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1HOM(EOPATHIC
DOMESTIC PHYSICIAN:.
CONTAINING THE  Vj  ý 6 2 -
TREATMENT OF DISEASES;
WITH POPULAR EXPLANATIONS OF
ANATOMY, PHYSIOLOGY, HYGIENE AND HYDROPATHY:
ALSO
AN ABRIDGED MATERIA MEDIOA...BYY.     '-.ULTEL D.,;
SECOND EDITION, REVISED AND ENLARGED.
CINCINNATI:
H. W. DERBY & CO., PUBLISHERS.
NEW YORK: G. P. PUTNAM; A. S. BARNES & CO.
1851.




Entered, according to Act of Congress, in the year 1851, by
H. W. DERBY & CO.,
In the Clerk's Office of the District Court for the District of Ohio.


E. MORGAN       &  CO.,
STEREOTYPERS, PRINTERS AND BINDERS,
111 MAIN STREET.




PREFACE TO THE SECOND EDITION.


THE rapid sale of the first edition (upward of twelve hundred copies within four months) has convinced the author,
that his labors.have been received with unusual favor by the
public, whose decision is the best test of the usefulness of
such a work.
In addition to this public testimony, the author has received
letters of many of his professional brethren from all parts of
the country, approving of the plan and execution of the work.
Such undoubted proofs of its usefulness, as a manual for
popular use, increased the desire of the author, to have its
contents perfected as much as possible, of which he hopes
this second edition will give sufficient evidence.
Beside many corrections and revisions, which almost any
work after its first appearance still needs, the reader will find
whole articles on diseases, which were not treated of in the
first edition; to the list of medicines Aloes has been added,
as this medicine was considered particularly useful in many
diseases coming under domestic treatment; it has been put
at the end of the list of medicines, so as not to interfere with
the arrangement in the numbers, as given in the first edition.
These additions to the body of the work, have not swelled
the number of its pages, to prevent which, the size of the
page has been slightly enlarged.
(iii)




iv           PREFACE TO THE SECOND EDITION.
The author, thankful for the reception with which his work
has been received by the public, would also express his grateful acknowledgments to those of his professional brethren,,"who favored him with suggestions for improving this second
edition; they will find that their wishes have been fulfilled.
Similar favors from the profession, for the future, will be thankfully received by the author, for by such co-operation alone
will it be possible to arrive at the greatest degree of usefulness and perfection.
TEE AUTHOR.
0NCINCINNATI, April, 1851.




PREFACE TO THE          FIRST EDITION.
OF late years a great deal of attention has been bestowed upon the
preparation of popular works on the treatment of diseases, by the medical profession, as well by members of the Homoeopathic as of other medical schools. This shows, evidently, that the hitherto backward world
of medical science has been caught at last, with the proper spirit of
modern progress, whose distinguishing feature in scientific matters
consists, undoubtedly, in the tendency to popularize abstruse sciences
and make them useful and accessible to the many.
Homoeopathy has not been in the rear as regards these popular treatises and many valuable volumes have been issued from the press
within a short time which have facilitated in a great degree the domestic use of the homceopathic medicines. This service, rendered by the
profession to the public in a liberal and generous spirit, has been amply rewarded by the latter, in extending all over the country, more
rapidly, the blessings of our beloved healing art, and establishing its
title, as a benefactor of mankind, more firmly in the hearts of the
people.
The author well recollects that the first "domestic physicians" which
appeared, were looked upon with distrust by some of the profession.
But the people in general hailed them as welcome friends in their domestic afflictions, where counsel is so often needed at times, when medical aid cannot be obtained. Imperfect as the first efforts of this kind
must naturally have been, their beneficial results for families, and for
the spread of Homoeopathy, were such that the improvement of these
necessary medical guides was rapidly undertaken and accomplished.
All honor and praise, however, must be given to those few in Germany
and America, who made the first attempts to popularize the practice of
Homoeopathy.
At this time scarcely one homoeopathic family is without one or
more books on domestic practice, which is a sufficient evidence of their
practical utility.
Thus have these messengers of mercy and usefulness traveled with,
and often ahead of, the regular practitioners of Homceopathy-the si
lent, but efficient missionaries of truth, declaring it everywhere by
facts and conquests over disease, won by the people themselves. The
(v)




VI


PREFACE TO THE FIRST EDITION.


profession in general seems now to regard them as necessary allies in
the great work of reforming the medical state of the world, and bestows
a great deal of care on their constantly increasing perfection, by making
them more practical and definite, progressing in their improvement as
the science itself progresses.
In this spirit the present volume is written and given to the public
by the author, who has attempted to embody in it the results of a practice of more than sixteen years.
In the pathology of the work he has followed mostly the views of
Hufeland, who is generally practically useful, and of Schcenlein, who is
precise and scientific.
In the therapeutics he has endeavored to consult the best authors of
our school, carefully comparing their views with his own results, which
are embodied in this work.
To increase its general usefulness, popular treatises of Anatomy,
Physiology, Hygiene, and Hydropathy, have been added, branches and
parts of medical science as a whole, which, when properly understood
and digested by the people, will in a great degree aid in promoting the
salutary results expected from the use of a domestic physician. Beside
this, a condensed extract of the Homceopathic Materia Medica, given at
the close of the book, enables the reader to correct his prescriptions, and
enlarge his general knowledge of the homceopathic science. Thus it is
hoped that, by these additions, the work is rendered more perfect in a
twofold manner: first, by giving a more extended knowledge of the human system and its laws through the treatises on Anatomy and Physiology; and, secondly, by making the reader acquainted with those
practical branches of medicine, Hygiene and Hydropathy, of which,
particularly, the latter has, within the last few years, very much engrossed the attention of the profession and of invalids. In this respect
the author himself does not hesitate tor declare that he considers Hydropathy, applied within her proper limits, the handmaid of Hommeopathy,
and that these two, combined in this relationship, are destined to conquer the medical world.
THE AUTHOa.
Cincinnati, October, 1850.




TABLE OF CONTENTS.
LIST  OF  MEDICINES....................................X..... xiii
INTRODUCTION.............................................  xvii
DIETETIC RULES.............................................  i
PART I.
DESCRIPTION AND TREATMENT OF DISEASES,
CHAPTER I.
General Diseases.
Rheumatism-Acute---Chronic. Rheumatic pains or cold.     Gout.
Pains in the small of the Back, Loins and Neck. Pain in the Hip.
Hip-disease. Inflammation of the Knee-joint. Inflammation of the
Psoas-muscle. Cramp in the Legs. Sweating Feet. Goitre. Sleeplessness. Nightmare. Palsy. Delirium Tremens.     Epilepsy. St.
Vitus's Dance. Tetanus. Trismus. Lockjaw. Somnolency. Lethargy.  Fatigue.  Overheating and Mental Exhaustion. Fainting
Swooning.   Apparent Death from Hunger-from Drowning-from
Freezing-Lightning- Hanging-- Choking--from Noxious vaporsFall or Blow-Violent Mental Emotion.......................... 1
CHAPTER II.
Casual Diseases.
I. External Injuries. Fractures of Bones. Dislocation of Joints.
Wounds and Bruises. Sprains and Concussions. Burns and Scalds.
Poisoned Wounds-Bites and Stings of Insects. Frozen Limbs.
II. Poisons- Antidotes.   Animal Poisons.   Vegetable Poisons.
Mineral Poisons.
III. Medicinal Diseases. List of Drugs causing Diseases, and their
Remedies.......................................................... 28
(vii)




viii


TABLE OF CONTENTS.


CHAPTER III.
Cutaneous Diseases.
1. Eruptive Fevers. Rash. Nettle-Rash-Hives. Erysipelas. St.
Anthony's Fire. Measles. French Measles. Scarlet Rash. Scarlet
Fever. Chicken-Pox. Small-Pox. Varioloid.
2. Chronic Eruptions. Irritation of the Skin-Itching-Pruritus.
Chilblains. Excoriations-Intertrigo. Ringworm-Herpes Circinnatus.  Tetter-Herpes.  Itch -Scabies.  Milk-crust- Crusta Lactea.
Scald Head-Tinea Capitis. Corns-Indurations of the Skin. Warts
-Verruca. Whitlows. Felons. Panaris. Ulcers. Abscesses. Tumors. Swelling of the glands. Boils-malignant Boils-Carbuncles.  Scirrhus.  Cancer.....................................  45
CHAPTER IV.
Fevers.
Explanation of the term Fever. Irritative, Inflammatory, Torpid
form of Fever. Common or Ephemeral Fever. General Inflammatory
Fever. Nervous or Typhoid Fever. Typhus-Different forms of Typhus. Yellow Fever.   Bilious remittent Fever-Gastric Fever-Intermittent Fever-Fever and Ague-Chills and Fever-Febris Intermittens.....................................................  81
CHAPTER V.
Affections of the Mind.
Sudden Emotions. Hypochondria. Hysteria. Melancholia. Mania. 111
CHAPTER VI.
Affections of the Head.
1. Congestion or determination of Blood to the Head-Congestio
ad Caput. 2. Vertigo. Giddiness or Dizziness. 3. Weakness of Memory. 4. Apoplexy.   5. Inflammation of the Brain-Inflammation
of the brain in children. 6. Sunstroke. 7. Headache. a. Headache
from Congestion of Blood to the Head. b. Headache from Catarrh and
Cold in the Head. c. Headache from Rheumatism. d. Headache from
Constipation and Gastric Derangement. e. Headache from External
Causes. Sick-Headache. Nervous Headache-Neuralgia in the HeadMegrim. Falling off of the Hair-Allopecia................... 117
CHAPTER VII.
Affections of the Eyes.
General Remarks. 1. Inflammation of the Eyelid and its Margins.
-,. Inflammation and Swelling of the Eyelid. b. Inflammation of the




TABLE OF CONTENTS.


ix


Margins of the Lids. 2. Inflammation of Eyeball-Ophthalmia. 3.
Chronic Inflammation of the Eyes. a. From Gout and Rheumatism.
b. From Scrofula, Scrofulous Sore Eyes. c. From Syphilis or Venereal
Disease. d. From Abuse of Mercury. 4. Stye on the Eyelid. 5. Weeping or Watery Eyes. 6. Cataract-Glaucoma. 7. Weakness of SightAmblyopia-Blindness-Sudden and Incipient-Amaurosis. 8. Short
Sightedness-Myopia. 9. Far Sightedness. 10. Squinting-Strabismus. 11. Falling of the Eyelids-Paralysis. 12. Foreign Substances
in the Eye.........................................    141
CHAPTER VIII.
Affections of the Ears.
1. External Ear and its surrounding parts. a. Eruptions and Swelling of the External Ear. b. Mumps-Parotitis. 2. Internal Ear. a.
Inflammation of the Ear-Otitis. b. Earache-Otalgia. c. Humming,
Buzzing of the Ears. d. Hardness of Hearing-Deafness. e. Running
of the Ears-Otorrhea. f. Polypus of the Ear. g. Foreign Substances
in  the Ear....................................................  153
CHAPTER IX.
Affections of the Nose.
1. Inflammation or Swelling of the Nose. 2. Eruptions on the
Nose-Itching of the Nose. a. Eruptions on the Nose. b. Itching of
the Nose.  3. Bleeding of the Nose-Epistaxis. 4. Cold in the
Head-Coryza-Suppression of the Catarrh, or Cold in the Head.
5. Ulceration in the Nose--Catarrh-Ozmna Narium.       a. Ozemna Narium-Catarrh. b. Ozmna Antri Highmori. 6. Polypus of the
Nose. Cancer of the Nose. 7. Foreign Substances in the Nose... 163
CHAPTER X.
Affections of the Face, Lips, and Jaws.
1. Inflammation and Swelling of the Face. a. Erysipelas of Face
and Lips. b. Swelling of the Cheek. 2. Eruptions of the Face. 3.
Face-ache-Neuralgia of the Face-Prosopalgia-Tic Douloureux. 4.
Warts and Spots on the Face-Cancer of the Face. 5. Paralysis of the
Face and Jaw. 6. Lockjaw.................................. 173
CHAPTER XI.
Affections of the Teeth, Gums, and Mouth.
1. Toothache-Odontalgia. 2. Caries of the Teeth. Carious Teeth.
3. Offensive Breath. 4. Bad taste in the Mouth. 5. Inflammation and




X


TABLE OF CONTENTS.


Swelling of the Tongue-Glossitis. 6. Canker of the Mouth-Stomacace. 7. Inflammation of the Palate. 8. Abscess in the Gums-Gumboils-Swelling of the Jaw bone. 9. Scurvy-Scorbutus. 10. Salivation - Ptyalism.  11. Paralysis of the Tongue.  12. Difficulty of
Speech-Stammering. 13. Ranula or Swelling under the Tongue. 197
CHAPTER XII.
Affections of the Throat.
Sore Throat-Quinsy-Angina Faucium. a. Common Sore Throat.
b. Ulcerated and Putrid Sore Throat-Malignant Quinsy--Angina
Gangrenosa. Inflammation and Swelling of the Tonsils-Amygdalitis. Swelling or Elongation of the Palate....................... 197
CHAPTER XIII.
Affections of the Windpipe and Chest.
1. Hoarseness- Raucitas-Aphonia.     a. Acute Hoarseness.  b.
Chronic Hoarseness. 2. Ulceration of the Windpipe-Bronchitis. 3.
Croup and Croupy Cough. 4. Influenza. 5. Cough-Hooping Cough
-Tussis Convulsiva. Inflammation of the Lungs-Pneumonia. Pneumonia in Old People-Pneumonia Notha. Remarks on Pneumonia.
Pleurisy. a. Real Pleurisy. b. False Pleurisy-Stitch in the Side.
Diseases of the Heart. a. Inflammation of the Heart. Corditis. b
Palpitation of the Heart. Rheumatism of the heart. Congestion of the
Chest-Plethora Pectoris.  Hemorrhage of the Lungs-Hmemoptysis.
Asthma. Asthma of Millar. Dropsy in the Chest-Hydrothorax. Pulmonary Consumption-Phthisis Pulmonalis. Contusion of the Chest
by a Fall or Blow........................................ 208
CHAPTER XIV.
Affections of the Stomach and Bowels.
1. Want of Appetite-Anorexia. 2. Morbid Appetite-Bulimy. 3.
Dyspepsia-Weak Stomach. 4. Waterbrash-Heartburn-Indigestion
-Flatulency-Sour Stomach-Pyrosis.     5. Biliousness-Gastric Derangement. Nausea-Vomiting. Sea-Sickness. Spasms and Pain in
the Stomach-Cardialgia-Neuralgia of the Stomach. Griping ColicEnteralgia-Stomach-ache. Congestion and Stagnation of Blood in the
Abdomen. Inflammation of theDiaphragm--Diaphragmitis. Abdominal
Inflammation. 1. Inflammation of the Stomach-Gastritis. 2. Inflammation of the Bowels-Enteritis. Inflammation of the Liver-Hepatitis.  Jaundice.  Tetanus.  Inflammation of the Spleon-Splenitis.
Worms. Diseases caused by the Presence of Worms. Constipation



TABLE OF CONTENTS.


xi


Costiveness. Diarrhea-Looseness of the Bowels. Dysentery-Bloody
Flux. Cholera Morbus. Asiatic Cholera-Cholera Asiatica. PilesHemorrhoids. Itching of the Anus. Prolapsus Ani. Rupture-Hernia. Dropsy of the Abdomen-Ascites. External Injuries of the Abdomen.................................................  256
CHAPTER XV.
Affections of the Urinary and Genital Organs.
Inflammation of the Kidneys-Nephritis. Inflammation of the Bladder - Cystitis.  Strangury.  Dysury.  Ischury. Anury.   Incontinence of Urine-Enuresis. Diabetes. Piles of the Bladder. Polypus
of the Bladder. Gravel and Stone in the Bladder-Calculus. Hemorrhage with the Urine-Hmmaturia-Mictus Cruentus. Affections of the
Penis.  Affections of the Testicles.  Seminal Weakness-Onania.
Eruptions on the Genital Organs. Syphilis. Gonorrhea. a. SyphilisChancre. b. Gonorrhea-Clap-Gleet......................... 335
CHAPTER XVI.
Diseases of Females.
1. Menstruation.  Obstructions of the First Menses.  ChlorosisGreen disease.  Suppression of the Menses. Painful Menstruation.
Menstruation too Early. Menstruation too Late and too Scanty. Menstruation too Copious-Flooding. Menstruation of too long Duration.
Critical Period. Cessation of the Menses-Change of Life. Prolapsus
Uteri-Falling of the Womb.    Leucorrhea--Fluor Albus-Whites.
Pregnancy.   Diseases during Pregnancy.   Nausea and Vomiting.
Pruritus - Itching.  Varicose Veins. Spots on the Face.  Miscarriage -Abortion. Premature Birth.   Regular Birth. Labor-Pains.
Cramps, Convulsions, Spasmodic pains. Adherence of the After-birthPlacenta. Treatment after Delivery. After-Pains. Duration of Confinement. Breast-Nipples-Secretion of Milk. Sore Nipples.   Ague in
the Breast. Gathered Breast. Deficiency of Milk. Suppressed secretion
of Milk. Milk Bad, too thin, or repugnant to the Child. Excessive secretion, and involuntary Emission of Milk. Weaning. State of the Bowels. Sore Mouth of Nursing Women.     Discharge from  the Womb
during Confinement-Lochia. Pain-Inflammation in the AbdomenMetritis, Puerperal Fever. General Complaints during Confinement. 347
CHAPTER XVII.
Treatment of Children.
Apparent Death of a New-born Infant-Asphyxia. Diet of a New
born Infant.  Colic-Crying of Infants. Elongation of the Head




Xii                  TABLE OF CONTENTS.
Snuffles-Obstruction of the Nose-Coryza. Swelling of the Breasts in
Infants. Restlessness - Sleeplessness.  Inflammation of the Eyes.
Thrush, or Sore Mouth of Infants-Aphthle. Heat-Red Gum-Heat
Spots. Excoriations-Rawness of the Skin. Jaundice. Erysipelas.
Convulsions or Spasms. Teething-Dentition. Constipation. Diarrhea. Fevers. Dropsy of the Brain -Hydrocephalus. Asthma--
Choking Fits-Asthma Millari. Remittent Fever of Infants. Vaccination. Cholera Infantum. Summer Complaint.............. 375
PART II.
I. ANATOMY AND PHYSIOLOGY.
Structure of the Human Organism. Elements of the Human Organism. Anatomy of the Bones. Physiology of the Bones. The Muscles.
The Teeth. Digestive Organs. The Urinary System. The Respiratory and Circulatory Organs. The Nervous System. The Skin.. 391
II. HYGIENE AND HYDROPATHY.
Hygiene. Food and Drink. Sleep. Air and Exercise. Clothing
and Occupation. Hydropathy. Diseases in which to apply it. Different Modes of applying the Cold Water. 1. Ablutions. 2. Shower-Baths.
3. Partial or Half-Baths. 4. Full-Baths. 5. General Plunging-Baths.
6. Local-Baths.  7. Head-Baths.  8. Sitting-Baths - Sitz-Baths. 9.
Foot-Baths. 10. The Drop-Bath. 11. The Douche. 12. Local Applications (Umschlage) Wet Bandages. 13. Applications round onehalf the Body. Wet Linen Sheets. 14. Sweating............. 418
III. MATERIA MEDICA.............................. 461
GLOSSARY...............................................  521
INDEX......................................................  531




LIST OF MEDICINES,
THEIR SYNONYMES AND ANTIDOTES.
1. ACONITE. Aconitum Napellus (plant). Antidotes-Camphor, Nux
vom., Wine, Vinegar.
2. ANTIMONIUM CRUD. Antimony (mineral). Antidotes-Hepar sulph.,
Mercury, Pulsatilla.
3. ARNICA. Arnica Montana (plant). Antidotes-Camphor, Ignatia,
Ipecac.
4. ARSENIO. Arsenicum album (mineral). Antidotes-For poisoning
with it: rust of iron. For its dynamic effects: China, Hepar
sulph., Ipecac., Nux vomica, Veratrum.
5. AuRux. Aurum metallicum. Gold. (Metal.) Antidotes-Belladonna, China, Cuprum, Mercury.
6. BELLADONNA. Deadly nightshade (plant). Antidotes-Coffea, Hyoscyamus, Repar sulph., Pulsatilla.
7. BELLADONNA 00. Is the two hundredth p6tency of Belladonna.
8. BRYONIA. Bryonia alba (plant). Antidotes-Aconite, Chamomile,
Ignatia, Nux vomica.
9. CALCAREA CARBONICA. Carbonate of lime. Antidotes-Camphor,
Nitric acid, Sulphur.
10. CAMPHORA. Camphor. Antidotes-Opium, Nitri spiritus.
11. CANTHARIS. Spanish fly (animal). Antidote-Camphor.
12. CArsIcum. Spanish pepper (vegetable). Antidote-Camphor.
13. CARBO VEG. Carbo vegetabilis. Wood charcoal. Antidotes -
Arsenic, Camphor, Lachesis.
14. CAusTICUM. Caustic of the alkalies. Antidotes-Coffea, Colocynth,
Nux vomica.
15. CHAMOMILE. Chamomilla (plant). Antidotes-Aconite, Cocculus,
Coffea, Ignatia, Nux vomica, Pulsatilla.
16. CHINA. Cinchona. Peruvian bark (vegetable). Antidotes-Arnica,
Arsenic, Belladonna, Calcarea carbonica, Carbo veg., Ipecac.,
Sulphur.
17. CINA. Wormseed (vegetable). Antidotes-Ipecac., Veratrum.
18. CNA 00.. Is the two hundredth potency of Cina.
(xiii)




xiv


LIST OF MEDICINES.


19. COCCULUS.  Indian Berries.  Coccle (vegetable).  AntidotesCamphor, Nux vomica.
20. COFFEA. Coffee Berries (vegetable). Antidotes--Aconite, Chamomile, Nux vomica.
21. COFFEA0 co. Is the two hundredth potency of Coffea.
22. COLCHICUM. Meadow Saffron (plant). Antidotes -Nux vomica,
Cocculus, Pulsatilla.
23. COLOCYNTHIS. Colocynth (vegetable). Antidotes-Camphor, Causticum, Coffea, Chamomile.
24. CONIUM. Hemlock (vegetable). Antidotes-Coffea, Spiritus Nitri.
25. CaoCUS. Saffron (vegetable). Antidote-Opium.
26. CuaRM.    Cuprum  metallicum.  Copper (metal). AntidotesBelladonna, China, Ipecac., Mercury, Nux vomica.
27. DROSERA. Round-leaved Sun Dew (vegetable). Antidote-Camphor.
28. DULOAMARA. Bitter Sweet. Woody Nightshade (plant). AntidotesCamphor, Ipecac., Mercurius.
29. EUPERASIA. Eye Bright (plant). Antidote-Pulsatilla.
30. FERRUM. Ferrum   metallicum. Iron (metal). Antidotes-Arnica,
Arsenic, Belladonna, Ipecac., Mercury, Pulsatilla.
31. GRAPHITES. Plumbago. Pure Black Lead (metal). AntidotesArsenic, Nux vomica, Wine.
32. HELLEBORUS (NIGER.)  Black Hellebore (plant). Antidotes-Camphor, China.
33. HEPAR  SULPHURIS.  Lime   of Sulphur.   Sulphuret of Lime.
Antidotes-Vinegar, Belladonna.
34. HYOSCrAMus (NIGER).  Henbane (plant). Antidotes-Belladonna,
Camphor, China.
35. IGNATIA. St. Ignatius's Bean (vegetable). Antidotes-Pulsatilla,
Chamomile, Cocculus, Arnica, Camphor, Vinegar.
36. IODINE. Iodium. Antidotes - Arsenic, Camphor, Coffea, Phosphorus, Sulphur.
37. IPEOAO. Ipecacuanha (vegetable).  Antidotes-Arnica, Arsenic,
China.
38. JALAPPA. Jalap (vegetable). Antidote-Camphor.
39. IKALI HYDRIODIOUM. Hydriodate of Potassa (mineral).
40. LACHESIS. Poison of the Lance-headed Serpent (animal). Antidotes-Arsenic, Belladonna, Nux vomica, Rhus tox.
41. LYcOPODIUM. Club Moss. Wolf's Claw (vegetable). AntidotesCamphor, Pulsatilla.
42. MERUncrus (vivus).  Quicksilver (mineral). Antidotes -Arnica,
Belladonna, Camphor, Hepar sulph., Iodine, Lachesis, Sulphur.




LIST OF MEDICINES.


XV


43. MURIATIC ACID. Acidum muriatic (mineral). Antidotes-Camphor,
Bryonia.
44. NATRUM MURIATICUM.   Muriate of Soda (mineral).  AntidotesArsenic, Camphor, Nitri spiritus.
45. NirrL AOIDUM. -Nitric acid (a mineral acid). Antidotes-Calcarea
carb., Conium, Camphor, Hepar sulph., Sulphur.
46. NuxvoMIoA. Nux vomica (vegetable). Antidotes-Aconite, Cam
phor, Coffea, Pulsatilla.
47. Oprrm. White Poppy (vegetable). Antidotes-Camphor, Coffea,
Calcarea carb., Hlepar sulph., Sulphur.
48. PETROLEUM. Rock oil (mineral oil). Antidotes- Aconite, Nux
vomica, Cocculus.
49. Pnosruonus. Phosphor (mineral). Antidotes-Camphor, Coffea,
Nux vomica.
50. PHosPHoRI ACIDUM. Phosphoric acid (a mineral acid). AntidotesCamphor; Coffea.
51. PLATINA. (Metal.) Antidotes-Pulsatilla, Belladonna.
52. PULSATILLA. Meadow Anemone (vegetable). Antidotes-Chamomile, Coffea, Ignatia, Nux vomica.
53. RHEUM. Rhubarb (vegetable). Antidotes-Camphor, Chamomile,
Nux vomica.
54. RHUS TOXICODENDRON. Rhus. Sumach. Poison oak (vegetable).
Antidotes-Belladonna, Bryonia, Camphor, Coffea, Sulphur.
55. SArauous (NIGERa). Elder (vegetable). Antidotes-Arsenic, Camphor.
56. SANGUINARIA (CANADENSIs). Common 1Blood Root.
57. SECALE (CORNUTuM).   Ergot of Rye (vegetable).   AntidotesCamphor, Opium.
58. SEPIA. Inky juice of the Cuttle-Fish (animal). Antidotes-Aconite, Spiritus Nitri, Vinegar.
59. SILICEA. Silicious Earth (mineral). Antidotes- Camphor, Hepar
sulph.
60. SPIGELIA (ANTHELMINTICA).. Indian Pink (vegetable). AntidotesCamphor, Aurum.
61. SPoNGIA. (Marina Tosta). Burnt Sponge. Antidote-Camphor.
62. STANNUM. Pure tin (metal). Antidotes-Coffea, Pulsatilla.
63. STAPHYsAGRIaA. Stavesacre (vegetable). Antidote-Camphor.
64. STRAMONIUM. Thorn-apple.  Gympsum weed (vegetable). Antidotes-Belladonna, Nux vomica.
65. SULPHURu (mineral). Antidotes-Aconite, Camphor, Mercury, Nux
vom., Pulsatilla.




xvi


LIST OF MEDICINES.


66. SULPHURIC ACID. Oil of Vitriol (a mineral acid). Antidote-Pulsatilla.
67. TARTAR EMETIC. Tartarized Antimony (mineral).       AntidotesCocculus, Ipecac., Pulsatilla.
68. TABACUM. Tobacco. Antidotes-Camphor, Ipecac., Nux vomica.
69. THUJA (OCCIDENTALIS). Arbor Vitro Tree (vegetable). AntidotesCamphor, Pulsatilla.
70. VERATRUM   (ALBUM). White Hellebore (vegetable). AntidotesIpecac., Arsenic, Camphor, Coffea, Aconite, China.
71. ALOES. Antidotes-Vinegar, Vegetable Acids.
TINCTURES.
1. ARNICA, Tincture.            2. RUTA, Tincture.
3. SYMPHYTUM, Tincture.         4. URTICA URENS, Tincture.
These tinctures are intended for external use only. In preparing
them for this purpose, put from four to ten drops in a teacupful of pure
water; mix well, and wash with it, or lay cloths, dipped in the mixture,
on the parts affected.
NOTICE    TO HOMEEOPATHIC PHARMACEUTISTS.
It will be observed that in this " Domestic Physician," Coffea, Belladonna, and Cina, are used in two preparations-the third and the two
hundredth. The latter has oo. attached to it, as Belladonna -o., showing, in
the Roman numerals, the potency. It is expected that the preparations
of these latter for the boxes are made in the greatest purity and genuineness. They can be procured already in every large city of the Union.
The potencies of all the other remedies are designed for those from
the mineral and animal kingdom in the sixth, and for those from the
vegetable kingdom in the third potency. The tinctures mentioned in
the "List of Medicines" should accompany the boxes.




INTRODUCTION.
To aid in the search for the proper place in the work,
where a disease may be found, its different popular names
have always been given, and carefully recorded in the index.
Should, however, the identification of a disease be difficult
or doubtful, it is only necessary to refer, in the book, to the
divisions made as to the parts of the system which are affected, such as " Affections of the Head, Chest," etc., where
all the ailments of these parts are generally put together.
But there will scarcely ever arise a difficulty in this respect;
the index has been made very complete, in view of saving
the reader time and unnecessary vexation.
If a disease is found, it is expected that everything will
first be read which is said concerning it in the article, before
a selection of a remedy is made; at the end of each article,
the proper direction as to administration, diet, and regimen,
is given. Wherever the attention is directed to the perusal
of the Materia Medica, in treating on certain remedies, the
medicine in question must be looked for in the Materia Medica,
and its symptoms carefully compared with those of the
patient. If in the directions for diet the reader is advised to
adhere to the usual homceopathic diet in chronic diseases,
etc., he will find its rules specified in the following pages,
under "Dietetic Rules."
It is necessary to give an explanation in regard to several
remedies, whose names will be found different in this work
from those used in other similar works. Of the various pre2                                        (xvii)




Xviii                 INTRODUCTION.
parations of iMfercury, only one kind has been used, atti
whenever this is mentioned, under the name of.M-ercury, the
Xfercurius vieus is understood by it. This was done for the
sake of not unnecessarily confusing the reader with two
different names for' mercurial preparations, which are essentially the same in their effects and use. On that account the
_Afercurius sublimcat. has been left out entirely. Its use is, at
any rate, confined to one disease only (the dysentery), in the
treatment of which the Afercurius vivus supplies its place
completely.
On the other hand, three remedies, Coffea, Belladonna, and
Cina, appear in two different preparations in the book, the
one commonly used bearing the simple name, while the twohundredth potency of these remedies has a CC. attached to
them, showing in the Roman numerals the degree of potency.
Although a great many more remedies could have been treated in the same manner, it was not thought advisable to
burden the book with more therapeutical detail, as it might
interfere with its other simple and practical arrangements.
These three remedies, however, in their higher potencies,
seemed to be almost indispensable, in a useful work of this
kind, as their effects, when properly indicated, cannot well be
produced by their lower attenuations. We invite particular
attention to the use of Cinac cc, in the nervous worm symptoms, so frequently experienced in children, in nightly attacks,
which quickly disappear after the exhibition of one or two
doses of CinaCC.   Every homceopathic practitioner can soon
satisfy himself in regard to the efficiency of the highest
potencies, by making- the above trial.
In regard to our views on the preference of higher or lower
attenuations, we would remark, that we consider homceopathically legitimate and practically useful, all potencies, from the
mother tincture and first trituration up to the highest dilution,
but that we do not use one exclusively or all indiscriminately.
Practical observation and theoretical researches have guided




INTRODUCTION.


xix


us in applying the various attenuations with real benefit,
which is not so difficult as many practitioners might believe.
There are principles according to which the different potencies of a remedy must be applied in different cases. But to
enlarge upon this subject here, would carry us too far; we
content ourselves by remarking that, for a domestic familychest, we would propose, as a general rule, the third potency
for all vegetable medicines, and the sixth potency for all
mineral and animal medicines. If this rule was once adopted
by all writers on homceopathic domestic practice, their several
works might be used with benefit without subjecting the
public to additional expense in procuring different medicinechests for the works of different authors.
For a successful treatment of diseases, everything depends,
after the selection of the right, or most homoeopathic remedy,
on the genuineness of its preparation. We would, therefore,
advise our readers to procure their medicine-chests from
persons whose competency or recommendations can be relied
on; and when in their possession, to take good care of them.
The vials must not be opened except when used; each vial
must receive its own cork again, and no odorous medicinal
substances must be allowed to be near by, when a vial is opened
or medicine is taken. If a remedy is prescribed to be taken
in water, a clean cup or tumbler must be selected, the prescribed quantity of water, either rain or river water poured
in, then the medicine added, and, during its solution, well
mixed with a clean teaspoon, and afterward covered well.
If more medicines than one are prescribed at a time, in water,
each one must be dissolved separately in a teacup, and each
one receive its own separate teaspoon, which must not be
changed during the administration of the medicine.
If a vial is empty, it is indispensably necessary, before refilling it, to cleanse it first thoroughly with warm water and
dry it perfectly on a stove or in the sun, before the homcoeopathic apothecary is allowed to fill it. Persons ought to




xx                     INTRODUCTION.
attend to this scrupulously themselves, before presenting them
for refilling; because much depends on it, as regards the
genuineness of the medicines.
The medicines should be kept in a dry place, where no
odors can reach them. A renewal of their strength, if well
kept, is not necessary for years; but if the slightest doubt in
this respect should arise, it is better to have it renewed.




