LIBRARY. OF CONGRESS. ~P(Jg{ UNITED STATES OF AMERICA. THE FAMILY PHYSICIAN, A DESCRIPTION OF DISEASE AND ITS TREATMENT WITH SIXTEEN MEDICAL PRESCRIPTIONS MADE PLAIN FOR GENERAL USE J J. CLARK SLAY, M. D. /U/5^- D. C. BURSON&Ca, IsTo. 1013 Olxes-fexL-wx-b Street, PHILADELPHIA. If Entered according to Act of Congress, in the year 1S80, By D. C. Burson & Co., In the office of the Librarian " f Congress in Washington . INDEX. PAGE. Fevers ------- 7 Simple, or Ephemeral Fever 9 Inflammatory Fever - - - - 11 Typhoid, or Typhus Fever - - 12 Gastric, or Bilious Fever - - - 15 Intermittent, or Malarial Fevers — Chill and Fever — iAgue - - - - 17 Yellow Fever - 19 Eruptive Fevers ----- 28 Scarlet Fever _____ 23 Measles ------- 26 Small -Pox --__._ 27 Chicken-Pox ------ 30 Miliary Fever - 32 Mettle Rash - - - - - - 33 LEASES OF THE BRAIN - 35 Determination of Blood to the Head - 35 Inflammation of the Brain and its Mem- branes ------ 37 Inflammation of the Spinal Cord and its Mem- branes -_-_-_ 4q Apoplexv ------- 42 Palsy _ _ . . . 44 Tetanus ------- 45 Delirium Tremens - 47 Epilepsy ------- 50 Neuralgia --___- 51 Headache ------ 52 The Digestive System - 55 Toothache ------ 55 Quinzy ------- 57 Diphtheria ------ 59 Mumps ------- 63 Dyspepsia, or Indigestion 64 INDEX. J Constipation ------ 67 Hemorrhoids, or Piles -/}---- 70 Colic ------- 74 Looseness of the Bowels - 75 Dysentery ------ 77 Cholera Morbus - 79 Summer Complaint - - - - 81 Inflammation of the Liver - 83 Inflammation of the Stomach 86 Inflammation of the Bowels 88 Inflammation of the Peritoneum 91 Invermination. Worms - 93 The Respiratory System - 97 Catarrh, or Common Cold - 97 Influenza ------ 100 Croup - - - - - 102 Cough ------- 105 Ho )pingcough - 107 Bronchitis _.---- 110 Lungs ------- 113 Pleurisy ------- 116 Hemorrhage 118 Consumption - 121 Asthma - - - - - 125 Circulating System - . 129 Heart Disease ------ 129 Palpitation of the Heart - 131 Angina ------- 133 Pectoris ------ 133 Urinary and Genital Organs - 138 Kidneys ------ 138 Bladder -------- 140 Difficulty in Discharging the Urine 142 Incontinence of Urine 144 Bright's Disease of the Kidneys - 145 Diabetes - - 146 INDEX. PAGE Cutaneous Diseases - 149 Inflammation of the Skin - . - - 149 Vesicular and Pustular Eruptions - 151 St. Anthony's Fire - - 153 Itch ------- 155 Boil - - - - - - - - 156 Carbuncle - - - - - - 157 Felon. Run-around - 159 Diseases Peculiar to Females - - 161 Chlorosis - - - - - - 161 Suppression of the Menses - - - 163 Painful Menstruation - - - - 165 Profuse Menses ----- 167 Hemorrhage from the Womb - - 168 Inflammation of the Ovaries - - 171 Leucorrhoea, or Whites - - - 173 Pregnancy ------ 175 Derangements during Pregnancy - - 181 Child Birth - - - - - - 186 Diseases op the System in General - - 188 Rheumatism - 188 Gout - - - - - -191 Lumbago ------ 193 Sciatica ------- 194 Inflammation of the Eyes - - 196 Inflammation of the Ears— Earache - - 198 Bleeding of the Nose - - - - 199. Dropsy ------.-• 201 Scurvy ------ 203 Scrofula ------- 204 Casualties ------ 207 Concussion of the Brain - 207 Sprains and Strains - - 209 Wounds ------- 210 Burns and Scalds - 213 Overheat ------- 215 Apparent Death ----- 216 Poisons and their Antidotes - 218 INTRODUCTORY. Realizing that a large and very im- portant part of medical practice is, and must always remain in the hands of the people, hence the need for a plain guide to direct the successful treatment of those diseases which they have so long felt, though labored unsuccessfully to accom- plish, must be apparent to all; also one to direct the proper way to begin the treat- ment of diseases of a more serious nature, and its continuance when every thing is progressing favorably, and a good medical attendant is not readily at hand. Such a guide is claimed for this manual. Already we are beginning to meet amateur physicians, especially among the ladies in their own families, of no mean repute, and with the assistance that a plain guide offers, they will often be en- abled to accomplish, being upon the spot, what we would fail to accomplish, making our appearance four, six or ten hours later. INTRODUCTORY. Eleven-twelfths of all diseases are cured promptly when proper assistance is rendered at once, while the majority of aggravated and fatal cases can be traced to early neglect, so if there were no further use for this manuel than in cases of emergency, or the treatment of diseases of a mild nature, it would then fill a long- felt want. More than this, however, is claimed for it. Its description of diseases and its treatment with sixteen tried and trusted prescriptions — as many or prob- ably more than the ordinary physician makes use of. are so plain and unvar- nished that the average reader can not fail to understand, and if but little time is given to its study, diseases of a more serious nature can be successfully treated. It has been the endeavor to treat each disease, or each stage of disease, with a single prescription, and in the majority of instances it has been accomplished, but in some complicated cases the alter- nation of two or more remedies has had to be resorted to. It has also been the ondeavor to give such practical and useful advice in relation to diet, dress and mode of living, as space would admit, and if INTRODUCTORY. proper respect is paid in this direction, the failure to get well will not have to be so often recorded. Great care has been taken in the preparation of these prescription to in- sure their preservation for any length of time; also every effort made to reduce their quantity still to retain their original strength and medical virtue. In this latter particular success has attended the effort beyond expectation, still the quantity remains something more than desired. A number of these medicines are of recent discovery, and are found to possess great curative strength, while the others are the same as are daily prescribed by~ leading physicians, with probably some slight differences in their combinations. Each prescription is designated by some letter of the alphabet as a means of simplicity, To give names derived from the medicine would be both lengthy and unwieldy. Two directions will be noticed upon nearly every prescription; headed? Acute and Chronic — it will also be noticed at the same time that the amount of medicine taken in twenty -four hours from INTRODUCTORY. •either direction is about the same — and the reason for this, long experience has taught that the majority of medicine taken in small and often repeated doses are decidedly more prompt in their cura- tive action. This is true of chronic as well as acute affections, but whereas, it is neither troublesome or easily forgotten to take medicine often in acute trouble, when there is a good deal of suffering, in chronic affections, it grows very monot- onous, troublesome and can not be remem- bered, consequently furnishing the patient with a satisfactory excuse to himself to let them alone. While it is no intention of this manuel to usurp the place of any good physician, for on the contrary it frequently advises his being sommoned even in cases where but little danger is apprehended either by the patient or his friends, it does claim that his presence is a rare necessity if its instructions are properly carried out. As lias before been said its object is to di- rect the successful treatment of those diseases which the people have so long labored unsuccessfully to accomplish, and to be resorted to in cases of emer- INTRODUCTORY. gency, and also to direct the treatment of diseases of a serious nature when a good physician is not at hand While it fre- quently advises the summoning of a phy- sician, sooner, however, than call an indifferent one, it as strongly advises sole reliance in the treatment herein laid down. FEVERS. (Febris.) Probably no form of disease has so much engaged the attention of physicians or given rise to a greater variety of speculations than Fever. Some writers consider Fever and Inflammation as synonymous terms, others as mere modi- fications of the same diseased state of the system. The studj^ is one possessing great interest to physicians, but to the sufferer the comfort of having the remedy of relief within his grasp, is far more in- teresting than the discussion of theories. Space will not permit us to enter into any of the theories respecting Fever and Inflammation, although we cannot but render the tribute of our admiration to the learned men who have devoted so much of their time and energies to the elucidation of this important subject, since every new disease discovered serves to throw light upon the medicinal action of medicines. 8 FEVERS. In all forms of acute disease, Fever is present, and the symptoms common to most forms, are, at first, a feeling of cold- ness or shivering, then heat, accelera- ted pulse, thirst, restlessness and lan- guor. These, and other symptoms, may continue more or less severe, and for a longer or shorter time, according to the nature of the Fever, and finally a crisis declares itself, frequently by diarrhea* nose-bleed, or by an eruption, but most generally by perspiration more or less profuse. Fever also, possesses the pro- perty of passing from one species into another. Thus inflammatory Fever may by a strong febrifuge be altered into a low typhus, or on the other hand, a sim- ple Fever by injudicious treatment may be changed into an inflammatory one ; and that again assume the intermittent form; also one attack may present all these different phases. Fevers have been differently classified by various medical writers. We shall treat of simple and inflammatory fevers, typhus and gastric or bilious fevers, in- termittent and yellow fevers, and then eruptive fevers, such as, scarlet fever, measles, &c> ephemeral. 9 General Treatment and Diet in Fevers. — Perfect rest should be enjoined, both mental and bodily. Pure air and cool apartments. Feather beds should be discarded for mattrasses when practi- cable. The bed clothes should be light but sufficient. The thirst present in Fevers is nature's voice calling for fluid. Water is the best diluent, and will do no one harm when judiciously used. No solid food, broth, or even gruel and the like, should be per- mitted in cases where the Fever runs excessively high. Toast water, or weak barley, or rice water, sweetened with a little sugar, or syrup of berries may be allowed when the Fever is somewhat abated, though then we must still care- fully avoid incurring the risk of a relapse. Good ripe fruits are generally allowable in most forms of Fever unattended with diarrhea. SIMPLE OR EPHEMERAL FEVER. (Mbris Simplex.) This form of Fever seldom presents any strong characteristics, and generally runs its course in a few hours, even though no 10 FEVERS. treatment be made use of. As, however,, it frequently is the beginning of disorders of a serious nature, it deserves attention. Preceding attacks of scarlet fever r measles, small-pox, &c, it is generally present, though occasionally manifest- ing itself as a distinct affection. It gen- erally begins with a slight chill or shiver- ing, followed by heat, dry skin, restless- ness, thirst, accelerated pulse, general uneasiness and lassitude. Treatment. — in this form of Fever r prescription 'F' will, in nearly every in- stance, promptly relieve. By following direction closely a gentle perspiration will soon follow with a speedy dissipation of all the symptoms, if it be simple Fever properly so called, and if it be the fore- runner of any more severe affection, either at once check its further progress or materially mitigate its malignancy. The very few cases that do not readily yield to this prescription alone are promptly relieved by alternating prescrip- tions 'F' and 'G\ We resort to this treat- ment only when 'F' alone fails. INFLAMMATORY. 11 INFLAMMATORY FEVER. (Febris Syiiochalis.) Inflammatory Fevers are characterized by rigors, folio wed by burning heat; pulse strong, hard and greatly accelerated, dryness of the skin, mouth, lips and tongue; great thirst, hurried breathing, urine scanty, and bowels constipated. The above are the prominent symptoms met with in Inflammatory Fevers, sub- ject to fluctuations, generally worse in the evening and at night, and better after midnight and towards morning. This form of Fever runs an irregular course, rarely exceeding fourteen days, and is peculiarly apt, if not carefully looked after, to run into typhus or fix upon some important vital organ. When properly treated, however, at any stage it progresses regularly to a crisis which shows itself generally in profuse perspira- tion but sometimes in diarrhea or nose- bleed. Treatment. — Here, as in all forms of acute Fever with hot, dry skin, quick pulse, hurried breathing and great thirst, drescription '¥' should be first thought of. 12 FEVERS. and the few cases that can not be entirely relieved by it, will be very materially im- proved by its use. Prescription 'G' is also a useful remedy in Fevers when there is a full, bounding or throbing pulse, with a determination of blood to the head; red face, staring eyes, sleeplessness, and a general sensa- tion of throbing or pulsating through the entire body. When the symptoms met with are found under prescription '¥' and 'G\ these two remedies act well in alternation. Prescription 'I' is a valuable remedy in low forms of Fever with a tendancy to gastric or stomach derangements. In cases when the Fever has been somewhat reduced and should show a disposition to linger in a low form this remedy quietly completes the cure. TYPHOID OR TYPHUS FEVER. (Febris Nervosa.) Typhoid rarely sets in with such marked symptoms as announce the approach of inflammatory fevers ; instead of chills or shiverings, we first find a complaint of general uneasiness, lassitude and indiffer- TYPUS. 13 ence. The patient .either complains but little, or of pains in his head, chest and ab- domen, and frequently an unusual degree of drowsiness is present. After repeated alternations of cold and heat, a sensation of coldness is complained of by the patient, while to those around him he appears hot ; the extremities, however, upon examination are found cold. The pulse varies, sometimes full and soft, and then quick and weak ; fever usually, not so high, always increased in the evening, and decreased in the morning. Great weakness and prostration of the entire system. The tongue at first moist, be- comes thickly coated, dark, dry and tremulous. If the disease is allowed to gain ground, all these symptoms increase in malignancy, the evacuations become involuntary, delirium supervenes, and the weakness and lassitude excessive. This form of fever runs a slow course, lasting often from fourteen to twenty-one days, and even longer in badly managed cases. Treatment. — At the earliest symptoms of this disease,if prescription ; B'be admin- istered, its further development will often 14 FEVERS. be prevented, or the attack rendered much more mild. It is also specially indicated in any stage of the disease where the suffering seems to be confined principally, to the head, pain across the forehead and in the temples with a feeling as if the head would burst ; frequent rais- ing the hands to the head even though delirious ; foul, thickly coated, yellow tongue, or dry, cracked tongue, with parched mouth, and great thirst. Prescription T is probably our best remedy in the the treatment of Typhoid Fever, and particularly so when the greatest suffering is experienced in the abdomen. Many cases have been treated from the beginning to a successful termi- nation with this prescription alone. Its special indications are low fever, quick, weak pulse ; sensativeness of the abdo- men to pressure with a tendancy to loose evacuations, and great prostration of strength. Prescription T>' is also a very useful remedy when gastric or bilious symptoms are present ; constipation with ineffectual effort to evacuate the bowels, general nervous excitability ; restlessness, sleep- lessness and slight dilerium. GASTRIC. 15 It is difficult to give rules of diet ap- plicable to all cases. When high fever is present, the same abstinence, however, should be enjoined as already noticed under fevers, but in low forms of pro- tracted fevers, the strength must be kept up. This can be done only by judicious feeding, the greatest care be taken to prevent over tasking the digestive func- tion. GASTRIC OR BILIOUS FEVER. This is a form of Fever in which, as its name implies, the digestive organs are chiefly affected. The following are the principal symptoms of Gastric Fever; sensation of fulness and weight in the stomach, flatulent distention of the abdomen with inclination to vomit; eructations of offensive flatus and some- times vomiting of the ingesta and tena- cious mucus mixed with bile, thickly fur- red, dirty yellow tongue, abdomen soft, bowels constipated, but in the advanced stage of the disease the evacuations are often loose, offensive and contain por- tions of undigested food, frontal headach, languor, sickly and distressed expression 16 FEVERS. of countenance, more or less chilliness, heat and dryness of the skin; pulse quick, soft, and sometimes irregular; urine thick, cloudy and dark colored. When the bilious symptoms predominate all the symptoms appear in an aggravated form, the heat of the skin is very considerable, the restlessness and thirst excessive (the patient expressing a constant desire for acid drinks) which do no harm when sparingly used. Treatment. — When this Fever is clear- ly traceable to high living, too free indulgence in rich food, wines or liquors. Prescription 'D' is probably oftener indi- cated than any other remedy, and when in connection with the above there is fulness, distention and tenderness of the abdoman with bitter eructations, nausea and vomiting, and also, when there is constipation, red urine, with brick dust colored sediment, it can be adminis- tered with great confidence. Prescription 'B 7 is, however, more to be relied upon in the treatment of Bilious Fevers than any other one remedy. Its special indications are: headache, burn- ing or expansive, tongue dry and red; or INTERMITTENT. 