^IIIWP Humphreys BINTOR ? Private Library ^ of Stewart H. Burnham ^ Sandy Hill. N. Y. 4# o Z CORNELL UNIVERSITY LIBRARY BEQUEST OF STEWART HENRY BURNHAM 1943 Cornell University Library 3 1924 031 261 757 olin.anx Cornell University Library The original of tliis book is in tine Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924031261757 Hi i ■ ■ ■■H|P 4i^^nH ^H ^H f^^^^B^mi. < '^^ ^B ^1 l^^^^^KgSr 3 ;£ ^ ' -'^g Hk- ^ H^H ^■■"\l « ^I^B ^B^^ '^ *;'/«|B 4u^ M ^^^^^^^^B '^^S^'^y"^ ^P "^^ f jtL vJh ^^^^^^^^B / 'i^ ■wBlL ^ ^H^H K- 1 ^l^B "* ^Ih^ V ^^^H fc-jlJ W| ^1 K's^JB^II i l>l H ^^H^^^^^S^^^^^B ^^MeV v^^^^^^^^l Bh ^Gb^ fc H ^ H ^^^^^C J Lj Y(>tcl(^ok. HUMPHREYS' HOMEOPATHIC MEITOR OB FAMILY ADVISER IN THE USE OF SPECIFIC HOMEOPATHIC MEDICEJE. BY P. HUMPHREYS, M. D. Formerly Frofessor of Institutes of Homeopathy, Pathology and Medical Practice in tho Homeopathic Medical College of Pennsylvania at Philadelphia; Author of Dysentery and its Homeopathic Treatment; Cholera and its Ho- meopathio Treatment; and Prover of Apis Mellificai Plantago Major, etc., etc. BEVISED AOT) ENLABGED EDITION. This Book is also Fublisbsd in FRENCH, GERMAN, SPANISH AND PORTUGUESE, New York: HUMPHREYS' HOMEOPATHIC MEDICINE CO., COF. William and. Ann Streets. 191O rrrr T Entered according to Act of Congress, in the year 188S, by HUMPHEBTS' SPECIFIC HOMEOPATHIC MEDICINE COMPAlTy, In the office of the librarian of Congress, at Washington. •Pasties using HUMPHREYS' HOMEOPATHIC SPECIFICS IN QUANTITIES, WILL FIND IT ECONOMICAL TO ORDEB FLASKS. See last page for out. PREFACE. It is now over thirty years since I commenced the experi- mentation and use of Specific or Combined Medicines, the results of which, in a popular, practical form, I present in this work. I waited long, perhaps too long, that I might not be accused of rashly offering crude or immature Specifics; and yet, remembering how little comparatively, one man can do in so wide a field, in even so long a period, I could wish the time longer, and the experience more ample. If it shall lead to greater precision in the use of medicine, and a more complete control over human disease and suffering, my labor will have been amply rewarded. The snatches of time for its production, taken from the exactions of large professional and business cares, must apologize for any want of unity or defects of style that may appear in its composition. The theme is new. Old-school medicines have been com- pounded or combined for centuries, and Polypharmacy has been the rule, as well as the opprobrium of its practitioners. The rule of Hahnemann was exact and rigorous — one medi- cine, in its highest attenuation, given once, and permitted undisturbed, to expend its action— formed the ideal of his Homeopathic practice. To this rule, the professor and the amateur, the adept and the sateUite, were expected to con- form. The choice of the medicine was to be made, not so much according to the physiological or pathological law of cure, as according to some keynote, or fantastic aberration ir 'preface. alike of medicine and disease, the study of which seemed to some minds a psychological phantasmagoria. But practical men and practical medicine, with too little, perhaps, of faith and too httle, certainly, of result, unwilling to attribute all failure to the bluntness of their own percep- tions, hesitating to follow the shadow of the master, when their footsteps so often fell on dead men's bones, turned aside to seek more substantial footing in larger doses, frequent repetitions and alternation of remedies. The success became as sure, the labor less, and the way plainer. But what then becomes of the ideal philosophic rule— the one medicine, the one dose, and undisturbed action ? It is buried, in a sea, so deep, as to be practically fathomless. But what becomes of the similia, the law of cure, when modes so different, paths so apparently divergent, lead to the same goal ? Simply this : The Law of Curb is wider THAN WB KNOW. Not to SO narrow channels as we have believed, are the waters of this Bethesda confined. Simple and childlike may his faith be, who believes that in his method alone is the cup of healing ; a deeper knowledge and wider experience would have placed it in the hands of others as weU. From alternated to combined medicines (Specifics) the transition is easy. The old rule of faith and practice is gone. A wider field is opened and we are invited to enter. Shall the similia in one, or the similia in several be accepted ; shall the similia be the occasional aberration, or the physiological counterpart ? So we seek out the law of combination, and adapt our Specific simiha to the Pathological individuality. With all progress, and every improvement, there comes the wail of dissatisfaction and i-eproach. These they say are avoiders of honest toU, scalers of Heaven's walls without PREFACE. ni needful faith or purity, who seek by a broader road the Divine way to mysteries of life ; indolent ones who, while they neither toil nor spin, yet assume the gorgeous array of Solomon. But what is progress but a lessening of human toil ! From the beginning, every improvement diminished somebody's work ; made some hours of toil superfluous, so that this reproach becomes a praise. If it gives increased certainty of result, all the better. That some obscurity should overshadow the pathway that leads from disease out into the highway of health, seems inevitable. To reduce this obscurity to its minimum, should be the tireless aim of scientific effort. Should there be but one dim path, we should seek to render it plainer, less devious, and less obstructed. Should there be many, we will reverently uncover our heads, and be thankful. Multitudes having gone along in the simple, open path of Specific medicine, have been led to the Elysium of health, and with gratitude acknowledge the blessing. It is to afford additional Ught to the thousands yet in the path, that these pages are written. Additional observation and experience will doubtless suggest improvements, giving simplicity to the direction, and certainty to the result, yet such as it is, it is offered in confidence that it will afford substantial aid to thousands. As this work is designed for the use of the People, its most conspicuous feature should be its entire adaptation to their wants. It must give such counsel and advice as they need ih their quest, not merely for the recovery of lost health, but for the preservation and improvement of health. The latter —the preserving of health— may be really more important than the former, though it be an often overlooked and some- times thankless task, for, " who thanks you for what you prevent ? " IV PREFACE. So in these pages much space is given to the study of hygiene— air, water, food, drainage, the nutritive value of different foods, and the best manner of cooking and serving them. The use of baths, stimulants, beverages ; the nursing and care of children, of the sick, the invalid, the aged and infirm. To these there is added in their appropriate chapters and under proper headings a simple description of the various diseases most commonly met and most likely to be success- fully treated either at their beginning or throughout their covu-se by domestic practice. Then there follows such plain and simple directions for nursing, food, and the use of the SPECincs, as are most readily followed and most Ukely to result favorably. The whole intent is to make the way so plain that even the most inexperienced of intelligent persons may foUow it without confusion or error. One prominent feature of this work should not be over- looked, namely, the use of prophylactic or preventive Speci- fics. Though the idea may provoke a smile of incredulity among the uninitiated, yet the thousands who have thus escaped Scarlet Fever, Diphtheria, Measles, "Whooping- Cough, Intermittent Fever, and other forms of disease by this simple procedure, realize that what seems to others a joke has been to them a blessed reality. This method could only have been made so plain by the use of these Specifics. In no other way could the liability or danger of perplexity and error have been avoided. There is no seeking among many medicines for the right one ; no devious or intricate mode of preparation, before administer- ing ; all is prepared as wanted, and the one requirement is to simply follow the simple directions. y. HUMPHEEYS, M. D. July, 1889, INTRODUCTION. Life— Health— Disease. LIFE. Medicine can only have to do with living bodies. So Boon as the vital principle has departed, it only remains that the body be cast off, and returned by dissolution, to its original elements. AH living bodies exist by virtue of an inherent vital prin- ciple, through which they are enabled to appropriate for their growth and development, the elements necessary for that purpose. Through this vital principle they take up, and combine in new relations and forms, and for new of&ces or uses, the surrounding partides ia earth, water, air, light and heat; all that may be necessary for their growth, development, and perfection. Thus all nature is constantly undergoing change, by virtue of the vital prin- ciple appropriate to each living body. With each individual there is the power of forming itself after its Kke, and, of necessity, of appropriating those particles from surround' ing nature which are requisite for this purpose. 2 HOMEOPATHIC MENTOE. Thus the acorn has in itseK a germinal life, by virtue of which it first appropriates the nutriment of the nut for the development of its first shoot and rudimentary leaves, and then throwing down its spongioles or roots, begins to take up from earth and absorb from air, light and moisture the elements, from which, in a century, the monarch of the forest is produced. Every particle of all that immense tree, from rootlet to leaf, and from the outer bark to the core, the form and color, taste and odor of every leaf and twig, of every branch and bud, is determined by virtue of this inherent vital energy, which has appropriated from its environment the particles necessary for that purpose. If circumstances are favorable, if the plant or germ is not weak ia its germinal existence, and if surrounded by favoring circumstances ia earth, air, light or heat, we may expect the fuU and entire development of the plant or tree, according to its order. But should these conditions be Wanting, there will be variations ia growth, development, or perfection, accordiag to the degree in which the wanting substance is necessary, which may vary from the slightest deviation, down through aU stages of morbid or stunted growth and imperfection, to the entire cessation of life. The entire habit of a tree may even be changed by a systematic perversion of the laws of its Ufe. What is true in regard to vegetable life, growth and development, holds ia perhaps a higher sense in regard to animal life. In the former, vitaUty, by the Chemico-vital laws of its existence only, simply appropriates that •within its reach and needful for its growth. But in animal life these functions become complicated or more or less in- UFE, 3 fluenced by the psychological or mental organization of the individual. The sensible organization of man begins with a simple cyst, too small to be visible to the unassisted eye. This cyst, so diminutive and formless, without body or partem is endowed with wonderful vital powers, by virtue of which it draws from the blood of the mother all that is necessary for the perfection of its embryo or foetal Ufe, until, this form of existence having been perfected, it is ushered into the world. Thenceforward a new mode of life takes place. Through food and drink, light and air, heat and moisture, every thing required for the sustenance, growth and devel- opment of the body is appropriated to its proper office and use, untU, man, the highest development of animal Ufe, becomes a microcosm, having in his own body, certainly all the more common, and probably every primary element in existence. Thus we have carbon and oxygen, nitrogen and hydrogen, sulphur and iron, phosphorus and Hme, ammonia and albumen, silica and silver, and even gold and arsenic. It is not probable that there is a single essential element in nature that is not, in a more or less perfected condition, found in the body of man. The bones are mostly phos- phate and carbonate of Hme. Sulphur prevails largely ia the skin, hair and naUs; phosphorus in the bones and brain; silica forms the enamel of the teeth and the white of the eye, and through all this wonderful structure, each element plays its essential part, and not only sustains that part, but serves to maintain the integrity of the whole. It is not to be supposed that these chemical elements exist within us in their gross or crude forms. In some cases they exist in considerable quantities, but always progressed, or in a 4 HOMEOPATHIC MENTOR. degree of refinement, far beyond what is observed in their usual or gross forms. In many cases they exist in forms so minute, and proportions so diminutive as only to be de- tected by the most delicate appliances of science. Nay, the condition, in which they often exist is, if possible, in- finitely more refined or attenuated than the most extended Homeopathic potence of the same element. Each of these particles is appropriated or eUmiuated from the material taten, and each is progressed or perfected, and then placed in its proper organ, tissue or part, giving form, color, strength or other quality to the part by, virtue solely of this vital principle called into action in the original germ. "Whenever it is found that the elementary particles, necessary for the perfection of a particular tissue, part or organ, are wanting, not having been either supplied at all, or in- sufficiently, or in improper condition; or when the organism has failed to eliminate them from the elements presented, defect and disease must be the result, and this may be grave or trifling, in proportion as the wanting elements are essential to the integrity of the part or whole. Not merely are new particles taken up and appropriated to the growth and maiutenance of each organ or tissue, but throughout the entire body the process of renovation is constantly going an; old, effete and waste particles are being removed and cast off, whUe new and fresh ones are constantly being deposited. "What we observe of the growth of the hair and nails is but an exhibition of what is going on in every part of the system. The bones change slowly, while the soft parts fin up or shrink away, sometimes in a few hours, but each is constantly undergoing change up to the final UFE. • hour of dissolution. Thus the entire body is a vast Chemico-vital laboratory, constantly taking up new elements and forming new combinations, while eliminating and dis- solving and casting off old and effete particles. What has been observed thus far in regard to the growth and maintainance of man has reference to his unconscious existence. The heart beats, the blood is changed, the food is digested and bile secreted, whether we wake or sleep, or win or niU. Fortunately these vital functions are not placed under the control of our conscious volition. Thus far we have considered the body only with reference to its vital powers and physical organization, leaving out of view the higher plane of our existence, the psychological or mental. But with sentient beings there is not merely a vegetative or animal hfe, but a higher plane of spiritual life, including our entire conscious existence, all that thinks and reflects, wiUs and remembers, hopes and fears, and which constitutes our true self; and to the maintainance of which in this hfe, the entire body is but the organ or temple. The spiritual or psychological existence is so intimately connected with the material form through which it manifests itself, that the growth and development of the one and the happiness and peace of the other are inseparable, and the dissolution of the one is the cessatioa of the visible manifestation of the other. Neither the body nor its parts can suffer or undergo destructive change in any degree without the manifestation of uneasi* ness, pain or suffering in the spiritual plane of its existence; and the sUghtest psychological change produces correspond- ing changes in the body. AH our passions, our hopes or 6 HOMEOPATHIC MEXTOR. fears, our joys and sorrows are reflected upon the , physical organism -with which we are connected. A pleasant sur- prise causes the blood to mantle the cheek with blushes, while fear not merely blanches the cheek and sends the blood to the vitals, but sometimes whitens the hair in a night. Thinking brings the blood to the brain, joy causes the heart to palpitate, grief or chagrin arrests the digestion, wMle despondency or fear tends to typhus. Habits of hving, thought, or reflection, stamp themselves upon the organism, so that the lines of the face eventually show the settled habit of thought. The " goodness of the heart causeth the face to shine." The benevolent man carries his heart in his countenance, while envy or hate, avarice or treachery ultimately betray themselves in the lines of the face. Thus every passion or emotion of our sentient Ufe has its corresponding influence upon our vegetative existence, while in turn the perfection of our animal life has much, nay, almost everything to do with the peace and happiness of oiu- higher existence. Thousands of children are cross and fretful, simply because they are Ul, and multitudes of men are sour, morose and disagreeable from indigestion, and not a few become felons and outlaws from a faulty or ill-balanced material organization. While vitahty has the power of appropriating from the elements presented what may be necessary for the develop- ment and sustenance of the body, it has also a power, within certain limits, of discrimination and rejection of that which is hurtful or inimical to its integrity or existence. In this sense lite has been termed a force of resistance. No sooner are inimical or hurtful substances taken into the aystem, than the vital powers set up a process tending to their expulsion. In some cases the opposition is so forcible and sudden as to call up the most extraordinary manifesta- tions, while in others it seems necessary that a longer and more tedious series of means should be adopted for this end. The first is most clearly seen in the action of the system against those substances which are so prejudicial, as to have obtained the name of poisons. In such cases the most revulsive efforts are manifested and -the system seeks by vomiting, purging, fever, sweating, or other means, to rid itself of substances injurious or inimical to its peace and integrity. So when articles improper in quantity or quality have been taken, an action is set up, more or less violent or determined, with a view of throwing off the offending substance. Such action, though it tends to re- establish the equihbriiun of the system, is, nevertheless, morbid and is properly termed disease. In some cases the offending matter is at once thrown off and the system promptly rights itself, while in others it is only after a long course of depression, violent febrile action and prostration, that the system finally raUies; or, exhausted, sinks under its excessive efforts. Substances appropriate for our growth and sustenance in proper quantities, become prejudicial if taken when deteriorated in quality or ex ' cessive in quantity. Some articles of food can only be taken with impunity in small quantities, while others may be taken safely in any amount and at almost any time. Nor can aU persons, even when in good health, take the same articles or quantities, with equal satisfaction or impunity; nay, there are some to whom eggs are almost poi«)"nous. 8 HOMEOPATHIC MENTOR. while to others, onions, or lobsters, or even roseS or honey are substances of their constant fear or dread; and these articles, usually innocent or harmless to others, act upon them with the violence of poisons, inflicting not only great suffering, bnt serious and even lasting sickness. The reason would seem to be that vitality ia these various cases, has no need in her economy of these peculiar elements, or combi- nations of them that are presented in these examples, and hence revolts against them as agaiast other noxia or poisons. Not merely these antipathies, but also the longings so common among certain persons, may be referred to the same instiactive source. It is said that animals instinctively seek and eat plants or substances known to be beneficial for their particular diseases. Cattle afflicted with what is termed bone disease — a peculiar softening of the bones — ■ seek and gnaw with avidity, bones which contain phosphate oi hme, the particular element wanting in their system. Deer, it is said, bury their horns as they fall off in the spring, and again resort to them from time to time, and by devouring them, refurnish the material for the immense and rapid growth of the new antlers. The longing for water, and cooling, acidulated drinks in fevers, is as natural as it is during the heat of summer, arising in either case from the excessive evaporation in the form of sweat or tasensible perspiration, resulting in. the rapid drain of moisture from the blood and soft parts, and hence vitality calling in these longings for the needed supply. The desire of children or girls of a certain age for chalk, clay, slate or similar substances, may doubtless be referred to some LIFE. chemical want of the system, of which this longing is the expression. It will be observed that these longings mostly occur during some particular state or condition of the system, when it is about to establish some change or evolu- tion, and hence, some extraordinary expenditure is required Hence, females when about to establish the menstruation or during the process of maternity, when the elements for a new organization are to be eliminated, are most subject to them. In some organizations there may be primary defi- ciencies which are never fuUy supplied, and hence these manifestation or longings or eccentricities of appetite or want, are rarely or never absent. We have seen that vitality has the power of selecting and appropriating whatever is necessary to perfect itself after its own material and form, and has also a wonderful power of overcoming obstacles and adapting itself to circumstances. True, the perfection of the organism must arise from the ample and appropriate nature of the material afforded, yet a modified and seemingly healthy condition is often found under very adverse circumstances. An oak may be systema- tically dwarfed to a yard in height, and yet manifest its complete identity. So Animal Life is found in a thousand instances, thriving and striving against influences the most injurious or inimical. The potato grows in a dark cellar, even though the light can give no color to its vine, and eyeless fish swim in the waters of Mammoth Cave. Whole races of men live almost exclusively upon rice and fruits, while others live as exclusively upon the fat of the whale or seal The secretion of the salivary glands is supposed to be quite beneficial to health, but millions, by the systematic 10 HOMEOPATHIC MENTOR. use of tobacco, deprive themselves of saliva, drood air, cleanliness and wholesome food are considered indispen- sable to health, yet the thousands of children playing in the gutters of our large cities, reeking with foul odors and covered with dirt, and yet comparatively tough and hearty, show that vitality may maintain its integrity, even against, these malign influences; nay, there are those who habitually take ardent spirits, tobacco, opium, and even arsenic, for years, or even half a Ufe time, and yet poor depressed vitality succeeds in affording them a modified health, not- withstanding. That men Uve ia apparent health, under these malign influences, proves, not that the influences themselves are harmless, but that vitality, at least for a time, possesses a power of self-sustentation, which over- rides their destructive tendencies. Similar to this is the faculty possessed by the organism, and its several parts, of adaptation to circumstances, in order to accomplish what may be required of it. The limits of human endurance or accomplishment are almost beyond comprehension, and things are every day done which at first sight seem impossible. So soon as a demand is made upon the system or an organ, vitality sets in operation the means to meet that demand. If the re- soiu:ces are properly husbanded and the end persever- ingly sought, vitality will sooner or later, more or less perfectly, according to the circumstances, respond to that requirement. The eye of the watch-maker becomes wonder- fully acute in the perception of smaU objects, while that of the pilot discovers objects at distances impossible to others. The touch of the blind enables him to read, while LIFE. 11 the eye of the deaf detects the -words of another from the motion of the lips. Sometimes an organ or faculty becomes so changed from education or habit, as to become perverted, or an entire new faculty may be called iato existence. The miller awakes when the mill stops, and the night-watchman sleeps^ best in the day time. Those who have long followed the proving of drugs upon themselves, and hence have long and constant occasion to analyze their own sensations and functions, find an entirely new faculty called into existence, of which before they had been ignorant. In. the effort of vitality to adapt itseK to circiunstances (to exist even if not according to its original type) new forms or modifi- cations are constantly manifested. The following out of these new forms under the same or similar circumstances, give rise to permanently new varieties. Thus domestic animals or fowls exhibit almost every variety of color or even shape, while the vnld are unvarying in color and form. The wild goose or pigeon are always the same, while domestic ones, limited in their supplies, and subjected to arbitrary crossings, exhibit great variety of form and color. Deviations in the flowering of plants, or in the production of fruit or grain, are traceable originally to the same source. True, aU nature tends to perfection. But, im order to perfection there must be varieties, so that the most beneficial of these may be propagated while the im- perfect are permitted to perish. The great law of organic, life the survival of the fittest, finds its response and its exemplification here as elsewhere in the domain ot nature. 12 EOMEOFATHIC MEDTOB. "Wlien the influence of vitality is undisturbed, and th« organism is supplied with its necessary pabulum or nour- ishment, health is the result. In this condition the play of the vital forces through the organism and the ministrations of the organism, in return, to the higher behests of our being, are ia harmony; the performance of every function and indeed every action is attended with pleasurable sensa- tions, and there is a happiness in mere existence. The ceaseless twitter or song of the birds, the gambol of fishes or the humming or dancing of insects in the sun, all betray the happiness realized ia mere healthy existence. The digestion of the food, the circulation of the blood or the thousand sensations going on ia every portion of our complex organism, are all sources of enjoyment) ; whUe the attaimnent of knowledge, the performance of benevolent actions, or of the higher offices of our being, are attended with the highest sense of enjoyment to the individual. The sense of this enjoyment in health calls into exercise the highest activities of our being, and it is only when they are over taxed, iUy adjusted, or perverted, that their per- formance ceases to afford gratification. To this gratification we owe the ceaseless energy that illuminates the higher achievements of our race. Modified health is not incompatible with deviations in form or even with mutilation or loss of parts. Doubtless the highest health is found connected with the most perfect type and symmetrical form; but Nature, in the case of de- viations, deformities, or even mutilations, adapts hersell to HEALTH. 13 circTimstancGS and still maintains her integrity, as far as the conditions •wiU admit. The leg of the dancer or the arm of the'smith, increased beyond their natural size, from long continued exercise, cannot be considered unhealthy; nor yet the diminished muscle of the professional man, whose non-use has failed to call out its fuU development, In this effort of Nature, under this law of our being, to adapt each part to its requirements, we notice constant deviations from what might be considered the most complete order or symmetry, so that breeds of animals or races of men assume forms or changes of structure or proportion that are very striMng. In the progress of the human race there is an age of muscle, and then an age of brains; and vitality adapting each to its want and training, fashions the race accordingly. That undoubtedly is most nearly perfect which is best adapted to its use. The heart of one man may be twice the size of that of another and yet be perfectly healthy, having a corresponding arterial and nervous system; while in some delicate individuals it may be very small, with a pulse like that of a bird, yet both are healthy. One person has an exceedingly delicate nervous organization, while another has so little nervous development as to be almost insensible to pain or even to pleasure. One feels exquisitely every passing emotion or passion, while to another they scarcely exist. Tet none of these can properly be called deviations from the standard of health. Each may be healthy accord- ing to its standard. The inherent vitality of the individual has much to do with his power of preserving health. We inherit from our ancestors, not merely the type and form, the complexloii 14 HOMEOPATHia MENTOR. and habits of body, the temperament and tendencies of the organism, but also about so many years of existence. Other things being equal, the son will live about as many years as did his father, and the daughter as did her mother. Tem- perance and observance of the laws of life will add a few years to the thread, or evil habits and dissipation will shorten it somewhat, but in the average a man may expect to live to about the age of his father, while aU. are of course liable to be cut off by accidents or acute diseases. With some the hold on life is much stronger than in others, and they will not only live longer but withstand influences to which others speedily succumb. A rat often outlives the most terrible mutilations, while a rabbit may be killed by the slightest blow. Some persons survive the most terrible ravages of disease, while others die before they are sup- posed to be ia danger. Some persons are so constituted that every passing influence affects them. They have all the diseases incident to childhood, and during adult- life every passing influence, dysentery, influenza, cholera, diphtheria or other epidemic, finds an arena in their system; while there are others whose vitality rides safely through all such malign influences. Nay, there are even those who seem proof against smaU-pox, syphilis, or yellow fever. It would seem that vitaUty in these cases holds the organism so per- fectly under its control as to render it proof against in- fluences which are frequently fatal to others. As health is the harmonious action of the vital force and of the various functions of the organism, it foUows that the more complex or deUcate the structure or organism, the more liable it becomes to fall into disorder or disease. BEALTB. 15 Every additional element that enters into the organization, is an additional influence •whose action must be in union with every part, and with the whole, in order to its healthy action. Vegetable life may only suffer from the quaUty or quantity of the material which makes up the structure. 'Animal life may still further suffer from the sentient system which forms a part of its organism, whUe in intelligent beings, the whole is stUl further complicated by that immense sway of psychological phenomena, that thinking and willing, hoping and fearing, whose ebb and flow is more or less re- flected upon every plane of the being below it. Hence, the more refined, deUcate and sensitive the organism becomes, the more nicely and delicately are its balances adjusted, the more exquisite are its perceptions and enjoyments, the keener its grief or depressions and the more liable it is to become ill-adjusted and to faU. into disorder. Time was, in the history of the race, when diseases were few and pro- portionately fatal; but, with the progress and development of man, they have increased a hundred fold, because there are a hundred more influences in play, all of which must be in harmony in order to perfect result. This is seen in the difference between wild and domestic animals. WUd birds or animals are subject to few or no diseases, and not imtil after many generations of domestication do they become subject to them, while the thorough-bred horse or dog must be treated as tenderly as a child. The Indian has biit few diseases, and those of an acute character and generally fatal, while the fuHy cultured and developed man or woman is the subject of slmost numberless morbid in- fluences. 16 HOMEOPATHIC MENTOB. idise-a.se. When the organism, or any of its parts, falls into dis- ordered action, it is said to be diseased. The first mani- festations of disease are usually upon the highest planes of the organism. Not until after these have been invaded and their action modified by the morbid process, does it descend to the lower or more material planes of the organism. Thus it is first the psychological or moral, then Ihe sensational, then the functional, and last of all the material plane of our being that is invaded. The first perceptions of diseased action are sensations of depression, melancholy or misanthropy; or, they may assume a more ■yiolent or positive form of sadness, iU humor or mental disquietude bi various forms or degrees. In some instances the morbid process does not extend to the lower planes, but expends its force in the first arena of its action, and the result may be hypochondria, insanity, or some similar form of mental alienation. But, in the usual course, the next plane of the organism, the sensational, is invaded, and there are then manifestations of pain, uneasiness, aching or weariness. Some morbid conditions, such as neuralgia, are characterized almost exclusively by these manifestations. Next, the functions of the body become disordered, the appetite fails, taste becomes impaired, tongue coated, Becretions obstructed, and some or all of the functions of the body are perverted, or more or less impaired or arrested. In some cases the principal sphere of the morbid process is the perversion of a function, as in diarrhoea or diabetes. Lastly, we come to alterations of structure — ^the localization DISEASE. 17 of disease upon the material plane. Here we may have redness, swelling and heat, as in inflammations, or lesions of parts, as in ulcers, or changes in the structure of the part, or even its ultimate molecules, as in case of cancer or scirrhus. In particular instances the invasion of th« organism may be so sudden that its successive steps or stages may not be marked, and the entire system may seem to be affected at once, or some of its stages may seem to have been glided over and scarcely assailed, or in bo slight a manner as to have been unnoticed; or the morbid mani- festation may be so positive or decided in some one parti- cular field as to give the impression of that being the only plane of the morbid process. Yet before any of these changes of structure could have occurred it is evident there must have been also changes in the vital being, to which only by degrees the change of structure was eventually made to correspond. The recuperative or healthward manifestations of the system proceed in the same order. The first perception of relief is in the moral sphere — the patient feels more cheer- ful, less depression, gloom, or irritability; then relief from pain and uneasiaess, sleep and expression more natural; then, the functions are improved, circulation, taste, appetite, and secretions more regular and natural, and finally the conditions 'of structure, if there has been organic lesions,' gradually assume a more natural and healthy character. Often, during the height of a malady, a single appropriate dose of the required remedy is given, and the patient at once becomes more calm and quiet, and sleep comes on, giving most indubitable evidence that vitality haa been 18 HOMEOPATmO MENTOR. relieved and a healthward process established. Thus, the ciirative process is seen to commence in the highest sphere and to descend to the lower and more material plane. In case of wounds, injuries, or lesions of parts, the first injury may be in the material structure, yet the perceptions of the morbid process and the curative manifestations of the system are first indicated in the higher and more immaterial planes of the organism. In some instances a morbid process may be so remote from the seat of life, and so httle affect its normal functions, as to caU its sympathetic action but very slightly into play; and such cases have been . erroneously termed local diseases; such as indolent ulcers, tumors, or adventitious growths. The genesis of disease presents some interesting con- siderations. Unquestionably the early progenitors of the race were not subject to aU the diseases which are now common. The advent of many are well kaown. When an individual or community has for a long period violated the laws of Hfe or health, the violation seems to ultimate itself in the form of a particular corresponding malady or disease, which having once manifested itself in that particular form, assumes a type, and hence, constantly tends to reproduce (itseK in new subjects. Thus the cholera was first known during the early part of the present century. Among the crowded and iQ-fed masses of India, exposed to pestilential miasm from sluggish rivers, among swamps and rice fields, there was developed a peculiar form of disease, which first rioted in its own home, sweeping off hundreds of thousands of the wretched inhabitants, until after a few years, it stretched out first along the water courses and great Hnes DISEASE. 19 of travel; and at length overleaping all sanitary cordons, it visited in turn aU the great cities of Europe and America, and finally became known as the cholera in almost every part of the habitable globe. So the plague, doubtless engendered by the peculiar habits and endemic influences^ of the Levant, at times stretches out its malignant folds and involves London, Paris and other distant and usually exempt cities. The yeUow fever is usually confined tv/ the low miasmatic coasts of the Southern portion of tliig country and semi-tropical regions; but, at times it has been known to travel inland and visit places hundreds of miles beyond its original locality. Syphilis was unknovm untU about the year 1495, when it first appeared at Naples, and has since extended to every part of the habitable world. The advent of many diseases of modem date are well known and easily marked. In the course of many years the character and peculiarities of a disease may become changed or modified; or it may entirely disappear, while other diseases, or new manifestations may take their place. New diseases or new forms of familiar ones, are constantly coming forward, and will be likely to do so as long as the habits of the race and surrounding influences are subjects of corresponding changes. It is not strange that diseases run in similar channels, or that a type constantly tends to reproduce itself. The human organization being always mainly the same, a morbid influence acting upon it elicits mainly the same response or symptoms. The shadings may be varied by the peculiarities of the subject and potency of the exciting cause, but the essential features wiU be similar. In some ^0 HOMEOPATHIC MEHTOR. cases the morbid infiuence is so positive that it always elicits the same symptoms, only varied in their degree or intensity; and these have obtained the name of diseases of fixed character. SmaU-pox and measles have far less variety than scarlet fever, owing doubtless to the varying degree of intensity in the morbid cause. All epidemics are observed to have their rise, acme and declination, as well as to vary in their character and degree of intensity from year to year. From these considerations it wiU be seen that disease is not to be considered as a material, something which has got into the system, and hence is to be expelled from it; but as primarily a deviation from the normal standard in the play of the immaterial vital forces that govern and control the material organism. These deviations, which we term disease, arise in a large majority of cases from causes which are as immaterial as the vital being itself. In some cases the causes may indeed be material — ^poisons, bad food, excesses, wounds, etc., which, acting through the material organism, upon the immaterial forces within it, derange the play of the entire organism; but, often, they are of the most immaterial character. The cholera swept off its thousands and even decimated the population of some large cities and vcommunities; yet there was no rational solution for its presence found in air, earth or water, or even yet in the surrounding electrical conditions of the atmosphere *. Nor is it easy to detect the presence of scarlet fever, diphtheria, of typhus in any material form aside from their manifest- * Kecent investigations seem to have given a minute, or mioroi- eopical, basis to diphtheria, typhus, and some similar or zymotic diseases. DISIIASE. 21 JkX)ns. The most delicate tests applied to an atmosphere reeking with fever and ague, yellow fever, or small-pox. fail to detect a difference between them and that of the most salubrious mountain region. Tet an atmosphere apparently innocuous may be so charged with malaria or contagion as to destroy a large proportion of all susceptible persons who come within its reach. In inflammation, fever, rheumatism, a mere check of perspiration or sudden exposure, gives rise to all the phenomena of the disease, without the possibility of any material cause having contributed to the disorder. When changes in the structure of the part have occurred, such changes are not to be considered the cause of disease, but the result or consequence of morbid action. Usually quite a period of time is required, and a series of immaterial changes or evolutions of the organism are necessary before any material alteration of structure can occur. This is very manifest in cases of cancer, tumor, or similar lesions of structm-e. HOW MEDICINES CURE. All crude medicines are, in their nature, poisons or health- disturbing agencies. By virtue of their ability to derange health, they have, under certain circumstances, the power to restore it. But it is not necessary, in order to restore health, that medicines be used in quantities sufficient to disturb or destroy it. Homeopathy has fortunately shown the world how medicines can be used so as to restore, without the possibility of injuring; and how to develop the curative powers of medicines, while their poisonous properties are destroyed. 22 HOMEOPATmO MENTOR. It has been common to use emetics, cathartics, sudorifloa or expectorants, with a view of promoting the excretions of the body, that thereby disease might be expelled and health recovered; and it is not doubted that, after the operation of a brisk cathartic or emetic, the patient has frequently been restored. But, as during the operation of the medicine it may in many cases be shown that every grain of the drug administered, except an immaterial Homeopathic portion, has been ejected from the system, it becomes a question whether the large quantity which has been thrown off, or the immaterial small quantity (Homeopathic) which remained, has been the curative agent. Surely the mechan- ical effort of vomiting or purging has no more curative action than the wiping of one's nose has in curing the catarrh; and the fact that Homeopaths do cure with the small portion, confirms the impression that all the large dose and revulsive operation was at least misapplied. In very few cases will these mechanical manipulations ciure disease. No fact is better settled than that Homeopathic medicines euro. The method of their operation has been variously explained. Even should it not be susceptible of explanation at aU, or upon any generally accepted principle or hypothe- sis, yet this would not invalidate the fact of such cures; or should any of the usual explanations prove to be incorrect, yet the fact stitL stands; only, the supposed rationale has proved fallacious. Homeopathic cures, if not all cures by medicine, seem to be upon the principle of suBSTrruTioif. To substitute a similar medicinal action for a morbid one, is to extinguish disease. In some cases this may be easy. DISEASE. 2J in otliers difficult, or again impossible, as every art ol necessity has its limits. This cure by substitution, or Homeopathy, is not new; the truth flashed from tne im- mortal poet when he sung — "Tut man, one fire burns out another's burning, Turn giddy, and be helped by backward turning, Take some new infection to thine eye, And the rank poison of the old will die." Applying snow to the frost-bitten parts, and heating applications to burns, are famUiar examples. But the cure of syphilitic diseases by mercurials, or of fever and ague by quinine, or sore throat by cayenne pepper, are as truly Homeopathic as the former, and all truly specific or cura- tive medicines will be found to range themselves under this principle of action — ^the Homeopathic. All prevention of disease is also, upon this (Homeopathic), principle. Vaccination, with the kine-pock, prevents the smaU-pox, because the mode of action and the essential phenomenon of the two diseases are similar in the course they run, the symptoms they produce, the local swelling and scar they leave behind; and being thus similar the one acts as a substitute for the other. The kine-pock as truly protects the system as does the small-pox itseK from a second attack. Minute doses of quinine prevent fever and ague and other malarious fevers, and beHadonna prevents scarlet fever upon the same principle. In Homeopathy, we first ascertain by proving or trials of medicines upon the healthy, the organs or tissues upon which such drugs act, by observing the symptoms or disturbwces in the system which they produce. Having 24 HOMEOPATHIC MENTOR. thus, by repeated trials, learned the afifinities of medicines, we are enabled to apply them with great certainty in disease. Because, it a disease or morbid condition produces certain symptoms, and a medicine produces the same or Bunilar symptoms, it is certain it must do so by acting upon the same organs and tissues, and in the same manner; and thus to give the same, we substitute, if it is possible, the one medicinal for the other morbid action, and thus sub- stituting, cure it. And here our use of minute doses finds explanation. Few diseases produce the symptoms of large material doses; or if they do, such large doses assault the ' system so violently, as to call up a revulsive action, which convulses, torments and poisons, whUe it does not cure. But Homeopathic doses acting upon a higher plane of the organism, that upon which disease begins, gradually and sometimes immediately, substitute their action for that of disease, and thus modify, soften and extinguish it. The dose or amount of medicine given must be in harmony with the condition of the vital forces when it is given. It often happens that a very minute dose vrill act curatively, when a larger one wiU not so act at aU; and it is a very gross, but common error, to suppose that if a little medicine will do some good, a larger quantity wUl do more good. It is often' quite the contrary. As medicines have special affinities for different organs or tissues; as for instance, belladonna for the eye and brain, mercury for the glands and sidphur for the skin, etc. ; the rationale of this action must be the affinity of the medicine for homogeneous molecules of the same element in the human system. As the human body is a microcosm, having DISEASE. 25 in. itself the known primary elements, it follows that every one of these elements, or its combinations, may become a medicine; and by its influence serve to modify and control the action of the organism through its influence upon homogeneous particles of the same element in the human system. These elements, as they exist in the human body, are in a condition infinitely more refined and progressed than the condition in which they are found elsewhere. Hence it is that ia order to act curatively, as medicines, and in the most speedy and efficient tnanner, they must be reduced, triturated, refined and attenuated, so as at least to approximate to the condition in which they exist in. the human body. Thus refined, attenuated and progressed they are no longer poisons or health-disturbing agents, but on the contrary are life-sustainers, vital pabulums, in every way conserving and sustaining the health and vigor of the body; not only curing disease when rightly applied, but protecting and preventing disease and decay. In this con- dition the poisonous properties of medicine are destroyed and their curative or conservative ones are developed. And therein we have an answer to that stale and crude fallacy urged by the thoughtless, that because a child might eat a bottle full of Homeopathic medicine and not be poisoned, hence, such medicine could have no power to cure the sick. Specific Homeopathy especially recognizes this fundamental principle — that medicines act curatively through their affinities with homogeneous particles of the same elements in the system. Hence, in the formation of our specifics, we seek, not merely to give a simple, which may act in a certain direction, or upon a certain organ or tissue, but to 26 HOMEOPATHIC MENTOB. unite in a specific medicine, elements, which having the same direction or symptoms, yet act upon fundamentally different elements or tissues in the body. This is done by combining medicines of widely varying constituent prin- ciples or elements; and, while each of these is Homeopathic to the disease, they sustain the system differently by acting upon different organs, tissues, nerve centres, or organic elements. Thus, while one may serve as pabulum for the blood, another may perform the same office for the bones; while a third may directly act upon the nervous system, and all may conduce to a general result. Vegetable poisons, animal poisons, chemicals, minerals and metals, as classes, each act differently upon the human system, and each per- form offices which can not well be performed by others; and the great advantage of Specific Homeopathy is that specifics are formed that unite in one Homeopathic preparation the virtues of these several classes of medicines. Eesults are by this means attained, not only in the simplicity of the application, but also in the certainty and value of the results, especially in the cure of obstinate and long-standing diseases, which are not realized by any other method. Niunerous morbid conditions arise from the deprivation of some element essential to the integrity of the system — as the want of iron in the blood, or of phosphate and carbonate of lime in the bones. These substances administered, not in crude, but in refined or Homeopathic forms, are found to act like enchantment in supplying the wanting- sub- stance; not so much perhaps in giving the quantity required as by setting in action the inchoate particles of the same elements already present. When it is remembered that WSEASE. 27 these elementary particles, as they exist in our blood, our organs, our tissues and bones, are usually in particles, so exceedingly minute and refined, as at times only to be detected by the most delicate tests which chemistry has discovered, it wiU be comprehended that, in order to act affinitively upon such particles, the element given as a medicine must be attenuated or reduced to a similar condi- tion, or one approximating it. True, the mortar and pestle, with sugar of mUk, will never reduce sulphur to the condi- tion of that which plays so essential a part in the human system. But this mode of preparation is the nearest to perfection and has attained the highest results yet known in the experience of man. And it may be alao admitted that by this mode of preparation there is imparted to the medicine, not merely a fineness in its form, but also some portion of the vital electricity or power of the individual performing the manipulation or making the medicine. As the condition of an electrical current is modified in passing from the machine through the organism of another indi- vidual to the patient, so the direct Homeopathic mani- pulation of a medicine by a healthy and weU-disposed person, is not without its influence in sustaining and restoring the sick For the permanent restoration of the sick, especially in long standing or chronic diseases, time is required. Often such diseases are of many years standing, and have by degrees involved the entire organism, producing disturb- ances of function and sensation, and even changes in the structure or tissues of the body itself. When it is realized that all these must be changed, renovated or even renewed 28 HOMEOPATHIC MENTOB. by efforts of the immateriai vital forces, assisted by tb« kindly influence of medicine appropriate in quality, quan- tity, form and repetition, and sustained by appropriate nutrition, it will be seen that health, in such circum- stances, can not be the work of a day or week; and the patient should be content even if months or years are required for permanent and entire recovery. In some marvelous cases the power of disease may be broken at once, and the change produced be so great that the patient beheves himself weU. In almost aU cases wherp a cure is possible, the appropriate medicine produces an improve- ment at once, or in a very few days, but iu most cases experience has abundantly shown that time, repeated doses, and a persistent use of appropriate medicine, are required for the cure of serious and long-standing diseases. In many instances the medicinal influence is soon extin- guished or lost> so that repeated doses are required for a cure; while in others, a single dose, permitted to expend its action undisturbed, has produced the most important changes and even annihilated a long-standing and obstinate disease. It is yet an. open question, whether, the Hahne- mannian method, of one dose carefully given and permitted fuUy to expend its action before repetition; or whether doses frequently repeated, produce the most satisfactory results Each method has its advocates and adherents. Some diseases run their course rapidly, and their cure may be as rapidly effected, while others are months or even years Working out a morbid process, and often require a similar range of time for their permanent annihilation and cure, JJISEASE. 29 CAUSES OP DISEASE. HHREDITAEY TKAKSMISSION. It is not unfrequently observed that several members of a family are subject to some peculiar disease or morbid con- dition, and that father and son, or mother and daughter, in turn, are subject to the same disease. Sometimes nearly a whole family die in the course of a few years from con- sumption; sons are afflicted with gout, scrofula, salt rheum or rheumatism, as their father was before them; daughters inherit cancer from mothers or grandmothers. The im' pression hence generally prevails that these diseases are inherited. The fact of disease frequently appearing under such circumstances is undisputed. However difficult it m.ay b J to conceive that the vital principle, in forming for itself a body, does, from some inherited germ or principle, form it of materials, which at a certain period of life are subject Id disease or dissolution in a certain, form; it is quite certain that as each parent imparts to its Z)ffspriQg its own type and peculiarities, its tendency to be lean or corpulent, large or small, delicate or stout, so with this bodily organi- zation there may be a tendency to assume or take on diseased action in a certain form. It is not usually difficult to arrest such tendencies in the bud, by the appropriate use of Homeopathic medicines; and they only require to be understood and guarded against by proper habits and medication, in order to ward off danger from such sources. The medicines and measures of preven- tion against such diseases will be indicated in their appro- priate sections. 30 HOMEOPATHIC MENTOK. MIASMS.— MALAEIA. Often, over extensive sections of country, and sometimes successively ovef vast regions, people are afflicted with some peculiar form of disease, such as influenza, cholera, scarlet fever, etc. The infl.uence which causes such diseases is but imperfectly knovm. They are observed to have their beginning, reach a certain degree of intensity, and then to decUne. During its presence all susceptible persons are more or less affected by it, yet '"uly a portion of the entire population are attacked with the disease. Other diseases, during its continuance, are variously modified and made to wear the Uvery of the prevailing epidemic. All patients will not have the same symptoms, only the more important or peculiar ones, showing the unity of the miasmatic in- fluence. "While aU, wherever it extends, are doubtless within its influence, yet, the miasm or disease-producing agency is jnore intense in the immediate vicinity of those who have tie disease, and to this extent it may be considered con- tagious. A susceptible person coming into the immediate presence of those who are laboring under the disease, is doubtless more exposed than elsewhere, as the morbid ia- fluence is there more intense. Fear, or an apprehensive state of mind, renders the person more susceptible than otherwise, while a calm, quiet and determined state of mind is not without its influence as a protective. Not unfrequently the epidemic influence seems to change its mode of manifestation, and one disease is found to follow another. Thus the cholera has been very commonly preceded by the influenza, the diphtheria by scarlet fever, and dysentery by intermittent fever. BISEASE. 31 ENDEMIC CAUSES. Diseases are frequently engendered by local or endemic influences. Thus, the neighborhood of swamps and marshes, lor the drainage of ponds, almost iavariably causes some 'grade of remittent or intermittent fevers, known under the name of malaria. Persons, residing. in such localities are subject to malarial diseases; and new countries where largt portions of land are being cleared and hence drained, are almost invariably subject to these fevers. So, the digging of canals or extensive drains is for a time observed to be followed by similar results. "When stagnant water remains in a cellar for any considerable timej the family or some of those residing over it, will rarely escape some form of fever, especially if sleeping on the lower floor. There arc also some diseases that seem to be peculiar to certain localities or sections of country, among which may be mentioned the PUca Polonica, or plaited-hair disease iore finely grained and delicate than that of the male. HYGIENE. ^NUTEITIVE FOOD-VALUES. fb'( During the breeding season flesh is unsuitable for food. The flesh of wild animals has less fat than that of weU-fed domestic animals, but it has more flavor. The character and flavor of the meat are much affected by the food eaten. The violent exercise taken before death makes the flesh of animals killed in the chase very tender. The removal of blood in slaughter, while it involves waste of nutritive ma- terial, improves the flavor of the flesh, and renders it more easy of preservation. Hanging the meat improves its tenderness, if it be kept after the rigor mortis has passed away. But the best meat may be rendered unwholesome by decomposition. I Good meat, according to Dr. Letheby, has the following characteristics : — 1. It is neither of a pale pink color nor of a deep purple tint; for the former is a sign of disease, and the latter indicates that the animal has not been slaughtered, but had died with the blood in it, or had suffered from acute fever. 2. It has a marbled appearance, from the ramifications of little veins of fat among the muscles. 3. It should be firm and elastic to the touch, and should scarcely moisten the fingers — ^bad meat being wet, and sodden, and flabby, with the fat looking like jeUy or wet parclunent. 4 It should have little or no odor, and the odor should not be disagreeable, for diseased meat has a sickly, cadaver- ous smeU, and sometimes a smeU of physic. This is very apparent when the meat is chopped up and drenched with warm water. 5. It should not liquefy or become very wet on standing for a day or so, but should, on the contrary, remain dry upon the surface. 48 HOMEOPATHIC MENTOR. 6. Wlien dried at a temperature of 212° or thereabout, it should not lose more than from seventy to seventy-four per cent of its weight, whereas bad meat will often lose as much as eighty per cent. 7. It should not shrink or waste much in cooking. And, in determining the values of different kinds of mea^ digestible. Starch, as an article of diet, is useful in the formation of fat and force; but is devoid of nitrogen. It has this recom- mendation, that it allays the sense of emptiness and hunger when other food cannot be taken. But its granules are covered with a hard envelope which renders them difficult of digestion; and if they be eaten uncooked they pass through the canal without yielding up their nutritive properties. If, boiled, the envelopes are ruptured, and the contents are easily transformed, either by the saliva or the intestinal juices, into sugar, and are thus easUy assimilated. All pre- parations of starch should therefore be cooked before they are eaten, by stirring them into boiling water or boUing milk, and then letting them simmer for a few minutes. If prepared with mUk instead of water, wine should not be added.' Sago, prepared from the pith of a species of palm, is use- ful for thickening soups, and making light puddings, which with the addition of milk form a hght and easily digested diet for the invalid. Tapioca, prepared from the root of the cassava, is similarly employed and similarly useful. Tapioca jelly is an allowable and pleasant dish. The tapioca should be soaked in cold water for several hours, and then cooked until perfectly clear, adding more water if necessary. "When done, sweeten to taste, and flavor with lemon, or wine; and when cold eat plain or with cream. Arroioroot possesses little nutritive value and little sustaining power; its chief merit is that it is bland and easily taken; but some other 92 HOMEOPATHIO MENTOR. alimentar} substance should be added to it. The true arrowroots (Bermuda, Jamaica, and West Indian) are to be preferred for the sick-room, for they wUl often remain on the stomach of an invaUd when the others will be rejected. We come now to a class of vegetable products containing a large proportion of water, which makes them succulent; of these the potato takes the lead in importance and dietetic value. Potatoes are an agreeable and wholesome article of food, easily cultivated, kept, and cooked, not always easily digested. They also have the recommendation of being, anti-scorbutic. In this quality cabbages take the first place, and all succulent vegetables share, but potatoes have been proved repeatedly to produce a most beneficial effect in the prevention and cure of scurvy. The proportion of starchy constituents is large, and of nitrogenous elements small, so that it is desirable to eat with them some other food to supply the deficiency in nitrogen, such as meat, fish, bacon, buttermilk, etc., in order that a fully nutritious diet may be supplied. When cooked, the heat employed coagulates the albumen, the starch granules absorb the watery particles, swell, and burst their cells, and thus the mass is broken down into a loose, floury, or mealy condition. If, however, the absorption is incom- plete, and the rupture of cells imperfect, the mass remains coherent, firm, and waxy. In the former state the potato may be easUy digested; in the latter it is difficult of di- gestion. Young potatoes being close and firm are very indigestible, but old waxy potatoes are more so. Preparation for the Table. — ^The best method of cooking HTGIENE. — NUTRITIVE FOOD-VAIjTTES. 93 potatoes, is by steaming them ia the skin; by this process heat penetrates everywhere, and there is no loss of material and salts. For this purpose a saucepan, one-fourth fuU of boiling water, is required, into which a closely fitting steamer is placed, containiug the potatoes, the latter being so packed as to allow a free passage for the steam. If the potatoes are boUed, the skins should not be previously removed, or a large amount of salts wiU pass out.* The addition of common table salt to the water is advantageous, for it helps to retaia the natural salts. The boiling should be thorough, otherwise the starchy grains are undigested. From twenty-five to thirty-five minutes is the time usually required, according to the kind of potato boiled. Potatoes should be served up immediately they are cooked, and not, as is too frequently the case, placed over the fire at haJf-past eleven or twelve for one o'clock dinner. Towards the end of the season, old potatoes are improved by being peeled overnight and put iato cold water, by which process they regain, in a measure, their natural color and consistency. Potatoes are rendered more digestible by being finally mashed, and mixed with a little red gravy as it runs from the cut surface of a Joint. Boasted potatoes are more nutritious than boiled, and Potato soup is a better food by the addition of peas. Choice of Potatoes. — They shoiild be large and firm to the touch, should present no evidence of disease or fungi, should not have been exposed to frost; neither should they • Dr. Letheby estimates the waste when the skins are removed ai 14 per cent., when not removed at only 3 per cent. 94 HOMEOPATHia MENTOR. be germinating or growing, for then the starch is under- going a saccharine metamorphosis. Further, when cooked they should not be close, watery, or waxy; but floury or mealy. Carrots make a pleasant change in one's vegetable fare, but are apt in some cases to produce flatulence. The less' they have of the central yeUow part, and the more of the outer red part, the better. The Parsnip possesses the same general characters as the carrot. Being sweet, it is well adapted for children's use, but should be avoided when old and stringy. The Turnip contains a very large proportion of water (91'per cent, according to Dr. Letheby), and hence is of little nutritive value, and is more difilcult of digestion than carrots or parsnips. Badishes are somewhat like the turnip, but beiag usually eaten raw, are often indigestible. "We now turn to another class of vegetables. The leaves, shoots, and stems of some plants are valuable for food, chiefly on account of the salts they contain, and because they give variety to the' diet. They should generally be grown quickly, in order that woody fibre may be less abundantly formed; and without much light, that the characteristic properties may not be unduly developed. If the chlorophyl, which gives the green color to vegetables, be abundant, it is apt to produce purging — indeed, green vegetables are always more or less relaxing. They are con- sequently useful when the bowels are constipated, and must be altogether avoided when Diarrhoea or Dysentery is present. They possess a high anti-scorbutic value. In all cases they should be eaten as fresh as possible, for every hour's delay after they have ceased to grow renders them less digestible- HYGIENE. NUTRITIVE FOOD-VALUES. 98 Oabbagefs, Savoys, Sprouts, Cauliflower, etc., are of the same general character; but as the proportion of water in their composition is very large, they are not very nutritive. Moreover, they are not easy of digestion, and therefore not suitable for dyspeptics; whUe the large pro- portion of sulphur they contain causes disagreeable flatul- ence of carbonic acid and sulphuretted hydrogen. Cabbage, however, is a most valuable anti-scorbutic, but if ferment- ation has begun its virtue is destroyed. Bleeding of the gums and Purpura are benefited by it. The best sorts of cabbage are the old white garden variety and the summer cauliflower. They should be soft but crisp before being cooked. Spinach is wholesome, and somewhat laxative. Rhubarb is eaten as a fruit rather than as vegetable, and requires to be well sweetened to make it palatable. As it contains oxalate of hme, it should be avoided by those who are subject to Calculus. Celery is indigestible when eaten raw. If so eaten, it should be with a light lunch of bread and cheese, not after a fuU meal. Stewed in beef gravy it makes a delicious and wholesome soup. The Asparagus should be eaten as soon as possible after beiag cut. The greenest heads are to be preferred, as they contain the largest amount of the peculiar principles of the plant. There need be no fear that they will prove injurious to the kidneys, as some persons suppose. SUght cases of Eheumatism have been cured by eating freely of this plant; and chronic cases of rheumatic gout and gravel much relieved. Onions are very wholesome vegetables, whether eaten raw, or stewed, or roasted; they are too strong, however. d6 BOMEOPATHIO MEKI-OB. for invalids when they have not been cooked, as they possess strongly irritant and stimulating properties. Leeks should be white, and have little smell; they are then soft and good^ and very digestible. Lettuce is agreeable, cooling, andj digestible as a salad; the juice is mildly soporific. W(der\ cress and Mustard-and- Cress form wholesome salad. Gu^ cumber, eaten raw and quite fresh, may be taken with bread and cheese as a light lunch, but should not follow a more substantial meal, for it is indigestible, and apt to disagree with many persons. Stewed, it is Hght and wholesome. Mushrooms, which are generally eaten after being stewed, to most persons are not injurious; though by dyspep- tics they are best avoided, for sometimes they cause colic, vomiting, and purging. Those grown in open pastures are by far the best. It is not always easy to distinguish mush- rooms from poisonous fungi, so that some caution is desir- able in gathering and preparing them for food. "A meadow mushroom should peel easily, and it should be of a clean pink color inside, like a baby's hand, and have a frUl or 'curtain' (as botanists, call it) attached to the stalk. When the giQs are brown they are growing old and dry, and losing their nutritive qualities." — Chambers. Vegetable Broths, made of any of the ordinary market Vegetables, in season, by boiling and straining, are useful as substitutes for animal foods when the latter are not allowed. Out of season, dried vegetables may sometimes answer the purpose. In preparation of these, and in all other cookery for the sick, so far as possible, non-metallic surfaces only should be allowed to come in contact with the materials employed. A simple method is to put them into an ordiu- HYGIENE. — OTJTEITIVE FOOD-VALtJES. 97 ary basin or bowl, placing this in a saucepan of water and covering the basin with a saucer. The water in the sauce- pan is made to boil, and thereby the food, is duly cooked. Fruits are agreeable and refreshing; but as their pro- portion of water is high and of nitrogenous matter low, they are of little nutritive value. "When taken in moderation they are very wholesome, counteracting the unhealthy con- dition which attends a diet of dried and salted provisions, and promoting a somewhat relaxed state of the bowels. Fruit is best eaten in the morning or at lunch. "When consumed in large quantities fruit may be injurious; parti- cularly if it be unripe or over-ripe, — in the former case by the action of the fruit-acids, in the latter by fermentation and decomposition. Fruit is very beneficial to gouty and rheumatic subjects, because the alkaline vegetable salts become decomposed in the system and diminish the acidity of the urine. But patients should avoid acid fruits, if Diarrhoea, or Dysentery, is present. The seeds of aJl fruits and vegetables, excepting grapes, if swallowed, may prove more or less irritating to the intestines, and in inflamed or ulcerated conditions may do irreparable mischief. Apples are perhaps the most imiversaUy valuable of fruits. Eaten before or after meals as a dessert, or as an agreeable relish between times, if ripe and in proper condition, they, are a healthy and nutritious article of food. Stewed or baked and eaten as a dessert or during the meal, they are at once agreeable, nourishing, and easy of digestion. In- valids can often take stewed or roasted apples when almost everything else is rejected or too heavy. They are decidedly beneficial in all cases of Rheumatism or Gout, and are only 98 HOMEOPATHIC MENTOR. to be avoided in cases of Diarrhoea and Dysentery. Roasted apples are somewhat laxative, and may be eaten to counter- act Constipation. Dried apples are prepared for use by being stewed. Pears, when ripe, are more digestible than apples; but as they decay sooner, they are more likely to produce derangements of the bowels. When sound, juicy, and soluble, they may generally be talien without danger. The Orange is one of the most agreeable and useful fruits for the sick-room; it is exceedingly grateful and refreshing, and is less Kkely to cause disorder than most other fruits. A heavy orajige, with a fine thin rind, is usually the most juicy and the best adapted for the invalid. But the pulp should be carefully excluded. The Lemon is too acid to be eaten alone, except that its juice is grateful, refreshing, and beneficial in rheumatic affections; but in the form of lemonade it makes a cooling and wholesome drink for all occasions. Lemon-juice is very valuable as an anti-scor- butic; so also is lime-jmce. Lemon is elsewhere recom- mended as an addition to tea. Plums are less wholesome than most other fruits, unless cooked. They produce CoHc and Diarrhoea, and axe em- ployed occasionally to promote relaxation in cases of Con- stipation of the bowels. Cherries also, when unripe or over- ripe, disorder the bowels. Peaches, and Apricots, when quite ripe, yield a delicious food for the invalid, but should be most carefully avoided in Dysentery and Diarrhoea; the skin should be rejected. Grapes are most refreshing, whole- some, and nutritious in the sick-room, when ripe, the skins and pips being rejected. Baisins, (dried grapes) contain more sugar and less acid than ripe grapes; fhey are con- HtGIENE.^ — ^NtlTEITlVE fOOD-YAlCES. 99 Bequently more nutritious. If eaten too freely, especially if the skins or pips be swallowed, they are apt to disorder the stomach. Gooseberries and Currants (red, black, and white) are wholesome, cooling, refreshing and laxative in the sick- room; but generally interdicted in acute diseases. The Cranberry is too acid to be eaten raw, but makes an agree- able and wholesome sauce, or jelly. The Strawberry is one of the most delicate, luscious, and refreshing of summer fruits; and may, as a rule, be taken by invalids, except when Diarrhoaa is present. The Raspberry, too, is agreeable and wholesome. So also is the Blackberry, which is credited with an astringent, or binding effect upon the bowels — especially in the form of blackberry-ivine. Melons not un- frequently disagree with those whose digestive powers are weak. The Water-melon, forms a most agreeable and re- freshing luxury, not of much nutritive value, but cooling, appetising and a stimulant of the kidneys. During the heats of summer it forms at once a delightful adjunct to any meal — and a cheerful solace to a weary system. It shoidd only be avoided in Diarrhoea and Dysentery. Musk-Mebns, Cantelopes, Green-fleshed Melons are sweeter, often with a grateful musky odor, and contain a larger proportion of nutriment than the water-melon. They too may be eaten freely in their season, as the dessert to a repast, or alone — the only condition against their use being a relaxed state of the bowels. The Pine-apple should not be eaten by invalids; the pulp should be rejected if the juice be taken. The Fig is sweet and nourishing; its pulp may be eaten by invalids, but if eaten too freely will irritate and disorder the bowels; the skin is rather indigestible. Olive oil is the lOO BOMEOPATHIO MENTOlL most digestible of fatty foods, even more so than fresh butter; it should, however, be thoroughly good, pale, clear, and free from rancid smell, to justify this estimate. Gum arabic, which flows from the acacia in Arabia, Egypt, etc., is usually employed in the preparation of drinks. The clear gum should be selected, washed, and slowly dissolved in cold water. When made of the powdered article or with hot water the flavor is less agreeable. "When flavored with a little sugar it is a refreshing and nourishing bever- age for invalids. Mucilage differs from gum water in containing a larger proportion of the gum. It is ad- mirably adapted for use in inflammation of the mucous membranes generally, as in catarrh, bronchitis, etc. Sugar, an important alimentary product, chiefly found in the vegetable kingdom, also exists ia the animal economy, and is there known as the sugar-of-milk. The vegetable sugar exists in two varieties — cane-sugar and grape-sugar. Cane-sugar is very sweet, and crystallizes easUy; and though usually extracted from the cane, is also obtained from the beet-root, and is found in other vegetable forms. Grape sugar, or glucose, is inferior ia sweetness and crystaUizing power, and abounds in grapes and other fruits and vege- tables. It may also be obtained, by chemical change, from cane-sugar, starch, gum, etc. It is chiefly used to adulterate cane-sugar. Sugar is valuable from a dietetic point of view, not only as rendering more palatable many articles of food; but also as productive of fat and force. As it is readily dissolved and dififused, it requires no preliminary digestion in order that it may be absorbed through the mucous mem- branes. In ordinary cases it does not, therefore, occasion ffiTGIENE. — NUTklTIVE FOOD-VALUES. 101 any gastric derangement; but when taken in excess, or by some dyspeptics, it is liable to undergo acid fermentation, and occasion acidity and flatulence. Sugar-of-mUk, how- ever, does not undergo this change. Coarse brown sugar always contains dirt, sand, and occasionally mites. Loaf sugar is the most free from adulteration. It should be borne ia mind that sweetened food is apt soon to cloy the appetite of invalids, and that attention must be directed to what is savory to secure agreeable chan£ j. Sugar is circulated in the sap of trees and piants just be- fore the unfolding of the buds; and in some species, as in the birch and maple, is found ia such abundance as to be collected and manufactured in large quantities. In the northern part of New-England, and in New York State, sugar making, from the sugar-^maple is a large branch of industry: the sugar being a most wholesome confection, while in the form of syrup, it furnishes the most delicate accompaniment to buckwheat, rice, or wheat cakes. Treacle, or Molasses is the uncrystaUized residue drained from brown raw sugar before it is purified, and is not objectionable as carbonaceous nutriment. The different forms of Syrups in the market are simply treacle purified by being re-boUed and filtered through animal charcoal. If largely taken these products are laxative. They are appropriately taken with all kinds of farinaceous food, such as bread-pudding, porridge, etc. Honey is of the same dietetic value as sugar, is slightly laxative, and is often used in the sick-room as a demulcent and emollient. Such condiments as vinegar, salt, and pepper are of real dietetic value, as they make the food more tempting to tho 102 HOMEOPATHIC MENTOR. palate, stimulate a flagging appetite, assist digestion bj promoting the flow of secretions and the movements of the alimentary canal, and counteract the action of injurious ingredients of food. Their excessive use, however, pro- motes indigestion, and they are of less value in the sick- room, salt excepted. The constant presence of this mineral in the secretions, and the necessity for it in due proportions in the blood, indicate the importance of a proper supply with the food. This is evident in the instinctive desire of animals, and in our own craving for it when it is not supplied in sufficient quantity. It is essential to the maintenance of health, and must not be forgotten in the diet of the invalid. Of the spice-condiments, such as cinnamon, cassia, clove, nutmeg, allspice, capsicum, vanilla, etc., it may be said in regard to their use, first, that they should not be used at all with food that can be relished without their addition; second, that that spice only should be used which best agrees with the natural taste; third, that the smallest quan- tity should be used that will satisfy the unperverted taste, and the quantity should never be increased. A healthy taste and appetite should not demand them at aU: and, (moreover, they each possess medicinal powers, which may develope themselves if taien too freely by healthy persons; or which may interfere with the proper curative effects of medicines talien (homeopathically) by the sick. Ginger, however, we consider as less objectionable; and, indeed, as a generally allowable condiment. Vegetable acids, found in almost all fruits and vegetables, render an important service to the human system; but HYGIENE. NUTRITIVE FOOD-VALTJES. lOS Vinegar should not be regarded as an acid naturally adapted to the requirements of the system; and should only be used when the acid fruits and succulent vegetables cannot be procured. Vinegar helps the stomach to digest both animal and vegetable food, particularly if the fibre is somewhat harv'l and difficult to break up. It is, therefore, the fitting accessory to such animal food as invalids should banish from their table; but can be made use of by those of weak digestion, when they wish to vary their diet with a cool salad. In this country the best vinegar is that obtained from apple-cider, as made by farmers; and its use is not only safe; but, also, if not taken too freely, beneficial. As to the manufactured vinegars so largely consumed in city and town use, we believe them to be generally so " doctored " with acids, etc., as to be highly objectionable and dangerous. Both cayenne and black pepper, by stimulatiug the flow of gastric juice, are valuable aids to digestion,.when used with discretion. We have said enough already to prove that the subject of food is one necessarily demanding the attention of aU who have to do with the treatment of disease. By a suitable dietary. Medical Science has shown us that many maladies may be cured; and many troubles, such as indigestion, biliousness, gout, and diabetes, avoided. That the attention now paid to our food is not a mere passing fashion, is sufficiently evidenced by the fact that our best dietaries are becoming more truly scientific, and are engaging the ittention of our most eminent minds. The food-combin- 104 HOMEOPATHIC MENTOK. ations of the present day indicate an advancing knowledge of the wants of the human organisnij the requirements of its tissues, and of the effects of modern life upon the viscera. The HeaUng Art, which in its earlier days, conducted its operations with mystery, now invites the People to become its allies in the prevention and cure of disease — and, by popularizing the accumulated knowledge of centuries, secures for the People a greater degree of safety, comfort, and longevity than has obtained in any previous age. In nothing is this more evident than in the greater care which the medical profession now inculcate and encourage among their patients, and the public generally, in regard to the preparation of food. And it may not be amiss to offer, in this place, a few suggestions as to the different METHODS OP PEEPAEING FOOD. The cooking of food subserves several important purposes and demands more intelligent consideration than is usually given to it. Good food may be wasted, or spoiled; and both the healthy and the diseased may thus be deprived of the anticipated flavor and nourishment which it should afford them. Cooking removes some things that might prove injurious, destroying any parasitic germs that may exist. It renders food more pleasant to the eye, agreeable to the palate, and digestible by the stomach. It softens connective tissue, relaxes muscular fibre, coagulates albumen and soUdifies fibrin, thus making the whole substance less cohesive and more easily masticated, dissolved and assimil- HYGIENE. — ^PEEPABATION Or FOODS. 105 ated. Previous beating and bruisittg facilitates the process, and renders the flesh more tender. The warmth of the food also aids digestion. In cooking animal food, the following processes are in ordinary use; Boiling, Boasting, Broiling, Baking, Frying, Stewing. Speaking generally, about one-fourth of the weight is lost by cooking; the loss varying with the quality of the meat, and the process employed.* A few practical hints as to these several processes of cooking are herevntj* given. * Dr. Letheby's estimate of the percentage of this loss, is as follows: BoiUog Baking Boasting Beef, generally 20 29 31 Mutton, generally 20 31 35 Legs 20 32 33 " Shoulders 24 32 34 " Loins 30 33 36 " Neck 25 32 34 Average 23 31 34 This loss arises chiefly from the evaporation of water, the escape of fat andnutritiye juices, and the destructive action of heat: and, accord- ing to Dr. L., is least in boiling, greatest in roasting, because in the former process there is no evaporation of water. The perfection of cooking is to retain, as much as possible of the constituent elements of the meat; and this is accomplished, in the different methods adopted, by subjecting the meat at first to a strong, quick heat, which contracts the fibres, coagulates the albumen at the surface, and thus clqses up the pores by which the nutritious juices would otherwise escape. A lower and less rapidly acting heat wiU then suffice; for, thereafter, the cooking goes on through the agency of the natural moisture of the flesh. Converted into vapor by the heat, a steaming takes ])lace, so that, whether In the oven, or in the midst of boiling water, the meat is in reality cooked by its own steam. Thus prepared, the meat will be full of its own juice, which ^ill flow forth as riob gravy, at the first out. 106 HOMEOPATHIC MENTOR. Boiling. — The cut should be put suddenly into boiling water, and remain at boiling temperature for five or ten minutes, cold water should then be added to bring it down to about 165°, at which it should be kept for the whole period of cooking. By the contraction and coagulation of albumen caused by the first plunge, the internal juice of the meat is prevented from escaping into the surrounding water, or from bping diluted by the entrance of water through the pores. Mutton and Jish should be boiled in hard water, water to which salt has been added — or in sea- water. The scum which rises to the top of the water, during the boiling of meat, being alwaj's useless and un- wholesome should be removed as completely as possible. Boiling is the best form of cooking for vegetables; carrots and cabbages can hardly be boiled too long. Soft water is essential for vegetables; they should be thoroughlj cooked, so as to become soft, then strained in a cullender, and served as free from water as possible. Steaming ia simply a form of boUing them in soft water. Boasting is esteemed to be the best method of preparing animal food. To retain the nutritive juices, the joint should be placed close to a clear, strong fire, for five minutes, at first, and then removed to a greater distance until the last five minutes, when it should be brought near the fire again. The albumen and extractive matters are thus hardened into a case, which keeps together the valuable fibrinous particles untU they have undergone the desired changes by slow heat; while objectionable oils generated by the charring of the surface, are carried ofil The dripping is wholesome for the healthy; but indigestible HIGIENE. — PEEPABATION OF FOODS. 107 (especially if burned) when the stomach is at all weak From a joint thus thoroughly roasted, the retained gravy will flow out freely at the first incision; and the meatj while yet red, will have lost aU its purple color, even to the bone. The time required for roasting meat, depends upon the kind of meat, and, also, upon the size and weight of the joint. For beef, mutton and goose, fifteen minutes for each pound; for veal and pork an additional five minutes; for poultry and game less. Lamb, veal, pork and chicken, and aU young flesh is better when roasted, since the large proportion of albumen and gelatine con- tained in them, are subjected to less loss than when boUed. Stewing is midway between roasting and boiling, and is by far the best process for digestion. The meat should be just covered with cold water, then heated up and kept simmering, not boiling, tiU thoroughly done. The nutri- tive materials are diffuied through the solid and liquid, which are then served up together. Hashing is the same process with meat previously cooked. But hashed, or otherwise, twice cooked meat is unwholesome. There is another excellent method — by which the meat is stewed in its own vapour alone. It is placed ia a covered jar; the jar put into water in a saucepan and the water made to simmer— when a sufficient time has elapsed, tha meat wiU be found to be quite tender and adapted to the invalid's use. Soups, Broths, etc. — If, however, it is desirable to extract the nutriment so that it may be given in a liquid form, the ro^at ^bovdd be chopped or minced, put into gold waiter, mi 103 HOMEOPATHIO MENTOR. after maceration for a short time, gradually heated to a simmering temperature, at which it should be kept for half an hour if broth be required. But if soup be wanted the heating should go on to boiling point, and be maintained there, in order that the gelatine may be extracted to soUdify the soup. Bones yield abundant gelatine, but require long boiling. Minced meat should be put into cold water for a time, never iiato boUing water at first. The leanest meat is the best for .sowp-making; the least particle of fat renders it unwholesome as well as nauseous. Bones which require long boiling yield abundant gelatine. Broiling is simplj' roasting applied to small portions of meat. A beef-steaik, or mutton-chop should be done quickly on a gridiron over a clear, hot fire, free from smoke, so as to retain the juices; it should not, therefore, be pricked with a fork. Fish are best when broiled. Baldng meat is but an imperfect method of roasting; im- perfect, because it usually takes place in an oven, which generally allows no escape for the volatile fatty acids which are generated. Baked meat, therefore, being richer and stronger than when roasted before the open fire, is less adapted for easy digestion. When, however, it is enclosed in a thick pie-dish, or some sort of a crust (Hke the Cornish pie) and slowly baked — ^no charring occurs; but the fat and gravy oozing out, assist the cooking and the result is delicious. Vegetables should be slowly baked. Eggs should be spar- ingly used in baked dishes, as prolonged cooking solidifies their albumen and renders it more indigestible. Frying is a method of cooking not much esteemed, either HYGIENE. — PEEPABATION OF FOODS. 