DIETETIC RULES.
THu, observance of a strict diet is essential to the success of
a homoeopathic treatment, not so much on account of the injury done to the system by the use of improper articles, as
because these might be antidotal in their effects to the medicine. On this account, homceopathists so generally forbid
coffee, it being an antidote to most of their remedies. For
the same reason, the use of all other things of a medicinal
nature is strictly forbidden,'such as spices, perfumeries, perfumed waters, soda waters, spiced ices, etc.
It is a general law of nature, to eat and drink only that
which can sustain life, without producing any other effects,
that is, simple nutriment; and as medicinal and spicy substances, although sometimes nutritious, are irritating and
stimulating, the strict law of nature excludes them peremptorily from the daily use (see " IHygiene").,
Diet in Acute Diseases.-As dietetic rules are given for
each acute disease, separately throughout the book, it is not
necessary to mention them in this place.
Diet in Chronic Diseases. -Consult the chapter on " Hygiene"
on this subject.
There are certain principles which must guide us, during
the treatment of chronic diseases, in selecting the articles of
our diet, even from among those which are generally allowed.
If the patient has symptoms of fever or irritation, in any part
of the system, he must avoid all articles of a stimulating
character, such as meats, eggs, and butter. In such cases,
he should confine himself to a nutritious vegetable diet, such
(Xxi)




XXii


DIETETIC RULES.


as potatoes, turnips, rice, barley, etc. If the disease appears
mostly in the digestive organs, as a chronic diarrhea, all articles of a relaxing nature are in themselves injurious, such as
fruits and other green vegetables, soups of meat, eggs, etc.
In -cases where constipation is present, the opposite course
must be pursued.
Another consideration is, that articles of food, which disagree with the patient, although allowed or wholesome for
others under similar circumstances, must be strictly avoided
by him.
ALIMENTS ALLOWED.
Beef and Mutton baked, roasted, or boiled, fresh or smoked
Tongue, lean Ham.
Venison and wild Fowl.
Turkeys, Chickens, Pigeons.
Fresh scale fish, oysters.
Butter which is not rancid, mild new Cheese, raw or soft
boiled Eggs, or eggs in Soups (except in cases of diarrhea).
Meat Soups, Broths, seasoned with salt only.
All kinds of light Bread and Biscuit (except Soda-Biscuit
and other Bread made with the addition of unusual substances).
Puddings, Dumplings or Noodles of Wheat, Indian, Rice,
and Oat-meal, not too heavy, fat, nor spiced.
Cakes composed of Meal, Eggs, Butter in small quantity,
and Sugar.
Food prepared of Arrowroot, Tapioca, Farina, Sago, Salep,
Oat-meal and the like.
Irish Potatoes, Sweet Potatoes, Turnips, Carrots, Tomatoes,
Cauliflower, Spinach and green Peas, or Beans (except in
Colic and Diarrhea), Rice Hominy, Pearl Barley, dried Peas,
or Beans.
Roasted or Boiled, fresh or dried Fruit, as Prunes, dried
Currants, fresh ripe sweet Apples, Peaches, Strawberries,




DIETETIC RULES.


"*xxiii


Raspberries, Gooseberries, and other sweet berries, and Grapes
(except in Colic and Diarrhea)r
Water, pure, or sweetened with Sugar, Currant Jelly, Raspberry, or Strawberry Syrup, Toast water.
Milk, in its different preparations, boiled Milk, fresh Whey,
Buttermilk.
Decoctions of Barley, Malt, Oat-meal, Farina, Rice, dried
Fruit. Cocoa boiled with Milk or Water, pure plain, Chocolate, weak black Tea.
Salt moderately used, Sugar.
Ice-creams flavored with Strawberry and Lemons.
ALIMENTS FORBIDDEN.
Old smoked, salted Meat and salted Fish, old rancid Butter
and cheese, Lard, fat Pork, Geese, Ducks, Turtles and Terrapins, Fish not having scales, as Catfish, Eels, Lobsters,
Crabs, Clams, and Soups, prepared from these articles of food.
All food prepared with Blood, and much animal fat. All kinds
of Sausages, particularly such as are smoked. The flesh of
all young animals. All Soups highly seasoned, Sauces, different kinds of Hash, drawn Butter, Pepperpot.
All kinds of Cakes, or Pastry, prepared with much Fat or
Aromatics, Honey. All kinds of colored Sugar-work prepared by the confectioner, red Sugar, sugared Almonds, or Peachkernels. Nuts of all kinds.
Radishes, Celery, Horse-radish, Garlic, Parsley, Red or
Cayenne Pepper, Mustard, Saffron, Nutmeg, Vanilla, Laurel
leaves, bitter Almonds, Cloves, Cinnamon, Allspice, Coriander, Fennel, Anise, Coffee, green Tea, spiced Chocolate.
All kinds of spiritous liquors, Brandy, Rum, Whisky, Gin,
Spirits, etc. Liquors, or Cordials, and other drinks, cold or
warm, which are prepared with spiritous liquors, or spices.
All artificial and natural Mineral Waters, Mead, Spruce
Beer, Soda Beer, Porter, Ale.
N. B. During the homoeopathic treatment especial care




XXiV 0               DIETETIC RULES.
should be taken by the patient to avoid allopathic medicine of
every description and form, pills, herb-teas, etc., internally
and externally; particularly all salves, aromatic waters, hartshorn, smelling bottles, etc.; also, all perfumery, musk, cologne
water, or other aromatip substance, tooth-powders containing
such ingredients, etc.; especially be careful in using matches,
not to inhale the vapor of the burning sulphur; matches must
be lit only where the vapor can easily escape in a fireplace, or
open hall. Moderate exercise in the open air, as, also, a careful
observance of all other hygienic rules (see the article on Hygiene) is strongly recommended.




PART FIRST.
DESCRIPTION AND TREATMENT
OF
DISEASES,
3                 (xxv)








CHAPTER I.


*GENERAL DISEASES.
RHEUMATISM.
DIAGNOSIS.-Pains in the muscles and membranes, together
with " swelling, of the surrounding cellular tissue, light redness, 4an heat; caused by having taken cold.
This is the general appearance of all rheumatic affections;
yet their degreqs and complications are so numerous, that it
would almost require a separate treatise to do justice to such
an extensive subject. We confine ourselves, here, to the more
practical subdivision of acute and chironic rheumatism.
Beside, we would remark that rheumatism, particularly in
the acute form, can exist in any part of the system, creating
there such an inflammation as the affected organ is naturally
disposed to, adding to it only its own rheumatic character.For instance: a patient is attacked with rheumatism in the
arms or limbs; this at once leaves those muscles, and falls on
the pleura, where it generates a plIeurisy, not of the usual
kind, but one which has the rheumatic character-a rheumatic pleurisy. In the same manner., we speak of rheumatic
pneumonia, rheumatic inflammation of the eye., heart, etc.The best means to detect the rheumatic character, in cases of
this kind, is to investigate whether the disease, in its acute
form, has appeared after taking cold, by suppressing or disturbing the action of the skin, or, whether, in its chronic type,
the changes of the atmosphere, influence its severity. In
( 1)




2                   GENERAL DISEASES.
such cases, we refer the reader to the respective chapters,
where the diseases of these organs are specially treated.
There exists an intrinsic difference between rheumatism and
gout.  (See this article.)
To prevent attacks of rheumatism and annihilate within us
the predisposition to it, we must avoid all sudden changes of
temperature and all excesses, which can create local and general debility. We ought to strengthen the system against injurious external influences, by cold washing and bathing, by
acquiring regular habits, and following the rules, as laid down
in the chapter on "Hygiene."
a. ACUTE OR INFLAMMATORY RiaHEUMATISM.
This form of rheumatism, especially, developes itself after
taking cold, or after any check of perspiration, sudden and
severe enough to unfit the whole skin for its proper function
of exhaling the imperceptible gases. First, an uncomfortable
sensation and restlessness will appear, followed by chilliness
and feverishness in alternation, thirst, constipation, and accelerated pulse; then the rheumatic pains appear in places where
they either fix themselves, creating swelling, heat, and redness, or wander to other parts, where they repeat the same
process, while those first attacked heal gradually and get
well. In acute rheumatism, we sometimes find a dry skin;
at other times, a very moist one, drenched with a watery perspiration, which does not relieve the patient. The perspiration, which will relieve the patient, is greasy, thick, glutinous,
and smells acrid or sour.
TREATMENT.-Aconite-In the beginning, when the fever is
high, the skin dry and hot, with excessive thirst and redness
of the cheeks; shooting or tearing pains, worse at night and
by the touch, extreme irritability of temper.
If this remedy, after having been applied for eight or ten
hours, has mitigated the fever by producing general perspiration, yet the local pains remain in the muscles and joints, give,




ACUTE OR INFLAMMATORY RHEUMATISM.


3


Bryonia, in the same manner, when the pains are worse by
motion or at night, when there is headache, fever, swelling of
the joints, and gastric derangement, with constipation. Alternates well with Aconite or Rhus. (See this remedy.)
Belladonna, when Bryonia does not relieve, or when the
parts are much swollen, very red, shining, and the patient is
sleepless at night, complaining of dryness in the mouth and
throat, and congestion to the head. Both remedies may be
given in alternation, with advantage.
Chamomile, when, in the parts affected, there is a sensation of numbness or paralysis, worse at night, the patient is
feverish, restless, agitated, irritable, trying to relieve himself
by turning in the bed; the pains often ascend into the head,
cars, and teeth, with chilliness and a bruised sensation after
sleep.
Arnica: Bruised or sprained sensation in the joints of the
hands, feet and in the small of the back, with hard, red and
shining swelling; feeling of numbness and crawling in the
affected parts; the pains are aggravated by motion; the patient is thirsty and irritable; (alternates well with _Rhus).
Nux   Vomica, in alternation with  Chamomile, when the
parts are numb, cold air aggravates, temper is irritable, bowels
constipated. The pains are principally located between the
shoulder blades; in the small of the back, and in the loins.
Pulsatilla-the same feeling of numbness and paralysis,
but relieved by exposure to cool air, the patient wants to be uncovered, and is of a mild temper and whining mood, worse
in the night; the pains have a great tendency to change
places. (Shifting or wandering Rheumatism.)
Mercury-pains increased in the heat of the bed, or toward
morning-also, when the patient perspires profusely without
being relieved by it. Lachesis suits well after Mercury.
Dulcamara-in an attack of rheumatism which immediately
follows a severe exposure to cold; the pains set in at night,
are worse during repose, with but little fever.




4


GENERAL DISEASES.


Rhus-principal indication for its use is: pains worse
during rest, or as if the flesh was torn from the bones; worse
in cold, damp weather. This remedy, when the latter symptoms are present, alternates well with Bryonia. (See Bilious
Rheumatic Affection.) It is, also, of great use, when there is
paralytic weakness or trembling of the extremities, on moving them.
N. B. See also the remedies, stated under " Chronic Rheumatism."
If the pains in the limbs should cease suddenly, followed
soon by difficulty of breathing, anxiety, weakness, or pains in
the region of the heart, with violent palpitation, give Aconite,
Belladonna, Spigelia, Pulsatilla, Arsenicum  or Lachesis, as
their detailed symptoms under " Rheumatism of the Heart" will
indicate.
ADMINISTRATION-Dissolve twelve globules of the selected
remedy in half a teacupful of water, and give every two hours
a teaspoonful; discontinue after four teaspoonfuls have been
given, for eight or twelve hours, during which time the
effect must be looked for before another remedy is selected.
As soon as the patient is better, all medicine must be stopped,
until he gets much worse again.
DIET AND REGIMEN.--As regards nourishment, the patient
must absolutely abstain from all meat, or soups of meat, even
long after the convalescence. He can have, however, gruels
of farinaceous substances, oatmeal, farina, rice, etc., toastwater and cold water; during the fever, warm lemonade and
oranges. Cover the patient well with blankets, as many as
his comfort dictates. Around the swollen joints and other
parts affected, breast or neck, put wool, just from the sheep,
or, at least, unwashed. This has, frequently, a very good
effect. If possible, consult a homoeopathic physician.
b. CHRONIC RHEUMATISM, or commonly called RHEUMATISM.
If a person is severely troubled by chronic rheumatism, let
him at once apply to a homoeopathic physician, who will give




ACUTE AND INFLAMMATORY RHEUMATISM.


5


him relief, if it is at all in the power of medicine to do so.
But, frequently, the reactive force of nature is already so
much weakened, that it first requires to be strengthened,
which can only be done by a systematic hydropathic treatment. However, in cases of rheumatism, where the system
is yet strong, the medicines, as detailed below, may be
used, and will be found efficacious in a majority of them.
Beside the remedies recorded under "Acute Rheumatism,"
which may also be used for chronic rheumatism, the following
are the principal ones: Ignatia, Thuja, Arnica, Dulcamara,
China, Veratrum, Arsenic, Phosphorus, Caustic, Sulphur, Sepia.
SYMPTOMATIC DETATL.-Ignatia: Contusive pains, or as if
the flesh were detached from the bones; worse at night,
ameliorated by change of posture.
Thuja: Tearing, pulsative pains, as from ulceration under
the skin, with a feeling of coldness and torpor of the parts
affected. Pains worse during repose, or in the warmth of the
bed. Pain in the right shoulder and arm, better on movement.
Arnica: Pains as if the parts were strained or bruised, with
a feeling as if they were resting on too hard a surface; a tingling in the hand, red and shining swelling, worse when attempting to move. (Suitable before or after China, Arsenic, Rhus.)
Dulcamara: Pains after getting cold and wet, worse at
night, during repose, and without much fever.
China: Pains, worse on the slightest touch, with easy perspiration, the sore parts feel very weak, almost paralyzed.
Veratrum: Pains as if from a bruise; worse by warmth and
bad weather; better by walking; very weak and trembling.
Arsenic: Burning, tearing pains, insupportable at night,
worse by cold air, and mitigated by external heat.
Phosphorus: Tearing and drawing pains, excited by the
slightest chill; headache, vertigo, and oppression of the chest.
Caustic: The pains are insupportable in the open air; less
severe in a room, or in bed; also, when there is paralytic
weakness with rigidity and incurvation of the parts affected.




6


GENERAL DISEASES.


Sulphur: In almost all cases of chronic, and after a spell
of inflammatory rheumatism, when the pains yet linger about.
Often after Aconite, Belladonna, Bryonia, Mercury, or Pulsatilla.
Sepia: For rheumatic affections in tall, slender persons,
especially females.
ADMINISTRATION. --In chronic rheumatism, the remedies
ought not to be repeated often; every three or four days, one
dose (four to six glob.) is enough. After a remedy has been
tried for ten or fourteen days, another may be chosen, if no
improvement has appeared.
DIET AND REGIMEN.-The patient must abstain, during the
treatment, from all meats, at least, as much as possible; must
not expose himself to the changes of the weather, and should
wear, on his skin, flannel underclothes, except while using hydropathy; in which case, he can do without them.
RHEUMATIC PAINS OR COLD.
(In  Chest, Stomach, Limbs, etc.)
These pains appear on different parts of the body, after tak
ing cold, in persons naturally inclined to rheumatic affections
If they manifest themselves in the chest, they resemble a
pleurisy, for which the same remedies will be suitable; if they
appear in the stomach and bowels, they resemble a colic; to
which article we refer the reader for the suitable remedies; if
the pains are in the head, ears, or teeth, see these headings.
In every case of this kind, the patient must be kept warm,
and should perspire.
GOUT. (Arthritis.)
DIAGNOSIs.--The symptoms of this disease are very similar
to those of inflammatory rheumatism; consequently, the remedies will be almost the same. It is characterized by pains in
the joints, with inflammatory swelling and a feeling of dislocation; or, in chronic cases, with a swelling of the joints,
caused by deposits in them of a calcareous substance, which




GOUT.


7


impedes their movements and causes them to make a cracking noise. There is always connected with an attack of gout,
flatulency, acid stomach, and other derangements of the digestive organs. The principal differences between rheumatism
and gout are: rheumatism attacks more the muscles and
membranes-gout, more the joints; rheumatism is hardly
ever complicated with derangement of the digestive organs;
gout is never without that-has, beside, permanent swelling
of the joints, by calcareous deposit, which rheumatism never
has. Rheumatism is caused by taking cold; consequently,
depends on external causes; while gout is generated by internal causes, amounting, sometimes, to hereditary predisposition. Both diseases, however, can intermix with each other,
one taking the form of the other.
We acknowledge an acute and chronic form of gout; recommending for both the same remedies, which we recorded
under the two forms of rheumatism. We would add only
one more remedy to this list; it is
Antimon. crud., when the attack is attended with nausea and
a white-coated tongue; pains are worse after eating, in the
night, after drinking wine, and in the heat of the sun; mitigated during repose, and in the cool air.
To make the selection of remedies easier, we will give a
tabular view of them, in the different gouty complaints. Their
details will be found under "Rheumatism."
For inflammatory gout; Aconite, Antimon. crud., Bryonia,
China, Nux vomica, Arsenic, Pulsatilla, Arnica.
For the same, with gastric derangement: Antimon. crud.
For the shifting, wandering, flying gout: Putsatilla, Arnica,
Nux vomica.
For gout with great swelling: Antimon. crud., Arnica, Bryonia, Rhus, China, Sulphur.
For the gouty nodes and lumps: Antimon. crud., Bryonia,
Calcarea, Carbo vegetabilis, Graphites, Lycopodium, Phosphorus,
Sepia.




8


GENERAL DISEASES.


For gout in persons addicted to spiritous liquors: Nux
vomica, Aconite, Sulphur, Calcarea.
For gout in persons called high livers: Pulsatilla, China,
Antimon. crud., Sulphur, Calcarea.
For those who sometimes work in the water: Pulsatilla,
Sulphur, Calcarea, Dulcamara, Rhus, Sarsaparilla.
For gout confined to the big toe (Podagra): Pulsatilla,
Arnica.
For the stiffness of the limbs, which remains after an attack
of gout or rheumatism, give Colocynth.
ADMINISTRATION, DIET AND REGIMEN, the same as in "Rheumatism."
PAINS IN THE SMALL OF THE BACK, LOINS AND NECK.
Notalgia. Lumbago.
DIAGNOSIs.-Violent pain in the region of the small of the
back and loins, more or less permanent, sometimes periodical,
but mostly excited by seemingly external causes. This species of lumbago (back and loin-ache) occurs, frequently, after
any quick motion of the back, as in rising from a stooping
position. The patient is suddenly seized with a violent pain
as if produced from an arrow shot into the part; it pins him,
as it were, into a fixed attitude, from which he cannot stir
without suffering torture, and forces him to keep quiet.
If such a rheumatic pain suddenly affects the muscles of
the neck, forcing the patient to keep very quiet, commonly called
Kink or Crick in the neck, it has the same origin, and requires the
same treatment, as lumbago. Rubbing the neck with a soft warm
hand untiringly for half an hour, frequently cures it effectually.
Although this disease is essentially rheumatic in its character and process, yet its foundation is constitutional; sometimes
a predisposition is acquired by overstraining the muscular
system by hard labor during exposure to wet and cold, or
when there is a disposition to hemorrhoidal congestion of
blood (piles) to these parts, which may sometimes increase to




LUMBAGO -- NOTALGIA.


9


a real inflammation of the spine, the spinal marrow (myelitis), or
go over, if not cured, into a chronic spinal affection.
TREATMENT.-ACOnilC is the principal remedy in the commencement, and does more to relieve the patient at once,
than the lancet can accomplish, which the old school always
applies in such cases.
Arnica, alternately with Rhus, if this disease is really the
result of falling, overlifting, or any other mechanical injury.
Bryonia, if the pains in the back are pressing; the patient
cannot walk erect; worse after the slightest motion, or current
of cold air; patient feels chilly; head and limbs ache.
Rhus, in alternation with Bryonia, if the patient feels very
weak, trembling, has to get up sometimes to ease himself;
throws himself about in the night. After external injury, see
Arnica.
Bellad., after Aconite and Bryonia, under similar symptoms,
but more suitable for fleshy females during the (change of
life) critical period; in alternation with _Rhus, when the feverishness attending the attack is complicated with restlessness,
dryness of mouth and throat, headache.
Nux vomica, if the parts feel as if tired, or very much fatigued,
during the attack; pains are worse by motion and turning in
bed; constipation, irritability of temper.  Suitable for persons
with a disposition to piles, or addicted to spiritous liquors.
Mercury, in alternation with INux vomica, if catarrhalic diseases, influenza, etc., prevail, or a tendency to dysentery; or
if the patient feels very weak, perspires a great deal without
relief, worse at night.
Pulsatilla: Resembling the pains under Nux vomica, but
caused by obstructions or irregularity of the courses (menses)
in younger females of a mild, sensitive, or phlegmatic character.
ADMINISTRATION.-Same as in "Rheumatism."
DIET AND REGIMEN.-Also the same. We would advise
those afflicted with this disease, to lie down immediately on a




10


GENERAL DISEASES.


mattress, or something similar, and not attempt to brave it out,
as the phrase is; because the medicine will not be able to
cure as quickly, and chronic weakness of the back remains,
together with a liability to a return of the disease.
PAIN IN THE HIP. HIP DISEASE.
Sciatica.  Coxalgia.  Coxagra.
DIAGNoSIS.-Pain in the region of the hip joint, extending
to the knee, even to the foot, accurately following the course
of the sciatic nerve. Its continual severity may impede the
motion of the foot, producing stiffness and contraction, disturbing the rest at night, and thereby inducing general uneasiness
and emaciation.
In sciatica, or pain in the hip, the pain manifests itself only
on the outside of the hip and leg, during repose as well as during motion, showing its neuralgic character; while, in coxagra
(morbus coxarius), the pain appears only during motion and in
stepping, showing its inflammatory character; running in front
to the knee, protruding and lengthening the leg. It can terminate in suppuration (white swelling).
These diseases are of great importance, and ought not to be
neglected, but immediately put under the care of a skillful
homoeopathic physician, as scrofula is either their remote
cause, or excited by them, especially in children, in whom
they often occasion the so called spontaneous limping (coxalgia
infantilis) and white swelling, particularly when badly treated
at first by allopathic remedies.
TREATMENT.-The principal remedies in these diseases are
those already enumerated under the headings of "Rheumatism" and " Gout."   We will give them here again, to facilitate the selection:
In sciatica (ischias): Chamomile, Bryonia, Rhus, Arsenic,
Ignatia, JVux vomica, Pulsatilla.
In coxagra (hip disease): Colocynth, Belladonna, Hepar,
Lachesis, Silicea, Mercury, Sulphur.




PAIN IN THE HIP --HIP DISEASE.


11


In spontaneous limping, Mercury and Belladonna in alternation; every few days, a dose: Rhus, %Jolocynth, Pulsalilla,
Sulphur, Calcarea.
SYMPTOMATIC DETAIL.-Aconite, in alternation with Belladonna or Bryonia, where the attack is accompanied with a
great deal of fever.
Belladonna, in the inflammatory stage (see Aconite), when
the pain is increased on the slightest movement, with limping,
and on the parts affected the skin is red and shining; dryness
of the throat; burning fever. After it, Mercury.
SBryonia, under similar symptoms as Belladonna, but particularly where the parts affected are more painful than red;
constipation. After it, Rhus.
Rhus: Darting, tearing, or dragging pains in the hip-joint,
with tension and stiffness in the muscles; worse during repose,
or when rising from a sitting posture.
Chamomile: Pains worse at night in bed, after having recently taken cold; patient is irritable; does not know what he
wants.
Mercury: Sharp, cutting, burning pains; worse at night,
or during movement; profuse perspiration without relief. After
Belladonna; before Hepar.
Ignatia: Cutting. pains, ameliorated by change of position,
temperament mild, yet vacillating between high and low
spirits.
Pulsatilla: Pains worse in the evening or night, and when
seated; relieved in the open air; temperament phlegmatic; mild
disposition.
Nux vomica   Pains worse in the morning; worse in the open
air; temperament irritable, morose; constipation.
Arsenic: Burning pains, with great restlessness, obliging
the patient to move the limb; pains appear periodically, or in
spells (alternate with China); mitigated by external heat;
patient wants to lie down, feels very weak; emaciation of the
limb after long suffering (in alternation with Silicea).




12


GENERAL DISEASES.


Colocynth. This is the first and principal medicine in hip
diseases, acute or chkonic, particularly when there is the sensation of a tight band around the hips and back, and the pains
run down from the region of the kidneys into the leg; spontaneous limping; pains are worse lying on the back, or after a
fit of anger or indignation.
Hepar after.Mercury, when this has not relieved.
Silicea, when the disease assumes the chronic form, after
Hepar; or, where emaciation has taken place, in alternation
with Arsenic, and, afterward, with Iodine.
Sulphur, in chronic cases, where other remedies have not
entirely relieved.
Lachesis: Emaciation, with tearing and contracting pain in
the joint; dread of exercise; deeply penetrating suppurations,
(in alternation with Silicea).
ADMINISTRATION.-In the sciatica (ischias), as well as the
febrile stage of the coxagra, give the medicines as required in
the acute form   of "Rheumatism," (see this article).   In
the chronic form (suppurative stage) of coxagra, give the
remedies as stated in "Chronic Rheumatism."
DIET AND REGIMEN.-The same as in "Rheumatism," but
without outward applications, save cold-water bandages, in
any stage of the disease, when the patient can bear them,
and feels relieved after them.
INFLAMMATION OF THE KNEE JOINT. (Gonitis.)
Inflammation and swelling of this important joint, requires
the use of Aconite and Belladonna, Bryonia, Rhus, Lachesis,
Mfercury, one after the other, if the first two have not allayed
the inflammation, If suppuration threatens, which is indicated
by the swelling not going down after the severest fever is
over, give Sulphur; in eight days Silicea, and consult medical
aid.
ADMINISTRATION of Aconite, Belladonna, and the other remedies, the same as in "Acute Rheumatism."




INFLAMMATION OF THE PSOAS MUSCLE.


13


DIET AND REGIMEN.-Also the same, but without any outward application, save cold-water bandages, when the patient
feels relieved by them, at any stage of the disease.
INFLAMMATION OF THE PSOAS MUSCLE. (Psoitis.)
DIAGNOSIS.-Pain in the region of the kidneys, hip, and
downward to the leg, which cannot be stretched, or drawn
near to the abdomen, without pain; increased, also, by turning, when lying and lifting, with a feeling of numbness of the
affected side; walking is possible only by hobbling, with the
body bent forward. Although not often fatal, yet it is very
important in its consequences, as its issues may give rise to
lingering diseases. If suppuration takes place, by not preventing it in time, the matter discharges itself in the abdomen,
and causes death; or it sinks down farther and farther, until
it reaches, sometimes, even the knee, before it escapes; frequently, the spine becomes affected and is rendered carious
in such cases. The causes of this disease are, beside external injuries, rheumatism and piles.
TREATMENT.-Give, first, Aconite, and Bryonia, in alternation, every two, three, or four hours, a dose (four glob.);
afterward, Bellad. or Nux vom., if not relieved within twentyfour hours, and when the pains increase during motion; Rhus
and Pulsatilla, however, when the pains are worse during
rest;.Mercury and Chamomile, when the pains are worse at night.
Staphysag., when the pains are beating, indicating incipient suppuration.
Colocynth, when the disease assumes the chronic form.
If possible, consult a physician in this important disease.
ADMINISTRATION, DIET, AND REGIMEN, as in "Affection of
the Knee Joint."
CRAMP IN THE LEGS.
Some persons are habitually addicted to cramp in the legs,
from various causes. The first remedy, which every one
naturally will resort to, is, to rub the parts taken with the




14


GENERAL DISEASES.


cramp, either with the hands or a rough towel, which, in a
short time, will destroy the spasm. Another expedient is, to
jump on the cold floor of the room, if the cramp occurs in the
calves of the legs, and while in bed; but, if it should occur
frequently in the night, take
Veratrum, every night a dose (four glob.), for a few nights;
or, if it occurs in pregnant females,
Secale, in the same manner.
If the cramps occur more in the day time, take Rhus, in
the morning, in the same manner.
Colocynth relieves the remaining stiffness, also cramps,
occurring in the night.
Sulphur,.Lycopodium, and Sepia, may be taken in intervals
of four or six days, to prevent the return of the cramps.
DIET AND REGIMEN, as in all chronic diseases.
SWEATING FEET.
This is a complaint with which a great many persons are
afflicted. It is generally connected with a qualitative corruption of the secretions, by which a bad smell is emitted,
thereby rendering the complaint very disagreeable. It can
be easily suppressed by alum and sugar-of-lead ablutions;
but he who ventures to do so, risks being taken with blindness, deafness, asthma, consumption, etc.
Homoeopathy possesses remedies, which, when applied
rightly, will insure a permanent and safe cure.
TREATMENT.-Rhus, inwardly, every third evening, six
glob., to be continued for, at least four weeks, after which two
weeks must elapse before the next remedy may be taken.
During the first four weeks, bathe the feet every other evening, in cold water, into which four drops of the mother tincture of Rhus (to be had in any homoeopathic pharmacy)
have been dropped.
Silicea, is the next remedy after Rhus, if this has not
already ameliorated the complaint; to be taken in the same




GOITRE - SLEEPLESSNESS.


15


manner. In this way, alternate with these two remedies
until better, or apply to a homoeopathic physician, who has
more remedies at his command, which, however, can be
chosen, only according to the individual constitutionality of
each one's case.
GOITRE.   ( Struma.)
This disease consists in a swelling of the thyroid gland,
in front of the throat. It is, in the majority of cases, of a
scrofulous origin; depends, sometimes, however, on an endemical cause it, occuring most frequently on mountains, especially at their base, and in their valleys.
TREATMENT.-Take, internally, S'ongia, every evening a
dose (six glob.), and wash externally with a solution of the
tincture of Iodine diluted in alcohol, every evening, until it
disappears.
If this treatment does not disperse the goitre within two
months, apply to a homceopathic physician, who has other
remedies, suitable for each individual case.
DIET, as usual in chronic diseases.
SLEEPLESSNESS. (Agrypnia.)
This disease consists in an impossibility to sleep, without
any apparent external or internal cause to disturb the sleep.
If it continues for months and years, a serious disturbance of
all functions must ensue. In infants, particularly, it becomes
a distressing circumstance for mothers and nurses, as we
often are unable to find out its cause.
TREATMENT.-Coffea and Belladonna, two doses in alternation (in children, Coffea 00~~. and Bellad. cc.), every hour one
dose (four glob.) frequently allay the over-excitement of the
nervous system.
If this will not do one night, try, on the next,
Hyoscyamus, especially after severe illness.
Ignatia, when caused by grief, indignation.
4




16


GENERAL DISEASES.


Nux vomica, when from study and meditation in hypochondriacs.
Opium, after fright and fear, or in old people, or where
frightful visions appear when closing the eyes.
Pulsatilla, when having indulged too freely in eating.
Aconite, when caused by agitating events and anxiety.
If caused by drinking tea or coffee, see their antidotes in
the articles respecting these substances.
In children, beside Coffea and Bellad., are recommended
Cham., Jalap, and ]Rheum., when it is caused by colic. See
this article in "Diseases of Children."
Beside these remedies, a sponge-bath of cold water every
evening when going to bed, is strongly recommended. See
Hydropathy.
NIGHTMARE. (Incu6us.
A well known troublesome disease, consisting in a heavy
pressure on the precordial region, which impedes breathing,
creating thereby many images of fancy, monsters, robbers,
bears, etc. It occurs mostly in the first hours of sleep, and,
if recurring every night, would certainly injure the general
state of health.
It is caused either by an overloaded stomach, congestion
of the blood to the abdomen, or to the precordial region,
when lying on the back.
TREATMENT.-Persons liable to this disease must first
avoid the above mentioned exciting causes, and then the
following remedies will have their effect:
Aconite: Especially in women and children, when feverishness, oppression of the chest, anxiety, and inquietude, prevail.
Nux vomica, after drinking spiritous liquors, eating a full
meal in the night, or by sedentary habits.
Opium: The principal remedy in severe attacks, snoring
respiration, eyes half open, face covered with cold perspiration, and convulsive movements of the limbs.




PALSY.


17


Beside these remedies, daily exercise in the open air, the
use of cold water internally, and externally in shower or
sponge baths are recommended.
PALSY. (Paralysis.)
This affection of the nerves of voluntary motion, is one of
those diseases, to remove which, it requires the greatest skill
of a physician; and, by bringing it under our notice here,
we intend merely to warn our readers not to waste time,
health, and money, in using a variety of nostrums which
might be recommended for it; but to apply at once to a skillful
homoeopathic physician, who can effect a cure in a majority
of cases.    Beside, we will record a few remedies, with
which such a cure may be commenced.
If, from debility caused by loss of fluids, China, Ferrum,
Sulphur.
If from suppression of an eruption or habitual discharge,
Lachesis, Sulphur, Caustic.
If from rheumatism, Bryonia, Rhus, Arnica, Lycopodium.
If from apoplexy, Ipecac., Lachesis, Lycopodium.
If from handling white-lead, or exposure to the fumes of lead,
Opium, Bellad., Platina, Pulsatilla.
If the facial muscles are paralyzed, Bellad., Graphites,
Caustic.
If the tongue, Bellad., Opium, Stramonium, Hyoscyamus,
Lachesis.
If the arms, Bellad., Lachesis, Nu.x vomica, Opium, Lycopodium.
If the lower limbs, Cocculus, Opium, iMux vom., Stannum,
Silicea.
Electricity and Galvanism may be used in this disease with
the greatest advantage, as also the cold water in bathing and
drinking. See "Hydropathy."




18


GENERAL DISEASES.


