
the head feels dull, overloaded, and heavy, particularly in the first of the morn-
ing; reeling giddiness upon first assuming an erect position or lying down; ex-
treme restlessness affecting the whole body; or, more particularly, incapability
of retaining the legs long in one position; attacks of giddiness, or sinking and
exhaustion terminating in a fainting-fit; horrid and terrifying dreams and deli-
rium running upon frightful accidents; the senses of smelling and hearing are
intensely and painfully keen; or various noises, chiefly like the ringing of bells
or rolling of wheels, or of distant thunder, in the ears; the prevailing alterations
of taste are foul, bitter, or sour; the sight is subject to much variation; either
the eyes are intolerant of the strong light of day, or objects upon which the eyes
are fixed appear to oscillate, or look red, or appear much magnified, or, on the
other hand, seem to be more distinct than they are; or, again, the patient sees
objects more distinctly than is usual at a great distance, or can only distinguish
objects which are close at hand, or sometimes sees objects multiplied; the patient
complains of weakness and weariness of the knees, and of excessive weight and
languor, with uneasiness of the legs; the feet and fingers become dead, or what
is called “asleep,” and the calves of the legs are sometimes affected with cramps,
which return, and wake the patient several times during the night.
Menstruation. The menstrual discharge is feeble, but occurs before its proper
time; during the interval between the periods, or immediately before the periodi-
856 CONIUM MACULATUM.
cal discharge, there is an acrid discharge of whites, which induces soreness, and
is attended with a scalding, smarting sensation; during the menstrual discharge
there is much bearing-down and forcing; or the discharge may be suppressed.
Organs of Digestion and Evacuations. Sour risings and water-brash, or disten-
sion of the stomach and bowels after eating, especially after milk; noisy and
flatulent eructations, or rising of the contents of the stomach, with a taste of
what has been eaten, and a sour or acrid, scalding and rasped feeling in the
throat and gullet; feeling of coldness in the stomach, and sensation of soreness
in the same part; enlargement of the glands of the mesentery; rumbling and
bubbling in the intestines; constant sensations of fulness or of soreness in the
belly; frequent or spontaneous discharge of urine at night, or constant urging to
pass water, with copious discharge of limpid, clear urine; or, again, discharge
of stringy, tenacious, slimy matter with the urine, which is attended with con-
siderable effort and much pain; sensation as if something were squeezing the
bladder, with violent urging to pass water, which is, however, discharged feebly,
the discharge being arrested suddenly before the whole is passed; discharge of
thick, cloudy, whitish urine; obstinate costiveness, with much urging and strain-
ing at stool; or exhausting relaxation of the bowels (every motion being followed
by great weakness, sensation of sinking and trembling, and by violent beating
of the heart); or, again, relaxation of the bowels, with discharge of undigested,
crude substances.
Pains. Very severe, heavy, pressive, or digging pains in the chest; aching
pains in the joints and limbs, as if from over-exertion; or clawing pains in dif-
ferent parts of the body; dull, oppressive, stunned pains in the head, or bruised
pain confined to one side of the head, or headache recurring daily during the
costive state of the bowels; clawing or darting pains in the stomach; cutting
pains along the lower ribs on the left side; or oppressive, aching pain, as if the
clothes were too tight, along the lower ribs on both sides; bearing-down or
shooting pains in the region of the womb : aching pains around and above the
hips, and across the loins, the latter relieved by leaning forwards; shooting,
smarting pain, preceded by itching in the corners of the eyes; or dull, aching pains
in the eyes while exerting the sight.
Rest. The patient is unable to keep his eyes open, and falls asleep in the
evening, but sleeps badly during the night, the rest being disturbed or inter-
rupted by dreaming or by nightmare; the patient becomes drowsy and disin-
clined to rouse himself in the morning, and continues to be dull, heavy, or drowsy
during the day.
Disposition. Extreme languor, with general apathy or dread of any exertion,
mental or bodily; sometimes, however, characterized by extreme irritability and
ill-humor, or by sullen, gloomy mood.
Nose, Ears, and Eyes. Constant irritation in the nostrils, and sneezing, or
swelling and protracted obstruction of the nostrils, more especially apparent in
the morning; collection of ear-wax in the ears, or of mingled ear-wax and matter;
glassy, dull, filmed, and protruded eyes, with unsettled glance.
Gums and Tongue. Swelling, bleeding, and unhealthy purplish color of the
gums; and enlargement of the tongue, sometimes characterized by stiffness and
aching.
CROCUS SATIVUS — CUPRUM. 857
CROCUS SATIWUS.
Nervous System, Brain, Senses, &c. Attacks of giddiness, terminating in a
fainting-fit; hysterical paroxysms, with tendency to laugh or to indulge in joy-
ous gesture, rapidly alternating with the contrary condition, or with wailing;
heaviness, weariness, and giving way of the limbs after very inadequate exertion;
sensation of something moving as if alive in the belly or in the chest; weariness, weight,
and debility of the thighs when in a sitting posture; loss of muscular power, with
deadness of the hands and arms, more particularly during sleep; sensation of
weight and oppression at the heart; trembling of the eyelids, or trembling of
every limb; feeling in the eyes as if they were swollen, and the eyelids were
stiff; the sight is hazy, and appears to be obstructed by a film gathering over the
pupils, whereby the patient is constantly incited to blink, as it were to clear the
sight; the sight is quickly wearied, and becomes hazy if exerted by candle-light;
sensation as if the joints were giving way; the sleep is either disturbed by alarm-
ing dreams, or occupied by dreams of a pleasing or mirthful character; in either
case the patient is not refreshed by sleep, but is either drowsy or weary in the
morning, or suffers from a general aggravation of all the symptoms; ringing
sounds occur in the ears, particularly when the patient assumes a recumbent
position, or flashes of light appear before the eyes; the patient complains of a
feeling as if the brain were loose in the skull, and were agitated by every move-
ment; anxiety about the chest, relieved by frequent yawning.
Menstruation, &c. Copious discharge of blood from the womb, or flooding ; or
excessive menstrual discharges occurring every fortnight, or barely ever sus-
pended; flow of very dark blood, or even black blood, which is viscid and stringy;
sensation of weight and pressure, with determination of blood to the womb.
External Surface. Cadaverous complexion; red, itching, burning, or tingling
swellings, like chilblains, on the joints, of the toes and fingers; crimson hue of
the skin.
Eyes and Nose. Excessive dryness or watering of the eyes, with irritation or
tingling in the eyelids; constant sneezing, which shakes the whole frame; dis-
charge of black, slimy, stringy blood from the nose.
CUPR.U.M.
Nervous System, Brain, Senses, &c. General and local spasms, inducing perma-
nent or temporary rigidity, or rapid alternations of tension and contraction, with
sudden muscular relaxation; jerking, twitching, or other convulsive movements
of the body or of particular parts during sleep; spontaneous jerking of the limbs;
acuteness of every sense; extreme and insuperable nervous or muscular debility;
sensation in the head as if stunned and pressed down; or reeling giddiness, with
sensation of imminent and precipitate falling; extreme nervous excitability; the
body and the head rigidly bent backwards; or the head is fixed on one side, in an
unnatural position; the pupils do not appear to convey a consciousness of the
presence of objects; spasmodic stiffness of the jaws; convulsive distortion of the
features; intensely lethargic sleep; convulsive hiccough ; fingers and toes convulsed
and distorted; the convulsions begin in the extremities; cramps in the calves of the
legs; frantic delirium; convulsive rolling or closing of the eyes; periodical con-
vulsive attacks; convulsions, with piercing shrieks; drowsiness, with convul-
$10IlS,
858 DIGITALIS PURPUREA,
Stomach, Bowels, and Evacuations. Intensely oppressive weight in the pit and
region of the stomach, which becomes worse on the least movement or the slightest
touch ; excessively violent retching, and vomiting of slimy or watery matter, or of
bile or blood, or of greenish, frothy, whitish, or bluish matters, and accompanied
by purging of similar matter, and dreadful cramps in the belly, extending up-
wards to the chest; excessive purging, sometimes with the admixture of blood in
the motions, hardness and tightness of the belly, with sense of weight, and the
most unbearable spasms, accompanied with general convulsions; drinking relieves
the vomits, but increases the cramps in the chest ; the urine is suppressed, or dis-
charge of dark-red, turbid urine, depositing a yellowish sediment.
Breathing. Hurried and rattling breath, or breath suddenly arrested by spas-
modic attacks in the chest, which amount almost to suffocation; dry, suffocative,
convulsive cough, or cough and quick breathing, with rattling of phlegm on the
chest. * *
External Surface. Eruptions, such as those of leprosy and itch ; excessive
sweats at night; or cold perspiration, breaking out, either all over the body, or
especially on the soles of the feet or palms of the hands; bluish, crimsoned,
puffed, or very hollow, haggard, cadaverous, pallid countenance, with livid rings
about the eyes and mouth ; swelling of the hands; coldness, especially of the ex-
tremities (accompanied with intense thirst).
Mouth, Tongue, and Throat. The lips are blue or livid; collection of frothy or
foamy spittle in the mouth, which is spluttered out and collects along the lips in
the convulsions; the tongue is cold at the extremity, usually covered with a
whitish and thick coating, and clammy to the touch ; there is a cold, mawkish,
insipid feeling in the mouth in the morning, and the act of swallowing liquids is
accompanied with a peculiar noise.
Eyes and Nose. The eyes are red and inflamed ; or more especially protruded,
and of dazzling and unnatural brilliancy, — or, again, dull, filmy and inanimate;
and the nose discharges an acrid, watery mucus.
DIGITALIS PURPUREA.
Pulse and Circulation. Feeble and very tardy pulse; or small, weak, and exces-
sively irritable pulse, – that is, a very small, weak pulse, subject to become
very frequent, quick and fluttering, upon the least excitement or exertion, with
very rapid action of the heart (at the same time), and violent, audible beating
of the heart; irregular and intermitting pulse, every other beat intermits.
Breathing. Excessive tightness of the chest, with compressed, Smothered respira-
tion, especially when the least exertion is attempted, or the patient lies down.
External Surface. Blue, purplish, or livid color of the lips and eyelids; pur-
plish hue of the skin; or extreme pallor of the face; casting off of the scarf-
skin all over the body; complete jaundice; great coldness of the extremities;
excessive and exhausting night-sweats; coldness of the whole frame, occasion-
ally or even frequently attended with cold perspiration, either confined to one
side or to the forehead; dropsical swellings, of the belly and of the legs; the swell-
ing of the legs gradually increases during the day, and subsides again at night;
great loss of flesh, or continual puffiness; extreme tenderness of the region of
the liver to pressure.
Stomach, Bowels, and Evacuations. Convulsive efforts to vomit, without dis-
DROSERA. ROTUNDIFOLIA. 859
charge; or insufferable nausea and vomiting of bile or of water, but more espe-
cially of mucus; weight in the stomach, with burning sensation; desire to vomit
(with extreme depression and anxiety); grayish-white or chalky-looking evacua-
tions; sensation as if the passage from the bladder was too small, when passing
water, which is only discharged with much pain and difficulty, and after frequent
calls and much urging; scanty, hot, and scalding discharge of urine, of a dark
reddish brick-color; or, again, total suppression of urine, and discharge from
the bowels as of dysentery, chiefly consisting of frothy, slimy matter, mingled
with blood; loss of appetite, although the tongue be clean.
Nervous System, Brain, Senses, &c. Unnatural alterations of the sense of sight;
objects appear doubled, yellow, or greenish; or there is a haze of many colors
before the eyes; mistiness of sight; the eyes are constantly turned towards one
corner; the sight becomes darkened or is lost; the head reels, and the extremi-
ties tremble; or the head is flung backwards, or the brain seems to oscillate in
the head; excessive prostration of strength after eating; or loss of strength,
sudden and complete, and accompanied with copious sweat; the taste is mawkish,
insipid, or bitter; sudden and total loss of muscular power; and stiffness in the
arms and fingers.
Mouth, Tongue, and Lips. Soreness and harshness of the mouth, or soreness
of the gums and tongue, with excessive flow of §liva, whether insipid, sweet, or
offensive ; the tongue swollen, slimy, and white, or livid or ulcerated; the lips
swollen, or very dry.
Eyes. Adhesion of the eyelids; extreme redness and heat, with smarting,
grating, or burning sensation inside the eyelids; and flow of scalding tears
increased or provoked by walking against the wind, or by a cool draught, or,
more particularly, by exposure to bright light.
DROSERA ROTUNDIFOLIA.
Respiratory Organs. Cough attended with ejection of bright-red, or dark blood;
creeping in the windpipe as from a soft body; hoarseness, and deep, low voice,
attended with harsh and scraping sensation of dryness in the throat; spasmodic
cough in the evening and during the night, attended with retching, discharges
of blood from the nose and mouth, suffusion of blueness over the face, and fits
of suffocative sensation; whooping-cough; expectoration of thick matter after
coughing or hawking; cough in the morning, with bitter, nauseous expectora-
tion; fatiguing cough (or cough after the paroxysms of which the patient feels
utterly exhausted), with whistling respiration, or a long shrill inspiration; offen-
siveness of breath with the cough; arrest or oppression of breath; feeling as if
the air-passages were not expansive enough for free respiration; cough, with
vomiting, at first of food, and later, of mucus; dry, spasmodic cough, with
gagging; or hard and barking cough ; hard, harsh, and barking cough, after
measles; feeling of roughness and dryness in the windpipe.
Stomach. Retching and vomiting after the fits of coughing; or vomiting of
food, or even of blood, during the attack or at its termination; rising of bitter
matter from the stomach; bilious vomiting; slimy vomiting incidental to fits of
coughing; general derangement of the stomach with fever; water-brash.
Pains. Contused pains throughout the body with dread of being touched, and
with paralytic weakness; pain in the windpipe, caused by talking; squeezing
860 DULCAMARA.
pain, or pain with exceeding tightness or weight on the forehead; darting pains
in the joints, or deep in the bones or muscles of the legs and arms; pains in the
thighs as if they had been bruised, or pains in the arms, legs, loins, back, and
joints, generally attended with stiffness, the pain being more particularly felt
when an effort is made to move — and the patient still desiring to change position
frequently; — pain as if there were a sore place under the breast-bone; cutting
or jerking pains in the teeth, after having had something hot in the mouth — or
pain in the throat as if something dry and rough were lodged there ; sore pains
from side to side along the lower ribs, induced or aggravated by any muscular
effort, and extremely severe on pressure. ſº
Eyes and Nose. Haze before the eyes, print looks pale when reading; distant
objects appear to be confused and hazy; constant discharge of blood from the
nose, especially in the evening; thin, watery discharge from the nose, with much
Sneezing. *
External Surface. Blueness over the face during the fits of coughing; chills,
with coldness of the face, feet, and hands, and sickness at the stomach; or flush-
ing of heat to the face and head, with intense coldness of the extremities, and gen-
eral shivering and rigors, or even chattering of the teeth; sensation of Soreness
over the head, the hair appearing to be torn out when touched lightly, but relief
following brisk friction or brushing; the lips dry and cracked, or the face hollow
and pale, and the features drawn.
DULCAMARA.
External Surface. Scrofulous swelling and hardening of single glands; general
dropsical swellings; ringworm ; vesicular eruptions; scarlet and purple-rash ;
miliary nettle-rash; milk-scall; scrofulous swelling of the glands of the arm-pits
and groin ; moist or 00Zing eruptions, forming scabs ; or dry, scaly, mealy, or
scurfy eruptions; eruptions forming incrustations on the joints; thick scabs on
the face of a brownish or yellowish hue; swelling of the glands along and under
the jaw ; chills followed by general flushing of heat, or even of burning sensa-
tions; flushing and crimson hue of the face, &c.; the perspiration emits an offen-
sive smell ; general and copious perspiration over the whole of the body, gen-
erally and immediately preceded by parched and burning heat, with redness of the
surface; sweat breaks out in the palms of the hands; patchy redness or flushing of
the cheeks, with general pallor of the complexion; warts on the face; casting off
of the scarf-skin on the feet, accompanied or preceded by intense tingling or
itching; scaly, scurfy, or crusty eruption on the hands and about the knees;
warts on the hands; dropsical swelling of the feet and ankles, and of the lower
part of the legs; hardening and swelling of the glands of the neck; intense
burning and tingling in the toes or all over the feet, especially in the ball of the
foot. $
Pulse and Circulation. Powerful and shaking action of the heart (with intense
oppression), occurring principally at night, and with a hard, quick, and com-
pressed pulse.
Stomach, Bowels, and Evacuations. Intense thirst; vomiting of stringy, adhe-
sive phlegm ; discharge of slimy matter from the bowels, tinged with blood, and
accompanied with excessive irritation in the orifice; watery discharge from the
bowels during the night; or generally very relaxed discharge of brownish or
EUPA.TORIUM PERFOLIATUMI. 861
green matter, mingled with slime and froth ; relaxation, frequently preceded
by costiveness, and coming on suddenly; loose evacuations, with colicky pains
after taking cold; diarrhoea from taking cold or getting wet; nocturnal watery
evacuations when the weather suddenly becomes cool; spontaneous discharge of
urine; or urine mingled with gelatinous, slimy matter, but generally clear; or
thick, cloudy, and whitish urine; urine commonly scanty (sometimes only drop-
discharge), generally offensive, and often suppressed.
Mouth, Nose, Eyes, Tongue, and Throat. Ulcerations are developed in the
mouth, or sometimes only elevations like pimples, which are very sore and tender;
the gums are puffed, unhealthy, swollen, and appear to be separated from the
teeth; heat and stuffing of the nose, with constant but scanty flow of hot, acrid
fluid, worse after exposure to the cold; discharge of bright, crimson, and very
hot blood from the nose; the eyes are inflamed, hot, and red; the tongue is swollen,
and difficult to be moved (articulation being impeded); or is white, slimy, and
thick-coated, but more frequently very white, and quite parched; the throat is
sore and very hot. -
Pains. Boring pains, seeming to issue from the centre of the head, or pains
as if a heavy blow or fall had been suffered in the head, in either case worse on
the least movement; aching pains, apparently seated in the stomach, but affect-
ing the chest also ; very severe, aching, or boring pains in the small of the back;
or pains, with stiffness in the arms, as if severe blows had been inflicted upon
them; the pains are usually attended with coldness of the body, or of the part
affected; aching or piercing pains in the eyes, provoked or aggravated by exert-
ing the sight; cutting, clawing, or cramp-like pains in the belly, and especially
about the navel; earache at night, more especially of a jerking or shooting de-
scription; the pains are generally worse in the evening or during the night, in
the cold air or during wet weather.
Menstruation. The menstrual discharge is commonly profuse, but occurs after
the proper time; suppression of the menstrual flow in consequence of taking
cold, or getting wet.
EUPATORIUM PERFOLIATUM.
Fever, Paroxysms of intermittent fever, which usually commence in the morn-
ing; chill, preceded for some time by thirst, which continues during the chill
and heat; at the conclusion of the chilly stage, vomiting of bile, or vomiting
after every draught of water; pains in the bones, as if broken, before the com-
mencement of the chill; headache, backache during the chill; the chilliness is
increased by cold drinks; great weakness, prostration, and headache during the
fever; nightly perspiration, with chilliness.
External Surface, &c. Heat, with slight sweat of the hands; feeling of heat in
the soles of the feet, in the morning; dropsical swellings of the feet and ankles;
redness of the face, with dryness of the skin of the face; soreness of the corners of
the mouth; heat on the top of the head; the tongue is covered with a whitish
fur; great Soreness and aching in all the limbs, apparently in the bones, such as
accompanies an attack of influenza; inability to lie on the left side.
Stomach, Bowels, and Evacuations. Vomiting immediately after drinking; vomit-
ing of bile, with great nausea and trembling, causing great prostration; inability
to bear the pressure of the clothing; feeling of soreness in the right side, below
862 EUPHRASIA OFFICINALIS –– FERRUM METALLICUM.
the lower ribs; loose evacuations, only in the morning; emission of dark-brown,
scanty urine, depositing a whitish, clay-like sediment.
EUPHRASIA OFFICINALIS.
Eyes, Nose, and Gums, Affections, whether of an ulcerative or inflammatory
character, attacking the anterior transparent portion of the globe of the eye;
ulcerative inflammation of the margins of the eyelids, often attended with head-
ache; inflammation of the whole of both eyes, with pink or bright-red suffusion
of the eyes, and intense smarting of the eyes and eyelids; excessive discharge of
hot, scalding water from the eyes, with the like flow from the nostrils; extreme
Soreness of the eyes, eyelids, and nostrils; or occasionally copious discharge or
watery fluid from the eyes and nostrils, tinged with blood; enlargement and
gluing of the eyelids; discharges of blood from the nose and gums; stuffing of
the nose, with intense heat during the night, and return of the free, limpid dis-
charge during the day.
Organs of Respiration, Oppressed, impeded, and difficult breath, with very
moist cough, or cough which arrests the breath ; the cough is worse when at
rest, or when walking in the wind.
External Surface. The body is generally cold or very chilly; chronic discharges
from wounds; figwarts; sudden swelling of the finger-joints; intense heat and
redness of the skin on the face, and eruption of a very fine, grain-like rash after
washing; sensation as if the skin of the face were too tight, whilst it is hot and
sore, so that every movement of the muscles of the face produces smarting and a
feeling as if the skin would give way; abundant perspiration at night.
Pains. Smarting, grating, aching, gnawing pains in the eyes; heavy, bursting
pain in the head, with very strong throbbing of the arteries of the head; heavy
and shooting pain in the forehead ; aching or darting pains in the ears and lower
teeth.
Nervous System, Brain, Senses, &c. Dull, muddled, stunned sensation in the
head, more painfully observable in the recumbent position; extreme sensitiveness
of the sense of sight (the eyes cannot bear the light); sensation as if a force were
weighing upon the eyes, and oscillation and cloudiness of the candle; interrupted,
faulty, hesitating articulation ; starting up from sleep in a fright; the attention
is distracted, the mind absent; numbness or deadness of the fingers, or of the
extremities generally; sensation as if the tendons of the legs were too short.
FERRUM METALLICUM.
External Surface. Cold, clammy, and exhausting perspirations; predominant
chilliness and shivering, even when in bed — or, on the other hand, burning,
dry, parched skin; slow fever, with swelling of the veins, and dropsical swelling
of the eyelids; brief attacks of shivering, followed by flushes of heat; habitual
fever at night, or general heat towards night, with harshness and dryness of the
skin; or heat, especially of the hands, towards evening ; strong-smelling night-
sweats; general loss of flesh, and very pallid, clear, or transparent skin, so that
the minute veins are seen through it in bluish traces; dropsical swelling or
puffing of the feet, ankles, and knees, or of the lower part of the legs, as well as
of the hands; sometimes with peeling off of the skin; cadaverous paleness of
complexion, with flush-spots on either cheek, or on both cheeks; sunken, drawn,
FERRUM METALLICUM. 863
and pointed features, and want of color in the lips; or intense redness, and occa-
sional puffing of the face, especially about the eyes; the hair drops off on the
slightest touch, and the head feels sore.
Menstruation, &c. Menstrual discharges wanting, or very feeble and pale (pre-
ceded by flushing of blood to the head); profuse and exhausting floodings (with
bearing-down and forcing pains or throes); variable discharges of dark and
clotted or very fluid blood (and flushing with deep redness of the face); habitual
miscarriages, often very shortly after conception, and discharge of very white
matter between the periods.
Breathing. Breathing exceedingly difficult and oppressed, with a sensation of
weight and intense tightness in the region of the stomach and chest; strong
expansion of the nostrils to get air, and very little expansion of the chest, &c.,
in the act of breathing; the difficulty of breathing is more especially trouble-
some towards or during the night; convulsive cough the first thing in the morn-
ing, and subsiding after the patient has eaten, the cough being accompanied or
followed by the expulsion of clear, gelatinous phlegm; or, on the other hand,
cough without expectoration, but terminating in the throwing up of the food, and
occurring immediately after the patient has eaten; expectoration of matter,
sometimes yellow, generally offensive, and often either streaked with blood, or
of a greenish color; determination of blood to the chest, with 8ppression, and
spitting of blood.
Pulse and Circulation. Small, weak pulse, often quiet in the morning (about
two hours after the first meal), but always fluttering, and much agitated by the
least excitement or exertion, and growing more irritable, quick, and frequent
towards night, — generally, at these periods, characterized by strong agitation
and beating of the heart.
Organs of Digestion and Evacuations. Rising of bitter matters after partaking
of greasy food — or vomiting after eating or drinking anything acid — or sour
risings from the stomach; vomiting of the food, preceded by sensation of weight
and oppression at the stomach immediately after eating, and more particularly in
the evening or during the night; sensation of weight and uneasiness, or as if a
stone were in the stomach or chest after eating meat; capricious appetite in the
morning, sometimes absent, sometimes voracious, and predominant thirst towards
night; piles, with or without discharge; acrid, very relaxed, slimy or watery
evacuations from the bowels, or discharge containing undigested food or thread-
worms; scanty, dark-colored urine; painless diarrhoea, with great debility.
Nervous System, Brain, Senses, &c. Drowsy, heavy, weary sensation of fatigue,
with disturbed and agitated sleep; sensation of stiffness and weight in the limbs;
extreme general weakness, and giving or bending of the knees; giddiness on
stooping; sensation of buzzing or roaring in the ears; total want of strength in
the thighs; alternate exhilaration and depression of spirits; confused sensation,
and feeling of weight in the head : sweetish taste in the mouth; rush of blood
to the brain.
Pains. Hammering pains in the head, recurring at given intervals, or irregu-
larly from time to time; shooting and tearing pains in the shoulder-joint and
arms; drawing pains in the limbs; aching pain in the stomach after eating;
throbbing pains with rush of blood to the head; headache in the open air; burn-
864 GELSEMINUM SEMPERWIRENS.
ing pains in the eyes; clawing pains in the bowels, or also in the stomach;
forcing labor-pains; darting pains in the chest.
Eyes and Nose. Hazy, dull, inanimate eyes — or heat and redness in the eyes——
or eyes suffused with water; discharge of blood from one nostril, or constant col-
lection of clotted blood in the nostrils; profuse and habitual discharges of blood
from the nose.
G|ELSEMINUM SEMPERWIRENS.
Nervous System, Brain, Senses, &c. Great irritability, does not wish to be spoken
to — or, exhilaration, followed by melancholy; inability to command the thoughts,
so that an attempt to think about any subject is futile, and the effort is followed
by dulness of the head; stupor, with inability to open the eyes; inability to
control the muscles, so that on attempting to move they do not obey the will;
vertigo, with obscuration of sight; chilliness, and quickened pulse; the sudden
communication of exciting news causes diarrhoea; ill effects following fright or
fear; staggering as if intoxicated when trying to move; sensation as if the head
were enclosed within a band; double vision, controllable by the strength of the
will; dimness of vision, with appearance as of smoke before the eyes; aversion
to light; complete blindness, of short duration ; objects present a greenish
appearance; sudden, but transient, loss of hearing; drowsiness; long-continued,
heavy sleep.
External Surface, &c. Sensation as if the skin in the middle of the forehead
were contracted; itching on the face, neck, and shoulders, worse at night, and
preventing sleep; heavy, dull expression of the countenance; yellow color of
the face; heat of the face, with fulness of the head, and cold feet; redness of
the skin on the face and neck; stiffness of the jaws; the lips are dry, hot, and
coated ; coldness of the wrists and hands; the hands, especially the palms, are
hot and dry; eruption resembling measles, especially on the face; dusky or dark-
red appearance of the face.
Pains. Rheumatic wandering pains in the bones and joints, particularly at
night; feeling as if bruised in various parts; violent, sharp, stitching pains in
the thighs; pain as if sprained in the right wrist, or in the right elbow ; severe
stitching pains in the right side of the chest; sensation of soreness in the mus-
cles of the belly; sudden spasmodic pains in the upper part of the belly, which
are very severe, and leave a sensation as though the parts were constricted on
passing off; dull pain in the back part of the head, in the morning, worse when
moving or stooping.
Stomach, Bowels, and Evacuations. Acid risings from the stomach; nausea,
with giddiness and headache; feeling of emptiness in the stomach; burning in
the stomach, extending to the mouth ; soft and pappy evacuations from the bow-
els—nevertheless, they are passed with difficulty ; falling of the bowel during an
evacuation; loose evacuations of a light-yellow color; frequent emissions of pale
and watery urine, during headache, which affords relief.
Respiration, &c. Weakness of the voice; spasm of the glottis, threatening
suffocation, and coming on in the evening; hoarseness, with feeling of dryness
of the throat; dry cough, with feeling of soreness in the chest, and discharge
of watery mucus from the nose; frequent, short respiration.
Fever, Pulse, &c. The pulse is slow, but is easily accelerated by slight motion;
chilliness in the upper part of the body only ; chilliness, especially in the morn-
GLONOINE. 865
ing, or coming on every day at the same hour; chilliness, with coldness of the
hands and feet, and headache, and with weakness of the pulse; coldness of the
feet, as though they were placed in cold water, with heat in the head and face
at the same time; profuse perspiration relieves the pains.
Mouth and Throat. Yellow-colored spittle accumulates in the mouth; sticky,
feverish feeling in the mouth; putrid taste and fetid breath; yellowish-white
coating of the tongue; the tongue is red, raw, painful, dry, and inflamed in the
centre ; paralysis of the tongue; dryness and burning in the throat; dry rough-
ness in the throat when coughing; sensation as if a foreign body were lodged in
the throat; difficulty of swallowing, apparently from paralysis of the throat.
Eyes, Ears, and Nose. The eyes feel bruised; yellow suffusion of the whites
of the eyes; great heaviness and drooping of the eyelids, or fulness and con-
gestion of the lids; dilatation of the pupils; burning and itching of the ears;
sensation of fulness at the root of the nose, extending to the neck.
GLONOINE.
Nervous System, Brain, Senses, &c, Great feeling of fearfulness; unusually
bright and loguacious, with great flow of ideas; loses his way in well-known
streets or places; feeling as if the chin were elongated ; unsteady gait; giddi-
ness when the head is moved ; heaviness in the head, principally in the forehead;
fulness of the head, as though the brain were expanding and moving in waves;
pulsations in the forehead, in the temples, or on the top of the head, when walk-
ing, every step is felt in the neck; sore and bruised feeling in the brain, worse
on shaking the head; the pain, heat, and fulness in the head ascend from the
chest, neck, or back part of the head; shaking the head, stooping, and ascend-
ing aggravates the headache; the headache is relieved by pressure, by walking
in the open air, or by uncovering the head ; headache, with accelerated pulse,
red face, sweat in the face, and, finally, unconsciousness; sparks and flashes
before the eyes; black spots hover before the eyes, with obscuration of sight and
fainting; sensation of fulness in and around the ears; ringing, singing in the
ears; fainting, with consciousness; unconscious falling down; pulsations, ting-
ling, thrills, and a peculiar sensation of warmth throughout the body, extending
from above downwards; convulsions, from congestion to the head; bad effects
of mental excitement, fright, fear, or from exposure to the rays of the sun.
General Symptoms. Heat, especially in the face, ascending from the stomach;
pulse accelerated, irregular, intermitting, full and hard, or small and rapid;
weakness, as from loss of sleep ; very heavy sleep ; restlessness, weakness, and
want of circulation in the limbs; sensation of weakness and numbness in the
left arm; a beating as of many pulses is felt in the tips of the fingers, accom-
panied by trembling of the fingers; fulness, tension, and pulsation in the neck;
the neck feels weak and tired; desire to take a long breath; palpitation of the
heart, with heat in the face, quickened pulse, and throbbing of the large arteries
in the neck; during menstruation or pregnancy, congestion of blood to the head
or chest, headache, and fainting; increased evacuation of pale urine, particularly
at night; redness or paleness of the face; sensation as if the under lip were
swollen.
55
866 GRAPHITES.
GRAPHITES.
External Surface. A general unhealthy condition of the skin, in which the
slightest injury has a tendency to become an obstinate sore; itching on the
scalp; oozing eruptions, with moist scabs on the head; intense and continual
dryness of the skin; swelling and inflammation of the skin, with or without the
formation of blisters; scabs on the chin and around the mouth; oozing eruptions,
forming scabs, or merely excoriation, behind the ears; reddish spots upon the
skin; excoriation or oozing eruptions between the fingers and toes, and upon the
inner side of the thighs; spreading or corroding vesicles on the extremities;
callousness of the skin; swelling and crookedness of the toes; swelling of the
legs and feet; burning heat in the feet, or coldness of the feet when in bed; dis-
torted, crooked growth of the nails ; the nails grow in ; the sweats are commonly, if
not generally, offensive; perspiration, especially on the head, induced by the
least exertion ; great loss of flesh ; enlargements of the joints generally ; shiver-
ing all over the body, chiefly upon getting up, but also towards night, sometimes
followed by flushing of heat, and generally by sweat; the face is affected with
red, inflammatory swelling, or with erysipelas; the hair, and even the beard and
whiskers, fall off over the whole of the head, or become gray; the complexion is
usually of a dirty yellow; oozing pimples break out on the face, or the chin
appears quite raw ; the lips are cracked and ulcerated; the liver is swollen, hard,
and generally tender; the belly is blown out with flatulency; swelling of the
glands of the groin ; the glands of the neck and beneath the jaws are enlarged;
there is frequently offensive sweating of the feet; intractable ulcers break out in
various parts, but chiefly on the legs; extreme tenderness to pressure in the
groins.
Nervous System, Brain, Senses, &c. There is absolute and insuperable repug-
nance to the least exertion; agitation, with anxious, distressing, and uneasy
thoughts, which continue in the dreams during sleep; the head feels as if it were
numbed; the brain is muddled, and there is a sensation of reeling either upon
first getting up or lying down; embarrassment in the head; the hearing is obtuse;
an offensive smell is constantly perceived in the nostrils; the sight is confused
or contracted, and there is much sensitiveness to light; a sensation prevails as if
a web were gathered over the face; there is want of sensibility in the skin about the
extremities, and the limbs feel dull and heavy ; rolling, or roaring, or ringing
noises in the ears.
Menstruation, &c. The menstrual flow is retarded, scanty, and pale, particu-
larly in women who have an unhealthy skin, with pimples in the face; delay of the
first appearance of the menses in young girls; suppression of the monthly flow,
with heaviness of the limbs, and determination of blood to the head; during the
menstrual period there are colicky pains, violent headache, with nausea, swelling
of the feet, chilliness, and fatiguing cough ; profuse, white, thin leucorrhoea,
with weakness in the back.
Nose, Ears, Throat, and Gums. Stoppage and painful dryness of the nose; dis-
charge of thick matter from the nose; or constant dry heat in the nostrils, espe-
cially about the bridge of the nose; dry scabs on the nose; offensive, thick dis-
charge from the nostrils; the nostrils are sore, or even ulcerated and cracked;
discharge of very offensive matter from the ears, or excessive, parched dryness
HELLEBORUS NIGER. 867
O
within the ear; scraping sensation and habitual soreness of the throat; the gums
are tumid and unhealthy, and bleed upon "f least touch.
Stomach, Bowels, and Evacuations. General weakness of digestion ; habitual
nausea, especially in the morning; the appetite is inordinate or fastidious, and
there is dislike for cooked food; sensation of weight in the stomach; vomiting
easily provoked by anything nauseating; empty, Sour, or bitter risings from the
stomach, or vomiting of sour matter; great collection of or bloating of the bowels
with flatulency, with much expulsion of very offensive flatulency; large swelling
of piles in the passage, and soreness after stool; inveterate costiveness, with
hard evacuations; very small evacuations of the size of a round-worm ; half-
formed stools, with incomplete discharge, or very soft evacuations; deficient
discharge of dark urine, depositing a brickdust-colored or whitish sediment, and
becoming cloudy after standing a very short time; increased discharge of urine
at night.
Pains. Aching or cramp-like pains in the stomach ; shooting pains in the teeth
after cold drinks ; aching or darting pains in the eyes; cramp-like pains in dif-
ferent parts; tearing pains in the scalp; pain as from a plug in the throat;
aching pain in the stomach, relieved by lying down, and going off when in bed,
but sometimes ending in vomiting ; violent pain in the nape of the neck; cramp-
like and tearing pains in the hands, especially in the joints; aching, bruised, or
clawing, wrenching pains in the loins.
Eyes. Gluing of the lids, and flow of tears; accumulation of dry matter in
crusts upon the eyelids and lashes; inflammation of the eyes, with redness of the
white of the eye.
Breathing. Breathing impeded, with sensation of strangling, when walking
out, or when falling asleep; suffocative attacks, with fntense oppression at night;
squeaking voice; tenderness of the opening of the windpipe to pressure; attacks
of coughing during the night, caused by drawing a long breath.
HELLEBORUS NIGER.
External Surface. Dropsical swellings, whether local or general, of sudden
development, and attended with an inflammatory condition; loss of control over
the muscles of voluntary motion; the limbs can only be exerted, or muscular
movement can only be made by much effort of the will; the face is puffed and
pallid; the whole surface of the head is sore to the touch, as if it had been
beaten ; the glands of the neck are much enlarged; the belly as if puffed up with
dropsical accumulatiºn; the skin is deficient of color, and is puffed up or cast off
all over the body, or it is puckered and tender, generally cold, and often affected
with shivering; sweats break out in the latter part of the night, and towards
evening there is shuddering and trembling internally, with intense heat of the
surface, particularly of the head; the forehead is wrinkled, and the complexion
sometimes exhibits a yellowish hue.
Breathing. The breathing is short, hurried, anxious, much impeded and
oppressed, or deep and slow; there is sometimes much heat in the chest, with
exceeding tightness and difficulty of breathing, or with a short, interrupted, dry,
and hacking cough ; attacks of suffocation come on, with palpitation of the heart,
and tightness of the chest and throat, and even obstruction of the nostrils.
Nervous System, Brain, Senses, &c. There is total loss of nervous control; the
868 HEPAR SULPHURIS CALCAREUM.
senses are generally obtuse; the feelings most anxious and desponding; the head
feels stunned and stupefied; and the e is dull, pressive sensation at the back of
the head; the look is unconscious, fixed, and vacant, and sensitive of light during
the day; the eyes are turned upwards, and remain half open during sleep; the
dreams are anxious and confused, many incoherent thoughts presenting them-
selves, and the patient is intensely drowsy ; fainting-fits, or even convulsions,
with local cramps occur; the head is sunk into the pillow ; there is numbness of
the tongue; the knees totter and fail, and the hands lose their grasp, or the
fingers become stiffened with cramps.
Pains. Darting pains in the joints; acute and piercing pains; or, sometimes,
dull, wavering pains in the joints, of the legs and feet in particular, as also in
the joints of the arms, hands, and fingers; similar pains in different parts of the
body, particularly emanating from the membrane investing the bones; the pains
have a tendency to be aggravated by exposure to the open air, by eating or
drinking, or by fatigue, succeeding bodily exertion; pain pressing downwards in
the eyes; painful distension of the stomach.
Eyes, Tongue, and Mouth. The eyes are heavy, the tongue swollen, and the
roof of the mouth very dry, so that the tongue cleaves to it.
Stomach, Bowels, and Evacuations. Sensation of weight, and inflation of the
stomach; the swelling and distension of the stomach are particularly inconvenient
after eating, and cause oppression of breath ; there is nausea, sometimes also
accompanied with inordinate hunger; general fastidiousness of appetite, and
dislike to food; the motions are very frequent and watery; there is relaxation of
the bowels, or severe purging, attended with nausea, and griping pains in the
bowels; straining, followed or attended by discharge of glutinous phlegm or
slime; the urine is scanty, and of a dark color, but there is much urging to pass
water ; or emission of a large quantity of pale, watery urine.
HEPAR SULPHURIS CALCAREUM.
External Surface. Inflammation of the skin (with red, hot, swelling); soreness
of the parts affected upon contact ; pimples or small tumors amongst the hair on
the scalp, which are very tender and sore to the touch ; unhealthy condition of
the skin, with tendency to ulceration; inflammatory or suppurative swellings of
the glands, with chronic ulceration; ulcerative or eruptive affections of the skin,
characterized by offensiveness of the discharge or oozing; eruption of white
blotches, with redness of the surrounding skin, and excessive itching, tingling, and
heat; cracking of the skin in various parts (chaps); knotty swellings of the joints,
very sore and tender to the touch ; sweat is easily induced; intense dry heat all over
the body at night; or flying flushes of heat, accompanied or followed with sweats;
burning redness of the face, or inflammatory swelling (erysipelas) of the face;
nettle-rash on the hands and fingers; chapping of the hands; hard swelling of the
breasts; very offensive sweat in the arm-pits; heat, redness, and swelling of the
ankles; oozing scabs on the head; incrustations behind the ears; red, hot swellings
of the joints; sticky, sour perspiration; or perspiration especially at night and
in the morning; the hair falls off and the head becomes quite bald; redness and
swelling of the nose, with much heat; the lips are swollen or ulcerated; pimples
break out on the forehead in doors, but vanish upon going into the open air;
swelling and suppuration of the glands of the neck, arm-pits, and groin ; swell-
HYOSCYAMIUS NIGER. 869
ings of the ankles, feet, and knees; chapping of the feet; yellowish complexion,
with livid rings around the eyes; boils and abscesses in various parts (this medi-
cine hastens the suppurative process).
Breathing. Weakness of the chest, and loss of voice or whispering when
speaking; wheezing, hurried, rattling, or anxious breathing; or short breath,
coughing, and copious expectoration; violent and suffocating fits of coughing,
ending in convulsive retching; deep, stifled cough, with difficult breathing;
obstinate hoarseness, with rattling, harsh voice; habitual night fever and extreme
tenderness of the upper part of the windpipe; croup; croupy cough; long, shrill
inspirations between each cough; complete oppression or stifling of the breath,
with throwing back of the head to relieve the obstruction of the windpipe; the
cough comes on immediately after swallowing fluid ; dry cough, accompanied
with spasmodic retching and vomiting; or moist cough, attended with rattling
of phlegm on the chest; feeling of suffocation in a recumbent position; dry,
hoarse cough ; cough arising from tickling in the throat, or from a sensation as
of dust in the throat.
Stomach, Bowels, and Evacuations. General derangement of digestion; sensa-
tion of extreme weight, with distension of the region of the stomach, even after
the lightest and most sparing meal; rising of the contents of the stomach, with
harshness and scalding in the throat; intense thirst; variable appetite, sometimes
fastidious, in other cases voracious; vomiting of greenish, bilious, or sour mat-
ter, mixed with phlegm ; urging to evacuate the bowels, with straining, sluggish,
scanty, dry evacuations; or very relaxed blood-stained, clayey and slimy, or
whitish and sour-smelling motions; very hot and dark-colored urine, chiefly dis-
charged at night—or copious but cloudy, whitish urine, with sediment of the
same color.
Pains. Dragging, tearing, stitching pains in the limbs and joints, particularly
felt when touched; pricking pains in the throat, as if a splinter or fish-bone were
lodged there; piercing, thrusting, digging, or boring pains in the head — or pain
in the forehead, as if crushed or rent open ; jerking, gnawing pains in the teeth;
tearing, jerking pains in the bones of the face, spreading to the jaws, temples,
and ears; stitching or cutting pains in the region of the liver and spleen when
the feet are put to the ground; cutting or clawing pains in the bowels; aching
pains in the hams when sitting; shooting or bruised pains in the loins, or shoot-
ing, cutting, stitching pains in the chest; the eyes are painful when moved.
Eyes and Ears, Chronic inflammation of the eyes, eyelids, and ears; red, hot,
inflammatory affection of the eyes; inflammation, with offensive discharge of
matter from the ears; itching of the ears, or the ears externally red and swollen;
glueing of the eyelids during the night; protrusion of the eyes, or the eyes spas-
modically closed; flow of water from the eyes during or towards the night, and
tenderness of light by day.
Mouth, Throat, and Gums. Whitish-looking, curdy ulceration in the mouth ;
swelling, heat, and redness of the tonsils; the gums hot, red, swollen, and tender,
and bleeding readily; ulceration of the gums.
HYOSCYAMUs NIGER.
Nervous System, Brain, Senses, &c. Violent and general convulsions of the
frame, with loss of consciousness; jerking of the limbs and twitching of the
870 HYOSCYAMUS NIGER.
tendons; involuntary evacuations from palsy of nervous power; epileptic con-
vulsions (with purple and tumid face); plucking at the bed-clothes; aberration of
mind, with the prevailing idea that some calamity is impending, or that the
patient is under restraint, from which he struggles to escape; red, fixed, and con-
vulsively distorted eyes; excessive expansion of the pupils and spasmodic closing
of the eyelids; delirium which runs upon active avocations — or total lethargy,
with plaintive cries, especially provoked by touching the patient; delirium run-
ning upon the idea that mischief is meant to one; reeling giddiness; spasmodic
closing of the throat upon every attempt to swallow liquids; violent hiccough,
especially after taking the least food; sudden falling, attended with shrieking
and convulsions; paralytic incapacitation of one side of the body; drowsiness
or heavy lethargic sleep, with convulsions — or wakefulness from anguish or
nervous excitement; frenzy and rage, attended with preternatural physical
strength; ridiculous laughing and chattering; conduct as of one possessed ;
furious, quarrelsome, and reproachful mood; total aberration of mind; melan-
choly, from unfortunate love; delirium without consciousness, knows no one and
has no wants; when spoken to, the answer is properly given, but unconscious-
ness and delirium immediately return ; mania, with lasciviousness, and occa-
sional muttering, or, with determination to uncover the whole body and lie naked;
staring, vacant expression, objects appear magnified to the sight and assume a
red hue; spasmodic affection of the chest; antipathy to liquids; paralysis of the
tongue, all power of articulation is lost; the head rolls or oscillates from one
side to the other; the patient squints spasmodically, or sees objects multiplied;
the jaw is rigidly fixed, and the teeth are firmly set; gulping, gasping convul-
sion of the throat and chest; the hands and arms tremble violently, the thumbs
are drawn up and the fingers clenched; the knees, thighs, and legs are rigid, or
relaxed and helpless; the powers of smelling and tasting are suspended.
Eyes, Face, Mouth, Tongue, and Throat. The eyes bright-red and protruded,
or dull, inanimate, and drooping; the eyelids are swollen ; the face is pale, with
bluish hue, or bright blood-red, or brown-red and bloated; the tongue is red, dry,
and parched; the mouth is full of frothy saliva, and emits an offensive odor, or
it is completely parched, and the throat is swollen.
Stomach, Bowels, and Evacuations. Womiting of mucus, blood and food; bowels
confined or involuntarily relaxed; looseness of the bowels, with whitish, slimy,
stools; urine suppressed, or characterized by involuntary discharge ; tenderness
of the stomach to pressure; constant urging to stool and watery discharge. .
External Surface. Boils, gangrenous blisters, and brown spots or stains upon
the skin; eruption of pimples like that of smallpox; harshness and dryness of
the skin; great heat and irritation over the head; swelling of the hands and feet;
intense and intolerable heat of the skin, particularly in the head and shoulders,
running through the whole body.
Breathing. Tightness and oppression at the chest, with anguish and shrieking;
and dry, spasmodic cough at night, from continuous tickling in the throat, or as
if the palate were too long (particularly in old people), chiefly when in a recum-
bent position, and relieved by sitting up.
Pains. Pain in the head, as if it had been struck heavily; pain, shifting from
the nape of the neck to the centre of the brain; strained pain in the muscles of
the belly; clawing, pinching, shooting, or cramp-like pains in the bowels, espe-
* IGNATIA AMARA. 871
cially, with clawing about the navel; dull, aching pain about the liver; or burn-
ing, throbbing, and shooting pain in the stomach; aching pain in the lower part
of the back.
IGNATIA AMARA.
Pains. Excessive bodily pains; intense, piercing pain in the head, as if a nail
were thrust into it; digging, boring, or piercing pains on one side of the head,
or in one eyebrow ; pains as of bruises, particularly in the membranes investing
the bones (especially the long bones), when lying on one side in particular, but
relieved by lying on the back at full length ; pains, exacerbated by smoking, or
by drinking coffee or brandy; pains, lessened by lying on the back, or on the
part affected ; forcing, constrictive pains, like those of labor; very violent pains,
without, however, much general constitutional disturbance; insupportable pains
in the bones and joints of the arms; spasmodic, aching, intense pain at the back
and front of the head; pain in the eyes, as if there were sand in them; cramp-
like pains in the womb, especially during the menstrual period; pains in the
teeth, as if they were being broken asunder ; aching pains, or shooting, tearing,
and throbbing pain in the glands under the jaw; throbbing, beating, or hammer-
ing pains in the head; violent, tugging, clawing pains in the small of the back.
Nervous System, Brain, Senses, &c. Spasms, with the body rigidly bent back-
wards, and attended with purple face, foaming at the mouth, spasms of the jaws,
fits of suffocation, and loss of consciousness; yawning, with excessive straining
of the lower jaw; night-sleep restless and unrefreshing, and attended with moan-
ing, dreaming aloud, and catching of the limbs; disposition to whining, melancholy,
grief, attended with moaning; temper headstrong and irritable, with impatience
of contradiction ; stitches in the throat, and sensation as of a lump in the throat
between the operations of swallowing; hysterical spasms, especially if caused by
fright or grief; deep sighing and sleep as the spasms subside; dizziness, with ap-
pearance of sparks before the eyes; throwing back of the head; general trem-
bling of the body; the human voice is most distinctly heard, to other sounds the
hearing is less alive; jerking or twitching of the arms and legs; hysterical de-
bility, with frequent fainting-fits; hiccough after every meal; feeling of weakness,
sinking, and emptiness at the pit of the stomach ; mistiness of sight, or dread of
light; convulsive twitching of the corners of the mouth ; spasmodic tightness of
the throat; bad effects following suppressed grief.
Menstruation. Excessive and too frequent menstrual discharges; menstrua-
tion recurs at intervals of a fortnight ; general derangement, with excessive
nervous susceptibility at the menstrual period, and with much pain and palpi-
tation.
Stomach, Bowels, and Evacuations. Aversion for milk and tobacco; appetite
impaired and speedily satisfied; earthy taste in the mouth ; risings, consisting
of the food or of bitter fluid; sickness at the stomach, with great agitation and
vomiting of food; confinement of the bowels, attended with urging to evacuate,
and a tendency to protrusion of the lower intestine ; evacuations containing thread-
worms; rumbling of the intestines, with loose evacuations, consisting chiefly of
froth, slime, and blood; or, on the other hand, large, yellow, or whitish and hard
motions, expelled with much effort.
Breathing, Chest, &c. Constriction of the throat and chest, accompanied by
dry cough; sighing respiration ; oppressed breathing (with palpitation of the heart
872 IPECACUANHA.
at night, and on first waking in the morning, and coming on with the excitement
of one’s thoughts); anxious, oppressed, impeded breath, as if a very heavy pres-
sure were exerted against the chest; hollow, spasmodic cough, as if caused by
the vapor of sulphur or by dust in the pit of the throat, or by tickling above the
pit of the stomach; the longer the coughing spell continues, the greater the irri-
tation to cough becomes.
External Surface, Nettle-rash, irritated and itching; sore places on the skin;
alternately flushed and pallid, or livid and sunken face, with hollow eyes; great
heat throughout the body, with redness chiefly of one cheek (and absence of
thirst); perspiration breaks out whilst eating; shivering chills, affecting the
back and arms in particular; tremulous state of the head; swelling of the glands
beneath the ears; shedding of the hair; knotty enlargements of the glands of the
neck; hot and copious perspiration on the hands; excessive tenderness of the
soles of the feet, as if blistered when walking.
Mouth, Throat, Tongue, and Teeth. Great heat and redness, with more or less
swelling of the surfaces inside the mouth and of the palate, and collection of
phlegm in the mouth and throat; redness, heat, and swelling of the tonsils, or
even small ulcerated spots on the tonsils ; the tongue thickly coated and white,
but moist; or constant biting of the tongue whilst speaking or masticating; the
teeth often loose.
IPECACUANHA.
Breathing, Chest, &c. Gasping for breath, with spasmodic tightness (sensation
of strangling) at the opening of the windpipe ; hurried, anxious, difficult, and
impeded breathing; the least exertion leaves the patient quite out of breath;
sensation as if the windpipe were choked up by the inhalation of dust; asthma,
with spasmodic, suffocative paroxysms; rattling of phlegm in the air-tubes ; suffo-
cative attacks of coughing (attended with rigidity of the body, and blueness of
the face); spasmodic or convulsive fits of coughing, with long, loud, or shrill
inspirations; the cough is chiefly prevalent, or aggravated at night (and is accom-
panied with complete loathing, or terminates in violent retching and vomiting);
continuous cough, with perspiration on the forehead, streaks in the head, nausea
and vomiting. -
Stomach, Bowels, and Evacuations. Taste like that of blood in the mouth ;
antipathy to food; vomiting of phlegm, bile, and food; vomiting of bright-red
blood, or of clotted blood; bilious vomiting, accompanied with purging; the least
cold drink induces convulsive retching, or heaving at the stomach; extreme
uneasiness and indescribable discomfort, with feeling of emptiness and flaccidity
in the region of the stomach; sickness at the stomach, with abundant flow of
watery fluid in the mouth; vomiting of very dark, or perfectly black, liquid, and
putrid matter, with or without purging of similar matter; very copious and easy
vomiting ; constant nausea; loose evacuations from the bowels, containing white
patches, or consisting only of froth, or of froth and slime, tinged with blood, and
followed or accompanied with violent urging or straining ; discharge of pure
bright-red blood at stool; looseness of the bowels, with yellow, slimy, or green,
and perfectly putrid motions; stools resembling pitch, also perfectly putrid.
External Surface. Pallid hue of the countenance, with blue rings around the
eyes; spasmodic paroxysms, in which the body is rigidly bent backwards, the
features are distorted, the face red and bloated, and there is twitching of the
KALI CARBONICUM. 873
muscles of the face, lips, and eyelids; red hue of the skin around the mouth ;
miliary eruption; chilliness and coldness; sudden flushes of heat, attended with
perspiration; pale and bloated face, with livid circles round the eyes; yellow
and livid complexion; excessive and very rapid loss of flesh; intense heat in the
palms of the hands, or general and very dry heat of body during the hot
stage of the fever-fits, and immediately following the chills and shuddering;
during the chills, the rigors are rendered only the more violent by the external
application of heat; copious perspiration during the hot stage and as the fever
advances; very profuse perspiration, with coldness of the hands and feet.
Nervous System, Brain, Senses, &c. General or local spasms and convulsions,
or total spasmodic rigidity of the body, with bending backwards; gnawing and
agitation, and jerking of the limbs during sleep; the eyes only partially closed
during sleep ; deep, sullen, dissatisfied, and contemptuous humor, or excessive
irritability and impatience of disposition; muddled sight, and dilatation of the
pupils; uncertain, oscillating gait, with reeling giddiness; jerking and twitching
of the muscles of the face, more especially about the lips, with tremulous condi-
tion or quivering of the eyelids; fits of sudden weakness (attended with nausea
and loathing); great general debility; oppressive weight on the head.
Pains. Bruised pains in the brain and skull, or similar pains in all the prin-
cipal bones of the body; excessive pain in the region and pit of the stomach;
disjointed pain in the hip; sore, lacerated pain deep in the chest; very severe
bearing-down and forcing pains (of females); cramp-like, clawing, pinching,
griping pains in the bowels, especially after eating, or drinking cold water;
colicky pains of very young children (with wakefulness and agitation, and draw-
ing up of the legs, and yellowish or greenish, or frothy evacuations); sudden
attacks of wrenching toothache.
Womb, Menstruation, &c. The menstrual discharge appears before the proper
time, and is usually in excess, and too coagulable or clotted ; floodings, with dis-
charge of bright-red blood, in jets, or of bright blood which readily coagulates, with
nausea and oppressed breathing.
Nose, Eyes, Mouth, Tongue, &c. Cold in the head; discharge of bright-red
coagulable blood from the nose; abundant flow of saliva, with soreness in the
mouth ; clean and red, or thickly coated tongue; tongue loaded with a whitish,
quite white, or yellowish coating; collection of oozing matter in the corners of
the eyelids, with redness and heat of the eyes.
KALI CARBONICUM.
Stomach, Bowels, and Evacuations. Craving for sweet or sour things; bitter
taste in the mouth; greasy food and milk invariably disagree ; sense of fulness
and weight at the stomach after eating (as well as extreme irritability, and ill-
humor, dull pain in the head, heartburn, and distension of the belly); sickness
at the stomach, with vomiting of sour matter and of food; great languor and
sensation of faintness; constant sour risings from the stomach; extreme sickness
at the stomach, with anxiety and desire to vomit; uneasiness and pressure in the
belly; partial and incomplete, or very abundant expulsion of flatulency; cold-
ness in the belly, and inactivity of the bowels; great tightness of the belly, with
costiveness, and evacuations of large motions with much effort or want of mus-
cular contraction in the lower part of the bowels; great effort to evacuate with-
874 KALI CARBONICUM.
out effect, or with very small and insufficient discharge; bleeding piles; eruption
of pimples and Soreness in the orifice; hot, scanty, scalding urine, with continual
desire to make water; discharge of urine at very short intervals.
Breathing, Chest, &c., Intense oppression at the chest, with impeded or hurried
and anxious, or wheezing breath; choking sensation and want of breath in the
morning, upon running or walking rather briskly; fits of coughing, sometimes
very violent or even convulsive, occurring the first thing upon getting up, and
continuing until phlegm or matter has been dislodged, which is only effected by
much effort; the least physical impediment to free access of air induces a sensa-
tion of stifling, or the least pressure on the throat or windpipe seems to choke
the patient; harshness of the throat, with rough, continued hoarseness; cough
without any expectoration, but dry and hacking at night; the movement of the
arms induces coughing, or there is a constant irritation in the chest or windpipe,
which induces a short, dry, hacking cough ; the cough is worse after midnight,
in the early morning hours.
External Surface. Pale, or yellowish, haggard, sunken countenance, with hol-
low eyes; pallid puffiness of the face ; or puffing, with red cheeks and eruption
of pimples: no position seems easy, all parts appear sore and tender on pressure,
even when lying down; draughts of air — or even the open air simply — are dis-
agreeable, and the least exposure induces cold; excessive dryness and harshness
of the skin and hair; perspiration cannot be induced; red or yellowish patches
in various parts, which itch and burn, which the patient cannot resist scratching
violently, and which emit a thin, pale-reddish humor after scratching; the hair
falls off in large quantities; sweats sometimes break out at night, or when walk-
ing, or during intense mental application; there is predominant chilliness, shiv-
ering, and shuddering, which sometimes continues during the whole day, but
which is chiefly prevalent towards night; oozing eruptions, forming scabs
amongst the hair; red, hot swelling of the glands beneath the ears; swelling
and ulceration of the lips; intense heat, redness and swelling of the nose, with
eruption of pimples on the nose; the belly is enlarged and distended with drop-
sical accumulation; dropsical swelling between the eyebrows and of the eyelids;
swelling and hardness of the glands of the neck and armpits; dropsical swelling
of the feet, and even of the legs; very offensive sweat on the feet; the feet are
constantly cold night and day, or numbed and torpid after eating; the hands are
cold, harsh, and chapped; cracking and peeling of the lips, in large, scaly patches;
swelling of the cheek; the hands tremble when the patient attempts to write;
the tips of the fingers are benumbed.
Menstruation, &c. Feeble menstrual discharge, often occurring before the
proper time; copious and habitual flooding during pregnancy; erúption, with
itchings gnawing, and soreness between the thighs; and within the passage; con-
tinual sensation of weight and pressure downwards in the womb and lower part
of the belly; the menstrual discharge produces great Soreness and a constant
gnawing, itching sensation; discharge of whites, with yellowish matter and scald-
ing sensation during the intervals; the menstrual discharge is suppressed.
Pains. Spasmodic pain in the chest, especially felt whilst coughing; cutting,
darting pain through the chest ; burning and shooting pains in the chest; shooting
pains occasionally provoked by talking; dull, aching pain when talking; jerking,
tearing, aching pains in the teeth, particularly felt after going to bed at night,
LACHESIS. 875
or occurring only when eating, or after drinking cold fluids — or constantly in
the morning; continual bearing-down pains, more or less acute (in females);
spasmodic, pinching, darting, or pressive and aching pain either affecting the
whole region of the stomach, or one fixed spot; stitching, piercing pains in all parts
of the bowels; violent pains in the lower part of the belly, like those of labor ;
or pinching, clawing, griping, colicky pains; shooting pains, which appear to
emanate from deep in the cavity of the ears, and to dart outwards; tearing,
dragging pains in the limbs, worse when at rest — or only felt under such condi-
tions; drawing, tearing, or stitching pains in the head; intense frontal head-
ache; aching pain in the head, induced by coughing, or any other effort of the
kind—or by the motion of a carriage; or very severe aching pain confined to one
side of the head (sometimes attended with sickness), and rendered unbearable by
the least movement; tearing, thrusting, and pressive pain in the eyes; tugging pains
in the muscles and joints of the extremities generally, especially prevalent at night.
Nervous System, Brain, Senses, &c. Want of muscular strength, or rather great
languor in the arms; numbness, torpor, and insensibility of various parts, chiefly
of the extremities; absolute paralytic weakness, general or local ; fainting sen-
sation, with trembling during exercise; stiffness (with coldness and numbness)
of the arms, elbows, and feet; obtuseness of the sense of smelling; indistinctness
and weakness of hearing; bright light and variegated colors in the eyes when
closed ; great tenderness of light, with complete dazzling by bright light, and
bright flickering sparks before the eyes when intently fixed; giddiness when the
head is suddenly turned; very extraordinary irritability; excessive timidity;
heaviness and drowsiness in the day, with light sleep or very retarded sleep at
night — or with agitated, interrupted, and disturbed sleep ; the memory fails; the
hearing is sometimes very keen at night, when in the recumbent position.
Mouth, Throat, Tongue, and Ears. Great accumulation of phlegm in the mouth
and throat, or which adheres to the roof of the mouth, and is detached by hawk-
ing; great difficulty in swallowing, the food passes down the throat slowly and
with difficulty; red and hot swelling, and ulceration of the gums; offensive smell
from the mouth; profuse collection of spittle in the mouth, which, nevertheless, feels
very dry; eruption of small blisters throughout the mouth and on the tongue,
with great soreness; internal inflammation of the ears, sometimes resulting in
the formation of an abscess, and the discharge of thick, cloudy, or flaky matter,
or of thin liquid ear-wax; oozing and Soreness behind the ears.
Nose and Eyes. Discharge of blood from the nose, occurring habitually in the
morning; dryness and stuffing of the nose, or stuffing of the nose with accumula-
tion of greenish-looking or yellowish mucus—there is watery discharge tinged
with blood; rawness of the interior of the nostrils; constant watering of the eyes;
or exudation of thick humor, with adhesion of the lids during the night; swelling
of the eyelids, sometimes so great as to prevent their being opened ; depressed
and filmy look of the eyes; heat and redness, with or without swelling of the eyes
and Soreness—or small abscess in the corners of the eyes, with smarting when
exerted by candle-light.
LACHESIS.
Nervous System, Brain, Senses, &c. Aversion to exercise or exertion; excessive
prostration of the mental and physical power, with great deterioration of memory;
876 LACHESIS.
paralysis, with rigidity and a feeling of weight in the limbs; convulsive or epilep-
tic paroxysms, with clenching of the fists, shrieking, tossing of the limbs, and
loss of consciousness (with palpitation and reeling giddiness, and preceded by
cold feet, belching of wind, flatulent distension of the bowels, and pallid counte-
nance); fits of fainting (with difficulty of breathing, nausea, and cold perspira-
tion); jealous, quarrelsome, and irritable disposition; anxiety, despondency, and
despair of recovery; fantastical imagination; violent trembling of the hands;
sensation as if a lump were in the throat, with convulsive arrest of the power of
swallowing; violent agitation at night, and variable dreams, running on horrors,
or on imaginative or voluptuous ideas; delirium, with constant muttering or talk-
ing during the night; flashing of bright light before the eyes, or appearance of
blueness in the light; hazy, veiled, darkened, or very weak sight, or generally
extreme tenderness of light; total want of the sense of hearing, or very obtuse
hearing, with sounds of a loud, rolling, or rumbling character in the ears; palsy
or spasmodic rigidity of the tongue, with loss of the power of articulating;
horror of liquids; violent convulsive hiccough; involuntary discharge from the
bowels and of urine; spasmodic and suffocative attacks in the chest; chattering
and grinding of the teeth.
Stomach, Bowels, and Evacuations. Extreme tenderness of the pit of the stomach
to pressure; excessive flatulency, attended with giddiness, eructations, and desire
to vomit, or eructations and vomiting, by which the patient feels relieved ; total
absence of appetite, or morbid craving for particular food; the tenderness of the
stomach is so great that the patient cannot even bear the weight of the bed-
clothes; the least food provokes a violent attack of vomiting, with discharge of
greenish, bitter, or bilious matter, and sometimes even of pure blood, or of dark,
bloody-looking matter, or of almost black matter; the bowels are puffed up with
flatulency, and the belly is hard, tight, and full; very slimy, even black, or quite
liquid evacuations of a dark color — or, again, soft evacuations, in any case very
offensive, if not perfectly putrid; very loose motions immediately after taking
food, or, in other cases, very intractable constipation, with hard, slow, and diffi-
cult evacuations, or alternate costiveness and looseness of the bowels; liquid and
quite involuntary discharge from the bowels; thick, dark, brown, or bright-
yellow and cloudy urine, with gritty or reddish sediment, with constant desire
and urging, but very scanty, though frequent, discharge, and much scalding.
Breathing. The upper part of the windpipe very susceptible to the touch ; sen-
sation as if suffocating, especially at night, in a recumbent posture, particularly
when the bed-clothes obstruct or even approximate to the nostrils or mouth; the
patient cannot bear anything round the throat; dry, short cough, or convulsive
cough, as if something required to be cleared away from within the windpipe,
but without effect; cough of a suffocative character always after sleeping — or
immediately upon lying down, or even during sleep, or coming on during sleep
with a suffocative sensation, which compels the patient to spring from bed, and
rush to an open window for air; deep, stifted, hollow, harsh, guttural voice, with
habitual hoarseness; extreme sensation of strangulation in the upper part of the
windpipe; great shortness and difficulty of breathing, with an effort to obtain
more breath; attacks of impeded respiration after taking food; offensive breath;
diphtheria; croup, which comes on or is aggravated after sleeping.
External Surface. Swelling of the feet and hands, with redness or heat, but
LACHESIS. 877
more generally with coldness, purplish, or even blackish hue ; Small swellings,
pimples, warts, or nettle-rash; complexion of a yellowish hue; eruptions of the
nature of itch on the extremities; whitlows at the ends of the fingers; extreme
coldness of the extremities, especially of the feet; dry, mealy, itching eruptions,
with large, yellow, or bluish-black blisters or blains ; ulcers on different parts
without depth, but with a foul, corroding bottom ; hard tumors or abscesses;
dry and intense heat, particularly at night, and especially of the hands and feet;
or alternate flushes of heat, and coldness or chills; copious sweat after the heat,
or particularly towards morning; cold, clammy sweats; abscess on the heels;
much irritation of the arms, upon which pimples appear after scratching; the
feet are as cold as ice, and generally covered with clammy sweat ; scabs and sore
places behind the ears; angry, unhealthy sores (with other symptoms analogous
to those of plague); hollow, drawn, cadaverous, leaden, or pallid face; red, ting-
ling swelling of the face; flush-spots on the cheeks; eruptions of bluish pim-
ples or stains upon the face or elsewhere; carbuncles, with purple-colored sur-
roundings, and small boils around the circumference; pains in, or bleeding from
old wounds.
Periodicity. The pains and fever-fits have a tendency to return every night,
lasting until the morning, or every other night in the same way, or there may be
partial diurnal remissions, with a more decided remission on alternate days, or,
again, complete intermission of the symptoms during the intervals; the symp-
toms generally are worse at night, or are aggravated after sleeping.
Pulse and Circulation. Tremulous, intermittent, or scarcely perceptible pulse;
or very feeble and quick pulse, or, again, irregular and sinking pulse ; violent
agitation, and beating, or fluttering, tremulous palpitation of the heart.
Nose, Mouth, Tongue, Throat, and Gums. Dry, burning heat, with stuffing in
the nose ; constant, dark, thick, or bright-crimson discharge of blood from the
nose; scabs in the nostrils; copious flow of acrid, scalding, limpid fluid from the
nose; the interior of the mouth hot, swollen, and dry; the tongue dry, vivid-red,
and cracked, or glossy and red, or swollen, dark-brown, or even quite black;
profuse flow of saliva in the mouth — drivelling ; limited soreness of the throat,
or soreness of the throat with swelling, heat, and bright redness of the tonsils,
accompanied by Soreness at the opening of the windpipe, in the ears, and over
the gums; pricking, or tickling continually felt in the throat; collection of sticky,
stringy phlegm in the throat; the throat quite parched; the gums swollen, and
extremely tender ; the tongue, mouth, and throat burn and smart, as if from red
pepper.
Eyes and Ears. The eyes dry and gritty; very bright, and convulsively fixed
or agitated; or yellowish, muddy, and inanimate; the ears intensely dry, with
deficiency of ear-wax, and what there is, dry, crusty, and whitish.
Pains. Tearing pain and contraction in the joints affected; aggravation or
return of pain after sleeping; pains which have a tendency to return at stated
periods; acute and dragging pains in the limbs, with a feeling as if contused, on
movement; intense headache before the convulsions or before the declaration of
the fever-symptoms — in the latter case continuing ; aching pains in the bones;
keen, drawing, rheumatic pains; pains deep in the brain-; aching, bursting,
pressive pain in the head, as if the skull would be rent open ; pains in the head
upon waking every morning, or towards the close of the day; violent, aching
878 LEDUM PALUSTRE.
pains in the teeth (with heaviness of the limbs, headache, and alternate flushing
and chills); intense, aching, and tearing pains in the stomach, and burning pain
in the throat; aching pains in the bowels, with soreness and tenderness; burn-
ing pain in the passage upon passing water, and pressing, forcing pain in the
bladder; aching, drawing pains in the small of the back and hips, and cramp-
like pains, especially at the menstrual period.
Menstruation. Feeble, insufficient, slow menstrual discharge, with much suf-
fering; sufferings of females at the turn of life; labor-like pains during menstru-
ation.
LEDUM PALUSTRE.
External Surface. Hard, knotty swellings, with distension of the skin, heat,
and a glossy appearance of the joints, and especially of the knees; swelling and
tenderness of the great toe; swellings, with stiffness of the elbow, knee, and
finger-joints; dropsical puffing of the skin all over the body, or dropsical swell-
ings of the feet and legs; intense heat of the whole body, but particularly of the
limbs and joints, when in bed; pallid and bloated face, or general paleness of
the face, with occasional flushing; red eruptions, or dry, scaly, mealy eruptions
on the face, with whitish scabs — which, when cast, leave the skin of a fiery red-
ness; very troublesome itching, as if from insects, even under the skin, which
provokes the patient almost to lacerate the parts; sour-smelling sweat; eruption
of purple spots or stains on the skin; great flushing of heat and sweating alter-
nately; great heat, especially at night—at other times, chiefly deficiency of
warmth, or, more particularly, coldness of the limbs, and shivering, with a crawl-
ing sensation ; gnawing, itching of the scalp and forehead; swelling of the
glands under the chin; gnawing, and very intolerable itching, with brownish or
reddish spots on the chest, worse when heated — or fine rash on the chest ; hot,
red swelling of the legs and feet.
Breathing. Gulping, gasping for breath ; intense oppression, and tightness of
the chest, worse when moving, and attended with difficult, impeded respiration;
fatiguing, hollow cough, followed by spitting of bright-colored blood; or, morn-
ing cough, with expectoration of thick matter, or of offensive greenish phlegm ;
or sudden arrest of breath, followed by a violent fit of coughing.
Organs of Digestion and Evacuations. Deficiency of appetite, and great thirst,
generally attended with nausea, and with great weight in the stomach, after par-
taking of the least food, although of the lightest description ; frothy, bloody
evacuations, generally preceded by costiveness; frequent urging to pass water,
with deficient discharge, or very copious discharge of limpid urine at short inter-
vals (sometimes every hour).
Eyes. Scalding flow of tears from the eyes; itching in the corners of the eyes.
Nervous System, Brain, Senses, &c. The hearing is obtuse, the sight dull and
confused, or affected with the appearance of flashes of light before the eyes; the
taste is earthy, insipid, clammy, or bitter; the pupils are expanded; the head
swims, especially when the patient attempts to stoop, or goes into the open air;
the lower extremities and joints generally, especially those of the thigh and
knee, are relaxed and infirm; the knees tremble and knock together; the hands
tremble, and the grasp is relaxed and unsteady ; the mind is embarrassed and
confused, and the brain appears to undulate.
Pains. Pulling, digging, drawing, or shooting pains in the joints; very acute
LOBELIA INFLATA - LYCOPODIUM. 879
pains, like those of gout or rheumatism ; shooting, jerking, tearing, or boring
pains in one tooth, or in the bones or nerves of the face, especially during the
night; heavy and very severe, beating pains in the head, or very oppressive and
perfectly stupefying pain over the top of the head; pains, as of soreness in the
soles of the feet; aching pains in the shoulders and elbows; or darting, cutting,
-or tearing pains in the arms or shoulders; burning and aching pains in the eyes.
LOBELIA INFLATA.
Periodicity. The fever-symptoms have a tendency to recur at intervals of
twenty-four, forty-eight, or seventy-two hours; but more especially the first,
commencing with a partial cold stage, towards noon, and subsiding with profuse
perspiration, towards midnight, and succeeded by a perfect intermission during
the interval; intermittent fevers, with predominant affection of the chest, and
considerable disturbance of digestion, and with extreme lassitude and exhaus-
tion.
Breathing. Impeded, oppressed, and difficult breathing, with sensation of
weight, tightness, and oppression at the chest; or short, hurried, anxious, and
interrupted breathing; stifled breath, with efforts to draw more breath; feeling
of difficulty of breathing, as if the air-passages were choked up ; the patient can-
not hold the breath, and the inspiration is shortened by a sensation as if the lungs
were full, which compels the patient to exhale.
Stomach, Bowels, and Evacuations. Intense nausea, with profuse flow of water
in the mouth ; shaking hiccough ; weight, as if a mass of lead were in the pit of
the stomach; flatulent distension of the belly; soft, woolly, greenish, and loose
evacuations, and increased discharge of urine, both in quantity and frequency.
Mouth, Throat, and Tongue. Accumulation of stringy phlegm in the throat,
and of water in the mouth; the tongue white, and thickly coated, more particu-
larly on one side.
Head. Uneasy sensation in the head, with great but obtuse pain in the back
and top of the head.
Nervous System. Weariness, exhaustion, and excessive languor, with heavi-
ness of the limbs, and strong disinclination to move; great depression of spirits,
and anxious foreboding.
LYCOPODIUM.
External Surface. Pallid and livid, or yellowish complexion; itching of the
skin over the whole body, or in particular parts, as soon as the patient becomes
warm; ringworm on the face ; pimples and freckles on the face; periodical appear-
ance of large boils; eruptions, accompanied with much oozing on the scalp, and
emitting an offensive odor; falling off of the hair; yellow hue of the skin on the
nape of the neck; repeated attacks of coldness, as if the blood were chilled, or as
if the circulation were stagnant; general wasting away of the flesh; sore patches on
the skin, or oozing and scabby eruptions, attended with great soreness; intense
dryness and hardness of the skin; swelling of the glands of the neck and arm-pits;
constant dryness of the hands; the arms and fingers affected with numbness;
enlargements and stiffness of the joints; scrofulous swellings or general enlarge-
ment of the knee; great predisposition to corns on the feet; the legs become
swollen, and exhibit broad patches, which are red and intensely hot; the face is
much wrinkled, and prematurely so; swelling at the pit of the stomach, and
880 LYCOPODIUM.
bloating of the bowels; evanescent flushes of heat; sometimes offensive, and
Sticky night-sweats, chiefly confined, however, to the back and chest; much
Sweat on the face, easily induced.
Nervous System and Senses. The senses of hearing, smell, and sight excessively
sensitive; the head swims, and feels heavy and giddy when the patient leans
forward; languor, with trembling; melancholy, sad, and whining disposition;
anxious apprehensions in the evening, with fear of being alone; frenzy, attended
with lofty aspirations; absence of mind, using one word for another in speaking,
and mistaking letter for letter in reading; spasmodic extension and contraction
of any one limb, and of the muscles.
Stomach, Bowels, and Evacuations. The region of the stomach, about the
course of the false ribs, is tightened as if encircled with a band; the appetite is
very variable, now absent, now excessive and voracious; immediately after even
a light meal, the belly is bloated; great appetite, but a small quantity of food (or
drink) satiates, and gives rise to a feeling of fulness and bloatedness; thirst pre-
vails at night; there is craving för sweet things, and milk turns sour on the stomach
and purges; greasy and acrid, or scalding rising of matter from the stomach ;
vomiting of bilious matter, mingled with half-digested food, the first thing in the
morning or at night; bitter water-brash; pad-like inflation of one spot in the
bowels, chiefly under the ribs, on the right side ; rumbling in the intestines, and
partial expulsion of flatulency; chronic constipation, sometimes accompanied with
urging without evacuation; discharge of gravel or reddish grit with the urine; con-
stant urging to pass water, which is discharged in small quantities, – of a deep
or yellowish color, and depositing a reddish sediment, — at short intervals; itching
and tightness, or strained sensation in the orifice of the lower bowel.
Pains. The affected parts are characterized by dragging, tearing pains, par-
ticularly on alternate days, and in windy, damp weather; drawing and tearing
pains at night; aching, gnawing, burning, or shooting pains in the eyes; acute
pain in the head, as if a nail were thrust into it; tearing headache in the after-
noon or at night; sudden, catching pains in the teeth when eating, or dull pains
(with swelling of the cheek and gums); aching pain in the stomach after every
meal; pinching, clawing pains below the ribs on the right side; incisive pains
above the navel; constant, dull, aching pain in the chest ; shooting pains in the
left breast; when moving, pains in the back, or particularly in the small of the
back; cutting or darting pains in the latter part immediately after stooping ; draw-
ing and jerking pains in the arms and shoulders; dislocated pains in the legs,
so that the patient cannot stand upon them ; pains in the bones of the arms;
pressive and aching pains in the liver, especially after eating.
Breathing, &c. Constant oppression at the chest, worse in the open air, with
palpitation after eating ; constant, dry cough ; or obstinate, dry cough at night; or
cough after drinking; cough, provoked by drawing a deep breath, and followed
by expectoration of copious and greenish, or yellow, glairy, and saltish matter,
or of abundant, thick, and curdy matter, sometimes mingled or followed by blood;
shortness of breath, with sensation of jerking, Smarting, and shaking in the chest ;
and straining pains in the stomach whilst coughing.
Menstruation. Menstrual discharge excessive in quantity, and too long in con-
tinuance, with whites during the intervals, and immediately preceded by extreme
depression; before the menses, there are, bloatedness of the stomach and belly,
chilliness, despondency, and melancholy.
MERCURIUS SOLUEILIS. 881
Mouth, Tongue, and Teeth. Bitter or acid taste in the mouth in the morning;
dryness of the mouth and tongue, and sometimes also harshness; the tongue
habitually coated; dryness of the mouth without thirst, or dryness and burning
heat of the tongue at night with much thirst ; yellowness of the teeth; offensive
odor from the mouth.
Nose and Eyes. Dry heat and stuffing of the nose, or acrid flow from the nose;
ulceration of the nostrils, and discharge of blood from the nose, induced by the
least effort; burning heat of the eyes, at night in particular; the eyes are easily
dazzled and irritated, and discharge much water during the day, or exude a
thick matter, the lids becoming glued together during the night; the eyes smart
upon the least exposure to light, wind, dust, or exertion of sight.
Periodicity. Many, in fact, most patients, for whom this medicine is suitable,
are worse in the afternoon and early part of the evening (from four to eight
o'clock, P. M.), after which amelioration sets in.
*
MERCURIUS SOLUBILIS.
External Surface. Restless agitation and twitching of the limbs, attended with
continual inclination to change their position; sensation of coldness in the parts
affected; inflammatory swellings, attended with great heat, — the glands are
swollen and inflamed, and suppurate; swellings, with inflammation, which sup-
purate slowly; perspiration readily provoked and constantly present during the
attacks of pain; crawling sensation of chilliness, especially at night; the skin is
of a yellow hue ; or it is characterized by the development of eruptions of the
nature of itch; eruptions, which are easily provoked to bleed; moist and oozing
eruptions, with itching or gnawing, and which form scabs ; ulcers of a spreading,
corroding, and destructive nature; pimples and incrustations, with scaling-off of
the scarf-skin; ulceration and decay of the bones; excessive sweats ; flushing of
heat and chills simultaneously; tenderness and sweating of the scalp; pallid and
earthy complexion; puffiness of the face; cracks and ulcerative sores about the
corners of the mouth ; swelling of the cheek; exceeding tenderness of the stomach
and of the region of the liver to pressure; eruptions like that of itch on the hands;
dry, itching, mealy, or scabby eruptions on the legs and thighs; burning, scaly
eruptions about the wrist and up to the elbow; enlargement and hardness of the
liver; unhealthy condition of the skin, with tendency not to heal, or to develop
sores upon the least injury; suppuration of the breasts and of the glands of the
groin ; swelling of the glands under the jaw.
Pulse and Circulation. Quick, irregular, fitful, or frequent and strong, or feeble,
unsteady, and slow pulse; fulness of the blood-vessels, and local determination, —
and palpitation of the heart.
Stomach, Bowels, and Evacuations. General derangement and weakness of
digestion; but constant, craving hunger is felt, or there is excessive nausea, and
utter loathing of all food; excessive, burning, and insatiable thirst; noisy belch-
ing of flatulency, and sensation of pressure at the pit of the stomach, as from a
stone; urgent desire to vomit; the belly is inflated and very tender; costiveness,
with considerable but ineffectual urging to evacuate ; diarrhoea; loose discharge,
with round or thread-worms; frothy, slimy, and greenish motions; or acrid and
corrosive evacuations of mingled slime and blood; looseness of the bowels from
56
882 MERCURIUS CORROSIWUS.
exposure to a chill or to the damp, cold air of night, especially after much heat;
excessive discharge of urine of a dark-red color, and very offensive; discharge of
undigested food at stool, and protrusion of the intestine; putrid, saltish, acid, and
slimy taste; dysentery, with straining and burning in the passage.
Pains. Bruised pain in all the limbs, with stiffness, particularly in the thighs ;
pains in the bones throughout the body; pains of a drawing, tearing, jerking
character, aggravated at night; pains at night (attended with profuse perspiration,
which affords no relief); all the sufferings are worse at night; pains of a titillat-
ing, itching, burning character in the eyes, particularly upon exposure to the open
air; great pain in swallowing (with great desire to swallow the saliva); tearing
and distracting pain in the decayed teeth, which also affects the glands of the
jaw and beneath the ears, and the temples; the pain in the face and teeth becomes
worse at night, and is aggravated by warmth; great pain (with soreness) of the
gums, especially at night; severe jerking, tearing, and shooting pains in the ears,
worse at night, and aggravated by warmth; agonizing pains in the bowels, alle-
viated by lying down; pain (with swelling) in the instep ; shooting pains in the
back of the head; keen, cutting, or shooting pains in the hip, as well às in the
shoulders and arms; shooting pains in the bowels, and smarting pain in the
throat; tearing pains in the muscles and bones of the face.
Mouth, Throat, Teeth, Tongue, and Gums. The mouth emits an offensive smell,
and is characterized by inflammatory swelling; blisters, aphthous vesicles, and
ulceration of the interior of the mouth ; excessive flow of saliva; the tongue is
hard, swollen, and much inflamed or ulcerated, or moist and covered with thick,
tenacious, and whitish phlegm ; the throat seems to contain a swelling which
obstructs deglutition (with tenderness of the glands under the jaw, near the ears,
and of the ears themselves); the throat is excessively dry and raw; the act of swal-
lowing is so painful that liquids are forced back through the nostrils; the uvula
is enlarged, and the tonsils are ulcerated; the teeth feels as if loosened or shat-
tered, or they are on edge; the gums are swollen, white, livid, ulcerated, or de-
tached from the teeth, and very sore.
Eyes, Ears, and Nose. The eyes are extremely sensitive of light, and represent
sparkling appearances before them; the margins of the eyelids are ulcerated, and
surrounded with scurfy incrustations; there is excessive flow of acrid tears; the
Toones of the nose are swollen ; there is excessive flow of thin, watery, corroding
fluid from the nostrils, or bleeding at the nose; inflammation and swelling of the
interior of the ears, with thick discharge of matter.
Menstruation. Excessive menstrual discharge (attended with colicky pains and
great anguish).
Breathing. Shortness of breath on ascending stairs; dry, fatiguing, and rack-
ing cough, as if the chest (and head) would split.
Nervous System. Great and rapid exhaustion and loss of strength, attended
with indescribable inconvenience and discomfort; refractory, melancholy, and
quarrelsome disposition.
MERCURIUS CORROSIWUS.
organs of Digestion and Evacuations. Excessive, coiling, gnawing pains in the
bowels, with incessant urging to stool, and cutting pains and agonizing straining at
stool; discharge of intolerably offensive, generally very scanty brown or green
MOSCHUS — NATRUM CARBONICUM. 883
or gelatinous and bloody evacuations, or slimy evacuations mixed with clots of
blood; or discharge of thin, watery blood, instead of urine — or afterwards of
thick, bloody matter, with intolerable burning and shooting pain in the passage —
or, again, incessant straining to stool, and straining without discharge ; excessive
and insatiable thirst; dysentery, with predominant discharge of blood, straining,
burning, and scanty or suppressed urine.
External Surface. Shivering every time the patient moves; sensation of general
coldness, or of coldnessen the head, with stone-cold feet; the lips are swollen,
or the upper lip, besides being swollen, is turned upwards, and the features are
otherwise distorted ; the belly is intensely tight, painful, and tender of the
slightest touch.
MOSCHUS.
Nervous System, Brain, Senses, &c. Spasms in the chest (with suffocation);
convulsions and clenching of the teeth; convulsive agitation of the hands and
fingers; violent trembling of the legs when the patient sits down after much ex-
ertion ; constant agitation of the legs; loss of muscular power in the extremities;
general or local jerkings or trembling; giddiness, terminating in a fainting-fit,
particularly in the evening or at night, or even in the open air; loss of muscular
power, particularly perceptible during rest; intense excitability and sleepless-
ness throughout the night; drowsiness, or even lethargy, during the day, with
yawning; exciting dreams; much complaint of suffering, without knowing where;
agitation, with weakness of the hands and loss of grasp ; crackling, or roaring
noises in the ears; vacant fixedness of the eyes, with vivid brightness; sudden
cloudiness of sight; hysteria; fainting ; disposition to scold.
Breathing. Sudden attacks of strangulation or of suffocative sensation, with
spasmodic tightness of the windpipe and chest; oppressed, difficult, and short
breath, as if some one prevented the expansion of the chest; spasms of the open-
ing of the windpipe.
Pulse and Circulation. Small, quick, and frequent pulse, or full and hard
pulse, with oppressive palpitation of the heart, and determination of blood to the
head or chest, and womb.
NATRUM CARBONICUM,
External Surface. Excessive tendency to take cold on the least exposure, or
without apparent cause ; yellow rings upon the skin; perforating, gnawing dis-
eases of the skin (as in leprosy); eruption of dry, scaly, mealy, or moist and
itching patches on the belly; soreness over the back; swelling of the feet, or more
particularly of the soles of the feet; fissures between and under the toes, and
ulcers on the heel; the skin constantly dry and harsh; hard, callous, scaly, or
horny excrescences on the skin, cracked in various directions; sometimes there
may be general coldness of the body, with continual oozing of clammy perspira-
tion ; the hands and feet are usually, if not habitually, cold; blistering of the tips
of the toes; stiff neck; enlargement of the glands of the neck; swelling and dis-
tension of the belly; extreme tenderness of the stomach to the touch ; peeling off
of the skin from the tip and bridge of the nose; pallid complexion, with general
loss of flesh and bloatedness of the face, or sometimes heat, puffing, and redness
of the face, or pallor, with blue rings round the eyes; swelling and inflammation
884 NATRUM MURIATICUM.
of the legs, with numerous ulcers; shortening of the tendons; crooked and un-
natural positions of the limbs; profuse sweat after the least motion.
Nervous System, Brain, Senses, &c. Excessively alive to noise, or affected with
obtuse hearing; continual debility; the patient prefers being alone, but is in-
tensely depressed, startled at trifles, and exceedingly and constantly anxious ;
vivid dreams during the night; the sleep is retarded at night, but is protracted
and heavy in the morning, and the patient continues heavy and drowsy during
the day; dread of going into the open air; instability of ºhe body, with sensations
of crawling in the muscles, and excessive susceptibility to be strained by the
least exertion ; the head is confused and embarrassed.
Paims. Periodical tearing pains in the forehead; aching pain, with giddiness,
induced by exposure to the sun; habitual tendency to aching of the teeth; ach-
ing pains in the shoulders; aching, heavy pain in the stomach after every meal;
(breaking out of perspiration and attacks of trembling whilst the pains last;)
shooting pains below the ribs on the left side; aching or shooting pain in the
chest.
Stomach, Bowels, and Evacuations, Prevailing thirst; sinking at the stomach,
with sensation of emptiness in the morning, and ravenous hunger; habitual
Squeamishness and sickness at the stomach; constant bitterish taste in the
mouth; partial and incomplete evacuations: continual urging to pass water,
whether in the night or during the day, with increased discharge of very hot
and scalding urine.
Pulse and Circulation. Small, feeble, and irritable pulse — or hard, contracted
pulse, with violent agitation, and beating of the heart.
Menstruation. The menstrual discharge occurs before the proper time, and is
accompanied with intolerable forcing and bearing-down, as if the contents of the
belly would fall through.
Breathing. Constant shortness of breath, and cough, with expectoration of
greenish and saltish matter.
Nose and Eyes. Habitual cold in the head, with greenish, thick discharge,
or periodical discharge from the nose; ulceration of the transparent part of the
globe of the eye, or of the corner of the eye; constant blinking and habitual
heat, redness, and swelling of the eyelids, with heat, soreness, and smarting of
the eyes.
NATRUM MURIATICUM.
Stomach, Bowels, and Evacuations. Constant weight at the stomach ; incessant
thirst ; absence of appetite, and intense repugnance to fat food; the belly puffed
up with accumulation of flatulency; noisy gurgling and grumbling of flatulency
in the intestines; habitual diarrhoea and constipation; continual efforts to relieve
the bowels without effect; burning sensation during and after stool; discharge
of slimy matter after urine; predominant discharge of urine at night, or spon-
taneous discharge ; constant heartburn or water-brash; and sometimes voracious
hunger; the food is thrown off the stomach.
Menstruation. The menstrual discharge takes place too soon, and is very
copious, or is delayed and scanty ; or, again, it is entirely suppressed; whites
during the intervals; (gloomy and depressed spirits during menstruation, sullen
temper before, and headache immediately preceding, and continuing until after
the cessation of the discharge.)
NATRUM MURIATICUM. 885
Nervous System. Weakness and heaviness of the arms and legs; the sleep is
disturbed or is interrupted, and the patient cannot fall asleep again, or is totally
unable to sleep during the night, and is drowsy during the day; the hearing is
obtuse, and black spots, or minute, bright sparks seem to flicker before the eyes;
the patient tries to fix the attention, but without success; gloomy forebodings;
habitual melancholy or extreme irritability; there is constantly a ringing in the
ears, and embarrassment in the brain; the patient feels exhausted after talking,
or much affected by disappointment; general debility and relaxation of physical
as well as of moral vigor ; spasmodic closing of the eyelids,
External Surface. Eruption of pimples with intense irritation on the face, or
dry, scaly, or oozing eruptions about the mouth ; dirty, sallow, swarthy, or pallid
complexion; the lips are swollen; great scurfiness of the head and falling off of
the hair; deficiency of natural heat, and predominant shivering ; copious per-
spiration on the least exertion, or in the morning; general loss of flesh; soreness
and tenderness of the limbs; shooting, boring, and burning pains in the corns
(to which the patient is very subject); scaly, mealy, or moist and itching erup-
tions on the hams; habitual coldness of the feet, with occasional burning heat,
and swelling ; the finger-nails are faulty, and the skin becomes cracked around
them ; warts grow out of the palms of the hands; sweating of the hands; swell-
ing of the glands under the jaw.
Pains. Shooting or hammering pains in the forehead, or bursting headache
(to which the patient is exceedingly subject); pains all over the body in the
morning, as if bruised and fatigued ; pains shooting through the head from side
to side or through the ears ; throbbing pains in the cheek-bones when eating ;
shooting or cutting pains in the region of the liver or spleen; cutting or pricking
pains in the bowels every day; shooting pains through the chest ; halting pain
in the hip, as if the joint were ajar ; halting pain in the small of the back, as if it
had sustained a severe blow ; aching pains in the back at night; tearing, jerking
pains across the hips.
Pulse and Circulation, Violent and distressing agitation and beating of the
heart when the patient lies on one side, or attempts sudden exertion, with habit-
ual irregularity of pulse.
Gums and Teeth. The gums are swollen and ulcerated, or perforated by fistulous
tubes; inflammation with gangrenous tendency in the gums; hot or cold food or
drink causes much suffering from the soreness of the gums, which bleed on the
least touch; the teeth feel on edge or loose when touched, or there is a drawing
sensation in them when exposed to cold air (inhaled through them); the teeth
are loose and much decayed.
Fever. In the febrile paroxysms, chill predominates; internal chilliness, with
icy coldness of the hands and feet; flushes of heat, with violent headache; great
thirst during the febrile attacks; profuse and exhausting perspiration; inter-
mittent fever, particularly if previously treated with large doses of quinine; the
paroxysms usually commence in the morning, with chill and headache, after-
wards heat with thirst, followed by gradually appearing sweats; blueness of the
nails and chattering of the teeth during the chilly stage; the first sensation of
chilliness sometimes commences in the feet.
Eyes and Ears. Profuse watering of the eyes; corroding fluid flows from the
886 NUX MOSCHIATA – NUX WOMICA.
eyes; the eyes and eyelids are inflamed, and the lids glued up at night; dis-
charge of matter from the ears.
Nose. The nose is swollen and sore on one side; obstinate stuffing with dry
heat of the nose; constant, short, interrupted sneezing; dulness or loss of smell;
habitual watery discharge from the nose; soreness of the nostrils inside.
NUX MOSCHATA.
Menstruation, &c. Irregular menstruation, sometimes anticipating the proper
time; the menstrual discharge is dark and thin ; pain in the small of the back,
great weakness and faint feeling, pressure in the stomach, and water-brash, pre-
cede and accompany the menstrual period; suppression of the menstrual flow
by cold, or by getting wet; the menses are absent, with disposition to faint and
fainting, dulness of the head and vertigo, and intolerable and irresistible drowsi-
ness; hysterical paroxysms.
Pains. Drawing in the muscles of the neck; pain in the small of the back, as
if broken or bruised; pain in the knee as if sprained, particularly in ascending;
weakness and tottering of the lower limbs; great soreness of the parts upon
which the patient lies; rheumatic pains incident to exposure to cold damp air;
wandering pains, attacking only a small spot and lasting but a short time, but
returning frequently; cutting pains in the belly, and screwing pain around the
navel; sticking pains in the teeth, relieved by the application of warmth; sting-
ing and tearing in the teeth, extending to the ears and temples, aggravated by
touching the teeth, and by inhaling the cold air; stinging pains in the right ear.