109 by physicians, or by persons of refined culinary tastes. The- fat in which the meat is cooked produces an excess of volatile acids; and, when, as often happens, it is burnt, it causes flatulence and heartburn. StUl, food can be fried so as to be wholesome. A perfectly clean frying-pan; a clear smokeless fire; good pure, clean fat or clarified dripping, or a small quantity of oU, or genuine fresh butter — are essentials. Then the frying should be done quickly, lightly, and evenly, and with constant motion, so that the oil or fat is not allowed to burn. The fat should actually boil and the meat, fish, or vegetables be turned around in it tiU they are lightly cooked without being scorched; — then drain the oil away, and serve hot. Meat, by being salted, is made less nutritious, and more difficult of solution by the digestive secretions — and, though soaking it in water often softens it and removes the salt ("freshens it") it does not restore the nutritive value. Drying is less prejudicial to the meat. Meat preserved in cans is too much cooked to be very digestible — and is best eaten, when only warmed up, not cooked again, and served with vegetables, etc. Scrupulous cleanlinesH in the preparation of food, is ab- solutely necessary for the comfort of the invalid. A dis- agreeable flavor remaining in a dish from some previous 'use; or even fi'om materials used to cleanse it, may suffice to spoil the taste of something intended to tempt the appe- tite, or satisfy the fastidious digestion of an invalid. Pood should be cooked at such a distance, and with such precautions that no odor from it can reach the sick-room; and the bed-room itself is the very last place in the world 110 HOMEOPATHIC MENTOB. where food should be prepared. If prepared, too, without the knowledge of the patient, it will generally be reHshed more keenly than if he is at first consulted as to what he is to have, and how it is to be cooked. If too great a quantity is prepared at once, it destroys the patient's appetite; while that which is left grows stale and unfit for use. Invalids should always have their food supplied in such quantity as will be a little short of what they can eat. If any remain over, it shoxild be immediately removed to a cool place, away from the sick-room. Food, milk, fruit, jelly, etc., allowed to stand in a sick-room, does not become more appetising by being looked at; it deteriorates in quality; and acquires a taint from the atmosphere of the room. Ee- member — that perfect cleanliness alone can give food an appetising appearance, and that ignorance and carelessness in a sick-room is very objectionable, even when combined with any amount of family affection. n. BEVERAGES. A man requires, including vrhat he takes with his meals, from two to three pints of fluid daily. This includes, also, what is taken in the form of fruits, these being largely composed of water. Melons, grapes, berries, etc., being from 90 to 98 per cent of water, may largely supply its place in our foods. Drinks should be taken chiefly with the meals; a moderate amount favors digestion, but a large amount hinders it. Of course, water is the first, milk the second, and fedit the third great provision made by nature for the slaking of man's thirst; of the two latter we have HYGIENE. BEVEBiGES. Ill already spoken (pages 71 and 97), of the former we shall hereafter speak. There are, however, other non-intoxicating beverages, such as tea, coffee, cocoa, etc., which are so uni- versally used in every part of the world, as to claim our attention as foods, and ia their dietetic relations to disease. Tea cannot be regarded as a nutriment, in the sense of supplying material to maintain structure, or generate heat by its own decomposition; but it is, nevertheless, a very valuable article of diet, as shown by experience, and also by direct experiments on the vital functions, as its especial office is to prevent tissue waste. Both experience and direct experiments prove that it is an excitor of vital action, and stimulates respiration. Though it supplies very little nutritive material, it aids the assimil- ation and transformation of other foods, increases cheer- fulness and activity of mind, clears and quickens the brain, stimulates the energies and lessens the disposition for sleep. Its restorative action on the nervous system renders it a boon to weary, anxious, studious, or exhausted persons; and it is far preferable to alcoholic stimulants after fatig^ue. Against heat or cold; in nervous exhaustion occasioned by bodily exercise, and followed by shortness of breath, especially in hot climates, it is also efficacious. While a pro- moter of digestion in healthy, well-fed persons, it is best taken after a meal, when the process of assimilation needs quickening; and, if much used with an insufficient amount of soHd food, as frequently in the case of the poor, is in- jurious — since it promotes the transformation of food with- out supplying nourishment, and increases the loss of heat without supplying food. The young and the feeble should 112 HOMEOPATHIC MENTOR. not use it; nor sheuld it be used too strong or too freqtiently, as it is liable to cause Dyspepsia, — especially that form wHch is accompanied by flatulence. "When it causes loss of appetite, palpitation of the heart, mental excitement, [depression of mind and sleeplessness, obviously its use ■hould be discontinued. Children should never have it. In the preparation of tea three principles are extracted; one aromatic (oil), another nitrogenous (theinej, the other astringent and bitter (tannin). The last, the cause of gastric disorder, is only given off after prolonged infusion; whereas the aromatic oil and theine are completely extracted in about two minutes. Hence to make tea, especially for the dyspeptic, it should be made by pouring boiling water (not water that has boiled) on the leaves, and allowing it to stand for two minutes. It may then be poured off into a heated teapot, so as to separate it from the leaves. Thus prepared, tea is not so likely to cause flatulence; but it is less econ- omic than the ordinary method, much more tea being required to give flavor. If the tea be good the infusion will be fragrant, not very deep in color; not harsh nor bitter to the taste. The leaves should not be boiled, otherwise the peculiar volatile aromatic principle is dissipated; nor, for the same reason, should the infusion stand long; in this case also too much roughness and bitterness are added to the flavor by the extraction of tannin. This tannin, though it makes the tea look strong, is worse than useless, inas- much as it renders the food taken with the tea insoluble and indigestible. The finest teas color the water the least. In an ordinary infusion the first cup of tea is also the best, having more of the choice flavor and aroma, and less of the HYGIENE. — SEVEEAGES. US astringency and color. Eiver water makes the best tea; soft water is to be preferred to hard; but soda should not be used, for it only extracts the astringent tannin. The water should only boil once, immediately before using it, and not for hours, as is sometimes the case; the teapot should be quite dry, as well as hot, when the leaves are put into it, and the infusion, as before stated, not allowed to exceed two minutes. Teapots that retain the heat are better than those that allow it to pass off readily; hence unglazed earthenware teapots should not be used; but weU-glazed earthenware, or porcelain, are suitable ; and brightly polished silver teapots are the best, for they radiate much less heat than any other material. The Chinese drink their tea without any admixture; the Eussians add lemon-juice; the English, sugar and cream or mUk. The use of sugar in tea. — ^Except in small quantity, tea should be given up by persons who have a tendency to become corpulent. According to some tastes, the flavor of tea is improved by substituting lemon for cream or milk, — pouring the hot tea over a slice of lemon cut with the rind upon it. Besides being more palatable, the lemon- juice more effectually allays thirst, and is especially valuable at those seasons of the year when fruits and fresh vegetables are not generally to be obtained. Teas are divided into three great classes, Green, Black and Scented. Gunpowder, Hyson, young Hyson, Imperial, Japan and Java, both colored and uncolored, are Green teas. Among ^lack teas, we have Congou, Souchong, Oolong, Orange- 114 HOMEOPATHIC MENTOR. Pekoe, Canton. The Black are the allowable Teas in Homoeo- pathic practice, as all others are supposed to be artificially colored, and thus may have medical or antidotal properties. There is a good deal of mystification in the popular mind about teas, and their varieties and respective values. There is, however, but one kind of plant from which tea is made, wherever it is found, although by cultivation it may have produced varieties; and the whole principle involved in the process of manufacture is not that of any important mechan- ical change, but simply the drying of the leaf for pre- servation and for future use with the least possible injury. All teas possess approximately the same amont of theirw; and, for dietetic purposes, are all equal, whatever their price. But nearly aU persons go further than mere utility, and seek for luxury in the flavor of tea. Fortunately, the lowest priced genuine tea has sufficient flavor to satisfy the desires of ordinary consumers. Coffee contains the same principle as tea, and hence has an analogous influence upon the system. It is, however, more heating and stimulating, heavier and more oppressive to the digestive organs, and decidedly increases the force and frequency of the pulse; while its quickening effect upon the mental faculties is not so marked as that of tea- It is especially valuable to persons engaged in out-of-doorwork; it invigorates without producing subsequent coUapse; and, taken hot, is an antidote almost equally to heat and cold; in both cases beneficially stimulating the nervous system. In fatigue, privation, and under ordinary circumstances, coffee is preferable to alcoholic beverages. It is useful when weary from travel in the heat, urith depHvatian of food. HYGlEKE. — BEVERAGES. 115 It economises other nourishment by lessening •waste. It ia often serviceable in the headache of nervousness and ex- haustion, or in cases of Diarrhoea caused by overwork, vrith too much care. A strong infusion helps persons poisoned by opium; and allays the effects of the immoderate use of wine and spirits. Its excessive use by nervous persons in- duces sleeplessness, mental excitement, palpitation and indigestion; and, when such results are produced, it should be avoided. The making of good coffee depends largely upon the quantity used. The minimum rule is IJ oz. to a pint of water; soft water being preferable. The French cafe nair contains a larger proportion than this. Cafe au laU consists of a decoction of strong coffee, to which an equal quantity of hot milk is added. It should be remembered that the full qualities of coffee are not obtained if water is used at a temperature lower than that of the boihng-point. Particles of ground coffee are often found suspended in the liquid, and isinglass, or white of egg, is sometimes used to refine it. Nothing, however, is required beyond pouring a cupful out and returning it to the pot, to effect the necessary cleaning. The addition of boiling mUk, in the proportion of one-fourth part, adds greatly to the flavor and virtue of coffee. "When taken daily, it should be prepared in an enamelled saucepan. The best coffee is Mocha, which is best purchased in the form of whole beans, which are to be then roasted, ground, and chicory added to taste. The roasting is a matter on which the delicacy of the coffee , greatly depends. If too little roasted, the oil and empyreu- matic elements are not developed; if too much roasted, they lie flOMEOfATHlO MENtOft. may be destroyed. Coffee beans, when roasted, may be either reddish-brown, chestnut-brown or dark-brown — ^the latter being probably the best. Coffee should be quickly ground after roasting, and in a miU, or mortar not used for other purposes, as it easily absorbs odors; and when ground it should be speedily used, lest it lose its volatile oil. It should be kept in an accurately stopped bottle. Cocoa and Chocolate are valuable foods, since they are not only allied to tea and coffee as respiratory excitants, but possess a large quantity of fat and other food materials.* Their peciiliar active principle, theobromine, resembles the theine of tea and the caffeine of coffee, but is less excitiag than either of these to the nervous system. Chocolate is the cocoa beans ground, mixed with sugar; and cocoa-nibs are the inside of the beans, roughly broken, and which of course are the freest from adulteration of any form of cocoa pre- paration; but they need to be boiled many hours in water; whereas the prepared cocoa or chocolate is soluble in boiUng water. The large amount of fatty substance in cocoa renders it heavy and oppressive to a weak stomach, and thus unsuitable to the dyspeptic or biUous. But, with this exception, cocoa is a valuable article of diet, for strengthning the frame in conditions of debility, and sustaining it under prolonged or excessive exertion. During nursing it is most useful, tending, probably more than any other beverage, to maintain an excellent supply of maternal milk — ^which is somewhat resembles in the com- bination of its nourishing properties. ' Of fat about 60 per cent; of albuminoid substances about 20 per cent. aVfllENE. — fiEVEEAGEfe. 117 The following is the receipt for making chocolate» furnished by Miss Evarts, of "Washington, whose prepar- ation of this delicious drink, at the receptions given by her father, the late Secretary of State, assumed the character of a veritable "Society sensation"; viz.: Break up the choco- late and place ia a warm spot to melt. Put it in a farina kettle and pour on boiling milk, stirring all the while, and constantly during the cooking. Let it boil some minutes and serve with whipped cream. Use Maillard's chocolate, already sweetened. Alcohols. This class of substances usually regarded as foods, comprises Spiriis (Whisky, Brandy, Gin, Eum, etc.). Wine, Beer, Porter, Ale, and other fermented drinks, all having the one element, alcohol, in common. But they are not, therefore, alike in their effects upon the system. StiU, we do not propose, in this place, to discuss their special poiats of difference; nor is it necessary that we should, in this connection, enter into the moral questions involved in the use of liquors. Physiological science directly proves, 1. that Alcohol is a narcotic, which yearly kills its thousands, slowly, indirectly, and by painful disease; 2. that it does not, in any sense, supply vital heat, as is so commonly supposed; and that it does not prevent the loss of heat as those imagine "who take just a drop to keep out the cold " — ^ia fact, that death, by cold is hastened by its use; 3. that, while it gives what is called "a happy fillip to the heart," still this increase of action is unquestionably injurious to the heart and to the body at large, since it subjects both the heart, and the body in all its parts, to irregularity of blood-supply; and weakens 118 HOMEOPATHIC MENTOR. and degrades both;* 4. that the so-called stimulation of th« system by alcohol is, in fact, a relaxation — we might as well say, a paralysis of one of the most important mechanisms in the animal body, viz. — ^the minute, resisting, compensating circulation; that the temporary excitement it produces is at the expense of the animal force, and is in truth wasted force —the running down of the animal mechanism before it has served out its time of motion; 5. that the brilliancy which it gives to the mental powers is but transient; and that to the muscular force the very slightest excess of alcoholic in- fluence is injurious — ^both mental and physical powers being ultimately worse for its use; 6. that, even in the case of long- lived steady drinkers it stiU works its destined end; for, while aU the organs of the body are being slowly brought into a state of adaptation to receive and dispose of it, — in that very preparation they are themselves undergoing physical changes tending to the destruction of their function, and the perversion of their structure— as revealed in post-mortem examination, by evidences of alcoholic phthisis; of cirrhosis of the liver; of degeneration of kidney; of disease of brain-membranes; of disease of the substance of the brain and spinal cord; of degeneration of the heart, etc., etc. * Wliile alcohol stimulates the hearts-action and blood-supply, both (hrough the large vessels and the capillaries or extreme small vessels; tobacco, acts in n diametrically opposite direction, by diminishing the force and volume of the heart's-action and the capacity of the vessels, and so these two mischievous agents, play directly into each other's hands; alcohol calling for the tobacco, and the tobacco answer- ing by calling for the alcohol, to raise the system from its depressing Influence. — See, also, tobacco, 2"age 120. HYGIENE. — BEVEEAGES. 110 We admit that there seem to be moments in the life ol man when the use of alcoholic stimulants appears to lift oppression from the heart, lets flow a brisker currant of blood into the flagging organs, aids nutritive changes, and is of temporary service to man. If its use could be limited to this one action, this one purpose, it would be one of Nature's best gift to mankind. Unhappily, however, the border-line between this use and the abuse of it; the temptation to extend beyond the use; the habit to apply the use when it is not wanted, as readily as when it is wanted, far overbalances the temporary value that attaches to alcohol as a physiological agent. Hence, it is a dt:ngerous thing even in the hands of the strong and wise; it is a murderous thing in the hands of the foolish and weak. Healthy persons — as well as invalids — should, therefore, accustom themselves to do without stimulants, excepting in the rare instances when their use is thought to be necessary by their medical advisers; and then, like other medicines, they should be the best and purest of their kind — and should only be taken — if at all — , unthfood, or at meal-times. Digestion, itself, is not — as is popularly supposed — aided by their use. Even a moderate quantity of stimulants seems to delay and protract the digestive process — ^from their causing congestion of the gastric glands, whose secretory power is thereby lessened or arrested. In other cases, they interfere with the solvent chemical action of the gastric juice, if they do not actually decompose it; and, if taken in any quantity, they seem to act as a sort of pickle or preservative to the food, preventing its ready solution. They, also, have a marked tendency to produce svn inflawm- 120 HOMEOPATHIC MENTOB. ation of the mucous lining of the stomach, kidfleys, liver, spleen, bladder, etc. Tobacco only requires to be mentioned to deplore its very extensive use; to particularize some of the peculiarities, of its action, and to council its avoidence. Its especial, physiological action is upon the circulatory system, causing, through its effects upon the inhibitory nerves governing the action of the heart and large vessels, a weakened impulse of the heart, and diminished caUber of the circulation. This is seen ia the pallor of the skin, and nausea, from the arrest of capUlary circulation, in its first action upon persons un- accustomed to its influence. This diminished circulation and consequent impaired nutrition, is very manifest ia its effects upon the young, causing imperfect development, smaller stature, nervousness, impaired circulation and, often, disease of the heart as well as other disorders. But, more than this, the constant Umiting of the heart's-action and diminished blood-supply, tells upon the nutrition, by causing a desire or want for something that wiU. unlock the circulation and give an impulse to the heart's-action. This is best supplied by alcoholic drinks, and so the use of tobacco and whiskey, goes hand in hand; thus tobacco is a vast provocation of intemperance and vice. The ex- pense of tobacco is more than the expense of clothing to its average user; while it amounts to more, in a life time, than the average savings of the adult man, taking the average of the entire United States, as shown by the statistics. It is a dirty, degrading habit, every way objectionable and without a single redeeming recommen- dation. HYGIENE. — WATEB. 121 HL WATER Water enters into the composition of the tissues of the body, forms a necessary part of its structure, and performs Buch important purposes in the animal economy, as to be absolutely indispensable for life and health- It gives fluidity to the blood, holding in suspension, or solution, the red globules, fibrine, albumen, and other substances which enter into the different structures; the whole body being formed from the blood. Not only the soft parts of the body, but even the bones, or the materials of which they are composed, have at one time flowed in the current of the blood. A human body, weighing 154 lbs., contains 111 lbs. of water; a fact which suggests the importance of obtaining pure water for drinking and cooking purposes. Water should be clear, transparent, and free from sus- pended particles; and should be entirely without smeU; some colored waters, however, are fairly wholesome when the coloring matter is iron, clay or peat; while some clear waters are unwholesome from containing organic (decaying vegetable-) or animal-matter. Spring-, river-, sea-, surface-, well-, and mineral-water, all contain various substances dissolved in them, which may render them, without distill- ation or filtration, unsuitable for drinking, or even to be used in the preparation of articles of diet. Even for cooking purposes and bathing, the purer the water is the better. The purest water is obtained Irom deep weUs, bored through the earth and clay down to the lower strata of gravel or rock {Artesian WeUs). It is most important that the receptacles lor water — tanks 122 HOMEOPATHIC MENTOR. and cisterns — should be carefully examined and thoroughly cleansed at regular seasons, especially after a time oi drought and before the approach of winter. Disease is often induced, by allowing cisterns to fill up after they haTe been dry, or the water in them lowj the quantity of sediment and filth is often very great, and, if not carefuUy washed out, becomes mingled with every fresh influx of water, and thus Diphtheria, Enteric Fever, and other blood diseases may be set up. They should also be provided ■with a cover to exclude dust and other foreign matter. It is a fallacy to suppose that surface-well water is purer than that obtained from deep wells, because it is more sparkling, and often cooler and clearer. The sparkhng of these waters is due to the presence of carbonic acid gas, derived from the decomposition of animal and vegetable substances. This matter of the purity of water is of vital importance to every family in the land, whether living in the country or tovm. In cases of suspected impurity of water-supply, careful and extended search should be made for every possible cause of impurity; and, in order to form a proper opinion, a chemical and microscopical examination of the water is frequently necessary. A rough, and easily available test, however, may be applied; half fill a clean stoppered bottle with the suspected water, replace the stopper and let it stand in a warm place for five days, when there will be a disagreeable putrid smell if it contains organic matter. If water is bad, either from containing organic matter, or from being too "hard," that used for drinking, cooking, and washing dishes should first be hoiled and then HfcJIENE. — ^WATEE. 123 filtered. Boiling throws down most of the salts whicL caua« temporary hardness and crusts in kettles, leaving the water much softer; and, after standing a day, or being poured from vessel to vessel several times to get back the air expelled by heat, (for water needs air to vivify it) it is also more palatable. Boiling also destroys some of the organic matter, and in most cases renders the remainder innocuous by destroying the disease-germs. When practicable, water used for domestic purposes should be fMered. This removes the grosser impurities, destroys some of the organic matter; and, if the material used be spongy iron, or vegetable charcoal, it will for a time remove some of the salts in. solution. Whatever the filtering-material used, it should be renewed every three to twelve weeks, according to the quaUty and quantity of the water passed through it; and filters which claim to last for ever, or to be self-cleansing, should be avoided. When a filter ceases to do good, it begins to do harm. Com- pressed charcoal block-filters are cheap and good; one can easily be made, in any family.* * Filter. — Get a 12-mch flower-pot; cover the hole in the bottom with a piece of perforated zinc, and fill in the pot with some well- washed gravel, (with the larger pieces below), to a depth of 3 inches; above the gravel put 3 inches thick of white sand which has been well-washed; above this sand place 4 inches thick of good charcoai (about a lbs. weight) which has been washed in a jug by pouring boiling water over it, and when the charcoal has settled, the watei poured off and more poured on until it has been washed four times. When the filter is finished pour the water to be filtered into the flower-pot, and let it run through the hole into a glass-bottle, oi receptacle, below. If the charcoal gets clogged from continual use, scrape some off the top, boil it two or three times, dry it before the fire, and it is greatly benefited. 124 "■ HOMEOPATHIC MENTOB. If drinMng water is kept in the house, it should be in glazed earthenware or stone jars, with covers, which should occasionally be emptied and wiped with a clean clotL IV. AIR. A proper supply of pure, fresh, air is essential to the pre- servation, as well as to the enjoyment, of life and health. Although Ufe may not be destroyed suddenly by breathing an impure atmosphere, still the vital energies are thereby slowly but surely impaired; especially in the case of growing children and persons suffering from disease. Air may be rendered impure in many ways; by gases and matters held in suspension; by particles of carbon, hairs, fibres of cotton or woolen fabrics; by minute seeds, or spores, germs, poUen or other light vegetable bodies; vapors arising from decomposing animal and vegetable matter; and, also, by the specific virus of contagious diseases. In the process of breathing, also, the air loses a third part of its oxygen, and receives in exchange carbonic acid gas, a gas not only incapable of supporting animal life, but actually destructive to it. Such is the change effected by a solitary act of breathing; and, if this process goes on in an iU-ventUated room, where several human beings are gathered together, the carbonic acid gas accumulates, usurps the place of the oxygen consumed, and so renders the air less and less fit for the renewal of life. Efficient ventilation cannot well be secured unless space be made for the egress, from the upper part of a room, of •the impure air; and provision made, in the lower part, for HIGIENE. — ^AIB. 125 access of fresh air from the surrounding atmosphere. Pro- ■vision should be made for this process of ventilation in all well-constructed houses; and, more especially, in aU sleeping- apartments. This latter is one of the most important require- ments of life, both in health and disease. Bed-rooms arel generally too small, and badly ventUated. The doors,,' windows, and even chimneys, are often closed; and every aperture closed so as to exclude fresh air. In consequence, the atmosphere of the whole apartment becomes highly injurious, from the consumption of its oxygen, the formation of carbonic acid, and bodily exhalations. In such an atmo- sphere, the sleep is heavy and unrefreshing, partaMng more of the character of insensibility. If provision were made for the admission of fresh air, and the escape of impnre air, the sleep would be lighter, shorter, and more invigorating. In nearly every instance, the door of the bedroom may be left open, and the upper part of the window let down a few inches — a greater or less extent according to the .state of the weather — ^with perfect safety. A current of air may be prevented from playing on the face of the occupant by placing the bed in a proper situation, or by suspending a single curtain from the ceiling. During thick fogs or severe winds, the apertures directly communicating with the ex- ternal air may be closed, and ventUation secured from the adjoining stair-landing. The sanitary arrangments of schools are often exceedingly defective. Children, being even more sensitive than grown persons to the evU. effects of bad air, it becomes of the ut- most importance that the rooms, in which they spend so much of thefr daily lives, should be abundantly supplied 126 HOMEOPATHIC MENTOR with fresh air. The school-room should be elevated, witn a sufficient ventilation near the ceiling; and the windows should reach to near the ceiling, with faciUties for dropping them from the top. What is true of school-rooms applies to churches and to all law-courts, pvblic-hall% and places where many people are, from time to time, assembled. In such a vitiated atmo- sphere, also, whether in a public building, or private house, the risk of contagion from Scarlet Fever, Measles, Small- pox, Hooping Cough, or Typhus, is greatly intensified. V. SUNLIGHT. ""Where light is not permitted to enter, the physician will have to go '' is a well-known Italian proverb. Sunlight is as necessary for the health, growth and development of hnman beings, as for plants. Especially is this true of children — ^particularly those who are feeble and delicate. Houses are only fit to be used as sleeping-apartments by night, when they have been well-aired by day. Rickets, deviations and enlargments of the bones, spinal curvatures and other deformities are far more liable to occur among those living in the shade, or deprived of their due proportion of sunlight. Even Cholera, Typhus or oflier epidemic diseases are more frequent and severe on the shady than on the sunny sides of the streets. The sun-lit sides of hospitals afford twice the number of recoveries, to the shady sides, even under the same hygienic and medical treatment. Whether your home he large or smaU, give it light. Children, even at an early age should not be excluded. HYGIENE. SUNLIGHT. DWELLINGS. 127 particularly during the warm periods of the year, from the genial and cheering influence of the sun. The sanitary effect of the light can easily be. made available even during the winter months (in rooms properly ventilated and heated) with little or no danger. Great benefit would accrue to theix health by giving children "solar-air-baths"; that iS; permitting them to lie naked upon the bed, or floor, free from the incumbrance of swaddling clothes, so that their bodies may be thoroughly brought under the influence, fof some period of the day, of good air and bright sunlight. Except in severe inflammatory diseases of the eyes or brain, the very common practice of darkening the sickroom is a very objectionable one in many respects. VI. HEALTHY DWELLINGS. The especial point for a healthy dwelling should be dry- ness; particularly as to the foundation-wall and roof. The site should be dry, from which the water will run; and, if not upon a natural slope, the artificial drainage should be perfect. The aspect should be southerly; and the wind should have free access to every side. The sleeping-rooms should, if possible, face the sun; and the house be above the mists or vapors which arise from water, or marshy •ground, after sun-set. The house should not be too closely surrounded by trees, or in thick woods, which only serve to attract and retain moisture, exclude sunlight, and prevent the free circu- lation of air. A cheerful situation, with sunlight, green trees, fields, shrubs, etc., is always beneficial. K in town. las HOMEOPATHIC MENTOE. the house Bhould face a park, square, or other open place, or at least be in a wide, airy street, with a favorable aspect. In old houses, particularly, we sometimes find that great carelessness has been shown in the original planning; so that cesspools, and wells for drinking and cooking are in close proximity to each other. This affords a source of ex-» treme danger to health. It may be laid down, as. an absolute rule, that aU water-closets, as well as aU sinks and washing-places, whether for the person or for clothing, should he placed as far as possible from the dwelling part of the house; and so arranged that any emanations from them will not be ]ikely to be carried to the latter, by currents of air. Water- chsets should drain into properly constructed, deep, and thoroughly-waUed vaults, quite separate from the house. Into this vault house-drainage of aU sorts should flow, and well-trapped water-closets should discharge. This vault, and the pipxs leading thereto should he placed as far as possihle from the water-supply pipes. These closets, also, whether in- side or outside of a house, should always be ventilated; by shafts for the purpose, leading directly to the open air.. If foul odors are, at any time, noticed, their source should be promptly enquired into, and the leak or other defect reme- died; kitchen-sinks and stationary wash-stands (when these latter nuisances exist) should empty their foul contents hy a separate outfall from that of the water-closets. As a general rule, however weU-arranged a system of sewerage a town possesses, it is jafer to have the drainage of each house provided for separately; and not in common with that of the adjoining house or houses. Cellars should, also, be kept clean and freely ventilated. HYGIENE. EXERCISE. 129 especially -when — as in country-houses — quantities of vege- tables are stored in them for months together. Many a case of typhoid-fever has arisen from impure air, engendered by a mass of decaying, fermenting vegetable-matter in the cellar, for the same reason, refrigerators should be frequentljj cleaned and aired. Especially should the bed-room, in which one third, at least, of the whole life is spent, be particularly well aired and cared lor. It should be so planned that never less than 400 cubic feet of space should be given to each occupant, how- ever {{ood the ventilation may be. The walls should be kalsomined, or painted; so that they can be washed three or four times a year. The windows should have nothing more than a blind, and a half muslin curtain. The floors should be well made of hard wood, smooth and well-joined; and provided with carpets, or rugs, only around the beds; without valances from the beds. The furniture should be as simple and scanty as possible; chairs free from aU stuff- ing or covers to catch and hold dust. And especially should the room be kept free from all articles of clothing not in use. From time to time, a fire should be made in every bed-room, that a free current of air may sweep through it from open doors and windows. Dry scrubbing is the best method of floor-cleansing. Maintain an equal temperature', of about 60° Fahr., and a free access of dry air. Vn. EXEECISE. Exercise strengthens and invigorates every function of the body, and is essential to health and long Ufe. All em- ployed in sedentary occupations should endeavor to have 130 HOMEOPATHIC MENTOR. at least one hour in the day in the open air, walking, riding, gardening, etc., — or, if this cannot be accomplished, then the use of the light dumb-bells, or gymnastic practice may be substituted. Any action which quickens the breathing and pulse is exercise; the object being to eliminate the waste products from the blood, by means of the lungs. "Where too much food and too little exercise are taken, part of the carbon which ought to haye been burnt off from the lungs as carbonic acid, is stored up as fat — and often in the wrong place and to the detriment of the individuaL The walk for health should be diversified, and if possible include ascents and descents, and varying scenery; and be alternated, when circumstances admit of it, with riding on horseback, active gardening, or similar pursuits. Athletic sports and manly exercises should form a part of the edu- cation of youth, nor should they be neglected in after life, especially by persons of sedentary pursuits. Many aches and pains would rapidly vanish if the circulation were quickened by a judicious and regular use of the muscles.* * Every one has in his own room the means of exercising every muscle of his body. By standing erect, unelloumhered with any clothing which shall eiSlbarrass the action, and making the motions of rapid walking without advancing, at the same time extending the arms, expanding the chest, and lifting up and letting down the jhoulder-blades, we bring into action nearly all the voluntary muscles of the body; and then, to give tension and strength to the muscles, we may lift some article of furniture, according to the strength, as the end of the sofa, the bureau, or the foot or head of the bed, and thus get every practical benefit that can be had from the most com- plicated gymnastic apparatus. If the exercise has been neglected till the chest has become contracted and the lungs compressed, we may need the assistance of some puUeys on the wall, attached to weightSr HVGlENE. — EXEfeClSE. 131 The proper periods for exercise are when the system is not depressed by fasting or fatigue, or oppressed by the process of digestion. The robust may take exercise before breakfast; but delicate persons, had better defer it till from one to three hours after breakfast. After severe and long- continued bodily exertions the next meal should be light and digestible; and when subjected to continuous exertion for many hours together, light digestible food should be given every two hours, to keep a continuous stream of chyle pouring into the blood like the fuel into the furnace of a steam-boiler. In very severe exertion the nervous energy is exhausted so far that there is not enough left for proper digestion; or springs, so that by placing the back to them, and taking hold and pulling forward with the hands over the shoulders, the chest is ex- panded, and for a time, till we have acquired sufficient tension and strength of muscle, we may derive advantage from raising, in a proper position, graduated weights ; but having acquired the necessary tension and power for ordinary purposes of life and health, nothing is gained by bringing the muscles into fuller power or activity. All the in- structions which any man of common sense needs, can be given in five minutes; indeed they are all included in the hints given above. An intelligent mother, therefore, in her own house, can develop the form of her daughter much better than a nrofessional gymnast; and, if mothers, when their daughters are beginnina to develop into womanhood, and to feel the restraints of society, would just regard these hints, and insist, as a matter of duty, that they should exercise every muscle of the body every day, and conform in other respects to the hygienic laws elsewhere described, Nature will do for them all else that is necessary to develop perfect forms and perfect health. If this is neglected, it is folly to expect that a few months of tuition at a gym- nasium will do much for them. At most it can only prepare the way for domestic exercise in such as have waked up to a sense of duty when the health of their daughters has already suffered from neglect, and then be of use only as exercise is afterwards continued. — Bellows. 132 aoMECPAtHtc mentok. thus, if exercise is taken shortly before eating, the sudden de- mand for nervous energy stops digestion; or, if taken soon after, the want of nervous energy preverds digestion, and the food lies fermenting in the stomach, causing irritation, and laying the foundation of dyspepsia- Many nervous diseases are cured, or vastly ameliorated, by careful and regular exercise, and occupation. Invalids should always be moderate in their exercise; take only short walks, avoid fatigue, and not stand in the open air. The best time for them is in the forenoon, arranged so that they can rest for half an hour before dinner. They should never take exercise immediately before a meal, or going to bed. In the case of very feeble and infirm persons, carriage exercise, if such it may be called, and frictions, by means of bath-sheets and gloves, over the surface of the body and ex- tremities, are the best substitutes for active exertion. Vm. CLOTHING. Clothing serves the threefold purpose of regulating the temperature of the body; of protection, and of ornament. It has no power of generating heat, but only restrains its escape from the person. Approximately, the human body, ' when clothed, resembles a jacketed steam-pipe; the clothing forms the outer cover, between which and the body there is a layer of steam and heat constantly ascending. The place where this current of hot air and steam passes out into the atmosphere is the narrow ring between the neck and shirt- collar. This opening, therefore, plays an important part in HYfilENlS. — CtOTEttNa. 133 jnaintaining the temperature of the human body. If it is enlarged, the heat and steam escape more rapidly, and the ^kin is soon cooled; if, on the contrary, it is whoUy or .partly closed by being closely buttoned, or by a muffler, then the loss of steam is stopped, and the temperature of the skin raised. It is for this reason, that the constant wearing of a muffler is so objectionable, because it impedes the evaporation of matter -"yhich ought to pass out of the skin; though, for the same reason, it is of great value in case of cold. The neck opening should be ample, so as not to compress or impede the circulation from the head. While the dampness of the atmosphere affects the evapor- ation which takes place, through the lungs as welL as the skin, clothing, by night as by day, regulates that of the latter. All covering which impedes this natural process of evaporation acts injuriously. Though no material is quite faultless in this respect, there is stDl a great difference in their structures. The more impervious they are, the more are they to be avoided. India-rubber is the worst material, since it does not allow of the passage of any moisture, (as for example, — the sweating of the feet when cased in india- rubber shoes) ; leather is next; linen next; cotton is better, being porous to a certain extent; but woolen material is, by far, the best for wear. A flannel shirt is healthier than a cotton one; a woolen blanket at night than a linen sheet. Moreover, as the skin's proper action depends upon the circulation of the blood under its surface; and, as the latter is promoted by friction, it is evident tliat a clothing-material which induces some friction is also healthier — thus the rougher materi&ls for underclothing, such as woolen ot 134 HOMEOPAtHiC MESiOE. coarse ootton, is preferable to the softer, but more enerv- ating, linen, or silk. Still, there are cases, in which (owing to its more delicate nature and texture, as well as to its being a non-conductor of electricity) sUk is preferable for underclothing, in rheumatism, etc. Inasmuch, also, as warmth tends to keep open the pores of the skin, and open pores are an essential of healthy action of the skin and circulation — woolen clothing best secures this object — as we have seen that it best secures friction and warmth. Besides the material of clothing — its cui also is of much importance. In warm climates, where clothing is less of a necessity, the loosest garments are the best; but, in those latitudes where a certain amount of warmth has to be fur- nished by clothing, the garments must be worn more closely fitting. "We have already likened the human body to a steam-pipe jacketed, where this steam is constantly in an ascendant motion; the faster this circulation takes place, the more the skin is cooled; and it, therefore, foUows that the most regular and constant evaporation is maintained by close fitting garments. Flannel, worn next the skin, should not be used to sleep in, but it is suited to the needs of those who labor out of doors during great extremes of temperature. Light-colored clotbes are better for both winter and summer; retaining jthe heat in winter, and protecting from it in summer; they also protect better against contagion in the sick-room, or the miasma of unhealthy neighborhoods. Clothing should be frequently changed and cleansed, and dark-colored clothing should be even more care- HYGIENE. BATHING. 135 fully examined, from its liability to conceal dirt or other excreta. Summer clothing should not be put on too soor; or winter clothing too late. Thin-soled, or high-heeled boots and shoes are often destructive to health. High-heeled boots should only be mentioned in execration. They produce troublesome corns, bunions, inflammation of the ligaments of the ankle-joint, and of their sheaths, and even dislocation of this joint; beside a change of the inclination of the pelves, and a consequent unnatural gait. Tight-lacing is now, for- tunately, only practiced by the weak-minded. The clothing of children, whose feeble frames are less able to resist cold than those of adults, is generally insuf- ficient. "When a baby is divested of its long clothes, it is in danger of being insufSciently clad; the danger increasing when it can run alone, and is more exposed to atmospheric influences. It cannot be too strongly impressed upon those who have the charge of children, that the practice of leaving those parts exposed which when grown up we find it necessary to clothe warmly, especially the arms, lower limbs and abdomen, is a frequent cause of retarded growth, mesenteric disease. Consumption, etc. Insufiicient warmth of body, whether in children or adults, renders the person more susceptible to the invasion of disease. IX. BATHING. It is an error to insist upon a daUy bath for aU persons. But few have such an amount of vitality as to be able to endure the shock of a daily cold bath, for years, without detriment of health, and shortening of days; and most per' 136 HOMEOPATHIC MENTOR. sons will find it better to discriminate in the use of the bath. A daily bath, to persons in health, in warm weather, is desirable. But, for most persons, a bath three times a week is better, and fully meets the demands of the system in keeping the pores of the skin open and the capiQary system in a healthy condition. In warm weather, baths may be taken at the natural temperature of the water; and in cooler weather the chiU should be taken off, and the bath itself should be of shorter duration. In general the temperature should range between 60° and 70° Fahrenheit. Cold bathing should not be practiced when the body i£ cold or cooling, or exhausted by exertion or fatigue, or if the system is naturally too weak; or when the skin feels chilly. A bath should not be taken too soon after a meal, nor shoidd the time spent in the bath be too long; from 5 to 10 minutes being the usual limit. Unless there be a glow of reaction, and hence, no subsequent chilliness and dulness, no benefit will result, but the contrary. To pro- mote this ready reaction and returning glow of the system, the friction of coarse towels may be employed with ad- Yantage. Gold bathing is especially hazardous to patients, who are extremely weak, or who have any organic diseases, particularly of heart or lungs; there may, also, be some idio- syncracy of condition of the constitution peculiar to the individual which renders frequent cold bathing undesirable. Caution is more particularly necessary in infancy, and old age. The adaptation of the cold bath to individual cases may often be determined by the following criterion: — If, after a bath, the patient remains chiUy, languid, and de- jected, or suffers headache, it had better be discontinued. HYGIENE. BATHING. 137 and only gradually adopted; but, if the sense of cold rapidly passes off, and a glow of warmth and animation of spirits succeed and continue for some time, the cold bath is Kkely to be productive of good. The warm bath is a great luxury, and to the feeble a,v5 exhausted frame is often very beneficial. The temperatu^t may be varied according to the sensations of the patient, but as a rule should be that of the temperature of the blood ■ — 96° to 98"; if higher than 98°, the bath maybe followed by a profuse perspiration, which weakens the system. Sea-bathing is of the greatest value to convalescents from acute diseases, to those whose health has been injured by excessive work, town residence with sedentary occupation, excesses of various kinds, and in many chronic Ulnesses, when debility is not excessive. It should not be indis- criminate. The propriety of it depends on the health of the bather, the temperature of the water, and the motion of the sea. Adults in robust health may remain from five to eight minutes; or, if they are accustomed to bathe, they may re- main so long as they feel warm. If the water is very cold or the sea is strong, less time should be allowed. Delicate persons should choose a smooth sea. Strong persons may bathe before breakfast; others only in the forenoon. Sea- bathing is prejudicial when the body is exhausted, or over- heated, or cold, or rapidly cooUng. Stout, plethoric per- sons, liable to rushes of blood, palpitation, giddiness, etc., should bathe very cautiously. Aged persons should regard themselves in this matter as invalids. Persons in feeble health and old age should only plunge into the sea, remain a minute or two, then leave it. ' Infants, feeble chUdren, 138 HOMEOPATHIC MENTOR. and timid children are scarcely strong enough for the open' sea. Injury is done to the feeble by a disregard of their imperfect reactionary power, and to the timid by disregard of the strain upon their nervous system. "Warm glow and exhilaration of spirits after the bath indicate its beneficial action. On the contrary, chilliness and depression are^ Indications of harm. X. THE INFLUENCE OF OCCUPATION ON HEALTH. Sunlight and ventilation are of the greatest importance in workshops and offices, particularly where the young are employed, as we have already remarked (p. 126). Patients make better and more rapid recoveries in well-lighted hospitals; and very serious cases are generally placed on the sunny side of such buildings. If, therefore, persons «,re more likely to regain health in such apartments, we may fairly conclude that health will be better preserved in a large, well-lighted workshop, or office. Spacious, airy, and well-lighted offices and work-rooms for clerks, compositors, tailors, dressmakers, and others, would prevent a large amount of chronic disease. The sedentary occupations followed by book-keepers, milliners, sempstresses, tailors, shoemakers, and others, are often most unfavorable to health, because the sitting posture is generally combined with an inclination forwards, so as to compress the ch&st and stomach. Abundance of healthful recreation in the open air is the best corrective of the injurious crmsequences pf sedentary employments. HYGIENE. INFLUENCE OP OCCUPATION. 139 42 attained the age of 70 years and upwards, 40 The following list, from authentic sources, gives the general average of life among certain classes: Of 100 Clergymen " Farmers " Commercial Men 35 " Military Men 33 " Lawyers 29 " Artists 28 " Teachers 27 " Physicians 24 The first half in the above list, with the exception of the clergymen, are necessarily much exposed to the air, and take physical evercise; but the other half, with the exception of the physicians, are chiefly confined in-doors, engaged in sedentary occupations. Literary pursuits are generally favorable to longevity. Physicians are short-lived, from their irregular lives, frequent exposure and the excitements attendant upon their practice. The best possible condition favorable to longevity would be a certain number of hours devoted to study, and in-door work; and, an equal or larger time devoted to riding, or out-of-door exercise. The cir- cumstances which render occupations unhealthy are, de- ficiency of daylight and pure air; a bad posture of the body during employment; and the inhalation of poisonous sub- stances, or dust, producing irritation of the lungs. The Nursing and Care of the Sick. THE SICK-ROOM. 1. The apartment should be tolerably large; and, if possible, with a southern exposure; neither apt to be un- duly heated by the rays of the sun, nor rendered duU from its absence. It should be capable of being weU-lighied and ventilated. Patients cannot always be cared for in rooms which answer aU these requirements; but, whatever its de- fects, the ventilation of the sick-room, whether by window, door, or fireplace, mu^t be as thorough as possible — but no draughts ! The room should have a fireplace with a good fire in cold weather, and open in warm weather to assist ventilation. During infectious diseases, besides diluting the poison with plenty of atmospheric air, dilute carbolic acid, may be freely used as a disinfectant;* and the room should (| * A solution should be frequently sprinkled about the floors, bed- clothes, handkerchief, etc., and be diffused through the room by a spray-produoer: it acts quickly as an efficient disinfectant. It may also be used for personal disinfection — a point often but indifferently carried out — by adding it to the water in which the patient is washed, and is a valuable substitute for aromatic vinegar. It also makes an excellent gargle, for fever patients, to sweeten the breath. It is also useful to visitors of the sick, to prevent the risk from infectious diseases; for this purpose, a few drops should be sprinkled o::. the NIJESING OF THE SICK. — THE SICK-ROOM. 141 also be divested of all unnecessary furniture, such as cajr- pets, window and bed-hangings, etc. 2. The room should be provided with an extra bed, or some convenient couch, to which the patient should, if possible, be removed for a short time at least once in the twenty-four hours. This allows the bed to be thoroughly changed and aired; ensures a change of atmosphere around the patient's body; and is an agreeable rest to him. It is desirable, also, to have a smaU room in immediate con- nection with the sick-room, for the nurse to sleep in, and carry on the various little operations of preparing food and medicine, without risk of annoying the patient. The bed and bedding of the sick-room are of no small im- portance. The bed should not be too high; should be without valance, or curtains, to confine the air beneath it; and should stand at, some little distance from the wall, so that the nurse can get at it from every side. It should not be in a draught, as between door or window and fireplace; and it is better that the patient should be able to lie with his back to the window. A simple hair mattrass, or sacking-bottom is preferable; but, if feathers must be used, put one or two comfortables over the tick, with the linen over them, so as to make a firm, even surface. The linen of the bed, as well as that of the patient should be changed, or, at least, aired and dried by a fire, every day. This drying by the fire, dissipates the impure exhalations with handkerchief before entering the sick-room. The use of cologne, camphor, burnt rags, vinegar, etc., is not advisable. They merely add another smell to the one already existing, and the compound is not ajx improvement. 142 HOMEOPATHIC MENTOR. which it has previously become saturated by contact with the patient's body. It is wonderful to see how much ease and comfort is afforded to the sick by a light, cool, bed, with its coverings frequently re-arranged and made agree- able. The feverish restlessness of patients is frequently entirely removed by attention to these little comforts. 3. The apartment should be darkened, when the patient sleeps, or wishes to sleep; not by excluding all light and air, by closed shutters, or closely-drawn bed-curtains, but by letting down the window-shades, so as to secure a sub- dued Ught; and, by protecting the patient's face from the direct glare of gas, lamps, etc. Light being a stimulant of the brain, frequently causes wakefulness, and excitability in the patient, when too freely admitted to the sick-room. 4. The sick-room should be quiet. Silk dresses and creaky boots, the rustling of newspapers, the putting of coals on the fire,* etc., often distresses iavalids; the tones of the voice should be gentle and subdued, but whispering avoided; all unnecessary conversation and noise must be avoided. The sick should not be fatigued, or over-taxed by company, study, business or worry of any kind. If visitors call, they must not be allowed to tire and annoy the patient with long stories, uninteresting talk, discussion of the patient's disease, or narration of similar cases within their knowledge. A short, cheerful, call and pleasant face are al- ways welcome to the sick, and a kindly interest in their case is equally so. EeHgious conversation is always proper. • The very common difficulty of renewing coals upon a fire, or in a stove, while a patient is asleep, can be easily overcome by placing the coals in a paper-hag; which can then be laid noiselessly upon the fire. NUESIKG OF THE SICK. — THE SICK-KOOM. 143 when conducted intelligently and in a proper spirit; though a sick-bed is far from being the best place for this most im- portant of the duties of life. Books may not be wholly interdicted, but the amount and character of reading should be proportioned to the strength or mental vigor of the patient. In reading to the sick, let it be done slowly and distinctly, so that it will not be fatiguing to them to follow the reader — so, also, of conversation. 5. The temperature of the room should be regulated by a thermometer, suspended so as to be sheltered from currents of air, and from direct heat of the fire — and should be varied according to the nature of the patient's disease. In fevers. Inflammation of the Brain, etc., 55° will be a proper warmth; in Inflammation of the Lungs, and in Bronchitis, a higher temperature — 60° to 70°, — is necessary. A warm and moist air, so as not to irritate the inflamed lining of the air-tubes, is needed in all inflammatory affections of the chest. Cold air and too many bed-clothes are sure to in- crease the mischief. But, whatever may be the temperature — see that proper ventilation be maintained. 6. The sick-room should be made pleasant and cheerful, as well as comfortable. Do not suffer the sick to lay aU day staring at blank walls, or at strange, unsympathizing faces; but remember that flowers, bright and fresh, pictures around the room; an occasional change, or re-arrangment, of fur- niture; or a seat or couch at the window, serve wonder- fully to cheer and invigorate a patient. In this connection. Miss Nightingale's suggestion as to the care of food and medicines in the sick-room, is worthy of repetition here. It is this — do not keep the food, drink, or 144 HOMEOPATHIC MENTOK. delicacies intended for the patient in the sick-room or within his sight. The air and temperature of the apartment are liable to hasten putrefactive decomposition, especially in hot weather, and the continuous sight of them to cause disgust. Eather take up to him, at the fitting time, and by way of surprise, two or three teaspoonfuls of jelly, or as many fresh grapes as he may consume at once, or the seg- ment of an orange. Or, if it be appropriate to his condition, a small cup of beef-tea, covered, with one or two narrow slips of toasted-bread, just from the fire; this is very much preferable to offering even a less quantity from a basinful that has been kept for many hours within reach of the patient's hand and eye. 7. The requirements of Contagious-disease patients, Isolation. The sick-room for such patients should be in an upper story, to present the spread of infection to others; for infectious exhalations, being lighter than air, ascend. Precautions. Nurses, or mothers who, frequently go in and out of the room, should keep a loose wrapper or gown, of some smooth ■ washable material (not woolen) hanging behind the door (outside), ready to slip on over their other dress whenever they enter, before waiting upon the infected patient, and to be taken off when leaving the room. Outside of, and hanging down over the sick-room door, should be suspended a sheet, moistened, from time to time, with carbolic-acid and water (two tablespoonsful of the acid to two quarts of water), or with Condi/s Fluid, 1 to 50; or a solution of chloralum — the two latter being of less pungent odor than the carbolic-acid. This is to destroy any disease- gei-ms which may pass through the door-way. NtJKSING OF THE SICK. DISINPECTIOIT. 145 In infectious fevers, as Scarlet Fever, etc., when the stin begins to peel, the whole body should be thinly anointed ■with carbolic oil (1 part to 40 of oil) which may be washed off and reapplied every day; the object being to clog the scales of skin and prevent them flying about and so be-i coming a source of infection. When the skin ceases to'i peel, the oil may be finally washed off in a warm bath of carbolic-acid and water (1 to 240, or two ounces to three gallons of water). Disinfection, of clothing and (f room. Soiled linen should at once be put into carbolic-acid and water (1 to 40) till convenient to wash it. In cholera, typhoid fever, and yellow fever, all the discharges should be disinfected by putting some carbolic-acid into the bedpan before each time of using; and the stools, etc., after being disinfected, should be buried away from wells or running water, or mixed with a larger quantity of crude carbolic-acid, say three tablespoonsful, before being sent down the water-closet. The patient should spit into a vessel of carbolic-acid, and all dishes used by him should be disinfected either by boiling water or carbolic-acid. After the disease is over, the sick-room and contents must be thoroughly disinfected. All blankets, books, andj smaU articles should be baked two hours, at a temperature of 250° F.; this may be done by putting them in a wooden box, into an ordinary oven. The patient's linen, after being dis- infected, should be scalded, or boiled, and washed. "White woolen articles can be baked for two hours at 250° F. with- out any change except a slight discoloration like that pro- duced by washing new flannel. The strength of textura 146 HOMEOPATHIC MENTOR. and warmth of blankets are not affected. Cotton, silk, linei) and paper are not affected by a considerably longer baking. At 300° F. white woolen articles are singed, and colored wool loses its color, but its strength is little affected in appearance. When hair mattrasses are baked they should be allowed to stand for two days before making up again, so that they may recover their natural moisture and not cause dust. The furniture and accessible parts of the room can be more thoroughly disinfected by disinfectants, in the shape of fluids; — such as carbolic-acid, permanganate of potash, chloride of zinc, chloralum and boiling water, which are the most common; — carbolic acid, however, being neutralized by most of the fluid disinfectants, should always be used by itself. Final Disinfection of the room itself. Bemove all bright steel or metal articles from the room: paste up all crevices and the chinks of windows, fireplaces, etc., with paper. Put a bucket of water in the middle of the room, and lay the tongs across it, and on the tongs an iron lid, or dish, with two pounds of sulphur in it, set fire to the sulphur, and shut the door for the night. Any disinfectant vapor so weak that it can be breathed even a single instant is of no use; hence it is useless to expose saucers of carbolic- acid or bleaching-powder in the sick-room; tn?>apors merely annoy the patient and do no good. Next day the floors should be washed and scoured or scalded, if practicable. The walls should be lime-washed . — or, if varnished or "hard-finished," washed with soap and water. If papered, the room should be re-papered. Bed- stead and furniture should be scalded, or washed with car- NUBSING OF THE SICK. THE NURSE. 147 bolic-acid, soap and water. Finally, tlie door and windowe should be left open for a couple of days. This done — and aJl danger of further infection is at an end. i. 8. The Nurse. The services of an intelligent, experienced nurse form a most important part of the treatment of disease. Goodness of heart, a kind and obliging disposition and good sense, are indispensable requirements in a nurse. Medicine — in some cases — can play but a secondary part in the cure of the sick; but good nursing, or care, always plays a prominent part. The object of narsing is to place the system of the patient in the best possible condition for the beneficial action of medicine. It can easily be understood, therefore, that a good nurse is the right arm of the phy- sician, and that a poor one may negative and defeat all his efforts. While the nurse should be all attention to the wants of the sick, yet she should avoid "fussiness"' or wearying the patient with unnecessary trifles. She should go calmly and quietly about her business, doing cheerfully what is necessary to be done, while yet she does not make herself the conspicuous subject of the occasion. She should dress in quiet, neutral colors; bright colors are distressing . to the eye, while black is depressing, and may be the tra- ditional "last . straw." There is an evil which cannot be too seveitely' condemned. It is the rage to prescribe for the sick, possessed by almost every body, under every conceiv- able variety of circumstances. No matter how severe the disease, or how urgent the emergency, nine out of every ten persons who call, will tell precisely what will cure the patient, and the remaining person has a doctor just on hand to do the: work. Usually, the more ignorant the i48 HOMEOPATHIC MENTOK. volunteer, the more positive they are of a cure. They who know much speak cautiously. Those who know little are very positive. Now, if a physician is in attendance, it is his business to prescribe and not that of others, and it is a very delicate piece of business, under any circumstances, to advise the use of a medicine or a change of treatment or medical attendant. Whilo a physician is in attendance, simple justice to him and the welfare of the sick, require that his directions should be followed, and his instructions obeyed. It must be a rare case, indeed, that justifies the interference of outsiders. In cases of verjj sick persons, it may be advisable to call in assistance of watchers, but it should be avoided if possible. Better, far, have some members of the family take turns in watching, and the one in charge near at hand to be called in case of emergency. In a majority of cases, those that are called in as night watchers are stupid, sleepy, ignorant of their duties, or the wants or peculiarities of the patient, and do far more harm than good. Avoid them if possible. In most cases it is better for the mother, hus- band, sister, or others of the family, to lie down in the room and sleep while the patient sleeps, than to have the house ,and patient kept awake with watchers. 9. Ckanlirwss. The mouth shoidd be often wiped with a soft wet towel, when there is a crust on the lips and teeth. Fears are often expressed that in washing the surface of a patient's body, or even in changing his linen, any eruption or rash should be driven in, or that cold should be taken. If done properly, there is not the least ground for any such fear. The patient should be SDonged over as completely as NURSING OF THE SICK. — ACCESSORY MEAStlEES. 149 possible at least once a day with warm or cold water, as paay be most agreeable to his feelings, and then quickly, but carefully, dried with a soft towel. If the patient be much exhausted, a small portion only of the skin may be washed at a time, and then another, and so on; or, instead, first a damp and then a dry towel may be used under the bed- clothes, so as to disturb the patient as little as possible. When there is delirium or apathy, the bladder must be emptied, at least, twice in 24 hours, and the nurse must see that it is so emptied, lest mischief be done by the retained urine. ACCESSORY CUEATIVB MEASURES. There are certain expedients or curative measures, which may often be resorted to by nurse or invalid, which, while they can scarcely be called parts of medical treatment, yet are of so great value, nay, so very indispensable in some cases, as to demand particular attention in a treatise on domestic medicine. Among these are, especially, the use of warm baths, of poultices and fomentations, and of the in- jection-pipe. Warm baths. The warm bath (92° to 98° P.), and the hcA _ bath (98° to 112° P.), are remedial agents of great value in many affections.* They tend to equalize the general temperature of the body, to soothe the nervous system, to * For the correct or safe administration of warm baths, a bath- thermometer is indispensable. The hand is a very imperfect guide. In the absence of a thermometer, the nurse should uncover her arm to the elbow and immerse it in the ^^ater, as the skin of the elbow is thin and sensitive to any excessive degree of heat. 150 flOMEOPATHIO MENTOR. control the action of the heart, to promote perspiration, to relax the muscular and cutaneous system, and, especially — by recalling to the surface disproportionate accumulations of blood in the internal organs — to equalize its distribution throughout the body. AH severe inflammations and con- gestions are preceded by a cold chiU or rigor, during which the hands and feet become cold, the head often hot, and a shivering chill extends, often with chattering teeth and blue naUs, over the vrhole body, lasting from a few minutes to an hour or more, and is succeeded by heat and high fever. It is in this initial stage of disease that the judicious use of some form of warm bath averts the danger of local congestion, and by breaking the chiU, breaks also the force of the disease. In the diseases of children — Convulsions, Spasmodic Group, Measles, Scarlet Fever, etc., also in Scarlatinal Dropsy, and Fevers, the warm bath is of the greatest benefit. It also aids the cure in Inflammation of the kid,neys. bladder and uterus; at the grand climacteric of woriien, a general warm *>ath, for forty or fifty minuteSj, once a week, cures or prevents many of the ailments incident to the period, by jjromoting free action of the skin. In Spasmodic Stricture of the Urethra; in the passage of renal and biliary calculi; in Golic and many spasmodic affections of the bowels; in Tetanus, Prurigo, Diabetes, Bright's Disease, and in the Melancholy of Insanity, it is often of signal service. The following list of the permissable limits of temperature* of various kinds of baths, may bo of use : The cold bath 50° F, to 70° P. Vapor Baths. " tepid " 85° F. " 92° F. 90° F. to 100° P. " warm " 92° F. " 98° F. 100° F. " 105° F. "hot " 98° F. " 109° ¥. \15- F, •■ 130° B, NTJESING OF THE SICK. — HOT BATHS. 151 Vapor baths are chiefly of use for Gout, Eheumatism, Skin- diseases and commencing colds. One may be extemporized by tying a tube over the spout of a kettle and fastening the other end in a small basket tied under a cane-bottomed ahp-ir; the patient sits on the chair, and is covered, chair and all, with a couple of blankets pinned around the throat; and down the front to the floor. During the bath, one or two glasses of cold water may be sipped; and headache, if present, may be allayed by cold sponging, or a cold wet cloth laid upon the head. After perspiring for 10 or 13 minutes, the patient may be quickly dried and got to bed. The hot foot-bath is, perhaps, the most common and useful of hot baths, but some care and knowledge should be exer- cised in order to derive the greatest amount of benefit from it. The vessel should be large and deep enough to permit the water to come weU up towards the knees. The temper- ature of the water should be such that the feet can be kept in it without inconvenience, and another vessel of hot water should be at hand, from which, as the water becomes cooled in the bath, the hot water should be, from time to time, supplied, so that the temperature may be gradually in- creased during the entire bath. This should be continued from ten to twenty minutes, according to the circumstances of the case, or until the patient is relieved, the chill broken, or a general perspiration appears. Then let the feet be taken from the bath, wiped rapidly dry, with warm cloths, and wrapped up comfortably, so as to retain the heat. This kind of bath promotes general perspiration, corrects or relieves Catarrh, fever, etc., in the incipient stage; is very useful in the sudden Suppression of the Menses during the 152 HOMEOFATHia MENTOB. flow, from exposure to cold or wet; relieves Headache, PalpUation, hysteric choking. Files, etc. Silz-baths may be administered in a tin bath, formed fot the purpose, with a back; or a very serviceable one may be made, by cutting down an ordinary barrel, with a board set in it for a back. The patient sits down in the tub, with water sufficient to come well up around the hips and over the lower abdomen, and is then covered from the neck down over the tub so as to retain the vapor, if desirable. The bath may be continued from ten to thirty minutes. In cases of congestion to the lower abdominal organs, Piles and in some severe cases of Dysentery, these seat-baths wiU be found of great value. Poultices are used to apply heat and moisture to the skin, when it and the underlying structures are inflamed. They effect this by relaxing the tension of the parts and promot- ing perspiration. Almost any soft substance which wiU retain heat and moisture, such as bran, bread, charcoal, liiv- seed, mashed potatoes, etc.*, inay be used for the making of • lAnseedrMeal Poultices. — ^Boiling water should be poured into a heated bowl, and into this the meal quickly sprinkled with one hand, while the mixture is constantly stirred with a knife or spatula with the other, till a thin smooth dough is formed. If the water be added to the meal, little knots are apt to collect. The dough should be quickly spread on warmed linen already out to the required shape, or put into a bag, and applied. Linseed-meal retains heat and moisture for a long time, but is liable to irritate delicate or inflamed skin. Bread Poultices. — Put slices of bread into a basin, pour over them boiling water, and place by the fire for a few minutes, when the water should be poured off, replaced by fresh boiling water, and this again poured ofE, and the bread pressed, beaten with a fork, and made into a poultice. Bread poultices are valuable for their bland, non- irritating properties. NURSING OF TEE SICK. POULTICES. 153 & poultice — which should he quite smooth and free from lumps or hardness. Poultices are chiefly useful in the following complaints: — ^Pneumonia, Pleurisy, Bronchitis, Pericarditis, Peritonitis, Acute Rheumatism, Lumbago, and to mature and facilitate the discharge of matter in Ab" scesses. Boils, etc. '; When used to mature Abscesses, or disperse inflam- mation, poultices should extend beyond the limits of the inflamed tissue; but after the discharge, the poultices should be very little larger than the opening through which the matter is escaping. To retain heat for a long time, they should be covered with oil-silk, or a layer of cotton wool — which is preferable to having a very thick poultice, which might by its weight cause inconvenience, or pain. In acute Lumbotgo, they must be applied thick, hot, large enough to cover the affected part, and be renewed immediately they become cool. After continuing their use for from one to three hours, the skin should be wiped dry and covered with flannel, and this again with oil-silk. Fomentations, by means of flannel wrung out of hot boil- ing water, are used for purposes similar to poultices, but Charcoal Poultices — Uniformly mix charcoal with bread poultice, and just before the application of the poultice sprinkle the surface with a layer of charcoal. Or charcoal may be sprinkled on a wound or ulcer, and a simple bread poultice applied over it. Charcoal poultices correct offeusive smells from foul sores, and favor a healthier action. Carrot Poultices. — Boil carrots quite soft, mash them with a fork, and apply in the ordinary way. They are said to make wounds cleaner and healthier. 154 HOMEOPATHIC MENTOK. are lighter and less likely to increase the pain of sensitive parts. The hot flannel is placed in stout towelling and twisted around, till as much water as possible is squeezed out; and, if well wrung, can be applied very hot without danger of scalding. When it loses its heat, it should be quicHy and deftly replaced with another hot one. In Inflammations, Spasms, and pains affecting deeply-seated structures, as in the chest or abdomen, and in sprains, etc., great relief is often gained by their use. Dry Fomentations. — When heat alone is required, and it is desirable to avoid the relaxation of tissues which moist- ure would occasion, dry heated substances — flannel, bran, chamomile flowers, salt, sand, etc. — are used. After thor- oughly heating the substance, it should be placed in a bag made for the purpose, and which has also been previously heated. Sometimes, as in Spasm and its accompanying pain, a thin piece of flat tile, or a plate, heated in an oven, and wrapped in warmed flannel, may be employed. For mere evanescent heat, flannel, strongly heated before the fire, may suffice. Injections. Most important — indeed, indispensable — for every family, is the use and knowledge of the injection-pipe. The best are of rubber, with flexible tube and bulb, con- taining the pumping apparatus in the centre, from which the suction tube extends a foot, or more, to the reservoir or dish contaiuing the charge. The injection is usually luke- warm water. Sometimes, to a pint of water, a large spoon- ful of molasses is added; and, if a more active injection is yet required, a tablespoonful of salt may be supplied. Very generally simple tepid water is sufficient. The end of the NURSING or THE SICK. INJECTIONS. 155 tube should be covered with oil, cerate, or lard, and then introduced, by gentle manipulation, into the rectum. If the object is to dislodge hardened feces, the pipe should be inserted, so as to place the water above the hardened mass. The pumping should then be continued (slowly and steadily) untU a pint, quart, or even double that quantity of fluid, has been thrown up. The patient should, if possible, lie down and retain the injection 10 or 15 minutes. Should one injection not succeed, it may be repeated after a half hour or more, until the object is obtained. In cases of obstinate constipation, a morning injection, with the use of the appropriative Specitio, never fails. In violent and obstinate Colic, a, large injection often fuUy relieves— also, in pains in bladder, womb and kidneys. Starch water, tepid, injections of the consistence of cream, and about two ounces in amount, are sometimes very efficacious in checking Diarrhea; also, in Dysentery, Consumption, and Choleraic diarrhea of Children. Salt injections, a dessert-spoonful to the pint or half pint of water, are excellent for dislodging thread-worms • — but, as ia other cases. Specific treatment is necessary to correct the constitutional condition on which the disease depends. In aU cases of fever and threatened convulsions in children, arising from hurtful or indigestible food — fruit, cake, raisins, oranges, etc., the proper use of the injection- pipe, in connection with the Specific medicines, wiU save the patient — is never hurtful, and is a far better expedient than the use of piUs, cathartics, or even such laxatives as castor oil. Inhalation, is the act of drawing air, impregnated with 156 HOMEOPATHIC MENTOB. the -watery vapor of medicinal substances, into the air- passages. Quinsy, catarrhal and ulcerated Sore-throat, chronic Bronchitis, Phthisis, etc., may be more or less benefited by inhalation. The method of inhaling is very simple, and is often done quite effectively, and with less effort, without a special inhaler. All that is required is a jug of hot water, over which the face may be held, and a towel so arranged that it covers the face below the eyes, and surrounds the top of the jug, so as to confine the vapor. A few drops of the drug to be inhaled being dropped into the hot water, the medicine finds ready access to the air-passages through both the mouth and the nose. This may be practised for five or ten minutes at bed-time; and, if necessary, and the patient has not to be exposed to cold air during the day, it may be repeated once, twice, or oftener in the day. In acute inflammatory diseases of the throat, simple or medi- cated vapor may be administered as frequently as the patient's strength and other circumstances permit. A portion of the drug thus administered reaches the lungs and enters the general circulation; but the chief action of the medicated vapor is on the throat and bronchial mucous surface. In grave, penetrating diseases. Diphtheria, Croup, etc., where it is desired to keep the atmosphere of the room moist, vapor may be diffused through the apartment, by the steam from a large kettle with a long spout, kept constantly boil- ing; or, by forming a tent over the bed and covering it with blankets, and then bringing a pipe to convey the steam from the kettle under it. In urgent cases, where suffocation threatens, the room DIET OF THE SKJK. 157 may be quickly filled -with vapor, by hanging wet towels before a hot fire. In ordinary cases, simply keeping water boiling in the centre of the room will sufficiently moisten the atmosphere. DIET OP THE SICK. Homeopathy is not, as is so often asserted by its op- ponents, "a system of diet" — but of medical treatment, Eemedies, chosen according to the homeopathic law, are but Uttle affected by the food or beverages ordinarily taken; so that, beyond the prohibition of certain articles of diet yhich disagree with the patient, interfere with the bodily functions, or impose upon weak, or diseased, organs a task to which they are unequal, there is but little need to restrict the patient's food. The Begimen of the sick, under Homeopathic treatment, may, therefore, be reduced to two simple rules, 1. avoid all articles of drink or food that are medicinal, and those that are irritating, indigestible or injurious to the sick; and 2. to use only such as are light, easily digested and nourishing, and saitisfy the appetite and thirst. Aliment allowed — ^Wheaten Bread, Graham Bread, Arrow Eoot, Sago, Tapioca, Farina, Corn Starch, Eice and MUk, Panada, Hominy, Mush, "Wheaten Grits, Custards, Beef, Mutton or Lamb Chops, Lean part of Ham, Venison, Chickens, Poultry, Babbits, and all Game, Calves' Foot Jelly, Chicken Broth, Fresh Eggs, Scale Fish, Fresh Oysters, Bipe Potatoes, Apples, Baked or Stewed, Strawberries, Baspberries, Grapes, Bipe Sweet Apples. Dbinks allowed^— Water, Toast Water, Barley or Bice 158 HOMEOPATHIC MENTOR. Waterj Gum Water, Gruel, flavored or sweetened with Fruit Syrupa, Milk, Cocoa, Chocolate, Weai Black Tea or Barley Coffee, sweetened with MUk and Sugar if desired. Avoid — Coffee, Highly Spiced or Fat, Heavy, Indigestible Meats, Sausages, Mince Pies, Salt Fish, and Stimulants, unless allowed, by attending physician. These few hints, together with a careful reference to, and study of our chapter on "Nutritive Food Values" (pages 49 to 104) win sufficiently guide those who have charge of the sick. HOW TO INTERPRET THE SIGNS AND SYMPTOMS OF DISEASE. The various evidences of an unhealthy action of the system, can only properly be estimated at their full value by the trained and skilful physician. Tet careful observ- ation and common-sense, applied to the examination of tongue, pulse, temperature, skin, urine, etc., will do much to assist even laymen in forming a tolerably accurate idea of the nature and severity of diseases which they may have to treat. To such the few following brief hints may be of value. 1. The Puise is the stroke or beat of an artery, caused by the wave of blood forced onwards from each beat of the heart. It is usually best felt on the radial artery, just above the root of the thumb and the joint of the wrist, by slightly pressing the first two fingers on the front of the wrist at that point. The natural pulse in the adult male is between 60 and 70 beats per miipte. It is quicker in the morning THE SIGNS AND SYMPTOMS OF DISEASE.— THE PDL8E. 159- than at night, reaching its maximum about noon and its minimum about midnight; in old age the pulse becomes hard, owing to increased firmness or to structural change in the arterial coats. The average number of beats of the healthy pulse in the minute, at different ages, is as follows: —At birth, 130 to 140; during infancy, 120 to 130; three years old, 90 to 95 or 100; five years old about 88; ten to fifteen years old, about 78; above fift.een, 65 to 75; in old age, 65 to 70; decrepitude, 75 to 80. The pulse is influenced, however, by the following and other conditions, which should be considered in estimating the character of the pulse as a diagnostic sign. It is faster in the female than the male, by from six to fourteen beats; but this difference only occurs after about the eighth yean It is quickened by warmth and heat; by rapid breathing; by bodily exertion or mental excitement; it is more fre- quent in the morning, and after taking stimulants or food; it beats faster standing than sitting, and sitting than lying; but it is retarded by cold, sleep, fatigue, want of food, and by certain drugs. In examining the pulse, the points to be noticed are: 1. Frequency, or number of beats per minute; 2. Fulness, or volume; 3. IStrength of beat; 4. regularity, or rhythm of beat; 5. Besistance to pressure of finger. A strong, quick pulse is sniggestive of inflammation; a quick and weak one of fever or weakness; a slow and strong one of pressure on the braia; and a slow and weak one of shock, depression, jaundice, — but allowances must be made for those sudden irregularities which are often observable under transient excitement or temporary depression, especially of nervous persona 160 HOMEOPATBIC MENTOE. 2. The Tempeeatueb. In all cases of iUness, it is as im- portant to measure the heat of the body, as to count the- pulse, or the breathing. The use of the clinical thermo- meter aids in arriving at definite conclusions, relieves much mental anxiety, and affords a clue, in many cases, to the disease, even before its characteristic symptoms have de- clared themselves. In temperate regions the normal heat of the human body, at sheltered parts of its surface, is 98.4° Fahr., or a few tenths more or less; and a persistent rising above 99.5° or a depression below 97.3° ifahr., are signs of some kind of disease. The maintenance of a normal tem- perature, within the limits above stated, gives a complete assurance of the absence of anything beyond local and trifling disturbances; but any acute disease unnaturally elevates the temperature or animal heat, and many diseases are thus indicated some time before they could be detected by any other means. It enables us to diagnose decisively between an inflammatory and a non-inflammatory disease; and to determine the severity of the inflammation. Hy- steria, it is well known, often ■ simulates inflammatory disease; but the temperature of hysterical persons is natural, whereas that of persons really sufiering from in- flammation is always raised. In acute fevers, the thermometer affords the best mearm of deciding in doubtful cases. Thus, in Typhoid fever, the rise of temperature, or its abnormal fall, often indicates what is about to happen one or two days before any change in the pulse, or other sign of mischief, may be observed. In Consumption, the thermometer affords us most valu- able diagnostic information, especially in the early stage of THE SIGNS AND S5rMl>T0MS CfP DISEAg-E..— TEMPEEATUEE. 161 the disease, when treatment is likely to be of greatest avail. During the deposit of tubercle in the lungs, or in any organ of the body, the temperature of the patient is always raised from 98°, the normal temperature, to 102-3°, or even higher, the temperature increasing in proportion to the rapidity of the tubercular deposit. In Measles, the thermometer is almost the only means of learning at an early stage the complication of Pneumonia. In Ague, several hours before the paroxysm the temperature of the patient's body rises considerably. In Acute Rheumatism, a temperature of 104° is always an alarming symptom, indicating grave compli- cation, such as involvement of the valves of the heart. In short, a temperature of 104° to 105° in any disease, indi- cates that its progress is not checked, and that compli- cations are liable to arise. In all cases of convalescence, delayed decrease of temper- ature in Pneumonia, the persistence of a high evening temperature in Typhus or Enteric fever, or in the eruptive diseases, and the incomplete attainment of normal temper- ature, are of great significance. The onset of even a slight elevation of temperature during convalescence is a warning to exercise renewed care over the patient, especially in the maintenance of a duo control over his diet and actions. We recommend a straight, self-registering 4-inch ther> mometer; with a scale; (it will be best to have your famUy physician procure one for you, and give you a few directions how to manage it), and that observations should be made with it regularly, noting, at the same time — the pulse and breathing. The best way to "take a temperature" is by 162 HOMEOPATHIC MENTOR. placing the bulb of the thermometer under the tongue, by the side of the "second wisdom tooth," requesting the patient to close the lips around the stem. It is frequently placed, also, in the armpit, and sometimes in the bowel —and in every case should be allowed to remain in situ five minutes.* The most suitable time for taking temperature is from 7 to 9 A. M., and from 5 to 7 P. M. In connection with this we may note that the pulse is usually increased by about 8 beats per minute for every degree of temperature over the normal 98.6° F.; thus, if the pulse is 72 with the temperature at 98.6 , it will be 80° when the temperature is 99.6°, and 88 when the temper- ature is 100.6°. 3. Eespibation, (breathing). In ordinary health the number of respirations in a minute is from 15 to 20, or one breath to every four beats of the pulse; but it is largely increased by exercise and various diseases, in which it often forms an important sign both as to its frequency and ful- ness. During sleep and in a few diseases the frequency is diminished; if much diminished it is generally an imfavor- able sign. Expiration is longer than inspiration. The points to be noted are: 1. the frequency per minute; 2. whether respiration is performed chiefly by the ribs (thoracic) or by the muscles of the beUy (abdominal); 3. if the breathing is calm, easy, and fuUy drawn, or if it is ghort, hurried, forced, or incomplete; 4. if it causes pain, or is checked by cough. * The temperature of the tongue ia 4-5 of a degree; and that of the bowel 1.1-5 of a degree warmer than that of the armpit. THE SIGNS ADD SYMPTOMS Ot DISEASE. — IfiE tONGUB. 163 4. The Tongue affords important indications: — Dryness points to diminished secretion, and is common in acute and febrile diseases; moisture is generally a favorable sign, par- ticularly when it succeeds a dry or furred condition. A preter-naturally red tongue is common in the course of the eruptive fevers; in Gastric and Bilious fevers, and in bad cases of Indigestion, the redness is often limited to the edges and tip. The "strawberry" tongue is a symptom of Scarlet fever; the "fissured" twfigue of Typhus and Enteric fevers. "When the tongue is livid or purple, there is defec- tive oxygenation of the blood. The furred tongue is the most marked, and is common in inflammation and irritation of the mucous membranes, in diseases of the brain, in all varieties of fever, and in almost all acute and dangerous maladies. Some persons have usually a coated tongue on rising, without any other symptom of disease. This is especially the case with tobacco smokers. A uniformly white-coated tongue is not very unfavorable; a yellow coat is indicative of disordered action of .the liver; a brown or black, of a low state of the vital powers, and contamination of the blood. The gradual cleaning of the tongue, first from the tip and edges, shows a tendency to health, and indicates the cleaning of the whole intestinal tract; in less fortunate cases, as the tongue gets browner, dirtier, and drier, each day, the nervous and muscular systems get weaker, and hope is gradually extinguished; when the fur separates in patches, leaving a red, glossy surface, it is also unfavorable; when the crust is rapidly removed, leaving a raw or dark- colored appearance, the prognosis must still be unfavorable. 