17 covered with a coated whitish-yellow fur, aversion to even the smell of food, crav- ing for acid drinks; great thirst, insipid, clammy, bitter taste, nausea and vomit- ing of bile, tenderness and a sensation of swelling of the stomach, bowels consti- pated, stools dark, dry and hard. Prescription 'L 5 is also a very important- remedy in this Fever, sometimes restor- ing patients when seemingly beyond the reach of hope. The chief indications for its employment are : extreme prostration of strength, dull and glassy eyes, bitter taste, inclination to vomit, bursting head- ache, delirium, dry, hot skin, pulse scarcely perceptible. Intermittent or Malarial Fevers — Chill and Fever — Ague. This class of Fevers is strongly charac- terized, by the simplicity of their form, the periodicity of the different stages, and the uncertainly of their duration. A chill, followed by heat and terminat- ing by perspiration, are the three stages that constitute a paroxysm, after which, for a certain period the patient is gen- erally free from suffering. These periods 18 FEVERS. are generally of definite duration, the paroxysms returning at regular inter- vals of twenty-four, forty-eight, or seven- ty-two hours, and in some instances the interval is even longer. These Fevers are exceedingly indefinite in duration, and frequently assume a chronic form. An individual once at- tacked with Ague is frequently liable to a return in after life if the disease has not" been radically cured at the com- mencement, nay more, any attacks of disease he may be hereafter subjected to are peculiarly apt to assume the intermit- tent form. Treatment. — During a paroxysm a few doses of prescription'F'will hasten its course, and very materially modify and lessen the severity of the Fever. The evening following the attack, when retir- ing, take a dose of the pills from prescrip- tion 'A', say four, and on the following morning begin with prescription 'L'taking a half teaspoonful in a wine glass of water every three hours until the parox- ysms fail to make their appearance. It will be well to remember the day of the last chill and seven days thereafter take YELLOW. 19 for one day, from the same prescription following the same directions. The dose of pills can also be repeated the third night from the first dose. This treatment strictly carried out has never failed us. YELLOW FEVER. This is a disease of warm climates, and derives its name from the color frequently given to the skin of those affected byit. It is generally preceded by sudden debility and restlessness, which are soon followed by headache, giddiness, faintness and slight chilliness, to which is added oppres- sion, want of appetite and deranged digestion. Immediately after the cold stage or chilliness, violent reaction sets in announced by a high degree of fever with great heat of skin, strong throbbing pulse, and determination of blood to the head ; violent vomiting first of bilious and sub- sequently of brownish black matter which is also passed by stool. The respiration is hurried, and often laborious ; the tongue white-furrid, and sometimes red, but soon becomes parched and dark colored ; excessive sensability of the stomach to 20 FEVERS. pressure, irritable from the first, is ren- dered so much so as the disease advances that every thing taken into it is almost immediately rejected with a quantity of bilious matter. Severe darting pains traverse the head, the small of the back, and even extend down the thighs. The pulse is subject to variations, being in some cases quick and strong, in others quick, low and irregular; the urine is suppressed or scanty and offensive: the stools have likewise a disagreeable fetor. The above are the general symptoms and course of the average case of Yellow- Fever, but in some cases the seizure is sudden and unattended by premonitory symptoms, and the course of the disease exceedingly rapid, and a fatal termination not unfrequently within thirty-six hours. The importance of cleanliness, in so con- tagious and serious a disease, is perfectly apparent. All discharges and soiled linen must be quickly removed and disinfected, and the air kept as fresh and pure as possible. Treatment. — Prescription 'L' is a most excellent remedy to begin the treatment of Yellow Fever, and should be continued YELLOW. 21 so long as there are signs of improvement. It is indicated when the fever, heat and shivering appear simultaneously, or when we find cold internally with heat, or when the heat is a burning character. It is also indicated by great restlessness with marked prostration of strength; severe burning pains in the stomach, and nausea and vomiting of bilious mat- ter, great thirst, which is appeased only by drinking often, and but little at a Urne. Prescription 'B' is called for when there is continuous, violent delirium with ex- cessive heat; fowl thickly coated, dark, drj% cracked tongue; nausea and vomiting of bilious or brownish black matter, stomach extremely irritable and sensi- tive to pressure; constipation or relaxed stool of brownish black matter, urine of a deep-orange or a bright yellow color; frequently profuse perspiration during the fever. Prescription T should be given when -the fever assumes the typhoid character; low fever with extreme prostration, flatu- lent distention of the abdomen with a tendency to loose evacuation. 22 FEVERS. The diet should be plain and simple, toast bread, crackers,milk, arrowroot and the like in the first and second stages of the disease. In the third and last stage of prostration and the beginning of convalescence, it may be necessary to give ice cream, beef tea, wine, whey, &c. ERUPTIVE FEVERS. Under this head we shall consider those diseases possessing the common property of febril symptoms, preceding an erup- tion which is present during a part of their course, such as, scarlet fever, mea- sles, small-pox, chicken-pox, miliary fever and nettle-rash. SCARLET FEVER. This affection in its simple form con- sists of a contageous fever with a swell- ing of the face and a scarlet appearance of the skin (hence its name.) At the present day, however, we sel- dom meet with it in so simple a form, but more frequently complicated with severe or ulcerated sore throat ;violent inflamma- tory or congestive symptoms and fre quently with more or less deviation from the scarlet appearance of the skin above described. As a general thing the disease sets in with a chill or repeated chilly sen- 24 FEVERS. sations. followed by heat, headache, nau- sea, vomiting, and a feeling of prostra- tion. The pulse ranges from one hundred and twenty to one hundred and thirty beats per minute. This is quite charac- teristic of Scarlet Fever, as no other dis- eas, shows such rapid increase of fever. Besides the above symptoms, the patient commences to complain of sore throat, dryness and burning, and pain when swallowing, and in the course of one or more days the eruption appears of the color mentioned, in large indifinitely marked patches gradually growing paler towards their margins, and often over- spreading entire limbs with a uniform color. These symptoms continue with more or less severity for five or six days when the eruption begins to disappear, the skin pealing off in quite large pieces, and complete recovery takes place in about three weeks. Treatment. — When the Fever in this affection assumes clearly an inflamma- tory type and the pulse runs high, we begin the treatment with prescription ; F ? which, as a general thing, will reduce the Fever and quickness of the pulse in a few SCARLET. 25 hoars. Prescription 'G' should be admin- istered as soon as the throat and tongue become affected with dryness and burn- ing and there is a desire but almost com- plete inability to swallow; also when the throat is of a bright red color, or covered with white specks, or, later in the disease, dark red patches, and also when the ton- sils are swollen and the tongue of a bright red hue, and delirum is present. Prescriptions 'F' and k G' alternate well when both are indicated. Prescription 'PT is also a very useful remedy in this affection when derange- ment of the stomach and digestive organs is a prominent symptom, with alterna- tions of constipation and diarrhea,the face pale, red or bloated, pains in the bowels with a good deal of shivering, disposition fretful or melancholy. To rub the body with some oily sub- stance, as for instance, the fat part of smoked ham, to relieve the terrible burn- ing and itching, has been recommended with good effect. 36 FEVERS. MEASLES. (Rubiola>) This affection commences with symp- toms of a cold, sneezing, watering and slight redness of the eyes, dry, hoarse cough, and a degree of fever more or less marked, preceedmg the eruption three or four days, and generally continuing as long after. The eruption appears first upon the face and neck, and gradually •extends down over the rest of the body and consists in numerous roundish lentil sized red spots. In six or seven days from the time of sickening, the eruption begins to turn pale on the face, and after- wards on the rest of the body, and gen- erally disappears entirely about the ninth day with a bran-like desquamation. This complaint generally reigns as an infectious epidemic, and for the most part confines its attacks to children, in which case it is seldom, when properly "treated, either severe or dangerous. When, Tiowever, it attacks adults it generally runs a more severe course. Treatment. — There is no better remedy to begin the treatment of Measles than SMALL-POX. 27" prescription 'F', and should be continued, until the eruption is fully established. Prescription 'H' should be administered: as soon as the eruption declares itself, and in most instances is sufficient to com- plete the cure. Prescription 'G' may be necessary in some rare cases of confluent measles, where the throat seems to be much af - fected. SMALL-POX. (Variola.) This disease is frequently very sudden in its attacks, commencing with chilli- ness and shivering, followed by fever, headache, pains in the small of the back and loins, langour, weariness and faint- ness, oppression of the chest and acute pains in the pit of the stomach, increased by pressure. Catarrhal symptoms, as sneezing, coughing, wheezing and diffi- cult breathing often accompany this affection. The eruption makes its ap- pearance at the close of the third day,, first on the face, hairy scalp, neck, and afterwards over the whole body, and displays itself in the shape of small,. 28 FEVERS. liard pointed, red elevations, which in about three days present a vessicular appearance and become depressed in the centre as they enlarge. About the sixth or eight day, pus forms in the pustules and the depression in the centre disap- pears. When the pustules have attained their full development they generally burst, in mild cases emitting an opaque lymph which dries into a crust and falls off, whilst in severe cases we find a dis- charge of purif orm matter forming scabs and sores which leave on healing, perma- nent marks or pits. General clearing up of the eruption begins about the eighth or fourteenth day according as the pus- tules may have been distinct or confluent. In confluent Small-Pox, when the pus- tules run together, all the symptoms are more severe; the fever runs higher, the pains in the stomach, back, and difficult breathing are more complained of, and in children the eruption is frequently pre- ceded by convulsions and delirium. Treatment. — We have yet to learn of the remedy that will reduce fever, lessen the pulse, and bring to the surface the eruption so nicely as prescription 'F' does SMALL-POX. 29* in any eruptive fever. It is our first thought and reliance until the eruption is clearly established. This remedy is also* useful at any stage of the affection wheix the fever runs high. Prescription 'G' follows our first named prescription well for the first two or three days of the eruption, and especially if head symptoms have set in, characterized by flushed face, intolerance of the eyes to light, headache, delirium, great thirst, nausea and vomiting, or when there i& redness of the tongue, abdomen swollen and painful to pressure. Prescription 'B follows 'G' very nicely about the third day of the eruption, and, as a general thing can be continued until the eruption begins to disappear. This remedy is particularly indicated when the pains are of a rheu- matic character; oppression and pains in the chest, bitter taste, foul tongue, head- ache and constipation. Prescription '0' comes in splendidly' during the clearing up of the eruption and the completing of the cure, and should always be resorted to. The diet should be plain and of a cool- ing nature, and regulated by the severity 30 FEVERS. of the attack. Feeding should be spar- ingly done at all times, and particularly so if the fever runs high. All beverages should be cold. Cool and fresh air are our best auxiliaries. So beneficial is cool air found in this malady that taking a child to an open window when attacked with convulsions, will generally be found rfco afford immediate relief. Great cleanli- ness must also be observed, and the linen frequently changed. When the vesicles declare themselves and begin to form into pustules, the room ought to be kept as dark as possible to aid in preventing the risk of disfigurement, a precaution deducible from common ex- perience, since we find that the parts of the frame exposed to the action of light are always those most strongly marked by the ravages of the disease. CHICKEN-POX. (Varicella.) This is a disease bearing considerable resemblance to Small-pox, but much more mild in its course, and shorter in its dura- tion, generally requiring but little treat- CHICKEN-POX. 31 iment, but rarely becoming dangerous ^except when the lungs or brain become involved. When this affection attacks an indivi- dual during the prevalence of small-pox, which is not unfrequently the case, it is often mistaken for that disease, but it soon discloses its real character by the rapidity with which the eruption declares itself; the pustules (in many instances closely resembling those of the small-pox) being generally fully matured by the third day, and the whole eruption disap- pearing at the end of the fourth or fifth day, without leaving any marks. The Fever, however, in some cases runs quite high for the first two or three days. Treatment. — Here, as in the first stages of the preceding Fevers, we give prescription'F',and in most cases need no other remedy to complete the cure. If, however, the brain should show signs of becoming affected, a few doses of pre- scription 'G ? will be needed and, if chest symptoms should develope themselves, a few doses of prescription 'B' will be re- quired. 32 FEVERS. MILIARY FEVER. {Miliaria.) This affection consists principally of a great number of exceedingly small, red pimples, which are soon converted into white visicles, afterwards become opaque and end in scurf. They are irregularly scattered, of the size of millet seed, and when the hand is passed over the cutane- ous surface, a sensation is felt as if caused by small grains of sand beneath the sur- face. This, like other cutaneons affections of the same nature, is generally preceded by f ebril symptoms, the eruption appear- ing on the fifth or six day; and from the commencement of the Fever we frequent- ly find profuse sour smelling perspiration. Previous to the eruption declaring itself T there is experienced a tingling or itching, and occasionally a sensation of burning of the skin, together with a numbness of the extremities. The premonitory indications of the ap- proach of this affection are oppression of the chest, sometimes with short dry cough and stitches in the side, low spirits, NETTLE-RASH. 33 ^excessive anxiety, extreme restlessness, sighing, violent palpitation of the heart, irregular pulse, and emissions of a quan- tity of clear colorless urine. Treatment. — Prescription 'F ? is the remedy to lessen the Fever and bring to the surface the eruption. Prescription 'G' is indicated when there is a good deal of fulness about the head, with symptoms of delirium, full bounding pulse, dry cough, sensativeness of the eyes to light, and scanty eruption. Prescription 'D' is a valuable remedy when the stomach seems to be at fault, headache, coated tongue, constipation and other symptoms of gastric or stomach derangements. NETTLE-RASH. ( Urticaria*) This eruption is brought to the surface by various causes, not unfrequently aris- ing from indigestion, caused by the use •of improper articles of food. Before the eruption discloses itself the patient is af- fected with restlessness, languor, oppres- sion and want of appetite; derangement of the digestive functions, and fever. 34 NETTLE RASH. When the eruption breaks out the above symptoms become relieved, but consider- able suffering arises from heat and itch- ing, sometimes accompanied with swel- ling of the parts affected. The rash consists of spots or wheals. • flat or prominent, and of a dull white color like the sting of a nettle, or more red than the surrounding skin; disappear- ing in warmth and reappearing when exposed to cold; evolving suddenly and constantly changing their situations. Treatment. — If this rash is attended with much fever, we give prescription k F' until it is considerably abated. Prescrip- tion 'D' is probably the most successful remedy in curing Nettle-rash, especially when it can be traced to indigestion. Prescription 'IF is also a valuable remedy in this affection. When the trouble is not relieved by either this or the above reme- dy alone, a cure is quickly affected by alternating the two. DISEASES OF THE BRAIN AND NERVOUS SYSTEM. Determination of Blood to the Head. (Congestio ad Caput) This is an affection brought on generally t)y sedentary habits, intense mental ap- plication, or the too free use of spiritous liquors; also other stimulating liquids, such as, strong coffee, &c. are frequently its exciting causes, particularly in those who inherit a predisposition to the disor- der. This affection is frequently met with in ladies, particularly in young girls, due to scanty or suppressed menstruation. The prominent symptoms are heat, red- ness and turgidity or palor and puffiness of the face, with anxious expression of countenance, fullness of the vessels of the head and neck, the pulsations of which the patient experiences through the entire frame; repeated attacks of gid- diness, particularly after eating, sleeping, 36 BRAIN. or sitting in a warm confined apartment, or on exposure to the rays of the sun when exercising in the open air; headache generally above the orbits, and in the forehead, increased by stooping; dimness of vision, buzzing in the ears, tightness around the throat, and difficult breathing at times; furred, red, pointed, or elon- gated and very red looking tongue; dis- turbed and unref reshing sleep, drowsiness in the daytime, dyspepsia and bowles constipated. Treatment. — Prescription 'D'is proba- bly our best remedy in this affection, and particularly so when the stomach and bowels are at fault, want of appetite, poor digestion and bowels constipated. This remedy is also the more strongly indi- cated when the cause for the trouble can be traced to sedentary habits, want of ex- ercise, or the too free indulgence in stimulants. Prescription 'G' is a most excellent remedy in this affection when the head symptoms are very acute; fullness and throbing of the vessels of the neck and head; red face, staring eyes, anxious expression of countenance, difficult BRAIN. 