DELIRIUM.TREMENS. (Mfiania a potu.)
This terrible disease is almost exclusively confined to
drunkards and opium-eaters, who are taken, especially when
exhausted otherwise, with a delirium and frenzy, in which
appearances of horrible monsters, animals, figures of all
kinds, frighten their imagination, combined with ravings,
convulsion fits, and complete inability to sleep. In the long
and sleepless hours, they converse incessantly with these
supposed realities, by which they wear out their strength
more and more.
TREATMENT.- Opium is the specific in this disease, if it is
caused by ardent spirits, as this drug is itself able to produce
such a disease. Give of it, every hour or two hours, a dose
(one or two drops of a diluted tincture of opium), for at least
twenty hours, to see its effects. After this, give Bellad., Nux
vom., Sulphur, one after the other, each, for twenty-four
hours, every three or four hours a dose (six glob.), or Calcarea carbonica, if frightful images appear as soon as the patient
shuts the eyes, or when he talks in his sleep, groans, cries,
dreams fantastically and frightfully. If nothing will produce
sleep, give Lachesis and Arsenic, in alternation, every three
hours a dose (four glob.).
Let the patient drink freely of ice water, as the best stimulus which can be substituted. For solid nourishment, give
him hard toasted bread; as soon as he is convalescent, give
him a good beefsteak, bread, and water, on which he has to
subsist for a long time. In this way, I have cured very bad
cases, and had the satisfaction to see them not only restored
to health again, but to usefulness and their friends, as they
never relapsed into their former error.
EPILEPSY.   (Epilepsia.)
DIAGNOSIS.- Convulsive motions, with loss of consciousness; falling down, with cries, foaming at the mouth, the
thumbs flexed into the palms of the hands. The loss of con



EPILEPSY-ST. VITUS' SDANCE.


19


sciousness is the most essential symptom, not the violence of
the convulsions. The weakest convulsion, with unconsciousness, is epilepsy, while the most violent convulsion, but with
consciousness, is not epileptic.
Most of the epileptic patients can be cured, but it requires
the attendance of a skillful homceopathic practitioner. We
refrain, therefore, from mentioning here any more of the treatment of this disease, but that which relates to the attack itself.
TREATMENT.-A patient in an epileptic fit must be placed
in a position in which he cannot hurt himself; give him,
however, full liberty of his own actions, without holding him,
or forcing open his thumbs, which is of no use. Let him
smell on Camphor spirits. If convenient, put between his
teeth a cork or piece of wood, to prevent his tongue being
injured. As soon as possible, give him one dose (four glob.)
of -Belladonna; or if his face is dark and congested, his breathing very hard and snoring, a dose of Opium (four glob.).
ST. VITUS's DANCE. (/Corea.)
DIAGNosIs.-Involuntary motions of single members or the
whole body, wandering from one part to the other. The patient retains full consciousness, 'which is a distinctive feature
of this disease from epilepsy. It varies very much in degree;
occurs most frequently at the time of the development of puberty, from the seventh to the sixteenth year, more among
the female sex, more in moist regions* on the sea-coast than in
more elevated places. It may occur, also, as an epidemic,
and is then infectious, particularly when large crowds meet.
It is not a dangerous disease, but troublesome, and may lead
to pther derangements; ought to be attended to, therefore,
immediately, as, in such a case, it can easily be cured.
TREATMENT.-As we recommend our readers to apply, in a
case of this kind, to a homoeopathic physician at once, we
limit our remarks on the treatment to a few remedies, which
may be given in the beginning.




20                  GENERAL DISEASES.
Igualia, every evening a dose (six glob.) for eight days;
after it,
Sulphur, every other evening a dose (six glob.) for eight
days, and ~then discontinue for three or four weeks, to await
the effect.
DIET AND REGIMEN.-NO greasy substances, no coffee or tea,
but good plain food. Try to divert the attention of the patient from his disease; never speak of it in his presence.
TETANUS. TRISMUS. (Lockjaw.)
DIAGNOSIS.-Constant spasmodic contraction of one muscle,
or all the muscles. According to the parts- affected, and the
direction in which the body is drawn, the disease has received
different names; which distinction does not come, however,
within the limits of our description, as such severe diseases
as these will require medical aid. We intend here to speak
more especially of one form of tetanus, called trismus or loclcjaw, which is of frequent occurence in southern latitudes, and,
from its quick termination, requires prompt action, and, therefore, domestic attention.
LOCKJAW. (Trismus)
It arises immediately after a wound has been inflicted, in
consequence of the violent pain and nervous irritation, in
which case it proves fatal in a very short time; or it occurs
in the first few days aftt~r the infliction of a wound, during
its inflammatory stage, or from eight to ten days afterward,
while the wound is healing and suppurating, without any pain
and inflammation. The exciting causes are, mental affections,
taking cold, corrupt air, foreign bodies in the wound, tension,
and distraction of single fibers in the wound. The most
dangerous are the stitch-wounds in tendonous parts, as in the
sole of the foot and the palm. of the hand. The pulse frequently remains normal, the head free, yet there is great
anxiety and oppressed breathing.




SOMNOLENCY-- LETHARGY.


21


TREATMENTr.-Enlarge the wound, if possible, and poultice
it with bread and milk. Beside, give the following remedies:
Arnica. In the beginning, externally, in a wash or fomentation; internally, in globules or drops, every two hours a
dose (four glob. or one drop).
Belladonna and Lachesis, in alternation, in the same dose
and time, if the spasms increase. If no improvement after
twelve hours takes place, give Opium and Hyoscyamus, in the
same manner.
Secale, if the patient feels worse in the warmth.
Ignatia, if the patient grows worse, whenever touched or
handled.
IBhus and Ignatia, in case the body is bent backward, in the
form of an arch. Administer it in the same manner.
Stramonium, in the same form of lockjaw, if the two former
remedies were of no avail.
DIET AND REGIMEN.-The same as in fevers.
SOMNOLENCY. LETHARGY.
DIAGNOSIS.-A sleep, continued beyond the natural time, for
days or weeks. During this time, short intervals of waking
intervene, but the patient soon relapses into sleep again.
Nourishment can be given only by injecting fluid aliments;
otherwise, the functions of life are not disturbed.
In such cases, a physician will be consulted; but, up to the
time of his coming, the following medicines may be given.
Opium, if the pulse is full and slow, the breathing snoring,
and the face very red, even dark; every three hours a dose,
or until better.
Belladonna, if the head is hot and the feet are cold; pulse
accelerated and hard.
Lachiesis, if the pulse is very weak; beside, Aconite, Veratrum, Pulsatilla, Phosphoric acid, one after the other, if necessary.




22


GENERAL DISEASES.


FATIGUE, OVERHEATING, AND MENTAL EXHAUSTION.
Arnica, for a feeling as if the body were bruised, after overexertion of the body, and too long and fast traveling on foot;
wash the fatigued limbs in water, with which a few drops of
the Arnica tincture has been mixed.
Rhus: Pains in the joints. After Arnica, if this was not
sufficient. In alternations with Bryonia, if there are shooting
pains in the small of the back on moving.
China: Weakness after loss of fluids, or heavy perspirations.
Veratrum, if persons are so fatigued as to cause fainting, in
alternation with Ipecac.
Cofea and Camphor, in alternation, when the system is
exhausted by disease, abstinence from food, or violent exercise.
Cocculus and Vux Vom., if caused by long night-watching.
Aconite, if, with weakness, there is palpitation of the heart,
pain in the side, difficulty of breathing, aching in the limbs,
from running fast; and then in alternation with Bryonia.
Cocculus, if the least exertion causes fatigue, followed by
Veratrum and Calcarea, if necessary.
ADMIMSTRATION.-Dissolve twelve glob. of a remedy in
half a teacupful of water, and give, every half-hour or hour,
a teaspoonful, until better.
If overheated by bodily exercise in the summer, take a little
brandy and water, and no cold drinks until restored again; or if
possible, take a warm bath for twenty minutes. If the limbs
feel sore, rub with Arnica, or alcohol in which soap is dissolved.
For mental exhaustion by over-study or anxious night-watching, take NYux vomica; if very much excited and sleepless,
Coffea; if with fullness of the head, Belladonna.
FAINTING, SwooNIG. (Syncope.)
Nervous persons, particularly females, are subject to fainting fits, excited by various causes, external or internal. The
first thing to be done is, to lay the patient quietly on a bed or




FAINTING -- SWOONING.


23


couch, where the fresh air is accessible; loosen everything
tight about the neck, chest, and stomach, and sprinkle cold
water in the face, for a minute or two; during this time some
one has procured spirits of camphor, which now may be held
under the nose, to be inhaled. This, in most cases, is sufficient to restore the patient for the time, who must now be let
alone, to gather strength. If the cause of the fainting can be
ascertained, one of the following remedies may be given, to
destroy the bad consequences which the attack may have on
the nervous system.
If caused by fright, Aconite, Opium, Sambucus, Staphysag.,
Veratrum.
By excessive joy, Cofea, Aconite, Opium.
By anger, Pulsatilla, Platina, Nux vom., Chamomile.
By excessive pain, Veratrum, Aconite, Chamomile.
By the slightest pain, Hepar.
By grief, mortification, Ignatia, Colocynth, Platina, -3fercury,
Phosphor. acid, Staphysag.
By fear, Ignatia, Pulsatilla, Veratrum, Opium.
By depletion, blood-letting, etc., China, Carbo veg., Veratrum,
when, also, a little wine or brandy and water may be given.
ADMINISTRATION. - Dissolve twelve glob. of the selected
medicine in half a teacupful of water, and give, every five or
ten minutes, a teaspoonful. If not relieved in twenty or
thirty minutes, prepare and give another remedy in the same
manner.
APPARENT DEATH.
Whenever a sudden extinction of life appears, our suspicion
must be aroused, as regards the real or apparent death of
the individual, in as far as we frequently might be able to
restore the apparently dead to life again, if we would only
take the trouble and have the patience to use the requisite
means. And even when these are applied, it is often done
in an unsystematic manner.
As most cases of apparent death occur under violent cir5




24


GENERAL DISEASES.


cumstances, such as drowning, hanging, etc., it is quite natural that the minds of the by-standers become agitated and
confused, not knowing what is first to be done. This uncertainty and hurry of action, however, cannot produce any
favorable results in resuscitating the apparently dead.
It is of the utmost importance to remain self-possessed, to
reflect well, and then to do only one thing at a time, until all
available means to restore life are exhausted. There are a
great many accidents in life, by which its existence is put in
jeopardy. We will enumerate them here, and the means
which ought to be used. On poisoning, we give a separate
chapter.
I. Apparent Death from Hunger.
If starvation was the cause of an apparent suspension of
life, inject small quantities of warm milk mixed with a very
little brandy or Madeira wine; beside, lay cloths, dipped in
warm milk and brandy, on the stomach. Do not attempt to
give any nourishment by the mouth, until after the patient
has commenced breathing again, at which time the warm
milk may be given to him, drop by drop, through the mouth.
Increase the doses of milk very gradually, until the patient
can take a teaspoonful; then a few drops of wine or brandy
will be salutary. After a while, give him small quantities
of beef-tea, or other broth. Solid food is not allowed, until
after the patient has had a sound, healthy sleep; and even
then, he has to be very careful in not eating too much at a
time, or indulging in anything indigestible.
2. Apparent Death from Drowning.
The following cautions ought to be observed.
1. Be quick, but not rough, in all that has to be done.
2. Do not roll the body on casks.
3. Do not hold it up by the feet.
4. Do not rub the body with salts or spirits, nor inject
smoke or infusion of tobacco.




APPARENT DEATH.


25


5.. Do not bleed the patient.
But do the following immediately:
1. Convey the body, carefully, in a raised position, to the
nearest house, if possible; or, if not, lay it on a dry, sandy
place, in the hot sun.
2. Strip the body, and rub it dry; then wrap it in warm
blankets, either in a warm bed, or in heated sand or ashes,
until other means of warming the body can be procured,
such as bottles of hot water, warming pans, heated bricks,
etc., which may be applied successively on the stomach,
spine, thighs, under the armpits, and soles of the feet.
3. Wipe and cleanse the mouth, nostrils, and throat, carefully; during this operation the body may be turned on its
side, the head bent forward, to allow the water to run out of
the mouth; all the water which can run out is in the mouth..4. Rub, continually and briskly, the whole body with the
hands, or with warm cloths. Do not suspend, however, the
use of the other means.
5. From time to time, try to inflate the lungs of the patient,
by introducing into one of the nostrils the pipe of a pair of
bellows, carefully closing the mouth and the other nostril;
blow the bellows gently until the chest rises, then set the
mouth and nostrils free, and press lightly on the chest, to
eject the air from the lungs; after which, the same process
must be repeated and continued for some time.
6. Immerse the body, if possible, in a warm bath, at blood
heat.
7. Electricity or galvanism may be used.
8. Put a few globules of Lachesis and, afterward, Opium
on the tongue of the patient.
9. Continue this treatment for, at least, four or six hours;
even if then no signs of life appear, do not remove the body
immediately from its position, but wait until signs of decomposition are manifest.
If, however, the patient recovers and can swallow, give




126                 GrENERAL DISEASES.
him small quantities of warm wine or brandy and water.
Beside, watch him and attend to his further wants carefully.
3. Apparent Death, from Freezing.
See "Frozen Limbs," page 39.
4. Apparent Death, from Lightning.
Remove the body into the fresh air, and, immediately, dash,,cold water on face, neck, and breast. If possible, cover the
body all over (except the face) with newly excavated earth.
These maeans are. the best, because water and wet ground
are good conductors of electricity, with which the patient's
system is surcharged at the time. Inwardly, give him, from
time to time, a few globules of Nux vomica, of which, also, a
-solution may be injected.
If the patient recovers, remove him to a light, sunny room,
where he should be kept quiet for some time, without mental
excitement.
5. Apparent Death, from Hanging, Choking, or Suffocation by Burdens an Pressure.
Tight clothing must be removed, and the patient placed in
an easy, half-erect position; the neck not bent forward too
much. Then rub him gently, but steadily, with the hands or
warm cloths, and give, inwardly, from time to time, a few
drops of the following mixture: five drops of laudanurn or
tincture of Opium in four tablespoonfuls of water; of which,
also, injections may be made; five drops of the mixture to
each injection. Afterward, apply means for warming the
body, such as heated bricks, bottles of hot water, etc.
If this has been continued for an hour or two, and still no
signs of life appear, mix a drop of Prussic acid in a tumblerful -of water, or pound a bitter almond fine and mix it in a
tumblerful of water, and put a few drops of either of these
mixtures on the tongue from time to time.




APPARENT DEATH.


27


After recovery, treat the patient as stated under the head
"Apparent Death from Drowning."
6. App.arent Death from Nroxious Vapors.
Remove the body into cool, fresh air; dash water over
-neck, face, and breast, and treat it, in general, as is recommended under the head "'Apparent. Death from Drowning."
7. Apparent Death from a Fall or -Blow.
After the sufferer has been placed in a half-erect position
on a bed or couch, put on his tongue a few globules of
Arnica, and wash the parts which have been hurt by 'the fall
or blow with a solution of the tincture of Arnica and cold
water (twelve drops of the tincture in half a pint of water);
also, give injections of the same mixture. Then examine
carefully the patient's condition as regards fractures of bones
or other injuries, and do not allow him to be bled., if the.
pulse is small and quick; but if full and slow, he may be
bled, with advantage.
Continue, however, the use of Arnica, internally and externally, except after bleeding, when a dose (four glob.) of
China may be given, if much blood has been taken.
8. Apparent Death from Violent MAental Emotion.
See the article on " Fainting, Swooning," page 22.




CHAPTER II.


CASUAL DISEASES.
I. EXTERNAL INJURIES.
As this subject commands such a wide sphere of action,
including as it were the whole art of surgery, it would be
impossible to do it justice in a treatise like this, except we
were able to condense it in a lucid manner, showing the application of a few medicinal agents and mechanical appliances, and pointing at those principles, on the strength of
which they are used. Thus, every one can easily be prepared to do, if not all, what could be done right; at least,
not to do wrong, in cases where circumstances require him
to do something.
In the term "external injuries," are comprehended,
1. Fractures of Bones.
2. Dislocations of Joints.
3. Wounds and Bruises.
4. Sprains and Concussions.
5. Burns and Scalds.
6. Poisoned Wounds, Stings of Insects, etc.
7. Frozen Limbs, etc.
1. FRACTURES OF BONES.
It is all-important, from the first, to know whether a fracture has taken place, and to what extent. Its immediate
reduction is not so necessary, as this can be done, just as
(28)




FRACTURES OF BONES.


29


conveniently and better, after the first wound fever has disappeared.
The fracture of a bone is presumed to have taken place,
when the force and direction of the injury or accident were
sufficient to accomplish it. Its certainty, however, is established, when, on closer examination, we find the injured limb
shorter, in some measure deformed, unable to move, when
the patient feels stinging pains on the injured place, and
when we can hear on handling this spot, a crepitation, that
is, a grating noise, which is produced when the two broken
surfaces of the bone are rubbed together.
There are a number of terms to indicate the nature and
extent of the injury sustained by a fracture.
It is called a simple fracture, when the bone is broken
without any severe contusion or external wound.
A compound fracture is attended by an external wound or
protrusion of the broken bone through the skin.
Complicated is a fracture, when the bone is either broken
in more than one place or is attended by other severe injuries, such as lacerations of flesh, ligaments, larger blood-vessels, etc. In a transverse fracture the bone is broken if-a perpendicular direction to its axis, while in the oblique fraiture
this is not the case. If the bone is broken into several pieces,
the fracture is called a comminuted fracture.
TREATMENT.-Put the patient in a comfortable position;
move the broken limb or part as carefully as possible, and
compare its formation with the corresponding healthy one.
If it is possible, without much exertion, to straighten its form,
do so, even if temporary extension of the broken parts would
be required to bring them together; then put a compress
around the broken parts, on top of which place four strips
of pasteboard or shingles, which are to be kept in their places
by a circular bandage, not fastened too tight. Over the
whole pour, from time to time, a mixture of cold water and
Arnica tincture (twelve drops of the tincture to half a pint




30


EXTERNAL INJ URIES.


of water, well mixed); put the limb in a comfortable posture, by pillows, etc.; keep the fractured parts wet, and give,
internally, a drop or two of Arnica tincture every six or eight
hours.
After the second or third day of the injury, when by the
use of the Arnica the bruises and contusions of the limb have
healed, prepare and use the tincture of Symlphyturn in the
same manner as directed under Arnica. The use of Sym}pliytum accelerates the adhesion of the broken parts.
The attention of a surgeon must be sought, at any rate;
but if he cannot be had, a repetition of the above bandaging on the third, sixth, and twelfth day, etc.; will be sufficient to insure the healing of the fractured parts.
In fractures of the skull, do nothing more than apply cold
water and Arnica, as above stated, until a surgeon arrives.
2. DISLOCATIONS OF JOINTS.
Compare the dislocated part with the corresponding healthy
one, and consider, quietly, without being confused, whether
it can -sily be brought back, for which purpose a few trials
may 'iz made. If, however, this should be too hazardous,
desiAs from any further attempts, but use cold water and
-Arnica, as stated in "Fracture of Bones," and wait for the
arrival of a competent surgeon. If bandages are necessary,
their use must be to confine the joint for some time in the
same position after it becomes set.
3. WOUNDS AND BRUISES.
Wounds are either incisive, lacerated, contused, punctured, or
gunshot wounds, according to the various instruments which
have inflicted them.
Our object is to heal them as quickly as possible, as circumstances will allow. This is done, by bringing their edges
immediately in close contact and keeping them there by adhesive plaster or sutures, which is the quickest mode of heal



WOUNDS AND BRUISES.


31


ing wounds, particularly those of the incisive kind. In some
wounds the edges cannot be brought together, because the
flesh is lacerated or bruised. Cases of this kind have to heal
by means of suppuration, by which healthy granulation is
produced, gluing as it were the parts together. This process
applies to all the other kinds of wounds, including thepunctured
and gunshot wounds.    One important consideration must
always be kept in view: never to allow the surface of a wound
to heal or close before it is certain that its deeper parts have
firmly adhered. This can be prevented by introducing lint
to the bottom of the wound, renewing it as often as necessary,
at least once a day, and cleaning it with lukewarm water.
The first thing to be done, in attending to a wound, is to
clean it, by cold water, from all foreign bodies which may be
in it. Splinters must be extracted carefully, and the hemorrhage stopped, which, in most cases, ceases after the application of cold water mixed with a few drops of Arnica tincture (see "Fractures"); if it does not stop, however, or if
the blood gushes out of the woLnd in jets, and is of a bright
red color (arterial blood), try to compress the wound with
lint dipped in arnica-water, overlaid with a sponge; and if this
does not succeed, compress with the fingers the artery above
the wound (on a place nearer to the heart), which can be
found on the inside of a limb, indicated by the beating of
the artery; if this cannot be done, bind around the whole
limb, above the wound, a handkerchief, as tight as is necessary to stay the hemorrhage. If the patient has lost a great
quantity of blood, give him some good wine and a few doses
of China; he will feel stronger in a short time. When this
is done, dress the wounds, either with adhesive plaster (if
they are cut or incisive wounds), or loosely with lint kept
constantly wet by cold water mixed with Arnica tincture (see
"Fractures"). Give, internally, a few drops of Arnica tincture in water, and place the patient in a comfortable position.
Contused and bruised wounds allow of a certain degree of




32


EXTERNAL INJURIES.


compression, by adhesive plaster, after the inflammation has
left, to make the edges adhere more closely; this can be
done afterward.
Another important consideration is, to keep healing wounds
well cleansed, by means of allowing the secreted matter to
escape easily in the lint spread over the wound to keep off
the air. Every day a suppurating wound ought to be
cleansed and bathed freely in lukewarm water. If a wound
inflames, becomes hot, swollen, and painful, put a warm breadand-milk poultice over it, until it feels easier; internally, give
Chamomile, Belladonna, and Hepar, alternately, every two
hours a dose (four glob.).
If a wound fever sets in, give Aconite, Chamomile, and Bel
ladonna, in alternation, in the same manner.
If locjaw should appear, see page 20.
N. B. Although Arnica tincture is recommended above in
all kinds of wounds as the proper outward application, yet
Calendula ltincture is best after Arnica, in all contused and
lacerated wounds.
If a wound suppurates too freely, or secretes unhealthy
matter, give Ifepar and Silicea, in alternation, every evening
a dose (four glob.), until better.
4. SPRAINS AND CONCUSSIONS.
These are caused by falls, lifting of heavy weights, jerks,
false steps, etc. Bruises, wounds, or fractures, which may
attend them, have to be treated first. If the patient is free
from them, however, put him at once in a comfortable position, and use, externally, a mixture of cold water and Arnica tincture, particularly when the parts are black and blue
(bloodshot); after it, Rhus in solution, when the joints, mennbranes, and tendons, are more affected. This latter remedy
is also suitable for the bad consequences of lifting too heavy
weights (strains).
Internally give Bryonia and Rhus in alternation, every four




BURNS AND SCALDS.


33


hours six globules, until the patient feels relieved from the
stiffness and soreness in the limbs.
Diet, must be light, no meat or stimulating drinks are
allowed; gruels and lemonades are recommended.
5. BURNS AND SCALDS.
Slight degrees of these injuries heal quickly by holding the
scalded parts to the fire (if that is possible), or fomenting
them with warm alcohol, or covering them with a plaster of
Castile soap. But burns and scalds increase in importance
and danger, in proportion to the depth and extent of the
injury, which, if very great, threatens the life of the patient.
If more than one-half of the surface of the skin is deeply
scalded, the sufferer will seldom recover.
A great many remedies are recommended for burns and
scalds, but their usefulness must be determined according to
the quickness with which they can be procured, their easy
applicability, and, lastly, their specific effect on the burns, as
such.
TREATMENT.-The best remedy in slight cases is already
mentioned above. In severer cases, and even the worst, use
Castile soap, scraped and mixed with water to a thick lather;
spread it on strips of linen or cotton cloth, to the thickness of
the sixth of an inch; then spread it over the wound, taking
care to cover with soap every burned part, and keep it moist
for awhile with cold water, which may be dropped on top,
very sparingly, from time to time. Let these plasters remain
until they drop off themselves; or, if matter forms underneath, remove them and dress the wounds with a salve made
of equal parts of sweet oil or linseed oil and lime-water, which
is a very good remedy in the beginning, if it only could be had
quick enough.
Another remedy, easy of access, is raw cotton, with which
the burned parts must be covered, pressing it lightly on the
wounds.




34


EXTERNAL INJURIES.


If a person has inhaled hot steam, or has burned his throat
with hot liquids, give him, of a solution of Castile soap in
whisky or alcohol (which can be made very soon, by scraping
soap into the liquor and shaking the bottle well), every five
or ten minutes, two or three drops in water, lengthening the
intervals as the patient gets better.
N. B. Every steamboat ought to be provided with a bottle
of spirits of soap, decidedly the best remedy for these internal
burns, as it acts specifically on the injured nervous system and
composes immediately.
Another remedy is the tincture of Uirtica urens (stinging
nettle), of which each homoeopathic medicine chest contains a
bottle. Apply it in a manner similar to the Arnica tincture
(twelve drops to a pint of water). For internal burns, put
three drops of it in a teacupful of water, and give, every five
or ten minutes, a teaspoonful, until better.
If the burns ulcerate, wash them with a solution of twelve
globules of ' Caustic in half a teacupful of water., three times
a day, and give, internally, Hepar and Silicca, alternately,
every evening a dlose (six glob.) until better.
DI ET A ND REGIMEN.-The diet must be light, as in fevers;
but when ulceration takes place., give stimulating diet, beef,
etc., even brandy and water. If a diarrhea ensues during -the
healing of the burns, do not disturb it by giving medicine for
it (except it be too excessive.), as it is a critical discharge, the
intestines supplying by their action, the interrupted functions
of the skin. When dressing the wounds, open the blisters
which have formed, remove as much of the skin as can be
done easily, and take care that the patient is not exposed to
currents of air during this operation, which must not last a
longer time, nor be oftener repeated, than is necessary; but,
if the patient should have taken cold, in consequence of which
the wounds pain very much and become inflamed, red, swollen
(a kind of erysipelas in the scalded parts), give Aconite and
Belladonna, in alternation, every t-ivo hours a dose, and dress




POISONED WOUNDS.


35


the wounds with dry lint; but if the wounds were already
suppurating when this took place, give Chamomile, Belladonna,
and Hepar, in the same manner, and dress the wounds with
a warm poultice of bread and milk, until suppuration commences again and the fever leaves.
6. POISONED WOUNDS. BITES AND STINGS OF INSECTSBees, Spiders, Bugs, Mfusquitoes, Snakes,.Mad Dogs.
In injuries from the above named animals, except the two
last.(which are treated of below), cover the injured part with
wet or damp earth, immediately, and then wet it afterward
with a mixture of cold water and Arnica tincture (twenty
parts to one). Internally, give Arnica and Camphor, every
three or four hours a dose (four glob.) until better.
In the treatment of wounds inflicted by venomous snakes
and mad dogs, and of their immediate or distant consequences,
hydrophobia, etc., there exists yet a great deal of uncertainty
and diversity of opinion. The old school has at least retired,
as it seems, from further investigation on the subject (their
last trial was that of using Chloroform and Ether); and it
befits homoeopathists the more to promote farther investigations, as they alone possess the true means to shorten the
labor in discussing the merits of a proposed remedy. As
experiences in this class of diseases occur so rarely, the observations and opinions will be slow in forthcoming. We
prefer to give those of Dr. Hering, as follows:
The best remedy against the bites of venomous serpents, mad
dogs, etc., is the application of dry heat AT A DISTANCE. Whatever is at hand at the moment, a red-hot iron or live coal,
or even a lighted cigar, must be placed as near the wound as
possible, without, however, burning the skin, or causing too
sharp pain; but care must be taken to have another instrument
ready in the fire, so as never to allow the heat to lose its intensity. It is essential, also, that the heat should not exercise its
influence over too large a surface, but only on the wound and the




36


EXTERNAL INJURIES.


parts adjacent. If oil or grease can be readily procured, it may
be applied round the wound, and this operation should be repeated as often as the skin becomes dry; soap or even saliva
may be employed, where oil or grease cannot be obtained.
Whatever is discharged in any way from the wound ought to
be carefully removed. The application of burning heat should
be continued in this manner until the patient begins to shiver
and to stretch himself; if this takes place at the end of a few
minutes, it will be better to keep up the action of the heat
upon the wound for an hour, or until the affections produced
by the venom are observed to diminish.
Internal medicines must be judiciously administered at the
same time. In the case of a BITE FROM A SERPENT, it will be
advisable to take, from time to time, a gulp of salt and water,
or a pinch of kitchen salt, or of gunpowder, or else some pieces
of garlic.
If, notwithstanding this, bad effects manifest themselves,
a spoonful of wine or brandy, administered every two or three
minutes, will be the most suitable remedy; and this should
be continued until the sufferings are relieved, and repeated as
often as they are renewed.
If the shooting pains are aggravated, and proceed from the
wound toward the heart, and if the wound becomes bluish,
marbled, or swollen, with vomiting, vertigo, and fainting,
the best medicine is Arsenic. It should be administered in a
dose of four globules in a teaspoonful of water; and if, after
this has been taken, the sufferings are still aggravated, the
dose should be repeated at the end of half an hour; but if, on
the contrary, the state remains the same, it should not be repeated until the end of two or three hours; if there is an
amelioration, a new aggravation must be waited for, and the
dose ought not to be repeated before its appearance.
In cases in which Arsenic exercises no influence, though repeated several times, recourse must be had to Belladonna;
Senna also frequently proves efficacious.




POISONED WOUNDS.


37


Against chronic affections arising from the bite of a serpent,
Phosphor. ac. and Mercury will generally be most beneficial.
For the treatment of persons bitten by a mad dog, after the
application of dry heat, as directed and described above, see
"Hydrophobia," below.
If morbid affections or ulcerations exhibit themselves in
consequence of a bite from a rabid man or animal, hydrophobine, administered in homoeopathic doses, will often render
essential service.
For wounds that are envenomed by the introduction of animal substances in a state of putrefaction, or of pus from the
ulcer of a diseased man or animal, Arsenic is generally the
best medicine.
Lastly, as a PREVENTIVE against bad effects, when obliged
to touch morbid animal substances, envenomed wounds, or
ulcers of men and animals under the influence of contagious
diseases, the best method that can be pursued is the application of dry burning heat at a distance.  To effect this purpose, it
will be sufficient to expose the hands for five or ten minutes
to the greatest heat that can be borne; and after this, it will
be proper to wash them with soap.
The use of Chlorine and muriatic acid, in similar cases, is
well known.
HYDROPHOBIA.-Apply distant heat to the recent wound, as
described under "Poisoned Wounds," or until shudderings
appear; and continue this practice three or four times a day,
until the wound is healed, without leaving a colored cicatrix.
At the same time the patient should take, every five or
seven days, or as often as the aggravation of the wound requires it, one dose of Belladonna or Lachesis, or also of hydrophobine, until the cure is completed.
If, at the end of seven or eight days, a small vesicle shows
itself under the tongue, with feverish symptoms, it will be
necessary to open it with a lancet or sharp-pointed scissors and
to rinse the mouth with salt and water.




38


FROZEN LIMBS, ETC.


If the raging state has commenced before assistance can
be procured for the patient, the medicines that ought to be
administered will be according to circumstances, especially
Bellad. or Lachesis; or else, again, Cantharides, Hyoscyamus,.Mercury, or also Stramon. or Veratrum.
7. FROZEN LIMBS, ETC.
If limbs, ears, fingers, nose, etc., are frost-bitten, rub them
with snow, or put them in the coldest water, and then, by
degrees, let the water be warmer, until a natural feeling returns again. If the person is in a state of insensibility from
being frozen APPARENTLY TO DEATH, undress him carefully
(cut the clothes off from him) and cover him all over with
snow, leaving the mouth and nostrils free. As the snow melts,
renew it. If no snow can be had, put him into a bath of
water, cold as ice, in which he may lie from ten to fifteen
minutes; afterward, continue to rub with snow, or cover him
with bags containing pounded ice. If in this way, the body
has thawed by degrees, and the rigidity of the muscles relaxed, dry the body carefully, and place it in a cold bed in a
cool room, and begin to rub, under the bedclothes with the
warm hands only, all over. In this way continue for hours.
If signs of life show themselves, inject a little camphor and
water; also, put a drop of spirits of camphor on the tongue,
from time to time.
If more signs of life appear, give warm black coffee (without milk), in injection and in small quantities by the mouth,
until he can take more by the latter.
If severe pains in the whole body appear, give Carbo veg.
(twelve glob. dissolved in half a teacupful of water), every
fifteen or twenty minutes a teaspoonful, in alternation with
Arsenic, if necessary, until better.
The patient must avoid the heat of fire or of a stove for
some time.




POISONS.