5. Pain is often a most important indication of the natur* 164 HOMEOPATHIC MENTOiS. and seat of disease, pointing to an interruption of the har- mony of the bodily organs; and homeopathic physicians insist most strenuously that the distinctive characters of the various kinds of pain, should be described as accurately as possible by the patient. When attended with a throbbing sensation, consequent upon the heart's action, it is called pulsating pain; when with a feeling of tightness, tensive;. when with heat, burning. Nervous pain may be recognised by its disposition to foUow a certain course, without being rigidly limited to one particular part; by its being subject to perfect intermissions; and by the suddenness with which it comes and goes. Spasmodic pain is mitigated by pres- sure, by frictions, and by applications of heat; it comes on suddenly with greater or less severity, terminating abruptly. Infiammaiory pain is constant, attended by heat and quickened pulse, is increased by movement of the affected part, by touch or pressure, and usually mitigated by rest. Frequently pain occurs, not in the part diseased, but in a distant one. Inflammation of the liver generally first siiows itself by pain in the right shoulder; inflammation of the hip-joint, by pain in the knee; stone in the bladder, by pain at the end of the penis; disease of the heart, by pain down the left arm, etc. 6. The Skin, — in health imparts to the touch the sen- sation of an agreeable temperature, with just sufficient moisture to preserve its softness; it is also elastic, smooth, and neither too tense nor loose. A harsh, dry, burning heat of the skin is indicative of fever, and must be regarded as unfavorable, especially in inflammatory conditions of in- ternal organs. If this condition be followed hy perspiration, THE SIGNS AND SYMPTOMS OF DISEASE. — THE SKIN. 165 coincident with general improvement, it is a favorable in- dication. Great relief is usually experienced on the occur- rence of the sweating stage in Ague, Inflammatory fevers, etc. On the other hand, complications may be feared if perspiration ensue without any amelioration of other symptoms. Partial or local perspirations indicate a deranged con- dition of the nervous system, or an affection of the organs beneath the perspiring surface. If perspirations occur after trifling exertion, they point to excessive weakness. Night sweats, of frequent occurrence, not only show de- bility, but when preceded by chills and fever, indicate a hectic and consumptive state of the constitution. The color of the skin is also diagnostic. A bluish tint of the skin indicates structural disease of the heart. A yellow color points to biliary affections. A rich blush of the cheeks, especially if it be circumscribed, and the surround- ing parts pale, indicates an irritable condition of the nerv- ous system, or a diseased state of the lungs. 7. The Ueine. — The urinary organs are, — the kidneys and bladder, with their appendages. The kidneys secrete the urine from the blood, and by this process the blood is relieved of many impurities, which if retained would give rise to disease in the whole system. The secretion of the kidneys reaches the bladder through little channels (ureters), and the urine is ultimately discharged through the uriniry canal (urethra). Healthy urine is of a brightish yellow or amber color, a tint darker in the morning than in the afternoon, yielding a slight ammoniacal smell, devoid of unpleasant odor, and 166 HOMEOPATHIC MENTOR. precipitating no deposit on standing, or only the merest trace of mucus, or of urates from a low temperature. In advanced age the urine becomes darker and slightly offen- sive; it is darker in persons who lead a very active life; different varieties of food also produce a marked effect both on the color and odor of urine. The stream of urine should be round and large, and it should be passed about four to six times in twenty-four hours without any pain or strain- ing. The average spedjw gravity of healthy urine is between 1,020 and 1,025, being in excess of water, which is the standard (1,000) ; and the normal quantity in adults about forty ounces in the twenty-four hours. A urinometer in- dicates the specific gravity. In disease, the urine presents many varieties, and furnishes valuable indications. Thus, it may be of a dark yellow or saffron color, as in Jaundice, or derangement of the liver; it may be red or high-colored, and scanty, with quickened pulse, as in fever; it may be bloody or slimy, as in affeo= tions of the kidneys or bladder; pale and copious, as in nervous and hysterical aihnents; it may be heavy, muddy, or of a purple color, showing an unfavorable condition of 'the system; or dark or black, indicating putridity. The urine may be passed too copiously or scantily, with pain, with effort; or it may be retained with difficulty. There may be a • frequent or uncontrollable desire to micturate, with burning or scalding pain; or the pain may be only experienced in passing the last few drops: in either case local inflammation is indicated. The specific gravity of urine in Bright's disease is 1,015 THE SIGNS AND SYMPTOMS OF DISEASE. THE HEINE. 167 to 1,094; diabetic urine, 1,025 to 1,040; in Hysteria it may be as low as 1,007. In Rheumatic fever, Gout, etc., the urine is abnormally acid; while, on the contrary, a loss of nervous power some- times causes insufficient mucus to be secreted, so that, de- composition having taken place, the urine is found to be alkaline. Heat wUl producfi a deposit in acid urine, but not so in alkaline, however large a proportion of albumen it may concern. The microscope enables us to detect casts of tubes, etc., but it should be remembered that many sub- stances may have found their way into the vessel, as fibres of deal, flannel, or cotton, etc., which bear a sufficient re- semblance to be mistaken for the above. When urine has to be examined, a little should be taken from the whole quantity that has been passed during twenty-four hours, as it varies greatly in its properties at different periods of the day; and after food Bow to select, prepare and take the Medicines. In general, and for slight affections, after having first looked over or read the Mentor, a glance at the indications wiU be sufficient to show from what particular vial the me- dicine is to be taken for any particular disease or symptom. Yet, if more than a single dose is required, it vyill be well to read over, in the Mentoe, the description of the disease or affection which is supposed to be present. After having read the directions carefully, and selected the proper Specific, if the directions are to take the medi- cine dry, then take six of the pellets from the vial into the hand, or a spoon, and thence into the mouth, and let them gradually be dissolved, without being chewed, or swallowed whole like piUs. It is a bad way to turn the vial against the tongue, or into the mouth, as the breath contaminates and dissolves the pellets. Also, it should be recollected that the power of a given dose of medicine is inckeased by being dissolved, or spread over a larger surface; so that two small pellets thoroughly dissolved in a spoonful of water is a more powerful dose than six pellets taken dry. HOW TO SELECT, PREPARE AND TAKE THE MEDICINES. 169 If the Specific is to be taken in fluid form, dissolve twelve pellets in six dessert-spoonsful of pure spring or weU-water, by crushing and stirring the medicine until it entirely dis- appears. (For grown persons a table-spoonful, and for children or infants a dessert or tea-spoonful is a proper dose.) Two Specifics may often be given in alternation, that is, first one, then after the proper interval, the other, and so on. Where Specifics are to be thus given, let each be pre- pared according to the above directions, remembering that each glass has its separate spoon and cover; and it wiU be even better and safer to prevent mixture or confusion; if each tumbler has a label affixed to it, bearing the number of the Specific which it contains. This alternation of remedies is a favorite mode of treat- ment, and may be resorted to when all the symptoms do not seem to be met by one remedy; or, when really two diseases may be present at the same time, as for instance : cough and fever; catarrh and dyspepsia; leucorrhoea and constipation; headache and dyspepsia. In such cases the two Specifics may be given alternately with ad- vantage. When we can do so, it is preferable to cure with a single iiPEciFic. In cases where some symptoms does not seem to be within the range of the remedy, yet by using it a few days, this symptom or complaint often disappears with the main disease. The best time for taking medicine is in the morning on rising and washing the mouth; and, at night on re- tiring to rest. 170 HOMEOPATHIC MENTOB. REPETITION OF DOSES. The repetition of doses depends much upon circum- stances. In acute diseases and in urgent cases, the Specipio acts best when dissolved, and a spoonful given every fifteen minutes, half-hour, hour, two or four hours, according to the urgency of the case, always bearing in mind this rule, to diminish the frequency of the doses in proportion as the pa- tient improves, and to discontinue the Specific altogether as soon as entire relief is afforded. In most cases of chronic disease, a dose morning and at night wiU be sufficient, or at most, three or four times a day. In very many cases a dose once per day is quite sufficient, and better than if more frequent. It is not the quantity or frequency of doses so much as the appropriateness of the remedy which cures the patient; and if a small quantity will not cure, there is but little hope of a large one. Disease and Treatment. Fevers have usually a precursory stage of some days, consisting of depression, pain in the limbs, headache, coated tongue, turns of vertigo, loss of appetite, or general lassitude. After this there is either a cold chill or chiUinesa for a day or tvro, which is followed by high fever, with headache, sleeplessness, often delirium, full, quick, hard pulse, quick respiration, vertigo on rising or sitting up, sometimes vomiting, costive bowels etc. This stage continues some days, depending upon the character of the fever and treatment, after which, in favor- able terminations, the pulse by degrees abates, the skin gradually becomes moist, the tongue deans oft" appetite and strength improve, and the patient becomes convales- cent. GENEEAIi EULES IN THE TREATMENT OP FEVERS. Perfect rest of body and mind, freedom from care, an- noyance and anxiety, as far is possible. The room should be weU ventUated, aired and lighted, and scrupulously clean. The bed should be a hair mattress, or a quilt doubled oo 172 DISEASE AND TREATMENT. — FEVEES. a straw or other bed, and the bed linen frequently aired and changed. Piire cold water should be used as drink, and the face, hands and body should be frequently sponged off with tepid or cool water. Toast water, gruel, barley or rice water may be used as drink after the fever has a little abated, or drink may be made of any mild, fresh or dried fruits, except when thei» is diarrhoea, when fruit drinks should be avoided. Gradually a more substantial diet may be allowed, be- ginning with baked apples, bailed rice, toast bread, jellies, meat soups, clam soup, fresh fish, and yet more substantial articles of food during convalescence. Varieties of Fever are not always sharply defined, and not unfrequently a fever assumes a particular character in its progress, or begins in one form and changes into an- other. EEETHIC OE SIMPLE EEVEE. Symptom. — Is usually ushered in by chills or alternate chills and flushes, followed by burning heat and dryness ol the skin; full, quickened pulse, dryness of mouth, lips and tongue, the tongue being red, or coated white, thirst, high' colored, scanty urine; and constipation. Sometimes, pains in loins, headache, loss of appetite, hurried breathing, delirium— the symptoms being generally more severe at night. Profuse perspiraiion, bleeding of the nose, diarrhoea, or eruptions on body, are generally signs of the decline of the fever — and the patient is left weak, but otherwise well. The fever lasts from one to three days, or longer. "When its symptoms disappear in 12 or 24 hours, it is called ephemeral fever — but it may be the precursor of more serious disorder. Tkijatmsnt. — Give the Fjtver Spscu'io, Nq, Oneo twelve BOMEOFATHIO MENTOR 173 pellets dissolved in six spoonsful of water, of wluch give a spoonful every half-hour during the violence of the chill and fever, and then as the heat and uneasiness abate and perspiration appears, give at intervals of an hour or two hours until entirely cooled off, and convalescence is established. This usually requires but a day or two, when the patient may be dismissed. INPLAMMATOEY FEVEK Symptoms. — This form of fever commences with a chill of some duration, followed by high fever, strong, quick pulse, burning heat, red face, severe headache, hurried respiration, thirst, tossing and sleeplessness. The symp- toms are worse in the evening and are better after mid- night and towards morning. It may continue ten or four- teen days, unless cut short by the Specific treatment; and, if mismanaged by active cathartics, may readily run into some grade of slow fever. It is caused by sudden check of perspiration, exposure to cold damp winds, intense mental emotions, high living, or mismanaged febrile attacks. It generally appears in per- sons of adult age, fuU habit and sanguine temperament. Treatment. — ^In this form of fever only the Fevee Specific No. One is required. Dissolve twelve pellets, in six large spoonsful of water in a glass; and of the fluid give a large spoonful every hour, or even every half hour, at first, and so continue giving a spoonful at intervals of an hour during the height of the fever; and at longer intervals as the- surface cools off and the surface grows moist, until the fuU crisis appears and the disease is subdued. Sponge off the hands and face, and even the surface of the body, frequently during the dry, burning heat, and after sweating; and at first during the chill, or if the feet are in- 174 DISEASE AKD TREATMENT. — FEVEHS. dined to be cold, or head very hot, a hot foot-bath will be of advantage. This treatment will generally promptly relieve and gradually arrest its progress. After the fever has subsided, the Specific No. Ten, six pellets four times Jper day, should be given for some days, to complete the cure, BILIOUS OE GASTEIC FEVEE, BEMITTENT FEVER. These fevers generally originate in some derangemant of the stomach or digestive organs, or from malaria. In the origin and progress of the disease the derangement of the biHary or gastric system is prominent. It has less of the violent heat and inflammatory action than the fever so named, and yet not so much of nervous prostration and debility, as in typhoid fevers. The bilious form is more common in warm or hot climates and in the hot season, than in the more temperate regions, while the gastric fever is common in more Northerly regions. It may be occasioned by great heat and excessive perspi- ration, which is suddenly checked; or by irritating sub- stances taken into the stomach; or even by violent emotions such as anger, grief or care, or other excitement acting upon an irritable temperament, or in common with other causes. Symptoms. — ^It has a precursory stage, marked by decided gastric or biliary derangement, headache, coated tongue, bitter or foul taste, deficient appetite and general depres- sion. After this there is a more or less prolonged chill, followed by sharp, pungent heat of the hands, face and surface, violent headache in the forehead, frequently de- Jirium at night, sense of weight and fulness in the region of the stomach, nausea and inclination to vomit, belching up of wind, and vomiting of acid bile or of mucus mixed with bile, tongue thickly coated dirty yellow, bowels are frequently tender and at first constipated, afterwards ten- HOMEOPATHIC MENTOR. 175 dency to diarrhoea. The face is pale and sickly, white of the eyes more or less yellow, pulse quick, tense, sometimes intermitting, and the urine is dark, cloudy, often thick and turbid. The more the liver is implicated, the more yellow the surface, the whites of the eyes, and the darker the urine and more yellow and thick coated the tongue. , The fever is subject to distinct remissions, coming on after a slight perspiration, and after some hours the fever recommences again and there may be a succession of these remissions; the more distinct they are, the more favorable for the patient. This fever is inclined to terminate in the intermittent form, or fever and ague. Treatment. — The Specific No. One and the Specipio No. Ten are the proper remedies in this form of fever. Pre- pare twelve or fourteen pellets of each number in separate glasses, half full of pure water; and, give for the first twelve hours, and until the force of the fever has somewhat abated, the Specific No. One^ a spoonful every hour. After thatj give the two Specifics No. One and No. Ten, alternately, at intervals of one or two hours, according to the heat and intensity of the fever, and continue these until the violence of the disease is broken; then at longer intervals, until a cure is established. Should a diarrhoea come on and threaten to become ex- hausting, suspend the use of the Specific No. Ten, and in place of it give the Specific No. Four, until the diarrhoea has abated, and then go on again as before. Should the disease terminate in a regular Intermittent Feveb, give the Specific No. Sixteen alternately with Spe- cific No. Ten every three hours, in solution, until the di* sease is cured. In the invasive stage, before the fever has declared itself, six pellets of Specific No. Ten, taken dry on the tongue, three times a day, will correct the action of the stomach and liver, and arrest the entire disease. l76 DISEASE AKD TREATMENT. — FEVEE3 TYPHUS FEVER. Typhus Fever is defined as an acute specific form of fever higKly contagious and infectious, continuing from fourteen to twenty one days, attended with a lethargic and confused condition of mind, an eruption of measles-like appearance, and is the result of privation, overcrowding and defective Ventilation. Stmptoms. — The precursory stage varies, but is usually short, so that the patient generally gives up and takes to his bed vnthin the first three days, in marked contrast with the protracted invasive stage of Enteric Fever. Sensations of uneasiness, soreness or fatigue, loss of appetite, frontal headache, and disturbed sleep, are the early symptoms. The patient is often seized with a cold chill or rigor, usually Succeeded by dry heat of the skin, thirst, quick pulse, white, dry, often tremulous tongue, scanty and high colored urine, sometimes vomiting, heavy look or stupor, prostration of strength and muscular pains: towards evening there is more irritability and restlessness, and if sleep occurs it is unrefreshing, being disturbed by dreams and sudden starts. The general appearance of a Typhus fever patient is well marked and affords a ready means of diagnosis. The patient usually lies on his back, with a weary and duU ex- pression of his face, his eyes heavy and with a dusky flush spread uniformly over his cheeks. In the more advanced stage of a severe attack he lies with his eyes shut or half shut, moaning, and too prostrate to answer questions, to put out his tongue or to move himself in bed; or the mouth is clenched, the tongue and hands tremble and the muscles are twitching and half rigid, and the weakness extreme, so that he constatifly slips down in the bed. The dryness of the mouth, the sordes on the teeth and lips, the hot dry HOMEOPAtHIC MEMOE. 177 symptoms which impress a skin and the deafness, are careful observer at once.* During the first week the patient complains of headache and noises in the ears and subsequently deafness; the con- junctiva are injected, pupils of the eyes contracted and painfully sensitive to light, and often in consequence closed. * It is ■well to note some of the characteristic differences between the Typhus, and the Enteric or Typhoid Fever as follows: ENTIEIC. 1. Commences slowly and in- sidiously. 2. Most common in youth and childhood. 3. Is as common among the rich as the poor. TYPHUS. 1. Comes on quickly. 2. Occurs at any age. 3. Is rare among the better classes, except from con- tagion. 4. The eruption is of a mulberry color, comes out the fourth or fifth day, first on the ex- tremities, and lasts through the disease. 5. The brain is chiefly affected; bowels usually natural and the evacuations dark, but never bloody. 6. There is a dusky blush on the face, neck and shoul- ders; injected eyes, con- tracted pupils. 7. Euns its course in fourteen to twenty-one days. 8. Eelapses are of rare occur- rence. 9. Tendency to death is by Coma, (Stupor), or Pul- monary Congestion. 10. Arises from destitution, over- crowding, defective ven- tilation; and spreads by «outagion. 4. The eruption is in rose co- lored spots, few in num- ber, generally on the ab- domen, and appears in successive crops. 5. The bowels chiefly affected, evacuations dark yellowish, brown and watery; some- times with hcemorrhage or even ulceration of intestine and the abdomen is tumid. 6. The expression is bright, with a hectic blush, lim- ited to the cheeks; and pupils dilated. 7. Continues from four to six weeks. 8. Eelapses are of frequent oc- currence. 9. Tendency to death is by Exhaustion, Pneumonia, Hemorrhage, or perforation of the intestine. 10. Arises from bad drainage or poisoned drinking water; decomposed animal mat- ter; often with defective rain fall, or deficient 178 DISEASE AND TREATMENT. FEVEES. He becomes irritable, and his answers are short and fretful Ufsually, from the fourth to the eighth day, the mind passes from the state of excitement to one of delirium. This symptom appears earlier and is more severe in persons in the higher walks of life, doubtless in consequence of the greater activity of their brain. This is especially the case with confusion of ideas as to time and place, persons and personal identity, with vague rambling tali, of which occasionally he seems conscious, and from which he can be roused. Later, the delirium may become active and mania- cal, or low and muttering. The patient often fancies he is two or three persons, and the subject of a series of miseries and violence; confined in a dungeon, pursued by enemies from whom he vainly flies, or with whom he struggles; and he attempts to spring from the bed, to reach the door or window to escape from his tormentors; sometimes the de- lirium passes into a heavy sleep, or, with tremulousneas of the tongue and hands and twitching of the muscles (sitfe- suUus tendinum) ; but in favorable cases it subsides in two or three days. Improvement sometimes sets in quite sud- denly. Between the thirteenth and seventeenth days the patient may fall into a long, deep and quick sleep, awaking in twelve or more hours quite refreshed. The powers of mind begin again to dawn, the countenance assumes a more tranquil aspect, sleep becomes natural and at length con- valescence is fuUy established. Diarrhoea sometimes occurs and at others the bowels are confined; the evacuations are natural or dark, in contrast with the dark yellow stools of Enteric Fever, or they may be involuntary. The Pulse in Typhus is rarely less than 100 and rises from that to 130 per minute. The last, in adults, indicates great danger As a rule it gradually increases up to the ninth or tweKth day, and then in favorable cases under- goes a somewhat sudden decline. Such cases generally recover. On the other hand depaxtures from the gradual HOMEOPATHIC MENTOR. 179 rise of the pulse indicate complications or dangerous symp- toms. In fatal cases the pulse usually grow more and more, rapid, weaker and smaller up to the fatal hour. The earliest glimpse of dawning convalescence is shown in the pulse. If the pulse is fairly on the decline and especially if also stronger and fuller, recovery may be confidently predicted. The crisis of Typhus is often only indicated by the fall in temperature, indicated by the thermometer and the decline of the pulse after having reached its maximum. There may be no marked perspiration, no critical diarrhoea, or marked alteration of urine or other noticeable phenomena of any kind beside. The Eruption appears between the fourth and seventh days, and consists of irregular slightly elevated spots of a mulberry hue, which disappear on pressure, and may be scattered singly and minute, or numerous and large, or running together. They usually' first appear on the ab- domen and afterwards on the extremities. They at first disappear under pressure of the finger, but afterwards remain permanent, and in fatal cases remain after death. The ODOR of a Typhus patient is characteristic; offensive, pungent, ammonical. Nurses are able thus to recognise the disease and grade the degree of danger by the smeU. The nervous symptoms predominate in Typhus, as the poison chiefly acts through the nervous system. Hence, extreme restlessness, ringing in the ears, low delirium or stupor are invariably present. In fatal cases, about the ninth or tenth day, delirium merges into profound coma, or the condition known as "coma vigil" comes on. The patient lies on his back, eyes wide open, awake but insen- sible or indifferent to every thing around him, his mouth p.artly open, face expressionless, and incapable of being roused. The stools and urine are passed involuntarily. Finally the breathing becomes nearly insensible, the pulse rapid, feeble, or imperceptible and the transition from life IgO niSKASE AMD TfiEAOMENf. — FEVERS. to death occurs without a gleam of returning conscious- ness. Unfavorable Indications. — ^Early, furious and persistent delirium, with complete sleeplessness; coma vigil; convul- sions; involuntary twitching of the muscles of the face and arms; abundant, persistent, dark rash; dusky countenance, livid surface; involuntary persistent diarrhoea; suppression of urine; brown hard tremulous tongue; temperature up to 105° or higher; sudden and considerable rise of temperature in the third week; a small, weak, or imperceptable pulse, at or above 120°; bed sores, inflammatory or erysipelatous sweUings; a strong presentiment of death. The prognosis is more favorable in children from ten to fifteen years of age, and least favorable in adults over fifty. Causes. — Overcrowdiny vMh defective ventilation, destitution and want of cleanliness. — ^It is often the scourge of the poor of large towns; too many occupants in rooms, too many houses in circumscribed space, and hence imperfect ven- tilation of streets and dwellings. Privation, famine from failure of crops, commercial distress, strikes, hardships, all undermine the constitution and predispose to Typhus. Dirty dwellings, filthy clothes, personal squalor, are favor- ing conditions. There is reason to believe that the poison is chiefly transmitted by exhalations from the lungs and skin, which, being inhaled, find ready access to the blood. Treatment. — The Specifics No. One and No. Fourteen iflre the remedies proper for Typhus or Typhoid Fever. Dis- solve twelve or more pellets of Specifio No. One in six large spoonsful of pure water of which give a spoonful every two^ hours. Prepare also in a separate glass, with separate spoon, the SpEcrpio No. Fourteen in the same manner. Give a spoonful once in two hours, for the first twenty four hours, and when the heat and fever are high, the Speoitic No. One should only be given. But, after the first two or three days the two Specifics had better be given in alter- HOMEOPATHIC MENTOfi. 181 nation, one dose (a large spoonful for adults or a teaspoon- ful for children) once in two hours, except when the patient is sleeping quietly. The medicine should be prepared fresh every day.* As AccEssoBY MEASURES. — In no other form of fever is it so necessary to have the patient in a large, well ventilated room, with an abundance of fresh pure air. Have frequent changes of the personal and bed linen and of the posture of the patient, to prevent congestion and bed sores. Food and beverages should be given often and in small quantities, at regular intervals, including water, milk and water, toast water, weak tea, broth, and beef tea. The tendency to death is from exhaustion, and hence the patient should have often small quantities of nourishing food; or, if the prost- ration is great, with irregular circulation or complications, wiae or brandy should be given also. Frequently sponge the hands and face, and occasionally the entire body. Keep the patient quiet, and nurse him patiently. As Preventives. — Those in the house, and those espe- cially attending the patient, should take care to avoid the contagion. To this end, fresh air, abundant ventUition and cleanliness are of the first importance. Persons in attendance should avoid the breath, and exhalations from the body on opening the bed-clothes, as far as possible, and the odor of the discharges. These should be at once re- moved and the vessels cleansed with hot water. Nurses should not be overworked, deprived of rest or fresh air; and friends not be worn down by watching, care and anxiety. They should also take as preventives or prophylaxes, • Should a dlarrlioea set in with frequent loose stools, give the Speoipio No. Four, six pellets every two hours, in alternation with the Speoitio No. One; or should the evacuations be profuse and watery, attended with prostration, the Spbchtc No. Six will be better than the Spbcitio No. JPour, and should be given in its stead alojie if there is no fever, or in alternation vMh Specipio No. One if there is still considerable fever. 182 DISEASE AND ^TREATMENT. — PEVEES six pellets of Specipio No. One, four times per day. As additional means, tlie room shoidd be renovated by white- washing the walls, washing the woodwork with soap and water, and the bed-clothes and linen should be washed in water to which some chloride of lime has been added ENTERIC, OR TYPHOID FEVER. This Fever, so called because the chief pathological changes are in the bowels, is a continued and slightly in- fectious fever, lasting some twenty-eight days and even longer, having a few rose-colored dots on the chest, ab- domen or back, and attended with great feebleness, ab- dominal pains or tenderness, and diarrhoea, which increases with the disease, the discharges being copious, liquid, of a light ochre color, putrid and often containing decomposed blood. Although the words Typhus and Typhoid are similar, i.—iEnc^haUtis; Meningitis).* The manifestations of this disease are varied very much by the age, sex and temperament of the patient, the loca- tion of the affection, and the causes which have produced ii Children, from the greater delicacy and relatively greater size of the organ, are far more liable to it than adults, and from greater delicacy of nervous organization, women are perhaps more so than men. * By Encephalitis ia meant inflammation of the Brain, and its mem- hranes, the term being only used when it ia impossible to locate the exact seat of the inflammation. Meningitis is the term applied to in- flammation of the Brain-membranea alone. Inflammation of the Brain, ■refers to inflammation of the brain-suhstance itself, which is of com- paratively rare occurrence, and always limited to one part of the brain. 242 HOUEOPATHIC MENTOB. When the coverings or tissues of the brain are affected, the pain is more intense, and the symptoms more violent than when the substance of the organ is the seat of the disease; while in the latter case, the symptoms of dullnesg, coma and tendency to paralysis are more prominent. Causes. — Whatever tends to overtask and excite this organ, is liable to induce the disease, such as extremes of heat or cold; abuse of ardent spirits; intense mental emo- tions; excesses of all kinds, or concussions of the brain; and in children especially, falls or blows upon the head, expo- sure to the sun, and overtaxing their faculties. And it may also be the result of repelled scalp-eruptions, or a metastasis of disease from some other organ. The Symptoms, which usually precede the attack for some days, are those indicating congestion of the blood to the head; sense of weight, fulness and pressure in the head; occasional darting or shooting pains; ringing in the ears and feverish symptoms. Farther on, the giddiness and sense of weight in the head are increased; pulse quickened, with some heat, restlessness and tossing at night; the mind becomes irritable, the patient peevish and annoyed at trifles; and there may be stupefaction and drowsiness, and muttering delirium or great excitability. The patient may be wild and frenzied at the slightest light or noise, with attempts to jump out of bed or run away; the eyes may be wild and bloodshot or turned up and distressed at the slightest approach of light. The fever varies according to the seat of the disease and the excitability of the patient; and the pulse varies from time to time, at one time quick or irregular, at another full or even slow. A very quick of very slow pulse indicates danger. Sometimes there is re-- tention of urine, constipation, retracted abdomen, muscular twitchings, stupor or incontrollable vomiting; as the stupor increases convulsions commence, and the case . sooner ot later ends fatally. DISEASE AKB TREATMENT. — DISEASES OP THE HEAD, BTO. 243 In children, as only the objective symptoms can be known, it is of more importance to recognize them early. They are observed to manifest a heaviness of the head, by _ holding it backward when walking; frequently to hold the , hand to the head from pain; to fall easily when walking or running; to dread the light; and to be easily annoyed or violently out of temper at trifles; or to have spells of vo- miting and constipation, and to be drowsy or very wakeful, with startings during sleep. As the case is more developed, the child bores with its head into the piUow; wants to lie down again when raised, ■ and screams when the light shines in its face, or from any noise ; or there is heavy, deep sleep, with great heat in the head; swelling and redness of the face; violent throbbing of ; the arteries of the neck, or great agitation and tossing about, especially at night; the eyes may be red and spark- ;lihg, convulsed or fixed, with dilated or very much con- tracted pupils. Treatment. — The Specifics No. One and No. Thirty- Five are our main reliance, and they should be given, dis- solved in water, at intervals of every hour, or two hours, according to the urgency of the case. Dissolve twelve pel- lets of each of these Specifics in six large spoonsful of water, separately, and give to adults a table, and to children , a teaspoonful alternately from the two, at the intervals above mentioned, and so continue until the case is re- lieved. "Wet hot cloths may be applied with advantage to the ; head, and the feet from time to time bathed in quite warm : water, if the condition of the patient admits it. Room should be well ventilated, kept perfectly quiet and some- what darkened. Beef-tea, strong broths, milk and soda- water, but no solid food should be given. Cold water or other simple liquids may be freely given — and great caution exercised during recovery. 244 HOMEOPATHIC MENTOE. DROPSY OF THE BBAm.—iHydrocqaMus). This affection is not uncommon among small children, and sometimes even adults. It may come on as the sequel of scarlatina, inflammation or other acute disease of the brain, or in consequence of falls or blows upon the head, or be excited from the long-continued irritation of teething; or it may arise as an independent or idiopathic disease in peculiar subjects. Scrofulous children with large heads and precocious inteUeets, whose fontanel remains a long time open, are peculiarly liable to it. In some cases it comes on so insidiously that the premonitory symptoms escape attention altogether, while in others the impending disease is indicated by these symptoms: Hot skin, quick pulse, especially at night; the child is peevish and disUkes to be raised up when lying down, and sometimes has fits of screaming, redness of the face and eyes, and even at times squinting, convulsions or stupor. "When the disease comes on in the more insidious form, the earlier indications are: languor and easy fatigue on the slightest exertion; aversion to moyement; tottering gait, and great liability to fall; dislike of movement; indications of pain in the back of the head and neck; the head is hot; eyes look inflamed; pupils contracted; the stomach is drawn in and very irritable; easily vomiting when the patient sits or is raised upright; scanty urine and constipated bowels. At a more advanced stage the child loses all sense of pain; lies quiet unless disturbed; drowsiness or stupor in- creases; the head sinks or bores into the pillows; the eyes half closed; pupils dilated or immovable, or sometimes drawn to one side or attended with double vision; the vo- miting becomes less or ceases, and the child may eat, but emaciation progresses rapidly. Following these symptoms, convulsions more or less violent come on; constant moaning and entire loss of consciousness; the eyes are dim, glazed DISEASE AND TltEA*MENT. — DISEASES 6i? THE HEAD, ETC. 245 and turned upward; pulse quick; the upper and lower ex- tremities relaxed; the abdomen drawn up and breathing irregular, and the scene may terminate in a very violent convulsion. Treatment. — So soon as any symptoms pointing to dropsy, or even irritation of the brain are manifested, the Specifics No. One and No. Thirty-Five should be called into use, and two pellets be given alternately in fluid from these two Specifics, at intervals of two hours, until the danger has been averted. Should the symptoms have become more decided, it will be best to dissolve twelve pellets of Specific No. One and the same of Specific No. Thirty- Five, in as many tea- spoonsful of water, and from these two give alternately, every hour a spoonful until the desired relief is obtained. Benefit wiU be derived from frequently bathing the feet in quite warm water, and afterwards wrapping them in warm flannels, and applying cloths wrung out of cold or ice water to the head. A bag of pounded ice applied to the head, is often very serviceable; and these measures should be continued perseveringly to the desired end. In extreme cases the alternate use of the Specifics No. One and No. Twenty- Five, given as above, is advisable; but, in general, the first mentioned remedies wiU prove sufficient. CHEONIC DKOPSY OF THE BBAm. —{Hydroc^halus). This form of the disease generally comes on insidiously, though it may be the result of the acute attack. The head of the child gradually enlarges, while the face retains its natural size; and in quite young children the bones of the cranium may separate, and the presence of fluid even be detected from its fluctuation. It generally occurs within the first year, before the sutures and fontaneUes are closed, so that the bones yield to pressure from within. Infanta 246 HOMEOPATHIC MENTOR. are sometimes born hydrocephalic, when it is an occasional cause of difficult labor. Symptoms. — The premonitory indications of this disease are not very distinctive: there may be squinting or rolling of the eyes if the disease be congenital, followed by Convul- sions and enlargment of the head. The most marked features are — a disproportion between the size of the skull and that of the face, the fontanelles are wider than usual, and the bones feel thin under pres- sure of the fingers. Emaciation is generally present through non-nutrition; in some cases there is an unnatural fat condition. If an infant, he sucks well, even voraciously, and yet he does not grow; his bowels are constipated, and his motions unhealthy. The gradually-increasing head soon attracts notice: the anterior fontanelle pulsates; there is heat of the head, and the child becomes very restless. Fluctuation may be felt by applying the hand to the top of the head; the hair ceases to grow aa usual; the face appears small and triangular; the countenance is dull, having an aged appearance; and the patient is continually wishing to lie down. In fatal cases, the senses becomes impaired; Paralysis sets in; and the patient dies from exhaustion, Convulsions, or Spasmodic Croup, to which such children are liable. The duration of the disease varies from one to eight, or (even ten years. Should effusion be arrested, the accumu- lation of serum already present remains, for it is never ab- sorbed. Ca0Ses. — Chronic Hydrocephalus is usually associated with the scrofulous cachexia; sometimes it follows Scarla- tina, Hooping-cough, or Measles. The most common ex- citing causes are — undue exposure to heat or cold, injuries of the head, suppressed eruptions, or extended inflammation of the ear. "One warning may be learned from this disease, namely, that it is said to be most common in the children DISEASE AND TREATMENT.— DISEASES OF THE BEAD, ETC. 247 of parents addicted to drimkeimess, and from this cause it often runs in families " (Aitken). In some cases, the intellect is preserved for a con- Biderable period, and the child may live for years, with entire loss of some of the senses, as for instance the sight, the general condition being, otherwise, of tolerable health. Oftentimes the more immediate cause of death may be from some acute, inflammatory affection, consumption oi ulcera- tion of the bowels. Teeatment. — ^But little can be hoped for in the more con- firmed case of this disease. The Specifios No. Thirty- Five and No. Twenty-Five, may be given two or three times per day as palliatives, in alternation, but a cure caa scarcely be expected unless in the earlier stages. CONVULSIONS.— (i^josms, or FUs). Convulsions are very justly dreaded among children, not only because there is some danger attending them, but from their suddeimess, and the evident distress and suffering of the patient. Their danger depends much upon the cause which has produced them. In some families the children have fits, as they are called, from very slight causes, and in such cases their appearance need not excite great alarm. Convulsions are dangerous when they set in after a fall, blow or injury upon the head, or after long continued di- sease of the brain, or after dropsy of the brain has set in; such are very frequently fatal precursors. They are of less consequence when they come on as the result of di£6.cult teething, excessive pain, anger, earache, etc. Often the patient is better after the convulsion has passed over. Not imfrequently a severe attack of small-pox, scarlatina or measles is ushered in by convulsions. Chough such cases are severe, they not unfrequently terminate favorably. If Bpasma appear towards the end of acute eruptive disease^, 2^ HOMEOPATHIC MENTOB. they are symptoms indicating a dangerous, if not fatal transition to the brain. The most common and among the most dangerous convulsions in children, are those arising from having eaten indigestible substances, such as raisins, oranges, dried-apples, nuts, green fruit, and similar indi- gestible articles, as the fit here depends upon the presence of the injurious substances, which it may be difficult to neu- tralize or dispose of. Tet even in these, the proper means win, in most cases, prove effectual. The phenomena of convulsion are well known. They often commence with a holding back of the head; straight- ening out of the arms and legs; holding the breath; tightly clenching the hands; twitching of the muscles of the face; frothing at the mouth; involuntary evacuations, etc., after which the patient sinks into a deep sleep, lasting one or two hours. Treatment. — ^When children are observed to have some degree of fever or heat of the head, and to twitch, or suddenly start on going to sleep, or attempting to do so, there is danger of convulsions, and the SPECiric No. One should be given, two pellets dry in the mouth, and repeated hourly until the surface becomes cool, and quiet sleep is produced. "When a convulsion has come on, the first thing is to get the child's feet into warm water as high as the knees, if possible, which may be continued for five or ten minutes, and apply cold water by means of cloths wrung out of cold or even ice water to the head. Should the spasm not pass off from these applications, a small stream of cold water may be poured upon the head for a few mi- nutes only, or the bath may be general; but these measures rarely will be required. Give also upon the tongue, two pellets of SPEorpic No. Thirty-Tliree, and afterwards repeat it every hour in water. The chUd, after coming out of the bath, should be wrapped in warm flannels, with head quite high. Should there be fever, give the Speoitio No. DISEASE AND TEEATMENT. — ^DISEASES OP THE HEAD, ETC. 243 One, the intermediate half hour between the portions of No. Thirty-Three, until the fever abates. This will also be the appropriate treatment, should you have reason to suspect the invasion of small-pox or scarlatina as the cause of the disease. If the convidsion has been caused by eating indigestible substances, in addition to the baths above advised, lose no time in giving an injection of tepid water, in which a spoon- ful of salt has been dissolved, and repeat it if needful until full and free evacutions occur, giving the Specifics No. Thirty-Three and No. Ten, alternately every hour. If irritation from teething has been the exciting cause, the Specifics No. Three should be given alternately with No. Thirty-Three, at intervals of an hour, and untU the immediate danger is passed, and then the treatment should be continued as directed for teething. COUP DE SOIIEL.— {Insolation, Sun-Fever, Sun-Stroke, Heat- Stroke). A paralysis of all the functions of the brain, allied to apoplexy. Causes. — Sun-stroke is generally caused by fatigue or nervous exhaustion in a hot dry atmosphere, and want of free perspiration. Though most common from direct expo- sure to the rays of the sun; it may also be caused by a heated atmosphere, combined with breathing vitiated air in crowded apartments, such as barracks, upper lofts of ware- houses, hot close nurseries, etc. Symptoms. — Giddiness, faintness, thirst, sometimes head- ache, listlessness and torpor, with a desire to lie down, succeeded by more or less sudden and complete insen- sibility; the skin is hot and dry, the breathing rapid, the pupils of the eye contracted, the face pale, and an attack of vomiting or convulsions may usher in complete stupor 250 HOMEOPATHIC MENTOR. Just before death the pulse becomes fluttering, the breath- ing irregular and gasping, and the pupils dilated. Death may occur from five minutes to a few hours after the symp- toms have set in. The patient is not free from danger until the skin gets cool and moist again. After recovery from the first symptoms, there is a great tendency to paralysis or various forms of insanity, so that a person who has once suffered from real sun-stroke, is never quite as sound a man again. AccEssoEY Treatment. — If there be no convukions, strip the patient, and dash cold water over him by the bucketful (in severe cases, rub the skin with pieces of ice, if it can be had), especially around head and shoulders, till temperature of body is reduced below 100°. Camphor should be in- haled and given on sugar — or a teaspoonful of brandy and water (half-and-half) may be given instead. If there be convulsions, place patient in a tepid bath, and add cold water till the body temperature is below 98°. Medical Treatment. — Same as for Apoplexy (page 239); Convulsions may be met with Speoific No. Thirty-Three, (see page 248). Prevention. — ^Light and loose clothing, avoiding pressure on veins of neck. Flannel tends to prevent chills. Avoid liquor, over-fatigue, and all irregularities of habit and living. PARALYSIS.— (Pa%). A limb or portion of the body is said to be paralyzed when it is not under the control of the will, or when the will-power is not able to move or control it. The paralysis may be only partial, or it may be complete, and may affect the nerves of motion only, or may extend to those of sen- sation as well, so that the part has neither sensation nor power of motion. Sometimes the disease affects only a DISEASE AND TREATMENT. — DISEASES OF THE HEAD, ETC. 251 single limb, and at others the entire one side of the body, or again only the lower extremities. It may be caused by disease of the brain or spinal cord, from injury to, or pres- sure upon a nerve-trunk, or from the action of a poison. But in some, perhaps most cases, it is preceded by symp- toms which, though often unnoticed, should excite attention. These are a sensation of numbness or pricking in one of the limbs, or the entire side, readily going to sleep, as it is termed of the part, coldness or undue paleness of the part, or shght convulsive twitching or jerking of the part or limb involved. When such symptoms are frequently repeated without apparent cause, they should excite apprehension. The Causes, aside from those mentioned above, are long continued strain upon the nervous system among men of business, exhausting drains upon the system, and a too luxurious or indolent mode of life, or other similar causes of apoplexy. There are different forms of Paralysis, some of which may briefly noted; viz. : Hemiplegia ("Paralytic Stroke") is the most common form, and affects only one side of the body, most commonly the left side. It indicates disease of the brain on the oppo- site side to that paralysed. If one limb only is paralyzed, it is usually the arm. The paralysis may be complete, or some power of motion may be left. The eye remains permanently open, the face is drawn to the sound side and hangs down on the affected side; food accumulates in the cheek, there is loss of power of chewing on that side; speech is imperfect, and taste ,is lost in the front two-thirds of the tongue. Sometimes, there is dropping of the upper eyelid, dilated pupil, rolling outwards of the eyeball and indistinct vision. The chief causes of hemi- plegia are apoplexy, obstruction of brain blood-vessels and consequent cerebral softening. Paraplegia, is a paralysis, more or less complete, of the 252 HOMEOPATHIC MENTOR. lower half of the body, and may be due to disease of the spinal cord and its membranes; to reflex action from a sen- sitive neiTe, (such as from the irritation of teething, or worms in children); or from wounds; affections of the womb; from urinary complaints, or emotional paralysis. It usually begins slowly, with weakness, numbness and ting- ling of the feet and legs, the weakness increases until there is loss of sensation and motion in the legs, paralysis of the bladder and sphincter muscle of the bowel, with involun- tary movements and spasms of the legs. Other forms of Paralysis are General Paralysis, or Paresis, or "Paralysis of the Insane"; Wasting Palsy, not common, arising from fatty degeneration of the muscles, is often hereditary, and attacks aU ages, but men most frequently; Locomotor Ataxy, most common in men between 35 and 50, and caused by exposure to cold when fatigued, by rheuma- tism or gout, or, most commonly, by sexual excesses; Para- lysis Agitans, or " Shaking Palsy ", an involuntary trembling or jerking movement of the muscles, with diminished mus- cular power commencing in hands, arms or head and gra- dually extending over the body; Writer's Cramp, attacking muscles of the thumb and fingers which hold the pen; and various forms of Local Paralysis, affecting particular sets of , muscles. Facial Paralysis, most often occurs from exposure to cold, or from irritation from decayed teeth; comes on suddenly and ■without pain, and is first discovered by the patient when he begins to eat, or is told by a friend that his mouth is awry. There is a greater or less degree of the facial appearance noticed under the head of Hemiplegia — but the affection is in most cases quite independent of any disease of the brain, and is usually curable with facility. Infantile Paralysis, is a form of palsy, of obscure origin, occuring in children during teething — i. e. from the sixth month tiU the third year. It occurs suddenly, and never DISEASE AND TREATMENT. — DISEASES OF THE HEAD, ETC. 253 extends from the limb first affected, to others. There may be slight fever and convulsions; and when consciousness returns, a foot, a hand, a leg, or an arm, or both legs, may be found to be paralysed; but never a leg and arm on the same side; the bladder and bowels are never paralysed. Sometimes the disease ends in a day or two, in complete recovery, but oftener it is stationary and permanent. After a time, the affected limb becomes soft, relaxed, flexible, and gradually withers. The skin becomes thin, fat is absorbed, muscles waste, and even the bone is diminished. In a year's time the affected limb is much smaller than its fellow, the skin livid, and chilblains and ulcerations are easily formed on it. The general health may remain unimpaired and the sufferer live many years. Treatment. — ^For the premonitory symptoms: tingling, pricking or numbness, frequent going to sleep of the limb or parts. Specific No. Fourteen is appropriate, and may be given, six pellets at a time, and repeated before each meal, and on going to rest. If there is fullness and redness of the face, heaviness of the head, and disposition to sleep, give Specific No. One, six peUets at a time, in water, every two hours, for ten or twelve hours, and then give Specific No. Ten, prepared in the same manner, in alternation with it, at somewhat longer intervals. For old cases, Specifics No. Fourteen may be given each morning, and Specifio No. Ten at night; or, if the case is more recent and hopeful. Specific No. Four- teen may be given, six pellets, morning and afternoon, and the same of Specific No. Ten, at noon and night. EPILEPST. This disease is characterized by convulsions, returning at intervals, attended with sudden and complete loss of consciousness and sensibility, and spasmodic contractions of 254 HOMEOPATHIC MENTOR. the muscles. These conviilsive fits, which recur without any special regularity, last from one to twenty minutes and are followed by exhaustion and deep sleep. The fit is often unattended by any noticeable premoni- tory symptoms, or these are too brief to allow the patient to remove to a convenient place, or even to give an in- timation of what is about to happen. In other instances, an approaching seizure is clearly indicated for many minutes, or even hours, before its actual occurrence. The warning is variable in different cases, often consisting of such symp- toms as headache, shooting pains, giddiness, indistinctness of vision, sparks of various colors, humming noises, or loud reports, strong odors, sneezing, strange tastes, hoarseness, irritability, gloomy mood, spectral iUusons, etc. But the most striking premonition is that called the aura epileptica, a sensation compared to a stream of warm or cold air, to the trickling of water, or to the creeping of an insect, which commences at the extremity of a limb, and gradually runs along the skin towards the head; or, occasionally, it gets no further than the pit of the stomach; and, as soon as it stops, the fit occurs. A knowledge of these circumstances is important, as, in some instances, time is afforded to inter- pose remedies that may avert the paroxysm, or at least to secure the patient's safety during a fit. The Fit. — The patient utters a loud shriek or scream, and falls suddenly to the earth, convulsed and insensible The cry is peculiar and often terrifying, not only to man- kind, but also to the brute creation. The convulsive move- ments, especially of the head and neck, are often very extreme, one side being frequently more affected than the other; there is violent closure of the jaws; the tongue is liable to be bitten; a foam issues from the mouth, often colored by blood; the eyes quiver and roll about, or are fixed and staring; the hands are firmly clenched, and the thumbs bent inwards upon the palms; urine, etc., sometimes DISEASE AUD TREATMENT. — DISEASES 01* THE HEAD, ETO. 255 escape involuntarily; the breathing is impeded by spasms of the larynx, and performed with a hissing sound; the cheeks and lips are of a deathly pallor; the veins of the neck and forehead are greatly distended, the heart acts tumultuously, and death seems inevitable. Gradually, how- ever, the symptoms remit, and the patient is left insensible and apparently in a sound sleep. A fit rarely lasts longer than from one to three minutes, although the painful na- ture of the spectacle makes it appear longer to a by- stander. Symptoms following a Fit. — Some few patients recover perfectly in a few minutes; some regain consciousness and then sink into profound sleep; but more frequently con- sciousness is not immediately recovered, the slumber suc- ceeding the struggles without any lucid interval. On emerging from the slumber, the patient may merely feel languid and inert, or like a person stunned, or in a state bordering upon idiocy, unconscious of what has passed. The paroxysm may soon return again if the occasioning cause is stiU in action; but generally in chronic cases, at intervals varying from a few days to several weeks. Some- times patients have several fits in succession, and then escape them for several weeks. But few persons die in a fit, but they may be repeated so frequently as to induce a comatose state, from which the patient sinks. Long continuance of the disease rarely fails to destroy control of the appetite and passions and to arrest the mental faculties, and idiocy; sometimes general para- lysis, more or less complete, is the result. When the disease commences before the age of puberty, it is more amenable to the proper treatment than after- wards, though even in the latter cases, homeopathic treat- ment is able to do very much by way of mitigating and prolonging the intervals between the convulsions, and in many instances to effect a cure. 266 BOMKOPATHIC MENTOK. The most frequent ea;ctfegf causes are: A hereditary de- rangement of the nervous or sexual systems, — ^Hysteria, immoderate sexual indulgence. Self-abuse, and physical and psychical prostration from any cause. The age at ■which the attacks most frequently commence is from the .tenth to the twentieth year, when the important change of puberty takes place. The other most frequent period is from the second to the tenth year, during which the per- manent teeth are cut. Fright, fits of rage, overstraining the mind; gastric dis- orders, the irritation of worms (especially tsenia), menstrual irregularity or suppression, repelled eruptions — especially those about the head — and the sight of other epileptics, are also exciting causes. Treatment. — During a fit the patient should receive only such attention as will prevent injury from the convulsive movements. Bemove or loosen the cravat from the neck, and stays from the body, and prevent the limbs from being bruised, and if the tongue is liable to be lacerated, some- thing may be inserted between the teeth to prevent it. If the breathing is arrested for a dangerous period, by spasm of the respiratory muscles, cold water may be sprinkled in the face to return it. The body should be placed in a hori- zontal position and the head elevated. After the patient has come out of the fit, he should be allowed to rest quietly an hour or two until he awakes. The medical treatment consists in giving six pellets of the Specific No. Thirty-Five each morning, and the same of No. Thirty-Three each evening, which should be continued for several weeks or even months Persons subject to fits should be very particular in regard to diet. Eat only pliin food, easy of digestion, and in great moderation. Stimulants should be entirely avoided. DISEASE AND TREATMENT.— DISEASES OP THE HEAD, ETC. 257 CHOEEA.— (5i5. Vitus' Dance). This disease mostly affects children of nervous tempera- ment, between the ages of five and- fifteen years, and is characterized by strange and unusual movements and jerk- ings of the limbs, or of single muscles. Generally, for some months previous to the full mani- festation of the disease, the chUd is troubled with constipa- tion, oppression of the stomach or chest, vertigo or head- ache, occasional flushes of fever at night, palpitation of the heart, nervousness and irritability of temper. Involuntary motions generally commence with grimaces or slight mo- tions or drawings of the face ; these gradually become more decided and extend by degrees to the extremities, arms, hands or legs, and even to the entire body. "When the limbs are affected, the gait becomes difficult, awkward or unsteady. The arms fail to obey the will, and then invo- luntary motions or gestures, and if the tongue becomes involved, the act of deglutition is impeded, and the speech becomes stammering or difficult. The involuntary motions are constant during the waking hours, and some cases are attended with difficult respiration, pain in the limbs, fre- quent micturition, confusion of ideas, and loss of memory. It is usually unattended with danger, and often subsides at the age of puberty, but it may also become permanent, and be attended by perversion or permanent weakening of the mental powers. It has frequently been caused by re- pelled eruptions, such as tetter, scald-head or itch, also from depressing emotions, fear, terror, or from mastur- bation, or the irritation of worms. Overtaxing the mental powers at school, and too long school hours are most fre- quent causes. Treatment.— The Speoieics No. Tllirty-Tliree and No. Thirty-Five wiU usually be found effectual. Give two to six pellets of the latter at night, and the same from the 258 HOMEOPATHIC MENTOR. former each morning, and with the removal of the exciting cause, the health will gradually be restored. TETAJSTUS. — (LocJ^aw). This disease is usually the result of some injury or wound, at times apparently trivial, such as lacerating the hand, or wounding the foot by a nail, or it may come on after sur- gical operations by which a nerve is compromised, or it may in rare cases be the result of a cold. The injury to the nerve or tendon acting upon a peculiar nervous con- dition, is the supposed cause of the general spasm termed lockjaw. In some cases it commences suddenly and with great violence, but it more frequently begins by degrees; com- mencing with slight stifiEness in the back part of the neck, and an uneasy sensation at the root of the tongue, which gradually increases, attended with diflSculty of swallowing, oppressive tightness of the chest, and pain under the breast bone extending to the back; the countenance becomes pale; pulse small; urine high colored, and bowels constipated. The lower jaw becomes immovable and tightly clenched, so that at times the slightest particle cannot be inserted be- tween them, hence the name lockjaw arises. In some cases the spasm is confined to the jaws, but in others they extend with increasing frequency to the arms, legs, and even the entire body, bending it backwards, forwards, or to either side. In the worst cases, the tetanus becomes general, the eyes fixed and immovable, and the countenance distorted with an expression of anguish, the breathing loud and sobbing; the body and limbs fixed, or with frequently occuring spasms, drawn in different directions, until nature becomes exhausted and succumbs at about the fourth day jn a continued general spasm. Sometimes, during the re- fnission of spasms, they are renewed by the patient moving, CISKASE ASD TEEATMENT. — DISEASES Of THE fiEAS, ETC. 269 speaking, or taking food or drink. The mind remains clear to the last. Tkeatment. — ^After wounds or injuries, especially lacer- ation or punctures with rough instruments, spikes, nails, etc., in the hands or feet, great care should be taken to sub- due the irritation and inflammatory action, and to have the wound heal kindly. To this end, dress the wound with the Marvel of Healing, and keep the dressing moist with it for some days; avoid working with it, or irritating it, and especially avoid taking cold. The wound wiQ thus heal up kindly, with no evil result. Should symptoms of lockjaw appear, give at once the Specifics No. Thirty-Three and No. Thirty- Five in alternation every hour, a dose of two pellets dissolved in water, and continue these without intermission until the spasm has entirely ceased. When, from the constant clenching of the jaws, it is dif- ficult to administer the medicine in the common method, let the pellets be dissolved in only a few drops of water, and be drawn in with the breath, or even be put in between the lips. Cases of extreme tetanus have been cured by placing the patient sitting in a tub or bath, and pouring a stream of cold water continuously over the head and shouldeirs and down the spine, until violent, cold shivering is produced, when the patient will be found to be relaxed, and should be wiped dry, wrapped in blankets and put to bed. The ope- ration will rarely have to be repeated, and is a very simple remedy and may be tried when others faU. NEUEALGIA.— (iVerue-Pam). This is a comparatively modem and very common as well as painful affection. As the name indicates, it is simply pain in a nerve, and hence it may exist in any part of the. 260 HOMEOPATHIC MENTOR. body. It is very common in the face, (prosopalgia), the pain frequently extending from just before the ear, along under and up over the eye. or it may descend along the face and lovyer jaw of that side to the center of the face; or it may extend to and along the root of the teeth. The pain is violent, sharp or rending, tearing or lancinating, often coming with paroxysms of increase and remission, and often very regularly better or worse at certain periods of the day or night. Sometimes the entire head or side are involved, and the patient can scarcely describe his symptoms. The pain is not increased, but generally diminished by pressure jn the affected part, in distinction from pain of an inflam- matory or rheumatic character, where pressure increases the pain. The duration of Neuralgia is very uncertain; an attack may pass off after a few paroxysms, or it may persist for many days or months, with a well-marked, or irregular, in- termittent, or remittent character. The hair sometimes undergoes remarkable changes under the influence of Neuralgia. Dr. Anstie noted greyness of hair on the same side in eleven instances out of twenty: in four of these cases there was greyness of part of the eye- brow on the affected side. The same observer has also Aoted .fluctuation of the color, the greyness actually in- creasing during, and for some time after, an acute pa- roxysm, the hair subsequently returning more or less to its 'natural color. The Causes may be hereditary, constitutional, or heal. Neuralgia is distinctly hereditary, occurring in particular families, and in successive generations. It is well knovra, also, that such neuralgic families are liable to the more pro- found derangements of the nervous system — Paralysis, Epi- lepsy, Hypochondriasis, and even softening of the brain and Insanity — indicating some congenital imperfections in the formation of the nerve-ceUs and fibres. This seems to DISEASE AND TREATMENT. — DISEASES OF THE HEAD, ETC. 261 be proved by the fact that, though a precisely similar acci' dent occur to a hundred persons, not more than two or threq •will experience any Neuralgia; and these wiU probably ba found to belong to a neuralgic family. i Constitutional cawses are — Impairment of the general 'health; depressing influences, whether mental or physical, aa night-watching, sleeplessness, anxiety, insufficient nourish- ment, or violent exertion; haemorrhage and consequent de- bility; affections of the alimentary or urinary organs; ex- posure to wet and cold — to strong and cold vrinds, which are frequent causes of irritation to the animal nervous system; a gouty, rheumatic, or syphilitic taint; decay or loss of teeth; malaria; and, lastly, organic degeneration at the de- cline of life, which is the most severe and intractable form presented to the physician. The great majority of patients is found among the hard-working, the poor, and the badly- nourished classes; men suffering less frequently than women. The cause of this, that men are better protected, both na- turally and artificially, from the effects of exposure, and that women are tempted to indulge in brief exposures in the open air from warm rooms without any suitable covering to the head, or any protection to the face. The face of man, on the contrary, is covered by a heard which shields him from injury by exposure. He also spends less time in the relaxing atmosphere of heated rooms, and enjoys to a greater extent the bracing effects of out-of-door exercise. Local causes may be — ^wounds; lodgment of a foreign body in the substance of a nerve-trunk; gun-shot wounds, or other injuries; tumors, especially Cancer; minute frag- ments of bone pressing on the nerve (an occasional cause of facial Neuralgia); carious teeth or stumps. Even Neuralgia from injury is aggravated by any impairment of the con- etitutional vigour. Treatment. — The Specifio No. Eight wUl usually be found sufficient, and may be given in portions of six pellets 26^ fioMEOtATHtC MfiNTOR. dry on the tongue, and repeated every one or two hours, according to circumstances. In cases of chronic neuralgia, the Svecitic No. Thirty- Five may be given in alternation v^ith the No. £ig'llt, and six pellets of each be given twice per day, making four doses in all. Sometimes, in very violent attacks, attended with fever, red face, or heat of the head, the Specific No. One may be efficient, dissolved in water, twelve pellets in six spoonsful and a spoonful given every hour. The use of the above named remedies wiU usually be found effective, even in the severest cases. TOOTHACHE. Toothache is an affection so well known as to require no description. The pain is usually found in connection with decayed teeth, but sometimes also in sound ones. "When badly decayed teeth begin to ache, it may be best to have them extracted. Yet, even here, the proper Specific treat- ment wiU often entirely aUay the pain, and the teeth may do good service for many years afterwards. But when pain affects sound teeth, we should rarely submit to have them taken out, until we have exhausted every means to relieve them without this alternative. A most insane practice it is, whenever we have a toothache, which may be occasioned from a cold and wUl hence soon pass off, or from a bad state of the stomach, or by fever, or from mental and phy- sical excitement, or from drinking coffee, or pregnancy — all transient conditions — to rush to the doctor or dentist and lose a tooth — a loss which can never be repaired. Under such circumstances, if we will exercise a little patience, a little discretion and judgment, we may allay the pain, re- iBove the exciting cause and save the tooth aa well as the suffering of its extraction. DISEASE AUD TEEATMENT.— DISEASES OF THE HEAD, ETC. 263 Teeatment. — ^Take first six pellets of the Specific No. Ei^Ilt and repeat them every hour if needful. If not re- lieved, dissolve twelve pellets in a glass half fuU of water; also prepare the Specific No. One in the same manner and take them alternately every hour, or every two hours, until relieved. Sometimes the Specific No. rifteeil is very effi- cient, especially in rheumatic subjects, or when the pains appear to have a rheumatic origin, and in other cases the Specific No. Ten is equally so. "When the toothache does not seem to yield, and espe- ' ciaHy in children who are fretful and impatient, relief may be obtained by bathing the face on the affected side freely with the Maevel or HEALma, and holding some of it in the mouth on that side. K the tooth is hollow, wet a little pledget of Mnt with the same, and press it into the cavity of the tooth. Even better than bathing the face in the same, is wetting a thin cloth or handkerchief with the same, and wrapping it over the affected parts of the face or jaw with a handkerchief. It is a bad practice in toothache, to hold camphor spirits or other stimulants in the mouth, or to apply creosote, lau- danum, oil of cloves, etc., to the teeth. These more fre- quently irritate than relieve — excite and irritate the entire mouth and gums, and do more harm than good. Let the diet be light if the stomach is deranged; if there is a cold, cure that, and you wiU soon find relief, and save your teeth. If relieved an hour or so after taking the remedies, take no more; if it returns, try another dose, and even repeat it after one hour or two. Often a single portion wiU cure a .severe case. Means or Peeseevation. — The function of the teeth is so important, that their preservation is a matter of the highest moment. The first teeth determine the nature of the second set, and persons suffer lamentably from eaa:ly neg- lect. Proximate decay might be prevented, in five cases 264 HOMEOPATHIC MENTOK. out of ten, by simply passing a thread between an infant's teeth, twice a week, from the time of their eruption. Pro- fessional inspection should also be sought before symptoms of decay present themselves, and while there is still hope that the dentist may fulfill what should be regarded as hia mission, that of saving the teeth. Cleanliness, with respect to the teeth, is all-important for infants and children, as well as adidts. The teeth should be kept clean by rinsing the mouth with pure cold water, and brushing the teeth with a moderately soft brush every morning; and, if possible, after every meal, especially when animal food has been taken; and contact with all disorganising agents avoided. The idea that frequent brushing the teeth is liable to lacerate the gums and separate them from the teeth is erroneous, for it is one of the best methods of restoring them to a healthy condition when they are spongy and hable to bleed. But when a tendency to decay of the teeth or inflammatory action of the gums exists, the use of Specific NcEight and of the Marvel of Healings at morning and night, as a wash, will be effectual. The habit of taking very hot substances into the mouth should be avoided, as the expan- sive power of heat may rupture the enamel, which in turn becomes the nucleus of decay. On the other hand, the habit of subjecting the teeth to the opposite extreme of temperature, as by sucking ice, etc., is also to be avoided. Chewing or smoking tobacco, and the habitual use of strong drinks, tend to destroy the teeth. Lastly, as an important 'means of preserving the teeth, the general health should be maintained in the highest state of integrity, by the use of plain, nourishing food, cold sponging or bathing, and early and regular habits. SWELLED FACE. Not unfrequently, and often as the sequel of toothache, the face, more especially oa one side, becomes swelled or DISEASE AND TBEATMEKT. — DISEASES OF THE HEAD, ETC. 265 puffed out sometimes to an extreme degree. The entire tissue of the cheek and sometimes the face, becomes thickened and swelled so as to distort the countenance, and render deglutition or even opening the mouth difficult or painful. The swelling may be red and hot with heat, and some degree of fever or even erysipelas, or it may be pale or hard. It is not a very dangerous affair, but sufficiently disagree- able and unpleasant to require attention, and more espe- cially so when it assumes the graver forms. Teeatment. — If the swelling is red or hot, or both, with some fever, the Specefic No. One is the remedy, and may be given in doses of two pellets dissolved in water, and re- peated every two hours. If the swelling is firm or hard, alternate Seecieio No. Fifteen in like manner with No. One; or if the toothache has been cured by Spech'ic No. Eig'Ilt, its continuous use wiU also cure the swelling of the face. In painful swelling of the face, the application of a cloth Wet in the Makvel or Healing wiU relieve both the pain and swelling. LARYNGISMUS STBIDVLUS.— {Spasmodic Group, Child-crowing). Is a spasmodic affection of the windpipe, of nervous origin, occuring almost solely in infants and young children, most commonly between the fourth and tenth month. Nervous, hysterical adults sometimes have it. ' Causes. — Predisposing. — It appears to be hereditary in some families; but is mainly found in children who have other characteristics of Rickets. The nervous system shares in the general debility, which is increased in the case of those who live in close, unwholesome air, who are insuffi- ciently nourished, or are fed with unsuitable food, or are brought up by hand, and of those who are delicate and 266 "HOMEOPATHia MENTOR. reared -witli difficulty. These are always susceptible to the least exciteraent or depression. Exciting. — ^The attack is often brought on by the most trifling causes; a draught of cold air, a simple cold, the irritation of a growing tooth, disorder of the stomach, con- stipation, diarrhoea, derangement of any function, a mere start, a dance, excitement or irritation of any kind. Sy3iptoms. — They come on suddenly, usually in the night The child cannot inspire, struggles, gasps; presently, the air enters with a crowing sound, and, for a time, the child is well. But there may be relapse after an uncertain interval Or the bre. ,th may not return so readily as we have indi- cated; the larynx may be absolutely closed; for there is no noisy breathing, no "croupy" sound. The child appears to have fainted, is very pale, somewhat blue, not hvid, except slightly in the lips; gasps and struggles for breath. Suffo- cation seems imminent. Presently the spasm ceases, the glottis opens, the air enters with a whistling, cooing, or crowing soimd; the color returns; and the paroxysm has passed away. Not unfrequently there are Convulsions; and particularly steady muscular contractions of the thumbs, and fingers which are bent towards the pahns, and of the toes, which are bent towards the soles of the feet. These contractions are attended with pain; and any attempt to straighten the fingers or toes always causes more pain. The following table presents the differences between Child-crowing and Croup. CHiij>-CEOWiNG. — No ■warning symptoms; attack sudden; no fever, or cough; breathing is free in the intervals of the spasms; no false membrane; improvement sudden. caqup. — Premonitory feverishness, hoarseness, and dry cough; attack not so sudden; fever, thirst and ringing cough; breathing more or less rough, and affected during the whole duration of attack; shreds of false membrane are coughed up ; improvement gradual. Teeatment. — ^Dissolve twelve pellets of Specific No. One, in as many spoonsful of water, and give a spoonful every fifteen minutes, until the child is easier. DISEASE AND TREATMENT. DISEASES OF THE HEAD, ETO. 267 AooEssoKY Treatment. — ^The child should be promptly raised up as soon as he begins to struggle, and placed in a ■warm bath; the throat fomented by means of a sponge wrung out of hot water; fresh air admitted to the room by an open window; ether or ammonia may be applied to the nostrils. A dash of cold water in the face or chest some- times excites respiration. As it is rare for more than one attack to occur in one night, the patient may be laid down again, and comfortably wrapped up, as soon as the fit is over. When teeth are seen to be nearly through, the guma should be lanced; or the mother may rub through the gum with a piece of loaf sugar. Preventive Treatment. — To avert further attacks, and to counteract the constitutional tendency, good hygienic con- ditions should be secured, and exciting causes, especially such as arise in the digestive organs, should be removed. Plenty of fresh, pure air is imperatively required; the danger of catching cold is less than that of Spasm. Cod-liver oil should be given. The constitution must be strengthened by generous diet, adapted to the age of the chUd. The cold or tepid bath should be ia daily use. Excitement should be avoided; quiet fondling ,is better than romping. HYSTEEIA. Is a disturbance of the nervous system characterized by a perversion of the sensations, and generally (though not exclusively) confined to females, between puberty and the change of Ufe. Formerly Hysteria was thought to be directly due to disorders of the womb; but this is incorrect, for it exists in women in whom aU the functions of the womb are healthily performed, and even in women born without a womb; it is also occasionally met with in the male sex; men of exalted sensibility, under the influence of some powerful 268 HOMEOPATHIC MENTOB. emotion, coupled perhaps with excessi>«i bodilj fatigue, break down under their feelings and play the part ol women. We "look to see what organ is diseased, but find none; the machinery is good, but it is working irregularly; it is the engine with the fly-wheel gone." Symptoms. — Hysteria is remarkable for the wide range and indistinetive character of symptoms, and the many di- seases it may mimic; especially, loss of voice, stricture of the oesophagus; Laryngitis, a barking cough (more annoy- ing to the hearer than to the patient). Pleurisy, heart di- sease, difficulty in urinating. Neuralgia, disease of the spine or joints, and many inflammatory diseases. In these cases the patient deceives herself, and by extreme statements of her Bufferings often misleads others. In some cases there may co-exist with Hysteria, indigestion, a more or less de- finite affection of the head, chest, or abdomen, or other condition of impaired health or constitutional delicacy. The hysteric Fits. — The patient screams or makes an in- coherent noise, appears to lose aU voluntary power and consciousness, and falls to the ground. On closely watching a case, however, it wiU be noticed that there is not absolute loss of consciousness: the patient contrives to fall so as not to injure herself or dress; an attack does not occur when she is asleep or alone; the countenance is not distorted, as in Epilepsy; the eyelids may quiver and the eyes be turned up, but the eyes are not wide open, nor the pupils dilated, as in Epilepsy, and the patient may be observed to see and to look; the breathing is noisy and irregular, but there ia not subh absolute arrest of breathing as to cause asphyxia; the fit continues for an indefinite period, followed by great apparent exhaustion, but not by real stupor. Treatment. — The predisposition should be overcome by correcting any unhealthy or unusual condition of the men- strual function, if such exist. For an ordinary attack, the SpECino No. Three, six pellets every half hour or hour, DISEASE AND TKEATMENT. — DISEASES OF THE HEAD, ETC. 269 will generally suffice. If connected with scanty menstrusr tion, administer the Speoific No. Eleven in the same manner. If there are attacks of cramps simulating, or actual convulsions, administer the Specific No. Thirty- Tliree, six pellets every hour until relieved. HYPOCHONDEIASIS. Is a functional disorder of the nervous system, attended with exaggerated ideas or depressed feehngs, but without actual disorder of the intellect. Symptoms. — The patient imagines himself, without suffi- cient ground, the subject of some serious disease, and is often haunted with the dread of insanity or of death. Fre- quently, at first, the patient considers himself dyspeptic from the fact that he is troubled with flatulence, has a furred tongue, foul breath, irregular appetite, and generally obstinate constipation. After a time he complains of a gnawing or burning pain, of uneasiness at the pit of the stomach, or of more serious disease. He has great hope of getting rid of his malady, and strong faith, notwithstanding repeated failures, in treatment. Afterwards, from attention being directed to particular organs, functional disturbances arise, — ^flushes, palpitation, suppression of bile, or bilious diarrhoea; symptoms which tend to confirm the belief that organic disease exists. Causes. — Hereditary influences are potent and common: a taint of insanity, or other grave nervous disease, may be generally traced in near or remote ancestors. The deve- lopment of the disease is usually in connection with the conditions of middle life, especially indolence and luxury; or, on the other hand, with anxiety and conscious failure in efforts to provide for relations and dependents. Severe shocks of a moral or emotional nature may give rise to the malady. The patient's complaints may, however, be not 270 HOMEOPATHIC MENTOB. ■mevelyfancifid, but due to actual disease. Organic diseases of the liver or stomach are especially likely to evoke the symptoms of Hypochondriasis, or they may arise, or be ex- cited into new action, by a concurrent morbid process- The statements and symptoms of a hypochondriac should therefore be carefully examined. It is often said that reading medical books frightens persons into the disease. This cause must, however, be very limited and trifling com- pared with the more potent and general operation of such influences as grief, fatigue, the failure of efforts, or the miserable and heart-wearing habits of an idle life. Teeatment. — ^In general the use of Specifics No. Ten and No. Twenty- Eight is the proper course, giving the No. Ten each morning and the No. Tfventy-Eight at night. This may be continued for weeks or months, or it may be omitted for a week and then resumed. Should there be sleeplessness, Speoieig No. Three may be taken, one or more doses at night, in place of No. Twenty-Eight, and the use of any other Specifics may be invoked for any passing aUment or disease. AooESSOEY Means. — ^The weary mind should be relieved, and vigor of body and cheerfulness of spirits secured by a course of out-of-door exercises, physical training, bathing and suitable dietetic arrangements. Horse-exercise is par- ticularly advantageous. Exorcise should be employed in such a manner as may be amusing to the patient, and to the extent of the healthy action of the muscles, but never sufficient to produce severe fatigue. If Indigestion exist: the article on that subject should be consulted. Hypochon- driasis from sexual vices requires the aid of a physician. DISEASES OF THE EYES. The eye, from its importance and delicate nature should claim our most careful attention Avhen it is the subject of disease. We should, at all times, be careful not to apply salves, ointments or irritating washes; but to treat this or- gan with the utmost caution and tenderness, only applying those substances herein recommended, trusting mainly to the action of the remedies given internally. Nor should we be hasty in intrusting them to the care of incompetent, ignorant, or ill-advised pretenders. It should be recollected that in all cases of diseased or sore eyes, though the affection seems to be local, yet the whole system is more or less in sympathy with it; and ofte» the local affection is only the expression of a general morbid condition of the system. Thus it is that scrofula, gout, rheumatism, catarrh, or syphilis, may each locate them- selves upon the eyes, producing their pecioliar forms of in- flammation or disease, and hence in the process of cure, those remedies appropriate to these conditions should be employed in connection with those for the local disease. SIMPLE OPHTHALMIA— INFLAMMATION OF THE EYE. — ( Conjunctivitis). The attack often commences with itching, or a feeling as if sand or dust had got into the eye, the eyeball and inside 272 HOMEOPATHIC MENTOE. of the lid become reddened, and the vessels distributed over the eye injected, carrying red blood. The eyes be- come irritated, intolerant of light and painful, with flow of hot, scalding tears. In some forms, where tne inflammation runs high or continues long, ulcers or smaU specks are apt to form upon the cornea or ball of the eye. Causes. — ^Exposure of eye to dust, smoke, impure air, cold winds, too bright Hght, strain of eye, etc. Treatment. — ^For the first twenty-four or forty-eight hours, give the Specifics No. One and No Eighteen in alternation, a dose every three hours. Prepare the medi- cine by dissolving twelve pellets of each in six spoonsful of water in separate glasses, and administer from the two in alternation. After two days omit the Specific No. One, and instead use the Specific No. Thilly-Five in like manner, in alternation with No. Eighteen. As the in- flammation subsides and the eye improves, the medicine may be taken less frequently, and the medicine may be taken dry, two pellets at a time, instead of in fluid form. Let the eye be shaded from light if it is oppressive, and avoifi. reading, writing or taxing the eye in any manner, and live on very light, easily digested food. For an application, use the Marvel of Healing, diluted with an equal quantity of pure, soft water, and with this bathe the eye; and at night wet a fine linen rag with it and lay over the eye, renewing from time to time as it gets hot or dry. If the same cannot be procured, dissolve six pellets of Specific No. Eighteen in haK a teacupful of soft water, and use in like manner. In cases where scrofula or rheumatism are clearly con- nected with the disease as a cause, it may be advisable, should the cure linger, to alternate the Specifics for those diseases, No. Tiventy-Three or No. Fifteen, with that for ophthalmia. No. Eighteen. DISEASE AND TEEATMENT". ^DISEASES OP THE EYES. 273 CHEONIC OPHTHALMIA. Inflammations of the eyes are often met witli of many months, and even years standing. They are sometimes better for a season and then worse again, and generally have their origin in some constitutional taint of the system, such as gout or scrofula, or they may arise from the virus of syphilis or gonorrhoea. The eyeball is generally red- dened, blood-vessels injected, lids thickened, red and swelled; intolerance of light, and discharge of thick or purulent matter, or of hot, scalding water, when the irrita- tion has been kindled up afresh. Ulcers, or the remains of old ulcers, are not unfrequently met with. Treatment. — These old cases, which are often met with in bad, unhealthy or neglected subjects, only require care and patience in their treatment. Under good management, wonders can be effected in restoring these organs to sight and usefulness. Give at first, the Specifics No. I^ig'llteen and No. Thirty- Five, six pellets at a time and four times per day in alternation. Continue this course a week or two weeks, or as long as the eyes continue to improve. If, after a time, the secretion is thick, gummy or abundant, omit the Specific No. Thirty- Five and use the No. Twenty-Three instead, and so continue for one or two weeks, returning again to the former medicine to complete the cure. AccEssoEY Means. — Exposure to currents of cold and damp air should be avoided, and if the weather is inclement during an attack, the patient should remain in a room of uniform temperature. A piece of lint, wet with in tepid or cold water, as may be most agreeable to the patient, should be laid over the eye, and covered with oil-silk, on retiring. If the lids are gummed together in the morning, they should on no account be opened without being first moist- ened with tepid water or saliva; but any gumming together 274 HOMEOPATHIC MENTOR. may be prevented by smearing the lids at night with a little cold-cream or olive-oil, or by covering them with moist lint and oil-silk, as just recommended. As long as the eyes remain sensitive, they may be protected bj' plain blue or smoke-colored glasses; they should be used with extreme moderation; crowded rooms, or air poisoned by tobacco- smoke or other impurities, should be avoided. The food should be simple, nourishing, and digestible. .Preventive Means. — Persons predisposed to Ophthalmia should guard against all needless exposures during the pre- valence of easterly and north-easterly winds. In reading, writing, or when using the eyes on fine work, the morning hours should be chosen, when the light is growing brighter. The habits should, therefore, be early and regular; the beneficial influence of out-of-door air should be regularly taken advantage of; and bathing practised. The Diet may be more generous than in acute ophthalmia, but stUl should be free from stimulants of any kind. INFLAMMATION OF THE EYELIDS. Not unfrequently the eyelid becomes inflamed, red, swelled and painful, especially along the margin of the hd, while the eyebaU seems but slightly affected. In some cases the frequent recurrence or persistence of this affection, causes the thickening of the margin of the Hd, and the per- taanent loss of the eyelashes. Treatment. — The Spechtcs No. Eleven and No. Eigh- teen are the appropriate medicines, and may be administ- ered two or four times per day according to the urgency of the case, as directed for acute ophthalmia. HORDEOLUM.