37 breathing, and throbing pulsations felt through the body. Prescription 'H' is a valuable remedy when the trouble is due to the suppres- sion of some discharge. In females with painful, scanty, or suppressed menstrua- tion, there is no better medicine. The diet should be plain and sparingly used of good easily digested food. Stim- ulants of all kinds should be carefully avoided. Early rising and daily exercise in the open air must not be neglected, and too much mental work must not be indulged in. Inflammation of the Brain and Its Membranes. {Phrenitis. Encephalitis ,) In inflammation of the brain, or its mem- branes, the symptoms are exceedingly diversified; the extent and duration of the disease, the age, the sex and consti- tution of the patient, all combine to give to the affection a variety of character. Occasionally the attack is preceded by premonitory symptoms, such as, conges- tion of blood to the head, attended with weight, or stupefying, pressive, constric- 2 38 BRAIN. tion and sometimes shooting pains in the head. In some instances slight feverish symptoms are complained of, with ring- ing in the ears for a time previous to the attack. When the membranes are af- fected the pain is more acute than that arising from the substance of the brain. Paralysis, however, more frequently ac- companies the latter affection. The pupils in the first stage of the disease, are commonly found more, or less contracted, but, as the disease advances, they often become dilated. The eyes for a time have a brilliant and animated expression, but soon grow blood-shot, with fiery redness of the face and violent delirium. The pulse is very variable in the course of the same day; it may be regular, intermittent, quick and weak, or very slow and strong. The patient frequently complains of heat in the head, whereas the extremities are cold. When there is stupor, or tendency to it, the eyes look heavy and void of all expression; vomiting at this stage some- times sets in and often proves very in- tractable; the stupor, if the disease is not arrested, bec3m.es more profound, convul- sions appear, and death sooner or later ensues. BRAIN. 39 Treatment: — Prescription 'F' should be given at the commencement of the attack when the skin is hot and "dry, and the pulse rapid, with the ordinary indications of Inflammatory Fever. Prescription 'G' is by far the best rem- edy known in the treatment of this affec- tion, and if timely resorted to, stupor, convulsions, and death will rarely be met with. The most prominent symptoms calling for its administration are, great heat of the head with cold extremi- ties; throbing pulsations felt through the head, neck, and chest; redness and bloatedness of the face; eyes red and sparkling with extreme sensibility to light; wild expression with violent deli- rium. Prescription 'W will frequently be found of great efficacy in children, and also in the few cases that prescription 'G' fails to benefit 40 SPINAL, CORD. Inflammation of the Spinal Cord and Its Membranes, {Myelitis. 'Meningitis Spinalis.) This is an affection characterized by pain, more or less severe, in some cases, of an intermittent character, either con- fined to the lower, middle, or upper region, or embracing the entire length of the spine. The pain is aggravated by the slightest movement and great sensability to being touched at various places along the spine. Sharp pain in the region of the stomach, sometimes spreading over the entire abdomen. Sensation of con- striction, and weight in the chest with op- pressed breathing, pulse small, quick and hard. When the inflammation occupies only a part of the cord the symptoms vary according to its location. Thus, when the upper portion of the cord is chiefly affected we frequently find our patient cross-eyed, spasms of the throat, loss of voice, and other abnormal condi- tions of the muscles of the neck, chest and upper extremities. When the middle of the cord is the seat of the inflammation Opisthotonus usually results, that is r SPINAL CORD. 41 bending of the body backward; and when that of the lower region is attacked, re- tention of urine, or paralytic, or spasmodic affections of the pelvic organs generally are met with. In each of the latter cases the inferior extremities are commonly convulsed or paralysed. When the mem- branes of the cord are chiefly, or solely affected, the sensability is very great, but when the inflammation is confined to the substance of the cord the suffering is not so acute. In the former, moreover, the bowels are for the most part constipated, while in the latter diarrhea has almost uniformily been found to predominate* Treatment: — The treatment is pretty much the same as in the preceding affec- tion. Prescription 'F' is given at the commencement of the attack when the skin is hot and dry, and the pulse rapid with the indications of Inflammatory Fever. Prescription 'Q 9 is, however, as in the preceding affection, our chief reliance. If the upper part of the cord is the seat of inflammation, producing the head, throat and chest symptoms, it is indicated. If the lower part is chiefly affected, giving 42 APOPLEXY. rise to the bladder trouble, also convul- sion, or paralytic symptoms in the lower extremities, its place can not be supplied by any other remedy. Prescription ' 'D' is also a valuable medicine in this complaint when the mid- dle portion of the cord is affected, pro- ducing Opisthotonus, or pains in the chest stomach, or abdomen. APOPLEXY. {Apoplexia.) Few diseases present so many varieties in form as Apoplexy and there is not a single classification of the many, that eminent medical writers have given to the world, which is not more or less open to objection. An attack of apoplexy is recognized by a sudden or gradual loss of consciousness, sensation,and motion, with greater or less disturbance of the pulse and respiration. The premonitory symp- toms of this affection are, continued incli- nation to sleep, with stertorious breath- ing, and frequent grinding of the teeth; a general feeling of uneasiness, heavi- ness, or a disinclination to the slightest APOPLEXY. 45 exertion; a sense of weight and fulness, and pains in different parts of the head, sometimes very deep-seated; disturbance of the brain, evinced by loss of memory, forgetful of words and things, irritable temper, or wildness and indifference, or despondency and weeping, dimness of vision, humming or singing in the ears, and difficult swallowing, pains in the joints with weak or unsteady mode of progression. When an individual is threatened with Apoplexy, by premonitory symptoms, he can not lead a too correct life, late hours, mental work, rich food, and stimulants of all kinds must be strictly avoided; regular hours, plain food, air, and out door exer- cise are his best friends. Treatment: — When the premonitory symptoms present themselves, the attack can frequently be warded off by resort- ing to prescription 'D,' and, at the same time following the directions given above. This remedy is also indicated during an attack, and particularly so, if the patient leads a sedentary life, or is addicted to the use of ardent spirits, or indulges too freely in the pleasures of the table. 44 PALSY. Prescription 'F' should be given in very fat subjects when there is a determina- tion of blood to the head, characterized by redness of the face, quick, full pulse, restlessness and anxiety. Prescription 'G' is a very valuable medicine when the face is red and bloated, the eyes injected and look heavy, noises in the ears, pains in the head, with violent pressure at the forehead, nose- bleed, laborious breathing, and difficult swallowing. During an attack of Apoplexy the pa- tient must be placed in a cool room, with the body as near the erect position as is comfortable, sitting, or lying with the head high. Cold, or cooling applications must be made to the head, while warm ones are applied to the extremities. PALSY. {Paralysis.) This is an affection in which, the power of voluntary motion is diminished or com- pletely lost. It usually comes on sud- denly, but in some cases it is preceded by numbness, coldness and slight convul- PALSY. 45 sive, jerking or twitching in the parts affected. Treatment: — The treatment must be regulated according to the originating cause. When it results from apoplexy,, or as a sequel of rheumatism we have nothing better than prescription 'D\ If our patient is, or has been plethoric, from rich living, too free use of stimulants, etc. makes it all the more strongly indicated. Prescription 'B ? is also a valuable remedy in paralysis when resulting from the above named diseases, and should be tried in every instance where prescription 'D' fails to afford relief. Prescription '0 ? should be administered if its cause can be traced to the suppres- sion of an eruption. This remedy is always worthy of a trial in slow cases if the skin, or the glands about the neck are not in a healthy condition. Prescription 'G' has quite a reputation in the cure of paralysis attributable to exposure, to the fumes of lead. 46 TETANUS. TETANUS. This is a disease characterized by in- tense rigidity of certain muscles of the body. Its varieties are Trismus, the lock-jaw, Opisthotonus, where the body is bent back- ward, which is the most common form. Emprosthotonus, where the body is bent forward, a still more rare variety. This affection is frequently occasioned by exposure to cold, but more frequently by some irritation of the nerves resulting from local injury. In some cases the attack comes on sud- denly and with extreme violence, but it more generally approaches in a gradual manner, a slight stiffness being at first experienced in the back part of the neck, together with an uneasy sensation at the root of the tongue, and a difficulty in per- forming the act of swallowing. An oppressive tightness is complained of in the chest, with a pain at the lower end of the breast bone, extending through to the back, the respiration is impeded, the coun- tenance pale, pulse small, bowels consti- pated and urine high colored. TETANUS. 4? The spasmodic action does not continue unremitting, the muscular contraction occasionally admitting of some abate- ment, but is generally immediately re- newed as soon as the patient makes an effort to speak, drink, or change his posi- tion. Treatment : — When the first symptoms of the disease make their appearance the immediate use of prescription 'D' will, in many instances, stay its further pro- gress, or materially mitigate its violence. Prescription 'G' is probably our best remedy to relax the intense rigidity of the muscles in a fully developed attack. If under its use the rigidity shows a dispo- sition not to give way, the alternation of 'G' and T will be followed with quick and marked effect. Prescription 'O' is a good remedy to complete the cure, and prevent its return when the muscular contractions have once been relieved. DELIRIUM TREMENS. This is an affection of the brain, and is mainly confined to drunkards, hence its name, A few instances are on record in 48 DELIRIUM TREMENS. which it has arisen from exhaustion caused by excessive depletion, from the effects of lead, and also from the prolonged use of opium. The intemperate use of spiritous, vinous, - or malt liquors, is, however, beyond comparison, the exciting cause in by far the majority of instances. The disease generally comes on in drunkards during the stage of prostration which ensues when they have, in a great measure, given, or been suddenly deprived of their accustomed stimulus. The first symptoms of the malady are generally indicated by extreme irritability of temper, weakness of memory, but con- stant activity of mind, anxiety and uncon- trollable restlessness with increased mus- cular mobility. The appetite it often good, but more frequently impaired, and the tongue foul but moist. Soon after these premonitory symptoms, vigilence sets in and little, or no sleep can be obtained. Fixed ideas take firm possession of his mind, such as, the supposition that some one is bent upon poisoning him, or doing him some other grievous injury, and yet he dreads being alone. The speech is DELIRIUM TREMENS. 49 frequently stuttering, the countenance quick, wild and exceedingly variable. As the disease advances, sleep is completely banished with perpetual bustling accupa- tion and eventually when it is fully developed delirium supervenes. Treatment: — When not absolutely re- quired to give an anodyne to control restlessness and produce sleep, we have always found the alternation of prescrip- tions 'D' and tf G' sufficient to quickly afford relief. When the restlessness is very great, with a wild expression of countenance and a disposition to escape, or a tendancy to delirium with complete sleeplessness, it will be advisable to give a dose of pills from prescription 'E' to afford a few hours sleep, before resorting to the above treat- ment. Beef tea made hot with cayenne pep- per is a most excellent article of diet when the stomach is irritable, nausea, or vomiting, or when there is complete loss of appetite. 50 EPILEPSY. EPILEPSY. (Epilepsia.) This is a disease consisting of clonic spasms, or convulsions, with loss of con- sciousness and voluntary motion, and is generally attended with foaming at the mouth. This affection comes on by fits and is- usually characterized by the suddenness of the attack, although it is sometimes preceded by pain in the head, dulness of vision, flashes or sparks before the eyes, palpitation, flatulency and languor. Dur- ing the paroxysm the eyes are hideously convulsed and turned in various direc- tions, but at length become fixed so that the whites of them alone are seen. The fingers are firmly clinched, and the mus- cles of the jaws are often spasmodically affected, in consequence of which, the tongue is sometimes larcerated by being thrust out immediately before the sudden and violent approximation of the teeth. On the abatement of the spasm the patient gradually recovers. Sometimes a fit of vomiting terminates the attack. The memory and judgment are generally NEURALGIA 51 somewhat impaird for some little time after the attack, and a sensation of lan- guor and exhaustion are complained of. Treatment : — This is a very slow disease and consequently requires a good deal of patience and perseverance. We meet with some cases, however, very easily of cure, and, also some incurable ones. Prescription T has done better in our hands than any other medicine, and next to it 'GP ranks. We advise a trial with S V and so long as any improvement is notica- fele to continue its use, then give 'G' a trial of a similar kind. When these remedies fail singly they often work nicely taken in alternation. NEURALGIA. This distressing affection consists in an •excruciating nerve pain, which has its most frequent seat in the branches of nerves that supply the face and head, and is accordingly experienced with great acuteness under the eye, and sometimes before the ears, from which it shoots over the entire half of the face and frequently into the orbit and cranium. 52 HEADACHE. The paroxysms occasionally continue with shorter, or longer intervals for several days, or weeks in succession. The disease is unfortunately generally of great obstinacy, and in some melancholy in- stances, utterly incurable. Treatment: — When the malady is symptomatic— the result of derangment in some other part of the body, which it very frequently is — remedies which are appro- priate to the primary disease must be had recourse to. Thus, when from derange- ment of the digestive function, prescrip- tion 'D' will be found to afford quick relief; and when arising from, or connected with diseases of the womb, prescription 'EP will be found to act equally as effective. There are cases where the disease seems to be located in the nerve itself, or at least, can not be traced to any other cause, here we have a most wonderful curative agent in prescription 'F\ HEADACHE. (Cephalalgia.) Headache is often but symptomatic of disease, and in such cases, is only cured HEADACHE. 53 by the removal of the primary affection. Headaches are so common, almost every one have had more or less experience, that a description would simply be a waste of time. Treatment: — When, therefore, it arises from derangement of the stomach, dyspep- sia, constipation, or dissipation, late hours, otc, prescription 'D 9 acts very nicely, and when due to having taken cold, particu- larly cold in the head, prescription 'F' quickly relieves; and when caused by fever, congestion, full bounding pulse, throbing sensation in the head, with a tendency to loss of consciousness prescrip- tion 'G' is unquestionably the remedy. Females suffer a good deal with head- aches arising from affections peculiar to their sex, and when met with, prescription 'H' will do more towards affording relief that any other medicine. Prescription 'G' is also a valuable medicine in headaches of females. Periodical headaches, occuring every second, third, seventh, or fourteenth day will find a soverign remedy in prescrip- tion 'H', and headaches arising from a bilious state of the system, are cured, and 54 HEADACHE. the bilious condition removed by tak- ing a dose of pills from prescription 'A r every second night for two or three suc- cessive doses, and at the same time take from prescription 'B' during the day until entirely relieved. DISEASES OF ORGANS CONNECTED THE DIGESTIVE SYSTEM. TOOTHACHE. {Odontalgia.) A constant disposition to this distress- ing malady without any apparent cause, or what is generally termed Rheumatic Toothache, warrents the conclusion that some constitutional taint lurks in the system, and until proper measures are adopted for its eradication, remedies clearly indicated under other circum- stances, fail to do more than temporarily alleviate suffering. This affection is frequently experienced in teeth, that are not only sound but continue to remain so, clearly demon- strating that the trouble is purely a mani- festation of some taint in the system. The trouble, however, is more generally- due to diseased, or decaying teeth, and! 56 TOOTHACHE. should be properly assigned to the care of the dentist. Treatment: — Prescription 'G' will often magically relieve toothache in sound teeth when the following symptoms are experienced, pains very severe of a draw- ing, tearing or shooting nature, extending to the face and ears, and growing worse in the evening and at night, dryness of the mouth with excessive thirst; aggra- vation of suffering when masticating, also from cold, or the open air; determi- nation of blood to the head with heat and redness of the face. Prescription 'IF is particularly effica- cious in toothache when accompanied with earache; pains of a shooting, or jerking description, frequently extending to the face, head, eye and ear of the side affected. This remedy is particularly adapted to Toothache in females and especially so during pregnancy. Prescription 'D' is a most excellent remedy to alleviate suffering in decayed teeth. It is also indicated when the pain is of a jerking or gnawing, or throbing,or pulsating character. QUINZY. 