Nervous System, Brain, Senses, &c. Very changeable disposition; hysteria,
with sudden-changing disposition, great drowsiness and disposition to faint; very
irresolute; absence of mind; vanishing of thoughts while reading, disposition
to go to sleep; great inclination to laugh at everything, especially in the open
air, hysterical laughter; vertigo ; giddiness as from intoxication, with delirium,
or insensibility; reeling and staggering while walking in the open air ; fainting,
with palpitation of the heart, followed by sleep; sensation as if the brain were
loose, on shaking the head; illusions of vision, near objects appear far off; great
drowsiness, and disposition to faint.
NUX WOMICA.
Organs of Digestion and Evacuations. General derangement of digestion, with
sour taste whenever one has eaten anything; foul taste in the mouth, and tight-
ness round the waist and upper part of the storhach, with sensation as if the
clothes were painfully tight; the muscles of the stomach feel as if bruised; cos-
tiveness, conveying the idea of constriction of the lower bowel, and attended with
fruitless urging; constant risings in the throat, of a bitter or sour taste ; hic-
cough; the pit of the stomach is painfully sensitive to the touch; nausea, and
inclination to vomit; retching; vomiting of bile, phlegm, sour matter, or undi-
gested food; the vomiting is most prevalent in the morning, at night, or after
eating (the vomiting is often attended with headache, cramps, anxiety, and trem-
ulous debility); obstinate constipation, or alternate constipation and diarrhoea —
the motions in each case being imperfect and insufficient; large, hard motions,
or frequent evacuations, composed of slime and froth, and attended with urging;
dysentery, dysenteric evacuations, with cutting pains in the region of the navel,
NUX WOMICA. 887
pressing and straining on the lower bowel, and evacuations mixed with bloody
mucus; the posterior passage is very painful; great tenderness of the pile swell-
ings; protrusion of the lower intestine, and piles; soreness of the bowels; sensation
as if something alive were moving in the intestines; dragging Sensation about
the groins, as if rupture were imminent; urging to pass water without effect, or
with drop-discharge attended with great suffering, and burning in the neck of the
bladder, and thence downwards; sensation of qualmishness, chiefly after eating,
or at night (attended with weakness and anxiety); dark-colored, red urine,
depositing a sediment like brick-dust.
Nervous System, Brain, Senses, &c. Buzzing and tinkling Sounds in the ears;
the sleep is disturbed by constant frightful, or anxious dreams (and followed in
the morning by continued pain in the limbs, lassitude, disposition to remain lying,
and to stretch one’s self); inclination to sleep in the morning, after meals, or in
the evening; heat, sleeplessness, and agitation, with crowding of thoughts, at
night; goes to sleep late, wakes about 3 A. M., and lies awake for a long time
afterwards, then falls into a deep sleep, full of dreams, awaking with tired and
unrefreshed feeling; the patient is quickly wearied by mental labor; and there
is a sensation of heaviness and intense pressure in the head, as if it would burst
out, with confusion of ideas, and giddiness; spasmodic rigidity, heaviness, lassi-
tude and prostrated debility of the limbs; spasmodic sensation in the muscles,
as if something were moving in them; trembling of the limbs, with fluttering of
the heart, and tremulous debility ; paroxysms of spasms, and convulsions; lan-
guor, lassitude, and dread of physical exertion; nervous debility, and acute ner-
vous sensibility; great sensitiveness to noise, light, conversation, or smell; par-
ticular dread of the open air; aggravation, particularly of the nervous symptoms,
by watching or mental labor; or by coffee, wine, or tobacco; general exacerbation
in the morning ; the eyes are particularly tender of exposure to light, especially
in the morning; the disposition is vehement, malicious, melancholy, and anx-
ious, with anguish ; peevishness, ill-humor, vexed mood ; numbness of the
parts affected; feeling of oscillation in the brain; sometimes violent delirium,
or low muttering delirium, when headache is usually a very prominent symp-
tom.
Pains. Pains like those of rheumatism, particularly in the muscles of the back,
small of the back, loins, and chest; shooting pains through the whole body;
pricking, wrenching pains in the joints, exacerbated upon changes of weather;
pains, such as those of contusion in the limbs and joints, especially while moving,
or after motion, or in bed; tearing, jerking, drawing pains in the head — or pains
in the head, as if a nail were thrust in ; agonizing pain, chiefly in the hollow
teeth, aggravated at night, after eating, or by hot or cold drinks; smarting, burn-
ing pains in the eyes; drawing, tearing pains in the muscles of the face — or jerk-
ing, piercing pains in the jaws and teeth, extending to the head, ears, and cheek-
bones; piercing, beating pains in the ears; cramp-like, clawing pains in the
stomach; colicky pains, with flatulency; clawing pains in the belly (particularly
at the menstrual period); aching pain, as if something were lodged in the kidney
(the patient being compelled to lie on the back); great pain during discharge of
urine ; pains (with swelling) in the knee; cramp-like, clawing, and bearing-
down pains in the womb ; sensation in the small of the back as if lame; the hands
and arms go to sleep and feel dead; numbness and stiffness of the legs, they feel
888 OPIUM.
as if paralyzed; cramps in the calves of the legs, particularly at night; jerking
pains, like electric shocks, through the limbs.
Pulse and Circulation. Determination of blood to the head, and to the womb;
full, hard, quick, and frequent pulse — or quick and feeble, or sometimes even
intermittent pulse; small, wiry pulse; attacks of palpitation of the heart (with
trembling).
External Surface. Livid, sickly, pale, or yellowish complexion, especially
around the mouth and nose, with bluish ring around the eyes; dirty, pallid, and
yellowish, or sallow hue of the skin all over the body; soreness and irritation of
the scalp, the hair seeming to be pulled on the least touch; complete yellow suffu-
sion of the skin; purplish patches on the skin; chills over the whole surface,
with shivering, principally upon moving, at night, in the morning, or after eat-
ing; predominant heat at night; rigors affecting the back and extremities espe-
cially; peeling of the lips; chilblains on the hands and feet; hollowness of the
eyes; swelling and redness, with dark spots on the legs; swelling of the knee;
inflammatory swelling of the glands beneath the ears.
Periodicity. The attacks of fever-symptoms are exacerbated or re-developed
chiefly at intervals of twenty-four or forty-eight hours, with partial remissions in
the intervening time, or with complete intermission and subsidence of all the symp-
toms during the interval. In the case of partial remissions there is commonly an
imperfect alleviation every morning, with a more decided remission every other
day — that is, a better and worse day. In the case of intermitting disorders, the
attacks usually set in in the morning, but sometimes also in the evening.
Mouth, Tongue, Gums, Nose, and Eyes. The mouth emits foul odors, particu-
larly after eating, or before any meal in the morning; the tongue is white, coated,
and slimy — or dry, cracked, and brownish, with blood-red edges; predominant
sour or bitter taste, or tastelessness of all food taken; the gums are swollen, sore,
painful, and putrid; the nose is stuffed at night, but there is usually a thin,
watery, and excoriating discharge in the morning or during the day — or, again,
complete stoppage of the nose; the eyes are suffused with a yellow hue, or the
eyes and eyelids are red and inflamed, – the corners being particularly hot and
red, and charged with matter; sometimes there is oozing of blood from the eyes;
generally gluing of the lids at night.
Menstruation. The menstrual discharge is excessive, and of too long duration,
and is usually accompanied with general derangement of digestion (nausea and
sickness in the morning, and pinching, clawing, cramp-like, or bearing-down
pains). te
Breathing. Alternately slow and hurried breathing, with whistling sound ;
dry cough (attended with vomiting of phlegm); tightness across the chest, such
as that which characterizes asthma, and occasionally determination of blood to
the chest, and palpitation; dry, tickling cough, aggravated by talking, reading,
or by mental exertion; dry cough, with pain in the head as if it would burst, or
with great soreness in the upper part of the belly; the cough is usually worse in
the morning; hollow, barking cough, caused by a tickling in the throat.
OPIUM.
Nervous System, Brain, Senses, &c. Total absence of pain or sensation, and
complete torpor; torpidity and complete prostration of the nervous system gen-
PETROLEUM. 889
erally, and absence of susceptibility to medicinal action; jerking of the limbs,
with general coldness; convulsions of the nature of epilepsy; apparent lifeless-
ness, the patient lying prostrate, motionless, and not feeling anything; tremulous
state of the whole body; absolute muscular rigidity of the entire frame, or of
particular parts; violent trembling of the arms and hands; the body is rigidly
bent backwards; sudden jerking of the arms and legs; heavy lethargic sleep (with
thick, noisy, slow, intermittent respiration); twitchings of the muscles about the
mouth, the mouth and eyes being open ; heavy drowsiness, with incapability of
sleeping; total absence of consciousness or sensation; fits of giddiness; fixed,
glaring, half-closed, protruding, and convulsed eyes; motionless and dilated
pupils; stupid, vacant, and inanimate expression, all the muscles of the face
seeming to be relaxed ; the tongue paralyzed and motionless; the mouth convul-
sively distorted; the throat convulsively closed, and the act of swallowing impos-
sible (involuntary discharge from the bowº) ; picking at the bed-clothes; wan-
dering delirium.
Pulse and Circulation. Violent throbbing of the arteries of the head and neck,
and swelling of the veins of the neck and arms; full and slow pulse, or sometimes
hard, quick pulse, or in other cases, again, intermitting pulse.
External Surface. Pallid, dark-red, bluish, or bloated face, or paleness, with
red spots on the cheeks; intense heat of the surface (when the pulse is quick
and hard), accompanied or followed by hot sweat, or coldness of the whole
body, but particularly of the feet and legs, and sometimes also of the arms and
hands.
Stomach, Bowels, and Evacuations. Womiting of excremental matter and urine,
flatulent distension of the stomach ; (great pain in the stomach during the
vomit;) sensation of intense weight at the stomach; constipation and obstinate
costiveness; hard, lumpy, offensive, and black motions; or very dark, offensive,
liquid, and unconscious discharge from the bowels; suppression of urine; intense
thirst ; dark, reddish-brown, very scanty urine, with much brownish-red sediment.
Breathing. Difficult, or thick, snoring, and obstructed breathing ; tightness
of the chest, and cough in the act of swallowing, attended with suspension or
interruption of breath (blue, livid suffusion of the face); constant rattling and
hoarse breathing, as if the air-passages were choked with phlegm ; croaking
breath ; spitting of blood after coughing; low, weak, and inaudible voice.
Mouth, Throat, and Tongue. The mouth and throat perfectly dry and parched,
and the throat sometimes swollen; the tongue parched and very dark, sometimes
quite black.
PETROLEUM.
External Surface, Itching, burning, pustular elevations on the skin; intract-
able ulcers, with oozing discharge and intense irritation in different parts; ulcers
on the toes, with raised edges, emitting a thin, scanty discharge, and exhibiting
a deep red centre; chapping of the hands, with oozing of blood; habitual coldness
of the feet; predisposition to chilblains on the feet and hands, attended with
purplish hue and intense irritation; warts on the hands, and corns on the sides
of the feet and on most of the toes, and even under the toe-nails; pallid, dirty,
sallow, or yellowish complexion, and enlargement of the glands under the jaw ;
dropsical swelling of the scalp; general wasting of the flesh; oozing, scabby
eruptions or pimples amongst the hair, and dropping off of the hair; itching,
©
4.
890 PHOSPEIORUS.
oozing eruptions on the nape of the neck, chest, knees, and ankles; great itching
and irritation of the skin when heated; flushes of heat after the least exertion;
diseased conditions of the skin, characterized by cracks and fissures, which bleed
readily.
Stomach, Bowels, and Evacuations. General derangement of the stomach, with
want of appetite—or voracious and insatiable appetite from time to time, gener-
ally, however, attended with slimy, insipid, or putrid taste in the mouth, and
characterized by noisy, flatulent eructations; weight and oppression at the stom-
ach ; water-brash; inclination to vomit; reeling, giddiness, and darkening of
sight, with faintness and sinking after every meal; sickness at the stomach, and
giddiness whenever the patient rides in a carriage — or these symptoms induced
by such condition; great flow of water in the mouth with the sickness; disten-
sion or sensation of sinking and emptiness in the stomach and bowels; scanty,
detached, lumpy, hard motions — or loose, frothy, slimy stools, sometimes mingled
with blood and followed by a burning sensation—or discharge from the bowels at
short intervals during the day; frequent discharge of dark, scanty, and offensive
urine, or discharge of urine during sleep.
Menstruation. Gelatinous or acrid and corrosive oozing in the intervals, and
constant itching of the parts; menstruation occurring before the proper time.
Eyes. Habitual watering of the eyes, with symptoms such as those of fistula
lachrymalis; chronic inflammation of the eyes and eyelids, and swelling of the
glands at the inner corner of the eyes; sparkling before the eyes, and constant
itching or smarting; mistiness of sight, as if the patient were looking through
gauze.
Ears, Occasional or protracted discharge of matter from the ears, sometimes
streaked with blood; oozing eruption, with rawness and redness behind the ears
and excessive dryness within the ears; red, itching, and scabby eruptions on the
ears; rolling or ringing sounds, or roaring in the ears with constant deafness.
Nose, Mouth, Teeth, and Tongue. The nostrils constantly dry or stopped up;
tendency to discharges of blood from the nose; the mouth very dry or filled
with frothy spittle, or stringy phlegm in the mouth and throat; the tongue cov-
ered with a white coating; the teeth seem to sink into the jaw when closed; the
gums swollen and tender.
Pains. Aching or drawing pains in the back and small of the back; throbbing
headache, aggravated by thinking, and generally exacerbated by any excitement,
towards night (after exercise), or occurring only in the morning and before a
meal; drawing pains in the thighs, arms, and fingers, and tearing pains in the
hands; burning, shooting pains in the heel; contractive, jerking pain in the
ears; dull pain in the belly soon after eating ; aching pain in the stomach;
pinching, incisive, colicky pains (with relaxed motions) in the bowels.
Disposition. Fearful, extremely depressed, or very violent and imperious ;
extreme difficulty of understanding the simplest things; the patient suddenly
forgets what he was thinking about a few instants before, and fails to collect and
concentrate the reflective faculties.
PHOSPHORUS.
Pulse and Circulation. The pulse is generally quick, hard, and wiry, sometimes
very feeble and barely perceptible, and the patient suffers from attacks of violent
PHOSPHORUS. 891
beating of the heart, with extreme anguish; determination of blood to various
organs, or tendency to discharges of blood.
Breathing, Chest, &c. Difficulty of breathing, with sensation of anguish in the
chest ; sensation of pressure, fulness, and extreme tightness, with determination
of blood to the chest ; dry cough during the day; habitual hoarseness, or even
total loss of voice; great accumulation of phlegm on the chest ; cough with
expectoration of phlegm, or even flaky, curdy, stringy matter streaked with
blood; constant sensation of tickling in the chest, which provokes a short, dry, .
barking cough, resulting in expectoration of saltish phlegm — or sensation as if
the inside of the chest were raw, or would burst, with hoarseness; cough excited
by talking, reading aloud, or laughing, or by an irritative sensation in the pit of
the stomach ; the windpipe is so painful that talking is dreaded; cough, with
expectoration of tough, rust-colored, and blood-streaked phlegm.
Stomach, Bowels, and Evacuations. Desire for delicacies and cooling drinks;
weakness and slowness of digestion, or imperfect digestion ; frequent eructations,
with a sensation as if the upper part of the stomach were filled with air; sore-
ness of the stomach when touched and when moving; frequent, soft, pap-like
discharge from the bowels; slimy, bloody, or undigested motions; continued
relaxation of the bowels; discharge of blood during stool; involuntary evacua-
tions from the bowels; burning sensation in the stomach and bowels; copious
discharge of watery, colorless urine ; belching of flatulency, with or without sour
rising, after eating; acrid risings from the stomach; extreme sensitiveness of the
pit of the stomach; ravenous hunger, unallayed by eating, and continuing during
the night; sensation of sinking and emptiness in the belly; vomiting of bile; occa-
sionally costiveness, and often piles, which bleed easily.
External Surface. Soreness of the joints, especially of the knees; tremulous
condition; wasting away of the flesh, with peculiar attenuation of the hands;
copious discharges of blood from inconsiderable wounds; lymphatic abscesses
in various parts, distinguishable by being perforated in all directions by fistulous
tubes; tubercular formations (either in structures subjacent to the external sur-
face or internal organs); hectic fever; evanescent flushing of heat; predominant
heat at night; habitual coldness of the limbs; tingling in the skin; shedding of
the hair; wan, pallid countenance, with dirty complexion, and eyes deep-set and
hollow, and surrounded by a blue ring ; alternate paleness and redness of the
face, or patchy flushing of one or both cheeks; pinched, sharp, and pointed fea-
tures; bloatedness about the eyes; tendency to sweating in the morning, some-
times profuse and exhausting; tightness of the skin over the face, or on one side
of the face ; bluish color of the lips; numbness of the extremities of the fingers;
coldness of the feet, and great soreness of the soles of the feet, as if blistered or
raw when walking; trembling of the hands and arms, and swelling of the hands;
abscess of the breasts, with burning and stinging pains, bluish color of the
breasts, and fistulous openings; great heat in the hands; mealy or scurfy erup-
tions on the arms — or scabby eruption of oozing pimples on the face or amongst
the hair; yellowish or brownish patches upon the skin; large boils on the belly.
Nervous System, Brain, &c. The body generally is oppressed with a sense of
languor, want of motive-power, indolence, and nervous debility; sudden prostra-
tion of strength; weariness, attended with hysterical irritability; the open air is
insufferable; local paralysis, with the crawling or tingling sensation peculiarly
892 PHYTOLACCA DECANDRA.
indicative of wasting vitality; the senses are acutely sensitive, and the sensitive-
ness is attended with a disposition to be easily startled; giddiness and dizziness;
giddiness chiefly in the morning, in the evening, and when in bed; giddiness,
with confusion of ideas — with melancholy despair, buzzing in the head (nausea,
oppression of the head, and heat); determination of blood to the head; the sleep
is unrefreshing, and the patient lies awake and very restless for a long time with-
out falling asleep; disposition to sleep in the daytime, and wakefulness at night;
or the sleep is restless and agitated, disturbed by anxious dreams, and seems,
upon waking, to have been insufficient; dread of light; extreme tenderness of
light.
Pains. Darting pains in the chest, particularly on the left side; aching pain
in the head in the morning; clawing pains in the bowels, with flatulency; aching
pain in the pit of the stomach; acute pain in the stomach, induced by pressure
or contact; very severe pains in the stomach, alleviated by drinking cold water;
burning pain, with extreme tenderness all over the belly; nipping, cramp-like,
contractive pains in the bowels; wrenching and shooting pains, like those of
rheumatism or gout, after taking cold, and worse or present only at night, when
in bed; pains which have a tendency to return, or to appear upon changes of
weather.
Eyes. Sensation as of sand in the eyes; inflammation (heat and redness) of
the eyes; copious flow of tears, or watering of the eyes, upon exposure to the
open air; difficulty of opening the eyelids in the morning; sudden loss of sight
in the daylight; burning sensation in the eyes, or very keen smarting.
Nose, Mouth, Tongue, and Throat. The nose is readily provoked to bleed; keen
susceptibility of smell; stuffing, with continual dryness and heat, as well as sore-
ness in the nostrils; discharge of blood in blowing the nose; oozing and scabs,
or crusts in the nose; soreness of the mouth; the mouth is excessively dry, or
overcharged with saliva; sliminess of the mouth ; the tongue is dry and white, or
loaded with sticky, stringy phlegm ; harshness, or burning sensation in the
tongue; the throat is painfully dry and harsh; phlegm is dislodged from the
throat, and cast up in the morning with an effort.
PHYTOLACCA DECANDRA.
Stomach, Bowels, and Evacuations. Bruised and sore feeling at the pit of the
stomach; gulping up of a sour fluid from the stomach; sick feeling in the stomach,
followed by nausea, and vomiting of greenish, watery mucus, or of bile, or even
of blood; soreness and pain in the right side, beneath and below the lower ribs
(particularly in women, during pregnancy); constipation, the evacuations being
hard and dry — or evacuations which are mixed with mucus, and accompanied
by straining; soreness, ulceration, or fissures of the posterior passage; pains in
the region of the bladder before and during the passage of urine; violent urging
to urinate; copious emissions of urine at night; urine of a dark-red color, and
leaving a stain on the vessel of a mahogany color.
Mouth and Throat. Accumulation of large quantities of watery saliva in the
mouth – or of saliva which has a yellowish hue and a metallic taste; rough feel-
ing of the tongue; blisters on the tongue, or great redness of the tip of the
tongue; pain at the root of the tongue on swallowing; sensation of dryness in
the throat and posterior parts of the mouth; sensation as though a lump were in
PLATINA. 893
the throat, causing a continuous desire to swallow ; the throat feels rough and
raw ; the throat feels dry and sore, especially on swallowing; inflammation of the
throat, which has a dark or dusky-red hue, and is swollen; inflammation and
enlargement of the tonsils; frequent hawking, to rid the throat of mucus.
General Symptoms. Great lassitude and tired feeling, with desire to lie down;
pains in the bones, of a rheumatic character, particularly in persons who have
suffered from syphilis, or from large doses of mercury; vertigo, with dimness of
vision; steady aching pain in the forehead ; headache, with sickness of the
stomach, from walking; the menstrual flow is too profuse, and occurs too fre-
quently; inflammation, swelling, and suppuration of the breasts, in nursing women.
PLATINA.
The Womb and its Dependencies. Excessive menstrual discharges occurring
before the proper time; excessive sensitiveness of the region of the womb, &c.;
pressive sensation of weight and fulness (with determination of blood) in the
womb ; protracted and excessive menstrual discharge; premature labor-pains in
the last months of pregnancy — or bearing-down and forcing throes, with immi-
nent miscarriage at any period of pregnancy; flooding, with discharge of dark,
purple blood, sometimes very thick; hardness of the womb to the touch.
Pains. Bearing-down, or forcing pains, or insufferable headache (during the
menstrual period); digging, boring, thrusting pains in the head, teeth, and ears;
cramp-like, pinching pains in the head, pit of the stomach, and bowels; aching,
dull, pressive pains in the chest, or shooting pains on either side of the chest;
cramp-like pains in the loins, feet, toes, and thighs; throbbing, aching pains in the
fingers; dull, shooting pains in the sides of the chest; digging, boring, throbbing
pains in the jaws; aching pains in the stomach, especially after eating; spas-
modic pain round the cavity of the eyes, and aching pain in the eyes themselves;
pains, whether in the head or chest, which grow gradually worse, or which come
on by fits, – each attack being worse than the preceding, until the suffering is
unbearable, and which then subside in the same way.
Nervous System, &c. Sensation of numbness in various parts; attacks of ex-
treme despondency, with crying, in spite of one's self, and without assignable
cause ; pride, and haughtiness of disposition; torpid feeling in the head; evanes-
cent fits of giddiness; the skin at the top of the head feels too tight; the patient
suddenly wakes during the night, and does not know where she is; buzzing
noises in the head, and rolling in the ears; illusions of sight; diminutiveness of ob-
jects; numbness of one side of the face; strong desires and longings; languor
and weariness of the legs and feet; paralytic feeling about the thighs and knees.
Stomach, Bowels, and Evacuations. Shuddering and sinking sensation when at
stool, or after a motion; utter loss of appetite; or greediness, with bolting of the
food; the patient feels very hungry, but is glutted after tasting food; incessant
sickness at the stomach, with depression, anxiety, and languor; thick, cloudy
urine, depositing a reddish sediment—or dark-colored urine, with fleecy matter
floating in it.
Breathing. Hurried, short, and impeded breath; extreme tightness of the
chest, with short breath (and palpitation of the heart); sometimes croaking, or,
again, very feeble voice, or total loss of voice, — the patient speaking only in
whispers.
894 PLUMBUM METALLICUM.
PLUMBUM METALLICUM.
Organs of Digestion and Evacuations. Total loss of appetite, or appetite which
becomes voracious shortly after eating; vomiting of long continuance, with dis-
charge of bilious, greenish, yellowish, or even very dark and blackish matters;
rising of watery, sour, or sweetish matters from the stomach ; excremental vomit-
ing; throbbing or burning sensation in the belly; loud rumbling of the intestines,
with repeated pad-like inflation, and with occasional expulsion of very hot and
putrid flatulency; constant want to relieve the bowels without effect, and very
inveterate and long-continued constipation; or protracted looseness, with very
offensive yellow or bloody stools — or hard, sticky, lumpy motions, expelled only
with great effort, and covered with glairy slime; urging and straining to pass
water, with total suppression, or drop-discharge of urine.
Breath. Oppressed, short, gasping, panting, anxious, and hurried breathing,
or very difficult breathing; spasmodic attacks, with arrest of breath; rough,
harsh, croaking voice, or loss of voice; lumpy, stringy, sticky, yellowish, greenish,
or transparent expectoration, in large quantities; cough, followed by spitting of
blood, or of thick, curdy matter — or dry cough, with convulsive effort.
Tongue. Yellowish, greenish, and furred tongue, or dry, brownish, and cracked
tongue.
External Surface. Sunken, cadaverous, pallid, or yellowish complexion and
features; greasy glossiness of the skin, or puffed and bloated, dirty, sallow face;
scaling off of the lips; yellowish or livid hue of the skin; ulcerations on the surface,
with unhealthy, livid appearance — or brownish patches on the skin; occasional,
but rare, and evanescent flushing; constant coldness; shivering, and clammy,
offensive sweat; offensive sweat on the feet; intense dry harshness of the hair;
all the eyelashes fall out; the hair falls off from the head and face; the feet
swell; the fingers exhibit circumscribed swellings, with redness or purplish hue;
the spine and toes are distorted.
Nervous System, Brain, Senses, &c. Deep drowsiness or absolute lethargy;
jerking of the limbs during sleep; the fingers are paralyzed and stiff; the feet
feel as if dead when put to the ground ; the thighs and feet, and the joints of the
feet, hands, and hips are paralytically affected, and giv3 way; the feet, and even
the legs, are numbed and insensible ; there is want of muscular power in the
gullet to effect the act of swallowing, or there may be spasmodic tightness of the
throat, or a sensation of a lump rising in the throat; the sense of smell is either
suspended, or an offensive smell seems to be emitted by everything; the jaws
suddenly become rigid, the eyelids spasmodically closed, and the eyes distorted;
the eyelids hang down from palsy of the muscles, and the pupils are contracted ;
the head swims or spins, and fainting fits ensue; furious delirium ; taciturnity
and deep despondency, with general disgust of life; the sight is imperfect or
lost; the hearing extremely acute in general, but sometimes lost, or more fre-
quently dull.
Pains. Intolerable pains in the stomach; incisive, burning pains; pinching or
clawing pains, or pains which pierce the body, emanating from the pit of the
stomach; extremely violent, clawing pains, with gathering-in of the navel; insup-
portable clawing, cramp-like pains in the bowels, as if they were drawn together
at the navel; piercing pain in the head and ears, or boring, tearing pains in the
PODOPHYLLUM PELTATUM – PULSATILLA. 895
head, ears, and jaw, especially the lower jaw ; drawing or tearing pains in the
loins, between the shoulders, and in the hips, knees, and thighs, or even in the
arms and fingers, aggravated by lying down.
Eyes, Mouth, Teeth, Gums, and Nose. Yellowish suffusion of the eyes; stuffing
of the nose, with adhesive, clogging matter in the nostrils, and coldness of the
nose; profusion of sweetish spittle in the mouth, or excessive dryness; the teeth
are rotten, offensive, fall out or break away; accumulation of slimy, yellow, or
even black deposit on the teeth; or actual discoloration of the enamel, or which
shows through the enamel ; hard, knotty elevations upon, or general puffing, with
faint, unhealthy hue of the gums.
PODOPHYLLUM PELTATUM.
Stomach, Bowels, and Evacuations. Vomiting of food, which has a putrid taste;
the food returns from the stomach to the mouth; diarrhoea, occurring after eat-
ing or drinking; colicky pains in the belly, the abdominal walls being drawn in,
and tense; feeling of fulness, with pain, in the right side, beneath the lower
ribs; vomiting of food an hour or so after a meal, with feeling of hunger; diar-
rhoea in the morning, the evacuations being green and sour, occurring, especially,
in children during dentition ; enormous distension of the belly; loose evacua-
tions which are accompanied by drawing, griping pains in the belly; loose, and
very frequent evacuations, which, nevertheless, have a natural color; evacuations
from the bowels are sometimes followed by falling of the lower bowel, which
protrudes beyond the posterior outlet, particularly in young children; descent
of the bowel after even slight exertion; pains in the back and belly during an
evacuation, and continuing after it; evacuations having an excessively offensive,
putrid smell; great weakness after evacuation; suppression of the urinary dis-
charge; involuntary discharge of urine during sleep.
General Symptoms. The symptoms are usually worse in the morning ; restless
sleep of children; moaning in sleep, with the eyes half closed; rolling of the
head during the teething process; grinding of the teeth at night; sallow appear-
ance of the skin; profuse secretion of saliva; great sleepiness during the day,
especially during the morning; unrefreshing sleep, with feeling of fatigue on
awaking; suppression of the monthly flow, in young girls, with bearing-down
pains in the belly and in the lower part of the back, which are worse on moving
about, and relieved by lying down; falling of the womb, with pain in the lower
part of the back, and bearing-down sensations; after-pains, with strong bearing-
down; depression of spirits.
PULSATILLA.
Stomach, Bowels, and Evacuations. Insipid, slimy taste, or foul taste in the
mouth ; repeated and constant eructations, sometimes with bitter or sour taste,
or, at other times, with taste of food; excessive nausea; bitter taste during
mastication; sweetish taste; throbbing at the pit of the stomach; absence of
thirst, dislike to food, and heartburn; hiccough ; vomiting of greenish phlegm,
or of sour, bitter, and bilious matter; intense desire to vomit; sometimes excessive
thirst, pressure at the pit of the stomach, sickness, retching, and vomiting after
a meal; excessive tenderness of the region of the stomach to pressure; vomiting
of food ; frequent inclination to relieve the bowels even during rest, and loose
896 PULSATILLA.
discharge from the bowels even during the night; evacuations consisting of
greenish, slimy, or even bloody matter; copious discharge of watery urine;
unconscious discharge of urine during sleep ; derangement of the stomach from
eating rich, greasy food; capricious appetite; pulsations in the pit of the stom-
ach ; colic, with labor-like pains in pregnant women; colic, with suppression of
the menstrual flow ; nightly diarrhoea, the discharges being watery and green,
and preceded by rumbling in the bowels; dysentery, with straining, and pain
in the back.
Womb, Menstruation, &c. (Feeble or suppressed labor-pains or excessive
pains;) difficult menstruation; the periods set in (with chilliness, paleness of
the face), and scanty discharge of thick, black blood; periods generally after
the proper time, but sometimes too early — always irregular, and sometimes
totally suppressed; sometimes pale and watery discharge (bearing-down or
forcing pains); suppressed menstruation, from cold, or from getting the feet
wet; delay of the first menstrual discharge, in young girls; hemorrhage from
the womb, the discharge alternately flowing and ceasing; after-pains of too long
duration; suppression of the lochial discharge ; suppression, or very scanty
secretion of milk; profuse discharge of whites, the discharge being acrid and
corrosive, or resembling milk, and painless.
Nervous System, Brain, Senses, &c. Tremulousness, with fear of death ; vertigo
when rising from a seat, when stooping, or when looking upwards — or giddiness,
with heat of the head, nausea, and loss of sight, in the evening; intellectual
labor causes fatigue; fright, followed by diarrhoea; over-sensitiveness of the
eyes to the light; mistiness before the eyes, which is removed by rubbing them;
hardness of hearing, as if the ears were stopped up; humming in the ears; vio-
lent attacks of palpitation of the heart, often accompanied by anguish and van-
ishing of sight ; attacks of fainting, with livid paleness of the face; epileptic
attacks (especially after suppression of the menstrual flow).
External Surface. Red spots like flea-bites on the skin; measles; itching,
smarting, pricking irritation of the skin; inflammatory swelling and redness of
the skin, with tingling sensation; sometimes also with the appearance of small
blisters on the skin; eruptions of pimples upon the skin, which suppyrate and
become depressed at the centre — being then yellow at the flattened crown, and
red round the edges — but which are rarely numerous; general coldness, sensa-
tion of chilliness, and shuddering, sometimes running through the body and
affecting internal parts; paleness, and sometimes puffing of the face; cheeks
alternately red and pale ; inflammation and swelling of the skin of the face, with
casting of the skin; heat of one side and coldness of the other; or flushing of
heat to particular parts, with coldness of the rest of the body; the skin is gen-
erally hot and dry at night, but the patient feels cold immediately he is uncov-
ered; general heat with sweat on the face, sweats on one side, or general sweat
in the latter part of the night with gradual subsidence of the symptoms; sweat,
offensive and copious; oozing pimples amongst the hair; eruption of small blis-
ters between the fingers; throbbing in the extremity of the fore-finger; drop-
sical swelling of the feet towards night; swelling of the veins of the legs;
tendency to thin, continued, mucous discharges.
Pains. Keen pains in the limbs; wrenching, dragging, or jerking pains in the
muscles, attended with numbness, lameness (and swelling) of the parts affected;
PULSATILLA. 897
these pains are exacerbated at night, and by the warmth of a room, and allevi-
ated on going into the open air ; the parts affected are subject to stitching pains,
and to a sensation of coldness upon changes of weather; strained pains in the
limbs, as if the tendons were too short; pains which constantly change their posi-
tion, and shift quickly from one part to another (and are attended with swelling
and redness of the joints); fitful attacks of pain (accompanied with chilliness,
asthmatic symptoms, and paleness of the face); the sufferings have a tendency
to grow worse at stated periods, as in the evening, before midnight, or on alternate
evenings; the suffering is aggravated when sitting, rising from a seat, during
rest, or when lying on one side ; dull, heavy, pressive pain in the head, as if the
patient had been intoxicated, or passed the night without rest ; pain in the head,
as if the forehead would open ; boring, jerking pains in the ears and teeth.
Eyes, Ears, and Nose, Stye, on the eyelids, or pimply eruptions on the margins
of the eyelids; inflammation of the eyes, with profuse flow of tears in the open
air; redness and swelling of the eyelids; sensation as if sand were in the eyes;
discharge of matter which accumulates in the corners of the eye; intense dryness
of the eyes and eyelids, with heat; dimness of sight, such as would be caused
by gauze before the eyes; copious discharge of matter from the ears, or of thick,
yellow humor, or even of blood; difficulty of hearing, conveying the idea of some
obstruction in the cavity of the ears; roaring in the ears; inflammation (heat,
swelling, and redness) of the external part of the ear; collection of offensive,
thick, yellowish, or greenish matter in the nostrils; discharge of blood from the
nose; violent sneezing.
Mouth, Throat, and Tongue. The mouth emits an offensive odor; there is copi-
ous supply of watery saliva of a sweetish taste; or the mouth is dry and parched;
the throat feels raw ; redness of the throat with great soreness, usually aggra-
vated towards night; the throat is either dry, or clogged with thick, viscid
phlegm ; grayish, whitish, or yellowish-coated tongue.
Breathing, Chest, &c. Asthmatic oppression of the breath when in a recumbent
position; hoarseness; dry cough, on awaking from sleep, disappearing while
sitting up in bed, returning on lying down ; severe, dry cough, mostly in the
morning, with straining to vomit; cough, with expectoration of dark and clotted
blood (the menses being suppressed); whooping-cough; cough caused by itching
or tickling, or by a sensation as of sulphur vapor in the windpipe; cough which
is relieved by going into the open air, returning again on entering a warm room;
shaking cough, with expectoration of clotted blood or of thick phlegm : hawking
up of white and lumpy or yellowish phlegm ; attacks of tightness of the throat
and chest.
Pulse and Circulation. Determination of blood to different organs, chiefly to
the head, chest, and womb; quick and small, or full and sluggish, or weak and
barely perceptible pulse; frequent attacks of very violent agitation and beating
of the heart.
Disposition. Melancholy disposition, with predisposition to weeping; or
morose humor, with aversion to conversation; or timid and keenly sensitive
temperament.
Sleep. The sleep at night is only obtained late (it is attended with great dry-
ness of the eyes); heavy, but uneasy sleep; tendency to sleep during the day-
57
898 RHEUM PALMATUM –– RHUS TOXICODENIDRON.
time; great drowsiness; sensation during sleep or dreaming as if falling from
an elevation; constant yawning.
RHEUM PALMATUM.
Stomach, Bowels, and Evacuations. Fulness and distension of the stomach ;
sensation of faintness, sinking, and hunger, but no relish for food; the patient
fancies particular food, but cannot eat it; sour, insipid, slimy taste in the mouth ;
great tightness and distension of the belly, with accumulation of flatulency in
one spot ; relaxed, liquid, or soft evacuations, having a very sour smell; much
urging and straining before stool; continual urging to stool, increased by exer-
cise, but without discharge; slimy, frothy, brownish stools; clay-colored or ash-
like looking motions; scalding sensation in passing water ; the patient cannot
retain the urine; copious discharge of yellowish, green, brownish, or brick-colored
urine.
Pains. Spasmodic pains in the stomach, and griping, coiling pains in the
bowels; intense cutting and clawing pains in the bowels; the griping is so severe
as to bend the body double; increase of griping pains upon the least muscular
exertion, or immediately after taking food; throbbing pains in particular muscles,
or in the head and eyes—or smarting pain in the latter; boring or throbbing
pains in the ears.
Milk. The milk evidently disagrees with the infant, being constantly regurgi-
tated ; discoloration of the milk; yellowish or pale yellowish-green color of the
milk, and bitterish taste.
Rest. The rest is constantly disturbed ; there are convulsive agitations of the
muscles of the face, of the eyelids, and clawing or agitation of the fingers during
sleep ; tossing and screaming, preceded by sudden starting from sleep ; jerkings
of particular muscles, especially of those of the thighs, arms, and fingers, during
sleep, or immediately after starting from sleep.
RHUS TOXICODENDRON.
Pains. Pains of a drawing, tensive, lacerative character in the limbs, aggra-
wated during rest, in the cold season, in bad weather, at night in bed, and often
attended with numbness of the parts after motion ; pains (and other symptoms)
generally aggravated, and more prevalent during rest or at night, and lessened by
motion; tingling and creeping pains in the parts; strained pain and stiffness in
the joints; smarting pains (in swollen parts) as if sore when touched; jarring
pain in the joints on beginning to move; creeping pain in the head; pain in the
head as if it would be torn ; pain as of ulceration at the pit of the stomach;
stitches in the chest and sides of the chest, worse when at rest and while sneez-
ing and breathing; tingling or numb feeling in the chest, with sensation as if the
muscles between the ribs were drawn too tightly ; bruised pain in the small of the
back, especially when lying upon it; beating, shooting pains in the stomach — or
pain in the stomach, with intense pressure, as if a stone were there; aching pains
in the eyes when moved; pains in the limbs (during the cold stage of the fever);
tearing, shooting, aching, or jerking pains in the teeth, relieved by the applica-
tion of heat; very violent pains in the limbs, with extreme weakness and low
fever; violent, griping, clawing pains in the bowels at night; tearing and burn-
ing pains in the shoulder, with paralytic weakness of the arm.
RHUS TOXICODENDRON. 899
External Surface. Eruptions of vesicles on the skin, with inflammatory swell-
ing and heat; swelling characterized by bright, shining redness, and by smarting
as if from soreness; excoriations of the skin and eruptions of pimples, which
break and terminate in discharge of fluid; spreading and corrosive eruption of
ringworm, or of oozing vesicles in rings, becoming confluent, forming thick scabs,
and removing all the hair from the parts affected; swelling of the head; the
formation of soft and small tumors on the scalp; inflammation and swelling of the
parotid glands; the whole of one side is numbed and torpid, as if paralyzed; pale,
sickly appearance of the face, and eruptions of the character of pimples, espe-
cially around the mouth and chin; swelling heat and redness of the skin over
the face, with eruption of small, oozing blisters; itching and burning vesicles
break out upon the skin, chiefly in the fall of the year — or pimples with red
bases; aggravation or return of the fever-symptoms — setting in with a chill and
severe rigors, succeeded by excessive heat, and, subsequently, profuse sweats —
in the evening and continuing during the night; sensation of chilliness and shud-
dering on the least movement; the lips dry and brown; the face intensely hot
and flushed, or pallid and distorted; the belly puffed up, particularly after eat-
ing; gangrenous ulceration in the parts on which the vesicles have broken out;
spots or stains of a dark, brownish, or blackish hue (with utter prostration);
dry, mealy, or Scurfy eruption on the scalp; eruptions on the scalp, discharging
yellowish or greenish matter; bright, vivid, fiery redness of the lower part of the
belly; oozing eruptions forming scabs on the face; cold perspiration (sometimes
profuse) on the face; burning ulcers on the legs.
Nervous System, Brain, Senses, &c. Wild fancies and delirium, sometimes vio-
lent, generally low and muttering; sleep disturbed and agitated by dreams run-
ning on the transactions of the day, of which there is a clear impression, or also
by frightful, anxious dreams; palsy of the extremities; reeling giddiness, with
wavering, uncertain gait; convulsive movements after immersion in cold water;
complete prostration of nervous energy; muttering delirium, with extreme weak-
mess and picking at the bedclothes; great restlessness, cannot sit or lie quietly;
tossing about in the bed, with anxiety and apprehensiveness; extreme depression
of spirits, with desire to be alone ; gloomy forebodings; great tenderness of light;
trembling, sinking sensations about the heart.
Stomach, Bowels, and Evacuations. Relaxation of the bowels (with the evening
fever); very loose and offensive discharge from the bowels at night (accompanied
with excruciating pains in the bowels and limbs, and very severe headache);
loose discharge from the bowels, mixed with blood, and sometimes preceded by
a variable state of the bowels and alternate costiveness and relaxation ; very ob-
stinate and protracted diarrhoea; thin, yellow, odorless, painless, and involun-
tary evacuations from the bowels, as if the muscle guarding the orifice were
paralyzed; inability to retain the urine, with constant desire to pass water, and
copious discharge; or suppression of urine; drop-discharge of blood-red urine;
total absence of appetite, and constant, insatiable thirst.
Eyes, Nose, Mouth, and Tongue. Gluing of the eyelids at night; heat and red-
ness of the eyes and eyelids; bleeding at the nose; discharge of greenish and
very offensive matter from the nose, or heat and dryness of the nose; extreme
dryness, sometimes brownish hue, of the interior of the mouth and throat; offen-
900 FUTA GRAVEOLENS.
sive smell from the mouth; dry, parched, and brownish, or even black, tongue —
or glossy, red tongue.
Breathing, Chest, &c. Shortness of breath and difficulty of breathing, arising
from pressure and painfulness in the stomach ; sharp stitching pains in the heart,
with painful lameness and numbness of the left arm; short, dry, and tickling
cough, worse at night; cough, with vomiting of the contents of the stomach ;
cough, with expectoration of blood, or with pains in the belly; cough, with
Stitches in the chest, profuse general perspiration, and pains in the stomach.
RUTA GRAWEOLENS.
Pains. Dull, aching pains in the eyes upon straining the sight; intense pain
in the head, affecting the whole interior of the head as if the brain had been vio-
lently shaken, or as if a severe blow had been dealt to the top of the head:
bruised and darting pains in the outer surface of the head or in the bones of the
skull; pulsating, boring pain in the forehead; gnawing, burning pains, or severe
bruised pains in the bones or in the membranes investing the bones, aggravated
by pressing the parts; bruised pains in the loins and small of the back, and in
the back generally; gnawing or cutting pains in the breast-bone; aching pains in
the bones between the elbow and wrist; tearing pains in the elbows; gnawing,
aching, burning pains in the ankle-bones, instep, and bones of the toes; claw-
ing, boring, aching, or bruised pains in the region of the liver, in the bowels, or
round the waist; burning and gnawing pains in the stomach; boring toothache
and pains in the jaw-bones; or bruised pains in the cheek-bones, ears, and root
of the nose.
External Surface. Prevailing chilliness or actual coldness, with shivering — or
coldness, more especially of the extremities; sores amongst the hair, or protuber-
ances on the scalp; flushes of general heat every now and then ; swelling, with
heat and redness of the forehead f swelling of the veins, especially on the hands;
perforating ulcers, small at the surface; enlargement of the spleen.
Stomach, Bowels, and Evacuations. Sudden attacks of sickness at the stomach
and vomiting, after eating; rising of the food from the stomach, with the taste
of what has been taken; rising as of a lump in the gullet; hot or cold sensations
in the bowels; round, hard, knotty, black motions, expelled with much difficulty
and effort, and generally covered with glairy slime; protrusion of the intestines
at stool; or constant desire to relieve the bowels, with small, insufficient, soft
motions — or, again, very relaxed, slimy motions, preceded and followed by cos-
tiveness; constant urging to pass water, renewed as soon as discharge has taken
place; gritty urine; copious discharge of urine at short intervals, continuing
night and day; pressive, forcing sensation at the bladder, with urgent desire to
pass water.
Breathing, Chest, &c, Great difficulty and shortness of breath; cough as soon
as the patient lies down at night, with retching and abundant dislodgment of
stringy, sticky phlegm ; free expulsion of matter after coughing ; or weariness at
the chest, without coughing, preceded by hawking up of quantities of yellow and
very thick phlegm.
Eyes and Mouth. Hazy, misty sight, as if gauze were before the eyes, and
complete confusion of distant objects; opaque spots in the transparent part of
the globe of the eye; smarting and burning in the eyes when exerting the sight
SABINA — SAMBUCUS NIGRA. 901
by candle-light— or smarting, with great irritation, in the corners of the eyes;
lights appear to be surrounded by a red halo; stickiness and sliminess of the
mouth — or great dryness of the mouth, the tongue cleaving to the palate.
SABINA. Af
Womb, Menstruation, &c. Acute forcing sensations in the womb, with bearing-
down, weight, and pressure from determination of blood to the parts, and dis-
charge of bright-crimson blood in clots; cramp-like sensations in the womb ; ex-
cessive or suppressed menstrual discharge, and offensive, thick, gelatinous, or
yellow discharge of whites during the intervals, with much itching of the parts;
hemorrhage from the womb, of partly pale-red, partly clotted blood, or very thin
blood, having an offensive smell—the flow is worse from the slightest movement;
very offensive discharge of whites after the suppression of the menstrual flow.
Pains. Violent bearing-down or forcing pains in the womb before and during
the flow ; wrenching pains in the teeth, aggravated by warmth, and worse in
bed, or throbbing and aching pains in all the teeth; the pains in the teeth come
on whilst eating; drinking or inhalation of cold air induces a drawing or wrench-
ing pain in the teeth; cutting pains from the jaw-bone to the cheek under the
eyes; darting pains as if in the marrow of the bones ; tearing, shooting pains (with
heat and redness) in the joints; shooting, aching, throbbing, or boring pains in
the head, coming on all at once, and subsiding by degrees.
External Surface. Pallid complexion, with livid rings round the eyes; burning
heat in the parts affected, more particularly perceptible when touched; bright-
red, glossy swellings of the joints; soreness of the muscles of the belly, they are
tender of pressure : excessive flushing of the face, or heat in the head, with ex-
treme coldness of the extremities; intense heat throughout the body, generally
preceded by a chill, which sets in towards evening, and terminating in sweat at
night.
Mouth, Gums, and Tongue. Frothy spittle in the mouth, or spittle tinged with
blood; very offensive odër from the mouth ; the gums extremely tender, swollen,
or even ulcerated, and the tongue thickly furred and brownish or white; taste
as if of blood in the mouth, or slimy, insipid taste.
Breathing and Chest. Tremulous, agitated feeling in the lungs, with a degree
of oppression of breath — or weight at the chest, with internal irritation and dry
cough, or cough followed by spitting of blood.
Stomach, Bowels, and Evacuations. Flatulent risings from the stomach; fulness
at the stomach, with much nausea, heaving, and vomiting of food, or sometimes
of bile; fulness and tightness of the belly; bloatedness of the belly; much expul-
sion of flatulency at stool, followed by discharge of soft evacuations, or of motions
which are first soft, and finish by being hard and firm ; discharge of blood or of
slime after stool, and elevations or swellings, with great soreness about the ori-
fice; urging to pass water, with painful, Scalding, drop-discharge of urine.
SAMBU CUS NIGRA.
Breathing, &c. Sudden and spasmodic arrest of breath at night; wheezing,
hurried breathing; extreme oppression of the chest (with pain under the breast-
bone, &c.); inflammation of the windpipe; suffocating cough, or cough with copi-
ous expectoration of phlegm; attacks of suffocative cough in children, with cry-
902 SECALE CORNUTUM.
ing; the cough is usually worse at, or soon after, midnight; nightly suffocative
attacks, with great restlessness, crying, and throwing about of the arms; quick,
wheezing, crowing breathing; sniffling, in children; breathing through the nose
is impeded; hoarseness, with accumulation of quantities of tough, ropy phlegm ;
suffocative, hollow, deep cough, like whooping-cough; hoarseness and rattling
of phlegm on the chest; very impeded breathing when in a recumbent position;
sudden sensation of strangling; rough, hollow cough.
External Surface. Pallid complexion or patchy redness of the cheeks, or puffing,
with purple or livid hue of the face; tightness and numbness of the cheeks; in-
tolerable and intense burning heat (during the fever-fits), but extreme dread of
being uncovered; excessive perspiration at night, during or after the heat; gen-
eral shuddering, with intense coldness of the extremities; extreme irritation and
itching in the chest; dropsical swellings throughout the body, but especially of
the feet, ankles, and lower part of the legs; shuddering upon lying down in bed;
drawing sensations over the entire surface of the body. •
Pains. Boring pains at the top of the head, or gnawing pain in the upper jaw
and cheek-bones; dull, heavy, pressive, and expansive headache; pressive and
darting pains in the stomach, more severe upon pressure; tearing pains in the
finger-joints, and darting pains in the wrists; aching pain in the spine; drawing
pains in the hands, extending to the elbows; darting pains in the shoulder-blades
and loins.
Nervous System, Brain, &c. Confusion in the brain, worse when moving;
swimming of the head; partial sleep; the eyes are not closed when sleeping;
pupils excessively dilated, sometimes after having been temporarily contracted.
Nose, Mouth, and Throat, Determination of blood to the nose, with numbness,
tingling, and sometimes a sensation of weight at the end of the nose; sticky,
stringy, thick phlegm clogging the nostrils; irritation, with tingling or pricking
in the throat, and feeling as if the inside of the mouth, or rather cheeks, were
swollen.
SECALE CORNUTUM. *
Womb and Menstruation. Violent contractive movements, with spasmodic ex-
pulsive efforts, and fulness; determination of blood, and bearing-down in the
womb; profuse and continued flooding, with contractive movements, and dis-
charge of very liquid black blood (and great prostration of strength); flooding
before or after delivery or miscarriage; feeble contraction of the womb, ensuing
after premature delivery; excessive and long-continued menstrual discharges;
expulsive efforts sometimes suddenly suppressed, or feeble and irregular, in
labor ; very offensive and deficient menstrual discharges; too profuse and long-
lasting lochial discharge; severe and long-lasting after-pains.
Nervous System, Brain, Senses, &c. Spasms in the upper and lower limbs;
cramps of a distressing nature in the calves of the legs and soles of the feet;
weakness, accompanied with torpidity and weight in the limbs; general debility;
weariness and indolence; loss of consciousness; excessive anguish ; sad and
melancholy disposition; confusion and giddiness of the head; distortion of the
features and limbs; gritting or clenching of the teeth; great apprehension of a
fatal result; wild appearance, immovable, staring, or convulsive rolling of the
eyes; flashing of light before the eyes; objects appear multiplied or hazy; ting-
ling or pricking sensations in the tongue, face, and other parts; imperfect articu-
SEPIA. 903
lation, or hesitating, embarrassed, and feeble articulation; lethargic state, with
jerking or starting of the limbs; the fingers and toes spasmodically distorted ;
the back is numbed, and affected with pricking or tingling sensations; tingling
in all the extremities.
External Surface. Hollow, sunken, pallid, and yellow face, with bluish rings
about the eyes: drawn, pointed features, and very hollow eyes; puckered, flabby,
dirty-colored, or yellowish skin; tingling under the skin; very dark, unhealthy
elevations on the skin; icy coldness of the belly, limbs, and back; rapid loss of
the hair; violent heat, preceded by general shivering and shuddering, and fol-
lowed by cold, clammy sweats; dark, purple spots on the face; tumid appearance
of the face ; crimson hue of the face; dense eruption of fine rash over the chest
and nape of the neck; dark-colored elevations on the hands; trembling of the
extremities; dropsical swelling about the hands, or below the elbow.
Stomach, Bowels, and Evacuations. Frequent eructations; copious vomiting
without much effort — or violent retching, with vomiting of undigested substances,
or of bilious and frothy matter; inclination to eat at night, but repugnance to
food in the morning; unquenchable thirst ; utter disgust for food, and vomiting,
with purging; evacuations dark and liquid, mingled with thready matter, and
severe urging; excessive relaxation of the bowels (with extreme and sudden
prostration); suppression of urine; very watery or whitish urine — or scanty,
hot discharge of urine; involuntary motions; evacuations of a brownish color,
frothy or mixed with blood, and quite putrid.
Pains. Pains like those of labor; very severe, forcing, expulsive, and cramp-
like pains in the womb, &c.; pricking and burning pains, piercing in different
parts; burning pains in one spot, low in the back, or in the region of the liver;
burning, fixed pain in the pit of the stomach; cramp-like pains in the bowels,
with attacks of spasm or convulsion.
Breathing. Excessive shortness of breath, and weight and tightness of the
chest; hurried, anxious breathing, with deep croaking or very feeble voice;
spasmodic pinching in the midriff, with suffocative attacks; gasping or gulping
for breath, and spitting of blood.
Pulse and Circulation, Very quick, and sometimes also hard and frequent
pulse during the heat, followed by oppressed, very small, and feeble pulse, with
contracted, interrupted, sharp beating of the heart, as if the thorough expansion
of the large vessels were prevented by spasm.
Mouth, Tongue, and Nose. Greenish, yellowish, or blood-stained froth in the
mouth, which is spluttered out in the convulsions; the mouth intensely dry; the
tongue swollen, coated with thick phlegm, tainted, brown or black; and profuse
discharge of dark, liquid, or even slimy blood from the nose, or even also from
the mouth.
SEPIA.
Womb, Menstruation, &c. Corrosive discharges of females at the critical age,
attended with very troublesome lassitude and weariness of the limbs; great lassi-
tude during the menstrual periods; excoriations between the thighs; yellow or
greenish-red discharge between the periods; acrid discharge, with much itching
of the parts; oppressive weight and fulness (with difficult respiration) in the
region of the womb; great heat, within and without, in the region of the womb
and subjacent passages; scanty, very weak periodical discharges, generally oc-
904 SEPIA.
curring before the proper time — or delayed, or even suppressed menstrual flow
— or, on the other hand, too frequent and too copious menstruation; downward
pressure in the region of the womb, as if the womb would be forced out; during
the menstrual period, depression of spirits, toothache, headache, bleeding from
the nose, and feeling of soreness in the limbs.
Breathing, Chest, &c. Habitual cough at night; dry cough (frequently attended
with nausea and vomiting), more prevalent in the evening; cough, attended with
the discharge of abundant phlegm, of a putrid or saltish taste, particularly in the
morning and evening (the act of coughing provokes pains in the sides of the chest);
oppressed and difficult breathing; violent cough, which terminates in vomiting
of the contents of the stomach; cough coming on after eating, with vomiting;
determination of blood to the chest; loose cough after the least chill; shortness
and difficulty of breathing, with intense oppression, as soon as the patient lies
down, or when ascending stairs, &c.; oppressed breathing, caused by great col-
lection of phlegm in the air-passages.
Pulse and Circulation. The pulse is generally small, feeble, and very irritable,
and commonly quick and wiry at night, but sometimes slow and soft; determina-
tion of blood to the head, chest, womb, &c.; violent or intermittent beating of the
heart; intermittent and irregular pulse.
Stomach, Bowels, and Evacuations. Woracious, excessive appetite, with a trou-
blesome sensation of hunger and sinking ; painful sensation of emptiness or
weakness in the stomach and belly; general weakness or slºwness of digestion;
imperfect digestion ; the motions hard, imperfect, and attended with fruitless
urging; almost invariably there is an intense weight at the stomach, as if at one
spot, after eating, and weight, with a sensation of great distension in the belly —
or evacuation of the bowels, with much flatulency and rumbling of wind immedi-
ately after a meal; acid, bitter, acrid, or putrid risings from the stomach, or very
loud belching of flatulency after eating or drinking; intense oppression at the
pit of the stomach, with flatulent distension after eating, relieved on belching
of wind, which is generally violent after drinking cold water ; almost constant
nausea, but chiefly after the least food, after carriage-exercise, or the first thing
in the morning, sometimes terminating in the vomiting of food when one has
eaten; pulsation or sensation of burning at the pit of the stomach; soft, jelly-like
evacuations — or putrid, or acid-smelling, greenish, and very loose discharge
from the bowels — or oozing of slime from the passage before and after stool ;
swellings in the passage, with great heat and obstruction — or constant and ex-
hausting relaxation of the bowels—and sometimes intense itching, with heat,
followed by soreness and smarting around the orifice; frequent discharge of
urine, sometimes chiefly at night, generally accompanied with smarting, often
with pressive weight at the bladder, but varying in color, quantity, &c.; cloudy,
thick, reddish, or sandy urine, with scanty discharge — or very copious discharge
of offensive urine, depositing a bloody or flocky sediment — or a pinkish sedi-
ment, which stains the vessel; unconscious discharge of urine during sleep.
Head, Confused sensation in the head, with giddiness, especially apparent in
the open air; heaviness of the head, or sensation as if a ball were rising into the
brain; vertigo when walking in the open air, as if objects were moving in a cir-
cle; burning headache, from within outwards, relieved by closing the eyes, by
pressure, or sleep; feeling of coldness in the back of the head.
SEPIA. 905
External Surface. Swelling of the limbs after much exertion, especially of the
legs; throbbing sensations all over the body (attended with extreme restlessness);
excoriation of the skin in the bend of the joints; patches of brownish or reddish,
and mealy or scabby eruptions in various parts; oozing eruptions, forming scabs
on the head amongst the hair; the scalp has a benumbed feeling, and is very
sensitive to contact; intense irritation and itching of the head amongst the hair;
swelling of the extremity of the nose, and yellowness, or dirty, sallow hue of the
face; burning heat of the feet, or great and constant coldness of the legs and
feet, with occasional burning heat ; oozing eruptions, forming scabs in various
parts; perspiration breaks out when the patient sits down; the irritation from
hollow teeth is apt to provoke inflammation of the face; a yellow line crosses the
nose and cheek; habitual sweating, or oozing, scabby eruptions in the armpits;
eruptions, either mealy and scurfy, or moist, oozing, and scabby at the back of
the hands; constant, cold, clammy perspiration on the hands and feet; torpid
and passive ulcerations at the extremities of the toes, or in the heels, without
pain; the nails of the toes especially, and sometimes of the fingers, grow out of
shape, or grow into the flesh; burning heat of the palms of the hands, especially
towards night; swelling, with itching eruptions on the hands; permanent en-
largement of the belly after child-bearing ; swelling of the forehead, and casting
of the hair; sour-smelling perspiration in the morning, or profuse perspiration at
night, or upon the least exertion; general want of sufficient warmth, and pre-
vailing chilliness or actual coldness; redness and swelling of the eyelids; styes
on the eyelids; generally there is a dark circle round the eyes; very inveterate
eruptions, like that of itch, between the fingers, over the hands, and round the
wrists; extreme susceptibility to take cold, violent and visible throbbing of the blood-
vessels.
Pains. Stitching and burning pains in various parts; all the pains have a
tendency to be removed by strong exercise ; very severe, tearing, boring, or
jerking pains on one side of the head (sometimes attended with vomiting); shoot-
ing pains in the shins and ankles; shooting pains in the wrists; throbbing pain
at the pit of the stomach ; expansive pain in the head as if it would burst, throb-
bing pain at the back of the head; aching pain in the stomach after eating ;
burning pains in the stomach ; burning, clawing, shooting pain in the belly,
principally, if not solely, on the left side ; incisive, coiling, cramp-like pains in
the bowels after any exertion, such as walking ; aching (dull or acute) pain in
the lower part of the belly, right across, from side to side ; burning pain in the
passage on passing water, or very pressive, aching pain in the bladder (with
urging); pain in both sides of the chest, when breathing or coughing, or upon
moving — or dull, aching pain in the chest, towards night; straining, drawing
pain in the shoulder-joint, and tearing, or shooting pains in the hips, thighs, or
shins; stitching, aching, boring, or throbbing pains along the lower ribs, or in
the region of the liver when moving or during carriage-exercise ; aching pain in
the ball of the eye.
Nervous System and Senses. The limbs have a tendency to become numbed ;
extreme restlessness of the limbs, and constant change of position without
relief; extreme susceptibility to the open air; fatigue attends the least exer-
tion; prostration of energy; jerking of the limbs at night and in the day;
rigidity of the joints; fainting-fits, and general debility, with hysterical disposi-
906 SILICEA.
tion; sadness and melancholy, with inclination to weep; involuntary shaking of the
head; great tenderness of light, and partial loss of sight; the sleep is unrefresh-
ing, and constantly broken, without any particular cause; the eyelids hang down
from palsy of the muscles; stiffness of the back and nape of the neck; loss of the
sense of small ; candles appear to shed a greenish light; black patches or lines
of light appear before the eyes; the eyelids quiver; offensive smell in the nose ;
contracted pupils.
Nose, Mouth, Gums, and Tongue. The nose is stuffed and painfully dry, and
the interior of the nostrils is ulcerated, or covered with scabs; the nose is apt to
bleed whenever the patient becomes warm with exertion, or when blowing the
nose; painful eruption, forming a scab at the extremity of the nose ; the mouth
is dry and offensive; copious flow of salt saliva; the throat raw, and the tongue
dry and thickly covered with a white coating — or the tongue is sore, and ex-
hibits an eruption of blisters upon it; the gums are swollen, sore, or ulcerated,
and readily provoked to bleed.
Eyes. The eyes are dim and red; opaque spots or pustules appear on the
transparent portion of the globe of the eyes; the eyes are swollen and inflamed,
and the eyelids adhere at night.
SILICEA.
External Surface. Coldness and offensiveness of the feet, especially in the
morning, with sweating and soreness between the toes; swelling of the glands of
the neck; swelling and hardening of the glands beneath the ears; swelling,
hardening, and suppuration of the glands generally; suppuration of soft parts ;
elastic and colorless tumors on the knee; hot, red, painful, and suppurating
tumors (with throbbing) at the extremities of the fingers; hard formations in im-
portant structures, such as those which precede the development of cancer; en-
largement and distortion of the spine; abscesses in different parts (in glandular
structures); profuse sweats at-night; night-sweats of a sour smell; exceeding
sensitiveness of the skin all over the body, or general itching of the skin; pallid
complexion; eruptions, either dry, mealy, or scaly, or moist — oozing and form-
ing scabs — upon the chin; swelling of the glands under the jaw, with or without
ultimate ulceration; the lower lip is ulcerated; distension of the stomach (with
heat); permanent enlargement, hardness, and distension of the belly; ruptural
tumor in the groin, or pad-like inflation of the bowels in one particular spot ;
swelling of the glands at the nape of the neck; boils break out on the thighs;
the feet are swollen; spreading, corrosive, putrid ulcers in various parts, or
ulcers, with fistulous perforations, or with fungous excrescences; very malignant
and intractable carbuncles on the limbs, especially on the shin, or in other parts;
swelling and ulceration of the bone of the lower jaw ; sweating of the head to-
wards night, or exhausting and general sweats in the morning; swelling and
hardness in the region of the liver, with tenderness on pressure; susceptibility
to cold; tendency to take cold; abscess in the breast, and inflammation of the
nipple.
Nervous System, Brain, Senses, &c. Giddiness in the morning, which makes
one fall backwards; the patient is readily exhausted by mental application; the
strong light of day is painful; sudden obscuration of sight, or momentary blind-
ness; the sleep is disturbed by frightful dreams, interrupted by starting, or at-
SILICEA. 907
tended with snoring or with twitching of the limbs; extreme and general nervous
debility; great inclination to sleep, without the power; retarded sleep at night,
or total incapacity to sleep, with great agitation and restlessness, and with
much disturbance of the circulation and flushing of heat to the head; constant
yawning; anxiety and uneasiness of mind; incapability of concentrating the re-
flective faculties; much despondency, with extreme irritability of temper, and
fearfulness; exertion of thought produces much exhaustion ; confusion of thought,
and swimming of the head; confusion of type in reading; great obtuseness of
hearing; fainting-fits, induced by lying on one side; total loss of the power of
smelling; spasmodic affections of the jaw, with twitching of the limbs; extreme
sensation of languor, with trembling of the limbs, especially in the morning;
absence of taste.
Stomach, Bowels, and Evacuations. Constant thirst; peculiar dislike for warm
or cooked articles of food; habitual or prevailing nausea; sour risings; heart-
burn; distension and heat of the stomach ; copious flow of water into the mouth,
followed by vomiting; vomiting after drinking; vomiting of food even during the
night; sickness at the stomach every morning; weight and pressure at the stomach
after eating; coffstipation, with ineffectual urging to stool; the motions are hard
and bullety, and discharged with much straining; frequent discharge of urine,
or unconscious discharge even during sleep; relaxation of the bowels before the
menstrual period.
Pains. Pressing, heavy, tensive pain in the head, as if it would split; aching
pain in the chest; dragging, tearing, and shooting pains in the limbs; contusive
pains; violent throbbing headache at night, with determination of blood to the
head; aching, and even throbbing pains in the stomach ; headache every morn-
ing; hammering or tearing pains in the head; throbbing pains in the ears; tear-
ing or shooting pains in the teeth at night; burning pains (with itching) in the
eyes; the inhalation of cold air through the teeth, or the admission of hot liquids
into the mouth, induces toothache; pinching, cramp-like, or incisive pains in the
bowels (sometimes attended with diarrhoea); burning pains in the bowels; tear-
ing and shooting pains in the back, and dull, aching pain in the small of the
back; shooting, pressive, and tearing pains in the knee-joint and muscles of the
thigh, or in the arms; great pain in the teeth, with enlargement of the bone (and
investing membrane) of the lower jaw; sore pains, with throbbing in the region
of the liver.
Womb, Menstruation, &c. During the intervals, very white discharge like milk,
coming in gushes; floodings during nursing; menstrual discharges preceded by
pains in the bowels, looseness, and general derangement; great heat and sore-
ness of the parts; feeble or profuse, or sometimes suppressed menstrual dis-
charge; menstruation too frequent, or before the proper time ; discharge of mat-
ter in passing water, or habitually acrid discharge of matter, which causes sore-
ness of the adjacent parts, and of the passage, and is usually preceded by in-
tolerable gnawing itching.
Breathing, Chest, &c. Pressure at the chest, and impeded respiration; con-
tinual cough night and day, with scanty expectoration of phlegm, and aggravated
by exercise; suffocating cough at night, with abundant expectoration of jelly-
like, clear phlegm, or of matter, with flaky, curdy lumps, or stringy shreds; dif-
908 SPIGELIA.
ficulty of breathing when lying on the back; hollow, spasmodic, suffocative
cough, arising from tickling in the throat-pit.
Nose, Eyes, Ears, and Mouth. Heat, redness, and soreness inside the nostrils;
or red itching scabs at the extremity of the nose; ulceration of the nostrils;
habitual, but interrupted sneezing; constânt dryness and stuffing of the nose,
sometimes with burning heat; continual, thin, watery, and acrid discharge from
the nostrils; discharges of blood from the nose from time to time; the ears are
stopped up or muffled; the stoppage of the ears is suddenly removed at times
with a report, chiefly when blowing the nose; the eyes are red; the lachrymal
glands swollen; flow of tears in the open air; constant watering of the eyes
from obstruction of the lachrymal ducts and sac ; adhesion of the lids at night;
great cloudiness of sight; spots on the transparent portion of the eye; soreness
of the mouth, and rawness of the tongue; pricking in the throat; constant accumu-
lation of phlegm in the mouth.
SPIGELIA.
Pains. Violent shooting pains in the eyes, piercing the head; acute, aching
pains deep in the eyes; burning, aching pains in the bones of the face; shooting
pains about the heart; tearing pains in the chest when raising the arms; spas-
modic pain, commencing at the pit of the stomach and extending to the chest
(with sensation as if strangled); pains of an aching, beating character in the face
and teeth; very violent and distracting pains in the face, so that the patient can-
not bear the least touch or movement; shooting pains in the region of the heart,
with cramp-like pains of the chest (and imminent suffocation); tearing and shoot-
ing pains in all the limbs; unbearable and distracting pains in the head, worse
on the least motion; bursting pain in the head when speaking, coughing, or with
any other effort; burning pain over the outer surface of the head, especially
about the forehead and at the temples; boring, tearing pains in the head; the
least movement of the head induces headache, with swimming of the head (and
nausea); aching pains in the eyes, as if the eyeballs were swollen, so as to press
on all sides upon the walls of the cavity, and so that moving the eyes produces
intolerable agony; tearing, jerking, boring, or throbbing pains in the ears.
Breathing, Chest, &c. Extreme shortness of breath, especially when speaking
(commonly attended with bright redness, or even blueness, of the face and lips);
the recumbent position is almost impossible, owing to the extreme oppression of
breath; impeded breathing when lying on the left side, compelling the patient to
lie on the right side only—or difficulty of breathing, so great as to compel the
patient to sit up; tremulous sensation in the chest; spasmodic arrest of breath ;
the patient cannot move in bed, owing to the difficulty of breathing induced there-
by ; attacks of imminent suffocation, with intense anguish and violent beating of
the heart; sensation of burning at the heart.
Stomach, Bowels, and Evacuations. Intense tightness and pressure in the region
of the stomach, so that the patient cannot bear to keep his clothes fastened ;
when the stomach is empty, sickness and feeling as if something rose and choked
the patient ; sensation about the navel as if a lump of lead were lodged there;
very offensive flatulency; discharge of frothy slime from the passage, with or
without evacuation from the bowels — or very liquid and soft stools, with abund-
ance of froth and slime—or slimy, hard, and straining motions; desire to dis-
SPONGIA. 909
charge urine too often, or constant dribbling of urine; whitish or curdy sediment
in the urine.
Eyes, Nose, Mouth, and Ears. Inflammation of the eyes, with bright redness of
the white part; streaks or rays of light before the eyes; excessive heat, dryness,
and burning in the eyes; profuse flow of tears; itching and tickling in the nose,
with constant boring at the nostrils; very free discharge of thick, white, or
creamy matter from the nostrils — or total stoppage, with intense dryness and
heat of the nose; accumulation of frothy, dry, bubbling saliva in the mouth;
very offensive odor from the mouth; hardness, tightness, and burning heat of the
lips; red and fissured, or brown, cracked tongue — or the mouth and tongue
very dry or slimy, and covered with whitish elevations or blisters; complete stop-
page of the ears, with dulness of hearing, or even with complete deafness; attacks
of deafness at certain stated periods.
SPONGIA.
Breathing, Chest, &c. The respiration is slow, deep, and attended with wheezing,
hoarseness, whistling, or rattling of phlegm on the chest, or by a peculiar flap-
ping or crackling sound as the air passes out; feeling as if the opening of the
windpipe were choked up; hollow, dry, or rattling cough ; continued cough, with
a whistling sound; croup; coughing, with a sensation of burning and soreness in
the chest; chronic cough, attended with hoarseness and expectoration of yellowish
matter; hoarse and husky voice; extreme sensitiveness and tenderness of the
upper part of the windpipe to pressure — or when the head is moved; burning
sensation in the upper part of the windpipe, or in the whole extent of the wind-
pipe ; weak voice, giving out when singing or talking.
External Surface. The glands generally have a tendency to swell and to be-
come hardened; the skin is extreme dry and hot; the hands, and especially the
joints of the fingers, are red and swollen; sudden flushing of extreme heat per-
vades the body; the expression is extremely anxious; the face sometimes red and
swollen, or generally crimson or puffed, or very pale; the glands beneath the
jaw are swollen, hard, and very tender; (excessive thirst, headache, and delirium
attend the heat;) yellowish crusts on the eyebrows.
Pains. Throbbing and very violent pain in the head; burning pain in the chest
and at the opening of the windpipe; pain in the head as if in a vice; dull, aching
pains on one side of the head; shooting pains in the eyes; pinching pains in the
ears; pain, with heaviness in the limbs; dull, heavy, aching pain in the region
of the stomach and at the pit of the stomach; clawing pains in the bowels; pain,
with muscular stiffness at the back of the neck; dragging or aching pains from
the fingers to the elbows, chiefly in the joints and muscles. *
Stomach, Bowels, and Evacuations. Frequent eructations; sour risings or sour
taste in the mouth and great thirst ; bitter taste in the mouth; rumbling of wind
in the belly; excessive morbid hunger; the motions are hard and slow, also too
unfrequent, or relaxed and whitish; urging and straining during the motion.
Eyes, Nose, Ears, Mouth, Tongue, &c. The eyes are red and burning, and there
is profuse flow of tears; discharge of blood from the nose upon the least effort;
profuse flow of saliva in the mouth—or excessive dryness of the tongue and
throat — or brownish, dry, and sometimes fissured tongue; impaired hearing,
and ulceration in the internal cavity of the ears.
910 SQUILLA MARITIMA.
Pulse and Circulation. Hard, quick, and very frequent pulse, with determina-
tion of blood to the head and chest, and oppressed beating of the heart; palpita-
tion of the heart before menstruation, with gasping respiration, and pain in the
heart; violent palpitation of the heart awakens the patient after midnight, with
a sense of suffocation, loud cough, great alarm, and agitation.
Disposition. Extremely dejected; agonizing despondency; the patient cannot
be reassured.
SQUILLA MARITIMA.
Breathing, Chest, &c. Excessive shortness and difficulty of breathing when
lying down — or incapability of lying down, the patient being obliged to sit up,
or to be propped up with pillows in bed; intense pressure, with oppression at the
chest; hurried and anxious breathing; the patient is compelled to keep the mouth
open to get sufficient air, and moans continually; fits of coughing, with extreme
shortness of breath, and dislodgment of phlegm ; breathing occasions a short,
stifled cough, which is usually worse or more incessant at night : violent coughing,
which ends in heaving at the stomach ; drawing a deep breath induces a fit of
coughing, with suffocative arrest of breathing; shortness of breath, with stitches
in the chest when breathing or coughing; the cough causes pressure to be made
on the bladder, with spirting out of the urine.
External Surface. A sensation of intense heat (under the skin), and of tingling,
pricking, or itching is felt all over the body; the folds of limbs are apt to become
sore, as if with friction; the body is usually very hot, but the extremities in-
tensely cold — or there is a sensation of general want of heat; the patient feels
excessively hot, but cannot bear the least exposure; the upper lids of the eyes
are swollen; pinched and drawn appearance of the features; eruption of small,
oozing, and excessively irritating elevations on the skin; habitual sweating of the
armpits, and cold sweats on the feet; the expression is alternately very lively
and intensely depressed; the face, is generally pallid, especially after the fever-
fits, but is also frequently of a deep crimson or purplish hue; flushing of heat in
the face after the slightest exertion.
Nervous System, Brain, Senses, &c. Spasmodic or convulsive affections of dif-
ferent muscles; jerking movements of the arms and legs, particularly the latter;
very agitated sleep, with much tossing, or incessant, uneasy dreaming ; or total
inability to sleep; great agitation, especially of the limbs; sensation of weight
and lassitude in the limbs; spinning of objects to the sight, and giddiness, (with
sickness at the stomach,) and tendency to topple over sideways; mistiness of
sight; the eyes are very wide open, and generally vacantly directed upon one ob-
ject; the pupils being either excessively dilated, or very much contracted; spin-
ning and heaviness of the head on raising it from the pillow, especially in the
first of the morning.
Mouth, Throat, Tongue, and Teeth, Slimy phlegm in the mouth — or great dry-
ness of the mouth and throat; the patient sleeps with the mouth open; the tongue
is sometimes very dry, or, in other instances, slimy, and covered with whitish
blisters; the teeth are very dark, sometimes quite black; and the lips usually of
a dark brown, scaly, cracked, or quite black.
Stomach, Bowels, and Evacuations. Inordinate appetite, with rapid bolting of
food, or absolute loss of appetite ; aversion to all food; and constant, insatiable
thirst, with incapability to drink deeply; feeble, slow, and imperfect digestion;
STANNUM. 911
habitual sickness at the stomach, especially in the morning; and rising of bitter
matter from the stomach; continual expulsion of flatulency from the bowels; and
great tenderness of the whole belly, with constant rumbling of flatulency; very
loose and dark evacuations — or very offensive, almost putrid motions containing
undigested substances; on the other hand, habitual costiveness, with imperfect
and difficult evacuations of hard motions; frequent urging to urinate, with pro-
fuse discharge of pale urine; continuous, painful pressure on the bladder; in-
ability to retain the urine.
STANNUM.
Breathing, Chest, &c. Empty, sinking sensations in the chest, with exhaustion;
sudden attacks of oppressive tightness at the chest, often towards night — or
habitual oppression at the chest ; great shortness of breath, particularly towards
night, with sensation of sinking at the pit of the stomach; impeded, difficult
breathing, sometimes with a sensation of choking, more particularly when lying
down, during the night, or even upon the least exertion during the day; the
patient is much relieved, and feels exhilarated by drawing a deep breath, when he is
able to do so, but is rarely able to effect this; walking exercise, but more espe-
cially running or walking up a hill, or up stairs, produces an intense oppression
and tightness at the chest; soreness in the chest ; violent, shaking cough towards
night, or during the night, or more especially in the morning — or attacks of
coughing when the patient lies on the right ride; coughing and hawking, with
profuse expectoration of phlegm, often quite liquid or jelly-like, or slightly tinged
with blood, which accumulates in large quantities in the windpipe ; tickling,
rough, harsh sensation in the chest, which induces coughing, and is usually
attended with hoarseness, loud rattling of phlegm on the chest, or wheezing;
sweetish, saltish, lumpy, stringy, adhesive, or yellowish expectoration after
coughing — or expectoration of greenish matter, or of clear and very offensive
matter; very feeble, low, and indistinct voice.
External Surface. Copious sweats in the morning — or exhausting night-sweats;
predominant chilliness, with shivering, especially in the back, with crawling sen-
sations, whether in the morning or evening, or both, the hands being generally
cold — or great flushing of heat, with much anxiety at the chest on the least exer-
tion — or excessive heat of the hands; extreme attenuation of frame, and general
loss of flesh ; pallid, haggard countenance; general sensations of extreme uneasi-
ness all over the body; perspiration readily provoked, and generally copious :
hollowness of the eyes, and pointedness of the features; swelling of the glands
under the jaw, and of the upper jaw and cheek; coldness, or very red and hot
swelling of the hands and feet.
Stomach, Bowels, and Evacuations. General prevalence of bitter taste in the
mouth, which is conveyed to every kind of food; very slow, feeble, and imperfect
digestion, and nausea habitually after eating; almost constant thirst, or continual
craving for food, without allay of hunger by eating ; sickness at the stomach, fol-
lowed by vomiting of bitter, watery matter after eating; rising of sour or putrid
matters from the stomach; excessive heaving at the stomach, followed by throw-
ing up of food; great sensitiveness and distension of the bowels, with sensation
of burning in the region of the liver; the bowels are usually perversely confined,
with continual desire to evacuate, but without discharge, or with discharge only
912 STAPHYSAGRIA.
of lumpy, very dry, insufficient, greenish evacuations — or, on the other hand,
continued and very excessive looseness, with slimy or copious motions; urine
commonly discharged at very short intervals, but deficient in quantity.
Pains. Jerking pains (or aching) in the teeth, with flushing of heat after eat-
ing ; dragging, heaving pains in the limbs; very heavy or shooting pains in the
head, or boring, piercing pains right through the head — or pulsating pains in
the temples; aching, tearing, dragging pains in the ears; cramp-like, or very
acute, aching pains in the stomach, with clawing pain about the navel — or cramp-
like, pinching pains; darting pains in the chest, especially on the left side — or
smarting, sore pain deep in the chest.
Mouth, Tongue, Teeth, and Gums. Great accumulation of phlegm in the throat
and mouth, or, flow of saliva in the mouth ; very foul smell from the mouth ; ulcer-
ated gums; sensation of jarring and lengthening ef the teeth; the teeth are loose
in the gums ; the throat is dry and harsh ; the tongue commonly either natural in
color, or unnaturally red, and sometimes dry and harsh.
Eyes. The eyelids adhere at night; ulceration of the inner corner of the eyes;
smarting, itching, and burning sensations in the eyes and eyelids; styes or swell-
ing and redness of the lids; the eyes are hazy, or filmy and inanimate.
Nervous System, &c. Convulsive attacks, with violent movements of the hands
and eyes, the head being flung back, the thumbs drawn up (and the face usually
ghastly pale); extreme nervous excitement; feebleness of the hands, with trem-
bling ; very agitated dreams and restlessness at night; the patient falls asleep
very late, but sleeps heavily; the disposition is low and desponding ; the temper
sometimes very morose or irritable; the eyes and eyelids quiver — or the eyes
are convulsed and protruded.
STAPHYSA GRIA.
External Surface. Bad skin — that is, such that the least injury may develop
a troublesome sore ; knotty elevations on the surface, which emit a slow discharge,
and cause a very troublesome itching; dry, scaly eruptions on the skin; enlarge-
ments of the bones, and swelling, with hardness of the glands; putrid and exces-
sive sweats at night; feverish attacks daily as evening sets in, characterized by
shivering without heat; excessive heat of the extremities at night, so that the
patient does not care to keep them under the bedclothes, and cannot sleep; some-
times no heat causes perspiration, whilst, in other cases, sweat breaks out even
when at rest; scurfy, mealy, and dry, or oozing and very offensive eruptions on
the scalp, in either case attended with unbearable itching, and generally with loss
of the hair; pale and hollow countenance, with livid circles about the eyes, and
attenuated, pointed features; enlargement of the lips, and swelling, with hard-
ness of the glands of the nether jaw (with much pain); scabs and ulcers on the
lips; swelling and hardness of the glands of the groin, and permanent enlargement
of the belly; swelling, and usually also hardness of the glands of the armpits and
neck; burning heat, with unbearable itching or tingling in the toes: dry, scurfy,
or scabby and moist eruptions on the hands; inflammatory swellings affecting
the bones; blue-colored appearance of the face after violent emotions, especially
anger.
Nervous System, &c. Despondency respecting one's health; malicious and re-
vengeful disposition; extreme irritability of temper and susceptibility to vexatious
STAPHYSA GRIA. 913
impressions; sudden impulses; embarrassment and confusion of the intellectual
faculties and incapability of clearing the thoughts; jerking of the limbs after
having slept; incapability to sleep for several hours, owing to mental excite-
ment; drowsiness and heaviness during the day; flashes of light before the eyes,
or very hazy, misty, and indistinct sight; dulness of hearing and of sight; tremu-
lousness, with palpitation of the heart, easily induced by any excitement, by the
least exercise or exertion of the mind or body; tremulousness and palpitation
after sleeping in the daytime.
Pains. Continual, gnawing, boring pains in hollow teeth, especially in the
evening, or the first of the morning, or readily provoked or aggravated by in-
haling cold air, eating or drinking cold fluids; acute, shooting, or throbbing
pains in the bones; piercing pains in different parts; dragging pains in the
joints; bursting headache upon stooping, or on the least movement of the head;
piercing, thrusting pain on one side of the head; shooting, cutting pains in the
bones of the face; griping and cutting pains in the bowels; boring, piercing pains
in the stomach ; throbbing, piercing, and aching pain in the Small of the back
(with or without a visible tumor); aching, tearing, darting pains in the arms,
shoulders, hands, feet, and shins; pains in the loins and thighs, as if broken,
provoked, or aggravated by movement.
Mouth, Gums, Teeth, Throat, and Ears. Excessive dryness of the throat, palate,
and mouth, with a feeling of Soreness when speaking, or in the throat, especially
when swallowing ; whitish elevations or blisters all over the interior of the mouth,
or ulceration of parts of the mouth — or morbid growths on the gums, or on the
inside of the cheeks; the teeth are very dark and brittle, giving way by pieces,
and the gums very sore and swollen, and bleeding on the least touch ; the tonsils
and glands under the tongue are swollen; eruptions appear — generally dry and
mealy, but sometimes moist and scabby, always itching unbearably — behind the
©8,I’S.
Nose and Eyes. Stuffing of one nostril, with profuse, thin, acrid, and watery,
or thick, adhesive discharge from the nostrils, and watering of the eyes; ulcera-
tion of the interior of the nostrils, with thick scabs and incrustations; redness,
heat, and swelling of the margins of the eyelids, sometimes with itching, and
knotty elevations or protuberances, and discharge of thick, sticky matter from
the corners of the eyes; adhesion of the lids at night; inflammation of the eyes;
eruption of pimples round the eyes; extreme dryness and heat, with redness of
the eyes and eyelids; heaviness of the eyes, and smarting or excessively trouble-
some itching deep in the corners of the eyes.
Stomach, Bowels, and Evacuations. Tastelessness of food, with hunger; desire
for liquid food; inordinate or very fastidious and craving appetite; eructations,
recurring very often; weight, oppression, and tightness in the region of the
stomach and about the waist; desire to relieve the bowels, with very insufficient
discharge; obstinate costiveness; difficulty in discharging the evacuations, with
very hard but sometimes also soft stools; quite liquid and spontaneous motions;
scalding sensation in passing water; very painful, frequent, and scanty discharge,
or even much urging and drop-discharge of deep-colored, reddish urine.
b8
914 STRAMONIUM.
STRAMONIUM.
Nervous System, Brain, Senses, &c. Convulsive attacks, with violent and in-,
voluntary jerking of the limbs or of the body, recurring at intervals, and much
aggravated or provoked by the sight of glistening or bright, reflective bodies, or
of water; spasmodic rigidity of the jaws and clenching of the teeth; convulsive
hiccough; general or local spasms; rigid bending of the body backwards; sensa-
tion as if the limbs were torn away; gradual contraction of the limbs, succeeded
by exceedingly gradual relaxation — or gradual contraction of the limbs, ending
in permanent rigidity — or the limbs are slowly stretched out, and become rigid;
violent bursts of spasmodic laughter; sardonic grinning—or alternate whining,
or moaning and laughter; constant alternation of serious, gloomy thoughts, gestures,
and remarks, with delirious raving, and a multitude of fantastical ideas; cease-
less talking; delirium, running upon one prevailing thought; deep lethargic sleep
(with noisy, snoring respiration), from which it is impossible to rouse the patient;
violent trembling of the limbs; violent giddiness, succeeded by loss of conscious-
ness, and positive rigidity of the whole body; spasmodic contraction of two or
more, or all of the limbs at the same time; the knees are drawn up; deep melan-
choly and gloomy thoughts, from which it is impossible to divert the patient’s
attention, and against which nothing can reassure him; wild frenzy, with de-
structive disposition; delirium, with the idea of ill-usage or of unjust restraint,
and attempts to escape, the patient watching the nurse or attendant, and if atten-
tion be for a moment diverted from him, springing suddenly from the bed, and
attempting to leap from the window, &c.; illusions of sight, with diminutive
appearance of objects; total forgetfulness of those about one; the most constant
companions are not recognized, and when asked if he knows some one who ad-
dresses him, the patient appears at a loss, names other persons, or shakes his
head in the negative — or if told the person’s name, appears incredulous; ab-
sence of all the senses; total unconsciousness of sounds, smells, or objects; con-
vulsive agitation or jerking of the head; vacant, downcast stare; the eyes do not
appear to convey a consciousness of objects passed before them; the eyes are con-
vulsively turned in one direction (upwards or sideways); the pupils extremely
dilated; the eyelids spasmodically closed; the teeth ground or gritted together;
the throat spasmodically closed, so that the act of swallowing, especially of liquids,
is impossible; the hands are distorted, and the fingers clenched; the limbs give
way when the patient attempts to stand upright; the lips sometimes quiver; in-
capability to articulate — or stuttering, embarrassed speech.
External Surface. Occasional flushing of heat, with redness of the face; the
features are wrung into the most hideous and unnatural positions; the face is of
a deep crimson hue or ghastly pale, and usually much seared and wrinkled ;
bloated and purple face, with even an appearance like that of extravasation of
blood over the face; general and intense coldness of the body, with or without
heat of the head; icy coldness of the limbs, and especially of the feet and hands.
Eyes, Nose, Mouth, and Tongue. Brilliant appearance of the eyes, with im-
movable pupils; puffing, protrusion, and redness of the eyes; swelling and red-
ness along the margins of the eyelids; frothy and bloody spittle in the mouth,
oozing out on either side; immovable and swollen tongue; intense dryness of the
mouth, or profuse accumulation and drivelling of saliva.
SULPHUR. 915
stomach, Bowels, and Evacuations. Intense thirst, with incapability to swallow
liquids; continual bitter taste in the mouth; risings of sour matter from the
stomach; vomiting of green, bilious matter, or of frothy, greenish, and sour-
smelling matters; distension of the stomach, the belly blown out with flatulency,
hard and tight; rumbling and free expulsion of flatulency; involuntary flow of
urine, or drop-discharge, with intense urging to pass water; the bowels are con-
fined, and there is much straining and urging to evacuate — or the evacuations
are loose and perfectly putrid; great tenderness of the stomach and belly to
pressure.
Breathing, Impeded breath, and intense anxiety; complete arrest of respira-
tion with suffocation — or difficult, irregular, and gasping respiration.
Pains. Throbbing pains at the top of the head; aching and sore pain in the
stomach, aggravated by pressure; violent, clawing, lacerative pains in the bowels,
especially about the navel; drawing, lacerative, or boring pains in the back and
loins, or pains in the back as if crushed.
SULPHUR.
External Surface. Eruptions of scattered and itching pimples, generally assum-
ing a flattened shape, and containing yellowish or curdy matter, sometimes
stained with blood — or oozing eruptions, of a yellowish or greenish color, in
either case red at the base, and in the latter instance, especially, forming scabs ;
swelling of the hands; the veins on the hands are distended; perspiration on the
hands; excessive irritation of the skin, and itching all over the body, and aggra-
vated towards night, and especially during the night in the warmth of the bed;
eruptions of all kinds, attended with burning and itching sensations; the forma-
tion of ulcers, of which the centre is hollow, and which are surrounded by pim-
ples; the glands generally are swollen, inflamed, hardened, and suppurating;
sweating is profuse at all times; local sweating, generally very offensive, of par-
ticular parts, as on the chest or back, in the armpits, and on the hands and feet
in particular; there is a predisposition to sweat with every physical exertion,
however slight; there is general and habitual chilliness — or heat predominates at
night, in the morning, or in the evening; very intense, burning, and unbearable
heat, with harsh dryness of the skin; red, hot, and tingling swelling of the
breasts, or irritation and soreness of the nipples; Scarlet hue of the skin all over
the body, or even purple color, with unbearable heat; swelling heat and redness
of the skin, like that of erysipelas, further characterized by very troublesome
gnawing, itching, and tingling; fine, grain-like eruptions on the skin, but chiefly
developed on the limbs; very red, hot, tingling, and itching swellings (chilblains)
on the extremities, or the same proceeding to ulceration; knotty protuberances
under the skin; chapping of the skin upon the least exposure (or provoked by
merely washing the hands), with smarting sensation; yellowish or brownish stains
upon the skin in different parts; scaly warts, dry and without sensibility, princi-
pally on the knuckles; eruptions of vesicles, oozing a thin, pale, yellowish, red-
dish, or greenish fluid, sometimes very corrosive and forming scabs, with con-
stant gnawing itching; shivering-fits, which affect particular parts, chiefly the
back and chest, with coldness of the feet and hands, and of the nose ; sweats
which emit a sour smell; pale and bloated face; livid complexion; blue rings
round the eyes; roughness of the skin on the face; flushing of the face; red spots
916 SULPHUR.
on the face; black pores on the nose, lips, and chin; extreme sensitiveness of
the scalp at the roots of the hair; local or general coldness or flushing of heat in
the head; eruptions of itching, gnawing pimples on the forehead and amongst
the hair; rapid loss of the hair, which falls out by handfuls (especially after
severe acute diseases); intense itching, with the formation of scaly, hard, dry,
dense, and yellow-colored scabs amongst the hair, whence an offensive, thick,
and yellow matter is discharged; swelling of the face, sometimes without altera-
tion of color, sometimes very red; enlargement of the lips and swelling of the
jaws; swelling of the glands under the jaw; hardness, with enlargement in the region
of the liver, and often with extreme tenderness of pressure; soreness and extreme
sensitiveness of the region around the waist; curvature of the spine; enlarge-
ment, with heat and redness, of the glands of the neck; and hard swelling and
abscess of the glands of the armpits; considerable swelling, with glossy redness,
of the fingers; itching, minute, red pimples on the hands and fingers; peeling off
of the skin from the hands; and cracking of the skin, with hardness and dryness,
especially at the back of the hands and around the wrists; numbness of the
fingers; intractable ulcers, characterized by burning sensations, on the feet and
legs; sweating of the feet, whether hot or cold, but generally when cold, and in-
tensely dry when hot; swelling of the veins, with purple appearance — or knotty-
looking, purple spots on the legs; clear, elastic, colorless swellings on the legs,
or bright-red, hot, tense swellings; expansive, hard, tense, and glossy, red swell-
ings on the toes, with unbearable itching; corns on the toes and sides of the feet,
with intolerable shooting or burning sensations; dread of applying cold water to
the skin; excessive loss of flesh, and attenuation of all parts of the body; extreme
sensitiveness to a draught of cold air, or to the open air.
Stomach, Bowels, and Evacuations. Constant acidity; regurgitation; eructa-
tions; heartburn; inordinate and ravenous appetite; sensation of weight and
pressive fulness at the stomach, especially after eating or towards night; throb-
bing sensation at the pit of the stomach; flow of watery fluid to the mouth, with
acrid, scalding sensation in the throat, especially in the morning or after eating;
risings from the stomach, with bitter or putrid taste, principally towards night
or after a meal; dainty, fastidious appetite, with dislike to sweets and acids; foul
taste, or insipid, or bitter, or sour, or even sweetish taste in the mouth; incessant
thirst ; extreme weakness of digestion; slow, feeble, and imperfect digestion —
milk always disagreeing, and turning acid in the stomach; farinaceous articles
disagree; animal food and all greasy food disagree; attacks of extreme sickness
at the stomach (with faintness, &c.), principally in the morning and towards
night, and after eating, and which results in violent heaving, and then in vomit-
ing of the food, or of sour or bitter matters, or sometimes of very dark-
colored matter; noisy, rumbling of flatulency in the intestines; tightness and sen-
sation of weight in the regions of the stomach and liver, and in the belly; obsti-
nate costiveness, with imperfect, lumpy, detached, hard motions, and with con-
stant desire and urging to evacuate — or relaxation of the bowels, with frequent
motions; spontaneous discharge from the bowels; whitish or greenish stools;
profuse thin discharge from the bowels, early in the morning, so urgent that it
is with difficulty the clothing can be kept from being soiled; discharge of urine,
painful, difficult, or suppressed — or profuse and spontaneous discharge of urine,
even during sleep; greasy film forming on the top of the urine, after stand-
SULPEIUR. 917
ing; thick, cloudy, dark-colored, reddish urine depositing a muddy, reddish
sediment.