— (%). This is a small, hard, generally inflamed tumor, seated on the margin of the lid, commencing as a small, painful lump, DISEASE AND TtlEATMENT. — DISEASES OF THE EIES. 275 becoming inflamed, swelled, red, and finally softening. In some cases a tumor like a small wen appears in the same locality, and remains without suppurating or discharging. Tbeatment. — It wUl be speedily removed by the use of the Specifics No. Eighteen and No. Eleven in alter- nation. A doseof six pellets may be given every two or three hours at first; then morning and night is sufficient. Small, indolent tumors or wens may require the use oi Specifics No. Eighteen and No. Thirty- Five, given six pellets night and morning. BLOOD-SHOT EYES. Sometimes from severe or violent coughing, blows, falls, retchiag, vomiting or crying, the eye or a portion of it be- comes suffused with blood, or " bloodshot " as it is termed. It generally passes off itself by being absorbed, when the occasioning cause has ceased to act. A few doses of Speci- fic No. Thirty- Five, given two or three times per day, will hasten the removal of the extravasation. Frequent bathing with the Maevel of Healing may also hasten the absorption. WATEEY, WEEPING EYES. When this is the result of the closure or obliteration of the tear-duct, medicine wiU not avail. But when it arises from weakness or over sensibility of the organ, or a partial closure of the duct from inflammatory thickening or the surrounding tissue, or from the secretion itself being thick- ened, it is quite within the reach of medical treatment. Administer in such cases the Specific No. Eighteen, six pellets three times per day. If a catarrhal condition at the same time exists, interpose an occasional dose of six - pellets of Specifio No. Nineteen. 276 HOMEOPATHIC MEKTOE. STUAEIBMJJS.— {Squinting). A condition in which the axis of one eye is not parallel with that of the other; there is loss of harmonious move- ment of the eyes, and if the unaffected eye be closed, the squinting one looks straight. The Causes are occasionally obscure. Sometimes the disorder arises from an unequal use of the eyes, as from imitatrug others who squint, looking at spots on the nose or face, or forming the habit of turning the eye inward; some- times as a consequence of Scarlatina or Measles; from irri- tation, as of worms, teething, indigestible food; from passion; from disease of the brain; and from general ill- health. "When it occurs in the course of any disease of the brain it must be regarded as an unfavorable symptom. Sometimes it is congenital. In aged persons, the condition is due to partial Paralysis of the inner muscle of the eye. This affection, in its more serious form, can only be reached by a surgical operation. But in some cases of comparatively recent origin in young children, it may be corrected by the use of the Specific No. Thirty-Five, two pellets given morning and night. WEAK, OR FAILING SIGHT. In many cases, the sight fails or becomes obscured or feeble before that period of life when it may naturally be expected. Sometimes, there is a mist or ganze before the eyes, or there are black points, spots or clouds hovering before the sight; or the eyes become dim, watery, or the sight misty on endeavoring to sew, read or use fine print These conditions indicate weakness of these organs, or a morbid condition of them, and it may be but the^ reflec- tion of the general condition of the system. Causes. — Excessive use of the eyes on too bright or too DISEASE AND TESATMEliT. — DISEASES OF THE EIES. 277 minute objects; too much sleep; the use of tobacco or sti- mulants; suppressed exhalations from the skin from ex- posure to cold and wet; suppressed period, etc. These and similar causes may lead to temporary congestion of the brain, and over-stimulate and exhaust the retina, causing dimness or entire suspension of vision, without permanently damaging the nervous structure of the eye. On the other hand, an anaemic condition of the system may diminish the supply of healthy blood to the brain and retina, and pro- duce Amblyopia by exhaustion. Excessive drains on the system, as from flooding in child-bed or at the monthly period, prolonged nursing, sexual excesses, or severe ill- ness. A similar condition may be induced by chronic Dyspepsia from functional or organic disease of the stomach or liver. These affections may cause impairment of vision, through the medium of the sympathetic system, by dimin- ishing the nervous and vascular supplies required for the healthy functions of the eye. Dental causes may be in operation, rendering the extraction of a tooth necessary. Treatment. — Take six pellets of the Specific No. Thirty- Five each morning, and the same of No. Eighteen every night on retiring. Also, frequently bathe the eyes with cold water, avoid fatiguing or straining the eyes with fine work, reading fine print, or any long continued effort of the eyes, and also the use of glasses, which fatigue or weary the eyes. In all cases, avoid fatiguing or taxing the eyes when the body is weak and enfeebled from sickness. ADDITIONAL SUGGESTIONS ON THE PEESEEVA- TION OP THE SIGHT. 1. Conditions of Light ,favoeable to the Eyes. — Daylight, owing to its mildness, uniformity, and steadiness. The most perfect artificial light is but an imperfect substitute ior the clear light of day; being often too powerful or too 278 HOMEOPATHIC MENTOR. feeble, or flickering or wavering; or the air is often inju- riously heated, and deteriorated by the combustion of its oxygen. To enjoy daylight to its fullest extent, involves early rising. Morning light is also specially adapted to per- sons having weakness of vision, as the light is then in- creasing. If necessary that work should be done by arti- ficial light, that kind should be selected which requires least exertion, as writing rather than reading for the stu- dent, and sewing lighter and coarser work instead of fine and dark-colored for the seamstress. 2. UlTFAVOKABLE CONDITIONS FOE EXERTING THE EyES. The eyes should not be exercised directly after a fuU meal; when the body is fatigued; late at night, when sleepy; when in a recumbent or stooping posture; when travelling; when dressed in tight clothing — tight cravats, stays, or even tight garters or boots; in badly-ventUated rooms lighted by gas; during recovery from severe or exhausting disease. Light must not be too strong; a weak light is equally in- jurious; and if the eyeis are used when the light is declin- ing, so that it becomes necessary to hold the book or work nearer in order to see, the sight must inevitably suffer. An unsteady light, as from imperfect gas; or using the eyea when the waves of light are moving about, as under a tree, or when riding, is highly detrimental, as the eyes are se- verely exercised in continually readjusting themselves; if persisted in, the sight will suffer, and Amblyopia or Amau- rosis possibly ensue. The danger to the sight is very great during convalescence from prolonged exhausting disease, when patients are apt to read a great deal; to the weakness of vision is then often added that of a bad posture, such as the recumbent, or even artificial light, rendering such a use of the eyes extremely prejudicial. Convalescents should be read to, and the matter should be interesting and amus- ing. The reading of a novel is more hurtful to the sight than that of a scientific book, because it is read faster, and DISEASE AND TEEATMENT. — DISEASES OF THE EYES. ^279 :the eyes are more severely exercised. A broad page is more fatiguing to the eyes than a narrow one. On the eyes becoming dim after too long exertion they should rest, and on no account attempt to persist in reading by increasing the light. Eye-shade. — An eye-shade or eye-protector, of brown or -slate-colored paper, covered with green or gray silk, and secured by a tape or piece of elastic, answers well for pro- tecting the eyes from gas, etc., indoors; out-of-doors, a wide-brimmed hat answers admirably. An eye-shade -should be worn when there is unnatural sensibility to light. Spectacles. — Spectacles of plain blue glass are useful for morbid sensibility of the eyes to light, and may be darker or lighter in shade, according to' the amount of protection required; or brown or smoke-colored glasses may be used if preferred. The latter cut o£f the rays of light, and con- sequently render vision somewhat less distinct, while blue glasses, excluding the orange rays only, interfere less with the clear definition of objects. Green glasses protect the eyes from the red rays; but it is the orange rays which are most intolerable to a sensitive retina. Strong plate-glass spectacles should be worn by persons finding it necessary to protect the eyes against chips and particles of stone or steel {Angell). In all measures adopted for the general protection of the eye, good ventilation and a healthy temperature must not be forgotten. Eye-Douche. — ^Much benefit often results from a cold douche-bath, a stream of water being directed on the closed eye and adjacent parts. Surgical-instrument makers sell instruments specially adapted for this purpose. Or, water may be thrown by the hand against the closed eyes when holding the face over a basin of water. AccBssoKY Measures. — ^The causes of the disease should be correctly ascertained, and as far as possible, be removed 280 HOMEOPATHIC MEKTOK. and guarded against. Patients in crowded and unhealthy towns should remove to the country, at least for a time, where they may take daily out-of-door exercise, and enjoy a piu:e, bracing air. Frequent careful tepid washing of the eyes to prevent accumulations of matter; a spacious well- ventilated apartment; and avoidance of all causes likely to keep up the inflammatory process, are all necessary pre- cautions. The food should be plain and nourishing, coffee and fermented drinks being excluded; the habits early and regular, and frequent bathing should be practised. A small wet compress, covered with oil-silk or india-rubber, worn over the nape of the neck, is a valuable counter-irritant when the more violent inflammatory symptoms have been Bub&ued; it is also useful in obstinate cases. Affections of the Ears and Hearing. ECZEMA. The cutaneous affections to which the external ear is liable are, chiefly, Herpes, Erysipelas, Impetigo, Pemphigus, and Eczema. The last is probably the most common, and is generally of the chronic variety. It appears most commonly behind the ears, but also invades the auricle, or external ear, and not unfrequently extends to the meatus, the open- ing or canal into the ear. When this extension takes place there is some degree of deafness, in addition to the great smarting and itching which characterise the disorder. The general causes and symptoms and treatment, are similar to those of Eczema when it occurs in other parts of the body. Treatment. — Give Specifio No. Fourteen each morning and of No. Twenty-Two each night for old cases of moderate extent and severity; a dose of three pellets for children or six pellets for adults. In acute or severe cases give the Specifics four times per day. AcoEssoKY Treatment. — This consists chiefly in dusting the part with flour or finely-powdered starch, to soothe irrit- ability, and to absorb any fluid that may exude. A warm douche may be used occasionally, when the canal is invol- ved, to allay itching, and to prevent the accumulation of matter within. Great care should always be exercised to dry the ears of children, after being washed. 282 HOMEOPATHIC MENTOR. EAEACHE— INFLAMMATION OF THE EAE. Earache may have a neuralgic or rheumatic origin, or even from a toothache, and is very common in children. It is often brought on from exposure to cold, rough or damp weather. The pain is usually severe, sharp, lancinat- ing or beating, extending deep into the ear, causing great suffering. In very young children it occasions great un- easiness, cries, and rolling of the head. When the ear fce- comes inflamed, the brain may become implicated from the extension of the disease, and delirium or convulsions with vomiting and cold extremities may be the result. In many instances, when young children have been crying, fretful and peevish for several days, a discharge from the ear first informs the nurse that an inflammation of the ear has been the cause of all the suffering. Treatment. — ^The principal Specifics are the No. One and No. Twenty-Two. Give first Specific No. One, two peUets every hour, either dry or dissolved in a spoonful of water, and for simple otalgia or earache it will suffice. If the case is complicated with inflammation, very severe pain or redness of the external ear, or of the passage, as is not unfrequently the case, give Specific No. Twenty-Two, four peUets every hour, either alone or in alternation with No. One until the disease has yielded, and for any remain^ ing swelling or discharge give Specific No. Twenty- TwOj four pellets four times per day. In severe cases, a little cotton-wool wet with the Marvel OF Healing and placed gently in the ear, affords prompt re- lief, and may at any time be resorted to. HAEDENED CERUMEN.— (^ar-woa;). Cerumen, or ear-wax is composed of oil, stearine, a little coloring matter, scales of epidermis from the lining of the DISEASE AND TREATMENT. AITECTIONS OF THE EARS, ETC. 283 meatus, and other substances. It contains only about O'l per cent of water, and is only very partially soluble. After remaining for some time in the canal, its watery constituent passes off by evaporation, and thus it becomes a hard mass. In advancing age the wax contains a less proportion of water than during the early periods of life, as it becomes drier and more brittle. This wax seems to render the canal pliable, and perhaps also prevents the entrance of insects. The commonly-alleged cause of hardened ear-wax is a " cold," although frequently there is no evidence whatever that the patient has suffered from any catarrh of the head or'throat. In some cases it is due to neglect of cleanliness, or to the use of the twisted end of a towel pushed too fai into the canal, or to some similar method of cleansing the ear, which tends to impact the cerumen or to exhaust its watery element. But in the majority of cases the disorder is not simply a local affection, but a sign of some inflamma- tion of the mucous membrane lining the entrance to the ear, or of a diseased state of the glands, consequent on the degenerative changes of old age, lessening the nutrition of parts of the organ of hearing other than the auditory canal. Symptoms. — Defective hearing which has come on suddenly; tinnitus aurium, (ringing, or other noise), and other nervous symptoms — ^vertigo, giddiness, pain in the ear, probably from pressure on the membrana tympana. In aged per- sons, especially, chronic accumulations may lead to absorp tion of the bony walls of the meatus. The deafness, instead of being constant, is intermittent, the hearing is better in the morning, or after eating, or after rubbing the ear with the finger, or after insertion of the finger in the meatus. The deafness may be increased by cold and inflammation. The disorder may be palliated by removal of the wax. The wax is best removed by a careful use of the syringe, 284 HOMBOPATHIO MENTOR. throwing a small jet of water, at tlie temperature of full blood heat, along the roof of the cavity. If the water be too hot or too cold it will cause giddiness. If pain ensue, the syringing should be discontinued. In syringing, the ear should be seized with the thumb and finger of the left hand, and pulled gently upward and backward as far as it .wiU go, thus straightening the meatus. If the wax be not removed within a few days, a few drops of warm glycerincj or warm solution of soda, put in the ear at night, will soften the wax and facilitate its removal. To ascertain the progress of removal, the ear should be frequently examined with an ear-speculum. Nothing is so effective a solvent of wax, as simple warm water. FUEUNCLE, BOIL.— {Abscess of the Meatus). Is a very common, painful, and somewhat serious disease, to which some persons seem peculiarly liable, and is often associated with boils in other parts of the skin. The fre- quent recurrence of abscesses causes thickening of the walls of the meatus and of the drum, and, if the tendency to them is not eradicated, some degree of deafness is an invariable result. They are always exquisitely painful, and produce very decided tenderness around the ear. They are liable to recur. Symptoms. — Acute, throbbing, darting pain in the meatus, great tenderness, tense swelling, temporary partial deaf- ness, consequent on obstruction of the canal. ' Treatment. — Dissolve twelve pellets of Specipto No. One in a half glass of pure water, and the same of Specific No. Twenty-Two in another similar portion of water and give a spoonful every two hours in alternation. AccESSOKT Treatment. — ^A free use of fomentations and poultices as hot as can be borne, will relieve the acute pain, and hasten the formation of matter. The abscess should be DISEASE AND TEEATMENT. — AFFECTIONS OF THE EARS, ETC. 285 opened early, as soon as, the throbbing indicates the forma- tion of matter, because the tissues are so dense here, that spontaneous rupture is a long and very painful process, and the bone may become carious. A little piece of lint may be moistened with two or three drops of Mabvel of Healing, and introduced into the ear. Subsequent cold must be averted by avoiding draughts after fomentation, and by in« sertion of cotton wool in the ear. The latter is desirable for the absorption of the suppurating matter, but should be frequently changed, lest, by drying, the wool should increase the irritation. OTO^BUCEA..— {Discharge from the ear). Discharges from the ear frequently remain for a time after the acute affection has disappeared. But it is also frequently the result of scarlet fever, measles, or of some scrofulous development. Repeated attack of earache are quite sure to result in long continued discharges from the ear, with its concomitant results, noises in the head, and hardness of hearing. The discharge is sometimes fetid, offensive, thick, green, cream-like, varying in consistence, quantity and character. Teeatment. — The successful treatment of old, long stand- ing otorrhcea, requires some time and patience. It cannot be done at once, but fortunately can be accomplished, and the hearing of the organ generally preserved. The Specific No. Twenty-Two, four pellets (for children) three times per day, will generally accomplish the desired result. Sometimes the occasional interposition of a dose of Specific No. Thirty-Five accelerates the cure. Geneeal Measures. — The intractable character of this affection is often, in . great measure, due to the neglect of strict cleanliness. The irritating discharge, if allowed to accumulate within the ear, undergoes decomposition, and 286 HOMEOPATHIC HENTOB. gives rise to changes in the deeper structures of the ear. A little cotton wool, frequently changed, may be put into the ear when the discharge is declining, to protect it, out of doors, in cold weather; but even this should be done with great caution, particularly when the discharge smells offen- sively, for nothing can be more prejudicial than stopping the ear with cotton-wool to prevent its escape. To correct the foetor of the discharge, which is often very great, a lotion of Candy's Fluid should be injected, in the proportion of thirty drops to eight ounces of warm water. AH fluids injected into the ear shoidd be warm. The improvement of the general health of the patient is a point of great importance; for this purpose, change of air, and, in the autumnal months, sea-air, is often attended with most beneficial results. In the absence of sea-air, country- air, in a bracing district, is of great advantage. Cod-hver oil is also strongly recommended. It is a very common and very foolish idea, which has been fostered in the minds of the laity by ignorant or in- dolent physicians, that it is dangerous to cure a discharge from the ear. It is doubtful whether a single instance of CAdl results, under wise treatment, can be cited. Of course irritating lotions too often repeated may set up an acute Otitis based upon the chronic condition, but it very rarely happens; and the idea that the eat in these cases serves as a vent-hole for peccant humors is worthy only the dark ages. The continuance of this disease not only makes the patient a filthy and disgusting nuisance to himself and aU around him, but it often greatly endangers life itself. DrPFICULT HEAEING; NOISES IN THE HEAD. These two affections niay properly be considered in con- nection. Buzzing, roaring, whizzing, and other noises in the head are often the incipient stage of deafness, and the DISEASE XSD TREATMENT. AFFECTIONS OP THE EAES, ETC. 287 noise must of necessitj impair the hearing. Noises in the head may result from a cold or some obstruction, or be the consequence of a running or discharge from the ear. Hard- ness of hearing may result from any of the cases heretofore named, or from dryness of the ear, insufficient secretion of the cerumen or ear-wax, or various morbid conditions of the internal ear. The ear should be examined and any accumulations of wax carefully removed. If the ear or wax is dry or hard, put in, on the point of a small camel's-hair pencil, one drop of pure glycerine, night and morning until the wax is softened, or the dryness removed. Syringing the ears as is often done results in more harm than good. The less water or soap in the ear the better, aside from mere purposes of cleanliness. Recent cases are often cured, while the old and long-standing are not unfrequently obstinate; or, if the bone is involved, intractable. Treatment. — The SPEcmo No. Twenty-Two is in gene- ral the remedy, and may be administered either for noises in the head or hardness of hearing, six pellets night and morning for adults. If after eight or ten days there is no decided improvement, use the Specific No. Thirty- Five, in like manner for eight days, and again return to the first prescription, and so continue for weeks, or months if ne- cessary, using one medicine for eight days at a time and then resortiag to the other. GENEEiLL HINTS ON AFFECTIONS OF THE EAE. 1. Wet or damp ears. — A frequent cause of disease of the ear is, the practice of leaving the head and ears of children imperfectly dry after washing. It is the more necessary to guard against this danger if there already exist any dis- charge from the ear. After bathing, the greatest care should be taken to dry the hair and ears thoroughly. As a further precaution, a piece of fine linen or blotting-paper 288 HOMEOPATHIC MEKTOR. should be twisted into a coil, and gently introduced into the cavity of the ear, to absorb any remaining moisture. 2. Boxing the ears. — Parents, governesses, and others ■who have the care of children, should be aware of an accident very liable to occur from blows on the head or boxing the ears, namely, rupture of the membrana tympani, a membrane which closes the bottom of the meatus, and is stretched something like the parchment of a drum. The accident may be recognised by a sense of shock in the ear, deafness, and a slight discharge of blood from the orifice; and if examined by an ear speculum, the rent may be seen. There should be complete rest for several days, and a weak Arnica lotion used. 3. Deafness not stupidity. — Another point of considerable importance is the case in which a chUd, from being slightly deaf, has been thought io be stupid or obstinate. "Very sad is it to think how often a child is thus punished for his misfortune, and, it may be, irremediable injuries inflicted on the mind or temper of this poor victim of unintentional injustice. It is hardly necessary to insist upon the care which is requisite in examining the state of the hearing- power in a child, or to refer to the fact ' that children wUl often say, and doubtless think, that they hear a watch when they do not." 4. Wet compress. — A small wet compress, covered with oil-silk or tissue, worn over the nape of the neck, as re- commended for Ophthalmia, is equally applicable in afifeo- tions of the ear, especially when of an obstinate nature; and if persevered in steadily for some time wiU frequently relieve chronic ailments. DISEASES OF THE AIR PASSAGES. APHONIA.— (Sbarsenm). Definition. — Aphonia is a temporary or permanent para- lysis of the muscles, which approximate the vocal cords in the production of sounds. This affection is common, and generally the result of a cold or some irritation at the upper portion of the wind- pipe or larynx. It is sometimes deserving of serious atten- tion, as it may indicate changes in the upper part of the larynx of a very grave character. It is also a symptom in Croup, laryngitis, bronchitis and measles. Sometimes the voice is wholly lost, the patient being only able to speak in whispers; at others, it is low, rough, hoarse or piping. Treatment. — ^When the hoarseness is the result of a cold, bronchitis, or other disease, no special attention need be paid to this particular symptom. It will disappear under the use of the Specifics given for the general disease. When it is idiopathic, or even the most prominent symptom, the Specuic No. Seven, six pellets every two or three hours, will soon restore the voice. In cases of chronio hoarseness or loss of voice, give six pellets of Spbcific No. Seven, four times per day, continuing the same tmtil relief is obtained. Clergymen, after speaking, or persons who, after singing, find the voice fatigued, hoarse, furzy, or the throat irritated, 290 HOMEOPATHIC MENTOR. will find relief from taking of tte Specifio No. Seven, six pellets at once, and the portion may be repeated at inter- vals of three hours, until the unpleasant sensation or hoarse- ness has disappeared. CEOUP. Croup is usually a disease of childhood, nevertheless there are even adults who are sometimes subject to it in a quite serious form. In children it is always a serious and sometimes a suddenly fatal disease, and hence it is impor- tant to be acquainted with its earlier symptoms in order to be able to arrest them. Children from fifteen months to five or seven years of age are most subject to it. Often it comes on suddenly at night, after the child has been ex- posed, or out playing in a damp, cold or rough wind during the day. The child wakes out of sleep with a sudden hoarse, rough, barking cough, often Kke the barking of an old dog, and sometimes, at first a hoarseness or difficulty in speaking, and a degree of anxiety with difficulty of breath- ing. In some cases there are frequent returns of this hoarse, rough, croupy cough, with little or no fever, or diffi- culty of breathing for some hours, or even a day or two; and t^e child runs about and is even at times playful until the fuU disease is ushered in. At others, there is high fever, quick pulse, red face, hoarse cough and difficult breathing from the first hour of the attack. As the disease progresses the fover increases, the cough returns in more frequent paroxysms, is more harsh, dry and tight, and the difficulty of breathing increases, (often by paroxysms), becomes wheezing, with rustling of mucus; labored, and in the worst cases as if breathing through fine brazen pipes, and by degrees becomes loud and hairsh, and may be heard all ove* the room or even the house. Towards the last the breath- ing becomes increasingly difficult, the voice fails, or is only DISEASE AND TREATMENT. — DISEASES OF THE AIB PASSAGES. 291 heard in wliispers, the head is thrown backward to facilitate respiration, the larynx rises and falls with every breath, and the child is bathed in perspiration from the suffering and effort. If the child improves, the breathing becomes easier, freer, and the rattling of mucus looser; the cough more loose and moist, and the voice more natural. If worse, the breathing is more difficult, finer-toned and tighter, the cough dryer, and voice failing. Sudden attacks of croup are usually not so formidable, and sooner yield to proper treatment. But the worst cases of croup (angina membranacea) come on more insidiously. The child may be considered only slightly unwell for several days, vMh little or no cough, or a mild, veiled cough, but the speech is changed and is a hoarse whispering, or ::i entirely lost, and in these cases the difficulty of breathing comes on very gradually, and may not be noticed except on careful obser- vation, or wh0n the child is making some effort. Such in- sidious cases are always dangerous and often fatal, and this symptom ' f loss of voice or whispering voice in children should always demand attention. It generally marks the deposi- tion or formation of the false membrane, and requires only its continued deposition to become fatal.* Causes. — The predisposing cause is explained by the fact that the trachea (wind-pipe) is very small in infants, and does not enlarge in the same proportion as other parts of the body tiU after the third year; after this period, it en- larges rapidly, and the liability to Croup diminishes accordingly. In some families the predisposition is here- ditary. Exciting causes are — cold; dark, damp, and unhealthy localities; sudden changes of temperature; wet feet; poor or scanty food, especially the adoption of improper diet when a child is weaned; insufficient olothing, or previous iHQesft * See differences between Croup and Child-crowing, page 266. Sd^ HOMEOPATHIC MENTOS. Like most diseases of the respiratory organs, Croup is most fatal in the winter and spring. Low and moist districts are its favorite haunts. Towns situated near the banks of rivers have an extra share of it; and it has been noticed to prevail in such places, especially among the children of washerwomen, clearly showing the relationship of cause and effect. It has been observed as often occa- sioned by children sitting or sleeping in a room newly washed, and as frequently occurring on a Saturday night — the only day in the week it is customary for the lower classes, in some places, to wash their houses. Treatment. — For the hoarse, croupy cough that often precedes the croup, the SpEcrpio No. Thirteen will be sufficient, giving two pellets every two or three hours, and keeping the child well housed and protected from the cold, and especially from exposure to rough, damp air. Where an attack comes on with hoarse cough and some difficulty of breathing, dissolve the Spech'ics No. One and No. Thirteen, six or eight pellets of each, in as many tea- spoonsful of water in separate glasses, and give the child a spoonful alternately every fifteen minutes, first from No. One, and next from No. Thirteen, and so on in alter- nation, if the case is urgent, with these two medicines, only prolonging the intervals between the medicines to half an hour or an hour, as the patient improves. After the fever abates and the cough becomes moist or assumes its natural tone, and the breathing is relieved and free perspiration established, Specifio No. One may be omitted and the No. Thirteen continued untU the cure is completed. Accessory Measures. — During the ■ treatment everything should be avoided that would be likely to excite or irritate the patient. A partial or complete warm bath at 98° Pahr., repeated in a few hours if the patient continue very hot; sponges or cloths squeezed out of hot water and applied to the throat; the feet and general surface of the body should Dl&EASE AMD TEEATMEN*. — DISEASES OF THE AiB PASSAGES. 293 be kept warm, and the air of the apartment raised to about 65° Fahr., and this temperature uniformly maintained by day and night; watery vapor should be thoroughly diffused therein by keeping a kettle of water constantly boUing on the fire, or over the flame of a spirit-lamp, and fixiug a tin or paper tube to the spout to convey the vapor near to the patient. In very severe cases, a tent should be formed over the patient's bed, and steam conducted under it by a tube from boiling water. It is quite useless and pernicious to give castor oil, hive syrup, ipecac, or to rub oil, goose-grease, or similar sub- stances over the chest, as is often done. Simply make the chUd comfortable, keep it weU covered in bed or in the nurse's lap, and in a mildly warm room free from exposure or drafts of air, and give the Specifics as directed, and the v&,st majority of cases of croup wiU terminate favorably. Care should also be taken not to expose children to the cold or to let them go out too soon after an attack of croup. They should be kept well housed and protected until en- tirely recovered, to prevent a relapse Diet and Eegimen. — During the attack, water is almost the only article admissible, and may be given in . small quantities. During recovery, milk-and-water, arrov?root, gruel, etc. In the case of delicate children, or if great weakness suddenly occur during the course of the disease, it may be necessary to support the patient by essence-of- beef and wine-and-water, which should be administered in small quantities, at regular and frequent intervals. TUSSIS.— ((7oM^;i). Cougli is in general only a symptom of some other di- sease, such as ^atarrh, bronchitis, inflammation or conges- tion of the lungs, or the bronchia, or influenza, whooping- cough, etc. ; and the cure of the cough will be effected by 294 HOMEOPATHIC MENTOR. the cure of the disease upon which it depends. But In many cases the cough may be the chief, and perhaps the only indication of diseased action, and hence demand treat- ment of itseK. Often it is the forerunner or first stage of .some disease which is thus cured through the indications furnished by the cough. A suspicious cough, especially in persons of delicate health, or weak lungs, should never be permitted to continue from week to week, but should al- ways excite our suspicion and demand the persistent use of the proper measures for its reliet Treatment. — In general the Specifio No. Seven will be sufficient. Give six pellets, dry or in water, four times per day, avoiding exposure to new irritation, and the desired end will generally soon be reached. Should the cough, however, be harsh and dry, with some fever or pain in the chest or side, it is better to alternate Speoieig No. One with the No. Seven, giving six pellets every two hours alternately, until the cough is relieved. Violent spasmodic coughs, approaching hooping-coughs, often require the use of Specieic No. Twenty, either alone or in alternation with No. Seven, given as directed above. OlA chronic coughs, of long standing, are often cured by Specieio No. Seven and No. Thirty- Five, in alternation, given four times per day, preferable before meals and on retiring at night. If the case is urgent, the medicine may (be given, a portion every three hours. Beverages. — Gum-water, barley-water, linseed-tea, and other mucilaginous drinks; or, if preferred, small quantities of cold water, at frequent intervals. Peeventives. — Cold bathing or sponging the whole sur- face of the body every morning; clothing adapted to the varying conditions of the atmosphere; exercise every day in the open air, if possible in the country; familiarity with a free atmosphere affords a security against excessive sensi- DISEASE AND TREATMENT. ^DISEASES OF THE AIB PASSAGES. : 295 bility to variations of the weather. Morning air is best; damp, confined air, or that of crowded assemblies, should be avoided. PERTUSSIS.— (fibqpin^-CoM^A). This disease, like scarlet fever and measles, may be com- municated from one child to another by means of the breath, expectoration, or even exhalation from the persons affected, and rarely attacks the same individual the second time. It is more severe and dangerous in some seasons than at others, and though under Homeopathic treatment but few hooping cough patients are lost, yet it is often a troublesome disease, and not unfrequently, under bad management, or in severe cases, leaves serious after suffer- ings in its train. Under Specific treatment, it generally passes off as a mild and not tedious visitation. It usually commences as a common cold, with cough, some fever, hoarseness, sneezing, or running from the nose, and this catarrhal stage may continue for eight, ten or four- teen days, before the true character of the disease is mani- fested. But the cough, if carefully noticed, has from the fii'^t a more spasmodic or convulsive character than a com- mon cold, and by degrees its true form is developed, namely: severe shocks of expiration or cough, following each olfher in rapid succession, succeeded by a deep prolonged in- halation or inspiration, called the "hoop," or "whoop," or "kink." Each paroxysm consists of a number of sudden, violent, and short expiratory efforts or coughs, which expel so large an amount of air from the lungs that the patient appears on the point of suffocation: these forcible efforts are followed by a deep-drawn inspii-ation, in which a rush of air through the partially-closed glottis gives rise to the distinctive crowing or hooping noise. This hooping is the sigiiai cf ■ihe patient's safety, for when suffocation does take 29S HOMEOPATHIC MENTOB. place, it is before the crowing inspiration has been made. During the paroxysms, the face becomes deeply red or black, and swells; the eyes protrude, and are suffused with tears; and the expression and appearance of the sufferer are such as apparently indicate imminent suffocation. The paroxysm terminates by the expectoration or vomiting of a considerable quantity of glairy, ropy mucus, almost imme- diately after which the chUd returns to his amusements, and appears quite well. The ropy kind of expectoration which follows the cough enables us to distinguish it from common cough even before the hoop has been heard. The attacks recur three or four times a day, or every three or four hours, or oftener; sometimes blood escapes from the nose, mouth, and even from the ears, during the fits. Diagnosis. — It should be distinguished from " Spasmodic Croup.". In Hooping-cough the "hoop" follows the cough; in Spasmodic Croup, it precedes it, when present; but cough is not an essential symptom of Laryngismus Stri- dulus. Cause. — An unknown materies morbi acting in the body, transmitted by the air and by fomites, and spreading by infection. Its infectious power is great, when at the height of its development. A frequent source of infection occm . when there has been partial recovery followed by mild re- lapse, and the disorder is transmitted to others to be deve- loped in its worst form. Hooping-cough may be complicated with Small-pox, Measles, Bronchitis, Pneumonia, Pericarditis, etc. It is therefore desirable that the chest should be examined occasionally during the disease by a physician, especially in obstinate cases, so that any complications may be early met. Convulsions are liable to occur if teething be in progress at the time. If there exist a predisposition to Consumption, Hooping-cough may hasten its development. Uncontrolled by treatment, the disease often lasts twelva DISEASE AND TREATMENT. DISEASES OF THE AIK PASSAGES. 297 weeks, or even a longer period, while treated by our simple method, one half or fourth of that period is sufficient for a cure. Treatment. — If the disease is prevailing, or children have been exposed to this disease, and you do not wish them to have it, give the Specific No. Twenty, two pellets three times per day, and you wiU generally prevent its access. Should the disease have commenced as a common cold, with cough, fever, sneezing, or sore throat, give the Specific No. One and No. Seven for one or two days, two pellets at a time, every two hours in alternation, and after that omit the No. Seven, and instead give the No. Tiventy, in the same manner; and as soon as the feverish condition has subsided, omit the No. One and give only the No. Twenty, two pellets four times per day, and so continue during the course of the disease. If during the course of the disease the cough becomes frequent, tight, dry, and it loses the usual hooping sound, and with some fever, indicating the access of inflammation of the bronchi, or of the substance of the lung, at once return to the Specific No. One, and give two pellets every hour in solution until the threatening symptoms have been warded off; and then go on again with Specefic No. Twenty, either alone or in alternation with No. One. Often by taking the disease at the commencement, you wiU arrest its progress before its fuU development, and it will pass off in a week or two as a mere catarrhal cough, having never reached the hooping-cough form. During the disease, the child should be carefully nursed and fed on light, easily digested diet, with but little or no jneat, avoiding cake or rich, heavy food, pies or sweetmeats; but, on the contrary, giving an abundance of mucilaginous drinks, such as gum-water, rice-water, barley-water, Ice- land moss, weak chicken or lamb broth, or weak black tea or chotiolate. 298 BOMEOPATHIC MENTOR. Vaccination during hooping-cough usually causes the disease to run a very mild course, and if it has been omitted until this period, it may be well to have it then performed. ACUTE GATASR'R.—iTnfluenzar— Grippe). An attack of acute catarrh is generally manifested by sneezing often repeated, followed by a sensation of irrita* tion, itching or tingling, extending along the nasal passages to the head and throat, and often down along the larynx and bronchi into the lungs. To this there may be added coryza, tearfulness and weeping from the eyes and dis- charge of mucus from the nose; at first, thin, acrid, irritating and gradually becoming more copious, thick, yeUow. and sometimes offensive, as the disease subsides. To this is sometimes added sore throat, cough and irritation of the lungs. Where many people are attacked during the same period with the above symptoms, which are, however, often widely modified, but always attended with a degree of debility, prostration and persistence of symptoms above what is war- ranted by the local irritation, it is usually denominated Grippe or "Influenza." Treatment. — The Specifics No. Nineteen and No. Seven are usually all that is required. Should there be consider- able fever or heat of the surface, either at once or succeeding a chUl, it will be best to commence with Specific No. One, and give of this every hour six pellets dissolved in watei until the fever abates. Then give the Specific No. Nine- teen every two hours, six pellets alone; or, if there is some cough or bronchial irritation, alternate Specific No. Seven with it at the same intervals until the disease is sub- dued. HOMEOPATHIC MENTOR. 298a " LA GRIPPE," OE IKPJ.UENZA op 1890-91. The foregoing description of La Grippe hardly does justice to the epidemic of 1890-91. The latter has been the most widely extended as well as the most deadly known in modern times, if not in history. Prom its first appearance in Russia in the early Winter of 1889-90, it visited in succession aU the countries of Northern Europe including the British Isles, and from thence extended over the whole North American Continent, with varying degrees of severity. In the following Winter of 1890-91, it appeared again in all its old haunts and even in a more pernicious form, increasing largely the customary death rate and extending its depressing influence fver a very large proportion of the entire population. WhUe no special class were exempt from its attacks, the aged or those of advanced life were its most numerous victims, and among these the mortality from its visitation was truly serious. The Symptoms and course of the disease vary considerably from previous visitations. While the usual symptoms of choryza or nasal irritation and discharge with cough and sore throat are frequent, there is a much more decided invasion of the vital forces i« the form of pain in the head, hack, chest or liynhs, attended with decided languor or sense of general prostration or debility, and evidence of the invasion of the throat, bronchia and lungs soon become apparent. The pain in the head and the consequent cerebral excitement has been in not a few cases such as not merely to prostrate the subject of the attack, but in many instances to produce delirium and even insanity with suicidal intent; and in such cases this cerebral and nervous excitement and aberration seemed the most prominent effect. The pulmonary extension of the morbid influence forms the chief or more 2986 DISEABB AND TREiTMENT. — THE GBIPPB, OR XNTLTTENZA. prominent danger, as the complication witli bronchitis or broncho-pneumonia becomes the principal focus of the disease. The headache, backache, nasal or pharyngial discharge, are of comparatively small consequence and soon yield to treatment, while the cough or bronchial irritation are more serious and persistent and so demand more consideration, and the more so if the patient is constitutionally feeble, or of advanced age, or -whose vitality is from any cause impaired or feeble. Hence the treatment should from the first, and aU along, have this in view. The Specific No. Seventy-Seven, is the general remedy and cure. It meetr the epidemic condition and is the cure for all its manifestations. Taken early it cuts it short promptly. Taken during its prevalence it preoccupies the system and prevents its invasion ; taken while suffering from it a relief is speedily realized, which is continued to an entire cure. Six pellets repeated every two hours, or, in extreme cases every hour, is the rule. For Extreme Fever, or any inflammatory action, Specitio No. One may be taken in alternation with it, a dose every hour. For violent coughing or pains in the chest or lungs Specific No. Seven may be alternated with it in like manner, or No. Nineteen for profuse flowing catarrh. But in general no other remedy than Specifio No. Seventy- Seven will be required. The No. Seventy- Seven will " break up " an obstinate Cold that " hangs on " and does not yield to treatment ; relieves in a few hours ; cures in a few days. a©" Be very moderate in the use of coffee or tobacco, and especially avoid exposure. Keep warm and comfortable, and live upon very light and easily digested diet. DISEASE ASD TBEATMBNT. — DISEASES OF THE AUt PASSAGES. 299 CHRONIC CATAERR Chronic catarrh often may be said to be constitutional. In some families every member is affected with it more or leas. From tlie first years of childhood, there is an excessive secretion from the nose and air passages. The disease is characterized by an excessive flow of mucus, more or less changed, from the lining membrane of the nose and its back passages, the frontal sinus and throat, and sometimes involving the bronchi and lungs. The discharge is varied in color, character and consistence. Often it is yellow, thick, abundant and offensive; or it may be drier, in plugs or crusts, obstructing the passages and only detached occa- sionally and with difi&culty, accompanied with soreness or ulceration. Sometimes the membrane lining the passage is very red and painfully irritated from every inhalation of the air, and the discharge watery, thin and acrid; but the most common form is the profuse discharge of yellow, thick, offensive matter. Generally the sense of smell is im- paired and sometimes quite lost, and not unfrequently the sense of hearing and taste are likewise more or less im- paired. Though a chronic catarrh may continue many years and be very annoying and offensive, it is rarely fatal, and never terminates in consumption, whatever quacks may say about it. It is generally better in warm, dry weather, and worse in the spring and fall and in variable weather. Treatmeni'. — The Specific No. Nineteen is the proper remedy, and may be given, six pellets at a time and from two to four times per day, according to the urgency of the case. Shoiild there be bronchial irritation, cough or hoarseness, the Spechtc No. Seven may be used in alter- nation with No. Nineteen to good advantage. 300 HOMEOPATHIC MENTOB. PALL GA.TAS,UB..—{Peach-Gatarrh-~E:ay Asthma). This is a peculiar form of catarrh, to which many peiv sons, especially in the better walks of life, are subject, and which has received quite a variety of designations. It comes on at rarely varying periods, generally about the 20th of August, and having made its attack, is almost sure to rettuTi every year at about the same day. It continues with varying degrees of intensity until about the first of October or the first cold or frosty day, when it gradually abates. The attack commences with sneezing, commonly violent and repeated, to which there is soon added tearful- ness and discharge of thin watery secretion from the nose, sometimes so abundant as to fall in drops, or to soil a dozen or more handkerchiefs in a day. The eyes become watery, the lining membrane of the nose reddened and exceedingly irritated from the dust of traveling, or the pollen of flowers. Gradually the irritation extends along the air passage, in- volving the bronchia, and paroxysms of asthma set in, worse at night, obliging the patient to sit bolstered up, and rend- ering a horizontal position for the time impossible. "While the difficulty of breathing is so great, the discharge from the eyes and nose and the sneezing abates; but after two or three days the asthma passes off and the eyes and nose have it again. And so the disease wears on with varying degi-ees of severity from bad to worse, until time and the cooler days afford relief from this most disagreeable and annoying of physical visitations. Numerous theories have been advanced as to the cause of this annual catarrh. It has been attributed to the down of peaches, the fragrance of roses, the dust of making hay, the pollen of flowers, etc. But whether any or all of these theories are correct, it seems clearly to be connected vrith an advanced stage, or possibly, an incipient decay of soma forms of vegetation; for we find it cured for the time by a DISEASE AND TREATMENT. — DISEASES OP THE AIB PASSAGES. 301 Jiea voyage, and patients suffering from it who domicile in those locations most removed from such influences are pro- portionately relieved. Thus, those who go to the CatskiH or Twin Mountain House say they are sensibly benefited, and those at Fire Island, where scores of fashionable people, who flee from this visitant, are to be found every year, as certainly as the returning swallows, aver that they suffer only about one fourth as much as when on the main land. Old school medicine has accomplished little or nothing toward relieving this class of patients, and the Homeopaths have not done much better, patients of the most distin- guished physicians of all schools in our large cities, being found in abundance at these places of refuge every year. Treatment. — ^If the patient can sojourn for the time at any of the localities named, or can take a sea voyage, it is to be advised. The Specieios No. JVineteen and No- Twenty-One had best be taken, six pellets, from one at night and the other in the morning, for some days before the expected attack, to ward it off if possible. "When the attack comes on, commence at once with these two numbers and take six pellets every two hours alternately either dry or dissolved in water, and continue this at longer intervals as the disease abates. "V^Tien the eyes are much affected with redness, intolerance of light, and profuse tearfulness, suspend the Specific No. Nineteen and take instead No. I^igllteen, every two hours six pellets, and so continue them until the irritation of the eyes are relieved. These three Specifics may be used, either alone or in alternation with each other during the course of the diseas9. You will thus relieve, shorten and wonderfully modify, if you do not entirely arrest this most unpleasant, if not dangerous annual visitation. , We have a Special Case of three vials of fluid, for Aotomn or Hay Catabbh, with fuU directions, price $3.00. 302 HOMEOPATHIC MKNTOB. ACUTE BRONCHITIS.— (Common Gold— Bronchial Irritation). Acute Beonchitis is acute Inflammation of the mucous membrane of the bronchi — the air-tubes of the lungs. It may afifect either the large or the small bronchi; and the smaller the tubes in •which the inflammation exists, the greater the danger. Bronchitis is most common in elderly persons, although it is not infrequent in children. Chronic Bronchitis is a somewhat different disease, very common in advanced life. In mild cases there is only ha- bitual cough, shortness of breath, and copious expectora- tion, and entire absence of Pyrexia. Many cases of winter cough in old persons are examples of chronic Bronchitis. It is often insidious in its approach, although it sometimea succeeds to acute Bronchitis, when that disease has been neglected or badly treated. These conditions have so many symptoms in common, and so frequently run into and overlap each other, that it is preferable to treat them in connection. Laymen would find it difficult to distinguish one from the other, nor would it be necessary in a practical point of view. A cold gener- ally commences with a sensation ,of tingling, itching, irri- tation, or roughness along the lining membrane of the nose, and thence gradually extending backward along the air passage into the bronchi or lungs. There is often sneez- ing, sometimes repeated, and soon a discharge, at first of thin acrid, and then by degrees thicker, yellowish mucus from the nose, and cough, at first harsh, dry, violent, often accompanied with a sense of roughness or excoriation in the larynx and upper part of the chest, and as the disease progresses, raising of at first thin, and then of thicker, or yellowish sputa. Sometimes the bronchi and chest are but little affected, and the disease expends itself upon the mucus membrane of the throat, nose and eyes, producing DISEASE AND TEEATkENt. — DISEASES OP *HI; AIB PASSAGES. 30S frequent sneezing, redness and irritation of the eyes, and profuse secretion of the acrid mucus from the eyes and hose. When the bronchi are particularly invaded, the cough is dry, harsh, painful and frequent, often inducing headache, together with more or less hoarseness, and sore throat if the upper part of wind-pipe (larynx) ia involved. Fever to a greater or more limited extent is almost always present, and the disease presents aU grades, from a sharp, well defined, acute bronchitis to a simple catarrhal irri- tation. As the disease declines, and sometimes from the first, an eruption of pimples or fever blisters appears around the mouth or hps, which are often very annoying. Treatment. — ^When a cold begins with cough, sneezing, pain in the breast, and general feeling as from having taken cold; resort at once to the Specitic No. Seven, of which take six pellets dry. and repeat it every two hours. If the cold commences with more severe symptoms, and some fever and considerable irritation of the lungs or bron- chi, commence with Specitic No. One and take six pellets every hour at first, and after a few hours continue them in alternation with No. Seven at intervals of two hours, and so continue the two remedies until the force of the disease is broken, when the No. Seven, will complete the cure. Should the disease assume more the catarrhal form, affecting the eyes, nose and throat, the Specifics No. Nine- teen and No. Seven are the proper remedies, and should be administered as above. In aU cases of colds, drink freely of cold water, live some- what abstemiously, avoid coffee, stimulants, over-feeding and exposure and fatigue. ACUTE BRONCHITIS OF CHILDREN.— (GastorrA of the breast — Lung Fever). This disease consists of an acute inflammation of the iining membrane of the air-passages. The inflammation 304 HOMEOPATHIO MENTOR. may be limited to a portion of the bronchi, or involve the entire membrane; and it may be but slight and easily arrested, or it may be from the very first a very serious and dangerous malady. In young children, it is particularly /dangerous, forming the so-called "lung fever," and the younger the child the more critical the attack. In children, of an early age, it is quite frequent, and commences usually with symptoms of an ordinary cold; but soon the breathing becomes quick, oppressed and labored, and from the increased action of the diaphragm, the abdo- men becomes prominent; the shoulders and nostrUs are in continual motion from the effort of breathing; on applying the ear to the chest, and often at quite a distance from the patient, the crepitation and mucus-rattle of the chest is very auaible; expectoration coughed into the mouth and then swallowed, temporarily relieves, and occasionally the mucus is thrown from the air-passages by the effort of vomiting; the cough is frequent, short and distressing; the face be- comes pale, anxious, and somewhat livid. The disease has its paroxysms and seasons of remission, during which the child appears drowsy, and, unless relieved, the paroxysms recur with increasing severity untU death takes place from suffocation. There is no appetite, but considerable thirst, and the symptoms are generally worse at night. Children at the breast find it difficult to nurse, from the oppression of the chest and impeded respiration. Tbeatment. — The Specifics No. One and No. Seven are the proper remedies, and may be administered in fluid form as follows: If the symptoms are at all urgent, prep&re the medicine for children of two years or under, by placing eight pellets of Speoifio No. One in as many teaspoonsfui ' of water, in one glass, and the same quantity of Specifio Na Seven in like quantity of water in another glass, then from these two give a spoonful every hour in alternation. Older children, or adults, may take twice as much at a dose as DISEASE AND TEEATMENT. ^DISEASES OF THE AIR PASSAGES. 308 the above. In milder cases, a dose of two pellets every two hours may be sufficientj and these may be continued until the disease is arrested. If in children, who are in far the most danger in this ■disease, the fever should have been allayed, but the cough and difficulty of breathing, attended with great weakness, remains, then omit the Specific No. One, and in. place give the Specific No. Six, the same dose, in alternation with No. Seven, and continue these so long as they are bene- ficial. LAEYNGITIS. — {Inflammation of the Larynx). "We distinguish two forms of this disease, the one acute and running its course in a comparatively short time; the other chronic, which may continue for months or years. The acute form is characterized by hoarseness, or low, dull voice, or a difficult, whispering voice, wanting in modula- tion; a sense of soreness or of tightness in the larynx and upper part of the chest; difficult, tight or wheezing inspi- ration; sensation of constriction in the throat, and inability to breathe freely accompanied with pain, is increased by pressure on the protuberance of the throat, or along the larynx. There is usually a hoarse, muffled cough, some- times convulsive and dry, or with expectoration of tough adhesive mucus, sensation as if there were a foreign body or lump in the throat. If the inflammation involves the pharynx, there wUl be difficulty and pain in swallowing. There is more or less fever, and increased redness on look- ing into the throat. In some cases the fever runs so high, and the hoarseness and difificulty of breathing are so great, as to approximate a case of true croup. But, as the treat- ment is similar, the fear of confounding the two diseases need occasion no embarassment. Tbeatment. — In all serious, acute cases the Specifics Na 306 fiOMEOPATHtC MENSOS. One and No. Thirteen should be dissolved in water, twelve pellets of each in six spoonsful of water, in separate glasses, and of these give alternately every hour until the fever has abated, when the Specific No. Seven may be sub- stituted for the No. One, and the Nos. Thirteen and Seven may be continued until the disease is arrested. CHRONIC JjASiYNGITlS.— {Laryngeal Consumption). This chronic inflammation of the larynx, in some of its forms, is almost daily met with. It forms the so-eaUed "ministers' sore throat," and presents every grade of severity, from slight hoarseness and irritation, down through all shades of inflammation and ulceration, to the most invet- erate forms of laryngeal consumption. The disease often commences with slight hoarseness and irritation of the throat, frequent belching or raising of scanty mucus and slight cough. As the disease progresses, these symptoms increase, and there is also dryness, burning, itching or tickling and tightness, or in some cases a duU, smarting, or an acute pain in the larynx. The voice may be hoarse or whispering, or piping, and only formed with effort. In the earlier stages, the voice is uncertain and often breaks in singing or loud speaking. The cough, at first dry and short, becomes graduaJly loose, with raising of mucus or purulent expectoration. Gradually, as the disease progresses, ulcera- tion takes place, generally marked by pain in the throat as from a sharp-pointed body, especially when speaking. Should the disease involve the pharynx, there is also diffi- culty in swallowing, and in the effort the food or drink may be returned through the nostrils. If the ulceration involves the rim of the glottis, the voice is lost and the patient only speaks in whispers. As ulceration progresses, the dis- charge becomes purulent, bloody and even offensive; por- tions of lymph, cartilage and even ossific matter are dia* DISEASE AND TREATMENT. — DISEASES OP THE AIR PASSAGES. 307 charged; the cough and difficulty of deglutition increase, often in paroxysms; the general health gives way; hectic fever, night sweats, emaciation, swelling of the limbs, loss of appetite, vomiting with the cough, and diarrhcea, are un- favorable indications, and lead us to look for the worst- There is usually soreness of the larynx on pressure, and from the inhalation of cold air. Coughing, sneezing, speak- ing, laughing or swallowing frequently bring on a fit of severe suffering. Treatment. — In the earlier stages, while there is simply hoarseness and some degree of dryness or irritation in the throat and cough, the Spechtc No. SCTen will be sufficient to control it, and may be given six pellets at a time, and repeated every three or four hours, and so continued from day to day. Should the hoarseness be more decided, with cough, dry- ness, heat and irritation of the throat, or if the disease is fairly developed, resort to the Specific No. Thirteen, of which give six pellets, dissolved in water, every three hours, and so continue for two or three days. After that, give the Specifics No. Seven and No. Thirteen in alternation, every three hours which may be given until the disease is cured. Should there be decided fever, a dose or two of Specifio No. One may by occasionally interposed with advantage. PLEURISY. This disease is of rather frequent occurrence, and is usually one of grave importance. It is an inflammation of the pleura or membrane, covering the lungs on one side and being reflected upon the walls of the chest upon the other side, thus forms what is termed the pleural-sac. It is a very thin membraneous tissue, having a serous surface and quite liable to inflammation and consequent exudation 308 HOMEOPATHIC MENTOR of serum. The inflammation and pain may be located in any part of the chest, or even affect a considerable portion of it. A well marked pleurisy commences with a decided chUl, lasting often some hours, followed by high fever, heat, red face, sharp, quick pulse, and ^lery severe stitching, stabb- ing, or lancinating pains, often confined to one spot in the side, or front of the chest. The pain is sharp, catching, lancinating, arresting or intercepting the breathing, and is greatly aggravated by coughing or even by movement; and the chest is sensitive to pressure at the place where the pain is located. The respiration is difficult and anxious, often inter- cepted by the stitch, but less oppressed than in pneumonia. The cough is short and dry, and greatly increases the stitch or pain in the side. The pulse is quick and hard; tongue inclined to dryness or parched; thirst decided; urine scanty and high-colored; and the patient generally lying on his back. If effusion of serum has occurred in one side of the chest, lying upon the opposite side is very difficult. The effusion is generally absorbed in the process of cure, but, when the absorbent powers of the system have become weakened, and the cure is imperfect, the secretion may be only partially taken up, and adhesion of the pleural sur- faces may occur, thus practically uniting the surface of the lung to the walls of the chest, and occasioning more or less inconvenience in after life. Physical Signs. — On applying the ear, or the stethoscope to the affected part of the chest at an early period, the dry inflamed surfaces may be heard rubbing against each other and producing a friction-sound; this rubbing may also be felt by placing the hand on the corresponding part of the chest; it is probably due to the pleura being pretematurally dry by exhalation, or to its being roughened by effusion of fibrine. Causes. — Exposure to atmospheric vicissitudes, and sudden checking of the perspiration, are the most frequent DISEASE AUD TREATMENT. DISEASES OF THE AIB PASSAGES. 309 causes, especially in persons of unhealthy constitutions; snrgical operations and mechanical injuries are frequently exciting causes; thus the rough ends of a fractured rib may set up inflammation of the pleura. It may also be excited by extension of other diseases. The cause of the disease inay materially alter the treatment. Teeatment. — The Specifics No. One and No. Seven are the proper remedies, and should be given thus: Dissolve twelve pellets of No. One in as many spoonsful of -water, and of this give a spoonful (large if for an adult, and small if for a child) every half hour, and continue this medicine until the pulse is reduced and softened, the pain is di- minished and the surface cooled, and for twenty-four hours, unless the disease has yielded before this period. Then prepare Specitic No. Seven in like manner, and administer it in alternation with No. One, at intervals at first of one hour, and then of two hours, until the entire disease has succumbed. In some rare cases, where the fever has been subdued, and some degree of pain in the chest or soreness yet lingers, the use of Spectfic No. Tifteen, either alone or in alterna- tion with No. Seven, may remove it. AccEssoEY Measuees.— Either in pleurisy and inflam- mation of the lungs, or of other large organs, if the attack is decided or well marked, it is advisable to give the paitient at once a hot foot-bath in the manner heretofore recommended in this work, so as to induce a deter- mination of blood to the extremities, and excite general perspiration. After the patient has been put to bed, should the pain on breathing, and the oppression of the chest be severe, a hot fomentation, applied directly to the part, wUl be of great advantage. The best mode of making it is thus: Take common muslin, and cut out and run up a bag — say eight or ten by twelve inches — enough to entirely cover the suffering part. FiU this with meal and 310 HOMEOPATHIO MENTOR. bran, in proportion of one part of meal to two of bian, so that when the fiUing shall be evenly distributed, the fomen- tation shall be about a half an inch or. more in thickness. Pour, say, half an inch of hot water into a tin pan, and lay the bag in, evenly spread out. It wiU at once become thoroughly hot and saturated, and may be applied directly to the chest as hot as can be borne, and covered with a flannel to prevent wetting the clothes. It rarely fails to afford prompt and decided relief, and may be repeated from time to time, if necessary, and is far better than blisters or mustard plasters. Pleurisy, both before and after effusion, is now treated by strapping the affected side firmly with broad pieces of com- mon plaster, placed obliquely to the direction of the ribs, so as to secure rest. Many cases, it is said, have been cured very quickly simply by this means. Perfect quiet with a semi-recumbent posture should be secured. The diet should be light, — gruel, arrowroot, broth; frequent sips of cold water will allay thirst. In case of effusion into the pleura, the diet should be dry. PLEURODYNIA.— (i^'aZse Pleurisy— Stitch in the side). This is a rheumatic affection of the intercostal muscles of the chest, and similar to pleurisy, in that it is characterized by a sharp stitch or stinging pain in ttie chest. It may be distinguished from pleurisy in not being preceded by a chiU, and being without fever. The pain shifts from place to place. The surface of the chest or side is usually sore and the pain may be excited by drawing the flnger along between the ribs. A few doses of six pellets of Specimc No. One or No. Fifteen will generally cure it, and they may be repeated every two hours. DISEASE AND TREATMENT. — DISEASES OF THE AIK PASSAGES. 311 TimUMOlHIA..— {Inflammation of the lungs). Inflammation [of the substance of the lungs may occur alone, or in connection with pleurisy, which is indeed its most common form. If one lung only be involved, it is termed single Pneumonia; if both, double. The latter occurs in about one out of every eight cases; in the single variety two cases out of every three are Pneumonia of the right lung. The portions chiefly involved are the lower posterior and the base of the lung. The disease frequently co-exists with Pleurisy, when, if Pneumonia forms the chief disease, the double affection is called Pleuro-pneumonia_ If, however, Pleurisy predominates, it is termed Pneumo- pleuritis. It commences like pleurisy, with a chill, frequent rigors passing over the body for some hours, followed by fever, with great heat of the surface, which is hot and dry; pulse quick, but rarely so quick or bounding as in pleurisy; breathing is quickened, hot, oppressed, anxious, and some- times interrupted by the pain; tongue dry, sometimes parched; urine high colored and scanty; cough short, distressing, and dry at first, gradually becomes more moist, raising a little adhesive viscid, or tenacious mucus, which is at first semi-transparent, but soon becomes greyish, mixed with blood, rust colorei or even like prune-juice; the speech is interrupted, hesitating, with frequent pause and ab- dominal respiration. Sometimes the pain is not sharp, only dull, with a sense of oppression or tightness. The face is less red but more lived than in pleurisy; the vessels of the neck become swelled and turgid, and the frequent cough often causes severe headache. The patient lies upon his back, dislikes to talk and desires to be let alone; some- times is very irritable or careless of his situation. In persons having a low vitality, purulent infiltration may occur, which consists of difiiised suppuration of the lung- tissue. In rare cases, a circumscribed abscess forms, and 312 HOMEOPATHIC MENTOR. on applying tlie ear to that part of the chest, a gurgling Bound may be heard; this condition is usually preceded by rigors; and a hollow or cavernous sound follows when the abscess has been emptied by coughing ard expectoration. The occurrence of copious expectoration of whitish or yellowish mucus, general perspiration, a sudden abundant discharge of urine with copious sediment, diarrhcea, or even bleeding of the nose, may be regarded as forming a crisis, encouraging the- hope of a favorable termination. Occasionally, in old or enfeebled constitutions, gangrene of a portion of the lung may occur. This condition is easily recognised by a most intolerable odor of the patient's breath, resembling that proceeding from mortification of external parts. Unless the gangrenous portion is extremely limited, the case is almost certain to terminate fatally. Causes. — Severe or long-continued exertion, or over- fatigue, either alone or combined with cold. Brief exposure to cold, however intense, is rarely sufficient to excite this inflammation; it is rather a prolonged and deep-reaching cause of cold that can produce this eflfect. "Thus," writes Dr. C. J. B. Williams, "if a person gets thoroughly wet, and remains long in wet clothes, or lies out on damp ground; or a sentinel standing or slowly pacing for hours in a cold wind, the chiU goes to the heart, as it were, and paralyzes the deep circulation, and Pneumonia is likely to be the result. Boys who get heated at football, or some other violent exercises, throw themselves on the damp grass, or remove clothing to cool themselves, or stand about; the chiU operating on the exhausted body causes extreme con- gestion in the lungs, the circulation of which has been weakened by the previous violent respiratory efforts. The result is Pneumonia, generally asthenic, commonly double^ and attended with much prostration." As the patient improves, the heat of the surface is re- duced: the breathing is more free; the skin and tonguv DISEiSE Alfb TEEATMENT. DISEASES OF THE AIR PASSAGES. 313 become and remain moist; the sputa becomes more free, less tenacious and lighter colored, and the cough less fre- quent and painful; a,nd quiet sleep, with general perspira- tion and free discharge of urine, indicate a crisis and the breaking up of the disease. On the contrary, increased oppression of the chest, dryness of tongue and skin, fre- quency of the cough and scanty viscid, rusty, expectoration, hiccough and deKrium, indicate the progress of the disease. It is, however, generally curable in its earlier stages, under our management. Teeatment. — Should be commenced with Specific No. One^ of which dissolve twelve pellets in six large spoonsful of water for adults, of which give a spoonful every hour for the first twenty-four hours; also, give the patient a hot foot- bath, and if the tightness, oppression of the chest or pain is very severe, apply the hot fomentation to the chest, as directed under the treatment of pleurisy. After twenty- four hours give the Specific No. Seven, prepared in the same manner as No. One, and give the two medicines in alternation, at intervals of one hour. Continue this until the disease is removed, gradually increasing the intervals between the doses to two or even three hours, as the im- provement progresses. After convalescence, should there remain some tendency to cough, debility and sweating at night, six pellets of Spe- cmo No. Ten at night, and of No. Thirty-Five each morning, rarely fail to complete the cure. AccEssoEY Means. — ^The patient should be warmly but jightly covered; the temperature of the apartment 60° to 65°. A large, thick linseed-meal poultice, or spongio-piline, to fit the chest in front and back. A continuous poultice is one of the best methods of providing for the local loss of vitality in Pneumonia and similar diseases. Niemeyer says: "In all cases I cover the chest of the patient, and the affected side in particular, with cloths which have been 314 HOMEOPATHIO MENTOB. dipped in cold water and well vnmag out. The compresses must be removed every five minutes, unpleasant as this procedure is in all cases, yet even after a few hours the patients assure me they feel a material relief. The pain, dyspnsea, and often the frequency of the pulse, is reduced Sometimes the temperature goes down an entire degree." The patient must be kept very quiet, have mucilaginous drints and farinaceous diet, and be treated generally as directed under Enteric Fever, pages 189 — 192. CONGESTION OP THE CHEST. This condition, determination of blood to the chest, may be supposed to exist where there is a sensation of fulness, heaviness, weight or oppression in the chest. There may be also throbbings, or palpitations of the heart, attended with anxiety, short, sighing, or difficult breathing, and sometimes a short cougL It is most common in young plethoric subjects, or those of consumptive habit It is sometimes occasioned by over exertion, exposure to heat and cold, use of stimulants, coffee, spices, vinous or alco- holic beverages, or may be caused by suppression of erup- tions or accustomed discharges. Treatment. — In general a few doses of Specific No. One, six pellets, taken at intervals of two hours, will promptly relieve it. Should there be frequent recurrence of the attack, or the condition threaten to become chronic, ad- minister the Specifics No. Thirty- Five each night on retiring, and the No. One each morning. If it has beer caused by suppression, or too scanty flow of the menses, give the Specific No. Eleven, and repeat every two hours until relieved. If connected with constipation, hemorrhoids or indigestion, administer the Speoifio No. Ten in lite mannert AND TREATMENT. DISEASES OF THE AJB PADSAGES. 315 ASTHMA. This affection of the lungs and air passages is character- ized by difficulty of breathing, coming on in paroxysms, attended with a suffocative, or constrictive sensation, ccugli and expectoration. The paroxysms may come on suddenly, ■without warning, and more frequently at night, but often they are preceded by a feeling of irritation in the air- passages, or a sense of fulness or oppression at the pit of , the stomach. During the attack the respiration ia labored, wheezing, or sighing long drawn, accompanied with anxiety, and the shoulders, larynx and chest are moved with the violence of the effort. The patient usually sits or stands, (can rarely recline), with his arms elevated .so as to expand the chest; and often requires the doors or windows to be opened to give him air. There is a sense of constriction or tightness in the chest, or as if he was breathing through a sponge; frequent cough, at first short, dry; then, by degrees, becoming more moist; or with frequent profuse expectora- tion of mucus, even from the first; the face is pale, some- times livid; eyes anxious and protruded; often cold sweat on the forehead, face and chest; with palpitation of the heart or arteries, and the pulse is irregulai-, quick or inter- mittent. These paroxysms last from a few hours to as many days, and recur again in a few days or weeks, leaving the patient comparatively free in the interval. It is com- mon to divide the disease into two varieties, — the dry and moist asthma. In the first the attacks are more sudden, and cough short, dry, with little expectoration, even towards its close; while in the latter, the attack is more gradual and the cough severe, and the expectoration becomes copious, as relief is afforded. The disease arises from irritation of the nerves of respi- ration resulting in most cases from deranged digestion, from the intimate nervous connection existing between the SiS HOMEOPATHIC MENTOB. digestive and the respiratory organs; it may also he pro- duced by changes of the atmosphere, or by introduction of some poisonous but subtile material floating in the atmo- sphere, and brought by inspiration into contact with the re- spiratory surface, such as the minute particles, or the mere odor, which passes off from powdered ipecacuanha or hay, the vapor of sulphur, sulphurous acid gas, or chlorine. Asthma is often associated with the gouty or rheumatic dia- thesis. Excessive exertion and mental emotion frequently bring on a paroxysm. After it has once occurred, Asthma is easUy reproduced in indigestion, especially after late dinners or suppers. A frequent repetition of the fits leads to a dilated state of the air-passages and air-cells of the lungs (Emphysema), dilation of the right cavities of the heart, and the general displacement of that organ which uniformly exists in persons who have long suffered from this disease. The disease may also be hereditary. Treatment. — Our success in curing this disease depends upon our ability to remove the morbid condition from whence it arises. In some cases, the Specifics directed will perfectly meet the indication, and so a permanent cure will be effected. In others it may be in its nature incurable, and in these cases we are only able to palliate the disease, or fundamental condition, and to relieve the attacks when they recur. During the interval, and to prevent a recurrence of the attack, take six pellets of the Specific No. Twenty- One at night, and six of No. Seven each morning, unless some particular demand be made for some other medicine, foi some other symptom or indication. During the paroxysm, dissolve twelve pellets of Specific No. Twenty- One in six spoonsful of water, and of these give one every hour, and BO continue until the paroxysm has abated, gradually prO' longing the intervals as the amendment progresses. If there is palpitation, or violent beating of the heart, DISEASE AND TREATMENT. — DISEASES OF THE AJE PASSAGES. 317 you njay give in alternation with No. Twenty-One, the Speoifio No. Thirty-Two. Sometimes very violent paroxysms have been relieved by Speoifio No. 8ix, given in like manner. Children require only half the above doses. Accessory Means. — During a fit, striking relief may often be obtained by putting the feet and hands into hot water. A.t the same time, ventilation must not be neglected; the windows should be regularly thrown wide open to renew the air of the apartment. Preventive Measures. — Persons predisposed to Asthma should strictly avoid aU. its exciting causes, especially indi- gestible food and heavy suppers; wet feet, damp clothes, and sudden changes of temperature. The inclination to stooping should be corrected, and the shape and capacity of the chest improved by a systematic course of drilling. The "plan of dietary" sketched in the first portion of this volume should be adhered to; for the slightest disorder of the stomach may occasion an attack. Pastry, highly-sea- soned dishes, too great a variety or too great a quantity at one meal, coffee, and heating beverages, should be avoided. "More is to be done for asthmatic patients on the side of the stomach than in any other direction." In some cases the diet should be weighed, the hours of meals fixed, and rigidly adhered to. An important point is to take the last solid meal at such an hour as shall aUow time for its com- plete digestion before retiring to bed. Although suppers are generally injurious, a cup of bread-and-milk or a small sandwich is acceptable in the evening, and is by no means hurtful to an asthmatic patient desiring food at that time. The Shower-bath is a valuable and poient agent to fortify the body against Asthma ; the sudden application of water strengthens the whole system, and renders the body less sensitive to atmospheric changes. Out-of-door exercise, walking or riding, is also useful; but it should not be taken 318 • HOMEOPATHIC MENTOR. ■within one or two hours after a meal, or to such an extent as to occasion fatigue. H.MM.0TTYS1S.— {Pulmonary Hemorrhage— Bleeding from the Lungs). This is always a very grave affection, sometimes very dangerous indeed. Not more so from what it is in itself than from the condition of the pulmonary tissue which it indicates. The bleeding may arise from one of several con- ditions: Thus, it may arise as a mere exudation from the mucus surface of the lungs, bronchi or throat; or from congestion or engorgement and overfilling of the vessels and substance of the lungs; or it may arise from a rupture of one or more important, or of numerous minute, blood- vessels in the substance of the lungs. Thus, in any case, it points to a morbid and more or less critical condition of the pulmonary organs. The first and second forms mentioned are generally curable, and the cure of the last depends upon our ability to control or cure the general disease. All blood thrown from the mouth is not necessarily from the lungs. Sometimes it comes from the stomach, but in this case it is vomited up — comes up with retching and nausea, in quan- tities, and is of dark color; while if it comes from the lungs, it comes with coughing or "hehming," and is lighter colored, or bright red, or frothy, — comes with a hot or boiling sen- sation, or sense of effervescence in the chest, the patient often knowing just where it comes from, and it is generally attended with great sinking and prostration of strength. Bleeding from the lungs sometimes comes on as the vica- rious effect of a suppression of the menses, or other dis- charge, and is cured with the restoration of the suppressed function. It occasionally occurs in stout, fuU-blooded, ple- thoric individuals, and is of less consequence than when it occurs in spare, meagre, consumptive individuals. DBEASE AND TEEATMENT. DISEASES OF THE AJR PASSAGES. 819 Treatment. — ^When a liemorrliage occurs, it is all impor- tant that the patient and all the attendants should be calm and discreet, not rash or hasty. Noise, haste and fright are the most dangerous auxiliaries of the accident, while com- posure and presence of mind are half the battle. The patient should be placed as quietly as possible in a half-sitting or reclining position, and be perfectly at rest, "without speaking or being spoken to, having his wants anticipated if possible. Supply the patient with cloths or a vessel, so he may discharge the blood from the mouth, ■without effort of the bodj'. If a good Homeopathic phy- eician is at hand, let him be sent for. If you have Humphbeys' Marvel op Heaxing, get it at once, and put a large spoonful into a common drinking glass, half full of water, and of this give a dessert spoonful every five, ten or fifteen minutes, according to the effects being careful to prolong the intervals to half an hour, one or two hours, in proportion as the bleeding is arrested. It •will act very promptly if the blood is a little dark, not bright red. If you have not the Marvel or Witch Hazel, use a tablespoonful of common salt, with the same quantity of water, and give in the same manner. If the hlood is more red and frothy, and especially with young, plethoric individuals, put twenty pellets of the Spe^ ciFics No. One in the quantity of water mentioned above, and give a dessert spoonful at the intervals above mentioned, in alternation with the Marvel. These remedies will very generally arrest the hemorrhage, yet the patient should, foi i some days, be exceedingly careful to avoid effort, coughing, exertion, or exposure, to prevent a recurrence of the attack. To prevent fever, or an inflammatory condition of the lungs, after hemorrhage, or the development of consumption, give the Specifics No. One and No. Seven, six pellets every three hours, in alternation, gradually prolonging the inter- vals, until they are taken only four times in the day, before 320 HOMEOPATHIC MENTOR. each meal and on going to rest at night, which may be con- tinued until the health is restored. When, after a hemorrhage from the lungs, a soreness in the chest or any part of it remains, wet a napkin or smaller thin cloth, large enough to cover the chest or affected place, in Maevel or Healing, and lay this on over the part, cover- ing it again well with a dry flannel, which may be con- tinued over night, or even be worn with advantage through the day. PHTHISIS 'PTJLM.O'NAIAS. — {Pulmonary Consumption). Consumption is a wasting constitutional disease, in which the lungs are destroyed by the degeneration of morbid pro- ducts, or deposits — tubercles, pneumonia, exudation, etc., and consequent ulceration. The term tubercular disease, tuberculosis and phtihsis are synonymous. It is one of the most frequent and fatal diseases to which the human family are subject; prevailing in aU countries and in all climates, and among all classes, the poor and iU-cared for, as well as the rich. It is, also, doubtless less in some countries and climates than others, but none has yet been found which is exempt from it. So of classes and conditions of society. None have been found among whom the disease is a stranger. The most nearly exempt are those famiUes who for years have exclusively used appropriate and pro- perly prepared (potentised) Homeopathic medicines. For I think it demonstrable, that proper Homeopathic medi- cation tends to destroy and eliminate from the system the tuberculous diathesis, which is the foundation of this disease. True, consumption may come from numerous morbid conditions, which, by exhausting or debilitatiag the system, produce that condition of innervation, or vital prostration, during which only tubercles are deposited; so that these diseases or conditions have been only the etepp- DISEASE AND TREATMENT. — DI&EASES Ot TSE AIR PASSAGES. 3^1 ing stone to the tuberculous deposit and consumption itself. This disease may approach in several different ways, some of which we will indicate. It is most common among sub- jects from seventeen to twenty-five years of age. It is per- ceptibly lessened at thirty-five, and over fifty quite unusual. In the more insidious form, the patient may be noticed to have a little ess vi or and energy than usual; to have" less of flesh or embonpoint; lips and cheeks a little paler than usual; complains of being out of breath on exercise, or has even a slight tightness on breathing; has a persistently accelerated pulse — ranging from 90 — 120 or higher; * has a little dry cough or a hack, as it is called, and may raise a little frothy m-jcus. These symptoms may go on for months, . without attracting particular attention, or pass off al- together, and then recur again. If not arrested, the cough gradually grows more frequent, dry, irritating, troubling the patient, especially at night; the loss of flesh becomes more manifest,** while the appetite may be yet fair, or only capri- cious ; gradually there is some chilliness in the morning hours, and some heat towards evening;*** the cheeks are more pale. * A persistent rapidity of the pulse, ranging from 90 to 120, or higher, is an invariable symptom of active Phthisis. The pulse is especially liable to become quicker towards evening; and, as the disease advances, more rapid and also feebler. It is rarely under 100, and maj run up from this to 140, or till it is impossible to b» reckoned; and there is no more disastrous symptom. ** Slow and gradual emaciation — "the grain-by-grain decay" — is far more indicative of Phthisis than a rapid or irregular diminution of weight; and emaciation is more marked, and also more dangerous, in individuals who have been previously stout. To detect the con- tinuously progressive emaciation, it is necessary to have patients accurately weighed from time to time. By this means we are also able to judge of the proportion of the weight of a patient to his height, age, breathing, and other functions. *** Tbmpeeatube. — The value of the thermometer in the diagnosis of Phthisis will be recognised by the fact that during the growth of tu- bercle in the lungs, or in any organ of the body, the temperature of the patient is raised from 98" Fahr., the normal temperature, to 102° or 103°, or even 104°, the temperature increasing in proportion to the rapidity of tubercular growth. The sign may occasionally be detected 322 HOMEOPATHIC MENTOR. and the fingers more attenuated, and the ends of the nails somewhat hooked;* by degrees the cough becomes more frequent, expectoration more abundant, white, frothy and streaked with yellow, and may be saltish or sweetish to the taste; chills now become more decided, recurring every day, usually in the morning, with heat, and circumscribed red- ness of cheeks every afternoon; the bowels, until now con^ fined, become loose, with frequent stools; sweat comes on at night, at first around the neck and chest, greasy or sticky, and gradually over the entire person; the cough, ex- pectoration and emaciation progress more and more; the feet and legs swell; the mind wanders, and death gradually closes the scene. In very many or most cases consumption comes on as the sequel to other diseases. These being imperfectly cured, leave the system exhausted, and tubercles are deposited, which beginning to soften, produce irritation, cough, pain in the chest or side, quick pulse, hectic fever, emaciation, night sweats, diarrhoea, expectoration of pus, or yellow, heavy, thick, adhesive mucus, and all the usual symptoms attending the advanced stage of the disease. Wcmeis, after confinement, not unfrequently run into consumption after this fashion. Yet, on looking back over the history of the case, it wiU be found that there had existed previously, some cough, pain in the side, or oppression of the chest, emaciation or debility, which was in fact the premonitory stage of the disease, and which was suspended for a time. ■everal weeks before reduced weight or other signs indicate the un- doubted existence of tubercle and, in the absence of other signs pe- culiar to the disease, will determine the diagnosis of Consumption from Chlorosis, or from Heart-disease. * It is due to the reader to state that this supposed symptom of Phthisis is now believed to be simply one of emaciation, having no value whatever as a sign of tubercles, but occurs more or less m emaciation from any cause. BKEASS: AM) TEEATilENT. — ^DISEASES OF OBE AIE PASSAGES. 