57 QUINZY. (Sore Throat.) This affection is characterized by in- flammation, swelling and redness of the throat, principally the back part of the throat, accompanied with alternation of the voice, fever, impeded respiration and difficulty in swallowing. At the begining of this malady there is experienced a sense of constriction about the throat with a feeling of soreness, and sometimes of obstruction in the act of swallowing the saliva. If it runs its course the difficulty of swallowing and breathing increase, the tongue swells and becomes foul, the tonsils assume a redder hue, and occasionally a number of small yellow eminences appear at the back of the throat and on the tonsils; the patient complains of thirst, and the pulse is high, strong and frequent ; sometimes the cheeks swell and become florid, and in severe cases delirium is not unfrequent. As the throat grows worse the majority of the foregoing symptoms become ag- gravated, and the tonsils swelled, suppu- ration takes place if resolution be not speedily effected. 58 QUINZY. When suppuration ensues the pain is instantly relieved on the bursting of the abscess; it sometimes happens, however, that the tonsil upon the opposite side fol- lows the same course. This complaint is sometimes dangerous in its simple form, becomes particularly critical when it puts on the putrid type. In such in- stances the attendant fe^er generally assumes a typhoid character. Treatment: — If the throat symptoms are preceded by a chill or chilly sensa- tion, followed by fever, hot, dry skin and intense thirst, prescription 'F' should be given for a time. Prescription 'G' is, however, the great- est of all medicines in this affection, and should be administered at the first throat symptom. The prominent indications for its use are, shooting pains in the throat during the act of swallowing; spasmodic €onstriction, or contraction of the throat, with constant and uncontrollable desire to swallow the saliva, sometimes there is a complete inability to drink, the liquid returning by the nostrils; bright red color and swelling of the throat; high fever, red face, hot head and delirium. DIPHTHERIA. 59 s Prescription 'PPis frequently servicable after prescription 'G,' or in alternation with this remedy whep the following symptoms are present: shooting or burn- ing pains with a sensation of swelling of the throat; dry cough excited by con- stant tickling in the throat, attended with hoarseness; increase of fever ih the even- ing, attended with shivering, red face and restlessness. Prescription 'O' is valuable in bringing the swelled tonsil to a head, when resolu- tion cannot be effected, and a sense of suffocation is experienced from its en- largement. This remedy in such cases can be continued until a cure is effected. DIPHTHERIA. This justly dreaded disease, and ulcer- ated, or malignant sore throat, bear a very strong resemblance, so much so, that the experienced frequently mistake one for the other. It is not out of place here to speak of the two diseases under this head, as the treatment that cures diphtheria will also relieve malignant sore throat. Diphtheria usually reigns a& an epidemic* 60 DIPHTHERIA. of a highly contageous nature, and generally occurs in damp and sultry autumnal seasons. It sets in with cold- ness and shivering, followed by fever, and accompanied with great languor and oppression of the chest; nausea, or vomit- ing and sometimes purging, eyes inflamed and watery, deep red color of the cheeks, the nostrils are also more or less inflamed and secrete a thin acrid discharge, pulse indistinct, or very weak, small and irregu- lar, tongue white and moist. The swallowing is painful and difficult, and the throat on being examined early in the disease is observed to be of a bright red color and much swelled, but this state is very soon altered and numerous ulcers of various sizes will then show themselves interspersed over the parts, which become covered with a white, grayish brown, or livid coat. The prostration, considerable from the first, is now excessive, the tongue, lips and teeth are covered with brown, or blackish incrustations and there is more or less delirium. The neck appears swollen and of a livid color, and an efflorescence of a faint scarlet hue breaks out on various parts of DIPHTHERIA. 61 the body, and usually, though not neces- sarily adds to the danger. But the appearance of livid spots and other indi- cations of so-called putrescency, with frequent shivering, fluttering or intermittent pulse, sunken countenance, severe purging, extreme prostration, bleeding from the nose or mouth, &c., ■ must decidedly be regarded as symptoms of great danger. When the local symptoms are mild the danger is rarely great, and even in the severe forms of the disease, when a gentle perspiration breaks out about the forth or fifth day, and when the sloughs throw off in a favorable manner, leaving a clean florid, healthy looking surface, and the res- piration becomes gentle and free, the expression of the face more lively, and the pulse stronger, a salutary result may be expected. Treatment: — A few doses of prescrip- tion 'F' given at the commencement of this affection, preceeding the throat symptoms, will often materially lessen the severity of its course. Prescription 'G' should be administered as soon as the patient complains of dry- 62 DIPHTHERIA. ness and difficult in swallowing, with a sense of constriction of the throat and oppression of the chest. It is further indi- cated when the fever continues to run high, the throat swollen and presenting a florid red appearance, the face bloated and the eyes inflamed, and considerable delirum is present. It is also further indicated when the eruption, which some- times breaks out in this disorder, presents a scarlet hue, and is smooth and glossy. Prescription 'H' will, as a general thing quickly relieve all stomach irregularities that sometimes accompany this affection, such as, nausea and billious vomiting, etc. Prescription 'O' is the remedy to be given when the disease reaches the ulcera- tive stage, and a marked improvement should be noticed in the patients general appearance soon after its administration, and most cases will be conducted to a salutary termination without the assis- tance of any other remedy. Prescription 'L' is an excellent medicine in this complaint when there is marked prostration of strength, accompanied with nausea and vomiting, or when the ulcer- ated throat presents a livid hue. MUMPS. 63 This important remedy is also indicated in a more advanced stage of the disease, when the ulceration is covered with dark sloughs, the tongue parched, cracked, blackish and tremulous, the pulse small and irregular, with delirium and constant muttering. MUMPS, {Parotitis-) This affection consists of inflammation and swelling of the parotid and submax- illary glands, which are situated beneath the ear and under the jaw. It generally attacks individuals under fourteen years of age, and frequently declares itself as an epidemic during the prevalence of cold damp weather. When properly treated it is rarely dangerous, but particularly apt, if not carefully attended, to attack some mort important organs by metasta- sis — for example: suddenly disappearing in the glands mentioned, and painfully affecting those of the breast, &c. These sudden changes may occur either from exposure to cold or from astringent appli- cations. 64 DYSPEPSIA. This complaint is generally ushered in by the ordinary symptoms of mild catar- rhal fever, after which the swelling declares itself, sometimes interfering with the motions of the jaw, and by the extension of inflammation to the tonsils, affecting the hearing and impeding respiration. Treatment: — We seldom ever use any other medicine than prescription 'O' to cure mumps. If there should be much fever, a few doses of prescription 'F' will be necessary, and if the throat should become much affected, or head symptoms show themselves it will be advisable to resort to prescription 'G' for a time. Dyspepsia or Indigestion. As this too common disease displays itself in so many different phases, in the short space allotted us, we shall simply content ourselves with enumerating some of the principal exciting causes, and refer to the symptoms given under the different medicines for its description. Irregularities in diet, such as an over indulgence in the pleasures of the table, partaking of rich and indigestible food DYSPEPSIA. 65 and excessive use of wine, malt and spiritous liquors, strong tea and coffee and other stimulants; imperfect masti- cation of food; irregularity of, or too long fasting between meals; indolent or sedentary habits; exhaustion from intense study, keeping late hours, mental emo- tion, etc., are the chief causes of this affection. The foundation of this disorder is fre- quently laid in early life by the baneful practice of administering large doses of calomel and other like medicines for the most trivial as well as the most serious derangements, and the evil is perpetuated in more mature age by a continuance of the same absurd and injurious practice. Treatment: — Prescription 'D' is strongly indicated when the following symptoms are present, either when they have arisen in consequence of sedentary habits? or from the abuse of wine, or ardent spirits; the head confused with a feeling as resulting from intoxication, and giddi- ness with a sensation of turning of the brain; headache, unfitting for, or increased by mental exertion, distention and fulness in the stomach with excessive 66 DYSPEPSIA. tenderness to the touch, a feeling of tightness of the clothes around the upper part of the waist; frequent and violent vomiting of food, mucus, or bile, or an ineffectual effort to vomit, heartburn^ acidity, flatulency, insipid taste of the food, and constipation, reddish urine with brick-dust colored sediment, sleep unre- freshing and restless. Prescription 'IF will effect a cure when we find the following symptoms, a re- pugnance to rich food, pies, pastry and the like, regardless of its injurious consequences; a want of thirst, general chilliness, or great difficulty in keeping the hands and feet sufficiently warm- great weight in the stomach soon after eating, with frequent sour eructations, frequent, loose or sluggish evacuations, melancholy. Prescription 'B' is particularly indica- ted when we find a good deal of headache of a burning, or expansive character, attended with bewilderment of the head and vertigo; tongue, dry, red, or covered with a whitish yellow coat, appetite very poor, and sometimes the aversion to food is so great that the smell of it cannot be CONSTIPATION. 67 borne; great thirst, bitter taste in the mouth, and a craving for acid drinks r acidity and flatulency, nausea and vom- iting of food and bile; tenderness and swelling of the abdomen; constipation, stools dark, dry and difficult to void. Prescription 'K ? is a valuable remedy in weak and imperfect digestion when there is a general weak and relaxed state of the system with constipation and sore throat. CONSTIPATION. {Obstructio Alvi.) We have now to treat of an affection which frequently baffles the skill of prac- titioners; their leading cause of failure being their ignorance of, or inattention to the great curative principal, and con- sequently proceed upon a system opposed to the operations of nature. This com- plaint is generally sympathetic with some other derangement of the organism, and consequently in our treatment of different diseases, we have had frequent occasion to allude to it. One of the leading causes of aggravation and excessive obstinancy in constipation 68 CONSTIPATION. is the practice of flying to aperient medicines on the slightest appear- ance of costiveness under the absurd idea that keeping the bowels open is a species of panacea against, disease of every de- scription. Many mothers are so possessed with this idea that they continually administer physic to their children, without the slightest apparent call for it, and thus lay the foundation of dyspepsia and other visceral derangements in after life. Many a slight case of costiveness, which if left to nature would have disappeared of itself, leaving no ill consequences, has, by an ill-judged administration of cathartic, been converted into obstinate and hab- itual constipation embittering existence, and predisposing the constitution to a variety of diseases in after life. We do not wish it to be understood that we un- dervalue a regular state of the bowels, for, on the contrary, we know how abso- lutely necessary a regularity in this particular is dependent a healthy state of the system, and it is this knowledge which prompts us to put aside a practice that offers at the most, but a few hours relief CONSTIPATION. 69 to be followed by days, months, or prob- ably a life time of suffering. We do not wish it understood either, that we under- value cathartics, for they have their field of usefulness; it is this abominable practice of taking a dose of pills whenever the bowels are a little sluggish. As we have before said, constipation is generally sym- pathetic with some other derangement of the organism, and when that is corrected, constipation will be corrected also, and without applying a cathartic as you would apply the lash to rest a tired horse. Treatment: — Prescription 'D' will be found a useful medicine when constipa- tion results from too free indulgence in rich, indigestible food, and stimulating liquors, or when the confined state of the bowels has resulted from prolonged diar- rhea, or frequent purgings. It will also be found a very important remedy in chronic cases, arising from long continued indulgence in vinous, fer- mented, or spiritous drinks, or from seden- tary habit, or excessive study. Prescription 'B'is particularly indicated in constipation occurring in warm weather, and in rheumatic subjects; constipation 70 PILES. arising from a disordered state of the stomach, with fullness about the head, headache; stools dark, dry, hard, and difficult to pass. Prescription 'K' is also a very useful remedy in constipation when due to a general weak, releaxed and rundown state of the system; poor appetite, sore throat, imperfect digestion, and consti- pation, stool soft, but want of ability to pass them. In mild cases of constipation strict at- tention to diet will generally be sufficient ix> effect a cure, to avoid too dry or indi- gestible food, to partake freely of fruit, to masticate properly, and take sufficient exercise in the open air. Regularity in habits has a great deal to do with the cure of constipation. With these precautions and the proper selection of one of the above named medicines we think any case of constipation can be relieved. HEMORRHOIDS OR PILES. This disease, so common, and so well- known, consists of an enlargement of the hemorrhoidal vains situated in the mucus membrane inside and outside of PILES. 71 the anus. When outside they are termed external piles, and when inside internal piles, and when, during the act of evacu- ating the bowels, one or more of these engorged veins burst they are termed bleeding piles, and when they do not bleed they are termed blind piles. These enlarged veins form tumors of different sizes, from a pea to a cherry, or a walnut, and sometimes encircle the whole anal opening like a bunch of grapes. For ages piles were believed to be of great benefit to the organism, and they were therefore called the golden vein; and indeed, if we consider all the kinds, and amount of mischief which may be done in the body by the suppression of hemorrhoids, this expression would seem to be founded upon sound observation, and would at once remove that erronious idea, that piles are a mere local disease, and the absurd practice of treating them exclusively local. As a forerunner to their local appear- ance, we observe a fullness and pressure in the stomach, disturbed digestion, bloat- edness of the abdomen, costiveness, dull pain in the small of the back, head, and a 72 PILES. disinclination to work, especially mental occupation. After a shorter, or longer duration of these symptoms, a sensation of itching, pricking, tickling, burning or pressing is felt at the anus with a gradual development, or growth- of the varicose veins, or piles. Thus, the whole com- plaint is of a very slow and tedious nature, changing constantly from better to worse. The occasional spells of bleeding are frequently attended with a feeling of relief, though they do not better the malady itself in any way. Treatment : — The practice among sur- geons of removing these hemorrhoidal tumors by means of the knife, or ligature is very questionable, for apart from the danger attending the operation, in a great number of cases it wholely fails, and the disease returns often in an aggravated form. Hemorrhoids in individuals, who lead a sedentary life, or who indulge in strong coffee, or other stimulating liquids, are promptly relieved by prescription 'D,' if the piles are attended with shooting, burning, or itching pains, with colic, con- stipation, and sometimes painful and PILES. 73 difficult urination. This medicine will also relieve piles in females during preg- nancy. When there is a discharge of blood and mucous at the time of stool, accompanied by smarting and sensation of excoria- tion, pains in the back, pallid countenance and a disposition to fainting, prescription 'H' is the remedy to be given. And when there is burning and shooting pains in the hemorrhoids attended with utter pros- tration of strength, prescription 'L' will be found curative. Prescription 'M' is, however, the great pile remedy, and in bleeding piles can almost be termed a specific. This is not only a most excellent medicine taken internally, but makes a valuable external application in this annoying trouble. During the treatment of this affection it is of the utmost importance to attend strictly to rules of diet. Strong or heat, ing drinks, such as wines, spiritous and malt liquors, and stimulating or highly seasoned food of all kinds are particularly to be avoided, Sedentary habits, or the use of soft cushions materially tend to aggravate the affection. 74 COLIC, COLIC. (Enteralgia.) We understand by this term a griping, tearing, gnawing, or shooting pain in the bowels , chiefly confined to the region of. the navel, generally attended with pain- ful distention of the abdomen, spasmodic contraction and sometimes vomiting and constipation, rarely diarrhea . The general exciting causes of this com- plaint are acid fruits and indigestible substances, cold from wet feet, drinking cold beverages when heated, constipation, worms, etc. External pressure sometimes gives relief and sometimes aggravates the pain. Warm external applications relieve in the majority of instances, while cold applica- tions almost always aggravate the suffering. Treatment: — Prescription 'D' will, in the majority of cases, quickty relieve either flatulent, or hemorrhoidal colic, or colic arising from a chill from having taking cold, acute pressive and forcing down sensation, compelling the sufferer to bend double, constipation, coldness BOWELS. 