Breathing, Chest, &c. Habitual weakness of the chest; oppressed breathing ;
heaviness on the chest, as if of a lump or weight; short, impeded breathing, with
sudden arrest of breath — or suffocative attacks at night upon lying down, or
even during sleep; attacks of tightness and oppression at the chest in the open
air, or the same induced by the least excitement, or even by talking; speaking
exhausts the patient; anxious, hurried, short, quick, and wheezing breath; with
almost inaudible cough, followed by Spitting of blood; fatiguing, dry, shaking cough,
often so violent as to provoke retching, and to end in vomiting of food or phlegm ;
hollow, harsh, rattling, and sometimes very feeble and inaudible, whispering
voice, in either case aggravated by a moist, raw state of the atmosphere; sore-
ness at the chest after coughing; violent attacks of coughing on first getting up
or going to bed, and after eating; loose, moist cough, attended with very copious
dislodgment of thick, yellow, or whitish phlegm.
Womb, Menstruation, &c. Great suffering from suppression of the menstrual
discharge, or generally painful and often difficult menstruation, but more fre-
quently excessive and before the proper time than otherwise, or afterwards
gradually becoming more and more feeble; pale and Sour-smelling discharge
(general derangement of the nervous system, digestion, and organs of respira-
tion and circulation on the approach of the periods); bearing-down and sensation
of weight and fulness in the lower part of the belly; discharge of whites, gener-
ally of a yellowish hue, and often very acrid, during the intervals, with much
smarting and gnawing irritation ; burning heat and excessive irritation of the
passage.
Pulse and Circulation. Full, hard, and frequent pulse; variable pulse; some-
times very small, quick, irritable pulse, with much acceleration towards night,
or even feeble and intermittent pulse, or very wiry, contracted pulse; determina-
tion of blood to important organs, such as the brain, lungs, &c., and local con-
gestions chiefly affecting the glands; constant palpitation of the heart induced
by any exertion, and especially by ascending stairs or an acclivity, or by running
or walking fast; shaking (but often also tremulous) palpitation of the heart;
oppressed beating of the heart.
Nervous System, Brain, Senses, &c. Weakness and numbness of different parts;
weakness of the legs, and especially of the knees; sensation as if the legs gave
way under one; the back part of the thighs feels strained and stretched; the legs
are, characterized by a sensation of weight ; the disposition is melancholy, sad,
prone to tears, irritable, and inclined to anger— or prone to religious or philo-
sophic reflections; abstractedness; confusion of the brain and of ideas, difficulty
of collecting one’s thoughts; dizziness, heaviness, fulness, and pressure in the
head; delirium and snatching at the bedclothes; the eyes are extremely sensitive
of light, especially of the glare of the sun ; variations in the sense of smell—
sometimes excessively acute, sometimes obstructed or smoky, and sometimes,
again, totally suspended; yellow appearance of objects to the sight; flickering of
black dots or of bright or white spots before the eyes; quivering of the eyes;
misty, hazy, confused sight; staggering or reeling giddiness when sitting still
after eating, or in the morning or evening, or even during the night, or on first
rising from a seat, or, again, when ascending an acclivity, or simply walking, or
918 SULPHUR.
invariably when stooping; convulsive attacks, with stiffness of the limbs, and
spasmodic rigidity of the jaws; jerking, throbbing sensations in the muscles;
attacks of giddiness ending in fainting; trembling inside the body; tendency in
the limbs to become numb and torpid; general and indescribable uneasiness;
excessive restlessness of the limbs; extreme exhaustion and fatigue, very readily
induced by the slightest exertion, or by talking.
Pains. Aching pains in the limbs; keen and drawing pains; the pains are
aggravated by talking; pains of the nature of rheumatism about the loins; pain
in the back induced by physical exertion; bruised pain in the chest; bruised and
tearing pains in the loins; aching and throbbing pains in the inflammatory swell-
ings, especially of the glands or joints; intermittent pain in the head, frequently
excited by motion, the open air, or intense reflection; sore pain in the scalp ;
bursting headache, especially felt through the forehead, from one temple to the
other; keen, jerking pains through the head; local, aching, boring, or piercing
pain, either on one side of the head, at the back, or in the crown of the head ;
return of the headache every morning, evening, or night, or in the same way
every other day, or every day for four days, every month, or every eighth day;
darting, piercing pains through the ears; boring, jerking, throbbing, or burning
pains in sound or hollow teeth; digging, shooting pains in the region of the liver;
griping, clawing, pricking, or shooting pains in the belly, relieved by leaning
forward, chiefly occurring in the left side, and mostly after a meal, or after drink-
ing, or at night, or, again, like the headache at stated periods; shooting pains in
the chest, mostly on the left side, or under the breast-bone, piercing to the left
side or to the back; shooting pains in the region of the heart; keen, jerking pains
in the joints and muscles of the arms and legs, and of the fingers, and in the
shoulder-joints; shooting pain in the hip at every step, as if severely strained or
bruised.
Mouth, Tongue, Teeth, and Throat. Aphthous vesicles in the mouth and under
the tongue; intense dryness, with burning heat, in the mouth, extending to the
throat, in which there is a harsh, grated sensation, whilst the tongue remains
moist; feeling as if a ball were rising in the throat; collection of saliva in the
mouth; sour or very offensive odor emitted from the mouth, especially in the morn-
ing and after eating, but sometimes also towards night; the tongue is rough, dry,
and fissured, or covered with a white coating; thick, sticky, brownish slime on
the tongue; rawness of the mouth ; the throat communicates a sensation of press-
ure, as if tightly bound, or as if there were an obstruction or tumor within; the
teeth are elongated, loose, excessively tender of pressure, and generally loaded
with a brownish slime; and the gums are hard and swollen, sometimes also sup-
purating, and discharging a curdy, flocky, or thready matter tinged with blood.
Nose, Ears, and Eyes. Red, hot swelling of the nose; burning, dry heat in the
nostrils; ulcerative inflammation of the nostrils and scabby incrustations; scald-
ing discharge from the nose, generally watery — or discharge of yellow, thick,
flaky matter from the nose; chronic dry heat, or copious flow of watery matter
from the nose; stuffing of the nose, especially of one nostril; constant and violent
sneezing; discharge of blood from the nose, mostly in the morning, or sometimes
when the nose is blown ; cracking sound in the ear as if something were burst;
soreness behind the ears; after blowing the nose, one ear appears to continue
stopped up, a burning sound, or sound like the flow of water in the ear remaining;
THUJA OCCIDENTALIS. 919
chronic hardness of hearing; stuffing of the ears, or of one ear especially; the
eyes are characterized by a sensation of titillation or itching in the lids and
corners, as well as in the eyes; the margins of the eyelids are ulcerated ; intense
dryness and heat in the eyes; especially out of doors or when walking against the
wind; suffused redness and great heat of the eyes, with inflammation of the lids
— or yellowish suffusion of the whites of the eyes.
THUJA OCCIDENTALIS.
General Symptoms. The veins of the hands are swollen; the instep and ex-
tremities of the toes and fingers are hot and swollen ; the joints of the feet, elbows,
and knees crack when moved; the extremities feel heavy and stiff in motion; the
hands and arms tremble when the patient writes; there is frequent or even con-
stant and profuse sweating between the thighs; the skin on the hands is dry and
harsh ; the extremities of the fingers are colorless, cold, and numbed, and the
numbness sometimes extends to the elbows; there is sweating of the hands; chil-
blains on the hands and feet; eruptions of pimples on the skin, which ripen after
a few days, exhibit a depressed crown, and contain or exude a yellowish, or,
Sometimes, blood-streaked matter, form scabs, and sometimes leave a cavity or
scar upon peeling, but always much redness and even rawness of the surface;
extreme tenderness of the skin; morbid excrescences in the eyebrows; scabs,
with much soreness of the nose and swelling of the wings of the nose; knotty,
red protuberances on the skin; pimples break out on the lips and chin, or all
over the face; greasy sweat on the face; evanescent or continued burning heat,
with redness of the face; aphthous vesicles in the mouth ; the tongue swollen and
very tender, with morbid growths and ulceration on either side; the glands
under the jaw and the tonsils are swollen; angry, chancrous ulceration of the
throat; scanty menstrual discharge, with constant whites, and morbid excrescences
in the passage; the urinary organs affected with morbid excrescences and angry
ulceration; thick, yellow discharge, with painful contraction of the parts; scald-
ing in passing water, or constant itching in the passage, with a sensation as if a
drop were oozing out; shooting pains, in the joints especially, or in the limbs
generally; throbbing, ulcerative pains; the limbs are easily numbed; great agi-
tation and dry heat, which prevent sleeping; extreme heat towards night and
sweating during sleep; throbbing in all the arteries; want of readiness in expres-
sion ; extreme reluctance to movement, or to every kind of labor, or even amuse-
ment; ennui; swimming of the head upon lying down or first assuming an erect
position; determination of blood to the head, with dull, obtuse, or pressive head-
ache; the left side in particular is tender to the touch, and the scalp feels Sore
when the hair is touched, even by laying the head upon the pillow ; gnawing
irritation over the head; clawing pains in the hollow teeth; hard, red, and hot
swelling of the eyelids, and burning heat, with crimson color of the eyes; the
appetite craving, but easily glutted; clammy taste in the mouth, or rising of
putrid or bitter matters from the stomach; predominant thirst in the morning
and during the night; swelling, with heat and redness and much pain in the
glands of the groin ; heavy, dull pains in the stomach, bowels, and region of the
groin, especially after eating — or throbbing at the pit of the stomach; frequent
urging to stool, with continued costiveness or straining when at stool; large,
hard, and slimy, or bloody evacuations, discharged with much effort; morbid
920 URTICA — VERATRUM ALBUM.
excrescences in the passage; copious discharge of limpid urine during the night,
with continual desire to pass water; soreness and pain deep in the chest, and
cough, with expectoration of yellowish phlegm — or cough induced by an irrita-
tion in the windpipe, and which is most prevalent in the morning, and is followed
by scanty spitting of yellowish or grayish lumps of phlegm or matter.
URTICA.
General Symptoms, Eruptions of an inflammatory, itching, tingling nature,
with local heat and redness, but without much constitutional disturbance ; the
formation of large irregular blotches on the skin, which are very pale (or per-
fectly colorless), but which are surrounded by bright redness of the adjacent
surface; redness, with tingling and feeling of heat, or pricking in the skin of the
swollen parts, and which feel sore when very lightly touched, but conveys no
increase of pain upon more determined pressure; heat and local inflammation,
with or without swelling of the parts, or with very little swelling; vesicular
eruptions generally, which are of an uncomplicated kind, and which appear
chiefly after the application of cold water, or exposure to cold air, and are unat-
tended with decided variations of pulse, but sometimes produce a good deal of
restlessness; mawkish, insipid, clammy taste in the mouth, with sliminess of the
mouth, throat, and tongue, and glairy-looking phlegm on the tongue; dryness of
the mouth and throat, with thirst, and harsh scraping sensation in the throat,
more decidedly felt in the morning, and relieved after a meal or after drinking
cold water; scraping sensation in the upper part of the nostrils, and thence to
the throat, with dislodgment of gelatinous phlegm, by sniffing and hawking;
smarting, with heat, but without external evidences of inflammation in the eyes;
these symptoms appearing more especially in the morning and subsiding after a
meal and movement; tingling sensation in the forehead and eyebrows; crawling
sensation, before or after, or without evacuation, in the orifice of the lower
bowel; gnawing, itching in one nostril, which provokes the patient to squeeze
and rub the nose; sometimes a degree of nausea lasting for a short time; or
clawing pain in the stomach, which, however, also disappears quickly; irritation
around the knees and wrists; and sometimes also the ankles; loose evacuations
without pain, but with a crawling sensation from the gullet to the orifice of the
lower bowel.
WERATRUM ALBUM.
Stomach, Bowels, and Evacuations. Canine hunger; excessive nausea; as soon
as anything has been swallowed there is violent vomiting and purging ; extreme
thirst, with desire for cold drinks; bitter taste in the mouth, as of bile; vomiting
of very dark matters, like coffee-grounds; vomiting, with simultaneous purging, and
pressure at the pit of the stomach; vomiting of slimy or frothy matter; vomiting
of white, yellowish, or green phlegm, or bilious matter; burn?ng sensation in the
belly, as if from a brand; the pit of the stomach and region of the stomach are
extremely and painfully sensitive of touch or pressure; anguish at the pit of the
stomach ; obstinate constipation, as if the bowels were wholly inactive ; violent and
painful purging ; the motions are green, watery, cloudy, brownish, or blackish ;
cholera morbus ; Asiatic cholera; watery, greenish diarrhoea, mixed with flakes;
evacuations consisting of blackish-looking matter; insensible evacuation from the
VERATRUM ALBUM. 921
bowels while passing flatulence; great weakness, and even fainting during an
evacuation from the bowels; paleness of the face, and cold sweat on the forehead
during stool; urine deep-colored or greenish, and characterized by involuntary
discharges; suppression of the urinary secretion; continuous urging to urinate;
dark-red urine, discharged frequently, but in small quantities; ruptural pro-
trusion; violent hiccough, with extreme inclination to vomit, and rising of fluid,
with a bitter, acrid taste, from the stomach, after the least food; sickness at the
stomach, with great inclination to eat, and intense weight at the pit of the stomach
whilst eating.
Mouth, Lips, Tongue, and Throat. Dryness and clamminess of the mouth; dis-
charge of phlegm from the mouth ; frothy saliva in the mouth and about the lips;
dry, cracked, and blackish lips; dry, cracked, and blackish, or red and swollen
tongue; yellowness of the tongue; soreness of the throat, attended with constric-
tion, or sensation as of strangling; contraction of the swallow; unquenchable
thirst, especially for cold water.
External Surface. Heat, with redness of the face (and shuddering); pale, wan,
ghastly, and sunken face, with sunken cheeks and sharpened nose, and blue rings
round the eyes; bluish or yellowish hue of the face; icy coldness of the nose, as
well as of the hands, feet, and legs, and of the crown of the head, with cold,
clammy sweat on the face; colorless or whitish appearance of the skin; pallor of
one cheek, and flushing, with redness of the other; bruised or beaten feeling
over the back and in the small of the back; general chill, affecting the whole
body, with cold, clammy sweats; and sometimes fever-fits, with great sensation of
internal,heat; flaccidity of the skin; sensation as if a block of ice were on the crown
of the head.
Pulse and Circulation. Slowness of the pulse, which is almost extinct — or
small, quick, frequent, and intermittent pulse ; determination of blood to important
organs, such as the brain, intestines, womb, &c.; violent palpitation of the heart,
with great anguish.
Periodicity and Remissions. The fever-symptoms, setting in with predominant
and general chill, have a tendency to recur at intervals of twenty-four, forty-
eight, and seventy-two hours, becoming aggravated, or setting in between sun-
set and midnight, and subsiding between sunrise and noon, followed either by
total subsidence of all the symptoms, and complete intermission, or by partial
remission (with low lethargic state). In the case of the remissions, these are
apt to be more decided on every second day; that is, there is a diurnal and very
partial remission, followed by increased and excessive violence of all the symp-
toms, and a more decided remission on the second day, with generally less vio-
lence in the returning paroxysm; during the more decided remissions the patient
craves for food, and, if allowed to eat, the remission, is followed by the worst
degree of aggravation.
Menstruation, &c. The menstrual period sets in with attacks of chilliness and
rigors, and with diarrhoea, or the menstrual flow is suppressed (especially by
sudden emotion, such as that occasioned by fright, &c.), and results in great de-
rangement of the brain, with delirium ; suppression of the lochial discharge, or
of the milk, in lying-in women, with delirium.
Nervous System, Brain, Senses, &c. Rage and delirium for a short time (upon
the attacks of pain); tremulous condition of the limbs; prostration of strength
922 VERATRUM WIRIDE.
distinctly characterized by its sudden, general, and paralytic effect; shocks, like
those produced by electricity (attended with copious perspiration); spasms and
convulsions, attended with clenching of the palms of the hands, and contraction
of the soles of the feet; cataleptic paroxysms, with loss of consciousness and rigid
extension of the body, and with lock-jaw; anxious and hurried agitation and rest-
lessness; excessively dejected melancholy, with anguish, as if from remorse of
conscience; peculiar tendency to be frightened; aberration of mind; grinding
of the teeth ; the power of speech is lost; the eyes are convulsed and protruding;
the pupils are closely contracted, or much dilated; the eyelids are paralyzed ;
the sleep is drowsy, heavy, lethargic, and insensible, or there is great drowsi-
ness and incapability of sleeping : complete torpor and general insensibility; vio-
lent cramps in the calves of the legs; disposition to faint, with frequent fainting-
fits; intense giddiness, with spinning of the head.
Pains. Sudden attacks of pain (with rage, &c.); pains, such as those caused
by fracture, in the limbs, bones, and muscles; pains in the limbs, which are
aggravated in bed, mitigated by getting up, removed by walking about, and
which have a tendency to appear early in the morning; violent throbbing, press-
ure, or bursting pains in the head, sometimes regularly periodical, and which
generally come on very violently, from time to time, and by fits and starts;
cutting pain in the crown of the head; lacerative, compressed pains in the eyes;
violent, cutting, cramp-like, clawing, and pinching pains in the stomach and
bowels; pains such as those of fracture in the back, loins, arms, and legs.
Breathing, Chest, &c, Breathing obstructed and oppressed, or suddenly arrested
by the spasms extending to the chest; deep, hollow cough, provoked by irritation
deep in the bronchial tubes; convulsive cough, with long, shrill-sounding inspi-
rations; dry cough, with burning sensation in the chest and stomach, chiefly
occurring in the evening, but sometimes also in the morning; extreme oppression
at the chest, with difficult, short, anxious, and hurried breathing; cough occur-
ring in the evening, and accompanied with profuse flow of saliva in the mouth.
Eyes. Livid hue of the eyes, or bright crimson hue of the eyes; dull, filmy,
watery, or yellowish appearance of the eyes; burning heat in the eyeballs; inflam-
matory heat and redness, more particularly in the right eye, but sometimes in
both eyes; copious discharge of tears, or intense and constant dryness, with heat
in the eyelids.
VERATRUM WIRIDE.
General Symptoms. Spasmodic twitchings of the muscles; convulsions, with
disposition to bend the body backwards, with extreme rigidity of the limbs;
sound sleep, with frightful dreams — or restless sleep, with dreams of drowning;
chilliness, accompanied with nausea; coldness of the body, with cold perspira-
tion, especially upon the hands and feet; feeble, irregular, scarcely perceptible
pulse; headache in the afternoon, with feverishness; headache, which seems to
ascend from the back of the neck; determination of blood to the head, in persons
of full habit, or who are addicted to high living, or to the abuse of stimulants,
or in children when teething ; headache, with feeling of fulness in the head, and
throbbing of the arteries of the head and neck; increased sensibility; convulsive
twitchings of the face, the mouth is drawn down at one corner; dimness of vision;
walking brings on blindness and faintness; the tongue feels as if it had been
scalded; burning sensation in the throat, or feeling as "if the throat were con-
VIOLA TRICOLOR – ZINCUM METALLICUM. 923
stricted; excessive irritability of the stomach, with heartburn, and frequent
risings of bitter, sour fluid from the stomach; cutting, aching pains in the belly,
in the region of the navel, with rumbling in the belly, and desire for an evacua-
tion; violent cutting, forcing, colicky pains, coming on before the menstrual dis-
charge; feeling as though a heavy weight were pressing on the chest; oppression
at the chest, with difficulty of breathing; constant burning, distressful feeling
in the region of the heart; feeling of faintness on arising from a recumbent
posture ; fluttering sensation of the heart; palpitation of the heart, with difficulty
of breathing.
WIOLA TRICOLOR.
General Symptoms. Fine, grain-like eruption, with intense and gnawing irri-
tation all over the body; eruptions on the face, with oozing of yellowish matter;
and the formation of scabs on the face, which induce intense, gnawing irritation,
particularly during the night; flushing of one side of the face, particularly the
uppermost side when in bed at night; tearful mood; great flow of ideas at night,
by which sleep is delayed, and drowsy, heavy sleep in the morning; sensitiveness
to draughts, or to the open air, with great chilliness; the thumbs drawn back:
and jerking movements, with great heat and dryness over the whole body when
asleep; sleepiness in the latter part of the day; great reluctance to exert one's
self; sullen, silent disposition, with inclination to be alone, and dislike to con-
versation : embarrassment and bewilderment of the head ; the skin is hard and
thickened ; oscillation of the brain during movement; bitter taste in the mouth ;
whitish coated tongue ; very offensive urine, or urging and straining at the
bladder; sensation in the forehead and face as if tightened; aching pain in the
eyes, as if a hard body were lodged in the head; aching, pressive pain in the
head, and especially at the root of the nose; pressive and aching pain in the eyes;
very animated and voluptuous dreams; very cloudy, thick, or scalding urine :
palpitation of the heart; with great anxiety and ºppression at the chest on lying
down; yielding of the knees when walking; pains in the limbs, as if crushed ;
pinching pains between the shoulder-blades; intense oppression, with darting
pains in the region of the heart when leaning forwards; the headache disappears
in the open air; copious perspiration at night.
ZINCUM METALLICUM.
Nervous System, Brain, Senses, &c. General torpor, or numbness over the
whole body (or violent throbbing of all the arteries); extreme reluctance to exert
one’s self, or even to move in the least degree ; oppressive languor, heaviness,
and total loss of strength in the limbs; sensation of tingling in the limbs; rapid
oscillation in different muscles apparent to the sight — or twitching and jerking
of particular muscles without movement of the limbs; sensation over the surface
of the head, as if the hair were on end; appearance of illuminated vapors before
the eyes; the upper lids (of one or both eyes) hang down from palsy of the
muscles; the pupils are contracted ; loss of scent ; sounds in the ear as if flies
We're fluttering in them ; permanent taste, like that of blood, or salt taste in the
mouth ; involuntary discharge of urine, particularly during exercise; total palsy
of the hands, or also of the feet; reeling, spinning giddiness, which seems to
emanate from the top of the brain, and with a tendency to topple sideways;
incoherency of thought, or confusion of thought, with difficulty of clearing the
Q
924 ZINCUM METALLICUM.
thought; capricious, changeable disposition; fretfulness, irritability, and reluc-
tance to converse; revolting, absurd, or frightful dreams; sleep affords no rest
at night; continued drowsiness.
External Surface. Dry harshness of the skin, especially on the hands, with
chapping; colorless skin on the hands (with total palsy); sensation as of burning
heat in the feet, or tingling in the legs; chaps between the fingers; red, hot,
glossy swelling (with aching pain) along the sides of the feet; pale, sallow, dirty
complexion; external (and internal) swelling of the nose, especially on one side;
ruptural tumor in the groin, excessive irritation, and soreness over the scalp;
continual coldness or chilliness of the surface, with increased heat internally —
or severe shuddering fits, with flushing of heat; crawling, shuddering down the
spine; protuberances, with heat, irritation, and tingling on the surface; crawling,
gnawing irritation — or intense, gnawing, tingling, and itching under the skin,
especially in the palms of the hands; irritation and itching in the joints; copious
perspiration at night; oozing eruptions on the skin, forming scabs, which fall
off and leave the surface ulcerated ; complete loss of the hair.
Menstruation, &c. Slimy discharge in the intervals between the periods; sup-
pressed menstrual discharge (chiefly dependent upon sudden emotions, and at.
tended with violent disturbance of the brain); difficult and painful menstruation;
menstrual discharge before the proper time; suppressed menstruation, with pain-
fulness of the breasts and genitals.
Nose, Eyes, Mouth, Teeth, Gums, and Ears. External swelling of the nose,
with stuffing and soreness, or constant flow of watery, corrosive fluid, with scald-
ing in the nostrils; eruption of small vesicles, generally of a yellowish color, in
the mouth and on the tongue: harshness, dryness, and scraping sensation in
the throat; swollen, whitish, lardy, sore, ulcerated, and bleeding gums; teeth
loosened and discharging blood; flow of very offensive matter from the ears ;
soreness, smarting, and itching, with redness and heat of the inner corners of
the eyes; pressure on the eyes, eas if pressed into the head.
Pains. Pains which appear to emanate from beneath the skin ; Sore pains all
over; tearing pains in the limbs, worse after motion or when heated; pressive
frontal headache in the morning; tearing, shooting pains at the back of the
head, on either side, through the temples, and across the fore part of the head ;
throbbing pains in the head, worse in-doors; aching pain in the head (sometimes
with sickness at the stomach), or even vomiting at night, or after taking wine,
in however small a quantity; darting, tearing pains deep in the face; sore pain
in the nose; dragging, tearing pains in the double teeth, or more particularly
when eating; dull, aching pain in the stomach, or clawing, pinching, or griping
pains in the bowels, with or without shooting pains in the region of the liver;
tearing, pinching, pressive pains in the chest, or pain in or under the breast-
bone, which seems as if the shoulders were bound together in front, and expan-
sion were impossible; aching, rheumatic pains in the back and loins, and darting
or tearing pains in the nape of the neck, with incapability of turning the head ;
aching, drawing, fearing, or rheumatic pains in the legs and arms, and in the
knee, elbow, finger, ankle, and wrist-joints — or wringing pain in the joints of the
feet, &c.
Breathing, Chest, &c. Excessive difficulty of breathing from spasm of the chest;
very difficult and oppressed breathing, with weight at the chest; oppression of
ZINCUM METALLICUM. 925
breath towards night, with irregular or violent beating of the heart, and almost
arrest of breathing; rattling respiration from excess of phlegm in the air-passages;
hawking and coughing, with ejection of clotted blood, or of very adhesive, stringy
phlegm.
Stomach, Bowels, and Evacuations. Sour risings from the stomach, especially
after drinking milk; nausea, with retching and vomiting of bitter mucus, re-
newed by the slightest motion; hiccough, especially after breakfast; disagreeable
sensation of heat in the upper orifice of the stomach, extending up the throat;
constipated condition of the bowels, as if resulting from palsy of the lower
bowel; the evacuations are hard and dry, and are only expelled by hard strain-
ing; soft, pap-like evacuations, sometimes accompanied with discharge of thin
blood ; the evacuations are passed involuntarily; feeling of soreness and of vio-
lent itching of the posterior passage ; when beginning to urinate, the flow is
restrained; violent pressure in the bladder, with frequent desire to urinate; the
urine is a long time in passing, and can only be discharged by sitting a long
while, and by forcing: involuntary discharge of urine while walking, coughing,
or sneezing.
PART WI.
THE REPERTORY,
THE Repertory is to be used in connection with the “CHARACTERISTIC EFFECTs’’
contained in Part W., in order to facilitate the discriminative selection of the
remedy. It will be observed that the abbreviated names of the medicines are
printed in the Repertory in three kinds of type, viz.: common type, italics, and
a large and heavy type. The first or common type is used for medicines having
a very general reference to the symptoms with which they stand connected;
the second kind, or italics, indicates medicines more specifically related to the same
symptom, and claim a greater share of attention; while the third kind of type,
the most conspicuous, indicates such medicines as have been found the most
reliable for this particular symptom, by abundant clinical experience.
MIND AND DISPOSITION.
General Symptoms.
Anxiety, fear : Acon. Arn. Ars. Aur.
Bell. Bry. Calc. Cactus. Cham. Cocc.
Gelsem. Glon. Hell. Ign. Lyc. Nux
vom. Opium. Puls. Stram. Sulph.
Verat. alb. Werat. vir.
Distrustful : Acid phos. Bar. Bell.
Caust. Cic. Hell. Hyosc. Lyc. Puls.
Fitful mood: Acid sulph. Alum.
Aur. Ferr. Graph. Ign. Kali. carb.
Plat. Stram. Zinc.
Gentle : Cocc. Croc. Ign. Lyc. Puls.
Sil. Sulph.
Greedy: Ars. Lyc. Natr. c. Petrol.
Puls. Sep. e
Haughty : Lyc. Plat. Stram. Ve-
ratr.
Hopeless: Ars. Aur. Calc. Caust.
Cham. Con. Graph. Ign. Lyc. Natr.
c. Puls. Rhus. Sulph.
Indifferent: Acid phos. Cactus.
Chin. Cocc. Con. Ign. Natr. mur.
Phos. Puls. Sep. Sil.
Irritable mood : Acon. Aur. Bell.
Bry. Cactus. Cham. Coff. Ferr, Gel-
sem. Hyosc. Ign. N. vom. Phosph.
Puls. Sep. Sulph. Verat. alb.
Irascible : Aconit. Ars. Cham. Cupr.
Gelsem. Hyosc. Lyc. N. vom. Stram.
Verat. alb.
Jocose mood: Bell. Coff. Croc. Hy-
osc. Natr. c. Nux mosch. Op. Phosph.
Plat. Puls. Stram.
Peevish : Alum. Aur. Calc. Caust.
Cham. Con. Gelsem. Hep. Ign. Ipec.
Lyc. Merc. Natr. c. Phosph. Plat.
Puls. Sil. Staph. Sulph.
Sad : Acon. Bellad. Cactus. Cham.
Gelsem. Graph. Ign. Lyc. Natr. m.
Nuz mosch. Plat. Puls. Rhus.
Serious mood: Acid. Sulph. Cocc.
Gelsem. Thuj.
Cloudiness.
Cloudiness: Acid. phos. Acon. Arn.
Bell. Bry. Cactus. Cann. Canth. Chin.
Cocc. Carb. veg. Caust. Cimiciſ. Hyosc.
Ign. Ipec. N. vom. Op. Rhus. Sep.
Sil. Verat. alb.
Confusion : Acid. phos. Ant. cr. Ars.
Bell. Bry. China. Euphr. Ferr. Gel-
sem. Glon. Hell. Ign. Natr. carb. Nux
vom. Phosph. Puls. Rhod. Rhus. Sec.
corn. Spig. Staph. Zinc.
Dizziness: Acid. phos. Acid. nit.
Acon. Alum. Apis. Ars. Bell. Bry.
926
NIIND AND DISPOSITION.
927
Cactus. Calc. Carb. veg. Caust. Cham.
China. Coloc. Con. Gelsem. Glon.
Graph. Lyc. Natr. mur. N. vom. Op.
Phosph. Puls. Sep. Sil. Sulph.
Verat. Zinc.
Dulness: Acon. Calc. Canth. Cimicif.
Hyosc. Petr. Sep. Stram. Sulph.
Zinc.
Intoxication: Antim. crud. Arg. Ars.
Aur. Bell. Bry. Caust. Cham. Cic.
Cimicif. Cocc. Coff. Con. Croc. Ferr.
Graph. Hyosc. Ign. Ipec. Led. N.
vom. Op. Puls. Rhus. Sec. corn.
Sil. Stram. Verat, alb.
Loss of consciousness: Aciti. phos.
Acid, nit. Ars. Bell. Calc. Canth. Hy-
osc. N. vom. Rhus. Stram. Verat.
alò.
Stupefaction : Acid. phos. Acon.
Arn. Ars. Bell. Bry. Calc. Camph.
Caust. Cham. Chin. Cin. Coff. Con.
Dulc. Ferr. Graph. Lyc. Hell. Hyosc.
Ipec. N. vom. Opium. Phosph. Rhus.
Sepia. Stram. Sulph.
Vanishing of senses: Ars. Bell.
Calc. Camph. Cic. Cimicif. Cupr.
Graph. Hyosc. N. vom. Stann. Stram.
Mental Weaknesses.
Absence of mind: Arm. Bell. Caust.
Cupr. Glon. Hell. Hep. Hyosc. Ign.
Lyc. Merc. Natr. mur. Op. Rhus. Sep.
Avarice : Puls.
Comprehension, ready : Coff, Op.
– heavy : Camph. Cham. Cocc. Con.
Lyc. Op. Spig. Zinc.
Delirium : Acid. phos. Acon. Antim.
crud. Apis. Ars. Aur. Bell. Bry.
Camphora. Canth. Cham. Cimicif.
Cina. Con. Cupr. Dulc. Hyosc. Op.
Phosph. Plat. Rhus. Sec. cor. Stram.
Sulph. Verat. alb.
with frightful spectres: Bell.
— nocturnal, raving about the day’s
business: Bry.
— without consciousness: Hyosc. Puls.
Stram.
— loquacious, with open eyes: Coloc.
Op. Werat. alb. Stram.
— quiet, with stupefaction: Acid. phos.
– with anxiety, fear of death, over-
estimation of one’s self: Plat.
— bland, with loss of recollection: Rhus.
— without consciousness, often termi-
nating in rage: Sec. corn. Stram.
– various, shameless, haughty : Stram.
Hyosc.
– religious, haughty: Verat. alb.
-:
Delirium, with disposition to escape:
Bry. Cocc. Hyos. Stram.
— with staring look: Bell.
Derangement, mental: Bell. Canth.
Cupr. Hyosq. Op. Plumb. Stram.
Verat. alb.
Excitement of the fancy : Acon.
Ant. crud. Arn. Apis. Bell. Chin.
Coff. Hyosc. Lachesis. Op. Phosph.
Pulsat. Stram.
Exhaustion from mental labor: Aur.
Cham. Colch. Gelsem. Natr. mur. N.
vom. Phosph. Puls. Sil. Spig. Spong.
Staph.
– nervous : Aur. Bell. Calc. Dig. Iod.
Natr. c. N. vom. Phosph. Sep. Staph.
Sulph. Zinc.
Forebodings: Acon. Spig.
Foreboding of death : Acon. Stram.
Verat. alb.
Fixed ideas: Acid. nit. Acid. phos.
Carb. veg.
Illusions of the fancy: Bell. Bry.
Caust. Cimicif. Hell. Hepar. Hyosc.
Op. Phosph. Rhus. Staph. Stram.
Illusions of sense: Acid, phos. Bell.
Cimicif. Op. Phosph. Plat. Sec. Stann.
Stram.
Insensibility: Acid. phos.
Hyosc. Op. Sec. corn. Stram.
Insanity: Acon. Ant. crud. Ars. Bell.
Cann. Canth. Caust. Cimicif. Coccul.
Con. Cupr. Dulc. Hyosc. Opium.
Sec. corn. Stram. Sulph. Verat.
alb. Zinc.
— with haughtiness: Hyoscyam. Platina.
Stram. Verat. alb.
— mirthful: Crocus. Ign. Stram.
– mild : Croc. Vera tr.
– religious: Stram. Veratr. alb.
— talkative : Stram.
— furious: Hyosc. Stram.
Laughter: Bellad. Crocus. Hyosc.
Nuz mosch. Stram. Veratr.
Loss of recollection : Alcon. Alum.
Arn. Bar. Bell. Bry. Calc. Camph.
Cannab. Cham. China. Con. Cupr.
Dig. Glon. Hell. Hyosc. Ign. Natr.
mur. N. vom. Opium. Phosph. Plat.
Rhus. Ruta. Sep. Silicea. Stann.
Staph. Stram.
Loss of consciousness: Bell. Bry.
Canth. Cham. Cocc. Cupr. Hyosc.
Ipec. Nux vom. Op. Rhus. Stram.
Werat.
Mistakes in talking : Alum. Caust.
Cham. Chin. Con. Croc. Ign. Lach.
Lyc. Natr. mur. N. vom. Puls. Sep.
Sil.
Rage : Acon. Ars. Bell. Camph. Cann.
Hell.
928
MINID AND DISPOSITION.
Canth. Cham. Coccul. Croc. Cupr.
Drosera. Hyosc. Lyc. Opium. Petr.
Plumb. Ruta. Sec. corn. Stram.
Verat. alb.
Shamelessness: Hyosc. N. vom. Op.
Stram. Verat. .
Wandering of the mind : Acid, phos.
Acom. Arn. Aur. Bar. Bell. Caust.
Canth. Cham. Cocc. Croc. Hell. Ign.
Natrum. mur. Petr. Phosph. Plat. Sep.
Stann. Sulph. Verat. alb.
Defects of the Memory.
Forgetful: Acon. Alum. Arn. Ars.
Bar. Bell. Calc. Canth. Caps. Colchic.
Coccul. Dig. Gelsem. Glon. Hell. Hy-
osc. Ign. Laches. Lyc. Natr. mur.
Petr. Phosph. Plat. Rhus. Sec. corn.
Silic. Spig. Staph. Stram. Sulph.
Verat. alb.
Memory, defective: Acon. Arm. Bell.
Bryon. Calc. Camph. Cocc. Gelsem.
Graph. Hyosc. Puls. Sep. Spigel.
Stram. Sulph. Verat. alb.
— feeble : Acon. Alum. Ars. Aur. Bell.
Bryon. Calc. Caust. Colch. Cupr.
Dig. Graph. Hep. Hyosc. Ign. Lyc.
Natr. mur. Op. Plat. Pulsat. Rhus.
Sep. Spigel. Staph. Stram. Sulph.
Verat. alb.
Emotions causing Disease.
Anger, also with vehemence: Cham.
— with fright: Acon.
— with feeling of coldness: Ars.
– with subsequent ill-humor: Bry.
– with silent grief: Ign.
— with irascible mind: N. vom.
– with mental derangement: Verat.
alb.
Anxiety and fright.
— with subsequent anxiety and mental
confusion: Bell.
— with joyful surprise: Coff.
– with subsequent starting during sleep:
Hyosc.
– followed by grief or spasms: Ign.
– followed by anxiety or nocturnal
pains: Merc.
– with fear, heat of the head, and
spasms : Op.
— followed by mental confusion : Plat.
— followed by diarrhoea: Gelsem.
Puls.
— with Suffocative fits and bluish face :
Samb.
— with involuntary stool and icy cold-
ness: Verat. alb
Grief.
— caused by mortification and followed
by mental confusion : Bell.
— with shame and suppressed anger:
Ign.
— with nocturnal anxiety and com-
plaints: Merc.
— followed by spasms : Op.
— with emaciation, drowsiness,
morning-sweats: Acid. phos.
— with apprehensions for the future and
day-drowsiness: Staph.
Homesickness.
— with nocturnal anxiety and sweat:
IMIerº.
— with emaciation and morning-sweat,
drowsiness: Acid. phos.
Jealousy.
— with vehemence and delirium: Hy-
OSC.
— insane, with distrust : Lach.
Unfortunate love.
— with thoughts of suicide: Aur.
– with jealousy and loguacity: Hyosc.
— with silent grief: Ign.
– with desponding mood : Lach.
– with emaciation and morning-sweat:
Acid. phos.
– with unmerited mortification: Staph.
Wrath.
– with cries and palpitation: Arn.
– with loss of consciousness or deli-
rium : Bell.
— with flushed cheeks, thirst : Bry.
– hot sweat about the head, spasms:
Cham.
— thirst, vomiting of bile, chilliness,
heat : Nux vom.
— laughter, weeping, anxiety : Plat.
– with internal chilliness, no thirst,
but dizziness: Puls.
– on account of unmerited humiliation,
whole body sore : Staph.
and
Mental Derangements.
Forebodings of death.
— with foretelling of the day of death :
Acon.
Forebodings of death, with anxiety
and restlessness : Bell.
— with fear of death and anguish :
Plat.
– alternating with fits of rage: Stram.
Hysteria and Hypochondria.
– with anxiety, disposition to suicide:
Aur.
– with fitful mood, sleeplessness: Ign.
– of those who lead a sedentary life and
revel at night, with constipation:
IN. vom.
MIND AND DISPOSITION.
929
As if falling right side : Acon. Ars.
Calc. Rhus. Ruta.
As if falling left side : Aur. Bell.
Spig. Zinc.
As if falling forwards: Arn. Caust.
Cic. Cupr. Ferr. Graph. Natr. mur.
Petr. Puls. Rhus. Sil. Spig. Sulph.
Turning: Acon. Alum. Arn. Bell.
Bry. Calc. Carb. veg. Caust. Cic.
Cocc. Croc. Cupr. Ferr. Graph. Lyc.
Merc. IN atr. mur. N. vom. Puls
Rhod. Rhus. Sep. Sil.
Turning in a circle: Aconit. Arn. Aur.
Bell. Bry. Calc. Caustic. Cic. Con.
Ferr. Hell. Kali. Merc. N. vom. Op.
Puls. Rhus. Sep. Staph. Verat. alb.
Accompanying ailments.
Anxiety: Ign. Op. Rhus.
Iłructations: N. vom.
Colic: Coloc. Petr. Spig. Stram.
Deafness: N. vom. Puls.
Chilliness : Cocc. Plumb. Rhus. Ve-
rat. alb.
Fainting : Bar. Bryon. Canth. Cham.
Croc. Hep. Ign. Laur. N. vom. Nux
moschata. Plat.
Heat : Acon. Bry. Croc. Glon. Gel-
sem. Ign. Led. Merc. N. vom. Puls.
Stram.
Headache : Acon. Apis. Arg. Arsen.
Aur. Bar. Bell. Cactus. Calc. Con.
Canth. Cupr. Ferr. Graph. Hep. Ign.
Lach. N. vom. Puls. Stram.
Nausea : Acon. Ant. crud. Apis. Arn.
Bar. Bell. Bry. Chin. Coff. Calc.
Coccul. Ferr. Graph. Hyosc. N. vom.
Puls. Petr. Phosph. Sil. Spig.
Nose, bleeding: Alcon. Bell. Ant.
crud. Sulph.
Obscured vision : Acon. Amm. mur.
Bell. Cactus. Canth. Cham. Cic. Cim-
*cif. Croc. Dulc. Ferr. Gelsem. Hyosc.
N. vom. Natr. mur. Op. Puls.
JPhosph. Phytolac. Merc. Sec. corn.
Stram. Sulph.
Pale face : Puls.
Sweat: Glon. Rhus. º
— cold: Ign. Werat. alb.
Trembling: Dig.
Vomiting: Calc. Graph. Hyosc.
Yawning: Ignat. Petr.
Hysteria and Hypochondria, after
unmerited insults, with flatulency :
Staph.
Rage,
— with haughty manners, and spasms:
Cupr.
— with furious jealousy : Hyosc.
— with amorous tenderness and jeal-
ousy : Lach.
— silent, with religious melancholy :
Lyc.
— with frightful visions, alternating
with stupor : Op.
— censorious, with
spasms: Plat.
— raving, with frightful visions: Stram.
— with wicked imprecations: Verat.alb.
Suicide, disposition to,
— with nocturnal anguish and despair :
Ars.
— with religious melancholy: Aur.
— with anxiety, restlessness, fright:
Bell.
— with silent anguish, fear of death:
Puls.
— with stupefaction of the head, rest-
lessness: Rhus.
Somnambulism : Acon. Op. Phos.
Wertigo.
According to its nature.
Generally: Acon. Amm. mur. Apis.
Arn. Ars. Bar. Bell. Bry. Cactus.
Calc. Camph. Canth. Carb. veg. Caust.
Cham. Chin. Cic. Cocc. Coff. Dig. Dros.
Gelsem. Glon. Graph. Hell. Hep.
Hyoscyam. Ipec. Merc. Mosch. Lyc.
Natr. mur. N. vom. Op. Petr.
Phosph. Phytolac. Plat. Plumb.
Puls. Rhus. Sec. corn. Staph. Stram.
Stann. Sulph. Thuj. Verat. Zinc.
As if falling: Acon. Arm. Ars. Calc.
Canth. Caust. Cham. Cic. Con. Croc.
Hep. Ign. Ipec. N. vom. Op. Puls.
Sec. corn. Sil. Spig. Sulph. Staph.
Stram.
As if falling backwards: Acid.phos.
Bry. Camph. Chin. N. vom. Rhus.
Spig. Stram.
As if falling sideways: Arsen. Caust.
Con. Euphr. N. vom. Puls. Staph.
Sulph.
trembling and
HEAD.
Internal.
As if the brain were distended :
Bell. Arnic. Cin. Glon. Merc. Spig.
As if a band were around the
head : Acon. Cocc. Carb. veg. Gel-
sem. Iod. Merc. Witr. ac. Plat. Spig.
Stann. Sulph.
59
930
HEAD.
Beating: Acid. nit. Acon. Aur. Bell.
Bryon. Cactus. Calc. Caps. Carb.
veg. Caust. Cham. Cocc. Hyosc.
Ign. Ipec. Iye. Phosph. Puls. Rhus.
Sep. Sil. Sulph. Verat. alb.
As if the brain were moved : Acon.
Ars. Bell. Bry. Croc. Glon. Kali.
Rheum. Spig.
Rush of blood : Acid. mitr. A con.
Ambr. Apis. Arn. Bell. Bry. Cactus.
Camph. Cann. Canth. Chin. Coff.
Calc. Carb. veg. Caust. Coloc. Dig.
Ferr. Gelsem. Glon. Graph. Hell.
Hyosc. Ign. Iod. Kali. Lach. Lyc.
Merc. Natr. mur. Nux vom. Op.
Plumb. Puls. Phosph. Rhus.
Sep. Sil. Sulph. Spong. Staph.
Stram. Thuj. Verat. alb. Verat. vir.
Boring : Ant. crud. Bell. Calc. Cocc.
Chin. Dulc. Hepar. Ipec. Ign. Plat.
Staph. Sep. Sil. Spig. Stram. Sulph.
As if bruised: Acon. Ars. Aur. Camph.
Cham. Chin. Coff. Euphr. Glon.
Hell. Ign. Ipec. Phosph. Nux vom.
Puls. Rhus. Sep. Verat. alb.
As if it would burst : Ant. crud. Bar.
Bell. Calc. Cham. Chin. Coff. Con.
Ign. Natr. mur. Nux vom. Phosph.
Rhus. Sep. Sil. Spig. Spong. Sulph.
Veral. vir. t
Burning : Acon. Arn. Bell. Bry.
Cupr. Hell. Ipec. Merc. sol. Watr. m.
Nux vom. Phosph. Rhus. Sec. cor.
Spig. Staph. Stann. Verat. alb.
Buzzing: Caust. Cocc. Phosph.
Sulph. Verat. alb.
Crawling : Acon. Arm. Bar. Cocc.
Hyosc. Puls. Rhus. Sulph. Thuj.
Digging: Aur. Bar. Bry. Dulc. Ign.
Wuz vom. Spig.
Drawing: Acon. Aur. Bell. Calc.
Canth. Carb. veg. Cham. Cina. Coloc.
Cupr. Dulc. Graph. Hell. Lyc. Ipec.
INux vom. Petr. Plat. Puls, Rhus.
Sep. Sil. Sulph. Verat. alb.
Tull headache : Antim. crud. Bry.
Calc. Carb. veg. Cimicif. Chin. Camph.
Cocc. Coff. Dulc. Gelsem. Hell. Ign.
Natr. mur. Plat. Puls.
'Zinc.
. Heaviness of head: Acid phos. Acid.
nit. Acon. Arn. Alum. Ars.
Sabin.
Werat. vir.
Bell.
Bry. Cactus. Camph. Cann. Cham.
Chim. Cic. Cimicif. Cocc. Coff. Croc.
Cupr. Calc. Carb. veg. Caust. Con.
Dig. Dulc. Dros. Euphr. Ferr. Glom.
...Hell. Hyosc. Ign. Ipec. Kali. carb.
Lyc. Merc. Natr. mur. Nux vom.
Op. Petr. Plumb. Puls. Phosph. Plat.
Sec. corn. Spig. Spong.
Staph. Stram. Sil. Stann. Sulph,
Thuj. Verat. alb.
Hammering : Calc. Chin. Coff. Lach.
Natr. mur. Phosph. Sil. Sulph.
Heat: Acon. Alum. Arn. Bell. Bry.
Calc. Camph. Canth. Caust. Chin.
Coff. Dig. Dros. Dulc. Euphr. Gel-
sem. Glon. Hell. Hyosc. Ign. Ipec.
Lyc. Merc. sol. Natr. mur. Nux
vom. Petr. Phosph. Plumb. Puls
Rhus. Sep. Sil. Stann. Stram. Sulph
Verat, vir.
As after intoxication: Bry. Cimicif.
Merc. Sol. Natr. mur. Wuz vom. Puls.
Jerks: Acid. mur. Bell. Bry. Calc.
Dig. Natr. mur. Nux vom. Puls.
Petr. Phos. Spig. Spong. Sep.
Stann. Thuj.
As from a nail (clavus): Acon.
Coff. Hep. Ign. Nux vom. Ruta.
Thuj.
Pressing asunder: Acon. Bar. Bell.
Bry. Calc. Ign. Lyc. Merc. sol. Natr.
mur. Nux wom. Sep. Sil. Spig. Stann.
Staph.
Pressing together : Acid. phos. Alum.
Bry. Calc. Cina. Cocc. Graph. Hell.
Sil. Staph.
Pulsating, Throbbing: Acon.
Alum. Bell. Bry. Chin. Glon. Petr.
Phosph. Puls. Rhus. Sulph.
Pressure : Acid.phos. Acid, nitr. Acon.
Arn. Ars. Aur. Bell. Bry. Calc.
Camph. Caust. Cham. Chin. Cic. Cina.
Cocc. Coff. Croc. Dig. Hell. Hyosc.
Iod. Ign. Ipec. Lach. Merc. Sol. Nux
vom. Natr. carb. W. atr. mur. Petr.
Puls. Plat. Spig. Sep. Sil. Stann.
Staph. Sulph. Zinc.
Roaring: Aur. Bell. Ferr. Graph.
Phosph. Sulph.
Stinging : Acom. Apis. Arn. Alum.
Ars. Bar. Bell. Bry. Canth. Cham.
Chin. Cic. Calc. Caust. Con. Dulc.
Ferr. Hep. Ign. Ipec. Natr. mur.
Nux vom. Phosph. Plumb. Puls.
Staph. Sep. Sil. Sulph. Thuj.
Stupefying: Acid, mur. Ars. Ant. crud.
Arn. Bell. Cic. Cina. Calc. Gelsem.
Hyosc. Ign. Phosph. Natr. carb.
Plat. Ruta. Sep. Stann. Staph. Zinc.
Tearing : Acid. mur. Alum. Ant. crud.
Arn. Bell. Bry. Calc. Camph.
Canth. Carb. veg. Caust. Cham.
Chin. Cocc. Coff. Coloc. Con. Ign.
Ipec. Lyc. Watr. mur. Nux wom.
Puls. Rhus. Sil. Spig. Sulph.
Twitching: Acid. phos. Arn. Bell.
Bry. Carb., veg. Caust. Chin. Ign.
Nuz vom. Staph. Sulph.
HEAD.
931
Vibrating: Acid. nitr. Lyc. Nux vom.
Sil. Stann.
Whizzing: Acid. nitr. Acid. phos.
Ferr. Kali. carb. Lyc. Nux wom.
Puls.
As if wind rushed through: Puls.
Sabin.
According to the part of the Head.
Front part of the head : Acon.
Alum. Antim. Crud. Arn. Ars.
Aur. Bar. Bell. Bry. Camph. Calc.
Canth. Carb. veg. Caust. Cham. Chin.
Cic. Cina. Cocc. Coff. Colch.
Coloc. Con. Croc. Cupr. Dig.
Dros. Dulc. Euphr. Ferr. Gelsem.
Graph. Hell. Hyosc. Ign. Iod.
Ipec. Lyc. Merc. sol. Natr. mur.
Nux vom. Phosph. Plat. Plumb.
Puls. Rhus. Sabin. Samb. Sep.
Sil. Spig. Spong. Staph. Stann.
Sulph. Veratr. alb. Zinc.
Temples: Acid. phos. Acon. Alum.
Ant. crud. Arn. Bell. Bry. Calc.
Camph. Canth. Cham. Chin. Cina.
Cocc. Con. Cupr. Dig. Euphr. Hell.
Hep. Ign. Lach. Op. Phosph. Rheum.
Rhus. Sabin. Spig. Spong. Stann.
Staph.
Top of the head: Acon. Ant. crud.
Arn. Aur. Bell. Bry. Cann. Canth.
Caust. Chin. Cina. Cocc. Coff. Con.
Croc. Cupr. Ferr. Gelsem. Glon.
Graph. Hell. Ign. Iod. Ipec. Lach.
Nua, vom. Phosph. Plat. Sabin. Samb.
Sep. Sil. Spig. Spong. Stann. Staph.
Stram. Sulph. Thuj. Verat. alb.
Back part of the head : Acon. Arn.
Aur. Bell. Bry. Calc. Camph. Canth.
Carb. veg. Chin. Cic. Coff. Colch.
Croc. Cupr. Dig. Dros. Euphr. Glon.
Gelsem. Hell. Hyosc. Ign. Ipec. Lyc.
Merc. sol. Mosch. Nux vom. Op.
Petr. Plat. Puls. Rhus. Sabin.
Samb. Spig. Spong. Staph. Stann.
Sulph. Thuj. Werat. vir.
Right side : Acid, phos. Acon Alum.
Ant. crud. Arn. Bell. Bry. Camph.
Canth. Caust. Chin. Cin. Cocc.
Colch. Croc. Dig. Dros. Euphr.
Graph. Hep. Hell. Hyosc. Ign. Lach.
Lyc. Natr. carb. Nux vom. Phosph.
Plumb, Puls. Rhus. Sil. Spig. Spong.
Stann. Staph. Sulph. Thuj.
Left side : Acid. nitr. Acon. Ant.
crud. Arm. Aur. Bar. Bell. Bry.
Calc. Camph. Carb. veg. Chin. Cic.
Cin. Cocc. Coloc. Croc. Cupr. Dig.
Dulc. Dros. Euphr. Ferr. Hell. Hyosc.
Ign. Iod. Lach. Merc. Sol. Nux wom.
Plumb. Puls. Petr. Plat. Rhus. Sabin.
Samb. Sec. cor. Sep. Spig. Spong.
Staph. Stann. Sulph. Werat. alb.
Externally.
Blotches: Ant. crud. Ars. Aur. Hep.
Natr. mur. Nux vom. Petrol. Phosph.
Sil. Thuj. Zinc.
Bloating: Ars. Sulph.
Burning: Arn. Ars. Bar. Bell. Bry.
Carb. veg. Coloc. Dulc. Dros. Graph.
Lyc. Phosph. Plat. Sil. Spig. Spong.
Staph. Stann. Sulph. Werat. alb.
Chilliness: Acid. phos. Bar. Calc.
Carb. veg. Dulc. Kali. Nux wom. Spig.
Staph. Verat. alb.
Coldness: Acid. phos. Alum. Bar.
Calc. Phosph. Verat. alb.
– feeling of: Cann. Lach. Werat. alb.
Contraction of scalp : Bell. Carb.
veg. Chin. Gelsem. Plat. Rhus. Spig.
Stann.
Drawing: Bar. Bell. Calc. Canth.
Chin. Ign. Nux vom. Puls. Rhus.
Staph.
Tiruptions: Alum. Ars. Aur. Bar.
Calc. Carb. veg. Cic. Con. Graph.
Hep. Merc. sol. Natr. mur. Petr.
Rhus. Ruta. Staph.
Hair falling out: Acid. nitr. Ant.
crud. Ars. Aur. Bar. Bell. Calc.
Canth. Carb. veg. Caust. Con. Ferr.
Graph. Hep. Ign. Iod. Kali. carb.
Lyc. Merc. sol. Natr. mur. Petr.
Phosph. Plumb. Sec. cor. Sep.
Sil. Staph. Sulph.
Hair as if pulled : Acid. mur. Acid.
phos. Acon. Alum. Arn. Bar. Bry.
Canth. Lyc. Phosph. Rhus.
Itching : Alum. Arn. Ars. Aur.
Bar. Bell. Bry. Calc. Carb. veg.
Caust. Chin. Con. Dros. Graph.
Hep. Kali. carb. Merc. Sol. Lyc.
Natr. mur. Petr. Phosph. Puls.
Rhus. Ruta. Sep. Sil. Spig. Staph.
Sulph. Thuj. Zinc.
Pain as if contused: Arn. Ipec.
Rhus. Ruta.
Scraping: Lyc.
Shivering : Bar. Cina. Cocc. Plat. Sil.
Staph. Verat. alb.
Scurfs: Ars. Bry. Calc. Ferr.
Graph. Hep. Lyc. Merc. sol. Natr.
mur. Petr. Phos. Rhus. Ruta. Sep.
Sil. Staph. Sulph.
As if the skin adhered: Arn.
Sweat: Acid phos. Bar. Bell. Bry.
Calc. Cham. Chin. Coloc. Ipec.
Graph. Glon. Hepar. Nux vom.
Merc. sol. Op. Petr. Phosph. Plumb.
932
IEYES.
Puls. Rheum. Rhus. Ruta. Sec. corn.
Sep. Sil. Spig. Sulph. Verat. alb.
Stinging: Alum. Ant. cr. Apis. Arn.
Aur. Bar. Bell. 6anth. Caust. Chân.
Dig. Hep. Iod. Natr. mur. Phosph.
Spigel. Staph. Sulph. Thuj. Werat.
alb.
Swelling : Apis. Ars, Bell. Cham.
Caust. Cup. Dig. Op. Phosph. Puls.
Rhus. Sep. Stram. Sulph.
Tearing: Alum. Bar. Bell. Calc. Dig.
Graph. Lyc. Merc. sol. Natr. mur.
Rhus. Ruta. Sabin. Sep. Staph.
Tendency to cold: Kali: carb.
Natr. mur.
Tingling: Acon. Arm. Ars. Carb. veg.
Ferr. Nux vom. Spig.
Trembling of head : Cic. Cocc.
III, EYES.
Wisual POWer.
Blindness : Acid. mit. Bell. Calc.
Cann. Chin. Cocc. Dig. Dulc. Gel-
sem. Hyosc. Merc. sol. Natr. mur.
Phos. Plumb. Puls. Rhus. Ruta.
Sec. corn. Sil. Spig. Stram. Sulph.
Verat. alb. Verat. vir,
Blurred: Amm. carb. Bell. Bry. Chin.
Dros. Gelsem. Graph. Hyosc. Lyc.
Natr. mur. Sil. Stram. Verat. vir.
Dazzling: Acid. phos. Amm. carb.
Con. Dig. Dros. Ign. Kali. carb.
Lyc. Merc. sol. Sil. Stram. Sulph.
IIlusions of color:
– pale : Dig.
– blue : Bell. Stram. Sulph. Zinc.
– checkered: Euphr. Kali. carb. Sulph.
— colored streaks: Con.
– fiery yellow : Acid. phos.
— yellow : Alum. Ars. Canth. Dig. Kali.
carb. Sulph.
— gold-colored : Bell. Hyosc.
— green: Gelsem. Dig. Merc. sol.
– red: Bell. Con. Croc. Dig. Hep.
Hyosc. Spig. Stram. Sulph.
— black: Chin. Cic. Cocc.
Phosph. Staph.
– white : Dig. Kali. carb.
– halo around the light: Bell. Calc.
Euphr. Gelsem. Phos. Sep. Zinc.
Illusions of size, shape, distance.
– seeing things double: Aur. Bell.
Cic. Dig. Euphr. Gelsem. Graph.
Hyosc. Merc. sol. Petr. Puls. Sec.
corn. Stram. Sulph. Verat. alb.
— seeing things half: Acid. mur. Aur.
Calc. Lyc. Natr. mur.
— larger: Hyosc. Staph.
– brighter: Camph. Hyosc. Nux wom.
— smaller: Hyosc.
– slanting: Stram.
— confused : Stram.
Optical Illusions of things not
present:
— flashes: Amm. carb. Croc. Glon. Natr.
Spig.
Merc. Sol.
Optical Illusions of things not
present :
– flashes, black: Staph.
– gray covering : Phos. Sil.
— threads: Con.
— feathers: Calc. Lyc. Natr. mur.
Spig.
– fire: Bar. Bell. Bry. Dig. Dulc.
Natr. mur. Spig. Staph. Stram. We-
rat. alb.
— spots, dark : Acid. nit. Amm. carö.
Calc. Carb. veg. Caust. Con. Dig.
Glon. Kali. carb. Lyc. Natr, mur.
Petr. Phos. Sec. corn. Sep. Sil.
Sulph.
— gauze: Alum. Ars. Aur. Bry. Cactus.
Caust. Cina. Croc. Dros. Euphr.
Hyose. Ign. Lyc. Natr. mur. Op.
Retr. Phos. Plat. Rhus. Sabin. Sec.
corn. Sep. Stram. Sulph. Thuj.
– sparks: Ars. Aur. Bar. Bell. Bry.
Calc. Caust. Coloc. Croc. Dig. Dulc.
Glon. Kali, carb. Nux wom. Op. Petr.
Sil. Spig. Verat. alb.
– mist: Acon. Alum. Bell. Bry. Caust.
Croc. Dig. Gelsem. Graph. Kali, carb.
IMerc. sol. Natr. mur. Plat. Plumb.
Puls. Ruta. Sec. corn. Spig. Staph.
Stram. Sulph.
Long-sighted: Alum. Bell. Bry.
Calc. Caust. Con. Dros. Hyosc.
Lyc. Natr. mur. Nux vom. Petr.
Sil. Spig. Sulph.
As if things were moving : Bell.
Con. Cic. Euphr. Hyosc. Ign. Merc.
sol. Stram.
Dread of light: Acid, mur. Acid. nit.
Acid. phos. Amm. mur. Acon. Alum.
Apis. Arn. Ars. Bell. Bry. Camph.
Cham. Chin. Cic. Cina. Coff. Con.
Croc. Euphr. Graph. Hell. Hep.
Ign. Kali. carb. Lyc. Merc. sol.
Nux vom. Puls. Sep. Sil. Sulph.
Squinting: Alum. Apis. Bell. Gelsem.
Hyosc. Puls. Sec. corn. Stram.
Shortsightedness: Acid. nit. Acid.
EYES.
933
phos. Calc. Carb. veg. Chin. Con.
Euphr. Graph. Hyosc. Natr. mur.
Phos. Plumb. Puls. Ruta. Stram.
Thuj.
Staring at one
Ruta. Stram.
Vibrations: Ars. Bell. Calc. Carb.
veg. Caust. Cham. Con. Dig. Graph.
Hell. Ign. Lyc. Nux wom. Petr. Phos.
Puls. Sec. corn. Sep. Staph. Sulph.
Vision, sudden blackness of : Acon.
Alum. Ars. Aur. Bell. Bry. Cactus.
Calc. Carb. veg. Caust. Canth.
Cham. Cic. Cina. Croc. Dros. Dulc.
Ferr. Glom. Gelsem. Hep. Hyosc.
Lyc. Merc. sol. Natr. mur. Nux wom.
Op. Phos. Plumb. Puls. Sabin. Sec.
corn. Staph. Stram. Sep. Sulph. Ve-
Tat. vir. *-
– dim : Alum. Bell. Cactus. Cham.
Ruta. Sabad. Werat. vir.
– pale: Chin. Croc. Dros. Glon. Petr.
Puls. Rhus. Sil.
– obscured : Acon. Arn. Ars. Aur.
Bar. Bell. Bry. Calc. Camph. Caust.
Cham. Cic. Con. Cupr. Dig. Dros.
Euphr. Ferr. Hyosc. Iod, Kali. carb.
Lyc. Natr. mur. Nux wom. Op. Phos.
Plat. Puls. Ruta. Sil. Spig. Stram.
Sulph. Thuj.
– vanishing of : Bell. Calc. Cic. Con.
Croc. Gelsem. Hep. Hyosc. Merc.
sol. Natr, mur. Nux wom. Op. Phos.
Puls. Sec. corn. Spig. Staph. Stram.
Werat. Vir.
– weak: Acid. nit. Acid. phos. Alum.
Ars. Bar. Bell. Calc. Carb. veg.
Chin. Con. Croc. Dros. Graph. Hep.
Hyosc. Iod. Lyc. Ign. Natr. mur.
Petr. Phosph. Plumb. Rhus. Ruta.
Sec. corn. Sep. Sil. Staph.
point : Cic. Cocc.
Eye-balls and eyes generally.
Agglutination : Alum. Bell. Bry.
Calc. Carb. veg. Caust. Croc.
Euphr. Hep. Ign. Kali, carb. Lyc.
Natr. mur. Nux vom. Phosph.
Plumb. Puls. Rhus. Ruta. Sep.
Sil. Stann. Staph. Sulph. Thuj.
Burning : Acid, nit. Acon. Alum. Amm.
carb. Amm. mur. Ars. Arn. Aur.
Bar. Bell. Bry. Calc. Canth. Col.
Con. Cham. Chin. Cic. Croc. Dig.
Dros. Euphr. Ferr. Graph. Hell. Ign.
Kali.c. Lyc. N. vom. Phos. Plumb. Puls.
Rhus. Ruta. Sep. Sil. Spig. Spong.
Staph. Stram. Sulph. Thuj.
Cornea, spots on : Apis. Ars. Aur.
Calc. Con. Euphr. Hep. Lyc.
Sep. Sil.
Cornea, ulcers on: Euphr. Ruta.
Dryness: Bar. Bell. Bry. Caust. Croc.
Euphr. Kali. carb. Lyc. Natr. mur.
Nux wom. Phos. Puls. Spig. Staph.
Sulph. Verat. alb.
Distortion : Acon. Ars. Bell. Bry.
Camph. Canth. Cham. Cic. Cocc.
Cupr. Hell. Hyosc. Op. Petr. Plat.
Plumb. Puls. Sec. corn. Spig.
Stann. Stram. Sulph. Verat. alb.
Eye-gum : Acid, nit. Alum. Calc. Caust.
Cham. Chin. Con. Dros. Euphr. Graph.
Hep. Lyc. Sil. Spig. Sulph.
Inflammation : Acid. nit. Acid.
phos. Acon. Apis. Arn. Ars. Bar.
Bell. Bry. Calc. Camph. Canth.
Carb. veg. Cham. Chin. Con. Dig.
Dulc. Euphr. Graph. Hep. Hyosc.
Ign. Ipec. Kali. carb. Lyc. Merc. sol.
Natr. mur. Nux vom. Phosph.
Plumb. Puls. Rhus. Sep. Sil.
Spig. Staph. Sulph. Verat. alb.
Lachrymation: Acon. Alum. Arn.
Ars. Bar. Bell. Bry. Calc. Canth.
Carb. veg. Caust. Chin. Cina. Coff.
Coloc. Con. Croc. Dig. Euphr.
Graph. Hep. Ign. Kali. C. Lach.
Lyc. Merc. sol. Natr. mur. Nux
vom. Op. Petr. Phos. Plat. Puls.
Rhus. Ruta. Samb. Sep. Sil. Spig.
Spong. Stann. Staph. Stram.
Sulph. Verat. alb. Zinc.
— smarting: Acid, phos. Acon. Bell.
Calc. Carb. veg. Con. Dig. Euphr.
Graph. Kali. Lyc. Natr. mur. Rhus.
Sabin. Spig. Staph. Sulph.
Looks,
— anxious: Stram.
– staring : Acon. Arm. Bry. Camph.
Canth. Cic. Cina. Cocc. Cupr. Hell.
Hyosc. Wu% vom. Op. Sec. corn.
Spig. Stram. Verat. alb.
— dim : Stram.
— disturbed: Camph. Cupr. Op. Sec.
corn. Stram. Verat. alb.
– wild: Cupr. Hyosc. Op. Sec. cor.
Motions, convulsive : Apis. Bell.
Canth. Cham. Cupr. Hyosc. Stram.
– involuntary : Spig. Stram.
Pain, simple: Acon. Arn. Bar. Bell.
Bry. Calc. Canth. Carb. veg. Cin.
Croc. Dig. Euphr. Petr. Phosph. Plat.
Plumb. Puls. Rhus. Ruta. Sabin. Sep.
Sil. Spig. Stann. Staph. Verat.
alb. *
Pellicle on eyes: Euphr. Puls.
Ruta.
Pressure, outward: Acon. Aur. Calc.
Camph. Canth. Con. Hell. Ign. Rhus.
Spig. Staph.
934
EYES.
Pressure, inward: Aur. Bry. Calc.
Caust. Kali. carb. Spig.
– as from a foreign body: Arn. Ars.
Aur. Bar. Bell. Calc. Carb. veg. Caust.
Chin. Cina. Cocc. Con. Croc. Hyosc.
Ign. Kali, carb. Merc. sol. Watr. mur.
Petr. Phosph. Plumb. Puls. Rhus.
Sep. Sil. Spig. Stann.
Protruded : Acon. Arn. Ars. Aur.
Bell. Canth. Cin. Cocc. Con. Cupr.
Hep. Hyosc. Op. Rhus. Spig.
Spong. Staph. Stram. Verat. alb.
Pupils, dilated: Acid, phos. Aconi.
Arn. Ars. Aur. Bell. Calc. Camph.
Canth. Caust. Chin, Cina. Con.
Croc. Cupr. Dig. Dros. Gelsem. Hell.
Hep. Hyosc. Ign. Ipec. Wuz vom.
Petr. Plumb. Puls. Sec. corn. Spig.
Stann. Staph. Stram. Verat. alb.
Zinc.
— contracted: A con. Arn. Ars. A wr.
Bell. Calc. Camph. Canth. Cham.
Chin. Cic. Cina. Cocc. Croc. Dig.
I}ros. Hell. Hyosc. Ign. Plumb.
Puls. Sec. corn. Staph. Stram. Stann.
Sulph. Thuj. Verat. alb.
— immovable: Acon. Bell. Cham. Chin.
Cupr. Dig. Ferr. Hyosc. Op. Plumb.
Spig. Stram.
Rush of blood to eyes: Aur.
Bell. Gelsem. Hyosc. Plumb. Sep.
Spig. -
Smarting: Acid, nit. Alum. Ars. Bell.
Bry. Calc. Canth. Carb. veg. Caust.
Chin. Con. Croc. Dros. Euphr.
Graph. Hep. Lyc. Merc. sol. Nux
vom. Phosph. Rhus. Samb. Sep.
Sil. Staph. Sulph. Thuj.
Sparkling: Acon. Bell. Bry. Hyosc.
Op. Stram.
Spots on eyes: Bell. Euphr. N. vom.
Puls. Ruta. Zinc. -
Sunken : Camph. Chin. Cic. Cupr.
Dros. Ferr. Hyosc. Op. Sec. corn.
Spong. Staph. Verat. alb.
Swelling : Ars. Bry. Carb. veg. Cimi-
cif. Hep. Phos. Plumb. Rhus. Ruta.
Stram. Sulph.
TJlceration : Arn. Calc. Cham. Hep.
Lyc. Phosph. Sil. Spong. Staph.
Sulph.
Veins engorged: Acon. Amb. Euphr.
Spig.
Whites, yellowness of: Acid. phos.
Acon. Ant. crud. Ars. Bell. Bry.
Canth. Cham. Chin. Cocc. Con.
Euphr. Ferr. Gelsem. Ign. N. vom.
Op. Phosph. Plumb. Puls. Rhus.
Sep. Sulph.
Without lustre: Acid. phos. Chin.
Ferr. Hyosc. Merc. sol. Sabin.
Verat. alb.
In the eye-brows.
Drawing: Bell. Caust. Dros. Hell.
Rhus.
Eruptions: Cupr.
Spong. Stann. Thuj.
Falling of lashes: Calc. Kali, carb.
Plumb. -
Itching : Alum. Caust. Chin. Sil. Spig.
Sulph.
Swelling: Kali. carb.
Twitching : Caust. Kali. carb. Zinc.
Warts : Caust.
Kali. carb. Sil.
Eye-lids.
Eye-gum : Dros. Ferr. Rheum. Rhus.
Staph.
Agglutination: Acid. mur. A Con.
Bell. Bry. Calc. Caust. Cham. Con.
Dig. Dros. Euphr. Ferr. Graph. Ign.
Kali. carb. Natr. mur. Nux vom.
Phos. Plat. Puls. Rhus. Sep. Sil.
Spig. Staph. Stram. Sulph. Verat.
alò.
Blueness: Dig.
Burning: Acid. phos. Amm. mur. Ars.
Bell. Bry. Con. Graph. Kali. carb.
Nux vom. Rhus. Spig. Stann.
Ecchymosis: Apis. Arn.
Inflammation : Acon. Apis. Ars.
Bell. Bry. Calc. Carb. veg, Caust.
Cham. Dig. Euphr. Hep. Hyosc.
Ign. Kali, carb. Lyc. Nuz vom. Puls.
Rhus. Sep. Spig. Spong. Staph.
Stram. Sulph. Thuj. Verat. alb.
Itching : Ars. Bell. Bry. Calc.
Camph. Carb. veg. Caust. Cocc. Dros.
Euphr. Kali. carb. Lyc. Nux vom.
Phosph. Rhus. Spong. Staph. Sulph.
Verat. alb.
Paralysis: Acid. nit. Bell. Cocc.
Gelsem. Rhus. Sep. Spig. Stram.
Verat. alb.
Pimples: Hep. Lyc.
Sulph.
Smarting: Camph. Carb. veg. Caust.
Ign. Rhus. Spig.
Petr. Rhus.
Spasm : Alum. Bell. Croc. Hyosc.
Sep. Sil. Stram.
Styes: Apis. Dig. Ferr. Lyc. Puls.
Rhus. Sep. Sil. Stann. Staph.
Swelling: Acon. Apis. Arn. Ars.
Bar. Bell. Bry. Calc. Caust. Cham.
Euphr. Ferr. Hyosc. Ign. N. vom.
Phos. Puls. Rhus. Ruta. Spong.
Stram. Sulph.
Tetter: Bry. Rhus. Sep.
Ulceration : Colch. Croc. Ign. Lyc.
EARS.
935
Calc. Cham. Euphr. Ign. Merc. sol.
Nux vom. Phos. Puls.
Itching: Arn. Calc. Caust. Cina. Hell.
Hyosc. Watr. mur. Plat. Puls.
– int.: Bell. Caust. Con. Lyc. Nux wom.
Puls. Ruta. Sep. Staph.
– ext. : Ant. crud. Bry. Cina. Euphr.
Hyosc. Puls. Sep.
Smarting: Acid. mur. Carb. veg. Nuz
vom. Sep. Sil.
— int. : Con. Graph. Hell. Kali. carb.
Nuz vom. Puls. Staph.
Natr. mur. Nux wom. Phosph. Puls.
Rhus. Sil. Spig. Staph. Stram.
Corners of the eye.
Burning : Acid, phos. Agar.
Stann. Staph. Sulph.
Eye-gum : Ant. crud. Calc. Caust.
Alum.
Aur. Bar. Bell. Calc. Cina. Graph.
Hell. Natr. mur. Phosph. Sep. Spig.
Dig. Euphr. Graph. Ipec. Natr.
mur. Nux vom. Rhus. Sil. Staph.
Thuj.
Inflammation : Acon. Alum. Ars.
IV.
Boring : Alum. Aur. Bar. Bell.
Caust. Euphr. Hell. Plat. Plumb.
Sil. Spig. Stann.
Discharge, of blood: Bry. Cic.
Graph. Merc. sol. Petr. Phos.
— of matter:
Petr. Puls. Sep. Sulph.
Eruptions: Bar. Cic. Chin. Kali. c.
Petr. Phosph. Puls. Sep. Sil. Spong.
Sulph.
— behind the ears: Ant. crud. Canth.
Chin. Puls. Staph.
Ear-wax, liquid : Merc. Sol.
— blood-red : Con.
— deficient : Calc. Carb. veg.
— increased : Calc. Con. Sep. Sil.
Heat: Acon. Alum. Ars. Bell.
Calc. Canth. Carb. veg. Chin. Gelsem.
Hep. Ign. Kali. carb. Merc. Sol. Watr.
mur. Petr. Puls. Sab. Sep. Sil.
Itching: Acid. nit. Acid. phos. Alum.
Carb. veg.
Caust. Col. Con. Graph. Hep. Ign.
Kali. carb. Lyc. Natr. mur. Nux wom.
Petr. Phosph. Plat. Puls. Rhus. Samb.
Arg. Bar. Bell. Calc.
Sep. Sil. Spig. Stann. Sulph.
Itching of external ear: Gelsem.
Spig. Verat. alb.
Inflammation : Acid. phos. Accm.
Bry. Kali. carb. Lyc. Merc. sol.
Nux vom. Puls. Sil. Spong.
Parotid glands, pains in:
Merc, sol. Phosph. Puls. Rhus.
– pressure : Merc. sol.
– inflammation:
Rhus.
— swelling: Bar. Bell. Bry. Carb. veg.
Cham. Cocc. Con. Dulc. Hyosc.
Ign. Merc. sol. Phos. Puls. Rhus.
Sep. Sil. Sulph.
Alum. Aur. Bell. Calc.
Caust. Kali. carb. Lyc. Merc. sol.
Bry.
Bry.
Cham. Chin. Cocc. Hyosc. Ign.
Cham. Merc. sol.
– ext. : Camph. Ign. Nua, vom. Sulph.
EARS,
Parotid glands, hardness : Bar.
Merc. Sol. Rhus.
— painfulness: Puls.
— stitches: Bell. Chin. Con. Ign. Puls.
Sep. Sulph.
Stitches: Acid. phos. Alum. Amm.
mur Ant. crud. Apis. Arn. Ars. Bar.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Colch. Col. Con.
Dros. Dulc. Ferr. Graph. Hell. Hep.
Ign. Ipec. Kali. carb. Merc. sol.
Natr. mur. Nux vom. Petr. Plat.
Plumb. Puls. Sep. Sil. Spig. Spong.
Stann. Staph. Sulph. Zinc.
Swelling: Acid. nit. Acid. phos. Ant.
crud. Apis. Calc. Caust. Kali. carb.
Lyc. Merc. sol. Natr. mur. Puls.
Rhus. Sep. Sil. Spong. Zinc.
Tearing: Acid phos. Acon. Alum.
Arn. Aur. Bar. Bell. Camph. Canth.
Cham. Chin. Carb. veg. Caust. Con.
Cupr. Dros. Dulc. Graph. Hyosc.
Rali. carb. Lyc. Merc. sol. W. vom.
Plat. Plumb. Puls. Stann. Spig. Sulph.
Zinc.
— behind the ears: Alum. Bar. Bell.
Canth. Plumb. Rhus Sep. Sil.
Ulcers: Alum. Camph. Kali. carb.
Merc. sol. Puls. Ruta. Spong.
Stann. Sulph. -
Hearing.
Hard hearing : Acid. nit. Acid.
phos. Ant. crud. Arm. Ars. Aur. Bar.
Bell. Bry. Calc. Caust. Cham. Chin.
Cic. Cocc. Croc. Dulc. TXros.
Graph. Hyosc. Ign. Iod. Kali. G.
Lyc. Merc. sol. Natr. mur. Petr.
Phos. Puls. Ruta. Sec. corn. Sep.
Sil. Spig. Spong. Stram. Stann.
Sulph. Verat. alb.
936
NOSE.
Glon. Graph. Kali. carb. Ign. Lyc.
Merc. sol. Natr. mur. Nux vom. Op.
Petr. Plat. Puls. Rhus. Sep. Sil.
Stann. Staph. Sulph. Verat. alb.
Sensitive hearing, excessive : Acid.
phos. Bell. Carb. veg. Coff. Graph.
Ign. Lyc. Wuz vom. Phosph. Sep.
Sulph.
Sensitiveness to sound: Acid phos.
Acon. Bell. Cactus. Chim. Coff.
Colch. Con. Ign. Iod. Merc. sol.
Natr. carb. Nux vom. Puls. Sil. Spig.
Zinc.
Sensitiveness to music : Acon. Cac-
tus. Cham. Coff. Ign.
Thundering : Caust. Plat.
Whizzing : Acon. Alum. Arn. Ars.
Aur. Bar. Bell. Bry. Cactus. Calc.
Canth. Carb. veg. Caust. Cham.
Chin. Cupr. Ferr. Hep. Kali. carb.
Lyc. Natr. mur. Nux wom. Op. Petr.
Phos. Puls. Ruta. Sec. corn. Sep.
Spig. Sulph. Verat. alb. Zinc.
Illusions of hearing.
Roaring : Acid. mit. Acon. Ant. cr.
Arn. Ars. Aur. Bell. Bry. Cactus.
Calc. Carb. veg. Caust. Cic. Cocc.
Colch. Con. Glon. Graph. Ign. Kali.
carb. Lyc. Merc. sol. Nux wom. Op.
Sec. corn.
Sep. Sil. Staph. Sulph. Thuj. Verat.
Phos. Plat. Puls. Rhus.
alb.
Humming : Aur. Bell. Bry. Caust.
Con. Lach. Lyc. Natr. mur. Nux v.
Puls. Sep. Spig. Sulph.
Insensitive to music : Ign.
Intolerance of music : Acon. Cham.
Coff. Ign. Viol. od.
Reports: Graph. Kali. carb. Natr. c.
Rhus. Sil. Staph. Zinc.
Rushing : Aur. Bar. Bell. Cactus.
Con. Cham. Dulc. Kali. carb.
Cocc.
Natr. mur. Nux wom. Puls. Stann.
Ringing : Acon. Arn. Ars. Aur. Bar.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cic. Con. Dulc.
W. NOSE.
Black pores: Acid. nit.
Sulph.
Blood blown from the nose : Alum.
Ars. Bar. Canth. Caust. Dros. Graph.
Hep. Kali, carb. Lach. Lyc. Watr. m.
Nur vom. Petr. Phos. Puls. Sep. Sil.
Sulph.
Boils : Alum. Lyc.
Bone-pain : Aur. Hyosc. Lach. Merc.
sol.
Cancer:
Sulph.
Ars. Aur. Caic.
Coldness: Arn. Bell. Chin. Dros. Ign.
Nux vonn. Plumb. Verat. alb.
Discharge of matter:
Aur. Cina. Lach. Puls.
Eruption, on the sides of the nose:
Alum. Canth. Chin. Rhus. Spig.
– on the nose : Amt. crud. Aur. Caust.
— in the nose: Ant. crud. Arn. Canth.
Cic. Cocc. Sil. Spig.
– on the top of the nose: Caust. Sep.
Spong.
– in the corners; Dulc. Euphr. Plumb.
Rhus. Thuj.
Inflammation : Apis. Arn. Ars. Aur.
Bell. Canth. Lach. Merc. sol. Natr.
mur. Plumb. Rhus. Sulph.
Itching: Alum. Arm. Bell. Calc. Carb.
veg. Caust. Col. Con. Chin. Cina.
Lach.
Plumb.
Hell. Kali. carb. Lyc. Ign.
Merc. sol. Nux wom. Plat.
Sep.
Sep.
Acid. phos.
Phos. Samb. Sep. Sil. Spig. Staph.
Zinc.
Nose bleed : Acid. nit. A con.
Alum. Ant. Crud. Arn. Ars. Bar.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cina. Coff.
Colch. Con. Croc. Cupr. Dig. Dros.
Dulc. Ferr. Graph. Hep. Hyosc. Ipec.
Kali. carb. Lach. Lyc. Merc. sol.
IMosch. Natr. mur. INux vom.
Phos. Puls. Rhus. Ruta. Sab.
Samb. Sec. corn. Sep. Sil. Spong.
Stann. Sulph. Thuj. Verat. alb.
Pimples: Acid. phos. Alum. Bar. Bell.
Calc. Caust. Con. Dulc. Graph. Kali.
carb. Merc. sol. Petr. Sep. Sil. Sulph.
Zinc.
Scurfs in nose : Alum. Ant. crud.
Arn. Aur. Bry. Canth. Cham.
Cic. Cocc. Hep. Hyosc. Ign. Lach.
Merc. sol. Nux vom. Puls. Sil. Spig.
Staph. Thuj.
– under the nose : Bar, Kali. carb.
Swelling: Apis. Arn. Ars. Aur.
Bell. Bry. Calc. Canth. Caust.
Cham. Cocc. Lyc. Merc. sol. Natr. m.
Phosph. Puls. Rhus. Sep. Spig.
Stann. Stram. Zinc.
Swelling of bones: Aur.
Tetter: Rhus. Spig.
Ulcerated nostrils: Acid. nit. Acid.
phos. Ant. crud. Arn. Aur. Bell.
FACE.
937
Bry. Calc. Cham. Cocc. Graph. Hep.
Merc. sol.
Natr. mur. Nux wom. Phos. Puls. Sep.
Hyosc. Ign. Lach. Lyc.
Spig. Stann. Staph. Zinc.
Warts: Caust. Thuj.
Smell.
Smell of blood : Sil.
– of brandy: Aur.
– sensitive : Acon. Aur. Bar.
Bell.
Cham. Chin. Cocc. Colch. Graph.
Kali. carb. Lyc. Wuz vom. Phos.
Plumb.
Smell, putrid: Aur. Bell. Calc.
Merc. sol. Phos. Sep. Sulph.
– fine, extremely: Acon. Aur. Bell.
Chin. Cocc. Coff. Con. Nux wom.
— deficient: Bell. Hep. Hyosc. Natr.
mur. Op. Plumb. Puls. Ruta. Sec.
corn. Sep. Sil. Zinc.
— catarrhal: Graph. Merc. sol. Puls.
Sulph.
– as of burnt hair: Graph. Sulph.
WI. FACE,
Color and external appearance.
Blue: Acon. Ars. Bry. Camph. Cham.
Cic. Cina. Con. Cupr. Dros. Hyosc.
Op. Samb.
Ign. Ipec. Merc. sol.
Spong. Stram. Verat. alb.
– margins around eyes:
Lyc. Phos. Rhus. Sabin.
alb.
Bloated: Acon. Apis. Arn. Aur. Bar.
Bell. Bry. Cham. Chin. Cina. Cocc.
Ferr.
Hyosc. Ipec. Kali. carb. Led. Lyc.
Merc. sol. Natr. carb. Nux wom. Op.
Spig.
Acid, nit.
Acon. Ant, crud. Arn. Ars. Bry.
Cham. Chin.
Graph.
Hell. Hep. Ign. Jod. Kali. carb.
Lyc. Merc. sol. Natr. mur. Nux v.
Op. Petr. Plumb. Puls. Rhus. Sec.
Cupr. Dig. Dros. Dulc.
Phos. Plumb. Rhus.
Spong. Staph. Stram.
Complexion, jaundiced:
Sep.
Caust. Canth.
Con. Croc. Ferr,
Calc.
Cina.
corn. Sep. Spig. Verat. alb.
— shining : Aur. Cactus. Plumb. Rhus.
— sickly: Acid. phos. Bry. Calc. Canth.
Caust. Chin. Cina. Colch. Cupr.
Kali, carb. Nua, vom. Plumb. Phos.
Puls. Rhus. Sec. corn. Sil. Spig.
Stann. Staph. Sulph. Verat. alb.
– red : Acid. mur. Acon. Arn. Ars.
Bar. Bell. Bry. Calc. Camph. Canth.
Cina.
Coco. Coff. Croc. Cupr. Dig. Dros.
Dulc. Euphr. Ferr. Gelsem. Hyoso.
Hep. Ign. Ipec. Laur. Lyc. Merc.
sol. Natr. carb. Nux wom. Op. Petr.
Rhus.
Ruta. Sabin. Sep. Sil. Sec. corn. Spig.
Spong. Stann. Stram. Sulph. Thuj.
Caust. Cham. Chin. Cic.
Phos. Plat. Plumb. Puls.
Verat." alb. Zinc.
Acid, phos.
Ars. Calc. Cham. Chin. Cina. Cocc.
Cupr. Graph. Hep. Ign. Ipec. Lach.
Sec.
corn. Staph. Stram. Sulph. Verat.
Complexion, red and bluish : Acon.
Apis. Bell. Bry. Hep. Merc. sol.
Op. Phos.
– red, burning cheeks: Acon. Apis.
Arn. Bell. Bry. Cham. Chin. Cina.
Cocc. Coff. Dulc. Hell. Ign. Kali. c.
Lyc. Merc. sol. Nux vom. Op. Plat.
Samb. Stann. Stram.
– red on one side: Acon. Arn. Canth.
Cham. Chin. Ign. Ipec. Nux wom.
Puls. Rheum.
– red, erysipelatous: Apis. Bellad.
Camph. Cham. Graph. Lach. Rhus.
Ruta. Stram.
– sallow : Ars. Bry. Canth. Chin.
Cic. Euphr. Ferr. Hyosc. Ign. Ipec.
Merc. sol. Natr. mur. Nux vom. Op.
Plumb. Phos. Sec. corn. Sil.
Eyes, sunken : Acid. nit. Acid, phos.
Ars. Calc. Camph. Chin. Cic.
Cupr. -Col. Dros. Ferr. Hyosc.
Jod. Lyc. Op. Phos. Sec. corn.
Spong. Stann. Staph. Sulph. Verat.
a1b.
Features, altered: Ars. Bell. Camph.
Canth. Cham. Colch. Rhus. Spig.
Verat. alb.
Freckles: Calc. Kali. carb. Lyc.
INatr. carb. Phos.
Pale: Acid. phos. Acon. Ant. tart.
Apis. Arn. Ars. Bell. Bry. Calc.
Camph. Canth. Carb. veg. Cham.
Chin. Cic. Cina. Col. Con. Cocc.
Cupr. Dig. Euphr. Ferr. Graph.
Hell. Hyosc. Ign. Jod. Ipec. Kali.
carb. Lach. Led. Lyc. Merc. sol.
Nux vom. Op. Plumb. Petr. Phos.
Puls. Rhus. Sabin. Sec. corn.
Sep. Sil. Spig. Spong. Squilla.
Stann. Stram. Sulph. Verat. alb.
2inc.
Spots, yellow: Calc. Hell. Lyc. Natr.
carb. Phos.
– red: Alum. Bell. Canth. Croc. Lyc.
938
FACE.
Merc. sol. Nux vom. Op. Phos. Samb.
Sil. Sulph. Zinc.
Spots, white : Ars. Merc. sol. Natr.
carb.
Swollen veins: Chin. Ferr. Op.
Swelling : Alum. Apis. Ars. Bell.
Bry. Cactus. Calc. Canth. Carb. veg.
Cham. Dulc. Graph. Hell. Hyos.
Kali. carb. Lyc. Natr, mur. Op.
Petr. Phosph. Rhus. Samb. Sep.
Stram.
– of forehead : Ruta.
Blotches: Ant. crud. Ant. tart. Canth.
Cic. Hell. Lach. Led. Nux, vom. Op.
Puls. Viol. tr.
Boils: Alum. Arn. Bell. Bry. Chin.
Led.
Bones, pains of: Colch. Ruta. Rhus.
Samb. Spig. Staph.
Coldness: Camph. Canth. Cham.
Cina. Dros. Hyos. Ign. Ipec. Rhus.
Verat. alb.
Contraction : Acid. nit. Alum. Caust.
Chin. Dulc. Rhus. Sep. Spong. Stann.
Spasms: Bell. Calc. Camph. Canth.
Cham. Cupr.
Stram. Sulph. -
Crampy feeling: Bell. Caust. Cina.
Dig. Ipec. Phosph.
Cocc. Dig. Dulc. Hyosc. Kali. c. Plat.
Rhus. Spong. Stann. Thuj.
Milk crust: Acon. Ars. Calc. Graph.
Hep. Lyc. Merc. sol. Rhus. Sep.
Staph. Sulph. Viol. tr.
Distortion : Bell. Caust. Hyos. Stram.
Drawing: Alum. Aur. Bell. Bry. Carb.
veg. Dig. Dros. Dulc. Euphr. Graph.
Kali. carb. Lyc. Natr. mur. Nux vom.
Petr. Phos. Rhus. Sep. Sil.
tr. Zinc.
Eruption : Alum. Ant, tart. Ars.
Aur. Bar. Calc. Carb. veg. Caust.
Cham. Cic. Colch. Col. Con. Dulc.
Graph. Kali. carb. Lach. Led. Lyc.
Merc. sol. Natr. mur. Petr. Plumb.
Rhus. Sep. Sil. Stann. Staph. Verat.
alb. Viol. tr.
Verat. alb. Zinc.
— around the nose :
Sulph. Zinc.
- around the ears: Acid, mur. Ant. c.
Petr. Phos. Sulph. Zinc.
– on the forehead: Acid. mur. Ant. c.
Arn. Bar. Calc. Canth. Carb. veg.
Cham. Cocc. Hell. Hep. Led. Natr.
mur. Sep. Sil. Staph. Sulph.
Spig.
Stann. Staph. Sulph. Verat. alb. Viol.
around the mouth : Acid. phos. Ant.
crud. Bar. Calc. Carb. veg. Graph.
Petr. Phos. Rhus. Sep. Sil. Staph.
Ant. crud. Bar.
Caust. Dulc. Watr. carb. Sep. Sil.
Erysipelas: Bell.
Rhus.
Flashes of heat: Acid. nit. Arn. Bell.
Cocc. Graph. Lyc. Petr. Sulph. Thuj.
Heat: Acon. Alum. Ant. tart. Apis.
Arn. Ars. Bell. Bry. Calc. Camph.
Canth. Carb. veg. Caust. Cham.
Chin. Cina. Cocc. Coff. Col. Con.
Croc. Cupr. Dig. Dros. Dulc. Euphr.
Apis. Graph.
Ferr. Graph. Hell. Hep. Hyosc.
Ign. Ipec. Kali. carb. Led. Lyc.
Merc. Sol. Natr. mur. Nux vom.
Op. Petr. Plat. Plumb. Phos, Puls.
Rheum. Rhus. Ruta, Sabin. Samb.
Sep. Squilla. Sil. Spig. Spong. Stann.
Staph. Stram. Thuj. Verat. alb. Viol.
fºr.
Itching : Alum. Arn. Aur. Bry. Calc.
Carb. veg. Caust. Col. Con. Dulc.
Graph. Kali. carb. Lach. Lyc. Nux
vom. Op. Petr. Phos. Plat. Plumb.
Rhus. Ruta. Sabin. Sep. Sil. Sulph.
Werat. alb. Zinc.
Faceache : Acid. nit. Acom. Alum.
Aur. Bell. Bry. Calc. Chin. Cina.
Colch. Col. Con. Gelsem. Graph.
Kali. carb. Lyc. Nux vom. Phos.
Sep. Spig. Stann. Staph. Verat. alb.
2inc.
Tearing: Acid, nit. Alum. Aur. Bell.
Bry. Calc. Carb. veg. Cina. Colch.
Con. Dulc. Graph. Kali, carb. Led.
Lyc. Merc. sol. Natr. carb. Plumb. ,
Rhus. Sep. Sil. Spig. Spong. Staph.
Sulph. Thuj. Zinc.
Pimples: Acid. nit. Acid. phos. Ant.
crud. Ant. tart. Ars. Bar. Bell. Calc.
Carb. veg. Caust. Cocc. Con. Dros.
Graph. Kali. carb. Lyc. Merc. sol.
Natr. mur. Nux wom. Petr. Phos.
Rhus. Sep. Sil. Sulph. Stann. Staph.
Werat. alb. Zinc.
Stitches: Aur. Bry. Canth. Chin.
Cocc. Con. Dig. Graph. Ign. Kali. c.
Lyc. Merc. sol. Natr. mur. Petr. Phos.
Plat. Plumb. Rhus. Sabin. Sep. Sil.
Spig. Spong. Staph. Stann. Sulph.
Thuj. Verat. alb.
Sweat: Acon. Arn. Ars. Bell. Bry.
Calc. Camph. Carb. veg. Cham.
Chin. Cina. Cocc. Coff. Con. Croc.
Cupr. Dulc. Dros. Hell. Hep. Hyos.
Ign. Ipec. Led. Lyc. Merc. sol. Natr.
mur. Nuz vom. Op. Petr. Plat. Puls.
Rheum. Rhus. Samb. Sep. Spong.