323 and only warmed into vigor by the debility occasioned by the new attack of disease. In some subjects, especially those in early life and of peculiar temperaments, the disease runs so rapid a course, as to have secured the name of "galloping consumption." This is especially so with persons of scrofulous habit, viz: Thin, light skin, fair hair, long teeth, waxen complexion, taU stature, or with thin chest and pointed shoulders, and enlarged glands beneath the cheek or along the sides of the neck. Not unfrequently in such individuals, with few or no premonitions, beyond a slight cough and some degree of debility and weakness, a slight or severe hemorrhage from the lungs occurs, by which the strength of the patient is cut down at once; and in comparatively few days, cough, expec- toration and hectic fever set in, and the patient runs along the course of the consumption with rapid strides. Advanced cases of consumption are easily recognized; the earlier stages; the incipient beginnings are readily over- looked, and, but too frequently, grave mischief has been done before the patient or friends have been aware of danger. But whenever a person has some slight or severe cough, which does not pass off readily, some shortness or tightness of breath, or pain in the chest or side, and above all, if she is feeble, easily fatigued and emaciated, or losing flesh, it is better to give ourselves the advantage of the doubt, and at once apply the remedies and means for a cure, rather than wait the farther development of the disease. Causes. — Pneumonia, capillary bronchitis, haemoptysis, hypersemia of the lungs, the irritation of foreign bodies — tubercles, coal, iron or slate dust, etc. Also hereditary taint, contagion, dampness of soil, and "the impoverished nutrition resulting from impure air, and an improper quan- tity, quality, or assimilation of food; and so long as misery and poverty exiafc en the one hand, or dissipation and 324 HOMEOPATHIC MENTOR. enervating luxuries on the other, so long will the causes be in operation which induce this terrible disease " (Bennett). Duration. — The average may be said to be from nine months to two years; but in acute cases, the disease ad- vances rapidly through the entire substance of both lungs, and it may prove fatal in two or three months, or even in as many weeks. The Cueability of consumption is a mooted question, and one upon which popular impression and medical testimony are at variance. But the moderate view of the cure is this: That aU cases of incipient or undeveloped consumption are easily curable, by proper remedies and appropriate sur- roundings. That cases in the second stage have a fair chance of recovery; while in the more advanced cases the recoveries are only rare. Treatment. — As the earliest and perhaps most striking symptom is the cough, all that has been said in the chapter, upon that subject, is applicable here. In the earlier stages of the disease, the Specific No. Seven is the appropriate remedy. But should there be fever, or some heat of sur- face on the palms of the hands, or some pain or soreness in the chest or sides, the Specifics No. One may be given in alternation with it, at intervals of two or three hours, six pellets at a time. Should the case have made considerable progress, with hard, racking cough, considerable expecto- ration and some emaciation, and especially in scrofulous subjects, the Specifics No. Thirty- Five and No. Seven should be given in alternation, at intervals of three or four hours. If the patient is confined to the house or room, the medi- cine had best be given in solution, in the proportion of six . pellets in a spoonful of water, of which a spoonful should be given at a time. But if the patient is yet around, the pellets may be taken dry, six at a time. In the treatment of this disease, too much stress cannoi DISEASE AND TREATMENT. DISEASES OF THE AIE PASSAGES. 325 be laid upon the diet, habits and surroundings of the patient; as the disease is essentially one of debUity, affect- ing not only his nutrition, but also the revivification of the blood, by the atmospheric air, it is all important, in the process of cure, that these two indications be fully met. Hence the patient should have a diet the most nourishing and easUy digested possible, such as cream, milk if it agrees; good bread, not too new; good fresh butter; pudd- ings of Indian wheat, rye, oatmeal or rice; all succulent and ripe fruits in their season, unless they produce diarrhoea. Use meat and meat soups, without spices; in moderation; beef, mutton, poultry, venison, game, small birds. For beverage, cold water, cocoa, black tea, and some good, light, native or pure foreign wine, once or twice per day. In cases where good wine cannot be had, good whisky is to be recommended, in portions from a dessert spoonful to a wineglass. Oft-repeated experience proves that the use of stimulants in the treatment of consumption is indispen- sable, and I have succeeded in curing many patients by this procedure, who, I am satisfied, could otherwise never have been saved. The quantity commenced with should be small, and may be increased as the appetite, strength, and tone of the system improves. The apartment of the patient should be high, dry, large and airy, and the temperature in winter or rough weather kept as uniform as possible, or at least, free from extremee, and he should have all the out-door air possible. If the patient is sufficiently vigorous, walking and horseback exer- cises are best; but in general, daily or constant rides in carriage are the preferable modes, and of these, in good weather, the patient can scarcely have too much up to the point of fatigue. Changes of location whether South or North, inland or seaward, are always beneficial, provided we do not leave home comforts for the vexations and expo- sures almost necessarily incident to travel. Diseases of the Circulatory System. ANGINA FEGTOBIS.— {Breast-Pang). This consists of sudden, severe paroxj'sms of pain, or spasm, of an enfeebled or diseased heart, with a constricted, burning sensation, and intense anxiety, chiefly occurring in persons past the middle of age. It is also most common among literary men, or those subject to long continued mental effort, anxiety or disquietude. It is not always manifested in the same manner or with the same symptoms. The first attack most commonly comes on during walking, or some severe effort; but afterwards the most trivial exer- cise, excitement, or mental effort., or even indigestible food, will produce them; and they finally come on suddenly with- out any assignable cause, and even while in bed and asleep. The pains are, in most instances, severe and sometimes ex- cruciating, at first confined to the chest, but afterwards ex- tending to the shoulders, and sometimes along both the upper extremities. These paroxysms fi-equently terminate in a few minutes, leaving the patient comparatively free, and return again at uncertain intervals; whUe in other cases, they last some hours, or indeed, rarely leave the patient free from severe pain. In severe cases, the suffer- ing is extreme; the face pale and haggard, with an ex- pression of extreme anguish; the eyes sunken; nose pointed; surface cold, and even cold clammy sweats; respiration diffi- cult and rapid; palpitation or intermitting pulsation of the DISEASE AKD TREATMENT. — DIS. OF THE CIECUIATOBY SYSTEM. 327 heart; anxiety or feeling of approaching death; the pulse may -be quick, strong and irregular, with hot skin and flushed face, but is most frequently slow, feeble, oppressed and remittent. Sometimes the attack passes off, leaving no trace, but commonly soreness about the chest remains for quite a period, and the digestion is more or less impaired. The duration and result of the disease are uncertain, and the pathological conditions upon which it is founded, vary in different cases. Tbeatment. — ^Por stout, plethoric, full-fed persons, the Specifio No. One is most ef&cient, and should be resorted to at once, and may be given, dissolved in a spoonful of water, in doses of six pellets, repeated every half hour, or even every ten minutes, if the suffering is severe. Should the patient not be relieved after an hour, give the Specific No. Thirty-Two in the same manner, and repeat at intervals of half an hour until relief is afforded. For any remaining suffering, give the two Speoitics No. One and No. Tllirty-Two, in alternation, at intervals of one, two or three hours, according to the urgency of the case. To prevent a repetition of the attack, give the Specific No. Thirty- Two, six pellets at a dose, morning and night, either dry on the tongue or dissolved in water, as may be most convenient. CARDITIS — ENDOCAEDITIS — PERICARDITIS.— {In- flammation of the substance of. the heart; inflammation of the lining membrane of the heart; and inflammation of the inventing membrane of the heart). The non-professional reader would be unable to dis- tinguish the differences between these three forms of disease, and would find it impossible to base a treatment upon them. He can at best only expect to ascertain that some portion of the heart is the subject of disease, and to apply general 328 HOMEOPATHIC MENTOR. remedies adapted for its cure in the absence of competent medical aid. In some cases the symptoms are, at least for a time, masked and insidious, and in others more decided and marked; but in general we may conclude that some form of inflammatory disease of the heart exists, from the presence of the following symptoms: — Sharp, burning, prickling or darting pains in the region of the heart, attended with fever, and shooting to the left shoulder and shoulder blade; frequently along the arm. They are aggravated by deep inspiration, and are increased by pressure on the spaces between the ribs in the region of the heart. The patient cannot lie on the left side, but finds the position easiest on the back; breathing is rapid, irregu- lar and laborious, especially on movement; a feeling of con- traction, restlessness, anxiety and frequent faintness. The pulse is accelerated; at times hard, full and vibratory; then again, feeble, irregular or intermittent; while if the ear is applied to the region of the heart, its action wUl be found to be tremulous and violent; sometimes again it is found to be muffled, veiled and indistinct, indicating an effusion of lymph within the pericardium or investing membrane of the heart. Sometimes the sounds seem double, prolonged, rough, or even blowing or grating, from defective action of the valves. In all cases, the impulse of the heart against the walls of the chest will be found more violent than in health. If extensive effusion has taken place around the heart, the extremities wiU generally become oedematous or enlarged. Treatment, — So far as it can be conducted without com- petent professional aid, consists in the Specifics No. One and No. Thirty-Two. They should be given alternately, dissolved in water, twelve pellets in six large spoonsful, of which give a spoonful, at intervals of from one to three hours, according to the urgency of the symptoms. After the more immediate attack has passed, the Specitig Na DISEASE AND TBEATMENT. — DIS. OF THE CIEOtJLATOEY SYSTEM. 329 Thirty-Two should be continued for some time, repeated four times per day, to remove and correct any remaining morbid action. In case of effusion within the pericardium, indicated by oedema of the extremities or predominant suffocative sen- sation, the Specitio No. Twenty- Five may be given with advantage, repeated every two hours, six pellets in water. PALPITATION, AND lEEEGULAEITY OF THE ACTION OP THE HEAET. In health, we are scarcely sensible of the heart's beat; the perfection of action, therefore, is indicated by entire un- consciousness that such action exists at all. When, how- ever, the pulsations of the heart become much increased in force or frequency, or both, the unpleasant sensation known as "Palpitation" is experienced. Palpitation is evidence of a want of balance between the blood to be driven and the power of the heart to drive it. It is not, then, evidence of excessive power, but that the muscular power has been taxed and found unequal to the demand. "It is laboriousness, not excessive power, that is indicated by Palpitation" {Father gill). We infer Palpitation to be caused by functional disorder, (as of Indigestion) when it occurs only occasionally, and when the action of the heart is uniform during the inter- nals. It is often observed, that patients with serious or- ganic disease of the heart rarely suspect anything radically wrong untU the disease has made considerable advances; whUe patients with mere functional disorder of that organ frequently entertain the gravest apprehension. Most cases of Palpitation are from functional disorder and not from structural disease, and are consequently quite curable. Causes. — Predisposing. — A nervous temperament; Hy- steria; a full habit; and disease of the heart. Exciting. — 330 HOMEOPATHIC MENTOR. Excess! v^e joy, grief, fear, and other mental emotions; severe or prolonged exertions; profuse discharges; menstrual de- rangements; a disordered — especially an overloaded — • stomach; flatulence, etc. Whenever the heart is acting under disadvantageous circumstances. Palpitation is never long absent. Thus any cause, (such as too full a meal; or pregnancy, during the later months) which, by pressure on the diaphragm, diminishes the space for the heart and im- pedes its beat, places the heart at a disadvantage, and Palpi- tation takes the place of the normal quiet contraction. The excessive use of tea is one of the common causes of irregu- larities of the heart's action in weak or nervous women; in some persons Palpitation follows tobacco-smoking, as it may also result from the administration of other deleterious agents. In such cases, of course, a cure can only be ex- pected after the discontinuance of the noxious substance- There are also other eases in which it depends upon organic changes in the structure of the heart itseK, its valvular apparatus, or the large vessels immediately connected with it, and where the use of medicine can have but a subordi- nate effect in relieving it. Table of the Chief DiFFEEENCiSS between Organic and Functional Diseases of the Heaet. Okganic. — Palpitation usually comes on slowly and insidiously; though more marked at one time than another, is constant; elicits in- creased extent and degree of dulness in the region of the heart; lAvidity of the lips and cheeks, congested countenance, and dropsy of the lower extremities, are often present. The action of the heart is not necessarily quickened. Palpitation often not much complained of by the patient, but occasionally attended with severe pain extending to the left shoulder and arm (see "Angina Pectoris"); is increased by exercise, stimulants, and tonics, but reheved by rest. Is more common in the male than the female. Fottctionai,.— Palpitation generally sets in suddenly; is not constant, having perfect intermissions, dulness in the region of ihe heart is not extended beyond the natural limits; no lividity of the lips and cheeks, countenance often chlorotic, and, except in extreme cases, there is no dropsy. The action of the heart is generally quickened. Palpitation much complained of by the patient, often with paiK m the left side; is increased by rjedentary occupations, but relieved by moderate exercise. Is more common in the female than the male. DISEASE AND TREATMENT. — DIS. OF THE CIECULATOET SYSTEM. 331 Treatment. — ^In general, a dose of six pellats of Specitio No. One, repeated every hour, if need be, speedily removes it. Should the. No. One fail, the Specific No. Thirty- Two may be resorted to in like manner, and will rarely fail to afford relief. Should the palpitation arise from in- digestion, that complaint being relieved by Specific No. Ten, the palpitation or irregular action of the heart wiU cease, or may be speedily controlled by the No. Tiiirty- Two. When it arises in connection with scanty, delayed or interrupted menses, the Specific No. Eleven, six pellets, four times per day, wiU relieve. Accessory Meastees. — The patient must avoid mentai excitement, stimulants, coffee, sleeping-draughts, indi- gestible food, etc. Pure air; cola water, used internally and externally; regular, moderate exercise in the open air, short of inducing fatigue; a contented and tranquil dis- position, with light and nourishing diet, are excellent auxiliaries in the treatment of this affection. CHRONIC DISEASE OF THE HEART. There are various organic (or structural) alterations of the heart or some portions of it, or of its complicated appa- ratus, (such as enlargements in various directions, thicken- ing or thinning of its walls, defects of its valvular structure, aneurism or dilatation of its larger vessels, etc.), aU of which give rise to various symptoms and inconveniences, and are more or less critical, according to the nature of the case. With some of these cardiac changes, the patient hves on for years and with ease, and scarcely suffers more than incon- venience; while others have a constant sense of oppression, shortness of breath at exercise, mounting stairs or mental emotion, constant palpitation or labored action of the heart, difficulty in lying with the head low ; and, not unfrequently, pain in the region of the heart or chest, or along the left 9xm, 332 HOMEOPATHIC MENTOB. It would be impracticable here to describe these various cases and the treatment appropriate to each, and such had best be submitted to competent medical examination. But in the absence of a good Homeopathic physician, the patient may take with great relief and often with permanent ad- vantage, the Specific No. Thirty-Two, six pellets at n time, and may repeat them two, three or more times per day, according to the urgency of the case. Often, under such treatment, very grave diseases of the heart are wonder- fully modified and controlled. VAEICOSE YBINS. Frequently, the veins, especially of the lower extremities, become enlarged, knotted, dark-blue, or purple, sometimes the size of the finger or larger, and are termed varicose ^}e^ns. They are very apt to occur in women during preg- nancy, and in men of hemorrhoidal or venous habit of body, and especially in those who are obliged to stand much. The varicose veins are generally painless, but sometimes are attended with burning, shooting or stinging pains, and at times terminate in indolent, obstinate ulcers. Occasionally they occasion general dropsical swelling of the limbs. Tbeatmbnt. — ^If the varices are not specially troublesome, bathing them at night with the Maevel of Healing will aUay any pain or irritation, and the Specific No. Thirty- Two, six pellets, may be taken morning and night. For their radical cure and removal, an elastic stocking should be worn from the arch of the foot well up over the enlarged veins, and each morning and night the part should be bathed in the Mabvbl of Healing; or, yet better, a cloth wet with the same and laid on over the enlarged veins, and the stocking turned over that, and so worn, while the medicine above directed may be taken internally. This course will promptly relieve and ultimately restore even the most formidable cases. Diseases of the Alimentary Track, SOBE THEOAT. Simple soreness, or swelling of the throat, uncomplicated by ulceration, or quinsy. Cause. — Catarrh; the sore throat being a simple extension of the catarrhal affection. This disease should not be neglected, as it is apt, in some persons, to degenerate into more troublesome forms. Teeatment. — See Tonsillitis. TONSILLITIS.— ( Quinsy). This disease is an acute inflammation of the tonsil or tonsils and adjoining mucous membrane of the throat, and quite common, some persons being subject to it from the slightest provocation or exposure. It usually commences with a feeling of tightness or constriction, or a sensation of a lump or plug in the throat, and some soreness, parti- cularly in the act of swallowing; as the disease progresses, swallowing becomes more painful and difficult; the root of the tongue, the tonsils, the curtains of the palate, and ad- joining soft parts, become swelled, red and .painful. There is considerable thirst, fever, pulse quick and strong; the tongue becomes coated and breath offensive; heat of sur- face, red cheeks; eyes sometimes inflamed; headache, and even delirium. Sometimes the throat is so swelled that swallowing becomes almost impossible, the fluid returning 334 HOMEOPATHIC MENTOR. through the nose, and the throat, where it can be seen, is the seat of more or less extensive ulceration. In some cases this is superficial, and confined to slight suppuration of the tonsils; in others abscesses are formed in the tonsil, and the discharge, when it occurs, is quite extensive. If taken in time and properly treated, the disease disappears by resolution, otherwise it yields only when the abscess breaks. It more commonly affects only one side or one tonsil, sometimes passing over to the other, and is more serious when both are involved, Though not generally dangerous, it is in some cases, and in particular epidemics, liable to assume a putrid character with typhoid symptoms, and is then a serious malady. Chronic Enlaegement or the Tonsils. — Eopeated attacks of acute Inflammation, or partially-cured attacks, are followed by chronic enlargement and induration, causing difficult swallowing; hoarse voice, noisy and laborious breathing, especially during sleep; affections of the ears, arising from an extension of the disease along the mucous membrane; and extreme liability, from slight causes, to a frequent recurrence of acute inflammation. Excision of these enlarged tonsils, though often practiced, is not to be recommended, unless in very extreme cases where the ton- sils have become so large and hard, that the inconvenience or suffering from them wiU not admit of further delay. But, generally, persistent Homeopathic medication wiU re- duce them. Caitses. — The predisposing are — scrofulous constitution, abuse of mercury, [disorders of the digestive organs, and previous attacks of Quinsy. The exciting are — atmospheric changes, wet feet, etc. Quinsy is most frequent in ple- thoric persons, between fourteen and twenty, and is liable to recur for several years, unless preventive means are adopted. Treatment. — At the commencement, when there ia con- DISEASE AND TEEATMENT.— DIS. OF THE ALIMENTAEV TRACK. 335 siderable heat, fever and pain on swallowing, the Specitio No. One, two pellets, should be given every hour, in a spoonful of water, for two or three times, and then the Specd'ic No. Thirty-rour should be prepared in the same manner, twelve peRets in six spoonsful of water, and one spoonful be given every hour from the two medicines,' in alternation, and so continued until the disease yields; only as the amendment progresses, the intervals between the doses may be prolonged to two hours, and finally to three or more. When there is simple soreness of the throat and pain on swallowing, without fever, the Specitio No. Tllirty-Four may be used from the first, and exclusively. In some cases, where the disease may have gone on to suppuration, and the discharge has taken place, and the pain and difficulty of swallowing diminished, only the td- cerative process is slow to heal, the Specifics No. Twenty- Two and Twenty -Three may be given in alternation, in doses of six pellets, four times per day, until entire res- toration. In Chbonic Enlaegement of the tonsils, especially of child- ren. Specific No. TUirty-Five, six pellets each morning, and No- Thirty-Fomr before dinner, supper and on going to bed, will, in reasonable time, remove the difficulty. Sometimes, in old cases, we give No. Thirty- Five in the morning, and No. Twenty-Two, at night, six pellets at a dose. AccESSOEY Means. — The constant sucking of ice during the commencement of an acute attack, moderates the heat and pain, and checks the secretion of mucus, which gives rise to disagreeable and painful efforts to detach. In severe cases ice may be employed in this manner till the disease has abated. When ice is not procurable, or admissible, the next most effectual local application is the steam of hot water, and equally so whether the object be to bring about resolution or to facilitate the suppurative process. It acts 336 HOMEOPATHIO MENTOR. as a fomentation, and removes the mucus from the crypta and follicles of the tonsils. In some cases a warm milk-and-water gargle, frequently used, wiU be found useful and soothing; or, in severe attacks, a hot poultice may be applied across the tluroat, extending nearly to each ear; in mild attacks, the throat* compress may be used. The patient should remain indoors, and in bad cases in bed. The air of the patient's apartment should be maintained at a temperature of about 65° or 70°, and be kept moist by the evaporation of hot water from shallow dishes near the bed; but proper ventilation should also be preserved. EELAXED JJVULA.— {Dropped PaMe). This is a very common and trifling complaint; yet suffi- ciently annoying to deserve notice in a work of this kind. It proceeds generally from a relaxation of the tissues of the throat and pharynx, dependant on some digestive Irre- gularity; and is easily remedied by the use of Specifio No. Thirty-Four, three or four times a day, six pellets at a PUTRID OR MALIGNAJSTT SOKE THROAT. Generally a* 'ears as an epidemic, often as an accom- paniment to the malignant scarlet fever. It is not often seen isolated, yet some cases of quinsy may assume some of its features. It usually commences with shivering-, followed by heat; and, from the first, there is decided languor and prostration; some opprension in breathing; nausea, and often, repeated vomiting and sometimes purging; eyes inflamed and watery; cheeks deep red color; tonsils become inflamed, throat bright reel color and mv. swelled,: tiin- acrid disch^^Mt DISEASE AND TREATMENT. — DI8. OF THE ALIMENTARY TRACK. 337 from the tonsils and throat, which excoriates the nose and lips; pulse weak, small and irregular, and scarcely percep- tible; tongue white and moist, and swallowing very difficult. This condition soon changes, and ulcerations, varying in size and situation, appear upon the tonsils and surrounding soft parts, which, on inspection, are seen to be swollen and livid. These ulcerations may extend over the curtains of the palate and forward into the posterior portion of the mouth, or back down into the windpipe, and assume a sloughing or decomposed appearance as they increase "in magnitude. The prostration of strength becomes more de- cided; the lips and teeth are covered with sordes or blackish incrustations; the breath becomes very offensive; there is more or less delirium; the countenance becomes sunken and there is some purging. Sometimes the entire neck be- comes swelled and livid, and in some very severe cases livid spots or petechioB make their appearance on the surface of the body. Extreme prostration, bleedings from the nose and mouth, and weak, fluttering, intermittent pulse, mark the extreme violence and dangerous character of the disease. When, about the third or fourth day a gentle perspiration breaks out, and the sloughs are thrown off so as to leave a clean, healthy surface upon the ulcers in the throat, and the countenance brightens up, and the respiration and pulse become more natural, a favorable termination may be anti- cipated. Treatment. — ^The Specietcs No. One and No. Thirty- Four should be given from the commencement and con- tinued through the entire course of the disease. They may be given in alternation, a spoonful every hour, and during the height of the disease, every half hour. Dissolve twelve pellets of each Specihc in six gpoonsfid of water, in separate glasses, and give to children a teaspoon- ful, and to adults a tablespoonful of the fluicJ in alternation, at the intervals above mentioned, "^vd- so coSitinue, only g38 HOMEOPATHIC MENtOR. omitting wlieii the patient is quietly sleeping, and pro- longing the intervals between the doses as the patient im- proTes. Diet and Eegimen. — Earely can patients suffering from this disease take much food of any description, and only that which has been divested of its rough or harsh particles can be allowed, such as milk, rice-water, soft-boiled rice, toast-water, arrow root, farina, gum-water, corn-starch or thin flour gruel. When the mouth and lips become dry, or the sloughs dry and hard, they should be frequently and carefully moist iued with warm milk and water. Care should be taken, when the patient begins to recover, that the stomach is not overloaded, lest painful after-diseases may be provoked. Hence, begin moderately with rice, toast, black tea, cocoa, baked or stewed apples, milk-toast, and light soups, and only very gradually return to a more sub- stantial diet. DIPHTHERIA. This disease has of late years made terrible ravages in certain portions of the United States, and has come to be regarded as a much dreaded visitation. It is not a new disease, but has latterly attracted more attention, and probably assumed a more malignant and fatal form than in previous years. It is a specific and contagious disease, and sometimes the same influences that excite its attack in one member of a family are likely to produce it in others, or to invite its approach; and the exciting causes of its attack are more potent in its immediate presence than at a distance It is a blood-disease with distinctive local symptoms, result- ing generally from bad drainage, or poison of sewer-gas and hence may involve a given locality, or at times be- come epidemic. It is characterized by an exudation of lymph on the lining of the mouth, fauces, and upper part of DISEASE AND XEEATMENT. — DIS. OP THE ALlMENlAEt QfEACK. 339 the air-passages, or, occasionally, on an abraded portion of the skin, attended with great general prostration and some- times remarkable nervous phenomena. Sometimes Diph- theria is a light and easily-managed disease, whUe at others it is terribly fatal and runs its desolating course, paying but little attention to the best medical means devised for its arrest. Hence, every head of a family should be able to recognize its earlier symptoms and in an emergency to apply the most approved medicines for its cure. But it is one of these diseases which should rarely be entrusted to the care of even intelligent laymen, in an emergency, or in the absence of a competent Homeopathic physician. In aU severe cases, as soon as the nature of the disease is knovm it should be handed over to the most skUlful medical atten- dance, and his directions followed with fidelity. Diphtheria generally prevails among children and young people; adults being less liable to attack. Its earlier symp- toms are like those of some other diseases, especially simulating mumps or scarlet fever. In the simple variety, happily the most common, the symptoms are at first so mild as to excite little complaint beyond slight dilficulty of swallowing, or pain in the throat, burning skin, pains in the Umbs, etc. The child is at first languid and uneasy, with a pulse quickened but not extremely full, and is rest less, without much appetite. These symptoms may con- tinue for some days without any appearance of inflammation of the throat or fauces. Malignant diphtheria is ushered in with severe fever, rigors, vomiting, or purging, sudden, great prostration and restlessness, anxious countenance, etc, pointing to some overwhelming disease, under which the system is laboring. The skin is hot, the face flushed, the throat sore, and the mucous membrane bright-red; the tonsils are swollen, and grey or white patches of deposit appear on them, small at first, but gradually enlarging, so that one patch merges into another, forming a false mem- 340 HOMEOPATHIC MENTOR. brane in the throat, rendering swallowing and even breath- ing difficult. Should the evacuations be examined at this period, the stools wiU be frequently found covered with mucus, and the urine loaded with albuminous matter; severe periodical pains in the limbs are also present. An exami- nation of the throat, which is in many instances a very diffi- cult matter, owing to the patient's inability to sufficiently open the mouth, will exhibit patches of membranous exu- dation quite small, often at first not larger than a split pea, whitish, or of a yellovdsh or tawny hiie, deposited mostly in the irregularities of tonsils, or in the arch of the palate or in both, and the tonsils are at times enormously swollen. Salivation, which may have commenced earlier in the progress of the disease, continues; the pulse is quick and the prostration of the system decided. If, under the in- fluence of the proper remedies, the disease is arrested and convalescence begins, it will be manifested by a sense of ease and quiet, refreshing slumber and free perspiration; diminution of the swollen glands; arrest of the membranous formation, and the gradual disappearance of that already existing; slower pulse and returning appetite. In some cases, as the disease progresses, there may be no farther increase of the exudation in the throat, but a watery fluid is discharged from the nose; the eye becomes brighter, and countenance anxious; the breathing is labored and rattling, and worse when the patient attempts to sleep; the voice is impaired; the exudation has increased and even reached the roof of the mouth, with increasing prostration. Such cases a*€ very severe, yet some from even this stage have recovered. As the disease progresses, the difficult, stridulous breath' ing increases, and a hollow, croupy, metallic, whistUng cough shows that the larynx is invaded. The discharge from the nose continues, and fluids taken into the mouth return by the nose. The cheeks have a pale, ashen hue, DISEASE AND TKEATMENT. DIS. OF THE ALIMENTAET TRACK. 341 and there are some mottled or slightly congested spots. Periodical and severe pains occur in the limbs; hemorrhage from the nose and mouth may be verj' troublesome; and new and large patches of the exudation may be found upon the fauces. The difficulty of respiration increases, the pa- tient grasps at the neck or clothing in the vain attempt to get air; the blueness of the face and surface increases, and death comes to close the scene. Or in some cases the swell- ing of the glands subside, the false membrane disappears from sight, and the patient sinks from the effects of con- stitutional poisoning, and ultimately dies with scarcely a sigh or a groan. There are several diseases which simulate and are liable to be mistaken for diphtheria, or indeed may appear in connection with it; or diphtheric symptoms may be mani- fested in other diseases to which we call attention. First, and perhaps most important among these is scarlet fever. Sometimes diphtheria is accompanied with a rash, and as it may appear during or at the close of an epidemic of scarlet fever, and so be the more liable to be confounded with that disease. But the two diseases may in general be recog- nized by observing that the attack of scarlet fever is more sudden and that of diphtheria is more insidious; that the early swelling of the glands of the neck in diphtheria is out of all proportion to the soreness of the throat, and also to the intense pain in the head, high fever and very frequent pulse, which characterize the worst forms of diphtheria. After some hours, the decisive symptoms of the false rnem- brane, like "wash-leather," in the throat, soft palate and uvula will leave no doubt of the character of the enemy we have to deal with. In membranous croup we have the same false membrane as in diphtheria, but in croup it commences in larynx and trachea, and only rarely ex- tends up into the throat and fauces, while from the first the croupy cough, difficult breathing, and absence of 342 HOMEOPATHIC MENTOB. swelling of the glands mark the disease as different from true diphtheria. The premonitory symptoms of mumps — chilliness, fever^ languor and want of appetite — are similar to those of diph- theria, and the swelling of the parotid and neighboring glands of the neck much the same. The characteristic distinction lies in the presence of the false membrane be- fore mentioned in the throat, and the hollow, barking, croupy cough, and difficult stridulous breathing, especially during sleep, and the extreme depression of strength, which mark true diphtheria. Treatment, — During the invasive stage, before the disease has been fully pronounced, it will of course be treated according to whatever symptoms should be most manifest, amonji, which the remedies for fefoer and for croup will be prominent. But if diphtheria is prevalent, or there is reason to suspect it in the case presented, the Specific for this disease. No. Thirty-Four, should be given, in water, two pellets at a time, and repeated every two hours, eithef alone or in alternation with Specific No. One, especially if there should be any chilliness, fever, or unusual heat of the system. During the prevalence of the disease, or when it has in- vaded a family, it is wise to administer two pellets of Spe- cmo No. Thirty- Four, four times per day, as a preven- tive, to all who may be liable to an attack. The outbreak of the disease may thus be prevented altogether, or at least greatly modified and lessened in its violence. "When the disease has manifested itself with some degree of fever, swelling of the neck or glands, sore throat, whether it may be simple, or complicated with scarlatina, commence at once with the Specifics No. One and No. Thirty- Four, and of these, two pellets should be administered in water every hour, in alternation. This course should be continued without variation or intermission except when the patient DISEASE AND TREATMENT. DIS. OF THE ALIMENTARY TRACK. 343 is in quiet sleep, wlieii the interval may be prolonged until ■waking affords opportunity for repeating the dose. The better mode is to dissolve tvsrelve pellets of each Specific in six dessert spoonsful of water, each in separate glasses, and of these administer in alternation as before directed. The Marvel of Healing may also be used as a gargle from time to time vyith great benefit. As the disease yields, the me- dicine may be given at rather longer intervals as the disease improves, and when the fever and heat has measurably dis- appeared, the .Specific No. Thirty- Four should only be given, administered as before in fluid, every hour. Accessory Treatment. — Warm Vapor. — The temperature of the room should be maintained at 68° Fahr., and the at- mosphere made moist by the steam from a kettle with a long spout constantly boiling on the fire. Such an atmo- sphere is easily secured by forming a tent with blankets over the bed, and then bringing a pipe to convey the steam under it. Warm baths, — are valuable accessories. The skin is hot and dry, the urine is often suppressed, the bowels confined, and thus the poison is retained in the system. Warm baths, and the free use of cold water as a beverage, often restore the functions of the skin, the bowels, and the bladder. Ice, — as recommended in Quinsy. Diet, etc. — ^From the very commencement of the disease the strength of the patient must be well sustained by nourishment, and he must be urged to swallow it in spite of the pain, which it occasions. Eggs beaten up in milk, or in brandy with water and sugar; beef-tea slightly thickened with rice or pearl-barley; arrowroot or sago, with port or sherry ; sudden, extreme prostration requires wine or brandy. Children who persistently refuse to swallow, must have nutritive injections in bad cases; such as the yolk of an egg beaten up with a tablespoonful of new milk, and two 344 HOMEOPATHIC MENTOB. teaspoonsful of fresh essence of rennet, or an ounce of ex« tract of beef with a scruple of pepsine. Injections (aboui: one ounce at a time) should be commenced, if necessary, immediately the true character of the disease is recognised, and repeated every two to four hours. CoMVALESOENCE. — Much cautiou and patience are requirei^ during convalescence, as relapses are prone to occur. Nou- rishing diet, rest, and change of air, are of great utility. Nothing does so much good as a thorough change of air. Pbeventive Measures. — The cesspools should be emptied, and if too smaU or defective, new ones built. The house, water-closets, and local drainage should be thoroughly ex- amined, and imperfections scrupulously rectified: also, if necessary, chloride of zinc or of Ume constantly kept there- in, and throvm down the drains. AU dust-holes and accumulations of refuse should be cleared away; while a plentiful supply of water should be kept in the house, and every room regularly well cleaned, whitewashed and thor- oughly ventilated. (See, also, Am, page 121; Wateb, page 125; Healthy dwellings, page 127.) PHARYNGITIS.— (i?eZaa;e«i Throal—Ulcercded Throat- Clergyman's Sore Throat). These affections are of a similar nature, and require similar treatment. Symptoms. — The patient first complains of an uneasy sen- sation in the upper part of the throat, with a frequent dis- position to swallow, as if something existed there which could thus be removed. If proper treatment be not adopted, the voice soon undergoes a change; it becomes feeble and hoarse, and sometimes, especially towards the evening, there is complete loss of voice. The patient complains of pain in the larynx, and makes frequent efforts to clear the thi'oat of phlegm by coughing and spitting. On looking DISEASE AND TEEATMENT. DIS. OF THE ALIMENTAET TRACK. 345 into the throat the parts are found to have an unhealthy- appearance, being raw and granular, and the mucous foUicles filled with a yellowish substance; a viscid muco- purulent secretion may also be seen adhering to the palate and adjacent parts. Causes. — This condition is probably most often induced by the exercise of the organ of voice when in an inflamed state. An extension of the affection is almost certain to re- sult from exercising the voice during an attack of sore throat or hoarseness, as the muscles of the larynx lose their nutrition through extension of the morbid materials from the inflamed mucous membrane. The disease may also result from an immoderate or irregular exercise of the voice; or, it may follow inflammatory disease of the bronchial tubes or lungs, by much exercise of the voice before recovery has taken place. It is also occasioned bj' an unnatural style or tone of reading or speaking, as with preachers and military officers. AccESSOBT AND PREVENTIVE Means. — 1. Perfect rest. — An inflamed larynx, like an inflamed joint, always demands a state of almost complete rest. As a preventive remedy in the case of clergymen, we would strongly urge the general adoption of Monday as a day of out-of-door recrea- tion and cessation from all work, and thus compensate for the great mental and physical expenditure involved in the discharge of the duties of an earnest minister of the gospe! on the Sunday. 2. The throat compress. — ^When this is applied, the patient should retire, and he will generally have the satisfaction of finding his throat-difi&culty much relieved in the morning. In more obstinate cases, the compress should be worn in the day-time, being frequently re-wet. When discontinued, throat and chest should be bathed with cold water, followed by drying and brisk friction. The beard and moustaches should be peLinitted to grow, as they afford an excellent 346 HOMEOPATHIO MENTOR. protection to the throat, especially in the case of bairistera, clergymen, public singers, and others subjected to the un- due or irregular exercise of the organ of voice. Tbeatment. — Same as for Labtngitis, page 305. SCTJEYY OP THE MOTJTS.— [Canker sore mouth). This affection manifests itself in various forms, sometimes being quite severe and obstinate, and at others, more in- convenient and painful than dangerous. It occasionally occurs in ill-fed, tuberculous children, from two to six years old, especially in low damp situations. In some cases the gums become hot, red aiud very sensitive; they swell, become spongy, and shrink from the teeth, leaving them loose, and the gums readily bleeding at the slightest injury; the breath becomes offensive, and sometimes there is discharge of tough, sanious phlegm and saliva; mastication may become difficult from the loose, sensitive teeth, and deglutition painful from the soreness of the throat; the glands of the throat sometimes swell and become painful, and there is often great prostration and a torpid, feverish condition of the system. In other cases the disease is principally manifested by apthous ulcers appearing upon the gums, the tongue, or the inside of the lips and cheeks, attended with a painful, burn- ing, smarting sensation, and at times free flow of saliva, and a feverish, prostrated condition of the system. This form is very common with nursing mothers, and is often very painful and lingering, apparently arising from an ex- hausted or debilitated condition of the system and defective nutrition. Tbeatment. — ^In general, the Specific No. Twenty-Nine wiU be sufficient for all forms of sore mouth or apthous ul- cerations in the mouth. It may conveniently be given, two pellets at a dose, dissolved in a spoonful of water, and ad- DISEASE ANB TREATMENT. — BIS. OP THE ALIMENTAET TEACK. 347 ministered four times per day, before meals and on retiring at night. In a prostrated or debilitated condition of the system, the Specific No. Twenty- Four may be given to advan- tage, in alternation wi{h No. Twenty-Wine, at the inter- vals before directed. Sometimes a weak solution of borax and water may be used to advantage for rinsing the mouth. Sometimes the mouth may be rinsed with a weak solution of brandy and water, with benefit in bad cases with debili- tated subjects. Care should be exercised in regard to diet. When the disease exists in a bad form, with extensive in- flammation of the mouth or gums, stimulants and animal food, even in soups, should be avoided, and the diet con- fined to farinaceous or vegetable forms of food. In cases of nursing sore mouth, a glass of ale morning and night may be used with advantage in connection with the Spe- cifics mentioned. ANOREXIA.— ( Want of appetite). This may arise from various causes more or less in- timately connected with the process of digestion, such as derangement of the stomach, inaction of the liver, results of over-eating, irregularity of meaJs, eating between meals, late hours and too little out-of-door exercise, indigestion, etc. This morbid condition should be relieved in order that the natural desire for food should be manifested. When it seems to arise from a debilitated condition of the entire system, some stimulants, such as light wine or malt liquers may be taken with advantage. Loss of appetite during acute disease or a weakened state of the system, should be respected; for thrusting food into the stomach in ^ite of its dictates, will generally give rise to more serious symptoms. Sometimes instead of loss of appetite there is voracious or depraved appetite; tb^se symptoms are usually 348 HOMEOPATHIC MENTOR. associated witli Chlorosis, nervous irritation from ■worms, etc. ; they can only be removed by correcting the condition on which they depend. A glass of cold water taken morning and night is often beneficial in promoting an appetite. Aside from these measures, the Specific No. Ten, taken four times per day, six pellets before each meal, and at night, will generally be found efficacious. GASTRIC DERANGEMENT. — (Indigestion— Biliousness). We distinguish this affection from chronic dyspepsia and from jaundice. It is very common and liable to come on suddenly, from irregularities in diet, over-eating, or par- taking of heavy, rich, over-stimulating food, or food un- suited to the existing condition of the digestive organs; excessive use of wines, spirits, or strong malt liquors, or strong tea or coffee; eating too rapidly; irregularities in taking meals; too long fasting between meals; want of exer- cise; intense mental application; late hours, or from excesses of any kind. When the tone of the stomach has been weak- ened by purgatives, and in persons of naturally feeble di- gestion, this condition may be readily provoked by any transient violation of the ordinary regimen. The symptoms are usually, want of appetite or deficient appetite; coated tongue; flat, insipid, putrid or bitter taste in the mouth; desire for acid, cooling or refreshing things; frontal headache or heaviness of the head; dullness, stupid- ity or disposition to sleep; constipation, or sluggish, in- active bowels; and sometimes nausea, regurgitation of food, or vomiting of food and bile. Treatment. — In general, little or no food should be taken into the stomach while the nausea and indisposition to food continues; only after these symptoms have passed away, should at first the more light and easily-digested food be given, such as water-gruel, rice-water, boiled rice, toast, or DISEASE AND TREATMENT. DIS. OP THE AlIMENTABY TRACK. 349 some nice ripe fruit. As medicine, the Specific No. Ten will be found sufficient, taken six pellets at a time, and re- peated every three hours, untU the condition has been removed. Should there be fever, alternate the Specitic No. One ■with No. Ten, at the intervals mentioned, and so continue until the febrile symptoms have yielded. Should there be nausea or vomiting, interpose between the portions of No. Ten, two or three doses of six pellets each of Specific No. Six, until that symptom has been removed. DYSPEPSIA. — {Indigestion — Weak stomach). This is one of our most common diseases, and generally of very obstinate and lingering character. It may arise from various organic changes in the organs of digestion, and so may likewise manifest itself in diversified forms from the most trivial weakness of digestion, down to grave, organic changes in the substance of the stomach itself. It may be induced or brought about by various causes, among which may be especially mentioned the use of ca- thartic or anodyne medicines in early life, or the habit of giving such drugs to infants; imperfect mastication of the food, in consequence of too rapid eating — a very common and wide-spread fault; the loss of teeth; the presence of decayed teeth in the mouth and the consequent swallowing of vitiated saliva; — ^habitual low spirits and desponding state of mind, likewise weakens and impedes digestion; too long fasting, inducing exhaustion of the vital powers, tends to impair the power of digestion; the excessive use of (stimulants produces changes in the coats of the stomach which may render digestion difficult and finally impossible; want of exercise, sedentary habits, intense and long-con- tinued mental application may likewise be named among its causes. 350 HOMEOPATmO MEKTOB. It is usually manifested by distress after eating; heaviness or weight in the pit of the stomach, as if a load or a stone lay there; tenderness of the prsecordia on pressure; inability to wear tight clothes; frequent headache; dullness and con- fusion of the head; bloating after eating; sometimes water- 'brash, or rising of the food and fluid into the mouth after eating; want of appetite; bad taste; coated tongue; flatu- lence; constipation or sluggish or torpid bowels, and not unfrequently, piles or hemorrhoids; palpitation of the heart; and nightmare. Such are among the more prominent symptoms by which this affection is manifested, yet they are frequently varied, relieved or intensified by the habits or food and regimen of the patient, or the intensity of the morbid condition. Flatulence, Waterbeash, Heaetbdbn, are merely symp- toms of dyspepsia, or of gastric derangement. Yet, they may either of them form the principal feature of the complaint, and almost exclusively occupy the attention of the patient. Flatulence (wind) by disturbing the stomach, which thus being made ti) encroach upon the space occupied by. the lungs, heart or other organs, impedes their healthy action, and thus gives rise to disturbances in distant parts. It is caused by defective nerve-force, or general debility; food may be detained in the stomach and undergo fermen- tation, owing to imperfection or arrest of the vital and chemical processes characteristic of health. At other times flatulence is apparently generated by the mucous membrane of the intestinal canal; for the symptoms are very apt to arise in dyspeptic persons when a meal is delayed beyond the accustomed hour, or when the stomach is empty. Flatulence is often associated with faintness, nausea, palpi- tation, and other disagreeable sensations. In waterhmsh there is a frequent rising or regurgitation of acid or taste- less watery fluid, into the mouth, from the stomach. It seems to arise from closure of the oesophagus (food-pipe) DISEASE AND TREATMEKT. — DIS. OF THE ALIMENTAEY TRACK. S51 by musciJar spasm, so that the trickling saliva is prevented from passing into the stomach, and re-ascends to the mouth without any effect. Sometimes this is accompanied with belching of air coming up with the eructation, and accom- panied with loud, unpleasant noise, and not unfrequently a portion of every meal is thus thrown off. There is also a feeling of fullness, distention, and often of pain and distress in the stomach and praecordia. With heartburn, there is a burning or gnawing uneasiness, felt principally in the pit of the stomach, but often extend- ing far around or up into the chest, and down into the abdomen. Sometimes it is attended with anxiety, nausea, coldness of the extremities, debility and fever, faiatness, and there are also sour, acrid risings, or regurgitations into the mouth. Hiccough {singultus) is a common accompaniment of heartburn, and consists of brief spasms of the oesophagus. In infants it is easily removed by administering a small quantity of milk or water. NiGHTMAKB (lucubus). — In this condition the patient ex- periences confused and frightful dreams, with a sense of weight or pressure impeding breathing and producing great anguish; or he fancies himself in imminent danger or diffi- culty, from which he vainly strives to extricate himself, until at length he succeeds in uttering a cry, or moving, when the distressing condition terminates. It is caused by disorder of the digestive organs, and most frequently follows a late, especially a heavy supper. It may also be induced by fatigue, or an uneasy posture in bed, or in children, by enlarged tonsils; sometimes the cause is very obscure, and requires professional examination and treatment. As these are but symptoms or phases of dyspepsia or gastric derangement, the same treatment is indicated. Tkeatment. — The course usually pursued by the subjects 352 HOMEOPATHIO MENTOR. of this disease tends mucli to aggravate and prolong it. Because the bowels are constipated, recoui-se is had to cathartic or aperient medicines, which afford only momen- tary relief, while permanently intensifying the disease. Costiveness may be bad, but not half so bad as the effects of drugs given to remove it. Persons subject to this disease should be careful of their diet, and use only such food as experience has taught them agrees with their digestion. A physician can only recommend the articles most likely to suit, and having ascertained from experience what diet or kinds of food are for the time best, the diet should be com- posed of these articles, and only, by degrees as the digestion is improved, a more liberal bill of fare, or more questionable articles may be allowed. Take plenty of time for meals, eat moderately, and masticate the food well, using only a small quantity of fluid with the meal, and eat not too often, or too much at a time. Each night, on retiring, and in the morning on rising, take also a glass of cold water. Of me- dicines, the Specipio No. Ten will usually be found efficient, and may be taken, six pellets at a time, before each meal, and on retiring to rest at night. Perseverance in this course will rarely faU to cure the most inveterate and stubborn cases. If the bowels remain obstinately costive, an injection of tepid water may be taken every morning so long as it may be necessary. Very soon, under the influence of the medicine and proper food and habits, the bowels wiLL act regularly. But with females, and delicate subjects, the Specific No. Eleven may be preferable to No. Ten, or, the two may be taken in alternation. In obstinate cases of waterbrash, brilliant results often foUow the free use, when hungry, or thirsty, of buttermilk Fresh milk is not so well borne. AcoESsoRT Measures. — The following points in the treat- ment and prevention of indigestion should, as far as possible, be adopted. _ DISEASE AND TEEATMENT.— MS. OF THE ALIMENTARY TEACK. 363 1. Mastication.— The reduction of food to a state of minute division in the mouth is a most essential step towards easy and perfect digestion. A stomach, especially a weak stomach, acts tardily and imperfectly upon food, introduced in an incomplete state of comminution. Further, food re- quires to be well masticated, that it may be duly mixed with saliva. The salivary secretion is intended to moisten and lubricate the food, and is a most essential chemical aid in digestion. The action of the saliva is especially necessary for the digestion of vegetable food; for it is only by means of this fluid that such articles of diet as potatoes, bread, rice, etc., ai-e rendered at all capable of absorption. We therefore warn the busy, the studious, the solitary, or, on the other ' hand, those persons who talk too much during meal- time, of the danger of neglecting the perfect mastication of their food. The loss of teeth is a frequent cause of in- digestion. 2. Overloading the stomach. — Too large a quantity of food interferes with digestion, 1. by so distending the stomach as to interfere with its necessary contractions. 2. By furnishing the stomach with a greater amount of food than can be properly saturated with the saliva supplied. After a long abstinence from food, as in the case of persons who dine late and take too little lunch, there is great danger of eating too much, unless the meal be taken slowly, or finished before the sensations of hungei' are completely 'appeased. 8. Suitable food. — See Section on Food. 4. Beverages. — See Section on Beverages. 6. Disposition in which to eat. — A cheerful and tranquil frame of mind, especially during meals, is a most essential point in the treatment and cure of indigestion. Cheerful conversation and ease of mind favor digestion by in- creasing the secretion of gastric juice. The aliment received under pleasurable circumstances may be expected to furnish SSi HOMEOPATHIC MEN'fOfe. in abundance, and in the highest state of perfection, thj secretions necessary for good digestion. 6. General habits. — ^Mental or bodUy occupations should not be resumed immediately after a full meal; nor should food be taken without a few minutes' pause after exhaustive fatigue. Violent muscular exertions arrest digestion by engaging the nervous energies in other directions. The weary man, whether weary from the sweat of the brow or the sweat of the brain, should rest before he eats; and if the cause of fatigue has been in operation tUl the time of rest approaches, solid food might then be productive of the most serious results. Under such circumstances, if nourish- ment be deemed necessary, it should be limited in quantity and of the lightest kind, as a cup of beef-tea, cocoa, or chocolate, or the yolk-of-an-egg weU beaten up with milk. We particularly recommend the general plan of dietary sketched in the introductory chapter for general adoption. Begularity in the habits of life, such as in taking food, sleep, exercise, etc., is an important condition in the prevention of dyspepsia. Feather beds, and too much sleep, should be avoided; the patient should retire and rise early; bathe or sponge the body every morning with cold water, and take moderate open-air exercise daily. An occasional change of air and scenery exercises a wonderful influence in removing or preventing an attack of indigestion, diverting the mind from its ordinary train of thought, business and family anxieties, or gloomy pondering over personal ailments. GASTEALGIA.— (Pam or spasm of the stomach). This is a very painful and distressing affection of the Btomach, arising, generally, at somewhat regular periods of a few weeks or months, leaving the system in the interval comparatively free. It consists in spasmodic pains or con- tractions of the stomach, sometimes slight, but more com- DISEASE ANb THEATMEi^T. — btS. OF (TflE ALIMENtART TRACK. 355 monly with almost insupportable violence; returning at intervals of a few moments with increasing vigor, after a comparative calm; the pain is most severe in the pit of the stomach, but often extends up into the chest and sides, or into the back, exciting nausea, vomiting and great anguish. Belching up of wind, which sometimes relieves the patient; faintness, coldness of the extremities, and anxiety are generally present. An attack may last from a few hours to one or two days, and it may return in some subjects, at any time, from very slight provocation, or at intervals of a few weeks or months, from slight or no apparent cause. The disease originates in a morbid condition of the nerves of the stomach, and is often associated with disease of the Hver or spleen, or both, or in cancerous or other dis- organizations of the stomach or intestines. An attack may be ezcited bj eating indigestible food, fresh bread, chest- nuts, sweetmeats, unripe fruit, cherries, figs, cheese, and in some cases, by taking coffee or strong tea. It may likewise, in gouty or rheumatic constitutions, be excited by exposure to cold and wet. In females it is sometimes found in con- nection with the monthly periods. In many instances the system seems to have acquired a predisposition to this form of disease, and' in such subjects it masks or overshadows all other symptoms, and may be produced at any time from very slight indiscretions. Tkeatment, — As precautionary measures, persons subject to this form of disease should be exceedingly careful in regard to their diet, avoiding rich food, gravies, fresh bread, warm cakes, preserves and cheese, or any article of food which experience has shown to disagree, or to occasion these attacks, and also to take as preventives, six pellets of the Specific No. Ten, morning and night. When the premonitory symptoms, or a slight gastric derangement threatsns to culminate in an attack, recourse should be had at oiice to the Specifio No. Ten, one or more doses of 356 HOMEOPATHIC MENTOR. which, at intervals of two or three hours, will suffice vo correct the derangement, and thus prevent the attack. During the attack, the Specific No. Ten is the proper remedy, and may be given in doses of six pellets, dissolved in a spoonful of water, and repeated every fifteen, thirty or sixty minutes, according to circumstances, until the pain is reUeved. If the suffering is intense, and the pain does not yield to the Specimo No. Ten, after an hour or so, it may be best to alternate the No. One in the same manner with it, and so continue until the patient is relieved. Hot cloths laid upon the stomach, and a large injection of tepid water, are useful auxiharies for relief during an attack BALITOBIS.— {(pensive Breath). This unpleasant affection may be dependant upon other causes than decayed teeth or impurities in the mouth. Not unfrequently it arises from imperfect digestion or other derangement of the system, and in some persons and fami- lies, it may be constitutional. TEEiTMENT. — Pcrsons subject to this affection cannot be too careful in keeping the. teeth clean and free from tartar, and in rinsing the mouth after every meal. With regard to medicines, the Specific No. Ten, six pellets morning and night, win correct it if dependent upon imperfect digestion. If it occurs in females during the monthly period, the Spe- cifics No. Eleven, six pellets morning and night, vrill re- move the difficulty. Where it is constitutional or resists these medicines, the third trituration of Aurum fol, or of BarytJi carb. a small powder taken daily, often works an entire cxu:e. COLIC— BILIOUS COLIC. Most persons are acquainted with what is termed colic, which is the violent constriction {spasm) of the muscular DISEASE ANE TREATMENT. VIS. OF THE ALIMENTART TEACl. 357 coats of the large bowel. It consists of paroxysms of greater or less degree of pain, generally very severe, felt more particularly about the navel, and thence, extending upward or out over the abdomen. The pain is sharp, griping, tearing, cutting, or gnawing, coming on in par- oxysms lasting a few moments and then remitting; some- times the abdomen is drawn in, and at other times distended like a drum; pressure generally relieves the pain in colic, while in inflammation the pain is similar, but the abdomen is very sensitive when pressed upon, and in severe cases, cannot bear even the slightest pressure. Sometimes the pains are accompanied by costiveness, and often by vomit- ing or diarrhoea. In colic there is seldom fever or heat of the surface, or a quick pulse, or pain on pressure, all of which are characteristic of inflammation. It may also be distinguished from hernia, or rupture, by the tumor either in the navel region or in the groin, which is always present and easily recognized in hernia, and from enteritis, or in- flammation of the smaller bowels, by lack of the accom- panying fever and by extreme tenderness of the abdomen, as weU as by an absence of complete intermissions of pain. Colic may be caused by excess in diet, flatulent food; dissipation; grief; cold, or anything that induces derange- ment of the digestive organs, or constipation of the bowels. Sometimes it arises from stricture of the intestine, or may in rare cases arise from cancerous disorganisation of some portion of the intestine, or from intussusception. Flatulent, or wind colic, is common in children who are fed with improper diet, and in dyspeptics after the use oi heavy, improper or flatulent food. Bilious colic is generally preceded by symptoms of biliary or gastric derangement, such as: Tellow-coated tongue, bitter taste, loss of appetite, duU headache. There is, generally nausea and vomiting; severe cutting, wri/.hir.g pain, with thirst and anxiety; pain more especially <3xteil«- 358 HOMEOPATHIC MENTOE. ing from above the umbilicus towards the liyer; coming on in severe, intense paroxysnia. The pain is relieved after vomiting and discharge of free, bilious stools. Lead colic or painters' colic is produced by the exposure to the action of lead, (especially the oxide of lead and white lead) and is common among painters and among workers in lead factories, or in smelting ores. The most dangerous modes by which lead is introduced into the system are its absorption by the respiratory apparatus, as by the continued inhalation of the dust or vapour of lead by workmen, and by taking [food -with, bands soiled with that form of the poison they are in the habit of using; this explains why workers in lead-mines, and in white-lead factories, painters, potters, type-makers, and others, are particularly liable to lead-colic. Less frequent causes are — indulgence in snuff wrapped in tinfoU, wine sweetened by sugar-of-lead, the preparation of food in leaden vessels badly glazed, and water contaminated by passing through leaden pipes. Lead-colic has also been observed in cows feeding on the fields in the neighbourhood of lead-mines and in animals drinking water from rivers which originate in lead-mines. The symptoms are: Loss of appetite, restless sleep, and nervous excitability. This is succeeded by vomiting, pain in the abdomen, coming on at first in paroxysms, but gra- dually becoming continuous. There is but little fever, but headache, pain in the limbs, and obstinate constipation, and sometimes even paralysis of the extremities. A bluish line along the edge of the gums may be often noticed in persons suffering from lead-colic. Treatment. — In general, and for ordinary attacks of coUc, the Specitio No. Tive is the proper remedy, and will be found efficient. Should, however, the disease have been caused by heavy or indigestible food, or be accompanied with symptoms of gastric derangement, such as a coated tongue, bad taste, flatuleuoe, etc., it will be well to alternate DISEASE AND TREATMENT. DIS. OF THE ALIMENTARY TRACK, 359 the Specific No. Ten with the No. Five. Dissolve twelve peUets of each Specific, in six large spoonsful of water, in separate glasses, and of these give alternately, every fourth or half hour, until relieved. This is the mode of procedure in aU severe cases of colic from whatever cause, except that in cases where the bowels become tender, or sensitive on pressure, there may be some fever, showing a tendency to the development of inflammatory action. In these latter causes, the SpEcmc No. One should be prepared and given in alternation with No. Five, in the manner indicated above. Simple, uncomplicated spasmodic colic, yields promptly to the Specific No. Five, administered in water, six peUets every fifteen or twenty minutes. In all cases of severe colic it is advisable, and in all ob- stinate cases, it may be necessary to administer to the patient, and the more so if caused by indigestible or noxious substances, injections of warm water. To a pint of warm water, add a tablespoonful of salt, and with a good syringe, pump it into the abdomen. If the patient can retain it a little time, it may be more effectual, and these injections should be repeated until, in connection with the medicines, relief is obtained. Hot flannels may be laid over the ab- domen. Diet. — It is obvious that little or no food, and that only of the lightest kind, such as oat-meal gruel, rice-water, toast-water, or some light soup, should, be given until after the disease has yielded. Persons subject to attacks of colic should be specially careful in avoiding the occasioning causes of it, such as in- digestible food, the use of beans, cabbage, krout, or green vegetables, acidulated drinks, or veal or young meat; and should also be careful to keep the feet and abdomen dry and warm. They may also find benefit by wearing flannel around the abdomen, and keeping the feet ■well-protecte4 from the damp. ggQ HOMEOPATHIC MENTOK. The use of the Specific No. Ten, six pellets at night, will also do much to correct the digestion, and so prevent attacks. Pbevention. — Change of occupation is necessary. Some persons are much more readily affected than others; and, if one member of a family suffers from ansemia, nervousness, and debility of the upper extremities, while the others are in apparent health, the blue line on the gums should be looked for, and the condition of the water-supply, and other possible means of lead-poisoning, carefully inquired into. NAUSEA AND VOMITING. Nausea and vomiting seldom occurs except as a symptom of some other complaint or disease. It generally proceeds from improper food or too large a quantity; a disordered condition of the digestive functions; pregnancy; disease or irritation in the other organs, as the brain, kidneys, uterus, etc.; cancer or ulcer of the stomach; mechanical obstruction of any part of the intestinal canal; morbid states of the blood; it also occurs in most of the eruptive fevers. Prognosis. — ^Nausea and vomiting occurring in diseases of the brain, as in epilepsy, are unfavorable indications; on the contrary, in pregnancy or hysteria, no alarm need be felt, as they are merely symptomatic of irritation conveyed by the nervous system to the stomach. We may learn much by observing the time of the occurrence of vomiting, the nature of the matters ejected, and the extent and ur- gency of the symptoms. If vomiting afford relief, and the nausea, oppression of the chest and stomach, and headache cease, the case may be considered favorable; if, on the other hand, the symptoms preceding vomiting are not relieved by it, but increase, the disease must be regarded as having taken an alarming form. Treatment. — Should vomiting arise from over-repletion, DISEASE AND TEEATMENT. — DIS. OF THE ALIMENTAKT TEACK. 361 or from indigestible food, it may be regarded as a conserva^ tive effort, and should be encouraged, within proper limits, by drinking warm water, or tickling the throat with a feather until the offending material is expelled. After the noxious substance has been ejected, the Spe- cific No. Six, six pellets dissolved in a spoonful of water and given every hour, wiU soon allay the remaining irri- tation, and relieve the nausea. Ayhen it occurs in the case of pregnant females, consult what is said under that head. Sea sickness — Sickness from car or carriage riding. — The peculiar sickness and utter wretchedness and pros- tration experienced by persons on first going to sea; and even, in a measure, by some persons from riding in a car, stage or wagon, is so well known as not to require de- scription. Pkeventiost. — For several days before embarking, indi- gestible food, over-repletion, or any irregularity in diet, should be avoided. Treatment. — It can, in most cases, be cured by the Spe- cific No. Twenty-Six taken for some six or eight hours previous to sailing, if convenient, six pellets every four hours, permitting them to dissolve on the tongue. During the early part of the voyage, unless the weather be very fine, the patient should remain in his berth in a horizontal posture, and take chiefly liquid food — beef-tea, chicken broth, etc. Good draughts of warm water, more often relieve than anything else. A girdle, moderately tight, round the waist and abdomen, or a stomach compress, have also been recommended Warmth to the stomach and feet tends very much to prevent sea-sickness. Anything to amuse, and divert the attention from the waving lines of the horizon is useful. After sailing, for the first two or three days, as a preven- tive, take six pellets every four hours; and should there, jiotwilhstanding, be severe sickness, vertigo, nausea, or 362 HOMEOPATHIC MENTOB. vomiting, dissolve twelve pellets in half a glass of wate/^ and take a dessert-spoonful every hour until relieved. For sickness, nausea, or vomiting from riding in a car- riage or similar motion, take of Specific No. Tiventy-Six six pellets, every hour untU relieved. Eematemesis — Vomiting of blood. — ^This disease is knowa by the vomiting, or sudden ejection of blood from the stomach. It is generally preceded by nausea, distress or pain of the stomach, indigestion, a feeble pulse, pallor and other signs of fainting. The blood vomited is generally dark, rarely bright red, and is occasionally mixed with the food, mucus, bUe, or other contents of the stomach, and is thrown off in large quantities; blood is also frequently dis- charged by stool, in coagula. It may be known from bleed- ing of the lungs, by reference to the accompanying tabic. Ip FROM THE Stomach. — Tlie blood is of a dark color; is vomited} is often mixed with food, and is not frothy; is preceded by nausea and stomach distress; is generally passed vnth the evacuations from the bowels. Ip pbom the Lungs. — The blood is of a bright-red color; is generally coiighed up ; is generally frothy and mixed with sputa; is often preceded by pain in the chest and dyspnoea; is not found in the stools. Vomiting of blood is always preceded by more or less decided symptoms of gastric disturbance or weak digestion, such as: Pressure, weight, fulness, or tensive pain in the region of the stomach; burning heat in that region; anxiety or uneasiness on partaking of food or drink, or on pressure of the stomach; saltish taste in the mouth; impaired appe- tite and nausea; vertigo, faintness, or cold perspiration; sometimes, also, an intermittent pulse is felt at the pit of the stomach. If the attack is very severe, there may be delirium or wandering of the mind, accompanied with spasms, and gradually increasing weakness and remission of pulse, with frequent fainting. It is most frsquently caused by the suppression of some habitual discharge, as from hemorrhoids or the menstrual flow. -Other caus^^; DISEASE AND TREATMENT. — DIS. OF THE ALIMENTARY TRACK. 3GS acliirrlius, or internal lesions, or disorganizations of tlie stomach, or the use of poisonous or drastic purgatives, or an external contusion, or obstruction of some important viscera, may occasion congestion and the rupture of some vessels distributed over the surface of the stomach, and hence, become the immediate cause of the hemorrhage. Treatment. — The first thing to do is to arrest the hemor- rhage, and for this purpose Humphreys' Marvel of Healing is the most efficient remedy known, and may be given in doses of twenty drops, in a large spoonful of cold water, and repeated every fifteen minutes, until the bleeding is arrested, when it may be continued at intervals of an hour, or even a longer period, especially if the system seems ex- hausted, or there are yet indications of internal hemorrhage. If there is fever or heat of the system, administer the Specifio No. One, six pellets in a spoonful of water, and repeat every half hour. If the hemorrhage come on in con- sequence of the suppression or non-appearance of the raen- strual flux, the Specifio No. Eleven should be given every hour, either alone or in alternation with the Marvel or Healing. The diet should be carefully considered; all soUd food must be avoided, and all warm drinks. Animal jellies, preparations of milk, light puddings and broths, merely tepid, may be allowed in cases where the condition of the patient requires nourishment, but no more food should be taken than 5s absolutely necessary to sustain the strength, and for some hours after an attack, no food should be given, and then, only in small quantities, and very cautiously. Vicarious hemorrhage. — ^In vicarious hemorrhage, as in females when bleeding from the nose or stomach takes the place of the menstrual discharge, the treatment should be directed to restoring the normal monthly function. Accessory Measures. — Calmness and judgment should be exercised, or the discharge of blood may cause alarm to the patient and his friends, and unfit them for carrying out the 364 HOMEOPATHIC MENTOE. measures necessary for the safety or even life of the sufferer. The patient should immedieately lie down on a sofa or mattress, with the head and shoulders elevated: aU tight- fitting clothes should be removed or loosened, quiet main- tained, and no talking, crowding, noise, or confusion per- mitted; at the same time the room should be keep cool and airy — at about 55° Pahr. Ice is a most useful agent for arresting hsematemesis, and it should be swallowed in small, oft-repeated pieces; it then comes in more immediate con- tact with, and tends to constrict, the bleeding vessels. It also important in hemorrhage from the stomach, that the organ should have perfect rest. As long as any ten- dency to hemorrhage continues, the patient should remain in bed, and take nothing by the mouth except sips of iced- water. Food, beef-tea, etc., should be introduced by the rectum. Should faintness occur, no alarm need be excited, because it is often nature's method of arresting the bleeding. After the hemon-hage, the patient must still be kept cool and quiet, and the diet be light and unstimulating, while the posture of the body should be such as to favor the return of blood from the bleeding organs. Should the faintness persist, iced champagne is often an excellent restorative, and is not likely to induce vomiting. CHOLEEA MOEBUS. This disease is of frequent occurrence in warm climates, (md during the warm seasons of the year. It is generally brought on by the use of unripe fruit, or that which is over ripe, or stale, such as melons or cucumbers; or eating too much, or too many, or incongruous things at a time, and being over-heated afterwards; sudden changes of tempera- ture; over-fatigue, or too free use of ice or ice-water. The symptoms are violent vomiting and purging; throw- DISEASE AND TREATMENT. DIS. OF THE ALIMENTABT TRACK. 365 ing off the contents of the stomach and bowels at first, and afterwards bile; pain in the stomach and abdomen; thirst, and in severe cases, cramps, and coldness of the extremities; the face may also become pale, cold, bluish and sunken; features pinched, and cold, clammy-skin; and great anxiety and prostration, simulating an attack of cholera. It is generally preceded by some symptoms indicating disturbance of the system, such as shivering, pain in the stomach, and nausea; but in some cases it makes its attack without sensible premonitions. It is liable to come on suddenly at night, and, properly managed, is of short duration. Treatment. — The Specific No. Six is the proper remedy, and may be admiaistered by dissolving twelve pellets in six dessertspoonsful of cold water, of which a spoonful may be given every fifteen minutes, until the discharges are arrested and the warmth returned to the surface. In ex- treme cases, with violent cramps, coldness and blueness of the surface and great anguish, with little or no discharges, a dose of two or three drops of spirits of camphor, in a tea- spoonful of water, repeated every few minutes, wiU soon relieve. The Specific , No. Six, however, wiU be found promptly to arrest the disease. Diet should be light for some days, until the tone of the stomach is measurably restored, CHOLEEA— ASIATIC CHOLERA. As this terrible scourge — a miasmatic disease (often epi- demic) propagated through the air, and cmnmunicahle from one person to another, — is liable at any time to visit our country, and as the earlier treatment of it must frequently be entrusted to the hands of the people, it is most important that aU should be acquainted with its earlier stages, and be prepared to meet them. Hence we give the symptoms and 366 HOMEOPATHIC MENTOR. treatment at greater length than may be required in other less important or sudden diseases. Peecuesoes.— 1. It has been frequently observed that the cholera has been preceded by some form of influenza, 'attended with sneezing, discharge from the eyes and nose, hoarseness, sore throat, and cough. 2. It has also been ob- served that previous to the outbreak of cholera in a parti- cular locality, bowel complaints, as they are caUed, diarr- 'hosa, dysenteries, colics, etc., have been much more fre- quent and obstinate, and less under the control of the ordi- nary remedies than usual; so that physicians, from these manifestations among their patients, have been able to re- cognize the presence of the disease in the atmosphere weeks before its final outbreak among the people. 3. Sud- den attacks of cholera are more liable to occur at night and after midnight than during the day. Hence the necessity of every family being provided with prompt and efficient remedies to avoid the hurry, alarm and delay in Bending foi a physician in the night. Symptoms. — Choleea Diaerhcea. — Almost invariably an attack of cholera is preceded by a peculiar form of diarr- hoea. It may precede the cholera several days, as nothing more than loose bowels, attended with rumbling or bor- borigmi and slight nausea, or faintish feeling at the stomach; but usually it continues but a few hours, and is manifested with frequent loose stools, rumbling and uneasiness of the ab- domen, and a faintish, sinking sensation at the pit of the stomach. This is the cholerine or cholera-diarrhoea, and the immediate precursor or first stage of the disease, and demands prompt attention. After the diarrhoea has continued for a period varying from a few hours to several days, the second stage of the disease is ushered in with the following manifestations: Kepeated Evacuations, attended with great prostration, at first, of the usual contents of the intestinal track, then gra- DISEASE AND TREATMENT. — DlS. OF THE ALlMENTAfiT TRACK. 367 dually becoming more thin, watery and flocculent, until they present the true cholera characteristic of peofuse rice Water evacuations; vomiting in sudden, violent attacks, with copious discharges; first of the contents of the stomach, then ofi thin serum or the characteristic rice-water-like matter; attended with frequent cramps, first in the fingers, toes, and calves of the legs, then over the entire person, especially the abdomen, knotting up the limbs, and causing exquisite anguish. The breath becomes cold, the lips and tongu^ cold, the skin dry, inelastic, pale or leaden-gray, or a bluish-violet around the eyes and at the ends of the fingers and toes, and point of the nose, the hands becoming shrivelled like a washer - woman's. The face becomes peculiar in extreme cases, eye-baUs glazed and turned up, pupils dilated, the upper eyelid drooping, the lower surrounded by a bluish half-moon; the color is pale, varying from a leaden gray to violet; the skin on the lips, cheeks, and point of the nose is glazed, nose pointed, cheeks sunken, upper lip drawn upward, the nostrils and cartilage of the ear very movable and wrinkled from the nose to the comers of the mouth, presenting a frightful aud ghost-like appear- ance. The voice becomes hoarse, whispering, or lost. The pulse at the wrist is very soft, small and disappearing during an attack of spasms, and later becomes thread-like and imperceptible. Grradually the anguish and indifference, the coldness and blueiiess, and prostration become more decided, until the patient sinks into a condition of absolute collapse, succeeded by death after some hours. During the attack, the secretion of the urine, the bile, the saliva, per- spiration, and even of the tears, is entirely suppressed, and the reappearance of these secretions is a most favorable in- dication. With these manifestations of coldness, blueness, and shrivelled skin, and even cold breath, the patients yet complain of burning heat, long for ice and ice-water, and dread all heating applications. 368 HOMEOPATHIC MENTOR. Not always does the cholera present the above pictura Different epidemics have presented varieties in the symp- toms which are very decided. Thus the disease has been divided into three stages, called the pbemonitoev, the stage oi collapse and the stage of consecutive fevee. The first, or premonitoet stage, is manifested by symp- toms of indigestion, flatulence, weight or oppression at the pit of the stomach, slight nausea, acidity, diarrhoea, vertigo, some form of headache, or ringing in the ears. These symptoms may continue some time, but occasionally pass off altogether, leaving the patient well, though this is rare; and unless proper remedies are used, the symptoms above mentioned continue to increase until the second stage is ushered in. Second Stage — Stage oe Collapse. — The stools at first feculant and bilious, now become characteristic; they appear like thin gruel or rice-water; sometimes they are limpid, intermixed with smaU flakes of curdy-looking matter; at others they look hke water in which fresh beef has been macerated; sometimes the stools are even darker, looking like the dregs of wine. There is no natural smell from the stools, but a faint, peculiar odor, which also arises from the body. The desire to go to stool is irresistible and in- stantaneous, and sometimes with great tenesmus, accom' panied by griping. GreneraUy the stools are very copious — ■ sometimes, however, they are scanty, often accompanied with discharge of noisy flatus from the bowels. There is burning heat in the pit of the stomach, and vomiting of large quantities of similar matter as the stools. The thirst is in- tense, with urgent desire for cold water. The mind gener- ally remains clear, or comparatively so, but the vertigo and ringing in the ears increases. Cramps are almost universal attendants — sometimes confined to the fingers and toes; at others, affecting the legs and arms, and often the body, particularly the abdomen. The urine is generally sup- DISEASE AND TBEATMEST.— MS. OP THE ALtMBNTAfeY tKACK. 369 pressed ; the Toice is whispering. The respiration, though ■weak, is often natural, even when the pulse is scarcely per- ceptible at the wrist ; occasionally, however, the breathing is hurried, oppressed, laborious. The pulse becomes weak and rapid early in the disease, even when the action of the heart is strong and tumultuous ; but, frequently, both the pulse and heart are feeble. As the disease progresses, both become fainter and weaker ; the pulse is only now and then felt like a " flutter," and often ceases at the wrist some hours before death. The tongue is cold and shrunk. The rest- less tossing, uneasiness, and impatience of the patient is pitiful ; especially, when they are restrained, or when heat is applied, of which they seem to have a horror. The tem- perature of the body, especially of the extremities, dimin- ishes early in the disease, and constantly sinks, until after death, when it gives place, for a time, to a genial warmth. As the disease progresses, the hands, feet, nails, face, and even the entire surface of the body, becomes ashen, leaden- gray, or blue, and this color remains or deepens until reaction occurs. Blood drawn from a vein or artery during this stage is of dark color, flows with difficulty, and does not coagulate. The surface of the body is covered with a cold moisture, the features and eye-balls shrink, and death closes the scene — sometimes very unexpectedly, and at others, the body seems to be lohg dead, while the functions of the brain are still going on, and comparatively entire, la some cases the prostration of strength is great, but in others not so apparent. Symptoms of improvement and recovery from the second stage are usually : Diminution of the number and quantity of the evacuations, both by vomiting and stools ; cessation of the restlessness and tossing about ; diminution of the cramps and thirst ; increase of the strength and fullness of the pulse, and increase of the temperature of the body ; more natural and animated expression of the countenance, S70 HOMEOPATHIO BrBKTWR, and disposition to sleep; later, change of the stools from the watery to bilious and feculent matter; reappearance of the secretion of the urine. When these symptoms are manifested, they indicate the safety and early convalescence of the patient. Consecutive stage. — In some rare cases, and in some epi= demies more than others, patients instead of rallying at once from the second stage, slide over into what has been termed a thikd stage, or a typhus cholera, coming on after this fashion: The reaction has been established and patients seem to be doing well, not having tenesmus or vomiting, nor cramps, or any unusual degree of thirst, and the rest- lessness has passed off, and the patient seems to be tranquil. But gradually, symptoms of coma, deep sleep, or delirium come on, and there may be convulsions, partial paralysis, rigidity of the flexor muscles of the extremities, distressiag nausea, bilious vomiting and thirst, diE&cult breathing or hurried respiration, cough, expectoration, palpitation or irregular action of the heart, more or less heat of the sur- face, bilious diarrhoea, dark port-wine stools, tenesmus and pain or tenderness increased on pressure in some part of the abdomen. These symptoms may be variously combined and modified in particular cases, and may continue from four or five to fifteen days, ending in death, or the gradual recovery of the patient. Hygienic Pbecautions to eb oesekved dubino the fbesencb oi' thb CHOLEBA. — All experience has demonstrated that the disease rioti among the filthy, ill-fed, iU-olad, and ill-housed multitude; that its especial play-ground is along narrow streets, confined areas, iU-ven. tilated dwellings, low, damp, or confined apartments, and that the miasm is much more intense and concentrated in such localities than elsewhere, and its attacks far more intense and fatal. Hence, clearf liness, both of persons and habitations, is of the first importance. The yard, gutter and cess-pool, should be cleansed often, and kept clean, and frequently sprinkled with chloride of lime, or plenty of lime, and the adjoining walls should be repeatedly whitewashed. No stagnant water should be permitted in the cellar or yard, and if the basement is damj), fires should be kindled daily to expel foul air, and afford better ventilation. All garbage should be removed daily, and nothing suffered to remain on the^ premises to be deoopiposed. KBEASE AND TfeEATMmr. — filS. OP THE AlJMENTA&t TEAOK. 