39


II. POISONS.
Of the poisonous substances which can be introduced into
the system, those are the most deleterious and pernicious
which have the readiest facility of assimilation; consequently,
the animal poisons rank first, then come the vegetable, and,
lastly, the mineral poisons.
The animal poisons show their effects immediately on the
nervous system, through the blood. The poison of snakes,
for instance, while introduced into the stomach, is of no dangerous consequence. The vegetable poisons must be carried
into the blood by digestion before their effects become dangerous. The mineral poisons kill only by corroding the surface, with which they come in contact, creating inflammation,
which has a great tendency to pass quickly over into gangrene
or mortification;* their bad effects on the system, afterward,
are more lasting.
In cases of poisoning, the first thing to be done is, to eject
the poison as soon as possible from the system, by provoking
vomiting,   or, to neutralize its action by means of suitable
antidotes.
* This peculiarity of the mineral poisons, to kill only by corrosion of
the mucous membrane of the intestines, renders their use as remedial
agents in diseases quite safe and expedient, as they can easily be
divested of this poisoning or corroding quality, by reducing their crude
bulk (which alone can corrode or inflame) by trituration and subsequent
dilution, without diminishing in the least the curative effects of these
minerals. For instance: one grain of Arsenic, in its crude state, would
kill; yet, if triturated with one hundred grains of sugar-of-milk, one
grain of this mixture would have lost all corroding or poisonous power,
retaining, at the same time, all the curative quality, and this in a more
developed form. In this way, Homceopathy can avail itself of all the
healing effects f the most deadly poisons, with the greatest ease and
safety; while Allopathy stands trembling and in fear before these dread--
ful agents, not knowing how to tame their useless fury, or to harness
these wild medicinal steeds to the car of Esculapius.
t That, in such cases, Homceopathists make use of emetics and other
violent means to eject poisons from the stomach, is not a proof that
6




40


POISONS.


To produce vomiting, the following means may be resorted
to, in preference to the so-called emetics, which the allopathic
school has hitherto employed:
1. Tepid water, in large quantities and often repeated.
2. Snuff or mustard, mixed with salt on the tongue.
3. Tickling of the throat with a feather or fine straw; or,
lastly,
4. Injections of tobacco smoke into the anus through a pipestem.
To neutralize or mitigate the injurious effects of poison, the
following means may be used as each case requires, which
will be shown below under the heading of each poison
named.
1. White of Egg, dissolved in water, and thus drank in
large quantities, is of the greatest efficacy in poisoning by
metallic substances, particularly Corrosive sublimate, Verdigris,
Tin, Arsenic, Lead, Mercury, Sulphuric acid, particularly when
there are violent pains in the stomach and bowels, with or
without diarrhea.
In all cases in which the poison imbibed is unknown, the
white of an egg is first given when violent pains in the abdomen are present.
they resort to allopathic means, as allopathists, quite sophistically,
would make people believe. It only shows that, in cases of this kind,
the homceopathic law cannot come into operation until these substances
are removed, which act, as it were, as external injuries all the time,
while they are buried in the stomach. In the same way, Surgery
might be pronounced insufficient in its doings, because a surgeon cannot
heal a wound as long as the knife continues to lacerate and even enlarge the Iwound.
It is evident that external injurious substances (and such are all
poisons) must be removed, just as a burning coal or a stinging blister,
before the injuries done to the system can be repaired by the proper
homceopathic agents; and this is done by Homoeopathy more safely and
quickly than by Allopathy, as the knowledge of antidotes is further
advanced by the former, which is of the utmost importance in curing
the after-effects of the poison.




POISONS.


41


2. Soap (white household soap), one part dissolved in four
parts of hot water, is given in all cases where the white of an
egg, when indicated, was insufficient.
In cases of poisoning by alkaline substances, it must be omitted as injurious.
3. Vinegar (made from wine or cider) diluted with water,
as a draught or in injections, alternately with slimy things, is
the principal remedy against alkaline substances, but is very
injurious in cases of poisoning by minerals (the very opposite
of soap-water).
4. Sugar, diluted and given in water, can be administered
in cases of poisoning by mineral, as well as alkaline substances,
and is, therefore, one of the most valuable remedies in domestic practice, as it can be most easily procured.
5. Milk and Olive oil are substances not so well calculated
to envelope poisons in the stomach, as slimy, mucilaginous
drinks, made of pearled barley, linseed, or rice; yet they may
be used with advantage against alkaline substances, and corrosive acids, such as Nitric and Sulphuric acid.
6. Mucilaginous drinks, in draughts and injections, are very
useful against alkaline poisons, particularly in alternation with
vinegar. They are made of barley, rice, linseed, farina.
7. Coffee--strong black coffee--taken very warm, is the
principal remedy for all narcotic poisons, such as Opium,
Nux vomica, Belladonna, Stramonium (Jamestown weed).
8. Camphor is principally efficacious against all vegetable
poisons of an acrid, corrosive nature; also, against Cantharides
(Spanish fly).
The following table shows the proper and successive application of the above named remedies in cases of poisoning
with the different substances alluded to.




42


TABLE OF ANTIDOTES.


Table of Antidotes to the most powerful Poisons.


POISONS.             ANTIDOTES.


I. ANIMAL POISONS.
a. Cantharides (Spanish fly)......
b. Poisonous fish, clams, muscles,
etc.
c. Poison of fat in half putrified
meat (Sebacic acid), as it appears
often in cheese, sausages, etc.
II. VEGETABLE POISONS, in
general,
a. Opium    (Laudanum,   seeds of
Poppy),   Stramonium    (Gymson
weed), Nux vom., Tobacco.
b. Gamboge, Euphorbia, and all other
burning, corrosive vegetable substances which produce violent
pains,
c. Sumach (Poison vine).........
d. Camphor and Saffron,.........
e. Spirits of Turpentine,...........
III. MINERAL POISONS.
a. AcIDs-Prussic or mineral acids,
Sulphuric, Muriatic, Nitric, Phosphoric acid,
b. ALKAiNE SUBSTANCES-Pot and
Pearl ashes, Lapis infernalis, Salt,
and Oil of tartar,.................


Camphor, internally or by smelling;
externally, use white of eggs and
gruels.
Charcoal, Sugar and water, Black coffee, Camphor.-For eruptions and
swelling of the face, Bellad., Rhus.
Vinegar and water, internally and
externally as a gargle, Lemon
juice, Black coffee, Black tea.
For the remaining symptoms,
Bryonia, Phosphoric acid, Creosote.
Require mostly Camphor, by smelling, and Black coffee in a drink.
Narcotics, require particularly Black
coffee and Vinegar diluted with
water.
Require   mostly  Soap-water   and
Milk.
No external application, but, internally, Belladon., Bryonia, Rhus.
Black coffee, until the patient vomits;
afterward, Opium.
Opium, Belladonna, Bryonia.
Spirits of Hartshorn.
Tepid Soapsuds; Magnesia; Chalk,
powdered and mixed with water;
Wood ashes mixed with water;
Potash or Soda.
Vinegar, Lemon juice, and other
acids; sour milk mucilaginous
drinks and injections.




MEDICINAL DISEASES.


43


POISONS.                     ANTIDOTES.
c. METALLIC SUBSTANCES -Arsenic, Soapsuds; white of eggs with water;
Sugar water; Milk; Rust of
Iron.
Corrosive sublimate, Copper, Ver- White of eggs in water; Sugar-water;
digris,.......................  Milk; Starch from Wheat flour.
Lead,..................... Epsom salt; Glauber salt.
Lunar caustic,.................. Common salt, dissolved in water.
Tin,........................... Sugar, white of eggs and milk.
III. MEDICINAL DISEASES.
The abuse of medicines, prescribed often by allopathic
physicians, and taken in large quantities, for a long time,
produces, frequently, artificial diseases, well-known under
the name "Medicinal Diseases." The most obstinate and deleterious of these maladies are those produced by vegetable
drugs, as their readiness to assimilate with the human system
is far greater than that of minerals. From this it is evident
how foolish or deceptive the conduct of those physicians is,
who pretend to use in their practice only "vegetable medicines," as if this kingdom of nature did not contain the most
noxious and violent poisons.
In the following table, the drugs are put together with
their antidotes, which may be given as the indications mentioned may require.    In administering them, it must be
understood, that all these cases are more of a chronic nature;
consequently, the repetition of doses is not required to be
made so often, say from half a day to two, three, or more
days, until improvement takes place, or another remedy has
to be selected.
Medicinal diseases are not so easily cured as natural ones,
because the reactive force of nature (so important in the
treatment of diseases in general) cannot altogether be relied
on in cases of this kind.




44


DRUGS AND REMEDIES.


List of Drugs causing Diseases, and their Remedies.


~---- '----'--


DRUGS.
1. Opium, Laudanum,
Paregoric.
2. Mercury, Calomel.
3. Quinine, Peruvian
bark.


REMEDIES.


Coffea, Ipecac., Belladonna, Nux vomica, Mercury.
Hepar sulph., Nitric acid.
Against salivation and sore mouth, Hepar, Nitric
acid, Carbo veg., Sulphur.
Against ulcers in the throat, Carbo veg., Nitric
acid, Hepar, Belladonna, Lachesis, Sulphur.
Against nervous weakness, China, Hepar, Lachesis.
Against nervous excitability, Chamomile, Pulsatilla, Carbo veg.
Against sensitiveness to changes of the weather,
Carbo veg., China.
Against rheumatic pains, Neuralgia; Carbo veg.,
China, Lachesis, Sulphur.
Against ulcerations and swellings of glands, Buboes; Carbo veg., Hepar, Lachesis, Nitric acid.
Sulph., Thuja.
Against dropsical affections, China, Dulcamara,
Hellebor., Sulphur.
Against Rheumatic pains, Arn., Puls.-Dropsical
swellings, Arsenic, Ferrum.- Congestions to
the head   and bowels, Bellad., Mercury.Fever, intermittent, Ipecac., Pulsat., Cdrbo veg.,
Arsenic.
Puls., Merc., Chin., Sep.
Colocynth, Ars., Rheum., Puls.
China, Ferrum, Ipecac., Veratrum, Nux vomica.
Opium Belladonna, Platina, Nux vomica.
Bell., Phos., Hep., Spong., Chin., Ars.
Chamomile, Colocynth, Mercury.
Aconite, Ignatia, Pulsatilla.
Camphor, Aconite, Pulsatilla.


4.
5.
6.


SSulphur.
~ Magnesia.
~ Arsenic. (Fowler's
solution.)


7. Lead (used in ointments and in washes,
as sugar-of-lead water, etc.).
8. Iodine.
9. Rhubarb.
10. Chamomile.
11. Cantharides--
(Spanish fly).
12. Asafcetida.


China Mercury, Pulsatilla, Caustic.




CHAPTER III.


CUTANEOUS DISEASES.
THE skin, as the external covering of the whole body, is,
on account of its exposure and extent, liable to many and
various diseases-from the slightest redness, or rash, to the
most inveterate itch and leprosy. The importance of its preservation is, therefore, obvious. We divide the diseases of
the skin into,
1. Acute Eruptions, Eruptive Fevers, etc.
2. Chronic Eruptions and Ulcers.
1. ERUPTIvE FEVERS.
Rash.
DIAGNosIs. -Frequently, after taking cold, particularly
with a disordered stomach, persons are troubled with a rash
on different parts of the body, which appears in red spots, of
the size of a pin-head, scarcely visible; however, more so in
a warm bed; with intolerable itching, particularly at night,
preceded by shivering toward evening, disturbing sleep, and
followed by feverishness during the night.
In such cases, the common practice heretofore has been,
and is yet, where homoeopathy is not known, to put scorched
flour on the parts affected. This is not, however, without
danger, and ought not to be resorted to immediately. It
would be better first to give some of the following remediea
which will relieve, without driving the disease to interna:l
parts.
(45)




46


CUTANEOUS DISEASES.


TREATMENT.-If the itching is intolerable, with either
shivering or heat, restlessness, sleeplessness, give Aconite,
every hour one dose (four glob.). If not better within two
or three hours, give Chamomile, every two hours a dose (four
glob.). If perspiration follows this treatment, keep it up as
long as necessary, and give, the next day, a dose of Sulphur
(four glob.).
DIET AND REGIMEN.-The diet ought to be very lightfarinaceous substances, gruels, toasted bread and toast-water
-but no meat, or soups of meat. The patient must be kept
in a dry, warm room.
Nettle Rash- Hives. (Urticaria.)
DIAGNOSIS.-A disease similar to the former in origin and
appearance, only that the red spots, with a whitish tinge, appear in groups, somewhat elevated, and itch and prick intolerably. They resemble that eruption caused by contact with
nettles. Hence the name, nettle-rash. Sometimes the body
is covered with these spots, and then the patient feels sick,
has no appetite, with a feeling of fullness in the pit of the
stomach.
TREATMENT.-When      caused by indigestion, particularly
from rich and fat food, give Pulsatilla, morning and evening
(four glob.). When caused by taking cold, and accompanied
with diarrhea, bitter taste in the mouth, and slimy coated
tongue, give Dulcamara, morning and evening a dose (four
glob.). When caused by taking cold in damp, wet weather,
exhibiting itself with pains in the limbs, shivering, and headache, give Bryonia and Rhus, alternately, every three or four
hours a dose (four glob.), followed, in twenty-four hours, by
a dose (four glob.) of Sulphur, if necessary. If not better
the third day, give, evening and morning, a dose (four glob.)
of Carbo veg. When these remedies are of no avail, or there
is a burning sensation, with itching, great restlessness, and
even an uneasy feeling, give two doses of Arsenic, every two




ERYSIPELAS, OR ST. ANTHONY'S FIRE.


47


or three hours one (four glob.); and, the next day, of a solution of Urtica urens (one drop in six tablespoonfuls of water),
every three hours a teaspoonful.
Sometimes this rash strikes in suddenly, when the patient
feels oppressed, sick at the stomach, and weak. In such a
case, give immediately, Ipecac. (four glob.); in an hour afterward, Bryonia (four glob.), and, after that, in two hours, if
not better., Arsenic (four globules). At the same time, cover
the patient well, to produce perspiration, which will also be
promoted by warm drinks, particularly warm lemonade, if he
has no diarrhea at the time.
If a person is troubled with this disease for a longer time
than common, or liable to it on the slightest occasions, let
him take Calcarea, every four days a dose (four glob.), in the
evening, and, if not better, in four or six weeks, Lycopodium,
Sulphur, Carbo vegetabilis, Nitric acid, in the same manner.
No external application whatsoever, should be made, as
the disease might suddenly strike in, producing serious or
even fatal consequences.
DIET must be simple; no meat nor heating drinks; nothing
but water, black tea, gruels, dry toast, baked apples, and
stale bread.
Erysipelas, or St. Anthony's Fire.
DIAGNOSIs.-It is characteristic of this disease, that it appears
suddenly, on different parts of the body, with heat, redness,
swelling, tingling, and other painful sensations; in severer
cases, the heat becomes intense on the parts affected, the surface almost shines, the pains become burning and shooting,
and the skin rises in blisters filled with water (erysipelas bullosum).
In such cases, an intense fever is present, with its concomitant gastric nervous symptoms, such as a quick, full, wiry
pulse; high fever, preceded by shivering or chill; tongue
coated, white or dry brown; great thirst; pains all over the
7




48


CUTANEOUS DISEASES.


body; scanty and deep-colored urine; intense headache, with
sleepiness or wakefulness; very sensitive to noise and light.
The nearer to the brain this disease appears, as on the face,
the ears, or the scalp of the head, the severer the symptoms
of the head will be, and, consequently, the more dangerous
is the attack, so that delirium often ensues.
In the so called "wandering erysipelas" (erysipelas erraticum), the morbid spot disappears from one place, changing
into a yellowish hue, to reappear again on another, in the form
of redness and heat, so that it frequently wanders from the
left side of the face, around the ear and neck to the right side,
before the whole disease disappears. In such cases, the face
is very much swollen and disfigured, closing, for a time, the
eyes, nose, and ears. If the scalp of the head is attacked,
the hair often falls off afterward.
CAusEs.-In most cases, exposure to cold immediately
after the system has been heated or excited by over-exertion
or mental emotions, particularly with a previous derangement
of the stomach; or, in females, during menstruation. Some
persons are predisposed to it.  Certain kinds of food, at certain seasons, will also produce it, such as lobsters, oysters,
and other shell fish; also the abuse of alcoholic liquors.
TREATMENT.-All outward applications ought to be avoided
as dangerous-at any rate, all which are greasy and damp.
Erysipelas does not bear anything wet.  Salves and ointments
are very dangerous. If the itching and burning is too violent,
we may mitigate it a little, by applying powdered starch
made of wheat flour, but not until after having given some
of the following medicines internally. The internal remedies
are the most important.
If the fever is very high, pulse full, skin dry, give first a
few doses of Aconite, one every two hours (four glob.), followed by Belladonna, two doses, one every four hours (four
glob.), which, in less severe attacks of this disease, is alone sufficient. In such cases, the patient improves after twelve or six



ERYSIPELAS, OR ST. ANTHONY'S FIRE.


49


teen hours, and no more medicine is needed; he simply remains
at home a few days, until there is no more danger of taking cold.
In severer cases, however, when after the above treatment
the symptoms do not abate, give Lachesis, two doses, every
three hours one (four glob.), particularly if the patient complains of dryness in the throat and pain in swallowing; also,
coughs without raising.
If no better after this, or if there be great sensitiveness to
noise and light; the rash expanding in radiation; shining
redness on its surface, which is very sensitive to the touch;
sometimes raised in blisters; give Belladonna and Rhus tox.
in solution (twelve glob. in half a teacupful of water, each
cup having its separate teaspoon), every two hours a teaspoonful, alternately, until four teaspoonfuls of each are taken.
Then wait twelve or more hours. If the patient is then very
drowsy, give a dose of Opium (four glob.); or, if very wakeful and restless, give Coffea oc- and Bellad. cc- alternately, every
hour a dose (six glob.), for three or four hours, and wait
again twelve hours; after which, repeat Belladonna, and
Rhus tox., in solution as above. If the symptoms are yet the
same, give two doses of Hepar, every three hours one (four
glob.), when the skin looks less shining and inflamed, but
heat, pain, and swelling, are the same.
The above treatment suits severe cases of erysipelas of the
face, head, or ears, with high fever, and, also, the vesicular
form, where it appears in blisters, and the "wandering erysipelas." In the latter, however, where we cannot expect so
rapid a termination of the disease, Pulsatilla is often successful, particularly when the skin is more of a bluish red, or the
internal or external ear is attacked; also in those cases, which
originated from eating noxious articles, such as oysters, clams,
etc. If erysipelas appears on the joints, give Bryonia, three
doses, every six hours one (four glob.), alternating with
Rhus, and followed by Sulphur after thirty-six or forty-eight
hours, one dose (four glob.), if necessary.




50


CUTANEOUS DISEASES.


If it appears on the scrotum, Arsenic is necessary, administered in the same manner as Bryonia. If the vesicles become gangrenous or of a dark color, the patient is weak, or
black diarrhea sets in, Arsenic and Carbo veg. ought to be
given alternately, every three hours one dose (four glob.),
until a homceQpathic physician takes charge of the patient.
Sometimes a swelling of the affected parts, showing the
pressure of the finger, combines itself with erysipelas (erysipelas cedematodes). This requires Rhus tox., every evening a
dose (four glob.) for three or four days.
If erysipelas terminates in ulceration of the parts affected,
give Rhus and Sulphur alternately, every evening a dose
(four glob.) for four days, and, afterward, a dose of Silicea
for two evenings, and wash the ulcer three or four times a
day with lukewarm water, in half a teacupful of which twelve
globules of Silicea are well dissolved.
The disposition to this disease will be taken away by the
alternate use of Rhus, and Graphites, every four days a dose
(four glob.), if continued for four or six weeks. Beside this,
however, change the mode of living, if it was too luxurious;
avoid highly seasoned or salted food, drink freely of cold
water, and wash and bathe frequently and systematically.
DIET.-During this disease, the diet should be as in fevers,
very light; dry toast, gruels, and black tea; warm lemonade
is very good and refreshing, if no diarrhea prevails; stewed
prunes may also be allowed, particularly in convalescence. -
If, at any time during this disease, the bowels are confined,
even for four or six days, it will not exert, in the least, a
detrimental effect upon the patient; on the contrary, it is better than the opposite state.
Avoid taking cold during the convalescence, as it is often
followed by dangerous results, dropsies, etc. If, at any time
during the attack, the erysipelas suddenly disappears, and
the brain, in consequence, becomes affected, which shows
itself in drowsiness, difficulty of breathing, and spasmodic




ERUPTIVE FEVERS.


51


twitchings, give Cuprum, in solution (twelve glob. in half a
teacupful of water), every half hour a dose, until a homceopathic physician takes charge of the patient.
Before we leave this subject let us here remark, that erysipelas, as such, is no infectious disease whatever, and has
lost its dread entirely, since homceopathic remedies have been
used in the treatment of it.
Eruptive Fevers with an Infectious Epidemic Character.
We now come to a class of eruptive diseases which appear,
generally, as epidemics, and are infectious. These are measles,
French measles, scarlet rash, scarlet fever, chicken-pox, varioloids and small-pox. Their epidemic appearance depends
upon the general laws of disease growing out of the changing conditions of the seasons and atmosphere. As a general
rule, we can say that persons are attacked only once in their
lifetime with these diseases, though some few exceptions may
happen. Their contagiousness does not commence, as is
generally believed, during the fever period, or when the
eruption first appears; but only after the pustules are well
filled, or drying i4p, that is, from the seventh day onward, to
three or four weeks, as long as the system throws out through
the skin the infectious matter. Before the seventh day of
either of the above diseases, no infection can take place, for
the same reason as no vaccination is possible out of a pustule
before that time. The infecting matter must be first fully
ripe in the system before it can affect another; be, therefore,
rather more careful during the convalescence of a patient, or
after his death (when the contagion is in its highest state of
perfection), than in the beginning of his sickness. This is
the case as well in measles as in scarlet fever, varioloids and
small-pox.
Measles. (Morbilli.)
In adults, this disease generally assumes a severer character than in children, because it developes in them more




62


CUTANEOUS DISEASES.


readily those constitutional germs of diseases which often lie
hidden in the system a long time, such as consumption, sore
eyes, etc. In children, its attacks are rarely dangerous, except
when other causes render it complicated, or it is badly treated.
DIAGNOSIS.-For the first three or four days the patient
seems to have taken a cold; he has a dry, hoarse cough, and
sometimes a sore throat; his eyes water constantly, and
cannot bear the light; these symptoms and more or less feverishness (the catarrhal fever) precede and accompany the
eruption of the measles, which appear in small red spots- of
irregular shape and size (the skin between them preserving
its natural color), the first day on the temples, face and neck,
the second day, on the breast, or stomach and back, and the
third day on the arms and limbs. In mild cases they disappear after the fifth or sixth day in bran-like scales.
This is the regular course of the disease; whenever it
varies from it, the attending symptoms become more dangerous., particularly if the eruption appears irregularly in regard
to time and disappears quickly.
TREATMENT.-AconiIC and Pulscdila are the principal remedies, and 'are regarded almost as specifics, which, in milder
cases, witbout complication, they prove to be.
ADMINISTRATION.-Dissolve of each remedy twelve globules in two teacups half full of water, each (put to each a
separate spoon), and give alternately every two, three or six
hours, a teaspoonful (children under two years, half a teaspoonful), beginning with Aconite; and if the patient remains,
or becomes more comfortable, lengthen the intervals still
more. If, at any time, there is great restlessness and sleeplessness, introduce a dose of Coffea "O repeating it as often
as necessary, particularly in the night.
If the cough is very dry and hoarse (resembling croup),
give a dose (four globules) of H-epar in alternation with
coffea (if the patient is very much agitated and irritable), at
intervals of one or two hours.




MEASLES, ETC.


53


If, however, the cough excites severe pain in the upper
part of the breast and sides (complication with bronchitis and
pneumonia), Aconite and Bryonia (dissolved in water and administered the same as Aconite and Pulsatilla) are necessary.
If the measles strike in at once, and look pale, or if sickness at the stomach and feebleness ensue, give Ipecac. and
Bryonia alternately every hour or half hour a dose (four
glob.), and if the skin looks bluish brown, give Arsenic and
Pulsatilla in alternation every hour or two hours a dose, until
better. If the head is affected in children, give Cuprum
every half hour a dose (three glob.), twice or three times;
and if not better in three hours, give Belladonna and Hellebor.
in solution (twelve glob. of each to half a teacupful of water)
every hour, alternately, a teaspoonful until better.
Disorders consequent upon Measles. -If sensitiveness to
light continues too long after the eruption is out, give Belladonna, morning and evening one dose (four glob.); this same
remedy, applied similarly, suits, if the head is affected (congestion of the head), in alternation with Stramonium.
Constipated, or not too open bowels, are not injurious
during or after this disease; if a mucus diarrhea ensues give
China, Mercury, Pulsatilla, at intervals of six hours, until
better. If not better, give one or two doses of Sulphurevery six hours one dose (four glob). If the diarrhea is
watery, and connected with typhoid symptoms, loss of consciousness, dry tongue, give Arsenic and Phosphorus in the
same manner.
If earache ensues, give Pulsatilla, every two or three hours
a dose; if this -is accompanied by running of the ear, give
after Pulsatilla a dose (four glob.) of Sulphur on two successive evenings, and if not better in two or three days, give
Carbo veg. in the same manner.
If the glands below and in front of the ear swell (par



54


CUTANEOUS DISEASES.


otitis, or mumps), give Arnica and Jhus every four hours or
six hours a dose (four glob.), till better.
The remaining cough requires principally Pulsatilla, Sulphur, Bryonia, Drosera, Hyoscyamus, whose symptoms must
be compared in the "Materia Medica."      See also under
"cough."  Burning and itching of the skin requires Chamomile, Nux vomica, Arsenicum and Sulphur.
DIET must be light-as gruels, water (children milk and
water), toasted bread; and only gradually more nourishing.
N. B. Do not allow the children to go out of the room too
early, or even to go to the door or window, or play on the
floor; we cannot be too careful to avoid taking cold.
As a preventive of measles, give Aconite and Pulsatilla
every third day a dose (four glob.), alternately, during the
epidemic; it may prevent an attack, and will certainly mitigate its severity.
French Measles.
In this disease, which resembles the former, but is milder
in every respect, it is only necessary to mitigate the fever
and restlessness, if there is any, with alternate doses (four
glob.) of Coffea and Aconite, one every two, three, or six
hours, after which, the eruption soon disappears.
DIET AND REGIMEN the same as in measles, but when complicated with catarrhal symptoms, give a dose or two (four
glob.) of Pulsatilla; and when the head is congested, give a
couple of doses of Belladonna in alternation with Aconite.
Scarlet Rash.
This disease is different from scarlet fever, in as far as the
redness of the eruption is darker, and the finger, on slight
pressure, leaves no white imprint, beside there are numerous
small granular elevations, felt under the skin, sometimes distinctly seen. There is another distinctive difference from
scarlet fever; this latter appears, invariably, first on the face,




SCARLET RASH-SCARLET FEVER.


55


next on the body, and lastly on the extremities. Such a regularity is not found in scarlet rash-it may appear irregularly or at once over tlhe whole body. It is frequently and
mostly seen in combination with scarlet fever, which is known
by its smooth redness on the surface.
TREATMENT.-If it appears alone, it is not a dangerous disease, and yields easily to a few doses of Aconite, every three
or four hours one dose (four glob.), and in alternation with
Coffea, if there is great restlessness and irritability.
If it is combined with scarlet fever, the symptoms sometimes become very severe; see, for their treatment, the next
article, "Scarlet Fever." In case it disappears suddenly,
ITpecac., and Bryonia, should be given every half hour, or
hour, a dose (four glob.), twice or three times, at the same
time covering the patient well; but when congestion to the
head appears, with drowsiness, give Opium (four glob.), or,
if the patient starts on closing the eyes, Belladonna (four
glob.), once or twice in four hours.
DIET the same as in measles, and the same caution as regarde taking cold afterward.
N. B. This disease does not strictly prevent patients from
having the real scarlet fever afterward, although it often diminishes their liability to it, as I have had occasion to observe in many instances. It bears the same relationship to
scarlet fever, as French measles (or measle-rash, as we may
call it) does to ordinary measles.
Scarlet Fever.  (Scarlatina.)
A well known scourge to the world of children, and dreaded by the allopathic physician more than any other. It is
not the least triumph of the glorious Hahnemann to have
found the true specific against this disease, diminishing its
terrors, and furnishing a remedy, which the allopathists have
adopted to a great extent.
DIAGNOSIs.-After a fever of more or less severity, charac



00                CUTANEOUS DISEASES.
terized by a very quick pulse, and sometimes accompanied
with sore throat, headache, thirst, and stupor, or uncommon
liveliness, the eruption appears in the form of bright red
(scarlet) blotches indefinitely marked, on which, when pressed
by the finger, a white spot remains, which soon becomes red
again, from the center to the circumference. If it is not combined with scarlet rash, no grains can be found in the skin by
rubbing over it with the hand; it appears, the first day, on
the face and neck, the second on the breast and region of the
stomach, and the third day, on the arms, hands, and limbs.
But more frequently it appears in combination with scarlet
rash (see this article), in which case it assumes a more dangerous and destructive character.
If this disease exists alone, it generally terminates in five
or six days, the skin coming off in large pieces.
TREATMENT.-Belladonna is the specific for this disease,
which is cured by its use alone, except in complicated
cases.
The symptoms requiring its use, are dry burning, fever,
quick pulse, starting on closing the eyes for a few minutes,
great thirst, dry, red, or whitish coated tongue, urine scanty
and highly colored, scarlet eruptions on the face, or over the
entire body. Sometimes this external redness does not appear,
but instead of it the throat is more or less affected, in which
case the tongue has always a reddish gloss. Yet, even this
wandering of the scarlet from the outside skin to the mucous
membrane of the throat, does not materially increase the
danger of the case, if the glands only do not enlarge too much.
Under all these circumstances, as indeed always at first, give
Belladonna in the following manner: Dissolve twelve globules in half a teacupful of water, and give of this solution every
two, three, or four hours, a teaspoonful for four or six times.
If the disease gets worse soon after giving Belladonna, discontinue its use, or let the patient smell of spirits of camphor a
few times and do not recommence the use of Belladonna, until




SCARLET FEVER.


57


the child gets worse again; this, however, will not generally
be found necessary.
In this manner continue to use the Belladonna for three or
four days, until the scaling process commences, when it is
only necessary to keep the patients away from the slightest
draught; it is by far the safest to keep them in bed closely
for four or five days after the fever has left, when a dose of
Sulphur (four glob.) may be given to complete the cure.
But if the case is a complicated one from its beginning, or
becomes so in its progress, other remedies beside Belladonna
are needed.   Cases of this kind ought to be treated by a
homoeopathic physician; yet, where none is to be had, the
following prescription will be found beneficial:
If there is great restlessness and sleeplessness, irritability,
whining and tossing about, give Coqfea and Belladonna in solution (twelve glob. in half a teacupful of water), alternately
every hour a teaspoonful; or, if there is violent fever, with
dry heat, full and quick pulse, congestion of the head, occasional delirium or lethargy, with starting when awaking, and
dry, short, painful cough, give Aconite and Belladonna in solution, alternately, in the same manner.
If the patient is better under this treatment during the daytime, but in the night these symptoms appear more or less,
particularly restlessness and sleeplessness, give Coffea " and
Belladonna co. every hour alternately (four glob.), until the
patient is more composed.
If, with great drowsiness and tossing about, the tongue is
very dry, thirst great, with swelling of glands on the neck
increasing, skin shining on the face and neck, head thrown
backward, and almost constant delirium, give Rhus and
Belladonna in solution in the same manner as above, every
hour a teaspoonful, alternately, for six or eight hours, followed
by Coffea ~. and Belladonna 00.; if very restless during the
night, as above, this prescription repeated every day for three
or four days, secures, in most cases, a favorable issue; per



58


CUTANEOUS DISEASES.


spiration sets in, and then one or two doses of Sulphur (four
glob.) are necessary to complete the cure.
If this disease is combined with scarlet rash, as it mostly
is at present, the symptoms become more severe, the throat
is affected inside and the glands swell outside, sometimes to
a great extent.  We call this the malignant scarlet fever. In
such cases, when ulceration of the glands commences, indicated by a very offensive smell, and a great quantity of
mucus running from the mouth, give Mercury (twelve glob.
dissolved in half a teacupful of water), every two hours a
teaspoonful, for six or eight times alone, or alternating with
Belladonna, if the patient starts or jerks on closing the eyes,
cannot swallow liquids easily, has violent thirst, with sensitiveness to light.
If no improvement takes place within twelve hours, give
Sulphur in solution the same as Miercury, twice or three times,
and then wait six or eight hours, giving, in the meanwhile,
only an occasional dose (four glob.) of Coffea c". and Belladonna "c, alternately, if the patient is very restless.
If no better at the end of that time, restlessness still increasing, the saliva excessively fetid, with grating of teeth,
give Arsenic and Lachesis alternately in solution, in the same
manner as Mlercury, and after that, in the same manner, give
Nilric acid and Lycopodium, particularly when the stupor of
the patient increases and lethargy sets in.
If, in this condition, the breathing resembles snoring, with
burning heat of the skin, whether dry or covered with perspiration, give Cam2phor and Opium in solution (twelve glob.
of each, separately dissolved in half a teacupful of water),
every half hour a teaspoonful, alternately; give of each three
or four times, and after that, if there is no improvement,
give Cuprum, (twelve glob. in half a teacupful of water), in
solution, every hour a teaspoonful.
If, at any time, during this disease, a kind of stranguria
(difficulty of urinating) ensues, give Cantharides (four glob.)