Staph. Stram. Stann. Sulph. Thuj.
Verat. alb.
— cold, on the forehead: Bry. Cina.
Cupr. Ipec. Rheum. Verat. alb.
Tension : Acon. Alum. Arm. Aur.
FACE.
939
Bar. Bry. Calc. Canth. Colch. Con.
Led. Lyc. Nux wom. Petr. Plat.
Phosph. Puls. Rheum. Rhus. Samb.
Sep. Spong. Verat. alb.
Vesicles: Acid. nit. Alum. Ant. crud.
Ant. tart. Bar. Canth. Caust. Graph.
Petr. Plumb. Phos. Rhus. Sep. Sil.
Sulph. Zinc.
Warmth, feeling of: Acid. phos.
Canth. Chin. Cocc. Coff. Croc. Puls.
Samb.
The lips.
Black: Acid. phos. Acon. Bry. Chin.
IMerc. sol. Verat. alb.
Blue: Ars. Caust. Cina. Con. Cupr.
Dig. Op. Phos. Stram. Verat. alb.
Blisters, bloody: Natr. mur.
– Bry. Ign. Kali. carb. Plat.
Burning : Acid, mur. Acid, phos. Arn.
Ars. Bry. Chin. Hyosc. Merc. sol.
Nux vom. Phos. Rhus. Staph. Spig.
Sulph. Thuj.
Cancer: Ars. Clem. Con. Sil.
Chapping: Alum. Arn. Bry. Calc.
Carb. veg. Cham. Chin. Ign. Natr.
mur. Nux vom. Phos. Puls. Staph.
Werat. alb. Zinc.
Dry: Acon. Alum. Arn. Ars. Bar.
Bell. Bry. Canth. Cham. Chin. Con.
Croc. Dros. Graph. Hyosc. Ign.
Merc. sol. Nux wom. Phos. Plat.
Puls. Rhus. Stram. Thuj. Werat. alb.
Zinc. w
Eruption : Alum. Canth. Natr. mur.
Petr. Rhus. Sulph.
– upper lip : Amm. mur. Ars. Carb. veg.
Cic. Con. Graph. Hell. Plat. Sil.
- lower lip : Aur. Bell. Bry. Carb. veg.
Caust. Clem. Kali. carb. Laur. Watr.
mur. Phos. Plat. Sep. Staph. Sulph.
Glands, indurated: Con. Sulph. Zinc.
– ulcerated: Ign.
Pale: Ferr. Kali. carb. Lyc.
Peeling off : Alum. Bell. Canth. Cham.
Con. Kali. carb. IN atr. mur. INux
vom. Plat. Plumb. Puls.
Pimples: Acid. mur. Arn. Bell. Bry.
Chin. Dulc. Hyosc. Ipec. Kali, carb.
Nuzvom. Rhus. Sep. Sil. Staph. Thuj.
Verat. alb. -
Rhagades: Amm. mur. Arn. Bry.
Kali. carb. Natr. mur. Petr. Puls.
Sep. Sulph.
Scurfs: Acid. mur. Ars. Bar. Bry.
Cham. Ign. Nux vom. Petr. Sil.
Staph. Sulph.
Swelling: Acid, nit. Apis. Arn.
Alum. Aur. Bell. Bry. Carb. veg.
Chin. Dig. Watr. mur. Op. Puls. Rhus.
Sep. Stram. Sulph.
Trembling: Arn. Con. Stram. Sulph.
Twitching: Ars. Carb. veg. Cham.
Dulc Werat. Vir. Zinc.
Ulcers: Acid. nit. Acid. phos. Ars.
Bell. Cic. Con. Dulc. Graph. Merc.
sol. Natr. mur. Wuz vom. Phos. Sep.
Sil. Staph. Sulph.
Lower jaw and articulation of the jaw.
Bone, swelling of: Sil.
Burning: Acon. Caust.
Cramp : Alum. Bell. Cham. Cocc.
Colch. Ign. Kali. carb. Merc. sol.
Nuz vom. Plat. Rhus. Spig. Spong.
Stann. Sulph.
– in the joint: Acon. Arm. Bell. Bry.
Calc. Camph. Canth. Cic. Colch.
Con. Hyosc. Ign. Merc. sol. Nux wom.
Op. Phos. Plat. Plumb. Rhus. Sec.
corn. Spig. Stram. Sulph. Verat.
alb.
Cracking: Acid. nit. Rhus.
Depression : Op.
Pressure: Arn. Aur. Bry. Chin.
Coff. Cupr. Dros. Ign. Led. Phos.
Sabin. Spig. Verat. alb.
Rigidity: Bell. Caust. Cocc. Euphr.
Graph. Hyosc. Merc. sol. Wux, vom.
Petr. Sep. Thuj.
Swelling: Acon. Arn. Ars. Staph.
Werat. alb.
Tearing: Arn. Aur. Bar. Bell. Bry.
Canth. Chin. Cocc. Coff. Colch.
Dros. Graph. Merc. sol. Nux vom.
Phos. Plumb. Puls. Spig. Stann.
Sulph.
Twitching: Arn. Bell. Bry. Canth.
Chin. Cina. Con. Ign. Rhus. Sabin.
Chin.
Burning : Ant. crud. Canth. Caust.
Rhus. Spong.
Coldness : Verat. alb.
Cramp : Bell.
Drawing: Caust. Cupr.
Itching: Alum. Con. Dig. Kali, carb.
Lyc. Natr. mur. Op. Phos. Plat. Puls.
Scill. Spig. Sulph. Zinc.
Numb feeling: Plat.
Pimples: Ant. crud. Bell. Calc. Canth.
Caust. Cic. Clem. Con. Graph. Hep.
Lyc. Merc. sol. Watr. mur. Wuz vom.
Rhus. Sabin. Sil. Spig. Spong. Sulph.
Thuj. Verat. alb. Zinc.
Pustules: Ant. tart. Hep. Merc. Sol.
Rhus. Sabin. Zinc.
940
MOUTH.
WII. TEETH AND GUMS,
Teeth,
Black: Ign. Merc. sol. Plumb. Sep.
Staph.
Bleeding: Acid. phos. Bar. Graph.
Phos. Sulph. Zinc.
Brittle: Lach. Plumb. Staph.
Decay: Amm. mur. Amm. carb. Carb.
veg. Merc. sol. Sil.
Dull: Acid. nit. Puls. Spong. Staph.
Falling out: Ars. Bry. Merc. sol.
Nux vom. Plumb. Sec. corn.
Fetid: Calc. Carb. veg. Graph. Kali.
carb. -
Gritting: Acon. Ant. crud. Ars. Bar.
Bell. Canth. Caust. Cham. Cic.
Coff. Con. Hyosc. Ign. Merc. sol.
Plumb. Podoph. Sec. corn. Sep.
Stram. Verat. alb.
Loose : Acon. Arn. Bry. Camph.
Cham. Chin. Cocc. Hyosc. Merc.
sol. Nux vom. Puls. Rhus. Staph.
Teething : Acon. Arn. Bry. Cham.
Cic. Cina. Coff. Cupr. Hyosc. Ign.
Ipec. Nux vom. Op. Puls. Rhus.
Stram.
Yellow : Acid. nit. Iod. Lyc.
Gums.
Bleeding: Acid. nit. Acid. phos.
Alum. Bar. Bell. Calc. Carb. veg.
Caust. Con. Euphr. Graph. Iod.
Kali. carb. Lyc. Merc. sol. Natr. m.
Nux vom. Phos. Ruta. Sep. Staph.
Sulph. Zinc.
Burning: Acid. mur. Bell. Cham.
IMerc. sol. Nux vom. Petr. Puls.
Rhus. Sep.
VIII. MOUTH,
Buccal cavity,
Aphthale: Acid, nit. Acid. sulph. Ars.
Merc. sol. Nux vom. Puls. Sulph.
Blisters: Acid. nit. Calc. Canth. Jod.
Merc. sol. Phos. Phytolac. Spong.
Staph. Thuj.
Blue : Cic. Merc. Sol.
Bleeding: Bell. Canth.
Burning: Bell. Carb. veg. Canth.
Cham. Cupr. Merc. sol. Petr. Phos.
Plumb. Spong. Sulph. Werat. alb.
Breath, sour: Nux wom.
– bad: Acon. Arn. Aur. Bell. Bry.
Canth. Calc. Carb. veg. Cham.
Chin. Croc. Dig. Ferr. Graph. Kali. c.
Hyosc. Ign. Ipec. Merc. sol. Nux
Corroded: Merc. sol. Staph.
Growths: Staph.
Gum boil: Calc. Canth. Caust. Lyc.
Natr. mur. Petr. Sil. Staph. Sulph.
Heat: Bell. Lyc.
Indented : Merc. sol.
Inflamed : Iod. Merc. sol. Natr. mur.
Nux vom. Petr. Phos, Sil.
Pale: Acid. nit. Carb. veg. Merc. sol.
Plumb. Sabin. Staph.
Putrid: Nux vom. Staph.
Receding: Acid. phos. Carb. veg.
Graph. Lach. Merc. sol. Natr. carb.
Phos. Rhus. Sep. Staph.
Redness: Carb. veg. Iod. IMerc. sol.
Sep.
Sensitive : Amm. mur. Ars.
Caust. Natr. mur. Phos. Puls.
Spongy: Bry. Graph. Merc. sol.
Nux vom. Staph.
Scurvy : Cic. Nux vom. Staph.
Suppuration: Canth. Caust. Lach.
IMerc. sol. Petr.
Swollen : Acid. nit. Alum. Bar. Bell.
Calc. Carö. veg. Caust. Cham. Chin.
Cocc. Graph. Hep. Jod. Kali. c. Lach.
Carb. v.
Lyc. IMerc. sol. Watr. mur. Nux
vom. Petr. Phosph. Plumb. Puls.
Sabin. Sep. Sil. Spig. Spong.
Staph. Sulph.
Ulcerated: Alum. Aur. Calc. Rali. c.
Kali. bich. Lyc. Merc. sol. Wux
wom. Phosph. Sabin. Stann. Staph.
Zinc.
Vesicles: Bell. Calc.
wom. Petr. Sep. Staph.
White: Merc. sol. Staph.
Canth. Nux
vom. Petr. Plumb. Puls. Sep. Spig.
Stram. Sulph. Zinc.
Coldness: Acon. Camph. Caust. Rhus.
Verat. alb.
Dryness: Acid, mur. Acon. Amm. m.
Ars. Aur. Ant. Crud. Arn. Bar. Bell.
Bry. Calc. Carb. veg. Canth. Cham.
Chin. Cina. Cocc. Croc. Ferr. Hyosc.
Ign. Ipec. Kali. carb. Lach. Lyc.
IMIerc. sol. Nux vom. Petr. Phos.
Phytolac. Plumb. Puls. Sep. Sil.
Spig. Stram. Sulph. Verat. alb.
Foulness: Acid. nit. Arn. Ars.
Aur. Bell. Bry. Carb. veg. Cham.
Chin. Graph. Hyosc. Iod. Merc. sol.
Nux vom. Puls. Ruta. Sabin. Spig.
Staph.
MOUTH.
941
Growths: Staph.
Inflamed : Acon. Canth. Colch. Ign.
Merc. sol. Nux vom. Verat. alb.
Rough : Carb. veg. Caust. Cina. Cocc.
Dig. Ipec. Phytolac.
Skin detached : Merc. Sol.
Swelling: Amm. mur. Caust. Canth.
Merc. sol. Sep. Zinc.
Ulcers: Acid. nit. Ars. Graph. Kali.
carb. Merc. sol. Watr. mur. Nux
vom Petr. Phos. Plumb. Sep. Sil.
Staph. Zinc.
Palate.
Blisters: Acid. nit. Wuz vom. Phos.
Spig.
Burning : Acid. mur. Carb. veg.
Camph. Canth. Caust. Cocc. Phos.
Spig. Staph. Thuj.
Dryness: Cina. Cocc. Hell. Merc. sol.
Nux vom. Op. Plumb. Samb. Sep.
Staph. Stram. Sulph. Verat. alb.
Elongated : Calc. Croc. Coff. Dulc.
Iod. Kali carb. Lyc. Merc. Sol.
Inflammation : Bell. IMerc. sol.
Nux vom.
Redness : Ars. Bell. Canth.
Smarting: Carb. veg. Canth. Cham.
Chin. Kali carb. Merc. Sol. Zinc,
Swelling: Apis. Ars. Bell. Chin.
IMerc. sol. Natr. mur. Nux vom.
Stram.
Ulcers: Acid. nit. Acid. phos.
Apis. Aur. Kali carb. Merc. sol.
Natr. mur. Sil.
White : IMerc. sol.
Throat.
(Not the windpipe.)
Ball, hysteric : Calc. Caust. Graph.
Ign. Kali carb. Natr. mur. Plumb.
Sep. Sil. Sulph.
Burning: Acid. nit. Acon. Alum.
Amm. carb. Apis. Ars. Arn. Bell.
Calc. Camph. Canth. Carb. veg.
Caust. Cham. Cocc. Con. Dig. Dros.
Graph. Gelsem. Hyosc. Iod. Lach.
Merc. sol. Nux vom. Petr. Phos.
Puls. Stram. Sec. corn. Spong.
Sulph. Verat. alb. Verat. vir.
Contraction: Acon. Alum. Ars. Bell.
Calc. Caust. Chin. Cic. Hyosc. Merc.
sol. Natr. mur. Phos. Stram. Sulph.
Werat. alb. Werat. vir.
Deglutition, difficult: Acon. Apis.
Arn. Bell. Bry. Calc. Canth. Carb.
veg. Cham. Chin. Hyosc. Ign. Ipec.
JKali carb. Lach. Merc. sol. Natr. mur.
Nux vom. Op. Phos. Phytolac.
Puls. Spong. Stram. Sulph. Thuj.
Werat. vir.
Deglutition, noisy : Arn.
– desire for : Bell. Caust. Con. Ipec.
Merc. sol. Thuj.
– painful: Acid, phos. Acon. Alum.
Apis. Ars. Bar. Bell. Bry. Calc.
Camph. Canth. Carb. veg. Caust.
Cham. Chim. Cocc. Coff. Croc. Ferr.
Graph. Hell. Hep. Ign. Ipec. Kali c.
Lach. Lyc. Merc. sol. Natr. mur.
Nux vom. Petr. Phos. Phytolac.
Puls. Rhus. Ruta. Sep. Sil. Spig.
Staph. Stram. Sulph. Zinc.
Dryness: Acid. nit. Alum. Ant. crud.
Apis. Ars. Bar. Bell. Bry. Calc.
Canth. Caust. Cham. Cocc. Colch.
Cupr. Gelsem. Hyosc. Ign. Ipec.
Kali carb. Lach. Lyc. Merc. sol.
Natr. mur. Nuz vom. Op. Petr. Phos.
Phytolac. Plat. Plumb. Puls. Rhus.
Sabin. Sec. corn. Sep. Sil. Spong.
Stann. Staph. Stram. Thuj. Sulph.
Inflammation : Acon. Apis. Alum.
Ars. Bar. Bell. Bry. Canth. Cham.
Con. Iod. Lach. Lyc. Merc. sol.
Phos. Phytolac. Puls. Rhus. Ruta.
Sep.
Lump in throat: Ant. crud. Arn.
Ars. Bell. Calc. Caust. Croc. Gel-
sem. Hep. Merc. sol. Natr. mur.
Plumb. Phytolac. Sab. Sep.
As if a plug in throat : Acid. mur.
Amm. mur. Bar. Cham. Croc. Ferr.
Gelsem. Hep. Ign. Merc. sol. Natr.
mur. Nux vom. Phytolac. Sep.
Sulph.
Redness : Acid. nit. Accra. Alum.
Apis. Bell. Canth. Lach. Merc.
sol. Phytolac. Spong.
Rolling of drinks, audible: Cupr.
Rough : Acon. Amt. crud. Ars. Bar.
Bry. Carb. veg. Caust. Chin. Cocc.
Dros. Euphr. Graph. Hep. Hell.
Hyosc. Ign. Ipec. Nux vom. Phos
Phytolac. Plat. Plumb. Rhus.
Spong. Stann. Staph. Sulph. Thuj.
Verat. alb.
Scraping : Alum. Ars. Bry. Carb.
veg. Cocc. Croc. Dros. Dulc. Kali c.
Hyosc. Wuz vom. Phytolac. Puls.
Rhus. Stann. Thuj. Verat. alb.
Smarting : Carb. veg. Dros. Hyosc.
Nux wom. Sep.
Sore throat, chronic : Amm. carb.
Bell. Bar. Caust. Dulc. Lach. Lyc.
Puls. Rhus. Zinc.
– in measles: Carb. veg.
Heat: Acid. nit. Bell. Cham. Dulc.
942
MOUTH.
Euphr. Ferr. Hyosc. Iod. Merc. sol.
Phos. Sep. Stram.
Spasm: Alum. Carb. veg. Con. Dig.
Graph. Ipec. Phos. Sep. Stram.
Sulph. Verat. alb.
Swelling: A con. Bell. Bry. Carb. v.
Cham. Chin. Cimicif. Hep. Hyosc.
Iod. Ign. Lach. Lyc. Merc. sol.
Petr. Phytolac. Spig. Stann.
Sulph.
TJvula inflamed : Apis. Bell. Merc.
sol. Phytolac. Ruta. Zinc.
– elongated: Calc. Croc. Coff. Dulc.
Iod. Kali carb. Lyc. Merc. sol.
— swollen: Bell. Calc. Chin. Coff. Dulc.
Kali carb. Lyc. Merc. sol. Nux
vom. Puls. Phytolac. Sil. Sulph.
Zinc.
Saliva.
Froth at mouth: Bell. Calc. Camph.
Canth. Cham. Cic. Cocc. Cupr.
Hyosc. Ign. Op. Plumb. Sec. corn.
Stram. Verat. alb.
— bloody : Canth. Hyosc. Sec. corn.
Stram.
Mucus, bitter : Arn.
— bloody: Alum. Amm. mur. Iod. Lyc.
Merc. sol. Phos. Sec, corn. Sulph.
Stram. Thuj. Zinc.
– foul: Bell. Calc. Carb. veg. Cham.
Chin. Sep. Zinc.
— yellow : Bry. Gelsem. Phytolac. Spig.
— green : Carb. veg. Colch. Natr. mur.
Plumb. Zinc.
– salt: Alum. Amm. carb. Graph. Nux
wom. Phos Rhus. Sulph.
— sour: Plumb.
— tasting badly : Merc. sol.
— viscid : Acid.phos. Alum. Ant. crud.
Bell. Bry. Cham. Iod. Ign. Merc.
sol. Nux wom. Phos. Plumb. Puls.
Rhus. Samb.
Saliva, bitter: Arn. Ars. Merc. sol.
Thuj.
– frothy: Ant. crud. Apis. Bell. Bry.
Camph. Canth. Cic. Cocc. Ign. Ipec.
Phos. Plumb. Sil. Sabin. Sec corn.
Spig. Stram.
– watery: Camph. Colch. Dig. Dros.
Hell. Iod. Ipec. Lach. Nuz vom. I’hos.
Phytolac. Plumb. Staph.
— increased flow : Acid. nit. Acon.
Alum. Ant. crud. Apis. Bar. Bell.
Bry. Calc. Camph. Canth. Carb. veg.
Caust. Cham. Chin. Cocc. Colch.
Dros. Dulc. Euphr. Graph Hell. Hep.
Hyosc. Ign. Ipec. Lach. Lob. inf.
Merc. sol. Natr. mur. Nux vom.
Phos. Phytolac. Podoph. Puls. Rhus.
Sep. Spig. Spong. Staph. Stram.
Sulph. Verat. alb.
Tongue.
Black : Ars. Chin. Op. Sec. corn.
Blotches: Apis. Dros. Lyc. Phos.
Blisters: Acid. nit. Amm. caró. Ars.
Apis. Bar. Bell. Bry. Calc. Canth.
Carb. veg. Caust. Cham. Chin. Croc.
Graph. Hell. Kali carb. Natr. mur.
Nux vom. Phos. Phytolac. Puls.
Sep. Spig. Spong, Staph.
Blue : Acid, mur. Ars. Dig. Lach.
Burning : Acon. Alum. Ars. Bar. Bell.
Bry. Calc. Canth. Carb. veg. Cawst.
Chin. Coff. Col. Croc. Graph. Hyosc.
Ign. Kali carb. Lach. Merc. sol.
Natr. mur. Op. Phos. Plat. Plumb.
Rhus. Spig. Spong. Sulph. Verat. alb.
Verat. vir.
Coated, brown : Ars. Bell. Bry.
Carb. veg. Plumb. Sabin. Sec. corn.
Sulph. &
— yellow : Acon. Alum. Arn. Ars.
Bell. Bry. Cham. Chin. Cocc.
ECali carb. Lach. Merc. sol. Sabin.
Stann. Zinc.
— like fur: Merc. Sol. Puls.
— slimy: Acon. Bell. Canth. Cham.
Chin. Cina. Ign. Merc. sol. Wuz
vom. Phos. Plumb. Puls. Sec. corn.
Sep. Sil. Stann.
– dirty : Acon. Ant. crud. Arn.
Chin.
– blackish: Ars. Bry. Merc. sol.
Sec. corn.
— white : Acon. Alum. Ant. C. Ars.
Arn. Bell. Bry. Calc. Canth. Carb. v.
Cham. Chin. Cina. Croc. Dig.
Euphr. Ign. Ipec. Lob, inf. Merc.
sol. Natr. mur. Petr. Phos. Plumb.
Puls. Rheum. Spig. Staph. Sulph.
Verat. alb. Zinc.
Cracked : Acid. phos. Bar. Bell.
Bry. Calc. Cham. Chin. Lach. Sec.
corn. Spig. -->
Dry: Acid. phos. Acon. Apis. Arn.
Ars. Bell. Bry. Calc. Canth. Carb.
veg. Caust. Cham. Cocc. Coff. Con.
Dulc. Gelsem. Kali carb. Lyc. Hell.
Hyosc. Ipec. Lach. Merc. sol. Op.
Phos. Plumb. Puls. Rhus. Sep. Staph.
Stram. Sulph. Verat. alb. Zinc.
Heat: Acon. Bell. Canth. Carb. veg.
Plumb. Puls. Stram. Sulph.
Heavy : Acid. mur. Bell. Calc. Carb.
veg. Merc. sol. Natr. mur. Plumb.
Nux wom. Ruta.
Indented : Merc. sol.
Inflammation : Acon. Apis. Arm.
APPETITE.
943
Rali carb. Nux wom. Op. Petr. Phos.
Puls. Sep. Sulph. Werat. alb. -
Withering: Verat. alb.
Speech.
Speech, impeded: Acid, mur. Acon.
Arn. Ars. Bell. Bry. Calc. Canth.
Carb. veg. Caust. Cocc. Con. Dulc.
Hyosc. Ign. Lyc. Merc. sol. Natr.
mur. Nux vom. Op. Plumb. Petr.
Phos. Sec. corn. Spong. Stann.
Stram. Sulph. Verat. alb. Zinc.
— hurried : Acon. Bry. Hep. Hyosc.
Merc. sol. Stram.
— slow: Thuj.
— low tone : Bell. Canth. Cham. Chin.
Hep. Nux wom. Op. Sec. corn. Staph.
Verat. alb.
– nasal: Bry. Kali carb.
Speechless: Acid. mur. Arn. Ars.
Bar. Bell. Bry. Chin. Con. Cupr.
Hyosc. Lyc. Merc. sol. Nux vom.
Op. Phos. Plumb. Puls. Ruta. Sec.
corn. Stram. Verat. alb.
Stuttering : Acon. Arn. Bell. Cham. .
Hell. Op. Sec. corn. Stram. Verat.
alb.
Voice, low : Ant. crud. Canth. Ign.
Nux wom. Op. Puls. Sec. corn. Spong.
Werat. alb.
— indistinct : Bry. Cocc. Hyosc. Sec.
corn. Stram. Verat. alb.
— loss of : Ant. crud. Canth. Caust.
Dros. Hep. Hyosc. Lach. Plumb.
Ruta. Spong. Verat. alb.
Canth. Cham. Lach. Nux vom.
Plumb.
Paralysis: Acid. mur. Acon. Bar.
Cocc. Dulc. Gelsem.
Lach. Nux vom. Op. Rhus. Ruta.
Sec. corn. Stram.
Red : Bell. Cham. Gelsem. Phytolac.
Rhus. Verat. alb.
Roughness: Acon. Alum. Bar. Calc.
Carb. veg. Cocc. Dulc. Graph. Hyosc.
Merc. sol. Phos. Sep. Stram.
Sulph.
Smarting : A con. Arn. Ars. Bell.
Cham. Chin. Col. Croc. Dros. Ign.
Ipec. Lach. Natr. mur. Op. Rhus.
Sep. Sulph. Werat. vir. Zinc.
Sore: Acid, nit. Ars. Canth. Cic. Dig.
Kali carb. Lach. Lyc. Merc. sol. Natr.
mur. Op. Phytolac. Sil.
Swelling : Apis. Ars. Bell. Bry.
Chin. Cic. Cimicif. Dig. Dros. Glon.
Lach. Merc. sol. Watr. mur.
Ruta. Sec, corn. Sil. Stram. Verat.
alb. -
Trembling: Acid. phos. Bell. Lach.
Stram.
Ulcers: Acid. nit. Acid, mur. Amin, carb.
Apis. Ars. Canth. Chin. Cic. Dros.
Eali carb. Lyc. Merc. sol. Natr. mur.
Op.
Ulcers, at the edge of tongue: Acid.
nit. Caust. Merc. sol. Thuj.
– under the tongue: Lyc.
White: Apis. Ars. Canth. Col. Hell.
Ipec. Hyosc.
Plumb.
IX. APPETITE,
Loss of appetite : Acon. Alum.
Ant. crud. Arm. Ars. Bar. Bell.
Bry. Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cic. Cocc. Coff. Colch.
Con. Croc. Cupr. Ferr. Graph. Hyosc.
Ign. Ipec. Lach. Lyc. Merc. sol.
Natr. mur. Nux vom. Op. Phos.
Plat. Puls. Rheum. Rhus. Ruta. Sec.
corn. Sep. Sil. Stann. Staph. Sulph.
Thuj. Verat. alb.
Fastidious appetite : Acon. Ant. c.
Ars. Bell. Bry. Carb. veg. Caust.
Cham. Chin. Cocc. Graph. Ign. Jach.
Lyc. Natr. mur. Nux vom. Puls.
Sep. Sulph.
Loathing of food : Acon. Ant. crud.
Ant. tart. Ars. Bry. Canth. Caust.
Chin. Cocc. Dros. Ipec. Iach. Lyc.
Merc. Sol. Nux vom. Petr.
Sep. Sil.
Satiety when eating, sudden : Ign.
Puls.
Lyc. Merc. sol. Wuz vom. Natr. mur.
Thuj.
Hunger: Alum. Ant. crud. Ars. Aur.
Bell. Bry. Calc. Canth. Carb. veg.
Cham. Chin. Cina. Cocc. Coff.
Graph. Hell. Hyosc. Ign. Lyc.
Merc. sol. Natr. mur. Wuz vom. Op.
Petr. Phos. Plat. Plumb. Puls. Rhus.
Sec. corn. Sep. Sil. Spong. Staph.
Verat. alb.
Hunger,
— without appetite: Ars. Bell. Bry.
Calc. Chin. Dulc. Hell. Ign. Lyc.
Natr. mur. Nux wom. Op. Puls.
Rhus. Sil. Sulph. Verat. alb.
– inordinate : Ars. Bry. Calc. Cham.
Chin. Cina. Cocc. Graph. Hell.
Hyosc. Iod. Lyc. Watr. mur. Nux
vom. Op. Phos. Puls. Rhus. Sep. Sil.
Spig. Sulph. Werat. alb.
Thirst : Acon. Ant. crud. Arn. Ars.
944
TASTE – ERUCTATIONS.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cina. Coff. Croc.
Cupr. Dros. Dulc. Ferr. Hep. Hyosc.
Ign. Kali carb. Merc. sol. Natr.
mur. Nuz vom. Plumb. Rhus. Sec. corn.
* Thirst, loss of: Acid, phos. Apis. Ars.
Taste,
Eructations, bitter: Alum. Arm. Ars.
Bry. Cham. Chin. Calc. Carb. veg.
Cocc. Dros. Hyosc. Ign. Kali carb.
Lyc. Merc. sol. Nux vom. Puls.
Sil. Spong. Stann. Sulph. Verat. alb.
*
Sil. Stram. Sulph. Verat. alb.
Bell. Camph. Canth. Chin. Con. Hell.
Hep. Lyc. Nux mosch. Op. Puls.
Rhus. Sep. Spig. Spong. Staph.
Thirst, with aversion to drink: Arn.
Bell. Canth. Caust. Hyosc. Lach.
Lyc. Watr. mur. Nux vom. Rhus.
Samb. Stram.
X. TASTE.
bitter: Acid. nit.
Rhus. Sabin. Sec. corn.
alb.
of blood : Alum. Ars. Canth. Ferr.
Ipec. Kali carb. Rhus. Sabin. Zinc.
burnt: Bry. Puls. Scill. Sulph.
nauseous: Bry. Nux wom. Puls.
earth: Puls.
flat: Alum. Ant. crud. Ars.
Bell. Bry. Chin. Col.
corn. Stann. Staph.
foul: Acid. mur. Acid, phos. Acon.
Arn. Ars. Aur. Bell. Bry. Cham.
Rali carb. Lyc.
IMerc. sol. Nux vom. Puls. Rhus.
Con. Cupr. Ign.
Spig. Staph. Verat. alb.
of foul eggs: Acon. Arn. Hep.
Acon.
Alum. Amt. Crud. Arn. Ars. Aur.
Bar. Bell. Bry. Calc. Canth. Carb.
veg. Cham. Chin. Cocc. Coff. Croc.
Cupr. Dig. Glon. Hyosc. Ign. Ipec.
Kali carb. Isyc. Merc. sol. Natr.
mur. Nux vom. Op. Petr. Phos. Puls.
Sep. Sil.
Spong. Staph. Stram. Sulph. Verat.
Taste, bilious:
Aur.
Ign. Ipec.
Natr. mur. Puls. Rhus. Rheum. Sec.
Acon. Bry. Cham.
Puls. Werat. alb.
— insipid: Acon. Alum. Ars. Bell. Bry.
Chin. Ign. Kali carb. Petr. Phosph.
Rheum. Sabin. Spig. Stann. Staph.
salt : Alum. Ars. Bar. Bell. Calc.
Carb. veg. Chin. Coff. Croc. Iod.
Merc. sol. Puls. Sulph.
Sour : Acid, nit. Acon. Alum. Ars.
Aur. Bar. Bell. Calc. Canth. Carb. v.
Con. Cham. Chin. Cocc. Graph. Ign.
Kali carb. Lyc. Merc. sol. Nux vom.
Phos. Puls. Rhus. Sep. Sil. Sulph.
slimy: Alum. Arn. Ars. Bell. Cham.
Chin. Cocc. Dig. Hell. Hep. Lyc.
Merc. Sol. Nux wom. Petr. Phos.
Rheum. Rhus. Sep. Sulph.
sweetish : Alum. Aur. Bell. Bry.
Canth. Chin. Coff. Croc. Cupr. Ferr.
Kali carö Lyc. Merc. sol. Wuz vom.
Phos. Plat. Plumb. Puls. Sulph.
lost : Alum. Ant. crud. Bell. Bry.
Calc. Hyosc. Ipec. Kali carb. Lyc.
Merc. sol. Natr. mur. Sec. corn. Sep.
Sil. Stram. Sulph. Verat. Zinc.
XI. ERUCTATIONS.
Verat. vir.
foul : Acon. Arn. Bell. Cocc. Merc.
sol. Nux vom. Phos. Puls. Sep.
Sulph.
after eating: Ant. crud. Bell. Bry.
Chin. Cina. Cocc. Coff. Ferr. Graph.
Ign. Natr. mur. Phos. Puls. Rhus.
Sil. Sulph. Thuj.
bilious: Arm. Bry. Cocc. Dros. Hep.
Nuz vom. Puls. Spong, Werat. alb.
spasmodic : Ferr. Nux vom. Phos.
Ruta.
loud: Ant. crud. Caust. Carb. veg.
Eructations,
Con. Kali carb. Lyc. Petr. Phos.
Plat. Puls.
empty: Acon. Alum.
Ant. crud. Ars. Bell. Bry. Calc.
Canth. Carb. veg. Caust. Col. Con.
Cham. Chin. Cocc. Coff. Colch. Croc.
Dulc. Graph. Ign. Ipec. Lyc.
IMerc. sol. INatr. mur. Nux wom.
Phos. Plumb. Plat. Rhus. Ruta.
Sabin. Sep. Sil. Spig. Spong.
Staph. Verat. alb.
sour: Acid. Sulph. Ars. Bar. Bell.
Bry. Calc. Carb. veg. Cham. Chin.
Con. Dros. Dig. Gelsem. Graph. Ign.
IKali carb. Lyc. Merc. sol. Natr. m.
Nux vom. Op. Phos. Phytolac.
Puls. Sabin. Sil. Stann. Sulph.
Verat. alb. Zinc.
HEART-BURN, REGURGITATION.—NAUSEA, WOMITING.
945
Eructations, fetid: Cocc. IMerc.
sol. Watr. mur. Nua, vom. Sulph. Thuj.
– suppressed: Acon. Alum. Bar. Bell.
Calc. Canth. Caust. Cocc. Con.
Hyosc. Ign. Kali carb. Nux wom.
Phos. Plat. Plumb. Puls. Sulph.
XII. HEART-BURN, REGURGITATION.
Heart-burn : Alum. Ant. crud. Arn.
Ars. Bar. Bell. Calc. Carb. veg.
Caust. Cham. Chin. Croc. Con. Dig.
Dulc. Ferr. Graph. Iod. Ign. Lyc.
Merc. Sol. Natr. mur. Nux vom.
Petr. Verat. vir.
Regurgitation, bitter: Arn. Bar. Bry.
Dros. Ign. Wuz vom. Phos. Puls.
Werat. vir.
– salt: Arn. Lyc. Werat. alb.
— sour: Acid, sulph. Alum. Cactus. Calc.
Con. Dros. Gelsem. Wuz vom. Petr.
Plumb. Puls. Rhus. Sabin. Spong.
Werat. Vir.
— of food : Amm. mur. Ant. crud. Arn.
Bell. Bry. Canth. Carb. veg. Cham.
Dulc. Ferr. Ign. Lyc. Merc. sol. Nux
vom. Phos. Plumb. Podoph. Puls.
Sep. Sulph.
— of water : Acid. Sulph. Acon. Arn.
Bar. Bry. Cann. Caust. Cina. Hep.
Kali carb. Merc. sol. Nux wom. Petr.
Phos. Plumb. Puls.
Rising: Alum. Bell. Calc. Chin. Phos.
Puls. Rhus. Stann.
– hot: Canth. Carb. veg. Cic. Coff.
Croc. Dulc. Hell. Merc, sol. Wuz vom.
Plat.
Rising, cold : Verat. alb. -
— sweet : Acon. Chin. Plat. Merc. sol.
Stann.
— burning: Ars. Calc. Carb. veg. Croc.
Hep. Hell. Lyc. Nux vom. Phos.
Sabin. Sec. corn. Sep. Sil. Staph.
Sulph. Thuj. Verat. alb. Zinc.
Water-brash, bitter: Graph. Lob. inf.
Nux mosch. Sulph. Verat. vir.
— sour: Bell. Cactus. Calc. Con. Natr. c.
Sulph. Werat vir.
— general : Acid. nit. Acon. Alum.
Ars. Bar. Bry. Calc. Canth. Carb.
veg. Caust. Cic. Cina. Cocc.
Dros. Ferr. Hep. Ign. Kali carb.
Lyc. Natr. mur. Wuz vom. Petr.
Phos. Puls. Sep. Sil. Spig. Staph.
Sulph. Verat. alb.
– with shuddering: Sil.
– with hiccup: Acon. Alum. Ant. c.
Ars. Bar. Bell. Bry. Calc. Canth.
Carb. veg. Caust. Cham. Cic. Cina.
Cocc. Coff. Colch. Con. Cupr. Dig.
Dros. Dulc. Euphr. Graph. Iod.
Kali carb. Lob. inf. Merc. sol. Watr.
mur. Nux vom. Op. Phos. Puls.
Samb. Sep. Spong. Staph. Stram.
Sulph. Verat. alb.
XIII. NAUSEA, WOMITING.
Loathing : Acon. Ant. Crud. Ant.
tart. Arn. Bar. Bell. Bry. Canth.
Cham. Chin. Cocc. Colch. Cupr.
Dig. Dulc. Ferr. Hep. Ign. Ipec.
Rali carb. Merc. sol. Wuz vom. Op.
Phos. Plumb. Puls. Sec. corn. Sep.
Sil. Spig. Stram.
Nausea, generally: Acon. Alum.
Ant. crud. Ant. tart. Arn. Ars.
Bell. Bry. Cactus. Calc. Carb, veg.
Cham. Chin. Cocc. Coff. Con. Croc.
Cupr. Dig. Dros. Dulc. Eupat. perf.
Glon. Gelsem. Hep. Ign. Ipec. Kali
carb. Lob. inf. Lyc. Mosch. Merc. sol.
Națr. mur. Nux vom. Petr. Phos.
Phytolac. Puls. Rhus. Ruta. Sep.
Sil. Staph. Sulph. Verat. alb.
– in the throat: Acid. phos. Acon.
Ars. Bell. Chin. Cocc. Coff. Cupr.
Ferr. Merc. sol. Puls. Rhus. Spig.
Stann. Staph. Sulph. -
Nausea, in stomach : Acon. Arn. Calc.
Canth. Cham. Chin. Cic. Cocc. Croc.
Cupr. Hell. Ipec. Kali carb. Lyc.
Merc. Sol. Natr. mur. INux vom.
Phos. Podoph. Puls. Rhus. Sil.
Sulph. Verat. alb.
— in the abdomen : Bell. Bry. Cocc.
Cupr. Hell. Hep. Puls. Rheum. Samb.
Sil. Staph.
Qualmishness : Acid. nit. Acon.
Arn: Ars. Bar. Bell. Bry. Cactus.
Calc. Carb. veg. Caust. Cham. Chin.
Cina. Coff. Croc. Dig. Euphr. Hep.
Ign. Ipec. Kali carb. Lyc. Natr. c.
Nux vom. Petr. Phos. Phytolac.
Plat. Puls. Rhus. Sil. Staph. Sulph.
Thuj. Verat. alb.
60
946 STOMACH, AND, PIT OF STOMACH.
Retching: Acon. Ant. crud. Ant.
tart. Arn. Ars. Bell. Bry. Canth.
Chin. Cocc. Cupr. Dig. Dulc. Glon.
Hyosc. Ipec. Lyc. Natr. mur.
Plumb. Puls. Sabin. Sec. corn. Sulph.
Verat. alb.
Vomit, inclination to : Acon. Ant.
tart. Ant. crud. Apis. Arn. Ars.
Aur. Bell. Bry. Cactus. Canth.
Cham. Chin. Cocc. Coff. Croc. Cupr.
Dig. Ferr. Gelsem. Graph. Hep.
Hyosc. Hell. Ign. Iod. Ipec. Lyc.
Merc. sol. Nux vom. Op. Plat.
Podoph. Plumb. Puls. Phytolac.
Bhus. Sabin. Sec. corn. Sep. Sil.
Spig. Spong. Staph. Stram. Sulph.
Thuj. Verat. alb.
Vomiting, generally: Ant. crud.
Ant. tart. Apis. Arg. Arn. Ars.
Bar. Bell. Bry. Cactus. Calc. Camph.
Canth. Cham. Chin. Cina. Cocc.
Coff. Colch. Con. Cupr. Dig. Dros.
Dulc. Eupat. perf. Ferr. Graph.
Hell. Hep. Hyosc. Ipec. Iod. Kali
carb. Lach. Lyc. Merc. sol. Nux
vom. Phos. Phytolac. Op. Plumb.
Podoph. Puls. Ruta. Sabin. Sec.
corn. Sep. Sil. Sulph. Verat. alb.
Zinc.
— bitter: Bry. Canth. Cham. Chin.
Cocc. Cupr. Ipec. Sec. corn. Sep.
Sil. Sulph. Thuj. Verat. alb.
— bloody: Acon. Arn. Ars. Bry. Cac-
tus. Camph. Canth. Chin. Cupr.
Dros. Ferr. Hyosc. Ipec. Lyc.
Nux vom. Op. Phytolac. Plumb.
Puls. Rhus. Sep. Stann. Verat. alb.
Zinc.
-— bilious : Acon. Ant. crud. Apis.
Ars. Bell. Bry. Canth. Cham.
Colch. Con. Cupr. Dig. Dros. Dulc.
Eupat. perf. Hyosc. Ipec. Tod. Kali
carb. Lyc. Merc. sol. Natr. mur.
. Nux vom. Phos. Phytolac. Puls.
XIV. STOMACH, AND PIT OF STOMACH,
Stomach.
As if bloated: Alum. Bell. Bry.
Carb. veg. Chin. Con. Croc. Dulc.
Ferr. Hell. Iod. Lyc. Nuz mosch.
Nur vom. Op. Petr. Phos. Podoph.
Rheum. Sabin. Stann. Zinc.
Burning: Acid, phos. Acon. Apis.
Ars. Bar. Bell. Bry. Calc. Camph.
Canth. Carb. veg. Chin. Cic.
Colch. Con. Croc. Dig. Graph. Ign.
Sabin. Sec. corn. Sep. Sil. Stann.
Stram. Verat. alb. Zinc.
Vomiting, yellow : Ars. Bry. Colch.
Iod. Ipec. Plumb. Verat. alb.
yellow-green: Ars. Bry. Dulc. Ipec.
Verat. alb.
of drinks: Ant. crud. Dulc. Ipec.
green: Acon. Ars. Bry. Cham.
Cupr. Dig. Hell. Hep. Hyosc. Ign.
Ipec. Nux vom. Op. Plumb. Puls.
Stram. Verat. alb.
greenish black: Plumb. Petr. Phos.
of urine: Op.
of faeces: Bry. Nux vom. Op. Plumb.
sour: Ars. Bell. Calc. Caust.
Cham. Chin. Cocc. Ferr. Graph.
Hep. Ipec. Lyc. Nux vom. Op.
Phos. Puls. Sabin, Sec. corn. Stann.
Stram. Sulph. Verat. alb.
frothy : Verat. alb.
of mucus: Acon. Ant. crud. Apis.
Ars. Bar. Bell. Bry. Cham. Chin.
Cocc. Cupr. Dig. Dulc. Ferr. Graph.
Hep. Hyosc. Ign. Ipec. Lyc. Merc.
sol. Nux vom. Phytolac. Puls
Phos. Sec. corn. Sil. Stram. Sulph.
Verat. alb.
of food : Ant. crud. Amt. tart. Arn.
Ars. Bell. Bry. Calc. Canth. Cham.
Chin. Cina. Cocc. Coff. Col. Dig.
Dros. Ferr. Graph. Hyosc. Ign.
Ipec. Kali carb. Lach. Lyc. Merc.
sol. Nux vom. Op. Plumb. Puls.
Podoph. Sabin. Sep. Sil. Stamn.
Sulph. Verat. alb.
fetid: Cupr. Ipec. Plumb. Podoph.
Sec. corn. Werat. alb.
watery: Bry. Chin. Cupr. Dros.
Ferr. Hyosc. Ipec. Phytolac. Puls.
Stram. Verat. alb.
black : Arn. Calc. Camph. Chin.
Hep. Ipec. Lach. Lyc. Nux vom.
Op. Petr. Phos. Plumb. Sec. corn.
Stram. Sulph. Verat. alb.
Iod. Nuz vom. Petr. Phos. Sec. corn.
Sep. Sil. Sulph.
Burning, as if something alive in it:
Croc.
Cold : Ars. Nux vom. Puls. Verat.
alb.
Coldness: Acid. sulph. Alum. Ars.
Bar. Con. Graph. Ign. Natr. mur.
Phos. Sulph.
Constriction: Acon. Alum. Bry. Bell.
Calc. Carb. veg. Chin. Con. Cocc.
STOMACH, AND PIT OF STOMACH.
947
Lyc. Nux wom. Phos. Plumb. Sil.
Sulph. Zinc.
Cramp : Acid, sulph. Ars. Ant. crud.
Arn. Bar. Bell. Bry. Calc. Carb. v.
Caust. Cham. Chin. Cocc. Con.
Cupr. Dig. Ferºr. Hyosc. Iod. Ign.
Ipec. Kali carb. Lyc. Merc. sol. Watr.
carb. Natr. mur. Nux vom. Petr.
Phos. Plutnb. Puls. Sec. corn. Sep.
Sil. Stann. Staph. Sulph. Thuj.
Verat. alb.
Cutting: Alum. Ant, crud. Ars. Calc.
Canth. Cham. Col. Dig. Kali carb.
Nuzvom. Petr. Phos. Stann. Sulph.
Empty feeling: Acid mur. Alum. Bar.
Bry. Carb. veg. Caust. Chin. Cimicif.
Dig. Gelsem. Graph. Ign. Ipec. Iod.
Kali carb. Lyc. Natr. mur. Nux wom.
Petr. Phos. Plat. Plumb. Rheum.
Rhus. Verat. alb.
Fulness, feeling of : Acid, sulph. A con.
Alum. Arn. Bar. Calc. Canth. Carb.
veg. Cham. Chin. Cocc. Ferr. Hell.
Iod. Kali carb. Ign.
Merc. sol. Wuz vom. Op. Petr. Phos.
Puls. Rhus. Rheum. Sabin. Sep. Sil.
Stann. Sulph.
Griping: Bry. Caust. Cham. Graph.
Natr. carb. Wuz vom. Phos. Rheum.
Sil. Stann.
Heat: Acid. mur. Acon. Ars. Camph.
Canth. Cocc. Con. Dig. Plumb. Phos.
Sulph.
Inflammation :
Phos. Plumb. Puls. Sec. corn. Stram.
Verat. alb. -
Pinching: Apis. Arn. Bry. Canth.
Con. Croc. Dulc. Hell. Rhus. Rheum.
Sep. Stann. Sulph.
Pressure : Acid. phos. Acon. Ant.
erud. Arn. Ars. Bar. Bell. Bry.
Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cic. Cocc. Col. Con.
Cupr. Dig. Ferr. Hell. Hep. Ign.
Ipec. Iod. Kali carb. Lyc. Merc. 80l.
Natr. mur. Nux vom. Op. Petr.
Phos. Plat. Plumb. Puls. Rhus.
Sabin. Sec. corn. Sep. Spig.
Spong. Staph. Stram. Sil. Stann.
Sulph. Verat. alb.
Pressure as from a stone : Acon.
Alum. Arn. Ars. Bar. Bry. Calc.
Carb. veg. Cham. Dig. Ferr. Kali c.
Lob. inf. Merc. sol. Nuz vom. Op.
Puls. Sep. Sil. Staph. Sulph.
Rumbling: Arn. Ars. Carb. veg. Croc.
Graph. Kali carb. Natr. carb. Phos.
Sep. Stann. Zinc.
Tearing: Arn. Ars. Puls.
Lach. Lyc.
Acon. Ant. crud.
Ars. Bell. Bry. Canth. Chin. Cic.
Colch. Hyosc. Ipec. Nux vom.
Weak digestion: Bar. Bry. Calc
Canth. Carb. veg. Caust. Con. Chin
Cupr. Dig. Graph. Hyosc. Ign. Lyc.
Merc. sol. Natr. carb. Nux vom.
Op. Petr. Phos. Puls. Rhus. Verat.
alb. Zinc.
Wrenching: Arn. Calc. Carb. veg.
Caust. Chin. Cocc. Lyc. Nux wom.
Petr. Phos. Puls. Sulph.
Pit of Stomach.
Anxiety: Ars. Bry. Calc. Canth.
Cham. Chin. Cic. Con. Ferr. Ign.
Merc. Sol. Nux vom. Puls. Sabin.
Sec. corn. Stram. Stann. Sulph.
Burning: Ant. crud. Ars. Bry. Cham.
Kali carb. Merc. sol. Natr. mur.
Nux vom. Phos. Sec. corn. Sep.
Sil. Verat. alb. Zinc.
Constriction: Alum. Calc. Carb. veg.
Dig. Dros. Kali carb. Merc. sol. Natr.
mur. Plat. Rhus. Sulph. Zinc.
Cramp : Hyosc. Kali carb. Phos.
Cutting: Bell. Bry. Col. Dig. Kali
carb. Merc. sol. Phos. Sulph.
Digging: Arm. Chin. Cina. Kali carb.
Natr. mur. Phos. Sulph.
Gnawing: Glon.
Oppression : Ars. Ant. crud. Bell.
Bry. Chin. Cocc. Hyosc. Plat.
Plumb. Rhus. Sec. corn. Staph.
Pressure : Acon. Arn. Ars. Aur.
Bar. Bell. Bry. Carb. veg. Caust.
Cham. Chin. Cocc. Cupr. Dig.
Graph. Hell. Hyosc. Ign. Ipec. Kali c.
Lyc. Merc. sol. Nux vom. Natr. m.
Petr. Phos. Plat. Puls. Rhus. Sec.
corn. Sep. Spig. Stann. Staph. Sulph.
Verat. alb.
Sensitiveness: Alum. Apis. Arn.
Bry. Camph. Canth. Carb. veg.
Cupr. Ferr. Hell. Hyosc. Kali carb.
Matr. carb. Nux vom. Sec. corn.
Spong. Stann. Verat. alb.
Stitches: Acon. Arn. Bar. Bell. Bry.
Canth. Chin. Cocc. Coff. Cupr. Dig.
Dulc. Euphr. Graph. Ign. Iod. Ipec.
Kali carb. Natr. mur. Phos. Plat.
Plumb. Puls. Rhus. Sabin. Sep. Sil.
Spig. Staph. Stann. Sulph. Zinc.
Swelling: Ars. Aur. Bell. Bry. Calc.
Carb. veg. Cham. Cic. Coff. Ferr.
Hell. Kali carb. Lyc. Nux vom.
Natr. mur. Op. Sabin.
Throbbing: Arn. Ars. Bell. Cact. Cann.
Carb. veg. Cham. Cic. Dros. Ferr.
Ipec. Phos. Puls. Rhus. Sep. Sulph.
Tension : Acon. Ars. Bry. Cham.
Cocc. Dros. Dulc. Hep. Kali carb. Lyc.
Merc. sol. Puls. Phos. Rheum. Sabin.
Staph. Stann. Sulph. Verat. alb.
948
HYPOCHONDRIA — ABDOMEN.
XV. HYPOCHONDRIA.
L. signifies region of the liver (right side); S. region of spleen (left side);
B. both sides.
Burning, L. : Acid. mur. Acid. phos.
Acon. Alum. Bry. Ign. Phos. Plat.
Sec. corn. Sulph.
— S. : Graph. Ign. Spig.
– B. : Kali carb. Merc. sol. Sulph.
Constriction, L. : Acon. Dros.
Ign.
Distension, L. : Arn. Bry. Lyc.
Merc. sol. Podoph. Sep.
— S. : Merc. sol. Natr. carb.
– B. : Calc. Cham. Ign.
Flatulence: Cham. Chin. Colch. Ign.
Nua, vom. Puls. Verat. alb.
Hardness, L. : Arn.
Graph. Merc. sol.
— S. : Iod.
Inflammation, L. : Acon. Bell. Bry.
Canth. Cham. Cocc. Ign. Merc.
sol. Nux vom. Puls. Sec. corn.
— S. : Acon. Ars. Chin. Dros. Ferr.
Nux vom. Plumb.
– B. : Acon. Canth. Wuz vom.
Pressure, L. : Acon. Arm. Ars. Bar.
Calc. Carb. veg. Camph. Cham. Chin.
Cocc. Con. Graph. Ign. Iod. Kali
carb. Lyc. Merc. sol. Natr. mur.
Nux vom. Petr. Phos. Phytolac,
Podoph. Ruta. Sabin. Sep. Stann.
Staph. Sulph. Werat alb. Ziac.
- S. : Alum. Arn. Bell. Chin. Con. Ign.
Bry. Calc.
Lyc. Natr. mur. Petr. Plat. Rheum.
Rhus. Sep. Stann. Zinc.
Pressure, B. : Acon. Alum. Arn.
Camph. Cham. Chin. Cocc. Con. Ign.
Nux wom. Sec. corn. Spong. Staph.
2 inc.
Stitches, L. : Acon. Alum. Arn. Bell.
Bry. Calc. Canth. Carb. veg. Caust.
Chin. Cocc. Con. Dulc. Graph.
Hyosc. Ipec. Iod. Kali carb. Lyc.
Mosch. Natr. carb. Nux vom. Phos.
Plat. Plumb. Rhus. Sep. Sil. Spig.
Spong. Sulph. Zinc.
— S. : Acid. mur. Acon. Arn. Ars. Aur.
Bar. Bry. Caust. Chin. Glon. Hep.
Ign. Ipec. Natr. mur. Plumb. Spig.
Sil. Sulph.
Swelling, L. : Cann. Chin. Nux mosch.
Podoph.
— S. : Ign. Nux mosch. Ruta.
— B. : Acon. Alum. Arn. Ars. Bry.
Canth. Chin. Ferr. Ipec. Phos. Plumb.
Puls. Sil. Spig.
Tension, L. : Ars. Bry. Calc. Carb. v.
Caust. Ferr. Lyc. Nux vom.
Podoph. Sulph. Verat. alb.
– S. : Camph. Con. Merc. sol. Rhus.
Zinc.
— B. : Acon. Ant. crud. Calc. Cham.
Chin. Con. Ferr. Hell. Lyc. Nux
vom. Op. Puls. Staph. Verat. alb.
XVI. ABDOMEN.
Alive, as of something: Cann. Croc.
Hyosc. Ign. Merc. sol. Plumb.
Spong. Thuj.
Ball, ascending: Acon. Ign. Plumb.
Bloating: Acid. mur. Acid. phos. Acon.
Alum. Ant. crud. Arn. Ars. Aur.
Bar. Bell. Bry. Calc. Canth. Carb.
veg. Caust. Cham. Chin. Cic.
Cina. Cocc. Col. Con. Croc. Cupr.
Dulc. Euphr. Ferr. Graph. Hell.
Hep. Hyosc. Iod. Ign. Ipec. Kali carb.
Lach. Lyc. Merc. sol. Natr. mur.
Nux vom. Op. Petr. Phos. Plat.
Plumb. Podoph. Puls. Rheum.
Rhus. Ruta. Sabin. Sec. corn.
Sep. Sil. Spig. Spong. Stann. Staph.
Stram. Sulph. Thuj. Verat. alb.
Zinc.
Bounding, as of something : Croc.
Bruising pain : Aur. Camph. Cina.
Cocc. Col. Con. Hell. Hep. Ign. Nuz
vom. Op. Phos. Phytolac. Puls. Samb.
Sep. Staph. Stram. Sulph. Verat.
alb.
Burning: Acid, nit. Acid. phos. Acon.
Alum. Arn. Ars. Bell. Bry. Camph.
Canth. Carb. veg. Caust. Cham.
Cocc. Col. Cupr. Euphr. Graph.
Ipec. Kali carb. Lach. Merc. corr.
Merc. Sol. Nux vom. Plat. Plumb.
Puls. Rhus. Sabin. Sec. corn. Sep.
Sil. Spig. Spong. Stann. Thuj. Verat.
alb.
Coldness: Alum. Ars. Kali carb.
Merc. sol. Phos. Plumb. Ruta. Sec.
corn. Sulph. Zinc.
Clothes too tight, as if : Nux vom.
Crampy feeling: Ars. Carb. veg. Cocc.
Col. Con. Graph. Phos.
Colic : Acon. Alum. Arn. Ars. Aur.
ABDOMEN.
949
Bar. Bry. Camph. Canth. Cham.
Chin. Cocc. Coff. Col. Con. Cupr.
Iod. Kali carb.
Nux vom. Op. Plumb. Podoph.
Puls. Rheuma. Ruta. Sec. corn.
Staph. Stram. Verat. alb. Verat.
Dig. Hyosc. Ign.
Q977°
Contraction: Acid. phos. Arg. Bell.
Calc. Carb. veg. Chin. Cocc. , Col.
Con. Dig. Ferr. Graph. Hep. Sulph.
Ign. Ipec. Kali carb. Lach. Lyc.
Nux vom. Petr. Phos. Plat. Plumb.
Sec. corn.
Podoph. Rheum. Rhus.
Sep. Spig. Sulph. Thuj.
Cramps: Alum. Ars. Aur. Bell. Bry.
Caust. Cham. Chin. Cocc. Coff.
Con. Cupr. Dig. Ferr. Hep. sulph.
Hyosc. Ign. Ipec. Iod. Kali carb.
Mosch. Nux vom. Plumb. Podoph.
Sec. corn. Spong.
Stann. Staph. Stram. Thuj. Verat.
Puls. Rhus.
alb.
Cutting: Acid, mur. Acid. nit. Acon.
Bar.
Bell. Bry. Calc. Camph. Canth. Carb.
Cham. Chin. Cina.
Cocc. Coff. Col. Con. Croc. Cupr.
Dig. Dros. Dulc. Graph. Hep. sulph.
Hyosc. Ign. Ipec. Iod. Lach. Lyc.
Merc. sol. Natr, mur. Nux vom.
Op. Petr. Phos. Plat. Plumb. Puls.
Podoph. Rheum. Rhus. Sep. Sil.
Spig. Spong. Staph. Sulph. Verat.
Alum. Ant. Crud. Arm. Ars.
veg. Caust.
alb. Verat. vir. Zinc.
Digging: Acid. phos. Alum. Arn.
Cina. Col. Con.
Dig. Dulc. Graph. Kali carb. Phos.
Rheum. Rhus. Sep. Spig. Spong.
Ars. Bell. Calc.
Stann.
Drawing: Acon. Ars. Bry. Calc. Carb.
veg. Cham. Chin. Cic. Cocc. Con.
Cupr. Dros. Graph. Hep. sulph. Ign.
Lyc. Nux vom. Op. Plat. Plumb.
Podoph. Puls. Rheum. Rhus. Ruta.
Sabin. Sep. Spig. Stann. Staph.
Stram. Thuj. Verat. alb.
Dropsy : Acon. Apis. Arn. Ars.
Bry. Camph. Canth. Chin. Dulc.
Ferr. Hell. Kali carb. Lyc. Merc.
sol. Wuz vom. Spong.
Empty feeling: Acid. mur.
Puls. Rhus. Sep. Stann. Zinc.
Flatulence, moving about: Ant. crud.
Bell. Bry. Canth. Carb. veg. Caust.
Cina. Coff. Croc. Dig. Hell.
Hep. sulph. Lyc. Nux vom. Plumb.
Chin.
Podoph. Puls. Stann. Staph. Sulph.
Ant.
crud. Arn. Carb. veg. Caust. Cham.
Cina. Cocc. Col. Croc. Dulc. Kali c.
Lach. Merc. sol. Nux wom. Phos.
Fulness: Acid phos. Acid mur. Alum.
Ant. crud. Arn. Ars. Aur. Bar. Calc.
Camph. Canth. Carb. veg. Cham.
Chin. Cic. Coff. Col. Con. Croc.
Dig. Ferr. Graph. Hell. Hyosc. Ign.
Kali carb. Lyc. Natr. mur. Nux
vom. Phos. Plat. Plumb. Puls.
Rheum. Rhus. Sil. Stann. Sulph.
Thuj. Zinc.
Gurgling: Alum. Carb. veg. Cham.
Croc. Dig. Graph. Hell. Lyc. Merc.
sol. Wuz vom. Plat. Plumb. Podoph.
Sep. Stann. Zinc.
Griping: Acon. Bell. Bry. Cham.
Col. Con. Hep. sulph. Ipec. Nux
vom. Phos. Plumb. Podoph. Puls.
Rheum. Sil. Stann.
Hardness : Alum. Ars. Bell. Calc.
Carb. veg. Caust. Cham. Chin. Col.
Con. Cupr. Ferr. Graph. Hep. Hyosc.
Rali carb. Merc. sol. Phos. Plumb.
Puls. Rheum. Sec. corn. Sep. Sil.
Sulph. Verat. alb.
Heat: Bell. Bry. Calc. Camph.
Canth. Carb. veg. Cic. Cina. Dig.
Graph. Ipec. Lyc. Phos. Plumb.
Ruta. Sil. Spong. Stann. Sulph.
Zinc.
Heaviness: Aur. Bell. Camph. Ferr.
Graph. Hell. Ipec. Merc. sol. Nux
vom. Op. Puls. Rhus. Sec. corn.
Sep. Staph.
Inactivity: Camph. Cham. Kali. c.
Nux vom. Op. Staph. -
Inflammation : Acon. Ars. Bell.
Bry. Canth. Cham. Chin. Cic. Ipec.
Nux vom. Phos. Plumb. Puls.
Rhus. Sab. Spong. Stram. Verat.
alb.
Labor-like pain: Acon. Aur. Camph.
Carb. veg. Cham. Cina. Coff. Cupr.
Ferr. Hyosc. Ign. Ipec. Kali carb.
Nux vom. Op. Podoph. Puls.
Rhus. Sabin. Sec. corn.
Large : Ant. Crud. Calc. Caust.
Col. Hep. sulph. Kali carb. Sep.
Staph. Thuj.
Movements, internal: Col. Croc.
Cupr. Dig. Iod. Wuz vom. Thuj.
Verat. alb.
Nausea : Bry. Cic. Cocc. Croc. Cupr.
Hell. Ipec. Rheum. Ruta. Samb. Sil.
Stann. Staph.
Pain, diarrhoeic : Ant. crud. Bell. Bry.
Calc. Canth. Carb. veg. Cham. Chin.
Coff. Dig. Graph. Hell. Ign. Kali c.
Merc. sol. Merc. corr. Nux vom. Op.
Petr. Phos. Plat. Podoph. Puls. Rhus.
Sabin. Sec. corn. Sep. Spig. Staph.
Verat. alb. Zinc.
950
ABDOMEN.
Pain, simple: Acon. Ant. crud. Ars.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cic. Col. Con. Cupr.
Dros. Euphr. Graph. Hell. Hyosc.
Ign. Ipec. Iod. Kali carb. Lº/c.
Merc. sol. Nux vom. Op. Petr.
Phos. Plat. Plumb. Puls. Rheum.
Rhus. Ruta. Samb. Sec. corn. Sep.
Sil. Spig. Stann. Sulph. Verat.
alb. Zinc.
Pinching: Acid, mur. Ant. crud. Ars.
Aur. Bar. Bell. Bry. Calc. Canth.
Carb. veg. Caust. Cham. Chin, Cic.
Cina. Cocc. Col. Coff. Croc. Cupr.
Dig. Dros. Dulc. Graph. Hell. Hep.
Hyosc. Ign. Ipec. Kali carb. Lyc.
Merc. Sol. Watr. mºir. Nua, vom. Petr.
Phos. Plat. Plumb. Puls. Rheum.
Rhus. Ruta. Samb. Sep. Sil. Spig.
Spong. Stann. Staph. Sulph. Verat.
alb.
Pressure : Acon. Alum. Ant. crud. Arm.
Ars. Aur. Bell. Bry. Calc. Camph.
Caps. Carb. veg. Chin. Cina. Cocc.
Coff. Col. Con. Croc. Cupr. Dig. Ferr.
Hep. sulph. Iod. Kali carb. Lyc.
Merc. sol. Mosch. Nux vom. Op.
Petr. Phos. Podoph. Plumb. Puls.
Rheum. Rhus. Ruta, Sabin. Samb.
Sep. Sil. Spig. Staph. Sulph. Verat.
alb. Zinc.
outwards: Acon. Bell. Dulc. Kali c.
Lyc. Merc. sol. Nux wom. Rheum.
Thuj.
inwards: Bry. Bell. Rheum. Zinc.
as from a stone: Cupr. Hyosc. Nux
vom. Op. Puls.
Pulsation: Alum. Calc. Canth. Lyc.
Merc. sol. Op. Zinc.
Qualmishness : Bar. Calc. Carb. veg.
Ipec. Phos. Plat. Spong. Verat. alb.
Ring around navel, as if : Puls.
Sensitiveness : Acon. Arn. Bry.
Canth. Cham. Cic. Coff. Dulc.
Mosch. Puls. Sec. corn. Stram. Verat.
alb.
Shocks: Arm. Plat. Stann.
Sore pain : Acon. Alum. Arn. Ars.
Bar. Bell. Calc. Carb. veg. Chin. Cic.
Col. Con. Croc. Eupat. perf. Kali c.
Natr. mur. Merc. corr, Nua, vom. Phos.
Sep. Stann. Sulph. Zinc.
Stitches: Acid. nit. Acid, phos. Alum.
Ars. Bell. Bry. Calc. Cann. Canth.
Caps. Caust. Cham. Chin. Cina. Cocc.
Con. Croc. Cupr. Dig. Ferr. Graph.
Hell. Ign. Ipec. Kali carb. Merc.
sol. Nux wom. Phos. Plumb. Puls.
Ruta. Sep. Spig. Stann. Staph. Sulph.
Thuj. Werat. alb. Zinc.
Swelling: Acon. Amm mur. Ant. crud.
Ars. Bry. Canth. Cham. Chin. Col.
Con. Kali carb. Op. Plumb. Sec. corn.
Sulph.
Tearing: Alum. Arm. Ars. Aur. Bry.
Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cocc. Col. Con. Dig.
Hell. Ign. Ipec. Iod. Kali carb. Lyc.
Merc. sol. Nux vom. Phos. Plumb.
Puffs. Rhus. Ruta. Samb. Sil. Spig.
Stram. Thuj. Zinc.
Tension : Acon. Alum. Ant, crud.
Arn. Ars. Bar. Bell. Calc. Carb. veg.
Chin. Col. Graph. Hyosc. Ign. Iod.
Lyc. Nux wom. Op. Petr. Plat. Plumb.
Puls. Rheum. Sec. corn. Sep. Sil.
Spong. Stann. Staph. Stram. Sulph.
Thuj.
Twitching : Aur. Canth. Caust. Chin.
Coff. Con. Dig. Graph. Ign. Kali carb.
Phos. Rhus.
TJrging: Ars. Bell. Calc. Carb, veg.
Col. Dig. Dulc. Graph. Ign. Iod.
Kali carb. Merc. sol. Phos. Podoph.
Puls. Sep. Thuj. *.
Weak feeling: Acon. Ferr. Ign.
Phos. Plat. Rheum. Rhod. Sep.
Stann. Zinc.
Writhing: Alum. Ars. Bell. Bry.
Calc. Cina. Con. Dros. Dulc. Ipec.
Merc. Sol. Plat. Plumb. Rhus. Ruta.
Sabin. Sil. Staph. Verat. alb.
Regions of the Abdomen.
Abdomen, lower: Acid. phos. Alum.
Ant. crud. Arn. Ars. Aur. Bar.
Bell. Bry. Calc. Camph. Canth.
Carb. veg. Caust. Cham. Chin. Cic.
Cina. Cocc. Coff. Col. Con. Croc.
Cupr. Dig. Dule. Ferr. Hell. Hep. s.
Hyosc. Ign. Iod. Kali carb. Lyc.
Merc. corr. IMerc. sol. Natr. mur.
Nux vom. Phos. Plat. Plumb.
Podoph. Puls. Rheum. Rhus. Ruta.
Sabin. Samb. Sep. Sil. Spig.
Spong. Stann. Staph. Sulph. Thuj.
Verat. alb. Zinc.
Abdomen, sides of: Acid. nit. Acon.
Alum. Ambr. Ant. crud. Arn. Ars.
Aur. Bar. Bell. Bry. Calc. Camph.
Canth. Carb. veg. Caust. Cham.
Chin. Cina. Cocc. Coff. Croc. Dig.
JDros. Dulc. Euphr. Ferr. Graph.
Hell. Hep. sulph. Hyosc. Ign. Ipec.
Iod. Kali carb. Lºc. Mere. sol. Mosch.
Natr. mur. Nux vom. Op. Petr. Phos.
Plat. Plumb. Podoph. Puls. Rheum.
Rhus. Ruta. Sep. Sil. Spig. Spong.
Stann. Staph. Sulph. Thuj. Zinc.
Epigastrium: Acon. Ant. crud. Arn.
CATARRH.
951
sol. Nuz vom. Plumb. Puls. Rheum.
Rhus. Ruta. Sabin. Sec. corn. Sep.
Spig. Spong. Staph. Sulph. Thuj.
Zinc.
Umbilical region : Acid. m. Acid.
phos. Acon. Alum. Ant. crud. Arn.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cina. Cocc. Col.
Con. Dig. Dulc. Graph. Hep. Hyosc.
Ign. Ipec. Iod. Kali carb. Merc. Sol.
Mosch. Nur vom. Op. Phos. Plat.
Plumb. Podoph. Puls. Rheum.
Rhus. Ruta. Sabin. Sep. Sil. Spig.
Spong. Stann. Staph. Sulph. Thuj.
Verat. alb. Zinc.
Ars. Aur. Bar. Bell. Bry. Calc.
Camph. Canth. Carb. veg. Caust.
Cham. Chin. Cina. Cocc. Col.
Con. Croc. Cupr. Dig. Dros. Dulc.
Euphr. Hell. Hep. Hyosc. Ign. Ipec.
Iod. Kali carb. Lyc. Merc. sol.
Mosch. Natr. mur. Nux vom. Op.
Petr. Phos. Plat. Plumb. Podoph.
Puls. Rhus. Samb. Sep. Sil. Spig.
Spong. Stann. Staph. Sulph. Thuj.
Vera.f. alb. Zinc.
Lumbar region : Acid, nit. Acon. Ant.
Catarrh : Amt. crud. Ars.
crud. Arn. Aur. Calc. Canth. Carb.
vey. Cham. Chin. Cina. Cocc. Col.
Dig. Ign. Iod. Kali carb. Lyc. Merc.
XVII. CATARRH.
Bar. Bell.
Bry. Calc. Camph. Canth. Carb. veg.
Caust. Chin. Cima. Cocc. Dros.
Euphr. Graph. Hell. Hep. sulph.
Ign. Iod. Kali carb. Lach. Lyc.
Merc. sol. Nux vom. Natr. mur.
Petr. Phos. Plat. Plumb. Puls.
Rhus. Sep. Sil. Spong. Stann.
Staph. Sulph. Thuj. Zinc.
on one side : Nux vom. Puls.
alternately fluent and stopped : Nux
vom. Puls.
in the daytime: Nux vom.
Catarrhal fever: Acon. Bell. Bry.
Camph. Cham. Coff. Graph. Hep.
sulph. Merc. Sol. Nux vom. Rhus.
Sulph.
Catarrhal discharge delayed : Calc.
Discharge from nose : Acid. nit.
Acon. Alum. Aur. Ars. Bell. Bry.
Calc. Camph. Carb. veg. Caust. Cham.
Chin. Coff. Con. Dulc. Graph. Hep. s.
Ign. Ipec. Kali carb. Lyc. Mosch.
Naſr. mur. Nuz vom. Phos. Plat. Puls.
Samb. Sep. Sil. Spig. Spong. Stann.
Sulph. Thuj. Zinc.
— one side : Nux vom.
– of infants: Samb.
Coryza, evening and morning : Nux
VOIOl.
Dry nose : Acid. nit. Bar. Bell. Bry.
Calc. Canth. Cic. Con. Dulc. Graph.
Hyosc. Ign. Ipec. Lyc. Merc. sol.
Natr. mur. Nux vom. Petr. Phos.
Sep. Sil. Sulph. Zinc.
Dry nose without being stopped :
Sep.
– front nostrils: Spig.
feeling in the nose: Ipec. Petr. Phos.
Sil. Verat. alb.
Nasal mucus, corrosive : Acid. mit. Ars.
-
Nux vom. Sil.
smarting: Ars. Rhus. Sulph.
bloody: Acid. nit. Bar. Canth. Caust.
Graph. Kali carb. Lach. Lyc. Merc.
sol. Watr. mur. Nuz vom. Petr. Phos.
Puls. Sep. Sil. Spig. Sulph. Thuj.
burning: Ars. Puls. Sulph.
thick: Acid, mur. Acid. nit. Alum.
Ant. crud. Aur. Bar. Calc. Graph.
Natr. mur. Puls. Staph. Sulph.
thin : Camph. Rhus. Staph.
purulent: Aur. Calc. Cina.
Graph. Lach. Merc. sol. Puls.
— and yellow : Calc. Cic. Con. Sulph.
yellow : Cic. Puls.
yellow-green : Aur. Natr. mur. Phos.
Puls.
– and bloody: Sep.
yellowish : Acid. nit. Alum. Ant.
crud. Bar. Bell. Graph. Puls. Spig.
— and watery : Sep.
greenish: Puls. Spig.
acrid water : Acid. mur. Ars. Lach.
Lyc. Nux vom. Sil.
odor of catarrh : Puls.
fetid: Acid mit. Aur. Bell. Calc.
Caust. Graph. Hep. sulph. Lyc. Merc.
sol. Puls. Sep.
watery: Alum. Bell. Chin. Coff. Con.
Euphr. Graph. Ign. Iod. Lach. Merc.
sol. Nuz vom. Phos. Plumb. Rhus.
Staph. Sulph.
tenacious : Alum. Canth. Graph. Sep.
Spig.
Con.
Sneezing: Acid, nit. Alum. Ant. crud.
Arn. Ars. Bar. Bell. Bry. Calc.
Canth. Carb. veg. Caust. Chin. Cima.
Cocc. Con. Croc. Dros. Dulc. Euphr.
Graph. Hell. Hep. Sulph. Iod. Ipec.
952
CATARRH.
Kali carb. Lach. Lyc. Merc. sol. Natr.
mur. Wuz vom. Petr. Phos. Rhus.
Ruta. Sep. Sil. Spig. Spong. Stann.
Staph. Sulph. Thuj. Zinc.
Sneezing, violent : Acon. Bar. Chin.
Merc. Sol. Puls. Rhus.
— spasmodic : Rhus.
– after tingling in nose: Acid. Init.
Carb. veg. Dros. Puls. Spig. Zinc.
— without catarrh: Alum. Ars. Calc.
Carb. veg. Caust. Cic. Con. Dros.
Hyosc. Iod. Lyc. Merc. sol. Phos.
Stann. Staph. Zinc.
— desire for: Acid. mur.
Phos. Sil. Sulph. Zinc.
— — ineffectual: Canth. Carb. veg. Caust.
Hell. Lyc. Phos. Plat. Plumb. Sil.
Sniffling: Samb. Sep.
Stoppage of nose : Acid, nit. Alum.
Ant. crud. Aur. Bar. Bell. Bry.
Calc. Carb. veg. Caust. Cham. Chin.
Cic. Cina. Con. Graph. Ign. Iod.
Kali carb. Lach. Lyc, Merc. Sol.
Mosch. Natr. mur. Nux vom. Op.
Petr. Phos. Plumb. Puls. Rhus.
Samb. Sep. Sil. Spig. Stann. Staph.
Stram. Sulph. Thuj. Zinc. -
— by ulceration every night: Lyc.
Carb. veg.
Accompanying Ailments.
Abdomen, burning in : Carb. veg.
– rumbling in : Phos.
— stitches in : Carb. veg.
Back-ache : Kali carb.
Cheek, redness of one: Cham. Nux
WOIOl.
Stupefaction : Hell.
Chest, simple pain in : Acon. Bry.
Caust.
– roughness: Bry. Carb. veg. Sulph.
— stitches: Merc. Sol. Kali carb.
– pain, as if flying to pieces: Bry. Sil.
— constriction of : Phos.
Chilliness : Acon. Caust.
Sulph.
Cough : Bell. Bry. Cupr. Merc. Sol.
Nua, vom. Sulph.
Dry larynx: Nux wom. Phos.
Dry mouth: Nux vom.
Drowsiness: Cham. Nux wom. Petr.
Sulph.
Dull feeling in head: Cham. Hell.
Sulph. -
– pains in the: Arn. Lach. Puls.
Eyes, pain in the : Bry, Euphr. Sep.
– red : Verat. alb.
– weeping: Alum. Carb. veg. Chin.
Euphr. Nux vom. Staph. Verat. alb.
— closed by gum Caust.
— smarting in corners of: Carb. veg.
Face, bloated: Nuz vom. Staph.
Graph.
Face, hot: Bell. Bry. Nux vom.
Head, burning in: Bell. Calc. Hell.
Lyc. Nux vom. Phos.
— simple pain in : Acon. Bry. Calc.
Caust. Chin. Cic. Cina. Euphr. Graph.
Hell. Kali carb. Lach. Lyc. Nux wom.
Phos. Puls. Sep. Spig. Thuj.
— cloudiness: Staph.
— dull : Chin. Dulc. Euphr. Hell. Lyc.
Phos.
Hoarseness: Acid, nit. Apis. Ars.
Caust. Hep. sulph. Kali carb. Nux wom.
Puls. Spig.
Hot hands and feet : Nux wom.
— at night: Lyc.
Languor: Caust.
Sep. Sulph.
Limbs, pains in the : Bry. Calc. Caust.
Ipec. Merc. sol. Rhus.
Lips, chapped : Cham. Hell. Staph.
Loss of appetite: Phos.
– of smell: Arn. Cina. Cocc.
Nux vom. Puls. Spig. Staph.
— of taste : Puls.
Nausea; Graph.
Nose, sensitive: Calc. Chin. Nux v.
– burning: Arn. Puls.
– inflammation: Lyc. Merc. Sol. Stann.
— biting in the : Carb. veg. Euphr.
– ulceration: Cham.
— swelling: Bry. Cham. Puls. Rhus.
Spig.
– heat : Nux wom.
– itching: Nux vom. Spig.
— — under the nose: Hell.
– titillation: Carb. veg. Nux wom.
Puls. Sep. Staph.
– soreness: Lach. Nux vom. Puls.
Spig.
Nostrils, ulcerated: Bry. Calc. Cocc.
Ign. Lyc. Merc. sol. Petr. Puls.
Photophobia: Puls.
Sick feeling all over: Phos.
Sleeplessness: Ars.
Thighs, drawing in the : Sep.
Thirst: Ars. Cham. Graph. Lyc.
Throat, inflamed: Bell.
– creeping in : Kali carb.
— simple pain in : Nuz vom.
– feeling of roughness: Caust. Hep. s.
Muſc vom. Phos.
– stitches in : Nitr. ac.
– scraping in : Nux wom.
– mucus in : Nux wom.
Toothache : Chin. Lach.
Upper lip, inflamed : Lyc.
TJrine, flow of : Verat. alb.
Vertigo : Bell. Bry. Chin. Nux wom.
Sulph.
Whining mood: Puls. Spig.
Yawning: Bry. Cupr. Hell.
Graph. Nux wom.
Hell.
BREATHING, RESPIRATION.
953
XVIII. BREATHING, RESPIRATION.
Asthma: Acid. nit. Acon. Amm. nur.
Ant. crud. Ant. tart. Arn. Ars.
Aur. Bell. Bry. Cactus. Calc. Cham.
Chin. Cic. Cocc. Con. Cupr. Dig.
Dros. Euphr. Ferr. Graph. Hyosc.
Ign. Ipec. Iod. Kali carb. Lob.
inf. Lyc. Merc. sol. Watr. mur. Nux
vom. Op. Phos. Plat. Plumb. Puls.
Ruta. Samb. Sabin. Sec. corn. Sep.
Sil. Spig. Stann. Staph. Sulph.
Thuj. Verat. alb.
spasmodic : Acon. Caust. Cham.
Chin. Coff. Cupr. Ferr. Ipec. Kali
carb. IMosch. Nuz vom. Op. Puls.
Samb. Verat. alb.
Breathing, moaning: Ipec.
anxious: Acon. Arn. Ars. Bell.
Bry. Cactus. Camph. Cham. Coff.
Ferr. Hep. sulph. Ign. Ipec.
Lob. inf. Nux wom. Op. Phos. Plat.
Plumb. Puls. Rhus. Samb. Sec.
corn. Spig. Spong. Staph. Stram.
Thuj. Werat. vir.
intermittent: Camph. Op.
wheezing: Ant, tart. Cham. Chin.
hurried : Ipec. Samb.
labored: Ant. tart.
Spong.
hot : Acon. Ant. crud. Bry. Cham.
Coff. Ferr. Natr. mur. Plat. Rhus.
Sulph.
cbla : Carb. veg. Chin. Rhus. Verat.
alb.
panting: Acid, nit. Arn. Camph.
Cupr. Ipec. Op. Phos. Sil. Spong.
Stann.
slow : Acon. Camph. Chin. Cic. Hyos.
Ign. Nuz. vom. Op. Spong. Staph.
deficient : Ant. tart. Bell. Camph.
Canth. Caust. Cic. Cocc. Dig. Ferr.
Hell. Ign. Ipec. Iod. Merc. sol. Nux
vom. Plat. Puls. Rhus. Spig.
Spong. Stann. Staph. Verat. alb.
wheezing : Ant. tart. Cham. Chin.
Cina. Cocc. Hep. Sulph. Iod. . Ipec.
Kali carb. Lyc. Natr. mur. Nux wom.
Phos. Plumb. Samb. Sep. Spong.
Sulph.
fetid: Acid. nit. Acon. Apis.
Arn. Aur. Bar. Bell. Bry. Camph.
Canth. Caps. Carb. veg. Cham.
Chin. Croc. Ferr. Graph. Hyosc.
Ign. Ipec. Kali carb. Merc. sol.
INux vom. Petr. Plumb. Puls.
Rheum. Sep. Spig. Stann. Stram.
Sulph. Zinc.
short : Acon. Ant. tart. Apis.
Arn. Ars. Aur. Bar. Bellad.
Bry. Cactus. Calc. Camph. Canth.
Acon. Ign.
Breathing,
Breathing,
Carb. veg. Caust. Cham. Chin.
Cic. Cina. Cocc. Coff. Col. Con.
Cupr. Dig. Euphr. Ferr. Hep. sulph.
Hyosc. Ign. Ipec. Kali carb. Isob.
inf. Lyc. Merc. sol. Natr. mur.
Nux wom. Op. Petr. Phos. Plat.
Plumb. Puls. Rhod. Rhus. Ruta.
Sabin. Samb. Sec. corn. Sep. Sil.
Spig. Spong. Stann. Stram. Sulph.
Verat. alb. Zinc.
heavy: Acon. Alum.
Arn. Ars. Aur. Bar. Bell. Bry.
Calc. Camph. Canth. Carb. v. Caust.
Chin. Cic. Cina. Cocc. Con. Croc.
Cupr. Dig. Dros. Ferr. Graph. Hell.
Hep. s. Hyosc. Iod. Kali c. Lyc.
Merc. sol. Nux vom. Op. Phos.
Plat. Plumb. Puls. Rhus. Sec.
corn. Sep. Sil. Spig. Spong.
Stann. Staph. Stram. Sulph. Thuj.
Verat. alb.
deep : Ant. crud. Arn. Aur. Bell. Bry.
Camph. Cham. Chin. Cic. Dig. Dros.
Hell. Hep. sulph. Ign. Ipec. Kali c.
Mosch. Nux vom. Op. Phos. Plat.
Plueb. Rhus. Spong. Stann.
disposed to draw a long breath: Croc.
Cupr. Hell. Ign. Lach. Mosch. Rhus.
Stram.
Breath, stoppage of : Bell. Chin. Cic.
Coff. Dros. Mosch. Op. Puls. Ruta.
Zinc.
— incarceration of : Acon. Arn. Bar.
Bell. Bry. Calc. Camph. Canth.
Cina. Cocc. Croc. Cupr. Dros. Euphr.
Ipec. Kali carb. Lob. inf. Mosch.
Natr. mur. Op. Phos. Plat. Plumb.
Puls. Rhus. Ruta. Sabin. Sep. Sil.
Spig. Spong. Staph. Stram. Sulph.
|Verat. alb.
oppressed: Acid. mur.
Acid, nit. Acon. Alum. Amm. mur.
Amt. Crud. Ant. tart. Arn. Ars. Aur.
Bar. Bell. Bry. Cactus. Calc.
Camph. Canth. Carb. veg. Caust.
Cham. Chin. Cina. Cocc. Coff.
Col. Con. Croc. Cupr. Dig. Dros.
Dulc. Ferr. Graph. Hell. Hep. s.
Hyosc. Ign. Ipec. Iod. Kali carb.
Lyc. Lob. inf. Mosch. Natr. mur.
Nux vom. Op. Petr. Phos. Plat.
Plumb. Puls. Rhus. Ruta. Samb.
Sec. corn. Sep. Sil. Spig. Stann.
Staph. Stram. Sulph. Thuj. Verat.
alb. Verat. vir. Zinc.
Expiration, blowing : Chin.
-- slow: Arn. Camph. Cham. Chin. Hell.
Ign.
— quick: Chin. Ign. Stram.
954
BREATHING, RESPIRATION.
Expiration, sniffling: Rhus.
— difficult: Ipec.
— strong: Caps. Chin.
– groaning: Bell. Bry. Cham. Cina.
Cocc. Cupr. Ign. Kali carb. Nux
vom. Op. Sec. corn. Stram.
– unequal: Cocc. Ign. Ipec. Op. Sec.
COI’Il.
– imperceptible: Verat. alb.
— irregular: Bell.
— interrupted: Acon. Cham. Cic. Cina.
Cupr. Ign. Lob. inf. Op. Puls.
Phos.
Inspiration, slow :
Staph. Stram.
— quick: Arn. Camph. Cham. Ign.
– difficult: Chin. Cina. Cocc. Ferr. Ign.
Staph. Verat. alb.
— rattling: Acon. Ant. tart. Arn.
Bell. Bry. Calc. Carb. veg. Caust.
Cham. Chin. Cina. Croc. Cupr.
Ferr. Hyosc. Ipec. Lyc. Op. Petr.
Samb. Sep. Spong. Stann. Stram.
— hiccuping : Op. Sec. corn.
– stertorous: Bell. Cham. Chin. Cocc.
Cupr. Hep. sulph. Ign. Kali carb.
Natr. mur. Nux vom. Op. Pº. Sep.
Stann. Stram. Sulph.
— painful: Acon. Arn. Ars. Bry. Chin,
— quick: Acon. Bell. Bry. Cupr.
Dig. Hell. Hep. sulph. Ign. Ipec.
Nua, vom. Op. Samb. Sec. corn.
Spong. Stram. Verat. alb.
— sniffling: Arn. Chin. Nux wom. Rhus.
Sabin.
— sighing: Ant. crud. Chin. Cocc. Op.
Sec. corn. Stram.
Suffocating fits: Acon. Ant. tart.
Ant. crud. Ars. Bell. Bry. Cactus.
Camph. Caust. Cham. Chin. Cocc.
Coff. Con. Cupr. Dig. Hep. sulph.
Hyosc. Ign. Ipec. Lach. Iob. inf.
Mosch. Nux wom. Op. Plat. Plumb.
Puls. Rhus. Samb. Sec. corn.
Speng. Staph. Sulph. Verat. alb.
Verat. vir.
Ferr. Ign. Op.
Causes of the impeded Respiration,
and Concomitant Symptoms.
Abdomen, flatulence in : Cham. Ign.
— simple pain: Arn. Ars. Bry. Ign.
Ruta. Stann.
— swelling: Bry. Carb. veg. Lyc.
— pinching: Rhus. Spig.
– cutting: Puls.
– weight like a stone: Amm. mur.
Nux wom.
– stitches: Croc. Dros. Mosch. Nux
vom. Puls. Ruta.
Abdomen, fulness: Cham. Chin.
Phos.
— compression: Staph.
— jerks in: Calc.
Anxiety: Acon. Arn. Cactus. Croc.
Nux vom. Puls. Rhus. Ruta. Verat.
alb.
— fits of: Ars. Lyc. Stann.
Arms above the head, raising the :
Amm. mur. Cupr.
Back-ache: Lach. Ruta. Sep. Staph.
— stitches in : Nux wom. Puls.
Bladder, stitches in : Aur.
Breathing, nasal : Puls.
Chagrin : Ars. Cham.
Chest, oppression in : Acon. Apis.
Arn. Cactus. Cic. Cina. Cocc. Coff.
JDros. Ign. Lob. inf. Merc. sol. Nux
vom. Puls. Rhus. Spig. Verat. alb.
Werat. Vir.
– pressure in the : Arn. Bell. Camph.
Caust. Cham. Chin. Cic. Ign. Nux
vom. Rheum. Ruta. Samb. Spig.
Staph. Stram.
— spasm in the: Petr.
— empty feeling: Stann.
— faintness in the : Stann.
— heaviness in the : Plat.
– as if oppressed by a load: Lob. inf.
Rheum. Spig.
– ulcerative pain : Staph.
– pressing in : Ign. Werat. alb.
— weight in : Ign. Rhus. e
— tension in : Cactus. Cic. Cocc. Merc.
sol. Puls. Rhus. Staph.
— stitches in : Acon. Bry. Canth.
Chin. Dros. Plumb. Ruta. Spig.
Staph. Verat. alb.
— fulness in : Acon. Ant. crud. Puls.
Ruta. Verat. alb.
— as if bruised: Nux wom.
– drawing in : Nux wom.
— contraction in : Arn. Cactus. Canth.
Chin. Cocc. Cupr. Hell. Ipec. Mosch.
Nux vom. Op. Spig. Staph. Verat.
alb.
Courgh: Ars. Bry. Cactus. Cocc. Cupr.
JDros. Nux wom. Petr. Rhus. Sil.
Spig. Verat. alb.
– dry: Cupr. Ipec. Nux vom. Rhus.
Sep.
Cramp in left side: Merc. sol.
Epigastrium, pain in : Ars. Cocc.
Hell. Puls. Sep. Staph.
Heart, stitches in the : Cactus. Cham.
Petr. Puls. Spig.
– region of, pain in the : Cactus. Nux
vom. Puls. Spig.
Hypochondria, swelling in : Cham.
Ign.
COUGEI.
955
Hypochondria, pain in : Chin. Puls.
Staph.
Nausea; Rhus. Samb.
Nose, dry: Canth.
Stomach, anxiety in pit of :
Stram.
– pressure in pit of: Arn. Bry. Camph.
Cham. Chin. Cic. Cocc. Hell. Hyosc.
Ign. Mosch. Nux vom. Rhus. Samb.
— cramp in pit of: Phos. Sulph.
– simple pain in pit of : Arn. Cina.
Hell. Nux wom. Puls. Rhus. Ruta.
– feeling as if swollen in pit of : Rhus.
– stitches in pit of : Chin. Phos. Spig.
– warmth in : Ars. Bry.
— digging in : Chin.
Ferr.
Stomach, fulness in : Chin. Cocc.
Like vapors of Sulphur : Croc. Ign.
Mosch.
tnf.
Windpipe,
Spong.
,- mucus in : Ant. tart. Chin. Cupr. Ipec.
Spong. Werat. alb.
– tickling: Rhus.
— contraction of : Canth. Ipec. Puls.
Throat, constriction : Canth. Nux
vom. Puls. Verat. alb.
— like a foreign body in : Cic. Spong.
– mucus in : Aur.
– dryness: Petr.
— contraction: Cham. Cocc.
Throat-pit, constriction in : Rhus.
obstacle in : Lob.
XIX.
Cough, in general: Acid. mur. Acid.
A con. Amm. mur.
Bell. Cactus. Calc. Canth. Carb. veg.
nit. Acid. phos.
Caust. Cham. Chin. Cina. Cocc. Col.
Con. Dig. Dros. Ferr.
Staph. Sulph. Ö
— with expectoration :
Cham. Chin. Cic. Cina.
Phos. Plumb. Puls.
Ruta. Sabin. Sec. corn.
– with difficult expectoration:
Sulph. Zinc.
– without expectoration: Acon. Alum.
Bell.
Bry. Calc. Canth. Carb. vey. Caust.
Cham. Chin. Coff. Col. Con. Croc.
Cupr. Dig. Dros. Ferr. Graph. Hell.
Hep. sulph. Hyosc. Ign. Iod.
Ipec. Kali carb. Lyc. Merc. sol.
Nux vom. Op. Petr. Phos. Plat.
Plumb. Puls. Rheum. Rhus. Sep.
Sil. Spig. Spong. Stann. Sulph.
Ant, crud. Arn. Ars. Bar.
Verat. alb. Zinc.
– anxious: Acon. Cina. Coff. Rhus.
Gelsem.
Graph. Hep. sulph. Ign. Iod. Ipec.
Aali carb. Lyc. Merc. sol. Watr. mur.
Op. Petr. Phos. Plumb. Puls. Rhus.
Ruta. Sabin. Sep. Sil. Spig. Spong.
Acid. phos.
Ant. tart. Ant. crud. Ars. Bar. Bell.
Bry. Cactus. Calc. Carb. veg. Caust.
Com.
Dros. Euphr. Ferr. Gelsem. Graph.
Hep, sulph. Ipec. Kali carb. Lyc.
Merc. Sol. Nux vom. Natr. mur. Petr.
Rheum. Rhus.
Sep. Sil.
Spig. Spong. Staph. Sulph. Verat.
alb.
Ars.
Aur. Bry. Camph. Canth. Caust.
Cham. Cina. Dros. Euphr. Hyosc.
Ign. Iod. Kali carb. Nux vom. Phos.
Plumb. Puls. Sep. Stann. Staph.
COUGH.
Cough, fatiguing: Cocc. Croc. Ipec.
INux vom. Rhus.
– barking: Bry. Dros. Spong.
– suffocative: Acon. Bry. Cactus.
Cham. Cupr. Ipec. Op. Spig.
Spong.
— violent: Bell. Bry. Cina. Con. Dros.
Hep. Sulph. Ign. Ipec. Merc. sol.
Nux wom. Phos. Ruta. Spig. Spong.
Stann.
— hoarse: Acon. Brom. Chin. Căna.
Dros. Hep. sulph. Phos. Samb.
Spong. Werat. alb.
– hollow : Acon. Bell. Caust. Cina.
Hep. Sulph. Ign. Ipec. Op. Phos.
Samb. Spig. Spong. Verat. alb.
- hacking: Acon. Alum. Ars. Canth.
Chin. Coff. Col. Cupr. Dros. Hell.
Hyosc. Kali carb. Natr. mur. Op.
Phos. Plumb. Rhus. Stann. Sulph.
Thuj.
— — and dry: Alum. Arn. Ars. Bell.
Canth. Caust. Cina. Con. Graph. Ign.
Phos. Sabin. Sulph. Verat. alb. Zinc.
— irritating: Coff. Ign.
— spasmodic : Acon. Ambr. Bell. Bry.
Cactus. Carb. veg. Chin. Cina. Con.
JDros. Ferr. Hyosc. Ign. Ipec.
INux vom. Phos. Plumb. Puls.
Sep. Sil. Staph.
— short: Acon. Alum. Arn. Ars. Aur.
Bell. Canth. Carb. veg. Caust. Coff.
Ign. Ipec. Merc. sol. Nux wom.
Natr. mur. Phos. Plat. Puls. Rhus.
Spig. Spong.
– scraping: Nux wom. Puls.
– deep : Ars. Dros. Hep. sulph. Petr.
Phos. Samb. Spong. Stann. Werat.
alb.
956
COUGH.
Cough, unceasing:
Hyosc. Ipec.
Cupr.
— titillating: Alum. Arn. Calc. Canth.
Caust. Cham. Chin. Con. Hyosc. Iod.