371 Houses should be daily ventilated. Avoid damp, low habitations, and in selecting a residence, the higher and more airy the situation the better. Narrow lanes and alleys, cellars and basements, and crowded apartments should be especially avoided. The USUAL HABITS of eating, drinking, living, and business, should be followed, except when absolutely interdicted. Kash changes should be avoided. Temperance in eating and drinking, exercise and labor, both physical and mental, is specially enjoined. Keep good hours. Take proper food in reasonable quantities, at proper times. Plainly cooked meats, lamb, beef, mutton, or fowl, with polled rice or hominy, stale bread or crackers, and well-cooked potatoes, should torm the ordinary staple of diet. If wine or spirits are habitually used, they may be continued in moderation, but to persons not accustomed to them, they are especially objectionable and to be avoided. Drunkenness or debauchery powerfully invite the disease. Abstain from all unripe fruits, or stale, wilted, or overkept vegetables. Fruit of any kind should be avoided, if it induces loose bowels. Cucumbers, salads, lettuce, cabbage, or krouts, soda-water, root-beer, melons, turnips, or unripe potatoes, are articles especially to be avoided. Beer, cider, minerEU-waters, are objectionable. Purgative or cathartic medicines, by relaxing the integrity of the intestinal canal, may give rise to a sudden and fearful attack of the disease. Avoid exposure and sudden changes of temperature, and at all times keep the body sufSciently warm and protected, especially the abdomen. To this end wear flannel next the skin, at least around the abdomen. Keep the feet and legs well protected and warm. Above all things, maintain an even, cheerful tone of mind. Hurry, fright, fear, anxiety, and all depressing emotions, tend to lower the vital power, and so invite the disease, while a firm determination to do our duty, and a cheerful reliance upon our Heavenly Father, are among the best safeguards. Peedisfosing Causes. — Persons of middle age are more subject to attack than infancy and old age. The female sex are considered more liable to it than males. Chronic diarrhoea predisposes the system for it, as do all prostrating or debilitating habits or excesses, scrofulous diafhesis, and intermitting fevers. Among children, the male sex are more subject than the female sex, and those affected with gore mouth, jaundice, worms, and teething. Infancy and old age are most exempt, and those suffering from ulcers of the legs, consumption, and influenza, least liable to an attack. Preventive Treatment. — The homely adage, " an ounce of prevention is better than a pound of cure," was never more clearly manifest than in this disease. Dirt, filth, irregular 37^ aoMEOPATHlC MENTOR. habits, and vice, induce the disease, while cleanliness, re< gularity, and order, keep it at bay. Aside from the hygienic observances enjoined above in regard to living, labor, and habits of thought, we earnestly recommend, also, the use of a simple medicinal prophylactic or preventive. Ex- perience has amply demonstrated the utility of medicinal prophylactics. It has abundantly shown that smaU-pox, scarlet-fever, measles, hooping-cough, and fevers, as well as cholera, can be prevented by fortifying the system by appropriate medicinal influences. Not, indeed, by drug- ging, overwhelming and thus depressing the system, but by the judicious use of the (similar) Homeopathic Specific, which, by pervading and preoccupying the system, fortifies it against, and thus prevents an attack of the disease. Hence, we advise the use of the Spsch'ic No. Six, in doses of six pellets, morning and at night, as a true prophylactic for the cholera. Safer still wiU it be to send for a case of the Choleba Specifics in fluid form, and to follow the di- rections therewith given. Directions. — Live temperately; avoid the predisposing causes of the disease as before mentioned; avoid coffee and camphor, which might antidote the effects of the medicine; and take each morning, on rising, or before breakfast, and each night on retiring, six peUets of the SpEcmo No. Six. Children need but one-half as much as adults. In families, the best manner is to place the proper number of peUets for each person in a glass, and add a large spoonful of water for adults, and a teaspoonful for children, and so give them, morning and night, while the disease prevails. Trav- elers may simply take the Specific dry on the tongue, it other conveniences are wanting. The result wiU be, that either no attack will occur, or it will be in a modified and very mUd form. Treatment . or the Cholera Diaerhcea, or Premonitory Stage of the Disease. — The earlier symptoms of the disease DISEASE AND TEEATMENT. DIS. OF THE ALIMENTARY TRACK. 373 are: A sense of uneasiness, or sinking at the pit of the stomach, rumbling, or borborigmi in the bowels, and loose stools or diarrhoea. Sometimes, to these symptoms are added, aciditj' of the stomach, griping pains in the abdomen. Vertigo or headache, and ringing or noise in the head. As soon as the above symptoms, or even the diarrhoea alone has declared itself, the patient should retire at once to his home, or room, and lie dovra, taking six pellets of the Specieic No. Four. If the symptoms are but slight, that is, onlj some diarrhoea, and slight uneasiness of the bowels, repeat the dose every hour, or every two hours. But if the stools are urgent or frequent, with uneasiness and nausea, vertigo and sinking at the stomach, repeat the dose every half hour until relieved. If the diarrhoea should not yield in, say four or six hours, under the influence of the Specific No. Four, administered as above directed, and the disease threatens to pass over into the second stage, indicated by more frequent or urgent stools, coldness, nausea, or some faintness at the pit of the stomach, then omit for a time the diarrhoea Specific, and give the Specifig No. Six, repeated every half hour, in its place. In rare cases the Camphoe has been e£B.cient in checking the diarrhoea, in doses of two drops of the tincture on a bit of sugar, every half hour. Earely will more than two or three doses of the Specific be required to check and control the disease at this stage, provided, also, that the following conditions are observed: It is or the utmost impoetanoe that the patient should lie down in bed, get warm, keep well covered, with a bottle of hot-water, or hot bricks, to the feet, if necessary, and so remain warm and in bed, until the diarrhsea, rumbling and uneasiness has passed off. Being about, or frequently getting up, and running out, is very prejudicial, and most surely tends to prolong and keep up the disease. Avoid teepidation, ok hueey, unnecessary anxiety, or 374 HOMEOPATHIO MENTOE. alarm in prescribing for yourself or others. Do not mul- tiply doses, or measures of relief, from whicli nothing is permitted to avail; but give every dose carefully, and then give it time to act, and afford relief, and only when one has failed, give another. The one course perseveringly followed win be successful, while if you attempt others, all wiU fail. Nothing but Homeopathic medicines must be given under Homeopathic treatment. All other medicines, or means, interfere and must not be allowed. This stage may end in health: By the stools becoming less frequent and finally natural, the rumbling, uneasiness of the bowels disappearing, and the sinking or anxiety at the prsecordia going off, or: — it may terminate in the next stage by the stools becoming more frequent and fluid, the uneasiness and sinking increasing, until vomiting comes on with the characteristics of the second stage. Teeatment of the Cholera proper, or Second Stage of the Disease. — This stage is known by profuse, thin, flocculent, or rice-water-like evacuations coming on suddenly and fre- quently. Sudden vomiting of the same or similar material, attended with cramps in the extremities, or even body, and great coldness or blueness of the surface, anxiety and pros- tration, and other symptoms, as before described. Where this condition, profuse vomiting and diaeehcea, is present, the Specific No. Six is only required, of which give six pellets, either at once upon the tongue; or better, in a spoonful of cold or ice-water, and repeat the dose, every fifteen minutes, according to the result; and so con- tinue until the cramps, the vomiting and diarrhoea have abated, when the intervals between the doses may be pro- longed to half an hour, and then, gradually, as the patient improves, to intervals of an hour or more. The patient should at once go to bed, and, if possible, not get up to attend to the evacuations, but use a bed-pan, or other convenience, for that purpose. Bottles of hot DISEASE AND TEEATMENT. — DIS. OF THE ALIMENTARY TBACK. 375 water, or Lot bricks, should be placed to the feet, if the patient can bear them. Give nothing but the medicine and small sips of ice-water; or better, give from time to time email pieces of ice, to remain in the mouth to allay the thirst. These are better than water or other fluid, more g^atefu], and less likely to provoke vomiting, stools or griping. Let the patient remain quiet as possible after the storm is over, and if he falls asleep, do not waken him, even to administer medicine. To ALLAY THE CRAMPS, it is better to grasp and hold the knotted limb or part in the warm, firm hand, than merely to rub the surface, as you may, by severe rubbing, easily excoriate the surface, without relieving the cramp, while the warm pressure of the hand is very grateful and effective. If the attack occurs in the following form from the first, or, if in the course of the disease this condition is developed, viz. : but little, or only slight vomiting, or purging, or scanty evacuations, but great dullness or confusion of the head, severe, frequent, long-continued cramps, predominant cold- ness and blueness of the surface, loss of voice, and weak, thread-like, or wanting pulse, give at once five drops of spirits OF CAMPHOR, in half a teaspoonful of cold water, and re- peat the dose every ten minutes, or even every five minutes, in extreme cases, until the returning pulse, or warmth of the surface, and returning evacuations show the reaction of the system to have come on. Then gradually omit the CAMPHOR, and return to the use of the Specific No. Six, ■which continue every fifteen or thirty minutes, and at longer intervals, until entire relief is obtained. The cam- phor is the best remedy to arrest the sinking, coldness, blue- ness, failing pulse, and tendency to absolute collapse; and when the evacuations have ceased, or nearly so, a few doses, given at intervals of five or ten minutes, wlU promptly bring up the pulse and warmth to the surface, and with this reaction the vomiting and evacvations may again return. 376 HOMEOPATHIC MEKTOR. Then the Specific No. Six comes again in use and may be continued as above mentioned, a dose of six pellets every ten or twenty minutes, until the evacuations have ceased and relief is fully pronounced. After the storm has passed over, and the vomiting, diarrhoea, and cramps have vanished, and returning pulscj warmth, sleep, and rest, and secretions have become re- established, a little nourishment may be given. Tliis should consist of very light meat broth, and in very small quantities at first, as experience has shown that the stomach long re- mains weak after an attack, and heavy or indigestible food, or any food in too large quantity, may easily provoke a relapse, always more dangerous than the original attack. Hence, give at first a little weak black tea, or chicken or lamb broth ; afterwards boiled rice, toasted bread, and only very gradually return to a more substantial diet. The patient will remain weak and enfeebled for some time, and not unfrequently, the digestive organs are long in regaining their former strength and vigor. For this de- bility, beer and good malt liquor have proved beneficial. Too free perspiration diminishes the strength ; and slight mental excitement, too much warmth, too much drink or food, cause anguish, palpitation, small, soft pulse, vomiting or diarrhoea, uneasy sleep, and extreme debility. The second stage mat terminate in convalescence, in- dicated by : Diminished violence and frequency of the evacuations, first the vomiting, later the diarrhoea ; diminu- tion of the cramps ; increasing strength and fullness of the pulse ; returning warmth of the surface ; more natural ex- pression of the countenance ; less tossing about, restlessness and jactitation ; diminished thirst ; bilious stools ; natural warmth of the surface, return of the natural secretions, urine, saliva and perspiration ; quiet, tranquil sleep ; or, this condition may slide into the third stage indicated by the following symptoms : — ■ DISEASE AND TREATMENT. — DIS. OF THE ALIMENTAET TRACK. S77 Diminished vomiting; great indifference; extreme pros- tration; the patient, lying on the back, sinks down towards the foot of the bed; some return of warmth or moisture to the skin; increasing lividity or blueness of the surface, and the blue, sunken, pointed Cholbka face; the pulse cannot be felt, and later, not even at the carotids or heart; eyes duU and glassy; only occasional and not characteristic vomiting and diarrhoea; later, the stools are involuntary, as if coming from a spout; respiration labored, rattling and almost ceasing. This stage may last from one or two hours, to as many days, and usually terminates in death, preceded by cold, clammy sweats, complete cessation of circulation and respiration, and final paralysis of the lungs. Teeatment. — In this stage of entire coUapse, which may last a day or two, the patient is not absolutely hopeless, and should be carefully and judiciously treated. The case win doubtless be placed in the hands of a competent Homeopathic physician, who, by the alternate use of Carb. veg. and Arsenicum, administered every hour, may save the patient. As the pulse comes up, the medicine may be given at longer intervals. It is useless, and often cruel, to make hot applications to the patient, who, however cold, com- plains of heat, and refuses aU covering. Hence, make them comfortable, covering only as decency and the weather re- quires, give the medicines and patiently await the vesult. J®' I have prepar^ a case of three large viais of Spe- cifics for the special treatment of Cholera, and in case of ihe prevalence of this disease, I recommend its use, as the Specifics are in fluid form, and in larger quantities and more reliable during an epidemic. If the case of Cholera Specifics is used, it is only necessary to substitute drops for pellets, or adopt the directions which come with the case. 378 HOMEOPATHIC MENTOR. DIAHEHCEA. — {Looseness of the bowels). This is a condition of the bowels in which they are moved more frequently than in health, and the stools are more or less fluid in form. The stools may be very numerous, or only two or three in the twenty-four hours, and may be of almost every variety of character and consistence. Simple frequency of evacuation may exist while there may be no increase in the qaan^ 'ty of faecal matter discharged, or it may even be deficient. True Diarrhoea depends upon defective absorption of the intestines, so that an excess of matter passes through them, and less is taken up for the nourishment of the body. Sometimes, loose bowels or a transient diarrhoea is merely the»salutary effort of the system to rid itself of some in- jurious or indigestible substance; and hence, when these is reason to suspect such a condition, it is proper to wait a reasonable period before attempting to arrest it, and only when the condition is clearly morbid, seek to control it by the proper means. When the evacuations seem to afford the patient relief, it is safe to wait a day or so to see if it is not merely a salutary effort of nature, and which will speedUy correct itself. The chief forms are: irritaiive diarrhoea (from excessive, stimulating, irritating, or impure food or drink) ; congestive or inflammatory diarrhoea (from cold, cold drinks or ices when the body is overheated, checked perspiration, or suppressed accustomed discharges); diarrhoea lienterica (or discharges of unaltered food from arrest of the digestive and assimilative functions) ; and summer-diarrhcea. Symptoms. — Nausea, flatulence, griping pain in the bowels; followed by loose motions, which may vary as regards con- sistence — being fluid or watery; in their nature — slimy, bilious, or bloody; and in their odor and color. Furred tongue, foul breath, and acrid enictations, are generally DISEASE AND TREATMENT. — DIS. OF THE ALIlrfENTAET TRACK. 379 superadded. The circulation, breathing, and other functions are usually unaffected. In summer-diarrhoea, the discharges are chiefly bilious, and there are often violent pains in the abdomen, cramps in the legs, and great prostration. Causes. — 1. Over-repletion of the stomach may occasion irritation and diarrhoea by the mere quantity of the aliment introduced, but these results more commonly follow the mixture of yarious kinds of food and drink in one meal. 2. Indigestible hinds of food. — Such are, especially, — sour, unripe, or decaying fruits or vegetables; badly-cooked food; fatty and rich food; various kinds of shell-fish; putrid or diseased animal food. Numerous proofs have been often furnished in the public journals that the flesh of diseased animals is extensively sold for human food. 3. Impure water, — contaminated with sewage or sewage gases, or with decomposing animal matter, is almost certain to occasion diarrhoea, especially in recent visitors to a neighbourhood supplied with such water. 4. Atm,ospheric influences. — The heat of summer, the hot days but chilly nights and morn- ings oi autumn, are frequent exciting causes of diarrhoea; so is the application of cold to the perspiring body, or the sudden checking of perspiration. Hot weather is a frequent exciting cause of diarrhoea, called on this account. Summer or "English Cholera." Probably, to the influence of the change of temperature — from the excessive heat of the day to the cool of the evening in the autumnal months — may be added that of bad drainage, and the impurities which then exist in our rivers and springs. 5. Mental emotions. — The depressing influences of fear or anxiety, or the violent ex- citement of anger, are frequent exciting causes. "A sudden fright," vrrites Sir Thomas Watson, " excites in many per- sons the action of the bowels as certainly as, and much more quickly than, a black-draught." 6. Functional or organic disease. — Diarrhoea is often a symptom of other diseases arising from local or constitutional causes, as in enteric 380 HOMEOPATHIC MENTOR. fever; and in hectic fever, and phthisis, when it is called colliquative diarrhoea, because it appears to melt down the substance of the body; cachectic diarrhoea, as from chronic malarious diseases; bilious diarrhoea, from excessive flow of bile, as in hot weather or after passing a gall-stone. Looseness of the bowels is a very common precursor of cholera, when that disease is epidemic. The irritation of teething in children is one of the most frequent causes of diarrhoea, and it is generally observed that teething children who have diarrhoea, are less liable to serious illness than those who have constipated bowels. Diarrhoea, also, usually comes on at the close of several diseases, as some forms of fever, measles and consumption. Treatment. — The Specific No. Four is appropriate for almost all forms of diarrhcea and loose bowels, and will speedily control it. It may be given dry on the tongue, six pellets at a dose, and repeat at intervals' of from an hour to two or three hours, according to the urgency of the case. Should the stools be loose, thin, watery, or urgent, and especially if there should be some nausea or vomiting, the Specifio No. Six should be given in alternation with No. Four, as before directed. Should there be pain, griping, or straining, showing a tendency to dysentery, the Specific No. Five is appropriate, and may be given alone, or in alternation with the No. Four. Diet and general management. — Best and quiet are very beneficial in all severe cases of diarrhcea. The patient should avoid acids, coffee, and all highly seasoned or salted articles of food; also, all fruit, eggs, oysters, and chicken or veal. The diet should be: Stale bread, rice, hominy, oat- meal, barley, or drinks m-ade from these; milk, thickened with flour; or mutton-soup, thickened with rice or oat-meal. As the appetite returns, the diet may be more liberal, but still care and discretion should be exercised in the selection of food until the disease is arrested. DISEASE AND TBEATMENT.— DIS. OF THE ALIMENTARY TRACK. 381 Accessory Means. — The extremities should be kept warm, and exposure to cold or wet avoided. Rest, in the recum- bent posture, is desirable in acute cases. Severe griping pains may be relieved by heated flannel applied to the ab- domen, dry, or wrung out of hot wafer. A roll of flannel, fitting moderately tight around the abdomen, is very com- forting, and hastens the cure. Persons liable to diarrhaea should always wear flannel abdominal-belts. Night air and late hours predispose to attacks. Except in severe cases, moderate out-of-door exercise should be taken daily. On recovery relapse should be guarded against, by careful avoidence of improper food, clothing, exposure, mental ex- citement, or over-exertion. Chronic Diarrhcea. — Is quite common in the hot climates or where persons have been long subjected to unfavorable influences of chmate, exposure or bad food. It is often, also, the result of badly-cured fevers and diseases of the liver, and a not rare result of an imperfectly cured dysen- tery. It may also be the result of scrofulous disease of the bowels, tubercular deposits, or degeneration of the follicu- lar and mucous surface, or of ulceration. The stools vary according to the seat, location, and character or nature of the local degeneration from which they arise. They are however, frequent, more or less liquid, sometimes muco- purulent, or may at times be even blood-stained or mucus. They are usually accompanied by general prostration, im- paired digestion, emaciation, or other evidences of organic disease. Treatment. — The alternate use of Specifics No. Four and No. Five have proved curative in numerous cases. Six pellets may be given at a time, dry on the tongue, and re- peated every four hours, in alternation. For diet, consul^ Tfh&t is said under diarrhoea. 382 HOMEOPATHIC MENTOK. ... ^ -, CHOLERA. INFANTUM. Few diseases are more destructive among young children than Cholera Infantum. It prevails principally in our cities and larger towns during the hot or summer season, and is mostly confined to children under two years of age. It is much more liable to attack those who are reared on the bottle than those that nurse, and far more fatal or destruc- tive among those who are iU fed, or are living in close, ill ventUated or low rooms, and in the close streets, than among those who have better or larger apartments, or purer air. Oftentimes removal to free country air and the use of pure, wholesome milk:, is sufficient to effect a cure. To those who cannot remove to the country or to the sea side, the riding on our rivers or bays, in a cool, well shaded boat, is a precious resource. Symptoms. — The disease generally commences in the form of diarrhcea, with frequent, thin or watery stools, which are whitish, yellowish or ash-grey, sometimes green or greenish, having a very penetrating, peculiar "odor, or sometimes a sourish or sweetish, fresh smeU. After a few days, and sometimes from the first, nausea and vomiting is associated with the diarrhcea. The stomach becomes very irritable, vomiting everything that is taken, within a short time, so that nothing seems to be retained. The stools become more frequent or profuse, and the emaciation progresses from day to day. There is usually decided thirst, either from the beginning or after a few days, and the child eagerly watches and greedily drinks of the proffered fluid, often only to have it vomited up again, unless given in very small quantities. Unless relieved, the stools increase in fre- quency, or become only occasional, but are excessive in quantity and offensive; the uneasiness, thirst and vomiting increase; the emaciation progresses; wrinkles form about the nates; the neck becomes thin; the skin hangs in folds DISEASE AND TREATMENT. DIS. OF THE ALIMENTARY TRACK. 383 about the arms and legs; the face is sallow, pale and shrunken, and the features have an old look; the eyes be- come dull, and the patient sinks into a stupid slumber, or glides into an " encephalaid " condition which, after a day or two, closes the scene. Sometimes the attack is much more sudden, the child from the beginning having vomiting and repeated thin, watery stools, with rapid sinking and collapse of the system. In the first case the disease may run from three to twelve weeks, until the child is reduced to a skeleton; or in the latter, or more acute attack, the patient may sink in three or four days. Treatment. — ^In the treatment of this disease the diet and air of the patient are of first importance. Children who nurse have a much better chance than those brought up by hand, and goat's milk is often better than that of cows, especially for very feeble children. Good, healthy, country air, by preference in an elevated region, or at the sea side, and fresh-drawn cow's mUk are usually the best sources of restoration, and place the system in the best position to be aided by medicine. At the first indication of Diaeehcea, or relaxed bowels, give Specific No. Four — two pellets, which may be given dry in the mouth, and repeated every two hours — and this medicine may be continued through the entire course of the disease, prolonging the intervals between the doses as the patient improves, or even giving it every hour if the stools are as often, or are very frequent. When we have diarrhoea remember to avoid all acids, fruits, tea, coffee, eggs, oysters, chicken or veal, or soup made from them, but use milk, thickened, if need be, with flour, or rice water, or farina. If the child nurses let it be confined to the breast as far as possible, recurring to the above only as auxiliaries. If the stomach has become irritable, the child vomiting or nauseated, throwing up its food or drink from time to time, 3 4 HOMEOPATHIC MENTOR. the Specitic No. Six is demanded, and should be prepared by dissolving twelve pellets in six teaspoonsful of water, in a glass, of which, after well stirring, a spoonful should be given every hour, and this should be continued until the vomiting and nausea are allayed. Should the diarrhoea continue, and the nausea or vomiting be only abated, but not entirely subdued, and more especially if the stools are quite large, thin or watery, then give the two above men- tioned Specifics in alternation, at intervals of one or two hours, according to the urgency of the symptoms, giving two pellets of No. Four, dry one time, and a spoonful of the solution of No. Six the next time, and so on in alter- natioUj^ so long as the condition requires. Care must be taken in this irritable condition of the stomach not to give the child food or drink too often, or too much at a time. Give a few spoonsful, or let it nurse a few moments, then after one or two hours give again, for the stomach often retains a few spoonsful when a larger quantity is rejected, thus in- creasing the irritability. If the child moans, frets and worries, is sleepless or tossing about, you can interpose occasionally, as an inter- current remedy, a few pellets of Speoiho No. Three with advantage. DYSENTERY. Dysentery generally prevails in the late summer and fall of the year, when the days are hot and the nights cool. It is often epidemic, but may be induced by exposure to drafts of air, over-exertion, sitting on the damp or cold ground, use of acid or unripe fruits, or stale fruits and vegetables, melons, cucumbers, etc. Catises.— "I believe dysentery to be caused by the action of a poison in the blood having a peculiar affinity for the glandular structures of the large intestine. This poison I DISEASE AND T&EATMENi?. — DJS. OF THE ALIMJajTAEY TRACK. 385 believe to be a malaria generated in the soil bj the decom- position of organic matter" (Maclean). The efluvia from dysenteric stools are infectious, and, consequently, are a cause of the disease. It is liable to attack all ages and both sexes, but is more dangerous for infants, children, the aged, and females generally, than for men. An attack of dysentery is usually preceded for some days, or in some cases only for a few hours, by precursory symp- toms, such as: Sense of general depression, pains in the neck, back, or limbs, headache, loss of appetite, chilliness, heat, transient sweats, nausea or vomiting. Gradually there are colic pains passing about the bowels, in the navel region, and along the course of the colon; rumbling, and a feeling as if there was some foreign body low down in the rectum, producing an inclination to stool, and diarrhoea, or in some cases constipation. The disease is characterized by pains in the abdomen, which pass from the navel region to the right, then up and across the abdomen and down the left side, and extending towards the rectum, terminate by producing the tenesmus, or urgent desire for stool. Usually these pains and tenes- mus precede every stool, and often remain quite a time after it, and so there may be an almost incessant urging to stool, caused by the swelling and irritation of the rectum. This feeling of tenesmus or straining, a violent constriction of the rectum, is a characteristic of the disease. The stools are very frequent, often twelve, twenty-four, fifty, or more in the twenty-four hours. Sometimes the urgency is so| constant that the patient can scarcely leave the vessel. The quantity is very small, often not more than a spoonful, and consists of mucus, fluid, or coagulated blood, more or less mixed with greenish or mucus masses, or membranous clots like scrapings of the intestines, with little or no fecal matter. Often there is fever, thirst, headache, hot, dry skin, acceler- 386 HOMEOPATHIC MENTOR. ated pulse, diminislied urine, sleeplessness, and the ab- domen is painful to contact. The disease may continue eight or ten days, and termin- ate in recovery by the remission of the colic and tenesmus, stools becoming less frequent, more copious and feculent, warm perspiration, quiet and sleep coming on; or it may end fatally, with increase of violent symptoms, until peri- tonitis, or a typhus condition sets in. Under our treatment it is rarely fatal, except in quite you-ng children, and gener- ally terminates in health in four or six days. Treatment. — The Specipic No. Five is the appropriate remedy, and may be administered, if the stools are quite frequent, as often as every twenty or thirty minutes, in doses of six pellets for adults, dissolved in a small spoonful of water. Should there be considerable fever, thirst and restlessness, the SPEcnrio No. One may be given in alter- nation with No. Five, at the same intervals and doses until the fever is subdued, when the No. Five should be con- tinued alone, at intervals of from half an hour, to an hour, diminishing the frequency of the doses as the disease is subdued. Diet and Ejsgimen. — When the disease comes on, the patient should at once keep quiet; avoid exercise or labor of any kind; if possible, lie down, and confine himself strictly, during the whole course of the disease, to a por- ridge made of milk and flour well cooked, or to farina gruel, or rice-water and boiled rice. No vegetables or fruit can be allowed, nor meat, nor meat-broths; and spirits, or stimulants of any kind, are absolute poisons. Use no other medicines of any kind. Opium only conceals the disease by quieting the pain and evacuations, while the hidden disease rages more destructively. During the disease, if the evacuations are very frequent and the tenesmus or straining very distressing and painful, occasional injections of thin starch may be given, or the DISEASE AND lEEATMENT. DIS. OF THE ALIMENTAEY TEACK. 387 patient may have aai occasional seat-bath of tepid water. This .course strictly followed will rarely fail to afford decided relief in from twelve to twenty-four hours, and an entire cure wDl follow in four or six days. CONSTIPATION.— (Cos^we bowels). This condition can scarcely be called a disease. It is mainly a symptom of some morbid condition of the system, upon the removal of which, this inconvenience is relieved. In many cases it is habitual, the stools are hard, dry and infrequent, which indeed often indicates a more healthy and vigorous condition of the system than a diarrhoea, or even soft, frequent stools. The philosophy of the condition itself is but little understood. The fecal matter is a secretion, and as this is eliminated, it passes into the common recep- tacle, the rectum, and there remains until the irritation caused by its presence, or the evolutions of the system, occasion its expulsion in the form of feces. Whether this expulsion shall occur every twelve, twenty-four, forty-eight, or sixty hours, or six days; or, as I have known in one case, fourteen or sixteen weeks, depends altogether upon cir- cumstances. The fact of an undue or unnatural accumu- lation or retention, does not of itself constitute disease. It is an inconvenience, and may or may not occasion disease; or it may be occasioned by a morbid condition of the system. "Whenever the morbid condition is relieved, the bowels will of themselves act naturally, and the retention wiU be relieved. The difficulty itself is usually greatly aggravated by the means employed to cure it. Cathartic or aperient medicines may move the bowels for the time. But after the first ope- ration is exhausted, the reaction of the system recurs, and the bowels are more constipated than before. Then new and larger doses, and stronger and more active medicine* §68 HOMEOPATHIC JIENtOK. are used, until an almost incurable condition is induced. It should be remembered that cathartics are always in- jurious in cases of habitual constipation, the disease often originating in dryness and irritation of the lining of tha intestinal track, the very condition which cathartics en- gender and sustain. It may be safely averred that no case of habitual constipation was ever cured by cathartic medi- cines, while thousands of cases have been aggravated or rendered incurable by them. In one condition the operation of a cathartic or laxative medicine is allowable; when some hurtful or indigestible substance has been taken into the system, which does not pass off, and by its presence causes irritation, fever, pain, convulsions or other incon- venience. In such cases, a spoonful of castor oil acts as a prompt laxative, and removes the oifending substance with- out drugging or medicating the system, and is altogether the safest and most efficient remedy. An enema, of simple water, may always be resorted to in emergency, or may be taken daily until the Specific has had time to affect the system. Teeatment. — Persons subject to constipation will gener- ally find some form of indigestion connected with it, and on the removal of this, the constipation wiE vanish. But they should, moreover, be careful in regard to diet; eat slowly, masticate the food sufficiently, choose relaxing ar- ticles of diet, fruits, wheaten grits, coarse bread, farina, puddings of rice, bread, and sauce of prunes, peaches, or plums. Use fresh beef, mutton, or lamb, and soups made of them, avoiding salted meats, cheese, rice, and bread or crackers made of superfine flour. Cold water should be used freely, and a glass drank on going to bed and on rising eaich morning, are important auxiliaries. At times, consti- pation has been induced and sustained by an insufficient degree of heat in the bowels, and this has been corrected by wearing ajlannel swathing around the bovxls. DISEASE AND TREATMENT. — DIS. OP THE ALIMENTARY TRACK. 389 Lastly, the habit of going to stool every morning should be formed and persisted in; go regularly, and wait a certain time, if at first, fruitlessly. With these helps, and the use of the Specific No. Ten, six pellets dissolved in water and taken each morning and at night, the difficulty will- soon be overcome, and regular, healthy evacuations established. PILES— HEMOKRHOmS. This troublesome and frequently obstinate disease is very common. The symptoms are varied according to the character of the disease and the stage of its development. Most commonly there are discharges of blood from time to time from the anus, more frequently during a hard stool; but in some cases the blood may be discharged at other times, and frequently in quite large quantities, often attended with a feehng of relief. Tumors are frequently formed about the anus, or within the rectum, which come down or are protruded at every stool. They may be smaU, bluish, filbert or walnut size, or even much larger, single or grouped in clusters; sometimes painless, but often inflamed, painful and tender; and they may remain dry, or discharge, forming either mucus or bleeding piles. In some cases a violent itching and irritation within the rectum seems to be the predominant characteristic of the disease. During what is termed an attack of piles, the patient has a sense of fuUness and heaviness of the abdomen, pain in the lower part of the back, fullness of the head or headache, failing appetite or indigestion, which ie relieved often after a dis- charge of blood from the tumors. Causes. — Predisposing are — a general plethoric condition of the system, or any circumstances which determine blood to, or impede its return from, the rectum; such are seden- tary habitH; luxurious living, especially the use of highly- seasoned food, wines and spirits; tight-lacing; pregnancy; 390 HOMEOPATHIC MENTOR. confined bowels; and disease of the liver. Besidence in moist, warm and relaxing climates; soft, warm beds oi cushions, and over-excitement of the sexual organs, may also be classed among predisposing causes. The exciting caiises include anything which irritates the lower bowel, such as straining at stool, hard riding, and the use of drastic purgatives, especially Aloes and Rhvharb. Probably the most potent causes of this disease are the indolent and luxurious habits of the wealthy, which, by diminishing tone, occasion plethora and a tendency to ab- dominal congestion. Accordingly we find piles much more prevalent among the wealthy than among the industrial and frugal classes. Age and sex appear to exercise considerable influence on this disease. In early life, it is probably much more fre- quent in young men than in young women. The compara- tive exemption of young women is readily accounted for by the regular action of the catamenial function, which prob- ably obviates congestion that might otherwise occur. At a later period, after the cessation of the menses, or during the pressure of the gravid uterus in pregnancy, congestion is apt to occur in certain neighbouring organs, and so give rise to piles. It is common for old school treatment to excise these tumors in attempting a radical case. This only disposes of the results of the disease, leaving the causes still at work; and the consequence is that the tumors form again, either at the same place, but more frequently higher up, and in a more difficult and inaccessible locality. Our treatment re- quires no such expedients, as we possess the means of reach- ing the disease at its source, and of permanently curing it, Tkeatment. — Persons subject to piles, should take much care in regard to diet. A fit of indigestion often brings on an attack of pUes; hence, use easily digested, relaxing food, use some care in the selection of food, and much care in )n. DISEASE AND TREATMENT. —DIS. OF THE ALIMENTARY TEACK. 391 properly masticating it. Graham bread, or that made of unbolted or coarse flour is best, and so is the free use of wheaten grits, farina, and other relaxing food. For medi- cine, the Specific No. Seventeen, six pellets, three times per day — morning, noon and night — for cases of chronic piles. If there is dyspepsia or indigestion also, the Specifio b. Ten may be given in alternation. Thus, taking six pellets of Specific No. Seventeen before breakfast and supper, and the same of No. Ten before dinner and at bed- time with the No. Seventeen. Should there be an attack of pUes, the tumors becoming swelled, painful and tender, the Specifics No. One and No. Seventeen should be given in alternation, each dissolved in water, six pellets in a large spoonful, and administered every one or two hours until relief is afforded, then go on with the No. Seven- teen for a permanent cure. Should there be bleeding of. internal piles, the above wiU. be proper and promptly efficient treatment. For an application to the part, during an attack of piles the Maevel of Heaxino is the best, that can be made; simply saturate a' cloth of suitable size with the Marvel and apply it to the part, and keep it in place by means of a T-bandage (that is a belt around the loins just above the hips, to which a band is attached at the back and brought up between the thighs and fastened to the belt forward). The cloth saturated in the Marvel may be removed from time to time as it gets hot or dry, and the part thus kept saturated with the Marvel. The Marvel is best, but an application of cold water is frequently beneficial. When the piles are external, or can be readily reached, Humphreys' Witch Hazel Oil applied night and morning, or in- jected, if they are far up, is the sovereign remedy, and has cured thousands of the most inveterate cases. Simply apply the oil with the end of the finger say three times per day and take in chronic cases the Specifici No. Seventeen 393 HOMEOPATmO MENTOB. four times per day, six pellets at a dose and the disease -will soon show an improTement which with good habits may be continued to the point of cure. PEOLAPSUS ANI.— {Falling of the bovxl). Definition. — A protrusion of the mucous lining of the rectum through the anal orifice, after the action of the bowel. This affection is not uncommon in children, and is occa- sionally met with in adults. It is generally the result of straining while at stool, in connection with a weakness or relaxed condition of the sphincter of the rectum. Some- times the parts are protruded several inches, and in other cases but slightly, and readily return of themselves. When the protrusion does not return of itself, as is sometimes the case in children, the child should be laid upon its side, and the part gently presaged upon with the hand which has been oUed, or with a cloth wet in cold water, or oil or soft lard; and the pressure continued gently until the part has been returned to its place. In severe cases, the protrusion takes place from walking, riding, or even too long standing, and can only be replaced with difficulty. To prevent a recurrence of the prolapsus, the Specific No. Ten, six pellets at night, and the No. Tllirty-Five, six peliets each morning, wiU be the proper remedies. The same treatment is proper for chronic tendency to prolapsus. If the prolapsus occurs in the course of diarrhoea, the cure of the diarrhoea will also arrest the prolapsus. LIVER COMPLAINT. This disease may be divided into the acute and chronic forms, the latter, however, is generally known by the name DISEASE AND TREATMENT. — DIS. OF THE ALIMENTARY TRACK. 333 of liver complaint, althougli a careful examination of the disease, will many times reveal the fact, that the real disease is rather in the stomach and bowels than the liver. In some cases the liver itself may have become implicated, and may become properly the subject of treatment. Consult Chronic ■ Inflammation of ike Liver. HEPATITIS.— (.4cMfe Inflammation of the Liver). This disease is more common in the Southern States of the Union and in tropical climates, than in the Northern or Middle States. In the Southern States, the use of fat and heavy food, exposures to heavj' dews or damps in the even- ing, and the powerful rays of the sun by day, are among its most frequent exciting causes. It may also be caused by violent mental emotions, the use of stimulants or ardent spirits, suddenly suppressed evacuations, violent emetics or purgatives, the abuse of mercury, gaU-stones, external lesions, or even injury of the brain. The symptoms differ according to the seat of the inflam- aiation. When the outer or convex surface of the liver is inflamed, the symptoms closely resemble those of pleurisy; there is usually a violent burning pain in the right hypo- chondrium or liver region, sometimes resembling stitches, at others burning, shooting to the breast-bone, the shoulder- blade, or the point of the shoulder, or the right arm; sen- sation of numbness or tingling in the arm of that side, the pain increased by inspiration; a dry, short cough, and symptoms of acute fever; bowels irregular, generally con- stipated, and stools in most cases of an unnatural color. In this form of the disease, the patient can only lie on the left Bide. When the seat of the inflammation is upon the inner vr concave surface of the liver, the pain is much less, and the patient complains rather of a sensation of pressure than of actual pain, but the entire biliary system is much more 394 HOMEOPATHIC MENTOR. involved. The eyes and face become yellow, as in case of jaundice; the urine is orange-colored, the evacuations mostly hard, and generally of a whitish or clay color. We also find bitter taste in the mouth, vomiting and distress in the region of the liver. The patient can only lie on the right side. The fever is usually high also. Inflammation of the liver, unless properly treated, is liable to assume a chronic form, and may also terminate in suppuration, and the matter may burrow into the lungs or the intestinal tract; or may form a vomica or point and dis- charge externally; or it may form indurations or other alterations of structure in the Uver, or may result in the formation of adhesions. Treatment. — The Specific No. One is the proper remedy from the first, and should be continued either alone or in alteration with some other Specific, untU the disease is sub- dued. Dissolve twelve pellets in sis spoonsful of water, and of this give a large spoonful every hour for the first twenty-four or forty-eight hours, or untU the fever is mostly subdued, and pain and distress relieved. Then prepare the SpEorFic No. Ten in the same manner, and give the two medicines in alternation, at intervals of two hours, until the disease is subdued and convalescence established. The diet should be the same as in fevers or other inflam- mations: toast- water, thin gruel of corn-meal or oat-meal, milk-toast or light meat-soups, according to the stage of the disease. LIVEE COMPLAINT— CHRONIC INFLAMMATION OF THE LIVER— ENLARGEMENT OF THE LIVER. There are numerous morbid conditions of the liver which are popularly known as liver complaint, such as, enlarge- ment, softening, abscesses, adhesion with adjacent organs, or other results of acute inflammation. "What passes as DISEASE AOT) TREATMENT. — DIS. OF THE AUMENTAET TRACK. 395 dyspepsia, is often some morbid condition or degeneration of the liver. The symptoms of chronic inflammation of the liver are essentially those of acute inflammation, with the distinction of their duration, and their being less clearly expressed and their slower progress; and fever also only comes on after the disease has made considerable progress. The usual symptoms are as follows: "Weight in the stomach after eating, flatulence, cramp of the stomach, acid eructuations, nausea, sometimes bilious vomiting, loss of appetite or canine hunger, thirst, whitish dry tongue, bitter taste, feeling of heat, heaviness, fullness or dull pain in the region of the liver and epigastrium, and tenderness of these regions on pressure; sometimes the pain is wanting or comes at irregular iatervals, or is increased by exercise or filling the stomach; often sympathetic pains in the right shoulder, wandering pains in the limbs, alternating with those in the liver region; feeling of numbness or of para- lysis in the lower extremities. There is often distention of the liver region; protrusion of the liver down below the false ribs, especially in a sitting or upright position of the body; difficult lying on the left or on either side; consti- pation, feces hard, without bile, clay or putty -like; some- times diarrhoea, dark-mixed Uke tea-grounds, or flocculent stools; not unfrequently, vomiting of dark, adhesive, coa- gulated blood. The urine is thick, yellowish, oily, or scant, with thick sediment; often dry, hollow cough, with inability to take a deep inspiration; yellow or an earthy pale com- plexion, but in some cases there is not a trace of jaundice present. Usually there is mental depression and despond- ency, unquiet sleep or sleeplessness. In the latter stages the pulse, which up to this period had been slower than in the normal condition, becomes feverish towards evening. The disease often makes but slow progress, continuing for years, with frequent pauses at irregular iotervalg. 396 HOMEOPATHIC MENTOR. Treatment.— The Specific No. Ten is generally the best remedy, and may be taken in portions of six pellets, dry on the tongue, before each meal and on going to rest at night. Should there be at any time heat, fever or swelling, or ten- derness of the region of the liver, the gpEcmo No. One should be administered in fluid form, six pellets every two hours, as directed for acute inflammation of this organ. Aside from this, the use of Specific No. Ten should be relied upon for a permanent cure of this disease. Diet as for Dyspepsia. IGTEEUS.— (Jaundice). This disease is well known, and may occur to persons at all ages of life. It may continue for weeks, or even months, and there are some who are quite subject to such attacks. The disease generally commences with some form of indi- gestion, such as: Loss of appetite, somnolence, constant drowsy, "full feeling, giddiness or swimming of the head, flatulence, nausea, vomiting, and there is some degree of tension or sense of pressure in the region of the liver. Gradually the face and skin, and especially the whites of the eyes become yellow, and in some cases the skin becomes dark-brown, or even black, giving rise to the appellation of "black jaundice;" the urine becomes orange-colored, and the feces whitish, clay, or putty-like, and there may be pain in the region of the liver. There is also frequently a very disagreeable tingling of the skin. It is likewise attended with more or less depression of spirits and loss of strength, In general there is but little fever, but in severe cases there may be an unusual amount of fever, with a tendency to the brain, producing a sort of stupid sleep, from which the pa- tient is aroused with difficulty. This condition may be considered dangerous, as a fatal result may follow from oppression of the cerebral organs. DlStASE AND TlSEA^MENt. — MS. OF THE A^JVJSrftAE-f USACK. 397 Causes. — Jaundice may be produced: 1. By some impedi- ment to the flow of bUe into the duodenum, and the conse» quent absorption of the retained bile; and 2. by defective secretion on the part of the liver, so that the constituents of the bile are not separated from the blood. Pressure of the enlarged womb in pregnancy, or the growth of tumors, causing obstruction of the gaU-ducts, are also occasional causes. But sedentary occupations, mental anxiety, and high living, are probably the most frequent. Gall- Stones. — A not uncommon impediment to the flow of bile is the impaction of a gall-stone in the natural channels of the bUe. A gaU-stone consists of bile in a crystalline fonp, the solvent properties having been released. The pain attending the passage of gaU-stones is very severe; comes on suddenly, with paroxysm, often accompanied by Vomiting, hiccough, etc. ; is constant for a time, and termin- ates suddenly, and is thus distinguished from Colic, and by the pains being of a more local character, and in the site of the gaU-duct. When the disease has been caused from some unusual emotion, it may come on very suddenly, but in general it comes on in a very gradual, and not unfrequently, unob- served manner. It mav be caused by acute or chronic inflammation of the liver; or from diseases of the stomach, or other portions of the intestinal track; blows upon the head, or in the region of the liver, may produce the disease; also moral emotions, or violent fits of passion; the in- ordinate use of chamomile tea, quinine, rhubarb, calomel, or mercury, may also be mentioned as causes, as these agents often tend to obstruct the biliary duct. Treatment. — The Specifics No. One and No. Ten are the proper remedies. In slight cases, six pellets of No. One each morning, and six pellets of No. Ten before each meal and at night wiU be sufficient. Should the disease be more decided and well marked, and the patient have some 398 HOMEOPATHIC MENTOR. degree of feTer, the two remedies mentioned may be tal^eu in alternation, six pellets every two hours until amendment occurs, and then at somewhat longer intervals until the disease is cured. The diet should be of easily-digested food, free from con- diments or stimulants of any kind, and may consist chiefly of chicken or veal soup, with stale bread, tapioca, sago or rice, and gruels made of arrow-root, corn-starch or farina. The drink should be principally water, and all stimulating or tonic bitters made of cider, barks, or wine, should be avoided, and especially all indigestible food, such as eggs, butter, fat-meats, milk, etc. ■ AccESsoET Means. — Flannel squeezed after immersion in hot water, or a hot hip-bath, relieves j)ain. Jaundice from inactivity and chronic congestion of the liver requires change of air and scene, travelling, daily walking, or horse- exercise, regular and temperate habits, and the use of the abdominal compress. DISEASES OF THE URINARY SYSTEM. AliBUMINUEIA. This is defined as a morbid condition of the urine, symptomatic of renal disease, but not always a result of it; and manifested by the presence of albumen. Albuminuria is not Bright's disease. But it is always associated with it, and it may exist prior to and inde- pendently of any renal disease. If there is neither blood or pus in the urine, and nevertheless it is coagulable in even a slight degree, thus indicating the presence of albumen, it does not follow that there is any structural change in the substance of the kidney. It may be a symptom of several diseases or conditions and may even be a consequence of cold bathing. It may occur in febrUe or inflammatory diseases; dyspepsia; excessive albuminous diet, as eggs; prolonged or very frequent cold bathing, by repressi n; the cutaneous secretion increases the blood pressure of internal organs, and so may produce degeneration in the structure of the kidneys. Occasional bathers are more likely to suffer than active swimmers. The symptoms are, that the quan- tity, color and density of the urine is natural, and yet it coagulates by heat or nitric acid. Treatment. — ^When associated with inflammatory disease or cold bathing, give Specific No. One, six pellets before meals and at bed time. If from dyspepsia use Specific No. Ten in the same manner. If chronic the Specific No. Twenty- Seven at the same intervals and doses will be lound effective. 400 HOMEOPATHIC MENTOR NEPHRITIS.— (Jn/a»Mn or from stricture, or it may result from suppressed piles. Going too long without urinating, and hence over-distention of the bladder may in some cases close the internal orifice of the organ; or it may be occasioned by spasm of the neck of the bladder. Paralysis or inflammation of the neck of the bladder may also produce it. Also tumors in the neck of the bladder, or calculus or swelling of the prostate gland. Difficulty of discharging the urine is manifested by fre- quent desire to urinate, attended with heat, smarting pain, uneasiness and a sense of distention and fullness in the region of the bladder. The urine is only voided in drops or small quantities, sometimes mixed with blood, after great urging or straining. This condition may be occasioned by gonorrhoea or -in- flammation of the urethra, spasm of the neck of the bladder excesses in drinking, exposure to cold in sensitive subjects, suppression of some habitual discharge, presence of grave] DISEASE AMD TEEATMENT. — DIS. OP THE UEINAET SYSTEM. 413 in the neck of the bladder or urethra, or from the appli- cation ^of cantharides in the form of a blister. In some rare cases the secretion of urine may be suppres- sed, the kidneys failing to elaborate this secretion from the blood. It mostly occurs in persons of advanced age, or in very young children. It may occur in the course of fevers or La dropsy, or inflammation of some organ of the body. Gouty subjects, particularly after being exposed to cold or wet, or on the suppression of some accustomed discharge, such as hemorrhoids, are most liable to it. Generally there is no inclination to make water, there being no accumu- lation; and there is no swelling or enlargement in the region of the bladder, indicating an accumulation. Other symp- toms are: Nausea, sense of weakness and sinking at the prsecordia, sometimes there is also frequent turns of vomit- ing, severe hiccough, pain in the back, intense headache and restlessness. The skin generally presents a normal condition, but profuse perspiration sometimes supervenes, in some cases with a decided urinous odor. If the secretion is not again established, the system soon suffers, the blood is not purified, and cerebral symptoms declare themselves, and life terminates in coma. Treatment. — When there is retention of urine, frequent effort, and but little or no discharge, the Specifio No. Thirty should be given dissolved in water, six pellets in a spoonful, and repeated every hour, or even every half hour in urgent cases. Hot fomentations applied to the region of the bladder, and warm seat-baths, are also- very efficient auxiliaries. Painful, difficult urination requires nearly the same treat- ment, only there is less necessity for seat-baths or warm fomentations. The SpEcnrics No. Thirty may be taken, six pellets dry on the tongue and repeated every two hours, will be sufficient in most cases. Should there be calculus, tumors, or other mechanical obstructions in the neck of the 414 HOMEOPATHIO MENTOR. bladder or iirethra, tlie case will be more obstinate, yet the use of the medicine and warm fomentations will be proper, and generally eificient. If there is inflammation of the virethra, the same treatment as in gonorrhoea must be pur- sued. When the secretion of the kidneys appears scanty or suppressed, a few portions of the Specefic No. Eleven, either alone or in alternation with No. Thirty, at inter- vals of two or three hours, will be probably sufficient to restore the secretion again. ENURESIS. — {Urinary Incontinence — Wetting the bed). This difficulty is manifested in a frequent desire to pass off the water, and an inability to retain it for any length of time after the inclination comes on. Sometimes the call comes on every hour, or even more frequently during the day, and the urgency is very pressing. It may arise from weakness or relaxation of the neck of the bladder, or from the urine being to acrid or irritating, or from the presence of gravel, or some diseased condition of the bladder itseK. A frequent phase of this disease manifests itself in the involuntary discharge of the urine at night, or what is termed "wetting the bed." It is mostly noticed among children under ten or twelve years of age, but has occasion- ally been known to continue to adult age. Sometimes it appears in children apparently disconnected from any other morbid condition of the urinary organs; the child has per- fect control while awake, but during the unconsciousness of sleep the system becomes relaxed and the urine is passed involuntarily. It may arise in some cases from the irritation of worms, or from the secretion being too acrid, but in general its foundation, especially in obstinate cases, will be found in scrofulous diathesis. Treatment. — In all cases of frequent calls to urinate or DISEASE JLND TREATMENT. — DB. OP THE UEINART SYSTEM. 419 inability to retain the secretion, the Specific No. Thirty, three pellets for children three times per day, wiU be suffi- cient, and be found promptly curative. When the disease may be supposed to arise from the irritation of worms, the Specific No. Two may be given in alternation with No. Thirty, each taken twice in the course of the day. In obstinate cases of wetting the bed, the Specifics No. Twenty-Two should be given, three pellets for children every morning on rising, und the No. Thirty, three pellets at night, and this course pursued until the cure is effected. In the case of children subject to this infirmity, care should be taken not to let them drink of water or other fluid late in the evening, or on going to bed; not to permit them to eat apples, acid fruits, watermelons or cantelopes late in the afternoon or evening, and to use no kind of drink calculated to stimulate the urinary secretion; and also when children are subject to this infirmity, to have them urinate the last thing before retiring, and also very early in the morning, and on no account suffer them to lie in the wet clothes. DIABETES.— {Excessive Secretion of Urine). This disease is known as a constitutional cachexy, mani- fested by an excessive discharge of pale, heavy, and sugary urine, the sugar being formed in the system from the starch or saccharine matter in the food. There is a sense of sick- ness, debility, and progressive emaciation; red, fissured tongue, and enlarged papilla; intense thirst and frequent urination; voracious appetite and sinking of the stomach; bowels usually costive, and stool hard and dry; harsh and dry skin; the breath has a peculiar violet or chloroform- like smell; boils or carbuncles, or swellings of the legs are frequent attendants; the insatiable thirst is one of the most characteristic symptoms. The. quantity of urine is usually 416 HOMEOPATHIC MENTOB. greatly in excess, amounting to from eight to twenty or more pints in the twenty-four hours. It is usually of a pale, straw color, has a faint smell of apple, hay, or milk, and is specifically heavy, according to the amount of sugar it contains. Diabetic urine may be tested in various ways: win ferment with the addition of yeast, or leave a residuum like molasses on evaporation. There is another form of diabetes characterized by an excessive discharge of clear, colorless urine, but which is devoid of sugar. There is thirst, a harsh, dry skin, and mental and physical weakness present. Tbeatment. — In diabetes the patient must avoid all forms of starch or sugar, and the foods containing them; but should live on other abundant nutritious food. Fat meat, fish, oysters, eggs, milk and soups thickened with finely powdered bran, but no bread, potatoes, grapes, pears, berries, melons, or other sweet, rich fruits. As a substitute for bread, bran ground fine and mixed with eggs and a little butter, and hard baked, may be used. The thirst may be gratified with water, which rather benefits than others wise. The patient should also take five drops, four times per day, of a fecial homeopathic Specific foe Diabetes, price $2.00 per bottle, to be had of this Company, on application by mail. This treatment has been uniformly successful in many, even advanced cases. The patient may also drink freely of skim-milk. It may be made a regular diet and as much as seven or ten pints may be taken daily in fluid, or two or three pints of the amount may be made into curd daily and taken in that form. HEMATUEIA. — {ffemorrhage with the urine). Occasionally the urine is found of a more or less deeply reddish tinge, and an examination shows the presence of blood. Sometimes quite a proportion of the discharge con- Bists of blood, and at i)tiier times there is but a slight DISEASE AND TREATMENT. — DIS. OF THE OEINART SYSTEM. 41'7 admixture. It may arise from any cause that separates any of the minute blood vessels along its course. Thus, falls, blows, bruises, leaping, running, any violent exercise, or a lodgment of a stone in the kidney, urethra, or bladder, or an inflammation of the kidney may occasion it. Irregular menstruation, suppression of piles, excessive indulgence in spirituous drinks, venereal excesses, the use of asparagus or cantharides may at times induce it. "When the blood is discharged in streaks or dots, and de- posits, on standing, a dark brown sediment like coffee grounds, it is likely to have come from the irritating effects of a stone in the bladder, and the act of urinating is attended with some straining and effort. If it proceeds from the kidneys, there will be pain in the lumbar region; anxiety; numbness along the inside of one or both thighs; drawing up of the testicles, and derangement of the bowels. The presence of blood in the urine is always a serious matter, and should demand our attention. In most cases it is controllable, but should not be neglected. Treatment. — The Specific No. Thirty will generally be found sufficient, and should always be tried first, six pellets dissolved in a spoonful of water, and given every two or three hours, gradually increasing the intervals. Should the disease arise from the kidneys, and especially if there should be an appearance of pus or matter in the secretion, it wiU be better to alternate the Specifics No. Twenty- Seven and No. Thirty, six pellets at a time, and say four times per day, continuing this course. Drinking of cold water is objectionable, and tends to increase the irritation. Barley-water in large quantities is the best drink. Should these remedies not control the disease, and espe- cially if the amount of blood in the urine is quite copious, half a teaspoonful of the Marvel op HEAUNa, taken ever? one or two hours, will be effectual DISEASES OF WOMEN. MENSTRUATION. The sufferings attendant upon the various forms of disease to which women are particularly liable, comprise a large share of the evils to which they are subject. Much of the health and happiness of the sex depends upon the proper performance of the various functions incident to their peculiar systems. No considerable derangement in these functions can exist for any length of time, without drawing the entire system into sympathetic suffering. "While this class of disease is so important, and exercise so grave an influence over the health and happiness of the female, yet their nature is such as to necessarily exclude them, to a great extent, from observation, and the victim often prefers to suffer the pain, distress and inconvenience of them, than to disclose them to her medical attendant. It is then especially important that ladies, and especially mothers, should make themselves acquainted with the sub= ject, and as far as possible to be able to correct these dis= turbances in their earlier stages, and before they have become complicated or inveterate from lapse of time. The first menses usually make their appearance in this climate at about the fifteenth year; in warm climates earUer, and in colder later. It is also subject to variations, de- pending upon the general health, vigor, and development of the person. For a jear^ or two it may be scanty, and not filSEASE AND TEEATMEliT. — ^DISEASES OP WOMEU. 419 unfrequently subject to some irregularities, which need not excite apprehension, unless they are very grave or im- portant. In healthy women it should appear every twenty- eight days, and flow four or five days, varying again accord- ing to the health and vigor of the person. About the forty-fifth year of life it generally ceases altogether, though in some cases it may commence with irregularities some years earlier; and in others the function may continue regularly until the fiftieth year, or even later. Its cessation is marked by irregularities and various disturbances of the system, extending for months, or even years. This cessation of the monthly-flows, and the disturbances of the period, are generally termed the "change of life" or the critical period. Amenorrhea. — {Tardy menses— Belaying menses). When the menses, in young girls, do not come on at the usual time, it is not always proper to hasten to administer medi- cine", with a view of forcing their appearance. It is a better rule, so long as the general health remains good, to do nothing to promote this secretion, beyond attention to the proper clothing, exercise, and diet of the patient. The clothing should be warm and changed to suit the tem- perature and season; and a wholesome, generous diet should be adopted, avoiding all spices, coffee, and high-seasoned food. Care should be likewise exercised that the child be not overtaxed by study, too long or too severe lessons, or sitting too long at the piano; while, from want of appetite, or unsuitable or too meagre diet, the system is insufficiently nourished during this period. These measures will gener- ally be sufficient. Should they however fail, or should there be some symptoms of its approach, such as flushes of beat, frequent giddiness of the head, heaviness in the abdomen and about the loins; or if she is dull, stupid, melancholy or sad; or if she is bloated, sluggish; or even if very slender s,nd feeble, the case should demand attention, and the 420 EOMEOPATHIC MENTOR. patient sHouia receive proper care in order to prevent aftei diseases, irregularity and suffering. Treatment. — The Specific No. Eleven, six pellets nigbt and morning, wiU. be found sufficient, and may be continued regularly until the menses are established. Fresh air, moderate exercise, and simple, generous diet, are im- portant. A sponge bath night and morning, avoiding exposure to night air and cold damp feet, are also import- ant auxiliaries. Chlorosis. — {Green- Sichnesa). — In some cases the menses fail to appear at the proper age, or appear imperfectly, very scanty in quantity, wanting in proper color, and irregularly as to time, or not at all, and, additionally, there are more or less of the following symptoms: Weariness, want of strength or vigor, languor, debUity, the patient becomes emaciated, face pale, earthy, lips blanched, bloodless, or sometimes flushes of heat, depraved appetite, longing for sharp, acid, ar cheering things, or for slate, chalk, or clay. The bowels are irregular, confined, or relaxed; abdomen often dis- tended, with borborigmi or flatulence, especially after eating, or along in the latter part of the day; limbs fre- quently are swelled and cold; headache, short breath, and palpitation of the heart on slight exercise, and not unfre- quently, short, dry cough. These symptoms in young girls are always of the utmost importance, and demand care and attention for their removal. Yet yoii should not rush to extreme means. A little time, patience and care, with the use of the proper medicines, will generally bring all around right, and give the patient a good, healthy constitution. Treatment. — The Specifio No. Eleven, six pellets in water, three times per day, will almost always be found sufficient; and especially if coupled with this, due care be exercised with regard to the diet and regimen of the pa- tient. All that has been said under the previous section in regard to Tardy Menstruation obtains here. Good air, DISEASE AND TREATMENT. DISEASES OF WOMEN. 421 generous diet, -warm clothing, daily frictions of the body and bathing, are all means to establish and build up the ■ general health, and most important and efficient auxiliaries in the work of restoration; and generally succeed in a few months in restoring the patient, and bringing her over this often-times critical period. Other medicines may be used as intercurrent remedies in the treatment, if the symptoms so require: as, the No. Ten for flatulence, feeble digestion and poor appetite; No. Seven for cough or hoarseness; No, One or No. Thirty- Five for flushes of heat or headache. These remedies may be given, one or two doses of six pellets per day, while the No. Eleven is given regularly night or morning. Scanty, Insufficient Menses. — In some cases, after men- struation is established, the discharge does not appear at the proper time, there being five or six or more weeks be- tween the intervals; or, it may continue only for a day or two, being pale or unusual in color, or stopping, and then coming on again for a few hours; or other features of irre- gularity, denoting an unhealthy or feeble menstrual flow. All such cases indicate either general debility, feebleness of the entire system, the presence of some serious disease or derangement of the uterine system, and demand atten- tion. We should seek to build up the general health, by nourishing food, stimulants in rare cases, good air and healthful exercise, keeping the feet dry and warm, and the lower extremities well protected, and the mind cheerful and happy. Beside these hygienic observances, the use of the Specifio No. JEleven, six pellets night and morning, or even six pellets before each meal and on going to rest at night, wUl in general restore the system to its natural and healthy function. Suppressed Menses. — Sometimes, in regularly menstruat- ing women, the discharge becomes suppressed, and fails to 422 HOMEOPATHIC MENTOR. appear at the proper time. This is most commonly the result of cold, and especially of damp cold, and is a cause to which women should be constantly on their guard. Cold feet, getting the feet wet, insufficient covering for the feet, legs and lower abdomen, or a thorough chilling of the whole body about the time it should appear, or even during the flow, are sufficient to arrest the discharge, and result in very mischievous consequences. Sudden and powerful emotions of the mind, or grief and despondency, may also arrest it, and at times, these powerful influences applied during the intervals between the periods, may be sufficient to prevent its appearance. The use of acids, vinegar, pick- les, or harsh, indigestible things, may have a similar effect. When these obstructing causes are applied during the flow, or just at the time of its being established, the consequences are much more severe and violent than when they are applied during the interval. But when the obstructing causes are applied during the interval, a train of symptoms arise which are quite as serious, if not as sudden and violent. The patient becomes pale, languid, debilitated; her appetite faUs, and §he looks sickly and dejected; there is loss of energy and ambition; the feet and ankles often swell; she becomes nervous, palpi- tation of the heart, indigestion, flatulence, and shortness of breath appear, and very generally leucorrhoea comes on. In feeble persons predisposed to consumption or pulmon- ary disease, suppression is peculiarly prejudicial and always demands serious attention. The result is that: The flow may either cease suddenly, or it may not come on at all at the next period, or it may come on attended with ssanty, irregular discharge, or with severe pain and distress. In the worst cases we have frightful attack of spasmodic pains in the bowels and stomach, often attended with retching, vomiting, headache, flushed face, delirium, convulsions, hysteria, palpitation of the heart, or difficult breathing, etc. DISEASE AND TREATMENT. DISEASES OF WOMEN. 423 Treatment. — Dissolve at once twelve pellets of Specifio No. Eleven, in six dessert spoonsful of water, and of this give one spoonful every hour, giving the patient also a hot foot-bath, and put her quietly and comfortably to bed if the case is sufficiently serious to justify it. This wiU generally suffice; if it does not, another dose may be pre- pared in the same manner, and taken at intervals of two or three hours, until the result is accomplished. If the flow has been fuUy established, it may not be re- quisite to do anything in the interval. But if the result has been imperfectly accomplished, the Specific No. Eleven should be given, six pellets every two or three nights during the interval, and at the time it should again appear, care should be taken that there be no exposure or danger of a chUl to prevent its appearance. When the proper time returns, and the menses do not appear, take six pellets of Specific No. Eleven every night on going to bed, and morning on rising, and bathe the feet in warm water ten or fifteen minutes, two or three nights in succession, if necessary. A single dose or two wUl, how- ever, usually be found successful. Dysmenorrhea. — {Painful Menstruation). — Many women suffer an untold amount oipain at every return of the men- strual period; not only bearing down, but cuttings, gripings, colic, cramps, and, in some cases, even convulsions attend every access of menstruation. Often these sufferings are so excruciating as to embitter the life of the patient, and cause her to dread even the thought of a menstrual return; and the prostrating effects of one period are hardly re- covered from, before another comes on. These sufferings are liable to occur during every period of life, from the commencement to the close of menstruation, and certain persons or constitutions are peculiarly predisposed to them. Exposure to cold and want of proper care during the first years of menstruation, are the common sources of this 424 HOMEOPATHIC MENTOR. suffering. The pain often begins some tours, or even daya before the flow commences; and at other times the dis- charge commences and continues several hours, then diminishes or ceases entirely, with great suffering. Thf pains may continue an indefinite period, ceasing zv be coming less when the flow has been established under proper treatment; or, they may continue during the entire period, without shortening the period, or diminishing th^ quantity. The pains may be of an intermitting, expulsive character, or a steady, aching pain in the loins, hips, and back, like those which usually precede menstruation. In some cases membranous shreds are expelled, and in others the flow is natural. Not unfrequently the breasts are swelled, sensitive, or even quite painful. Such cases are sometimes found in connection with scanty, Retarded, or irregular periods; and again, with re- gular or too abundant discharge, the feature being exces- sively violent pain, pressure, bearing down, and even cramps and convulsions at every access of the monthly period. Treatment. — During the interval between the periods, give every night six pellets of the SpEcmc No. Eleven. When the pain comes on, give six pellets of the Specifio No. Tllirty-One, every hour, until relief is obtained, or several hours have passed. If not fuUy relieved by this, give the Specific No. Eleven, in alternation with No. Tllirty-One, and at the same intervals. In some cases where there is great bearing down, or when the discharge is quite profuse, the Specific No. Thirty- Five will be found very ef&cient, given in the same manner, either alone or in alternation with No. Tllirty-One. This course will very generally relieve the most inveterate cases. For headache during the menses, take the Specific No. Eleven, every two hours six pellets, until relieved. In some cases the Specific No. Tllirf y-TwOj taken in the same manner, acts like a charm. DISEASE AND TREATMENT. — DISEASES OF 'WOMES. 425 Metoeehagia. — {Too profuse, or too frequent menses). — Often, especially in women subject to "the -whites," and dependent also upon a similar relaxed condition in the system, the menses are too profuse, returning again after a cessation of only ten, fourteen, or sixteen days, and flowing from five to ten days. Thus the discharge may not only be too profuse, but also too soon and too frequent, or it may only appear too soon, without being for the time excessive in quantity. Sometimes the secretion is scanty for some days, and then comes on like a flood, causing great prostration, faintness and debility, from which the patient has scarcely time to recover, before a new attack comes on. It may be attended with only slight pain or distress beyond the sen- sation of debility, consequent upon the great drain upon the system. But in other cases the pain, distress, or dragg- ing down pains are very severe and exhausting. Some- times, indeed, the discharge is so profuse as to merit the designation of real hemorrhage, or flooding, and, of course, induces a condition of great debility and prostration. Women subject to this difficulty, should entirely abstain from coffee, wine, or other stimulants, and also from all teating drinks, spices, or condiments. These excitements exert a direct influence in keeping up the irritation, and in promoting this unhealthy flow. Treatment. — During the interval between the periods, the Specific No. Twelve, six pellets morning and night, should be taken, regulating the diet as above directed. After the flow has continued two or three days, and if desirable to arrest its further excess, commence the use of the SpEcmcs No. Ten and No. Twelve in alterna- tion, giving six pellets at a time at intervals of three hours. If the discharge is very profuse from the first, the above two Specifics may be commenced earlier, and may be given every four hours in alternation. When the discharge lingers along for several days, six pellets 426 HOMEOPATHIC MENTOR. of No. Ten, given at night, will generally suffice to arrest it. In case there be at any time an excessive flow, amounting to a dangerous hemorrhage, from whatever cause, ten or twelve pellets of Specific No. Twelve should be dissolved in six spoonsful of water, and one spoonful should be taken every hour, until the dangerous symptoms are warded off, when the medicine may be administered at longer inter- vals. It will be obvious that the patient must remain per- fectly quiet, and abstain from warm drinks, or any excite- ment at such times. Menopause. — {The grand Climacteric — Cessation of the Men- ses). — This period, which is very frequently termed the Change or Liee, occurs most commonly at or about the forty-fifth year. In some cases where menstruation has commenced early, and the person has lived luxuriously, it may terminate as early as thirty-seven, forty, or forty- second year; and, in other cases, with strong, vigorous ladies, the menses often continue to the forty-eighth or fiftieth year, or even to a more advanced period of life. Its approach is usually manifested by some irregularities in the monthly flow. It may come on too soon, or be de- layed one, two, or more weeks; and the discharge may manifest some change, being in some cases light or pale, being largely mixed with mucus; and in others being very profuse, not unfrequently amounting to profuse and alarm- ing hemorrhages. Sometimes the flow comes on suddenly, and again ceases without warning, and unattended by bad symptoms. In some cases the change comes on so gradual and free from constitutional disturbance, that before the subject is fully aware of it, she has ceased to menstruate, and has safely glided over this troublesome passage into the serene ocean of after-life, exempt from many sufferings to which she had previously been exposed. More frequently, however, as women approach this DISEASE AND TEEATMENT. — DISEASES OF WOMEN. 427 period, they have turns of vertigo, headache, flushes of heat, occasional palpitation of the heart, more or less nervousness and some sense of debility; sometimes frequent passage of pale urine in large quantities, or of high-colored, scanty urine; pain in the lower part of the abdomen, back and hips, or extending down the thighs; heat in the lower part of the stomach and back; piles may be troublesome and bleed freely; swelling of the lower limbs or abdomen, which subsides without the usual symptom of flatulence ; and pru- ritis or violent itching of the organs is not uncommon. This range of symptoms may appear in whole or only in part, or be variously modified in particular cases. Teeatment. — So long as the health is good, and the monthly flow is gradually diminishing from month to month, medicine is not required, but in all cases a proper diet and regimen is important. The diet should be simple, avoiding all stimulants, and all highly-seasoned stimulating meats, and using chiefly vegetable and farinaceous articles of food; frequent exercise in the open air in suitable weather, bathing, and the proper culture of the skin should not be neglected. The dress should be so regulated as to suitably protect the person, and prevent unnecessary ex- posure to the necessities of climate; and sleeping, also, in heated rooms, and on soft, heating beds, should be avoided. The Specific No. Thirty-Two, six pellets morning and night, will be generally efficient in arresting nearly aU the disturbances arising during this period. Should there occur at any time such a discharge as to be serious or threaten a hemorrhage, rest, quiet, and the use of the Spe- cific No. Twelve, in alternation with No. Thirty-Two, six pellets every hour, will promptly avert any danger. No. fear nead be entertained from the long-continued use of the Specific No. Thirty-Two during this period, as it may be used for months or years without prejudice. 428 HOMEOPATHIC MENTOE. LEUCORRHCEA.— ( Whites). Few affections of women are more common than this, and, perhaps, none more annoying. It consists of a dis- charge from the genital organs, mostly whitish, but not unfrequently discolored, and of varying nature and consis- tency. It most frequently occurs between the ages of puberty and the cessation of the menses, yet it it not un- common in little girls or even young children, and occa- sionally met with in quite old women. Some persons and families are much more subject to it than others; those sub- ject to catarrhs, and of relaxed habit of body, being most liable. The more common exciting causes are diflScuIt or tedious labors; the immoderate use of the organs; late hours; abuse of tea, coffee and spices; luxurious living, and sometimes the neglect of proper bathing. When it appears in children, the cause is generaUj' seat-worms, neglect of proper bathing, or some irritating matter or substance applied to the parts. This discharge is also most profuse just before and after the menstrual period, and diu:ing pregnancy. It may be trifling or quite profuse, and its character may vary as much as its quantity. At the com- mencement it may be only a slight increase of the natural, healthy, transparent mucus, but it gradually becomes more dense, thick and gelatinous; or it may become thin, milky, or acrid, at times rendering the parts sore or excoriated; in many cases it is yellowish and purulent; or again it may be greenish or even a brownish hue. The discharge often is not constant, but irregular, or by emissions. At first, and while the discharge is trifling, the system seems to feel the loss but slightly; but after a time the results begin to man- ifest themselves by constant pain in the back and loins; aching in the hips; bearing down or sense of weight low in the abdomen; pale face; coldness of the extremities; des- pondency or low spirits; loss of appetite; rising of wind or DISEASE AKD TREATMENT. DISEASES OP WOMEN. 429 food; nerrous symptoms, neuralgia, and similar consensual manifestations. Leucorrhoea should alwaj's demand atten- tion. On the first intimation of its approach, the subject should at once avoid the exciting causes, and apply the proper Specifics, and thus arrest at the commencement what might otherwise become an intolerable burden, or the fore- runner of some serious uterine affection. Not unfrequently it is the symptom of some disease of the uterus which de- mands prompt and efficient aid. Tkeatment. — Persons subject to this condition should carefully protect the feet and lower abdomen from sudden changes of temperature and colds, by wearing firm, sub- stantial covering for the feet, and underclothing; avoid standing on the cold, wet ground; take moderate exercise in the open air; avoid over-heated rooms, coffee, exciting drinks or highly-spiced food, and should take of the Speci- fic No. TTVelve, six pellets night and morning. If the bowels are inclined to constipation, the Specific No. Ten^ six pellets, may be taken at night, and the No. Twelve morning and at noon. When leucorrhcea exists in connection with too scanty, infrequent or irregular menses, the Specipio No. Eleven deserves a preference, and may be taken six pellets three times per day. When it occurs aftefr cMld-hirth, Specific No. Twelve is the remedy, six pellets morning and night for a week. If this does not control it give No. Eleven in same manner. If it depends on a scrofulous taint of system, the No. Tvrenty-Two will be useful. Injections of the Marvel or Healing and water, in the proportion of one part of the Marvel and two parts of water, administered morning and night, are of the utmost possible value in arresting such discharges, stimulating contractions, and giving tone and vigor to the organs. When it exists in little girls or young children, a carefuj 430 HOMEOPATHIC MEXTOE. examination should be made for small pin worms wtich may sometimes be found lodged within the jjarts, and which should be removed by frequent bathings; and the child treated for worms, by giving the Specific No. Two each morning and the Specific No. Twelve at night, three pellets at a time. PEOLAPSUS TJTEBL—iFaMing of the Womb). This is also a very common complaint among women, affecting, in a greater or lesser extent, quite a proportion of the sex. Sometimes it is only a passing and comparatively trivial affection, coming on from some severe fatigue or over-exertion, and soon passing off from rest and a recum- bent posture; while at others it is a constant and chronic affection, forbidding any considerable effort, and sometimes confining the patient to her room. The immediate causes of the prolapsus are various, among which the principal are: Getting up too soon after confinement; results of over- lifting or over-straining, or of falls; very severe coughs or vomitings; tight lacing, and a more or less relaxed habit of body; and, added to this, a more or less engorged or con- gested condition of the uterus itself. It is usually attended with a feeling of weight and heaviness low down in the ab- domen; lameness or pain in the back and loins, dragging in the groins; a benumbing sensation extending down the limbs; a sensation as if everything would be pressed out while standing on the feet; a sensation also of emptiness, faintness, or "goneness" at the pit of the stomach; and often some difficulty in passing water or when at stool. In some severe cases there is difficulty in rising to the feet, and the patient must lean forward and support herself by placing her hands upon her thighs. All these sufferings are aggravated by standing or walking, and disappear or are relieved by lying down. There is also in many cases, a DlSEAKJi AKD I'liLAl'MliKT. — DISEASES OF WOMEN. 431 constant discharge of mucus from the parts, often unhealthy and abundant, and the monthly period is generally too pro- fuse, aU of which contribute to increase the nervous de- bility, and exhaust the strength of the patient. [ Teeatment. — In many instances, and in all the less aggra-: vated cases, the use of medicines in the form of propel Specifics wlLL be sufficient to remove the difficulty, if the patient wiU foUow the treatment persistently, and avoid the exciting causes of the disease. But there may be cases so situated that mechanical aid, in the form of some of the various "pessaries" or "supporters", is indispensable. But I think we should never resort to these until we have ex- hausted other means; as once introduced, they may and most likely will, become a life-long companion. "When the symptoms are present, indicating a prolapsed condition, or those above described, the Speoifigs No. Tllirty-Five and No. Ten are the most efficient remedies and should be ad- ministered, six peUets of No. Ttlirty-Five each morning, and the same of No. Ten at night in aU the milder cases. When the symptoms are more severe and decided, the pellets may be dissolved in water and administered as often as once in four hours, being at the same time careful to give the patient aU the rest and quiet possible. When the displacement is severe and decided, and especially when it is the result of a recent strain, overlifting or accident, the patient should lie down upon the back, with the limbs drawn up, and endeavor to replace the organ, and to main- tain the position until the organ has, in a degree, resumed its position, and the pains and dragging sensation has dis- appeared. When prolapsus occurs in connection with chronic leu- corrhcea, the Specifics No. Ten and No. Twelve should be administered, giving each morning and afternoon, six pellets of No. Twelve^ and at each noon and at night the game of No. Ten until this condition is radically removed. 432 HOMEOPATHIO MENTOE. HYSTERIA. Ladies between the ages of fifteen and thirty and more especially the unmarried, are subject to attacks of hysteria, which are in general connected with some anomalies in the menstruation, and mostly occur in connection with that period. The form and succession of symptoms are almost innumerable, since there is scarcely a form of disease that hysteria has not been known to simulate. The more fre- quent symptoms, however, are those of anxiety, depression, weeping; difficult or oppressed breathing; palpitation or nausea; sensation as if there was a ball in the throat, which proceeds from a pain in the left side; sometimes there is twisting or turning of the body, rigid, stifif limbs and clenching of the teeth. Then there are fits of laughing, crying, screaming, incoherent talking or frothing at the mouth, or hiccough. Sometimes an attack commences with violent spasmodic pain in the back, which may extend to the chest or stomach, with cold, perspiration, pale, earthy face and weak, thread-like pulse. An attack lasts from a few minutes to several hours, and passes off with eructations, sighing, sobbing, and a sense of soreness in the whole body. It is quite common in some families and individuals, and it may be excited by sudden emotions. Th^ predispositica to it is increased by an inactive life, free use of stimulanta^ ^r depressing mental condition. Treatment. — See pages 268 — 269. INFLAMMATION OP THE LABIA. An inflammation of the external organs of women occasionally occurs, during which one of the labia becomes swelled, hard, red and painful and sensitive. In soma cases a swelling and suppuration and discharge similar to that of a boil occurs, all of which is very painful and DISEASE AND TREATMENT. DISEASES OF WOMEN. 