SCARLET FEVER,


59


once or twice, and in alternation with Coffea, if there is great
restlessness and irritability, if not better, give Conium in the
same manner.
If croupy symptoms appear, give Aconite and Hepar sulph.,
alternately, every hour a dose (four glob.), until better.
Diseases consequent upon Scarlet Fever and Scarlet Rash.Earache and Ulceration in the Ear.-For severe pains in the
ear, give Belladonna, Pulsatilla, and Hepar sulph., alternately,
every two hours one dose (four glob.), until better.
For the running of the ear (otorrhoea), give Calcarea six
times, every evening and morning one dose (four glob.), wait
three or four days, and if no better, give Silicea in the same
manner. For the swelling of the glands below, and in front
of the ear (mumps), give Carbo veg. and Rhus, alternately,
every four or six hours a dose (four glob.), until two doses
of each are taken.
If a child after this disease evinces symptoms of dropsy of the
brain (head hot, extremities cold, vomiting on moving, with or
without diarrhea, sleeps with eyes half open), give Belladonna
and Hellebor. in solution (twelve glob. in half a teacupful of
water) every two hours, alternately, a teaspoonful until it
gets more lively again and the above symptoms disappear,
when a dose (four glob.), of Sulphur will be serviceable.
In case of dropsical swelling of the whole body, give first
Hellebor. and Belladonna in the same manner as above, and
afterward Bryonia, and Hellebor., alternately.
In such cases Arnica, Arsenic, Phosphor. acid and Sulphur
are also useful; commence with Arnica, of which two doses
may be given, one in the evening and one in the morning
(four glob.); and then wait one day until signs of improvement show themselves. If these do not appear, give the
other remedies one after another in the same manner. Keep
the patient always covered during this treatment.
For soreness of the nose and face, with swelling of the




60


CUTANTEOUS DISEASES.


glands under the chin, give first Mercury twice, every evening a dose (four glob.), then wait two or three days, and if
necessary, give one after the other, Hepar sulph., Silicea,
Sulphur, and Calcarea.
If the scarlet strikes in suddenly, the eruption assuming a
livid bluish hue, and the child becomes drowsy, with hurried
breathing, give first Bryonia and Belladonna, a couple of
doses, every half hour a dose (four glob.), and then if no
better give Cuprum in solution (twelve glob. in half a teacupful of water) every fifteen or thirty minutes a teaspoonful.
If not better in two hours, continue the same with Camphor
in alternation, and cover the patient well.
DIET AND REGIMEN the same as in measles; examine
closely "N. B." at the end of article on "Measles."
As apreventive against scarlet fever, give, during the prevalence of the disease, to every child a dose (four glob.) of
Belladonna co. every other evening.
N. B. It is hardly necessary to urge the necessity of the
advice and attendance of a homceopathic physician in this disease, if one can possibly be obtained.
It frequently occurs, that before the eruption comes out,
convulsions set in which seem to threaten the life of the patient. In such a case give Belladonna and Cuprum in alternation (twelve globules of each dissolved in half a teacupful
of water) every ten or fifteen minutes, half a teaspoonful,
until better; Tartar emetic, if the convulsions are accompanied
with vomiting and diarrhea, cold, clammy skin, and hurried
respiration; beside, treat the patient as directed under the
heading " Convulsion" in "diseases of children."  As soon as
the eruption appears more distinct, the congestion to the
head, and with it the convulsion, ceases; cases of this kind,
commencing apparently so unfavorably, terminate nevertheless
mostly favorably, as the worst of the disease appeared in the
beginning, where the patient had more power to overcome it.




CHICKEN-POX.


61


Chicken-Pox. (Varicella.)
DIAGNOSIS.-This eruption is often mistaken for small-pox
or varioloid, particularly when a small-pox epidemic is raging.
We will give the differences between them.    Before the
chicken-pox appears, the patient is only sick from twentyfour, to forty-eight hours, and then he has, generally, fever
and headache, with bilious rheumatic symptoms, without the
severe swimming in the head and the backache, which never
fail to appear before the small-pox breaks out. Instead of
that, he complains of stranguria and tenesmus (see glossary),
which is not the case in small-pox.
The chicken-pox appears irregularly on different parts of
the body at once, while the small-pox and varioloid always
appear on the face' first. Again, the pustule of the chickenpox appears at once in the form of a bladder, not as in smallpox and varioloid, in the form of a point like the head of a
pin. When the chicken-pox is developed, the pustule has
but one cavity, without any inner divisions, containing the clear
liquid, and without a dent on the top of it; while the pustule of
the small-pox contains the liquid in divisions, like an orange,
and has a dent on top. The liquid of the chicken-pox very
seldom becomes turbid or mattery, as is the case in smallpox, but dries up in a spongy crust, without leaving a mark;
the crusts of small-pox are hard, and oftentimes leave marks.
Chicken-pox is not contagious in the same manner as smallpox; it depends, for its propagation, more on individual predisposition, strengthened by atmospheric influence.
TREATMENT.- For the fever, prior to the eruption, give
Aconite and Belladonna every two or three hours, alternately,
a dose (four glob.), until three doses of each are given. If
the patient complains of bilious rheunzatic symptoms, give
Bryonia and Rhus, alternately, every two hours a dose (four
glob.), until three doses of each are given.
If there are bilious nervous symptoms, give Belladonna and
Rhus alternating in the same manner.




62


CUTANEOUS DISEASES.


If tenesmus is present, give Mercury, every two hours one
dose (four glob). If there is stranguria, give Cantharides
and Conium, alternately, every two hours a dose (four glob.),
until three doses of each are given, or the patient is relieved.
If the eruption is very considerable, give two doses of Antimon.
crud., every twelve hours one (four glob.)
DIET AND REGIMEN as in measles.
N. B. In children severe symptoms of the head may appear, for instance, convulsions (see this article) or the eruption might strike in; in the latter case, treat it as stated in
measles striking in. (See article "Measles.")   Chicken-pox
may occur more than once in a lifetime.
Small-Pox. (TVariola.)
This disease has four important stages, which we will first
describe, giving their treatment afterward.
First.  Febrile Stage.-This commences, generally, from
seven to fourteen days after the exposure to the contagion,
with a chill more or less severe, after which, intense fever
sets in with severe pains in the head and small of the back,
aching in the bones and general soreness; dry, hot skin,
great thirst, cough, oppression in the stomach, sometimes
vomiting of bile; light hurts the eyes, with swimming of the
head; the mind wanders, is flighty, anxious expression of
countenance and great prostration of strength.
Second. Eruptive Stage.-After the febrile stage has lasted from forty-eight to seventy-two hours, the eruptive stage
commences, by the appearance of small red pimples on the
forehead and face of the size of pin-heads, after which the
severity of the fever symptoms abates gradually. On the
first day the eruption appears on the face; the second, on the
breast and body; and the third, on the limbs and arms-this
stage, therefore, lasts three days.
Third.   Stage of Suppuration.-The pustules now grow to
perfection, as large as a bean cut in two; the liquid inside is




SMALL-POX.


63


contained in cells like an orange, on top is a little dent, and
around them a red circle. This stage lasts three days; but as
the pustules first appear on the face, then on the breast, and
lastly on the extremities, they are already in perfection
on the face when they are still filling on the breast and
growing on the extremities.
Thus, a wise Providence has divided the burthen in three
parts, which would otherwise be unbearable.
At the end of this period, the liquid in the pustules is turbid and mattery.
Fourth. Stage of Desiccation.-On the eighth or ninth
day the eruption begins to dry up; some of the pustules
burst., and with the formation of'scabs desiccation commences
and progresses until the tenth day, at which time, in favorable
cases, the fever has entirely disappeared, the swelling of the
face has diminished, the scabs have fallen off the upper part
of the body, leaving marks of a reddish-brown color.
This is the regular and favorable course of the disease
where the pustules are not so numerous as to run together;
but where the small pox is co??fluent, the danger of the case
and its duration are considerably increased.
TREATMENT.-Febrile Stage.-During the chill and the first
six hours of the fever, give Aconite, every two hours a dose
(four glob. ). If severe headache (congestion), with sensitiveness to light, and delirium, are present, alternate with
Belladonna, in the same manner.
If, afterward, severe backache ensues, with pains in the
bones and general soreness (bilious rheumatic), give Bryonia
and Blius, alternately, every two or three hours a dose (four
glob.) for twelve or sixteen hours. This is generally sufficient.
If, however, there is vomiting, give one dose (four glob.)
Tart. ernet.
If the headache increases to insensibility, stupor ensues,
and snoring-like breathing, give one or two doses of Opium,
every two hours one (four glob.).
8




64


CUTANEOUS DISEASES.


If the patient is very restless, sleepless, and irritable, give
Coffea "  and Belladonna"0', every hour a dose (four glob.)
until better.
TREATMENT OF THE SECOND OR ERUPTIVE STAGE.-If the delirium, which may have lasted up to this time, does not disappear entirely when the eruption comes out, or if the eruption
does not appear sufficiently or not at all, give Stramonium, in
solution (twelve glob. in half a teacupful of water), every two
hours a teaspoonful, for twelve hours.
If the lungs suffer, at this stage, with a hoarse, rattling cough,
give Tart. emet., a few doses, every two hours one (four
glob.); if with great oppression on the chest, give Ipecac. in
the same manner.
In children, this stage requires particular attention, and
Belladonna, in alternation with Stramonium, should be given,
every two hours a teaspoonful of each (ten glob. in half a teacupful of water), until the eruption is out.
If, however, this stage progresses finely, without severe
symptoms, give nothing but Tart. emet. and Thuja, in alternation, every three hours a dose (four glob.), until six doses of
each are taken. These remedies have the specific power to
mitigate the eruption, from the similar eruption they produce
on the healthy.
TREATMENT OF THE THIRD STAGE.-Suppuration.-If this
stage has a great deal of fever, give Mercury, every three
hours a dose (four glob.) until four doses are taken, particularly when there is abundant saliva in the mouth. The swelling
of the eyes only requires ablutions of warm water and milk.
If, however, in this stage, the skin between the pustules
becomes of a livid hue or dark brown, and the pustules
themselves are watery and flabby (black small-pox), give Arsenic in solution (twelve glob. in half a teacupful of water),
every two hours a teaspoonful, alternating, in the same manner, with China, if diarrhea ensues. After these remedies,
a dose of Sulphur (four glob.) will be of service.




SMALL-POX.


65


This treatment is also serviceable, if, in the confluent form,
typhoid symptoms occur, with brown, cracked tongue; in
which case give, in the absence of diarrhea, instead of China,
Rhus in alternation with Arsenic.
Striking in of the eruption happens in this stage more than
in any other, and ought to be treated with Cupr., as directed
in "Scarlet Fever," (see this article).
TREATMENT OF THE FOURTH STAGE.-Desiccation. -In the
beginning of this stage, give a dose (four glob.) of Sulphur;
if the patient is tolerably comfortable, he does not require
anything more than cleansing the skin by frequent ablutions
with tepid water, and a careful attention to diet.
If, however, the diarrhea continues, give M#-ercury in alternation with Sulphur, every three or four hours a dose (four
glob.) until better.
The itching at this period is alleviated by a couple of doses
of Suiph., evening and morning one dose (four glob.).
If the patient has reached this period in a typhoid state, he
must be treated accordingly. (See "1Typhus.")
DIET AND REGIMEN.-The room of the patient should be
kept well ventilated, not too warm, and almost dark, during
the whole time.
The diet should be more cold than warm; for instance,
water, ice cream as much as wanted, lemonade, oranges (the
latter three not in diarrhea), gruels, dry toast; also, wellstewed prunes and roasted apples; animal food is not allowed,
even long after convalescence.
Diseases which may occur after small-pox, such as consumption, diarrhea, inflammation of the eyes, etc., see under
their proper heads.
As a preventive against this disease, vaccination is well and
favorably known; for how long a time, however, this may
prevent small-pox, is yet a matter of speculation. It varies,
certainly, in different individuals; the shortest period may be
seven years; the longest is not known.




66


CUTANEOUS DISEASES.


I consider vaccination and revaccination from time to time,
our duty and a safeguard against the encroachments of this
fearful disease upon society.
N. B. See introduction to "Eruptive Infectious Fevers," p.61.
Varioloid, or Modified Small-Pox. ( Variolois.)
This disease is similar, in all respects, to the former, yet
not the same. It is decidedly milder, and requires no mention of a different treatment from that given under "SmallPox." (See this article.)
N. B. A person who is well vaccinated may, when exposed
to small-pox, take the varioloid; and, thus far, vaccination,
which is a protection against small-pox, seems not to prevent the
varioloid, although one who has had the small-pox will very
seldom take the varioloid. The varioloid rarely leaves scars
on the skin.
2. CHRONIC ERUPTIONS.
To give a detailed description of all the varieties of cutaneous diseases coming under the above head, would be of no
advantage for domestic practice, as most of these chronic
skin diseases require the most skillful discrimination of an
attending physician; for the reason that their causes and
character are too deeply connected with the patient's constitution (in each case, perhaps, differently so); and, thus, it is
almost impossible to generalize them and their treatment,
within the linits of a medical guide-book like this. We
will describe some of the most familiar ones, advising the
reader, at the same time, to apply to a homoeopathic physician immediately on finding his own treatment insufficient;
because all chronic cutaneous affections require immediate
and proper treatment.
Irritation of the Skin.-Itching. (Pruritus.)
A fine rash under the skin, scarcely perceptible, and colorless, produces a very disagreeable and distressing itching,




CHRONIC ERUPTIONS.


67


particularly at night, when undressing, or in bed after getting
warm. It is caused, mostly, by exposure to the extremes of
heat and cold, and appears, consequently, in the height of
summer, as well as in winter. Sometimes, the eating of too
much fat or greasy food produces it: if so, the diet ought to
be changed.
TREATMENT.-Wash, every evening before going to bed,
with water and plenty of Castile soap, without drying it off.
If this does not relieve within four or six days, try brandy or
alcohol, in the same manner (but take care not to come in
contact with a light).  If this does not give any relief
wash with water mixed with Spirits of Camphor.      Internally, administer as follows:
If the irritation is worse in the warmth of the bed or near
the fire, particularly after scratching, give Pulsatilla, every
evening a dose (six glob.), and, also, if fat food may have
caused it.
If it commences after going to bed, and resembles flea bites
all over the body, the pain shifting from one part to another,
Ignatia, given in the same manner, will be of service.
Mercury suits, when it continues through the whole night,
and after scratching bleeds easily and freely; in this case
alternate with Sulphur, every other evening, one dose (four
glob.) for a week.
If an intolerable burning accompanies the irritation, amounting almost to feverishness, take Bryonia and Rhus, alternately, every six hours a dose (four glob.) for twenty-four or
thirty-six hours; two days after take Hepar sulph., evening
and morning, a dose (six glob.). If not better in four or six
days after, take Carbo veg., evening and morning, one dose
(six glob.).
If it commences when    undressing, take NJux vom. and
Arsenic, in alternation. If old people are troubled with it,
give Opium and Secale, alternately, every evening a dose (four
glob.). If it renders the patient very restless, so that he per



68


CUTANEOUS DISEASES.


spires, take Colocynth. If it is caused by summer heat, take
Lachesis and Lycopodium, alternately, every evening a dose
(four glob.).
If it is accompanied with fine stitches, like needles, take
Thuja, every evening a dose (four glob.), for two evenings.
If it does not yield to one of the above remedies, take Silicea, every third evening a dose (four glob.), until four doses
are taken. If then not better, take Sulphur, in the same
manner.
If this irritation shows itself around the anus or the private
parts (prurigo), its cause is rather a constitutional one, and
requires Calcarea, Lycopodium, Sulphur, Nitric acid, Sarsaparilla, and Sepia. If it is around the anus, Dulcamara, Nitric
acid, Petrol., Sulphur, Lycopodium, Graphites. If on the scrotum, Thuja. If on the pudendum, Calcarea, Carbo, Conium,
Sepia, Sulphur, Nitric acid.
ADMINISTRATION.-In using these remedies, begin with the
first-put twelve globules in four tablespoonfuls of water,
and take, evening and morning, a teaspoonful. After it is
taken, discontinue four days; then take the next in the same
manner, if not better. Beside this, wash frequently in cold
water.
Chilblains.
DIAGNOSIS.-Chilblains mostly appear on hands and feet
which have been frost-bitten, and are extremely painful if
they burst and ulcerate.
TREATMENT.-If the parts begin to swell, assuming a dark,
reddish-brown color, with itching and beating, worse in the
evening or at night, take Pulsatilla, in solution (twelve globules in half a teacupful of water), morning, noon and evening a
teaspoonful, and occasionally wash the parts affected in a
teaspoonful of the solution.
In a few days afterward, take Sulphur, evening and morning, a dose (four glob.). If the parts have a bright red color,




CHILBLAINS -- EXCORIATIONS.


69


and itch more in the warmth, take Nux vomica, in the same
manner. If these remedies do not relieve, give Phosphorus
alone or in alternation with Hepar sulph., if ulceration has
commenced.
If the parts are very painful and burning, take Chamomile
alone, every three or four hours, a teaspoonful, or alternately
with Arsenic, in the same manner, if not relieved soon.
If the swelling is hard and shining, take Arnica internally,
and wash externally with two drops of the tincture to a teaspoonful of water, the same as Pulsatilla.
If the swelling still increases, and appears of a bluish red,
take Belladonna, in the same manner as Chamomile.
DIET.-Abstain strictly from  pork, and all irritating substances, such as pepper, and too much salt and salted meats.
If ulceration sets in, dress externally the parts with poultices or other mild applications, until relieved.
Excoriations.  (Intertrigo. )
If they appear during the summer, in adults, give Arnica,
Carbo veg., Nux vom., Lycopodium, Sulphur, beginning with
Arnica, every evening a dose (four glob.) for two days, and
then wait two days for its effect-taking the next in the same
manner, and so on until better.
Chacfing of bedridden patients (bed sore) requires Arnica (ten
drops of the tincture to half a teacupful of water), externally
applied, with cloths dipped into the mixture. At the same
time place a soft, tanned deerskin under the sheets of the bed,
the hairy side down.
If the affected parts look bluish, and there is danger of
mortification, give China internally, in alternation with Carbo
veg., every four or six hours a dose (four glob.), and wash
externally, with a solution of Silicea (twelve globules in half
a teacupful of water), several times a day.
Disposition to fester.-There exists in some persons a disposition of the skin to fester, if the slightest injury has taken




70


CUTANEOUS DISEASES.


place, or ulcers do not heal. In such a case, give of the
following remedies every week, on two succeeding evenings,
one dose (four glob.) until better, Chamomile, Hepar sulph.,
Lachesis, Silicea, Sulphur.
Chapped hands (rhagades), from working in water, require
Calcarea, Hepar sulph., Sepia, Sulphur, administered in the
same manner.
Cracked skin, from cold in the winter, requires Petrol.,
Sulphur, in the same manner.
RINGWORM. (Herpes circinnatus.)
This eruption appears in small rings on various parts of the
body; within them the skin looks healthy as usual; at least,
this is the case at first. They are more apt to appear in
summer.
TREATMENT.-Dissolve Sepia (twelve glob.) in half a teacupful of water, and give for three days, morning and evening a teaspoonful, and wash with part of the solution; repeat
the same for eight or ten days, if necessary.
If this treatment should be insufficient give internally
Rhus and Sulphur, alternately, every other day a dose (four
glob.), and if not improved after twelve or fourteen days Calcarea, succeeded by Causticum, four doses of each every week,
one dose (six globules).
TETTER. (Herpes.)
This term comprehends a great many varieties of the same
disease, which, when present, show a constitutional disorder
that ought to be treated by a homoeopathic physician. The
tetter may appear on any part of the body-hands, face, lips,
the ears, etc., and requires different remedies accordingly;
but the easiest direction which can be given for practical
purposes, in a domestic way, is to be guided by its discharging quality.
Dry tetter requires Dulcamara, Sepia, Silicea, Sulphur.




TETTER -- ITCH.


71


Running tetter - Dulcamara, Rhus, Graphites, Calcarea,
Lycopodium, Sulphur.
Bleeding tetter--Arsenic, Carbo veg., Rhus, Mercury, Sulphur.
Ulcerating tetter-Mercury, Sulphur, Rhus, Sepia, Lycopodium.
Violently itching tetter requires principally: Nitric acid,
Phosphorus and Graphites; if it itches worse in the warmth,
Clematis; if worse in the evening, Alumina and Staphysagria.
ADMINISTRATION.-In using these remedies for a tetter,
having one of the above qualities (its locality on the body
does not make so much difference), take a dose (six glob.) of
the first named remedy on two consecutive evenings, and
repeat this every week for four weeks, then discontinue for
two weeks, taking the next remedy in the same manner, if
the tetter shows no improvement during that time. In case
of amelioration, however, take no more medicine unless worse
again.
Keep the air off the tetter by a simple cover.
DIET as in chilblains.
Itch. (Scabies).
Not every eruption or pimple that itches is the itch; a
malady so much dreaded in a family, that everything is
welcome, and indiscriminately used, which will tend to eradicate this loathsome disease; and thus salves and ointments
without number are used, but not without danger. Even if
apparently cured by these salves, it is only driven into the
system, laying the foundation for innumerable diseases afterward. Therefore, never do anything of this kind, under any
consideration. First, be sure that it is the real itch, which is
contagious. Frequently, it is only a disease described in the
article on "Itching."
DIAGNosIS.-The real itch appears in pointed vesicles, filled
with a transparent serous fluid, mostly about the wrists,
9




72


CUTANEOUS DISEASES.


between the fingers, and around the joints. The itching increases in the evening, especially in the warmth of the bed.
It never appears on the face.
TREATMENT.-S'ulphur is the specific for it. Take, every
evening, a dose (ten glob.), for eight days; at the same time,
wash the parts with half a pint of water, into which is put a
grain of powdered Sulphur, twice a day, morning and evening, shaking the mixture well before using. Repeat this
treatment if, after a week, no improvement has taken place;
but, then, alternately with Mercury internally, as above.
If, after another week, there is no improvement, and the
eruption is yet small and dry, take Carbo veg., for eight days,
every other evening a dose (six glob.), and, afterward, if
necessary, Hepar sulph., in the same manner; but, if, during
this time, pustules have made their appearance, give Caustic,
in the same manner.
The pustular or humid variety generally spreads more over
the body, and also appears frequently on the back, shoulders,
arms, and thighs. In this form, Sulphur and Lycopodium are
necessary, given, as stated above in "Sulphur and Mercury,"
for eight days; then wait eight days, and, if no better, take
Caustic, and, after it, Mercury, in the same manner.
Sepia, internally and externally, applied in the same manner as Sulphur, has frequently been beneficial when nothing
else seemed to have the desired effect.
When the pustules are large, and turn yellow and blue,
take Lachesis, for several evenings a dose (six glob.).
When the itch has been suppressed by external applications, and dangerous results threaten, give Sulphur and
Arsenic, in alternation, every evening a dose (six glob.).
In obstinate cases, apply to a homceopathic physician.
Milk-crust. ( Crusta lactea.)
This disease, as, in fact, all chronic eruptions of any extent,
ought to be treated by a skillful homceopathic physician; yet




MILK-CRUST -- SCALD HEAD.


73


we will here insert as much of the treatment as will warrant
its rational commencement and often favorable termination.
DIAGNOSIS.-It consists of numerous small, whitish pustules, appearing in clusters upon a red basis, first on the face,
the cheeks and forehead, but spreading, afterward, over the
whole head and other parts of the body. The redness and
swelling frequently increase, and, with it, the itching becomes
intolerable, particularly if a large part of the face and head is
covered with the eruption. In such cases, the glands on the
neck and under the ears enlarge in consequence.
Children, from four to eighteen months of age, are liable to it.
TREATMENT.--RhU& is the principal medicine, of which is
to be given, every fourth evening a dose (four glob.), in
alternation with Hepar sulph., in the same manner, so that
the child takes one or the other of the medicines every other
evening.
If the child at any time is very restless, and the itching
seems to be very aggravated, particularly at night, give Aconite and Chamomile, alternately, every two hours a dose (two
glob.) until better.
If the running of the eruption suddenly dries up, and the
child becomes drowsy, sleeps with eyes half open, has a hot
head and cold feet, give Belladonna and Hellebor., as directed
under the head of "Measles." Externally, apply nothing
but a little sweet cream, or wash occasionally with weak
soapsuds.
If these remedies do not relieve within three or four weeks,
apply to a homoeopathic physician, who has in his possession
an isopathic remedy, called "Tinein," which seldom fails to
effect a speedy and safe cure.
Scald head. (Ring worm of the Scalp.) (Tinea capitis.)
There are several varieties of this disease; but for practical purposes, the distinction of dry and running scald head
is sufficient.




74


CUTANEOUS DISEASES.


DIAGNOSIS.-It appears, generally, on the hairy part of the
head, in numerous yellowish pustules, finally forming a thick
crust covering the head and neck of children from two to
fourteen years of age; bad as it is, and obstinate to cure, yet
its sudden disappearance, after the application of violent external means, creates worse internal disorders, and frequently even death. It is highly contagious; be careful even with
the articles of clothing, particularly on the patient's head;
let no other child come in contact with them. It generally lasts
a long time, and ought to be treated by a skillful homoeopathic physician.
TREATMENT. -First institute the treatment given under
"Milk-crust," and continue it for four weeks; if no amelioration takes place during that time, give, if the eruption is of
the dry kind, Calcarea carb. every third evening a dose (six
glob.) for two weeks, and then, if there is no sign of improvement, give Svlphur in the same manner. If it is the
running scald head, give Lycopodium, and afterward Sulphur,
in the same manner. If scrofulous symptoms appear, such
as swelling of the glands on the neck and throat, give Bryonia and Dulcamara, alternately, every six hours a dose (four
glob.) until better. If the discharge of the eruption is very,
corrosive, causing ulcers, give Arsenic and Rhus in alternation, every evening and morning a dose (four glob.), and
wash with a solution (twelve glob. in half a teacupful of
water) of each medicine, applying it to the edges of the
scab, while giving it internally.
DIET AND REGIMEN.-The usual homceopathic diet must be
adhered to strictly. (See "Introduction.")
The hair ought to be removed in the beginning of this
disease.
Corns. (Clavi pedis.) Induration of the Skin.
Corns on the Feet.-If they will not disappear after several
cuttings and applications of Arnica tincture (six drops mixed




CORNS - WARTS -WHITLOWS.                75
with two tablespoonfuls of water, or Arnica plaster) an internal treatment must be resorted to for their eradication.
First, take Antimon. crud. every evening a dose (six glob.),
if the pains are more pressing, and as if needles were running
through the corn. If the pain is of a burning nature, take
Calcarea carb., every other evening a dose (four glob.). If
they are inflamed, take Lycopodium, Sepia, Silicea in the same
manner, taking every week another remedy if necessary. If
they are particularly troublesome in wet weather, take first
Bryonia and Rhus, alternately, every two hours a dose (four
glob.), for eight hours, and then twelve hours afterward a
dose of Sulphur.
Induration of the skin.-Sometimes the skin indurates (gets
callous) on the hands and feet, becomes painful and peels
off-in such cases take Graphites internally, every second
evening a dose (four glob.) until four doses are taken, and use
externally the same remedy (twelve glob. in half a teacupful
of water well shaken) three times a day.
Warts.   ( Verrucce.)
Neither cauterize nor cut these excrescences; it is too dangerous; a better remedy is the application of the tincture of
Rhus on the wart three times a day.     They will quickly
disappear. If they do not disappear within four or six weeks,
resort to the internal use of the following remedies:
Causticum, if the warts are fleshy or seedy.
Antimonium crud., if they are flat, hard or brittle.
Dulcamara, if they are on the back of the fingers.
Calcarea, if on the sides.
ADMINISTRATION.-Take of a remedy every other evening
a dose (four globules), for eight days.
Whitlows on the Fingers. Felons.  (Panaris.)
This disease exists in the form of an abscess, more or less




76


CUTANEOUS DISEASES.


deeply seated on the end of the finger, attended with severe
pain and considerable swelling.
In the beginning, its formation may frequently be prevented by dipping the finger quickly into water almost boiling, or
by wrapping around it finely powdered wood soot made wet
with alcohol, or by washing the finger with a mixture of a
drop of creosote in half a teacupful of water. But if this
does not avail, keep warm bread and milk poultice around it
all the time until it opens, and take internally Mfercury, Hepar
sulph., and Silicea, alternately, every six hours a dose (four
glob.), for two or three days.
After it opens, wash the finger three times a day in water,
in half a teacupful of which twelve globules of Silicea are
dissolved, or keep the bandage around the finger wet with
this solution.
ULCERS.
We can only give their general treatment here, as their
origin and appearance are too various to be discussed in a
work on domestic practice. They arise, mostly, from a diseased condition, which must be first changed by systematic
internal treatment, before the external sign of it, the ulcer,
can heal. When it is forced to close itself by violent external means, the disease, of which it was the expression,
attacks internal parts, and the danger is thus increased, as
the dignity of' the organ affected is greater.
Be careful, therefore, in using salves and ointments.
DIAGNOSIS AND T.EATMENT.-First. An ulcer may be deep,
presenting a hollow excavation. In this case fill it once or
twice every day with dry scraped lint, previously cleaning it
well with warm water and tying it up with a bandage. This
promotes healthy granulation, and the hollow gradually fills
up. Internally give Lachesis, Hevar, and Silicea, alternately,
every second day a dose (four glob.), until four doses of
each are given, or improvement is perceptible.
Second. An ulcer may be fiat, superficial, sometimes pre



ULCERS.


77


senting proudflesh; in this case dress it with finely powdered
loaf sugar, or with a bandage dipped in cold water and
changed from time to time. Internally, Petroleum, Lycopodium, and Silicea, in the same manner as above.
Third. An ulcer may be fistulous: in this case try to
compress, if possible, the farthest ends of the fistula, or fill
them with dry lint to excite healthy granulation, always trying to heal up the deepest cavity first. Give Antimon. crud.,
Calcarea carb., Silicea and Sulphur, in the same manner as
above.
Fourth. An ulcer may be callous, with thick, hard, broken
margins. In this case fill the bottom with dry lint, and dress
around the margins with simple cerate. Give Arsenic, Pulsatilla, Lycopodium, and Sulphur, in the same manner as above.
Fifth. An ulcer may be carious, proceeding from the bone;
dress outside with simple cerate and give Mercury, Sulphur,
Calcarea carb., and Lycopodium in the same manner as above.
Sixth. An ulcer may be varicose, caused by swelling of
the veins, for instance, on the lower limbs; dress outside
with simple cerate and lint, or cold water bandage, and give
Pulsatilla, Lycopodium, Lachesis, and Sulphur in the same
manner as above.
We have another condition of the ulcer to take into consideration, in order to determine what medicine has to be
given.
First. Ulcers may be painful; in this case, give:
a. When accompanied by a burning or drawing sensation,
Arsenic, Rhus, and Sulphur, in the same manner as above.
b. When beating, eating, or pressing, Mercury, Lachesis,
Lycopodium and Sulphur in the same manner.
c. When itching, Hepar sulph., Pulsatilla, and Sulphur in
the same manner.
Second. An ulcer may be without pain; in this case give
Phosphor. acid, Carbo veg., Sepia, and Sulphur in the same
manner.




78


CUTANEOUS DISEASES.


Third. An ulcer smells offensively; in this case give Carbo
veg., Arsenic, Pulsatilla, and Sulph. in the same manner.
Fourth.  It spreads very much, increasing in size; in this
case give JMercury, Lachesis, Hepar sulph., Silicea and Sulphur
in the same manner.
Syphilitic Ulcers require Mercury, iitric acid, Lachesis, and
Thuja in the same manner.
Abscesses.  Tumors.  Swelling of Glands.
When a congestive or inflammatory swelling is not dispersed or absorbed, it changes gradually into an abscess; matter
forms which finally discharges through an opening of the
sore, either prepared naturally, or artificially by a lancet.
TREATMENT.-Before an abscess opens, it may be very painful; in this case, poultice it with bread and milk, and take
internally  Belladonna, Lachesis, and AMercury, alternately,
every three or four hours a dose (four glob.), until better.
If it is a long time maturing, without being very painful,
(cold swelling), take Hepar sulph., Iodine, and Sulphur, every
other evening a dose, alternately, and poultice it when it
comes near breaking.
After an abscess has opened, wash it frequently during the
day with a solution of twelve globules of Silicea in half a
teacupful of water, and take internally Silicea every other
evening a dose (four glob.) until three doses are taken.
If it be desired to open an abscess with a lancet, select the
lowest part, if it be also the softest, which latter place is
always to be chosen first. In other swellings, particularly
when they appear hard, with stitches through them, or soft,
without much pain, apply nothing externally, until after having
consulted a homceopathic physician. Meanwhile, take internally Calcarea carb., every three or four days a dose in the
evening (four glob.), until six.doses are taken; afterward,
Sulphur in the same manner.
Enlarged and indurated glands on the neck, etc., require




BOILS - MALIGNANT BOILS - CARBUNCLES.