Nux vom.
Natr. mur. Nitric ac. Phos. Puls.
JCali carb. IMerc. sol.
Rhus. Stann. Staph. Sulph.
— with vomiting: Alum. Ars. Aur. Bry.
Calc. Carb. veg. Cina. Cocc. Coff. Dig.
Dulc. Iod. Ipec. Phos. Plat.
Puls. Rhus. Sep. Spong. Stann. Staph.
JDros.
Zinc.
— whooping: Acon. Arn. Ars. Bell.
Bry. Cactus. Cham. Chin. Cina.
Con. Cupr. Dros. Euphr. Hep. s.
Hyosc. Ign. Ipec. Kali carb.
Mosch. Nux vom. Op. Phos. Puls.
Rhus. Ruta. Sep. Spong. Sulph.
Werat. alb.
Expectoration.
Acrid : Puls.
Bitter: Acid. nit. Ars. Cham. Dros.
Puls.
Bloody: Acid. mur. Acid, nit. Acon.
Arn. Ars. Bell. Bry. Cactus. Calc.
Canth. Chin. Con. Croc. Cupr. Dig.
sulph.
Hyosc. Ipec. Merc. sol. Op. Phos.
Plumb. Puls. Rhus. Sabin. Sec.
Dros. Dulc. Ferr. Hep.
corn. Sil. Stram. Sulph.
Blood, coagulated: Acid. nit.
Bry. Canth. Nux wom. Puls. Sep.
– bright-red: Arn. Canth. Chin. Dros.
Hyosc. Rhus. Sabin. Sep. Sil.
– frothy: Arn. Dros. Ferr.
— black : Acid, nit. Arn. Canth. Chin.
Croc. Nux vom. Puls.
Tasting of old catarrh: Ign. Puls.
Sulph. Zinc.
Cool: Cann. Phos. Sulph.
Copious: Alum. Bry, Cactus. Caust.
Ferr.
Graph. Kali carb. Lyc. Puls. Sep.
Cic. Cina. Dros. Euphr.
Sil. Stann. Sulph.
Having a foul taste : Calc. Carb. v.
Cham. Cupr. Ferr. Phos. Puls. Sep.
Stann. Zinc.
Frothy: Op. Phos. Plumb. Sil. Stann.
Green: Ars. Carb. veg. Ferr. Hyosc.
Lyc. Puls. Sep. Stann. Thuj.
Having a metallic taste: Hep. sulph.
Ipec. Merc. sol.
Mucus, bloody: Alum. Arn. Ars.
Bry. Cactus. Chin. Con. Dros. Ferr.
Iod. Ipec. Op. Phos. Sabin. Sec.
corn. Sil. Spong. Zinc.
— transparent: Ars. Chin. Sil.
— yellow : Bry. Dros. Puls.
- blackish: Lyc.
Dros.
Arn.
Mucus, dry : Bry. Plumb.
– white : Cina. Phos. Rhus.
Spong. Stann.
— tenacious: Ant. crud. Ars. Bell. Bry.
Cactus. Canth. Carb. veg. Caust.
Cham. Cocc. Euphr. Iod. Kali carb.
Nux wom. Phos. Puls. Ruta. Samb.
Sep. Staph. Zinc.
Nauseous: Dros. Puls.
Purulent: Acid, phos. Bell. Calc.
Chin. Con. Dros. Ferr. Lyc. Kali
carb. Natr. mur. Phos. Puls. Ruta.
Sep. Sil. Staph. Zinc.
Salt : Alum. Ars. Bar. Carb. veg.
Dros. Graph. Lyc. Phos. Puls. Sep.
Stann. Sulph.
Sour: Calc. Phos,
Slimy : Alum. Ars. Aur. Bar. Bell.
Bry. Calc. Caust. Cham. Chin.
Cina. Dig. Euphr. Ferr. Hep. sulph.
Hyosc. Ipec. Merc. sol. Watr. mur.
Sep.
Op. Phos. Plumb. Puls. Rhus.
Sabin. Sec. corn. Sep. Sil. Spig.
Spong. Stann. Staph. Sulph.
Zinc.
Having a bad smell : Ars. Calc.
Stann.
— — taste : Ars. Stann.
Like starch : Arg. Bar.
Sweetish : Calc. Ferr.
Phos. Stann.
Tenacious: Alum. Ars. Carb. veg.
Nux wom.
Caust. Dulc. Iod. Kali carb. Phos.
Sep. Stann. Zinc.
Thick: Ipec. Lyc. Phos. Stann.
Sulph. Zinc.
Yellow : Ars. Bry. Calc. Dros. Ign.
Lyc. Phos. Puls. Sep. Spong.
Stann. Staph. Thuj.
Exciting Causes of Cough.
In open air: Bry. Cocc. Ipec. Nux
vom. Rhus. Spig.
By getting angry : Cham.
From ascending : Nux wom.
By baring one self: Nux vom.
By drawing a long breath : Amm.
mur. Dulc. Hep. sulph.
Breathing: Bell. Col. Dulc. Graph.
Hep. sulph. Natr. mur. Sulph.
After chagrin: Acon. Bry.
In cold air: Acon. Bry. Carb. veg.
Hep. sulph. Phos. Spong.
By taking cold : Bry. Cupr. Dros.
Hep. sulph. Ipec. Op. Nux vom.
Phos. Rhus.
By contraction of abdomen : Dros.
By getting Cool: Arn. Rhus.
After crying: Arn.
After drinking: Acon. Amm. mur.
COUGH.
957
Ars. Bry. Cocc. Ferr. Hep. sulph.
Lyc. Nux vom. Op. Phos.
From feeling of dryness: Cimicif.
Merc. sol.
After eating: Amm. mur. Bell. Bry.
Chin. Ferr. Nux vom. Op. Puls.
Ruta. Staph. Zinc.
When eating: Carb. veg. Cocc.
Puls. Sep.
By emotions: Acon. Arm. Bry. Cham.
Nuz vom. Op. Rhus. Staph.
As from feather-dust: Bell. Calc.
Cina. Ign. Sulph.
By getting heated: Acon. Bry. Ipec.
Nux wom. Thuj.
As from a hair on the tongue :
Sil.
By an irritation in the windpipe:
Acon. Alum. Arn. Ars. Bar. Bry.
Cactus. Canth. Carb. veg. Cham.
Cina. Cocc. Coff. Dros. Hep. sulph.
Ign. Iod. Ipec. Merc. sol. Nux
vom. Puls. Sep. Sil. Spong. Staph.
Sulph.
From irritation in the stomach :
Bell. Bry. Merc. sol. Phos.
By laughing : Chin. Stann.
By loss of breath: Aur. Cocc. Dros.
Euphr. Hep. sulph. Ign. Ipec. Nux
vom. Spig.
After lying down : Apis. Nux vom.
Puls. Rhus. Ruta. Staph.
When lying down : Ars. Bell. Cham.
Cocc. Con. Dros. Ferr. Hyosc.
Ign. Ipec. Nuz vom. Puls. Rhus.
— — on the back: Amm. mur. Nux
VOIºl.
— — on left side: Acon. Bry. Ipec.
Phos. Puls.
— — on right side : Acon. Amm. mur.
Ipec.
From mental labor: Ign. Nux vom.
By motion: Arn. Ars. Bry. Ferr.
INux vom.
By mucus on chest: Caust. Stann.
By mucus in windpipe : Cactus.
Bry. Ipec. Kali carb. Nux vom.
While nursing: Chin. Ferr.
During pregnancy: Ipec. Puls.
By reading: Nux wom.
By reading loud: Acid, nit. Phos.
Stann. -
In rest: Dros. Ferr. Hyosc. Phos.
Puls. Rhus. Samb.
Before rising: Nuz vom.
In the warm room: Bry. C. oc. Puls.
Spig.
By screaming: Arn.
By shocks: Nux wom.
When sitting: Hell. Phos.
During sleep: Arn. Bell. Calc. Cham.
Lach. Sep.
When smoking : Acon. Bry. Col.
Ferr. Hell. Ign. Nux wom. Petr.
Spong. Staph.
When stepping in water: Spig.
By stitches: Acon. Bry. Kali carb.
Nux wom.
By suffocative fits: Cham. Ipec.
Puls.
As from vapor of Sulphur : Carb. v.
Chin. Ign. Lyc. Puls.
From swallowing: Op.
From talking: Bar. Cham. Chin.
Hep. sulph. Ign. Ipec. Phos.
Stann. Rhus.
When teething :
Hyosc. Ipec. Rhus.
Throat, roughness in : Bry. Wuz vom.
Plumb. Puls. Rhus.
– stitches in : Cham. Stann.
– dryness in: Bry. Dros. Puls. Rhus.
Stann.
Throat-pit, tickling in : Acid. phos.
Bell. Cham. Cimicif. Cocc. Ign.
Nux vom. Puls.
Stomach, tickling in pit of: Bar. Bell.
Bry. Hep. sulph. Natr. mur. Phos.
By titillation in throat: Bry. Calc.
Caust. Chin. Hep. sulph. Iod. Zinc.
On waking: Ign. Nux vom. Puls.
Rhus.
When walking : Alum. Ars. Carb. v.
Ferr. Nux vom.
After walking in the open air:
Ferr. Ipec.
When getting warm in bed: Cham.
Nux vom. Puls.
By weakness: Stann.
By yawning: Arn. Nux wom.
Cham. Cina.
Accompanying Ailments.
Abdomen, pain in : Dros. Lyc. Nux
vom. Phos. Sil. Werat. alb.
– cutting in : Verat. alb.
– stitches in : Ars. Sep. Verat. alb.
— shocks in : Natr. mur.
– bruised in : Ars. Nux vom. Puls.
— contraction : Dros.
– pain in muscles of: Hyosc.
– stitches in sides of: Arn.
Abdominal ring, stitches in: Nux
wom. Verat. alb.
Anxiety: Acon. Cina. Coff. Rhus.
Asthma: Arn. Carb. veg. Caust. Cocc.
Dig. Ferr. Ipec. Natr. mur. Phos.
Rhus. Sep. Werat. alb.
Back, stitches in: Acon. Chin.
* Merc. sol. Puls. Sep.
958
COUGH.
Bladder, pain in : Puls. Squilla.
Choking: Carb. veg. Dros. Hep. s.
Ipec. Wuz vom. Puls. Sep. Sulph.
Chilliness: Calc. Carb. veg. Con.
Phos. Sulph.
Colic: Ars. Canth. Col. Con. Dros.
Ipec. Lyc. Nux wom. Phos.
Stann. Verat. alb.
Sep.
Concussing the body : Ant. crud.
Ipec. Puls. Rhus.
Crying: Arn. Bell. Cina. Hep. s.
Chest, oppression in :
Werat. alb.
-- burning in :
Caust. Cina. Phos. Spong. *
– pressure in : Acid. phos. Carb. veg.
Chin. Iod. Sil.
— as if shaken : Rhus.
– ulcerative pain: Staph.
– as if hollow : Sep. Zinc.
— coldness in : Zinc.
— cramp in : Cina.
— scraping in : Ruta. Staph.
– roughness: Arn. Carb. veg. Kali carb.
Lyc. Sep.
— rattling: Ant. tart. Bell. Caust. Cham.
Ipec. Puls. Verat. alb.
– pains generally: Acid. nit. Acid.
phos. Ars. Bell. Bry. Carb. veg.
Caust. Cham. Cina. Coff. Dig. Dros.
Rali carb. Lyc. Merc. sol. Nux wom.
Natr. mur. Phos. Puls. Sep. Spong.
Sulph. Verat. alb.
– relieved by pressure: Phos.
– cutting: Natr. mur. Sulph.
— excoriated, as if: Bry. Carb. veg.
Lyc. Phos. Sep. Spong.
— heaviness: Zinc.
— tension in : Phos. Rhus.
– stitches in : Acon. Arn. Ars. Bell.
Bry. Chin. Coff. Con. Dros. Merc.
sol. Nux wom. Natr. mur. Puls.
Rhus, Sep. Zinc.
– as if sore: Acid. nit. Alum. Arn.
Carb. veg. Caust. Cina. Hep. sulph.
Ipec. Lyc. Wuz vom. Phos. Sep. Sil.
Spig. Spong. Stann. Sulph.
– pain as if bruised : Arn.
– as if flying to pieces: Ars. Bry.
Merc. sol. Zinc.
— drawing: Caps.
— contraction: Dros.
Ear-ache : Nux wom.
Epigastrium, pain in: Bry. Dros.
INux vom.
— stitches in : Sep.
Brethism, vascular:
Chin.
Bructations: Verat: alb.
Eyes, obscured: Coff.
Arn. Cactus.
Bry. Rhus.
Ant. crud. Carb. veg.
Eyes, sparks before: Kali carb.
— tears in : Cina. Puls.
Face, blue: Ipec. Op. Werat. alb.
— pale: Cina.
— hot: Bell. Ipec. Sulph.
— sweat in : Ipec.
— distorted: Spong.
Fauces, burning in : Acid phos. Caust
— sore feeling in : Caust.
Forehead, cold sweat on : Verat. alb.
Hands, swelling of : Acon. Puls.
— coldness of: Sulph.
Head, pressure in : Acid. nit. Alum.
Bry. Con. Phos. Ruta.
— as if shaken : Rhus.
– heat in : Ars. Ipec. Sulph.
– tearing in : Alum. Calc. Sep.
– pain generally: Acon. Bell. Bry.
Chin. Con. Lyc.
– stitches in: Alum. Arn. Bry. Calc.
Carb. veg. Con. Ruta.
— shocks in: Ars. Bry. Dros. Ipec.
Lyc. Natr. mur. Rhus.
– as if bruised: Sulph.
– as if flying to pieces: Bry. Natr.
mur. Nux vom. Phos. Sep.
— contractive pain in : Petr.
Heat: Arn. Bell. Nux wom.
Hoarseness: Acon. Chin. Cina. Dros.
IIep. sulph. Phos. Samb. Spong.
Stann.
Ill-humor: Bell. Spong.
Mouth, dry : Cocc.
Nape of neck, pain in : Bell.
Nausea: Bry. Dros. Ipec. Merc. sol.
Nux wom. Puls. Ruta.
INosebleed : Acon. Bell. Dros. Merc.
Sol. Puls.
Pain in arm: Dig. Puls.
Palpitation of heart: Arn. Cactus.
Calc. - - -
Pain as from hernia: Petr.
— as from fatigue: Puls.
— generally: Dros. Nux vom.
— tension: Hell.
— stitches: Acon. Ars.
Sulph.
– as if bruised: Bry.
— in hip: Ars. Bell. Caust. Rhus.
Pressure in hypochondria: Cocc.
Spong.
– on bladder: Squilla.
Rectum, stitches in: Acid. nit.
Restlessness: Acon. Coff. Rhus.
Samb.
Ribs as if bruised : Arn.
Saliva, bloody: Dros.
Screaming: Op. Samb.
Shortness of breath: Bry.
Shoulder, stitches in : Puls.
Bry. Phos.
AIR-PASSAGES - WINDPIPE.
959
Throat, roughness: Caust. Hep. sulph.
Rali c. Phos. Sep. Spong.
— pain generally: Hep. Sulph. Natr. m.
Phos. Sil. Sulph.
— stitches in : Acid. mit. Bry. Phos.
– dryness: Puls. Rhus.
— sore pain : Phos. Sep.
Throat-pit, pain in : Nux wom.
Throbbing in arteries: Calc.
Tossing about: Acon. Arn. Rhus.
Urinate, urging to: Ipec. Squilla.
Urination, involuntary: Ant. crud.
Bry. Puls. Spong. Squilla. Staph.
Werat. alb.
Urine, retention of : Ipec.
Vertigo: Acon. Coff.
Vomiting in general: Ant. crud. Ant.
tart. Arn. Bry. Calc. Carb. veg. Con.
Cupr. Dros. Hep. sulph. Iod.
Ipec. Kali carb. Nux wom. Puls. Sep.
Vomiting, bitter: Cham. Sep.
– of food : Bry. Dros. Ferr. Watr. mur.
Rhus.
— of mucus: Dros. Hyosc.
— sweet: Calc.
— of water : Dros.
Waterbrash : Ars. Bry. Spig. Staph.
Weakness : Chin. Ferr. Werat. alb.
Windpipe, pain in : Carb. veg. Camph.
Ign. Kali carb. Phos. Spong.
– as if sore : Ant. crud. Bry. Caust.
Hep. sulph. Ign. Kali carb. Natr. mur.
Sep. Stann.
— tickling in :
Sulph.
Cham. Ign. Nuz vom.
Shoulder-blade, stitches in : Merc.
sol. Sep.
Side, stitches in : Acon. Bry. Puls.
Zinc.
Sleeplessness: Hyosc. Lyc. Nux
vom. Puls. Rhus.
Sneezing: Bell. Bry. Hep. sulph.
Small of back, pain in : Merc. sol.
— stitches in : Acon. Arn.
Start, tendency to: Acon.
Stomach, pressure in : Lyc.
— pain in: Bry. Hell. Ipec. Lyc. Phos.
Puls. Rhus. Ruta. Sep.
– stitches: Ars. Bry. Phos. Sulph.
— qualmishness: Ign. Ipec.
— sore pain: Bry.
— as if bruised: Stann.
— contraction: Ars.
Suffocative fits: Acon. Bry. Cham.
Cupr. Hep. sulph. Ipec. Op. Samb.
Spig. Spong.
Sweat: Ars. Dig. Hep. sulph. Ipec.
Rhus. Spong.
Taste in mouth, as of blood: Bell.
Rhus.
Teeth, gritting of: Bell. Con.
Trembling of whole body: Phos.
Throat, bitter taste in : Rhus.
– burning in : Acid. mur. Phos.
— inflammation: Acon. Cham. Ipec.
Nux wom. Puls.
— as if swollen : Merc. sol. Puls.
– titillation: Bry. Kali carb.
— scraping : Bell. Bry. Croc.
Sulph.
Hep.
XX. AIR-PASSAGES — WINDPIPE,
Burning: Canth. Cham. Phos. Spong,
Sulph.
Choking: Cupr. Dros.
Constriction : Ars. Camph. Cham.
Cocc. Coff. Ign. Ipec. Mosch. Wuz
vom. Puls. Rhus. Spong. Verat.
alb.
Contraction: Cocc. Lach. Spong.
Staph.
Contusive pain: Ruta.
Cough, desire to : Acon. Arn. Bry.
Canth. Cham. Chin. Cina. Cocc.
Coff. Dros. Hyose. Ign. Ipec.
Nux vom. Puls. Sabin. Spong.
Staph.
Crampy feeling: Cham. Nux vom.
Croup : Acon. Ant. tart. Cham.
Chin. Dros. Hep. sulph. Lach.
Phos. Samb. Spong.
Dryness: Alum. Carb. veg. Caust. Con.
Hyosc. Wuz vom. Natr. mur. Petr.
Phos. Puls. Spong. Sulph. Zinc.
Food gets into the larynx: Acon.
Rhus. Werat. alb.
Hawking up mucus: Alum. Ant. c.
Bry. Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cina. Cocc. Croc. Dig.
Dulc. Hyosc. Iod. Kali carb. Lach.
Lyc. Wuz vom. Natr. mur. Phos.
Plumb. Puls. Rhus. Sabin. Samb.
Spig. Stann. Staph. Sulph.
Heat : Ant. crud Canth. Iod.
Hoarseness: Acid. mur. Acid. phos.
Acon. Arn. Ars. Bell. Bry. Calc.
Camph. Canth. Carb. veg. Caust.
Cham. Chin. Cic. Coff. Con. Croc.
Cupr. Dig. Dros. Ferr. Gelsem.
Graph. Hep. sulph. Iod. Kali carb.
Lach. Lyc. Merc. sol. Nux vom.
Natr. mur. Op. Petr. Phos. Plumb.
960
IEXTERNAL NECK AND NAPE OF THE NIECK.
Puls. Rhus. Samb. Sec. corn. Sep.
Sil. Spig. Spong. Stann. Staph.
Sulph. Thuj. Verat. alb. Zinc.
Inflammation : Acon. Dros. Ipec.
Nux wom. Puls. Spong.
Itching: Con. Nux vom. Puls.
Mucus, accumulation of: Alum. Ars.
Cactus. Calc. Carb. veg. Caust.
Cham. Chin. Cina. Cocc. Coff. Dig.
Hyosc. Iod. Kali carb. Lyc. Nux
vom. Natr. mur. Phos. Samb. Sep.
Stann.
Numb feeling : Acon.
Phthisis of larynx : Calc. Carb. v.
Caust. Cupr. Dros. Hep. sulph.
Ign. Iod. Lach. Merc. sol. Nux wom.
Puls. Spong. Stann. Sulph.
As of a plug : Bar. Kali carb.
Pressure : Bar. Bell. Carb. veg. Cic.
Graph. Puls.
Roughness: Alum. Ars. Bell. Canth.
Carb. veg. Caust. Chin. Kali carb.
Nuz vom. Natr. mur. Phos. Plumb.
Puls. Rhus. Sil. Spong. Stann.
Sulph. Zinc.
As if scraped : Wuz vom. Puls. Rhus.
Verat. alb.
Scraping : Acid. nit. Alum. Carb. veg.
Hep. sulph. Ign. Kali carb. Natr. mur.
Rhus. Spong. Stann. Staph.
Sensitiveness: Bell. Hep.s. ſod. Lach.
Phos. Sep. Spong. Sulph. Zinc.
Simple pain : Acon. Canth. Hep. s.
Iod. Lach. Nux wom. Spong.
As of a soft body: Dros.
Sore feeling : Bry. Carb. veg. Caust.
Chin. Graph. Ign. Iod. Kali carb.
Natr. mur. Puls. Sep. Stann.
Spasm : Gelsem. Mosch. Werat. alb.
Stitches: Bar. Bell. Chin. Dros. Hyos.
Iod. Ipec. Kali carb. Phos. Spig.
Zinc.
As if stopped up : Rhus. Spong.
Like vapor of Sulphur : Ign. Mosch.
Puls.
Swelling: Iod. Sil.
As if swollen : Mod.
Tearing: Ign.
Tension: Spong.
Tickling: Acon. Arn. Calc. Carb. v.
Cina. Con. Ferr. Hep. sulph. Ipec.
Merc. sol. Nux vom. Puls. Rhus.
Sabin. Werat. alb. Zinc.
Tingling : Arn. Calc. Carb. veg. Con.
Dros. Graph. Iod. Kali carb. Lyc.
Natr. inur. Phos. Plat. Sep. Stann.
Thuj. Zinc.
Voice, raised : Stann.
– imperfect : Bar. Carb. veg. Caust.
Graph. Merc. sol. Natr. mur.
Sulph.
— loss of, complete: Bell. Carb. veg.
Caust. Hep. sulph. Watr. mur.
Phos. Plat.
XXI. EXTERNAL NECK AND NAPE OF THE NECK.
Boils: Arm. Caust. Sep.
Burning: Ferr. Ign.
As if bruised: Arn. Cic. Hep, sulph.
Sabin.
Cold feeling: Phos.
Cramp : Cic.
Cutting: Graph. Ruta. Samb.
Drawing : Acon. Ant. crud. Arn. Bell.
Bry. Camph. Canth. Chin. Cic. Cocc.
Croc. Dulc. Graph. Kali carb. Nux
vom. Natr. mur. Puls. Sabin. Spig.
Spong. Staph. Verat. alb.
Eruptions: Ant. crud. Ars. Aur. Bry.
Canth. Dig. Hep. sulph. Merc. Sol.
Puls. Spig. Spong. Staph. Thuj.
Verat. alb.
Glands, boring in : Bell. Merc. Sol.
Puls.
– pressure in : Aur. Bell. Chin. Cina.
Cocc. Ign. Merc. sol. Rhus. Stram.
- simple pain in : Acid. nit. Acid.
phos. Alum. Arn. Bry. Calc. Carb.
veg. Caust. Chin. Cic. Con. Graph.
Hell. Hep. sulph. Ign. Kali carb.
Lyc. Merc. sol. Nux vom. Watr. m.
Phos. Puls. Rhus. Sep. Sil. Spig.
Spong. Stann. Staph. Thuj.
Glands, suppuration of: Bell. Hep.
sulph. Iod. Merc. sol. Sil.
– sensitiveness: Arn. Aur. Iod. Spong.
– inflammation : Acid. nit. Bar. Bell.
Calc. Canth. Hep, sulph. Kali carb.
Merc. Sol. Plumb.
— swelling: Acid. nit. Acid. phos.
Alum. Arn. Aur. Bar. Bell. Bry.
Calc. Camph. Canth. Carb. veg.
Cham. Chin. Con. Dulc. Ferr.
Graph. Hep. sulph. Ign. Iod. Lyc.
Merc. sol. Natr. mur. Petr. Phos.
Puls. Rhus. Sep. Sil. Spong.
Stann. Staph. Sulph. Thuj.
— — feeling of : Spong. Staph.
– hard swelling : Bar. Cocc.
Rhus. Spig. Staph.
Goitre : Calc. Caust. Iod. Kali carb.
Lyc. Watr. mur. Spong.
Plumb.
IEXTERNAL NECE AND NAPE OF THE NIECK.
961
Head drawn to one side : Chin.
Cupr. Hyosc.
Heat: Calc. Caust. Cham. Ign. Sep.
Sulph.
Itching: Alum. Bry. Carb. veg. Ign.
Natr. mur. Op. Puls. Rhus. Stann.
Thuj.
Pain, laming: Cocc.
— rheumatic : Acon.
Staph.
– as if sore: Bry. Cic. Verat. alb.
— in lower vertebrae : Con.
Iod.
— simple: Bell. Bry. Calc. Caust. Ferr.
Graph. Kali carb. Lach. Nux wom.
Phos. Sil. Zinc.
Pressure: Acid phos. Acon. Ant. crud.
Arn. Bell. Calc. Carb. veg. Caust.
Ign. Kali carb. Lach. Lyc. Sabin.
Spong. Staph.
Spots, yellow : Iod.
– red :
Nux vom. Rhus. Sep. Stann.
Stiffness: Alum. Ars. Bell. Bry. Calc.
Chin. Cic. Cocc.
Croc. Dig. Lyc. Merc. sol. Natr. mur.
Camph. Caust.
Rhus. Sil. Staph. Thuj. Zinc.
Stitches: Acon. Ant. crud. Bry. Canth.
Cocc. Cupr. Dig. Graph. Hep. sulph.
Kali carb. Phos. Samb. Spig. Spong.
Staph. Thuj. Zinc.
Sensitive of pressure : Lach.
Swelling : Acid, nit. Alum. Ars. Bell.
Calc. Caust. Cic. Iod. Lyc. IMerc.
sol. Phos. Rhus. Sil. Zinc.
Tearing : Arn. Aur. Carb. veg. Cham.
Cupr. Iod. Kali carb. Lyc. Merc. sol.
Phos. Plumb. Sabin. Spong. Staph.
Sulph. Zinc.
Tension: Arn. Bar. Bell. Bry. Calc.
Camph. Caust. Cic. Dig. Graph. Iod.
Rhus. Spig. Spong.
Plumb. Puls.
Staph. Sulph. Zinc.
Throbbing of carotids: Bell. Glon.
Hep. sulph. Spong.
Twitchings: Canth. Phos.
Zinc.
Veins, swelling of: Op. Thuj.
Weakness: Arn. Cocc. Glon. Staph.
Werat. alb.
As from a wrong position : Dulc.
Thuj. Zinc. ©
Nape of the Neck.
Beating: Con.
Blotches: Hep.
Boils: Arn. Sil.
Boring: Bar.
Burning: Acid phos. Arn. Bar. Calc.
Carb. veg. Ign. Merc. sol.
Rhus.
Apis. Bell. Carb. veg. Cocc.
Spong.
Coldness, feeling of: Sulph.
Contraction : Puls.
Cracking: Spong.
Cramp: Ant. crud.
Crampy feeling : Thuj. Sil.
Crampy stiffness: Zinc.
Crawling: Dulc
Cutting: Dig.
Drawing: Alum. Ant. crud. Bell.
Camph. Chin. Col. Con. Dig. Hyosc.
Kali carb. Lyc. Merc. sol. Mosch.
Nux vom. Plumb. Puls. Rhus.
Ruta. Sep. Staph. Sulph. Thuj.
Zinc.
Eruptions: Bar. Bell. Bry. Caust.
Cham. Hep. sulph. Lyc. Sep. Sil.
Staph.
Heat: Ign. Lach. Phos.
Itching: Acid. nit. Carb. veg. Rhus.
Sep. Sil. Staph.
Laming pain: Cina. Nux vom. Spig.
Staph. Verat. alb.
As if the flesh were loose : Acon.
— stiff : Acid. nit. Acon. Bar. Bell.
Bry. Calc. Camph. Canth. Caust.
Col. Dig. Dros. Dulc. Graph. Hell.
IIyosc. Ign. Kali carb. Lach. Lyc.
Nux vom. Natr. mur. Petr. Phos.
Plat. Puls. Rhus. Sec. corn. Sep.
Sil. Spig. Spong. Staph. Sulph. Thuj.
|Verat. alb. Zinc.
Pain, crampy: Arn.
– rheumatic : Acon. Bry. Graph. Iod.
Merc. sol. Nux vom. Puls. Rhus.
Staph. Verat. alb. *
— simple: Acon. Bry. Chin. Dulc.
Graph. Hyosc. Ipec. Merc. sol. Nux
vom. Natr. mur. Phos. Sep. Spig.
Stann.
– as if tired : Glon. Rhus.
– ulcerative : Puls.
Pressure: Bar. Bell. Bry. Carb. veg.
Cocc. Col. Dig. Graph. Lach. Lyc.
Merc. sol. Mosch. Natr. mur. Phos.
Rhus. Samb. Spong. Staph. Thuj.
Pulling’in muscles: Col.
Pustules: Staph.
Sensitiveness: Lach. Nux wom.
As if gone to sleep : Rhus. Spig.
Spots, yellow : Iod.
– red: Carb. veg. Sep. Stann.
Stitches : Acon. Arn. Bar. Bell. Calc,
Camph. Chin. Cocc. Graph. Ign.
Puls. Rhus. Sep. Stann. Staph.
Sulph.
As if strained: Dulc. Nux wom. Puls.
Rhus. Zinc.
As if swollen: Sep.
Tearing : Camph. Canth. Carb. veg.
61
962
CHEST.
Graph. Ign. Kali carb. Nux vom.
Phos. Plumb. Sil. Spig. Sulph.
Tension: A con. Arn. Aur. Bar. Bry.
Calc. Canth. Caust. Con. Dig. Glon.
Graph. Hyosc. Iod. Ipec. Kali carb.
Mosch. Plat. Plumb. Puls. Rhus.
Sep. Sil. Staph. Sulph. Thuj.
Zinc.
Weight: Nux vom. Petr. Phos. Rhus.
Sabin. Samb.
XXII.
Internal Chest,
Anxiety : Acon. Arn. Bry. Cactus.
Camph. Chin. Cocc. Ign. Lach.
Mosch. INux vom. Puls. Rhus.
Samb. Sec. corn. Spig. Spong.
Staph. Verat. alb.
As if a band around:
Sabin. Sulph.
Blood, erethism of: Alum. Carb. veg.
Nux vom. Plumb. Sep. Spong.
Thuj.
As if bounding: Croc.
Boring : Acid, mur. Acon. Alum. Cina.
Kali carb. Rhus. Spig. Staph. Thuj.
Burning: Acid. phos. Acon. Alum.
Ant. crud. Arn. Ars. Bar. Bell. Bry.
Cactus. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cic. Cina. Cocc.
Coff. Con. Dros. Ferr. Graph. Hyosc.
Ign. Iod. Lach. Lyc. Merc. sol.
Mosch. Nux wom. Phos. Plat. Ruta,
Sabin. Sec. corn. Sep. Spong. Stann.
Sulph. Zinc.
Chilliness: Bry. Natr.
As if concussed : Rhus.
Cooling, pleasant: Ruta.
Constriction : Acon. Alum. Arn. Ars.
Bell. Cactus. Cham. Cocc. Col. Cupr.
Dig. Dros. Ferr. Hell. Ign. Mosch.
Nux vom. Natr, mur. Op. Phos.
Puls. Plat. Rhus. Ruta. Spig. Stann.
Stram. Sulph. Verat. alb.
Contraction : Acon. Alum. Ars. Cac-
tus. Canth. Caust. Cham. Cogc. Cupr.
Dig. Ferr. Hell. Ign. Ipec. Lyc.
IMosch. Nux vom. Op. Puls. Rheum.
Samb. Spig. Stann. Staph. Sulph.
Verat. alb.
Crampy feeling: Acid. mur. A con.
Bell. Bry. Canth. Cham. Cina. Dulc.
Hyosc. Kali carb. Nux wom. Plat.
Stann. Thuj. Verat. alb.
Cutting: Acid, mur. Alum. Arn. Aur.
Bell. Calc. Caust. Chin. Con. Dig.
Dulc. Kali carb. Lyc. Merc. sol. Puls.
Ruta. Sabin. Samb. Spig. Spong.
Stann. Sulph. Zinc.
Digging: Arn. Cina. Dulc. Ferr. Petr.
Stann.
Cactus.
CHEST.
As if dilated : Bry. Stann.
Dislocation-pain: Caust. Dulc. Lyc.
Petr. Plat Spig. Sulph. Thuj.
Dropsy : Acon. Arn. Ars. Bry. Carb.
veg. Chin. Dig. Ferr. Hell. Ipec.
Kali carb. Op. Rhus. Spig. Squilla.
Verat. alb.
Dryness, feeling of:
Ferr. Phos.
As if empty: Cocc. Stann.
Fermenting : Phos.
Fulness: Acon. Ant. crud. Arn. Bar.
Con. Ferr. Ign. Lyc. Mosch. Phos.
Puls. Rhus. Ruta. Sep. Sulph.
|Verat. alb.
Gnawing : Ruta.
Griping : Verat. alb.
Gurgling : Cina. Kali carb. Natr. mur.
Ruta.
Hammering : Phos.
Heat: Acid. nit. Arn. Ars. Aur. Bell.
Bry. Calc. Caust. Chin. Cic. Nux
vom. Op. Puls. Rhus. Ruta. Spong.
Stann. Sulph.
Heaviness: Acon. Alum. Bar. Bry.
Calc. Iod. Phos. Plat. Samb. Sep.
Staph. Sulph. Werat. alb.
Inflammation : Acon. Arn. Bry.
Cann. Hyosc. Nux vom. Phos. Puls.
Rhus. Spong. Stram. -
Itching: Carb. veg. Kali carb. Phos.
Jerks: Croc. Con. Lyc.
Languor: Acid, phos. Alum. Calc.
Carb. veg. Cocc. Nux wom. Natr. mur.
Phos. Stann. Sulph.
As of something living : Croc.
As of something loose: Bry.
Lungs, inflammation of: Acon. Bell.
Ant. tart. Bry. Lyc. Phos. Puls,
Rhus. Sep. Sulph.
— phthisis of: Ars. Bry. Calc. Carb.
veg. Chin. Con. Dulc. Ferr.
Graph. Iod. Kali carb. Lyc. Natr.
mur. Phos. Puls. Ruta. Samb.
Sep. Spig. Stann.
Pain as if excoriated : Acid, mur.
Ars. Bry. Calc. Carb. veg. Caust.
Cic. Cina. Ipec. Kali carb. Lyc. Natr.
mur. Phos. Rhus. Sep. Sil. Spong.
Stann. Staph. Sulph.
Alum. Canth.
CHEST.
963
Pain, as if bruised: Acon. Alum.
Arn. Bry. Caust. Cham. Con. Kali
carb. Merc. sol. Phos. Spong. Stann.
2 inc.
– as if flying to pieces: Bry. Cina.
— drawing: Acid. nit. Cactus. Carb. v.
Cham. Chin. Con. Dig. Dulc. Kali c.
Nuz vom. Op. Puls. Sil. Spig. Spong.
Stann.
— simple: Acid. inur. Arn. Ars. Bar.
Calc. Carb. veg. Caust. Cham. Chin.
Cina. Col. Con. Croc. Dulc. Ferr.
Graph. Iod. Lyc. Mosch. Phos. Puls.
Sep. Sil. Spig. Spong. Stann. Sulph.
Verat. alb.
Pinching: Alum. Bell. Cactus. Carb.
veg. Cina. Dulc. Ign. Kali carb. Samb.
Spig. Spong. Thuj. .
Pressing: Acid, nit. Alum. Bry. Graph.
Ign. Phos. Sulph. Werat. alb.
Pressure from without : Cactus.
Chin. Cocc. Ign. Nux vom.
— — within : Bell. Bry. Cina. Dulc.
Verat. alb. Zinc.
– as from a load : Bry. Nux vom.
Rheum. Samb. Spig. Verat. vir.
Raw, as if: Arn. Ars. Bry. Chin.
Cocc. Dig. Hell. Nux wom. Natr. m.
Rhus. Zinc.
Rattling: Acon. Ant. crud. Ant. tart.
Bry. Dros. Dulc. Hep. sulph. Ipec.
Merc. Sol. Mosch. Nux wom. Puls.
Rhus. Samb. Squilla. Sil. Sulph.
Verat. alb.
Rush of blood: Acon. Arn. Bell.
Bry. Carb. veg. Cocc. Cupr. Ferr.
Hyosc. Nux vom. Natr. mur. Puls.
Sep. Spong. Thuj.
Shocks: Acon. Calc. Croc. Dulc. Plat.
Ruta.
Shuddering : Acon.
Spasm : Acid. nit, Acon. Bry. Calc.
Cham. Cina. Cocc. Coff. Cupr.
Dig. Ferr. Ipec. Kali carb. Lyc.
Mosch. Petr. Phos. Puls. Sec. corn.
Sep. Sulph. Thuj. Zinc.
Stitches, in left side: Acon. Alum.
Ant, tart. Arn. Bell. Bry. Cactus.
Calc. Camph. Canth. Caust. Chin.
Cic. Cina. Cocc. Con. Dig. Dulc.
Hell. Ign. Ipec. Kali carb. Lyc.
Merc. sol. Natr. mur. Phos. Plat.
Plumb. Puls.
Sep. Spig. Spong. Stann. Staph.
Sulph. Thuj. Zinc.
– in right side: Acon. Alum. Ant. tart.
Arn. Bell. Bry. Cactus. Canth.
Carb. veg. Caust. Chin. Cina. Cocc.
Col. Con. Dig. Dulc. Ign. Kali carb.
Merc. sol. Watr. mur. Op. Phos.
Rhus. Ruta. Samb. ,
Rhus. Sep. Sil. Spig. Spong. Stann.
Sulph. Thuj. Verat. alb. Zinc.
Stitches, in middle of chest : Acon.
Alum. Ant. crud. Bry. Cham. Chin.
Iod. Phos. Plumb.
– in diaphragm: Spig.
— in breast bone : Acon. Arm. Bell.
Bry. Calc. Canth. Caust. Con. Dulc.
Hep. Lyc. Natr. mur. Phos. Sabin.
Spig. Sulph.
– from the chest through the back:
Acon. Bry. Canth. Carb. veg. Chin.
Cocc. Ferr. Lyc. Plumb. Sabin. Sil.
Spig. Sulph.
As if stopped up : Bry.
Tearing : Canth. Carb. veg. Caust. Con.
Dulc. Graph. Kali carb. Natr. m. Op.
Petr. Phos. Puls. Rhus. Spig. Stram.
Zinc.
Tension : Ars. Bell. Bry. Caust. Cic.
Cocc. Con. Dig. Dulc. Ign. Lyc. Nux
vom. Natr. mur. Phos. Puls. Rhus.
Ruta. Sabin. Sep. Spig. Stann.
Staph. Sulph. Zinc.
Throbbing: Acon. Bar. Bell. Bry.
Cham. Coff. Dig. Graph. Ign. Nuz
vom. Phos. Sil. Sulph. Thuj. Zinc.
Tickling: Bar. Cham. Chin. Kali c.
Phos. Stann. Verat. alb.
As if too tight: Cactus. Hell. Puls.
Spig. Sulph. .
Tightness, feeling of : Cactus. Puls.
Tingling: Acid, phos. Acon. Ars. Col.
Sep. Spig. Spong. Stann. Thuj.
Trembling: Kali carb. Phos. Ruta.
Sabin.
Twitching: Col. Dulc. Kali carb. Lyc.
Natr. mur. Sep. Spig.
Ulcerative pain: Bry. Puls. Staph.
Warmth : Bry. Coff. Hell. Nux vom.
Werat. alb.
Weakness: Iod. Kali carb. Plat.
Rhus. Stann. Sulph.
– feeling of: Carb. veg. Chin. Plat.
Stann. Staph.
As if weary: Arn. Carö. veg. Spong.
Wrenching : Samb.
External Chest.
Boils: Arn. Chin.
Burning: Acid mur. Apis. Ars. Bar.
Bell. Canth. Dig. Dros. Ferr. Nux
vom. Phos. Plat. Rhus. Sulph. Zinc.
Contraction : Arn. Bry. Dig. Op.
Plat. Rhus. Spig.
Contusive pain : Ant. crud. Arn.
Crampy feeling: Acid. nit. Acon.
Calc. Cham. Dig. Dulc. Plat. Sep.
Creeping: Arn. Dros.
964
CHEST.
Creeping chill : Nux wom.
Drawing: Acid. mur. Acon. Carb. veg.
Cupr. Dig. Dulc. Lyc. Nuz vom. Puls.
Rhus. Spig. Stann. Zinc.
Eruptions: Ars. Caust. Hep. Lach.
Lyc. Merc. sol. Petr. Plumb. Staph.
Sil. Sulph.
Gnawing: Arn. Calc. Ruta. Spong.
Heat: Cham. Cic. Dig. Puls.
Itching: Alum. Ant. crud. Bar. Calc.
Canth. Carb. veg. Caust. Kali carb.
Sep.
Lyc. Natr. mur. Phos. Puls.
Spong. Staph. Sulph. Verat. alb.
Pain, as if contused : Acid. mur. Con.
Dulc. Merc. sol. Natr. mur.
– as if sprained: Arn. Cocc.
– as if sore: Apis. Bar. Bry. Sep.
Staph. Werat. alb.
– as if bruised : Apis. Arm. Bry. Chin.
Ign. Merc. sol. Wuz vom. Watr. mur.
Phos. Rheum. Spig. Staph. Sulph.
— simple: Ant. crud. Bry. Dulc. Natr.
Sep. Sil.
mur. Phos. Puls. Rhus.
Staph. Sulph. Verat. alb.
Pimples: Ant. crud. Ant. tart. Bry.
Canth. Cocc. Con. Hep. Plumb. Rhus.
Staph.
Pressure: Arn. Aur. Bry. Camph.
Canth. Chin. Dulc. Dros. Nux wom.
Rhus. Ruta. Spig. Stann. Staph.
Sulph. Verat. alb.
Redness: Aur. Bell. Bry.
Rheumatic pain : Bry. Spig.
Shuddering: Chin. Cina. Wuz vom.
Plat. Ruta. Spig. Staph.
Gone to sleep: Merc. sol.
Spasms: Cic. Puls. Stram. Werat.
alb.
Spots, brown: Carb. veg.
— yellow : Ars. Phos.
– red : Apis. Bell. Carb. veg. Cocc. Lyc.
Rhus.
Stitches: Arn. Acid, mur. Bell. Bry.
Calc. Camph. Canth. Caust. Chin.
Nozac vom. Phos.
Puls. Rhus. Ruta, Spig. Spong. Stann.
Con. Dros. Dulc.
Staph. Sulph.
Sweat: Arn. Bell. Calc. Canth. Chin.
Hep. Ipec. Lyc. Merc. sol.
Cocc.
Phos. Plumö. Rhus. Sec. corn.
Swelling: Bry. Calc.
Rhus. Sep. Sil. Sulph.
Tearing: Bry. Camph. Dulc. Kali carb.
Lyc. Merc. sol. Nux wom. Sabin.
Spig.
Tension: Cham. Chin. Dig. Dros.
Dulc. Ferr. Iod. Merc. sol. Nuz vom.
Natr. mur. Phos. Puls. Rhus. Sabin.
Spig. Stann. Thuj.
Twitching: Merc, sol. Spig.
Dulc. Iod.
Ulcers: Ars. Hep. Sulph.
Ulcerative pain: Bry. Puls.
Warmth; Bry. Wuz vom. Phos. Rhus.
Arm-pits.
Burning: Carb. veg.
Crawling: Con.
Drawing: Bell. Sil.
As if excoriated: Con.
Inflammation : Acid. mit. Petr. Phos.
Sulph.
Itching: Carb. veg. Caust. Con. Dig.
Kali carb. Phos. Sep.
Pain generally: Acid. nit. Bell. Carb.
veg Con. Sil.
Stitches: Arn. Con. Sulph.
Suppuration: Calc. Col. Hep. sulph.
Petr. Sil. Sulph.
Sweat: Dulc. Kali carb. Natr. mur.
Phos. Sep. Sulph.
Swelling: Acid. nit. Bell. Calc. Iod.
Hep. sulph. Lyc. Natr. mur. Petr.
Phos. Sep. Sulph.
Mamma (Breasts).
Blotches: Bell. Calc. Carb. veg.
Cham. Con. Dulc. Graph. Lyc.
Phos. Ruta. Sil. Sulph.
Contusion: Arn. Rhus.
Crawling: Con.
Drawing : Cham.
Erysipelas: Acon. Bell. Bry. Graph.
Phos. Sil. Sulph.
As if excoriated : Con.
Hardness: Bry. Cham. Con. Phos.
Phytolac. Plumb. Sil. Sulph.
Heat: Bell. Bry. Phos.
Carb. veg. Cham. Con. Phos. Phy-
tolac. Puls. Sil. Sulph.
Itching: Caust. Con. Kali carb. Nux
vom. Plumb. Rhus.
Milk, bitter and yellow : Rheum.
— bluish : Lach.
— too fat : Puls.
— setting in: Puls.
– fever: Acon. Arn. Bry. Cham. Coff.
Ign. Puls. Rhus.
— excessive flow of : Acon. Chin.
– vanishing of: Bry. Calc. Cham.
Puls. Rhus. Sec. corn. Zinc.
-- increase of: Bry. Nux wom. Puls.
– stoppage of: Bell. Calc. Puls.
Pain, simple: Bry. Cham. Col. Con.
Merc. Sol. Sil. Werat. alb.
Shuddering : Cocc. Nux wom.
Stitches: Alum. Bar. Bell. Con. Nux
vom. Natr. mur. Plumb. Sep. Zinc.
CHEST.
965
Suppuration :
Phytolac. Phos. Sil. Sulph.
Swelling: Bell. Bry. Cham. Con.
Dulc. Merc. sol. Phos. Phytolac.
Sabin. Sil.
Plumb. Puls. Ruta.
Sulph.
Tearing: Bar. Cham.
Tension : Puls.
TJlcers: Hep. Merc. sol. Phos. Sil.
Sulph.
Ulcerative pain: Merc. sol.
Withering: Cham. Con. Iod.
Nipples.
Burning: Cic. Graph. Sulph.
Creeping : Sabin.
Discharge of blood and humor:
Lyc. Plumb.
Hardness: Bry. Merc. sol.
Inflammation: Acon. Bry. Cham.
Phos. Puls. Sil. Sulph.
Itching: Con. Puls. Rhus.
Pain, simple: Graph. Nux wom.
Sulph.
Rhagades: Arn. Graph. Petr.
Sulph.
Soreness: Arm. Calc. Cham. Graph.
Lyc. Puls. Sil. Sulph. Zinc.
Stitches: Acid, mur. Camph. Ign. Lyc.
Rheum. Sabin. Sulph.
Heart and Region of the Heart.
Anxiety: Acon. Alum. Ars. Aur.
Cactus. Calc. Canth. Cham. Cina.
Cocc. Croc. Cupr. Ferr. Graph. Hell.
Lyc. Nux vom. Op. Phos. Plumb.
Puls. Rhus. Sec. corn. Sep. Sil.
Spong. Stram. Sulph. Verat. alb.
Werat. Vir.
Beats of the heart, intermittent:
Bry. Cactus. Chin. Dig.
Acon.
Kali carb. Natr. mur. Sep. Sulph.
— slow: Arn. Dig.
— quick : Acon. Ant. tart. Amm. mur.
Ars. Bar. Sabin. Sulph. Zinc.
– imperceptible:
alb.
— stronger: Acid. mur. Ant. tart. Ars.
Aur. Calc. Chin. Dig. Dulc. Hyosc.
Phos. Sabin. Spig. Werat. alb.
— full : Acon. Bell.
Burning: Carb. veg. Op. Puls. Verat.
ºyz7°.
Contusive pain : Cactus. Natr. mur.
Drawing: Canth.
Excitement, vascular: Acon. Cactus.
Nux wom. Rhus.
Carb. veg. Glon.
Sulph.
Bry. Hep. sulph.
Bry. Rhus. Verat.
Heart, trembling of: Ars. Bell. Calc.
Camph. Cic. Lach. Rhus. Sep. Spig.
Staph.
– throbbing in the region of the : Ars.
Bar. Cactus. Calc. Hell. Lyc. Phos.
Sep. Sil. Spig. Sulph. Zinc.
Humming: Spig.
Inflammation : Acon. Ars. Bry.
Cactus. Cocc. Puls. Rhus. Spig.
Jerking: Arn. Nux vom. Plumb.
Oppression: Bell. Cactus. Cham. Nux
vom. Spig.
Palpitation, generally: Acid. nit.
Acid. phos. Acon. Alum. Arn. Ars.
Aur. Bar. Bell. Bry. Cactus. Calc.
Camph. Canth. Carb. veg. Caust.
Cham. Chin. Cocc. Con. Croc. Cupr.
Dig. Glon. Graph. Hell. Ign. Iod.
Ipec. Kali carb. Lyc. Merc. sol.
INatr, mur. Nux vom. Petr. Puls.
Rhus. Sabin. Sec. corn. Sep. Sil.
Spig. Spong. Staph. Sulph. Thuj.
Verat. alb. Verat. vir. Zinc.
— with anguish : Acon. Ars. Cactus.
Calc. Cham. Chin. Cocc. Dig. Graph.
Rali corb. Lyc. Mosch. Natr. mur.
Nux vom. Phos. Plat. Plumb.
Puls. Sec. corn. Sep. Sil. Sulph. Spig.
Thuj. Verat. alb.
– without anxiety: Ipec. Sulph. Thuj.
Zinc.
– audible : Cactus. Dig. Spig.
— spasmodic : Sec. corn.
— visible : Cactus. Con. Dulc. Graph.
Jod. Rhus. Sec. corn. Spig. Sulph.
Thuj.
Pressure : Acon. Arn. Ars. Bell. Cac-
tus. Canth. Cham. Con. Graph. Kali c.
Lyc. Natr. mur. Nuz vom. Puls. Rhus.
Spig. Verat. vir.
Rush of blood : Acon. Cactus. Carb.
veg. Cham. Ferr. Lyc. Nux vom.
Phos. Puls. Sep. Sulph.
Stitches: Acid. mur. Acid. nit. Arn.
Aur. Cactus. Calc. Canth. Carb. v.
Caust. Cham. Chin. Croc. Ign. Nuz
vom. Petr. Plumb. Rhus. Sep. Spig.
Sulph. Zinc.
Tearing: Cactus. Canth. Lyc.
Weak feeling: Rhus.
Weight: Cactus. Croc. Puls.
Symptoms of the Chest and Heart,
according to situation and Cir.
Cumstances.
Aggravated.
In the open air : Bry. Caust. Chin.
Cocc. Coff. Con. Graph. Ign. Lyc.
966
CHEST.
Natr. mur. Nux vom. Rhus. Sep. Spig.
Stann. Staph.
When ascending: Bell. Graph. Nux
vom. Rhus. Sep. Staph. Thuj.
Zinc.
When breathing: Acid. nit. Acon.
Ant. crud. Ant. tart. Arn. Ars. Bry.
Calc. Cham. Chin. Cina. Cocc. Dulc.
Dros. Graph. Hep. sulph. Hyosc. Lyc.
Merc. sol. Natr. mur. Puls. Sep.
Spig. Stann.
When drawing a long breath :
Bry. Calc. Merc. sol. Natr. mur.
After a cold: Acon. Bry. Carb. v.
Cham. Nuz vom. Rhus.
In cold air: Acon. Bry. Carb. veg.
Cocc. Rhus. Spong.
By contact: Acid phos. Acon. Arn.
Bar. Bry. Calc. Canth. Carb. veg.
Cham. Chin. Cocc. Cupr. Dros. Dulc.
Graph. Wuz vom. Phos. Plumb. Rhus.
Ruta. Sabin. Spig. Staph. Sulph.
Verat. alb.
After contusions: Arn. Puls. Rhus.
Ruta.
When coughing: Acid. nit. Acid.
phos. Acon. Alum. Ant, crud. Arn.
Ars. Bar. Bry. Calc. Carb. veg. Caust.
Cham. Chin. Cina. Coff. Con. Dig.
Dros. Ferr. Iod. Kali carb. Lyc.
Merc. sol. Watr. mur. Nux wom.
Phos. Puls. Rhus. Ruta. Sabin. Sep.
Sil. Spig. Spong. Stann. Staph.
Verat. alb.
In damp weather: Bry. Carb. veg.
Calc. Dulc. Rhus.
During digestion: Lyc.
After drinking : Arn. Chin. Cocc.
Con. Cupr. Nux vom. Verat. alb.
By cold drinks: Thuj.
— — wine : Ant. crud. Wuz vom.
When eating: Arn. Chin. Cocc. Ign.
• Phos.
After eating: Acon. Ant. crud. Arn.
Bry. Canth. Caust. Cham. Chin. Cocc.
Con. Ferr. Hyosc. Ign. Lyc. Merc.
sol. Nuz vom. Phos. Puls. Rhus.
Ruta. Sep. Thuj. Verat. alb.
By getting warm in bed: Cham.
Puls. Rhus.
By bodily exertions: Bry. Nux wom.
Rhus. Spong.
After expectorating : Stann. Zinc.
When falling asleep: Sulph.
After a fright: Acon. Cham. Ign.
Op.
Between the inspirations: Ign.
Merc. sol. Spig.
When lifting: Bar. Kali carb. Lyc.
When lying down: Ant. crud.
Cactus. Calc. Canth. Carb. veg. Cham.
Ferr. Hyosc. Natr. mur. Puls. Rhus.
Sulph.
By mental labor: Ign. Nux wom.
Sep.
Before the menses: Cupr. Puls.
Spong.
During the menses : Bell. Caust.
Cham. Graph. Phos. Puls.
During motion : Acon. Alum. Arn.
Bell. Bry. Cactus. Calc. Camph.
Chin. Con. Dig, Ferr. Graph. Hep.
Ign. Iod. Lyc. Mere. Sol. Natr. mur.
Nux wom. Phos. Puls. Samb. Sep.
Spig. Spong. Stanh. Staph. Sulph.
Zinc. gº
When moving the arms: Dig.
Plumb. Puls.
By external pressure : Ant. crud.
Bry. Chin. Cina. Wuz vom. Ruta.
Spong. Staph.
When raising one's self: Acon.
Bry. Cic. Dig. Ign. Stann. Staph.
When rising from bed: Ant. crud.
Plat. Stann. Staph.
— — from a seat : Sil.
After rising : Nux wom. Puls. Rhus.
Spig.
When reading: Chin.
— — loud: Cocc. Stann. is
During rest: Acid, phos. Arn. Bell.
Cham. Chin. Ferr. Natr. mur. Puls.
Rhus. Ruta. Samb. Stann.
In the room : Bry. Croc. Puls. Spig.
By running: Bry. Cina. Nux wom.
Sil.
By singing: Stann.
When sitting: Bell. Calc. Carb. veg.
Chin. Cina. Dros. Dulc. Ferr. Phos.
Puls. Rhus. Ruta. Spig. Spong.
Stann. Staph. Sulph. Thuj.
After sleeping: Acon. Ambr. Bry.
Calc. Chin. Cocc. Ign. Lach. Nux
vom. Op. Rheum.
By smoking: Cic. Ign. Spong. Staph.
When sneezing: Acon. Bry. Cina.
Merc. Sol. Sil.
By making a wrong step : Bry.
Puls. Spig.
By stimulants: Nuz vom. Stann.
When stopping the breath : Dros.
Merc. sol. Spig.
When expiring air: Acid, phos. Ant.
crud. Ant. tart. Ars. Aur. Bry. Carb.
veg. Cham. Chin. Cic. Cina. Ign. Iod.
Ruta. Sep. Spig. Stann. Staph.
Zinc.
When inspiring air: Acid phos.
Acon. Arn. Ars. Aur. Bar. Bry.
Calc. Camph. Canth. Caust. Cham.
BACK. 967
Chin. Cic. Cocc. Col. Con. Dulc. By warm air : Carb. veg.
Hell. Hyosc. Iod. Kali carb. Lyc. By bending back: Acon. Cann. Nux
Merc. sol. Natr. mur. Phos. Plat. vom. Puls.
Plumb. Puls. Rhus. Ruta. Sabin.
Sep. Sil. Spig. Spong. Stann. Sulph.
Verat. alb. Zinc.
When drawing a long breath :
Acom. Arn. Bry. Canth. Cina.
JDros. Ign. Puls. "Rhus. Sabin.
Spig.
When stooping: Acid. phos. Acon.
Bry. Carb. veg. Chin. Cocc. Col. Dig.
Dros. Hell. Ign. Merc. sol. Nux wom.
Phos. Puls. Rhus. Sil. Spig. Spong.
Stann. Staph. Zinc.
When straining: Rhus.
When talking: Bry. Canth. Chin.
Cocc. Ign. Puls. Rhus. Stann.
When talking loud: Acid. mur.
Carb. veg. Kali carb. Natr. mur.
Stann.
By tight clothes: Nux vom. Spong.
When waking: Ant. crud. Arn. Dig.
Euphr. Ign. Nux vom. Puls. Rhus.
When walking: Acon. Arn. Bry.
Cactus. Camph. Chin. Cic. Cocc.
Ferr. Ign. Nux vom. Ruta. Spig.
Spong. Staph. Verat, alb.
After walking: Puls. Rhus.
When walking in the open air :
Bry. Chin. Coff. Nuz vom. Rhus. Spig.
Spong. Staph.
After walking in the open air:
Ferr. Nux wom. Rhus.
When walking fast: Chin. Spig.
When writing: Chin. Cocc.
Relieved.
In the open air : Bry. Natr. mur.
Puls.
By drawing a long breath: Dig.
Stann.
After drinking: Bry. Ferr.
After eating: Bry. Rhus.
After eructations: Canth. Carb. veg.
Rali carb. Lyc. Wuz vom. Petr. Sep.
Zinc.
By friction: Calc.
When lying down : Alum. Bry.
Canth. Iod. Wuz vom. Zinc.
— — on one side : Alum.
— — on the back: Arn. Bry. Ign.
Puls.
— — on the painful side: Arn. Bry.
Cham. Ign. Nux wom. Puls.
— — on the painless side : Ign. Nux
VOIIl.
By motion : Acid, phos. Arn. Cham.
Cina. Dros. Puls. Rhus. Sep.
By pressure externally: Bry. Chin.
Cina. Dros. Ign. Puls. Verat. alb.
During rest: Arn. Bry. Chin. Wuz
vom. Sabin. Staph.
By rising: Canth. Dulc. Nux wom.
Puls. Rhus.
In the room : Bry. Cham. Wuz vom.
Puls.
By sitting up : Alum. Chin.
Puls. Spig.
When sitting: Alum. Bry. Nux vom.
When standing: Chin. Cic. Ruta.
By stooping : Chin. Ign.
After sweat: Canth. Cham. Nux wom.
Puls.
Dig.
XXIII.
Scapula (Shoulder-blades).
Boils : Amm. mur. Led.
Burning: Acon. Bar. Carb. veg. Iod.
Lyc. Sep. Sil. Sulph. Werat. alb.
Chilliness: Alum. Ars. Rhus.
Contraction : Chin. Lach. Lyc. Rhus.
Viol. tr.
Crampy feeling : Bar. Bell. Kali carb.
Merc. sol. Rhus.
Cutting: Acid. sulph. Calc. Rhus.
Dislocation-pain : Acid. mur. Chin.
Col. Petr. Plumb. Rhus.
Eruptions: Bell. Bry. Caust. Graph.
When walking: Chin. Cic. Dros.
Ferr. Mosch. Plumb. Puls. Rhus.
Ruta. Staph.
BACK.
Hep, sulph. Lyc. Merc, sol. Phos. Sep.
Squilla.
Gnawing: Acid. phos. Alum. Merc.
sol.
Heat: Acid. mur. Puls.
Itching: Amm. mur. Arn. Bell. Merc.
sol. Spig. Sulph.
Pain, bruised: Bar. Chin. Hell. Kali c.
Merc. sol. Natr. mur. Nuz vom. Sulph.
Thuj.
Pressure: Arn. Bell. Bry. Calc. Caust.
Chin. Sil. Stann. Sulph. Zinc. Ö
Rigidity: Bell. Caust. Led.
Stitches: Acid. mur. Alum. Amm. mur.
968
BACK.
Pressure: Acon. Arn. Bell. Calc. Carb.
veg. Caust. Cocc. Dulc. Graph. Kali
carb. Lyc. Natr. mur. Nux wom. Puls.
Rhus. Sep. Stann. Staph. Zinc.
As if gone to sleep : Merc. sol. Phos.
Shuddering: Bell. Canth. Cocc. Colch.
Graph. Lach. Led. Natr. mur. Wuz
vom. Puls. Rhus. Staph. Sulph. Thuj.
Spots: Sep. Carb. veg.
Stiffness: Alum. Bry. Carb. veg. Caust.
Dulc. Kali carb. Led. Nux vom.
Petr. Puls. Rhus. Sep. Sulph.
Stitches: Acon. Ant. crud. Arn. Bry.
Calc. Caust. Chim. Colch. Con. Dulc.
Rali carb. Lach. Plat. Puls. Rhus.
Sil. Spig.
Sweat: Chin. Ipec. Lyc. Nux wom.
Phos. Puls. Sep. Stram. Sulph.
Tearing and drawing: Acon. Ars.
Bell. Bry. Calc. Canth. Carb. veg.
Caust. Cina. Cham. Cocc. Ferr. Hep.
Kali carb. Lach. Led. Lyc. Watr. m.
Nux wom. Op. Phos. Puls. Rhus
Sep. Sil. Stann. Stram. Sulph.
Tension: Amm. mur. Bell. Con. Hep.
Mosch. Natr. mur. Sulph. Zinc.
Throbbing: Bar. Bell. Lyc. Phos.
Puls.
Trembling: Coff. Merc. sol.
Weakness: Acid. nit. Arn. Carb. v.
Lach. Lyc. Nux vom. Petr. Phos.
Plat. Puls. Sep. Sec; corn. Sulph.
Small of the Back,
Boring : Acon.
Burning: Acid. mur. Acon. Nux wom.
Phos. Rhus. Sep. Thuj.
Chilliness: Lach. Lyc. Puls. Sabin.
Bry. Bell. Canth. Caust. Cocc. Colch.
Dulc. Ferr. Hep. Kali carb. Lach.
Natr. mur. Nux wom. Plumb. Puls.
Samb. Spig. Stamm. Thuj.
Tearing and drawing: Alum. Aur.
Calc. carb. Carb. veg. Caust. Cham.
Dulc. Lach. Phos. Rhus. Sep.
Tension : Alum. Bar. Col. Colch. Kali
carb. Kreos. Rhus. Sep. Sil. Sulph.
Throbbing: Bar. Kali carb. Merc. sol.
Phos.
Tingling: Dulc. Sil.
Twitching: Calc. Phos. Rhus. Squilla.
Back.
As if something alive: Plumb.
Boring : Acon. Cocc. Spig. Thuj.
Burning: Acid. nit. Acon, Arn. Ars.
Bar. Carb. veg. Lyc. Merc. Sol. Muz
vom. Phos. Plat. Sep. Sil. Sulph.
Werat. alb.
Chill: Bell. Calc. Dulc. Lach. Lyc.
Nuz vom. Phos. Rhus. Sep. Sil. Stann.
Sulph.
Cold feeling: Acid. mur. Carb. veg.
Con.
Crampy feeling: Carb. veg. Euphr.
Puls.
Crawling: Acon. Bell.
CO7°72.
Curvature of the spine: Calc, Lyc.
Merc. sol. Rhus. Sil. Staph. Sulph.
Cutting: Calc. Sep. Sil.
Digging : Acon. Sep.
Dislocation-pain : Arn. Calc. Cocc.
Rhus. Sulph.
Eruptions: Ant, crud. Bar. Bell. Calc.
Carb. veg. Caust. Cocc. Graph. Led.
Graph. Sec.
Merc. sol. Natr. mur. Puls. Rhus. | Coldness: Carb. veg. Spong.
Sil. Sep. Sulph. – feeling of: Hell.
Heat: Acid. phos. Con. Merc. sol. Contusive pain: Arn. Ruta.
Natr. mur. Puls. Sulph.
Itching: Acid. nit. Alum. Amm. mur.
Bar. Calc. Caust. Kali carb. Lyc.
Merc. sol. Natr. mur. Phos. Sil. Sulph.
Thuj.
Jerks: Calc. Staph.
Lameness: Arm. Bry. Cocc. Dulc.
Natr. mur. Phos. Rhus, Staph. Sulph.
Muscles, twitching of: Carb. veg.
Pain, as if bruised: Alum. Amm. mur.
Arm. Ars. Bry. Chin. Dros. Lach.
Merc. sol. Natr. mur. Nux vom.
Rhus. Ruta. Stann. Staph. Stram.
Werat. alb.
— simple: Alum. Ars. Aur. Calc. Hyosc.
, Kreos. Lyc. Hep. Lach. Natr, mur.
Nux vom. Op. Petr. Sep. Sil. Sulph.
|Verat. alb.
Cracking: Sulph. Zinc.
Crawling: Alum. Sulph.
Crampy feeling: Bry. Caust. Chin.
Nux wom.
Cutting: Bell. Canth. Natr. mur. Puls.
Zinc.
Eruptions:
Sulph. Thuj.
Gnawing: Amm. carb. Canth. Phos.
Sulph. &
Itching: Carb. veg. Caust. Kali carb.
Merc. sol. Natr. mur. Sulph.
Lameness: Cocc. Dulc. Lach. Watr. m.
Nuz vom. Sil.
Numb feeling:
Spong.
Pain, as if dislocated: Arn. Rhus.
Sulph.
Calc. Natr. mur. Sep.
Carb. veg. Plat.
STOOL AND ANU.S.
969
Pain, as if sore: Acid. sulph. Caust.
Natr. mur.
— — bruised: Acon. Amm. mur. Arn.
Aur. Bry. Caust. Cham. Cina. Graph.
Ign. Lach. Nux mosch. Nux vom.
Plat. Rhus. Ruta. Sulph. Thuj.
Verat. alb.
— simple: Acon. Amm. mur. Arn. Bar.
Bry. Calc. Kali carb. Ign. Led. Lyc.
Nux vom. Puls. Petr. Rhus. Ruta.
Sep. Sulph. Zinc.
Pressure : Acon. Bry. Carb. veg. Caust.
Graph. Lach. Lyc. Mosch. Puls. Rhus.
Sep. Spong. Staph. Sulph. Verat. alb.
Pulsations: Caust. Natr. mur.
Spasmodic pain: Bell. Cocc. Sil.
Sulph.
Stiffness: Acon. Amm. mur. Bar. Bell.
Bry. Carb. veg. Caust. Kali carb.
Lach. Lyc. Puls. Rhus. Sil. Sulph.
Stitches: Acon. Ant. tart. Arn. Bell.
Bry. Canth. Carb. veg. Caust. Chin.
Cocc. Con. Graph. Ign. Iod. Lach.
Lyc. Natr. mur. Nux wom. Puls.
Rhus. Sep. Sil. Thuj.
Tearing and drawing: Alum. Ars.
Bar. Bry. Calc. Canth. Carb. veg.
Caust. Cham. Chin. Cocc. Hep.
Rali carb. Kreos. Lach. Lyc. Natr. m.
Nuz vom. Rhus. Sep. Sil. Spong.
Stann. Stram.
Tension: Acid. nit. Acon. Bar. Carb.
veg. Caust. Nux wom. Sil. Thuj.
Throbbing : Graph. Ign. Nux vom.
Natr. mur. Sep.
Twitching : Calc. Caust. Chin. Con.
Puls. Staph.
Weakness: Ars. Bell. Cooc. Lach.
Merc. sol. Natr. mur. Nuz vom. Phos.
Puls. Sep.
XXIV. ST00L AND ANUS.
Character of St00l.
Acrid : Ars. Bry. Cham. Lach. Merc. sol.
Puls. Rheum. Verat. alb.
Ash-colored: Dig. Rheum.
Bilious: Ars. Cham. Chin. Dulc. Ipec.
Merc. sol. Nux vom. Puls. Sulph.
Verat. alb.
Black: Ars. Calc. Camph. Chin. Cupr.
Hep. Merc. sol. Op. Squilla. Stram.
Verat, alb.
Bloody : Acid. nit. Ant. crud. Ant. tart.
Apis. Arn. Ars. Bry. Canth. Carb. v.
Chin. Cupr. Dulc. Ipec. Lyc. Merc.
corr. IMerc. sol. Nux mosch. Nux
vom. Phos. Puls. Rhus. Sep. Sil.
Verat. alb.
Brown : Arn. Bry. Chin. Merc. corr.
Merc. sol. Podoph. Rheum. Sec. corn.
Squilla. Sulph. Verat. alb.
Bright-colored : Carb. veg. Caust.
Burning: Ars. Lach. Merc. corr. Merc.
sol.
Cadaverous smell: Ars. Carb. veg.
Lach.
Clayey: Calc.
Constipated: Acon. Amm. mur. Arn.
Aur. Bar. Bell. Bry. Cactus. Calc.
Canth. Carb. veg. Caust. Cham. Chin.
Cina. Cocc. Col. Con. Ferr. Gelsem.
Graph. Lach. Lyc. Merc. corr. Merc.
sol. Mosch. Natr. mur. Nux vom.
Op. Plat. Plumb. Puls. Rhus. Sep.
Sil. Staph. Stram. Sulph. Thuj.
Verat. alb. Zinc. -
dº:
Diarrhoeic : Acid. nit. Acid. phos.
Acon. Amm. mur. Ant. crud. Ant. tart.
Apis. Ars. Bell. Bry. Calc. Carb. veg.
Cham. Chin. Col. Cic. Cocc. Coff.
Cupr. Dulc. Ferr. Graph. Hep. Hell.
Hyosc. Ign. Ipec. Lach. Lyc. Merc.
sol. Watr. mur. Nux mosch. Wuz vom.
Op. Petr. Phos. Podoph. Puls.
Rheum. Rhus. Sec. corn. Sep.
Spig. Spong. Squilla. Stann. Staph.
Stram. Sulph. Verat. alb. Zinc.
Diarrhoea, from cold: Bell. Bry. Cham.
Dulc. IMerc. sol. Nux vom. Puls.
Bhus. Sulph. -
– after eating: Ars. Chin. Col. Lach.
– after getting heated : Bry. Wuz vom.
– in damp weather: Bry. Dulc. Rhus.
— after a fright: Acon. Gelsem. Op.
Verat. alb.
– after a fit of joy: Coff. Op.
— with vomiting: Ant. tart. Ars. Cupr.
Ipec. Wuz vom. Phos. Rheum. Verat.
alb.
— after eating fruit: Ars. Chin. Puls.
— after drinking milk: Bry. Lyc.
Sulph.
— after a cold drink: Ars. Bry. Carb.
veg. Puls.
— after drinking: Ars. Nux wom.
– of children: Acon. Cham. Ipec.
Merc. sol. Podoph. Rheum. Sulph.
– chronic : Acid, nit. Acid. phos. Ars.
Calc. Canth. Chin. Graph. Ipec. Phos.
Rhus. Sulph.
— nocturnal: Ars. Bry. Cham. Chin.
970
STOOL AND ANU.S.
JDulc. Kali carb. Merc. sol. Phosph.
Puls. Rhus. Sulph. Verat. alb.
Diarrhoea, dysenteric: Apis. Ars. Carb.
veg. Col. Cham. Colch. Merc. sol. Wux
vom. Op. Podoph. Puls. Rhus. Sulph.
|Verat. alb.
– frothy: Calc. Chin. Rheum. Rhus.
Sulph. -
— painless: Ars. Carb. veg. Cham.
Chin. Ferr. Hyosc. Lyc. Op. Phos.
Sec. corn. Sulph.
— watery: Ant. crud. Ant. tart. Ars.
Calc. Cham. Chin. Cupr. Ferr. Hell.
Hyosc. Ipec. Merc. corr. Natr. mur.
Nua, vom. Petr. Phos. Puls. Rhus.
Sec. corn. Sulph. Verat. alb.
— spirting: Ars. Merc. sol. Nux wom.
Sulph.
Difficult: Amm. mur. Ant. crud. Arn.
Bar. Bry. Canth. Carb. veg. Chin.
Cocc. Graph. Hep. Ign. Kali carb.
Lyc. Natr. mur. Nux mosch. Nux
vom. Petr. Phos. Plat. Puls. Ruta. Sil.
Staph. Sulph. Thuj.
Fermented : Cham. Ipec. Rheum.
Fetid: Acid, nit. Apis. Ars. Bry. Calc.
Carb. veg. Chin. Lach. Merc. Sol.
Podoph. Puls. Sil. Sulph.
Grayish : Acid. phos. Dig. Merc. Sol.
Rheum.
Greenish: Amm. mur. Apis. Ars. Aur.
Bell. Cham. Cupr. Dulc. Ipec. Lob.
2nf. Merc. sol. Phos. Podoph. Puls.
Stann. Sulph.
Hard: Acid. Sulph. Amm. mur. Amm. c.
Ant. crud. Aur. Bar. Bell. Bry.
Cactus. Calc. Carb. veg. Caust. Cham.
Cina. Cocc. Con. Graph. Hyosc.
Hep. Ign. Kali carb. Lyc. Merc. s.
Natr. mur. Nux vom. Op. Petr.
Rhus. Ruta. Sec. corn. Sep. Sil.
Spong. Stann. Staph. Sulph. Thuj.
Hard and loose alternately : Ant. c.
Ars. Iod. Nux wom.
Insufficient: Alum. Arm. Ars. Calc.
Chin. Hep. sulph. Kali carb. Lach.
Lyc. Natr. mur. Nux vom. Sep.
Sil. Sulph.
Involuntary : Acid. phos. Bell. Calc.
Chin. Hyosc. Lach. Natr. mur. Nux
vom. Op. Phos. Rhus. Sec. corn.
Sulph. Verat. alb.
Loose : Apis. Ant. Crud. Canth. Chin.
Eupat. perf. Ign. Merc. sol. Nux mosch.
Puls. Rheum. Sep. Sulph.
Lumpy: Alum. Bar. Bell. Graph.
Lach. Wuz vom. Op. Plumb. Sil.
Sulph. Thuj.
Papescent: Acid. phos. Ant. crud.
Iſli-
Ant. tart. Arm. Bell. Chin. Gelsem.
Lach. Podoph. Puls. Rheum. Sil.
Sulph.
Pitch, like: Hep. sulph. Lach. Merc.
sol.
Purulent: Arm. Canth. Iod. Lach.
Merc. sol. Sulph.
Slimy: Amm. mur. Ant. crud. Arn.
Ars. Bell. Canth. Cham. Carb. veg.
Chin. Col. Colch. Dulc. Graph. Hell.
Hyosc. Kali carb. Ipec. Merc. corr.
Merc, sol. Natr. mur. Wuz vom. Phos,
Phytolac. Puls. Rheum. Rhus. Ruta.
Sec. corn. Staph. Sulph. Verat. alb.
Smarting : Merc. sol. Puls. Rheum.
Smelling sour: Cale. Cham. Dule.
JHep. sulph. Podoph. Rheum.
Soft: Acid. nit. Acid. phos. Acon.
Amm. mur. Ant. crud. Bry. Calc.
Carb. veg. Chin. Cocc. Con. Dulc.
Gelsem. Graph. Kali carb. Lob. inf.
Natr. mur. Phos. Podoph, Puls.
Sep. Sulph. Verat. alb. Viol. tr. Zinc.
Stirred eggs, like : Cham. Chin.
Merc. Sol. Nuz mosch. Puls. Rhus.
Sulph. Viol. tr.
Tenacious: Ars. Caust. Hell. Kali c.
Lach. Merc. sol. Plumb. Zinc.
TJndigested : Acid, nit. Acid, phos.
Ant. crud. Arn. Ars. Bry. Cham.
Chin. Ferr. Lach. Merc. sol. Phos.
Sulph. Werat. alb.
Whitish : Acon. Ars. Caust. Cham.
Chin. Colch. Dig. Iod. Merc. sol. Nux
vom. Plumb. Phos. Puls. Rhus. Rheum.
Sec. corn. Spong. Sulph. Verat.
alö.
With worms: Acom. Calc. Cham.
Chin. Cina. Graph. Merc. sol. Nuz
vom. Spig, Sulph.
Chin. Col Cocc. Dulc. Gelsem. Merc.
sol. Petr. Phos. Podoph. Puls. Rhus.
Werat. alb.
ACC0mpanying Ailments.
Before Stool.
Back-ache: Verat. alb.
Colic : Amm. carb. Amm. mur. Ant.
tart. Ars. Bry. Canth. Chin. Croc.
Dig. Kali carb. Ign. Merc. sol. Nux
vom. Petr. Puls. Rheum. Rhus.
Stann. Staph. Sulph. Verat. alb.
Chilliness: Merc. Sol. Nux vom. Werat,
alb.
Flatulence, distress from: Acid, phos.
Amm. mur. Arn. Calc. Carb. veg. Dulc.
Ferr. Phos. Puls. Spig. Stront.
STOOL AND ANUS.
971
Heat: Apis. Merc. sol. Phos.
Nausea; Acon. Rhus. Verat. alb.
Pains in the anus: Apis. Colch.
Phos.
Kali carb. Lach. Merc. corr.
Plat.
Bectum, pain in :
Rhus.
Small of back, pain in : Dulc. Sulph.
Rush of blood to the head: Op.
Screaming of children:
Rheum. Rhus.
Sweat: Acon. Bell.
Urging to stool: Apis. Cocc. Con.
Lach. Merc. corr. Merc. sol. Rheum.
Rhus. Sil. Staph. Thuj. Verat. alb.
Vomiting : Ant. tart. Apis. Verat. alb.
During Stool.
Back-ache : Puls.
Chilliness: Verat. alb.
Colic : Amm. carb. Amm. mur. Ant. c.
Bry. Canth. Carb. veg.
Cham. Cupr. Dulc. Dros. Ferr. Graph.
Hep. Ign. Ipec. Merc. corr. Merc. s.
Plumb.
Podoph. Puls. Rheum. Rhus. Sep.
Arn. Ars.
Natr. mur. Nux vom. Phos.
Spig. Sulph. Werat. alb.
Drowsiness: Nux mosch.
Heat: Rhus. Sulph.
Labor-like pain : Op. Sec. corn.
Nausea : Acid, nit. Ant. tart. Apis.
Sulph.
Ars. Cupr. Hell. Merc, sol.
Verat. alb.
Palpitation of heart: Acid. nit. Ant.
tart.
Rectum, pain in : Calc. Merc. corr.
IMerc. sol. INux vom. Puls. Sabin.
Sulph. Verat. alb.
— falling of: Ars. Calc. Gelsem. Ign.
Merc. sol. Nux vom. Podoph.
Puls. Ruta. Sep. Sulph.
Rumbling in bowels: Acid. phos.
Acid sulph. Ars. Calc. Lyc. Phos.
Rush of blood to the head: Rhus.
Shuddering : Acid. nit. Bell. Rheum.
Verat. alb.
Sweat: Bell. Merc. Sol. Stram. Verat.
alb.
Tenesmus: Acon. Apis. Ars. Colch.
Nuz vom.
Op. Podoph. Rhus. Rheum. Sulph.
IMerc. Corr. Merc. sol.
Werat. alb.
Thirst : Ars. Cham. Chin.
Varices, protrusion of : Merc. sol.
Nuz von. Podoph. Sulph.
Vertigo : Cham. Verat. alb.
Vomiting: Ant. tart. Ars. Cupr. Ipec.
Rheum. Sulph. Verat. alb.
Weakness, feeling of: Chin. Werat.
alb.
Nux wom. Puls.
Cham.
After stool.
Anxiety: Caust.
As if bruised: Calc.
Chilliness: Canth. Puls.
Colic: Amm. mur. Carb. veg. Con. Dros.
Dulc. Iod. Lyc. Nux vom. Watr. mur.
Op. Phos. Puls. Rheum. Stann. Sulph.
Verat, alb.
Congestion of the head : Lach.
Drowsiness: Wuz mosch.
Bructations: Bar. Merc. sol.
Flatulence, discharge of: Calc. Carb.
veg. Hep. Lyc. Nux vom. Phos.
Puls. Sulph. Thuj.
Languor: Arn. Ars. Bry. Calc. Chin.
Col. Cupr. Ferr. Hyosc. Ipec. Lach.
Lyc. Phos. Podoph. Puls. Sec. corn.
Verat. alb.
Mucus, discharge of: Merc. sol. Phos.
Stann. Sulph.
Nausea : Acon. Caust. Verat. alb.
Small of back, pain in : Puls.
Palpitation of the heart: Caust.
Con.
Rectum, pressure
Podoph.
– pain in : Cham. Merc. corr. Nux wom.
— constriction of : Nux wom.
— prolapsus of: Ign. Merc. sol. Podoph.
Sweat: Acon. Caust.
Tenesmus : Ipec. Merc. corr. Merc.
sol. Phos. Rheum. Rhus. Sulph.
Staph.
Thirst: Ars. Caps. Merc. corr.
Vomiting : Werat. alb.
in : Hell.
Ign.
Anus and Rectum.
Bleeding between stools: Alum.
Ant, crud. Carb. veg. Merc. sol. Phos.
Puls. Sabin. Sep. Sulph.
Burning in the anus: Amm. mur.
Ant. tart. Apis. Ars. Bar. Bry. Carb.
veg. Chin. Cocc. Col. Graph. Iod.
Ipec. Kali carb. Merc. corr. Merc.
sol. Watr. mur. Nux vom. Phos.
Phytolac. Puls. Sep. Sulph. Werat.
alb.
— in the rectum : Acid. mur. Acid. nit.
Alum. Apis. Ars. Aur. Calc. Chin.
Con. Lyc. Watr. mur. Petr. Phos.
Puls. Sep. Sulph. Verat. alb.
Contraction in anus: Acid. nit.
Alum. Cocc. Graph. Ign. Wuz vom.
Plumb. Sec. corn. Sep. Sulph.
— in rectum : Amm. mur. Bell. Calc.
Chin. Col. Ferr. Ign. Wuz vom. Phos.
Sep. Thuj.
Creeping: Calc. Colch. Croc. Kali c.
Nux vom. Plat. Rhus. Sep. Zinc.
972
STOOL AND ANUS.
Cutting in anus: Ars. Chin. Caust. Kali
carb. Lyc. Nux v. Phos. Staph. Sulph.
– in rectum: Canth. Caust. Chin. Lyc.
Nux wom. Phos. Sep. Sulph.
Excoriation in anus: Alum. Amm.
carb. Ars. Graph. Hep. sulph. Merc.
sol. Nux wom. Phos. Puls. Werat. alb.
– in rectum : Acid. phos. Camph. Natr.
mur. Phos. Phytolac. Puls.
Figwarts: Acid, nit. Sabin. Thuj.
Fistula: Calc. Caust. Petr. Sil. Sulph.
Gnawing : Merc. sol. Phos.
Itching in anus: Acid, nit. Acon. Alum.
Ant. crud. Bar. Bell. Bry. Calc.
Carb. veg. Caust. Chin. Cina. Ign.
Rali carb. Lyc. Merc. sol. Nux wom.
Op. Phos. Plat. Rhus. Sep. Sil. Stann.
Staph. Sulph. Thuj. Zinc.
— in rectum : Acid, nit. Acon. Bell. Cina.
Chin. Ferr. Ign. Nuz vom. Ruta. Sep.
Sil. Spig. Stann. Sulph.
Mucus, discharge of, between stools:
Ant. crud. Chin. Colch. Hell. Graph.
Merc. sol. Phos. Puls. Rhus. Sep.
Spig. Sulph.
Pinching : Merc. sol. Natr. mur.
Pressure in anus: Acid. nit. Acon. Bar.
Cactus. Calc. Nuz vom. Petr. Phos.
Podoph. Puls. Staph. Sulph.
— in rectum : Acid. nit. Arn. Bell. Chin.
Kali carb. Lyc. Nux vom. Op.
Phos. Podoph. Stann. Sulph.
Prolapsus of rectum : Ant. crud. Ars.
Bry. Colch. Dulc. Ign. Lach. Merc.
sol. Natr, mur. Nuz vom. Podoph.
Ruta. Sep. Sulph.
Soreness: Acid, nit. Ars. Caust.
Graph. Hep. sulph. Merc. sol. Phos.
Phytolac. Sep. Sulph.
— pain as of: Amm. carb. Ars. Caust.
-Graph. Hep. sulph. Ign. Natr. mur.
Nuz vom. Phos. Phytolac. Puls. Sep.
Spong. Sulph. Verat. alb.
Spasm in anus: Colch. Lach.
— in rectum : Calc. Caust. Chin. Colch.
Lach. Lyc.
Stitches in anus: Acon. Ars. Bry.
Canth. Carb. veg. Chin. Con. Croc.
Graph. Ign. Ipec. Kali carb. Lyc.
Natr. mur. Nux wom. Phos. Plat.
Sep. Sil. Sulph.
— in rectum : Alum. Ant. tart. Bell. Caust.
Chin. Graph. Ign. Lyc. Natr. mur. Nux
vom. Phos. Puls. Ruta. Sep. Sil. Sulph.
Swelling: Camph. Graph. Hep. sulph.
Ign. Nux wom.
Tearing in the anus: Colch. Kali carb.
Nux wom. Phos. Sep. Thuj.
– in rectum: Carb. veg. Chin. Lyc.
Kali carb. Nur vom. Phos. Ruta.
Tenesmus : Acid, nit. Acon. Arn. Ars.
Bell. Calc. Canth. Colch. Ipec. Merc.
corr. Merc. sol. Wuz vom. Phos.
Plat. Rheum. Rhus, Ruta. Sep.
Staph. Sulph. Verat. alb. Zinc.
Throbbing: Lach. Watr. mur.
Torpor: Alum. Carb. veg. Chin. Ign.
Rali carb. Lyc. Natr. mur. Nux vom.
Op. Ruta. Sep. Staph. Thuj. Verat.
alb. Zinc.
Ulcers: Caust. Phytolac.
Urging to stool: Alum. Arm. Ars.
Bar. Bell. Calc. Camph. Canth. Carb.
veg. Caust. Cocc. Colch. Col. Con.
Ferr. Graph. Hep. sulph. Hyosc.
Lach. Lyc. Merc. sol. Natr. mur.
Nuz vom. Petr. Phos. Podoph. Puls.
Rheum. Rhus. Ruta. Sep. Sil. Staph.
Sulph. Thuj. Verat. alb.
— with emission of flatulence: Carb. v.
Lach.
— with falling of rectum: Ars. Merc.
sol. Podoph. Sulph.
— ineffectual: Acon. Arn. Bell. Calc.
Carb. veg. Caust. Colch. Con. Graph.
Ign. Lach. Lyc. Merc. sol. Watr. m.
INux vom. Phos. Plumb. Puls.
Rheum. Rhus. Ruta. Sep. Sil. Spig.
Stann. Staph. Stram. Sulph. Thuj.
Werat. alb.
Piles: Acid, mur. Acid. nit. Acid. sulph.
Amm. mur. Amt. crud. Ant. tart. Ars.
Bar. Bell. Cactus. Calc. Carb. v.
Caust. Col. Ferr. Graph. Hell. Ign.
Lach. Lyc. Merc. sol. Natr. mur. Nux
vom. Podoph. Phos. Plumb. Puls.
Rhus. Sep. Sulph. Thuj. Werat. alb.
— protruding: Calc. Caust. Ferr. Graph.
Merc. sol. Nux wom. Puls. Sep. Sulph.
Thuj.
– blind: Ars. Cham. Ign. Nux vom.
Puls. Sulph. Verat. alb.
— bleeding: Acon. Amm. mur. Ant, crud.
Bell. Calc. Carb. veg. Chin. Cupr.
Ferr. Ipec. Ign. Merc. sol. Nuz vom.
Phos. Puls. Sabin. Sep. Stram.
Sulph.
— burning: Acid, nit. Acid. Sulph. Ant.
crud. Ars. Calc. Graph.
– inflamed: Acon. Ars. Nux wom.
Sulph.
— swollen: Alum. Calc. Carb. veg.
Graph. Nuz vom. Podoph. Puls.
– ulcerated: Nuz vom. Puls. Sulph.
– itching: Acon. Graph. Phos. Sulph.
— humid : Sulph.
— stinging: Apis. Ars.
Puls.
– suppressed flow of: Carb, veg. Nux
vom. Sulph.
Bar. Caust.
TJRINE AND URINARY ORGANS.
973
, XXV. URINE AND URINARY ORGANS.
Urine.
Quality.
Acrid : Ant. tart. Arn. Calc. Camth.
Caust. Graph. Hep. Iod. Kali carb.
Merc. sol. Natr. mur. Rhus. Thuj.
Werat. alb.
Ammoniacal : Acid, nit. Amm. carb.
Amm. mur. Carb. veg. Iod. Mosch.
Petr. Phos.
Bloody: Acon. Ant. tart. Arn. Ars.
Calc. Canth. Carb. veg. Chin. Col.
Con. Hep. Ipec. Lyc. Merc. sol. Nuz
vom. Op. Phos. Puls. Sec. corn. Sep.
Squilla. Sulph. Zinc.
Brown : Acid. nit. Acon. Arn. Ars.
Bell. Bry. Calc. Caust. Colch. Dig.
Eupat. perf. Merc. sol. Petr. Phos.
Puls. Rheum. Sep. Sulph.
Burning: Acon. Ars. Camph. Canth.
Dig. Hep. sulph. Merc. sol. Phos.
Staph. Verat. alb.
Blackish : Colch.
Clear: Amm. mur. Euphr. Hyosc.
Lach. Squilla. Stram.
Copious: Acid. mur. Acid, nit. Acid.
phos. Acon. Alum. Amm. mur. Apis.
Arn. Ars. Bar. Bell. Bry. Cactus.
Canth. Carb. veg. Cic. Cimicif. Col.
Dig. Euphr. Hyosc. Ign. Kreas.
Led. Lob. inf. Lyc. Merc. sol. Petr.
Phos. Phytolac. Puls. Rhus. Sabin.
Spig. Squilla. Staph. Sulph. Thuj.
Verat. alb. Viol. tr.
Dark: Acon. Ant. tart. Arn. Bell. Bry.
Carb. veg. Chin. Colch. Dig. Eupat.
perf. Hell. Hep. Ipec. Lach. Lyc.
Merc. sol. Op. Phos. Phytolac. Rhus.
Sep. Staph. Sulph. Verat. alb.
Diminished: Acid. nit. Acon. Amm.
mur. Ant. tart. Apis. Arn. Ars. Bell.
Bry. Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cocc. Coff. Colch.
Con. Cupr. Dig. Dulc. Graph. Hell.
Hep. Hyosc. Iod. Ipec. Kali carb.
Led. Lyc. Merc. corr. Merc. sol. Nux
mosch. Wuz vom. Op. Petr. Phos.
Plumb. Puls. Ruta. Sec. corn.
Squilla. Stann. Staph. Stram. Sulph.
|Werat. alb.
Like flour: Calc. Graph. Natr. mur.
Frothy: Lach. Lyc.
Greenish: Ars. Camph. Iod. Kali carb.
Rheum. Ruta. Verat. alb.
Hot: Acon. Ars. Bry. Canth. Cham.
Colch. Dulc. Hep. sulph. Lach.
Light-yellow : Chin. Sec. corn.
Little at a time : Acon. Bell. Canth.
Caust. Colch. Dig. Hell. Hyosc. Iod.
Led. Merc. sol. Nuz vom. Op. Petr.
Phos. Puls. Rhus. Ruta. Sil. Staph.
Sulph. Verat. alb.
Loam-colored: Canth. Ign. Sep.
Sulph. Zinc.
Milky: Acid phos. Aur. Carb. veg.
Dulc. Iod.
Opalescent: Iod. Phos. Puls.
Pale: Acid. phos. Acid, sulph. Alum.
Apis. Arn. Aur. Bell. Cactus. Canth.
Chin. Cimicif. Cocc. Colch. Col. Con.
Dig. Gelsem. Hep. Ign. Iod. Lach.
Nux wom. Phos. Puls. Rhus. Sec. corn.
Staph. Stram. Sulph. Zinc.
Purulent: Canth. Clem. Lyc. Nuz vom.
Sabin. Sep.
Red: Acon. Ant, crud. Ant. tart. Apis.
Arn. Bell. Bry. Calc. Camph. Canth.
Carb. veg. Chin, Colch. Col. Con.
Dig. Hep. sulph. Ipec. Merc. sol.
Nux vom. Op. Phos. Plumb. Puls.
Rheum. Sep. Sil. Squilla. Staph.
Sulph.
Sedimentous: Acid, nit. Acid. phos.
Acid. Sulph. Acon. Alum. Ant. crud.
Arn. Ars. Aur. Bar. Bry. Cactus.
Calc. Camph. Canth. Carb. veg.
Caust. Cham. Chin. Cic. Colch. Col.
Con. Dulc. Eupat. perf. Graph. Hep.
Hyosc. Iod, Ipec. Kali carb. Kreas.
Lach. Ilyc. Merc. sol. Natr. mur.
Nux mosch. Petr. Phos. Phytolac.
Puls. Rhus. Ruta. Sep. Sil. Spong.
Squilla. Sulph. Thuj. Zinc.
Smelling like cat's urine: Viol. tr.
— like garlic: Phos.
— sour: Calc. Graph. Merc. sol. Natr.
In Ul I’.
— pungent: Merc. sol.
— like sulphur : Phos.
— foul: Acid, nit. Acid, phos. Carb. veg.
Dulc. Merc. sol. Puls. Sulph. Viol.
tr.
— like violets: Nux mosch.
Tenacious: Acid. phos. Canth. Cupr.
Dulc. Kreas.
Thick: Acid. sulph. Camph. Con. Dulc.
Iod. Wuz vom. Plumb.
Turbid : Acid. nit. Acid sulph. Ant.
tart. Ars. Aur. Bell. Canth. Chin.
Cina. Colch. Col. Con... Dig. Dulc.
Hep. Ign. Iod. Lach. Lyc. Merc.
sol. Mosch. Phos. Plumb. Puls. Rhus.
Sep. Sulph. Verat. alb. Zinc.
— becoming: Acid. phos. Arn. Bry.
Caust. Cham. Cina. Con. Dig. Graph.
974
TJRINE AND URINARY ORGANS.

Rep. sulph. Iod. Merc. sol. Petr.
Rhus. Sep. Sulph. Thuj.
Whitish : Acid, phos. Arm. Aur. Carb.
weg. Cina. Con. Iod. Merc. sol.
Phos. Rhus. Sulph.
Whitish-yellow : Amm, mur. Phos.