43S tedious. In some persons there are frequent repetitions of the same phenomenon. It may be occasioned by the rupture of the hymen, or from injury in the newly married, or come on as a consequence of tedious labors, or in other cases from some morbid condition of the system developing itself in this direction Treatment. — ^When it is the result of violence or injury to the parts, the Marvel of Healing, diluted one-half with water, and applied to the part by a; cloth saturated vfith the lotion, will give very prompt and decided relief; and the Specific No. One, six pellets every two or three h^urs, may also be taken upon the tongue, and continued until the heat, swelling and pain has subsided. In cas^s where it assumes the nature of a boil, and suppuration occurs, or is inevitable, the Specific No. Twenty- Two may be given, six pellets every four or six houw, uniil cured. An occasional dose will prevent a return. PEEGNANCY. This period may be considered as perhaps the most im- portant era in the life of woman. She is now no longer acting for herself alone, but becomes invested with a new and serious responsibility; as, upon her well or iU being during this period, may depend the future health and hap- piness of another, to whom she stands at once in the most endearing and most responsible relation. Experience, and ihe ample records of the most careful observers have clearly shown that the physical, mental, and even moral constitu- tion of the future being is greatly modified, and in some instances formed, by the condition of the mother during this interesting period. Keeping this in view, we shall en- deavor to point out for mothers that general course of con- 3uct which vrill be most likely to secure for themselves ease and safety during the approaching trial; and for the 434- HOMEOPATHIC MENTOB. offspring, that physical and mental condition which will best fit them for the duties of life. Should these slight re- strictions involve some self-denials or restraints, they may be assured that they wiU be more than repaid in their own welfare in the near future, and in the consciousness of having so truly contributed to the health and happiness oi another. The most common causes of weak and sickly offspring are : lU health or constitutional taint of one or both parents; very early or very late marriages; too great inequality between the ages of the parents; errors in dress, diet, and general habits of life ; and, finally, powerful mental emotions. Fortunately, under the benign and yet potent influence of our system of treatment, not only long standing diseases, but also hereditary taints, may be entirely overcome and eradicated, so that we have less to fear than formerly in re- gard to their transmission to offspring. And it may as well be remarked here, that the intermarriage of relations or members of the same family, tends to aggravate and perpe- tuate any particular fault or vice of either parent, even though in some cases it may disappear in one generation, only to reappear in greater violence or strength in a succeeding one; while, by judicious intermarriage with per- sons of opposite temperaments, the fault or vice is con- stantly found to diminish. It is not advisable for women in this country to enter the marriage relation before the twenty-first or twenty- second year, though it is undeniable that many have be- come strong, healthy mothers, lived to old age, and have reared large families of healthy children, who have married at a much earlier age; yet prior to this period, the organism is rarely fuUy developed and confirmed, and those who marry at sixteen or eighteen years of age, incur some hazard of severe after-suffering to themselves, and of giving birth to weak and delicate children. Not unfreqaently the DISEASE AND TREATMENT. — DISEASES OP WOMEN. 435 children of very early marriages perish in infancy, or after contending with the various diseases of infancy in continual delicacy, sink into a premature grave. Women who marry late in life incur considerable personal risk, and their off- spring are rarely healthy. The children of old men, though by a young wife, are often extremely delicate and very susceptible to iUness, and not unfrequently precede their father to the grave, or linger but to drag out a miserable and wearisome existence. Pregnancy should not be considered a state of disease, but as a natural function, and one which nature has taken great care to have as perfect in all its appointments, and as free from suffering as possible. "When pregnancy runs its equable and uniform course, the expectant mother enjoys an almost complete exemption from prevailing epi- demic, or even infectious diseases; and we likewise find that during its course chronic diseases are frequently sus- pended or modified. With the exception of some slight morning sickness, or other trifling uneasiness,, a well con- stituted organism should enjoy as good health during this period as at any other. Thousands pass through it, giving birth to healthy and vigorous children without even the most trifling inconvenience or suffering. Though nature has taken kind care to render this season as far as possible exempt from disease on the part of the mother, and to provide for the health and welfare of the future being, yet in many instances her kind intentions are frustrated by the direct infraction of her laws. The expectant mother should therefore bear in mind the duty of leading, as far as possible, a regular and systematic course of life, since its violation may fall with fearful severity upon the helpless infant. Air and Exeecise. — Preservation and enjoyment of the highest health are dependent upon nothing more than the two points mentioned above, yet, perhaps, in nothing are 436 HOMEOPATHIC MENTOR. there more frequent errors. Neither air nor exercise is individually sufficient. Those who, from habit or fashion, merely take the air in their carriages, and shun the slightest physical exercise, either from habit or from acquired in- dolence, can scarcely expect to de/ive the benefit which nature has annexed to the observation of her laws, in a course of pregnancy, free from suffering, and the production of fully developed and healthy offspring. During this period, therefore, passive or carriage exer- cise is not sufficient; on the contrary, continual passive evercise in a carriage has been found particularly injurious during and towards the end of the second period of pre- gnancy, and is frequently the cause of premature or ab- normal birtha Exercise on horseback, even without taking into consideration the risk of fright or accident to the rider, and the fearful consequences that may therefrom result, is stiU more objectionable for many reasons. Walk- ing, and that frequently in the open air, only meets every indication, as it not only brings the whole of the organic muscles into play, and imparts tone and strength to them by their exercise, but likewise impai-ts the increased vigor and energy of the mother to her offspring. Another class, that of thrifty housewives, take a great deal of exercise, but without corresponding benefit, as it is mostly within doors; and in many cases these women, either from activity of temperament or the seeming neces- sities of their position, frequently over-fatigue themselves, rise early, toil constantly, retire late and frequently slumber unrefreshingly, and in this manner undermine their organic powers, to their own permanent loss and injury, and that of their offspring. There are still others who not unfrequently injure their health, or bring on a miscarriage through excessive levity and thoughtlessness, by unrestrained indulgence in active exercise, running, romping, riding on horseback, dancing, DISEASE AKB TREATMENT. — DISEASES OF WOMEN. 437 etc. Such should remember that a miscarriage once or twice induced is likely to return again upon the slightest provocation, and that, when several have taken place, the greatest care and skill is required, even if it be possible to enable her to attain her full time; and that frequent casualties of this nature not unfrequently undermine the constitution, or terminate in that serious and painful disease, uterine cancer. The best exercise, therefore, for a person during this period, is walking every day when the weather permits, in the open air. In order to prove beneficial and not to inter- fere with digestion, exercise should be taken two or three hours after a moderate meal, about midday, or in the after- noon, except during hot weather, when the morning or the evening may be preferred, taking care to avoid the night damps by not remaining out too late. Clothing. — The dress of the expectant women should of course be suited to the season, and in passing from a warm to a cold atmosphere, the throat and neck should be well protected, to avoid the risk of taking cold. But a point of far greater importance is the adaptation of 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 aU times most objectionable, is peculiarly so at this period, inasmuch as it cramps the natural action of the body, and bearing directly upon ^the abdominal muscles, the blood- vessels, the 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 influence upon the breasts and uterus. We should bear in mind that pressure upon these organs during development takes place in direct contra- vention of the operations of nature. Ladies in their efforts 438 HOMEOPATHIC MENTOR to preserve the elegance of their shape during pregnancy, are little aware that the constricting force thus exercised upon the abdominal muscles, destroys their elasticity, pre- vents a proper retraction after parturition, and thus proves one of the most common causes of permanent abdominal deformity. Besides, 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 practice not unfrequently deranges the position of the foetus, a displacement, which, in addition to the con- sequent want of energy in the muscles of the parts con- cerned, often results in protracted and dangerous labors. Besides, this tight lacing is Hable to produce a premature labor. To tight lacing also may be attributed the difficulty which many women experience in suckling their children, from the incipient process required for the subsequent secretion of milk having been interfered with by the unna- tural pressure upon the beautifully constructed mechanism of the breasts. From this, also, sometimes arises cancers and other affections of the breast, and also the retraction and diminution of the nipple from which the act of suckling is rendered difficult, and in some cases impossible. Young girls of seventeen or eighteen are frequently found with pendulous breasts, owing to an artificial support having usurped the office of muscles intended by nature for that purpose, thus throwing them out of employment. Garters too tightly bound are generally injurious, more particularly to pregnant females, as the pressure thus exercised upon the blood vessels tends to the development of varicose veins in the inferior extremities, (to which the system is already sufficiently predisposed), which thus, in many instances, become painful and troublesome. Diet. — The greatest simplicity should be observed in regard to food. The quantity should be such as to affiard a generous nutrition for the system, while an excess is pre- DISEASE AND TEEATMENT. DISEASES OF WOMEN. ^39 Judicial, causing dyspepsia and general uneasiness, and from its mechanical effects acting injuriously upon the foetus, which also shares in any derangements of the mother. The qualify of her food is important; eYsry thing possess- ing a medicinal property should be avoided, and only that selected which is simply nutritive. Coffee and green tea should be wholly abandoned, and black tea in moderation should be used if any. Wines, liquors, beer, or other stimulating beverages are injurious. Where women have been' long accustomed to them, a little good wine may per- haps be taken daily, but the better rule is to avoid stim- ulants of every kind altogether. Mental Employment and Geneeal Habits. — While the body should be maintained in a condition of health, the mind also should be kept in a state of serenity. An easy cheerfulness of temper, and freedom from oppressive care and anxiety, are essential to the well-being of the unborn infant. It is well settled, from repeated observation, that the predominant feeling or tone of mind of the mother has often cast its shade over the future mental organization of the child; and this fact illustrates the importance of keeping the mind properly occupied during this period, and that its meditations should be cheerful and free from depressing influences and gloomy forebodings on the one hand, and the levity, frivolity, and excitements of fashionable dissi- pation on the other. Nothing can well be more injurious to the future physical and mental weU-being of the chUd, than a round of giddy dissipation, late hoiirs, and fashion- able excitement, in connection with physical indolence and inactivity. Influence of External Objects upon the Unborn Infant. "The effect of any unpleasant or unsightly object upon the imagination of the mother, and the transmission of that effect to the offspring, as manifested in various mental or physical peculiarities after birth, is a theory as old as tradition. 4^ BOM£OPATHIC MENTOB. Without entering into the various arguments both for ancl against it, we simply advise expectant v?omen to keep as much as possible out of the way of such objects, and to preserve body and mind in a state of health, which will lessen the fear of being affected by such occurrences; and •ndeavor to direct the attention as much as possible to pleasing subjects, as it must be evident that ■brooding over unpleasant impressions can scarcely fail of being both phy- sically and mentally injurious.'' Mental Emotions, Despondency. — In some cases, and especially with delicate, sensitive, ladies, and more com- monly with first children, there is great mental despon- dency, dread of the future, and fear of approaching death. Some women, who in general have a fine flow of spirits, are particularly depressed and gloomy during this period, and ■with others there is this depression during the period of nursing. "When it occurs early during gestation, it usually passes off before delivery, and is in no case to be considered as an unfavorable indication, and is in general without in- jury to the physical health. Treatment. — Our method of treatment will do much to remove or mitigate it. "When this condition is attended with some febrile movement, fullness of the head, or heat of the hands, the Specific No. One, six pellets taken dry on the tongue morning, and at night, will be sufficient to remove it. When it is attended with morning sickness, the Specific No. Ten may be taken at night, and the No. Twenty-Nine, six pellets in the morning, will afford relief to both affections. When there is excessive dejection and great lassitude, the No. Thirty- Five may be given, six pellets at a time, three times per day. These remedies will usually be found quite adequate for the removal of any difficulties of this nature. DISEASE AHD TREATMEKT. — DISEASES OF WOMEN. 441 DISOKDEES INCIDENT TO PREGNANCY. Mensteuation. — Usually, -with the commencement of pre- gnancy, menstruation ceases. In some cases, however, it may continue in some degree during the period of gestation^ especially the first two or three months. It should not be considered as a disease, strictly speaking, yet it is one of those abnormal conditions which require attention, and should be remedied at the earliest moment. Treatment. — Six pellets of the Specific No. Ten, taken at night, and the same quantity of No. Tllil'ty-Five each morning, will, in general, arrest the discharge. Should the discharge be attended with cramps, pain, or bearing down, the Specific No. Thirty-One should be taken in pre- ference, six pellets every two, three or four hours, according to the urgency of the case, until relieved. Should the discharge again appear the subsequent month, the same treatment should be pursued, and so continue so long as is required. Morning Sickness. — Nausea, vomiting, heartburn, con- stituting what is usually termed morning sickness, is one of the frequent and annoying accompaniments of pregnancy. In some cases these symptoms appear immediately, or soon after conception, but in most cases at about the sixth week. The most decided symptoms occur in the morning soon after rising, though in many cases they contiaue all through the day and are quite marked in the afternoon. The usual symptoms are nausea, qualmishness, then vomiting; some- tinjes only a single retching; at others severe and oft-re- peated vomitings, with constant loss of appetite, and heart- burn. In general these symptoms disappear soon after quickening, about the fourth month, but in Others they continue to annoy during the entire period. In some cases these symptoms form but a trifling annoyance, scarcely noticeable; at others they form a most distressing and pain- 442 HOMEOPATHIC MENTOR. ful attendant of this interesting period. Sometimes the suffering has been so terrible, and the remedies of old school medicine so fruitless, that premature delivery has been resorted to. Our treatment, fortunately, contemplates no such serious alternatives, as in general, all the serious symptoms, and even the inconveniences of the period, are promptly relieved. Treatment.— The Specific No. Twenty-Ninc is very generally efficient. Take six pellets dry on the tongue at night on retiring, and in the morning before rising, and again at mid-day if needful. In some severe cases it may be better to dissolve twelve pellets in six spoonsful of water, and of this take a spoonful every two hours during the ■waking hours. In some extreme cases, when the nausea and vomiting is excessive, the Specific No. Six may be taken in the same manner as above indicated. Constipation. — Constipation, more or less marked, is a very common attendant of pregnancy. If persons are habitually of constipated habit, it becomes more decided during this period. See page 387. In addition to treat- ' ment there advised, in some cases the Specifio No. Twenty-Nine, six pellets at night, and the No. Ten in the morning, will answer the purpose better. Enemas of tepid water may be resorted to if necessary. Diaeehcea. — In some cases, diarrhoea more or less de- cided, or in occasional attacks, occurs during pregnancy, and especially in the latter stages, should demand attention. The usual remedies for this disease, as mentioned in the chapter on that subject, will be found efficient. Generally a few doses of the Specific No. Four, six pellets taken dry, and repeated after every stool, will be sufficient to arrest the difficulty. If the discharges are very loose and watery, the Specifics No. Six may be more appropriate. Dysukia. — Difficulty in passing the water is not of unfre- quent occurence with pregnant women. And in some DISEASE AND TREATMENT. DISEASES OF 'WOMEN. 443 oases the calls are so frequent and annoying as to demand attention. For Symptoms and Treatment see page 412. Fainting and Hysteria. — Delicate, sensitive, or nervous ■women, are sometimes attacked with turns of fainting during pregnancy. They are generally without serious annoyance, and pass over readily. Plenty of exercise in the open air, and attention to proper rules of diet and re- gimen, are the best preventatives against this affection; but in cases where these prove insufficient, we should endeavor to ascertain and remove the cause. Tight lacing, warm rooms, the free use of coffee or other stimulants may be the exciting cause, and their simple removal wiU prove efficient. Should an attack not immediately pass off, loosening the dress, removal to the fresh air, and sprinkling the face with cold water, are the most Judicious means of revival. The Specific No. Three will fl,t once quiet the nervous excitability of the system, and may be given in portions of two peUets, repeated hourly, if occasion re- quires. To prevent the recurrence of similar attacks, especially if the patient be of full or plethoric habit, the Spech'ic No. Thirty- Five may be given, si?, pellets night and morning. These remedies will rarely fail to afford the desired relief. Toothache. — This is a very frequent and annoying affec- tion in the earlier months of pregnancy, and is sometimes one of its earliest indications. See pages 262 — 264. Treatment. — The Specifig No. Eight may be first tried, six peUets dry, and administered every hour. Should relief not be afforded in some hours, give Specific No. Three in the same manner. Should there be throbbing in the teeth or face, the No. One will be efficient. In very sensitive, nervous subjects, Specific No. Eleven has proved promptly curative. In fuU blooded, plethoric subjects, Specific No. Thirty- Five has often cured. These remedies, or even m HOMEOPATHIC MENTOK. others may be used in succession, or even in alternation, with success. Swelled Face — tumefaction of the check. — In addition to treatment recommended on page 265, the use of Specific No. Eleven, given in doses of six pellets, and repeated every two hours in alternation, will prove efficient. Varices — {Swelled Veins). — It not unfrequently occurs in the later months of gestation, that some women suffer from distention and enlargement of the veins of the thighs, lower abdomen, and of other parts. The veins in these situations become enlarged, blue and turgid, inducing sometimes pain and much inconvenience. They are, in part, occasioned by the pressure of the gravid uterus upon the blood vessels, thus obstructing the circulation; and, in part, from con- stitutional weakness of the individual, reflected upon the venous circulation. Unless relieved, the varices are liable to remain even after the occasioning cause has disappeared, and to give serious inconvenience in after-life. They are much increased by the use of stimulants, which should, under such circumstances, be avoided, as well as an indo- lent habit of life. Treatment. — A reasonable amount of exercise should be enjoined, and the parts affected should be bathed morning and night with the Marvel of Healing. Half a teaspoon- ful of the Marvel should be taken internally three times per day. In severe cases of varicose veins of the legs the best treatment is to order an elastic stocking of proper length and size to cover the part. Then, elevating the limb so as to drain the blood from the veins as far as possible, lay over the swelled veins a cloth saturated with the Marvel of Healing, and over this turn the elastic stocking or band; renewing the same morning and night. Not only all trouble may thus be avoided, but a permanent cure may likewise be effected. DISEASE AND TREATMENT. — DISEASES OF WOMEN. 445 Pains in the Back. — {Lumbo-Sacral Pains). — Some women Buffer during pregnancy from pains in the lower part of the back, sometimes proving quite distressing, especially when they occur at night, and thereby disturb sleep. They are generally described as an aching, or a duU, heavy, dragging pressure, as if from a weight resting upon the affected part. They wiU usually be relieved by the use of the Specipic No. Fifteen, six pellets three or four times per day. Some- times they are associated with Piles, in which case the Specific No. Seventeen may prove the more efficient remedy, and may be given as above, or may even be given in alternation with the No. Fifteen. Usually six pellets of No. Ten at night, and of No. Fifteen each morning, wiU afford satisfactory relief. MiscAEKiAGE. — MiscaiTiagB may occur at any period be- tween the first and seventh month, but in the large pro- portion of cases, it occurs about the third or beginning of the fourth month. When it takes place before or about this period, it is frequently attended with but comparatively little pain or danger; yet frequent miscarriages at this period, from the great discharges that take place, tend to undermine the strength and constitution of the patient, and not unfrequently produce as a result, barrenness or severe chronic disease. When a miscarriage occurs at a more ad- vanced period, it assumes a very serious complexion, and is often attended with a considerable degree of peril to the sufferer. Women who have once suffered from the occur- rence of a miscarriage, are exceedingly liable to its re- currence, and this liability is increased with every sub- sequent miscarriage; so that in a comparatively short period, a condition is induced which renders it exceedingly difficult for the womb to retain the foetus up to the full term, re- Bulting in a very intractable form of sterility. The premonitory and accompanying symptoms of mis- wrriage vary much in their nature; sometimes a discharge 446 HOMEOPATHIC MENTOK. of blood occurs wMcli is very profuse, and at others moder- ate or even inconsideraMe; the pains in some instances are severe and protracted, and at others comparatively slight and of short duration. Sudden mental emotions, or great physical exertion; me- chanical injuries, such as shocks, blovFS, or falls; a luxurious mode of life, fashionable habits or dissipations; powerful aperients; neglecting to take air or exercise, are some of the more common exciting causes of the affection; and to this should be added, that the predisposition is strong in the highly plethoric, and those of delicate and nervous habits. An abnormal condition of the system is doubtless the predis- posing cause. Miscarriage is generally attended by the majority of the following symptoms: A sensation of chiU, followed by fever, with more or less bearing down, particialarly when occurring late in pregnancy; also severe pains in the abdomen, drawing or cidting pains in the loins, or pains often bearing a close resemblance to those of labor; discharge of viscid mucus and blood, sometimes of bright red blood, not un- frequently mixed with coagula, at othei times dark and clotted blood, followed by emissions of serous fluid. The miscarriage generally occurs during this discharge, which occasionally continues, if not checked, to flow for some hours, often placing the sufferer in considerable jeopardy. When the pains increase in intensity, and the muscular contractions become established, with their regular throes and efforts to dilate the mouth of the womb, miscarriage is almost inevitable. Treatment. — In cases where a women has had one or more miscarriages, it is evident that a predisposition to this accident exists, and more than usual care should be exer- cised to prevent a similar result, and such persons should especially avoid all the exciting causes which have been above mentioned. But, beside these prudential considera- DISEASE AND TREATMENT. DISEASES OE WOMEN. 447 Kons in habits, labor and exercise, proper medicine may be taken to allay or remove that morbid irritability of the uterus, which lies at the foundation of the difficulty. To this end the Specieio No. Eleven, simply six pellets taken every other night, and continued along during the period mentioned, from the second to the fourth mouth, will prove efficacious. Sometimes the occasional use of Sabina, sixth dilution, or of Secale, same dilution, given at intervals of six or eight days, will produce a similar result. When the symptoms indicating an impending miscarriage Lave made their appearance, such as: A slight show, sen- sation of duU, heavy pressure in the back or loins; pains in the lower abdomen, bearing down or dragging, the patient should at once retire to her room, assume the recumbent posture, or in some cases go to bed and sleep with but slight covering; the apartment should be kept cool, and every method be employed to ensure perfect tranquillity of mind- The diet should be light, and warm or stimulating ■i:injis be generally avoided. If the misfortune has proved unavoidable, or has accidentally taken place before assis- tance has been sought, the patient ought still to remain quiet a few days, lest a fresh discharge should be brought on from too early getting up, or going about. "When the first symptoms mentioned above aie perceived, six pellets of SpBcmc No. Eleven should be taken dry on the tongue, and perfect rest and quiet enjoined. If not better in an hour, take the same quantity of Specipio No. Three, and continue these two medicines in alternation, at intervals of one, two or three hours, according to circumstances, dim- inishing the frequency of doses as the symptoms diminish or disappear. Should the miscarriage have occurred, or become in- evitable from the great loss of blood, six pellets of Specieio No. Twenty-Four, given every half, or even every quarter of an hour, will be among the best means to arrest 448 HOMEOPATHIC MENTOR the flow, and given four times per day, it relieves the ex- haustion and debility resulting from such hemorrhage or accident. In extreme cases, when the excessive flooding, occurring at later periods of pregnancy, produces faintness and exhaustion, or threatens life from its excess or long continuance, the use of Humpheeys' Makvel or HEALmGj half a teaspoonful, repeated every half hour or at longer intervals, according to circumstances, acts like magic, and arrests the frightful flow. The hips should at same time be raised to a higher level than the shoulders. TEEATMENT BEFOEE PAETURITION. Peepaeation of the Breasts. — Young mothers frequently find great difficulty in suckling their children, resulting from some organic defect, or imperfect development of the nipple. In many instances the structure of the breasts ia disorganized, from an ignorant nurse having compressed them in infancy, under the idea of such a process being needful for the expulsion of some matter in the breast of the child; a vulgar error, against which mothers should be particularly watchful. Inability to nurse is also liable to occur from the pressure of stays in after life, by which the cuticle is rendered so tender as to preclude nursing. In almost every case a preparation of the breasts is necessary some weeks before delivery, in order to prepare them for their future office. The first two instances, organic defect or an undeveloped nipple, may be beyond the power of art. If suckling be attempted, induration of the nipple and breasts ensues, attended with severe suffering. I^ however, a simple tenderness of the epidermis exists, the evil will be much alleviated by bathing the nipples in brandy each morning and night for several weeks before delivery. IjnoHiti diffi- DISEASE AND TREATMENT. — DISEASES OF WOMEN. 44^ culty frequentiy accompanying this state, is a shortness or retraction of the nipple, so that the infant cannot take hold of it. This also is frequently a cause of the first, from the frequent ineffectual efforts of the infant to suck, injuring the part. In this case, appropriate shields of rubber or ■wood may be applied, to accustom the nipple to elongate and protrude, so as to present a sufficient hold for the infant when the period for suckling arrives, and then the efforts of the child will stiU further contribute to the same object. In this case also, bathing as before mentioned, with brandy, will tend to correct any tenderness of the skin, and prevent subsequent excoriation. Eemedies Betoee Labob. — Many things have been re- commended before labor, and among them blood-letting and aperient medicines, with a view of preparing the system for the important function. But better judgment and experience has discarded them as being in no wise necessary, but often injurious, tending to impair the energies of the system, and to place the system in an ab- normal state of irritation and ^sxcitement. Where an evi- dently plethoric state exists, with fullness of the head and system generally, six pellets of Specific No. One, repeated daily, or even more frequently, wiU be found fully suffi- cient and will serve a far better purpose than bleeding or aperients. A movement of the bowels previous to delivery is de- sirable, and may be obtained by a simple enema of warm water, to which may be added, if the simple warm water should prove insufficient, a large spoonful of oil. False Pains. — In some cases real labor is preceded for a few hours, and indeed in others several days or even weeks, by what are known as false pains. They are the result of congestion of the organs involved, and result from errors in regimen, emotions of the mind, effects of a chill to the ab- domen, or other excitine causes. They differ chiefly from 450 HOMEOPATHIC MENTOR. labor pains, tn the irregularity of their recurrence; in being unconnected with uterine contractions; are chiefly confirusd to the abdomen, with sensibility to touch and movement; and in not increasing in intensity as they return. Occasionally, from their close resemblance, it is quite difficult to discriminate between them and real labor pains, and in such instances we must be guided chiefly by the period of gestation; and our proper and safe mode is to endeavor to control them, if they occur at a period some week or two before the proper time for labor, and mitigate the sufferings of the patient; as, if they are permitted to go on unchecked, they may continue until the time of delivery, rendering the labor more painful, exhausting, and tedious. Proper medication will, in general, either arrest them, or convert them into true labor pains. Tkeatment. — Generally a few doses of Specific No. One, six pellets, repeated at intervals of one or two hours, will be found sufficient. Should, however, the result not be satisfactory, administer the Specific No. Eleven in the same manner, or give the Speclfio No. Three, if the patient should be very nervous or excitable. PAETUEITION. Natural labor takes place at the end of the ninth month of pregnancy, or two hundred and seventy days from the period of conception. Counting six weeks to the usual appearance of morning sickness, and four months to the period of quickening, and nine months from the last men- struation, the period of labor may be looked for with tolerable certainty. The pains accompanying uterine contractions are regular and effective, and the entire pro- cess does not continue beyond twenty-four hours, rarely above twelve, and quite frequently not longer than four or six. Were it not that acquired habits often derange or DISEASE AOT) TKEATJraNT.-^ DISEASES OF WOMKN. 451 distort the natural and symmetrical provisions of nature, 'habits that weaken and enervate, and customs that distort and derang©, either acquired or transmitted), parturition would b'S comparatively free from pain and almost free from danger. Tedious Labors. — When labor is protracted beyond the period above mentioned, or is attended with an excessive degree of suffering, which is the more liable to occur when the women is of slender form, and of highly nervous and sensitive habit, it is proper to avail ourselves of all the re- sources of art, to mitigate her sufferings. Thus, if the pains seem to be ineffective, the face red and flushed, and the patient distressed, out of proportion to the effectiveness of the pains, give six pellets of the Speoitio No. One, and repeat it in an hour if not relieved. If the pains are what are called wrangling, in the abdomen or lower extremities, and not from the back, drawing down forward, give the No. Eleven in the same manner. If the patient is very nervous, excitable, and the pains slight or inefficient, even with some tendency to cramps of the extremities, give the Specific No. Three, six pellets every half hour, and repeat it until these symptoms yield, and the pains become strong and expulsive. Cramps and Convulsions. — In complicated labors we some- times have spasmodic pains as indicated above, which do but little towards advancing the labor; and, in rare cases, severe cramps, or even convulsions. These should be care- fully guarded against. The SpEcrFic No. Three should be given, six pellets, dry on the tongue, and repeated every half hour, or hour, so long as extreme nervousness and ex- citability of the patient continues. If, notwithstanding its use, and the very essential procedure of keeping the room quiet, and exciting persons or things as far removed as possible, the excitement of the patient still continue, or in case actual cramps or convulsions have supervened, give 4Sii HOMEOPATHIC MENTOR. the Specific No. Tllh'ty-Three, six pellets at once, and repeat it every hour until the danger is removed. TREATMENT APTER DELIVERY. Immediately after delivery, and the proper adjustment of the bed, the woman should be left to the undisturbed- rest and repose which are the great restoratives of nature. Everything which tends to excite the patient — noise, light, talking, or excitement of any kind — should be avoided, and the patient be quietly allowed to rest for some hours; yet it is commendable to see that the discharges are not excessive, and that the pulse is not sinking. An hour or two of good quiet rest wUl do more to restore, than tea, stimulants, or food at this time. Should the patient be kept from sleep- ing, from excitement, give six pellets of Specific No. Three, which wiQ soon allay it, and serve also to stimulate the natural contractions of the womb. In the event of too profuse discharge, or even flooding, the No. Three may be given, six pellets every half hour; or should there be faintness, or very profuse flow, a half teaspoonful of the Marvel of Healing may at once be resorted to, and repeated every half hour until it is controlled. The patient should mostly keep her bed for the first eight days; after four or six days, if she feels strong and so de- sires, she may be permitted to sit up a short period daily, to have her bed made and aired. It is important for the womb to reduce itseK and recover its natural position; that the women be kept at rest, and in a recumbent posture for the eight or fourteen days, and careful attention to this ad- vice wiU prevent much of infirmity, debility, and after- disease. The diet should be of light and easily-digested food, avoiding all stimulants or exciting beverages, and being guided in quantity bj' the desires of the patient; bearing in mind that for the first fsw days, nature calls for DISEASE AND TREATMENT. — DISEASES OF WOMEH. ^53 but little nourishment, and that if given when the patient does not desire it, it will be more liable to be injurious than beneficial. All stimulating or very nutritious food must be avoided the first few days. For the constipation, which is the natural result of de- livery, nothing should be done at first, as it is altogether a proper and salutary condition; time being required for the organs to regain their natural tone and position, which should not be interfered with by aperients. If, after four or six days, the bowels should not move spontaneously, an injection of warm water may be administered, and assisted by six pellets of Specific No. Ten, given at night, and these may be repeated, if necessary, until natural evacuations are established. StrppBESSED OR Scanty Seceetion op Milk. — It is of impor- tance that the processes of nature foUow in proper order, and with due regularity, and hence, it is proper to correct, so far as in our power, any important deviation. Some- times the proper secretion of milk is prevented by undue heat, distention, excessive or undue vitality of the breasts. In such cases, a few doses of Specific No. One, six peUets given at intervals of four hours, wiU. allay the heat and distention, and the secretion will proceed with regularity. If, however, the secretion seems to fail from a want of secretory power in the gland itself, the use of Specific No. Eleveiij given in like manner, wUl promote the natural flow. Milk Fever. — The secretion of milk in considerable quan- tities is often preceded or accompanied with a general febrile movement of the system, which is known by the term of milk fever. It is known by thirst, slight shivering and heat, terminating in mild perspiration; the pulse is quickened, and sometimes variable; at times frequent, ot soft and regular. Sometimes there is drawing pain in the back, extending to the breast; bad taste in the mouth; 454 HOMEOPATHIC MENTOR. oppressed respiration, anxiety and headache; the exacer- bation comes on towards evening, with perspiration towards morning, and temporary relief or termination of the attack, which not unfrequently returns the following day, but rarely rises to such a hight as to indicate danger. Nature herself, if not disturbed by injudicious treatment, in most cases restores the proper equilibrium. When the milk se- cretion is established, and the lochial discharge resumes its wanted course, the derangement generally ceases. Should, however, the aflfection become established, we may appre- hend the setting in of puerperal fever. The indications above mentioned caU for the Specific No. One, which may best be given by dissolving twelve pellets in six spoonsful of water, of which one may be given every hour at first, and then at intervals of two hours, until the fever quite disappears, and the normal secretions are established. Lochial Dischaege. — This continues, usually, from nine to fourteen days, but varies considerably in different women, sometimes being but slight, at others, copious and con- tinuing for a long time. Its deviations require attention. If it becomes suppressed, or thin, pale, and prematurely scanty. Specific No. Eleven should be given, six pellets every two or three hours. If pain and fever attend the diminution or suppression. No. One should be given in water, twelve pellets every hoizr, until this condition is removed. If it is too free, or remains full or high-colored after nine days. Specific No. TTVenty-Four should be given, six pellets three times per day. AiiOPECiA. — Palling out of the Haik. — Not unfrequently, especially in feeble or debilitated constitutions, the hair falls out, during or soon after the period of confinement. If the patient is debilitated in consequence of flooding, or the excessive drains upon the system, the evil will be cor- rected by the use of Specific No. Twenty- Foiir^ taking DISEASE AMD TKEATMENT. — DISEASES OP WOMEK. 455 six pellets three times per day. If the cause is not so apparent, and must be sought for in some inherent delicacy of the constitution, the use of Specipics No. Thirty- rive and No. Twenty-Nine, giving six pellets of the former in the morning, and the latter at night. Care should be taken in dressing the hair during this condition of the scalp, not to comb or brush it too harshly, as you may thus pull out large quantities of hair that a more appropriate management would have preserved. Leucorehcea after Paktueition. — Appears, at first, only as an extension of the natural discharges in consequence of the relaxation of the uterine economy; at the beginning mUd and inocuous, but gradually assuming an acrid or morbid condition, producing sensibility and excoriation. It is sometimes very obstinate and often troublesome. For Teeatment, see page 428. Inteenal Swelling and Peolapsds of interior organs is fre- quently the result of difficult labor, and is often found com- plicated with uterine or vaginal prolapsus. The use of the Mabvel or Healing externally as a lavement, and as an in- jection prepared as above, one part of the marvel to two of water, is sovereign in all similar cases, and may be ad- ministered two or three times per day. At the same time, Speoifio No. Thirty-Five, six pellets, may be giTen, three times per day. Meteitis. — {Inflammation of the Womb). — The more con- stant symptoms of this very serious affection, are : Fever, pain, continuous burning or shooting in the lower abdomi- nal region, accompanied with a sensation of weight; soreness or tenderness of that region on pressure or movement. The abdomen becomes hot, and gradually tumefied, the secretion of lochia and milk diminished or arrested, likewise the urine and feces. It is usually caused by severe, unnatural or protracted labors, or by harsh manual interference dur- ing labor, or may result from retained placenta or clots, or 456 HOMEOPATHIC MENTOR. mental emotions, chill, etc. In a less active form, it may occur in women who have never borne children, as the re- sult of chiU, cold feet, inflammation of neighboring organs, external injuries, etc. The Spech'ic No. One should be given, twelve pellets dissolved in six large spoonsful of water, of which one should be given every hour, and this medication continued' with entire rest and quiet until the power of the disease is broken, and the normal discharges re-established. Excoriation of the Nipples. — If the nipples have been properly prepared for their office by frequent bathing with brandy, the Maevel of Heaiing, or other hardening preparations, there will be less liability of excoriation; nevertheless, it sometimes appears, owing to some peculiar dyscrasia of the system. The nipples become sore, ex- coriated or cracked, and bleed, and are exquisitely painful at every attempt of the child to nurse. Treatment. — From the first, after every nursing, the nipples should be carefuUy moistened with the Maevel of Healing, diluted one half with water; and, after being thus thoroughly moistened, should be carefully dried with a soft cloth or fine hnt, and this process should be constantly re- peated after nursing. In some cases a soft rubber shield can be worn to advantage, but to be effective, it must fit nicely, and be worn easily. Internally, the Specitic No. Three should be given, six pellets three times per day, to remove any constitutional impediment to the healing. In cases where these remedies remain ineffectual, resort may be had to a dose of six pellets of Specific No. Twenty- Two, at night, while the No. Three is given morning and at noon; and so continue for some days. Mastitis. — {Inflammation of the Breasts — Gathered Breast — Ague in the Breast). — It commences with a chiU, to which some degree of fever is soon associated, and the breast, or some portion of it becomes tumefied, swelled, sensitive and DISEASE AUK TREATMENT. —DISEASES OF WOMEN. 451 painful, with an erysipelatous swelling and redness extend- ing over some portion of the surface. In case the inflam- mation is not early arrested, suppuration takes place, the swelling points, and the abscess must be opened and pus discharged; or it will open of itself, causing a much more extensive disorganization and discharge, and a disfiguring cicatrix. Treatment. — Specific No. One should be given at once, twelve pellets dissolved in six dessert spoonsful of water, and of this a large spoonful should be given every hour for the first twelve hours, and then every two hours, until the inflammation subsides. Advantage will also be derived from the application of a cloth, several folds of which have been saturated with the Marvel of Bjsaling, and applied well over the part or breast, and the whole covered with flannel, so as to protect the clothing and person from moist- ure, and the application may be removed as often as it gets hot or dry. If the inflammation has progressed so far that suppuration cannot be arrested, or has already taken place, the use of Specifio No. Twenty-Two, six pellets every three hours, will be the best medicine to promote that object, and at the same time to limit its extension. It is likewise the best medicine, to limit the suppurative process, and heal the wound after the abscess has been opened. Weakness or Perspiration during CoNrraEMENT. — Some- times there remains an excessive degree of debility after delivery, continuing several weeks beyond the usual period; and in consequence the patient sweats easily during any effort, or on going to sleep. This condition of weakness, indicating an exhausted or enfeebled vitality, is best met by SpEomc No. Twenty-FoiU", of which six pellets may be given dry, four times per day, with advantage, or siiaply at night, six pellets, if there is merely too free perspiration at night, or on sleeping. 458 HOMEOPATHIO MENTOR. OvAKiAN Dropsy. — {Ovarian Tumor). — ^We mention this disease here, as it usually first presents itself in the form of ascites or abdominal dropsy; but in this case there is always a tumor or morbid growth from one of the ovaries, generally the left, which, gradually enlarging apparently from just above the pubic bone, more on one side, extends upwards and over the abdomen, at first more hai-d and firm, and to which the softer fluctuation of the fluid is after- wards associated; for it is only after the weight and volume of the tumor has compromised the abdominal circulation, that the effusion takes place. When this has occurred, the symptoms are not unlike ascites — ^large tumid abdomen, oedematous extremities, and scanty secretion with often- disturbed menstruation. Treatment. — The Specific No. Twenty-Five may be given as in general dropsy, six pellets dissolved in water, and administered every three hours. A remarkable cure was made by the use of Humphreys' Marvel or Healing, not only of the effusion but of the tumor itself, and should the No. Twenty-Five fail, I should not hesitate to recommend its adoption. TREATMENT OF INFANTS. Homeopathy possesses many advantages in the treatment of the diseases of children and infants. The first mani- festations of morbid action are thus met in their formative stage, and not only are they crushed in the bud, but the tendency thereto is eradicated from the system. Constitu- tional tendencies to disease are thus destroyed, and the entire development is symmetrical and happy. On the contrary, when the diseases of infancy and early childhood are met by the pernicious drugs so much in vogue in the old school of medicine, not only are the diseases themselves not eradicated from the system, but drug action is often set DISEASE AND TREATMENT. — DISEASES OF WOMEN. 459 up, false, perverted or morbid action is engendered, and the germs of what become life-long maladies are thus un- wisely planted. Thousands of ill-developed, misanthropic, and unhappily constituted persons, owe their life-long in- firmities to the injudicious use of drugs or crude medicines, given with the best intentions during their infancy. After Birth. — Immediately after the separation of the cord, the child should be wrapped in a soft flannel, which has been carefully warmed, and be laid upon its left side. After the mother has been cared for, the child should be washed with tepid water, with a soft cloth, care being taken not to continue the first washing too long, not to rub the child, nor to apply soap, as the skin is very delicate and tender, and the entire organism unaccustomed to cold, or to rough usage. After washing, dry the infant immediately, by taking up the moisture with a soft, warm cloth, rather than by rubbing, always avoiding the risk of the child be- coming chilled or taking cold. Nor should infants be swathed or overburdened with a superfluity of clothes, a source of not unfrequent deformity and weakness. Swelling of the head very commonly appears in infants to some extent, and sometimes, indeed, a large tumor appears, which seems very formidable, and excites appre- hension. This swelling generally disappears of itself after a few days. Should it be considerable, wetting the head with the Marvel of Healing, diluted one-half with tepid water, will rapidly promote the absorption of the tumor. Should there be a swelling which seems to contain fluid over the fontanel or large opening on the head, one pellet of Specific No. Twenty-Two wiU hasten its removal. Expulsion of the meconium is best effected by the natural milk of the mother, which, at its first appearance after delivery, has the precise qualities adapted to that purpose. Hence, so soon as the child begins to desire food, and the mpther has recovered sufficient strength to permit it, say 460 HOMEOPATHIC MENTOR. from eight to twelve hours after birth, the ohild may be applied to the breast. Should it get but a trifle, even that will be of benefit to the child, and the effort wiU stimulate the secretion, so that after a few times it will become established. Its gradual appearance is better than to have it come in a flood, with fever after two or more days. On no account should drugs or domestic herb teas be given to. the child to promote this object. A spoonful of sweetened water from time to time will be much better, or even an injection of equal parts of pure sweet oil and water. The Diet or the Nuese must be simple, easily digestible; and with a due proportion of vegetable and animal food. That which is too highly concentrated or stimulating may be injurious, by causing the milk to become too rich and unsuited to the delicate digestion of the infant. In some rare cases, wine, ale, or even porter, may be used to promote the secretion, and sustain the strength of the nurse. But evil is done in more cases than good, and in general the resort to the use of stimulants should be avoided, and the system should be sustained by those best purveyors of nature, quiet, avoidance of fatigue, anxiety, good food and sufficient sleep. Supplementary Diet or Infants. — The best and most natural food is the milk of the mother. Even if it only in part supplies the want of the child, it is better to retain even this, as in case of sickness of the infant, it furnishes a precious reserve to be supplied in no other way. Cows' milk is the most usual substitute, and should at first be di- luted by adding one-third of water, and slightly sweetened. If milk is to remain some time during warm weather, it should be first heated to prevent too rapid change. Great care should be taken that the nursing bottle be perfectly clean and sweet; and food which has been standing, or is in danger of having deteriorated, must on no account be given. Better make that which you know to be sweet and DiSfiASE AND TftEATMENT. — DISEASES Of MPAKTS. 461 fresb, than to assume a risk. After some weeks the milk may be given without water, and as the first teeth appear, about the fourth or sixth month, the diet should become more varied and liberal; a well made panada, diluted milk, sweetened and thickened with a small quantity of arrow- A>ot, sago or rusk, may be given with advantage. So barley- water, well-boiled gruel, weak chicken-tea or beef-tea, may be resorted to, taking care to give thsvt on which the child seems to thrive best. Gradually, as the teeth appear, the child may be given the usual food from the table, and in such quantities, and in such form, as the organism seems to require. Weahing. — The length of time a child should nurse, depends upon many considerations, such as: The health ot' the child, of the mother, and the season of the year, and the facility of substituting an appropriate diet. In general, a child should be nursed from nine to fifteen months. If care be taken to gradually substitute a proper diet, a child win gradually wean itself before that period. The child had better not be weaned suddenly, but gradually, and in proportion as the teeth appear. With the full development of the teeth, the organism is generally prepared to thrive without the aid of the breast. "Weaning during the hot season is hazardous, from the liability to diarrhoeas, or the usual summer complaints. DISEASES OF INFANTS. Inflammation of the Eyes of new-born infants may arise from sudden exposure to the strong glare of daylight. If the eyes look red, and shrink from the light, are tearful, or watery, dissolve a single pellet of Specific No. One in a spoonful of water, and give of this a few drops once per day for two or three days. If not cured, give a single pellet of No. Eighteen in the same manner, keeping the child's eyes free from the irritation of all bright light. 462 HOMEOPATHIC MENTOR. Cold in the Head usually takes the form of obstruction of the nose, impeding the action of suckling, and causing the infant to release thp nipple, and rendering it irritable and fretful, If the nose is dry within, we may imitate the natural secretion by applying a little almond oil or cream, on a feather, to the interior of the nostril. Usually the Spe- ciEiG No. Three, one pellet given three times per day, will remove the difficulty. If it fails, give the No. Nineteen in the same manner. It may be given in water, or even dry in the mouth, after the child is some weeks old. CRYiNa AND Wakefulness of Infants will, with proper care to the diet and regimen of the mother and child, be fully obviated by the use of Specific No. Three. Of course the child must be properly changed, made comfortable and satisfied with food; and it must not be taking, with its food from the mother, the flatulent food or exciting drinks, coffee, strong tea, or other stimulants which she imbibes. These conditions met, the No. Three will afford quiet, refreshing sleep and rest, and freedom fi'om the colic and cries so common in the nursery. Of course aU drops, soothing syrups, or anodynes must be banished. Eeguegitation of Food. — Children often in nursing over- load themselves with milk, and as a salutary provision of nature, they regurgitate or throw up a portion of it. No interference is required in such cases. But where all, or a large portion of the food taken, is thrown up again, or the regurgitated matter is sour, and is followed by mucus or watery fluid, or the children are sick, or appear nauseated, medical interference is desirable. In such cases an occa- sional pellet of Specifio No. Ten will correct the action of the stomach. Should there be nausea or actual vomiting, Specific No. Six, given as above, will be better. It may be given dissolved in a spoonful of water, or even dry to somewhat older children. Milk Ceubts — ^Eruptions. — ^A scurfy eruption sometimes DISEASE AND TEEATMENT. — DISEASES OF INFANTS. 4:63 appears upon the hair scalp, which in places becomes brownish bran-like. The application of a drop or two of nice sweet-oil, with the gentle aid of a soft brush or fine comb, soon removes it, care being taken not to injure the surface. Meantime a pellet of Specific No. Foiirteeilj given at night for a few days, will arrest the tendency to its production. Milk Crusts; see Eczema, page 220. For these cases the SPEcmo No. Fourteen, one pellet for infants, or two for children over one year of age, may be given morning, noon, and at night, each dissolved in a spoonful of water. K the itching is severe, causing restlessness and fretfulness, dis- solve of Specific No. One, six pellets in as many spoonsful of water, and of this give a spoonful every hour between the intermediate doses of No. Fourteen; and this No. One may be thus used as an intermediate remedy, so long as the itching and irritation continues. A trifle of sweet oil will at any time remove the crusts. But they had better fall off of themselves, and I advise to apply soap or water to them as seldom as the purpose of cleanliness will permit. Thkush oe ApHTttE shows itself by the formation of small, isolated, round, white vesicles, which, if not checked, may run together, and present an ulcerated appearance, or form a thin, white crust, which lines the entire cavity of the mouth, and in severe cases involves the throat and entire alimentary canal. It is rarely dangerous or malignant, but occasions inconvenience besides pain and suffering, ob- structing the child's nursing, and may be communicated to the nipples, causing excoriation, etc. It is often the result of imperfect ventilation, inattention to cleanliness, the nursing bottle not being kept perfectly clean and sweet, improper food, etc. Hence, infants brought up by hand, as it is termed, are more subject to the disease than others. A very weak solution of Borax, applied to the mouth with a brush, is very generally useful The SpEoino No. 464 HOMEOPATHIC MENTOR. Twenty-Nine, six pellets dissolved in as many spoonsful of water, and given, a spoonful every four hours, will be found sufficient to remove the disease. When it exists in only a slighter degree, a single pellet given dry, morning and night, wiU be sufficient. Constipation will rarely be troublesome among children properly nursed or nourished, and under Homeopathic re- gimen. But should the stools be too large, tardy, insufficient or obstructed, dissolve of Specific No. Ten, two pellets in two large spoonsful of water, of which give one at night, and the other in the morning, and this may be continued untU the dejections become natural. An enema of tepid water may occasionally be resorted to if necessary; or a suppository, consisting of a small slip of paper or linen, spirally twisted and well lubricated with oU, may be gently introduced into the rectum by a simple rotatory movement, from time to time, until the medicine has remedied the irregularity. DiuREACEA OF Infants. — Diarrhoea, like constipation, is merely a symptom and hardly a disease. The first element of a cure for diarrhoea of infants, is to carefully examine as to the quality and quantity of its food and care, and to see that these give no occasion for the difficulty. The use of Specific No. Three from time to time, for colic, crying, sleeplessness, or teething, wUl usually check any predispo- sition to diarrhoea, and it may be used for this purpose, giving to infants one pellet dry in the mouth after every loose or diarrhoeio stool. Should this not prove sufficient, the Specipio No. Four may be administered in the same manner, one pellet after every loose stool; thus the ui-gency of the symptom will be the measure of the repetition of the medicine. ExooBUTioNS — Inteeteigo. — Cleanliness is the best pre- ventive; careful bathing, and taking special care that all the folds of the skin, such as the neck, groin, etc., be care« disease; and treatment. — diseases of infants. 465 luUy wiped det, but not excoriated or irritated, with lint or a Tery soft cloth. The Speoifio No. Three is here also appro- priate to remove anj' tendencies to these eKcoriations, and may be given for such purpose, one pellet three times per day. Derangements dueing Teething.— The production of teeth, like other evolutions of the system, is attended vrith some degree of constitutional disturbance. In most cases and under Homeopathic regimen, these derangements are slight and easily removed, in others they may be more serious. Should there be, as is more frequently the case, eestless- NESS, woEEYiNG, sleeplessuess, and tardy appearance of the teeth, the No. Three is the proper Specific, and may be given one peUet dry in the mouth every hour or two hours, according to the urgency of the case. If diarrhoea sets in and becomes troublesome — remembering that a slight looseness of the bowels during this period is not preju- dicial — it may be controlled by the Specific No. Four, one pellet after every loose stool. Should there be fever or heat of the head, crying and worrying, or drowsiness, have resource at once to the No. One, of which dissolve six pellets in twelve spoonsful of water, and of this give a tea- spoonful every hour until the fever, restlessness, or drowsi- ness has passed away. The Taedy or Ieeegulae Development of Teeth is often a subject of serious moment, indicating a want of ossifio deposit either congenital or acquired. In most cases it is the result of faulty assimilation, or it may arise from defective nourishment, either in the mother's milk or other food sub- stituted for it. But it may also arise from the successive shock of the system from too fbbquent oe too cold bathing. And in delicate or poorly nourished infants it often happens that inconsiderate mothers or nurses prevent or retard the formation or coming forward of teeth by too frequent, too long continued or too cold bathing. To thib 'snd jreat care should be exercised by mothers or nurses. 466 BOMEOPAtHlO MENTOR. CoNvnLSioNS OP Infants. — Infants are peculiarly liable to convulsions. At that early period the brain is proportion- ally larger, the nervous organization more delicate, and the various evolutions through ■which it is passing render it more liable to spasmodic or convulsive attacks, than at a subsequent period of life. The usual causes are intestinal irritation from improper food, the irritation of teething ; to which should also be added hereditary predisposition in some families, all the children being subject to convulsions on very slight provocation, vs^hile in others such an occur- rence is unknovra. Where children are hot, feverish, either sleep too soundly, or are very restless, and start suddenly on dropping into a dose or at other times, the access oi convulsions is imminent and demands attention. First, the occasioning cause should be removed. If the child is con- stipated, or if there is reason to suppose the irritation is occasioned by indigestible, bad, or irritating food, give at once a full, free injection of tepid vfater. Should it fail to relieve the symptoms, or to produce a full movement of the bowels, repeat it after half an hour, and even again, until the result is obtained. Meantime, if there is heat or fever, hot head and hands, dissolve six peUets of Specitio No. One in as many spoonsful of vyater, and of this give a spoonful every half hour for two or three times, and then as the heat and fever abate, give every hour until relieved. Should there be not so much heat or fever, and the irrita- tion of teething having been the cause, the Specitio No. Three, given as above, may be preferable to No. One. In case of a convulsion, but little can be done during the paroxysm ; but, so soon as practicable, the feet and legs should be immersed in warm water for several minutes, and then carefully wiped dry and wrapped in a warm cloth, and a cloth wet with cold water applied to the head, and the injection beforementioned be administered. In some cases the Specifics No. One and No. Three, prepared as DtSfiAStl AND TREATMENT. — DISEASES 6i? INfANTS. 46? above, may be given alternately, a spoonful every hour, with advantage, and especially when the convulsions have been repeated, or their premonitions continue. To Destboy a Predisposition to convulsions or prevent the development of epilepsy, the Specifio No. Thirty- Three may be given, one pellet every night, for three days; and the same of Specific No. Thirty- Five each morning, and then every second night for some -weeks, giving No. I^hirty-Five every morning. Atrophy ob Wasting. — In cases where children do not soein to thrive, and become emaciated and wasted, the tissue becoming atrophied, and a well marked marasmus occurs, any of the Specifics which meets these indications are efficient. Such a condition, indeed, very rarely happens under the Specific Homeopathic treatment. But should such a condition threaten, or have actually been developed, we should be guided in our choice of Specifics by the indi- cations, thus : For enlarged abdomen, heat of the head, slow closing fontanelle, slow growth, give Specific No. Thirty-Five. When there is constipated habit, tardy, insufficient evacuations, deranged stomach or pale stools, give the Specific No. Ten. If the glands become enlarged, with knots about the neck or under the arms, frequent boils, swellings, or tumors, give Specific No. Tiventy- Three. If diarrhoea or constant tendency to loose bowels is present, give Specifio No. Four, These remedies may usually be given in these oases, simply one pellet for infante tnree times per day, dry in the mouth. DISEASES OF VARIOUS ORGANS AND REGIONS. Definition. — ^A specific febrile disorder, accompanied by acute inflammation of the white fibrous tissues, — ^ligaments, tendons, sheaths of tendons, aponeuroses, fasciae, etc., — sur- rounding the joints, of which several are affected simulta- neously, or in succession. The local symptoms are very erratic; the skin of the affected part is covered with a copious, sour, sticky perspiration, containing lactic acid; and the blood has a large excess of fibrine, probably to the ex- tent of thrice the normal quantity. This very common, and sometimes quite obstinate dis- ease, manifests itself mostly in two forms — ^the acute or m- PLAMMATOBT, and the chronic. AoDTE, OR Inflammatory Rheumatism, — {Bheumatic Fever) 'is usually brought on by exposure to cold, rough or damp weather, and especially to fatigue or labor during such ex- posure; also from sitting or standing in cold, damp places, or from sitting in a draught; sleeping in damp sheets or remaining long in wet clothes; exposure of any parts of the body to cold and moisture when other parts of the body are eovered; or exposure when in a perspiration. Cold probably excites an attack of acute rheumatism by arresting the decretory ...-actions of the skin, by means of which, in DISEASE AND TKEATMENT. DIS. OF VABIODS OKGANSj ETC. 469 health, morbid substances in the blood are often removed; and the functions of the skin being deranged, unhealthy principles accumulate in the blood, and rheumatism results. Mere cold, however, is not bo much a cause of rheumatism as extreme atmospheric vicissitudes. Hence it is found, that it does not prevail most in the coldest regions of the globe, but rather, in those climates, and during these seasons which are damp and changeable. There is probably, also a rheumatic diathesis or tendency, which may be inherited. Sometimes it appears to arise from the suppression of an eruption; or the retrocession of measles, rash, or chicken- pox; or the suppression of some discharge like gonorrhoea or dysentery. It generally commences with the usual signs of fever, associated with stif&iess and lameness; chilliness and heat alternating; thii-st and restlessness; coldness of the extremi- ties, and usually constipation. After twelve or twenty-four hours the fever becomes continuous, the skin hot and dry; pulse quick, often 110 to 120 per minute. The stifihess and pain in the joints becomes more decided, with acute suffer- ing, especially on every attempt to move. The affected parts are usually red, swollen and extremely painful to the touch. Sometimes there is excessive pain without the red- ness or swelling; the pain is generally worse at night, and occasionally an acrid perspiration accompanies the disease. The larger joints of the extremities are usually the seat of the disease. It is rarely confined to one, and sometimes nearly all, either simultaneously or in turn are affected so that often the patient can scarcely move hand or foot.i Often the disease leaves one ankle, knee or wrist, and lo- cates upon another, leaving the former comparatively free. During the course of the disease, complications with the heait are liable to arise from the rheumatic process having invaded that organ, a circumstance always undesirable and sometimes quite dangerous. It is liable to occur during 470 HOMEOPATHIC MBNTOB. very severe attacks, in young persons; in women oftener than in men; in patients who have been previously weak- ened; and in persons troubled with irritability or palpi- tation of the heart; and, also, when cold, chilling, or severe applications such as blisters, are made to the affected joint, under old-school treatment. When there is a remission of the pain in the joints, followed by anxiety, jerking, feeble or rapid pulse, and acute pain in the region of the heart, there is reason to apprehend such a transition. TEEATMENT.^At the first symptoms of acute rheumatism, with soreness, lameness, and pain in the part, six pellets of Specific No. Fifteen should be taken every hour, dissolved in a spoonful of water, and the patient should remain in- doors, and keep quiet until relieved. If violent fever, heat and swelling of the part has already come on, as noticed above, indicating rheumatic fever, or a chill succeeded by heat, prepare Specific No. One by dissolving twelve pellets in half a glass of water, of which give a large spoonful every hour for a day, and then prepare the No. Fifteen in the same manner, and take the two alternately, every two hours. These should be continued from day to day, untU the dis- ease is broken up, preparing the medicine fresh every morning. Sometimes applications of cloths wrung out of tepid water, and laid on the part, are very soothing. Cold water, however, applied to the part is very liable to cause its falling upon the heart, and thus often ending with fataJ results. Salves, ointments, etc., are useless. Humphreys' Maevel of Healing is a most valuable application for the inflamed and swelled parts, and may be applied according to directions on each bottle. Aenica is often, but I think not so generally useful as the Maevel. Should there be, during the course of the disease, pain in the region of the heart, oppression or anxiety, jerking, quick or irregular pulse, or other symptoms indicating a transition of the disease to the heart, the Specific No. TWl'ty-TWQ DISEASE AND TREATMENT. DIS. OF VAEIOUS ORGANS, ETC. 471 is appropriate. Dissolve twelve pellets in six large spoons- ful of water, and give a spoonful of the solution every two hours, and this may be continued either alone if the disease has been somewhat subdued, or in alternation with No. One, if there is yet fever and heat; or in alternation with No. Fifteen, if there yet remains merely soreness, lame- ness, or stiffiiess of the part. All to be prepared in water, and given at intervals of two hours as above directed. Bedding in blankets greatly reduces the risk of inflam- mation of the heart, diminishes its intensity and danger when it does occur, and at the same time does not prolong the convalescence. Chronic Rheumatism — differs from the previous form, by the absence of the fever, redness, heat and swelling. In old cases, the affected limbs or joints loose their suppleness, and lameness and even permanent curvature or contraction results; and in some cases atrophy or emaciation of the muscles occurs. The causes are the same as in acute rheu- matism, and frequent attacks of the latter rarely fail to leave some form of chronic rheumatism as a result. Symptoms generally are: Lameness, stiffness, or soreness of some particular limb or joint, or of several joints, some- times manifested on first moving, or on exercise of the affected part, or again principally noticed when quiet. Usually the pains and the lameness are worse on changes of weather, and in rough, damp, windy weather, or on the approach of a storm. Treatment. — Specific No. Fifteen, six pellets at a time, and four times per day, before each meal and on going to rest at night, is the appropriate treatment for almost all forms of chronic rheumatism, or for old rheumatic pains in the shoulders, hips, back, chest, side or elsewhere. If it is associated, as is frequently the case, with some degree of dyspepsia, weak stomach, or constipa- tion, the Specific No. Ten may be taken, six pellets at 472 HOMEOPATHIC MENTOK. night, and the No. Fifteen as previously directed, before meals. Rheumatic patients should use largely in their diet, fruit and vegetables, and comparatively less meat. The vege- table acid, or acids of fruit, as obtained in apples baked, stewed or even raw; lemons, or even oranges; grapes; cherries, etc., are of great use, if not invaluable, for rheu- matic patients, and should be partaken of freely. Torticollis. — (Rheumatism of the neck). — The muscles of the neck sometimes become seriously affected with rheu- matic lameness. The head is drawn to one side, or can be turned only slowly and with difficulty, the muscles on that side of the neck are lame and sore when pressed, and there is sometimes fever. It is usually occasioned by exposure to a draught of air, as when sitting near an open window when in perspiration; and is sometimes caused by a sudden ierk of the head. Treatment. — The Specieio No. One rarely fails to afford relief. Dissolve twelve pellets in six large spoonsful of water, and of the solution give a spoonful every two hours. In rare cases the No. Fifteen may be used, but the No- One will usually afford prompt satisfaction. It is needless to say that the neck should be carefully covered and pro- tected from draughts of cold air. Lumbago is confined to the small of the back and the loins, rarely extending upward towards the neck, but more frequently extending down to the hips. There is seldom fever or swelling, or even soreness on pressure, but the pain and lameness is very severe, often almost forbidding motion, or change of posture, as the slightest effort brings on a renewal of the pain. Treatment. ^The Spegifio No. One usually affords prompt relief. Dissolve twelve pellets in six large spoonsful of water, of this give a spoonful every hour, for the first six hours, and then prepai-e in a similar manner and take at DISEASE AND TKEATMENT. DIS. OS VARIOUS ORGANS, ETC. 473 intervals of two hours, until relief is obtained. Should there be any remaining stiffness or lameness, the alternate use of No. Ten and No. Fifteen, six pellets at a time, and four times per day, will promptly remedy the defect. Sciatic Eheumatism, or " Sciatica" may be attended with some degree of fever, and so may approach the acute form-, ,but is more commonly without fever or any considerable degree of heat of the part, and is hence more frequently chronic. It is characterized by pain, generally sharp, shooting and lancinating, though sometimes more dull and aching in the region of the hip, and frequently extending to the knee or the foot, following the course of the nerve of the affectecj side. Sometimes it is a duU aching, and may affect only ^ portion of the limb, or a part of the nervous track men-, tioned. The pain may be manifested during rest as well aa during exercise or motion. It is apt to be tedious, anc^ many persons suffer more or less from it for years iis, succession. Treatment. — SpEcmc No. Fifteen is very generally successful. For the duller and more chronic forms, si? pellets taken before each meal and on going to rest at night, wlU be found sufSicient. Should there be violent paroxysms of pain, and especially if some heat or fever be associated, give the No. One in alternation. Dissolve twelve pellets of No. One in six large spoonsful of water, p,nd the same of No. Fifteen in another glass, and from these give a spoonful every hour alternately, for six ox light hours, when the interval may be extended to two ^ours between the doses, and so continue until relief is afforded, when the treatment as for chronic cases may be fidopted. Arthritis, — {Gout) is generally considered as a dyscrasia or peculiar habit of the body, whereby it is inclined to take on or assume a disease of a peculiar form, and when ones i74 HOMEOPATHIC MENTOB. developed, to render it very intractable of stubborn, and only slightly influenced by the ordinary methods of cure. Its manifestations are similar in form to those of rheuma- tism, and all the more obstinate cases of this latter disease, or when it is frequently repeated in the same individual, are supposed to be connected with a gouty diathesis or constitution. It is quite liable to be hereditary, but need not be necessarily so, as numerous cases are found where no such transmission is evident; nor is it necessarily the result of an indolent, luxurious mode of life, though its more violent manifestations are commonly due to such a style of living. The symptoms are usually extreme pain in the extremities, often, if not always, commencing at one of the great toes, and thence extending to the foot, ankle, and Umb of the affected side. The pain is often extreme, if not insupport- able, with extreme sensitiveness of the affected part, which becomes swelled, red, and inflamed. Sometimes it flies from one joint to another, and may even affect the head, stomach, or other part, causing very grave symptoms in- deed. When the hands or other small joints have been often attacked by chronic gout, there wUl be deposits about the joints, which gradually or most frequently harden, causing enlargements, gouty concretions, and rendering the hands or fingers stiff, unwieldly, or even distorted. The Treatment is the same as for acute or chronic rheu- matism, aside from the fact that in gout, or rheumatic gout, the functions of the stomach and kidneys are almost in. variably involved; and hence the Specific No. Ten may be profitable, and either as an intercurrent remedy, or in alter- nation with No. Fifteen. Usually No. One and No. Fifteen for acute attacks, and the latter with No. Ten in alternation for old, chronic cases, will accomplish as much as can be done under domestic management. AccEssoEY Measukes. — During an attack of gout, the Disease and treatment. — ms. op /utious organs, etc. 475 affected limb should be raised, so as to favor the free return of blood to the heart; the application of flannels wrung out of hot water, hot bread-and-water poultices, or spongio- piline, after immersion in hot water, often do good. In acute attacks, the patient should be restricted to farina- ceous diet — arrowroot, tapioca, sago, bread, etc. — and milk; water, or toast-and-water, ad libitum. As the febrile symp- toms decline, a more generous diet may be gradually allowed; at the same time, the patient should resume daily moderate out-of-door exercise as early as he is able. Preventive Treatment. — 1. A well chosen diet. — This should include both animal and vegetable food; be adapted in qua- lity and quantity to the ability of the stomach to digest; and at the same time furnish sufficient nourishment out of which pure blood can be formed. Codfish, mutton, tender beef, fowl, and game may be eaten; salmon, veal, pork, cheese, and highly-seasoned dishes are unsuitable. The consumption of animal food should be moderate; and acidity guarded against by avoiding pastry, greasy or twice-cooked meat, raw vegetables, highly-seasoned food, and anything likely to lead the patient to eat more than is strictly moderate. The wines most likely to injiu'e are port, sherry, and madeira. If wine be taken at all, good claret, free from sugar and acidity, is best. When gout attacks a patient early, entire abstinence from aU alcoholic beverages is one of the most likely measures to check its futiu-e development; but aged persons, and others whose health has been much enfeebled, may be allowed a small quantity of stimulants, such as the particular circumstances of each case seem to justify. For, although a plan can be sketched out which may apply to the majority of cases of gout, still each case not only exhibits its own peculiarities, and becomes a separate study, but likewise demands, in certain respects, a separate treatment. 2. Healthy action of fhe skin should be promoted by bathing, warm clothing, 476 HOMEOPATHIC MENTOK. rough towels, bath-brushes, etc., for much excrementitious matter is got rid of in this manner. Friction over the whole surface of the body is extremely useful when exercise cannot be taken. The patient should be well rubbed with a flesh- brush, or with the hands, twice a day. 3. Good habits. — A life of indolence should be exchanged for one of activity and usefulness. Exercise, not severe or exhausting, should be taken regularly. Walking, so as to secure an abundance of fresh air, must ever be considered the best exercise, but it may be conjoined with riding. Without sufficient exer- cise, probably every other measure will be unavailing. Early and regular hours should be observed, and severe or prolonged mental application avoided. In some cases, sub- sequent attacks may be warded off by removal to a warm and dry climate, during winter and spring. SCROFULA. ScHOFULA is usually considered as a dyscrasia or consti- tutional vice of the system; stiU there may have been causes at work, both predisposing to, and exciting of this disease; such as 1. want of pure air; 2. unhealthy occupations; 3. de- ficiency or improper quality of food; 4. tobacco-smoking; and 5. on the part of the mother the existence of leu- corrheal discharge. To both of these latter causes we would draw special attention. Indulgence in tobacco-smoking, more especially when the habit becomes frequent and inveterate, or where it haa been acquired early in life, is, it is believed, a fruitful cause of struma. The pale, sallow complexion, the frequently disordered digestive functions, and the debilitated or con- sumptive frames cf many young fathers in the present day, attest the pernicious tendency of the habit in question. Leucorrhoeal, hsemorrhagic, or other uterine and vagina] discharges, often generate scrofula in the foetus during DISEASE AND TREATMENT. DIS. OF VARIOUS ORGANS, ETC. 477 utero-gestation, which declares itself during infancy in con- vulsions, hydrocephalus, mesenteric disease; or, at or after puberty, by tubercular consum^Dtion. No observant medical man can doubt the influence of these causes as tending largely to the production of disease. The scrofulous habit, therefore, even if not congenital, may probably be produced by any cause capable, directly or indirectly, of lowering the vital energies, such as acute specific disease; poverty and wretchedness; meagre or in- sufficient food; neglect of healthy exercise; insufficient clothing; want of cleanliness; frequent exposure to cold and damp; and, especially, want of pure air and sunlight. Scrofula manifests itself most commonly in enlargement and induration of the glands, which may subsequently soften and ulcerate, leaving red or bluish-red discoloration s along the course of the opening or eschar. These are often seen along the sides of the neck in old scrofulous subjects. It likewise is supposed to give occasion to enlargement, curvature, or softening of the bones; more especially of the long bones, as of the knee, ankle or hip. These, or one of them, become sore, tender to pressure, and enlarge at the head, when softening, or ulceration, or necrosis is liable to take place, resulting in the so-called white swelling or hip disease. Or, the dyscrasia may show itself in the form of obstinate eruptions, or even ulcerations of the sui-face. The .swelling of the glands is most frequently manifested about the neck, beneath the ears or jaws, in the form of firm, hard, painless lumps. Scrofula not unfrequently complicates other forms of disease, and renders them ob- stinate. Its eradication from the system requires time and perse- verance, but may be accomplished by the use of the appro- priate remedies. It should be kept in mind that a life-long constitutional taint, requires time as well as proper medi- cine for its cure; and if eradicated in one or two years, the 478 HOMEOPATHIC MENTOR. patient has reason for congratulation. Old school medicine and quackery can do but very little for its cure beyond palliation; while there are numerous cases radically cured by Specific or appropriate Homeopathic medication. Tbeatment, — The perfection of the treatment of scrofula and tubercle, as, indeed, of disease in general, lies in its adaptation to individual cases. The stock whence the patient has sprung; the circumstances of birth and early life; edu- cation and general habits; the influence of soil and climate; the diseases passed through; the tendency to diseases of the body generally, and of organs and tissues in particu- lar, — ^these are but illustrations of the points that have to be brought under consideration before a course of treat- ment can be prudently decided upon. We need, therefore, scarcely add, that the knowledge and experience of a phy- sician are pre-eminently necesfeary. . The treatment is generally tedious, often requiring to be continued ioi months, or even for years. Medicdial Treatment. — For Enlarged Glands about the neck, or in the arm-pits, groins, or other parts of the system, tak'3 six pellets four times per day, before meals and on going to rest at night, of the Specific No. TTVenty- Three, if the swellings are painful, or have suppurated. If they are mere indolent, painless swellings, the medicine taken only morning and at night, wiU be sufficient. When these glands become painful or inflamed, and it is thought best to bring them to a head, this will be facilitated and the pain allayed by applications of warm flax-seed, or slippery-elm poultices, which may be renewed from time to time, until the discharge takes place; and they may be con- tinued also afterwards to absorb the discharge, and to pro- mote the healing. To dry up and arrest the discharge. No. Twenty-Two, taken six pellets four times per day, will be the proper medicine. For OLD Tumors, six pellets morning and night. Though DISEASE AND TREATMENT. — DIS. OF VAEIOtJS OEaANS, ETC. 479 it is not often that they disappear, yet the medicine fre- quently has the effect of arresting their growth. For the various forms of sceofulods eeuptions, ta^e six pellets morning and night. Old ulcers require the same treatment, with careful puri- fication of the part, keeping the limb bandaged, if practi- cable. AccEssoEY Means are of the greatest importance, for me- dicines will be of little use unless hygienic rules are strictly adhered to. 1. Pure fresh air is required night and day. Scrofulous residents are rarely found near the sea-side. The larger the sleeping rooms the better; the fire-places should be open, the temperature about 55°. 2. Exercise. — Moderate exercise in the open air. Moderate gymnastic exercises are beneficial; but profuse perspiration should be avoided. 3. Food. — The food should always be of the most nutritious character, light and digestible. Beef, mutton, venison, and fowls, are the best kind of animal food; to these should be added preparations of eggs and milk, a due quantity of bread, mealy potatoes, rice, and other farina- ceous principles, rather than watery and succulent vege- tables. 4 Cod-liver oil, as a supplemental article of diet, may be given in almost any case in which a patient is losing flesh, in teaspoonful-doses, two or three times a day; commencing even with half a teaspoonful, if it be found at first to disagree. 5. Bathing, both in fresh and salt water, is invaluable, as a means of promoting a healthy action of the skin, and of imparting tone to the whole system. 6. Clothing should be adapted to the season, and should be warm without being oppressive. The extremities especially should be kept warm. As a general rule, flannel should be worn, but only during the day; in winter it affords direct warmth, and in summer it tends to neutralise the effects of sudden changes of temperature. The linen should be fre- quently changed, always observing that it is put on per- 480 HOMEOPATHIC MENTOE. fectly dry. 7. Prevention. — The prevention of strumous diseases consists not alone in the hygienic or medical treat- ment of the patients; but, primarily, in the correction of the habits and improving the health of the parents. WHITE SWELLING AND HIP DISEASE. These are usually considered as forma of scrofula, devel- oped in the joints and tendinous structures surrounding it. At first there is occasional limping or lameness, coming on and again disappearing; then, more permanent soreness, and tenderness on pressure ; and pain at or about the joint, and in hip disease often manifesting itself at some distance down along the limb. Gradually the limb becomes drawn up, painful on exercise; there is heat, sometimes soreness and swelling around the joint, and ultimately suppuration and discharge at some point below the afifected joint. This discharge maj' dry up and again reappear at another point, and so continue for years until the structure of the joint and its usefulness is destroyed. Treatment. — At first and for occasional lameness or limp- ing, the No. Thirty-Fire is appropriate, and may be given six pellets at a time, and three times per day. Should there be some soreness or tenderness at or about the joint, or pain, or swelling, or even after-suppuration or discharge, the No. Twenty-Two is the proper remedy, and may be given six pellets in water, and repeated four times per day; or every three hours if there is considerable pain, heat, red« ness, swelling, or discharge. This is as appropriate for white swelling of the knee, as for what is termed hip disease. GENERAL DEBILITY. It not unfrequently occurs that persons sufi'er, or are in- disposed, from what is termed a general debility of tho DISEASE AOT> TREATMENT. — DIS. Ot VASIO0S OEaANS, ETC. 481 system. Wlien there appears to be no particular disease sufficient to account for the debility of the system, the causes are usuaJly found in either an imperfect assimilation of nourishment, (and hence the remedy is to be sought in considering this fault) ; or, the condition occurs as the result of some acute disease, from which the vital forces have been prostrated, and the entire organism weakened and enervated so as not to easily rally, even under the influence of good air and food; or, it may occur as the consequence of some drain upon the system, such as diarrhoea, or leu- corrhoea, frequent bleeding, or from similar causes; or, it may be induced from mental and physical over-work, too great a strain upon the mental and nervous system, with insufficient nutrition. The symptoms are varied, but are generally weakness; easily fatigued on exercise; perspiration on effort, or on going to sleep; weak or lame back; vertigo, singing in the ears, and starting on going to sleep, or slight, unrefre^ing sleep; or wakefulness and inability to sleep at night from constant thinking. The above are among the more frequent manifestations. Treatment.