75 and numbness in the hands and feet dur- ing* the paroxysm. Prescription 'IT is often of peculiar efficacy in colic occuring in females either during the monthly period, or at other times, or when coming on periodically in the evening during cold damp weather and accompanied with tightness and dis- tention of the abdomen, aggravation of the suffering when at rest, better when in motion. Prescription 'B' is an excellent remedy to relieve colic arising from constipation, from indigestible food, or from worms. Prescription 'O' is an admirable remedy to give when other remedies only partially relieve. It is also a valuable medicine to rid the system of the disposition to this affection. LOOSENESS OF THE BOWELS. {Diarrhea.) This disease is characterized by fre- quent liquid evacuations, and generally owing to inflammation, or irritation of the mucous membrane of the intestines. It is commonly caused by errors in diet, such as, the use of irritating, or indigestible 76 BOWELS. food; by taking cold from check of perspiration, by sudden change in temperature and by causes that are num- erous. Treatment: — Prescription 'B' should be given in diarrhea caused by hot weather, or from taking cold from check of pers- piration. This is also a valuable medicine in cases where the stools contain consid- erable bile, billious diarrhea, stools passed almost involuntary and contain portion of undigested food, stools thin, dark, and almost painless. Prescription 'W is one of the best remi- dies in simple looseness, or diarrhea arising from errors in diet, such as, indul- gence in acid fruits, or rich indigestible food, attended with foul tongue and other dyspeptic symptoms. This is also a valua- ble remedy in diarrhea of females due to suppression of the menstrual flow. Prescription 'W is strongly indicated when the stools are scanty and consist of slime and blood attended with straining and great weakness, flatulency and vio- lent cutting pains in the region of the navel. Prescription 'P' is a valuable medicine DYSENTERY. 77 in loosness of the bowels arising from indi- gestion, attended with nausea and vomiting, stools thin, watery, and of a greenish color. This remedy and pre- scription 'H' work well in alternation. Prescription '0 ? will be found a useful medicine in chronic cases of painless diar- rhea, and where there is dyspepsia of long standing, weak, debilitated and run- down state of the system. DYSENTERY. (Dysenteria.) Dysentery is an inflammation of the mucous membrane of the large intestines, and is recognized by a constant urgency to evacuate, the bowels attended with a good-deal of straining and violent pains in the abdomen, a great or less degree of fever, particularly towards evening, and stools of mucous and blood. This disease may occur suddenly, but is frequently preceded by loss of appetite, costiveness, flatulency, nausea or slight vomiting, with a chill, or chilly feeling followed by heat of skin and accelerated pulse, then dull abdominal pains, and 78 DYSENTERY. increased evacuations. After a time no faeces are discharged with the stools , but only mucous tinged with blood, the blood increases with each evacuation as the disease increases, and in extreme cases the stool becomes pure blood. This affection should be treated promptly and decisively. If not checked in time the disease may terminate in ulceration, or the patient sink from ex- haustion. Treatment: — At the beginning of this affection, when there is a good-deal of fever, indicated by full and hard pulse, severe pains, abdomen tense and painful when touched, denoting the commence- ment of inflammation, we should resort to prescription 'F', and by its timely use many severe cases will be made mild, and many mild ones nipped in the bud. It will also be found useful when the pains resemble rheumatism in different parts of the body with shivering, or excessive heat and thirst. Prescription 'P ? is a very valuable medi- cine when the dysenteric affection seems fairly established, and the stools consist of slimy matter, containing white flocks. CHOLERA MORBUS. 79 followed by greenish, or bloody evacua- tions. But when the dysenteric stool is of a brownish color, with putrid odor, and containing lumps of coagulated mucous, prescription 'B'is equally as valua- ble. This medicine is often indicated when the attack occurs in hot weather from the effects of a chill from check of perspira- tion, and it is still further indicated in the advanced stage of the disease when the fever assumes a typhoid character, and the evacuations resemble undigested sub* stances, or small hard lumps, or balls. When the more acute symptoms are relieved, but the dysentery still continues obstinate, prescription '0' will often com- plete the cure. CHOLERA MORBUS. This malady consists of vomiting and purging, spasmodic pain in the stomach and abdomen, sometimes cramps in the legs, rapid loss of strength, and coldness of the skin. The attack comes on almost always suddenly, and frequently in the middle of the night. The thirst is great, the vomiting constant, and the purging consist of fetid fluid discharges contain- SO CHOLERA MORBUS. ing a large quantity of bile at first, which, however, soon diminishes until at last the discharges approach rice-water in appearance without smell. This affection prevails mostly during summer heat, although there are cases in other seasons, and it seems to be incited especially by exposure, check of perspi- ration, drinking largely of ice water, or imprudence in eating. It differs from Asiatic Cholera in not being caused by a specific poison. Treatment : — When this disease comes on suddenly, as it most always does, with cramps in the stomach, sometimes extending into the legs; violent vomiting and purging, the emissions consisting of undigested food, we as quickly as possi- ble give prescription 'P,' and those cases it fails to check, their further progress is very much lessened in severity. This remedy is also indicated when the disease is further advanced and the discharges resemble rice-water, and it seldom if -ever fails to relieve in mild cases when the vomiting is mostly of a sour fluid without diarrhea. When this affection assumes a severe SUMMER COMPLAINT. 81 character from the first, with rapid pros- tration of strength, insatiable thirst, burning sensation in the region of the stomach with violent and painful vom- iting, prescription 'U is strongly called for. This medicine in the advanced stages of the disease, when the pulse is small, weak, and intermittent, and the tongue and lips dry, cracked, bluish or black, has no equal. In mild cases, with mucous diarrhoea* prescription 'H' will afford quick relief, and in cases when vomiting and purging occur at the same time with cramps in the legs and feet, prescription '0' should be given. SUMMER COMPLANT. (Cholera Infantum.) This is a disease found every summer prevailing among children under two years of age, especially in large and densely crowded cities. It generally commences with diarrhea, followed by vomiting. The discharges are whitish, ash-colored or yellowish, changing into green or greenish and having sometimes a very penetrating, and at others, a 82 SUMMER COMPLAINT. peculiar sweetish fresh smell. There is generally a great deal of thirst present, but the liquid is often not retained. The child soon becomes weakened and emaciated, the abdomen sinks in, and the constant loss of fluids causes gradual and general anaemia. This complaint, occurring generally during the period of teething, most likely has for its main causes, the changes known to take place in the digestive sys- tem at this time preparatory to receiving a food of a more solid nature and to the rapid growth of brain at this time, when it needs for its development an abundance of fresh air, we see therefore a change of air alone sometimes recuits the little sufferer. Treatment: — In children with small limbs, large heads, bloated abdomens, wrinkled faces, slow teething and with almost transparent skin, the timely use of prescription 'C will often prevent summer complaint. This medicine is also specially indicated during the attack when the stools are whitish, watery and often of a sour smell, sour vomiting, sour perspiration, and great emaciation: also LIVER. 8$ when the skin, hands, feet and legs are cold in the hotest weather. When the stools assume a green or greenish cast with nausea and vomiting of food, or milk, as soon as taken into the stomach, prescription IP* is a most valuable remedy and will be followed with quick and beneficial results. It is further indicated when the face is pale and waxy, with painful expression around the mouth, sunken eyes and great emaciation. Cases benefited with either of the above remedies, but not entirely relieved, a cure will speedily be consuma- ted by the use of prescription 'O.* INFLAMMATION OF THE LIVER. (Hepatitis-) This disease is characterized by pain more, or less severe in the right side just under the lower edge of the ribs, some- times resembling stitches, and others, burning, shooting to the breast and right shoulder with a sensation of numbness of the arm of the same side: the pain is generally increased by taking a deep breath, and more or less fever is present, 84 LIVER. with a short, dry cough; bowels irregular, generally constipated, and stools in the majority of instances of an unnatural oolor. When the seat of the disease is on the underside of the liver the pain is much less, the patient complaining more of pressure than actual pain, but the whole billiary system is much more affected. The eyes and countenance become yellow and often complete jaundice declares itself; the urine is orange colored, the evacuations mostly hard and generally of a whitish, or gray color. We also find bitter taste in the mouth, vomiting, and considerable distress. When the disease assumes a chronic form we find pretty much the same state of affairs except the symptoms are much less acute. This disease is much more common in tropical climes than with us. There a high mode of living; exposed to heavy dews, or damps in the evenings, and to the powerful rays of the sun by day, are among its principal exciting causes, but it may also arise from violent mental emotions ; the too free use of stimulating, or alcoholic drinks; strong emetics, pur- LIVER. 85 .gatives, or the abuse of mercury; gall stones, or injuries of the brain, etc. Treatment: — When this affection is brought on by the excessive use of stimu- lents, or the abuse of emetics, purgatives or the taking of mercury in too large quantities, prescription 'D' should be thought of, and when in connection with any of the above causes we find the pains shooting and pulsating, and attended with excessive tenderness, at the region of the liver, to touch, with shortness of breath and constipation, this remedy can t>e given with great confidence. When the pains in the region of the liver are mostly shooting, or consist of an obtuse pressure, with tension and burning, increased by touch, coughing or taking a deep breath, prescription 'B' is strongly indicated; also when the symp- toms are attended with violent spasmodic oppression of the chest; rapid and anxious respiration; bitter taste in the mouth, tongue coated yellow, and constL pation. When either of the medicines named fail to afford entire relief, prescription ■*0' is a most excellent remedy to complete 86 STOMACH. the cure. This remedy is also valuable in the chronic form of the disease. In the chronic form of the disease a dose of pills from prescription 'A' every third, or fifth night will be attended with good results. This is an important medi- cine for an inactive liver and obstinate constipation. The diet should be plain, and in the acute stage, principally of good sweet milk? with acid drinks to quench the thirst. Rich food, and stimulating, or alcoholic drinks must strictly be avoided. INFLAMMATION of the STOMACH. (Gastritis.) Bj gastritis we mean an inflammation of the mucous membrane of the stomach, which frequently involves the submucous tissue, and sometimes the entire stomach. It is characterized by burning, or shoot- ing pains in the region of the stomach, increased by pressure, inspiration , or the passage of food; swelling, heat, and tightness over the entire stomach region 9 sometimes with pulsation; great thirst, nausea and vomiting increased, or brought STOMACH, 87 -on by the smallest quantity of food, or drink; soreness of the throat, hiccough, great restlessness, anxiety, and prostra- tion of strength: coldness of the extremities; tongue generally red at the tip and around the edges, foul at the centre and root; small, sometimes scarcely perceptible pulse; sunken features with expression of anxiety; generally consti- pation but frequently diarrhea, or alter- nation of these two states. In severe cases we frequently meet with spasms, convulsions, and even tetanus. The most frequent causes of this affec- tion are, cold drinks, or iced water when heated; the admission of acid or poisonous substances into the stomach, from having swallowed any rough pointed body, ex^ ternal injury, ardent spirits, etc. Treatment : — In those cases where the fever runs excessively high with dry skin and restlessness, prescription 'F' must be given and continued until relief is ob- tained unless the symptoms present, call more strongly for some other remedy. When the vomiting is excessive, the region of the stomach considerably dis- tended, and the patient affected with 88 BOWELS. great anxiety, restlessness and difficult breathing, prescription T' must be re- sorted to. In gastritis of drunkards with low fever, nausea and vomiting after the simplest food, prescription '!>' is the remedy to afford quick relief. It is,, moreover, one of the most useful medi- cines when this disease occurs as a metastasis from suppressed piles. Gastritis arising from the sudden sup- pression of some secretion, such as, the menstrual flux, etc. , is successfully . treated with prescription 'H' also cases proceeding from a chill in the stomach from ice. If the pain is of a burning character, with violent vomiting immediately after drinking; the pulse small, quick, and oc- casionally intermitting; anxiety, restless- ness and excessive prostration of strength, prescription 'L' offers to render the best service. INFLAMMATION of the BOWELS. {Enteritis.) This disease is comparatively of rare occurrence as a primary affection, but BOWELS. 89 appears much more frequently as a symp- tomatic trouble, particularly in the course of certain fevers, such as, Typhoid Fever, Scarlet Fever, Measles, etc . It much more frequently occurs in the sub-acute, or chronic, than in the acute form. In the acute form of the disease, the symptoms are usually as follows: intense burning, or pungent pain generally in one spot of the abdomen, especially in the region of the naval, increased by the slightest pressure and by movement, with tightness, heat, and distention of the abdomen; violent thirst with aggrava- tion of suffering from cold drinks- obstinate constipation; violent vomiting first of slime and bile, and sometimes even of excrements; small and contracted pulse, inflammatory fever, flatulence, and frequently obstruction of the urine. In the sub-acute, or chronic form of the dis- ease a general feeling of soreness is diffused over the abdomen which is com- monly, though not always, increased by pressure; indigestible food, or cold drinks almost always cause an aggravation of pain. The tongue is often very red, .smooth, and glossy; loss of appetite, 90 PERITONEUM. indigestion with nausea and vomiting more, or less prominent, being greater the nearer the seat of inflammation is to the stomach. When the seat of trouble is lower down we usually find diarrhea, the stools being frequently slimy and mixed with blood, and in severe cases consisting of pure blood. Treatment: — -At the beginning of the acute form of the disease when the ac- companying fever is intense, and the skin hot and parched, prescription 'F* should be given for a time, until the fever is somewhat abated and a slight moisture of the skin is noticeable. After the previous employment of pre- scription 'F,' prescription 'B' is a very useful remedy, particularly when the patient complains of severe headache with constipation and acute pain in the abdomen, aggravated by movement; it is also indicated when there is a dark red- ness of the tongue, or whitish, or yellow coated tongue; loose, offensive evacua- tions particularly after partaking of food, or drink. Enteritis characterized by a feeling of soreness, or of burning heat in the abdomen, attended' with nausea, no PERITONEUM. 91 appetite and great thirst calls for pre- scription 'L.' This remedy is further indicated when there is complete prostra- tion of strength. In the sub-acute, or chronic form of enteritis, when there is fulness and uneasiness in the abdomen, increased by eating, or cold drinks, prescription 'O r should be called into requisition. It is also indicated when we have constipation and diarrhea alternately, flatulency; skin yellow, or otherwise unhealthy looking,, or dry and peeling; cold, clamy perspira- tion at night, or towards morning; ema- ciation. In acute inflammation, either of the stomach or bowels, no solid food should be allowed, broth, or, even gruel and the like should be used sparingly and with great care. Inflammation of the Peritoneum, (Peritonitis.) This is a disease of the membrane that lines the walls of the abdomen and re- flects over the intestines and other abdom- inal organs to hold them in position; and is characterized by painful tension of the 92 WORMS. abdomen with a sensibility to touch, even more acute than inflammation, of the bowels, so much so that the patient cannot bear even the pressure of a sheet upon the abdomen, compelling him generally to lie quiet upon his back with his feet drawn up. Nausea and vomiting are always present if the inflam- mation is very great, vomiting first, of what has been eaten, then of slimy and bilious, and finally greenish masses; obsti- nate constipation, and frequently obstruc- tion of urine; violent thirst, inflammatory fever and pulse small, quick and at times fluttering. Treatment: — As this affection is always attended with intense fever and inflam- mation, we should at once give prescrip- tion 'F,' and in many instances a complete cure will be effected without a change of treatment. This medicine will in every case reduce the fever and inflammation, and should always be continued until a moisture upon the skin is noticeable. When the inflammation" extends up- wards to the chest, and breathing becomes affected, with acute pain, prescription WORMS. 