Yellow : Ant. crud. Arm. Ars. Bell.
Bry. Canth. Cham. Chin. Hyosc. Iod.
Ipec. Lach. Led. Petr. Rheum. Samb.
Verat. alb. Zinc.
Sediment.
Sediment, bloody: Acid. phos.
Acid, sulph. Acon. Calc. Canth. Col.
Dulc. Lyc. Merc, sol. Puls. Sep. Zinc.
— brown : Lach.
-- thick: Camph. Merc. Sol, Sec. corn.
Spong. Sulph.
– dark: Iod.
— purulent: Canth : Con. Lyc. Puls.
Sep.
fibrous: Canth. Cham. Merc. sol. Zünc.
– flocculent: Acid. nit. Cham. Merc. sol.
— gelatinous: Puls.
yellow: Acid. Sulph. Amm. mur. Bry.
Cham. Chin. Cupr. Lyc. Phos. Spong.
Sulph. Zinc.
of yellow sand: Sil.
gray : Ant. tart. Con. Spong.
– gravelly: Acid, nit. Ant, crud.
Canth. Chin. Lach. Lyc. Natr.
Nux mosch Nux vom. Op. Phos.
Ruta. Sep. Sil. Thuj. Zinc.
– clayey : Acid. sulph. Amm. mur.
carb. Sep. Sulph. Zinc.
floury: Acid. phos. Ant. tart.
Graph. Merc. sol. Hyosc. Natr.
reddish : Acid, nit. Acon. Amm.
Calc.
Iſallı”.
Puls.
Kali.
Calc.
II] Ui I’.
IIlli I’.
Ant. crud. Arn, Bell. Cactus. Canth.
Chin. Col. Con. Dulc. Graph. Iod.
Ipec. Kali carb. Lach. Lyc. Natr. m.
Op. Petr. Phos. Phytolac. Puls. Sec.
corn. Sep. Sil. Squilla. Thuj.
— like red sand : Acid, nit.
Lyc. Natr. mur. Sep. Sil.
– slimy: Ant. crud. Ars. Aur. Bry.
Calc. Carb. veg. Caust. Chin. Cina.
Col. Con. Dulc. Hep. Ipec. Merc. sol.
Natr. mur. Nux wom. Phos.
Rheum. Sulph.
– whitish : Amm. mur. Bar. Bell, Calc.
Canth. Colch. Col. Con. Dulc. Eupat.
Cactus.
perf. Graph. Hep. Ign. Petr. Phos.
Puls. Rhus. Sep. Spig. Spong. Sulph.
Zinc.
– whitish-turbid:
Rhus.
— cloudy : Acid.phos. Alum. Bry. Caust.
Kali carb. Merc. sol. Petr. Plat. Thuj.
Con. Eupat. perf.
Puls.
Sediment, brick-dust: Acon. Arn. Chin.
Ipec. Lyc. Puls. Sep. “
Flow of Urine.
Flow of urine, nocturnal: Amm. mur.
Arn. Ars. Bell. Bry. Calc. Canth.
Cina. Con. Graph. Iod. Lach. Lyc.
Natr. mur. Podoph. Puls. Rhus.
Ruta. Sep. Sil. Sulph. Thuj. Zinc.
— too frequent: Acid, mur. Acid, phos.
Acon. Ant. crud. Arm. Ars. Aur. Bar.
Bell. Bry. Calc. Camph. Canth.
Caust. Chin. Coff. Con. Graph. Hell.
Hyosc. Ign. Iod. Kali carb. Lach.
Led. Lob. inf. Lyc. Merc. sol. Natr.
mur. Nux wom. Petr. Phos. Phytolac.
Plumb. Rhus. Sil. Spig. Spong.
Squilla. Staph. Sulph. Thuj. Verat.
alb.
– difficult: Acon. Bell. Cactus. Camph.
Canth. Cic. Dig. Hyosc. Hep. Sulph.
Nux mosch. Op. Phos. Plumb. Puls.
Sec. corn. Thuj.
— too seldom : Acon. Amm. mur. Apis.
Arn. Ars. Aur. Bell. Bry. Camph.
Canth. Carb. veg. Chin. Cic. Colch.
Cupr. Dig. Graph. Hep. sulph. Hyosc.
Led. Merc, sol. Nua, vom. Op. Phos.
Plumb. Puls. Ruta. Sec. corn. Squill.
Staph. Stram. Verat. alb.
drop by drop : Arn. Bell. Cactus.
Camph. Canth. Caust. Chin. Con.
Dig. Dros. Dulc. Graph. Nuz vom.
Petr. Puls. Rhus. Ruta. Sil. Staph.
Stram. Sulph. Thuj.
– interrupted : Acid, phos. Caust. Con.
Dulc. Led. Op. Puls. Sulph. Thuj.
Zinc.
| – involuntary : Acid. nit. Acid-phos.
Acon. Ant, tart. Arn. Ars. Bell. Bry.
Calc. Canth. Carb. veg. Caust. Chin.
Cic. Cina. Dig. Dulc. Ferr. Hep. s.
Hyosc. Iod. Kreas. Lach. Led. Lyc.
Merc. Sol. Natr. mur. Nux vom. Petr.
Podoph. Puls. Rheum. Rhus. Ruta.
Sep. Sil. Spig. Squilla. Stram, Sulph.
Werat. alb.
– when coughing : Bry. Caust. Natr.
mur. Puls. Squilla. Verat. alb.
— — at night, in bed: Acon. Ars. Bell.
Bry. Carb. veg. Caust. Cham. Cina.
Con. Op. Podoph. Puls. Rhus. Ruta.
Sep. Sil. Stram. Sulph.
— — in the first sleep: Sep.
– painful: Acon. Arn. Aur. Bell.
Camph. Canth. Chin. Cic. Col. Con.
Dig. Graph. Hyosc. Lyc. Nuz vom.
Op. Podoph. Puls. Ruta. Sabin.
Stram. Sulph. Zinc.
URINE AND URINARY ORGANS.
975
Stream, double: Canth.
- thin : Camph. Canth. Chin. Led.
Merc. sol. Puls. Spong. Staph.
– scattering: Canth.
— slow : Camph. Merc. sol. Plat.
Tenesmus of bladder: Acon. Arn.
Camph. Canth. Colch. Merc. corr. Wuz
vom. Puls. Sabin. Squilla. Sil. Viol.
tr.
Urging to urinate : Acid mur. Acid.
phos. Acon. Alum. Amm. mur. Ant.
tart. Arn. Ars. Bar. Bell. Bry. Cactus.
Calc. Canth. Caust. Cham. Cocc.
Colch. Col. Con. Dig. Dulc. Graph.
Hell. Hyosc. Ign. Iod. Ipec. Kreas.
Lach. Lyc. Merc. corr. Merc. sol. Nux
vom. Petr. Phos. Phytolac. Plumb.
Puls. Rhus. Ruta. Sabin. Samb.
Sep. Sil. Spig. Squilla. Stann.
Staph. Sulph. Thuj. Werat. alb.
Zinc.
— with scanty discharge : Acon. Ant.
crud. Ant. tart. Bell. Bry. Calc.
Canth. Carb. veg. Caust. Colch. Con.
Dig. Dros. Hell. Hyosc. Iod. Merc.
sol. Nux vom. Phos. Plumb. Puls.
Ruta. Samb. Staph. Sulph. Verat. alb.
— with copious discharge : Alum. Ant.
tart. Apis. Ars. Bell. Cactus. Calc.
Cina. Kreas. Lach. Natr. mur. Rhus.
Spig. Squilla. Stann. Sulph. Viol. tr.
– with delaying discharge : Arnica.
Camph. Plumb. Stram.
– in the evening : Amm. mur. Bell.
— anxious: Acon.
— with pains in the bladder: Hell. Wuz
vom. Puls. Ruta.
— with thirst: Caust. Verat. alb.
— with heat: Acid. phos.
– at night: Ant. tart. Merc. sol. Rhus.
Sulph.
— painful: Acon. Canth. Puls.
Sec. corn.
— irresistible: Acid. nit. Acid. phos.
Bar. Bell. Bry. Calc. Chin. Ign. Merc.
sol. Phos. Puls. Rhus. Ruta. Squilla.
— ineffectual: Acid. phos. Acon. Arm.
Camph. Canth. Caust. Cham. Chin.
Dig. Hell. Hyosc. Nuz vom. Petr.
Plumb. Puls. Sabin. Sec. corn. Sep.
Squilla. Sulph.
Sabin.
ACC0mpanying Ailments.
Before Urination.
Burning in the urethra: Apis. Arn
Cactus. Nux wom. Puls. Zinc.
Cutting in the urethra: Canth. Nux
vom. Phos.
Cutting in the abdomen : Puls.
Generally: Acid. phos. Arn. Bry. Bell.
Canth. Chin. Cic. Col. Dig. Dulc.
Hep. Nux vom. Phytolac. Plumb.
Puls. Rhus. Sulph.
Pain in the bladder:
Phytolac.
Stinging in the bladder: Apis.
Canth.
Nux wom.
During Urination.
Burning in bladder: Acon. Camph.
Lach. Staph.
– in urethra : Acid. phos. Apis. Ars.
Cactus. Canth. Caust. Cham. Chin.
Colch. Dulc. Ferr. Hep. sulph. Ipec.
IMerc. sol. Nux wom. Puls. Rheum.
Sep. Staph. Sulph. Thuj. Verat. alb.
Generally: Acid, nit. Acid. phos.
Acon. Apis. Ars. Bell. Bry. Calc.
Camph. Canth. Carb. veg. Caust.
Chin. Clem. Colch. Con. Cupr. Dig.
Dulc. Graph. Hell. Hep. sulph.
Ipec. Lyc. Merc. sol. Natr. mur.
Nux vom. Petr. Phos. Phytolac.
Puls. Rhus. Sec. corn. Sep. Spig.
Staph. Stram. Sulph. Thuj. Werat.
alb. Zinc.
Itching in urethra :
Canth. Lyc.
Thuj.
Cutting in urethra : Acid phos. Ant.
crud. Calc. Canth. Con. Dig. Graph.
Merc. Sol. Puls. Zinc.
– in bladder: Canth. Lyc. Phytolac.
Thuj.
— in renal region : Canth. Merc. sol.
Pressure in bladder: Acid. nit. Acon.
Con. Spig. Staph. Verat. alb. Zinc.
— in the urethra : Canth. Puls.
– in renal region : Bell. Lyc.
Stitches in bladder: Canth. Lyc.
Sulph.
— in urethra : Bry. Canth. Chin. Clem.
Con. Cupr. Graph. Ign. Lach. Merc.
sol. Natr. mur. Sulph. Thuj.
– in kidneys: Acid. phos. Acon. Bell.
Canth. Hep. sulph.
– in bowels: Acid. nit.
Alum. Arm.
Natr. mur. Nux wom.
After Urination.
Burning in urethra: Acid. nit. Con.
Graph. Lyc. Merc. sol. Thuj.
Cutting in urethra : Canth. Con.
Staph. Sulph
Dribbling of urine: Bry. Calc. Lach.
Petr. Thuj.
Generally : Ant. tart. Arn. Bell. Calc.
Canth. Chin. Col. Con. Dig. Hep.s.
976
DRINE AND URINARY ORGANS.
Kali carb. Kreas. Lach. Lyc. Merc.
sol. Natr. mur. Wuz vop. Phos.
Plat. Puls. Ruta. Sep. Stann. Staph.
Sulph. Thuj. Werat. alb. Zinc.
Itching in urethra: Canth. Lyc.
Soreness in urethra:Nux vom. Thuj.
Stitches in urethra : Acid. mur. Arn.
Merc. sol. Phos. Verat. alb.
Tearing in urethra: Carb. veg. Lyc.
Urethra, as if a drop in: Thuj.
Urging to urinate: Bar. Canth. Dig.
Merc. sol. Puls. Ruta. Stann. Staph.
Zinc.
Urinary Organs.
JBladder,
Burning: Acid. phos. Acon. Ars.
Canth. Lach. Nux wom. Puls. Staph.
Constriction : Acid. phos. Cic. Puls.
Cutting: Canth. Kali carb. Lyc. Nux
vom. Puls. Thuj.
Generally : Acid. nit. Acid. phos. Acon.
Alum. Ant. crud. Arn. Ars. Aur, Bell.
Bry. Calc. Camph. Canth. Carb. veg.
Chin. Cic. Coff. Clem. Colch. Dig.
Dulc. Graph. Hyosc. Ign. Lyc.
Merc. sol. Natr, mur. INux vom. Phos.
Puls. Rhus. Ruta. Sabin. Sep. Staph.
Sulph. Thuj. Zinc.
Inflammation: Acon. Camph. Canth.
Dig. Merc. sol. Wuz vom. Puls. Squilla.
Sulph.
Pressing: Alum. Carb. veg. Chin.
Colch. Wuz vom.
Pulsation: Canth.
Pressing: Hyosc.
Pressure : Acid, nit. Bell. Bry. Camph.
Carb. veg. Con. Ign. Lach. Natr. mur.
Puls. Sep. Squilla. Staph. Zinc.
Spasms: Acid. phos. Camph. Canth,
Caps. Cauloph. Sep.
Stitching: Aur. Canth. Cham. Lyc.
Puls. Rhus.
Suppuration: Canth. Puls.
Swelling of neck of bladder: Puls.
Thickening : Dulc.
Urethra.
Burning: Acid. phos. Apis. Ars. Calc.
XXVI, AILMENTS INCIDENT TO PARTURITION,
MENSTRUATION, ETC.
After-pains too violent, long : Arn.
Bry. Bell. Cauloph. Cham. Cimi-
cif. Coff. Cupr. Ferr. Ign. Kali
Canth. Caust. Colch. Cupr. Ipec.
Lyc. Merc. sol. Petr. Phos. Sep.
Staph. Sulph. Thuj.
Cutting: Acid, phos. Ant. crud. Calc
Canth. Carb. veg. Colch. Con. Cupr.
Dig. Ign. Lyc. Nux wom. Sulph.
Thuj.
Drawing: Colch. Kali carb. Lyc. Puls.
Sulph. Zinc.
Generally : Acid, nit. Acid, phos. Acon.
Alum. Ant. crud. Ant. tart. Arn. Aur.
Bry. Calc. Canth. Caust. Chin. Coff.
Colch. Con. Cupr. Dulc. Ferr. Graph.
Hep. sulph. Ign. Kali carb. Lach.
Lyc. Merc, sol. Natr. mur. Nux wom.
Phos. Puls. Rhus. Sabin. Sep. Staph.
Sulph. Thuj. Zinc.
Inflammation: Acon. Bell. Canth. Dig.
Hyosc. Merc. sol. Nux. vom. Puls.
Squilla. Sulph.
Itching: Arn. Bry. Canth. Lyc. Merc.
sol. Natr. mur. Nux vom. Sulph. Thuj.
Pressure : Canth. Colch. Nux wom.
Puls.
Pulsating: Canth. Merc. sol.
Stitching: Arn. Bry. Canth. Con. Ign.
Lach. Lyc. Merc. sol. Natr. mur. Nux
vom. Squilla. Sulph. Thuj.
Swelling: Canth. Merc. sol. Rhus.
Tearing: Carb. veg. Colch. Lyc.
Sulph.
Ridneys.
Burning: Bell.
Generally: Acid, nit. Acid, phos. Acon.
Alum. Bell. Canth. Carb. veg. Clem.
Colch. Hep. sulph. Kali carb. Ilyc.
Nuz vom. Phos. Puls. Rheum. Sep.
Sulph. Thuj. Zinc.
Gravel: Alum. Calc. Canth. Lyc. Nuz
vom. Petr. Phos. Ruta. Sil. Sulph.
Inflammation: Acon. Bell. Canth. Hep.
Lyc, Nux wom. Puls.
Jerking : Canth.
Pulsations: Canth.
Pressure: Thuj. Zinc.
As if sore : Zinc.
Spasmodic pains: Sulph.
Stitches: Acid. phos. Acon. Bell.
Canth. Hep. Kali carb. Zinc.
carb. Nuz vom. Podoph. Puls.
Rhus. Ruta. Sabin. Sep. Sec. corn.
Sulph.
PARTURITION, MENSTRUATION, ETC.
977
Injury of parts during delivery :
Arn.
Pains, spurious: Bell. Cham. Cocc.
Coff. Hyosc. Ign. Ipec. Kali carb.
Nuz mosch. Nux vom. Op. Puls.
Sec. corn. Sep.
— — with urging on the rectum : Nux
wom. Podoph.
— — violent: Acon. Coff.
— — with contraction of the womb : Bell.
Sec. corn.
— too feeble: Arm. Bell. Camph. Carb.
veg. Cham. Chin. Cocc. Coff. Graph.
Ign. Kali carb. Lyc. Mosch. Natr. mur.
Nux mosch. Wuz vom. Op. Puls.
Rhus. Sec. corn. Sep.
— — after a fright: Acon. Op.
— — of feeble persons: Sec. corn.
– too strong: Acon. Arn. Aur. Bell.
Cham. Cocc. Coff. Con. Hyosc. Wuz
vom. Sec. corn. Sep.
Placenta adhering : Bell. Puls. Sec.
CO7°72.
Spasms: Bell. Cham. Cic. Cocc.
Hyosc. Ign. Ipec. Mosch. Plat. Stram.
Werat. alb.
Uterine haemorrhage : Bell. Cauloph.
Cham. Chin. Croc. Ferr. Ipec.
Plat. Sabin. Sec. corn.
Menstruation.
Menses, pale, watery: Bell. Calc.
Carb. veg. Ferr. Graph. Ipec. Kreas.
Lyc. Natr. mur. Nux mosch. Phos.
Plat. Puls. Sabin. Sec. corn. Sep.
Sulph.
– brown: Bry. Calc. Carb. veg. Con.
Rhus.
– thick: Arn. Croc. Nux mosch. Nux
vom. Plat. Puls. Sulph.
– dark, black: Amm. mur. Ant. crud.
Arn. Bell. Cham. Chin. Croc.
Rreas. Lach. Nux vom. Plat. Puls.
Sec. corn. Sep. Sulph.
— too soon : Acid. sulph. Alum. Amm.
carb. Amm. mur. Arn. Bell. Calc.
Canth. Carb. veg. Cham. Chin. Cocc.
Con. Croc. Ferr. Graph. Ign. Ipec.
Kali carb. Natr. mur. INux vom.
Phos. Phytolac. Plat. Puls. Sabin.
Sec. corn. Sep. Sil. Sulph. Verat. alb.
– light-colored: Ars. Bell. Bry. Calc.
Canth. Carb. veg. Dulc. Hyosc. Phos.
Rhus. Sabin. Sec. corn. sº
— too short : Amm. mur. Con. Dulc.
Graph. Lach. Merc. sol. Phos. Plat.
Puls. Sulph.
– too long: Acid sulph. Ars. Calc.
Canth. Carb. veg. Caust. Chin. Croc.
Dulc. Ferr. Ign. Lyc. Natr. mur.
Nux vom. Phos. Phytolac. Plat.
Puls. Sabin. Sec. corn. Sil.
Menses, acrid : Acid. nit. Acid. Sulph.
Amm. carb. Ars. Canth. Carb. veg.
Graph. Iod. Kali carb. Phos. Puls.
Sil. Sulph.
— too scanty : Alum. Amm. carb. Apis.
Arn. Bry. Carb. veg. Caust. Cauloph.
Cocc. Con. Dulc. Ferr. Graph. Iod.
Kali carb. Kreas. Lach. Lyc. Merc.
sol. Natr. mur. Phos. Puls. Ruta.
Sec. corn. Sep. Sil. Staph. Sulph.
— too late: Amm. mur. Bry. Caust.
Cham. Cocc. Con. Croc. Cupr. Dulc.
Ferr. Graph. Iod. Kali carb. Lach.
Lyc. Natr. mur. Nuz mosch. Petr.
Phos. Puls. Rhus. Sabin. Sep. Sil.
Sulph.
— too copious: Acid. nit. Acid, sulph.
A con. Amm. mur. Ars. Bell. Calc.
Canth. Curb. veg. Chin. Croc. Ferr.
Ign. Iod. Ipec. Kreas. Lyc. Merc.
sol. Natr. mur. Nux vom. Phos.
Plat. Sabin. Sec. corn. Sil. Verat.
alb.
— too copious at night: Amm. carb.
– lumpy: Amm. carb. Arn. Bell. Canth.
Cham. Chin. Croc. Ferr. Ipec. Plat.
Puls. Rhus. Sabin.
– suppressed: A con. Alum. Amm. carb.
Apis. Ars. Bry. Calc. Caust. Cauloph.
Cham. Chin. Cocc. Con. Croc. Cupr.
Dulc. Ferr. Graph. Ign. Kali carb.
Lyc. Merc. sol. Watr. mur. Wuz mosch.
Petr. Phos. Podoph. Puls. Rhus.
Ruta. Sep. Sil. Staph. Sulph.
— of young girls, delaying: Calc. Caust.
Cocc. Con. Dulc. Graph. Kali carb.
Lach. Lyc. Natr. mur. Petr. Podoph.
Puls. Sabin. Sep. Sulph.
– repeating: Alum. Bry. Ferr. Natr.
mur. Nux vom. Phos. Puls. Rhus.
Sep. Verat. alb.
ACC0mpanying Ailments.
Previous to the Menses.
Abdomen, distended:
Kreas. Lyc.
Anxiety: Amm. mur. Cocc. Con. Merc.
sol. Natr. mur. Stann.
Back-ache: Amm. carb. Bar. Calc.
Caust. Cimicif. Hyosc. Mosch. Nux
mosch. Nux vom. Spong.
Breasts swollen : Bry. Calc. Con.
Catarrh : Graph. Puls.
Chilliness : Amm... mur.
Lyc. Puls. Verat. alb.
Amm. mur.
Kali carb.
978
PARTURITION, MENSTRUATION, ETC.
©
Chilliness, with cold feet: Lyc.
Chill and heat: Lyc.
Colic: Amm. carb. Amm. mur. Bell.
Calc. Cauloph. Cham. Nux wom. Puls.
Sep. Verat. vir.
— labor-like: Hyosc. Sec. corn.
-- with fainting: Sep. Nuz mosch.
-- with vomiting : Puls.
Cough: Graph. Sulph.
IDelirium : Lyc. Hyosc.
Diarrhoea: Bry. Sil. Verat. alb.
Dim sight: Bell. -
Dreams: Calc. Caust. Con.
Drowsiness: Nux mosch. Puls. Sulph.
Ears, humming in : Werat. alb.
Excited nerves: Kreas. Cimicif. Lyc.
Eruption in nape of neck: Carb.
veg.
Expectoration, bloody: Phos.
Bructations : Kreas. Lach. Puls.
Eyes, weak: Calc. Merc. sol. Sil.
Face hot: Alum. Lyc.
— pale: Puls.
— blue: Werat. alb.
— bloated: Chin.
In general: Alum. Amm. carb. Amm.
mur. Bry. Calc. Carb. veg. Caust.
Cham. Chin. Cocc. Coff. Con. Cupr.
Ferr. Glon. Graph. Iod. Kali carb.
Kreas. Lach. Lyc. Merc. sol. Watr. mur.
Nux mosch. Nux wom. Phos. Plat.
Puls. Rhus. Sep. Sulph. Verat. alb.
Head, congestions of: Apis. Bell. Calc.
Chin. Ign. Iod. Merc. sol. Nux mosch.
Phos.
Headache: Carb. veg. Cimicif. Cupr.
Ferr. Iod. Lach. Natr. mur. Sulph.
‘Verat. alb.
THeartburn : Lach. Nuz mosch. Puls.
Sep. Sulph.
Heat : Calc.
Inclination to vomit: Cocc. Verat.
ałb.
Labor-like pain:
Plat. Verat, vºr.
Languor: Alum. Nux mosch.
Laughter: Hyosc.
Legs weary and heavy: Bar. Lyc.
Nux vom. Rhus. Sulph.
Limbs as if bruised: Acid. nit. Cim-
icif. Rhus.
Melancholy: Caust. Lyc. Natr. mur.
Nausea : Cocc. Verat. alb.
Nosebleed: Bell. Sulph. Verat. alb.
Palpitation of heart: Alum. Cupr.
Iod. Puls. Sep. Spong.
Peevisib.: Cham. Natr. mur.
Restlessness: Cimicif. Kali carb.
Rush of blood: Alum. Cupr. Gelsem.
Merc. sol.
Podoph. Rhus.
Rush of blood to the head : Bell.
Merc. sol.
Sensitiveness: Sep. Cimicif.
Shuddering: Sep.
Sleep, restless : Alum.
Spasms: Cham. Cocc.
Hyosc. Merc. sol. Stram.
– hysteric : Cimicif. Hyosc.
– in abdomen: Carb. veg. Cham.
Urging to urinate: Amm. mur. Phos.
Puls.
Vertigo : Bell. Puls. Werat. alb.
Vomiting : Kreas. Puls.
Water-brash: Amm. carb. Nux mosch.
Puls.
Weakness: Alum. Calc. Caust. Chin.
Nua, vom.
Weariness, excessive: Calc. Cauloph.
Sulph.
Yawning: Puls.
Coff. Cupr.
At the appearance of the Menses.
Colic: Graph. Staph.
Diarrhoea : Verat. alb.
Flatulence : Staph.
In general: Acon. Bry. Caust. Cham.
Graph. Hyosc. Ign. Iod. Merc. Sol.
Natr. mur. Plat. Puls. Sep. Sil.
Headache : Hyosc.
Nausea: Hyosc.
Pains in limbs: Sep.
Spasms: Acon. Cham. Coff. Plat.
Sweat: Hyosc.
Vomiting: Carb. veg. Phos. Puls.
During the Menses.
Abdomen distended: Alum.
— coldness in : Kali carb.
— pinching in : Alum.
– pressure in : Cocc. Con. Nux wom.
Sec. corn.
– cutting in : Sulph.
Anxiety : Bell. Natr. mur. Zinc.
Back-ache: Amm. carb. Amm. mur.
Caust. Lyc.
Burning in anus: Amm. mur. Zinc.
Burning in the hands and feet:
Calc. Carb. veg.
Colic : Alum. Amm. carb. Amm. mur.
Bar. Bell. Calc. Carb. veg. Cauloph.
Cham. Cimicif. Cocc. Con. Graph. Ign.
Lach. Lyc. Nuz vom. Phos. Plat.
Sec. corn. Sil. Sulph. Zinc.
Constipation: Natr. mur. Nux wom.
Sil.
Delirium : Hyosc.
Diarrhoea: A mm. mur. Cauloph.
Discharge of blood at stool: Amm.
mur. Podoph.
PARTURITION, MENSTRUATION, ETC.
979
Ears, humming in : Petr. Werat. alb.
Eructation: Bry. Graph. Kali carb.
Eyes, agglutinated: Calc.
— black before the : Gelsem. Puls.
Face, pale: Amm. carb. Graph. Lyc.
Puls.
— blue : Verat. alb.
— color of, changing: Zinc.
— jaundiced : Caust.
Fainting: Ign. Lyc. Natr. mur. Nuz
mosch. Nux vom. Sulph.
Fever (chill and heat): Natr. mur.
Phos.
Chill: Graph. Natr. mur. Nux wom.
Puls.
Flatulence: Carb. veg. Cocc. Kali c.
Lyc.
In general: Acon. Alum. Amm. carb.
Amm. mur. Bell. Calc. Canth. Carb.
veg. Caust. Cham. Chin. Cocc. Coff.
Con. Cupr. Graph. Hyosc. Ign. Kali
carb. Kreas. Lach. Lyc. Natr. mur.
Nux vom. Phos. Plat. Puls. Sabin.
Sep. Sil. Stann. Sulph. Zinc.
Gums swollen : Acid. nit. Merc. sol.
Head, congestion of: Apis. Bell. Calc.
Caust. Chin. Con. Gelsem. Glom. Iod.
Merc. sol. Phos. Sulph.
– ache : Alum. Belº Bry. Calc. Carb.
veg. Gelsem. Graph. Hyosc. Kali carb.
Lyc. Natr. mur. Nuz vom. Phos. Plat.
Puls. Sep. Sulph. Verat. alb.
– heat in : Bell. Calc. Cham.
Languor: Alum. Carb. veg. Graph.
Ign. Iod. Kali carb. Nux vom.
Petr. Puls. Phos. Sec. corn. Zinc.
Legs, languor in the : Sulph.
Limbs as if bruised : Bry. Phos.
Rhus.
– pain in : Bry. Con. Graph. Nux wom.
Sep. Werat. alb.
Body as if bruised: Arn. Con. Petr.
Rhus.
Small of back as if bruised: Caust.
Cauloph. Rhus. Sec. corn.
Melancholy : Cimicif. Natr. mur. Sep.
Mental derangement: Bell. Cimicif.
Hyosc. Werat. alb.
Nausea : Amm. carb. Calc. Graph.
Lyc. Nuz vom. Phos. Puls. Verat.
alb.
— with water-brash : Puls.
Pain, labor-like Cauloph. Cham. Graph.
Hyosc. Lach. Sabin. Sep. Sec. corn.
IPalpitation of heart: Ign. Iod. Phos.
Puls. Sep.
Pressing downwards: Amm. carb.
Bell. Cauloph. Puls. Sec. corn.
Festlessness: Cimicif. Plat.
Sep.
Rhus.
Rush of blood to the head : Bell.
Calc. Chin. Con. Sulph.
Sleep, restless: Alum. Calc. Kali carb.
Sleeplessness: Amm. carb. Cimicif.
Sep.
Small of back, pains in : Amm. carb.
A mm. mur. Bell. Calc. Carb. veg.
Cauloph. Cham. Cocc. Croc. Graph.
Ign. Iod. Kali carb. Kreas. Lach. Lyc.
Nux vom. Phos. Puls. Sec. corn.
Sulph.
Spasms: Acon. Cham. Cimicif. Cocc.
Coff. Cupr. Hyosc. Ign. Lach. Nuz
wom. Puls.
Stomach, pressure in:
Bry. Puls.
Swollen feet: Calc. Graph. Lyc.
Toothache : Amm. carb. Calc. Cham.
Carb. veg. Kali carb. Phos. Sep.
Trembling : Hyosc. Sil.
Urinate, urging to: Canth. Puls. Sabin.
Vertigo : Bell. Calc. Caust. Con.
Gelsem. Iod. Phos. Puls. Verat. alb.
Vomiting : Ant. crud. Amºn. mur.
Carb. veg. Ipec. Lyc. Phos.
Whining mood: Plat. Zinc.
After the Menses.
Colic: Graph. Lyc. Nux wom.
Exhaustion : Acid, phos. Alum. Chin.
Sulph.
Faintness : Alum. Phos. Plat.
In general: Acid. phos. Alum. Bry.
Calc. Carb. veg. Con. Graph. Kali c.
Kreas. Lyc. Merc. sol. Watr. mur.
Nux vom. Phos. Plat. Puls. Sep.
Sil. Stram. Werat. alb. Zinc.
Head, heavy : Natr. mur.
Leucorrhoea: Acid. phos. Alum. Amm.
mur. Canth. Kreas. Merc. sol. Puls.
Sep. Sulph.
Parts, pain in the : Kreas. Natr. mur.
Small of back, pain in : Puls. Rhus.
Sep.
Amm. carb.
Leucorrhoea.
Leucorrhoea: Acid, nit. Acid. Sulph.
Alum. Amm. carb. Amm. mur. Ant.
crud. Ars. Bell. Bry. Calc. Carb. v.
Caust. Cham. Chin. Cocc. Con. Ferr.
Graph. Iod. Kali carb. Kreas. Lyc.
Merc. sol. Natr. mur. Nuz vom. Petr.
Phos. Puls. Sabin. Sep. Sil. Squilla.
Stann. Sulph. Thuj. Zinc.
— smarting: Cham. Ferr. Lach. Phos.
Merc. Sol.
– blistering: Amm. mur. Iod. Phos.
— bloody: Acid, nit. Acid, sulph. Canth.
Carb. veg. Chin. Cocc. Kreas. Sep.
– brown: Acid, nit. Amm, mur.
980
UPPER EXTREMITIES.
Leucorrhoea, burning: Acid. Sulph.
Calc. Carb. v. Com. Iod. Kreas. Puls.
Puls.
– thick:
Sabin.
— thin : Carb. veg. Puls. Sulph.
Ars. Watr.
7???!?".
— transparent: Acid. Sulph. Amm. mur.
Sep Stann.
— purulent: Calc. Chin.
R reas. Merc. sol. Sabin. Sep.
— flesh-colored: Acid. nit. Cocc.
— yellow : Alum. Ars. Cham. Kali carb.
Kreas. Lyc. Nuz vom. Sabin. Sep.
Stann. Sulph.
— greenish: Carb. veg. Lach. Merc. sol.
Sep.
– ichorous, corrosive : Amm. carb.
Iod. Kreas. Sabin.
– itching : Alum. Ars. Calc. Kreas.
Merc. sol. Natr. mur. Sabin. Sep.
– milky : Amm. mur. Calc. Carb. veg.
Ferr. Lyc. Phos. Puls. Sil. Sabin.
– reddish Acid. nit. Calc. Chin. Cocc.
Phos.
– in fits and starts: Calc. Cham. Lyc.
— acrid : Alum. Amm. mur. Ars. Carb.
veg. Cham. Con. Iod. Kreas. Lyc.
IMerc. sol. Natr. mur. Phos. Puls.
Ruta. Sep. Sil. Sulph.
– slimy: Alum. Amm, mur. Calc. Cocc.
Ferr. Graph. Lach. Merc. sol. Natr.
Cocc. Ign.
XXVII, EXTREMITIES.
Upper.
Azilla.
Burning :
Phos. Plumb. Puls. Rhus. Sep.
Eruption : Alum. Ant. crud. Kali carb.
Sulph.
In general: Acon. Alum. Amm. mur.
Bell. Bry. Carb. veg. Caust. Colch.
ECali carb. Lach. Led. Lyc. Merc. sol.
Nux wom. Phos. Puls. Rhus. Sep.
Stann. Sulph. Thuj. Viol. tr.
Sil.
Zinc.
Heaviness : Acon. Arn. Phos. Puls.
Itching: Caust. Ign.
Pain as if bruised : Acon. Alum. Arn.
Cocc. Ferr. Ign. Lyc. Plumb. Spig.
Sulph. Zinc.
Pain, simple: Bry. Graph. Kali Garb.
— laming: Acid. mur. Chin. Nuz vom.
Pressure :
Zinc.
Carb. veg. Cimicif. Cocc.
Arm. Bell. Bry. Caust.
Colch. Lyc. Rhus. Sep. Staph. Sulph.
mur. Nux wom. Puls. Sabin. Sulph
Thuj.
Leucorrhoea, painless:
vom. Puls.
— excoriating: Amm. mur. Alum. Iod.
A reas. Natr. mur.
— fetid: Acid. mit.
vom. Sabin. Sep.
— watery: Amm. mur. Ant. tart. Carb.
veg. Cham. Graph. Kreas. Merc. Sol.
Puls. Sep. Sil.
Accompanying Ailments.
Abdomen, distended :
Sep.
— pains in: Amm. mur. Bell. Caust. Con.
Ign. Kreas. Lyc. Puls. Sil. Sulph.
— — labor-like: Bell. Cauloph. Puls.
Sec. corn.
Face, pale: Ars. Puls. Sep.
In general : Alum. Amm. carb. Amm.
mur. Ars. Bell. Calc. Carb. veg.
Caust. Cham. Cocc. Con. Ferr. Graph.
Ign. Kali carb. Kreas. Lyc. Merc. sol.
Natr. mur. Puls. Sabin. Sec. corn.
Sep. Sil. Sulph. Zinc.
Small of back, pains in :
Graph. Kali carb. Sep. Sulph.
Weakness: 3. phos. Alum. Chin.
Kreas. Sep. Sulph.
Kreas. Nux
Chin. Kreas. Nux
Amm. mur.
Caust.
Gone to sleep: Ferr. Glon.
Stitches: Acon. Alum. Bell. Bry.
Calc. Caust. Cic. Cocc. Ferr. Graph.
Ign. Kali carb. Lach. Lyc. Phos.
Plumb. Puls. Rhus. Sil. Staph. Stann.
Sulph. Thuj. Zinc. Werat. alb.
Tearing: A con. Bell. Bry. Caust.
Canth. Carb. veg. Chin. Graph. Iod.
Lyc. Natr. mur. Nux wom. Phos.
Rhus. Zinc.
Tension: Dig. Hyosc. Kali carb. Petr.
Zinc.
Arms.
Beating: Glon.
Blue skin : Cupr. Lach. Sec. corn.
Verat. alb.
Bone-pains: Acid. nit.
Led. Lyc. Merc. sol. Thuj.
Burning: Aur. Cimicif. Carb. veg. Dulc.
Kali carb. Lach. Nux wom. Phos. Rhus.
Sep. Zinc.
Coldness: Bell. Camph. Cham. Hyosc.
Rhus. Verat. alb.
Bar. Bell.
UPPER EXTREMITIES.
981
Coldness, feeling of: Graph. Rhus.
Sec. corn.
Contraction: Calc. Rhus.
Contusive pain: Arm. Bry. Rhus.
Creeping: Bell. Cactus. Cocc. Sec.
corn. Sep.
Eruptions: Acid. phos. Ant. crud.
Carb. veg. Dulc. Graph. Kali carb.
Natr. mur. Phos. Sep. Sil. Sulph.
Erysipelas: Bell. Rhus.
In general: Amm. mur. Ant. crud.
Bell. Bry. Cactus. Canth. Carb. veg.
Cauloph. Cocc. Con. Cupr. Dig.
Ferr. Hep. Ign. Iod. Kali carb.
Lach. Lyc. Natr. mur. Petr. Plumb.
Phos. Puls. Rhus. Sep. Sil. Stann.
Staph. Sulph.
Feeling of heat: Acid. nit.
Graph. Staph.
Itching: Dulc. Lach. Nux vom. Ruta.
Sulph. Thuj.
Lameness: Acid, phos. Cauloph. Caust.
Cocc. Glon. Kali carb. Lach. Nux wom.
Staph.
Muscles, twitching of: Cocc.
INumbness: Aur. Bell. Cactus. Cham.
Cocc. Glom. Iod. Plat. Puls. Verat.
alb.
Pain, simple: Bar. Bell. Bry. Calc.
Cupr. Graph. Puls. Zinc.
— laming: Bell. Cham. Dig. Natr. mur.
Rhus. Sil. Zinc.
– as if dislocated: Arn. Bry. Rhus.
– as if bruised: Arn. Bell. Cauloph.
Cocc. Hep. Natr. mur. Plat. Plumb.
Puls. Sep. Sulph. Thuj. Verat. alb.
Paralysis: Bell. Caust. Lach. Rhus.
Pressure : Amm. mur. Bell. Calc.
Camph. Led. Nux vom. Petr. Puls.
Stann. Staph. Sulph.
Gone to sleep: Bar. Cactus. Cham.
Cocc. Croc. Glon. Graph. Ign. Kali
carb. Lach. Lyc. Wuz vom. Petr.
Rhus. Sec. corn. Sep. Sil.
Spasms: Bell. Cupr. Ipec. Sec, corn.
Spots, red: Plat. Rhus. Sulph.
Stiffness: Amm. mur. Caust. Nux
vom. Oleand. Rhus.
Stitches: Acon. Alum. Ant. crud. Arn.
Bell. Bry. Canth. Cimicif. Cocc. Con.
Bry.
Dulc. Ferr. Kali carb. Nux mosch.
Phos. Puls. Rhod. Rhus. Stann.
Staph. Sulph. Thuj.
Swelling: Ant. crud. Apis. Bell.
Bry. Cactus. Hell. Rhus.
Swelling of bones: Rhus. Sil.
Sulph.
Tearing : Acid. mur. Amm. mur. Arn.
Bell. Bry. Canth. Cauloph. Caust.
Chin. Cina. Con. Dig. Dros. Ferr.
Kali carb. Led. Lyc. Nux wom.
Phos. Plumb. Puls. Rhus. Sil. Stann.
Staph. Sulph. Zinc.
Trembling: Ars. Bry. Caust. Hyosc.
Phos. Puls. Rhus. Sil. Spig. Sulph.
Werat. alb.
Shoulder-joint.
Beating: Merc. sol. Thuj.
Contusive pain: Arn. Dros. Rhus.
Feeling of weakness: Dros. Calc.
— of heaviness: Puls.
In general: Arn. Bry. Calc. Carb. veg.
Caust. Croc. Dros. Ferr. Ign. Kali c.
Lach. Lyc. Led. Merc. sol. Natr. mur.
Nuz vom. Puls. Rhus. Staph. Sulph.
Werat. alb. Zinc.
Inflammation : Acon. Bry. Led. Puls.
Rhus.
Jerking : Colch. Puls. Sil.
Lameness: Lyc. Puls. Rhus. Stann.
Pain as if dislocated : Alum. Arn.
Croc. Ign. Natr. mur. Petr. Puls.
Rhus. Sabin. Sep. Spig. Thuj.
– as if bruised : Arn. Ferr. Ign. Nuz
vom. Rhus.
— simple: Acon. Calc. Croc. Ign. Natr.
mur. Phos.
— laming: Nuz vom. Puls. Staph.
Pressure: Bry. Calc. Dros. Led. Staph.
Stiffness: Caust. Rhus. Staph.
Stitches: Bry. Calc. Cocc. Ign. Led.
Merc. sol. Puls. Staph. Thuj.
Swelling: Acon. Bry. Hep. Rhus.
Tearing : Bry. Carb. veg. Caust. Ferr.
Graph. Ign. Led. Merc. sol. Phos.
Puls. Rhus. Sabin. Sulph.
Arm-pit.
Eruptions: Acid: nit. Lyc. Merc. sol.
Natr. mur. Petr. Sep.
Glandular swellings: Bar. Bell.
Calc. Hep. Iod. Merc. sol. Natr. m.
Rhus. Staph. Sulph. 9
Sweat too profuse : Hep. Kali carb.
Lach. Merc. sol. Phos. Rhus. Sep.
Elbow-joint.
In general : Alum. Ant. crud. Arn.
Bell. Bry. Calc. Caust. Chin. Dulc.
Graph. Hep. Kali carb. Led. Lyc.
Merc. sol. Nux mosch. Nux wom. Petr.
Phos. Puls. Rhus. Sep. Staph. Sulph.
Thuj. Verat. alb. Zinc.
Bône-pain, nocturnal: Lyc.
Burning: Carb. veg. Calc. Merc. Sol.
Phos. Rhus. Sulph.
Bruising pain : Caust. Dulc. Puls.
Ruta. Sulph. Verat. alb.
982
TJPPER EXTREMITIES.
Contraction : Caust. Puls. Sec. corn.
Contusive pain: Caust. Ruta.
Tearing: Chin. Colch. Kali carb. Lyc.
Rhus.
Merc. sol. Nux mosch. Puls.
Ruta. Sil. Sulph. Zinc.
Dislocation-pain : Arn. Rhus.
Eruption: Dulc. Merc, sol. Sep. Staph.
Sulph.
Itching: Alum. Caust. Merc. sol. Watr.
nur. Phos. Rhus. Sulph.
Pain, simple: Acid. sulph. Cupr. Dig.
Phos. Puls.
— laming: Bell.
Staph.
Stiffness: Kali carb. Merc. sol. Rhus.
Sulph. Thuj.
Stitches: Bell. Bry. Cocc. Col. Kali c.
Sabin.
Merc. sol. Nux mosch. Phos.
Spig. Spong. Thuj.
Swelling: Bry. Hep. Lach. Rhus.
Werat. alb.
Weakness: Staph. Sulph.
Bend of the Elbow.
In general: Amm. mur. Arm. Bell.
Canth. Caust. Con. Cupr. Dros. Graph.
Rali carb. Lyc. Petr. Phos. Puls.
Sep. Spig. Sulph. Thuj. Zinc.
Tip of the Elbow.
In general : Acid. phos. Alum. Bry.
Caust. Graph. Hep. Merc. sol. Rhus.
Sabin. Spong. Stann.
Wrist-joints.
Cold feeling : Rhus.
Dislocation-pain: Arn. Bry. Calc.
Ign. Lyc.
Cauloph. Caust. Graph.
Nux wom. Rhus. Ruta. Staph. Sulph.
Eruptions: Merce sol. Calc.
Sulph.
In general: Acon. Amm. mur. Arn.
Ars. Bry. Calc. Carb. veg. Cauloph.
Caust. Colch. Euphr. Graph. Hep.
Hyosc. Iod. Kali carb. Led. Lyc.
Merc. sol. Phos. Puls. Rhus. Ruta.
Sep. Sil. Staph. Sulph. Thuj.
Itching: Amm. mur.
Want of mobility: Sep.
Nodes, gouty : Calc. c. Lyc.
Spots: Kali carb. Petr.
Stiffness: Bell. Caust. Cauloph. Lach.
Led. Lyc. Puls. Rhus. Ruta. Sabin.
Sep. Sulph. Thuj.
Stitches: Alum.
mur. Nux wom. Sep. Sil. Sulph.
Swelling: Bry. Calc.
Tearing : Bar. Calc. Carb. veg. Cauloph.
Rali carb. Lach. Puls. Sabin. Sulph.
Cham. Cocc. Sabin.
Rhus.
Arn. Bry. Calc.
Caust. Con. Graph. Kali carb. Watr.
Tension: Amm. carb. Spong. Zinc.
Trembling: Acon.
Twitching: Bar. Rhus. Sulph.
Pain, laming: Acon. Cauloph. Kali c.
Led. Nux wom.
– as if sprained : Arn. Calc. Puls.
Rhus. Sulph.
– as if bruised: Acid. nit. Arn. Calc.
Cauloph. Caust. Puls. Ruta.
Weakness: Merc. sol. Phos. Plumb.
Hands.
Blisters: Amm. mur. Bell. Canth. Hep.
Kali carb. Lach. Natr. mur. Rhus.
Sep. Squilla. Sulph.
Blueness: Acon. Apis. Camph. Cupr.
Jach. Nux wom. Rhus. Samb. Werat.
alb.
Boils: Calc. Hep. Lyc. Merc. sol.
Burning: Acon. Calc. Canth. Chin.
Kali carb. Lach. Nux mosch. Nux vom.
Op. Phos. Sec. corn. Sep. Stann.
Staph. Sulph. Zinc.
Brittle, skin: Ars. Graph. Natr. mur.
Sep. Sil.
Chilblains: Acid, nit. Peir. Phos. Puls.
Stann. Sulph.
Coldness: Acon. Apis. Arn. Bar. Bell.
Calc. Camph. Caust. Cham. Chin.
Cupr. Dig. Dros. Ferr. Hell. Iod.
Ipec. Nuz vom. Phos. Puls. Rhus.
Samb. Sec. corn. Spig. Sulph. Thuj.
Verat. alb. Verat. vir.
Contraction : Cann. Cina. Merc. sol.
Nux vom. Sec. corn.
Crampy feeling: Acon. Aur. Cale.
Euphr. Graph. Merc. sol. Wuz vom.
Plat. Sil. Spig. Spong. Stram.
Creeping: Arn. Ars. Bell. Caust.
Croc. Lach. Nux wom. Phos. Ruta.
Sec. corn. Spig. Sulph. Verat. alb.
– as if gone to sleep : Bry.
Deadness: Calc. Con. Lach. Nux wom.
Phos. Rhus. Sec. corn. Sil. Zinc.
Desquamation of skin : Acid. phos.
Amm. mur. Bar. Ferr. Merc. sol.
Sep. Sil. Sulph.
Dislocation-pain : Bar. Rhus.
Dry palms of hands: Ars. Petr. Sep.
Sulph.
Dryness: Lyc. Natr. mur. Sulph.
Emaciation : Graph.
Eruptions: Acid. mur. Acid. nit.
Alum. Ant. crud. Ars. Canth. Carb.
veg. Hep. Lyc. Merc. sol. Rhus.
Sec. corn. Staph. Sep. Sulph. Zinc.
Erysipelas: Rhus. *
In general: Acon. Amm. mur. Arn.
Ars. Aur. Bell. Bry. Calc. Carb. veg.
Caust. Cham. Chin. Cocc. Cupr.
UPPER EXTREMITIES.
983
Dulc. Graph. Hep. Kali carb. Lach.
Lyc. Merc. sol. Watr. mur. Nux vom.
Sec. corn.
Sep. Sil. Stann. Staph. Sulph. Zinc.
Heat: Acon. Bry. Carb. veg. Cocc.
Eupat. perf. Graph. Hep. Led. Lyc.
Nux wom. Phos. Sep. Stann. Staph.
Petr. Phos. Puls. Rhus.
Zinc.
Insensibility: Bell. Carb. veg. Lach.
Lyc. Natr. mur. Rhus. Sec. corn.
Stann. Zinc.
Itching: Acid, nit. Acid. phos. Aur.
Caust. Cina. Cocc. Hep. Kali carb.
Plat. Plumb. Rhus. Sulph. Verat. alb.
Paralysis: Cupr. Lach. Natr. mur.
Nux wom. Phos. Plumb. Rhus. Sil.
Zinc.
Parched skin : Acid phos. Ars. Lyc.
Sil.
Redness: Dulc. Nux wom. Staph.
Rhagades: Graph. Petr. Sulph.
Rough: Acid. nit. Acid. phos. Alum.
Amm. mur. Kali carb.
Gone to sleep : Croc. Graph. Lach.
Lyc. Natr. mur. Nua, vom. Phos. Puls.
Sec. corn. Sil. Verat. alb.
Bruised, pain as if : Arn. Carb. veg.
Rhus. Ruta.
Spots: Acid. mit. Ant. tart. Sep.
– red: Merc. sol. Sep.
Stiffness: Arn. Ars. Bell.
Cham. Merc. sol. Rhus. Zinc.
Sweat: Ant. tart. Calc. Cham. Cocc.
Con. Eupat. perf. Natr. mur. Nux wom.
Phos. Sulph. Werat. alb. Werat. vir,
— cold: Sep. Verat. vir.
— in palm of hands: Acon. Bar. Calc.
Con. Dulc. Ign. Merc. sol. Wuz vom.
Swelling: Acon. Apis. Ars.
Bry. Cactus. Calc. Caust.
Cocc. Dig. Ferr.
Ruta. Sec. corn. Sulph.
Tearing and drawing: Amm. mur.
Canth.
Colch.
Graph. Kali carb. Lach. Led. Lyc.
Natr. mur. Petr. Phos. Plumb. Rhus.
Sabin. Sep. Spig. Stann. Sulph. Zinc.
Trembling: Ant. tart. Ars. Bell. Bry.
Chin. Cic. Cocc. Coff.
Ferr. Hyosc. Iod. Kali carb. Lach.
Led. Op. Phos. Plat. Plumb. Rhus.
Bell. Calc.
Cham.
Arn. Ars. Aur.
Carb. veg. Caust.
Calc. Caust.
Sil. Spong. Stram. Sulph. Zinc.
Twitching: Bell. Cina. Cupr. Graph.
Ign. Lach. Op. Plat. Sep. Stann.
Ulcers: Ars. Hep. Lyc.
Sulph.
Varicose veins : Arn. Calc. Wuz vom.
Puls. Sulph. Thuj.
Caust.
Bell.
Chin.
Hep. Lach. Lyc.
Merc. Sol. Nux wom. Phos. Puls. Rhus.
Sep. Sil.
Warts: Calc. Caust. Dulc. Hep. Rhus.
Sep. Thuj.
Weakness: Calc. Carb. veg. Caust.
Chin. Cupr. Hell. Wuz vom. Phos.
Sil. Zinc.
Fingers.
Blotches: Lach. Lyc. Staph.
Burning: Acid. nit. Calc. Caust. Con.
Dig. Lach. Nux wom. Plat. Sil. Sulph.
Werat. alb.
Chapping: Natr. mur. Petr. Sil.
Chilblains: Acid, nit. Canth. Nux wom.
Petr. Puls. Rhus. Sulph.
Coldness: Ant. tart. Cham. Dig. Hell.
Lyc. Sulph. Thuj.
Contraction: Ant. tart. Calc. Caust.
Colch. Col. Graph. Lyc. Merc. soi.
Nux wom. Plat. Rhus. Ruta. Sec. corn.
Sep. Sil.
Contraction of tendons: Caust.
Crampy feeling: Acid mur. Arn.
Ars. Calc. Cina. Cocc. Euphr. Graph.
Ign. Lyc. Mosch. Nux vom. Phos
Plat. Rhus. Stann. Staph. Sulph.
|Verat. alb.
Creeping: A con. Amm. mur. Ars.
Calc. Caust. Cina. Croc. Graph. Natr.
mur. Plat. Rhus. Sec. corn. Sep.
Sil. Sulph. Thuj.
— as of ants: Sec. corn.
– as if gone to sleep: Acid. mur.
Desquamation of the skin : Amm.
Ill II*.
Dislocation-pain : Bell. Cham. Ign.
Natr. mur. Phos. Spig. Sulph.
Eruptions: Acid. nit. Acid. phos. Ant.
crud. Bar. Canth. Caust. Graph.
Lach. Lyc. Plumb. Puls. Rhus. Spig.
Squilla. Verat. alb. Zinc.
— between the fingers:
Graph.
In general: Acon. Alum. Amm. mur.
Arn. Ars. Bar. Bell. Bry. Calc.
Canth. Carb. veg. Caust. Cham. Cocc.
Colch. Croc. Dros. Ferr. Graph. Hell.
Hep. Ign. Kali carb. Kreas. Lach.
Lyc. Merc. sol. Mosch. Natr. mur.
Nux vom. Phos. Puls. Rhus. Ruta.
Acid. Sulph.
Sec. corn. Sep. Sil. Spig. Stann.
Staph. Sulph. Thuj. Verat. alb.
Zinc.
Itching: Alum. Aur. Calc. Camph.
Caust. Con. Lach. Lyc. Nux wom.
Phos. Plumb. Puls. Verat. alb. Zinc.
Nodes, arthritic : Graph. Lyc.
Numbness: Calc. Caust. Con. Cina.
Euphr. Ferr. Graph. Lach. Lyc.
Phos. Plat. Rhus. Sec. corn. Sil.
Staph. Sulph,
984
LOWER EXTREMITIES.
Pain, as if bruised: Acid. nit. Amm.
carb. Arn. Cina. Natr. mur.
Redness : Nuz vom.
Rigidity : Ars. Merc. sol.
Going to sleep: Acon. Amm. mur.
Aur. Bar. Calc. Cham. Cina. Croc.
Dig. Glon. Graph. Iod. Kali carb.
Lach. Lyc. Natr. mur. Nux wom. Petr.
Phos. Plumb. Puls. Rhus. Sec. corn.
Sep. Sil. Staph. Sulph. Thuj.
Sore between the fingers: Graph.
Stitches: Acid. sulph. Amm. mur.
Arm. Carb. veg. Caust. Colch. Croc.
Graph. Kali carb. Lach. Lyc. Merc.
sol. Wałr. mur. Nux wom. Petr. Phos.
Rhus. Stann. Staph. Thuj. Zinc.
Swelling: Amm. carb. Ars. Bell. Bry.
Calc. Hep. Iod. Lach. Lyc, Merc.
sol. Wuz vom. Phos. Puls. Rhus. Sil.
Sulph. Thuj.
– feeling as of a Bell.
Tearing : Amm. mur. Ars. Bell. Carb.
veg. Caust. Colch. Hell. Ign. Kali c.
Lach. Lyc. Merc. Sol. Natr. mur.
Plumb. Sil. Spig. Stann. Staph.
Sulph. Zinc.
Throbbing: Carb. veg. Glon. Sil.
Thumb clenched: Bell. Cham. Hyos.
Ign. Rhus. Stram.
Twitching: Acid. sulph. Amm. mur.
Bry. Caust. Cham. Cic. Cupr. Ign.
Lyc. Merc. sol. Phos. Plumb. Rhus.
Stann. Sulph.
TJlcers: Alum. Ars. Caust. Lyc. Natr.
mur. Sil. Sulph.
Warts: Caust. Lach. Lyc. Petr. Sep.
Sulph. Thuj.
Yellow, turning: Chel.
Finger-joints.
Dislocation-pain : Cauloph. Natr. m.
Phos. Sulph.
Dry, as if: Puls.
In general : Acid. nit. Acid. sulph.
Amm. carb. Bell. Calc. Carb. veg.
Cauloph. Caust. Cham. Chin. Con.
Graph. Hep. Ign. Kali carb. Led.
Lyc. Merc. sol. Watr. mur. Nux wom.
Plat. Puls. Rhus. Ruta. Sep. Sil. Spig.
Spong. Staph. Sulph.
Nodes, gouty: Calc. Hep. Lyc. Staph.
Pain : Kali carb. Sil. Sulph.
— laming: Bell. Calc. Cauloph.
Stiffness: Aur. Ars. Carb. v. Cauloph.
Caust. Graph. Hep. Lyc. Rhus. Sep.
Sulph.
Stitches: Acid. nit. Arn. Bar. Bry.
Carb. veg. Cauloph. Con. Hell. Ign.
Rhus. Sabin. Sep.
Swelling: Acid. nit. Euphr. Hep. Lyc.
Puls. Rhus.
Tearing: Acid. phos. Bell. Bry. Carb.
veg. Cauloph. Caust. Colch. Led.
Lyc. Puls. Rhus. Ruta. Sabin. Samb.
Spig. Staph. Sulph.
Tips of Fingers.
In general: Amm. mur. Ant. tart.
Calc. Croc. Hep. Lach. Phos. Puls.
Rhus. Sec. corn. Sep. Sil. Spig.
Staph. Sulph. Thuj. Werat. alb.
Finger-nails.
Blue: Chin. Cupr. Dig. Wuz vom. Petr.
Werat. alb.
Distortion: Graph. Sep. Sulph.
Exfoliation : Graph. Merc. sol. Sulph.
In general : Acid. nit. Alum. Ant.
crud. Ars. Calc. Caust. Colch. Con.
Graph. Hep. Kali carb. Iod. Lach.
Merc. sol. Watr. mur. Nuz vom. Phos.
Puls. Sep. Sil. Sulph. Thuj.
Hang-nails: Natr. mur. Rhus. Stann.
Sulph.
Nails, brittle: Graph. Merc. sol. Thuj.
– growing in : Sil. Sulph.
Thickening: Graph.
Ulcerated: Ars. Bar. Calc. Con. Hep.
Lach. Lyc. Merc. sol. Natr. mur.
Petr. Phos. Sep. Sil. Sulph. Thuj.
Lower.
In general : Acid. mur. Apis. Arn.
JBell. Bry. Cactus. Calc. Carb. veg.
Cauloph. Caust. Chin. Colch. Dig.
Eupat. perf. Gelsem. Graph. Ign. Iod.
Kali carb. Lach. Led. Lyc. Merc.
sol. Mosch. Natr. mur. Nux vom,
Plat. Plumb. Puls. Rhus. Ruta.
Sabin. Sep. Sil. Spig. Spong. Staph.
Sulph. Thuj. Viol. tr.
Thighs.
Blotches: Calc. Lach. Merc. Sol.
Staph.
Boils: Arn. Hep. Lyc. Sep. Sil.
Boring : Arn. Rhus. Staph.
Burning: Ark. Carb. veg. Kali carb.
Nux wom. Phos. Plumb. Rhus. Sil.
Sulph. Zinc.
Coldness: Acid. mit. Ars. Bell. Calc.
Camph. Carb. veg. Led. Lyc. Wux
vom. Op. Puls. Sec. corn. Sep. Sulph.
Werat. alb.
– feeling of: Camph. Carb. veg. Chin.
Merc. sol. Natr. mur. Sec. corn.
LOWER EXTREMITIES.
985
Contusive pain: Arn. Led. Nux
mosch. Rhus. Ruta.
Cramps: Bell. Chin. Colch. Cina.
Cupr. Lach. Wux, vom. Rhus. Sec.
corn. Stram.
Crampy feeling: Arn. Calc. Graph.
Hyosc. Lyc. Phos. Rhus. Sep. Verat.
alb.
Creeping: Ars. Bell. Rhus. Sec. corn.
Cutting: Alum. Bell. Bry. Graph. Lyc.
Sil.
Dislocation-pain: Arn. Carb. veg.
Caust Led. Wałr. mur. Rhus.
Emaciation : Ars. Calc. Chin. Iod.
Lach. Merc. sol. Nux wom.
Eruptions: Graph. Kali carb. Lyc.
Merc. Sol. Natr. mur. Rhus. Staph. Sil.
Sulph.
External side: Acid, phos. Bell.
Caust. Cocc. Merc. Sol. Nux wom.
Rhus. Stann. Sulph. Zinc.
Posterior side : Acid, phos. Alum. Ant.
crud, Calc. Canth. Carb. veg. Caust.
Con. Graph. Ign. Led. Lyc. Merc.
sol. Phos. Rhus. Sep. Stann. Staph.
Sulph. Zinc.
Internal side : Acid. nit. Ant. crud.
Calc. Carb. veg. Caust. Graph. Hep.
Iod. Kali carb. IMerc. Sol. Petr.
Sabin. Stann. Staph. Sulph. Thuj.
Anterior side: Acid mur. Acid, phos.
Bar. Chin. Dig. Kali carb. Lyc.
Natr. mur Nux wom. Puls. Sabin. Sil.
Spong. Stann. Thuj.
Formication : Bell. Nux vom. Sec.
COIII.
In general: Ant. tart. Arn. Bell. Bry.
Calc. Carb. veg. Caust. Chin. Cocc.
Colch. Graph. Hell. Hep. Ign. Kali c.
Lach. Led. IMerc. sol. Mosch. Natr.
mur. Nux vom. Puls. Rhus. Sep.
Sil. Spig. Spong. Stann. Staph. Sulph.
Thuj. Zine.
Heat: Acon. Bry. Caust. Sulph.
Heaviness: Alum. Bry. Calc. Carb.
veg. Gelsem. Glon. Graph. Hell. Ign.
Iod. Kali carb. Lach. Watr. mur. Nux
vom. Puls. Rhus. Ruta. Sep. Spig.
Stann. Sulph.
Insensibility: Ars. Carb veg. Lach.
Lyc. Op. Rhus. Sec. corn.
Itching: Acid. nit. Ant. crud. Ars.
Calc. Carb. veg. Graph. Lach. Led.
Merc. sol. Natr. mur. Wuz vom. Sec.
corn. Sil. Spig. Staph. Sulph. Thuj.
Verat. alb. Zinc.
Jerks: Acid. Sulph. Ant. tart. Calc.
Cic. Euphr. Merc. sol. Phos. Stram.
Sulph.
Lameness: Bell. Bry. Caust. Cocc.
Dig. Gelsem. Iod. Lach. Watr. mur.
Nux vom. Rhus. Ruta. Sec. corn
Sep. Sil. Sulph. Zinc.
Muscles relaxed : Calc. Carb. veg.
Ferr. Iod. Merc. Sol. Nux wom.
Nodes, gouty: Ant. crud. Calc. Lyc.
Rhus. Staph. Sulph.
Numbness: Calc. Carb. veg. Cocc.
Glon. Graph. Iod. Kali carb. Lach.
Merc. Sol. Nux vom. Plat. Rhus.
Sulph. Verat. alb.
Pain: Acid. nit. Arn. Aur. Calc. Carb.
veg. Cupr. Graph. Lyc. Phos. Rhus.
Sil. Stann. Sulph.
— laming: Arm. Carb. veg. Caust.
Cina. Cocc. Ign. Natr. mur. Wuz vom.
Rhus. Sep.
— as if sore : Arn. Calc. Chin. Eupat.
perf. Graph. Kali carb. Led. Lye.
Nux wom. Rhus. Staph. Sulph.
– as if bruised: Arn. Bry. Bell. Calc.
Caust. Cocc. Cupr. Eupat. perf.
Gelsem. Graph. Hep. Led. Nux
vom. Plat. Puls. Ruta. Sep. Sil.
Spig. Sulph. Verat. alb.
Gone to sleep: Acon. Arn. Canth.
Cham. Cocc. Croc. Mosch. Nux wom.
Puls. Rhus. Sec. corm. Verat. alb.
Soreness between the thighs:
Graph. Kali carb. Merc. sol. Sulph.
Spots, red : Graph. Merc. sol.
Stiffness: Arm. Calc. Gelsem. Graph.
Ign. Merc. Sol. Nutr. mur. Rhus. Sep.
Stitching : Acon. Arm. Bell. Bry.
Calc. Caust. Cocc. Con. Euphr.
Gelsem. Graph. Hyosc. Nux wom.
Phos. Rhus. Sep. Spig. Spong.
Stann. Staph, Sulph. Thuj. Viol. tr.
Zinc.
Stretchy feeling: Acid. phos. Bell.
Eupat. perf.
Sweat: Carb. veg. Merc. sol. Nux wom.
Phos. Sep. Rhus. Thuj.
Swelling: Apis. Ars. Bry. Cactus.
Calc. Carb. veg. Chin. Colch. Dulc.
Hell. Lyc. Merc. sol. Sec. corn. Sep.
Sil. Sulph.
Tearing and drawing: Alum. Amm.
mur. Arn. Aur. Bell. Bry. Calc.
Canth. Caust. Cham. Chin. Cimicif.
Cocc. Colch. Dulc. Graph. Kali carb.
Lyc. Merc. sol. Watr. mur. Nux vom.
Plat. Plumb. Puls. Rhus. Sep. Sil.
Stann. Sulph. Zinc.
Tension : Acid. nit. Arm. Calc. Carb.
veg. Lyc. Merc. sol. Petr. Rhus.
Sabin.
Throbbing: Ant. tart. Bell. Bry.
Kali carb. Natr. mur. Phos. Rhus.
Ruta. Sulph.
986
LOWER EXTREMITIES.
Trembling: Amm. mur. Arn. Calc.
Carb. veg. Caust. Cic. Con. Dig.
Graph. Iºach. Merc. sol. Natr. mur.
Nux mosch. Wuz vom. Plat. Plumb.
Puls. Rhus, Sil.
Twitching : Arn. Caust. Chin. Graph.
Lach. Lyc. Nux vom. Phos. Puls.
Rheum. Rhus. Sep. Sil. Staph. Sulph.
Ulcers: Acid. nit. Calc. Carb. veg.
Graph. Lyc. Merc. sol. Natr. mur.
Petr Rhus. Sil. Sulph.
Uneasiness: Ars. Carb. veg. Caust.
Chin. Con. Graph. Iºach. Merc. sol.
Nux wom. Phos. Plat. Ruta. Sep.
Sulph.
Varicose veins: Arn. Ars. Calc.
Carb. veg. Ferr. Graph. Lyc. Puls.
Sulph. Zinc.
Weakness: Acid. nit. Agar. Alum.
Ambr. Amm, carb. Amm. mur. Ars.
Asar. Bell. Bry. Calc. Cann. Caust.
Chin. Con. Croc. Graph. Hell. Ign.
Ipec. Iach. Laur. Led. Lyc. Nux
mosch. Nux vom. Phos. Plat. Plumb.
Puls. Rhus. Ruta. Sec. corn. Sep.
Sulph. Zinc.
Legs.
Boils: Arn. Hep. Merc. sol. Lyc. Nux
vom. Sil. Sulph.
Boring: Aur. Merc. sol. Staph.
Burning: Ars Carb. veg. Caust. Kali
carb. Lyc. Nux wom. Rhus. Sep.
22nc.
Cold feeling: Mosch. Puls.
Cramp (in calves): Ars. Calc. Camph.
Carb. veg. Cham. Col. Cupr. Dulc.
Ferr. Graph. Hep. IIyosc. Ign. Lach.
Lyc. Naſr. mur. Nux vom. Rhus.
Samb. Sec. corn. Sep. Sil. Stram.
Sulph. Verat. alb. Zinc.
Creeping: Bell. Ipec. Nuz vom. Rhus.
Sec. corn.
Erysipelas: Arn. Rhus. Sulph.
Eruptions: Calc. Lyc. Plumb. Staph.
Sulph. Zinc.
Flesh loose, as if : Nux wom. Rhus.
In general: Acid. phos. Acon. Amm.
mur. Ant. crud. Ant. tart. Ars. Bell.
Bry. Calc. Carb. veg. Canth. Caust.
Cham. Con. Cupr. Ferr. Graph. Hyosc.
Ign. Ipec. Kali carb. Lach. Led.
Lyc. Merc. sol. Nuz vom. Phos.
Plumb. Puls. Rhus. Sec. corn. Sep.
-Sil. Spig. Staph. Sulph. Verat. alb.
Heat: Acon. Bell. Bry. Hyosc.
Heaviness: Ars. Bell. Camph. Ferr.
Ign. Ipec. Lyc. Rhus. Verat. alb.
Itching : Aur. Calc. Dulc. Kali carb.
Lyc. Nuz vom. Op. Sabin. Sil. Staph.
Sulph.
Nodes, gouty: Ant. crud. Rhus.
Staph. Sulph.
Numbness: Alum. Gelsem. Graph.
A all carb. Wuz vom. Sil.
Pain, as if bruised : Alum. Arn. Calc.
Caust. Croc. Dig. Ferr. Gelsem. Phos.
Plumb. Sep.
Gone to sleep: Acon. Bell. Ign. Nuz
vom. Plumb. Samb. Zinc.
Spots, blue : Arn. Lach.
— yellow: Stann.
– red : Acid. sulph. Acon. Calc. Con.
Merc. Sol.
Stitching: Amm. mur. Ant. crud. Arn.
Bell. Bry. Calc. Caust. Chin. Graph.
Hell. Ign. Kali carb. Natr. mur. Nux
vom. Phos. Plat. Plumb. Rhus. Ruta.
Spig. Staph. Sulph.
Swelling: Acon. Apis.
Puls. Rhus. Sulph.
Tearing and drawing: Alum. Ant.
tart. Arn. Ars. Bell. Bry. Calc. Carb.
veg. Caust. Cham. Cimicif. Colch.
Croc. Dulc. Ferr. Graph. Ign. Lach.
Lyc. Nua, vom. Phos. Puls. Rhus.
Sep. Sil. Staph. Sulph. Zinc.
Tension : Bry. Calc. Cham.
Graph. Ign. Puls. Rhus.
Ferr. I.ed.
Cocc.
Twitching: Ars. Bell. Cina. Cupr.
Graph. Hyosc. Lyc. Op. Petr.
Plumb.
Ulcers: Ars. Calc. Graph. Lach.
Lyc. Ruta. Staph.
Weakness : Watr. mur. Wuz vom. Plat.
Stann.
Heels.
In general : Amm. mur. Ant. crud.
Arm. Calc. Caust. Col. Graph. Led.
Lyc. Merc. sol. Petr. Puls. Rhus.
Sabin. Sec. corn. Sep. Sil. Stann.
Sulph. Viol. tr.
Feet.
Boils: Calc. Merc. sol.
Burning : Arm. Ars. Calc. Canth.
Cocc. Graph. Hep. Lyc. Merc. sol.
Natr, mur. Puls. Rhus. Sec. corn.
Sep. Sil. Stann.
Chilblains : Acid. nit. Ant. crud.
Canth. Cham. Nux wom. Petr. Phos.
Puls. Rhus. Sulph.
Coldness: Acid. mur. Amm. mur. Ant.
crud. Ant. tart. Arn. Bell. Calc.
Caust. Chin. Con. Graph. Ign. Ipec.
Rali carb. Lach. Lyc. Nux wom. Petr.
Phos. Puls. Rhus. Samb. Sep. Sil.
Squilla. Stann. Sulph. Verat. alb.
LOWER EXTREMITIES.
987
Corns: Ant. Crud. Arn. Calc. Caust.
Ign. Lyc. Nux wom. Puls. Rhus. Sep.
Sil. Sulph. Thuj.
Crampy feeling : Calc. Caust. Graph.
Hep. Lach. Lyc. Natr. mur. Petr.
Sil. Sulph.
— in the soles:
Sil. Sulph.
Creeping: Arn. Bell. Caust. Dulc.
Graph. Ign. Nux, vom. Phos. Rhus.
Sec. corn. Sep. Stann.
Eruptions: Ars. Graph. Petr. Sep.
Sulph.
Erysipelas: Nux vom. Dulc.
In general: A con. Arm. Ars. Aur.
Bar. Bell. Bry. Calc. Camph. Carb.
veg. Caust. Cham. Con. Cupr. Ferr.
Graph. Hep. Ign. Kali carb. Led.
Lyc. Merc. sol. Natr. mur. Nux, vom.
Petr. Phos. Plumb. Puls. Rhus.
Ruta. Samb. Sec. corn. Sep. Sul.
Stann. Sulph. Verat. alb. Zinc.
Gout: Arn. Bry. Colch. Graph. Lach.
Led. Lyc. Nuz vom. Rhus. Ruta.
Sabin.
Heat: Acon. Arn. Bry. Calc.
Nux wom. Phos. Puls. Sep. Sulph.
Itching: Bell. Calc. Canth. Cocc.
Lach. Lyc. Puls. Stann. Sulph.
Numbness: Acid. phos. Bry. Calc.
Carb. veg. Con. Nuz vom. Op. Rhus.
Sec. corm.
Pain, as if sprained: Arn. Bry. Carb.
veg. Rhus.
Gone to sleep : Alum. Amm. mur.
Ant. tart. Bar. Cocc. Graph. Kali carö.
Lach. Lyc. Nux vom. Plumb. Sep.
Sil.
Stitches: Acid. anur. Acid, mit. Alum.
Arn. Bell. Bry. Calc. Carb. veg. Chin.
Graph. Ign. Kali carb. Natr. mur.
Phos. Sep. Sil. Sulph.
Sweat: Amm, mur. Bar. Calc. Carb. v.
Cupr. Gragh. Ipec. Kali carb. Led.
Lyc. Merc. sol. Plumb. Puls. Sep.
Sil. Squilla. Sulph.
Swelling : Amm. carb. Apis. Arn.
Ars. Bell. Bry. Calc. Caust. Cham.
Chin. Cocc. Dig. Eupat. perf. Ferr.
Graph. Lach. Led. Lyc. Merc. sol.
Natr. mur. Petr. Phos. Puls. Rhus.
Sec. corn. Sep. Sil. Stann. Staph.
Sulph.
Tearing and drawing: Acid. nit.
Acid. phos. Alum. Ant. crud. Arm.
Bell. Carb. veg. Caust. Chin. Colch.
Ferr. Graph. Hep. Lach. Lyc.
Merc. sol. Natr. mur. Sil. Spig. Stann.
Stram. Sulph.
Tension: Bry. Led. Rhus. Sulph.
Calc. Ferr. Natr. mur.
Led.
Twitching : Arn. Chin. Cupr. Graph.
Ign. Ipec. Phos. Sep. Verat. alb.
TJ1cers: Ars. Ipec. Lach. Merc. sol.
Ruta. Sec. corn. Sulph.
TJ neasiness: Arn. Bar.
Muz vom. Rhus.
Carb. veg.
Ankle-joints.
Bend, liable to : Acid. nit. Natr. mur.
Nux vom. Rhus.
Burning : Calc. Sulph.
In general : Acid. nit. Arn. Ars. Bry.
Calc. Caust. Dros. Graph. Iłep. Ign.
Rali carb. Led. Lyc. Merc. sol, Natr.
m. Petr. Phos. Puls. Rhus. Ruta. Sep.
Sil. Spig. Staph. Sulph. Zinc.
Pain, as if sprained: Arn. Bry. Carb.
veg. Caust. Led. Nux wom. Rhus.
Sulph.
– as if bruised: Calc. Hep.
– as from weariness: Croc.
Nux wom. Rhus.
Stiffness: Caust. Ign. Led. Lyc. Petr.
Rhus. Ruta. Sep. Sulph.
Stitches: Arn. Ars. Bry. Caust. Kali
carb. Rhus. Spig. Sulph.
Gelsem.
Swelling: Apis. Ars. Bry. Calc.
Eupat. perf. Led. Lyc. Merc. Sol.
Rhus. Sulph.
Tearing and drawing: Arm. Ars.
Colch. Merc. Sol. Puls. Rhus. Spong.
Zinc.
Tension : Bry. Iyc. Sep. Zinc.
Weak feeling : Calc. Carb. veg. Merc.
sol.
Dorsum of Feet.
In general: Acid. mur. Bry. Caust.
Hep. Lyc. Merc. sol. Puls. Rhus.
Spig. Sulph. Thuj. Zinc.
Soles of Feet.
In general : Acid mur. Acid, phos. Arn.
Ars. Bell. Bry Calc. Carb. vey. Caust.
Cupr. Eupat. perf. Lyc. Merc. Sol.
Petr. Phos. Plumb. Puls. Rhus. Sil.
Sulph.
Nates.
In general : Acid, phos. Ant. crud. Bar.
Caust. Con. Graph. Kali carb. Lyc.
Merc. sol. Phos. Rhus, Sep. Staph.
Sulph. Zinc.
Hip and Hip-joint.
Boring : Arn. Cina. Merc. Sol.
Burning: Bell. Carb. veg. Hell. Rhus.
Ruta. Sep.
988
IOWER EXTREMITIES.
Crampy feeling: Bell. Plat. Sulph.
Cutting: Alum. Calc. Col.
In general: Acid, phos. Acon. Amm.
carb. Amm. mur. Ant, crud. Amt. tart.
Arn. Bell. Bry. Calc. Carb. veg.
Caust. Cocc. Col. Ferr. Hell. Ign.
Ipec. Kali carb. Led. Lyc. Merc. sol.
Natr. mur. Nux wom. Phos. Puls.
Rhus. Ruta. Sep. Sil. Stram. Sulph.
Verat alb.
Hip-disease : Acid. phos. Bry. Calc.
Caust. Col. Hep. Iod. Merc. sol.
Rhus. Ruta. Sil. Stram. Sulph.
(See Limping, spontaneous.)
Limping, spontaneous: Acon. Bell.
Calc. Caust. Col. Lyc. Merc. sol.
Rhus. Ruta. Staph. Stram. Sulph.
Zinc. (See Hip-disease.)
Numbness: Lach. Staph.
Pain, simple: Acon. Bell. Cham. Led.
Nux wom. Rhus. Ruta.
— laming: Arn Bell. Cina. Cocc. Lach.
Natr. mur. Rhus.
- as if sprained : Amm. mur. Arn.
Bry. Caust. Cham. Ipec. Natr. mur.
Nux wom. Rhus.
– as if bruised: Alum. Arn. Bry.
Caust. Croc. Ferr. Lach. Natr. mur.
Rhus. Ruta. Sep. Zinc.
Stiffness: Bell. Caust. Cham. Ign.
Led. Rhus. Sep. Staph.
Stitches: Alum. Bell. Bry. Calc. Caust.
Col. Ferr. Graph. Ign. Led. Natr. mur.
Nux wom. Rhus. Sil. Zinc.
Tearing and drawing: Alum. Amt.
crud. Arm. . Bry. Carb. veg. Caust.
Con. Dulc. Kali carb. Lyc. Merc. sol.
Natr. mur. Rhus. Sep. Zinc.
Tension : Acid, nit. Bell. Lyc. Watr. m.
Puls. Rhus.
Weariness, feeling of: Thuj.
Rºnee and Knee-joint.
Boring : Caust. Canth.
Burning: Acid. mur. Carb. veg. Lyc.
Phos. Sulph.
Coldness: Acon. Ars. Chin. Puls. Sep.
Sulph. Verat. alb.
Contraction: Carb. veg. Lyc. Merc.
sol. Rhus. Sil. Sulph.
Contractive feeling in ham-
strings: Acid. nit. Con. Rhus. Ruta.
Sulph. Verat. alb.
Creeping: Rhus.
Eruptions: Calc. Graph. Hep. Kali c.
Lyc. Natr. mur. Nux wom. Petr. Phos.
Sulph. Thuj.
In general: Acid. nit. Acon. Amm. m.
Ant. c. Arn. Ars. Bry. Calc. Carb. v.
Caust. Chin. Con. Ferr. Graph. Hep.
Iod. Lach. Led. Lyc. Merc. sol.
Natr. mur. Nux mosch. Nuz vom.
Petr. Phos. Plumb. Puls. Rhod.
Rhus. Ruta. Sep. Sil. Staph. Sulph.
Verat. alb. Zinc.
Giving way, liable to : Arn. Bell.
Camph. Caust. Chin. Nux wom. Rhus.
Ruta. Sulph.
Itching: Acid. mur. Acid. nit. Caust.
Kali carb. Lyc. Nux wom.
Pain as if dislocated : Acid. nit. Arn.
Caust. Ipec. Phos. Rhus. Staph.
– as if sore : Caust. Nux wom. Sulph.
– as if bruised : Amm. carb. Arm. Ars.
Aur. Graph. Hep. Led. Wuz vom.
Rhus. Ruta. Stann. Verat. alb.
Zinc.
Gone to sleep: Carb. veg.
Spots, red: Lyc. Petr. Rhus.
Sprain, liable to : Calc.
Rhus.
Stiffness: Amm. mur. Ars. Bell. Bry.
Calc. Caust. Col. Graph. Hell. Ign.
Led. Lyc. Watr. mur. Nux wom. Petr.
Phos. Puls. Rhus. Sep. Stann.
Sulph.
Stitches: Alum. Ant. crud. Arn. Bell.
Bry. Calc. Caust. Cocc. Con. Graph.
FIell. Kali carb. Lach. Led. Natr. mur.
Petr. Phos. Puls. Rhus. Sep. Sil.
Stann. Staph. Thuj. Werat. alb.
Sweat: Calc. Led.
Swelling: Acid. mur. Acid. nit. Apis.
Ars. Bry. Calc. Chin. Cocc. Ferr.
Graph. Hep. Iod. Lach. Led. Lyc.
Nux wom. Phos. Puls. Rhus. Sep.
Sil. Sulph.
Tearing and drawing: Acid, mur.
Acon. Alum. Arn. Bell. Bry. Calc.
Canth. Caust. Cham. Chin. Colch.
Iod. Kali carb. Lach. Led. Lyc.
Merc, sol. Phos. Puls. Rhus. Sep.
Sil. Sulph. Zinc.
Tension : Arn. Bry. Caust. Graph.
Lach. Led. Wuz vom. Phos. Puls.
Rhus. Sep. Sulph.
Twitching : Bell. Caust. Chin. Plumb.
Sulph. Verat. alb.
Unstead.ness: Acon. Arn. Carb. veg.
Nux vom. Rhus.
Weak feeling: Acid, nit. Acon. Arm,
Bry. Caust. Chin. Con. Cupr. Ferr.
Ign. Lach. Led. Lyc. Merc. Sol. Watr.
mur. Plat. Puls. Stann. Staph. Sulph.
Werat. alb.
Weariness:
Puls. Ruta.
Nux wom.
Cocc. Con. Nur mosch.
SKIN AND EXTERNAL SYMPTOMS.
989
Calves.
In general: Acid, nit. Alum. Ant. crud.
Ars. Bry. Calc. Caust. Cham. Col.
Croc. Cupr. Ferr. Graph. Hyosc.
Ign. Led Lyc. Merc. sol. Natr. mur.
Nuz vom. Petr. Puls. Rhus. Sec. corn.
Sep. Sil. Spig. Stann. Staph. Sulph.
Werat. alb.
...r
Toes.
Blisters: Sulph.
Burning : Acid. nit. Arm. Bry. Dulc.
Nuz vom. Staph.
Chilblains: Alcid. nit. Amm. carb.
Ant. crud. Canth. Caust. Nux vom.
Petr. Phos. Puls. Rhus. Sulph.
Coldness: Lyc. Sulph.
Contraction: Cham. Ferr.
Nuz vom. Lyc. Merc. sol. Plat.
Crampy: Amm. carb. Arm. Bar. Calc.
Chust. Ferr. Hyosc. Ign. Lyc. Mosch.
Nux wom. Plat. Sulph.
In general: Amm. carb. Arn. Aur.
Calc. Carb. veg. Caust. Colch.
Graph. Merc. sol. Natr. mur. Petr.
Phos. Plat. Sabin. Sec. corn. Sil.
Sulph.
Itching: Hep. Wuz vom. Puls. Staph.
Sulph.
Hyosc.
Numbness: Arn. Phos. Puls. Sec.
COI’Il.
Redness: Carb. veg.
Gone to sleep: Cham. Nux wom.
Rhus.
Soreness: Graph. Natr. mur. Sil.
Stiffness : Sec. corn. Sil. Sulph.
Stitches: Arn. Calc. Carb. veg. Caust.
Cocc. Graph. Lyc. Natr. mur. Puls.
Sil. Zinc.
Sweat: Arn. Sil.
Swelling: Acid. nit. Arn. Carb. veg.
Graph. Merc. sol. Phos. Sabin.
Sulph.
Tearing and drawing: Amm. mur.
Arn. Ars. Camph. Caust. Chin. Cic.
Hep. Lach. Led. Lyc. Phos. Puls.
Rhus. Sil. Sulph. Zinc.
Twitching: Chin. Cupr. Merc. sol.
Ulcers: Ars. Caust. Graph. Petr.
Sep.
Toe-joints.
In general : Arn. Aur. Calc. Caust.
Cham. Chin. Con. Graph. Hep. Kali c.
Led. Lyc. Merc. sol. Phos. Puls. Rhus.
Ruta. Sabin. Sep. Sil. Staph. Sulph.
2inc.
XXVIII. SKIN AND EXTERNAL SYMPTOMS.
Abscesses, acute : Apis. Ars. Bell.
Hep. Lach. Merc. sol. Phos. Puls.
Sil. Sulph.
– chronic : Acid, nit. Calc. Con. Hep.
Lach. Iod. Lyc. Merc. sol. Phos. Sil.
Staph. Sulph. Thuj.
Bed-sores: Acid, sulph. Arm. Bar.
Calc. Carb. veg. Caust. Chin. Cic.
Ferr. Graph. Hep. Ign. Kreas. Lach.
Lyc. Merc. sol. Petr. Puls. Rhus.
Ruta. Sep. Sil. Sulph.
Biting of the skin : Ant. crud. Apis.
Bar. Canth. Cham. Dig. Graph. Kali
carb. Led. Lyc. Nux wom. Plat. Puls.
Rhus. Ruta. Spong. Staph. Verat.
alb.
Bloating: Ant. crud. Apis. Ars.
Bell. Bry. Calc. Cupr. Dulc. Ferr.
Graph. Kali carb. Lyc. Merc. sol.
Mosch. Op. Puls. Rhus. Spig. Staph.
Sulph.
Bloody tumors, blisters: Ars. Canth.
Sec. corn. Sulph.
Boils: Acid, mur. Acid. nit. Ant. crud.
Arn. Bell. Calc. Hep. Lach. Led.
Lyc. Merc. sol. Phos. Sec. corn.
Sep. Sil. Staph. Sulph. Thuj.
Blotches: Ant. crud. Apis. Ars. Bell.
Bry. Calc. Caust. Con. Dulc. Graph.
Hep. Iod. Lach. Led. Lyc. Natr. m.
Petr. Phos. Puls. Rhus. Ruta. Sec. corn.
Sep. Sil. Staph. Sulph. Thuj. Verat.
alb.
Burning of skin : Acon. Apis. Arn.
Ars. Aur. Bell. Bry. Calc. Camph.
Carb. veg. Caust. Cic. Cocc. Cupr.
Dig. Ferr. Hep. Ign. Kali carb. Kreas.
Lach. Lyc. Merc. sol. Nux wom.
Op. Phos. Puls. Rhus. Sec. corn. Sep.
Sil. Spig. Staph. Sulph. Werat. alb.
Viol. tr. º
Color of the skin, blue : Acid. phos.
Apis. Ars. Bell. Cina. Con. Cupr.
Dig. Lach. Merc. sol. Op. Sec. corn.
Verat. alb.
— — pale: Bell. Calc. Chin. Cocc.
Ferr. Graph. Kali carb. Lyc. Nux vom.
Plat. Puls. Sep. Spig. Sulph.
— — yellow : Ars. Bell. Bry. Canth.
Carb. veg. Cham. Chin. Con. Ferr.
990
SKIN AND EXTERNAL SYMPTOMS.
Ign. Lyc. Merc. sol. Nux vom.
Op. Plumb. Puls. Rhus. Sep. Spig.
Sulph. Verat. alb.
Color of the skin, red: Acid. phos.
Acon. Arn. Bell. Bry. Canth. Dulc.
Graph. Lyc. Merc. sol. Nux vom.
Op. Rhus. Ruta. Sec. corn. Stram.
— sallow : Calc. Ferr. Tod. Lach. Merc.
sol. Phos. Podoph. Sec. corn. Sep.
Contusive pain : Acid. Sulph. Arn.
Rhus. Ruta.
Cracking of the skin : Acid. nit.
Alum. Arn. Calc. Cham. Hep. Kali c.
Kreas. Lach. Lyc. Natr. mur. Petr.
Puls. Rhus. Sep. Sil. Sulph. Zinc.
Crusta lactea : Ars. Calc. Carb. veg.
Dulc. Graph. Lyc. Merc. sol. Phos.
Rhus, Staph. Sep. Sulph.
Damp skin: Acid. nit. Alum. Ars.
Calc. Carb. veg. Cic. Dulc. Graph.
Lyc. Merc. sol. Petr. Rhus. Sep.
Sil. Sulph.
Desquamation : Acid. phos. Acon.
Amm. carb. Amm. mur. Ars. Aur.
Bell. Caust. Dulc. Graph. Hell. Iod.
Merc. sol. Phos. Puls. Rhus. Sec.
corn. Sep. Sil. Staph. Verat. alb.
Eruptions,
In general : Acid, nit. Acid. phos. Acid.
sulph. Acon. Amm. carb. Amm. mur.
Ant, crud. Apis. Arn. Ars. Aur. Bar.
Bry. Cactus. Calc. Canth. Carb. veg.
Caust. Cic. Con. Cupr. Dulc. Ferr.
Gelsem. Graph. Hell. Hep. Ipec. Kali
carb. Lach. Lyc. Merc. sol. Watr. m.
Nux wom. Petr. Puls. Rhus. Sep. Sil.
Spig. Staph. Sulph. Thuj. Viol. tr.
Zinc.
Eruption, peeling off: Amm. mur.
Bell. Led. Merc. sol. Phos. Sep.
Sil. Staph.
— smarting: Bry. Calc. Caust. Lach
Led. Natr. mur. Puls. Sil. Spong.
Sulph.
– vesicular: Acid. nit. Amm. mur. Ant.
crud. Apis. Ars. Bry, Canth. Caust.
Dulc. Graph. Hell. Hep. Kali carb.
IZach. Natr. mur. Phos. Rhus. Sec.
corn. Sep. Sulph. tº
— — gangrenous: Ars. Carb. veg. Lach.
Sec. corn.
- purulent: Ant. tart. Ars. Calc. Dule.
Hep. Lyc. Merc. sol. Natr. mur.
Puls. Rhus. Sec. corn. Sep. Sil.
Staph. Sulph. Zinc.
- humid : Acid. nit. Alum. Ars. Carb.
veg. Caust. Dulc. Graph. Hep. Lach.
Lyc. Petr. Rhus. Sep. Sil. Staph.
Sulph.
Eruption, corrosive: Acid. nit. Ars.
Bar. Calc. Cham. Con. Graph. Hep.
Kali carb. Lach. IMerc. sol. Petr.
Rhus, Sep. Sil. Staph.
— yellowish : Acid. nit. Kreas. Merc.
sol.
– miliary: Apis. Ars. Cactus. Carb. v.
Graph. Hep. Led. Natr. mur. Nux
vom. Zinc.
– itching: Acid. nit. Acon. Ant. crud.
Ant. tart. Apis. Ars. Bry. Canth.
Caust. Cham. Graph. Ign. Kali carb.
Lach. Merc. sol. Rhus. Sep. Sil.
Staph. Sulph. Verat. alb.
— coppery: Acid, nit. Ars. Carb. veg.
Rali carb. Kreas. Lach. Merc. Sol.
Rhus. Verat. alb.
— nettle-rash : Acon. Apis. Ars. Bell.
Bry. Calc. Caust. Dulc. Hep. Noec.
Lyc. Natr. mur. Puls. Rhus. Sec.
corn. Petr. Sep. Sulph. Verat. alb.
– scurfy : Alum. Amm. carb. Amm. mur.
Ant. crud. Bell. Cactus. Calc. Carb.
veg. Cic. Con. Dulc. Graph. Hep.
Lyc. Merc. sol. Puls. Rhus. Sep. Sul.
Sulph.
– scaly: Amm. mur. Ars. Aur. Bell.
Bry. Cactus. Calc. Dulc. Graph.
Led. Lyc. Merc. sol. Phos. Puls.
Rhus. Sep. Sulph.
– dry : Bar. Cactus. Calc. Carb. veg.
Dulc. Graph. Led. Lyc. Merc. sol.
Phos. Sep. Sil. Staph. Verat. alb.
Tetters, generally: Acid, nit. Alum.
Ars. Bry. Calc. Carb. veg. Caust.
Con. Dulc. Graph. Hep. Kali carb.
Kreas. Lach. Led. Ilyc. Merc. sol.
Natr. mur. Petr. Rhus. Phos. Sep.
Sil. Staph. Sulph.
– suppurating : Ars. Dulc. Hep. Lyc.
Merc. sol. Rhus. Sep. Sil. Sulph.
— humid : Acid. nit. Calc. Con. Graph.
Hep. Lach. Lyc. Rhus. Sep. Sil.
Sulph.
— spreading: Ars. Calc. Graph. Lyc.
Merc. sol. Petr. Rhus. Sil. Sulph.
– scurfy : Ars. Calc. Dulc. Graph.
Sep. Sil. Sulph.
– crusty : Amm. mur. Bar. Calc. Con.
Dulc. Graph. Lach. Lyc. Merc. sol.
Rhus. Sep. Sulph.
— pustulous: Ant. tart. Kreas. Merc.
sol. Sulph.
– ring-shaped: Ars. Natr. mur. Phos.
Sep.
– scaly: Ars. Dulc. Merc. sol. Phos.
Rhus. Sep. Sulph.
– dry : Ars. Calc. Dulc. Graph. Led.
SKIN AND EXTERNAL SYMPTOMS.
991
Lyc. Merc. sol. Rhus. Sep. Sil. Sulph.
\ Verat. alb.
Measles: Acon. Ars.
Coff. Dulc. Dros. Ipec.
Phos. Puls. Rhus. Sulph.
Pimples: Acid, nit. Ant, crud. Apis.
Ars. Bry. Calc. Canth. Caust.
Cham. Con. Dulc. Graph. Merc.
sol. Natr. mur. Phos. Puls. Rhus.
Sep. Sil. Staph. Sulph. Thuj.
2&nc.
Purple-rash: Acon. Bell. Coff. Puls.
Rhus. Sulph.
Bell. Bry.
Merc. sol.
Pustules: Acid. nit. Ant. crud. Ant.
tart. Arn. Ars. Bell. Bry. Caust.
Clem. Dulc. Hyosc. Rhus. Sil. Staph.
Sulph.
Rash: Acon. Ant. crud. Ant. tart.
Arn. Ars. Bell. Bry. Canth. Carb. v.
Caust. Cham. Coff. Graph. Ipec.
Lach. Merc. sol. Puls. Rhus. Staph.
Sulph. Verat. alb.
Scarlet-rash : Acon. Apis. Bell.
Bry. Coff. Dulc. Ipec. Merc. sol.
Phos. Rhus. Sulph.
Small-pox: Ant. crud. Ant. tart.
Apis. Arm. Ars. Bell. Canth. Merc.
sol. Puls. Rhus. Sil. Sulph.