- — First arrest the drain, if such there be, which has occasioned the debility; and then by means of proper nourishment— /oot? that is appropriate, nourishing and easily digested — and by proper relaxation, air and exer- cise, restore the wasted substance, and recover the wanted strength. If it is the result of severe, .acute disease, only good air, proper nourishment, and even the daily use of some good, generous wine together with the medicine, will be the proper restoratives. If it has been wholly or in part the result of over-work, too much thinking and mental worry or anxiety, coupled, as it often is, with hasty meals and insufficient nutrition, theii rest or relaxation, a sea voyage, or other means of intelligent recuperation, are often indispensable. If it is the result of some drain or tax upon the system, too great for its resources, or the result of 482 fiOMEOPATHIO MENTOR. imperfect assimilation of food, then this drain must be arrested, and such food and medication administered as will correct the evil. In all similar cases, the Specific No. Twenty-Four is the proper remedy, and may be given six pellets at a dose, and four times per day, always before meals, and on going to rest. It is still more indicated if there be imperfect di- gestion, wanting appetite, or coated tongue, as weU as a general languor and debility of the system. KERVOUS DEBILITY. Closely allied to the above named general debility, is another form of weakness which has obtained the name of nervous debility. It partakes of some of the characteristics of the former, and chiefly differs in its origin; and in that the debility is prominently manifested on what might be termed the nervous plane of the organism. It is almost in- variably the result of some drain upon the vital forces, such as excesses of various kinds: excessive morbid indulgence; involuntary losses of vital fluids; too long or too constant excitement of the sexual system, and more especially when such indulgences are allowed in connection with mental and physical over-work. This condition is often brought on in young persons from the habit of solitary vice, which persisted in from time to time, is inevitably followed by consequences immediate and remote, which are of the most formidable character. It is safe to say that multitudes are every year brought into the most deplorable condition of nervous debility from these very pernicious practices alona Parents and teachers cannot be too much on their guard in their behalf, and should deal plainly, kindly, and wisely with such erring ones. The more common manifestations of this condition are : Mental depression, loss of vivacity, buoyancy of spirits and energy; dullness of the eye and th« DISEASE AM) TEEAfMEST. — biS. Ct tABIOUS OEflANS, ETC. 483 glow of the cheek and lips; love of solitude, and shrinking from society; sometimes loathing or disgust of life to such a degree that suicide is threatened; dullness or confusion of the head, defective memory, or difficulty in recalling names or dates vrhen wanted; the sexual organs are de- bilitated, relaxed, shrunken, and in extreme cases wasted; erections are deficient, short, powerless; and in most cases there are involuntary discharges at night during dreams, or during the effort at stool, or during urination. Weak- ness of the back and loins, general prostration and mental depression and gloom, are the almost invariable attendants. Dyspepsia or weakness of digestion; irregular or capricious appetite; oppression of the stomach after meals, and costive bowels, are very frequent adjuncts. These and other similar symptoms form the picture of a brain impoverished by the loss of its phosphates; and hence performing its functions imperfectly, reflecting its weakness upon the phy- sical system. Teeatment. — As in the case of general debility, the first elements of a cure must be to allay the injurious excitement of the organs or system primarily involved; to afford the system proper rest or relaxation; if this debility has been coupled with over-work, mental or physical, to arrest as soon as possible the debilitating drain, and by proper nutri- tion and medication, to restore the entire organism to its wonted strength and vigor. But all kinds of nourishing food are not appropriate, as some articles otherwise unob- jectionable, act too decidedly upon the organs involved, and so tend to induce the involuntary discharges. Thus, eggs, oysters, wine, alcoholic stimulants, or ale, or a strong meat diet, aU tend to excite, and hence may promote these losses, and when these exist prominently, the above articles should be avoided. But in the opposite condition, where these discharges are rare, absent or wanting, the diet above mentioned becomes appropriate. In general a milk diet is 484 HOMEOPATHIC MENTOB. the best, in connection with refreshing and cooling drinks fruits in their season, and the lighter kinds of young and ■white meats. Tobacco, tea and coffee are objectionable, and should be avoided, or used with extreme moderation. To those suffering from involuntary nocturnal discharges, a hard bed, cool room, and but light covering at night, are indispensable; and above aU, the habit of sleeping always on the side, and nevek upon the back. As to medicines, the SpEcmo No. Twenty-Eight is the remedy, and may be taken six pellets morning and at night. In some extreme, or long-standing cases, a portion of a special powder No. Twenty-Eight may be taken each morning, and the pellets as above at noon and at night. SLEEP AND SLEEPLESSNESS. The precise number of hours required for the sleep of each individual daily can be subject to no fixed rule. It differs at different periods of life with the habits, occupa- tion and general health and nutrition of each individual. Some temperaments require more sleep than others, women almost always more than men, and children far more than either. The infant may profitably sleep eighteen of the twenty-four hours; young children may well sleep ten or twelve hours at night, and have an additional siesta during the day; and those that perform severe physical or mental labor, cannot well do with less than nine or ten hours daUy. Those who are engaged in light physical or mental labor, wUl frequently find the wants of nature satisfied with only aix or seven hours sleep. Some individuals of remarkable mental and physical endurance, in the midst of the greatest peril or excitement, seem to require but two or three hours of sleep in the twenty-four. But these *re exceptional cases. Every individual should take so much of rest and Bleep as is required for the restitution of his or her body, DISEASE AND TEEATMENT. DIS. OF VARIOUS OEGANSj ETC. 485 strengtli, and recuperation from fatigue. If nature is long or systematically denied this, there •will sooner or later come a terrible retribution, often in failing health, or some nervous disorder or disease of the heart. Several eminent literary men have fallen victims to disease of the heart, attributed solely to incessant mental occupation, cacried persistently into the hours which should have been given to sleep. The use of tea or coffee best sustains the system and prevents the waste and wear incident to long watching and severe night work; tobacco may to some extent have a similar conservative effect; but none of them, or all, can more than palliate the serious ill effects of long-continued want of sleep. The night is the best time for sleep, and it is doubtless true that two hours sleep before midnight is worth as much as four hours after that period. The more nearly sleep can be taken to the hours of darkness, and the earlier we can arise after the morning light the better. From eight or nine o'clock at night, to four, five, or six in the morning, according to temperament, vocation and circumstances, are probably the best hours for repose. During the long warm days of summer, a desta of an hour in the early after- noon is for most persons of leisure as enjoyable as it is allowable, and for young children it is indispensable. Sleeplessness, — {Insomnia). — It not unfrequently occurs that persons are unduly wakeful; they either do not sleep soundly, or find it difScult to go to sleep; are easily waked after a short sleep, or their sleep is unrefreshing. Some-, times, while there is an earnest longing, or a desire to sleep, there is a thronging of ideas and restless tossing, that wears away a good part of the night without sleep; or after finally falling to sleep, the slumber is but slight, and they arise unrefreshed, with the demands of the system un- satisfied. Such a condition has always something of disease oi ^86 BOMEOFATHIC MENTOB. undue excitement connected with it. The excessive use of tea or of coffee may produce it. Too intense or long-con- tinued mental excitement; some forms of dyspepsia or gastric derangement; innervation of the system from in- sufficient nutrition, or a feverish excitement of the system and afflux of blood to the head; or chronic tendency of blood to the head, may have this condition of sleeplessness or undue wakefulness as a result. Treatment. — ^In general, the Specitio No. One will be sufficient to afford quiet and refreshing sleep, and more especially when it is occasioned by undue excitement or accompanied with throbbing of the vessels or heat of the head. Take six pellets on going to rest, and repeat them every hour until sleep intervenes. If it seems to arise from mere nervousness, without other apparent cause, use Speci- fic No. Three in the same maimer, six pellets every hour, until quiet sleep is induced. If it has been occasioned by too intense or long-continued mental application, and more especially if connected with indigestion or gastric derange- ment, the No. Ten, six pellets taken three times per day and at night, will be found corrective. NiGHTMAEE. — {Incubus). — See pages 334, 335 and 351. Aside from hygienic care, the use of Specifics No. One or No. Ten will be sufficient. No. One, six pellets morning, and at bedtime, when the nightmare is attended with heat, fever, thirst, throbbing of arteries, or heat and fullness of head. No. Ten, six pellets, twice a day, the last dose at bedtime, when the trouble is due to sedentary habits, con- stipation or indulgence in wine. In chronic cases No. One in morning, and No. Ten at night, six pellets at a dose. AFFECTIONS OF THE NOSE. SwEixma AND Redness of the Nose, more particularly of the extremity, is common among persons addicted to the DISEASE AND TREATMENT. — DIS. OF VAEIOTIS OBGaNS, ETC. 487 iise of ardent spirits, and among luxurious livers. But it occasionally occurs among the temperate and frugal, causing an unsightly redness of the nose, and a swelling, or even thickening of the integument covering the organ, at once' disagreeable and unsightly. The affection is apt to become chronic, increasing from year to year, unless removed by proper regimen and medication. Treatment. — "Whether the difficulty has been occasioned by the free use of stimulants, or a luxurious mode of life or not, it is evident that this should be corrected, and a frugal diet free from exciting or stimulating food, and absence from stimulants be enjoined. The Specific No. Thirty- Five may be taken, six pellets each morning, and the same of No. Fourteen at night. This may be continued until the redness and swelling are removed. TJlceeation of the Nose. — The nose, especially the in- ternal nostril, becomes occasionally the seat of frequently recurring ulcerations. The lining membrane becomes sore, ulcerated, crusts form from time to time, and become de- tached with frequent bleeding. Teeatment.— No. Thirty-Five and No. Fourteen are curative, and may be used, six pellets morning and at night in alternation, as in case of redness and swelling of the nose. Nose Bleed. — {Nasal Hemorrhage). — Bleeding from the nose may in some cases be not only disagreeable, but even dangerous. When it is but slight, occurring as it often does in children, or plethoric adults, and attended with fullness and heat of the head, to which the bleeding affords relief, it may be considered almost salutary, and need not be interfered with. But when it occurs in the course of low fevers, consumption, or other debilitating disease; or when it is frequently repeated from apparently slight and insufficient causes, or when it is severe and prostrating, it should demand attention. 488 HOMEOPATHIC MENTOR. Treatment. — Sometimes merely extending the arm and hand of the side upon which the bleeding occurs, upwards over the head, will arrest the bleeding. The application of the Marvel of Heaung rarely fails, even in the worst cases. Wet a linen or cotton rag with the Marvel folded one or more times, and lay over the nose, covering it from the eyebrows down, and keep this wet with the same, and take ten drops in a spoonful of water every fifteen minutes, until relieved. In extreme cases the Marvel may be injected into the nostril with a small syringe, or the nostril may be plugged with lint wet with the same. If the Marvel is not at hand, cold water may be applied to the bridge of the nose, and six pellets of Specific No. One may be given in a spoonful of water, and repeated as above every quarter or half hour. When persons, especially children or young girls, are subject to frequent recurrence of nose-bleed, the use of Specific No. Eleven, six pellets, taken morning and night, win permanently correct the evil. SWEATING OF THE FEET. Some persons are habitually subject to perspiration of the feet; sometimes excessive in quantity, but more com- monly rank or offensive. It is not always permanently removed by bathing, though this is of course important, but depends upon a morbid condition of the sebaceous glands and follicles, and is a proper subject of medical treatment. It win be removed by the use of the Specific No. Twenty- Two, of which six pellets may be taken at night and morning, which may be continued at the discretion of the patient. It is sometimes wonderful, how a few doses of the appropriate remedy wiU remove an inconvenience of years standing. DISEASE AND TREATMENT. — DIS. OF VARIOUS ORGANS, ETC. 489 DEOPSY, GENEEAL AND LOCAL.— (Anasarca, (Edema, etc.). Definitions. — ^A serous or watery accumulation in the areolar tissue, more or less general throughout the body, with or without effusion into the serous cavities. Li itself it is less a disease than a result or product of some diseased condition of the organs or tissues involved. As a consequence, a larger portion of fluid is secreted or deposited than is taken up, resulting in an accumulation of fluid, or dropsy. The symptoms, or manifestations, will vary with the condition of the organs involved, the location and quantity of the fluid; and almost invariably it will be found that the functions of the skin and kidneys, the usual emunctories of the body, have become impaired, and that a cure win be effected by their increased activity. Dropsy is of two distinct varieties; for, besides its occur- rence in the meshes of the loose tissue beneath the skin, it may take place as a local dropsy in any of the natural cavi- ties or sacs of the body, and is named according to the parts involved. If the accumulation occur in the ventricles of the brain, it is called hydrocephalus; if in the membrane that lines the surface of the lungs, hydrothorax; if in the membrane of the heart, hydropericardium; if in the mem- brane of the intestines, ascites; if in the serous sacs of the joints, hydrops articulorum; if in that of the testicles, hydro- cele. Character of the Swellings. — Dropsical swellings are; soft, inelastic, diffused, and leave for some time the inden- tation made by the pressure of a finger. In chronic cases, and when the oedema is very great, the skin becomes smooth, glassy, and of a dull-red or purple color; and where *^he skin is less elastic, as over the tibia, it becomes livid or blackish, and troublesome, even gangrenous, or sloughs may- form. 490 HOMfiOPATHIO MENTOR. AccESsoEY Treatment. — In acute dropsy, the diet should 6e similar to that isx acute fever; in chronic dropsy, patients require nourishing diet, but on account of the extreme feebleness commonly present, only easily digestible food should be taken. To allay burning thirst, cold water is the best beverage; but any other that the patient desires, if not positively injurious, may be taken. Water is a real resto- rative, for it increases the amount of fluids excreted to an extent greater than its own bulk; it also tends to improve the appetite and strengthen the pulse, while it diminishes the dropsical collections. It will thus be seen that the common notion that drinking water increases dropsy is quite erroneous. Warm baths for promoting perspiration, small doses of Hollands, tapping, and other palliative measures may some- times be necessary; but the propriety of such means can only be decided by the circumstances of each individual case. Anasaeca. — {General Dropsy). — Symptoms are: An cede- matous swelling of the surface of the body and limbs, com- mencing first on the most depending portions of the feet and legs, and then gradually ascending to the abdomen, hands, face, and other portions of the body. The surface is pale and cold, has a doughy feel, and pits on pressure. The secretions become scanty, urine scanty, high-colored, skin dry and bowels confined. Added to these may be symptoms arising from the condition of the organs and tissues primarily involved. It may arise from various causes, among which are prominently — disease or defective action of the kidneys; the localization of the poison of scar- latina; disease of the liver or spleen; and the use of various drugs employed in the treatment of Intebmittent Fevee, as arsenic, quinine, etc. Treatment. — The use of the Specific No. Twenty- Five will be the appropriate remedy in this forsi of dropsy, and DISEASE AND TEEATMENT. — DIS. OF VAEIOtJS OKGANS, ETC. 491 may be given, according to the urgency of the case, six pellets at a time, dissolved in water, and repeated three times per day for slight cases, or every two hours in the more severe ones. Dropsical patients require a warm, dry, uniform tem- perature, and an elevated location it obtainable, with mild, easily-digested food, and the bowels in a free if not relaxed condition. Hydeothorax. — {Dropsy of the Chest). — ^Is one of the most difficult and unmanageable forms of this disease, occurring mostly in elderly people, and often connected with disease of the heart, or protracted pleuritic or pulmonary inflam- mations. The symptoms are: Difficult, anxious, labored respiration, worse when lying down, or inability to recline, (the head must be kept elevated), blueness or pallid face and lips; starting up in affright on dropping to sleep with more rapid breathing, as if in danger of suffijcation; scanty se- cretions and gradual swelling of the feet and abdomen. The Treatment is more difficult and the result uncertain. The Specific No. Twenty- Five may be given, six peUeta dissolved in water and repeated every three hours. In case of violent paroxysms of oppression, the No. One may be given, a like quantity in water, and repeated every hour between the doses of No. Twenty-Five, as an inter- current remedy, until the paroxysm has subsided. In case the dropsy of the chest is complicated with dis- ease of the heart, indicated by irregular or labored action of the heart, the Specific No. Thirty-Two may be given in alternation with No. Twenty-Five, six pellets every thi-ee hours. Diet and regimen as for general dropsy. Ascites, — (Dropsy of the Abdomen), — is manifested by gradual enlargement of the abdomen, sometimes com- mencing almost imperceptibly and at others with greater rapidity. The swelling usually commences in the vicinity of the stomach, and thence extends over the entire abdomen. 4:92 HOMEOPATHIC MENTOE. There is, with the enlargement, difficulty of breathing on exercise; sallow complexion; dry skin; scanty secretions; high-colored urine. There is also a feeling of languor and debility, and stiffness when attempting to bend the body. It may arise from peritoneal inflammation, or from enlarge- ment and disease of the liver, or from some constitutional disturbance. The Treatment is the same as for general dropsy, six pellets of No. Twenty- Five, and given at intervals of two or three hours, according to the urgency of the case. Diet and regimen as for general dropsy. INTESTINAL WORMS. The human system, in common with the entire animal kingdom, is subject to numerous parasites, or entozia. These have their abode either upon the surface, or along the in- testinal tract, or within the cavities, or even in the more solid substances or mugcles of the body. They are found in aU animals and fish, as well as the human species — those in apparent health as well as those that are sick — and the part they play in the economy of nature is confessedly ob- scure. It is generally conceded that it is only in peculiar or morbid conditions, or under a course of diet and regimen unfavorable to health, that they multiply or increase to such an extent as to become of themselves a source of irri- tation and disease. It is under these conditions that In- testinal Worms become the subject of medical treatment. The more important varieties of intestinal worms are: First — The seat worm, or thread worm, usually called acarus. This parasite is from a third to half an inch in length, white, slender and very active. They inhabit prin- cipally the lower intestine and rectum. They are more common in children than in grown persons, though the ToAter are by no means exempt from them. It is not known DISKASE AND TREATMENT. ^DIS. OF YAEIOUS ORGANS, ETC. !i93 how these wprms originate, since they have even been known in infants at birth. But one fact is well ascertained: that children who live mostly on farinaceous food are most subject to them. Symptoms. — By their constant and active motions they cause a tickling and irritation in the anus, which obliges the child or patient to scratch and rub the part;, as a con- sequence of which we frequently find a catarrhal inflam- mation of the mucus membrane of the anus or even a mucus discharge from the part; also a swelling of the veins distributed over the locality, and not unfrequently straining or tenesmus. From the tendency of these seat-worms to travel, in order to deposit their larve or eggs, they some- times, in the case of females, enter and irritate the vagina; or, in males may occupy the folds of the prepuce, in either case causing intolerable itching and irritation, and occa- sionally inducing the bad habit of masturbation. Aside from the medical hints given further on, great care should be taken with children in whom they are discovered, or when from the actions of the child their presence may be suspected, to prevent their accumulation and to remove them. Cleanliness, frequent bathing of the parts, injections of cold water, are generally sufficient to remove the para- sites and relieve the irritation. Should it be necessary to remove them from the rectum, this may be readily and conveniently done by injecting an ounce of olive ozl, with which the worms will usually come away in a mass. Should the child be restless at night or feverish from the irritation occasioned by them, a dose of two or three pellets of SpEcmc No. One will be sufficient to subdue it. For the permanent eradication of these seat-worms from the system, give three pellets of Specific No. Two, morn- ing and noon, and the same quantity of Specific No. Ten at night, and six pellets for adults; and continue this course ttntn the object is attained. 494 HOMEOPATHIO MENTOE. Second — ^The Bound Worm (Ascaeis Lumbricoides) is the next species more commonly met with. It is of cylindrical form, pointed at both ends, from six to nine or even twelve inches in length, and of the thickness of a goose quill, thus iresembling somewhat the common earth-worm. Its body^ however, is half transparent, and of a whitish, yellowish, or even brownish hue. They are of both sexes, and the fe- males are more numerous than the males. This worm principally inhabits the small intestines, but it is not unfrequently found in the stomach, and from thence sometimes mounts along up the oesophagus into the throat and mouth, or nose. Attacks of violent, incessant, spas- modic cough are often produced by the attempted passage of a worm into the pharynx. Doubtless, other grave dis- turbances or morbid conditions are produced, from the presence of these vermin in the neighboring parts. Symptoms. — These worms may exist in considerable num- bers without causing any serious disturbance. But in the majority of cases they occasion gripings in the abdomen; en- larged or hard, prominent abdomen; mucus diarrhoea; occasional vomiting; irregular or capricious appetite. There are also from time to time sympathetic symptoms, such as itching of the nose, or of the anus or genitals; increased flow of saliva; restless sleep; with frequent starting or grating of the teeth. Beside the above more decided symptoms indicating the presence of worms, authors have enumerated the following as manifestations of the worm cachexy: Palor and sickly appearance of the countenance, and occasional flushing of the cheeks; bluish circles under the eyes; dilated pupils; headache or vertigo; voracity or irregular appetite; offen- sive or fetid breath; acrid eructations; occasional nausea or vomiting; foul or coated tongue; tensive fulness of the ab- domen, and gnawing or burning in particular parts of the intestines; hard, tumid abdomen; great thirst; discharge of mucus from the bladder, rectum or vagina; slight febrile SISBiASE AKU TREATMENT. — MS. OF VAEIOUS OEQAKS, ETC. 495 symptoms, or erratic remitting fever; nocturnal wakefulness, with low spirits and irritability of temper. We occasionally notice an inflammatory redness of the nostrils, with great disposition in children for picking or boring into the nose; and sudden screaming on awaking, or grating of the teeth in sleep, and involuntary flow of saliva during sleep; also at times, and in sensitive subjects, spasmodic or even convul- sive attacks. These symptoms, indicating the presence of worms, are largely influenced by the regimen and diet of the patient, and even by the season of the year and the lunar phases. Such articles of diet as milk, sugar, preserves, candies and pastry, and sometimes pungent salted food, ham, cheese, etc., produce an aggravation. The leucophlegmatic habit appears to favor their production, and the female more than the male sex. TmED — The common Tape Worm (TaiNiA Solium). It is only rarely met with in this country. It consists of a head not larger than a pin's head, in which there are four suck- ing cups and their armature; a neck, which is an inch or more in length, very slender and without joints; and the body, consisting of a long row of flat, ribbon-like segments, each of which is rectangular in shape and increasing jn size towards the caudal extremity. These segments have each the male and female organ, and at the caudal extremity the ripe eggs. There may be several hundred of them, each half or three quarters of an inch in length, and the entire animal may measure several yards. From time to time, the lower segments or joints, as they are termed, ripen, and are pushed off, and appear in the evacuations; and these eggs, being taken by another organism (the hog), form in its organism grubs; and these again taken into the human system by a subsequent metamorphosis become the original TcBnia in the human subject It rarely happens that more than one of these unwelcome guests are found in the human 496 HOMEOPATHIC MENTOR. intestineB at the same time, yet there are cases on record where two or more have simultaneously existed in the same person. They are usually found in those regions where people are accustomed to eat raw or not well cooked pork, or sometiines dried or jerked beef. The symptoms of Tape Worm are aU. equivocal, unless the Begmento or joints of the worm itself are discovered in the discharges. Some individuals experience not the slightest inconvenience from it. Others complain of severe pain in the stomach; nausea; vomiting; ravenous hunger, even to fainting. The abdomen is sometimes bloated, sometimes contracted. In some cases there is diarrhcea, in others constipation. Among the sympathetic symptoms are: itch- ing of the nose; vertigo or dizziness; getting dark before the eyes; noises in the ears; palpitation of the heart. These symptoms are ameliorated in most cases by the use of cer- tain kinds of food, such as milk, eggs, mild soups and meat not spiced; while they are produced or aggravated by the use of acids or sour things, especially pickles, spiced with vinegar and pepper, smoked herring, horse radish, cran- berries, strawberries, etc. Sometimes, after eating these latter substances, segments of the worm are discharged, and the diagnosis thus established. For the treatment and permanent removal of the Tape Worm the amateur pra'ctitioner wiU be able to do but little. Fortunately, these cases are rare in this country; and where the patient is living wisely, and constantly using appropriate Homeopathic medicine for any occasion that may arise, the Tape Worm will not be troublesome. Practitioners use with success Kousso, or the flowers of the Brayera Anthel' mintica, an infusion of two drachms in a tumbler full of water, and letting it stand over night, strain off, and, after taking a cup of coffee to prevent nausea, take half the por- tion and the remainder half an hour later. The parasite is often carried off after a few hours. The use of large quan- DISEASE AND TREATMENT. — DIS. OF VAEIOtJS OEQANS, ETO. 497 titles oi pumpkin need tea, or of the slippery elm in form of a tea, or by chewing the bark, is often effectual in stupi- fying and expelling the animal. General Treatment. — Fever is one of the most common' and the most urgent symptoms of verminous irritation, and is usually the more violent in proportion as the worms are higher up in the intestinal track. The fever is characterized by its unsteady character, at times becoming quite violent with red face, or one cheek red and the other pale; white or pale lips or around the mouth; quick pulse; heat of the surface and restless tossing and anxiety; startings on going to sleep, indicating a tendency to convulsions, or even con- vulsive attacks. It will be generally found on inquiry that the attack of fever has been provoked by some grave error in diet, or exposure, or both — commonly the eating of cake, candy, sweet meats, raisins or other pernicious articles of food, has been sufficient to derange the stomach — to which the irritation of the worms was soon added. Far such an attack of fever, dissolve at once twelve pellets of SpEcmo No. One in as many teaspoonsful of water, of which give a spoonful every hour, until four or five doses have been given; then prepare of Specific No. T'WO in the same manner, and give of the two, in alternation, at inter- vals of an hour, untU the fever has abated, when the inter- vals may be prolonged to two or three hours, until a cure is effected. Should the fever be quite high, and there be twitchings, or startings, or great nervous excitement, rendering the danger of convulsions imminent, lose no time in giving a full enema of warm water, so as to secure a free movement of the bowels, and even repeat it, if necessary. Aiter the storm has passed over, and the fsver been allayed, a dose of two pellets of Specific No. Ten, for children, given night and morning, will best restore the normal state of ;.he digestion. 498 aoMEOPATHIO MENTOR. For vague, uneasy or colic pains in the bowels, arising from the presence of worms, the use of the Specific No. Two, giving to children two or three pellets four times per day, will be sufficient. Should it have become worse or complicated by the use of indigestible food, the Specific No. Five may be given instead of No. Two, in the same manner. For the permanent eradication of worms from the system the use of Specitio No. Two, giving three pellets four times per day, always before meals, and on going to rest, will be sufficient. If, as in many cases, there is imperfect digestion, or some degree of dyspepsia, the end wiU. be more readily obtained by giving the No. Two, for children two pellets before meals, and a like dose of Specific No. Ten on going to rest at night. The Diet in children affected with worms is important. They should not be constantly eating, always "having a piece in the hand." Let them have regular meals, and eat at meal time; rarely except at meals, so that the digestive organs may have rest. Give the child plain, wholesome diet, meat once per day, no pastry, pies, cakes, sweetmeats, raisins or candies, or these as rare and seldom as possible, Under such treatment and management the trouble from worms will be very slight indeed. PRACTICAL HINTS IN USING THE SPECIFICS. Coteb [ FEVERS, CONGESTIONS, Inflammations, Heat, Pain, Restlessness. This Specific is used in all diseases where there is hoi sMn, quick pulse, tossing, restlessness, extreme pain or throbbing. For Inflammatory Fevers, with full, quick pulse, hot skin, red face, thirst and restlessness.— Gastric or Bilious Fever, with quick, full pulse, hot skin, white or yellow coated tongue, bad taste, thirst, nausea, vomiting of mucus bitter or yellow matter, constipation, restlessness, and even delirium. — Scarlet Fever, with nausea, vomiting, rapid pulse, sore throat, hot, red, or mottled skin, scanty urine. — Rheumatic Fever, with full, quick pulse, hot skin, restless sleep, soreness of the limbs, red, hot, shining, swelling of the affected part, and scanty red urine, either alone, or in alter- nation with No. Fifteen. — ^Violent beating Headaches. — Fullness, Congestion or rush of blood to the head. — Threat- ened apoplexy. — Startings on going to sleep. — Sleeplessness when there is fullness, throbbing, or heat of the head. — Inflammation of the Brain, or its coverings. — ^Dropsy of the Brain, first stage. — ^Violent Ophthalmy. — Toothache with throbbing or beating pain, alone, or in alteimation with No. Ei^Ilt. — Quinsy or Sorb Throat, in alternation with No. Thirty- Four. — Croup of the Inflammatory or Spas- 500 PKACTICAI- HINTS IN USING THE SPECmOS. modic form, alone, or in alternation with No. Thirteen. — Congestion of Blood to the Chest. — Severe Coughs, with hoarseness and rough sensation in the larynx or bronchia, fever, or sharp pains in chest or sides. — Intxammation of the Lungs, with hot skin, quick pulse, oppressed or difficult breathing, heaviness, distress, or sharp pains in the chest, cough, with expectoration of scanty, blood-stained or bloody mucus, alone at first, then alternate with No. Seven. — Pleubist with high fever, quick pulse, intercepted respiration, and s^arp, stinging pains in the aide. — Stitch or pain inthe chest or side, on taking a deep inspiration. — Inflammation of the Liver, with No. Ten. — Inflammation of the Bowels, or of the peritoneum. — Inhlammation of the Kidneys or of the Bladder, in alternation with No. Thirty. — Use in alter- nation with any number when there are Feverish Symptoms or when relief is not prompt. CuKsf \ VERMINOUS AFFECTIONS, Worm Fever, Worm Colic, Voracious Appetite. It is used for all conditions supposed to arise from the presence of worms or from a Verminous Diathesis. Among these are: — Pale face, white lips, enlarged abdomen, with small legs and arms, capricious or voracious appetite, itching of the nose, itching at the anus, too frequent urina- tion, vxtting the bed, offensive breath, frequent accumulation of water in the mouth. — ^Versatile fever from the presence of Worms. — Twitching of the face or limbs, or Violent General Convulsions, with holding back of the head, rigid limbs, twitching of the face, etc., compare also No. Thirty- Three and No. One if there is fever. — Hydrocephalic symp- toms, dilated pupils, squinting, etc. — Itching of the anus. — Compare also No. ITourteen. — Seat worms. — ^Long, round worms. PEACTICAIi HINTS IN USING THE SPECIFICS. 501 Cv'^S] DISEASES OF INFAl^TS. Colic, Crying, Wakefulness, Aiteotions Incident TO Teething. It is especially adapted to all diseases of Infants and Young Children. Tardy or difficult muscular osseous or Ibony development of infants — Colic of Infants. — Crying Chil- dren. — Crying without apparent cause. — Sleeplessness by day or night, evidently the result of excitement, pain, or unsatisfied desire. — Irritation of Teething, fretting, worry- ing, with heated gums and congestion to the head. — Bash of Infants. — Eruption or Scurf on the scalp of infants com- pare also No. Fourteen. — Enlarged and hard abdomen of young children. — Soreness or Excoriation of children. — DiARRHCEA of Infants, or quite young chOdren.^- IWicMngr of the limbs on going to sleep. — Convulsions of Infants. — Slow growth, slowness in learning to walk, tardy closing of the fontanel, and deficient muscular vigor. — Tardy appearance of teeth, or irregularity in the coming of teeth. — ^After-pains in lying-in women. — Sleeplessness in Adults from over- work, or nervous excitability. No. 4 Cubes [ DIAEEHOBA. Summer Complaint, Cholera Infantum, — ^Loosb, Frequent OR Liquid Stools. It is peculiarly appropriate to diarrhoea of summer, or the hot season, with loose, yellow, greenish, mixed or chooped-up, or even watery stools, with colic or pain. — Diarrhcea of feeble, emaciated children, attended with nausea, colic, and debUity. Cholera Infantum, in alternation with No. Six, where there is constant nausea, frequent vomiting, profuse watery, or scanty stools. — DiAHRHtBA. of children or adults, from indigestion, or overloadicg the stomach, or fat, heavy 502 PRACTICAL HINTS XN USING THE SPECIFIOH. indigestible food. — Diaerhcea from the use of fruit, or from change of water or of diet in traveling. — Chronic Diaerhcea, either alone, or in alternation with No. Five. — Dysenteric Diarrhoea, ot painful Diarrhoea with mixed stools, streaked with blood. — Indigestion, with softness of the stomach, or tendency to diarrhoea, compare Nos. FiVe and Six. C^f 1 DYSENTEEY. Tenesmus, Colic, Bilious Colic. Especially appropriate for Colic in its varied forms and for frequent painful stools, with Colic and straining — Flatu- lent Colic, or Inflammatory Colic, with writhing pain, and tenderness, soreness, extreme sensibility of the abdomen to pressure, or even the weight of the bed-clothes, in alter- nation with No. One. — Gastric or Intestinal Colic from indigestible substances, aione, or in alternation with No. Ten. — Bilious Colic, in alternation with No. Ten, — It is Specific for Fall Dysentery, with colic, tenesmus, bloody, SLIMY, greenish, mixed, frequent scanty stools, with constant griping and straining. — Painful Diarrhoea. — Chronic Diar- rhoea, sometimes in alternation with No. Four. Compare also Nos. Four and Six. No Cures ^ \ CHOLEEA-MOEBUS. Cholera, Nausea, Vomiting, Peostratiom, Promptly curative for Cholera Morbus, with nausea, vom- iting, coldness, and even cramps. — As preventive of Asiatic Cholera — For Cholera, with coldness, blue surface, vomiting, sudden, profuse, thin, or rice-water stools, cramps, and oppressed respiration. — Curative for Nausea, or Nausea and Vomiting from any cause. — Morning sickness of expectant "Women, compare also No, Twenty.nine. — (3rreat pros- PRACTICAL HINTS IN USING THE SPECrFIOS. 503 tration with coldness. — Asthmatic, oppressed, or difficult respiration. Dry-cough, or cough in connection with difficult asthmatic breathing. — Paroxysms of asthma with coldness, choking, oppression, great difficulty of breathing. Compare also No. Twenty- Six. dubeII coughs and colds. Beonchitis, Influenza, Soee Thboat. It is especially appropriate and curative for all Bronchial and Pulmonary Irritations, and even Inflammations. — Hoarseness, so as to speak only in whispers, and even entire loss of voice. — Rough, scraping sensation in the throat and pharynx. — Soreness and sense of excoriation in the chest. — Cough from tickling in the throat. — Cough from irritation in the bronchia or lungs. — Cough, with severe stinging pain in the chest or side, or with expectoration of blood-stained or bloody mucus. — Pneumonia, or Inflammation of the Lungs, with oppressed breathing, pain in the chest or side, cough and bloody expectoration, either alone or in alternation with No. One. — Pleueitis, or Pleurisy with sharp, stinging pain in the side, intercepted respiration and high fever, in alternation with No. One. — Sharp, stitching or stinging pains in the side or chest. — Laryngitis, with roughness and scrap- ing in the throat, hoarseness, dry or loose cough, and irritation of the throat and bronchia, alone, or in alternation with No. Thirteen. — Bronchitis, acute or chronic, with dry, irritat- ing cough, hoarseness, or sense of roughness, soreness, or pain in the chest, or even with emaciation and hectic fever towards evening, sometimes in alternation with No. One. — Incipient Pulmonary Consumption, with emaciation, suspic- ions cough, scanty or frothy expectoration, pain in the chest or side, debility, cold hands in the morning, and slight fever towards evening, or even with perspiration at night, 604 PRACTICAL HINTS IN USING THE SPECIFICS. alone, or in alternation with No. Thirty-Five. — Compare Nos. Thirteen and Twenty- One, No. 8 Cubes [ NEURALGIA. Toothache, Faceache, Nervous Pains. Especially curative for all Neevous Pains, or pains along the course of a nerve, or occupying a limited space, — sharp, stab- bing, twinging, or shooting, or with pauses or exacerbations, with extreme nervousness, at times driving one almost to distraction, and without the redness, swelling and heat which attend inflammation. — Toothache in partially decayed, or even sound teeth, darting, aching, gnawing, or rending pains, either in the affected tooth, or along the roots of the teeth, or extending to the jaw or face. — Toothache in Old Decayed teeth. — Toothache in sound teeth. — ^If not relieved by No. Eight, alternate with No. One and in cases of Rheu- matic origin with No. Fifteen. — Too rapid decay of the teeth. — Pkesopalgia or pain in the face, teeth, and jaw; even at times extending to the neck and shoulders. — Old, Long- standing, inveterate neuralgias, in alternation with No. Thirty-Five. — Nervous pains causing sleeplessness, at night. — Swelling of the face after toothache. Cukes [ HEADACHES. Vertigo, Sick Headaches, Congestion to the Head. Appropriate for various forms of headache, or of vertigo, and for what is termed rush of blood to the head. — Vertigo or swimming of the head, on rising, while walking, or on turn- PRACTICAL HniTS IN USING THE SPECITIOS. 505 ing. — ^Vertigo while lying down. — Constant Bwimming in the head as if intoxicated. — Bush of blood to the head, with hot, red face, fuUness and heat of the head, sometimes in alternation with No. One or No. Ttlirty-Five. — Chronic fuUness of blood in the head. — Headache with beating, throbbing and fullness of the head, red or pale face. — Head- ache, as if a nail were driven into the head. — Headache, Aausea, vomiting, trembling and desire to lie down. — Dull, heavy, drowsy, stupid headache. — Habitual headaches, re- curring every few days, brought on by excitement, fatigue or indigestion, attended with nausea, vom,iting, trembling and prostration, often in alternation with No. Ten. — Compare also No. One, No. Ten an4 No. Thirty-Five. ^Ctoes** \ DYSPEPSIA. Dehanged Stomach, Constipation, Bilious Complaints. Especially curative for Gasteio Debangement, or what is often called Biliousness.— With, bad taste in the mouth, coated tongue, offensive breath, want of appetite, consti- pated bowels, dull, heavy, stupid feeling. — Evil effects of a debauch, drinking, over-work, or long watching. — ^Weak, tremulous, debilitated feeling. — Headache from deranged stomach, indigestion, or constipation. — Vertigo or dizziness of the head, with deranged stomach or constipation. — Heartburn. — Wateebrash, or rising of water or food to the mouth. — Dyspepsia, or Chronic Indigestion, with coated tongue, bad taste in the mouth, offensive breath, rising of water or food in the mouth, belching of wind, spitting up of food or mucus, sensation after eating as of a stone or load in the stomach, fullness or distention of the stomach, slow, torpid, or constipated bowels. — Tenderness of the pit of the stomach when pressed. — Tight clothes are insupport- able. — Gastralgt, with severe cramp like pain and distress 506 PEACTICAL HINTS IN USINa THE SPECHTCS. at the pit of the stomacli. — Chronic Constipation, slow, hard, knotty, insufficient and infrequent stools. — Maiakia, in alter- nation with No. Sixteen. — Too Long and too Pkofusb menses. — ^Lbucoeehcea in women, often in alternation with No. Twelve.— Lumbago, or pains in the back or loins. — Bearing down pains in women. — Too Long and too Profuse debilitating periods. ^CvLl \ MENSTRUAL IRREGULARITIES. Deia-hng, Scanty, or Painful Menses. Especially adapted to the period of developement in Toung Women. — Delating Menses in young girls, with chilliness, flushes of heat, pale face, weariness and languor, capricious appetite, etc. — Scanty Menses coming only for a short time, then interrupted, or thin, watery, pale color.— Suppressed Menses, from cold, fright, fatigue or wet feet. — Painpui. Periods, with scanty discharge, great pain and Buffering. Compare also No. Thirty-One. — Chlorosis or Green Sickness, with pale face, pale, bloodless lips, easy fatigue, tired feeling, restless nights, capricious or wanting appetite, fetid breath, and scanty, pale or absent menses, — Pais, Leucorrhoeio, or mucus discharges, insitead of the natural menstrual flow. — Leucorrhcea, instead of the monthly flow, or with scanty menses. — Ovarian disease, with enlargement of the abdomen, tenderness in the ovarian region, scanty urine, and irregular menses.- — Toothache of pregnant women. — Too long or too severe after-pains. — See also No. Three for after-pains. ^CuKsfi LEUCORRHCEA OR WHITES. Too Profuse Menses and Prolapsus Uterl Especially curative for Leucorrhcea or Whites, thick, yellowish, creammke or brownish discharge, worse before and PEAOTICAL HINTS IN USING THE SPECIFICS. 507 after the mensesi, mild or excoriating, attended with weak- ness and debility, alone or in alternation with No. Ten. — Bearing down pains, sensation as if everything would be pressed out. — ^Prolapsus Uteri. — Too Profuse Menses. — Too Frequent Menses, in alternation with No. Ten. — Too Long Continued Menses, inducing weakness and prostration, often in alternation with No. Ten, or No. Twenty-Four.— Ulceration of the womb. — Compare Nos. Eleven, Thirty- One and Thirty-Two. Ov^J] CEOUP. No. igj IBS j Hoarse Cough, Oppressed, Stridulous Eespiration. Especially suitable for all diseases or morbid conditions of the Larynx and Trachea.— Hoarse Cough, barking, or with constant inclination to cough; and pain, soreness, or irritation in the throat or larynx. — Hoarse, Croupi Cough in children. — Croup, with hoarse, harking cough, high fever, and difficult, oppressed, or stridulous breathing, in alternation with No. One. — Cough with whispering or hoarse voice, emaciation, soreness of the throat or larynx. — Chronic Laeyn- GiTis, with hoarse or whispering unequal voice; frequent cough, with scanty expectoration, yellow, frothy, or some- times blood-stained, sense of soreness, scraping, and rough- ness, as if the larynx was excoriated; emaciation and evening fever, often in alternation with No. Seven. — Spasmodic or asthmatic oppression of the chest, compare No. Twenty-One. Cubes [ EEUPTIONS OF THE SKIN. No. 14 1 3UBES j Erysipelas, Eczema, Tetters, Salt Eheum, Scald-head. Curative for all Acute, and even Chronic Eruptions of the skin, especially Eczema, minute pimples upon a red or in- flamed surface, dry or with exudation of serum with 508 PRACTICAL HINT3 IN USmG THE SPEOITICa. itching and burning and subsequent scabs or crusts. — Erysipelas, with red swelling, itching or burning; in- flamed surface, or with eruption of blisters or vesicles; with high fever and quick pulse; or with deep red swelling of the surface and prostration, sometimes in alter- nation with No. One. — Nettle Bash, with large, red or white, raised, itching, wheats or blotches, like mosquito bites, with itching and burning. — Acne or pimples on the forehead and face of young people, often in alternation with No. Thirty- Five. — Salt Rheum, with chapped, rough, scaly hands, or other parts, often sore or bleeding. — Crusta Lacta, or milk crusts in children, with eruption of reddish vesicles, which discharge, forming yellow, and sometimes thick, brownish crust's on the face, forehead, or cheeks. — Old, obstinate eruptions of the legs or body. — Ked, itching eruption in the hairy part of the face, whiskers and beard, often forming thickish crusts. — Barbers' Itch. — Scald Head, with eruption of moist vesicles upon the hairy scalp, which discharge yellow matter, form thick crusts, excoriating the surface, and denuding the hair, or with dry, scurfy eruptions and dandruff. — Thick, dark, swarthy complexion. — Old ulcers on the legs, unsightly, with bluish border, and lardaceous bottom, or with erysipelatous redness around them- — con- sult also No. Twenty-Two and No. Twenty-Three. • — Crusty or scaly eruptions coming out in patches, with bran-like scurf, or forming crusts — Itching op the Skut, where it unites with the mucus meiabrane, as at the ansius. — Mange or itching, inducing rubbing or scratching i-^ lap or house dogs. PRACTICAL HINTS IN USING THE SPECIFICS. 509 'cTOsf [ RHEUMATISM. Pain, Lameness, Soreness, Stiffness. Especially curative for all forms of Bheumatism or Bheu- matio Pains. — also for some forms of Neuralgia or Nervous pains. — Fob Acute Rheumatism, with lameness, stiffness, red and hot, or pale swelling of the affected part, intolerable pain on moving, with fever and scanty secretions, often in alternation with No. One. — ^^Cheonio Rheumatism with lame- ness, stiffness, pain, and even curvature of the affected part, principally involving the joints and tendons. — Old, Gouty, or Rheumatic enlargements of the joints, with occasional paroxysms of pain, swelling and tenderness. — Chronic stiff- ness of the joints. — Lameness of the joints. — Soreness of the integuments as if bruised, Compare No. One. — Lumbago, with pain and lameness across the loins or back, worse when attempting to walk, and sometimes forbidding an erect pos- ture in walking. — DuU, heavy pains or aching in the loins or back, night and day. — Pain in the side or chest, along the intercostal muscles, (between the ribs) worse on moving, or deep breathing, or by pressing along the affected part. — Pain in the shoulder, extending dovmwards even to the elbow or hand. — Painful lameness and stiffness of the nape or side gf the neck. — Sciatic Rheumatism with acute pain in the hip, at times extending to the thigh, leg or foot of the affected Bide. See also No. One. CuB^** [ FEVER AND AGUE. Inteemittent Fever, Malaria, Dumb Ague, Old Agues. Promptly curative for Intermittent or Miasmatic Fevers. — Prevention of Intermittent fevers by persons residing in malarious districts. — Malaria with coated tongue, offensive breath, bad or bitter taste, no appetite, dullness, easy fatigue, chilliness and constipation, vague pains or pains in the 510 PKACTICAL HINTS IN USING THE SPECIPICS. back, loins or limbs, often the forming stage of intermittent Fevers ; alone or in alternation with No. Ten which see. — Fevee and Ague with cold chiUs, with thirst, backache, and pain in the limbs; heat, with thirst, headache, even delirium, followed by perspiration. — Fever and Ague; chills, with blue nails, chattering teeth, thirst, pain in back or limbs; heat with headache, sleeplessness, and followed by long-last- ing perspiration. — Fever and ague, with chills returning every day. — Fever and Ague with chiUs returning every second day. — Old, partly suppressed agues, with chills returning irregularly, but with continuing weak digestion, muscular debility, frequent bloating, bad taste, impaired appetite, irregular bowels, scanty, red urine, and general prostration of the system. — Old Agues maltreated by quinine, arsenic, cholagogue, or other nostrums. — Bloating, with enlarge- ment and hardness of the spleen, (ague cake,) in conse- quence of the ague. — Bloating of the abdomen, and even the entire body from the abuse of quinine. — Has been used efficiently in low forms of fever, approaching Typhus, or Typhoid, in alternation with No. One. J6®"In all cases of delaying cure of Malaria or Malarlm Fevers with No. Sixteen, alternate with the No. Ten. ^c^ikeJ [ PILES OE HEMOEEHOIDS. External or Internal, Blind or Bleeding. Especially curative of aU engorgements of the venous circulation, and morbid conditions growing out of them. Piles with sensation as if a stick or hard substance were in the rectum. — Piles with large, blue or red tumors, which come down at every stool, are returned with difficulty and occasionally bleed, affording temporary relief. — Large, red vr bluish tumors situated at the edge of the anus, intensely sore and painful to pressure. — ^Bleeding Piles, which bleed PRACTICAL HINTS IN TJSINa THE SPECIFICS. 511 at almost every stool, and often at other times, attended with weakness, debility and broken-back like sensation. — Piles with prolapsus of the rectum at every stool. — Mucus piles. — Itching of the anus, with occasional discharge of mucus, see also No. Fourteen Internal Piles with painful soreness or lameness in the sacral region, painful, narrow and at times bloody stools. — Hemorrhoidal colic. — Constipation with piles, alternate No. Ten, with No. Seventeen. — ^All cases of Chronic Piles are cured by the use of No. Seventeen and No. Ten in alternation. — ^In aU cases of Piles attended with heat or inflammation alternate No. One with No. Seventeen, — and apply Humphreys' Witch Hazel Oil. ^CuK^Ef( OPHTHALMY. Inflamed Eyes or Eyelids, Weak Sight. Especially adapted to all morbid conditions of the organs of sight. — Acute inflammation or the Eyes with in- jected vessels of the conjunctiva, intolerance of light, flow of hot, scalding tears. — Old Ophthalmias with injection, and even ulceration of the conjunctiva, or cornea, cloudy opacity of the cornea, dimness of sight, redness of the lids, and fre- quent agglutination in alternation with No. Thirty-Five. lNrLAMMATION,REDNESS, SWELLING OR THICKENING of the eyC- Uds, in alternation with No. Twenty-Three. — Inflamma- tion AND Thickening of the margin of the eyelids, denuding the eyelashes. — Styes on the eyelids. — Small, painless tumoije in the eyelids. — Profuse flow of tears, overflowing the eyelids when in the open air, or exposed to the wind. — ^Acute in- flammation or irritation of the eyes should also be bathed with a lotion made of Humphreys' Witch Hazel, one part to six parts of water. — Premature weakness of sight, or in consequence of over-taxing of the eyes in reading, or finfi 512 PEACTICAL HINT3 IN OSING THE SPECmCS. \Tork, or -when tlie system was weak. — Threatened amaurosis. — Easy fatigue of the eyes from reading or similar effect. — Intolerance of light. Cm.Es ' f CATAERH. No. 191 Det ob Flowing, Acute ob Chbonio Inplttenza. Especially adapted to affections of the mucus mem- branes, and to the periosteal covering of the bones of the nasal passages. Influenza, with sneezing, flow of hot mucus from the nose and eyes, cough with sore throat, and hoarse, rough, scraping sensation in the bronchia or chest, feverishness and prostration. — Catarrh, with profuse dis- charge of thick, yellow, or sometimes bloody mucus, ob- structed nose, or flowing from the nose, with constant dropping into the throat, deficient, or sometimes even entire loss of smell. — Cataeeh, with impaired sense of hearing, taste and smeU. — Catabeh, with occasional discharge of thick plugs of mucus from the nose or throat. — Cataeeh, with soreness of the nostrils, crusts or scabs forming in them, with occa- sional bleeding. — Old Ozaena, with sore nostrih, yellow or brownish, thick, Oftensive Disghaege, with offensive breath, loss of smell or even of taste, obstructed nose, and some- times nasal voice.^ — Offensive Beeath, with catarrh. — Cough, with profuse discharge from the nose, and copious expec- toration. — Loose Cataeehal cough in children. — Old Syphil- itic Affections of the nasal bones and throat, with soreness, and copious, brownish or yellowish, offensive discharge. tEACTlCAL HINTS IN USING THE SPECIFICS. 513 No. 20 I CuBBB \ WHOOPING COUGH. Irritating Spasmodic and Convulsive Coughs. Especially curative for irritative and spasmodic coughs. — Spasmodic cough, coming on in frequent paroxysms, from tickling, or a suffocative sensation in the larynx or throat. — Dry, Spasmodic cough, with inclination to vomit —Vomiting oifood or mucus during the cough, and afterwards.^-Feeling as of crawling, or of down or feathers in the throat, causing one to cough. — Whooping Cough, with frequently returning paroxysms, consisting of a succession of shocks, followed by a deep inhalation or whoop, loss of breath, with blueish face, vomiting, raising of mucus, and sometimes convulsive stiff- ening of the limbs, or holding back of the head.^ Convulsions vyith the cough. — Old spasmodic cough, which seem to take the breath away. — Cough, with bleeding from the nose, or with expectoration streaked with blood. — Suffocative fits during lihe cough. — Compare also Nos. Seveiij Thirteen and Twenty-One. ^Cv^^] ASTHMA. DnncuLT Respiration, Cough and Expectoration. Curative for oppressed, difficult labored respiration — sensa- tion of heaviness, fullness and weight in the chest. — Attacks OP Asthma, with labored, difficult, sighing respiration, and cough, at first dry, irritating with scanty, and gradually with hiore copious expectoration with relief. — Humid Asthma, with copious expectoration. — Labored, difficult, or oppressed respiration, with throbbing or palpitation of the heart. — Falpitation of the Heart with oppression of the chest. — Cough, with oppression of the chest. — Dry, irritating cough, as if from down or feathers in the throat. — Old, Chronic Asthma, with frequently recurring attacks, excited by exposure, over- 514 PBACTICAI. Amis IN USING THE SPECIFICS. effort, or mental emotions. — Compare for Asthma No. Six, and also Nos. Seven, Thirteen and Twenty, and for Asthma with heart tbotjbles, No. Tllirty-TTVO. ^Cu^f 1 EAK DISCHAEGES. Eaeache, Noise in the Head, Deafness. Especially applicable for all affections of the organs of hearing, likewise for many morbid conditions and diseases of the osseous or bony system, and of mucus surfaces. — ^Ear- ache. — Inflammation of the internal ear, with redness, swelling, extreme sensitiveness of the part, and pain involv- ing the entire side of the head. — Noises, humming, roaring, buzzing or chirping in the ear. — Hardness of hearing, with noises in the head. — Discharge from the ear, the result of Scarlet Fever, Measles, or from frequent inflammations. — Old offensive discharges from the ear, with hardness of hearing. — Enlargement of the glands of the neck in chil- dren or scrofulous persons.— Scrofulous ulcers of the neck, or old ulcers of the legs of scrofulous subjects. — Intractable ulcers or sores, slow to heal. — Caries or necrosis of the bones. — ^Wetting the Bed in weakly, feeble or scrofulous children, in alternation with No. Thirty. Slow growth and deficient ossific development and conse- quent weakness of children or young persons. ^Gv^m \ SCEOPULOUS AFFECTIONS. Enlarged Glands, Tonsils, Old Ulcers. Suitable and curative for a variety of scrofulous develop- ments, such as: Enlargement of the Tonsils, filling up the passage and embarassing the respiration and even the deglutition in alternation with No. Thirty-Five. — Scrof- tJLous ENLARGEMENTS of the glands beneath the jaw or ear and PRACTICAL HINTS IN USING THE SPECIFICS. 515 upon the neck. — Enlargement of the ghnds heneaih the arm- pit, sometimes with inflammation, pain and suppuration. — Firm, hard enlargement of the glands Uke knots about the neck. — Cold swellings, or tumors. — Tendency to obesity or over fatness. — Offensive breath of young persons. — Offensive ■perspiration of the feet. — Boils. — Carbuncles, with large, hard, purple swelling, ichorous discharge, with anguish and gen- eral prostration in alternation with No. One. — ^Whitlow or Felon. — Inflammation and ulceration at the root of the nail, with severe throbbing pain, or suppuration, (see also No. Twenty-Two.) — Old, scaly eruption on the legs of scrofu- lous subjects. — Compare No. Twenty- Two. No. Twenty- Two may in almost all chronic cases be given with advantage in alternation with No. Twenty- Three. ^CuB^f [ GENEEAL DEBILITT. Physical and Nervous Weakness. Curative for Debility in consequence of severe, acute dis- eases, or in consequence of debilitating discharges, or loss of blood, or in consequence of mental excitement or over-rwrk. — General trenibling feeling. — Feeling of weakness and instability on walking. — Easily excited, or made nervous while at work. — Perspiration on going to sleep. — Easy perspiration upon attempting labor or even on moderate exercise. — General pros- tration, with feeble digestion, coated tongue, bad taste and deficient appetite. — Lassitude, fired, weary feeling on waking in the morning, as if one had not slept enough. — ^East FATIGUE from bodily effort. — Pale, bloodless lips, and pale face. — Constipated habit. — Yellow or earthy face or skin.— Compare No. Twenty-Eight for Nervous Debility. Bl^ PRACTICAL HINTS IN TTSING THE SPEOmOS. N°,f,^f DROPSY. Fluid Accumulations with Scanty Secretions. Appropriate for anasarca or general dropsy, or witli doughy or easily pitting swelling of the body and limbs, especially the more depending portions. — Dropsical swelling of the legs and feet, which pit on pressure. — Deopsy of the Chest, with turns of labored, difficult breathing, inability to lie down, swelling of the feet and legs, or depending portions, and scanty secretion of urine. — Dropsy from Bright's Disease of the Kidneys, either fugitive swelling in various parts of the body or face, or permanent, doughy swelling ^i the feet and legs, with scanty, thick, pale, sedimentitious, or frothy albu- minous urine, (in alternation with No. Twenty-Seven.) — Hydrocephalus of children. — Ascites or abdominal dropsy, with immense distention, and doughy swelling of the feet and legs, and scanty secretion of urine. — Ovarian dropsy. — ■ Suppressed or scanty secretion of urine. — Copious, pale, albuminous urine. — Compare No. Twenty-Seven. ^CuB^f [ SEA SICKNESS. Vertigo, Nauska, Vomiting. Curative for Swimming of the head, or vertigo, qualmish- ness, nausea, vomiting with sinking sensation, prostration and distress. — Sea Sickness, with constant nausea, vomiting, and utter prostration. — Nausea, and even vomiting, from riding in a carriage, or on a railroad, — Morning Sickness of pregnant women. — Lumbago, pain, and weakness in the loins, which does not permit standing upright, (see also No. Fifteen.) — Paralysis of the lower extremities. — Paralytic weakness of the loins and back. — Compare *'(o. Six. PRACTICAL HINTS IN USING THE SPECIFICS. 517 'cra^ J [ KIDNEY DISEASES. Painful, Retaeded or Scanty Urination, Gravel, Beight's Kidney. This specific is curative for affections of tte kidneys, and urinaiy organs manifested by: — ^Pain, uneasiness or lameness in the loins or kidney region, thick, muddy, or sedimentitious urine, occasional deposits of sand, gravel, or reddish briok-dust, or vrhite, pus-like matter. — Benal colic, ■with violent pain in the back, extending forward and down- ward, or involving the entire abdomen, sometimes with re- traction of the testicle, and scanty or blood-stained urine. — Renal CALCULL-7-Difficult urination, with slow, interrupted stream, sometimes attended with great pain and distress. — Too FREQUENT ui'ination. — Must rise several times in the night to urinate.— Enuresis or too frequent urination of old people. — Old disorganizations of the kidneys. — Strangury, with urgent desire and discharge of mucus, or of white, thick deposit. — Burning while passing the water. — ^Bloody Urina- tion, discharge cf urine mixed vnth blood. — Compare No. Thirty. 618 PEACXICAL HINTS IN USINa THE BPHCIFIOS. No. 28 [ Seminal Weakness, Deficient Energy. Chbes' 1 NEEVOUS DEBILITY. Specific for all conditions arising from exhaustion of the vital powers, loss of vital Jluids, excessive drains, or mental or physical over-taxing the system. — Consequences op youTHrux. VICES, indiscretion or self abuse, manifested by : — Easy forget^ fulness, irresolution, shamefacedness, avoidance of society, love of solitude, pale face, depression, gloomy, taciturn mood, loathing of life and great bodily weakness, repugnance to exercise, or physical or mental effort. — Frequent, involun- tary, discharges, with lascivious dreams, followed by increas- ing prostration. — Pollutions from relaxed organs. — Emission too soon, too rapid. — Weakness of the sexual organs, with deficient power. — Debility of the organs in consequence of excesses. — Mental alienation, caused by self abuse. — Com- pare No. Twenty-Four. ^CuB^f [ AJPTHJdl OR SORE MOUTH. Canker, Ulcerated Ln>s. Curative for the Sore Mouth of Infants, consisting ot minute red points, which soften, leaving white patches ol ulceration, which often extend over large surfaces, attended with soreness, scalding and burning. — Sensation as if the mouth and tongue had been scalded with hot tea. — Apthse of adults, or patches of ulceration on the tongue, lips, or in- PRACTICAL HINTS IN USING THE SPECIFICS. 519 Bide the cheek, with flow of water, soreness and burning of the affected part. — Soee mouth of nuesing women. — MERCUEiAii AND Syphilitic soee mouth, almost the entire buccal cavity is raw and sore, as if excoriated — hot, scalding and burning. — Obstinate Intermitting Fevers, with predominating head- ache during the paroxysm, after or in alternation with No. Sixteen. — Ulceration of the corners of the mouth. — Sore, tilcerated or chapped lips. — Tetter-like eruption around the mouth. — ^Tardiness of children in learning to talk, from difficulty in using the tongue. ^CuEf 8^ [ XJEINAEY INCONTINENCE. Frequent, Painful or Scalding. Curative especially for Inflammatory or sub-inflammatory conditions of the urinary organs. — Inflammation of the Kid- nets, with fever, pain across the loins, frequent discharge of hot, dark red, or even bloody urine, attended with burning and pain, which often extends down the inside of the limb, may alternate with No. One. — Constant desire to pass water, and inability to retain it. — Inflammation of the Bladder, with pain in front over the pubes, constant desire to pass water, and painful discharge of scanty, high-colored, or even bloody urine. — Fruitless straining, passing only a few drops at a time. — Urine loaded with mucus or pus. — Inflammation of the Urethra (Gonobehcea) with frequent, scalding, burning urination, and inability to retain it; dis- charge of thick, yellow matter from the urethra, and swell- ing of the pepuce. — (For recent severe cases send for Anchor Specific, large vial of fluid, price $3.00.) — Discharge of thiokj SELLOW, or whitish matter from the urethra, with slight scald ing or irritation. — Wetting the Bed, Nightly Urinary Is CONTINENCE in children, or even older persons; — Cases ol incontinence in verminous children may also require No. Two, or scrofulous subjects may also require the Nq< 520 PBAOnCAL HINTS IN TISINa THE SPECIFICS. ^Ct^b^ s* [ PAINFUL IVIENSES. Hysteria, Peukitis, Spasms. Curative /or a variety of forms of Dysmenorrhoea or painful menstruaiio'i and Hysteria such as: Paikpul pkessuee and JBeabing DOWN, before and during the menses, with extreme sensibility of the parts. — Cramps, or even General Spasms at the commencement of the period. — Cutting -patina like those of labor before the menses. — Voluptuous ckawling, itching and irritation of the organs, almost driving one to distrac- tion. — Delaying or suppressed menses, with colic or cramping pains, nausea, spasm of the chest, and cramps or convulsive movements of the limbs. — Laughing, crying, or hysterical movements or cramps, at the commencement of the monthly flow. — Too COPIOUS AND LONG-CONTINUED mcuses, with itching and irritation of the parts. — Too Long continued menses, with leucorrhoea in the interval. — Too early, and too long- continued menses. — Leucorrhcea like the white of eggs. — Dis- colored, dirty-looking leucorrhcea. — Compare Nos. Eleven, Twelve and Thirty-Two. ^CuBEs^ [ HEART DISEASE. Palpitations, Flushes, Irregulaeities. Invaluable for Palpitation, beating, or violent throbbing of the heart, also when in connection with irregularities. — Op- pression and weight in the chest. — Paralytic heaviness of the chest, afi if one could not get the air. — Palpitation <^ the PRACTICAL HINTS IN TJSING THE BPECmCSr 521 heart. — Ireegttlar action and tumultuous beating of the heart. — Painful spasms through the chest and heart, with a sinking, death-like sensation. — Rheumatism of the heabt. — Old chronic palpitations or disease of the heart. — Compare also No. One. Indispensable for the irregularities and accidents incident to the climacteric change* of women. — Headache during the >menses. — Ikeegulab menstruation, now too soon and too copious, and then delayed and scanty. — Too copious menses, almost like flooding, continuing several days, and inducing great prostration. — Delayed or failing menses, with vertigo, fullness and heat of the head, and general heaviness of the body. — Flushes oe heat suddenly coming over one, with hot, red, or pale face, and then vanishing with a sense of faint- ness and perspiration. — Compare Nos. Eleven, Twelve and Thirty-One. ^CuB^ff EPILEPSY. Cramps, Spasms, Convulsions. Especially curative for various morbid conditions of the nervous and cerebrospinal systems. — Twitchings or invol- untary movements of single muscles or limbs. — Grimaces of the face, or strange drawing of the features or muscles. — Chorea St. Viti, with twitching of the face, arms or limbs; involuntary movements, jerks, unsteady walking, dropping of things, and nervous excitability. — Convulsions of child- (KEN from teething, irritating food, fright or mental excite- Jment, with holding back of the head, rigid and then convulsed arms and limbs, purple face, frothing at the mouth, and unnoticed evacuations.— Cramps or spasms of single Jimbs. — Easy becomtdg numbed, or going to sleep of the limbs. — Caial^lia stiffness of the limbs or body. — Epilepsy, with cries, falling down, foaming at the mouth, convulsed face and limbs, re- E22 PEACTICAL HINTS IN USING THE SPEOIFICS. tracted thumbs, and involuntary evacuations. — Paratytio numbness and insensibility of one side, or of single Hvnhs. ^OuE^fl DIPHTHEEIA. Quinsy and Ulcekated Sore Throau Curative for Tonsilitis, vsrith redness, swelling and sting- ing pain in the tonsils, and soft parts, difficult, painful de- glutition, fever and thirst, often in alternation v?ith No. One. — Painful, difficult swallowing. — Inability to open the mouth from the swelling, choking sensation in the throat. — Quinsy, with redness, swelling and inflammation of the entire throat and fauces, painful or impeded deglutition, the fluid sometimes returning by the nose, pain in the head, fever and thick coated tongue with also No. One. — ^Ulcer- ated soEE throat, with painful or impeded deglutition, offen- sive breath, and discharge from the throat; heavy coated tongue, swelling of the glands of the neck, fever and pros- tration. — Diphtheritic sorb throat, with high fever, red face, swelling of the glands of the nech, unusual prostration of the system, headache, fever, SwELLiNa of the tonsils, uvula, and SOFT PARTS, which are covered with dirty patches of exudation in alternation with No. One. — Old chronic, often returning, sore throats. — Chronic enlargement and induration of the ton- sils, also No. Thirty- Five. — Compare No. One. ^CuB^f \ CHEONIC CONGESTIONS. Headaches and Eruptions. Curative for chronic congestions, heat, fuUness and pres- sure of the head. — Dizziness, Vertigo, and svsdmming of the head. — Habitual headaches. — HeadachE; with fullness, pres- PRACTICAL HINTS IN USING THE SPECIFICS. 523 sore or pulsation in the forehead, or on one side. — Vioknt throbUngs or stabbings in the head. — Headache from study, over-work, or mental effort m children. — ^Inflammation of the EYES from reading o^ overtaxing the sight, in connection with No. Eighteen. — Scurfy eruptions on the head of infants. — Humid, scabby eruption or tetter on various parts •with burning, see also No. Fourteen. — Swelling and in- duration of the glands, sometimes with pain and heat, also No. Twenty-Two. — Muscular weatoaess. — Difficulty of CHiLDKEN IN LEAENiNO TO WALK. — Retarded closing of the fon- tanel. — ^Irregular or slow appearance of the teeth. — Sleep- lessness IN children; RETARDED SLEEP AND RESTLESSNESS in adults, from nervousness and flow of ideas, with lassitude and weariness in the morning, as if one had not slept. — Too EARLY AND TOO LONG Continued menses in women. — Too COPIOUS or excessive menses, also Nos. Ten and Twelve. — Prolapsus uteri, constant and bearing down. — ^Leucorehcea. — Cough with pain in the side. — Cough with pain and oppres- sion of the chest, and copious expectoration. — Suspicious coughs in young, delicate, consumptive subjects. — Constant liability to take cold from slight exposure. — Compare Nos. One and JVine. ■^ iV DR. HUMPHREYS' ^^ES^IC^ £ £ NEW SPECIFIC FOR ^l^mlB^ With all its symptoms of Influenza, Catarrh, Pains and Soreness in Head and Chest, Cough, Sore Throat and general Prostration and Fever. iPrice, 25 Cents. For Sale by all Druggists, or sent prepaid on receipt of price, HUMPHREYS' MEDICINE CO., Cor, William & Ann Sts., N. Y, O^i THE GOLDEN DOUCHE. « G. D." THE GOLDEN DOUCHE, Cures Leucorrhea; Pruritus; Prolapsus Uteri ("Falling," or "Bearing Down " of the Womb) ; Old Irritations; Ulcera- tions and Incipient Degenerations of the Tissues, common to the female sex. Many ladies who have experienced relief from the use of our Specifics, Nos. 10 and 13, in complaints peculiar to their sex, have felt the need of some Homeopathic Remedy for use as a vaginal injection, ia aid of the internal remedies. The Golden Douche has therefore been prepared by Dr. Humphreys especially to meet this long-felt want; and it has been found by its active local curative efEects greatly to aid the action of the Specifics. Used as a vaginal injection, or applied directly to the parts, it affords prompt relief and Comfort; imparts tone AND HEALTHY VIGOE; ARRESTS UNHEALTHY AND IRRITATING DISCHARGES ; HEALS ULCERATIONS ; AND CHECKS DEGENERATION OF TISSUES WHICH OTHERWISE WOULD RESULT IN TUMORS, MORBID GROWTH AND EVEN CANCERS. The Golden Douche (G. I>.) may be had of dealers, or will be sent free on receipt of $1.00. Syringe, 25c. HUMPHREYS' HOMEOPATHIC SPECIFICS. PRICE OF SINGLE YIALS. No- ' CURES. ^V?*". VSS! 1. Fever, Congestion, Inflammations 25 gQ 2. Worm Fever, Worm Colio, or Disease "_ 25 50 3. Colic, Crying and Wakefulness of Infants 25 SO 4. Diarrhea of Children and Adults "_ 05 kq 0. Dysentery, Griping, Bilious Colic 25 50 6. Cliolera, Cholera Morbus, Nausea, Vomiting 25 50 7, Coughs, Colds, Hoarseness, Bronchitis 25 50 8, Toothaehe, Faceache, Neuralgia 25 50 9. Headaches, Sick Headaches, Vertigo 25 50 10. Dyspepsia, Deranged Stomach, Oostiveness 25 50 il. Suppressed Menses, Scanty or Delaying 25 50 12. Leucorrhoea, Bearing Down, Profuse Periods 25 SO 13. Croup, Hoarse Cough, Difficult Breathing 25 50 14. Salt Rheum, Eruptions, Erysipelas 35 50 15. Rheumatism, Pain in Side, Back, or Limbs 25 50 16. Fever and Ague, Intermittent Fever fectly controlled by the small doses and mild means of this systen^ ;and that horses and catUe are as readily cured as women and children, ' The most inveterate and fatal diseases, which baffle the most eneT* getic and skillful old school treatment, are cured like magio by these simple VETEBiNABYSpEctETcs. Cases of Cough, Founder; ColiCj In- flammation, Mange, Scratches, Distemper, Inflamed Eyes, Stag* ^rs, and even Spavin and Heaves, are cured with a rapidity and certainty perfectly astonishing to those who have sever witnessed tha efEeots of these 8|pecifics. ' These Specifies not only save all trouble in giving medicine to ani- mals, but restore and save a large proportion of animals otherwise lost or rendered valueless by disease. They are put np in bottles qf fluid, containing each one hundred or more doses, and each case is accompanied vdth a Book ciers, all praise and use them. Traveling Menageries and circus men, who own and have con* stantly hundreds of horses on the road, traveling over every part of the country, and who, using this system, rarely lose an animal, while those who use the old "dragging, balling and bottling" treatment^ lose thousands of dollars worth every year. Horse Bailroads in cities and large towns, who use hundreds (4 horses, who always have sick horses on hand, and to whom the fees d veterinary doctors and losses of animals form a very large item of ex« pense and loss — these use them extensively, and give them all praise iSbr list and prices of ^ecifica and Cases, see following pages.) ~~ Price of Single Bottles, A.A.— Cures Ferers, Congestions and Inflammations, as of the Lungs or Pleura (Pleuro-pneumonia), Infiammation of the Head or Brain, Eyes, or of the Liver or Belly ; Sore Throat or Quinsy; Blind or Belly Staggers; Hot Skin, Quick Pulse; Chill or Panting; Milk Fever in Cows 60 B. B.— Cures Diseases of tlie Tendons, Ligaments or Joints; Founder, Curb, Spavin, Strains, Injuries, Overwork, Kheu- matism, Splint, Stifle 60 C. C— Cures Diseases of the Glands, Distemper in Horses or Sheep; Nasal Gleet; Farcy and Glanders; Discharges from the Nose; Farcy Buds; Swelled Glands; Scab in Sheep; Distemi)er in Dogs 60 r> D. — Cures Worm Diseases, and eradicates them from the system, either Bots or Grubs; Long, Bound, Pin, or Tape- worm; Colic, or Emaciation from Worms 60 E. E.— Cures all Diseases of the Air Passages, as Coughs, In- fluenza, Heaves, Broken Wind or Whistles, Thick Wind • Inflamed Lungs, or Pleura (Pneumonia), or with quick, panting, hard or difficult breathing 60 F. F. — Cures Colic, Spasmodic, Wind or Inflammatory Colic; Gripes, Hoven, or Wind Blown; Diarrhea or Dysentery; Liquid or Bloody Discharges 60 G.G.— Prevents Miscarriage, Abortion, or Casting of Foal in Mares, Cows or Sheep; arrests Hemorrhages or Flooding, throws off the After Birth or Placenta, if retained 60 H H. —Cures all Diseases of the Kidneys, Bladder or ITrinary Passages, as Inflammation, or Difficult, Painful, Suppressed or Bloody Urination; Colic from the Kidneys 60 1. 1. — Cures all Cutaneous Diseases or Eruptions, Mange, Farcy, Grease, Thrush, Erysipelas, Swellings, Abscesses, Fistulas, Ulcers, Unhealthy Skin, Bough Coat 60 J. K.— Cures Diseases of Digestion, Loss of Appetite, and "Off his Feed;" Results of Over-feed; Jaundice or Yellows; Hi- Condition, Staring Coat, also. Paralysis, Stomach Staggers. 60 HUMPHREYS' VETERINARY SPECIFICS. ','!,,'.'" irT'^'is^iiiilii' ,' h I'' ' i|i.i,ii'|i|',. PRICES OF STABIiE CASES. Stable Case, Blfiok Walnut, Handle, Look and Key, containing Manual (450 pages with chart), Ten bottles Specifics, Jar Veterinai-y Cure Oil, and Medioator complete $ 7.00 Stable Case, Black Walnut, Handle, Lock and Key, containing Manual (450 pages with chart). Ten medium size bottles Specifics, Jar Veterinary Cure Oil, and Medicator complete 20.00 Stable Case, Black Walnut, Handle, Lock and Key, containing Manual (450 pages with chart). Ten large size bottles Specifics, Jar Veterinary Cure Oil, and Medicator complete 30.00 PRICES OP SINGLE BOTTLES. Single Bottles, containing over 50 doses 60 Single Bottles, Medium Size, containing fouk times as much as small bottles, 2Q0 doses 2.00 Single Bottles, Large Size, containing eight times as much as small bottles, 400 doses 3.00 Jab Veteeinaby Cube Oil 1.00 HuMPHKBTs' Vetbbinabt Manual (450 pages, with Chart) 50 Medicatob (for administering Specifics) ^5 Sent Free to any Address on receipt of tht Pricet HUMPHREYS' MARVEL OF HEALING. "A rose is just as sweet by any other name.'' 'This medicine is a pure distillation of the well-krwvm ihrvib, EAMAMllLIS VIBOINICA, commonly known as the WITCE HAZEL, prepared with great care from recipes used by DB. HUMPHREYS for more than TWENTY TEARS, and is WARRANTED SUPERIOR to any preparation of this medicine sold. THE MARVEL is the triumph of Family Medicines. Always useful, always ready, nevet injurious, always reliable, does not poison or irri- tate, stain or injure, and may be taken without injury by any one. THE MARVEL is used both as an external remedy or a lotion to apply and as an internal medicine to take, and in many cases it is both taken and applied. Taken internally, it may be used in doses of a teaspoon' ful, or more to adults; and to young children, ^ed or infirm persons, a-half or quarter as much, and it may be repeated every one, two, or four hours in urgent oases, or usually three times a day. Applied externally as a lotion or liniment for sore- ness, lameness, a bruise, sprain, strain or wrench; or for a burn, scald, excoriation or swelling; or when there is pain, heat or inflammation, its action is at once cool- ing, soothing and healing and restoring, while it causeg no irritation, stain, eruption or rash. The indispensaMe Medicine for Families— always safe; always Tellable; never injurions. It Heals tlie widest variety of Iniuries, Wounds, Bruises, Con- tusions, Sprains or Lacerations. It is the greatest Styptic or Stannoher of Bleeding known. It arrests Nose Bleed, Spitting of Blood, Bleeding Lungs, Bleeding Gums, Vomiting Blood or Internal Hemorrhage. It is The sure and infallible Eemedy for Piles, — the only Cure for Varicose Veins, — the sure Eemedy for Toothache, Ear- ache, and Neuralgia, — the cure for Eheumatio Pains, Lameness, Soreness, Stiffness, Gravel, Strangury and Eidney Disease. For Bums, Scalds and Sunburns, — The Marvel of Healing. For Diarrhoea and Chronic Diarrhoea, — Always curative. For Catarrh and Mucus Discharges, — Invaluable. For Ulcers, Sores, Boils, Corns and Felons,— Unequalled. For Excoriations, Chafings and Soreness, — ^Invaluable. As a Toilet Article for Shaving, Bathing, &c., — Above praise. For all these conditions, or the results of such, there is no rem- edy which so promptly revives the depressed vital action, restores the local and general circulation, allays the pain, dissipates the con- gestion, arrests and prevents inflammation and restores the circula- tion as this Mabvel op Heaiinq. In thousands of oases, its prompt and free application has staunched the bleeding, allayed the pain, dissipated the congestion, reduced the inflammation and promoted the healing of the most dangerous injury so promptly and so magically as to have given it the name of the Mabvbl of Heauno. It has been in popular use for Thirty Years. It is prepared by a scientific Physician. It is for External and Internal Use, to Apply and to Take. Price, 6 oz. bottles, 30 cts.; Pints, eOcts.; Quarts, $1.00. Sold by all Druggists. Pamphlets (in different languages) free upon application. Address Humphreys' Homeopathie Medicine Co., COB. WII.II&.II AND Anrnr STS., H. Y, HUMPHREYS' WITCH HAZEL OIL (COMPOUND) AND FILE OI3Sr'3?3iv!EEiT1'. This ointment is the triumph of Scientific Medicine. Nothing has ever been produced at all to equal or compare with it as a curative and healing application. The virtues of the Witch Hazel have been long known and cel- ebrated as a healer and pain curer. But when combined and applied in the form of an oil, its cueativb effects aee MAKVELOus. It has been used ovee forty teaes, and is the prescription of one of the most renowned physicians of his day. It always atfoeds eelief and always gives satis- FACTiON. For: Piles, Blind or Bleeding, External or Internal, and Itching or Bleeding of the Rectum. For these or any of them, this Oil is infallible. The relief is immediate. It has been used in thousands of cases with absolute success. No one who has ever tried it will do without it. Ulcerations, Eruptions, Cracks or Fissures of the anus or rectum are cured at once and like magic from a few simple applications of this Oil. Even old Fistulas in ano have been cured by it. Burns, Scalds, and Ulceration and Contraction from Burns. The relief is instant, and the healing of the ul- ceration and softening of the contraction is wonderful. It has ih repeated instanoes cured oases of contraction from bums pro- nounced incurable by the faculty. Cancers, Malignant, Painful, or Corroding Ul- cers, Carbuncles and Boils are at once relieved of the darting, eating or corroding pains. Old Sores, Indolent Ulcers and Fistulas are prompt- ly healed up and cured. This Oil is the mildest and best pos- sible dressing for them. Torn, Lacerated or Cut Wounds or Injuries are promptly closed up and healed by this Oil in a manner ap- proached by no other remedy. Salt Kheum, Tetters, Scurfy Eruptions, Chapped Hands, Fever Blisters, Sore Iiips, Corns and Bun- ions are promptly relieved and often cured like magic. For Corns and Bunions, or Sore and Lame Feet, this remedy affords instant relief, curing and rendering service- able feet, whose use under any other treatment was a painful burden and torment. Scratches or Grease in Horses, Chafings, Saddle or Harness Galls, Lacerations, Cuts, Injuries, Bro- ken Hoof or Quarter Crack, are all cured by this Witch Hazel Oil in a manner unequaled. PBEPABED ONIiT BZ DR. F. HUMPHREYS & SONS, Price, 50 Cents. Trial Size. 2 5 Cents. Sold by all Druggists, or Seat Free on Receipt of Price Pamphlds free upon application. Address, HUMPHREYS' HOMEOPATHIC MEDICINE CO., COE. WHLUM AND ANN STS., NEW YOBK. OEiTEI3.AXj liTlDEnS. PAGE. ^bdomeo, DropG^ of the. 491 AbscesBes 230 Acne. 223 Aged People, Diet of 44 Ague 195 " Dumb 200 " Old, Suppressed 200 Air-passages, Diseases of 289-325 " purity of 124 " impuritieB of 124 See VentikUion. Albumen 62 Albuminaria. 399 Alcobols 117-119 " effects on heart 118 " " " digestion 118 Alcohol Habit 6S4 Aliment allowed under Horn, treatment 167 " forbidden " " •* 158 Alimentary Tract, Diseases of 333-398 AUspioe 102 Almonds 90 Alopecia, after Confinement 464 Amenorrhea 418 Anasarca 489-490 Angina Pectoris. 326 Ani, Prolapsus. 392 AnoT«zia 347 Anthrax 227 Aphonia 289 Appetite, want of. 347 Apples 97 Apricots. 98 Apoplexy 237 ApthsB, in Infants 463 Arrow-root 91 Arthritis 473 Asparagus ^ 95 Ascoris Lumbricoides 494 Ascites 489-^1 Asthma 315 " Hay 300 Atrophy, of Infants 466 Back, Rheumatism in 472 ** pains in, during Pregnancy 445 Bacon, Nutritive value of 54 Baking of Meats. 108 Siting's ooreforOorpolence... 43 PAGE. Barley 86 '* -Water 86 Bath, the Sitz 162 Bathing, too much. 135 *' Cold 136 " Warm 137 " Sea 137 " Cautions as to 138 Baths, permissable temperatures in.... 160 '* -Vapor, use of the 151 " *' how to give 151 " Warm 149 Beans 89 Bedroom, Ventilation of 125 Beef, Nutritive Value of 49 " -Tea Extract. £8 " " " properusesof 61 Beer ii7 Beverages 110-120 ' ' Non Intoxicating 110 Bilious Colio 356,357 " Fever. 174 Biliousness 348 Biscuits, Wheaten 86 Blackberry 99 Bladder, Catarrh of. 406 " Inflammation of 404 Bleeding, feom Lungs 318 " " Stomach 362 *' " Nose 487 Blood, Composition of the 69 " salts in 69 " to Head, Rush of 240 •' -Shot Eyes 275 " vomiting, from Lungs 362 " " Stomach. 362 " from Nose 487 Boils 226 " in Ear 284 Boiling, proper method of 106 Boots, evil effects of high-heeled 135 ■ Bowels, Falling of 392 " Looseness of 373 Brain, Dropsy of 244 *• " Chronic 245 " Inflammation of 241 Brandy nj Bread, stale, best for health 84 GENEEAL INDEX. PAGE. Bread, toastingcf .., 84 Bre&st, Catarrh of 303 " Inflammation of, after Confinement 456 •' -Pang 325 Preparation of before Confinement 448 Breath, oflfensive 356 Bright's Disease of Kidney 401, 402 Broiling 108 Bronchial Irritation 302 Bronchitis, Acute 302 " of Children 303 Broths, Fish 69 " Mutton 51 " Veal 61 " Vegetable 96 " Preparation of 96 Buckwheat flour 87 Bunions 231, 232 Butter, Constituents of 78, 79 *' usesof Y9 " quaUties of good 79 Buttermilk 77 '* nutritive value of 45 Cabbage 95 Oaf 6 Noir 115 " au Lait 116 Calculus 407 Canker sore month 346 Capsicum 102 Carbuncle 227 Carrots 93 Cassia 102 Casein 80 Carditis 327 Catarrh, Acute 298 " of Bladder 406 " of Breast. 303 " Chronic 299 " Fall 300 Hay 300 " Peach 300 Cauliflower 96 Celery. 95 Cereals 82 Cessation of Menses 426 Change of Life 426 Cinnamon 102 Circulatory System, diseases ot 325 Cheese, as an article of diet 80 '* Cream- 81 " toasted 81 Cherries 98 Chest, Congestion of 314 " Dropsy of 491 Chestnuts 90 Chicken-Pox 208 PAGE. Chilblains 233 Child-crowing , 265 Children, clothing of , 135 ** Fever of 201 " Food of young 42 Chill-fever 20O Chlorosis 420 Chocolate, nutritive value of 116 " Miss Evart's receipt for preparing 115 Cholera, Asiatic 365 " Diarrhea 372 " English 379 " Infantum 382 " Morbus 364 Chorea 257 Chronic Catarrh 299 " Ophthalmia 273 Clavus 231 Cleanliness, in cooking 109 " in sick-room 148 Clergyman's sore throat 289, 344 Climatric, the Grand 426 Clothing, purposes of 132 " varieties of 133 " relative values of different kinds 133 " shape of 134 " change of 134 " cleansing of 134 " of children 135 Clotted Cream 76 Gloves 102 Coals on the fire, noiseless way of putt- ing, in sick-room 142 Cocoa, nutritive value of 116 OofEee 114 " making of 114 Cold bathing 136 *' Common 302 " weather, food for 44 Colic 356 " Flatulent 357 " Lead 358 " Painter's : 358 Corn, Indian 87 " Green 88 *• Hulled 88 " meal 87 Corns 231 Corpulence, Banting's cure for 43 " diet for 43 Coryza, of Infants 462 Cough 293 " Hooping- 295 Coup-de-soleil 249 Condensed Milk , 78 GENERAL INDEX. PlGff. Oondiments, dietetic valae of; and roles for using 102 Oondy's Fluid 144 Congestion 240 of Chest 314 of Head 240 ConjuDctiviti s 271 Constipation 35% 367 " apples in, use of 98 " during Pregnancy 442 " after labor. 463 " in Infants 464 ConBumption, Laryngeal 306 * ' Pulmonary 320 " Pulsein, The 321 " Temperature in the 321 ContagiouB Diseases 144 Convulsions 247 " in Infants 465 Costiveness 387 Crabs 70 Cranberry 99 Cream-Cheese 81 " Clotted 76 " Constituents of 76 Cresses, Water 96 Croup 266,290 " Spasmodic 26S " Difference between, and Child- crowing 266 Crowing, Child- 266 Crying of Infants. 462 Cucumber 96 Curative Measures, Accessory 149 Curds 77 Currants 99 Cystitis 404 *' Chronic ^)5 Deafness 283, 286 Debility, General 480 " Nervous 382 Delaying Menses 419 Delivery, Treatment before 448 " Remedies before 449 ** False Pains before 449 Diabetes 415 Diarrhea 378 " Cholera-.. „ 372 " of Infants 464 Diet, eee Food. Diet of the Sick 157 * ' - • Infants, Supplementary 460 " Milk-, in Bright's Disease 403 " of Nurses 460 Diphtheria 338 Disease, How to interpret its symptoms 158 Dlaeiee, Pain In -.,. 163 " Skinin,The 164 ** Temperature in. The 160-161 " Tonguein, The 163 " Urine in, The 165 Diseases of Air-P&ssages 289-326 ** of Alimentary Tract 333 " of Circulatory System 325 " of Ears 280-288 " of Eyes 271 " of Head 335-270 " of Heart, see Heart, " of Infants 461-467 *' of Nervous System 235-270 " of Pregnancy 441-448 " of Urinary Organs 399 *' of Various Organs and Begiona 468 " of Women 418 Disinfectants, Use of 140 Disinfection of Koom, etc., in Conta- gious cases 146 Dizziness 237 Doses, Repetition of , 108 *' of Specifics 168-169 Drainage, of dwellings 128 Drinks, allowed under Hom. treatment 157 Dripping, use as a food 81,82 Dropsy, 489-490 516 Dwellings, Healthy 127 *' drainage of 128 ** sewerage of 128 ** ventilation of 129 ** surroundings of 127 ** location of 127 •* cellars of 128 " cleansing of 129 " temperature of 129 Dysentery 384 Dysmenorrhea 423 Dyspepsia 348 Dysuria, during Pregnancy 442 Duck's-Egge, Nutritive Value of 65 Dnmb-Ague 20O Earache 281 Ears, Care of the 287 Boils in 284 Discharge from 285 Diseases of the 280-288 Eczema of 280 Furuncle in 284 jlnfiammation of 281 ' Noises in 286 iilating. Rules for 362-364 Eczema 220 " of Ears 280 ** in Infants 463 aSNEBAL IKDEX. PAOE. Bgga, Duok'g, ITatiltiT* Value of 65 " Nutritive Value of 62 " Keeping of 6(,65 * Medical uaesof 63 " Poached, Method of preparing. . 65 " andMilk 64 " *