79


JM'ercuy and Dulcamara every evening, alternately, a dose
(four glob.); when suppurating, H-par sulph. and Silicea,
every third evening a dose (four glob.), alternately until four
doses of each are taken.
Boils. Malignant Boils.   Carbuncles.
These are painful, hard tumors, of a pyramidal form, and
deep red color, generated sometimes by a constitutional tendency, very often, however, as critical discharges after acute
or eruptive fevers, or terminating chronic eruptions, such as
itch, etc. They suppurate slowly, and discharge, on breaking, a little pus mixed with blood, exhibiting a core which
is gradually discharged.
TREATMENT.-The best applications externally are poultices
made of bread and milk or flax-seed; all other things, such
as roasted onions, soap and sugar, are too irritating, and
enlarge the suppurative sphere.  Internally take first Arnica
evening and morning a dose (six glob.), and if the boil gets
very painful and red, take Belladonna and 2lfercury, alternately, every three or four hours a dose (four glob.). If
matter has formed, take Hepar sulph. every four hours a dose
(four glob.) until the tumor breaks.
The predisposition to boils may be removed by taking
Sulphur every week one dose (six glob.) for six weeks.  If
a boil becomes blue, and increases very fast (malignant boil),
take Lachesis every three or four hours a dose (four glob.) in
alternation with Arsenic. Let the treatment be the same if
typhod fever ensues, and the patient is very weak, restless,
and sleepless ( Carbuncle, Anthrax), and mortification threatens.
A boil is called a carbuncle, when it is hard, of a livid
hue, and after its breaking does not present a central core,
but numerous openings, through which offensive matter and
blood is discharged.  Carbuncle or Anlhrax is always a dangerous disease, particularly when seated on the head. If it




80


CUTANEOUS DISEASES.


is on the back, wash with a solution of Silicea; if on the
chin, with a solution of Nitric acid alternately with Carbo
vegetabilis: particularly if salivation attends the disease. If
the pain in the ulcer is burning, wash with a solution of
-Arsenic, and give internally Arsenic and Carbo vegetabilis.
Scirrhus.  Cancer.
We mention these diseases here, not to give their treatment,
because the seriousness of their character would not allow of
their being treated domestically; but it is necessary to warn
patients of this kind against all those who pretend to cure
them with the knife or cauterizing applications. They always
end fatally under such treatment, and with increased misery.
At the same time, we would advise them not to despair, but
to apply immediately to a skillful homceopathic physician,
who possesses the only means which can rationally afford
relief, and which sometimes effect a complete cure.
Indurations under the skin, in glands, on the lips, nose,
etc., with stiching pains through them, should receive attention, from the fear that they might be of the scirrhus nature;
if so, and if not attended to in time, they will become open
cancers.
In such cases, relief is possible, but only by the timely advice of a skillful physician.  Meantime, take Belladonna,
every third evening a dose (four glob.), until four doses are
taken.
In open cancers, the distressing burning pains are relieved.by Arsenic, in solution (twelve glob. in half a teacupful of
water), every two or three hours a teaspoonful, until four or
six are taken.




CHAPTER IV.


FEVERS.
THE term fever is frequently misunderstood; people intending to express by it the disease itself, while, in reality,
fever is the reaction of the vital powers against a disease; and,
as every action in nature can be of a threefold kind, either
not powerful enough for its purpose, or just powerful enough,
or, lastly, too powerful, the fever, also, as an action of nature,
allows these three divisions.
Accordingly, we have simple irritative fevers, where the
effort of nature to remove the disease is just sufficient; or,
inflammatory fevers, where this effort is greater than is necessary; or, lastly, torpid fevers, where the effort is not sufficient to accomplish the removal of the disease.
In all forms of acute disease, fever of one of the above
kinds is present to a greater or less extent. It is obvious
that one form of fever may, under circumstances favorable
to the change, merge into another; for instance, a simple irritative fever may become an inflammatory one, if the patient
is over stimulated; or a torpid one, if his vital energy is too
much depressed.
How dangerous, therefore, must be the use of allopathic
remedies in fevers, as, when a little too strong or too weak,
they lead to such awful consequences! But, in Homceopathy, this result is altogether obviated, as the remedial agent
used, neutralizes, by its specific action, the disease of which
the fever was only an attendant symptom.
(81)




82


FEVERS.


Thus we see, in pneumonia, under allopathic treatment,
that the fever frequently returns with great violence, although
the patient, shortly before, had been depleted to exhaustion.
The reason is, that the cause of the fever, the pneumonia,
had not been removed by the depletion; the reactive force or
vital energy to overcome the disease was merely diminished,
and, therefore, the system rouses itself up again to a second
attempt; if checked or depressed again, it must finally sink
to rise no more; it must fall into the torpid or typhoid form.
Not so, under the homceopathic treatment, where the disease
itself is specifically reached and as it were absorbed; for
when the disease is removed, no effort of nature is necessary,
and, consequently, the fever disappears of itself.*
The action of the unaided vital force of nature, during the
fever, is in two directions-by the nervous, and by the vascular system-to bring about a crisis, sufficient for the extermination of the disease; but if it fails in establishing a sufficient crisis, nature has to surrender, and death ensues,
either by paralysis of the nervous system (paralysis properly so called), or paralysis of the vascular system (mortification).
The less the disease, therefore, the less needs be the crisis;
and we aid nature, indeed, if we take away the disease, but
not if we take away her vital power to overcome it.  Herein
lies another important difference between the two medical
systems; and it is easy to see how salutary the homoeopathic,
and how destructive the allopathic treatment of fevers must be.
* The best illustration of the Mwdus operandi of the homceopathic medicines, or what is meant by specific action generally, is found in the
effect of the dynamic agents of nature on each other. Positive and
negative electricity, being similar, but not identical in their nature,
neutralize or absorb each other; while positive and positive, being
identical, repel each other, having no affinity to each other. In the
same manner, two similar diseases absorb each other to the zero point;
this state is where neither exists, and, therefore health.




FEVERS.                       83
In most cases, Homoeopathy takes away the disease so entirely, by its specific method, that no crisis at all appears.
If it however, takes place, it manifests itself by diarrhea,
perspiration, or other secretions, or by an eruption; after
which, the skin becomes moist and the pulse regular.
DIAGNosIs.-The symptoms by which the presence of the
three forms of fever may be known, are given in the following characteristics:
First. Irritative form.-Shivering, preceding a moderate
heat; skin natural or a little moist; pulse not very much accelerated, but fuller, stronger, and not hard; urine a little
more reddish than common, and with a sediment after the
fever leaves.
Second. Inflammatory form.-Great lassitude precedes a
short but severe chill (which frequently does not appear, however), followed by an intense heat; skin dry and burning;
eyes sparkling; tongue dry; thirst intense; pulse quicker,
hard, and full; urine red and scanty.
Third.   Toryid form.- The greatest lassitude prevails
during its presence; the patient feels very weak, although he
may be very hot at times; at others, the temperature is very
much diminished; the skin is now very dry and inclined to
crack; then, again, covered with clammy perspiration.
At one time, the tongue is dry and black; at another, either
natural or covered with a tough mucus. There is often an
absence of thirst, although the tongue is dry; and then,
again, thirst is intense, with a moist tongue.
The pulse shows the same anomaly, being sometimes full,
with a low temperature of the body; and again, at other
times, small and weak, with a high fever-heat of the system.
TREATMIENT.- As we have only given here the general
character of the three kinds of fever that combine themselves
with local diseases of the different organs, we must, also,
generalize their treatment here, and refer, for details, to the
affections of the respective organs where fever manifests




84


FEVERS.


itself. For instance: fever of the lungs, pneumonia, inflammatory, or torpid (typhoid), see "Affections of the Lungs."
The essentials in the treatment of all fevers are as follows:
Quiet and rest of body and mind, as much as possible;
cool and even temperature of the patient's room, say from
fifty to sixty degrees, according to comfort; pure air and
thorough ventilation, without producing it by draughts passing on or over the patient. Let the patient lie on mattresses,
and be covered with quilts, light, but sufficiently warm.
As the patient himself does not desire solid food, we ought
not to give it; but, when thirsty, we must never refuse drink.
The best drink is cold water, as much as the patient desires,
if it agrees with him; frequently give toast-water, barley or
rice water, or lemonade, except when the patient has a diarrhea, or is taking Aconite, with which no acid will agree.
In convalescence, baked apples and stewed prunes are
very salutary, if there is no diarrhea at the time; the latter,
however, should be partaken of sparingly.
We will now treat of several other general forms of fever as
they occur
COMMON OR EPHEMERAL FEVER.
(Febris simplex.)
DIAGNosIs.-- Shivering, followed by heat, restlessness,
thirst, quick pulse; its termination is generally within twentyfour or thirty-six hours, by profuse perspiration.
It is mostly caused by exposure to sudden changes of temperature, and will then terminate in from twenty-four to fortyeight hours; but where it is the forerunner of other more
serious diseases, such as scarlet fever, measles, etc., it will be
superseded by them.
TREATMENT.-Aconite, in solution (twelve glob. to half a
teacupful of water), every two hours a teaspoonful, until perspiration ensues.
DIET AND REGIMEN.-Cover the patient well, and let him




INFLAMMATORY FEVER.


85


drink cold water, which promotes perspiration. Bathing the
feet in warm water before lying down is allowed, but it should
be done near the bed.
N. B. If pains are felt in different parts of the body, see
respective headings, and treat accordingly.
GENERAL INFLAMMATORY FEVER. (Synocha.)
DIAGNOSIs.-See "Fevers-Inflammatory form."
CAUSES.-This form of fever is frequently caused by sudden checks of perspiration and exposure to high degrees of
temperature or its sudden change. It also originates by external injuries or lesions. Plethoric and young persons are
most liable to it.
It frequently runs into typhus fever, particularly when treated allopathically.
TREATMENT.-Aconite must be given first, the same as in
common fever. See preceding article.
But, if, after six hours, there is no improvement, give
Belladonna; especially when the head is hot with violent pains
in the front part; red face, sensitiveness to light; sparkling eyes;
noise distresses; very restless or drowsy; great thirst; delirium.
AnDMINITRATION-the same as Aconite above, or alternating with it, until better.
But, if, with the general symptoms of inflammatory
fever, there is swimming in the head on rising or moving;
some delirium; oppression at the pit of the stomach; vomiting after drinking; constipation; aching pains in the limbs
and small of the back; oppression     of the lungs; give
Bryonia; and, if the weather is damp and rainy at the
time, give Rhus, in alternation with Bryonia, in the same
manner as above in Aconite and Bellad., until better.
DIET AND REGIMEN-the same as under the head of "Common Fever."




86                      FEVERS.
NERVOUS OR TYPHoID FEVER. (Typhus.)
These names signify the same disease, the various grades
of which are distinguished by prefixing the appropriate word
in an adjective form, as a malignant typhoid fever; a malignant typhus, or, a malignant nervous fever; all three of which
signify the same.
Although we could not advise any one to treat a fever like
this on his own responsibility, with no other guide than a
work on domestic practice, unless in cases of absolute necessity, it is, nevertheless, advisable to give a sufficient account
of the disease and its remedies, to enable the inquirer to distinguish it from others, and commence its treatment with the
right remedies.
The progress of the disease may frequently be arrested by
early and proper treatment in its commencement. To the
realization of this important point our particular attention will
be directed, as in the prevention of disease is seen the great
*advantage of domestic practice.
DIAGNOSIs.-The real nature of typhus consists in an alteration of the blood, which becomes thick, decomposed, and
carbonized; but as such a qualitative change of the blood
cannot take place at once, the disease begins slowly, but is
sure in its progress, unless arrested by the proper homceopathic remedy.
The first indications are, general lassitude, chilliness, followed by occasional feverishness, and, sometimes, pain in the
head, chest, or abdomen, followed by drowsiness. Then
appear the symptoms given under the heading, "FeversTorpid form." Beside these, one characteristic symptom of
real typhus is, a pain in the abdomen near the right hip,
sensible to heavy pressure; here, in the intestines, ulcerations
of the glands invariably take place in real typhus; hence the
pain only on pressing heavily. Under such symptoms, it
runs its course, if not checked by good homoeopathic treat



DIFFERENT FORMS OF TYPHUS.


87


ment, perhaps to convalescence, by frequent critical efforts, in
about twenty-eight days.
The best crisis is perspiration which comes on gradually;
or sleep, in the place of delirium and restlessness. Bleeding of
the nose is less favorable; and a still less favorable crisis is the
swelling of the glands in front of, and below the ear; or, it ends
in death, either by paralysis, or mortification. (See "Fevers.")
CAUSES.-In general, any depressing influence on the
vital powers of the body may produce typhus, but, particularly, over-exertion of the body or mind; excesses of any kind;
long and imprudent exposure to cold or damp weather; bad
air, water, and mode of living; crowded population in filthy
streets and small apartments; exhausting blood-letting in inflammatory diseases; or, lastly, a real typhus contagion,
which is generated in one form of the disease. (See below,
"Contagious Typhus.")
PREVENTIVES.- The best preventive is, to     avoid the
above described causes of the disease, and to take, if already
threatened with it, Bryonia and Rhus, every evening alternately a dose (four glob.), for eight days, or until better.
Keep quiet and in the house; follow the diet prescribed in
fevers generally; keep the feet warm and head cool; drink
freely of cold water, and take no allopathic remedies, such as
pills, etc., under any consideration.
DIFFERENT FORMS OF TYPHUS.
First. According to the time of its appearance, typhus is:
a. Primary idiopathic, or true and contagious typhus; or,
b. Secondary, following another disease, and pseudo-typhus;
that is, fevers with apparently typhoid symptoms.
Second. According to its locality, typhus is:
a. Typhus of the brain (typhus cerebralis), typhoid brain fever,
and congestive fever;
b. Typhus of the lungs (typhus pulmonalis), typhoid lung
fever;
10




88


FEVERS.


c. Typhus of the bowels (typhus abdominalis), abdominal typhoid,
and yellou fever.
N. B. In either of these three forms, those characteristic
symptoms of real typhus (pains, on pressure near the right
hip, in the intestines), as mentioned above (see "Diagnosis"),
never fail to appear, even if the brain or lungs are primarily
affected.
Third. According to its qualitative appearance, typhus is:
a. Versatile (typhus versatilis), with excited nervous action;
b. Stupid (typhus stupidus), with depressed nervous action;
c. Putrid (typhus putridus), with tendency to organic dissolution.
For practical purposes, we follow the distinctions made
under the "third" or last division, as it is only the qualitative
differences in typhus that make different remedies necessary.
The stupid form is oftener found in the typhus of the brain;
the versatile, in typhus of the lungs; and the putrid, in
typhus of the bowels. Yet there are exceptions.
TREATMENT.-At the commencement of all three forms, if
there is headache, giddiness, chilliness with alternate heat,
rheumatic pains in the limbs and, arms, sometimes a slight
cough with pains in the back, with or without diarrhea, sickness at the stomach or vomiting, restlessness at night, furred
tongue; give Bryonia and Rhus, every two hours a dose
(four glob.), until three of each are taken. Make the patient
lie down, well covered, and await the reaction for twenty-four
hours; giving nothing, during that time, except one or two
doses of Cojfea cc and Bellad. "C, if he is very restless during
the night. As soon as the patient perspires and the symptoms gradually disappear, the typhus, as such, is checked,
and its return is prevented by giving, on the third day, evening and morning, a dose (four glob.) of Sulphur; during
which time the patient still keeps his room, and diets as recommended in fevers.




DIFFERENT FORMS OF TYPHUS.


89


If however, the disease progresses, and the real typhus
symptoms appear more and more, give as follows:
If inflammatory symptoms appear, such as full, hard pulse;
hot, dry skin; violent thirst; give Aconite, two or three doses,
every two hours one (four glob.); and alternate with Belladonna, in the same manner, if to the above symptoms are
added violent congestion of the head or lungs, with severe
headache; sensitiveness to light and noise; starting after
closing the eyes, and wild expression of countenance. Wait
eight or twelve hours for the effect.
If no change for the better takes place, but, on the contrary,
the symptoms increase in violence, give Bryonia and Rhus
again, alternately; but now only every four hours a teaspoonful of their respective solutions (twelve globules in half a teacupful of water), with which continue until four of each are
taken, or until better.
After this time, the disease may have changed, so as to
make one of the following remedies necessary.
Phosphor. acid.  Great exhaustion, flighty when awake,
always lying on the back in a drowsy state; giving either no
reply to a quiestion, or replying incoherently, loquacious, delirium, or low muttering, picking the bedclothes, black lips,
dry, hot skin; frequent, copious, watery, and involuntary diarrhea, sometimes bloody; give alternately with Rhus in the same
manner as Bryonia and Rhus were above directed to be
given.
Arsenic. If, with these symptoms, there is extreme prostration of strength, falling of the lower jaw, open mouth, dull and
glassy eyes, burning thirst, profuse diarrhea, pulse barely
perceptible; alternate Carbo veg. with Arsenic, if to the above
symptoms is added rattling respiration, cold perspiration on
the face and extremities, and very offensive evacuations, to
be given in solution as above, every half hour a teaspoonful.
These remedies suit principally in the putrid form of the disease.




90


FEVERS.


In the stupid form, however, after Bryonia and ]Rhus have
been given, the following remedies may be found necessary.
Opium.   When there is great drowsiness, with snoring
breathing, open mouth, low mutterings, picking the bedclothes, lethargy, all discharges passing involuntarily, give
every hour a dose (four glob.), until better, if not, give phosphor. acid as above.
Lachesis. Under the same symptoms as those under Opium,
particularly if the tongue is very red and shining, as if varnished; in the same manner as above.
Lycopodium. Under similar symptoms as Lachesis, and
then in alternation with it, in solution, every two hours a teaspoonful, until a change takes place; but particularly if there
is a strongly marked redness of the cheeks, constipation, and
screaming, especially on awakening, dryness of the tongue
without thirst.
In the versatile form, after Bryonia, and ]Rhus have been
given, the following medicines may be necessary, as,
IHyoscyamus. When there is a desire to escape; twitchings,
and grasping at persons that are near; hot, red face, with
bluish cheeks, sparkling eyes, dry, brownish tongue; alternately bland and furious delirium, involuntary evacuations;
give every three hours a dose (four glob.), alternating with
Belladonna in the same manner; or, in alternation with
Stramonium. If to these symptoms are added frightful
fancies, loquacious delirium, staring eyes, spasmodic action,
convulsions, and aversion to liquids; no stool or urine, and
loss of consciousness.
There are several other remedies, which, under various
circumstances, are important in the treatment of this disease.
Arnica, Arsenic, Camphor, China, Veratrum, Cantharides,
Cocculus; see in "Materia    Medica"    their pathogenetic
symptoms, and give them if similar with the state of the
patient.
N. B. If at any time, the patient is very sleepless, give




YELLOW FEVER.


91


Cofea C. and Belladonna cc, every hour a dose (four glob.),
alternately.  If there is clammy cold skin, debilitating and
clammy sweats, diarrhea or disposition to it, give Camphor
and alternate with Cofea if very restless, every half-hour a
dose until better. During convalescence, China, Mercury,
and Sulphur are frequently necessary. (See "Materia Medica," at end of book.)
DIET AND REGIMEN the same as under "Fevers."
Congestive fever is a typhoid brain fever, and is treated as
already stated, with Aconite, Belladonna, Bryonia, Rhus,
Opium, etc.
The contagious typhus is in nothing different from the above,
only it is caused by contagion. The attack occurs but once in
a person's lifetime, and its course is marked with great severity.
The Pseudo-typhus or bilious-rheumatic fever is composed
of the incipient symptoms of typhus, and has to be treated
accordingly, as stated above, with Bryonia and Rhus, followed by Sulphur, to prevent its running into real typhus. For
the treatment of this form, however, compare Ipecac., Pulsatilla, Ignatia, and 2Nx vom., in the "Materia Medica" at the
end of the book.
The ship fever is a species of the contagious and abdominal
typhus; treat accordingly; compare as in "Yellow Fever."
YELLOW FEVER.
As I never had an opportunity to observe and treat this
malignant fever, I thought it advisable to insert here the full
article of Doctor Marcy on that subject, who had an opportunity to peruse the notes left by Doctor Taft, whose success
in the treatment of yellow fever was astonishing:
This fever is exceedingly uncertain in its course, violence,
and duration. It may strike its victim suddenly prostrate,
overwhelming, in its severity, the whole system, and thus
preventing a single rally of the circulatory vessels; or it may




92


FEVERS.


advance mildly, differing but little from an ordinary attack of
remitting fever. In some instances it bears a strong resemblance to the higher grades of bilious fever. Much depends
upon the peculiar circumstances of the individual attacked.
If he is recently from a temperate climate, and unaccustomed
to hot regions, he will be more susceptible to the action of
the poison, than if he had been previously acclimated.
Medical men have supposed that after a certain period of
exposure, the system becomes so completely accustomed to
the miasm, that it loses all susceptibility to its influence, and
in this manner the process of acclimation is accomplished.
There is, doubtless, some truth in this idea, but there are
other causes which exercise quite as important an influence
in this process. Those persons who abandon a temperate,
for a residence in a tropical climate, do so in that physical
condition which the requirements, habits, and regimen of the
former naturally generate. In a previous chapter we have
seen that, in cold regions, where the atmosphere is highly
condensed, a large amount of animal food is requisite to supply the system with sufficient carbon and hydrogen to resist
and neutralize the action of the inspired oxygen. With these
habits, appropriate only where a condensed atmosphere is
respired, individuals seek the tropics, with bodies abounding
in carbon, and continuing, in most instances, their accustomed
regimen of animal food and stimulants, thus burdening their
systems with an amount of the elements of nutrition far
greater than the oxygen contained in the rarefied air which
they inhale can decompose.
It is probable, therefore, that one of the chief predisposing
causes of yellow fever, is the presence of a greater amount
of carbon in the system than the inspired air can properly
act upon. The exact equilibrium between the supply of the
elements of the food and the absorbed oxygen is disturbed;
the carbon predominates, and all of those derangements




YELLOW FEVER.


93


which proceed from a superabundance of this agent, necessarily ensue.
The inhabitants of tropical latitudes have comparatively
but little desire for animal food, but prefer farinaceous diet,
vegetables and fruits, in this manner naturally securing to
themselves a due proportion between the elements assimilated
and the oxygen absorbed; while the inhabitants of the north
find it necessary to consume large quantities of meat and
other articles abounding in the elements of nutrition, in order
to preserve a healthy equilibrium. We, therefore, most
strongly urge it upon those who remove from cold to hot
climates, to adapt their systems by appropriate regimen and
strict temperance in all things, for the change, and we confidently predict that they will enjoy as great an immunity from
this dreadful scourge as the natives themselves.
DIAGNOSIS.-The premonitory symptoms of yellow fever
are giddiness, wandering pains in the back and limbs, slight
chills, nausea, and frequent sensations of faintness.
After these symptoms have continued a few hours, a decided reaction occurs; the circulation becomes excited, the
face flushed, the eyes red; there are violent pains in the head,
back, loins, and extremities; distress of stomach, and vomiting of acid bilious matters; the surface becomes dry and
burning hot; mouth and throat dry, with intense thirst, and
sometimes delirium.
The duration of this paroxysm is usually about twenty-four
hours, although occasionally it continues two or three days,
after which there is a remission of all the symptoms, except
a distressed sensation in the stomach, with nausea and vomiting. The patient remains in this state with a considerable
degree of comfort for a few hours, when there is a recurrence of many of the former symptoms in an aggravated
form. The stomach now becomes extremely painful and
sensitive; vomiting is violent and incessant; the fluids ejected




94


FEVERS.


are of a darker color; the skin and eyes acquire a yellow
tinge, and the mind becomes confused and wandering.
The duration of this second stage varies from twelve to
forty-eight hours, with sometimes slight remissions toward the
termination of the paroxysm, when the third or last stage sets
in. This stage is characterized by the complete development
of the dreaded "black vomit." At this period, the powers of
the system all sink rapidly; the pulse flags, and perhaps
intermits; the tongue becomes dry, black and shriveled; the
breathing irregular and laborious; cramps seize the calves of
the legs and the bowels; the whole countenance loses its
natural, life-like expression; the extremities become cold;
colliquative sweats, diarrhea, hemorrhages, and loss of intellect occur, and, finally, dissolution ends the scene.
This is only a brief outline of the more ordinary symptoms
and course of the malady, and will,we trust, serve to aid the inexperienced practitioner in his diagnosis. Each case, however, must
necessarily present modifications according to the predisposition,
habits, and peculiar circumstances of the individual attacked.
CAUSES.-When animal and vegetable matters are submitted, for a considerable length of time, to the daily influence
of intense solar heat, and a certain amount of moisture in
the crowded and filthy streets of cities, or other confined
places, a miasm is generated, which, under favorable circumstances, will cause yellow fever. Concerning the nature of
this miasm we know nothing; but it is evident that the
continued high degree of temperature to which these substances are exposed, and the confinement of their noxious
emanations within the walls of crowded cities, develop a
more virulent morbific agent than is the case when the same
matters are exposed in the open country, or to a more irregular and less intense heat, such as usually occurs in more
temperate localities.
There are several other causes which act as powerful pre



YELLOW FEVER.


95


disposing influences, one of the most important of which, as
before mentioned, is the too free use of animal food and
stimulants. We may also include in this category, irregular
habits, mental anxiety, depression of spirits, fear, grief, exposure to night air or to a burning sun, and, indeed, whatever
else tends to debilitate the organism.
TREATMENT.-The remedies most commonly applicable in
the treatment of this affection are, Ipecac., Belladonna, Bryonia,
Rhus, Arsenic, and Aconite. The other medicines likely to
prove serviceable are, Nux vom.,.Mercurius, Veratrum, China,
Sulphur, Cantharides, Carbo veg., and Lachesis.  The late
and much lamented Doctor Taft, of New Orleans, was eminently successful in his treatment of the yellow fever as it
occurred in that city. Sometime since, we had the pleasure
of perusing a letter from a highly intelligent gentleman of
New Orleans, in which he states, that the success of Doctor
Taft was so great in this malady as to attract the marked
attention of a large number of citizens; and the writer expresses a deliberate opinion, that a new and favorable era
would soon have occurred in the management of this formidable affection, if the able and accomplished Taft had survived. The remedies which this physician found most successful, and upon which he chiefly relied, were Aconite, Ipecac.,
Belladonna and Bryonia, in the first, and sometimes second
stages; in "the second and third stages, in addition to the
above, Rhus tox., Arsenic, Veratrum, Cantharides, Carbo veg.,
Nux vom. These medicines were usually employed at the first
attenuation, and frequently repeated, either singly or in alternation, as the circumstances of each case appeared to require.
When the first symptoms declare themselves, as dizziness,
slight chills, pains in the back and limbs, uneasy sensations
at the epigastrium, with nausea, vomiting, and sensation of
faintness, Ipecac., at the third attenuation, should be immediately exhibited. This remedy may also be found serviceable
during the second and third stages, in alternation with some
11




96


FEVERS.


other article. Should the malady continue to progress, the
following medicines should he considered, and, in proper
cases, promptly administered.
Belladonna. Glowing redness and bloated appearance of
the face; eyes -Ped *and sparkling, or fixed, glistening, and
prominent; tongi~e loaded with whitish mucus, or yellowish,
or brownish; pulse variable. Dry burning heat; sharp,
darting and shooting pains in the head; violent throbbings,
in the head; burning thirst; painful heaviness and cramplike pains in the back, loins, and legs; pressure, cramp-like,
and contractive pains in the stomach; inclination to vomit, or
violent vomitings. During the remission, melancholy; dejection; when reaction comes on, great agitation, with continual
tossing and anguish.
ADMINISTRATION.-Belladonna is for the most part applicable to the- first stage of yellow fever. Twelve globules in
half a teacupful of water, every hour or two hours a teaspoonful, until better or another remedy is needed.
Bryonia. Skin yellow; eyes red, or dull and glassy, or
sparkling and filled with tears; tongue dry, and loaded with
a white or yellow coating; pulse rapid and full, or weak and
rapid. Severe pain and burning sensation in the stomach;
vomiting, particularly after drinking; burning thirst; pains in
the back and limbs; headache, aggravated by movement;
eyes painful on motion; sense of fullness and oppression in
the stomach and intestines. Anxiety, with dread and apprehension respecting the future; loss of memory; delirium..Administration same as Belladonna, or in alternation with
Phus.
Plius. Surface of a dirty yellow color; eyes glazed and
sunken; tongue dry and black; lips dry and brownish; pulse
quick and small; loquacious delirium, or coma with stertorous breathing; constant moaning. Distressing pain and
burningr in the stomach; nausea and vomiting; paralysis of
the lower extremities; spasms in the abdomen; want of power




YELLOW FEVER.


97


over the abdominal muscles; colic; diarrhea; difficulty in
deglutition, and pain on swallowing. Intellect dull and cloud
ed; constant uneasiness; delirium.
Administration same as Belladonna. (See Bryonia.)
Arsenic. Face of a yellowish or bluish color; eyes dull
and sunken, with a dark mark under them; sclerotica yellow;
nose pointed; coldness of the body, with cold and clammy
sweat; lips and tongue brown or black; colliquative sweats;
pulse irregular, or quick, weak, small, and frequent, or suppressed and trembling. Sense of extreme debility; dull, throbbing,
stunning, or shooting pains in the head; burning or sharp
and darting pains in the epigastrium, orin the region of the liver;
limbs feel stiff and useless; frequent evacuations, with tenesmus, or painless and involuntary; oppression at the chest,
with rapid and anxious respiration; cramps in the calves of
the legs; great oppression at the stomach, with violent vomiting, especially after drinking; drawing and cramp-like pains
in the abdomen; sensation as if a weight was pressing upon
the abdomen. Indifference; weakness of memory; stupidity;
delirium, with great flow of ideas; loss of consciousness and of
sense; raving.
ADMINISTRATION.-Dissolve in water, as stated in Belladonna. In urgent cases, a teaspoonful may be exhibited
every half hour, until some change is produced in the symptoms. In less dangerous cases, the intervals of administration may be lengthened as circumstances require.
Aconite. Suitable in the first and second stages, when
there are burning and dry skin; red cheeks; full and rapid
pulse; red and sensitive eyes; tongue natural or covered
with a whitish slimy coat; lips and mouth dry; vomiting of
mucus and bile; urine dark-red. Violent febrile reaction;
sensation of intense heat; great thirst; acute pains in the
temples, forehead, or on the side of the head; vertigo on
rising, eyes weak and sensitive to light; pains and soreness
in the back and limbs; nausea; general sense of debility;




98


FEVERS.


great heat and irritability of the stomach; short and anxious
respiration. When the fever is on, great anguish, anxiety, and
restlessness; for the most part nightly delirium.
Administration. Dissolve in water as above. Aconite and
Belladonna may sometimes be alternated with benefit in the
first period of the disease.
In a majority of cases, a few doses of this remedy will be
found indispensable, during the first reaction.
Nux vomica. Skin yellow; face pale or yellowish, especially round the nose and mouth; lower part of the sclerotica
yellow; eyes inflamed, with redness of the conjunctiva; eyes
surrounded with a dark circle and full of tears; tongue with
a thick white or yellow fur, or dry, cracked, and brown,
with red edges; pulse variable. Burning pains in the stomach; pressure or cramp-like pains in the epigastrium; vomiting of acid, bilious, or mucous matters; frequent and violent
hiccough; eyes sensitive to light; vertigo, or pains in the
head; tremors of the limbs, cramps in different parts; thirst
for beer, brandy, or some stimulant; contraction of the abdominal muscles; loose discharges of slimy or bilious matters
or blood; burning pains at the neck of the bladder, with
difficulty in urinating; coldness, paralysis, and cramps in the
legs; feet benumbed and cramped. Excessive anxiety, uneasiness, fear of death; despair, or loss of consciousness and
delirium, with moaning or muttering.
Administration same as Belladonna.
ifercurius. Yellow color of the skin; eyes red, bloodvessels of sclerotica injected; eyes sensitive to light; paralysis of one or more limbs; tongue with moist, thick, white fur,
or dry and brown mucus; faces variable; pulse irregular, or
quick, strong, and intermittent, or weak and trembling. Excessive inclination to sleep, or restlessness from nervous irritation; sense of fatigue and debility; rapid loss of strength;
dizziness, or violent pain in the head; violent convulsive
vomiting of mucus and bilious matter; burning pain and




YELLOW FEVER.


99


tenderness of the stomach; constipation, or diarrhea with
discharges of mucus, bile, or blood; coldness of the arms and
legs, with cramps; excitability and sensibility of all the organs. Anguish and agitation; weakness of memory; apprehensions; discouragement; moroseness; raving.
Administration same as Belladonna.
Veratrum aib. Face of a yellowish or bluish color, cold
and covered with cold perspiration; eyes dull, clouded, yellowish and watery; lips and tongue dry, brown and cracked;
hiccough; coldness of the hands and feet; trembling and
cramps of the feet, hands, and legs; evacuations loose, blackish or yellowish; pulse slow and almost extinct, or small,
quick, and intermittent.  General prostration of strength;
confusion of head, or vertigo; deafness; difficult deglutition;
intense thirst; violent vomiting of green bile and mucus, or
black bile and blood; burning in the stomach; great exhaustion; cramps in the stomach, abdomen, and limbs; diarrhea.
Timid, despondent, restless, loss of sense; coma or violent
delirium.
Administration same as in Arsenic, and with it in alternation.
Sulphur. Face pale, or yellowish; eyes red, or yellowish;
aphthee in the mouth; tongue dry, rough, and reddish, or
with white or brownish coat; pulse hard, quick, and full;
fa-ces whitish, greenish, or ibrownish, bloody or purulent.
Dizziness, or sharp pains in the head; itching and burning
pains in the eyes; roaring in the ears; nausea., with trembling
and weakness; vomiting of bilious, acid, bloody, or blackish
matter; pressure and pain in the stomach; pains in the back
and loins. Melancholy, sad, timid, undecided, wandering.
Administration. Dissolve in water as above; every four or
six hours a teaspoonful.
Ganthiarides is sometimes indicated in the third stage with
complete insensibility, cramps in the abdominal muscles and
legs, suppresion of urine, hemorrhages from thc stomach and
bowels, and cold sweat on the hands and feet. It may be




100


FEVERS.


employed in water, dissolved, every half hour a teaspoonful,
until a decided impression is produced.
Carbo veg. and Lachesis have both proved curative in the
third stage of yellow fever, and should always receive due
attention in grave cases..Diet and regimen same as under "Fevers."
BILIous REMITTENT FEVER-BILIOUS OR GASTRIC FEVER.
(Febris remittens, Enteropyra).
DIAGNOSIS.-A more or less severe chill is followed by feverish heat, with dry skin, and rapid but soft pulse; the latter is frequently intermittent, mostly irregular. The patient
has a feeling of oppression and swelling at the pit of the
stomach; pressure on the stomach causes not much pain,
but rather a disagreeable sensation by the gases in the stomach, which are belched up, smelling disagreeably, sometimes
with vomiting of a tough, variously-colored mucus, with a
bitter, putrid or slimy taste. The patient has a foul tongue,
with a yellowish or brownish coat; he complains of headache, particularly a pressing sensation over the eyes, of dizziness and unusual lassitude.
In the beginning of the disease, the bowels are constipated;
in its progress, offensive discharges appear, of badly digested food with mucus. The urine, generally, is turbid, resembling a mixture of butter with water (urina jumentosa).
There appear, sometimes, two varieties of this fever.
First variety, respecting the stomach, which sometimes is
inflamed in several spots, exhibiting many symptoms of a
real gastritis; such as vomiting after the least eating or drinking, continual eructation of gas and hiccough, beside great
tenderness on pressing the region of the stomach.
Second variety, respecting the febrile excitement, which sometimes assumes the febrile type, particularly in persons of a
plethoric constitution. In such cases the pulse becomes hard
and full, with rush of blood to the head, the skin dry and




BILIOUS REMITTENT FEVER.10




hot, the tongue has a thin, whitish coat, the urine, at first
-dark brown, becomes turbid only on standing. The remission of these symptoms takes place in the morning, therefore,
the name 'remittent fever; a complication with the intermittent
is frequently observed, particularly in marshy regions.
CAUSES.-This fever mostly appears in the summer, when
the atmosphere is moist or changeable; also, during long-continued hot weather. Persons of weak digestion, with irritable temperament, are predisposed to it; also, those of sedentary habits, and indulging in debauchery or eating to excess
indigestible food. As exciting causes, we mention: overloading of the stomach, anger, fear, taking cold and exposu~res to inclement climates.
Duration and course are very indefinite; this disease may
terminate in a few days or it may last for weeks. Under a
judicious homceopathic treatment, its duration is very much
shortened, as, by the specific action of the medicines on the
disease, its termination does not depend on the appearance of
a favorable crisis, whereby a great deal of time is saved. If,
however, a crisis appears, it does not impede the homceopathic medication: if it is too excessive or debilitating, the proper remedies have to be applied. Such crises appear by vomiting of food or bile, and by diarrheas of bile, mucus and
indigestible substances. It is very favorable during the course
of the, disease, if the skin becomes moist, the urine deposits
a sediment, or fever blisters appear on the lips and nose.
This disease can. change into the intermittent fever or typhus, if neglected or badly treated. In such cases we refer
the reader to the'chapters of these diseases.
TREATMENT.-As the premonitory symptoms of a bilious
remittent fever indicate, generally, a derangement of the
stomach, from errors in the diet, or exposures to the changes
of the weather, it is necessary, above all, to counteract these
effectually in the beginning. In this stage of the -disease,
commonly termed biliousness, there is no fever yet, which




102


FEVERS.