Spots, blue: Acid, sulph. Arn.
Bry. Con. Lach. Nux mosch.
vom. Op. Phos. Rhus. Sec. corn.
— bloody: Acid, sulph. Arn. Ars. Bell.
Bry. Calc. Con. Ferr. Hyosc. Läch.
Led. Nux vom. Phos. Puls. Rhus.
Ruta. Sec. corn. Sep. Sil. Sulph.
— yellow: Arn. Ars. Con. Ferr. Iod.
Lach. Lyc. Petr. Phos. Sep. Sulph.
— greenish: Arn. Con. Ruta. Sep.
— liver-colored : Acid, nit. Ant. crud.
Arn. Calc. Carb. veg. Con. Dulc. Ferr.
Lyc. Merc. sol. Nux wom. Phos.
Sep. Sulph.
– red: Acid, nit. Acid, sulph. Amm.
carb. Apis. Arn. Bell. Bry. Calc.
Carb. veg. Cocc. Dulc. Graph. Kali c.
Lach. Lyc. Merc. Sol. Phos. Rhus.
Sep. Sil. Sulph.
— black: Lach. Sec. corn.
– white: Alum. Ars. Phos. Sep. Sil.
Sulph.
Shingles: Ars. Graph. Merc. sol.
Rhus. Sil. Sulph.
Ars.
Nux
Excrescences, etc.
Warts: Acid. nit. Ars. Bar. Bell.
Calc. Caust. Dulc. Hep. Kali carb.
Lach. Lyc. Petr. Rhus. Ruta. Sep.
Sil. Staph. Sulph. Thuj.
Warts, bleeding: Acid. nit. Acid.
sulph. Thuj.
— burning: Ars. Petr. Rhus. Thuj.
– suppurating: Caust. Hep. Sil.
— inflamed : Acid, nit. Calc. Natr. mur.
Rhus. Sil.
— flat : Calc. Dulc.
— pedunculated:
Thuj.
— horny : Ant, crud. Natr. mur. Sulph.
Thuj.
— small: Calc. Rhus. Sulph.
Dulc. Lyc. Sabin.
— painful: Acid. nit. Calc. Sulph.
Thuj
— split : Acid. nit. Acid. phos. Lyc.
Thuj.
Erysipelas: Acon. Apis. Arn. Ars.
Bell. Bry. Calc. Camph. Canth.
Graph. Hep. Iod. Lach. Merc. sol.
Phos. Puls. Rhus. Sep. Sulph. *.
– vesicular: Ars. Bell. Canth. Graph.
Lach. Phos. Puls. Rhus. Sep. Sulph.
— flying: Bell. Puls. Rhus.
— smooth : Acon. Amm. carb. Bell.
Merc. sol. Sulph.
— with swelling: Acid. nit. Amm. carb.
Apis. Ars. Bar. Bell. Bry. Calc.
Graph. Hep. Lyc. Merc. sol. Phos.
Rhus. Sulph.
Formication : Acid, phos. Arn. Bar.
Bell. Carb. veg. Lyc. Nux vom.
Puls. Rhus. Sec. corn. Sep. Staph.
Sulph.
Freckles: Alum. Ant. crud. Calc.
Graph. Lyc, Merc. sol. Natr. mur.
Puls. Sep. Sulph.
Gangrene, humid : Ars. Chin. Hell.
Lach. Phos. Sec. corn.
– hot: Ars. Carb. veg. Lach.
COIIl.
— cold : Ars. Carb. veg. Lach. Plumb.
Sec. corn. Sil.
Hang-nails: Calc, Merc. Sol. Natr. m.
Rhus. Stann. Sulph,
Itch : Acid. phos. Ant. crud. Ars. Calc
Carb, veg. Caust. Dulc. Graph. Lach.
Merc. sol. Rhus. Sep. Sulph.
Itching: Acid, mur. Acid sulph. Acon.
Alum. Ant. crud. Apis. Bar. Calc.
Canth. Carb. veg. Caust. Con. Ferr.
Graph. Hep. Ign. Kali carb. Lach.
Led. Lyc. Merc. sol. Natr. mur.
Nux wom. Op. Phos. Plat, Puls. Rhus.
Ruta. Sep. Spig. Spong. Staph.
Sulph. Thuj.
Numbness: Acid. phos. Acon. Lach.
Lyc. Nuz vom. Phos. Plat. Puls. Rhus.
Sec. corn. Sulph.
Pain, as if sore: Alum. Arn. Bry.
Canth. Caust. Cic. Colch. Graph.
Sec.
992 SKIN AND EXTERNAL SYMPTOMS.
Hep. Ign. Natr. mur. Petr. Phos.
Puls. Rhus. Sep. Sulph. Zinc.
Pores, black: Acid. nit, Ars. Graph.
Natr. mur. Sep. Sulph.
Skin, dry: Acid, phos. Acon. Amm.
carb. Arn. Ars. Bell. Bry. Calc.
Chin. Colch. Dulc. Graph. Hep.
Hyosc. Iod. Kali carb. I/ed. Ilyc.
Natr. mur. Wuz mosch. Op. Phos.
Puls. Rhus. Sec. corn. Squilla. Sil.
Staph. Sulph.
— hard : Ant. crud. Ars. Dulc. Graph.
Lach. Phos. Rhus. Sep. Sil.
– rough : Apis. Bell. Calc. Iod Merc.
sol, Natr. mur. Rhus. Sep. Sulph.
— wrinkled : Acid. phos. Ant. crud.
Calc. Camph. Cupr. Hell. Iod. Lyc.
Rhus. Sec. corn. Sep. Spig. Verat.
alb.
– relaxed: Calc. Chin. Cocc. Cupr.
Ferr. Graph. Hell. Iod. Lach. Lyc.
Merc. sol. Natr. mur. Sec. corn.
Sulph. Verat. alb.
— sensitive : Acid. nit. Ars. Bell. Calc.
Carb. veg. Caust. Chin. Ferr. Hep.
Ign. Lach. Led. Lyc. Natr. mur.
Muz vom. Petr. Puls. Rhus. Sil. Spig.
Thuj. Verat, alb.
— — to humid air : Amm. carb. Calc.
Carb veg. Dulc. Nux mosch. Puls.
Rhod. Rhus.
— — to cold air: Amm. carb. Calc. Carb.
veg. Caust. Lyc. Nua, vom. Sec. corn.
Sep.
— — to warm air : Calc. Puls. Sep.
Swelling in general: Acid, nit. Ant.
crud. Apis. Arn. Ars. Aur. Bell.
Bry. Calc. Canth. Chin. Colch. Con.
Dig. Dulc. Ferr. IIell. Iod. Kali carb.
Lach. Led. Lyc. Merc. sol. Op.
Phos. Plumb. Puls. Rhus. Ruta.
Samb. Sep. Sil. Sulph.
— pale : Apis. Arn. Bry. Calc. Chin.
Ferr. Lach. Lyc. Merc. sol. Puls.
Rhus. Sep.
— inflamed : Acid. nit. Acon. Apis.
Ars. Bell. Bry. Caust. Hep. Lach.
IMerc. sol. Puls. Rhus. Ruta. Sil.
Sulph.
— hard : Arn. Ars. Bell. Bry. Caust.
Con. Hep. Lach. Phos. Puls. Rhus.
Sabin. Sulph.
— cold : Ars. Chin. Con. Lach. Puls.
Sec. corn.
– erysipelatous: Apis. Bell. Merc. sol.
Rhus.
– dropsical: Ant. crud. Apis. Ars.
Aur. Bell. Bry. Cactus. Canth.
Chin. Con. Dig. Dulc. Ferr. Hell.
Iod. Kali carb. Led. Lyc. Merc. sol.
Phos. Puls. Rhus. Samb. Squilla
Sep. Sulph.
Ulcers,
In general : Acid. nit. Acid phos.
Ant. crud. Ars. Aur. Bell. Bry. Calc.
Carb. veg. Caust. Cham. Con. Hep.
Iod. Kali carb. Kreas. Lach. Lyc.
IMerc. sol. Nux wom. Petr. Phos.
Puls. Rhus. Ruta. Sec. corn. Sep.
Sil. Staph. Sulph. Thuj.
Ulcers, bleed, liable to: Acid, sulph.
Ars. Carb. veg. Con. Hep. Lach.
Lyc. Merc. sol. Phos. Puls. Sil.
Sulph.
— burning: Acid. nit. Ars. Bell. Carb.
veg. Caust. Hep. Lyc. Merc. sol.
Nux, vom. Phos. Puls. Rhus. Sil.
Sulph.
fistulous: Acid. nit. Ant. crud. Apis.
Bell. Calc. Caust. Con. Lyc. Merc.
sol. Phos. Puls. Sil. Sulph.
flat : Ars. Lach. Sil.
with swelling: Acid, nit. Ars. Bell.
Bry. Hep. Kali carb. Merc. sol.
Puls. Rhus. Sep. Sil. Sulph.
hard swelling: Ars. Bell. Calc. Con.
Hep. Lach. Lyc. Merc. sol. Puls.
Sil.
margins everted: Ars. Hep. Merc.
sol. Petr. Rhus. Sil. Sulph.
itéhing: Acid. nit. Acid. phos. Ant.
tart. Ars. Caust. Chin. Hep. Lyc.
Puls. Rhus. Sil. Sulph.
mercurial: Acid. nit. Alum. Carb.
veg. Hep. Teach. Lyc, Sulph. Thuj.
painful: Acid. nit. Arn. Ars. Carb.
veg. Caust. Cham. Con. Graph.
Hep. Kreas. Lach. Lyc. Merc. sol.
Petr. Phos. Puls. Sabin. Sep. Sil.
Sulph.
painless: Acid phos. Ars. Bell. Carb.
veg. Cic. Con. Hyosc. Lach. Lyc.
Phos. Puls. Sec. corn. Sulph.
with ash-colored base: Acid, nit.
Merc. sol. Thuj.
spongy: Ars. Carb. veg. Lach. Merc.
sol. Petr. Phos. Sep. Sil. Sulph.
Thuj.
lardaceous: Acid. nit. Hep. Merc.
Sol.
stitches in ulcers: Acid. nit. Ars
Bell. Bry. Carb. veg. Graph. Hep.
Kali carb. Lyc. Merc. sol. Petr. Puls.
Sil. Sulph.
deep : Acid. nit. Calc. Con. Hep.
Lach. Lyc. Merc. sol. Puls. Sil.
Sulph.
– suppurating : Acid, nit. Ars. Calc.
SLEEP – DREAMS.
993
Canth. Carb. veg. Caust. Con.
Hep. Lyc. Merc. sol. Puls
Ruta. Sec. corn. Sep. Sil.
Sulph.
Graph.
Rhus.
Staph.
Ulcers: with proud flesh: Ars. Graph.
Drowsiness, in the evening:
phos. Ant. tart.
Hep. Kreas. Lach. Merc. sol. Petr. Sep
Sil. Sulph.
Veins, swelling of: Apis. Arn. Bell.
Carb veg. Chin. Croc. Ferr. Graph.
Hyosc. Lyc. Phos. Puls. Sulph. Thuj.
XXIX. SLEEP — DREAMS,
Acid.
Ars. Bell. Calc.
Chin. Cina. Con. Croc. Ign. Kali
carb. Lach. Natr. mur. Nux vom.
Phos. Puls. Rhus. Sil.
in the morning: Acid. phos. Ant.
crud. Arn. Calc. Caust. Con.
Graph. Kali carb. Merc. sol. Natr.
mur. Nux vom. Phos. Podoph. Puls."
Rhus. Sep. Sil, Spig. Stram. Sulph.
in the afternoon : Caust. Chin. Coff.
Croc. Graph. Ign. Kali carb. Lach.
Lyc. Natr. mur. Wuz vom. Phos.
Puls. Rhus. Sep. Sil. Staph. Sulph.
Thuj. Viol. tr. Zinc.
in the day-time: Amm. carb. Ant.
crud. Ant. tart. Ars. Aur. Bell. Bry.
Calc. Carb. veg. Caust. Cham. Chin.
Cocc. Con. Croc. Dulc. Ferr. Graph.
Hell. Ign. Kali carb. Led. Lyc.
IMerc. sol. Mosch. Watr. mur. Wuz
mosch. Wuz vom. Op. Phos. Podoph.
Puls. Rheum. Rhus. Sep. Sil. Stram.
Sulph. Verat. alb. Wiol. tr.
excessive: Acid phos. Ant. tart. Coff.
Croc. Nur mosch. Op. Sulph.
Falling asleep too late: Alum. Ars.
Bell. Bry. Calc. Carb. veg. Caust.
Chin. Graph. Ign. Lach. Led. Lyc.
Merc. sol. Natr. mur. Nux vom.
Petr. Phos. Puls. Rhus. Selen. Sep.
Sil. Spig. Stann. Sulph.
Sleep, with nightmare: Bell. Puls.
Sulph. Verat. vir.
with starting up: Ars. Bell. Cham.
Cina. Coff. Graph. Ign. Ipec. Lyc.
Op. Rheum. Samb. Sulph.
with screaming : Ant. tart. Apis.
Bell. Cham. Op. Rheum. Zinc.
with eyes half open : Cham. Cina.
Ipec. Op.
stupid : Ant. tart. Bell. Calc. Camph.
Cic. Con. Croc. Graph. Ign. Led. Nux
mosch. Wuz vom. Op. Phos. Puls.
Sec. corn. Spig.
with throwing off the cover : Cham.
Con. Puls.
Sleep, tossing about : Ars. Bell. Cham.
Cina. Dulc. Hep. Lach. Podoph. Puls.
Rheum. Rhus. Werat. alb. Werat.
W] r.
too long : Arn. Bell. Calc. Carb. veg.
Cocc. Hyosc. Kali carb. Ign. Merc.
sol. Wuz vom. Phos. Plat. Sep. Verat.
alb.
too light: Ars. Bry. Carb. veg. Chin.
Ferr. Ign. Merc. sol. Wuz vom. Sil.
with talking : Alum. Arn. Bell. Cham.
Nux wom. Puls. Rhus. Sil. Sulph.
with snoring: Camph. Cham. Chin.
Dulc. Graph. Hyosc. Op. Sil. Sulph.
Stram.
with moaning: Alum. Cham. Ign.
Merc. sol. Op. Podoph.
unrefreshing: Acon. Alum. Ant. tart.
Bell. Bry. Calc. Carb. veg. Caust.
Chin. Cic. Con. Croc. Ferr. Graph.
Hep. Ign. Lach. Lyc. Natr. mur. Nux
vom. Op. Petr. Phos. Podoph. Puls.
Rhus. Sec. corn. Sil. Sulph.
Sleeplessness: Acon. Ars. Bell. Bry.
Cactus. Calc. Camph. Caust. Cham.
Chin. Cimicif. Cina. Coff. Con.
Dig. Dulc. Ferr. Graph. Hep. Hyosc.
Ign. Kali carb. Lach. Led. Lyc.
IMerc. sol. Mosch. Natr. mur. Nuz
vom. Op. Phos. Puls. Rhus. Sep.
Sil. Squilla. Sulph. Verat. alb.
before midnight: Ars. Bell. Bry.
Calc. Carb. veg. Chin. Con. Graph.
Ign. Lach. Lyc. Merc. Sol. Nux wom.
Phos. Puls. Rhus. Selen. Sep.
Sil. Sulph.
after midnight: Ars. Coff. Hep.
IHyosc. Kali carb. Lach. Lyc. Wuz
vom. Plat. Puls. Rhus. Samb. Sep.
Sil.
Sopor: Acid. phos. Ant. crud. Ant. tart.
Arn. Bell. Camph. Cic. Con. Croc.
Graph. Hell. Ign. Mosch. Nux mosch.
Op. Plumb. Puls. Sec. corn. Verat.
alb.
Waking, too early : Acid phos. Ars.
Bry. Calc. Coff. Croc. Dulc. Hep.
Ign. Kali carb. Lyc. Nux wom. Sep.
Sil.
63
994 †
GENERAL SYMPTOMS.
Waking : frequent: Ant. crud.
Arm. Ars. Bell. Calc. Caust. Cham.
Chin. Cic. Coff. Dig. Graph. Hep.
Kali carb. Lyc. Mere. sol. Nux
vom. Phos. Puls. Rhus. Ruta.
Samb. Sep. Sil. Staph. Sulph.
Zinc.
— too late: Acid. phos. Calc. Caust.
Chin. Con. Graph. Kali carb. Lach.
Nux vom. Phos. Puls. Sep. Sil.
Sulph.
Yawning: Ant. tart. Ars. Bell. Bry.
Calc. Caust. Cham. Cina. Cocc. Croc.
Ferr. Hell. Ign. Natr. mur. Nux
vom. Op. Phos. Puls. Rhus.
Sep. Sil. Stann. Staph. Sulph. Verat.
alb.
with stretching: Ars. Calc. Caust.
Cham. Ign. Ipec.
Rhus. Spong. Staph.
Spasmodic : Ign. Plat. Rhus.
Nuz vom. Puls. .
XXX. GENERAL SYMPTOMS.
Aggravation of the Symptoms.
Aggravation, in the afternoon : Acid.
nit. A lum. Ant. crud. Bell. Camth.
Carb. veg. Cocc. Ferr. Hell. Ign. Lach.
Lyc. Wuz vom. Puls. Sil. Thuj.
in the open air: Acid, nit. Cham.
Chin. Cocc. Nºta: mosch. Nux vom.
Rhus. Sil. Spig. Stram.
before breakfast: Calc. Croc. Ign.
Iod. Lyc. Spig. Staph.
by changing one’s position: Bry.
Ferr. Phos. Puls.
when chewing: Amm. carb. Bry.
Chin. Hep. Ign. Phos. Puls. Rhus.
Sep. Thuj. Zinc.
in the cold : Amm, mur. Ars. Bar.
Camph. Caust. Dulc. Hell. Hep.
ECali carb. Mosch. Nux vom. Rhus.
Sil.
by contact: Acid, nit. Acid phos.
Ant. tart. Bell. Bry. Carb. veg. Cham.
Cocc. IIell. Hep. Hyosc. Iled. Lyc.
Nux vom. Sabin. Sec. corn. Sep.
Spig. Stram.
by a draught of air: Bell. Calc. Cham.
Chin. Hep. Kali carb. Puls. Sep. Sil.
drinking coffee: Caust. Cham.
Ign. Nux vom. Sulph.
— cold liquids: Ars. Graph. Ign.
Lyc. Nur mosch. Nux vom. Rhus.
Sulph. Yerat. alb.
Anxious :
Vexing: Ars.
Dreams,
In general: Acid. nit. Acid. phos.
Acon. Alum. Ant. tart. Arn. Bell.
Bry. Calc. Carb. veg. Cham. Chin
Cic. Con. Croc. Graph. Hell. Hep.
Ign. Kali carb. Lach. Lyc. Merc. sol.
Natr. mur. Nux vom. Op. Phos.
Puls. Rhus. Sec. corn. Sep. Sil.
Stann. Staph. Stram. Sulph. Thuj.
Verat. vir.
Acon. Ars. Bell. Calc.
Carb. veg. Caust. Cham. Chin. Con.
Graph. Ign. Kali carb. Lyc. Natr.
mur. Nux vom. Op. Phos. Puls.
Rhus. Stram. Thuj. Verat. alb.
Cham. Con. Ign. Nux
wom. Phos. Rhus. Staph. Sulph.
Pleasant: Calc. Carb. veg. Coff. Kali
carb. Lach. Merc. sol. Natr. mur.
Nua, vom. Op. Puls. Sep. Staph.
Sulph. Viol. tr.
Aggravation : after drinking: Ant.
tart. Ars. Bry. Cham. Cocc. Croc.
Ign. Natr. mur. Nua, vom. Puls.
Rhus. Sil. Verat. alb.
while drinking: Ars. Bell. Bry.
Canth, Hyosc. Iod. Lach. Phos.
Stram.
by drinking warm liquids: Bry.
Cham. Kali carb. Phos. Puls. Spig.
– wine: Ant. crud. Calc. Ilyc. Nux
vom. Op. Sil. Zinc.
while eating: Acid. nit. Bar. Carb.
veg. Cocc. Kali carb. Natr. mur.
Puls. Sep.
after eating: Acid. mur. Acid, nit.
Amm. mur. Ars. Bry. Calc. Cham.
Chin. Con. Graph. Kali carb. Natr.
mur. Nux vom. Phos. Sep. Sil. Zinc.
by eating fat: Carb. veg. Ferr.
Puls. Sulph. Thuj.
in the evening : Acid, nit. Amt. tart.
Ars. Bell. Bry. Caust. Colch. Hell.
Hyosc. Ign. Lach. Mere sol. Phos.
Plat. Puls. Rhus. Zinc.
during expiration: Bry. Caust. Dig.
Ign. Spig.
— inspiration: Arn. Bry. Calc.
Hyosc. Ipec. Lyc. Rhus. Squilla.
Spong. Sulph.
in bright light: Acid. phos. Bell.
Calc. Con. Croc. Euphr. Lyc. Phos.
Puls. Sil. Spig. Stram.
GENERAL SYMPTOMS.
995
Aggravation, when looking down:
Calc.
— — up : Calc. Puls.
— — sideways: Bell.
— — lying down: Acid. mur. Amm, mur.
Ars. Aur. Canth. Cham. Dros. Dulc.
Ferr. Kali carb. Ilyc. Plat, Puls.
Rhus. Samb. Stann.
— — in bed : Acid. nit. Ars. Aur. Cham.
Col. Dros. Ferr. Iod. Led. Lyc.
Merc. sol. Puls. Rhus. Sep. Spig.
Sulph.
— — on the back: Ars. Caust.
Iod. Nux vom. Phos. Sep.
— — on the side : Acon. Bry. Calc.
Cham.
Ferr. Kali carb. Lyc. Nua, vom.
Puls. Stumn.
— — on the painful side: Acid. nit.
Acid, phos. A con. Ars. Bar. Hep.
Iod. Kali carb. Wuz mosch. Phos.
Sił.
— — on the painless side: Bry. Cham.
Col. Kali carb. Rhus. Stann.
– after lying down in the evening :
Ars. Aur. Cham. Dulc. Ferr. Hyosc.
Kali carb. Lyc. Plat. Puls. Rhus.
Samb. Sep.
– in the morning: Ant. Crud. Ant.
tart. Aur. Calc. Carb. veg. Cocc.
Croc. Euphr. Ign. Kali carb. Lyc.
Nux vom. Phos. Rhus. Squilla.
Staph. Verat. alb.
— during motion : Acid, nit. Acid. Sulph.
Arn. Bell. Bry. Carb. veg. Cocc.
Colch. Hell. Led. Watr. mur. TNux
vom. Phos. Sec. corn. Spig.
— at the beginning of motion: Con.
Lyc. Phos. Rhus.
— at night: Acid, nit. Ant. crud. Ant. tart.
Arm. Ars. Bell. Camph. Canth.
Cham. Chin. Coff. Colch. Con.
JDulc. Ferr. Hep. Iod. Kali carb.
Lach. Lyc. Merc. sol. Op. Phos.
Plumb. Samb. Sil. Staph.
— by suppressed perspiration: Bell.
Calc. Cham. Chin. Lyc. Merc. Sol.
Phos. Rhus. Sep. Sil. Sulph.
— by external pressure : Bar. Bry.
Carb. veg. Cina. Hep. Iod. Lyc.
Natr. mur. Ruta. Sep. Sil.
– raising the body : Ars. Bell. Bry.
Ferr. Nux vom. Op. Rhus. Squilla.
— during rest: Acid. phos. Con. Dulc.
Ferr. Ign. Lyc. Mosch. Puls. Rhus.
Samb. Sep. Viol. tr.
– when rising from a seat: Ant. tart.
Bell. Bry. Carb. veg. Cocc. Con.
Ferr. Ign. Lach. Lyc. Wuz vom.
Phos. Puls. Rhus. Spig.
– in the room: Alum. Ant. crud. Croc.
Graph. Lyc. Phos. Puls. Sabin.
Werat. alb.
Aggravation, when sitting: Acid.
phos. Con. Dulc. Lach. Lyc. Puls.
Rhus. Sep. Viol. tr.
– when standing: Acid phos. Aur. Con.
Lyc. Puls. Rhus. Sep. Sulph. Verat.
alb.
– when stooping: Bry. Calc. Cocc.
Croc. Glon. Ipec. Petr. Plumb. Sep.
Spig.
– in the sun : Acon. Ant. crud. Bell.
Camph. Euphr. Glon. Lach.
– when swallowing: Bell. Bry. Cocc.
Croc. Hep. Merc. sol. Nuz vom.
Phos. Staph.
– when talking: Acid. phos. Calc.
Chin. Cocc. Dulc. Iod. Lyc. Natr.
mur. Phos. Rhus. Stann. Sulph.
– after uncovering one’s self: Aur.
Cham. Wuz vom. Puls. Rhus. Samb.
Sil.
– on waking : Acid. phos. Ars.
Caust. Chin. Graph. Hep. Ign.
JKali carb. Wuz vom. Phos. Puls.
Rhus. Sep. Staph. Sulph.
– in warmth : Amt. tart. Cham. Dros.
Iod. Led. Lyc. Natr. mur. Puls.
Sec. corn. Sep.
— after getting wet : Bry. Calc. Colch.
Dulc. Lyc. Nux mosch. Puls.
Rhus. Sep. Sulph.
— by a change of weather: Bry. Calc.
Dulc. Nux mosch. Rhus. Sil.
– damp weather: Amm. mur. Calc.
Chin. Dulc. Lyc. Merc. sol. Nux
mosch. Rhus, Spig. Sulph. Verat.
alb.
– in dry weather : Bell. Bry. Carb.
veg. Hep. Ipec. Wuz vom. Phos. Sil.
Spong.
Calc.
Amelioration of the Symptoms.
In the open air : Alum. Aur. Croc.
Glon. Hell. Iod. Lyc. Phos. Puls.
Sabin. Verat. alb.
Before breakfast : Caust. Cham. Con.
Rali carb. Natr. mur. TNux mosch.
Sil. Zinc.
By deep breathing:
Spig.
In the cold : Ant. tart. Iod. Led. Lyc.
Merc. sol. Puls. Sec. corn. Sulph.
Verat. alb.
In the dark: Acid phos. Bar. Bell.
Calc. Con. Croc. Euphr. Gelsem.
Graph. Lyc. Watr. mur. Phos. Puls.
Sil.
After drinking : Bry. Phos. Sil.
Ign. Lach.
996
GENERAL SYMPTOMS.
After eating: Calc. Ferr. Ign. Iod.
Phos. Veraſ. alb.
By eructations: Ant. tart. Carb.
veg. Cocc. Graph. Ign. Kali carb.
IZach. Lyc. Nux vom. Sil. Sulph.
By cold food : Bry. Kali carb. Phos.
Puls.
By warm food : Ars. Graph. Ign. Lyc.
Nux vom. Rhus. Verat. alb.
By cold water : Caust. Phos. Puls.
Sep.
By warm water: Nuz vom.
When lying down : Bell. Bry. Calc.
Canth. Colch. Croc. 10d. Natr. mur.
Nux vom. Sec. corn. Squilla. Stram.
— — on the back : Bry. Calc. Iyn.
ECali carb. Jºyc. Wur vom. Stamn.
— — on the side : Arm. Cham. Iod. Nux
vom. I’hos. Rhus.
— — on the affected side: Bry. Kali carb.
Puls.
— — on the painless side : Bell. Hep.
Iod. Wuz vom. Sul.
— — with the head high : Ant. tart.
Ars. Chin. IIep. Puls. Spig.
— — bent double : Col. Puls. Rheum.
By motion : Acid, phos. Cham. Con.
Dulc. Ferr. Iach. Lyc. Puls. Rhus.
Sep.
By external pressure: Amm, mur.
Bry. Col. Con. Glom. Graph. Phos.
Rhus.
By raising one's self: Ars. Calc.
Ign. Kali carb. Puls. Samb. Sep.
In rest : Arm. Bell. Bry. Carb. veg.
Caust. Colch. Croc. Ferr. Led. Merc.
sol. Nux vom. Phos. Squilla. Staph.
In the morning after rising: Ant.
tart. Bell Ferr. Ign. Iod. Lyc. Nuz
vom. Puls. Rhus. Sep.
In the room : Carb. veg. Cham, Chin.
Cocc. Con Ferr. Lach. Nux mosch.
Nux vom. Sil.
When sitting: Bry. Cham. Coff.
Merc. sol. Nux vom. Phos. Squilla.
Sec. corn. -
When standing: Acid, mur. Bell.
Hep. Iod. ſpec. Phos.
In swallowing: Ign. Lach. Nuz vom.
Spong.
In sweating: Cham. Graph. Hep.
Nur vom Rhus. Verat. alb.
By the warm stove: Aur.
Raſi carh. Nux vom. Rhus.
In damp weather: Caust. Hep. Ipec.
Nux vom.
In dry weather: Calc. Dulc. Lyc.
Merc. sol. Nux mosch. Puls. Rhus.
In warmth : Ars. Bar. Bell. Camph.
Caust. Cocc. Dulc. Hep. Ign. Mosch.
Ign.
Nux vom. Phos. Rhus. Sil. Staph
Verat. alb.
Apoplexy: Acon. Ant. tart. Arn.
Bell, Caust. Chin. Cocc. Coff. Dig.
Ferr. Glon. Hyosc. Ipec. Lach. Lyc.
Merc. sol. Nux vom. Puls. Rhus.
Sil. Stram. Verat. alb.
Atrophy: Ars. Bar. Bell. Calc. Chin.
Cina. Iod. Ipec. Lach. Merc. sol.
Nuz vom. Rhus. Sil. Sulph.
Bones, affections of, in general: Acid.
nit. Aur. Bell. Calc. Carb veg. Chin.
Con. Dulc. Graph. Hep. Iod. Lach.
Lyc, Merc. sol. Phos. Puls. Rhus.
Ruta. Sil. Staph. Sulph. Thuj.
– pains: Acid, nit. Acid. phos. Ars.
Aur. Bar. Calc. Chin. Lach. Lyc.
Merc. sol. Phos. I’lumb. Rhus. Ruta.
Sil. Staph. Sulph.
– curvature: Bell. Calc. Hep. Iod.
I./c. Merc. sol. Phos. Plumb. Rhus.
Sil. Sulph.
– caries: Acid. nit. Acid. phos. Ars.
Aur. Calc. Hep. Lyc. Merc. sol.
Phos. Ruta. Sep. Sil. Sulph.
Bounding, as of something: Croc.
Chagrin, consequences of: Acid. phos.
Acon. Ars. Bry. Cham. Chin. Coff.
Col. Nuz vom. Phos. Plat. Staph.
Chamomile, excessive use of: Acon.
Coff. Ign. Puls. Wuz vom.
China, ailments from abuse of : Arm.
Ars. Bell. Calc. Canth. Carb. veg.
Con. Ferr. Ipec. Lach. Iye. Merc.
sol. Nutr. mur. Nux vom. Sep. Puls.
Sulph. Verat, alb.
Choleric temperament: Acid. nit.
Acon. Bry. Caust. Cham. Cina. Cupr.
Hyosc. Lach. Nux vom. Op. Phos.
Cold, taking : Acon. Ant. crud. Ars.
Bell. Bry. Calc. Caust. Cham. Coff.
Dulc. Hep. Ipec. Merc. sol. Nux vom.
Phos. Puls. Rhus. Sil. Sulph.
Cold, liable to take : Acid. mit. Acon.
Bell. Bry. Calc. Carb. veg. Caust.
Cham. Chin. Dros. Dulc. Hep. Lyc.
Merc sol. Nux vom. Puls. Rhus.
Sep. Sil. Sulph.
Complaints, periodical: Arn.
Bell. Bry. Carb. veg. Chin.
Ipec. Watr. mur. Nux vom.
Rhus. Spig. Sulph.
Congestions of blood: Acon. Amm.
carb. Arn. Aur. Bell. Bry. Cactus.
calc. Carb. veg. Chin. Croc. Cupr
Dig. Ferr. Gelsem. Graph. Hyosc.
Kali carb. Lyc. Merc. sol. Natr.
Ars.
Ign.
Puls.
GENERAL SYMPTOMS.
997
mur. Nux vom. Op. Phos. Puls.
Rhus. Sep. Sil. Stram. Sulph. Verat.
alb. Viol. tr.
Contusions: Acid. Sulph. Acon. Arn.
Cic. Con. Led. Petr. Puls. Rhus.
Ruta. Sulph.
Debility, nervous: Acid, phos. Arn.
Bell. Calc. Carb. veg. Cham. Chin.
Coff. Cupr. Graph. Hyosc. Ign. Iod.
Ipec. Lach. Lyc. Merc. Sol. Natr. mur.
Nux mosch. Nux vom. Phos. Plat.
Puls. Rhus. Sec. corn. Sil. Stann.
Stram. Verat. alb.
Drunkards, ailments of: Acon. Ars.
Bell. Calc. Carb. veg. Cimicif. Hyosc.
Ign. Lach. Natr. mur. Nux vom.
Op. Puls. Rhus. Sil. Stram. Sulph.
Emaciation : Acid. nit. Acid. phos.
Ars. Bar. Bry. Calc. Carb. veg.
Chin. Cina. Dulc. Ferr. Graph.
Hep. Ign. Iod. Lach. Lyc. Natr. mur.
INux vom. Phos. Plumb. Puls. Sec.
corn. Sil. Stann. Staph. Sulph.
Verat. alb.
Excesses, consequences of: Acid.
phos. Ars. Calc. Carb. veg. Chin.
Con. Lach. Watr. mur. IN ur vom.
Phos. Puls. Rhus. Sec. corn. Sep.
Sil. Staph. Sulph. Thuj. Verat.
alb.
Fainting: Acid. phos. Acon. Ant. tart.
Arn. Ars. Bell. Bry. Calc. Camph.
Carb. veg. Cham. Chin. Cocc. Coff.
Dig. Ferr. Glon. Hep. Hyosc. Ign.
Ipec. Kreas. Lach. Mosch. Nux
mosch. Nux vom. Op. Phos. Puls.
Rhus. Sec. corn. Sep. Sil. Spig.
Stram. Verat. alb. Veral. vir.
Fat, tendency to get: Ant. Crud.
Ars. Calc. Ferr. Graph. Lach. Lyc.
Merc. sol. Puls. Sulph.
Fear, consequences of: Acon. Bell.
Gelsem. Hyosc. Ign. Lach. Op. Puls.
Verat. alb.
Fluids, ill effects of loss of: Acid.
phos. Calc. Carb. veg. Chin. Lach.
I./c. Watr. mur. Nux vom. Sulph.
Werat. alb.
Fever, according to particular
Symptoms.
Burning: Acom. Ars.
Cactus. Rhus. Verat. alb.
Chilliness in general : Acid, phos.
Ant. tart. Arn. Ars. Bry. Cactus. Calc.
Canth. Cham. Chin. Cin. Colch.
Cupr. Eupat. perf. Ferr. Graph. Hep.
Ign. Ipec. Lach. Lyc. Merc. sol.
Natr. mur. Nuz. vom. Phos. Puls.
Bell. Bry.
Rhus. Sep. Sil. Spig. Sulph. Thuj.
Verat. alb. Verat. vir.
Chilliness in general, external: Arm.
Chin. Lyc. Merc. Sol. Nux vom. Phos.
Rhus. Verat. alb.
— internal: Ars. Bell. Bry. Calc.
Cham. Chin. Eupat. perf. Hell. Ign.
Ipec. Lach. Lyc. Nux vom. Phos.
Puls. Squilla. Sep. Thuj. Verat. alb.
Verat. vir.
— with shaking : Acon. Ars. Bry.
Cham. Chin. Eupat. perf. Ign. Ipec.
INux vom. Rhus. Verat. alb.
Heat in general : Acid, nit. Acid.
phos. Acid, sulph. Acon. Amm. mur.
Ant. tart. Arn. Ars. Bell. Bry.
Cactus. Calc. Canth. Carb. veg. Caust.
Cham. Chin. Cin. Coff. Con. Eupat.
perf. Ferr. Graph. Hell. Hep. Ign.
Ipec. Kali. carb. Lach. Merc. sol.
Nuz vom. Op. Phos. Puls. Rhus.
Sil. Squilla. Stann. Staph. Stram.
Sulph. Verat. alb. Verat. vir.
— external: Acid. mur. Acon. Ars.
Bell. Bry. Calc. Camph. Carb. veg.
Cham. Cocc. Coff. Col. Dig. Dulc.
Eupat. perf. Hell. Hyosc. Ign. Lach.
Lyc. Merc. sol. Nuz. vom. Op.
Phos. Puls. Rhus. Sep. Sil. Squilla.
Stram. Sulph. Zinc.
– flashes of: Acon. Arn. Bell. Calc.
Chin. Graph. Iod. Lyc. Natr. mur.
Muz vom. Phos. Plat. Puls. Rhus.
Ruta. Sep. Stann. Sulph. Thuj.
Werat. Vir.
— semi-lateral: Arn. Bell. Bry. Croc.
Ign. Lyc. Wuz vom. Phos. Puls. Rhus.
Sulph.
– internal: Acid. phos. Acon. Arn.
Ars. Bell. Bry. Calc. Canth. Carb.
veg. Caust. Cham. Chin. Col. Con.
Graph. Hell. Ipec. Lyc. Nux vom.
Phos. Puls. Rhus. Samb. Sec. corn.
Spig. Spong. Stann. Verat. alb. Zinc.
Loss of consciousness: Acon. Acid.
phos. Bell. Bry. Carb. veg. Gelsem.
Hell. Hyosc. Lach. Op. Rhus. Stram.
Pulse, intermittent: Acid. phos. Acon.
Apis. Ars. Bry. Cactus. Dig. Kali
carb. Lach. Natr. mur. Op. Sec. corn.
Stram. Sulph.
— large: Acon. Bell. Bry. Cactus.
Cupr. Dig. Ferr. Glon. Hyosc. Ign.
Merc. sol. Nux vom. Phos. Spig.
Stram. Verat. alb.
— hard : Acid, phos. Acon. Arn. Bar.
Bell. Bry. Cactus. Canth. Chin. Dig.
Ferr. Glon. Hyos. Ign. Merc. Sol.
Nux vom. Sab. Samb. Sil. Stram.
Werat. alb.
998
GENERAL SYMPTOMS.
Pulse, small: Acid. sulph. Acon. Ant.
tart. Apis. Ars. Bar. Bell. Calc. Camph.
Carb. veg. Chin. Cina. Cocc. Cupr.
Iod. Ipec. Kali carb. Lach. Merc,
sol. Natr. mur. Op. Plat. Puls. Sec.
corn. Sil. Stram. Sulph. Verat. alb.
— slow : Ant. crud. Amt. tart. Ars. Bell.
Camph. Canth. Con. Dig. Hell. Ign.
Mosch. Op. Puls. Sec. corn. Sep. Stram.
Verat. alb.
— quick: Acid, phos. Acon. Ant. tart.
Arn. Ars. Bell. Bry. Cactus. Carb.
veg. Col. Croc. Dig. Hyosc. Ign.
Isach. Merc. sol. Nux wom. Phos.
Puls. Rhus. Samb. Sil. Spong. Stann.
Stram. Sulph. Verat. alb. Zinc.
– imperceptible: Acon. Ars. Carb. veg.
Cocc. Cupr. Ferr. Ipec. Lach. Op.
Sec. corn. Sil. Stann. Verat. alb.
Verdt. vir.
— irregular: Acid, phos. Ant. crud. Ars.
Chin. Dig. Hyosc. Lach. Natr. mur.
Op. Plumb. Sec. corn. Stram. Sulph.
Verat. alb. Werat. vir.
— soft : Amt. tart. Ars. Bar. Bell. Carb.
veg. Chin. Cocc. Cupr. Kali carb.
Merc. sol. Op. Phos. Plat. Sec. corn.
Verat. alb.
— tremulous: Ars. Calc. Cactus. Phos.
Rhus. Spig.
Shivering : Acon. Ars. Bell. Canth.
Cham. Chin. Cocc. Croc. Eupat.
perf. Ferr. Gelsem. Graph. Hep.
* Ign. Kali carb. Merc. sol. Nux
vom. Puls. Rheum. Rhus. Sec. corn.
Sep. Staph. Verat. alb. Verat. vir.
Stretching : Ars. Ipec. Nux vom. Rhus.
Sweat, in general: Acid, nit. Acid.
phos. Acon. Amm. mur. Ant. tart.
Ars. Bar. Bell. Bry. Cactus. Calc.
Canth. Carb. veg. Caust. Cham,
Chin. Coff. Con. Dig. Dros. Eupat.
perf. Ferr. Glon. Graph. Hep.
Hyosc. Ign. Kali carb. Lyc. Merc.
sol. Natr. mur. INux vom. Phos.
Puls. Rheum. Rhus. Samb. Sep.
Sil. Staph. Stram. Sulph. Verat. alb.
Generalities.
Irritability, bodily : Acon. Arn. Aur.
Bell. Bry. Canth. Cham. Chin. Coff.
Cupr. Ferr. Hyosc. Ign. Lach Merc.
sol. Nux vom. Phos. Puls. Rhus.
Sil. Spong. Staph. Verat. alb.
... — want of: Acid. phos. Ars. Calc.
Camph. Carb. veg. Con. Croc. Dulc.
Ferr. Graph. Hyosc. Ign. Ipec. Lach.
Lyc. Nux mosch. Op. Sec. corn.
Sep. Staph. Stram. Sulph.
Joy, consequences of, excessive: Acon.
Coff. Op.
Languor: Acid. phos. Ant. crud. Calc.
Carb. veg. Cham. Cocc. Ign. Kali carb.
Lach. Lyc. Merc. sol. Mosch. Watr.
mur. Wuz vom. Op. Phos. Plat. Puls.
Sulph. Thuj.
Laziness: Acid. phos. Ars. Bry. Chin.
A all carb. Tach. Merc. sol. Wałr. mur.
Nua, vom. Puls. Sec. corn. Sep. Zinc.
Limping: Bell. Calc. Caust. Col.
Merc. sol. Puls. Rhus. Sep. Sulph.
Marasmus of old people: Acid. phos.
Amt. tart. Ars. Bar. Calc. Con. Op.
Phos. Rhus. Sec. corn.
Melancholy temperaments: Acid.
phos. Ars. Aur. Bell. Calc. Chin.
Graph. Ign. Lach. Lyc. Merc. sol.
Nux wom. Puls. Sep. Sil. Verat. alb.
Motion, dread of: Ant. tart. Arm.
Ars. Bar. Bell. Bry. Chin. Dulc.
Hell. Ign. Lach. Lyc. Merc. sol. Watr.
mur. Nux vom. Sulph. Thuj.
Muscular twitchings: Bell. Col.
Croc. Cupr. Graph. Iod. Kali carb.
Lach. Natr. mur. Plat. Rhus. Sec. corn.
Sil. Spong. Stram. Sulph. Verat. vir.
Viol. tr. Zinc.
Heated, consequences of getting :
Acon. Bell. Bry. Calc. Carb. veg.
Gelsem. Glon. Lyc. Nux vom. Puls.
Sil.
Hunger, ill effects of: Ant. crud. Ars.
Bry. Calc. Chin. Ipec. Puls. Sulph.
Indurations: Arn. Ars. Aur. Bell.
Calc. Camph. Cham. Chin. Con.
Dulc. Ferr. Graph. Hep. Iod. Lach.
Lyc. Phos. Puls. Sep. Sil. Sulph.
Thuj.
Nervous excitement: Acid. phos.
Acom. Bell. Calc. Cham. Chin. Coff.
Ferr. Gelsen. Glon. Iod. Merc. Sol.
Nux vom. Phos. Puls. Rhus. Sep.
Sulph. Werat. alb. Verat. vir.
Neuralgia: Acon. Arm. Ars. Bell.
Bry. Calc. Cham. Cocc. Coff. Colch.
Col. Gelsem. Hep. Ign. Kali carb.
Merc. Sol. TNux vom. Puls. Rhus.
Spig. Staph. Sulph. Thuj. Werat.
alb.
Nodes, gouty: Ant. crud. Arn. Bry.
Calc. Caust. Graph. Hep. Led. Lyc.
Merc. sol. Nux wom. Puls. Rhus.
Staph. Sulph.
Pains, wandering: Arn. Bell. Chin.
Nuz mosch. Puls. Rhus. Sabin. Sep.
Sulph.
Paralysis: Arn. Bar. Bell. Bry. Calc.
Carb. veg. Caust. Chin. Cocc. Con.
Dulc. Ferr. Hyosc. Ign. Lach.
GENERAL SYMPTOMS.
999
Lyc. Merc. sol. Nux vom. Op. Phos.
Plumb. Puls. Rhus. Sec. corn. Sil.
Stann. Stram. Sulph. Verat. alb.
2 inc.
Phlegmatic temperaments: Bell.
Plethora :
Calc. Chin. Iod. Lach. Merc. sol.
Natr. mur. Puis. Sulph.
Alcon. Arn. Aur. Bell.
Bry. Calc. Chin. Dig. Ferr. Graph.
Hyosc. Kali carb. Lyc. Natr. mur.
Nux vom. Phos. Puls. Rhus. Stram.
Sulph.
Riding in a carriage, ailments from :
Ars. Carb. veg. Cocc. Colch. Ferr.
Ign. Petr. Puls. Sil. Sulph.
Salt, ill effects of eating too much :
Carb. veg. Merc. sol. Nux wom.
Sanguine temperament: Acid. sulph.
Scurvy: Acid. mur.
Sea-sickness:
Sedentary habits,
Semilateral ailments,
Acom. Arn. Bell. Bry. Cham. Hyosc.
Ign. Nux wom. Rhus. Sulph. Verat.
alb. Zinc.
Acid, nit. Acid.
sulph. Amm. mur. Ars. Aur. Calc.
Carb. veg. Hep. Iod. Kreas. Merc.
sol. Natr. mur. Nuz vom. Sil. Staph.
Sulph.
Ars. Cocc. Ipec.
R reas. Petr. Rhus. Sulph. Verat. alb.
ill effects of :
Acon Carb. veg. Calc. Ign. Natr. m.
Nux vom. Puls. Sulph.
left side :
Actd. 8wlph. Acon. Alum. Amm. mur.
Ant. tart. Apis. Arn. Bry. Calc. Chin.
Colch. Col. Croc. Cupr. Dulc. Ign.
Iod. Isach. Lyc. Merc. sol. Nux
mosch. Wuz vom. Petr. Phos. Sep.
Spig. Sulph. Thuj. Werat. alb.
right side: Acid. Sulph. Alum.
Bell. Bry. Canth. Caust. Cina. Con.
Dig. Dros. Hep. Ign. Kali carb. Led.
Mosch. Plumb. Rhus. Ruta. Sabin.
Sil. Spong. Staph. Thuj.
Bar.
Sensation, as if blown upon by wind:
Nux wom. Rhus. Stram.
as if growing larger :
Phos. Puls. Rhus.
as of a hair: Lyc. Natr. mur. Sulph.
as of growing smaller: Calc. Croc.
as of something alive : Croc. Ign.
Lāch. Merc. sol. Sec.corn. Sulph.Thuj.
Bell. Ign.
Spasms, generally : Acon. Ant. tart.
Arn. Ars. Bell. Bry. Calc. Camph.
Caust. Cham. Cina. Cocc. Coff. Con.
Croc. Cupr. Gelsem. Hell. Hyosc.
Ign. Ipec. Lach. Lyc. Merc. Sol.
Mosch. Wuz mosch. Nua, vom. Op.
Plat. Plumb. Puls. Rhus. Ruta. Sec.
corn. Stann. Stram. Sulph. Verat.
alb. Verat. vir. Zinc.
Spasms, with anxiety: Ars. Bell. Calc.
Cham. Cina. Cupr. Hyosc. Ign. Lach.
Puls. Verat. alb.
with dyspnoea : Ant. tart. Ars. Bell.
Camph. Cupr. Ign. Ipec. Nux wom.
Op. Puls.
with staring eyes: Bell. Hyosc. Nux
vom. Op. Sec. corn. Stram.
with contortion of the eyes: Acon.
JBell. Cocc. Cupr. Hyosc. Ign. Lach.
Stram.
with eyes closed: Bell. Cham. Cocc.
Croc. Hyosc. Merc. Sol. Natr. mur.
Op.
after repelled eruptions: Calc. Caust.
Cupr. Lach. Nux vom. Sulph.
with bloated bowels: Calc.
Cina. Merc. sol.
with violent movements: Calc. Cina.
Cupr. Hell. Hyosc. Op. Stram.
with loss of senses: Bell. Camph.
Cic. Cina. Cupr. Hyosc. Ign. Ipec.
Lach. Nux vom. Op. Sil. Stann. Stram.
with nausea; Ant, tart. Ipec. Nux wom.
Puls. Werat. alb.
with clenched thumb : Bell. Hyosc.
Ign. Lach. Merc. Sol. Stram.
with delirium : Bell. Hyosc. Op.
Stram.
with vomiting: Ant. tart. Cupr. Ipec.
Muz vom. Puls. Sec. corn.
with danger of suffocation:
Ign. Nux wom. Op.
with yawning: Ign. Werat. alb.
after emotions: Bell. Coff. Hyosc.
Ign. Muz vom. Stram.
with blue face : Camph. Cina. Cupr.
Op. Werat. alb.
Cham.
Cupr.
red face: Bell. Hyosc. Ign. Op.
Stram.
with cold sweat in the face: Cocc.
Werat. alb.
with distorted features: Bell. Cham.
Cocc. Ipec. Stram. Werat. alb.
with involuntary emission of urine :
Bell. Caust. Cocc. Hyosc. Zinc.
hysteric : Aur. Bell. Caust. Cham.
Cocc. Coff. Cupr. Ign. Ipec. Mosch.
Nux vom. Plat. Puls. Stram. Verat.
alb.
internal: Calc. Caust. Cocc. Col.
Graph. Ipec. Stann. Stram.
with coldness of the body: Ars. Cina.
Hyosc. Puls. Verat. alb.
with coldness of the limbs:
Hyosc. Op. Verat. alb.
with locked jaw : Bell. Con. Hyosc.
Lach. Wuz vom. Op. Plat. Verat. alb.
with movements of the head : Bell.
Cham. Hell. Lach. Op. Stram.
Caust.
1000
GENERAL SYMPTOMS.
Spasms, preceded by head-ache : Bell.
Hyosc. Lach. Nux wom.
– succeeded by head-ache: Bell. Cina.
— with contraction of the limbs: Hyosc.
Stram.
— with laughter: Bell. Calc. Caust. Ign.
Lach. Stram.
Spirits of camphor, ill effects of:
Coff. Op.
Straining by lifting, ill effects of:
Acid. sulph. Arn. Bry. Calc. Cocc.
Con. Graph. Lyc. Nux wom. Phos.
Rhus. Ruta. Sil. Sulph.
Sweat, cold: Acid phos. Acon. Amm.
mur. Ant. tart. Arn. Ars. Bry. Calc.
Camph. Carb. veg. Chin. Cupr. Dulc.
Hell. Hep. Ign. Ipec. Lach. Lyc.
Rheum. Rhus. Sec.
corn. Sep. Staph. Sulph. Verat. alb.
— exhausting: Acid. nit. Acid. phos.
Ars. Bry. Calc. Chin. Dig. Ferr.
Hep. Iod. Lyc. Merc. sol. Natr. mur.
Nux wom. Phos. Samb. Sep. Stann.
Nux wom. Puls.
Sulph. Verat. alb.
– fetid: Amm, mur. Bar. Canth. Con.
Dulc. Ferr. Graph. Hep. Kali carb.
Led. Lyc. Merc. sol. Nux wom. Phos.
Puls. Rhus. Sep. Staph. Verat. alb.
– ill effects of suppression of : Acon.
Dulc.
Bell. Bry. Cham. Chin.
Lach. Nux wom. Puls. Sil. Sulph.
— sour smelling: Acid phos. Arn. Calc.
Cham. Ferr. Hep. Ign. Iod. Ipec. Lyc.
Sep. Sil. Sulph.
Merc. sol. Rhus.
Verat. alb.
Tea, ill effects of: Chin. Ferr. Lach.
Puls.
Thirst: Acon. Ars. Bell. Bry. Canth,
Cham. Eupat. perf. Ipec. Merc. sol.
INux vom. Natr. mur. Puls. Rhus.
Sulph. Verat. alb.
Tobacco, ill effects of: Cham. Cocc.
JWuz vom. Puls.
TJ neasiness, bodily: Acon. Ars. Bell.
Bry. Cactus. Calc. Carb. veg. Cham.
Chin. Cimicif. Coff. Croc. Cupr. Ferr.
Graph. Hyosc. Ign. Iod. Lyc. Merc.
sol. Nux vom. Op. Phos. Plat.
Rhus. Samb. Sep. Sil. Staph.
Stram. Sulph. Verat. alb.
Vascular erethism: Acon. Arn. Aur.
Bell. Bry. Cactus. Calc. Carb. veg.
Caust. Chin. Con. Ferr. Gelsem. Glon.
Hep. Iod. Kreas. Kali carb. Lyc.
Natr. mur. Wuz vom. Op. Petr. Phos.
Rhus. Sep. Sil. Stann. Sulph. Verat.
Q)27°.
Walk, difficulty of learning to walk:
Calc. Merc. sol. Sil. Sulph.
Weakness, general : Acid, phos. Amm.
carb. Arn. Ars. Bell. Cactus. Calc.
Carb. veg. Chin. Cocc. Con. Ferr.
Gelsem. Graph. Ipec. Kali carb.
Lach. Lyc. Merc. sol, Natr. mur.
Nux vom. Op. Phos. Plat. Puls.
Rhus. Sec. corn. Sep. Sil. Staph.
Sulph. Verat. alb.
Weariness: Amt. tart. Arn. Ars. Bell.
Cactus. Calc. Caust. Chin. Cocc. Coff.
Con. Croc. Ferr. Gelsem. Graph.
Hep. Ign. Ipec. Kali carb. Lyc.
Merc. sol. Wuz vom. Phos. Plat. Puls.
Rhus. Spong. Sulph. Thuj. Verat.
alb.
IN DEX.
Abdomen, pain in the (bowels), 37
Abdominal deformity after labor, 734
typhus, 102
dropsy, 574
Abortion (see Miscarriage), 713
Abrasions of the skin of children, 770
Abscess (suppurative inflammation) of the
liver, 298
general article on acute and chronic, 433
varieties of and symptoms of acute, 433
symptoms of chronic, 434
treatment, local and constitutional, of
acute, 434
treatment, local and constitutional, of
chronic, 435
scrofulous (of the glands) and inveterate
cases of, 436
removal of the cicatrices or scars left
by, 437
diet and regimen for, 437
lumbar, 475
of THE Liv ER, in hot climates, 627
of the breasts, 738
Abscesses after typhus, 113
Abuse of cantharides in blisters, &c., ill-
effects of, 320
cinchona, ill-effects of, in agues, 132
ardent spirits, causing brain fever, 420
mercury, near sight after, 491
blood-stained discharge from the
ears caused by, 506
sulphur, blood-stained discharge from
the ears caused by, 506
mercury, deafness from, 509
causing swelling of the nose, 514
spirituous liquors, swelling of the nose
from. 514
mercury, offensive breath from, 522
nerve-pain in the face from, 523
Accessory and palliative treatment, 64
treatment of fever, 92
and precautionary treatment during the
prevalence of typhus, 118
measures in small-pox, 175
for mothers not suckling their in-
fants, 740
case of suspended animation of in-
fants, 743
Accessory measures for inflammation of the
eyes of infants. 734
against convulsions of children,
776
against infantile remittent fever,
79 |
in miliary fever, 177
in the treatment of sore throat,
in the treatment of ulcerated sore
throat, 189
in the treatment of mumps, 195
against vomiting of blood, 241
against constipation, 247
in casual cases of colic, 260
against dysentery, 272
treatment of cholera, 284
general precautions during cholera, 285
measures tor coughs, 358
in the treatment of croup, 369
for the treatment of apoplexy, 415
appliances for ulcers or sores, 457, 458
measures for bleeding of the nose, 513
against headache, 556
against dysentery in tropical cli-
mates, 594
for the ardent fever of INDIA, 599
during yellow fever, 607
for swelled veins during pregnancy,
711
against or in cases of MISCARRIAGE,
717
for enlarged or dangling belly after
labor. 735
Accidents (see Casualties), 636
Accumulation of watery fluid in the knee,
482
Aching pains in the back (Lumbago), 473
Acid, oxalic, immediate treatment of poison-
ing with, 675
Prussic, immediate treatment of poison-
ing with, 677
Acidity, flatulence, &c., of infants, 756
Acidum muriaticum, characteristics of 807
mitricum, characteristics of, 808
phosphoricum, characteristics of, 810
sulphuricum, characteristics of, 811
Aconitum napellus, characteristics of, 813
64
1002
INDEX.
Aconitum, tincture of, as an external appli-
cation, 67
Active or second stage of low and inflamma-
tory typhus, 94
or acute dropsies, general causes of, 57.1
acute, or inflammatory dropsy of the
cellular tissue, 576
Acute disease, preventive treatment against,
78
inflammation of the liver, 295
of the stomach, 305
of the bowels, 309
of the brain and its tissues, 415
abscess, local and constitutional treat-
ment of 434
inflammation of the eyes, and causes of,
484 &
of the eyelids, 493
of the spinal cord and its mem-
branes, 533
or active dropsies, general causes of 571
active or inflammatory dropsy of the
cellular tissue, 576
hepatic dysentery of hot climates, 595-
59
dropsy of the brain, symptoms of, and
the low, torpid, or insidious form of,
780
active or inflammatory form of 781
Acuteness of healing, excessive, 47
of the sense of smell, 48
Administration, selection, and repetition of
the medicines, 57
of the medicines, systematic table of
rules for, 7.3
Advanced or malignant stage of putrid fever,
115
stage of cholerine, 287
Affections to which a patient is especially
liable, 8
of the ears after scarlet fever, 157
asthmatic, after small-pox, 174
sympathetic, resulting from derange-
ments of digestion, 198
of the knee, 481
various, of the nose, 514
of the womb, face-ache incidental to,
521
chronic. of the liver of hot climates, 631
of the gall-bladder and ducts of hot
climates, and treatinent of, 631
peculiar to women, 681
Africa, western coast of, endemic and epi-
demic fevers of 613
endemic fever of, 614
accidental or climatorial fever of, char-
acteristics and causes of, 616
After-effects of typhus, 1 12
intermittent fevers, dropsical swellings,
or protri, cted debility, 131
scarlet fever, 154, 155
scarlet rash, 162
measles, 166
small-pox, 173
suppressed dysentery, 272
wº
After-effects of cholera, 282
inflammation of the upper part of the
windpipe, 343
influenza, 373
inflammation of the brain, 421
sea-sickness, and diet, &c. , for, 661
After-pains following delivery (see Labor),
721 *
After-treatment of spitting of blood, 400
Age, and the conditions which qualify it, 6
Aged persons, constipation of, 246
Ague or nerve-pain in the face, 521
Agues (see Intermittent Fevers), 119
Air and exercise during pregnancy, 701
important in the eradication of chronic
disease, 85
Alarm (see Mental Emotions), 678
Aliments, precautions respecting for the pre-
vention of disease, 80
allowable under treatment, 89
prohibited under treatment, 90
Allowable articles of diet under treatment,
89
Alterations of the pulse, &c., 11
Alternation of constipation and looseness,
245
Alumina, characteristics of, 814
Auaenorrhoea, suppression of the menses, 684
Ammonium carbonicum, characteristics of,
8 || 6
Aummonium muriaticum, characteristics of,
81.8
Anatomical or structural state of the parts,
in dropsy, symptoms yielded by the, 57.1
Animal fluids, near sight after loss of, 491
paralysis from loss of 540
poisons, treatment for, 677
Animation, suspended (see Death, Appa-
rent). 662
of infants, suspended (see Stillborn), 742
Annual intermittent fevers. 124
Antecedents of the patient's family, 5
Anthony's (St.) Fire (Erysipelas), 424
AN'ridotes, 66
Antimonium cradum, characteristics of, 819
tartaricum, characteristics of, 820
Anxiety, discomfort, and pain, sensations of,
and what they indicate, 44
Aperients, abuse of, producing diarrhoea, 264
Aphthae, thrush, characteristics, causes of,
7.59
external applications for, 759
constitutional treatment for, 760
Aphthous sore throat, quins.y, &c., 183
Apis mellifica, characteristics of, 822
Apoplectic constitution, 2
symptoms in ague fits, 124
Apoplexy, general article on the treatment
of, 408
characteristics and premonitory symp-
toms of, 408
symptoms of the confirmed attack of,
409
issue and results, and predisposing and
exciting causes of, 409
INDEX.
1003
Apoplexy, treatment of the premonitory
stage of, 410
indications for the treatment of afforded
by particular causes, &c., 410, 411
paralysis, resulting from. 415
accessory measures for, 4.15
Apparel, precautions respecting, for the pre-
vention of disease, 80 X-
Apparent death (see Death, Apparent), 662
Appearance, healthy, of the utine, 18
varying, of the tongue, 29
Appetite and its indications. 27
absence of natural, or excess of, 27
want of, as a specific derangement, 222
Appliances external and accessory, for ulcers
or sores, 457
Application, mental,
brain fever, 421
external, for thrush, 759
mental, excessive, fainting from, 548
local and preventive, against hydropho-
bia, 669
Applications, external, remarks respecting,
66
of the nature of poultices, 66
of the nature of fomentations, 66
external and local, to incised wounds,
642
Apprehension (see Mental Emotion), 678
Ardent spirits, abuse of, causing brain fever,
420
or inflammatory fever of INDIA (hot sea-
son), 599
Arnica, tincture of, as an external applica-
tion, 67
Arnica montana, characteristics of, 823
Arsenic, white (see Arsenicum alb.), 825
immediate and after-treatment of poi-
soning with, 674
Arsenicum album, characteristics of, 825
Arsenieum, tincture of, as an external ap-
plication, 70.
Arthritis, gout, 460
Art of feeling the pulse, 11
Arteries, wounds of (see Incised Wounds),
642
Articulation, loss of the power of, and what
it indicates, 52
Artificial (supplementary) diet of infants,
748
excessive, causing
Asiatic, malignant, or epidemic cholera, 276
Aspect of typhus fever, 97
Asthma, characteristics, premonitory and
general symptoms and varieties of 566
issue, and results, and treatment of 567
of Millar, in children, 785
Asthmatic affections after small-pox, 174
Atmospheric vicissitudes as causes of Scro-
FULA, 587 -
and other local influences, 9
Atrophy, or emaciation of children, general
causes and treatment of, 793
diet and regimen for, 797
Attack, confirmed, of apoplexy, symptoms
and treatment of, 409
Attacks, bilious (Bilious Vomiting), 237
Attenuations, potencies, or dilutions, 62
Aurum metallicum or foliatum, character-
istics of. 827
Average standard of the pulse in health, 12
Back, aching pain in the (Lumbago), 473
and loins, pains in the, during preg-
nancy, 712
Bandages for ulcers or sores, 458
Baryta carbonica, characteristics of, 829
Bastard or spurious pleurisy (see Pleurisy),
394
Batavian endemic fever, 610
Bath, remarks and regulations respecting
the, 70
for infants, temperature of 73
Bathing, cold, when to be avoided and when
beneficial. 71
precautions to be observed in, 71
Beating of the heart (Palpitation), 525
Bed-sores after typhus, 112
external treatment of, 112
constitutional treatment of 112
Bed, wetting the, of young children, 768
Belladonna, characteristics of, 830
Belly, pain in the (bowels), 37
tenderness, distension, griping and con-
tinuous pains in the, in Typhus, 102
dropsical swellings of the, after agues,
13 l
membrane lining the cavity of the (Pe-
ritoneum), inflammation of the, 316
dropsy of the, premonitory and general
symptoms of, 574
deformity, enlargement, or hanging down
of the, after labor, 734
Beneficial effects of cold bathing, 71
Biliary incipient derangements of hot cli-
mates, symptoms and treatment of, and
diet and precautions against, 593
Bilious constitution, 2
or gastric fever, 132
predisposing and exciting causes
and symptoms of, 132
complaints, 195
vomiting, bilious attacks, 237
or sporadic cholera, 274
REM ITT ENT FEvens of hot climates,
609
Birth, treatment immediately after, 742
Bite of a mad dog (see Hydrophobia), 667
of serpents (envenomed wounds), 671
Bitterish expectoration, 53
Blackish, dry, furred, and tremulous tongue,
29
Bladder, inflammation of the, and causes of,
32 .
inflammation of the, associated with
stone or gravel, 323
suppurative inflammation of the, 323
chronic inflammation of the, 323
catarrh of the, 323
gall and ducts, affections of the, of tropi-
cal climates, 631
1004
INDIEX.
Bleeding of the gums, 518
periodical determination of blood to the
head treated by, 405
of the nose, treatment of, and indica-
tions afforded by the cause of, 510
diet and accessory measures for, 513
Blindness, sudden attacks of, 492
in the evening, 492
Blisters, ill-effects of 320
Blood, condition of the, as an important sign
of the nature of disease, 16
spontaneous discharges of, 18
expectoration (spitting) of, 53
vomiting of 239
premonitory symptoms of, 239
determination of, to the head, with con-
stipation, 247
copious loss of, with piles, 250
determination of, to the chest, 374
discharge of, from the lungs, spitting of,
39
spitting of, various forms and charac-
teristics of 395, 396
very severe cases of 398
after-treatment of 400
determination of, to the head. 401
caused by loss of blood, 404
loss of, causing rush of, to the head, 404
determination of, to the head, previously
treated with periodical bleeding, 405
determination of, to the head, from ex-
ternal injuries, 405
determination of, to the bowels, 483
determination of, deafness from, 507
discharge of, from the nose, 510
discharge of, from the gums, 518
fulness of, before labor, 719
Bloodletting, periodical, causing determina-
tion of blood to the head ; or cases of de-
termination of blood to the head previously
treated by, 405
Blood-shot eye, 490
Blood-stained discharges from the ears,
simply, or from abuse of mercury, 506
discharge from the ears from abuse of
sulphur, or from ulceration of the
small bones, 506
Blood vessel, rupture of a, 396
Blotches, milk-, milk-scab, &c., 757
Blue or livid complexion, 52
Body, state of the (heat), in tropical cli-
mates, 590
Boils, treatment of, after typhus, 113
general article on the treatment of, 429
constitutional susceptibility to, 429
Bones, small, of the ear, bloody discharge
from ulceration of the, 506
Bones of the spine, lumbar abscess from dis-
ease of, 475
of the nose, ulceration of the, 515
affected by ScroFULA, 584
Bowel complaints (see Bowels), of infants,
762
Bowels, pain in the (painful evacuations),
37
Bowels, pain and looseness in typhus, 102
looseness of the, after measles, 166
looseness of the, after small-pox, 174
stoppage of, confinement of 24!
looseness of the, alternating with cos-
tiveness, 245
muscular inertness of the, causing con-
stipation, 245
looseness of the, general article on the
treatment of, 260
Iooseness of the, with constitutional de-
bility, 264
looseness of the, from abuse of aperients,
&c., 265
looseness of, diet for, 266
inflammation of the, 308
inflammation of the, causes, results, and
complications of, .309
acute inflammation of the, symptoms
and treatment of, 309
chronic inflammation of the, treatment
of 310
obstinate and chronic inflammation of
the, 313
inflammation of the, with worms, 315
determination of blood to the, 483
confinement of the, during PREGNANCY,
706
looseness of the, during pregnancy, 707
state of the, before LABort, 719
looseness of the, of lying-in women, 733
flatulent distension of the, of infants, 757
confinement of the, of infants, 760
looseness of the, of infants, 762
general causes and distinctive symp-
toms of, 762, 763
treatment for, 763–765
Brain, nerves, sensations and senses, and
their indications, 29
disturbance of the, incidental to de-
ranged digestion, 218
inflammation of the, and its tissues,
brain fever, 4 l 5
distinctive characteristics, causes,
and results of, 41 5–4 17
inflammation of the, from the check of
an eruption, or from Sunstroke,
4]9
from violent chill in the head, 420
from suppressed discharge from the
ear, 420
from external injuries and abuse of
ardent spirits, 420
from excessive mental application,
421
protracted chronic cases of, 421
after-effects of, 421
irritation of the, from worms, 332
concussion of the, 636
dropsy of the, 780
acute—the low, torpid, or insidious
form of, 781
acute, active and
form of 781
chronic, symptoms of 782
inflammatory
INDEX.
1005
Brain, dropsy of the, issue and results, com-
plications and distinctive symp-
toms of 782, 783
acute, treatment of 783
chronic, treatment of and diet, &c.,
for, 785
Breaking of a blood vessel, 396
Breast, contusions of the, 647
Breasts, preparation of the, before labor, 718
inflammation of the, 738
abscess of the, 738
swelling of the, of infants, 772
Breath, in health, 21
difficulty of drawing the, from sup-
pressed cold in the head, 347
offensive, 521
Breathing, the function of, its variations and
their indications, 21
state of the, in health, 21
frequent, slow, and quick, 22
tardy, deep or long, small or short, diffi-
cult, moaning or sighing, oppressed,
panting, suffocative, warm, cold, un-
equal, noisy, oppressed with sense of
weight, felid, &c., and what is meant
by these terms, 22
difficulty of, caused by suppressed cold
in the head, 348
Bronchial tubes, inflammation of the mucous
membrane of the, 377
acute inflammation of the, 377
inflammation of the, favorable and un-
favorable results and signs in, 377
insidious variety of inflammation of the,
78
inflammation of the, of children, 378
chronic inflammation of the, 383
Bronchitis (see Bronchial tubes), 377
in children, 378
Bronchocele, goitre, 528
Bruises in general, 644
definition of (contused wounds), 644
external, and constitutional treatment
of, 647
Bryonia alba, characteristics of, 832
Bunions and other swellings from pressure or
contusion, 647
Burns or scalds, external treatment of, 652
constitutional treatment of, 654
very severe cases of, 655
Buzzing or humming in the ears, 505
Cactus grandiflorus, characteristics of 834
Calcarea carbonica, characteristics of, 835
Calendula officinulis, tincture of, as an ex-
termal application, 67
Calves of the legs, cramps in the, 527
Camp fever (contagious typhus), 117
Camphor, characteristics of. 837
Cancer, chimney-sweeper's, 427
Cancerous tumor and ulceration of the lips,
499
Canker or scurvy in the mouth, 515
Cantharides, tincture of, an external appli-
cation, 68
|
Cantharides, ill-effects of abuse of in blis-
ters, &c., 320
characteristics of, 837
Carbo vegetabilis, tincture of, as an external
application, 70
Carbo vegetabilis, characteristics of, 839
Carbuncle, symptoms and treatment of, 429
Casualties, general articles on concussions,
bruises, strains or sprains, wounds, dislo-
cations, and fractures, &c., &c., 6.36
Catarrh of the bladder, 323
comMon cold, feverish cold, 333
Catarrhal or rheumatic constitution, 2
fever, feverish cold, 333
inflammation of the eyelids, 493
or mucous discharge from the ears, 506
or rheumatic deafness, 508 -
Caulophyllum thalictroides, characteristics
of, 84 l
Cause of disease as a point in investigation,
| 0
disease in general, 10
fever, 92
Causticum, characteristics of 841
tincture of, as an external application,
69
Cellular tissue, dropsy of the, local or gene-
ral, 576
Cephalalgia, headache, 549
Cerebro-spinal meningitis, spotted fever, 538
Cerebral system, derangements of the, 401
Chafing, excoriation of the skin of infants,
770
Chamomilla, characteristics of, 843
Change, sudden and total, of the complexion
(color), 52
or turn of life in females, 692
Characteristics of the individual, 7
distinctive, of bastard pleurisy, 394
of various forms of spitting of blood,
395, 396
of apoplexy, 408
of inflammation of the brain, 415
of nettle-rash, 437
of rheumatism, 465
of inflammation of the spinal cord, 533
of rupture, 543
of epilepsy, 560
of asthma, 566
distinctive, of varieties of dropsy, 57.1
general of schof ULA, 580
of HE REDITARY scrofu LA, 585
of the inflammatory fever of INDIA, 599.
of the typhoid fever in INDIA, 600
of the yellow fever, 601
of plague, 607
of the endemic Batavian fever, 610
of the accidental or climatorial fever of
Africa, 616
of Indian marsh-remittent fever, 619
general of leprosy, 622
general of abscess of the liver in hot
climates, 627
of whites, 693
of false-pains, 720
1006
INDEX,
Cholera, synopsis of the principal indications
for the remedies employed in the treat-
ment of 292
in INDIA and precautions against, 593
CHOLERA INFANTUM, summer complaint,
characteristics of 765
issue and results of, 766
treatment and diet, &c., for, 766–768
Choleric temperament, 4
Cholerine, incipient stage of, 286
advanced stage of 287
Chronic, dry cough, 48
disease, repetition of the doses in, 76
ERADICATIVE treatment of, 83–88
and in veterate cases of ague in un-
healthy subjects, 131
fevers, 141 *
inflammation of the liver, or liver com-
plaint, 299
cases of jaundice, 301
enlargement and induration of the
spleen, 304
or subacute inflammation of the lining
membrane of the stomach, 308
or subacute inflammation of the bow-
els, 310
and very obstinate inflammation of the
bowels, 313
inflammation of the kidneys, 320
inflammation of the bladder, 323
worm affections, 332
inflammation of the upper part of the
windpipe, 342
hoarseness, 344
protracted cases of inflammation of the
brain, 421
protracted cases of erysipelas, 427
abscess, local and constitutional treat-
ment of, 434
cases of nettle-rash, 439
and obstinate cases or irritation, &c., of
the skin, 446
cases of sores or ulcers, 456
cases of gout, intermediary and ERADI-
CATIVE treatment of, 46 I
rheumatism, symptoms and treatment
of 472
inflammation of the eyes, 486
inflammation of the eyelids, 495
discharge from the ears, from suppres-
sion of an eruption of long standing,
506
eruption, sudden suppression of a, deaf-
mess from, 508
inflammation of the spinal cord, symp-
toms of 534
asthma, 566
hepatic dysentery of hot climates, 595
affections of the liver of hot climates,
627
inflammation of the liver of hot climates,
631
dropsy of the brain, symptoms, &c., of,
782
Cicatrices left by ulceration of the glands, 437
Characteristies of thrush, 759
of dropsy of the brain, &c., 780
of spasm of the opening of the windpipe
(asthma of Millar), in children, 785
of infantile remittent fever, 789
CHARActe Rustic effects and indications of
the medicines referred to in this work, 807
Check of the eruption of scarlet-rash, 161
of measles, 165
of small-pox, 173
of chicken-pox, 175
of miliary fever, 177
of an eruption, brain fever from, 419
of the eruption of nettſe-rash, 439
Chest, oppression of the, 22
sounds of the, clear and dull on percus-
sion, 5.1
determination of blood to the, 374
(respiratory organs) when chiefly af.
fected by rheumatism, 470
dropsy of the, general symptoms and
results and issues of, 57.1
concussion or contusion of the, 637
Chicken-pox, 175
check of the eruption in, 175
Chilblains, and external treatment of, 430
Children, toothache of, 182
casual derangement of the stomach of,
216
acute bronchitis of, symptoms and treat-
ment of, 378
sleeplessness of, 750
not suckled by the mother (see Mothers),
740
and infants, treatment of 742
still born (see Still born), 742
new-born, crying, wakefulness, and colic
of 755
bowel complaints of, 762
jaundice of, 771
derangements of, during teething, 763–
765
convulsions of (see Convulsions), 775
Chill, sensations of, 44
violent, in the head, brain fever from,
420
Chills and heat and sweating in agues, 123
Chimney-sweeper's cancer, 427
China, cinchona, characteristics of 845
Choice of habitation for health, 82
of a nurse, 746
Choking, apparent death from, 663
Cholera, bilious or sporadic (depending on
casual causes), 274
malignant or Asiatic or epidemic, 276
after-effects of, 282
accessory treatment of, food and drink
in, 284
general accessory precautions during,
5
preservative measures during the pre-
valence of 285
preventive medicines
against, 285
diet during, 286
and clothing
dº
INDEX,
1007
Cicuta virosa, characteristics of, 848
Cimicifuga racemosa, characteristics of, 849
Cina, characteristics of 849
Cinchona officinalis (see China), 865
Cinchona, tincture of, as an external appli-
cation, 70
abuse of, in intermittent fevers, which
become chronic, 132
Clean tongue, 29
Cleanliness, value of, in the prevention of
disease, 79
for the eradication of chronic disease,
86
Clear sound, on percussion of the chest, 51
Climate, its modifications and their influ-
ence, 71
hot, intermittent fevers of a, 123
and season in tropics, effects of the,
Climates, tropical, diseases peculiar to, gen-
eral precautions against, &c., &c., 589–
592
Climatorial or accidental fever of Africa.
(see Africa), 616
Clothing and habits, general regulations re-
specting, 57
precautions respecting, for the preven-
tion of disease, 80
precautions respecting during cholera,
285
during pregnancy, 702
Coated, thickly (or furred) tongue, 29
and slimy tongue, 29
Cobra di capello, bite of a (envenomed
wounds), 671
Cocculus, characteristics of, 850
Coffea cruda, characteristics of 852
Coffee, sleeplessness induced by, 531
Colchicum autumnale, characteristics of 852
Cold in the head of infants, 7 54
Cold, common, 333
sensations of, 42
inflammation of the eyelids from, 493
fresh- and salt-water bath, 70
bathing, conditions in which it should
be avoided, 71
when beneficial, and precautions
in, 71
stage of intermittent fevers, 119
susceptibility to, after scarlet fever, 154
CoMMON with fever (catarrh, catarrhal
fever), 333
predisposition to ſeverish, or to taking,
336
first sign of having taken, 333
IN THE HEAD, 345
ill-effects of suppressed, 347
susceptibility to, 348
of infants, 754
discharge from the ears, caused by (mu-
cous), 506
deafness from, catarrhal or rheumatic,
5t)8
nerve-pain in the face from (rheumatic),
521
Cold feet, sleeplessness from, 530
season of INDIA, and congestive or ty-
phoid fever of the, 589
Coldness of the feet, sleeplessness from, 530
Colie, crying and wakefulness of new-born
infants, 755
Colic (pain in the bowels), and its indica-
tions, 37
Colic, 253
predisposition to, 259
with worms, accessory measures in
casual attacks of, and diet and regi-
men for, 259, 260
Colocynth, characteristics of 853
Colorless swellings of the knee, 482
Common cold, feverish cold, cold with fever,
333
leprosy, 622
Complaints, bilious, 195
bowel, of infants, 762
Complexion, and its indications, 51
red, florid, deep yellow, and pallid, 51
patchy redness of, sudden and total
change of, blue or livid, or with livid
spots in the, 52
Complicated forms of scarlet-fever, 153
cases of scarlet-rash. 159
cases of cough, with teething, worms,
disordered stomach, &c., &c., 358
cases of inflammation of the lungs, 388
cases of whitlow, 444
cases of rheumatism, 470
forums of scroFULA, 585
fractures, 653
Complications occurring with small-pox, 173
in dysentery, 267
of inflammation of the stomach, 305
of inflammation of the bowels, 309
with worms, 325
of dropsy of the belly, 574
of dropsy of the brain, 782
Compound fractures, 651
Concussion in general, and concussion of the
brain, 636
of the chest, 637
Condition of the blood, as an important sign
of the nature of disease, 6
healthy, of the urine, 18
Conditions of importance respecting age, 6
Confinement of the bowels (see Constipation),
241 -
of the bowels during pregnancy, 706
duration of after labor (see Labor), 724
Confluent small-pox, 171
Congestive stage of intermittent fevers, 119
or typhoid fever of the cold season of
INDIA, 600
Conglobate glands, disease of the, 433
Conium maculatum, characteristics of 854
Consciousness, loss of, delirium, fainting,
and their indications, 30
Consecutive treatment, 63
Consideration, general, of fevers, 91
Constipation, costiveness, 241
from obstruction of the bowels, 245
1008
INDEX.
Constipation, alternating with looseness, 245
from muscular inertness of the bowels,
245
of aged persons, 246
in travelling, 246
caused by purging, 246
caused by vapor of lead (of painters),
246
with determination of blood to the head,
247
accessory measures against, 247
diet appropriate to, 247
during PREGNANcy, 706
of infants, 760
Constitution, and its varieties, 2
plethoric (sanguine), 2
feeble, 2
bilious, apoplectic, nervous, dry, and
wiry, lax, lymphatic or mucous, ca-
tarrhal or rheumatic, 2
in which the skin is liable to become
diseased (psoric), 2
consumptive, 2
Constitutional taint, eradication of, 83–88
treatment of bed-sores after typhus, 113
debility, with diarrhoea, 264
debility, with dysentery, 271
treatment of inflammation of the peri-
toneum, caused by external injuries,
317
susceptibility to cold in the head, 348
susceptibility to boils, 429
susceptibility to whitlows, ERADICATION
of the, 446
susceptibility to styes, eradication of
the, 496
susceptibility to bleeding of the nose,
512
and local treatment of thrush, 759
Consumption, tendency to, after influenza,
374
Consumptive constitution, 2
Contractions of limbs and joints from gout,
contused, &c., 463
Contused wounds or bruises, definition of,
644
wounds, external and internal treatment
of, 644
Contusion, swelling of the nose caused by,
5 i 4
of the chest, 637
bunions and other swellings from, 647
of the breast, 647
Convalescence and debility, stages of, after
typhus, l l 1
Convulsions of children, general causes, pre-
monitory and confirmed symptoms, du-
ration and results of 775, 776
accessory measures against, 776
general precautions and remarks re-
specting, 776
treatment of, and indications afforded
by the cause of 777–780
Convulsions and spasms, general or local,
and what they indicate, 34
Convulsive or second stage of hooping-cough,
nervous or dry asthma, 566
stage of hydrophobia, 667
Cord, spinal, inflammation of the (see Spi-
mal), 533
Corns, palliative treatment of, 432
ERA DICATIVE treatment of 432
Corporeal or mental fatigue (see Fatigue),
Corrosive sublimate, immediate treatment
of poisoning with, 675
characteristics of, 882
Costiveness (see Constipation), 241
during PREGNANCY, 706
of infants, 760
Cotton (raw) as an external application, 69
Cough, 349 *
indications afforded by, 48
condition of perfect health as regards,
48
short and dry, painful, hacking, predis-
position to, chronic dry, 48
after measles, 166
after small-pox, 174
general article on the causes and treat-
ment of, 349
complicated cases of, stomach cough,
cough with teething, cough from
worms, &c., 358
NERvous, 358
accessory measures and diet, &c., for,
358
hooping or whooping (see Hooping), 359
spasmodic, after influenza, 374
Coup-de-soleil, sunstroke, 658
Coxalgia (see Hip disease), 479
Cracked, furrowed, fissured, and swollen
tongue, 29
Cramps in the calves of the legs, &c., 527
Critical sweats, 50
Crocus sativus, characteristics of 857
Croup, characteristics of, &c., 365
predisposing and exciting causes of, 365
symptoms and incipient stage of, 366
inflammatory stage of 366
ERADICATIVE treatment against the he-
reditary or inherent susceptibility to,
369
Crust-milk, milk-scab, milk-blotches, 757
Crying, wakefulness, and colic of new-born
children, 755
Cupruin aceticum and metallicum, charac-
teristics of 857
Cutaneous diseases, 424
Cuticle, falling off of the, in scales, 446
Cuts (see Wounds and Incised Wounds), 641
Dangling of the belly after labor, 734
Day, time of the, at which the fever fits oc-
cur in ague, 125
Deafness after scarlet fever, 157
from determination of blood, or nervous,
507
from cold, catarrhal or rheumatic, 508
INDEX,
1009
Deafness from suppression of a chronic erup-
tion, 508
from eruptive fevers, 509
from abuse of mercury, enlargement of
the tonsils, or from nervous fevers,
&c., 509, 510
Death, apparent, general and special treat-
ment of 662
from hunger, 662
from a fall, suffocation, hanging,
pressure, &c., 663
from lightning, 663
from drowning, 664
Marshall Hall’s imethod in, 664
Sylvester’s method in, 665
from being frozen, 665
precautions in case of, 666
Debility and convalescence, stages of, after
typhus, 1 | 1 -
accessory Imeasures during do. do., 111
stages of, after malignant typhus, 115
protracted, after agues, 131
constitutional, with diarrhoea, 264
constitutional, with dysentery, 271
after delivery, 735
Deductions from the state of the pulse, 11
Deep breath, 21
yellow complexion, and what it indi-
cates, 51
Deficiency of the sense of smell, 48
of saliva in the mouth, 53
or suppression of the milk (see Milk), 740
Definition of dropsy, 57.1
of hydrophobia, 667
Deformity, abdominal, after labor, 734
Degree of the injury in a wound. 641
Delirium, fainting, &c., and their indica-
tions, 30
TREMENs, and exciting causes of, 557
premonitory and confirmed symp-
toms and treatment of 557, 558
occasioned by vapor of lead, 559
Delivery, treatment after (see Labor), 720
weakness after, 735
Denominations of the varieties of pulse, and
what should be understood by them, 13
Dentition, coughs connected with, 358
derangements during (see Teething),
773-775
Depression of spirits resulting from derange-
ments of digestion, 218
Derangement, general, of the system, 460
Derangements, functional or organic, of the
stomach, 196
sympathetic, of other organs, resulting
from disordered digestion, 198
affecting the mucous membrane of the
stomach, general symptoms exhibited
by, 202
affecting the nerves of the stomach, gen-
eral symptoms exhibited by, 203
affecting the mucous membrane and
nerves, 206
of digestion, including hysterical or
hypochondriacal affections, 219
Derangements of the cerebral system, 401
of the stomach, causing giddiness, 408
of digestion, face-ache complicated with,
52 I
of the stomach, palpitation of the heart
from, 525
incipient biliary, of hot climates, 593
during pregnancy (see Pregnancy), 705
during teething, 773–775
Derbyshire neck, 528
Determination of blood to the head, with
constipation, 247
blood to the chest, 374
blood to the head, 401
from loss of blood, 404
which has been treated with peri-
odical bleeding. 405
from external injuries, 405
blood to the bowels, 483
blood, deafness from, 507
Diarrhoea, with griping, in typhus, 102
after measles, 166
after small-pox, 174
alternating with constipation, 245
general article on the treatment of, 260
causes of, in general, 260
from constitutional debility, 264
from abuse of a perients, 265
diet and regimen for, 266
during pregnancy, 707
of lying-in women, 733
of infants (see Boſwels), 762
Diet and regimen, general regulations re-
specting, 55
precautions respecting, for the preven-
tion of disease, 80
precautions respecting, for the eradica-
tion of disease, 85
synopsis of the rules for, 89
in fever, 92
during PREGNANCY, 703
after delivery, 721
toºther not suckling their infants,
41
during nursing, 747
supplementary, of infants, 748
of the infant at the period of weaning,
749
Difficult breathing, description of, 22
caused by suppressed cold in the head,
348
Difficult and painful menstruation, 688
Difficulty of breathing, caused by suppressed
cold in the head, 348
Digestion, weakness of, after typhus, 114
derangements of, 196
disordered, inducing hysterical and
hypochondriacal affections, 219
derangement of, causing face-ache, 521
derangement of, palpitation of the heart
from, 525
Digestive functions, and the
which they afford, 24
Digestive system, diseases of organs con-
nected with the, 179
indications
1010
INDEX,
Digestive system, disorders of, inducing hys-
terical and hypochondriacal affec-
tions, 219
primary organs of, affected by Scro-
FULA, 584
Digitalis purpurea, characteristics of 858
Dilutions, potencies or attenuations, 62
Diphtheria, general history of, 797
characteristics and general symptoms
of 798
treatment for, 799
LARYNGEAL, description and symptoms
of 801,
treatment for, 801
malignant, treatment for, 802
local treatment for, 802
diet and regimen for, 803
PARALysis following, 803
Disappointment (see Mental Emotions), 678
Discharge, offensive, from the nose, after
Scarlet fever, 154
from the ears after measles, 166
copious, of blood, with piles, 250
of mucus with piles. 251
of blood from the lungs, 395
suppressed from the ear, brain fever
from, 420
from the ear, 506
from the ear, owing to suppression of a
chronic eruption, to cold, mucous or
ºrrhal, or of matter from the ear,
50
offensive or bloodstained, from the ear,
506
bloodstained, from the ears, from abuse
of sulphur, or ulceration of the small
bones, 507
suppressed, from the ear, ill effects of,507
of blood from the nose, 510
of blood from the gums, 518
periodical or menstrual, of female (see
Menstruation), 684
lochial, irregularities of the, 731
lochial, excessive, 73 l
lochial, suppressed, 732
offensive lochial, 733
Discharges, spontaneous, of blood, 18
Discomfort, sensations of, and what they in-
dicate, 37
Disease, rabid (see Hydrophobia), 667
method of distinguishing the state of, 1
investigation of, 9 .
causes of, in general, 10
acute, PREVENTIVE treatment against,
78
chronic, ERAD ICATIVE treatment of 83
symptoms and character, distinctions
$nd treatment of, 91
general regulations for the treatment
of 91
in general assuming an intermittent
type. 132
of the conglobate glands (abscess), 433
of the spinal bones, lumbar abscess from,
475
Disease of the hip (see Hip), 479
SCROFULOUs, history, progress, &c., of,
582
Diseased skin, constitution in which it is
likely to occur, 2
Diseases of organs connected with the diges-
tive system, 179
of organs connected with the respiratory
system, 333
of the skin in general (cutaneous). 424
peculiar to TRopical, cliMATEs, 589–635
preliminary remarks on, 589
general precautions against,589–592
peculiar to women, and their treat-
ment, 681
following parturition (see Labor), 724
of infancy, 753
Disinclination of the infant to suckle, 736
Dislocations in general, 650
Disorder of the stomach, causing giddiness,
408
Distension, tenderness, and continuous pain
in the belly in typhus, 102
Distension, flatulent, of the stomach and
bowels of infants, 757
Distinct small-pox, 169
Distinctions respecting sex, in inquiring into
the nature of disease. 6
character, symptoms, and treatment of
diseases, 9 |
Distinctive characteristics of bastard pleu-
risy, 394
inflammation of the brain, 415
varieties of dropsy, 57.1
leprosy, 622
symptoms of bowel complaints of infants,
762 -
symptoms of derangement during teeth-
ing, 773
symptoms of dropsy of the brain, 780
Disturbance, functional or organic, of the
mucous membrane or nerves of the
stomach, 196
Division of doses and solution, 60
Dizziness, giddiness, 401
occasioned by disordered stomach, 408
Dog, mad, bite of a (see Hydrophobia), 667
Doses of internal medicines, 60
of tinctures and triturations appropri-
ate to age, 60
division of, and solution, 60
recurrence, suspension, &c., of the, 62
adapted to constitution, temperament,
habit of body, &c., 60
of globules adapted to different ages,
&c., 60
precaution to insure appropriate, 65
repetition of the, systematic table illus-
trative of 73 -
repetition of the, in acute not critical
disease, 73
in acute and critical, and in chronic
disease, 75, 76
repetition, appropriate for ERADICATIVE
treatment, 88
INDEX.
1011
Double sight, 47
quotidian and tertian ague, 123
Drainage important for the prevention of
disease, 81
Dress, precautions respecting, for the pre-
vention of disease, 80
in tropical climates, 590
Dressing of incised wounds, 642
Drink and food, precautions respecting, for
the prevention of disease, 80
for the eradication of disease, 86
allowed and prohibited, 89, 90
excess of, causing vomiting, 234
during cholera, 284
in tropical climates, 589
Dropsical swellings of the feet and belly
after a gues, 131
after scarlet fever, 155
of the knee (watery fluid in), 482
Dropsies (see Dropsy), 57.1
Dropsy, definition of, and general view of
the subject of 57.1
general causes of predisposing and ex-
citing of active or acute, and of pas-
sive or chronic, 571
symptoms and investigation of, 57.1
yielded by the structural condition
of the parts in, 57 1
yielded by the state and operation
of the functions of parts affected
by, 57.1
yielded by the general state in,
59 | -
issue and results of, 57.1
distinctive characteristics of, varieties
of, 57.1
of the brain, and of the chest, 57.1
of the belly, premonitory and general
symptoms. &c., of 574
general—general symptoms of, 575
of the cellular tissue, local or general,
576
of the brain or head (see Brain), 780
acute, symptoms of 781
chronic, symptoms, issue, complica-
tions, &c., of 782
acute, treatment of 783
chronic, treatment of 785
Drosera rotundifolia, characteristics of 859
Drowning, apparent death from, precautions
in case of, and treatment for, 664, 665
Drowsiness, lethargic, characterizing agues,
123
Drowsy delirium, 31
Drunkards, morning sickness of, 559
Dry constitution (wiry), 3
red and glassy, or dry, darkly-furred
and tremulous tongue, 29
short cough, or chronic cough, 49
scall, 442
nervous or convulsive asthma, 566
Dryness of the skin (deficiency of transpira-
tion), sleeplessness from, 530
Dulcamara, characteristics of, 860
Dull sound on percussion of the chest, 51
Dulness or over-acuteness of hearing, 47
of the sense of smell, 48
Duration of confinement after delivery (see
Labor), 724
suckling, 749
Dwelling, choice of, for health, 82
Dysecoia, deafness, 507
Dysentery, 267
complications and causes of, 267
treatment of 267
with constitutional debility, 271
suppressed, 271
accessory measures against, 272
after-effects of suppressed, 272
preventive measures during the prev-
alence of 272
diet for, 273
in hot climates—diet precautions, and
accessory measures against, 594
hepatic, acute, of tropical climates, 595
hepatic. chronic, symptoms and treat-
ment of 597 h
Dysmenorrhoea, difficult or painful menstrua-
tion, 688
Dyspepsia, 196
Ear, suppressed discharge from the, causing
brain fever, 420
Earache, 504
nervous or rheumatic, 504
Eurs, dulness or sensitiveness of, buzzing or
humming in the, &c., &c., 48
affections of the, after scarlet fever, 157
inflammation of the, and discharge from
the, after measles, 166
inflammation of the, 502
humming or buzzing in the, 505
discharge from the, from suppression of
chronic eruptions, 506
discharge from the, catarrhal or mucous,
506
of matter from the, 506
offensive, from the, 506
bloodstained, from the, 506
from the, suppressed, ill effects of,
507
Eating, offensive breath after, 521
Eczema, 443
Effects of the climate and season in tropical
climates, 592
and indications, characteristic of the
medicines referred to in this work, 807
Elephantiusis, lepra, leprosy (see Leprosy),
$22
|Emaciation, loss of flesh, 53
or atrophy of children (see Atrophy),
793
Emotions, mental, sleeplessness from, 536
fainting from, 547
general treatment of, 678
during PREGNANCY, treatment of 703
miscarriage induced by, 717
milk fever induced by, 727
affecting the milk, 740
1012
INDEX.