9$ 'B' will quickly afford relief, and when there is painful sensibility and distention of the abdomen, with nausea, vomiting and constipation, prescription 'D' is the remedy to be given. If the inflammation is due to external injury, from a blow or fall, the external application of prescrip- tion 'W should at once be made, while at the same time prescription 'M' should be administered internally. INVERMINATION. WORMS. The existence of worms in the intes- tines, in most instances, plainly arisen from a peculiar constitutional taint, producing a certain unhealthy state of the lining membrane, and thereby giving rise to the formation of these little animals; and although no period of life is wholly exempt from their presence, infants and children appear to be much more subject to them than adults. The three species most generally met with in the human subject are, the thread, or maw-worm, the long round worm, and the tenia, or tape worm. The presence of worms, unless when passed, is not always easy of detection,. D4 WORMS. since sub-acute inflammation of the mucous membrane from other causes will frequently present nearly the same range of symptoms. Worms, and especially ascarides, frequently exist in the intes- tines without occasioning any disturbance and their presence is only known by their being observed in the evacuations. When the intestines become irritated by them, a number of symptoms are developed, the following are the principal: pallor and sickly appearance of the countenance: livid circles round the eyes; headache, or vertigo; irregularity of the appetite, some- times avaricious and then again wanting; foul tongue; tensive fulness of the abdo- men with a sensation of gnawing and burning at particular parts; hard and "tumid belly; discharge of mucous from the bowels and bladder; heat and itching of the nose and anus, slight fever, and at times of a remittent character; wakeful- ness, irritable temper and gradual emaciation. In addition to the above general symptoms we frequently meet with severe colic like pains with straining and slimy and bloody evacuations, invol- untary flow of saliva especially when WORMS. 95 asleep; convulsions in children, and epi- leptic attacks, combined with brain affections in adults. Treatment : — Children of lymphatic constitution, with a disposition to cold in the head and diarrhea; feeble debilitated frame; defective nutrition; face pale and hollow, or puffy and of diminished tem- perature, can in almost every instance be relieved of worms and the system built up and made strong by the persistent use for a time of prescription 'C It is also strongly called for in complications with scrofula and rickets, or when there is chronic derangement of the digestive functions. Prescription 'O' is also a very valuable medicine in this affection when arising from a constitutional predisposition which is recognized by an almost constant dis_ charge from the eyes, nose, ears, bowels, or bladder; bitter slimy taste, aversion to meat; irresistably longing for sugar, or something sweet; alternations of loss of appetite and voracity, frequent regurgi- tation of what has been eaten together with hiccough and at times vomiting; also when the itching and feeling of sore- 96 WORMS. ness of the anus and rectum are extremely distressing. We unhesitatingly say, after long experience, that every child with a pre- disposition to, or suffering from worms can be relieved by proper administration of the above mentioned remedies and the general system very materially improved. Prescription 'D' will rid the system of worms caused by insufficient and un- wholesome food; excess of vegetable, and deficiency of animal diet; impure air and want of sunlight; damp, dark, and ill-ven- tilated dwelling, etc. The diet should be wholesome and nutritious with a supply of meat, such as roast or boiled beef, or mutton, or game; sour fruits, or vegetables in quantites must be prohibited, as also pastry and sweetmeats. Plenty of exercise in the open air is of essential service, but children should not be allowed to eat raw herbs, roots, and the like, which they are rso prone to pick up in their rambles. DISEASES OF THE ORGANS CONNECTED THE RESPIRATORY SYSTEM. CATARRH, or COMMON COLD. This name is given to an affection which consists of a mild degree of inflammation of the mucous membrain of the nostrils, at times the windpipe, and occasionally extends to the lining membrane of the lungs, and is induced by exposure to sud- den changes of temperature, or to a damp and chilly atmosphere with insufficient clothing. This complaint is characterized by slight chills or shiverings, fever, Ian guor, pains in the head, back and extremities followed by watering of the eyes, discharge from the nose, hoarseness, wheezing, difficult breathing, cough, and in severe cases a good deal of expectora- tion. In many instances a cold is carried off, or runs its course in a few days. This desirable result is generally due to 98 COLD. remaining in doors for a few days and encouraging a gentle perspiration by drinking some warm fluid, such as gruel and the like. Bathing the feet and legs in warm water is also a useful auxiliary mode of restoring perspiration, but the patient should be made warm in bed im- mediately afterwards. This is a very direct and satisfactory treatment at the beginning of colds for those who have the time to lay by and pay particular attention to the treatment, but for those who are obliged to go out it is more hazardous than is likely to be bene- ficial. Very robust persons who are accustomed to be in the open air in all weathers, but who have caught cold after having over-heated themselves, will fre- quently prevent any bad effects by drinking one or two glasses of cold water on going to bed. Treatment: — At the beginning of catarrh, or common cold, when there is chilliness, fever, sneezing, watering of the eyes, discharge from the nose, redness of the throat and slight cough, the cases that prescription 'F' will not relieve promptly are the exceptions to the rule, COLD. 99 and so few are the exceptions that we can almost term it a specific. This remedy should be given at the first symptoms of the cold, and in many instances a few hours is all that is required to make a complete cure. In cases of some standing its action is not so prompt. Colds of some days standing, where there is dry, tickling, cough, with a good- deal of swelling and redness of the throat, prescription 'G ? is quite prompt in its action. It is further called for when there is headache of a throbing, bursting charac- ter aggravated from coughing, and all the symptoms worse from going into the open, cold air. Prescription 'D' is curative in colds of long standing where the following symp- toms are met with. Tickling or scratching irritation in the throat, dry cough in the morning, and sometimes during the day, rarely at night: occa- sionally a small quantity of adhesive mucous which is difficult to expectorate after a fit of coughing. This is also a medicine of great utility in catarrhal fever with a disposition to chilliness, or wandering fever chills, worse during 100 INFLUENZA. movement, coming on and gradually increasing in the after part of the day s Warmth and rest mitigate the symptoms. Prescription 'B' has also proved itself to be a very useful medicine in colds of long standing, and is a little peculiar in being equally as efficious in dry hollow coughs, or loose coughs attended with copious expectoration. Coughs accom- panied with tenderness of the throat and chest, inclination to vomit, pains in the chest as if it would be racked to pieces, severe headache and aching in the limbs, are quickly abated by the use of this remedy. INFLUENZA. We understand by the term Influenza a disease much resembling catarrh or common cold, though more severe in its course and appearing in an epidemic form. In addition to the symptoms describing common cold, extreme oppres- sion and utter prostration of strength are complained of. Sleepiness, followed by shuddering and general chilli- ness, rheumatic pains, or pains as if caused by a bruise in the back and limbs, INFLUENZA. 101 intense frontal headache, sometimes ex- tending to the bones of the face; giddiness, earache, redness of the eyes, with painful weight or heaviness and sensability to light; coryza, or obstruction of the nose, dry shaking cough which produces dis- tressing fatigue in the chest, dryness of the throat, and subsequently dry, burning- heat of the skin, loss of appetite, nausea, and in some cases offensive sweats, are all symptoms more or less prominent in this affection. Tkeatment: — Prescription 'F' is the best medicine to begin the treatment of this affection, when its symptoms are those of a common cold, and in mild cases will be sufficient of itself to make a com- plete cure. But when the trouble is strongly marked from its onset with extreme oppression and prostration of strength, we should unhesitatingly admin- ister prescription 'L'. This remedy is also indicated when there is profuse watery and corosive discharge from the nose, oppression of the chest, difficult breathing, thirst, anxiety and restless- ness. Prescription 'B' has often proved of 102 CROUP. great service in relieving the violent, pres- sive aching, bursting, frontal headache f and dry hollow cough, or cough with easily loosened expectoration. It has further been found of great efficacy when the liver was affected, painful to the touch, or on coughing, or taking a deep inspiration, also when vomiting was liable to take place after or during coughing. "When the greatest suffering seems to be in the chest, with a hoarse hollow cough, brought on by tickling in the throat and attended with severe headache prescription 'D' comes in for its share of usefulness. It is also the remedy when the nose is obstructed, confusion in the head, giddiness, want of appetite, or sick stomach, thirst and constipation. CROUP. Croup consists of a peculiar inflamma- tion of the lining membrane of the windpipe, causing the secretion of a thick, viscid substance, generally opaque, of nearly the consistancy of the boiled white of an egg, which adheres to the parts and is difficult to expectorate. When this sub- CROUP. 103 stance, generally denominated the false membrane, has been allowed to form, the case becomes extremely critical. The attack is generally very sudden, com- mencing with the symptoms of a cold, such as cough, sneezing and hoarseness, with a greater or less degree of fever. In a short time the cough changes it char- acter and becomes shrill and squeaking, or deep, hoarse or sonorous attended with a ringing sound during speaking and res- piration, as if the air was passing through a metalic tube. There is seldom much expectoration, and when any matter comes up during coughing it has a stringy appearance, resembling portions of a membrane. From the time inflammation sets in, considerable fever and restlessness con- tinue, never wholely remitting; the countenance expresses great anxiety and alternates from a red to a livid hue, the attacks are followed by profuse and clamy perspiration of the whole body, more particularly of the head and face. This well-known malady demands prompt treatment to avert danger. From the movement we are aware of its exis- 104 CROUP. tence we should be up and doing. Quick relief can be had by prompt and properly- directed treatment, whereas, in a very short time it can be beyond the reach of hope. This is just one of the many instances that make the demand for these prescriptions in every family im- perative. Treatment: — If prescription 'F' be administered instantly, upon the first symptoms of croup, such as, sneezing, hoarseness and dry, barking cough, with increase of fever, the attack seldom ever goes beyond this stage. It is further indi- cated where the disease is more advanced and attended with great fever, burning heat, thirst, short dry cough, and hurried laborious breathing. In those cases not entirely relieved by the above medicine though the skin hav- ing become moist, or covered with a profuse sweat, the cough more loose and the breathing freer, but there still remains a dry, harsh, deep, hollow cough with a weak, hoarse voice and more or less diffi- culty of breathing, the cure can be completed with prescription 'P\ This remedy is also to be given in the advanced COUGH. 105 stage of the disease when the breathing becomes exceedingly difficult, due to the accumulation of secretion, or the forma- tion of the false membrane in the throat, attended with nausea and vomiting of tough, viscid, or stringy substance. Prescription 'O' has been used with good results in preventing attacks of Croup in children subject to this affection; also in riding the system of the predisposition to this complaint. This medicine is often used in the last stage of the disease with happy results, making most perfect cures. COUGH. (Tussis.) Cough, although not dangerous of itself, may become so, or form an important feature of disease; and as a premonitor of consumption it is too often neglected. It may arise from an irritation, or disease of the air passages, or lungs, or from colds, or other causes, or merely sympathetic, or the consequence of derangements of other important organs. Treatment: — When we have a short, dry, barking, spasmodic, or nervous 106 COUGH. cough, especially at night in bed, with irritation or tickling, or sensation as if a foreign body were there, or as if dust had been inhaled, prescription 'G' can be looked upon as a soverign remedy. It is also a useful medicine in cough with rattling of mucous in the chest, attended with fever and expectoration of thick, white mucous; spasmodic cough which scarcely allows time for breathing. Prescription *B ? is a wonderful curative agent in dry cough excited by constant irritation in the throat, or as if caused by vapour; cough after partaking of food, or drink, with pain in the chest and bursting headache, especially at the temples: cough occuring in very cold weather, and aggra- vation of the coughing in passing from a cold to a warm temperature. This medi- cine has also proven itself curative in cough with copious yellowish expectora- tion, or slight spitting of blood with pain in the side, or sides. Nervous, or spasmodic cough, attended with painful shocks in the head and stomach, and followed by nausea, vitch- ing and vomiting is quickly subdued with prescription 'P\ In children this remedy HOOPINGCOTJGH. 107 is indispensible when they appear to be threatened with suffocation from the accumulation of mucus in the throat. Violent short cough with quick, hard pulse and feverish heat; pricking in the chest when coughing, or during inspira- tion^ promptly relieved with prescription 'F\ This remedy should always be given for cough in fevers. Prescription 'IT is curative in cough arising from a deranged condition of the stomach or liver, or from a general relaxed, or run-down state of the system. It is particular indicated in cough arising from indigestion with sore throat, par- ticularly the back part of the throat. HOOPINGCOUGH, (Tussis Convulsiva.) This is a disease almost peculiar to child- hood, and is characterized by paroxysms of violent and convulsive expirations in rapid successions, interrupted by long whistling inspiration, and in young sub- jects a long shrill hoop, terminating by the expectoration of a quantity of mucus, or a fit of vomiting, after which the attack ceases for a time. If the case is 108 HOOPINGCOUGH. severe the features swell and become livid, the eyes blood-shot, and in some cases blood escapes from the nose, mouth and ears. The paroxysms return every three or four hours, and oftener in severe cases, the least excitement bringing them on. Breathing is free during the intervals and the patient in every way healthy, although suffering from weakness. This affection generally appears as an epidemic ; and is by many physicians acknowledged to be communicable by contagion. Over many the attack passes lightly; but in the majority of cases it proves a distressing malady. Treatment: — Prescription 'G' is the most important remedy in Hoopingcough when there is dry, hollow, or harsh and barking cough, which becomes materially worse at night. It is also particularly well adapted to the sore throat which is not an unfrequent concomitant at the beginning of this affection. When the cough is attended with dan- ger of suffocation, and each inspiration appears to excite a fresh fit of coughing, prescription 'P' should at once be admin- istered. It is further indicated when the COUGH. 109 fits are attended with spasmodic stiffness of the body and blueness of the face, great anxiety, and accumulation of mucus in the chest. Prescription 'D' renders good service when the cough is dry and very fatiguing, and attended with vomiting, particularly after midnight and towards morning; and when the paroxysms are so pro- tracted and violent as to produce apparent danger of suffocation with blueness of the face and occasional bleeding from the mouth and nos.e. Prescription 'F' may be had recourse to from time to time, when marked f ebril, or inflammatory symptoms are present, it being kept in mind that the action of this medicine is of short duration, and may be followed in a few hours by any of the above named remedies when they appear more particularly indicated. The diet must be light and of easy digestion, as nothing tends more to aggravate and prolong the suffering than a deranged state of the digestive system. 110 BRONCHITIS Inflammation of the Mucous Membrane of the Bronchial Tubes. {Bronchitis*) This disease consists of a greater or less degree of inflammation of the mucous membrane of the tubes leading to the lungs. An acute attack sets in with chilliness, succeeded by fever, hoarseness, difficult breathing; severe, frequent and distressing cough, at first dry, or with scanty expectoration of frothy, or viscid mucus, which subsequently becomes copious and occasionally streaked with blood. The breathing is excessively laborious and attended with a feeling of constriction and oppression of the chest, which sometimes increase to such an extent as to threaten suffocation; general weakness, foul tongue and loss of appe- tite; paleness of the lips, cadaverous and anxious countenance, loud, wheezing, rattling, whistling, or harsh and broken respiration. The first symptoms of improvement are, a greater freedom of breathing with remission of fever, and an alteration in the expectoration, which BLONCHITIS. Ill becomes thicker, whiter and diminished in quantity. In chronic bronchitis the symptoms are much the same as the acute, but con- siderably less in severity, and its course, when not following the acute, is so insidi- ous as to make it often difficult to mark its commencement. Treatment: — Prescription 'F ? is the medicine upon which we must place our chief reliance in the inflammatory stage of this affection, and throughout its course whenever high fever continues. Its more marked indications are, hot, dry skin with strong, hard and accelerated pulse; hoarsness, with roughness of voice; short, dry cough and obstructed respira- tion. Prescription 'W is a great remedy in bronchitis,. and we should not hesitate to prescribe it immediately when we meet with laborious, rapid and anxious breath- ing with constant inclination to take a deep inspiration, hoarseness, headache, dry cough with burning pain from the throat to the middle of the breast, cough with scanty and difficult expectoration of viscid sputa and sometimes mixed with 112 BRONCHITIS. blood, dryness of the mouth and lips., with excessive thirst. Prescription 'P' is a very valuable remedy in this affection and especially for children, but generally at a more advanced stage of the disease when there is accumulation of mucus in the chest> and when on coughing they are almost suffocated by the abundant secretion of mucus and become livid in the face; shortness of breath, and profuse pers- piration on the head after each fit of coughing. Prescription 'O' is a useful remedy in winding up a cure, and preventing the disease running on to the chronic form r or when the expectoration has increased in quantity and becomes whitish and less viscid. The diet to be observed should be the same as that mentioned under Fevers in the severe forms of bronchitis, but when the f ebril and inflammatory symptoms have subsided, the patient should gradually return to a nutritious diet, even though a considerable degree of cough and expectoration remain. LUNGS. 