"will soon appear, however, if the patient does not adhere
to a strict diet and keep quiet. His diet must be of the lightest kind, gruels, light bread, black tea and cold water; complete rest on the bed or couch. In case of the stomach having
been overloaded, take coffee without milk or sugar; if caused
by the eating of fat meat, etc., take Pulsatilla, China, Carbo
vegetabilis; and, if there still remains nausea and gagging,
give Antimonium crudum (see "Indigestion"). If anger was
the cause, give Chamomile, and, if accompanied by chilliness
and headache, in alternation with Bryonia (see, "Affections
of the Mind"). If climatic influences, exposures to cold or
damp weather caused the biliousness, give Bryonia and Rhus,
particularly if pains in the head, arms and limbs are present;
administer as stated page 88; beside, consult the article on
indigestion.
The principal remedies for the bilious remittent fever, are
Aconite, Pulsatilla, Bryonia, Nux vomica, Ipecac., Tartar emetic,
Antimonium crudum, Chamomile, Colocynth, China, Phosphoric acid, Arsenic, Veratrum. If the symptoms of the first
variety predominate, consult the article on gastritis, if those
of the second, see " Congestion of the Head," and "Inflammatory Fever."
SYMPTOMATIC DETAIL.-Aconite. High fever; rapid pulse;
yellow coating on the tongue; bitter taste and eructations; bitter, greenish or slimy vomiting; painful sensitiveness of the
stomach; headache, worse when talking.
Pulsatilla. Foul tongue, with a whitish coat; foul, bitter
taste, especially of bread; sour, or offensive belching; aversion to food, particularly warm; desire for acids; throwing
up of food or mucus; flatulence; chilliness, with languor; ill
humor; inclined to a diarrhea.
Antimonium crudum. Dull headache, worse when going up
stairs, loss of appetite, loathing, tongue coated or covered with
blisters, thirst at night, nausea; eructations, painfulness of the
stomach to the touch; flatulency. ( Bryoniais suitable after it.)




BILIOUS REMITTENT FEVER.


103


Bryonia. Especially during summer in hot and damp
weather, dry tongue, coated white or yellow, thirst, bitter taste,
desire for acids, wine; bilious vomiting after drinking, dullness
of the head with vertigo, worse after drinking, chilliness. (In
alternation with Rhus.)
Chamomile. Bitter taste in the mouth, loss of appetite,
nausea, vomiting of green, bitter or sour liquid; tensions and
pressure in the stomach, anguish and restlessness, tossing
about; pain and fullness in the head, hot and red face; irritable temper. ( Against the excessive use of Chamomile tea
give Cocculus and Pulsatilla.)
Nux vomica. Bitter or foul taste in the mouth, painful
pressure and tension in the pit of the stomach; constipation,
with frequent but ineffectual urging to stool; rheumatic pains
in the head and body, inability to think.  (After it Chamomile suits frequently.)
Ipecacuanha. Loathing of food, with desire to vomit; violent, but ineffectual efforts to vomit; or easy vomiting, but
with great force; violent pains in the stomach; aching in the
forehead, or sensation as if all the bones of the skull were
broken.
Arsenicum.  Colic or burning pains in the stomach and abdomen; great sensitiveness, at the pit of the stomach, to touch;
burning pressure at a small spot in the stomach; great debility, wants to lie down; vomiting after drinking or motion;
drinks often but little at a time.
Mercury. Moist, white or yellowish coated tongue, painful sensitivenesss of the pit of the stomach and abdomen,
worse at night, with restlessness; drowsy in the day-time,
sleepless at night.  ( Suits well after Belladonna.)
China. No appetite, loathing of food and drink; chilliness
and shuddering after drinking; flatulence; diarrhea of undigested food; very weak from debilitating losses; in alternation with
Phosphoric acid, as directed in Typhus fever.




104


FEVERS.


Colocynth. Vomiting or diarrhea after eating ever so little;
spasmodic colic; cramp in the calves.
Tartar emetic.  Constant nausea, with desire to vomit;
gagging; slimy vomiting and diarrhea. (Suits well in alternation with Bryonia.)
Veratrum. Dry tongue, coated yellowish, bilious vomiting
and diarrhea, debility, fainting after a stool; cutting pains in
the abdomen.
Carbo vegetabilis. Acidity in the stomach with pains, when
pressing on the pit; heaviness or dullness of the head with
debility; offensive diarrhea with great prostration.
Sulphur. If the fever had its cause in abdominal plethora,
which is frequently accompanied by hemorrhoidal affections.
ADMINISTRATION.-Give of a selected remedy every three or
four hours a dose (four globules) until four or six doses are
taken; then discontinue for twelve or fourteen hours, to await
the result. It is very proper to give the medicine dissolved
in water. If that can be done, dissolve twelve globules in
half a teacupful of water, and give, every two or three hours,
a teaspoonful; for four or six times.
DIET AND REGIMEN.-As in fevers generally, lemonade is
very grateful to patients of this kind, must however be avoided,
where there is severe diarrhea.
INTERMITTENT FEVER. FEVER AND AGUE. CHILLS AND
FEVER.
(Febris intermittens.)
The difference between remittent and intermittent fevers is
very marked, and ought to be well understood.
Remittent is a fever in which the symptoms continue during
the whole time of the patient's sickness, only varying, from
time to time, in severity; but never leaving the patient entirely at any time.
Intermittent, however, is a fever, in which the symptoms, at
certain times, cease, and the patient feels as if entirely free




INTERMITTENT FEVER, ETC.


105


from them, or well. To this latter class belong the chills and
fever, or fever and ague, which is caused either by a certain
miasma, generated in marshy countries, or follows other
diseases, acute as well as chronic; for instance, inflammation of the liver, indigestion, internal obstructions, etc.
DIAGNosIS. -The cold stage is preceded by languor,
yawning, drowsy headache, numbness of toes and fingers,
and blue nails. Then coldness of the extremities is felt,
gradually increasing, until the patient sometimes begins to
shake and tremble, his teeth to chatter, and delirium ensues.
During this time, the pulse is weak and oppressed; his
thirst variable; the cold stage lasts from twenty minutes to
three or four hours, and varies much in severity.
The hot stage shows all the symptoms characteristic of an
inflammatory attack: hot, dry skin; thirst; full, quick pulse;
congestion of the head, and sometimes, even delirium. Its
intensity and duration are variable, the latter being from two
to six or eight hours.
The sweating stage indicates an abatement of the fever,
although, frequently, there are fever and perspiration at the
same time.
TREATMENT.-Certain and general rules for the treatment
of this disease cannot be given; it depends too much upon
the individual, and exciting causes, to make. up its general
character. But we will try to be as practical on the subject
as possible.
Two or three attacks must have passed before we can
know, for a certainty, that we have to do with an intermittent.
These attacks will have been treated already, according to
their appearance, either as bilious rheumatic, or gastric
fevers, whereby we may have used remedies beneficial in
fever and ague also. But if this shows itself clearly as such,
adopt the following treatment: First, Ipecac., four doses (six
glob. each), given in regular intervals between two attacks




106


FEVERS.


of fever, during which no medicine should be given; but, after
it is over, give one dose of Nux vonmica (six glob.). If,
then, the next attack is lighter, do not give any more medicine, as the disease will disappear, the attacks gradually growing lighter and lighter.
But if this general treatment does not succeed, select the
specific remedy among the following, taking great care to
find the one most similar to the symptoms of the disease.
For its application, I will here give general directions suitable for every case.
ADMINISTRATION.-Having found the remedy, give three
doses of it (six glob. each), commencing twelve hours before
the next attack is expected, once in four hours a dose.
During the attack, if the chilliness and fever are very
severe, give, invariably, Aconite, in solution (eight globules in half a teacupful of water), every half hour or hour a
teaspoonful, until the attack is over. If the next attack is
lighter, give no more medicine; if not lighter, select for the
next attack another more suitable remedy. In this way proceed for ten or fourteen days, trying to find the right homoeopathic remedy, before adopting the method spoken of at the
end of this article, which subdues the fever, without, perhaps,
eradicating it as safely as the homoeopathic remedy would,
if found.
We will give, in the following, the principal remedies useful in domestic practice, leaving more complicated forms of
the disease for the treatment of a homoeopathic physician,
if one can be had.
Arsenic. For great debility, disposition to vomit, or violent
pains in the stomach; great anguish in the precordial region;
lameness of the extremities, or violent pains; imperfect development of chilliness and heat, or both; alternately sensations of
internal chilliness with external heat; drinking very often, but
little at a time.  The pains in the limbs or all over the body
are almost insupportable with anxiety and restlessness, op



INTERMITTENT FEVER, ETC.


107


pression in the chest, nausea, bitter taste in the mouth.
(Compare China, Ipecac., Veratrum.)
China. When, before the fever, there is nausea or thirst,
voracious appetite, headache, palpitation of the heart, thirst
between the cold and hot stages, or after the hot stage, or
during the perspiration; cold and heat alternately; no thirst
during the heat; great debility; uneasy sleep; yellow complexion.  (Compare with Arsenic and Lachesis.)     This remedy particularly is suitable for those intermittents, originating from marsh miasms.
Natrum mur. Violent headache during the chilliness and
heat, with obscuration of sight, amounting almost to partial
loss of consciousness; pains in the bones, yellowish complexion; fever-blisters on the lips and ulcerated corners of the,mouth; thirst during the chills, more during the heat; sensitiveness at the pit of the stomach; bitter taste; no appetite,
or slight chilliness with yawning and stretching, without
thirst, followed by high fever with thirst, then perspiration
with drowsiness and sleepiness; particularly in cases where
Quinine had been given, to suppress the fever. (Compare
with Ignatia, Arsenic.)
Ignatia. Thirst only during the chill; gastric symptoms,
pain in the bowels during the chill, and eruptions on the lips,
as in Natrum mur.; external heat moderates the chill; external
heat, with partial internal shuddering.  (Compare with Carbo
veg., and Natr. mur.).
Carbo veg. Thirst only during the chill; rheumatic pains in
teeth or limbs, before or during the attack; nausea; giddiness
during the heat; chill comes on in the evening or at night;
particularly, appropriate in damp or wet weather.
Sabadilla. When the attacks return almost at the same
hour, with chills of short duration; then thirst followed by
heat, or where the paroxysm consists entirely of chills.
Ipecac. Much shivering with but little heat, or the contrary;
increase of the shivering by external warmth (the opposite of




108


FEVERS.


Ignat.); oppression at the pit of the stomach; no thirst, or
but little, during the chill; violent thirst during the heat;
nausea and other gastric symptoms; clean or slightly coated
tongue; nausea and vomiting; oppression of the chest before
or during the paroxysm. (Compare Nux vomica.)
Nux vomica. External heat, with internal chilliness, or vice
versa; desire to lie down, and to be constantly covered, even
during the heat; rheumatic pains in the sides, abdomen, and
limbs; during the heat, headache, buzzing in the ears, heat in
head and face, with redness of the cheeks, thirst, and constipation. (Compare Ipecac.)
Pulsatilla.  Gastric symptoms; chills, heat, and at the
same time in the afternoon and evening (compare Sabadilla);
no thirst during the whole paroxysm, or only during the hot
stage; at intervals the patient feels very chilly. It is very
suitable when a disordered stomach has caused a relapse, or
after Lachesis.  Beside, compare Antimon. crud., Bryonia,
Chamomile.
Lachesis.  Chills after a meal or in the afternoon, with
pains in the limbs and back; oppression of the chest; violent
headache during the hot stage, with delirium, burning thirst,
restlessness, internal shuddering; debility; livid complexion
during the intervals and when the fever returns easily after
eating sour things; in which case it alternates advantageously
with Pulsatilla.
Veratrum. External chill and cold sweat, particularly on
the forehead, with internal heat and dark-red urine; delirium
and red face, or chills with thirst and nausea; or, vomiting
and diarrhea during the heat or in the beginning of the cold
stage, with pains in the back and loins.
Sambucus, when the perspiration is very profuse, even
during the intermission.
Antimonium crud. When the tongue is very much coated,
with nausea, and vomiting, little or no thirst, constipation,
or diarrhea. (Compare Pulsatilla.)




INTERMITTENT FEVER, ETC.


109


Bryonia. For bilious symptoms, with much thirst, rheumatic stitches in the side during the heat.
Rhus. The paroxysms for this remedy consist of heat,
preceded and followed by chills. If bilious rheumatic sympcoms are present, alternate with Bryonia.
Capsicum. Chilliness with thirst, followed by heat without
thirst, or thirst only during the hot stage; the chills are violent and last long; the heat is intensely burning; throat and
mouth filled with mucus; cannot bear noise; diarrhea of
acrid, slimy matter.
Sulphur. Intermittents, following suppressed cutaneous
eruptions, or after the abuse of quinine.
Calcarea. Chills and heat alternate, sometimes external
coldness, and internal heat, head and face hot, extremities
cold, pains in the small of the back, diarrhea.
Opium. Intermittents of old persons and children, where
drowsiness with loud snoring prevails, oppressed breathing
with the mouth open; face looks bloated and dark-red;
twitchings of the muscles of the extremities.
We will now give some general indications and the names
of the medicines only. The symptoms may be examined in
the Materia Medica, at the end of the book, and then the
choice made accordingly.
For marsh-intermittent fevers: China, Arsenic, Ipecac.,
Carbo veg.
For fevers prevailing in damp and cold seasons: Carbo veg.,
Rhus, Sulphur, China, Pulsatilla, Lachesis, Veratrum.
For mismanaged fevers, by large doses of Quinine: Pulsatilla, Arsenic, VNarum mur., Lachesis, Sulphur.
For daily fevers: Arsenic, Bryonia, Carbo veg., China,
Ignatia, Ipecac., Lachesis, Natrum mur., Nux vomica, Pulsatilla, Rhus, Veratrum.
For tertian, or every-other-day fevers: Arsenic, Carbo vcg.,
China, Ipecac., Nux vomica, Pulsatilla, Rhus.




110                      FEVERS.
For quartan, or every-fourth-day fever: Arsenic, Pulsatilla,
Veratrum.
When the fever returns yearly, give Lachesis, Carbo veg.,
or Arsenic.
Having tried to cure the intermittent fever with these remedies for a fortnight, without success, and being unable to procure a homceopathic physician, give the patient the following
remedy:
Take four or six grains of Quinine, mix with eighteen or
twenty grains of loaf sugar, and triturate thoroughly, in a
clean mortar, for half an hour; make six powders of it, and
give, twelve or eighteen hours previous to the next attack,
one powder; and, afterward, every two hours one, until all
are given. Give, then, a similarly prepared powder one hour
before the next chill is expected to come on, for at least a
week, and, afterward, continue to give such a powder every
seventh day, in the evening, for thirteen weeks after the last
chill.  If the fever returns (which it seldom does), use Putsatilla, Arsenic and Natrum tmur.
N. B. If the disease is complicated with bilious rheumatic
symptoms, see this article in Index.
DIET AND REGIMEN, as generally in fevers. (See "Common
Fever," page 84.)




CHAPTER V.


AFFECTIONS OF THE MIND.
SUDDEN emotions are often followed by fatal consequences
either immediately or soon after, and it is not well to neglect
them, particularly in children and delicate women.
We will give, in the following tabular view, the most frequent emotions, with the principal remedies, whose symptoms
are detailed below, and which must be compared with the
patient's symptoms before a choice is made.
For the consequences of fright and fear: Opium, Aconite,
Belladonna, Ignatia, Pulsatilla, Mfercury.
Excessive joy: Cofea, Opium, Pulsatilla, Aconite.
Grief: Ignatia, Phosphor. ac., Staphysag., Colocynth.
Home sickness: Phosph. ac., Jfercury, Capsicum, Staph.
Unhappy love: Hyoscyamus, Ignatia, Phosphor. ac.
Jealousy: Hyoscyamus, Lachesis, Nux vomica..Mortification  and  insult: Belladonna, Ignatia, Platina,
Colocynth, Staphysag., Pulsatilla.
Contradiction and chagrin: Chamomile, Bryonia, Ignatia,
Colocynth, Aconite, Nux vomica, Platina, Staphysag.
If accompanied with indignation: Colocynth, Staphysag.
Violent anger: Aconite, Nux vomica, Chamomile, and Bryonia,
Phosphorus.
SYMPTOMATIC DETAIL.-Aconite. Headache, with congestion to the head; constant fear, especially in children; or
when Opium has not been given at once for fright.
Belladonna. Loss of consciousness, or constant anxiety,
12                                     (111)




112


AFFECTIONS OF THE MIND.


with weeping, fear, crying with malice, particularly in children;
also, when Opium    and Aconite have been insufficient for
fright.
Capsicum. For sleeplessness from home-sickness, with
heat and redness of the -cheeks.
Chamomile. For the following consequences of anger:
bitter taste in the mouth, nausea, vomiting of bilious matter,
cutting colic, pressure in the stomach, headache, fever, thirst,
restlessness, asthma, suffocating fits; in children, convulsions
or gastric derangement, after eating or drinking, shortly after
an angry fit.
Bryonia.   Chilliness and shuddering over the whole body;
vehement anger; loss of appetite; nausea; vomiting of bile.
Coffea. Nervousness from great joy, with trembling and
faintness, especially in females and children.
Colocynth. From   chagrin or mortification-colic, cramps
in the stomach, nausea, bitter vomiting, sleeplessness.
SHyoscyamus. From fear-stupefaction, and apathy, inability to swallow, convulsions, sudden starts or involuntary
laughing during sleep, desire to escape; and, also,
From unhappy love-jealousy, restlessness, running about.
Ignatia. From fright, mortification, chagrin, grief, especially after losing a friend-irresistible grief, headache, vertigo, vomiting, gastric symptoms or even convulsions, especially in children, from fright or from unhappy love.
Mercury. From fright, mortification, or home sicknessas great anguish, trembling, and restlessness; sudden starting from sleep; congestion of blood on the least motion;
sleeplessness; cannot bear the warmth of the bed; nervousness; quarrelsome mood; complains of everybody, even one's
own family; constant shivering; night sweats.
NLux vomica. From anger-particularly after having eaten
or drank something, or after Chamomile or Bryonia has been
given without effect.
Opium. From joy or fear, to be given immediately-loss




HYPOCHONDRIA - HYSTERIA.


113


of consciousness; perspiration about the head, with coldness
of the rest of the body; congestion to the head; involuntary
diarrhea; snoring-like  breathing; fainting fits; spasms;
epilepticfits, with spasmodical rigidity of the whole body.
Phosphoric acid. From  deep grief, unhappy love, home-,sickness, or in any case where Ignatia is not sufficient, particularly when the patient is dull and listless; when the hair
falls out, or turns gray; hectic fever, with profuse sweats;
sleepy in the morning.
Platina. From anger and mortification-as indifference,
sadness, and laughter; pride, with contempt for others; great
anguish and dread of death.
Pulsatilla. From  fear-diarrhea, with heat in the abdomen.
From  anger-in persons of a bland disposition, or when
Chamomile is not sufficient.
Staphysagria. From anger or indignation and ill-humorthe patient pushes violently away whatever is near him;
restlessness; fear; also,
From deep grief, as sadness, with a disposition to take
everything wrong-dread of the future; sleepy in day-time
and sleepless at night; falling off of the hair; feeble and
faint voice; hypochondriac mood.
ADMINISTRATION.-The selected remedy should be prepared
and given as follows: Dissolve twelve globules of it in half
a teacupful of water, and give, every half hour, a teaspoonful,
until three or four are given, or until better; if not better
after three or four doses are taken, select another remedy,
and give it in the same manner. As soon as the patient feels
better, give the medicine at longer intervals.
HYPOCHONDRIA. HYSTERIA.
These two diseases are not essentially, but sexually, different. Hypochondria is the name for it in a male person,
Hysteria, in a female. Persons inclined to this disease have




114


AFFECTIONS OF THE MIND.


great disposition to spasms and nervous attacks; their idiosyncrasies and sympathies are very much developed, from
which result a great variety of singular fancies and imaginary
sufferings, changing frequently in expression and character;
sadness and excessive joy, deep distress and buoyant hilarity
follow each other in rapid succession. Their real disorders
can be traced generally to obstructions in the abdomen
and abnormal states of the sexual organs. Debilitating influences of any kind may produce them, particularly where constitutional predisposition is present; also, suppression of
habitual secretions, as piles, fluor albus, etc. The female
system is more liable to them, if an ungoverned and unsatisfied imagination is fed daily by reading novels, plays and
trashy romances.   This disease is by itself not fatal; but
becomes very troublesome to the patient as well as others.
TREATMENT.-Part of the treatment must consist in encouraging the patient during the fits of distress and pain, even if
only imaginary; to the patient these sufferings are real, and
it cannot be of benefit to him, to express doubts of their reality in his presence. A kind, patient, sympathizing attention, with occasional congratulations on his progressive recovery, etc., is more beneficial, and contributes much to gain his
confidence.
During the hysteric fit or spasm, it is only necessary to
to admit fresh air, and sprinkle cold water in the face of the
patient; let him smell from time to time on camphor, or hartshorn. Between the attacks, the patient's diet ought to be
regulated according to the strictest homoeopathic rules, allowing plenty of exercise in the open air, if it can be taken;
diverting the mind from his own state of health; using
hydropathic means, and giving those homceopathic remedies
which suit his case.
The difference between a cozgestive and a nervous hypochondria and hysteria is very important, as it greatly facilitates
the selection of the right remedy.




HYPOCHONDRIA - HYSTERIA.              115
The congestive form is signalized mostly by red, swollen
face, wild looks, full pulse, feverishness, and requires principally: Aconite, Belladonna, Nux vomica, Bryonia, Opium,
Calcarea, Natrum mur., Sulphur. The nervous form exhibits
a pale face, with distressed looks, general debility, weak pulse,
chilliness, and requires mostly: Aconite, Coffea, China, Igna.,
Puls., Chamo., Lach., Nux moschata, Phos., Platina, Vera.
SYMPTOMATIC DETAIL and ADMINISTRATION of these remedies,
see "Affections of the Mind."
If the disease is based decidedly on obstructions in the abdomen, consult the following remedies particularly:
Nux vomica. Ill humor; aversion to life; disposition to vehemence; disinclination to mental labor; unrefreshing sleep;
feels worse in the morning; dullness of the head, with aching
pains, or sensations as if a pin were sticking in the brain;
aversion to the open air; constant desire to lie down; great exhaustion after walking; painful distension in the hypochondria and stomach; constipation of the bowels; disposition to,
or presence of, the piles (hemorrhoids). Sulphur follows
well after Nux vomica.
Sulphur. Lowness of spirits; solicitude about one's afairs,
health, salvation; fixed ideas; anxious impatience; restlessness; vehement disposition; bodily and mental indolence; absence of mind; cannot think; exhaustion after mental labor;
fullness and pressure in the stomach; constipation; feels very
unhappy.   Calcarea carb. follows well after Sulphur.
Calcarea carb. Lowness of spirits, with disposition to weep;
anxiety, with congestion or palpitation of the heart; despair about
one's health; apprehension of illness, misfortune, infectious diseases, insanity, etc.; dread of death; cannot think, or perform any
mental labor. (.Vatrum m. follows well after Calcarea carb.)
Natrum mur. Lowness of spirits; weeping and lamenting
about the future; desire to be alone; aversion to life; ill humor;
disposition to vehemence; cannot perform mental labor;
headache, with want of appetite; indigestion after eating.




116


AFFECTIONS OF THE MIND.


ADMINISTRATION.-Give of the selected remedy every third
evening a dose (six glob.), until four or six doses are taken;
then discontinue for the same length of time; giving afterward
the next best remedy in the same manner; and so on, until
better.
MELANCHOLIA. MANIA.
A disturbance of the normal actions of the mind similar to
the former, but more deeply seated, with general derangement
of the system always requiring skillful medical aid.
If the patient is timid, unsociable, sad, listless, weak, we
call it melancholia; if he is in the opposite state, and dwelling
on a fixed idea, we call it mania and frenzy. The treatment
of these disorders is so difficult and complicated, that it would
be impossible to introduce it here with advantage. We only
draw the attention of the reader to a few remedies, which
may be given to commence a cure or satisfy immediate necessities, until competent help can be procured.
For deep melancholy: Arsenicum, Aurum, Lachesis, Nux
vom., Sulphur.
For silent melancholy: Ignatia,  Cocculus, Lycopodium,
Phosph. acid, Pulsatilla, Veratrum.
For religious melancholy: Aurum, Belladonna, Lachesis,
Pulsatilla, Sulphur.
For mania, bending upon self destruction; to hang one's
self, Arsenicum; to drown one's self: Belladonna, Hyoscyamus,
Pulsatilla, Secale; to shoot one's self: Antimon. crud., Carbo
veg.
For restlessness, wandering about: Belladonna, Hyoscyamus,
Stramonium.
For mania, as if possessed by bad spirits: Hyoscy.; as if
seeing ghosts: Belladonna, Stramonium.
For frenzy, rage, cursing, etc.: Bellad., fHyoscyamus, Veratrum, Stramonium.
SYMPTOMATIC DETAIL and ADMINISTRATION of these remedies same as under "Affections of the Mind."




CHAPTER VI.


AFFECTIONS OF THE HEAD.
1. CONGESTION, OR DETERMINATION OF BLOOD TO THE HEAD.
(Congestio ad caput.)
SOME persons have a predisposition to this disease; others
acquire it by wrong habits, such as the use of spiritous
liquors, leading a sedentary life, or by intense mental application.  It becomes dangerous by long continuance, in
which case the patient ought to put himself under the charge
of a homceopathic physician.
For the single attacks, we will indicate the remedies below.
DIAGNOSIS.-In such an attack, the beating of the arteries
of the head is felt by the patient, the veins of the neck are
swelled, the head feels full and heavy, and giddiness ensues,
particularly when stooping, exercising, or walking in the sun,
and when turning round suddenly. The head aches mostly
above the eyes; increased by stooping, coughing; sleep is
unrefreshing; drowsy.
TREATMENT.-In general, the patient ought to abstain from
heating or ardent drinks, such as coffee, liquors and tea;
drink cold water freely, and wash or bathe in it.  Every
evening take a cold foot bath up to the ankles, rubbing the
feet briskly after it. Never allow bleeding, as it would only
increase the disposition afterward, without taking away the
present attack sooner than the following remedies will do, if
properly applied.                            (117)




118


AFFECTIONS OF THE HEAD.


The principal circumstances, under which congestion to the
head takes place, and their remedies, are:
From great joy: Cofea, Opium.
From fright or fear: Opium.
From anger, violent: Chamomile, Bryonia, Nux vom.
From anger, suppressed: Ignatia.
From a fall or blow, causing concussions: Arnica.
From loss of blood or fluids: China.
From a cold: Dulcamara, Bryonia, ]Rhus tox.
From constipation: Aloes, Opium, Nux vom., Bryonia.
From drinking liquors: Nux vom., Opium.
From sedentary habits: Aloes, NAux vom., Aconite.
At the critical period of girls, or
From  the stoppage of menstruation: Pulsatilla, Aconite,
Belladonna, Bryonia, Veratrum.
From dentition in children: Aconite, Coffea, Belladonna,
Chamomile.
Before giving one of the above remedies, examine the symptoms, as detailed below.
Aconite is the first remedy to be given, if the head aches
violently above the eyes, as if it would burst, particularly
when stooping or coughing, or when it is caused by fright or
anger, especially in children. ( See "Affections of the Mind.")
Aloes. Periodical headache, alternating with pains in the
small of the back; stitches in the left temple, worse when
treading. Congestion of blood to the head from suppressed
hemorrhoids and gout.
Belladonna. After Aconite, if necessary, or in alternation
with it, if the congestive symptoms are more on one side of the
head, and particularly the right; or if there is violent pressure in the forehead, increased by motion, stooping, noise, or
the glare of light; darkness before the eyes; buzzing in the
ears.
N. B. Belladonna and Aconite for young girls at the critical
age. ( See Pulsatilla.)




CONGESTION OF BLOOD TO THE HEAD.


119


Opium. First remedy, if occasioned by fright ( see "Affections of the mind," under Opium), or in those serious
cases of sudden congestion which occur in summer from a
draught of cold water when heated, with the following symptoms: vertigo; buzzing in the ears; stupor, with sweat pouring off the head; pulse full and heavy, or quick and weak.
Also, in those cases which arise from extreme constipation
when the patient has no desire for stool (NVux vom. in constipation, with ineffectual effort to evacuate the bowels), with
red and bloated face; dry mouth; wandering look; if, with
acid regurgitations, nausea, and vomiting, alternate with _/Nux
vom.; the same, also, when from debauch.
Coffea. In cases of congestion caused by excessive joy, or
in children when teething; sleeplessness, and agitation; sometimes in alternation with Belladonna or Opium.
Chamomile. Congestion caused by angry passion, particularly in children when teething; followed by Bryonia or Nux
vom., if necessary.
Ignatia. Congestion from suppressed anger, or grief.
Arnica. By a fall on the bead or other parts; congestions
of the head take place either by actual concussion, or by fright
and fear occasioned by a fall. In both cases, Arnica, externally applied (twelve drops of the tincture in half a teacupful of water), in wet bandages; and internally, in alternation
with Aconite.
Also, in cases where there is heat in the head, with chilliness of the other parts; dull pressure in the brain, buzzing
in the ears, and vertigo; obstruction of sight, especially when
rising from lying down.
Nux vom. Congestion from sedentary habits; intense study,
or drinking spiritous liquors; also from violent anger (see
Chamomile and Bryonia), when there is nervousness, with
painful feeling in the head when walking or moving; pressure
in the temples; dim eyes, with desire to close them without
being able to sleep; the symptoms worse in the morning, in
13




120


AFFECTIONS OF THE HEAD.


the open air, or after a meal; bowels constipated, with ineffectual desire to evacuate.
N. B. In cases where -Nux vom. does not give perfect relief,
in persons fond of liquors, Opium, Calcarea carb., and Sulphur,
at intervals of four or six days, one dose (six glob.), are
necessary. (See "Delirium Tremens.")
Pulsatilla.  Congestion at the critical period of young girls,
or in phlegmatic temperaments, when there are distressing
pressure and pain on one side (particularly the left)-of the
head; relieved in the open air, or from binding the head;
whining mood; anxiety; shivering; pale face, with vertigo.
Mercury. Congestion with sensation of fullness, or as if
the head were compressed by a band; relieved by the pressure
of the two hands around the head; worse at night; disposition to perspire-is often suitable after -Belladonna and Opium.
Dulcamara.   Congestion from the least cold; wet feet,
particularly when there is continual buzzing in the ears, with
dullness of hearing.
China. Congestion after loss of fluids, as blood-letting, or
hemorrhage; when there is beating in the head, with palpitation of the heart, and dimness of sight; heavy breathing
when lying with the head low; followed, in such cases, by
Calcarea carb. and Veratrum.
Bryonia.  Painful pressure in the temples, or sensation as
if everything would fall out of the forehead when, stooping;
nose bleeds without relief; constipation. If in wet weather,
alternate with -Rhus. Administer every two or three hours
a dose (four glob.), until three doses of each are given, or
until better.
R.hus lox.  Congestion with burning, throbbing pains, and
fullness in the head; rheumatic pains in the limbs; worse
after eating.  (See Bryonia.)
ADMINISTRATION of the above remedies, the same as in
".Affections of the -Mind."
DIET AND REGIMEN-.The diet ought to be light, farina



VERTIGO -- GIDDINESS.