Erysipelas, 424
imperfectly evolved, 427
terminating in ulceration, 427
obstinate and protracted cases of, 427
susceptibility to, in the face, 427
Eupatorium perfoliatum, characteristics of,
861
Euphrasia officinalis, characteristics of, 862
Europeans, precautions to be observed by,
in tropical climates, 589
Evacuations, indications afforded by the, 25
costive, very hard, dark, 25
relaxed, copious, 25
spontaneous, involuntary, diminished,
with straining, painful, 25
painful, pain in the bowels, 37
Evening, sudden attacks of blindness in the,
92
Employment of the mind during pregnancy,
703
Empty pulse, description of 13
Endemic fever of Batavia (see Batavian),
610
and epidemic fevers of Africa (see Af-
rica), 614
Enlargement and induration, chronic, of the
spleen, 304
scrofulous, of the glands (and ulcera-
tion), 365
knotty, of joints from gout, 462
and suppuration, scrofulous, of the knee,
482
of the tonsils, deafness from. 510
neck (glands, &c., of the), goitre,
528
liver of hot climates, and treatment
ment of 631
belly after labor. 734
Envenomed wounds (see Wounds, Serpents,
&c.), 671 -
Ephemeral or simple fever, 93
Epidemic and endemic fevers of Africa (see
Africa), 613
Epidemic quinsy or sore throat, 189
malignant or Asiatic cholera, 274
Epilepsy, characteristics, general symptoms
and results, &c., of 560
treatment of, and indications afforded
by the cause of, 561
accessory measures against, 565
Epistaxis, bleeding from the nose, 510
ERADICATION of chronic disease or constitu-
tional taint, 83–88
ERADICATIVE and preventive treatment, 83–
diet, air, exercise, water, cleanliness,
habits of regularity in, 85, 86
medicinal resources, 87
measures in the treatment of predisposi-
tion to sore throat, 189
measures against the predisposition to
croup, 369
and preventive measures against SCR0-
FULA, 587
and preventive treatment of hysterics,
696
Eructations, 217
Eruption, check of the, of scarlet-rash, 161
measles, 165
on the skin after measles, 166
check of the, in small-pox, 173
chicken-pock, 175
miliary fever, 177
check of an, brain fever from, 419
check of the, of nettle-rash, 439
of itch, sudden disappearance of the, 441
suppression of the, 441
or of long standing, causing dis-
charge from the ears, 506
chronic, deafness from suppression of,
508
Eruptive fevers, 149
deafness from, 509
Excess of food or drink, causing vomiting,
234
spirituous liquors, swelling of the nose
from, 514
appetite, indications afforded by, 27
saliva in the mouth, 53
Excessive lochial discharge, 731
secretion of milk after delivery, 725
perspiration after delivery, 726
mental application, brain fever from,
421 -
mental application causes fainting, 547
menstruation (see Menstruation), 686
Excitement, nervous, of irritable persons,
sleeplessness from, 530
Excoriation of the nipples an obstacle to
suckling, 736
galling, or abrasion of the skin of in-
fants, 770
Exercise, value of, in the prevention of dis-
ease, 79
for the eradication of chronic disease, 85
in tropical climates, 591
and air during pregnancy, 701
of infants, 752
Expectoration and its indications, 53
critical or symptomatic, 53
jelly-like, transparent, stringy, sticky,
like matter, of b/ood, &c., &c., 53
yellow or bitterish, 53
Exposure to heat, 658
Expression, languid, indications afforded by
a, 46
staring, indications afforded by a, 46
Expulsion of the meconium, 745
External remedies, application of, remarks
on the, 66
treatment of bed-sores, 113
injuries which cause vomiting, 235
causing inflammation of the peri-
toneum, 317
or local treatment of inflammation of
the peritoneum, 317
injuries causing inflammation of the
kidneys, 319
determination of blood to the head,
405
INDEX. 1013
External injuries, causing brain fever, 420
or local treatment of carbuncle, 429
chilblains, 430
whitlows, 446
appliances for ulcers or sores, 457, 458
injury, inflammation of the eyes from,
487
inflammation of the ears, 502
injuries, nerve-pain in the face from,
521
injuries, inflammation of the spinal
marrow from, 533
causes of scroFULA, 586
treatment of incised wounds, 641
lacerated wounds, 644
contused wounds or bruises, 644
punctured wounds, 648
gunshot wounds, splinters, &c., 649
dislocations, 650
burns or scalds, 652
enlarged or dangling belly after
labor, 734
application for thrush, 759
Extremities, puffiness and swelling of the,
after scarlet fever, 155
Eye, indications afforded by the, 46
Eyelids, acute inflammation of the lining
membrane of the. 493
predisposing and exciting causes, and
treatment of 493, 494
chronic inflammation of the, 495
scrofulous inflamination of the, 496
Eyes, sunken and retracted, indications af-
forded by, 47
protruding or prominent, indications
afforded by, 47
dark spots before the, 47
copious watering of the, 52
inflammation of the, after influenza, 373
acute inflammation of the, 484
chronic and scrofulous inflammation of
the, 486
inflammation of the, caused by external
injury, 487
fistula lachrymalis in the, 488
weeping or watery, 489
blood-shot, 490
inflammation of the, of infants, 753
Face, paralysis of the muscles of the, 541
rawness of the, after scarlet fever, 154
puffiness and swelling of the, after scar-
let fever, 154
erysipelas in the, susceptibility to, 427
warts on the, 50l
pain in the, face-ache, face-ague, 521
Face-ache, complicated or symptomatic, in-
cidental to disordered digestion,
worms, or to affections of the womb,
521
complicated with gout, or caused by
abuse of mercury, 522
caused by mechanical injuries or rheu-
matism, 523
Facial neuralgia, 521
Faint yellow complexion, and what it indi-
cates, 51
Fainting, delirium, &c., and their indica-
tions, 30
general article on the treatment of, 547
general management of the patient when,
547, 548
precautions against, and diet, &c., for,
548
and hysteric fits during pregnancy,
treatment and diet, &c., for, 707
Fall, apparent death from a, 662
Falling-off of the cuticle in scales, 446
of the hair after labor, 735
Falling sickness, epilepsy, 560
False pains before labor, 720
Family of the patient, 5
Fat, unhealthy accumulation of, 53
Fatigue, mental or corporeal, 656
from long watching, 657
Fatty tumors, 436
Fear (see Mental Emotions), 678
Feeble constitution, 2
pulse, description of, l 1
Feeling the pulse, art of 11
Feet, swelling of the, after typhus, 114
dropsical swellings of, after agues, 131
sweating of the, 530
coldness of the, sleeplessness from, 530
heat of the, sleeplessness from, 530
Felon (see Whitlow), 444
Females, nervous and hysterical, palpitation
of the heart of 525
treatment of affections peculiar to, 681
derangement of menstruation of (see
Menstruation), 684
Ferrum metallicum, characteristics of, 862
Fever, infantile remittent, 789
general treatment of, and diet in, 92
inflammatory or synochal, 94
nervous, slow, or typhus, 96
putrid or pestilential (malignant ty-
phus), 115
jail, camp, petechial (contagious ty-
phus), 117
intermittent, ague, 119
simple and double quotidian, sim-
ple and double tertian, and sim-
ple quartan, 124
annual, 124
thirst, attendant in the fits of 125
time of day of the attacks of, 125
after-effects of dropsical swellings
of the feet and belly, and pro-
tracted debility after, 131
inveterate chronic cases of, 131
from abuse of Cºnchorza, 132
bilious or gastric, 132
predisposing and exciting causes
and symptoms of, 132
chronic, 141
slow symptomatic, 142
slow nervous (chronic), 144
hectic, 144
ERUPTIVE —scarlet, 149
1014
INDEX.
Fever, scarlet, complicated forms of, 150
miliary, 176
remarks on, and accessory measures
in, 177
check of the eruption, and diet
and regimen in, 177
WITH COLD (catarrhal fever), 333
stage of feverish cold, 335
brain, 415
eruptive, deafness from. 509
nervous, deafness from, 509
spotted, cerebro-spinal meningitis, 538
inflammatory or ardent, of INDIA (see
Ardent), 599
typhoid or congestive, of the cold season
of INDIA (see Typhoid), 600
yellow (see Yellow), 601
BILIOUS REM ITT ENT, of HOT CLIMATES,
609
endemic, of Batavia, 610
endemic and epidemic, and climatorial
or accidental of the western coast of
Africa, 61.3, 6 lº
MARSH-REMITTENT OF INDIA (see Marsh),
6 || 9
after delivery (Milk fever), 727
Feverish cold (catarrhal fever, &c.), 335
or first stage of hooping-cough, 360
Fevers, general consideration of, 91.
intermittent—agues, 119
Fish, poisonous, treatment against, 678
First or feverish stage of hooping-cough, 360
or incipient stage of croup, 697
period or stage of the simple form of
Sc Ror ULA, 582
Fissured and swollen tongue, 29
Fistula lachrymalis, 488
Fits, hysteric, predisposition to, 696
preventive and eradicative treatment
of 696
treatment of the actual, 696
epileptic (see Epilepsy), 560
hysteric, during pregnancy, treatment
and diet. &c., 707
Flatulence, acidity, &c., of infants, 756
Flatulency (wind in the stomach and intes-
times), indications afforded by, 26
treatment of (as a specific derangement),
226
precautions to be observed by those who
are subject to, 226
diet and regimen for, 226
Flatulent distension of the stomach and
bowels of infants, 757
Flesh, loss or unhealthy increase of 53
general loss of (see Atrophy), 793
Flooding (see Excessive Menstruation), 686
with miscarriage (see Miscarriage), 718
after labor (see Labor), 722
Florid, red complexion, and its indications,
5
Flour as an external application, 69
Fluid, watery, accumulation of in the knee,
482
Flush of blood to the head, 401
Fluttering of the heart, palpitation, 525
Flux, monthly, of females (see Menstrua-
tion), 684
Food and drink, precautions respecting, for
the prevention of disease, 80
respecting, for the eradication
of disease, 86
allowed and prohibited, 89, 90
excess of, which causes vomiting,
234
during cholera, 284
in tropical climates, 589
Food of the infant at the period of weaning,
749
Form of the medicines, globules, tinctures,
and triturations, 60
Foul taste, 47
Foulness of the stomach, which causes vom-
iting, 234
Fractures in general, 651
Frequent pulse, description of, 13
breathing, do., 22
Fresh-water bath, 71
Fright, diarrhoea of infants caused by, 762
fainting caused by, 547
general treatment of (see Mental Emo-
tions), 678
Frost (see Frozen), ill-effects of being exposed
to, 43 |
Frozen limbs, 431
apparent death from being, and treat-
ment of, 665
Full pulse, description of 13
Fulness of blood before labor, 719
Function of breathing, its variations, and
the indications thereby afforded, 21
of digestion, and the indications which
they afford, 24
Functional or organic derangement of the
mucous membrane or nerves of the stom-
ach, 196
|Furred, thickly, or coated tongue, 29
and slimy tongue, 29
Furrowed and swollen tongue, 29
Gall-bladder and ducts, affections of the, of
hot climates, 631
Galling, excoriations, &c., of children, 770
Gangrenous, ulcerated, putrid, or malignant
sore throat, 189
Gaol fever (contagious typhus), 115
Gastric or bilious fever, 132
predisposing or exciting causes of,
132
symptoms of, 132
Gelseminum sempervirens, characteristics of,
864
General inferences deducible from the pulse,
13
regulations respecting diet and regimen,
55
respecting clothing and habits, 55
for the treatment of disease, 91
consideration of fevers, 91
treatment of fever, 92
INDEX.
1015
General causes of chronic fevers, 141
derangement of the system, 460
precautions to he observed by Europeans
in tropical climates, 589
habits in tropical climates, 592
observations on pregnancy, 700
management after delivery, 721
Giddiness, general article on the treatment
of, 401
occasioned by disordered stomach, 408
Glands, swelling of the, after scarlet fever,
155
swelling of the, after small-pox, 174
conglobate, diseases of the (abscess), 433
scrofulous enlargement, hardening, and
ulceration of the, 436
ulceration of the, removal of the scars
left by, 437
of the neck, enlargement of the (goitre),
528
lymphatic, affected by scrofula, 585
Glassy, dry, red tongue, 29
Globules, remarks respecting, 60
Glonoine, characteristics of, 865
Goitre, 523
Gout, predisposing and exciting causes and
symptoms of, 460
tendencies of, 460
treatment of chronic cases, intermediary
and Ett ADICATIVE, 461
wandering, 462
knotty enlargement of joints in, 462
contraction of limbs and joints by, 463
of persons exposed to work in water, 463
sudden transition of, to superior organs,
463
diet and regimen for, 464
in the hip—simple and suppurative, 478
Gouty enlargements of joints, 462
contractions of limbs, and joints, 463
Graphites, characteristics of, 866
Gravel, inflammation of the kidneys asso-
ciated with (stone), 320
inflammation of the bladder associated
with, 323
Green-sickness, predisposing causes and
treatment of 681
Grief (see Mental Emotions), 678
Griping, tenderness, distension, and continu-
ous pain in the belly, in typhus, 102
Grippe (see Influenza), 369
Groaning, yawning, sneezing, &c., and their
indications, 53
Groin, rupture of the, of infants, 745
Gumboil, 518
Gums, bleeding of the, 518
Gunshot wounds, definition of, 649
external and constitutional treatment
of, 649
Habitation, choice of, for health, 82
Habits, general, and method of living of the
patient, 8
and clothing, general regulations
for, 57
Habits, general, of living for the prevention
of disease, 81
of regularity for the eradication of
chronic diseases, 86
irregularities of, &c., as a cause of
SC ROFU LA, 585
general in tropical climates, 592
during pregnancy, 703
Habitual costiveness of infants, 760
Hacking and painful cough, 48
Haemoptysis (see Spitting of Blood), 395
IIaemorrhoids (see Piles), 247
Half-sight, indications afforded by, 47
Hair, falling off of the, after labor, 735
Hands, warts on the, 50l
Hanging, apparent death from, 663
down of the belly, after labor, 734
Hard pulse, description of 13
cancerous tumor on the lips, 499
Hardening and enlargement, chronic of the
spleen, 304
Hardness of hearing, nervous, or from deter-
mination of blood, 507
from cold (catarrhal or rheumatic), from
suppression of a chronic eruption, or
from eruptive fevers, 508
from abuse of mercury, from enlarge-
ment of the tonsils, or from nervous
fewers, &c., 509, 510
Head, back of the, pains in, 41
fore part, do., 41
determination of blood to the, with con-
stipation, 247
Co LD in the, 345
suppre-sion of, its ill-effects, 347
aching pain in the, caused by suppressed
cold in the 347
cold in the, constitutional susceptibility
to, 348
determination of blood to the, general
article on. 401
from loss of blood, 404
which has been treated by periodi-
cal bleeding, 405
from external injuries, 405
violent chill in the, brain fever from a,
420
swelling of the, of infants, 743
cold in the, of infants, 754
dropsy of the (see Dropsy of the Brain),
780-785
HEAD ACHE, from suppressed cold in th
head, 347 -
general article on the treatment of 549
diet, &c., and accessory measures for, 556
Health, method of investigating the state
of, 1
standard of the pulse in, 12
state of the breath in, 21
Healthy condition of the urine, 18
of the breath, 21
or natural appetite, 27
transpiration from the skin, 49
Hearing, dulness, or over-acuteness of, 47
hardness of, deafness, 507
1016
INDEX.
Heart, palpitation of the, 12
diseases of the, incidental to disordered
digestion, 198, 525
when chiefly implicated in rheumatism,
471
palpitation of the, general article on the
treatment of, 525
Heartburn, 234
Heat, sensations of 42
actual incre use of 42
in the anterior part of the stomach, in
the hands, fugitive, &c., 43
with chills or sweating, in agues, 123, 124
with redness, swelling and tingling of
the skin (erysipelas), 424
of the feet, sleeplessness from, 530
variations of, as a cause of ScroFULA,
586
in tropical climates, 589
prickly in tropical climates, 594
exposure to, 658
spots of children, causes and treatment
of, 771
Hectic fever, 146
Helleborus niger, characteristics of, 867
Hemorrhage from the womb during miscar-
riage, 718
during or after labor, 722
Hepar sulphuris calcareum, characteristics
of, 868 -
Hepatic dysentery (see Dysentery)
mates, 595-598
HEREDITARY disease, or debility, eradication
of 83–88
ScroFULA, characteristics of, 585
Hernia, or rupture, 542
characteristics and varieties of, general
symptoms, issue, and results, 543
mechanical treatment of, 544
medicinal treatment of 545
neglected and serious cases, 546
Herpetic, or vesicular ringworm, 448
Hiccough of infants, 754
Hiccup, or hiccough, 36, 754
Hip, pain, rheumatism, or gout in the, 478
disease, 479
premonition, progress, results, age
and sex, and causes (predisposing
and exciting) of, 479
treatment and diet for, 480, 481
History, progress, &c., of Schof U Lous dis-
ease, 582
of plague, 607
of leprosy, 622
Hives, nettle-rash of infants and children,
771
Hoarseness, 343
chronic, 344
Homoeopathic diet and regimen, general regu-
lations for, 55
medicines, rules for the preservation,
&c., of, 65
method of treatment.especially applica-
ble to the prevention of acute, and
eradication of chronic diseases, 78
of hot cli-
Homoeopathic treatment, rules for diet under,
synopsis of the, 89
medicines referred to in this work, char-
acteristic effects, &c., of 807
Homoeopathy, applicable to the prevention
and eradication of disease, 78
Hooping-cough, 359
first, or febrile stage of 360
second, or convulsive stage of 362
third, or nervous stage of, 364
obstinate, inveterate cases of 364
Hordeolum, stye, 496
Hot, fresh-water bath, 71
stage of intermittent fevers, 120
season of INDIA, and inflammatory fever
of the, 599
Housemaid’s knee, 482
Humid scall, 443
moist, or pituitous asthma, 566
Humming, or buzzing in the ears, 505
Hunger, apparent death from, 662
Hydrocephalus, water in the head, dropsy of
the brain (see Brain), 780–785
Hydrophobia, definition and symptoms of
the first, second, and third stages of,
667
general causes of, 668
preventive, accessory, and medicinal
treatment against, 669
general treatment of the attack of, 670
Hyoscyamus niger, characteristics of, 869
Hypochondriacal affections, resulting from
disordered digestion, 219
Hysterical affections, induced by disordered
digestion, 219
and nervous females, palpitation of the
heart of 525
persons, sleeplessness of, 535
Hysterics, predisposition to and fits of 696
preventive and eradicative treatment of,
696
treatment of the fits or attacks of, 697
accessory measures for, 700
fits and fainting during PREGNANCY, 707
Ignatia amara, characteristics of, 871
Ill effects of the abuse of mercury on the
nose, 514
of excess of spirituous liquors on the
nose, 514
of abuse of cantharides in blisters, &c.,
320
of abuse of cinchona in agues, 132
of suppressed cold in the head, 347
of periodical bleeding, for determination
of blood to the head, 405
of abuse of mercury on the sight, 491
on the ears, 506
of suppressed discharge from the ears,
507
on the hearing, by the abuse of mer-
cury, 509
Immediate treatment of poisoning with
mineral substances, and with arsenic
especially, 674
INDEX,
1017
Immediate treatment of poisoning with ox-
alic acid, 675 .
treatment of poisoning with lead, verdi-
gris, and corrosive sublimate, 675
treatment of poisoning with vegetable
and narcotic substances, 676
treatment of poisoning with mushrooms,
animal poisons, mussels, and poison-
ous fish, 677, 678
treatment of poisoning with prussic acid,
677
Imperfect evolution of erysipelas, 427
Inactivity of the bowels, causing constipa-
tion, 245
Incipient stage of hydrophobia, 667
cholerine, 286
or first stage of croup, 366
symptoms of whitlow, 444
biliary derangements in hot climates,
treatment and symptoms of, and diet,
&c., for, 5.93
Incised wounds, 641
Incontinence of urine of young children, 768
precautions against and treatinent of,
769
of urine after delivery (see Labor), 723
Increase, unnatural, of heat, 42
unhealthy, of flesh, 53
of saliva in the mouth, 53
Incubus, nightinare, 532
Indented tongue, 29
India, hot and dry. wet and rainy, and cold
seasons of, 589
cholera in, precautions against, 598
inflammatory or ardent fever of (see
Ardent), 599
typhoid, or congestive fever of the cold
season of (see Typhoid), 600
MARS H-REM ITTENT fever of (see Marsh),
619
Indications and effects, ch ARACTERISTIC, of
the medicines referred to in this work,
807
afforded by the particular causes and
conditions of epilepsy, 561
by variation of the PULSE, 11, 14
by varieties of URINE, 18, 19
by variations of the breathing, 21
by the digestive functions, 24
by the evacuations, 25
by flatulency, 26
by nausea and vomiting, 26
by the appetite and thirst, 27, 28
by the Tox GUE, 29
by the brain, senses, nerves, and
sensations, 29
by fainting, delirium, loss of con-
sciousness, &c., 30
by motion, rest, &c., 32
by the sensations of pain, discom-
fort, anxiety, &c., 37, 42
by the organs of sense, the eye, 45
by the sight, hearing, taste, and
smell, 46, 47, 48
by coug Hs, 48
Indications afforded by the sweat, &c., 49
by the complexion, 51
by the sounds of the chest on per-
cussion, 51
by the voice and speech, 52
by tearfulness and laughter, 52
by loss or unhealthy increase of
flesh, 53
by sneezing, yawning, groaning,
&c., 53
by the saliva, 53
by the expectoration, 54
by the particular causes, in apo-
plexy, 410, 411, 413
Indigestion, 196
predisposing and exciting causes of, 196
sympathetic derangement of other or-
gans with, 198
Individual characteristics, 7
Induration of the liver, of hot climates, and
treatinent of 631
Induration and enlargement, chronic, of the
spleen, 304
Inertness, muscular, of the bowels, causing
constipation, 245
Infancy, diseases of, 753
Infant, disinclunation of the, to suckle, 736
precautionary treatment of the, in case
of weaning, 748
food of the, do., d.o., 749
Infants not suckled by the mother (see Mo-
thers), 740
and children, treatment of 742
stillborn, 742
swelling of the head of, 743
navel-rupture of, mechanical and medi-
cinal treatment of, 744
rupture of the groin of, 745
expulsion of the meconium of, 745.
suckling of 746
choice of nurse for, 746
diet during the nursing of, 747
supplementary diet of 748
duration of suckling, 749
weaning of 749
food of the, during, 749
sleep, sleeplessness of, 750
exercise of, 752
retarded strength of the limbs of, 753
inflammation of the eyes of 75.3
crying, wakefulness and colic of, 755
bowel complaints of, 762
jaundice of 771
convulsions of (see Convulsions), 775
temperature of the bath for, 73
Infantile remittent fever, characteristics,
premonitory symptoms, confirmed symp-
toms, issue and results of 789
Inferences in general deducible from the
pulse, 11
Inflammation of the windpipe after measles,
of the ears after measles, 166
of the upper part of the windpipe, after
small-pox, 173
65
1018
INDEX.
Inflammation, acute, of the liver, 295
suppurative. of the liver, 298
chronic, of the liver, 298
of the spleen, 302
of the stomach, 305
subacute or chronic of the lining mem-
brane of the stomach, 308
of the bowels, acute, subacute,
chronic, 309
chronic of the bowels, 313
of the bowels, associated with worms,
3 5
of the peritoneum, or membrane which
lines the cavity of the belly, &c., 316
of the peritoneum, caused by external
injury, local and constitutional treat-
ment of 317
of the kidneys, symptoms, causes, and
treatment of, 318
of the kidneys, occasioned by external
or mechanical injuries, 319
chronic, of the kidneys, 320
suppurative, of the kidneys, 320
or irritation of the kidneys, induced by
the use of cantharides in blisters, &c.,
32(,
of the kidneys associated with stone,
320
of the bladder, 321
chronic of the bladder, 323
of the bladder, associated with stone or
gravel, 323
suppurative of the bladder, 323
acute, of the upper part of the windpipe,
340 -
chronic, of the upper part of the wind-
pipe, 342
of the upper part of the windpipe, after-
effects of, 343
of the eyes, after influenza, 373
acute, of the Inucous membrane of the
bronchial tubes, 377
acute, insidious, do., do., 377
acute of do , do., in children, 378
chronic, of the bronchial tubes, 383
of the lungs, 388
exciting and predisposing causes
of 388
uncomplicated
cases of, 388
issue and results of, 389
of the pleura, 392
bastard or spurious, 394
of the brain and its tissues, 415
characteristics, results, and causes
of, 4 l 5, 4 l 7
from check of an eruption, 419
from sunstroke, 419
from violent chill in the head, 420
from suppressed discharge from the
ear, 420
from external injuries, and ardent
spirits, 420
from mental application, 420
protracted, or chronic cases of, 421
and
and complicated
Inflammation, after-effects of, 421
of the skin, with redness, heat, swelling,
and tingling (Erysipelas), 424
of the psoas muscle, symptoms,
and treatment of, 474
suppurative, of the psoas muscle, 475
of the synovial membrane of the knee,
481
acute, of the eyes, and causes of, 484
chronic, and scrofulous of the eyes, 486
of the eyes, from external injury, 487
acute, of the eyelids, 493
chronic, of the eyelids, 495
scrofulous, of the eyelids, 496
of the ears, 502
of the tongue, 519
acute, of the spinal cord and its mem-
branes, 533
acute, of the spinal cord, general symp-
toms, causes, and varieties of 533
chronic, of the spinal cord, 534
chronic, of the liver, of hot climates,
631 -
of the breasts, 738
of the eyes of infants, 753
Inflammatory pains and their peculiarities,
g
issue,
or synochal fever, 94
typhus fever, 104
or active form of acute dropsy of the
brain, 781
jaundice, 301
stage of croup, 366
fever of IND IA (see Ardent), 599
Influences of the atmosphere and of locality,9
Influenza, 369
incipient stage of 370
inflammatory stage of 370
neglected or protracted cases of, 373
after-effects of, 374
spasmodic cough, tendency to pulmo-
nary consumption, inflammation of
the eyes, &c., after, 374
Injuries, external, which cause vomiting,
external, causing inflammation of the
peritoneum, 317
mechanical, causing
the kidneys, 3.9
external, causing determination of blood
to the head, 405
external, causing brain fever, 420
external, inflammation of the eyes, from,
487
external, nerve pain in the face from,
523
inflammation of
external, inflammation of the spinal
marrow from, 492
Injury, degree of the, in a wound, 641
Insects, stings of, il,ternal and external
treatment of, 659
in the mouth, 659
Insidious form of acute dropsy in the brain,
78.1
variety of bronchitis, 378
INDEX.
1019
Intermittent pulse, description of, 13
pain, and what it indicates, 37
fever or ague, 119
Intermittent fevers, cold or congestive, hot
and sweating stages of 119
causes of, l 19
method of treatment peculiar to, 122
medicines especially adapted to differ-
ent forms of 122
of spring, summer, and hot climates,
123
with three distinct stages, 123
with two distinct stages, only, 123
with heat and sweating, chills and
sweating, lethargic drowsiness, apo-
plectic or paralytic symptoms, or
fainting fits, 123 .
simple and double quotidian, simple
and double tertian, and simple quar-
tam, 124
annual, 124
thirst attendant on the fits of 125
time of the day of the attacks of 125
after-effects of—dropsical swellings of
the feet and belly, protracted debility,
&c., after, 131
inveterate, chronic cases of, especially
in persons of unhealthy habit of body,
chronic cases, degenerating from excess
of Cºzzchowta, 132
Intermittent type assumed by other diseases,
132 -
Internal remedies, remarks respecting, and
doses of, 60
Intestine, protrusion of the, 252
Intestines, wind in the (flatulency), indica-
tions afforded by, 26
Intractable and obstinate cases of whooping-
cough, 364
Introductory remarks respecting the treat-
ment of infants and children, 742
Introduction, 1
Inverinimation, 324
symptoms, exciting and predisposing
causes, and results or complications
of 324, 325
with threadworms, treatment of 326
with threadworms, palliative measures
for, 328
with round worms, 328
with tapeworms, 331
chronic, 332
diet and regimen for, 332
Investigating the condition of the patient,
method of, and of distinguishing a state
of health from disease, 1
Investigation, general, of the patient, 1
of disease, 9
of the urine, time and method of, 19
of disease, generalities regarding the,48
Inveterate chronic cases of ague, in un-
healthy subjects, 131
cases of scrofulous enlargement and
ulceration of the glands, 437
Inveterate cases of irritation, &c., of the
skin, 446
Involuntary (paralytic) discharge from the
bowels, 25
Ipecacuanha, characteristics of, 872
Irregularities of the lochial discharge, 731
Irritable and nervous persons, sleeplessness
of from nervous excitement, 530
Irritability of the stomach, which causes
vomiting, 234
Irritation of the mucous membrane of the
stomach, symptoms exhibited by, 202
of the nerves of the stounach, do., do.,
204
of the brain, caused by worms, 332
and itching of the skin, 446
Itch, 440
Itching, sensations of, and their indications,
or irritation of the skin, 446
Jail fever, 117
Jaundice, symptoms and causes of, 300
inflammatory, 30 l
obstinate cases of 301
of infants, causes and treatment of 771
Jaw, locked (tetanus), 421
Jelly-like expectoration, 53
Joints, knotty enlargements or contractions
of, from gout, 462
rheumatism of the, 465
synovial membranes and bones of, af-
fected by ScroFULA, 584
Joy, excess of (see Mental Emotions), 678
Kali carbonicum, characteristics of, 873
Kidneys, inflammation of the, 318
inflammation of the, caused by me-
chanical injuries, 319
chronic inflammation of the, 320
irritation or inflammation of the, in-
duced by cantharides in blisters, &c.,
320 -
suppurative inflammation of the, 320
inflammation of the, associated with
stone, 320
Knee, affections of the, 481
inflammation of the synovial ſhembrane
of the, 48l
scrofulous enlargement of the, 482
enlargement and suppuration of the, 482
accumulation of watery fluid in the, 482
housemaid’s, 482
Knotty enlargements of joints from gout, 462
Labor, treatment before, 718
preparation of the breasts before, 718
preparation for, 7.19
fulness of blood before, 719
state of the bowels before, 719
false-pains before, 720
treatment after (delivery), 720
restlessness after, 720
general management and diet after, 721
after-pains following, 721
1020
INDEX.
Labor, flooding after, 722
retention and incontinence of urine
after, 723
duration of confinement after, 724
disease following, 724
suppressed secretion of milk after, 724
excessive secretion of milk after, 725
suppression and excess of perspiration
after, 726
milk-fever after, causes and treatment
of 727
childbed fever after, characteristics,
causes, issue and results of 728
treatment and diet for, 729—73 l
irregularities of the lochial discharge
after, and causes of 731
excessive lochial discharge after, 731
suppressed lochial discharge after, 732
offensive lochial discharge after, 733
diarrhoea after, 733
pendulous state of the belly (abdominal
deformity) after, 734
falling off of the hair after, and eauses
of 735
weakness after, 735
Lacerated wounds, 644
local and constitutional treatment of,
644
Lachesis, characteristics of, 875
Lachrymal sac, obstruction or fistula of the,
488
fistula, 488
Languid expression, indications afforded by
a, 46
Large pulse, description of, 13
Laryngeal diphtheria, 801
Larynx, inflammation of the (see Windpipe),
340
chronic inflammation of the, 342
after-effects of inflammation of the,
343
Laughter and tearfulness, and their indica-
tions, 52
Lax, lymphatic, or mucous constitution, 2
Lead, vapor of, causing constipation, 246
paralysis, 545
delirium tremens caused by, 559
poisoning with, immediate and after-
treatment of, 675
Ledum palustre, characteristics of, 878
Legs, cramp in the, 527
Leprosy, history of, 622
varieties of, age and sex susceptible to,
and general characteristics of, 622,
624
general causes and treatment of 625
Lethargic drowsiness in ague fits, 123
Leucorrhoea—the whites, 693
Levantime plague (see Plague), 607
Liability to disease of the skin, constitu-
tional (psoric habit), 3
of a patient to particular affections, 8
to take cold, 336
to cold in the head, 348
to erysipelas in the face, 427
Life, change or turn of (in females), treat-
ment of, 692
Lightning, apparent death from, 663
Limbs, frozen. 431
contractions of from gout, 463
retarded strength of the, of infants, 753
Lining membrane of the eyelids, inflamma-
tion of the, 493
Lips, scrofulous swelling of the, 498
hard caneerous tumor and ulceration of
the, 499
cancerous ulceration of the, 499
Liquors, spirituous, swelling of the nose from
abuse of, 5 14
Liver complaint, 295
acute inflammation of the, 295
suppurative inflammation (abscess) of
the, 298
chronic inflammation of the, 299
ABScEss of The, in tropical climates,
($27
chronic affections of the, of hot climates,
631
Livid spots in the complexion, 52
and blue complexion, 52
Living, method of, and habits, 8
habit of, for the prevention of disease,
81
Lobelia inflata, characteristics of 879
Local and atmospheric influences, 9
treatment of inflammation of the peri-
toneum, caused by external injuries,
317
treatment of earbuncle, 429
chilblains, 430
acute abscess, 434
chronic abscess, 435
whitlows, 446
ringworm of the scalp, 453
applications to incised wounds, 641,
treatment of lacerated wounds, 644
contused wounds or bruises, 644
punctured wounds, 648
gunshot wounds, splinters, &c., 649
dislocations, 650
burns or scalds, 652
thrush, 760
application against hydrophobia, 669
Localities, healthy and unhealthy, in trop-
ical climates, 593
Lochial discharge, irregularities of the, 731
excessive discharge, 731
suppressed discharge, 732
offensive discharge, 733
Lock jaw (tetanus), 421
Loins and back, persistent pain in the, 37
pains in the, general article on the treat-
ment of, 473
pains in the, and back, during preg-
nancy, 712
Long and deep breath, 22
Long-standing eruptions, suppression of, dis-
charge from the ears caused by, 506
watching, fatigue from, 659
INDEX.
1021
Looseness of the bowels, with griping, &c.,
in typhus, 102
after measles, 166
after small-pox. 174
alternating with costiveness, 247
general article on the treatment of, 260
with constitutional debility, 264
from abuse of aperients, &c., 265
diet for, 266
during PREGNANCY, 707
Loss of consciousness, delirium, fainting,
and their indications, 30
of muscular power (paralysis), 35
absence, or want of taste, 47
of voice, and its indications, 52
of the power of speech, 52
or unhealthy increase of flesh, 53
copious, of blood with piles, 250
or roughness of the voice (hoarseness),
general article on the treatment of,
343
or roughness of voice, chronic, 344
of blood, causing rush of blood to the
head, 404
of animal fluids, near-sight after, 491
paralysis from, 540
of blood, &c., palpitation of the heart
from, 525
of flesh, general (see Atrophy), 793
Lotions, medicated, for ulcers or sores, 458
Lumbago, 473
Lumbar abscess, 475
Lungs, affections of the, incidental to dis-
ordered digestion, 198
tendency to consumptive disease of the,
after influenza, 374
inflammation of the, predisposing and
exciting causes of, 388
inflammation of the, uncomplicated and
complicated cases of, 388
inflammation of the, issue and results
of, 389
treatment for, 389–392
membrane investing the, inflammation
of the (pleurisy), 292
discharge of blood from the, 395
affected by scroFULA (tubercles in the),
585
Luxations or dislocations, 649
Lycopodium, characteristics of 879
Lying-in women, looseness of the bowels of,
3:
Lymphatic, lax, or mucous constitution, 2
tumors (abscess), 433
glands affected by scroFULA, 585
Mad dog, bite of a (see IIydrophobia), 667
Malignant typhus (putrid or pestilential
fever), 1 15
diphtheria, 801
scarlatina or Scarlet fever, 150
ulcerated or gangrenous sore throat, 189
Asiatic or epidemic cholera, 276
Mammae, inflamination of the, 738
Management and preservation of the homoe-
opathic medicines, rules for the, 65
precautionary for those who are apt to
take colºſ, 336
general, of the patient during a fainting
fit, 547
after delivery, 721
and precautions, general, against, rick-
ets, 787
Mania-a-potu, delirium tremens, 557
causes and premonitory symptoms of,557
symptoms of a confirmed attack of, 557
treatment of a slight attack of 558
of a confirmed attack of, 558
occasioned by vapor of lead, 559
Marasmus of children, 795
diet and regimen for, 797
Margins of the eyelids, inflammation of
the, 496
Marrow, spinal, inflammation of the, from
external injuries, 533
Marshall Hall's method, in drowning, 664
Marsh-intermittent fevers, 1 19
remittent fever of INDIA, characteris-
tics and premonitory symptoms of, 619
Matter, discharge of, from the ears, 506
offensive, from the ears, 506
putrefied, wounds poisoned with, 671
Matter-like expectoration, 53
Means, mechanical, for the reduction of
rupture, 544
Measles, 162
check of the eruption of, 165
after-effects of, 166
cough, inflammation of the windpipe,
looseness of the bowels, &c., after, 166
inflammation of, or discharge from the
ears, mumps, tenderness of the skin,
eruptions on the skin, &c., &c., after,
166
preservative treatment during the prev-
alence of 167
Mechanical injuries, causing inflammation
of the kidneys, 319
means, for the reduction of rupture, 544
for the treatment or dressing of
incised wounds, 642
measures, for the treatment of frac-
tures, 651
in cases of suspended animation of
infants, 742
treatment of navel rupture of infants, 744
against rickets, 788
Meconium, expulsion of the, 745
Medicated lotions for ulcers or sores, 458
Medicinal preventive resources, against
prevalent diseases, 82
eradicative resources, 87
treatment, of those who are apt to take
cold, 336
of rupture, 544
of fractures local and constitu-
tional, 652
preventive measures against hydropho-
bia, 669
INDEX,
Medicines, selection, administration, and
repetition of the, 57
internal, remarks, &c., respecting, and
doses of, 60
*
which are particularly effective after
certain others, 63
when they should be taken, 65
indispensable rules for the preservation
of 65
used for external application, and how,
66
administration and repetition of the,
systematic table illustrative of the, 73
PREVENTIVE, 82
ERADICATIVE, 87, 88
preventive, during the prevalence of
typhus, 118
during the prevalence of cholera,
285
for those who are apt to take cold,
referred to in this work, characteristic
effects, &c., of 807
prescribed in this work, table of the,
other names by which they are known,
and abbreviations of, xiv.
Melancholic temperament, 5
Meningitis, cerebro-spinal, spotted fever, 538
Menorrhagia, excessive menstruation, 686
Menses (see Menstruation), 684
Menstrual or monthly discharge, or flux of
females, suppression of the (see Menstru-
ation), 684
Menstruation, suppression of, 684
excessive, 686
painful and difficult, 688
final cessation of (change, or turn of
life), 692
Mental emotions, affecting the milk, 740
application, excessive, causing brain-
fever, 421 -
emotions, causing sleeplessness, 530
fainting from, 548
application, excessive, causes fainting,
548
or corporeal fatigue, 656
from long watching, 657
emotions, general treatment of 678
during PREGNANCY, 703
causing miscarriage, 717
causing milk-ſever, 727
Mercurius corrosivus, characteristics of 882
solubilis, characteristics of, 881
Mercury, abuse of, near-sight after, 491
causing bloody discharge from
ears, 506
offensive breath from, 521
nerve-pain in the face from, 521
Method of investigating the patient, and of
distinguishing between health and
disease, 1
of living, of the patient, 8
of investigating the urine, 19
of treatment peculiarly adapted to in-
termittent fevers, 122
the
Miliary fever, 176
check of the eruption, and diet, &c., in
177
remarks on, and accessory measures in,
177
Milk-fever, 727
Milk, suppressed secretion of, after delivery,
724
excessive secretion of, after delivery,
725
mental emotions, affecting the, 740
deficiency, or suppression of the, 740
regurgitation of, acidity, &c., of infants,
756
scab, milk-crust, milk-blotches, 757
Mind, employment of the, during pregnancy,
703
Mineral poisons, treatment of 674
acids, treatment of poisoning with, 676
Miscarriage, peculiarities, issue and results,
exciting and predisposing causes, and
general incipient symptoms of, 713
predisposition to, treatment of the,
7 || 4
the actual attack of, treatment of 715
induced by mental emotions, 717
accessory measures, precautions against,
and diet, &c., for the predisposition
to, &c., 7 | 7
flooding during, 718 -
Mischievous effects of abuse of cantharides
in blisters, &c., 837
Moaning or sighing breath described, 22
Modification of climate, and attention re-
quired thereto, 71
Modified small-pox, 173
Monthly flux, or periodical discharge of
females, suppression of the, 684
discharge of females, excessive. 686
Morbus coxarius (see Hip Disease). 479
Morning, offensive breath in the, 521
sickness of drunkards, 559
during pregnancy, treatment and
diet for, 705
Moschus, characteristics of 883
Mosquitoes, stings of, 659
Mother, precautionary treatment of the, in
cases of sudden weaning, 740
Mothers not suckling their infants, treat-
ment of and accessory measures and diet
for, 740
Motion, or muscular action, rest, and their
indications, 32
Mouth, canker or scurvy in the, 515
wounds in the, 642
stings of insects in the, 659
Mucous, lax, or lymphatic constitution, 2
membrane of the stomach, disturbance
of the 202
of the stomach, symptoms exhibited
by irritation of the, 202
of the stomach, subacute or chronic
inflammation of the, 305, 308
of the bronchial tubes, inflamma-
tion of the, 377
INDEX.
1023
Mucous membrane of the eyelids, inflam-
mation of the, 496
discharge from the ears, 506
membrane affected by scroFULA, 584
Mucus, piles with discharge of, 251
Mumps after scarlet fever, 156
after measles, 166
in general, as a distinct disease, 193
resulting from other diseases, 195
accessory measures for, 195
Muscles of the face, paralysis of the, 540
Muscular action or motion, rest, and their
indications, 32
power, loss of (Paralysis), 35
inertness of the bowels, causing consti-
pation, 245
Mushrooms, poisonous, treatment against,
6
Mussels, treatment of poisoning with, 678
Narcotic and vegetable poisons, treatment
against, 676
Natrum carbonicum, characteristics of 883
muriaticum, characteristics of 884
Natural or healthy appetite, 27
Nature of disease, determination of the, 1
Nausea and vomiting, and their indications,
26
resulting from derangements of diges-
tion, 217
Navel rupture of infants (see Infants), 744
Near-sight, near-sightedness (see Short-
sightedness), 49 |
Neck, enlargement of the, Derbyshire neck,
goitre, 528
Nerve-pain in the face, 521
Nerves, brain, sensations, senses, and their
indications, 29
of the stomach, disturbance of the, 204
of the stomach, general symptoms ex-
hibited by irritation of the, 218
Nervous constitution, 2
pains, and their peculiarities, 37
slow or typhus fever, 96
slow fever (chronic), 144
or putrid type of scarlet rash, 161
system, sympathetic derangement of the,
incidental to disordered digestion, 218
COUGHS, 358
or third stage of hooping-cough, 364
or rheumatic earache, 504
deafness, 507
and hysterical females, palpitation of
heart of 525
excitement, sleeplessness from, of irri-
table persons, 530
dry or convulsive asthma, 566
º shock to the, from an accident,
Nettle-rash, characteristics, causes, premoni-
tory symptoms and treatment of, 437
check of the eruption of, treatment for,
439
chronic cases and diet for, 439
of infants, hives, 771
Neuralgia in the face (tic douloureux), 521
New-born children, crying, wakefulness, and
colic of 755
Nightmare, 532
Nipples, soreness of the (excoriation), an
obstacle to suckling, 736
soreness of, precautions and accessory
measures against, 736
Noisy breathing or respiration, 22
Nose, offensive discharge from the, after
scarlet fever, 154
soreness of the, after scarlet fever, 154
bleeding of the, 510
indications afforded by the cause,
for the treatment of, 510
susceptibility to, 512 .
accessory measures and diet, &c.,
for, 513
swelling and other affections of the, 514
ulceration of the bones of the, 515
affected by scrofu LA, 584
Numbness and deadness of particular parts,
42
Nurse, choice of a, 746
Nursing, diet during, 747
Nux moschata, characteristics of, 886
votnica, characteristics of, 886
Obscuration of the sight, 47
Observations, general, on pregnancy, 700
Obstacles to suckling, disinclination of the
infant, soreness of the nipples. &c., 736
Occupations, &c., employment of the mind
during pregnancy, 703
Offensive breath, 21, 52 l
discharge from the nose after scarlet
fever, 154
discharge of matter from the ears, 506
lochial discharge, 733
Old people, constipation of, 246
Opening of the windpipe, spasm of the, in
children, 785
Ophthalmia, 484
abute, 484
chronic, 486
scrofulous, 486
consequent upon injury, 487
Opium, characteristics of 888
Oppressed breathing, or oppression at the
chest, 22
Oppression at the chest, or oppressed breath-
ing, 22
Organ or part particularly susceptible, 8
Organs of sense, and their indications, 45
connected with the digestive system, dis-
eases of, 179
connected with the respiratory system,
diseases of 333
superior, sudden transition of gout to,
463
of respiration, especially affected by
rheumatism, 470
primary, of digestion, affected by scro-
FULA, 584
Ostensible cause, vomiting without, 235
1024
INDEXe
Otalgia, earache, 504
Otorrhoea, discharge from the ears, 506
ill effects of suppression of, 507
Overheating, exposure to heat, 658
Oxalic acid, immediate treatment of poison-
ing with, 675
Pain in the chest, or painful respiration,
and what it indicates, 37
casual stitching or persistent stitching,
37
in the bowels, 37
absence or sudden suppression of 37
intermittent, and what it indicates, 37
Qemittent and what it indicates, 37
inflammatory and nervous, 37
spasmodic, partial, at the back of the
head, pressing in the forehead, in the
back and loins, in the fore part of the
stomach, stitching and pricking, &c.,
37
in the hip, 478
rheumatic or nervous, in the ear, 504
in the nerves of the face, 521
Painful and difficult menstruation, 688
evacuations, 25
breathing, pain in the chest, 22
and hacking cough, 48
Pains aching in the back (lumbago), 473
in the back and loins, during PREG-
NANCY, 7 12
false, before labor, 720
after delivery (see Labor), 721
Painters, constipation of, 246
Palliative and accessory treatinent, 64
measures for threadworms, 328
treatment of corns, 432
Pallid complexion, and what it indicates, 51
Palpitation of the heart, 525
Palsy, and what it indicates, 35
resulting from apoplexy, 415
or paralysis, general article on, 540
Panting breath, description of 22 °
Paralysis, and what it indicates, 35
resulting from apoplexy, 415
or palsy, general article on, 540
following diphtheria, 803
Paralytic symptoms attendant on agues, 124
Part or organ especially susceptible, 8
Partial pain and its indications, 37
Parturition, treatment before (see Labor),
718
diseases following (see Labor), 720
Patchy redness of the complexion, 51
Pathological causes of ScroFULA. 586 *
Patient, condition of the, method of inves:
tigating the, 1
investigation of the, in general. 1
Iiability of the, to particular affections,8
general management of the, when faint-
ing, 547
Patient’s family, antecedents of the, 5
Peculiarities of MiscARRIAGE, 713
Pendulous abdomen after delivery, 734
Percussion, sounds elicited from the chest
by, 51
Periodical bloodletting, cases of determina-
tion of blood, treated by, 405
pain in the face, face ache, face ague,
521
discharge of females, suppression of
the, 684
discharge of females, excessive, 686
discharge of females, painful and diffi-
cult, 688
Peritoneum, inflammation of the, 316
Persons of advanced age, constipation of,
246
who work in water, gout of, 463
irritable, sleeplessness of, from mervous
excitement, 5.30
hysterical or hypochondriacal, sleep-
lessness of, 530
aged, sleeplessness of, 530
Perspiration. suppressed and excessive, after
delivery, 726
Pestilential fever (putrid fever or malignant
typhus), 115
Petechial fever (contagious typhus), 115
Petroleum, characteristics of 889
Phlegm, jelly-like, transparent, matter-like,
blood-stained, stringy, sticky, &c., ex-
pectoration of, 53
Phlegmatic temperament, 5
Phosphorus, characteristics of 890
Phytolacca decandra, characteristics of, 892
Piles, 247
predisposing and exciting causes, 247,
248
with copious loss of blood, 250
with discharge of mucus, 251
Plague, Levantine, history, characteristics,
premonitory and general symptoms, re-
sults and treatment of, 607, 608
Platina, characteristics of, 893
Plethoric constitution, 2
Pleura, inflammation of the (see Pleurisy),
392
Pleurisy, ordinary and exceptional, or com-
plicated cases of, 392
bastard or spurious, characteristics of,
394
Plumbum metallicum, characteristics of,894
Pneumonia (see Inflammation of the Lungs),
388
Podophyllum peltatum, characteristics of,
895
Poisoned wounds, definition of, 671
treatment of (see Hydrophobia), 667
treatment of, from serpents, &c., 671
treatment of, from putrefied in atter,
67 I
Poisoning (see Poisons), 673
Poisonous mushrooms, 677
fish, 678
Poisons, general remarks on, 673
mineral, in mediate treatment of 674
arsenic, immediate and after-treatment
of poisoning with, 674
INDEX.
1025
Poisons, oxalic acid, immediate treatment of
poisoning with, 675
lead, immediate and after-treatment of
poisoning with, 675
verdigris and corrosive sublimate, im-
mediate treatment of poisoning with,
675
vegetable, immediate and after-treat-
ment of 676
mineral acids, poisoning with, 676
caustic alkalies, poisoning with, 676
prussic acid, immediate and after-treat-
ment of, 677
poisonous mushrooms, immediate treat-
ment for, 677
animal, immediate and after-treatment
of poisoning with, 677
mussels and poisonous fish, immediate
and after-treatment of, 678
Position of the patient during rest, and what
is thereby indicated, 33
repeated change oſ, 33
Potencies, dilutions, or attenuations, 62
Power, muscular, loss of (paralysis). 35
Precaution to insure a proper dose, 65
to be observed in bathing, 71
as to exercise, cleanliness, ventilation,
apparel, and aliments, in the preven-
tion of disease, 79, 80
as to the habits of living, drainage,
modifications of climate, choice of
habitation, &c., for the prevention of
disease, 81, 82
in toothache, 183
to be observed by those who are subject
to flatulency, 226
to be observed by those who are subject
to spasms of the stomach, 229
to be observed against dysentery, 272
general accessory, during cholera, 285
against taking cold when predisposed to
it, 336
important in acute rheumatism, 472
Precautionary treatment during the preva-
lence of typhus, 118 &
of scarlet fever, 153
of measles, 167
of dysentery, 272
of cholera, 285
management to obviate a predisposition
to taking cold, 336
measures to be observed by Europeans
in tropical climates, 589
measures, in case of weaning, 749
measures against galling, or soreness of
the skin of children, 770
Precautions to be observed against spitting
of blood, 400
against fainting, for those who are sub-
ject to it, 548
general, to be observed by Europeans
in tropical climates, 589–592
against dysentery, in hot climates,
594
general, in the case of fractures, 651
Precautions, in case of apparent death from
drowning, 664
in case of apparent death from being
frozen, 666
against Misc A RRIAGE, 717
against sore nipples, 718, 736
against wetting the bed of young chil-
dren, 768 .
general, against convulsions of children,
776
general. against rickets, 787
Predisposition to cough, 48
to sore throat, eradicative treatment of,
188
to piles, 247
to colic, 259 -
to take cold or to feverish colds, 336
to croup, eradicative measures against
the, 369
to erysipelas of the face, 427
to boils, 429
to chilblains, eradicative treatment of,
430 *
to whitlow, eradicative treatment of,
446
to styes, eradicative treatment of the,
496
to fainting, precautions against a, 548
to hysteric fits, 696
to miscarriage, treatment of the, and
precautions against, 714, 717
Pregnancy, general observations on, 700
air and exercise during, 701
clothing during, 702
diet, employment of the mind, influence
of external objects, and mental emo-
tions during, 703
derangements during, morning sickness,
&c., 705
constipation during, 706
diarrhoea during, 707
fainting and hysteric fits during, 70
toothache during, 709
urinary difficulties during. 710
swelling of the lower limbs during,
710
varicose or swelled veins during, 711
miscarriage (see Miscarriage), 713
pains in the loins during, 7 12
Preliminary remarks on the characteristic
effects and indications of the medicines,
807
Premonitory and incipient stages of typhus,
98
stages of putrid fever, or malignant ty-
phus, l 15
symptoms of vomiting of blood, 239
stage of feverish cold, or common cold,
or catarrh, 333
symptoms of apoplexy, 408
symptoms of nettle-rash, 437
symptoms of hip-disease, 479
stage of delirium tremens, 557
symptoms of asthma, 566
symptoms of dropsy of the belly, 594
1026
INDEX,
Premonitory symptoms of acute hepatic dys-
entery in hot climates, 595
of yellow fever, 602
of plague, 607
of convulsions in children, 775
of ickets, 787
of infantile remittent fever, 789
Preparation of the breasts before labor, 718
for labor, 719
Preservation, &c., of the homoeopathic medi-
cines, rules for, 65
Preservative, general, measures during the
prevalence of typhus, 118
treatment during the prevalence of
measles, 167
treatment during
small-pox, 173
treatment during the prevalence of
cholera, 285
Pressing pain in the forehead, 37
Pressure or contusion, bunions, and other
swellings from, 647
apparent death from, 663
Prevention of acute and eradication of
chronic disease, especial applicability of
homoeopathy to the, 78
PREve NT IVF and eradicative treatment, 78–
89
medicines, 82
treatment and remedies
prevalence of typhus, 118
measures during the prevalence of dys-
entery, 272
medicines during the prevalence of cho-
lera, 285
medicines for those who are apt to take
cold, 336
and eradicative measures against SCR0-
FULA, 587
treatment against yellow fever, 607
treatment of Indian marsh-remittent
fever, 6 19
the prevalence of
during the
treatment, local and medicinal, against Quinine, ague resulting from excessive doses
hydrophobia, 669
|
|
and ERA DicATIve treatment of hysterics,
|
:
Psoric constitution, 3
Puffiness and swelling of the face and ex-
tremities after scarlet fever, 155
Pulmonary consumption, tendency to, after
influenza, 374 -
Pulsatilla, characteristics of 895
Pulse, the variations of, and their indica-
tions, ll
art of feeling the, 11
healthy, its average standard, 12
general inferences deducible from the,
12
in what way it is distinctive, 12
various denominations or alterations of
the, 13
slow, quick, sluggish or stardy, hard,
soft, strong, feeble, large, small, full,
empty, unequal, and intermittent,
and what is meant by these terms, 13
indications of the disease afforded by
each of these varieties, 14
Punctured wounds, definition of, 648
external and constitutional treatment
of, 648
Purging, constipation occasioned by, 246
Pustular ringworm, 449
Putrefied matter, wounds poisoned by, 671
Putrid fever, pestilential fever, or malignant
typhus, 115
or nervous type of scarlet-rash, 161
malignant or gangrenous (ulcerated)
sore throat, 189
Quartan ague, simple, 124
Quick pulse, description of, 13
breathing, do... do., 22
Quinsy, 183, 188
suppurative, 188
malignant, ulcerative, putrid, or gan-
grenous, 189
epidemic and malignant, 189
Quotidian ague, simple and double, 124
696
Prickly-heat of hot climates, 594
Primary organs of digestion affected by Scro-
FULA, 584
Prohibited articles of diet under treatment,
89 -
Prominent or protruding eyes, indications
afforded by, 47
Proof-spirit of wine as an external applica-
tion, 70
Protruding or prominent eyes, indications
afforded by, 47
Protrusion of the intestine, 252
Prussic acid, immediate and after-treatment
of poisoning with, 677
Psoas muscle, inflammation of the, 474
issue and results, and treatment of,
suppurative inflammation of, 475
Psoriasis, 442
#
of, 132
Rabies canina, hydrophobia, 667
Rabid disease (see Hydrophobia), 667
Rash, scarlet, 159
Raw cotton, as an external application, 69
Rawness of the face, after scarlet fever, 154
Recurrence, suspension, &c., of the doses,
62
Red, dry, and glassy tongue, 29
complexion, 51 *
Redness of complexion, patchy or circum-
scribed, 51
heat, swelling and tingling of the skin
(erysipelas), 424
with swelling of the nose, 514
Reduction of rupture, mechanical means for
the, 544
Regularity, habits of, for eradicative treat-
Iment, 86 *
Regulations, general, for diet and regimen,
55
INDEX.
1027
Regulations and remarks respecting internal
remedies and doses, 60, 63
and remarks respecting external reme-
dies and applications, 66
respecting the bath, 70
general, for the treatment of disease, 91
Rugurgitation of milk, acidity, &c., of in-
fants, 756
Relaxation of the bowels during PREGNANCY,
707
of the bowels of lying-in women, 733
Relaxed sore throat, 188
Remedies and doses, remarks, &c., respect-
ing, 60, 63
external, and applications, remarks, &c.,
respecting, 66
preventive, during the prevalence of
typhus. 118
Remittent, infantile fever (see Fever), 789
pain, and what it indicates, 37
B I Lious F EVERs of hot climates, 609
endemic fever of Batavia, 610
endemic and epidemic fevers of Africa,
6.13
marsh fever of India, 619
Removal of the scars or cicatrices left by
ulcerated glands, 437
Repetition, selection and administration of
the medicines, 57
Respiration, its variations, and their indica-
tions (see Breathing), 21
painful, 22
Respiratory system, diseases of the organs
connected with the, 333
organs, when chiefly affected by rheu-
matism, 470
Rest and motion (see Muscular Action), and
their indications, 32
position during, 33
in tropical climates, 592
Restlessness, 33
after delivery, 720
Retarded strength of the limbs of infants,
753
Retention of urine of young children, 769
after delivery (see Labor), 723
Retracted or sunken eyes, indications af.
forded by, 47
Rheum palmatum, characteristics of, 898
Theumatic or catarrhal constitution, 2
fever (see rheumatism), 464
or nervous earache, 504
deafness, 508
face n che, 521
Rheumatism, acute, symptoms and charac-
teristics of 465
chronic, symptoms of, &c., 465
predisposing and exciting causes of, 465
complicated and serious cases of acute,
470
when the respiratory organs are chiefly
affected, 470
when the heart is especially implicated,
471
chronic, treatment of, 472
Rheumatism, important precaution in, 472
in the back, lumbago, 473
in the hip, 478
Rhus toxicodendron, tincture of, as an ex-
ternal application, 67
characteristics of 898
Rickets, progress, premonitory symptoms,
general symptoms, and issue and re-
sults of, 787
general precautions against, and man-
agement for, 787
mechanical measures, and medicinal
treatment for, 788
Rigidity, spasmodic, of the body, or of parts
(tetanus), 421
Rigors (chills), sensations of, 42
Ringing or buzzing in the ears, 48
Ringworm, vesicular or herpetic, 448
of the scalp, or pustular ringworm, 449
other varieties of 453
Rose, erysipelas, 424
Roughness, or loss of voice (Hoarseness), 343
Round worms, general treatment of 330
Rules indispensable for the preservation and
management of hounceopathic medi-
cines, 65
for repeating the medicines, systematic
table of, 73
Rupture, of a bloodvessel, 396
general article on, characteristics and
varieties of, 542
general symptoms, predisposing and ex-
citing causes, and issue and results
of 543
mechanical means for the reduction of,
544
medicinal treatment of, 544
neglected and very serious cases of, 546
of the navel of infants (see Infants), 744
of the groin, of infants, 745 -
Ruta graveolens, characteristics of, 900
Sabina, characteristics of 901
Saliva, and its indications, 53
increase and deficiency of, 53
Salt-water bath, cold, 72
Sambucus migra, characteristics of, 901
Sanguine constitution, 2
temperament, 4
Scab, milk, milk-crust, &c., 757
Scabies, itch, 440
Scalds and burns, external and local treat-
ment of, 652
constitutional do., 654
very severe cases of, 655
Scall, dry, 442
Scalp, ringworm of the, 449
Scaly tetter, 442
Scarlatina, simple and malignant, 149
Scarlet fever, 149
simple and malignant, 150
complicated forms of, 153
after-effects of, rawness of the face, sus-
ceptibility to cold, offensive discharge
from the nose after, soreness of the
1028
INDEX.
nose, swelling of the glands, puffing
of the face and extremities after, 154,
155
Scarlet fever, dropsical swellings, mumps,
affections of the ears, &c., after, 155–
157
deafness after, 157
precautionary treatment during the
prevalence of, 157
Scarlet rash, 158
complicated cases of, 159
of nervous or putrid type, 161
check of the eruption of 161
after-effects of, 162
Scars, removal of the, left by scrofulous ul-
ceration of the glands, 437
Sciatica, symptoms and treatment of, 476
Scilla maritima (see Squilla). 910
SCROFULA, eradicative treatment of 85–88
general article upon, and character isties
of, 579, 580
history and progress of, 582
simple form, first and second stages of,
582
third period or stage of, 583
complicated forms of, affecting the mu-
cous and serous membranes, the nose,
the primary organs of digestion, and
the synovio l membranes of the joints
and boxes, 584
comp/icated forms of, affecting the lym-
phatic glands, and the LUNGS (Tu-
berculous), 585
general CAUSEs of, and characteristics
of HEREDITARY, 585
pathological and external causes of,
586
diet, habits, local influences, light,
heat, and atmospheric vicissitudes,
as causes of, 586, 587
general PREve, Ntive and ERADICATIVE
measures against, 587
general treatment of, 588
Scrofulous habit of body, 5
eradication, &c., of, 85
enlargement and ulceration of the
glands, inveterate cases of, 436
enlargement and suppuration of the
knee, 482
inflammation of the eyes, 486
inflammation of the eyelids, 496
subjects, styes in, 496
swelling of the lips, 498
and cancerous ulcerations of the lips,
&c., 500
disease, history and progress of 582
TUBERCLE in the lungs, formation and
progress of the, 585
in other organs, 585
Scurvy in the mouth, 515
general article on the symptoms, pre-
disposing and exciting causes and
treatment of, 5 16
diet, &c., for, 5.18
Sea bathing, 72
Sea-sickness, general article on, 660
after-effects of, and diet, &c., for the,
66 |
Season, effect of the, and climate in the
tropics, 592
Seasons, the change of, in tropical climates,
592
Secale cornutum, characteristics of, 902
Second or active stage of low and inflamma-
tory typhus, 104
or convulsive stage of hooping-cough,
362
or inflammatory stage of croup, 366
stage or period of the simple form of
scrofula, 582
Secretion of milk, suppressed, after deliv-
ery, 724
excessive, after delivery, 725
Selection, administration, and repetition of
the medicines, 58
of a nurse, 746
Sensations, senses, brain, nerves, and their
indications, 29
in particular, and what they indicate,
of pain, discomfort, and anxiety, 37
of discomfort in particular, 42
of heat and cold, 42
of numbness or deadness, 42
of itching. 42
of chill (varieties of), 42
of anxiety, 42
Sense, organs of, and their indications, 45
of smell, hearing, taste, sight, &c., 45,48
Senses, sensations, brain and nerves, and
their indications, 29
Sepia, eharacteristics of, 903
Serous membranes affected by ScroFULA,584
Serpents, bites of (envenomed wounds), 671
Sex, susceptible to hip-disease, 479
Sexes and their distinctions, 6
Shivering (chill), sensations of, 42
Shock to the nervous system from an acci-
dent, 638
Short or small breath, 22
dry cough, 48
sight, short-sightedness, 491
Short-sightedness, when a sequel of inflam-
mation of the eyes, 491 *.
Shuddering (chills), sensations of 42
Sickness at the stomach (nausea), and vom-
iting, indications afforded by, 26
in the morning, of drunkards, 559
in the morning during pregnancy, 705
at sea (sea-sickness), 660
after-effects of, and diet, &c., 661
green, predisposing causes and treat-
ment of, 681
Sighing or moaning breath described, 22
Signs, favorable and unfavorable, in acute
bronchitis, 377
Sight, distorted or squinting, indications af.
forded by, 47
double, half, obscured, of imaginary
objects, &c., 47
INDEX.
1029
Sight, derangements of the, incidental to de-
ranged digestion, 198
short or near, 491
Silicea, characteristics of 906
Simple or ephemeral fever, 93
Situation, site, &c., of the dwelling, impor-
tant to health, 82
Situations and localities, healthy and un-
healthy, in tropical climates, 593
Skin, constitution in which it is likely to
become diseased (psoric), 3
transpirations from the (sweat), and
their indications, 49
the condition of, in health, 49
tenderness of the, after measles, 166
eruption on the, after measles, 166
diseases in general, 424
inflammation of the, with swelling, red-
ness, heat and tingling (Erysipelas),
424 - -
itching, or irritation of the, 446
soreness, galling, &c., of the, of chil-
dren, 770
Sleep, its variations and their indications, 34
of infants, 750
duration of, in health, 34
relation of, to disease, 34
in tropical climates, 592
Sleeplessness, 530
of infants, and treatment of, 750
and crying of new-born children, 755
Slimy, coated tongue. 29
Slow pulse. description of 132
breathing, do... do., 22
nervous or typhus fever, 96
symptomatic fever, 142
nervous fever (chronic), 144
Sluggish pulse, description of, 13
Small pulse, description of, 13
or short breath, do., do., 22
Small-pox, 167
distinct. 169
confluent, 171
check of the eruption in, 173
modified, 173
preservative treatment during the prev-
alence of, 173
complications and after-effects of, 173
inflammation of the upper part of the
windpipe, boils, glandular swellings,
cough, asthmatic affections, looseness
of the bowels, &c., after, 173, 174
diet and regimen for, 174
accessory measures during, 175
Smell, sense of, variations to which it is sub-
ject, 48
peculiar and unnatural, dukl or over-
acute, 48
Snake, bite of a (Envenomed Wounds), 671
Sneezing, yawning, groaning, and their in-
dications, 53
Soap plaster as an external application, 69
Soft pulse, description of, 13
Solution of the medicine, and the division
of doses, 60 º
Sore nipples, precautions and accessory
- measures against, 736
throat, aphthous, &c., 183
suppurative, 188
relaxed, 188
ulcerated, malignant, or gangre-
mous, 189
epidemic, 189
Soreness of the nipples (excoriation), an ob-
stacle to suckling, 736
the nose after scarlet fever, 154
Sores or ulcers, 455
chronic cases of, 456
external and accessory appliances
for, 457
bandages and medicated lotions for,
varicose, 458
constitutional treatment for, 459
Sorrow (see Mental Emotions), 678
Sounds, clear and dull, evinced by the chest
on percussion, and their indications, 51
Spasm of the opening of the windpipe in
children, asthm:l of Millar, 785
of the stomach, 228
age, sex, &c., subject to, complications
of predisposing and exciting causes
of, 228
precautions to be observed by those who
are subject to, 229
Spasmodic pain, and its peculiarities, 37
cough, after influenza, 374
rigidity of the body, or of parts (teta-
nus), 42 l
asthma, 566
Spasms and convulsions, internal and exter-
mal, general and local, and what
they indicate, 34
of children (see Convulsion), 775
Speech and voice, and their indications, 52
loss of the power of 52
Spinal bones, disease of the, lumbar abscess
from, 475
rd, acute inflammation of the, varie-
ties, symptoms. causes, &c., 533
chronic inflammation of the, 534
Spine, disease of the, lumbar abscess from,
475
Spigelia, characteristics of, 908
Spirits, depression of the, from deranged di-
gestion, 218
ardent, abuse of, causing brain fever,
420
swelling of the nose from abuse of,
5 14 -
Spitting of blood, 395, 396
very severe cases of, 398
after-treatment of 400
Spittle and its indications, 53
Spleen, inflammation of the, 302
chronic enlargement and induration of
the, 304
Splinters, gunshot wounds, &c. (see Gun-
shot), 649
Spongia, characteristics of 909
1030
INDEX.
Spontaneous discharges of blood, 18
or unconscious discharge from the bow-
els, 25
Sporadic or bilious cholera, 274
Spotted fever, cerebro-spinal meningitis, 538
Spots, dark, before the eyes, 47
livid, in the complexion, 52
heat-, of children, 771
Sprains or strains in general, 639
Spurious or bastard pleurisy (see Pleurisy),
394
Squilla maritima, characteristics of, 910
Squinting, or distorted sight, indications
afforded by, 47
article on the treatment of, 488
Stabs, punctured wounds, 648
Stammering, and what it indicates, 52
St. Anthony’s fire (Erysipelas), 424
Standard of the pulse in health, 12
Stannum, characteristics of, 911
Staphysagria, characteristics of, 912
Staring expression, indications afforded by
a, 46
Starving (see Death, apparent, from hun-
ger), 662
State of the body (heat) in tropical climates,
592 .*
Sticky expectoration, 53
Stiffness, spasmodic, of the body, or of parts,
(tetanus), 42 .
Stillborn children, 742 *
mechanical measures in case of, 742
medicinal and accessory means for, 743
Stings of insects (see Insects), 659
Stitching pain in the chest, 37
or pricking pains, 37
Stomach, wind in the (flatulency), indica-
tions afforded by, 26
pain in the anterior part of the, 37
mucous membrane or nerves of the,
disturbance of the, 196
derangement of the mucous membrane
of the, symptoms of 202
irritation of the nerves of the, sºmp-
toms of 204
combined derangement of the nerves
and membrane of the, and symptoms
of, 206
derangement of the, arising from casual
causes, 212
foulness of the, which causes vomiting,
234
irritability of the, which causes vomit-
ing, 236
sickness at the (nausea), 166
spasm of the, 228
conditions of age, sex, &c., subject
to, origin, and exciting causes of,
precautions to be observed by those
who are subject to, 229
inflammation of the, its causes, results,
complications, symptoms, and treat-
ment, 305-308
COUGHS, 358
Stomach, derangement of the, causing gid-
diness, 408
derangement of the, palpitation of the
heart from, 525
and bowels, flatulent distension of the,
of infants, 759
Stone, inflammation of the kidneys associ-
ated with, 320
bladder associated with, 323
Stoppage of the bowels, constipation, 241
Strabismus, squinting, 488
Straining to evacuate, 25
Strains or sprains in general, 639
Stramo nium, characteristics of 914
Strength of the limbs of infants, retarded,
75.3
Stringy expectoration, 53
Stroke of the sun, brain fever from, 419
Strong pulse, description of, 13
Stupor, typhus characterized by, 110
Stye, predisposing and exciting causes and
treatment of, 496
Subacute or chronic inflammation of the
stomach, 308
inflammation of the bowels, 310
Suckling of the infant, 746
duration of 749
obstacles to, disinclination of the infant,
soreness of the nipples, &c., 736
Sudden and total change of color in the
complexion, 52
transition of gout to superior organs,
463
attacks of blindness, 492
suppression of a chronic eruption, deaf-
mess from, 508
suppression of itch, or of other erup-
tions, causing chronic discharge from
the ears, 506
weaning, precautions when this is neces-
sary, 749
Suffocation. apparent death from, 663
Suffocative breathing described, 22
Sulphur, tincture of, as an external applica-
tion, 70
administration of, in chronic disease,
76
value of, for eradicative treatment, 87
characteristics of 915
Summary, in a table, of rules for repeating
the doses, 73 *
Summer complaint of children (see Cholera
Infantum), 765
Sun-stroke, brain fever from, 419
general article on, 658
Supplementary diet of infants, 748
Suppressed dysentery, 271
cold in the head, ill effects of, 347
discharge from the ear, ill effects of, 507
Suppression, sudden, of pain, 37
of dysentery, 271
after-effects of, 272
of cold in the head, ill effects of 347
of the monthly flux of females (see
Menstruation), 684
INDEX.
Suppression, of the milk, after labor, 740
of perspiration, after delivery, 726
of the lochial discharge, 732
of discharge from the ear, brain fever
from, 420 Ö
of the eruption of itch, 440
of the eruption of itch, or of other erup-
tions, causing chronic discharge from
the ears, 506
sudden, of a chronic eruption, deafness
from, 508
of the milk (see Milk), 725, 740
Suppurating incised wounds, 641
Suppuration and enlargement (scrofulous) of
the knee, 482
Suppurative sore throat, 189
inflammation of the liver, 299
kidneys, 320
bladder, 323
psoas muscle, 475
of the breasts, 738
Susceptibility of a particular part or organ,
8
to cold after scarlet fever, 154
to cold in the head, 348
to croup, eradicative measures against
the, 369
to erysipelas in the face, 427
constitutional, to boils, 429
to whitlows, ERADICATIVE treatment of,
446
to bleeding of the nose, 510
Suspended animation of infants (see Still-
born), 742
Suspension, recurrence, &c., of the doses, 62
of animation (apparent death), 662
Sweat, and its indications, 49
symptomatic and critical, &c., 50, 51
Sweating stage of intermittent fevers, 121
of the feet, 5.30
Sºwelling of the feet after typhus, 114
dropsical, of the feet and belly, after
agues, 131
of the glands, after scarlet fever, 154
and puffiness of the face and extremities
after scarlet fever, 154
dropsical, after scarlet fever, 154
of the veins during pregnancy, treat-
ment of, 7 l 1
glandular, after small-pox, 173
with redness, heat, and tingling of the
skin (Erysipelas), 424
dropsical, of the knee, 482
scrofulous, of the lips, 498
of the tonsils, deafness from, 510
of the nose, 514
of the neck (goitre), 528
such as bunions, from pressure or con-
tusion, 647
of the head of infants, 743
of the breasts of infants, 772
Swollen, cracked, and furrowed or swollen
and indented, swollen and red tongue, &c.,
29
Swooning, fainting (see Fainting), 547
Sylvester's method in drowning, 665
Symptomatic sweat, 50
slow fever, 142
Symptoms of disease, 9
character, distinction, and treatment of
diseases, 91
Synochal, or inflammatory fever, 94
Synopsis of the rules for diet under treat-
ment, 89 -
of the principal indications for the rem-
edies employed in the treatment of
cholera, 292
Synovial membrane of the knee, inflamma-
tion of the, 481
membranes of joints affected by Scro-
FULA, 584
System, digestive, diseases of organs con-
nected with the, 179
respiratory, diseases of organs connected
with the, 333
cerebral, derangements of the, 401
nervous shock to the, from an accident,
638
Systematic tables illustrative of the rules
for repeating the doses, 73
Table, systematic, forming a summary of the
rules for the repetition, &c., of doses, 73
Taint of constitution, eradication of a, 83–
88
Taking cold, predisposition to, 336
Tapeworms, general treatment of, 331
Tardy breathing, 22
Taste, indications afforded by variations of,
47
foul, absence of, keenness of, 47
Tearfulness and laughter, and their indica-
tions, 52
Teething, coughs connected with, 358
derangements during, distinctive symp-
toms of, precautions as to diet, &c.,
against, and treatment of, 773–775
Temperament, sanguine, 4
choleric, melancholic, 4, 5
phlegmatic, 5
constitution, habit of body, &c., con-
sidered in relation to the quantity and
repetition of doses, 60
Temperaments and their varieties, 4
Temperature, variations of, as causes of
SCROFULA, 586
of the bath for infants, 73
Tendency to pulmonary consumption after
influenza, 374
Tenderness. distension, &c., of the belly in
typhus, 102
of the skin after measles, 166
Tertian ague, single and double, 124
Tetanus, 421, 422
causes and symptoms of 422
Tetter, scaly, 442
Thickly furred or coated tongue, 29
Thirst and its indications, 28
attendant upon the fever fits in ague,
125
1032
INDEX.
Threadworms, general treatment of 326
palliative measures for, 328
Throat, sore, aphthous, &c., 183
relaxed, 188
ulcerated, 189
Thrush, aphthae, characteristics and causes
of 759
local and constitutional treatment of,
759, 760
Thuja occidentalis, characteristics of, 919
Tic Douloureux, 521
Time, &c., for investigating the urine as a
clue to the nature of disease, 19
especially appropriate for taking medi-
cine, 65
Time of the day at which the fever fits occur
in ague, 125
Tinctures, remarks respecting, 60
Tingling, with swelling, heat and redness of
the skin (Erysipelas). 424
Tissue, cellular, general or local dropsy of
the, 576
Tissues of the brain, inflammation of the, 415
Tongue, inflammation of the, symptoms, pre-
disposing and exciting causes of, treat-
ment, &c., 519
various appearances of, and their indi-
cations, 29
thickly furred or coated, furred and
slimy, yellow, clean, dry, red and
glassy, swollen and coated, swollen
and red, cracked, furrowed, and swol-
len, indented, tremulous, blackish, dry
and furred, &c., 29
Tonsils, enlargement of the, deafness from,
510 -
Toothache, 179
of children, 182
accessory measures for, 183
during pregnancy, treatment and diet,
&c., for, 709
Transition, sudden, of gout to superior or.
gans, 463
Transparent expectoration, 53
Transpirations from the skin and sweat, and
their indications, 49
condition of, in perfect health, 49
Travelling, constipation during, 246
Tremens, delirium, general article on, and
exciting causes of, 557
Tremulous, simply, or tremulous, blackish,
dry and coated tongue, 29
Triturations, remarks respecting, 60
Tropical climates, diseases peculiar to, and
general precautions against the, &c.,
589–592
precautions to be observed by Europeans
in, 589
effects of the climate and season, 592
incipient biliary derangements, and
prickly heat of, 593, 594
TUBERCLE (scrofulous), formation and pro-
gress of the, in the lungs, and in other
organs, 585
Tuberculous leprosy (see Leprosy), 623
Tumor, hard and cancerous, on the lips, 499
Tumors, lymphatic (abscess), 433
fatty, 436
Typhoid or congestive fever of the cold sea-
son of INDIA, 600
characteristics, general
symptoms of, 600
Typhus, nervous or slow fever, 96
causes of various forms of, 96
aspect of, 96
division and treatment of, 98
premonitory and incipient stages of, 98
abdominal, 102
second or active stage of low or inflam-
matory, 104
characterized by stupor, 110
stages of debility and convalescence
after, 111
after-effects of 112
bed-sores after, 112
abscesses, boils, swelling of the feet and
weakness of digestion after, l 12
general derangements of psoric subjects
after, 114
malignant (putrid or pestilential fever),
I 1.5
causes and
~,
contagious (jail fever, camp fever, pe-
techial fever), l 15
accessory and precautionary treatment
during the prevalence of, 118
Ulcerated, malignant, gangrenous
throat or quins.y, 189
epidemic sore throat, 189
Ulceration of the small bones of the ear,
bloody discharge from, 506
of the bones of the nose, 5 l 5
erysipelas terminating in, 427
scrofulous, of the glands, and scars left
by the, 437 s
scrofulous, of the lips, 499
Ulcers, &c. (see Sores), 45.5
chronic cases of 456
external and accessory appliances for,
457
bandages and medicated lotions for, 458
varicose, 458
cancerous, on the lips, 499
Unequal pulse, description of, 13
breath, do., do., 22
Unhealthy increase or loss of flesh, 53
Unnatural taste, sight, smell, or hearing, 47
Upper part of the windpipe, inflammation of
the, after measles, 166
inflammation of the, after small-pox, 173
inflammation of the, general article on
the symptoms, results, and treatment
of 340
chronic inflammation of the, 342
after-effects of inflammation of the, 343
Urine, its varieties, and their indications, 18
healthy appearance of the, 18
proper time and method of examining
the, 19
SOre
INDEX.
1033
Urine, variations in the, as to quantity,
color, &c., and the indications de-
rived therefrom, 19
retention of, after delivery (see Labor),
723
incontinence of, after delivery (see La-
bor), 723
of children (wetting the bed), 768
precautions against, and treatment of.
769
retention of, of infants, 769
Urticaria, 437
Urtica Dioica, or urens, as an external ap-
plication, 68
characteristics of 920
Uterine hemorrhage after miscarriage, 718
after labor, 722
Vaccination, 804 -
Vapor of lead, causing constipation, 246
delirium tremens caused by, 559
Variations of the pulse, and their indica-
tions, 11
apparent in the urine, and their indica-
tions, 19
Varicose ulcers, 458
veins during pregnancy, and treatment
of, 711
Varieties of constitution, 2
temperaments, 4
the pulse, and indications thereby af.
forded, 11
the urine, and
therefrom, 18
Various denominations of pulse, 13
appearances of the tongue, 29
Vegetable and narcotic poisons, treatment
for, 676
Weins, wounds of (see Incised Wounds), 642
swelled, or varicose, during pregnancy,
711
Ventilation, value of, in the prevention of
disease, 79
Veratrum album, characteristics of, 920
viride, characteristics of, 922
Verdigris, immediate and after-treatment
of poisoning with, 675
Vesicular, or herpetic ringworm, 448
Vessel, blood, rupture of a, 396
Wexation (see Mental Emotions), 678
Viola tricolor, characteristics of, 923
Violent chill in the head, brain-fever from
a, 420
Viper, bite of a (Envenomed Wounds), 671
Voice and speech, and their indications, 52
loss of, hoarse, &c., 52
roughness or loss of the, general article
on the treatment of (Hoarseness), 343
chronic roughness, or loss of the, 344
Vomiting and nausea, indications afforded
by, 26
as a specific derangement, and treat-
ment of 234
occasioned by excess of food or drink,
234
indications derivable
Womiting, occasioned by foulness of the
stomach, 234
external injuries, 235
passive motion, 235
without ostensible cause, 235
occasioned by irritability of the sto-
mach, 236
bilious, 237
of blood, 239
premonitory symptoms of, 239
accessory measures for, 241
Wakefulness, sleeplessness, 530
and crying of new-born children, 755
Walking, infants slow at, 753
Wandering gout, 462
Want of appetite, indications afforded by, 27
loss, or absence of taste, 27 -
of appetite as a specific derangement,
222
Warm-bath for infants, 73
Warm breath, description of, 22
fresh-water bath, 70
Warts in general, 501
Wasting away (see Atrophy), 793
Watching, long, fatigue from, 657
Waterbrash, 234
Water, free use of, in the eradication of
chronic disease, 86
persons who work in, gout of, 463
in the head, characteristics, causes, va-
rieties, &c., of (see Dropsy of the
Brain), 780–785
Watering, copious, of the eyes, 52
Watery fluid, accumulation of the, in the
knee, 482
or weeping eye, 489
eakness of digestion after typhus, 114
after delivery, 735
Weaning, 749
precautionary measures in, as regards
the mother and infant, 749
food of the infant at the period of, 749
Weeping and tearfulness, 52
or watery eye, 489
Wetting the bed of young children, 768
Whites, characteristics, predisposing and ex-
citing causes, and treatment of, 693
Whitlow, 444
incipient symptoms, ordinary cases, and
complicated cases of, 444
ERADICATIVE and external treatment
of, 446
Whooping-cough, 359
first, or febrile stage of, 360
second, or convulsive stage of 362
third, or nervous stage of, 364
obstinate inveterate cases of, 364
Wind in the stomach and intestines (flatu-
lency), and the indications which it af-
fords, 26
Windpipe, inflammation of the, after measles,
166
upper part of the, inflammation of, after
small-pox, 173
66
1034
INDEX.
Windpipe, upper part of the, inflammation | Wounds, incised, local applications to, 642
of the, general article on the symp-
toms, results, and treatment of, 340
chronic inflamination of the upper part
of the, 342
after-effects of inflammation of the
upper part of the, 343 i
spasm of the opening of the, in chil-
dren, 785
Wiry or dry constitution, 2
Women, and their peculiar diseases, treat-
ment of, 681
Work in water, gout of persons who, 463
Worm colic, 259
Worms, inflammation of the bowels associa-
ted with, 315
general article on the treatment of, 324
symptoms, exciting and predisposing |
causes, and results or complications
with, 324, 325
thread, treatment for, 326 |
palliative measures for, 328
round, 328
tape, 331
chronic affections with, 332
diet and regimen for, 332
Wounds in general, 641
incised, lacerated, contused (or bruises),
punctured, gunshot, and poisoned, 641
degree of injury from, 641
incised, or cuts, external treatment of,
641
mechanical means for dressing, 642
of arteries or veins, 642
in the mouth, 642
constitutional treatment of, 642
suppurating incised, 643
lacerated, local and constitutional treat-
ment of, 644
contused, external and constitutional
treatment for, 644
contused, of the breast, 647
punctured, external and constitutional
treatment of, 648
gunshot (splinters, &c.), local and con-
stitutional treatment of, 649
treatment of, when fever, gangrene, &c.,
ensue, 649
poisoned (envenomed), from serpents,
treatment of, 671
by putrefied matter, treatment, diet,
&c., for, 671
Yawning, groaning, sneezing, and their in-
dications, 53
Yellow tongue, 29
complexion, faint and deep, 51
or bitterish expectoration, 53
fever, characteristics, varieties, and pre-
disposing causes of, 601
exciting causes of, susceptible age.
condition, &c., to, premonitory
and general symptoms of, 602
issue and fesults, and treatment of,
602
preventive treatment against and
accessory measures for, 607
Zincum metallicum, characteristic of 923
E O EIF, ICIP&LIED & T_A IFIEL’S
(Successors to WM. RADDE.)
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CURTIS AND LILLIE’s EPITOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Douglass, ON INTERMITTENT FEVER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
FAMILY HoMCEOPATHY, ELLIs. . . . . . . . . . . . . . . • * * * * * ~ * * * * * * * * * * * * * * * * g = * * * 1 50
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GUEBNSEY, EGBERT, Domestic Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 50
Gentleman's Handbook. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 00
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MATERIA MEDICA, PURA. . . . . . . . . . . . . . tº dº º sº a tº º is sº g º º º © tº e < * * * 9 00
CHRONIC DISEASEs, 5 vols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 00
ORGANON. & e < * * * * * e º 'º º e º e º e s e < e e º 'º e º sº º e º sº * * * * * * * * * * * * * 1 50
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CHIEF REMEDIES, second series. ..., gº tº e º ºs e s & s ºf s & a tº a s g g tº sº gº & tº * * 1 00
HELMUTH, on SURGERY . . . . . . * - & ſº tº & 4 * * * * * * * * * * * * * * * * * * * * * * . . 3 50
HEMPEL, C. J., Domestic, in German. . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
French. . . . . . . • * * * * * * * * * * * * * s • * * * * * * * * * * * * 75
ORGANON. . . . . . . . . .* * * * * * * * * * * * * * * * * * * * * * * to º e º se s sº e < * . 1 00
HOMOEOPATHY. . . . . . . . . . . . . . . . . . . . . . . . • * * * * * e º e º & . . . . . . . 1 00
LARGE REPERTORY... . . . . . . . . . . . . gº e e º ºs e º a s sº º is sº e s e s s is s e = * * * 9 00
MATERIA MEDICA, 2 vols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 00
HEMPEL AND BEAKLEY, Theory and Practice. . . . . . . . . . . . . . . . . * * * * * * * * * * * * 3 50
HENDERSON, HOMOEOPATHIC PRACTICE . . . . . * * * * * * * * * * * * e = < e e © s = e s e e s - tº s sº & 50
HERING, C., Dom ESTIC PHYSICIAN. • - - - - - - - - - - - - - - - - - - - - - - - - - tº e º s e = 2 50
HITCHMANN, CONSUMPTION. . . . . . . . . . . . . . . * * * * * s • * * * * • • - - - - - - - - - - . . . tº * * * 75
Holcom BE, W. H., Yellow Fever. . . . . . . . . . * * * * * * * * * * * * * * * * * * * * * * * * * * * 38
HoMOEOPATHIC COOKERY. . . . . . . . . . . . . . . . . . . * is º e º e º s is a s * * * * * * * * * * * * © a 8 50
HUGHES, PHARMACODYNAMICs. . . . . . . . . . . . . tº tº º is s e º & a e s tº ... • * * * * * * * * * * - - - - - - - 2 00
THERAPEUTICs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * 2 00
HULL, HoMOEOPATHIC EXAMINER, few copies only remain of this very valu-
able periodical, three vols., handsomely bound. . . . . . . . . . . . . . . . . 15 00
HULLS, JAHR SYMPTOMATOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 00
REPERTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * . 4 00
HUMPHREY, on DYSENTERY. . . . . . . . . tº is g º & tº sº e º $ & sº * * * * * * * * * * * * is s = s. s e tº s s º 50
CHOLERA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
HYDRIATICs, MANUAL of THE WATER CURE. . . . . . . . . * - - - - - - - - - - ... • - - - - - 50
JAHR, G. H. G., FoRTY YEARs' PRACTICE. . . . . . . . . . . . . . . . . . . . . * * * tº dº º e s e s a 3 50
CLINICAL GUIDE OR POCKET REPERTORY, second American
from the third German edition, with the addition of the
new remedies by Lilienthal. . . . . . . . . . . . . . . . . . . . . . . 3 00
DISEASES OF FEMALES. . . . . . . . . . . . . . . . . . . . . . . . * * * * * * 2 50
THE SKIN . . . . . . . . . . . * * * * * * * * * * * * * * ... , 1 50
NEw MANUAL, with additions, by Poss ART, and Clinical
REPERTORY. . . . . . . . . . . . . . . . . . * * * * * * * * * * . . . . . . . . 4 50
VENEREAL DISEASEs. . . . . . . . . . . . . . . . * * * * * * * * * * * * g e = < e s s 4 ()0
JAHR AND GRUNER, PHARMAcoPGEIA. - - - - - - - - - - - - - - - - - - - - - - . . . . . . . . . . . . . . 3 00
JosLIN, PRINCIPLES OF HOMOEOPATHY. . . . . . . . . . . * * > * * * * * * * * * * * * * * * * * * * * * 75
HoMOEOPATHIC TREATMENT OF CHOLERA. . . . . .* * * * * * * * * * * * * * * * . . . . . 1 00
KREUSSLER, ACUTE AND CHRONIC DISEASEs... . . . . . . . . . . . . . . . . . . . . . . . 75
LAURIE, HoMCEOPATHIC, DOMESTIG. . . . . . . . . . . . . . * * * * * * * * * * * * * * * * * * * * * * * * * 60
APPENDIX To DOMESTIC PRACTICE . . . . . . . * * * * * * * * * * * * * * = * * * * * * * 1 25
PARENT's GUIDE. . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * * * * * * * . . . . 1 00
LIPPE, TEXT-Book of MATERIA MEDICA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 00
Interleaved with writing paper, and bound in two volumes, half
morocco. . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * * * * 10 00
LUTzE, THEORY AND PRACTICE. . . . . . . . . . . . tº tº s ſº e s is º º e ‘. . . . . . . . . . . . . . . . . . 2 50
MALAN, FAMILY GUIDE. . . . . . . . . . . . . . & s tº e º tº ſº * * * * * * * * * * * * * * * * s w a ſe a e s is tº
in Spanish. . . . . . * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MARCY, HoNICEOPATHY AND ALLOPATHY . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * * *
MARCY AND HUNT, THEORY AND PRACTICE, 2 vols. . . . . . . . . . . . . . . . . . . . . . . .
MATERLA MEDICA of AMERICAN PROVINGs. . . . . . . * * * * * * * * * * * * * * s e º ºs e = * * *
METCALFE, HomoCOPATHIC PROVINGs . . . . . . * * * * * * * * * * * * * * * * * * s is is e e = < e e s e
MILLARD, CONSUMPTION. . . . . . . . . . . . . . . . . * * * * * * * * * * * * * * * * * * * * * * g e a
GUIDE FOR EMERGENCIES. . . . . . . . . . . . .........................
MoRGAN, INDIGESTION. ConSTIPATION, &c. . . . . . . & ſº tº e º ºs e º te e s is ſº e º 'º e º 'º e º ºs e º e
MUNDE, SCABLET FEVER. . . . . . . . . . . . . . . . . . . * * * * * * * * e º e s e º 'º & e s m e º is e as e e
MURE, MATERIA Medica. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tº & © tº e º e º ºs e º s º g tº
NEIDHARD, CROTALUs HoRRIDUS IN YELLow FEVER. . . . . * * * * * * * * * * * * * * * * * *
TXIPHTHERIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . & & © tº
NEw PROVINGs, CISTUS CAN, COBALTUM ZINGIBERIs, &c.
NoRTH AMERICAN Journal, OF HOMOEoPATHY, per vol. . . . t
e whole set, 18 volumes, bound.
PETERS, HEADACHE AND DISEASEs OF THE HEAD. . . . . . . . . . . . . . . . . . . tº tº º & e º 'º
APOPLEXY. * * * * * * * * * * * * * * * * * * an e º e < * * * * * * * * *
DISEASEs of FEMALES AND MARRIED Wom EN. . . . . . . . a e º e º 'º e º is a s sº s
DISEASES OF MARRIED FEMALEs. . . . . . . . . . . ge e º º sº a s is a tº e º sº º sº a º
PRINCIPAL DISEASES OF THE EYE . g . . . . . . . . . tº s is tº e º s ºf 4 - e e º g s wº
INTERNAL TXISEASEs OF THE EYE. . . . . . . . * - ſº tº gº e s e º dº e g s * } e º e º ſº s ºf a
DISEASES OF THE BRAIN. . . . . . . . . . . e º is dº ſº, e Q sº e a m as º sº e º e s ∈ E tº º e º is e
NERVoUS DERANGEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PRINCIPLES AND PRACTICE OF MEDICINE.......................
PHILADELPHIA Journal, OF HOMOEOPATHY, 4 vols., bound............. . . . . .
RAPOU, ON TYPHOID FEVER . . . . . . . . * * * * * * * * * * * * * * * * * * e * e º ºs e e º sº º º
RAUE, C. G., PATHOLOGY AND THERAPEUTICS. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interleaved with writing paper. . . . . . . . . . . . tº s e º is a s s e e s is a tº s e º 'º
RAU, Organon. . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * tº a tº e º e s e s e e s e s e º º
REIL, ON ACONITE. . . . . . . . . . . . . . . . . . . . . * * * * * * * * * * * * * * * * * = ... ..........
RoKITANSKY, PATHOLOGICAL ANATOMY. . . . . . . tº s º a s tº dº a e < * * * * * * * ſº e º g º O sº e &
RUECKERT's THERAPEUTICS . . . . . . . . * * * * * * * * * * * • * * * * * * g º e s e e º e º e º a tº a tº e
RUOFF's REPERTORY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RUSH, VETERINARY. . . . . . . . . * * * * * * * * * g e º s & e e e is a c e s is e º is e º e e s s e s tº e e º e º 'º
SCHAFFER, WETERINARY HomoeoPATHY. . . . . . . . . . . . . . . . . . . . . . tº e s tº a tº e s tº e º 'º e
SHARP's TRACTS, 12 numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e s is w is e
SMALL, HOMOEOPATHIC PRACTICE. . . . . . . . . . . . . . . . . . . . . . . . & e º ºs e º e º e s tº a s is º ºs
PoCKET MANUAL . . . . . . . . . . . . * * * * * * * * * * * * * * * * * is s G = e s = e s e º º ºs e º 'º º &
DISEASEs of THR NERVOUS SYSTEM. . . . . . . tº e º $ tº p e e s s is a a s a s e s s & e º 'º a
STAPF, ADDITIONS TO MATERIA MEDICA. . . . . * * * * * * * * * * * g e • s a º e º e º 'º e º a n e º e
TESSIER, ASIATIC CHOLERA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PNEUMONIA. . . . . . . . . * * * * * * * * * * * * * * * * g e º tº tº gº º w = e º e º e s a e º 'º
THERAPEUTIC GUIDE, FORTY YEARs' PRACTICE, G. H. G. JAHR . . . . . e e s s is e o 'º
THERAPEUTics, THE Scresce AND ART or, B. BAEHR, 2 vols.................
WILLIAMSON, DISEASES OF FEMALES AND CHILDREN . . . . . . . . . . . . . . . . . . . gº º º
Wol.FF, APIs MELLIFICA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tº dº sº e º e º e º ſº tº $ tº ſº
1 00
1 00
1 75
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4 00
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3 00
1 00
1 50
1 00
1 50
1 00
1 00
* 1 00
3 50
8 00
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5 00
8 00
1 25
75
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4 00
1 50
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2 00
75
3 00
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