113 Inflammation of the Lungs. (Pneumonia.) This disease consists in an inflamma- tion of the parenchyma, or body of the lungs, and is recognized by a chill, or chilly sensations, followed by heat; diffi- cult breathing, short and hurried; short cough, continuous and distressing, dry at first, afterwards attended with scanty expectoration of viscid, lumpy tenacious, or glutenous mucus of various shades of color, but mostly of a dingy brick-red, or rusty hue. The cough is excited or aggravated by every deep inspiration, or on every attempt to speak, the speech is interrupted, or there is a pause after every articulation. A dull pain is felt occasionally in the chest, but more fre- quently rather a tightness than pain; the pulse is variable sometimes not beyond the normal standard, but more generally full, strong and quick at the commence- ment, or, when the inflammation runs high, hard, wiry and greatly accelerated, the tongue dry, parched and dark colored. The fever is usually of the inflammatory type, but is sometimes of a low grade 114 LUNGS. The patient, particularly in a severe attack, lies upon his back. Such are the general symptoms of uncomplicated Pneumonia, but in severe cases it is often found combined with pleurisy, in which case the pains in the chest are intense and generally of an acute, shooting character. Another, and still more frequent complication is formed with bronchitis, and then we find some of the symptoms of that disease. We also meet with this affection where it assumes the typhoid character, the local symptoms then are very obscure, and the accompanying fever of a low grade, the pulse quick and very weak, the skin dry or clamy, the tongue brown and parched, and the urine greatly dimin- ished in quantity and of a high color. Treatment: — At the beginning of this disease, in the stage of inflammatory congestion, whether or not accompanied, or followed by severe shooting pains in the chest, prescription 'F' should be given for a time until the fever is some- what abated, or a slight moisture is observed upon the skin, If the fever returns after having been apparently LUNGS. 115 subdued by the above prescription, with difficult breathing, and pain, or feeling of uneasiness in the chest, the sputa tinged with blood, and difficult to expectorate, the cheeks flushed, lips and tongue dry the skin hot, and the thirst incessant, prescription 'G' must be resorted to. In young and fleshy subjects these two medicines may be given in alternation with the most satisfactory results during the first, or congestive stage of this disease. Prescription 'B' is the appropriate remedy in pneumonia when the cough is attended with expectoration of viscid, or tenacious mucus of a brick dust color; oppression of the chest accompanied with acute shooting pains, or rheumatic pains in the muscles of the chest and extremi- ties with increase of pain on moving, foul tongue, constipation and other signs of gastric derangement. When the acute spmptoms of the disease have subsided, but the fever has assumed a low grade with alternate dry and clamy skin, we should hasten to administer prescription T to prevent a complication with typhoid and insure a speedy return to health. 116 PLEURISY. Prescrption 'O' is a remedy that come in well often in the winding up of diseas^ and making goo*d a complete cure. It has also proved itself of great service at any stage of disease in strumous, or scrofulous constitutions. During the inflammatory stage of this disease almost total abstinance from food must be enjoined; even during convales- cence there is caution required, and care must be taken not to over-indulge the returning appetite. The drinks should consist of water, toast water, or rice water, sweetened with a little sugar if desired. Inflammation of the Pleura, {Pleurisy. Pleuritis.) We understand by this term an inflam- mation of the membrane that lines the walls of the chest and reflects over the lungs. It is characterized by severe cutting, lancinating pain in the side, generally confined to one circumscribed spot, inter- ferring with breathing and acutely increased by taking a deep inspiration, or by coughing; difficult and anxious respi- PLEURISY. 117 ration, but not so oppressed as in pneumonia and bronchitis; quick, hard pulse, hot skin particularly over the chests or seat of the disease; short, dry coughs parched tongue, scanty and high colored urine and occasionally delirium. Treatment: — Prescription 'F' is an indespensible medicine in allaying the inflammatory fever and acute pain atten- dant on pleurisy, as in many instances, when timely administered, sufficient of itself to cure the disease. It rarely fails to make a favorable impression in from six to eight hours, and in most instances in less than half the time. Prescription 'B' follows the above remedy well when the pain in the chest is shooting, cutting > burning, or aching in its character much increased during inspiration, or move- ment; dry cough followed by expectora- tion of dirty yellow colored mucuss streaked, or tinged with blood; oppression and anxious breathing; yellow tongue;: bitter taste, nausea and sometimes vomit- ing of mucus; headache, head confused, great thirst and bowels constipated. In the few cases where prescription 'F' fails to relieve the fever and acute pain, it 118 HEMORRHAGE. will be accomplished by alternating these two medicines. Prescription 'L' is the remedy on which we mainly depend in those serious cases when effusion, to a great extent has taken place, in the plural membrane, when the breathing is painfully impeded and asthmatic, attended with extreme pros- tration of strength. Prescription 'O' here, too, comes in for its share of usefulness in making a good cure. An occasional case will be met with when the above medicines fail to do more than relieve the disease of its acute symptoms without wholly subduing the inflammation. In such instances, this medicine is the sufferers best friend. Hemorrhage from the Lungs. This affection may arise from an effu- sion of blood from the mucous membrane of the bronchial tubes, or from a conges- tion of the lungs, or from the rupture of a blood-vessel in the lungs during the course of consumption. We must be careful not to confound this affection with diseases of the mouth or gums, or the occurrence of blood from the nose HEMORRHAGE. 119 escaping through the posterior nares and being returned by the mouth. When the blood proceeds from the chest it is almost invariably attended with a sensation as if it came from a deep seated source, is warm, generally tastes sweet, and there is frequently a simultaneous burning and painful sensation in the chest. We propose to deal generally with the subject and give the treatment indicated by the symptoms present. When the attack is preceded by well-known pre- monitory symptoms, the patient should refrain from loud or prolonged speaking, calling, singing, blowing wind instru- ments, violent exercise of the arms, running, or, in short, anything calculated to increase the respiratory action, or otherwise fatigue the chest. In by far the greater majority of cases the dis- charge, or spitting of blood soon ceases of its own accord, the most important object therefore is to seek the cure of the complaint when the hemorrhage has ceased and thereby prevent its return. Treatment: — The well-known property of common salt to check spitting of blood is as efficacious in ordinary attacks as 120 HEMORRHAGE. any remedy we are acquainted with. A small quantity placed upon the tongue and allowed to dissolve and gradually to he swallowed is generally sufficient for its arrest. When the salt fails to relieve and the discharge amounts to an actual hemorrhage of bright red blood, prescrip- tion C M' will be found to act promptly. Spitting of blood in females arising from suppression of the monthly discharge, or in either sex, when from the suppression of bleed- ing piles, will find its corrective in prescription 'H.' This medicine will also relieve this affection from whatever cause, when the expectoration is of dark clotted blood, attended with shivering, especially at night, and pain in the lower part of the chest. Prescription 'L' should be administered when the anxiety, anguish, palpitation of the heart, and bleeding continue, or increase after the employment of other remedies. This is a valuable medicine to restore the vital energies of the patient after considerable loss of blood. CONSUMPTION. 121 CONSUMPTION. (Phthisis*) One of the earliest symptoms of con- sumption is a short cough, which is either dry, or accompanied by the expectoration of a frothy mucus, and is generally slight at the commencement, but more or less constant. Shortness of breath, proceeding from obstruction, is another early symptom of consumption. At first it is only experienced during exertion, but subsequently comes on after every fit of coughing, or on lying on the one or the other side, and is much increased by the slightest movement. Symptoms of stomach derangement are frequently present, with redness of the tongue, or with furred centre; the patient falls off in flesh, becomes- indolent, dejected, and overpowered with languor. A feeling of soreness is 'often complained of in the chest, particularly, after any fatigue, or after a fit of coughing, and sometimes on exposure to cold air. The pulse is often normal at the begin- ning, of the ^disease, but soon becomes full, hard, and accelerated. Fever of an 122 CONSUMPTION. intermittent character soon makes its appearance; it declares itself most towards night, remits from about two in the morning until the following day at noon, when it returns in a slight degree and continues until about five in the after- noon, and is then followed by an other remission. This hectic fever is, in the first instance, chiefly manifested by flush- ing of the face, heat in the palms of the hands and soles of the feet; but as the disease advances, night-sweats supervene,, which leave the patient in a state of great exhaustion in the morning. As the expectoration increases it becomes mora viscid and opague, and is often tinged with blood, or a considerable quantity of florid frothy blood is ejected. As the dis- ease advances the respiration becomes more difficult, the emaciation and debility go on increasing, the cough is rendered more severe and troublesome, particu- larly at night, and the fever, though of shorter duration, is attended with more profuse sweating and the pulse loses tone. The expectoration becomes, at the same time, more free and copious, and is less thin and transparent. CONSUMPTION.' 123 In the suppurative, or last stage of the disease, the expectoration at first resem- bles curd, or cheese-like particles and subsequently is mixed with pus, mucus and frequently with blood. The bowels, from having been constipated from the commencement of the disease, are now more prone to be relaxed, so that attacks of diarrhea recur frequently, and by alter- nating with the night-sweats induce an •excessive degree of weakness. In this stage of the disease the patient becomes reduced to a skeleton; the face is thinned, the cheek bones prominent, the eyes look hollow; the hair falls off, and the feet and legs are quite much swollen, but notwith- standing all this the countenance presents a degree of clearness, and the eyes a lus- ter that are rarely, if ever, met with in other maladies, and the mind is generally serene and hopeful, that the patient seems often quite unconscious of his dan- gerous condition, and speaks and acts as if in full anticipation of a speedy recovery. It is in the first and second stages of "this disease, particularly the first; that we should work and hope for recovery, for in the third, or last stage all hope desert 124 -CONSUMPTION. us. There are claiifts of cures even in this stage, but we confess never to have been so successful. Change of climate often works won- ders in the early stage of the disease. Many medical men recommend warm climates, or well sheltered situations, even although the atmosphere might be of a humid and relaxing nature, we are inclined to side with those who do not object to a somewhat bracing and cold atmosphere provide it be dry and not too changeable temperature. Daily exercise in the open air should not be neglected, and the practice of inflating the lungs two, or three times a day gives tone and strength to them that can not be derived from any other source. Treatment : — Prescription k B' should be given in the earliest symptoms of this disease when the cough is short and dry, or accompanied by the scanty expectora- tion of frothy mucus; shortness of breath particularly after coughing, or exercising; loss of appetite, bitter taste, headache and bowels constipated. Prescription 'L' is a very useful medi- cine in this disease when strongly marked ASTHMA. 125 by loss of flesh and utter prostration; hectic fever and debilitating night-sweats; incessant cough with copious expectora- tion of a yellowish green color; variable appetite and bowels changeable from con- stipation to diarrhea. When there is oppression at the chest, laborious breathing and no expectoration of mucus chiefly at night, prescription 'O' should be given. This is also a use- ful medicine when the expectoration is copious of white frothy substance. ASTHMA. This affection is said to be caused by an irritation of the vagus nerve, a nerve going to supply the lungs, and is charac- terized by the following phenomena; difficulty of breathing, recuring in paroxysms, attended with a sensation of suffocating constriction in the chest, cough and wheezing. The paroxysms are frequently preceded by a sense of cold- ness, languor, headache, heaviness over the eyes; sickness, or flatulency and a sense of oppression in the chest. During the attack the patient feels much worse in the recumbant nosture and conse- 126 ASTHMA. . quently sits up, requests the doors, or windows to be thrown open to admit more air into his apartment, and uses every effort to dilate and empty the lungs. He also experiences great restlessness, making frequent efforts to force some* thing out of the air passages which he thinks impedes breathing by coughing* The face is pale, or livid, and wears an anxious expression. The extremities and even the nose and ears are frequently cold, and the face and chest covered with perspiration; the heart palpitates, the pulse is variable, being quick, full, or small, and quick, or weak and irregular, often intermitting. These symptoms continue with greater, or less degree of violence for some hours, or even days until expectoration takes place which affords relief as it increases in quantity. A remission also sometimes takes place soon after an excession of copious pers- piration, or a profuse discharge of urine. The disease is more frequently met at an advanced, than an early stage of lif e„ and oftener in men than woman. Treatment: — Prescription 'L' perhaps has done more for sufferers of Asthma ASTHMA. 127 than any other medicine, and is particu- larly indicated when there is great exhaustion and anguish, as if at the point of suffocation, with cold perspira- tion; spasmodic constriction in the chest and throat which is soon followed by laborious, panting and whistling res- piration. Prescription 'P' is called for in this affection when the cough is constant, no phlegm yielding, although the chest seems full of -it; cough causing gaging, vomiting, followed by relief; stiffness of the whole body in children; cold extremi- ties and cold perspiration. Prescription 'D' is strongly indicated when the attack occurs suddenly at night arousing the patient from a sleep full of dreams, with a suffocating tightness, especially at the lower part of the chest. This medicine is further indicated in individuals who lead a sedentary life and are fond of strong drinks; headache, poor digestion and constipation. The simple procedure of holding the breath as long as possible will often relieve an attack of Asthma. This the sufferer will find difficult at first to do* 128 HEART DISEASE. as the desire to breath is so great, but in the end he will often find himself amply repaid for the effort. By this simple act the accumulation of carbon in the lungs produces the relaxing effect so anxiously desired. DISEASES OF THE CIRCULATING SYSTEM. HEART DISAESE. (Pericarditis* Endocarditis. Carditis.) Pericarditis is an inflammation of the membrane that envelops the heart and retains it in position, and is a disease frequently not well marked in its external characters. Endocarditis is an inflammation of the lining membrane of the heart, and is a disease with external manifestations still more uncertain and obscure than those of Pericarditis. Carditis is an inflammation of the substance of the heart, and is found always in connection with one or the other of these mem- braneous affections. Very few are the medical men that can always diagnose these three diseases cor- rectly so similiar are their manifestations and so many symptoms have they in 130 HEART DISEASE. common. Were it possible for us to describe these three affections so that the average reader would be able to recog- nize them apart we then would have gained but little, since at the present state of medical knowledge the same medicines are used for all three affec- tions so we will content ourselves with pointing to the medicines called for by certain symptoms. Treatment: — In acute heart troubles accompanied with high fever, full, hard, vibrating pulse; pain of a sharp, or pricking character with oppression, anxiety, f aintness, and tumultuous action of the heart, we find quick relief from the use of prescription 'F, 9 but in ple- thoric subjects of sanguine temperament with determination of blood to the head, red face, throbing pulsations through the body, and occasional delirium it may be found necessary to alternate with pre- scription 'G'. Prescription 4 U is one of the most important of our remedies in diseases of the heart, and we would say, is all but indespensible when there is valvular trouble. It is strongly indicated when NERVOUS PALPITATION. 131 the attack has arisen from metastases of gout, or rheumatism, or from the sup- pression of some eruption, and is par- ticularly indicated when there is vio- lent palpitation, excessive rapidity of pulse, intense thirst, burning pain in the region of the heart, anxiety, fainting, extreme restlessness, or in the more advanced stage of the disease when the breathing is hurried and laborious, particularly on the slightest movement* and there is an inability to lye on the left side, pulse feeble and irregular. Prescription 'J' is a remedy used a great-deal in affections of the heart, and is prompted by slight pain, aching and heaviness about the heart; palpitation with great anxiety forcing the patient to get out of bed; palpitation with dimin- ished, or enfeabled action of the heart; congestion to the head, noises and roaring in the ears; scarcely perceptible beat- ing of the heart, very soft, weak and intermittent. Nervous Palpitation of the Heart. This affection occurs in spells and is generally more distinctly felt by the 132 NERVOUS PALPITATION. patients themselves than by the exam- ining hand of the physician. It is purely a sympathetic trouble, but one productive of a good-deal of scare. When -during the attack the patient's face is red, then the pulse is full and strong, whilst when the patient looks pale the pulse is weak and intermittent. We often find it accompanied with dizziness; roaring noises in the head; headache; flickering before the eyes; trembling; fainting spells; and pressure and choking sensa- tion in the throat; the patient complains of a sensation as though the heart were jumping up into the throat. The causes of this affection are num- erous. It is met most frequently in anaemic andchlorotic individuals; also in women during the period of change of life,* in hysterical females, and in diseases of the womb. Spinal irritation may also cause it, and we find it in children who grow very fast, or whose intestines are irritated by worms. Very often it is brought on by mental emotions, and sometimes we do not know any cause whatever. Treatment: — Prescription 'D' is gen- erally sufficient of itself to control an ANGINA. PECORIS. 133 attack of nervous palpitation of the heart, but occasionally we are obliged to change to prescription 'F', and in extreme cases to alternate prescription m the effects of burns and scalds, depends upon several conditions. A scald or burn of great extent frequently proves fatal immedi- ately; or in a very short time, the patient often not rallying from the collapse. Burns of considerable depth are also alarming. 214 BURNS. Age temperament and habits of living determine to a considerable extent the danger to be apprehended. The young with correct habits of living would quick- ly recover from a burn or scald that would prove fatal with the aged and intemper- ate. Treatment: — In slight burns or scalds tbe injured parts should be held for two or three minutes near the fire; a tempor- ary increase of pain will be amply repaid by the prevention of future suffering. The application of prescription 'M' is of quick service in superficial burns and scalds, frequently preventing blistering in quite severe cases. The plan of appli- cation: make a weak solution, say, fifteen or twenty drops in a half glass of water; dip a linen cloth in this and completely cover the burn or scald with the same. Keep the cloth moistened with the solu- tion without moving it from the wound. The sooner the application is made after the accident the more likely to prevent blistering. When, however, the injury is more severe, the affected part may be dressed with heated alcohol, oil of turpentine or OVERHEAT. 215 linseed oil, taking care to keep the parts continually moist and well protected from the air. Raw cotton applied over the part is frequently found efficatious, especially when the injury presents a large surface. It should be applied two or three thicknesses, and when suppura tion sets in remove the upper layer only and substitute fresh. In severe burns or scalds, prescription '0' should be given from the beginning, and continued until the cure is affected. OVERHEAT./ When from extreme heat, or from over exertion in hot weather, the head should become hot and the face flushed, care must be taken to drink no cold water until sufficient time has elapsed for the body to cool down. The early employ- ment of prescription 'F' in such cases will quickly afford relief and prevent danger by the controlling influence it exerts over circulation. Violent throbing headache with con- gestion, fever, vomiting, sleeplessness, great anguish or despair and a sense of weight in the head from overheating calls 216 APPARENT DEATH. for the administration of prescription 'G\ This medicine is also particularly % effica- cious when there is a sudden loss of consciousness from overheat, with hot head, cold extremities, cold clammy skin and laborious breathing. The extremities should be made warm by placing the feet in hot water, and by being well rubbed and wrapped when taken out. The head must be made cool by cool applications, though the direct applica- tion of ice is not so highly extoled as of some time since. APPARENT DEATH. {Asphyxia.) When an individual has to all appear- ances suddenly expired, and particularly from external causes, animation may only be suspended, care therefore, when there is the least uncertainty, should be taken to do nothing that may cause death, and interment should be avoided until certain signs of putrefaction set in. There are many cases of course, where sudden death is no mere suspension of animation, but there are others where apparent death is far from uncommon. Apparent death. 2i7 Apparent death is sometimes met with from hunger, from a fall, from suffoca- tion, from lightning, from drowning, from being frozen, etc., etc. In a work so small as this it is impos- sible to give full and complete directions in every case of sudden and apparent death, and, if so, for the want of experi- ence the average reader would in many instances be unable to carry them out successfully, so in every instance of appa- rent death we advise the instantaneous summoning of the nearest physician as his knowledge and experience will, or should enable him to do the very best that can be done. In the meantime we would advise that the body be properly cared for; freely exposing the face, neck and chest to the air, and to turn the body upon its face for a time with one arm under the forehead in order to clear the mouth and throat. This being done our next move is to excite respiration, which is frequently accomplished by turning the body upon one side and applying snuff, pepper, or some other irritant to the nostrils and dashing cold water on the face. When these means fail we 7 218 POtSONS. should hurriedly proceed to imitate respi- ration by turning the body first upon the face and then upon the side alternately; continuing this rotating motion perse- veringly from sixteen to seventeen times per minute, and at the same time to rub the limbs upwards with firm pressure to induce circulation and warmth. If, in the meantime, the body be slapped briskly with the hand, and cold water dashed upon the surface, previously rubbed dry and warm, will very mate- rially assist in restoring respiration. The above directions should be followed ener- getically until the patient is restored to life, or the attending physician suggests something differently. POISONS and their ANTIDOTES. When poisonous substances have been taken into the stomach the first move is to cause their ejection by vomiting, or neutralization by proper antidotes. Our first step, however, should always be to get rid of as much of the poison as possi- ble by vomiting — riddance is always pref- erable to neutralization — but that which remains must be rendered inert by proper antidotes. POISONS, 219 Vomiting should be produced by the simplest means when they are sufficient, such as, tickling the throat with the finger, or with a feather, or by drinking luke-warm water, salt and water, or mustard and water, but when these means are insufficient we should at once resort to one of those emetics which is most powerful and speedy in its operations, as tarter emetic, sulphate of copper, or sul- phate of zinc. When vomiting has been excited it should be continued by copious draughts of warm water, or by tickling the throat with the finger, or a feather until the poisonous substances are rejected. In cases when vomiting can not be produced the stomach pump must be used by skilled hands, especially in arsenical, or narcotic poisons. When as much of the poison as possi- ble has been gotten rid of by vomiting the following antidotes will be found the most simple and reliable: acids are neu- tralized by alkalies, such as, very thick soap suds of soap and milk, chalk, soda, lime water, magnesia, or saleratus. In cases of poisoning from sulphuric acid do 220 POISONS. not use soap suds, or lime water; for nitric, or oxalic acid use magnesia and lime; and for prussic acid use dilute ammonia and electricity. Alkalies are neutralized by acids, the vegetable acids, vinegar, or oils in large quantities. Opium and other narcotics are neu- tralized by strong coffee and frequent doses of aqua ammonia following and during frequent powerful emetics, and for the spasms of strychnia, use chloro- form or ether and electricity. Motion and heat must be maintained in poison- ings of this character. Arsenic is probably the most difficult poison to antidote successfully of any we have to contend with; THE HYDRATED PEROXID OF IRON in tablespoonful doses every ten minutes until relief is obtained is relied upon by the profes- sion of tener than any other treatment. This preparation as well as any others named under poisons can be procured at any druggist. Bismuth, copper and their compounds, mercury, tin, zinc and their salts, and creosote, use albumen in some form, as POISONS. 221 the white of eggs, sweet milk, strong coffee and mucilaginous drinks. Lead and its salts, use epsom salts, glauber- salts, dilute sulphuric acid, or even lemonade in mild cases. Ioidine, use starch, wheat flower, or arrowroot beaten up in warm water. Gases, use dilute ammonia, electricity and friction. In poisoning from animals but little, or no benefit is- derived from vomiting, but we should at once resort to antidotes and often to the actual cautery. Bite of a rabid dog, the actual cautery should instantly be applied to the wound, and large doses of zinc, or muriate of iron given for several days. Sirpents stings, apply the actual cau- tery immediately and give sufficient whiskey, or brandy to produce intoxi- cation. Insect poison, apply ioidine, or harts- horn and oil to the part and give stimu- lants for a day or two. When imminent danger is passed, to prevent any sequally, and restore health and vigor to the stomach as well as the body generally, we give for a few days 222 POISONS* prescription 'K' if the poisoning was f rom a mineral, prescription 'G\ if from a vege- table, or prescription 'D', if from the bite, or sting of an animal. Much assistance will be rendered by keeping the bowels open by taking a dose of pills from pre- scription 'A' every second day for two or three successive doses, DIRECTIONS. «A' These pills are taken from one to four for a dose according to age, or require- ment, and the full dose can be repeated every second day, for three successive doses when necessary. One or two pills are laxative; three strongly laxative; and four an active cathartic. This is a valuable liver, stomach and bowel medicine, and for headaches and other affections arising from a bilious state of the system. 'B' In acute affections, drop eight drops in eight tablespoonfuls of water and take one tablespoonful every two hours. In chronic troubles, take three drops in a tablespoonful of water three times a day. This remedy is curative in headaches of a pressive, expansive, or bursting character; cough either dry, or with copi- ous expectoration and pain in the side cr sides; indigestion with inactive liver and bowels constipated; rheumatism. 224 DIRECTIONS. Take one granule every two hours in acute disease, or three granules three times a day in chronic affections. This is a most excellent medicine for feeble and anaemic females, with thin almost transparent skin, suffering fr im leucorrhoea, or whites, and profuse debi- litating menstruation, also chlorosis in young girls. This is also a most valua- ble remedy with children suffering with summer complaint, worms, or almost any affections of the stomach and bowels. Mix eight drops in six teaspoonfuls of water, and take one teaspoonful every three hours. This remedy is a great curative agent in stomach troubles, dyspepsia, head- ache and constipation; in nervous affections, tetanus, epilepsy and general nervous irritability; in hemorrhoids, or piles, and other affections arising from high living, strong drink, or sedentary habits. 4 E» Take from one to four pills for a dose. One to three will relieve pain, and from DIRECTIONS. 225 two to four will produce sleep. Not more than six in any case should be taken in twenty-four hours. These pills, as their direction would indicate, are ancdynic in their action when enough of them have been taken. They should be used with care, but by following the direction, pain can be relieved and sleep produced with great benefit to the sufferer. 'F' Mix fifteen drops in five tablespoonfuls of water, and take one teaspoonful every two hours in acute troubles. In chronic affections take five drops in a tablespoonf ul of water three times a day. This is the greatest of medicines in fever, inflammation, inflammatory rheumatism, neuralgia, heart disease, and, in fact, all affections attended with high fever, hot, dry skin, great thirst and rapid pulse, hence its importance at the beginning of almost all acute troubles. ■c One-half teaspoonful to five table- spoonfuls of water, and take one teaspoonful every two hours in acute affections. In chronic disease take seven 226 DIRECTIONS, drops in a wine glass of water three times a day. This is also a valuable medicine in fevers, inflammation and congestions with determination of blood to the head, red face and throbing pulsations; throb- ing, beating headache, sore throat, dry tickling, spasmodic cough and pains rapidly changing position. This is also a very important remedy in female affec- tions attended with heaviness, pulling at the back with a sensation as if every- thing would be forced from them. In acute affections take three granules every three hours, and in chronic troubles take six granules three times a day. This is a great curative medicine in female affections; painful, scanty, or suppressed menstruation with impaired digestion; leucorrhoea, acrid, or like milk and painless. This is also a valu- able medicine in affections of the eyes, nose, ears or mouth, as also of the anus, stomach and bowel affections especiallv in children. l v One -half teaspoonful in four table- spoonfuls of water, and take one tea- DIRECTIONS, 227 spoonful every three hours in acute affections. In chronic disease take four drops in a tablespoonful of water three times a day. This is a valuable remedy in low grades of fever, as in typhoid, or malarial, with marked periodicity. It is also a valuable medicine in chronic affec- tions of the kidnej^s and bladder. In acute affections, mix one-half tea- spoonful to five tablespoonfuls of water and take one teaspoonf ul every two hours, or eight drops in a wine glass of water three times a day in chronic cases. This medicine is largely used in all forms of heart disease, and in diseases of the circulation generally. 'K' Mix one teaspoonful in a half glass of water, and take one tablespoonful every three hours in acute affections. Or, in chronic cases take a half teaspoonful in a wine glass of water, before each meal. This is probably the best stomach remedy known, and for almost all affec- tions arising from imperfect digestion and assimilation. It is a tonic to the entire system. 228 DIRECTIONS. 'L> Mix one tablespoonful in a half glass of water, and take a tablespoonful every three hours. For chills and fevers follow directions given in the book. This is a very valuable medicine, and will be found often indicated, and especially in all affections arising from malaria. In recent attacks of chills and fever it will cure almost without an exception. It is also a valuable medicine in asthma, gout, rheumatism, piles and in stomach, liver and bowels affections. < M ' Take a half teaspoonf ul in a wine glass of water, before each meal and when retiring. As an external application apply with a linen cloth from four to six times a day. This is a capital medicine in hemor- rhage from any orifice of the body, and for bleeding piles it has no equal. It is also a useful remedy in internal injuries arising from external violence, such as, a blow or fall. As an application for burns, or scalds it should always be at hand, as also for any surface affections. DIRECTIONS. 229 'N' USED EXTERNALLY. Apply with a linen cloth from four to six times a day. For fresh and open wounds dilute with equal parts of water before applying. We might say, in a word, that this medicine is used locally with benefit for almost all forms of external affections, the medicine diluted, or left strong according to the irritability of the part it comes in contact. It is also often used with great relief for internal affections by being applied over the seat of the trouble. 'c Take a half teaspoonful in a wine glass of water, four times a day. This is the most general useful medi- cine in chronic affections that is made use of. For the skin, -glands, affections and discharges of the eyes, nose, ears, anus, and in all forms of scrofula, it is certainly without an equal. It is also a useful medicine in stomach and bowel affec- tions, chronic diarrrhea, piles, or fistula, also for summer complaint, worms and bowel affections in children. 230 DIRECTIONS. N In acute affections take two granules every two hours, or six granules three times a day in chronic troubles. This is a most excellent medicine in affections of children, croup, colds stomach affections, dysentery, diarrhea, summer complaint and especially where there is much nau- sea and vomiting. It is also an excellent medicine in dysentery and diarrhea in adults. Accompanying the directions we have given a few leading indications for the employment of each prescription, but to prescribe with positive accuracy the book must be consulted. THE ABOVE CUT REPRESENTS THE FAMILY PHYSICIAN consisting of this book, bound in cloih, descriptive of disease and its treatment, with sixteen medical prescrip- tions prepared under the Doctor's immediate supervision, f'ontained in a polished walnut, or ebony case, with lock and key. PRICE COMPLETE, - - - - $9.00. Sxzngle IP:c»eso:ir±:pt±o:nL_ PRICE PER BOTTLE. .$ .$i 00 «I\. .. $ 4<-> •M .S'"' * J'.. .. 30 'JS' 5o '11\. .. 50 O 9 50