1-21


ceous; no meat or broths, except in cases where loss of blood
or fluids has preceded the congestion.
In the habitual form of congestion, early rising and daily
exercise in the open air, bathing or sponging in cold water,
are recommended.
2. VERTIGO.    GIDDINESS OR DIZZINESS.
It arises either from disordered stomach, irritation of the
brain and congestion to the head, or from suppressed eruptions, or ulcers; also from riding in a carriage.
In most cases it accompanies severe disorders of the brain
and stomach, when it ought to be treated by an experienced
homoeopathic physician. Until such help can be had, the
following remedies may be resorted to:
TREATMENT.-Vertigo from disordered stomach: Nux vom.,
Arnica, Chamomile, Pulsatilla, Antimon. crud., China, Rhus,
Cocculus.
Irritation of the brain, from excess of thinking, etc.: Nux
vom., Arnica, Belladonna,   Chamomile, Hepar, Pulsatilla,
Rhus.
Suppressed ulcers and eruptions: Calcarea carb., Sulphur.
Riding in a carriage: Hepar sulph., Silicea, Cocculus,
Petrol.
Congestion of bloodto the brain: Aconite, Aloes, Bryonia, Arnica, Belladonna, China, Lachesis, Mercury, LNux vom., Opium,
Pulsatilla, Sulphur.
Before giving one of the above remedies, read its detailed
symptoms below.
Aconite. Vertigo on raising the head after lying down or
stooping, attended with nausea, vomiting, dimness of sight,
loss of consciousness.
Antimon. crud. Nausea and vomiting; aversion to food;
disordered stomach; is followed well by Pulsatilla.
Arnica. Vertigo from over-eating, or during meals, with




122


AFFECTIONS OF THE MIND.


nausea, dimness of sight, red face; is followed well by Nux
vom., Chamomile, Rhus, Lachesis.
In cases of this kind, frequently very dangerous, seek the
advice of a homceopathic physician.
Nux vom. Vertigo during or after a meal, or when walking in the open air; stooping, or thinking; worse in the morning or evening, in bed, when lying on the back, with sensation
as if turning around or falling; fainting; loss of consciousness.
Opium.   From fright, with trembling; stupor; dimness of
sight; worse when rising from bed, and obliged to lie down
again.
Pulsatilla. Vertigo when looking upward, or when sitting
or stooping; worse in the evening, or after a meal; better in
the open air.
Rhus. Vertigo when lying down in the evening, with fear
of falling or dying.
Lachesis. Vertigo on walking in the morning, with absence of mind; intoxicated feeling; constipation; sensation
as if the head were turning to the left side.
Mercury. Vertigo on arising in the morning, or in the
evening, with nausea; dimness of sight; or when raising the
head, with a desire to lie down again.  (See Bryonia.)
Bryonia. Same as Mercury, and with feeling of intoxication
and congestion when stooping and rising again.
Hepar sulph. Vertigo from riding in a carriage.
Cocculus. Same as Hepar sulph., if this is not sufficient.
Petroleum. Same as Cocculus, if that is not sufficient.
Silicea. Same as Petroleum, if this is not sufficient, or the
vertigo seems to rise from the back to the nape of the neck,
and thence to the head; worse in the morning and after emotion.
Sulphur. Vertigo in the morning, or at night, when ascending
an eminence, or after a meal; after suppressed ulcers and
eruptions.




WEAKNESS OF MEMORY.


123


China.   Vertigo, with fainting when raising the head.
(See "Congestion to the Head.")
Calcarea carb. Same as Sulphur, and when with trembling before breakfast; coldness of the head; congestion to the
head.
Chamomile. Vertigo in the morning or after eating, and
drinking coffee, with fainting turns.
ADMINISTRATION.-Every two, three, or four hours, one
dose (four glob.) until relieved, or another remedy is necessary. If in vertigo, caused by congestion to the head, see
"Administration," in that article.
DIET AND REGIMEN the same as in "Congestion to the
Head."
3. WEAKNESS OF MEMORY.
This diseased state of the brain is principally caused by
debilitating loss of fluids, such as bleeding, purging, sexual
excesses, etc., for which give China, Nux vom., and Sulphur,
every week one or two doses (six glob.), in alternation until
better.
Sometimes it is caused by excess of mental labor, for which
give Nux vom., and Sulphur, as above.
If caused by external injuries, a fall or blow, give Arnica.
(See "Congestion to the Head.")
If by congestion to the head, give Aconite, Belladonna, China,
Mercury, jRhus, and Sulphur.    (See " Congestion to the
Head.")
If by excessive use of spiritous liquors,.give Nux vomica,
Calcarea carb., Lachesis, Opium, Sulphur, in the same manner
as above, under "Debilitating Loss," etc.
ADMINISTRATION, DIET AND REGIMEN as in "Congestion to
the Head."
4. APOPLEXY. (Apoplexia.)
Short, thick-necked persons, of a full and fleshy growth, are
predisposed to this disease; it is also hastened on by the too




124


124        AFFECTIONS OF THE MIND.


free use of spiritous liquors, by excesses of any kind, and
suppression of the habitual perspiration of the feet. An
attack of apoplexy is often preceded by heaviness and fullness of the head; buzzing in the ears; dim eyes; dullness
of hearing; sleepiness; indistinct speech; numbness of limbs.
If this state exists, particularly, in old persons, oF those
predisposed to apoplexy, the greatest care should be taken
in the diet, which ought to consist only of simple farinaceous
and mucilaginous substances, and cool acidulated -drinks;
they ought not to exercise very much, particularly in the heat
of the day, and should take the following remedies, as it is
easier to prevent an attack than to cure it.
Opium. If in old people there is unusual stupor; buzzing
in the ears; obtuseness of hearing; redness of the face; constipation; pulse slow and full. Give three times a day a
dose (four glob.), until better.
IVu= vomica. In people of a sedentary habit, or addicted
to the use of ardent spirits, in alternation with Opium and
Lachesis, particularly when, with the above premonitory
symptoms, there is headache on the right side, with vertigo
and a nervous bilious temperament.
ADNINISTRATION same- as under Opium.
Lachesis. Same as Nux vom.; but particularly when the
left side of the head suffers, and lowness of spirits is connected with it. Administration same as above.
Belladonn  and Aconite under the same circumstances as
stated under "Congestion to the Head."
Arnica. When symptoms of congestion to the head appear
after a meal. If an apoplectic fit ensues, however, continue
the same remedies as indicated above, only give them in
solution (twelve globules to half a teacupful of water),
every half hour a teaspoonful until better, or another remedy
is indicated.
In such cases hasten immediately to procure a homoeopathic physician. Avoid bleeding under any circumstances;




INFLAMMATION OF THE BRAIN.


125


the chances of killing the patient by such an act are, too
frequent.
DIET AND REGIMEN as in "Congestion to the Head."
5. INFLAMMATION OF THE BRAIN.
The brain and its two coverings (see Anatomical Part)
are sLibject to inflammation separately, the characteristic
symptoms of which show themselves, particularly in the
beginning of a brain fever. We will, therefore, give them
separately, as it is important and interesting, to be able to
distinguish between the different localities of the disease.
DIAGNOSIS. First species, called meningitis, if the dura
mater, the skin next to the skull, is inflamed.
The acute meningitis attacks a person suddenly, exhibiting,
immediately, stupor and drowsy symptoms; the patient cannot
be raised easily, or keep his head erect; it inclines to fall on
either side; he complains of no pain, except vertigo and dizziness; reels when walking; pupil contracted; sensitiveness
to light, although the eyes are not red as yet; constipation;
scanty, dark, red urine; fever, with a soft pulse.
N. B. Old people are most liable to this species of inflammation of the brain; also, those who have indulged too much
in the use of spiritous liquors, particularly after taking cold.
It frequently precedes an apopletic fit.
Second species.  Called arachnoiditis, if the covering next
to the brain is inflamed. This species does not commence
with stupor, and not without pain, like the first species, but
with violent pains over the entire head; increased by paroxysms of congestion, with violent beating of the arteries of
the neck and temples; sleeplessness; low muttering; pulse
quick; if stupor ensues suddenly, the patient dies soon after.
Third species. Encephalitis vera, or inflammation of the
substance of the brain, in its various parts.
It commences with violent congestion and pulsation of the
arteries on the neck and head; face red and bloated; eyes




,126


AFFECTIONS OF TIE HEAD.


blogdshot and brilliant; intense heat of the head, and violent
delirium.
The patient tosses about, screams, and evinces great muscular strength and sensitiveness to light; pupil contracted;
cannot hear well. The deeper the interior of the brain is
affected, the more the senses are stupefied, so that, in some
cases, the patient can, finally, neither see nor hear; drj skin;
violent thirst; hard, full pulse; fever accordingly; frequent
vomitings or retchings.
TREATMENT.-It is easily to be conceived that, in such a
violent disease, no layman would trust his own judgment,
except in cases of absolute necessity; and, on this latter
account, we give the following treatment of the above three
species of brain fever, which is the same as regards the
internal remedies, and differs only in the external applications,
as will be seen below.
EXTERNAL APPLICATIONS.-First species-cold-water bandages.
Second species-hot-water bandages.
Third species-cold-water bandages, or pounded ice.
INTERNAL TREATMENT.-First species- Opium, Hyoscyamus,
Bryonia.
Second species-Aconite, Belladonna, Hyoscyamus.
Third species - Aconite, Belladonna, Stramonium, Bryonia,
Hyoscyamus.
Before giving the medicine selected, read the symptoms
presented below.
Aconite is generally given first, when there is inflammatory
fever, delirium, violent burning pains through the whole
brain, particularly in the forehead; red face and eyes; hot
and dry skin. Six hours after give Belladonna or continue
the use of Aconite in alternation with Belladonna, until
better.
Belladonna. This remedy is almost a specific in inflammation of the brain, particularly when there is great heat of




INFLAMMATION OF THE BRAIN.


127


the head, red and bloated face, violent pulsation of the arteries
on the neck and temples; burying the head in the pillow; sensitiveness to the slightest noise and light; burning and shooting
pains in the head; bloodshot and brilliant eyes, with a wild
expression; contracted or dilated pupils; violent and furious
delirium; raving; loss of consciousness; sometimes low mutterings, convulsions, vomiting, violent thirst.  Administer
alone or in alternation with Aconite (see above), or with
Stramonium and Hyoscyamus (see below).
Hyoscyamus.   Stupor, loss of consciousness, delirium;
sudden starting; talks about his affairs; inarticulate speech;
singing, muttering, smiling, picking the bed clothes; skin
dry; red face; desire to escape; involuntary stool and
urine.
Stramonium.   Red face; staring look; frightful visions;
sleep natural, but with twitching, tossing about, and absence
of mind when awaking; desire to escape, and screams.
Bryonia. Constant stupor, with delirium; sudden starting
from sleep, screams, cold sweat on the forehead; burning
and shooting pains in the head, or stitches through it.
Opium. Stupor, with heavy breathing; eyes half open;
confusion and giddiness after waking; complete listlessness
and dullness of sense; also, no desire for anything, or complaining of anything.
ADMINISTRATION.-Dissolve twelve globules of the selected
remedy in half a teacupful of water and give either alone
or in alternation with another remedy, similarly prepared in
another teacup, every hour or two hours a teaspoonful, until
better or another remedy is needed. Each remedy must have
its separate teaspoon, with which it is given to the patient.
If signs of amendment appear, discontinue all medicines.
DIET AND REGIMEN as in "Common Fever."
Inflammation of the brain in children. As the brain of
children is very tender, its diseases must necessarily be more
dangerous and frequent, and we give, therefore, in the follow



128


AFFECTIONS OF THE HEAD.


ing, a more special and somewhat modified treatment for
inflammations of the brain in children:
If a child's head is very hot, feet cold, skin dry and hot, it
sleeps with eyes half open, has scanty urine, with or without
vomiting or diarrhea, let the cause of the disease be what it
may, in such a case give at once Belladonna and Hellebor., in
solution (twelve globules in half a teacupful of water, each
remedy in a separate cup), every two hours a teaspoonful,
alternately, until better, or until the symptoms require a
change of remedy, generally Sulphur or Mercury.    (See
Materia Medica, at end of book.)
If the child gets worse, or exhibits at the beginning the
following symptoms, beside those above mentioned: motionless eyes, with insensible pupil; loss of consciousness; moaning; icy coldness, with bluish color of the skin; pulse nearly
imperceptible; respiration interrupted; give Belladonna and
Zincum, in alternation; to be prepared and given in the same
manner as Belladonna and Hellebore, above.
The above suggestion is important, as cases of inflammation
of the brain occur so often in children, when, as is said,
the disease goes to the head. For instance, in teething;
in common cold, with fever; in scarlet fever (see this article); or in other eruptions, when suppressed; also, worm
fevers.
If such a state should continue in a child for some time,
dropsy of the brain (see "Hydrocephalus") would speedily
ensue; the above treatment will surely prevent this, if applied in time.
N. B. If, at any time during the treatment of inflammation of the brain, the patient is very restless and sleepless, we
may give, with great advantage and without injury to the
effect of the other medicines (which are discontinued during
that time), Coffea~o and Belladonna -o, alternately, every
hour a dose (four glob.), until better. This may be done
often in the night.




SUNSTROKE - HEADACELE.12


129


6. SUNSTROK[E.
is a species of inflammation of the brain, which requires
the following
TREATMENT.- Camphor. Let it be put on the patient's
tongue, at intervals of five or ten minutes, if he is sweating
profusely while unconscious, and breathing heavily.
Belladonna, after Camphor has been given, in alternation
with
Lachesis, every half hour, in solution (twelve globules of
each in separate teacups half fuill of water ), a teaspoonful at
a time.
Externally, wash the head and face occasionally with brandy,
and give, internally, small quantities of brandy until the patient revives. Put neither cold water nor ice on the head.
7. HEADACHE.
This disease, so frequent and troublesome, requires to be
treated with particular minuteness; the more so, as its treatment falls almost entirely within the legitimate sphere of domestic practice, except where headaches are the concomitant
symptoms of severe fevers, as in the typhus, etc., or the forerunner of dangerous attacks, as in apoplexy, etc., in which
cases the respective articles must be consulted.
ADMINISTRATION OF MEDICINE IN HEADACHE.-For this
purpose, we divide all headaches into habitual and accidental.
This requires two modes of administering the medicine: one
for the cure of an attack of headache, be it accidental, or one
of the habitual attacks; and the other, for the eradication of
the habitual headache, or the predisposition to it.
First. Administration of medicine for an attack.-Having
selected a remedy (from those stated below), dissolve of it
six globules in three tablespoonfuls of water, and take, according to the severity of the headache, from half an hour to
two, three or six hours, a teaspoonful, until three are taken,
when its benefits must be apparent. If beneficial, continue




130


130        AFFECTIONS OF THE HEAD.


with the same, only at much longer intervals, as long as necessary.  If not" beneficial, select carefully another remedy,
and prepare and take in the same manner.
Secondly. Administration of medicine for eradicating the
-disposition to certain kinds of headache; for instance, sick
headache.-Having selected a remedy, take of it, every third
or sixth- evening, a dose (four glob.), until four or six doses
are taken; when the next best remedy has to be taken in the
same manner, or until better.
a. Headache from Congestion of Blood to the Head.
Aconite. Violent throbbing; heaviness; fullness in the
forehead and temples, with a sensation as if the head would
burst; burning pain through the whole brain; red, bloated
face, and red eyes; sensitiveness to light and noise; worse
on moving, talking, drinking, rising up; full and quick pulse.
After it, or in alternation with it, Belladonna may ýbe given,
if necessary.  (See "1Congestion of Blood to the Head.")
Belladonna.   Violent aching pain, as if the head would split,
or as if the brain would protrude through the forehead; heat
in the, head and coldness of the feet; undulating feeling, as of,
water in the forehead; violent throbbing of the arteries of the
neck and temples; delirium, either with red, bloated face,
bloodshot eyes, great sensitiveness to light, noise, and touch, or
vertigo and deeply-seated, violent pressing pains, with pale,
face, drowsy unconsciousness ( compare, in such a case, article on "Apoplexy"); worse on moving the eyes, or raising
or moving the head. In alternation with -Aconite or -Rhus, if
the symptoms agree. ( See Aconite and Rhus.)
Bryonia. Distending pressure from within, particularly
through the forehead, on stooping or moving, with violent
beating or single stitches in the head; desire to lie down; constipation of the bowels; bleedingr at the nose. Before it, Belladonna frequently suits; after it, Rhus. (See these remedies.)




HEADACHE.


131


Rhus. Fullness of the head, with burning and throbbing
pain; oppressive weight in the back part of the head, with a
sensation as if a fluid was rolling inside; a feeling of looseness,
"particularly in wet weather. In alternation with Belladonna or
Bryonia.
Pulsatilla.  Oppressive, dull pains on one side of the head,
commencing in front at the root of the nose, and going back,
or vice versa; better in the open air, or by compressing the head,
or lying down; worse toward evening, or when sitting or looking upward; pale face, agitated mind, inclined to weep. It
suits females and persons of a mild character, and lymphatic
temperament.
Nux vomica.   The opposite of the former.  Pains; worse
in the morning and in the open air; heaviness of the head,
especially when moving the eyes or thinking; a sensation as if
the skull would split; contusive pain in the brain, worse when
stooping or in motion; constipation, with rush of blood to the
head; irritable, rash, or lively temperament, full habit, and
for persons of sedentary habits, or who use coffee and ardent
spirits freely.  (Compare Bryonia, Belladonna and Chamomile.)
AMercury. Fullness of the head, as if it would fly apart,
or was tied up with a bandage; better by pressing the head
with the hands, but worse at night, in the warmth of the bed,
and not relieved by profuse sweating.
Opium. Constipation, with rush of blood to the head; violent tearing, pressing pains through the whole brain, and
heaviness with beating in the head; unsteady look.   (See
"Congestion to the Head.")
b. -Headache from Catarrh and Cold in the Head.
The principal remedies are, NVux vomica, Mfercury, Sulphur,
Aconite, Chamomile.  (See, for other remedies, "Catarrh.")
2Nux vomica. Heaviness in the forehead; obstructions or
running of the nose; feverish heat of the head, cheeks, and




132


AFFECTIONS OF THE HEAD.


body, alternately with chilliness, constipation. After it, Mercury often suits.
AMercury, is particularly useful in those headaches accompanyingc the epidemic catarrh (influenza), when there are
pressing pains in the forehead, over the root of the nose; frequent sneezing and running at the nose, with redness and excoriation; also, with painful itching in the nose; fever, with
chilliness, pains in the limbs, and thirst. It alternates well
with.Nux vomica or Sulphur.
Sulphur. After Mercury has relieved, but not entirely
cured the cold, and when there is still left fullness, pressure
and heaviness in the forehead, stitches, and painful jerking;
especially on the left side, with heat and rush of blood to the
head; constipation.
Aconite. Pressing, dull feeling and heat in the forehead;
worse at night; better in the open air; fever, intermixed with
chills; running of the nose and eyes.
Chamomile. Intolerable tearing and jerking on one side of
the head, down to the jaws, with sore throat, hoarseness, and
bitter, foul taste in the mouth. Is frequently suitable after
Aconite.
c. Headache from Rheumatism.
The principal remedies are Chamomile, Colocynth, Ipecac.,
Pulsatilla, Bryonia, Mfercury, China, Nux vomica.
Chamomile. Drawing, tearing pains on one side of the
head, down to the jaws; very sensitive to touch; hot sweat
about the head; one cheek red, with paleness of the other;
and if the pain almost drives to despair. Suits well after
Cofea: after it, Bryonia, Pulsatilla, and  China, are suitable.
Colocynth. Violent tearing, drawing, cramping, or aching
pains, with nausea and vomiting; worse when stooping or
lying on the back; pains appear in the afternoon, with restlessness.
Ipecac. Drawing in the forehead; worse or excited by




HEADACHE.


133


touch; headache, with nausea; sensation through the skull,
extending to the tongue, as if the brain were bruised; pains
better after vomiting; relieved by heat.
Nux vomica. Tensive, drawing pains on one side of the
head, with a bruised sensation in the head; worse when
stooping or in the open air, with nausea and sour vomiting;
constipation.
Pulsatilla. Darting, rending, jerking pains on one side
only, particularly in the temples; pain as if the brain were
lacerated. (See "Nervous Headache.")
Bryonia. Rending and shooting pain, from the neck up
to the sides of the head, with shivering or fever; worse by
motion and at night, or during changeable weather. In alternation with Rhus.
Mercury. Burning, shooting, throbbing, and rending pains
on one side principally, down to the teeth and neck, and in
the ears; worse at night and in the warmth of the bed, with
perspiration which does not relieve.
China. Aching pains at night, with sleeplessness, jerking,
tearing; boring on top of the head, with a bruised feeling
of the brain; worse in the open air, by touch, motion,
draughts of air and wind; sensitiveness, even of the roots of
the hair, to touch.
d. Headache from Constipation and Gastric Derangement.
1. Constipation, which causes congestive headache, is generally cured by Bryonia, RTux vom., or Opium, according to
its concomitant symptoms (see these three remedies, under
"Headache from Congestion to the Head," p. 130), or by
Pulsatilla and Mercury. (See their symptoms under the
same heading.)
But, if the constipation has a chronic character, give
Silicea. When there are beating pains in the head, mostly
from congestion, from the nape of the neck to the top of the
head; pressing in the head, as if it would split, with sleepless



134


AFFECTIONS OF THE HEAD.


ness at night, and worse in the morning when awaking, or
when reading, writing, or thinking; constipation, with ineffectual urging. Suits, frequently, after Lycopodium, or
Lachesis and Lycopodium, in alternation, when there is,
cuttingc as with knives in the top of the head, or hammering on
stooping, with congestion to the head; disposition to faint,
and great restlessness; whining   mood; yellowish  complexion.
Sepia. Headache on shaking or moving the head, or walking, with tendency of blood to the head, heaviness, and confusion, with nausea and vomiting; worse in the morning and
on looking at bright sunlight.
Sulphur. If the former remedies do not cure, or when the
headache is more on one side (the left), with heat and congestion; roaring in the head; worse by thinking, in the open
air, or walking, or when it appears every morning, or night,
or every week.
2. Headache from Gastric Derangement is, generally, accompanied by a furred tongue, loss of appetite, fullness in the forehead, as if it would split, with beating pain; worse when
stooping. It is frequently connected with bad taste in the
mouth, and nausea or vomiting, and sour risings (acid stomach)
caused by indigestion. (See these articles.)  The principal
remedies are,
Anltimoniunm. When the pain is worse on going up. stairs,
and better in the open air. With nausea, loathing, and aversion to food, Bryonia, Pulsatilla, Nux vomica. (See "Headache from Congestion" and "Indigestion.")
e. Headache from External Causes.
There are many external circumstances that produce headache; we will state the most frequent of them, with their
remedies, whose detailed symptoms must be consulted under
the headings mentioned within the brackets, and at the end
of the book, in the "Materia Medica."




SICK HEADACHE.


135


a. Headache from drinking cofee--Nux vomica, Chamomile,
Ignatia.
b. From over-heating-Aconite, Belladonna, Bryonia. (See
"Congestion to the Head.")
c. From drinking ardent spirits-Nux vomica, Arsenic, Lachesis.
d. From loss of sleep, long watching-Nux vomica, Cocculus,
Pulsatilla, Lachesis, Carbo veg.
e. From abuse of tobacco-Hepar sulph., Nux vomica, Antimon. crud.
f. From  excess of mental or bodily labor-Nux vomica,
Sulphur, Lachesis, Lycopodium, Silicea.
g. From  grief-Ignatia, Staphysag.  (See "Mental Diseases.")
h. From anger or chagrin---Chamomile, Nux vomica.  (See
the same.)
i. From bad, changeable weather-Bryonia, Rhus, Carbo veg.
(See "Headache from Cold.")
j. From bathing-Pulsatilla, Antimon. crud., Calcarea carb.
k. From suppressed eruptions - Antimon. crud., Sulphur.
(See "Skin Diseases.")
1. From mechanical injuries, blows, etc.-Arnica, Bellad.,
Aconite. (See "External Injuries.")
N. B. In regard to the administration of the above medicines, we refer the reader, in all cases of headache, to what
is said about it in the beginning of that article, p. 129.
SICK HEADACHE.
This form of headache, so well known under the above
name, is of a chronic nature, appearing periodically, and depending mostly upon gastric, rheumatic disorders in persons
of a psoric constitution, and may be eradicated by a systematic homoeopathic treatment. Although this requires the
skill of medical attendance, we will try to bring within the
reach of every intelligent person sufficient knowledge for the
14




136


AFFECTIONS OF THE HEAD.


commencement of a treatment, which, if successful, will encourage him to seek further medical advice.
First, we will give the treatment of the attack itself:
Ipecac. is the first remedy in all cases which commence
with nausea, after which a bruised feeling of the whole head
manifests itself, followed by vomiting or retching.
ADMINISTRATION.-Of this and the following remedies as directed in the beginning of the article, page 129. If not better
within an hour, select one of the following remedies:
Belladonna. If with headache there is great sensitiveness
to light, worse in the warmth of the bed, on lying down or
in a draught, and from noise such as shutting the door, etc.
(See "1Congestion to the Head.")
Thuja. A borbig pain over the eye; relieved by pressure;
in alternation with Belladonna.
Spigelia. If there is great sensitiveness to noise, with the
pains worse on the left side, and insupportable beating in the
temples, the pain sometimes descending into the face and
teeth, worse by stooping or motion and in the open air.
The headache appears generally at a regular time in the
morning, growing worse with the ascending sun (sun pain).
In this case, in alternation with Belladonna.
Sanguinaria. If there is great sensitiveness to the walking
of others in the room, with fullness of the head, as if it would
burst, worse on the right side, with a feeling as if the eyes
were pressed outward, chilliness, nausea, inclination to lie
down.
(Compare Bryonia in "Congestion to the Head.")
Aconite. (See this remedy in "Congestion to the Head.")
When the patient has a great sensitiveness to all kinds of odors,
the pain mostly on the left side. In this case in alternation
with Sulphur or Ignatia. (See "Nervous Headache.")
Aloes. If the patient complains of stitches in the left temple; the headache appears periodically, alternating with pains
in the small of the back. (See "Congestion to the Head.")




NERVOUS HEADACHE.


137


Sepia. If there is a great dislike to be touched, and sensitiveness to thunder-storms and the cold air. (Compare
with China in " Headache from Rheumatism." If the patient
is easily vexed, pain mostly above the right eye and worse
by shaking or moving the head.
Beside, consult the articles on " Congestion to the Head,"
"Headache from   Rheumatism," and    "Neuralgia in the
Head."
Second, to eradicate the disposition to sick headache, take
Sepia, Silicea, and Sulphur, each remedy for six weeks, commencing with Sepia. During the six weeks take of that remedy, the first three weeks, every week, two doses (six glob.)
in the evening, on going to bed; for the last three weeks,
every, week one dose (six glob.). If during that time attacks
of sick headache occur, treat them as directed above and resume the other treatment again after they are over.
NERVOUS HEADACHE. NEURALGIA IN THE HEAD.
(Megrim.)
In this kind of headache, to which nervous persons and
females are mostly subject, the head is generally cool, the
face pale, with a suffering expression; in females great quantities of colorless urine are discharged; if vomiting sets in, it
only relieves for a short time; the pain is mostly concentrated in one spot, with the characteristic feeling, as if a nail
were driven through the head (clavus hystericus); the patient
is generally very nervous, fickle-minded, dejected, hysterical,
or hypochondriacal.
TREATMENT.-Beside the medicines mentioned under "Sick
Headache," which are suitable in this kind of headache, also
(see this article), there are the following:
Cofea. Pain as if a nail was driven into the head, or as if
the brain were torn or bruised; pain seems to be intolerable;
also, noise and music; the patient is very restless, screams,
weeps, feels chilly and has an aversion to open air and drink



138


AFFECTIONS OF THE HEAD.


ing coffee, though being, at other times, fond of it. The
headache generally arises from cold, close thinking, or vexation.
Ignatia. Aching pain above the nose, relieved by bending
forward; sensation as if a nail had been driven into the head;
with nausea, dimness of sight, and yet dread of light; pale
face, copious and watery urine; pain is momentarily relieved by
a change of position; tendency to start; fitful mood; taciturn
and sad.
Pulsatilla. Tearing pains, worse toward evening, with
pale face, whining mood, loss of appetite, no thirst, chilliness
sometimes with palpitation of the heart; pains are worse during rest, when sitting, better in the open air, and when the
head is bandaged tight; particularly suitable for mild phlegmatic persons.
Aconite. (See "Sick Headache.")    When it arises from
cold, with catarrh, buzzing in the ears and pains in the abdomen; also, when there is a sensation as if a ball was rising
up into the head, as if of cool air.
Belladonna.  (See "Sick Headache.")    When there are
wavering shocks, and a sensation of fluctuation or undulation,
as of water. This pain sometimes commences very gently,
but increases rapidly on one side (mostly the right) to piercing
pains, which produce agonizing lamentations and temporary
delirium, dimness of sight, buzzing in the ears.
'Thuja. A boring pain over the eye; suits well after Belladonna.
Platina.  Suits often after Belladonna, particularly in
females, when there is roaring in the head as of water, with
coldness in the ears, eyes, and one side of the face; also illusions of sight, viz: objects appearing smaller than they really
are; violent cramp-like pains over the root of the nose, with
heat and redness of the face, restlessness, and whining mood.
Hepar sulph. Suits after Belladonna or -Mercury, if there
is pain as from a nail in the brain, with violent nightly pains,




NERVOUS HEADACHE.


139


as if the forehead would be pulled apart, and when painful
tumors appear on the head.
Mercury. After Belladonna, if the pain shoots down into
the teeth, neck, and left ear; worse at night, with perspiration, which does not relieve. The pain is better by pressing
the head with both hands.
Chamomile. Suits often for children and persons unable to
bear the least pain, and when there are acute, shooting pains
in the temples, or a rending, drawing pain on one side extending to the jaw, especially when one cheek is red, the
other pale, the eyes painful, sore throat, and bitter taste.
Colocynth. Violent, excruciating, tearing, drawing pains
on one side, or cramp-like, compressive sensation, aching,
with nausea; worse when stooping or lying on the back, with
great restlessness; perspiration smells like urine; copious
watery urine during the pains, or scanty, offensive discharges
of urine between the paroxysms.
Arsenic. Pains in the head, sometimes very severe, almost
maddening, with nausea, buzzing in the ears, weeping and
moaning, tenderness of the scalp; cold applications relieve
the pain for the time; suits frequently after Pulsatilla; when
better in open air, worse within doors.
Veratrum. Maddening pains on one side with great weakness,
fainting when rising, cold perspiration, chilliness, diarrhea,
tenderness of the scalp; suits well after or before Arsenic.
If these two remedies will not relieve, give
China. Suitable for persons sensitive to pain, feverish,
dissatisfied dispositions, talkative and restless at night; the
pains are aching, preventing sleep, or are piercing, jerking
in the forehead, with a bruised feeling in the brain; worse by
touch, reflection, conversation, open air, motion, draughts of
air; the scalp very sensitive to the touch.
Sepia. (See " Sick Headache.")   When the pain in the
temples renders them very sensitive to the touch; quietness
and darkness relieve; also, a good sleep.




140


AFFECTIONS OF THE HEAD.


Sulphur and Silicea. For the chronic treatment, as directed in "Sick Headache," page 136.
ADMINISTRATION.-The above mentioned remedies must be
given according to directions in "Sick Headache."
FALLING OFF OF THE HAIR. ( Allopecia.)
This frequently happens after severe fevers, when Hepar
sulph., Silicea and Lycopodium suit; or, after debilitating losses,
such as depletion, excesses, profuse sweats, etc., when we
may give China and Mercury; or, if it happens to women
when nursing, Calcarea carb. and Sulphur. If long continued
grief is the cause of it, give Phosphoric acid and Staphysag.
If caused by frequent attacks of nervous headache, give
Hepar sulph. and Nitric acid. If caused by having taken too
much calomel, give Hepar and Carbo veg.
ADMINISTRATION.-As it takes a long time to see the effects
of a remedy in this disease, do not change it quickly for
another, but take every week one dose ( six glob.) of a remedy
for four weeks, and then discontinue two weeks before taking
another medicine. If by that time the loss of the hair seems
less, do not change the medicine.
Externally, use the same remedy by washing with a solution
of twelve globules in half a teacupful of water every other
night.
If the hair is dry and splits easily, cut it often, every month
or six weeks a little; use nothing but pure bear's oil; all
other preparations and pomatums are of little use, and often
very injurious.
For the dandruff, scales of the scalp, take Calcarea carb.,
Graphites, and Staphysag.; if with itching, take G-raphites,
Lycopodium, and Sulphur.
Administer same as above.




CHAPTER VII.
AFFECTIONS        OF   THE    EYES.
GENERAL REMARKS.
THE diseases of the eye ought to claim our most careful
attention, as this important organ is, from its position and
complicated, delicate structure, subject to a great variety of
diseases, which, heretofore, have been very badly treated
under the allopathic system.
All external applications, in the form of strong eye-waters
and salves, are injurious, and even if, as in scrofulous sore eyes
for instance, these salves seem to have effected a cure, it is
only by driving the disease from the external parts to some
internal organ, which is, at the time, the weakest-in most
cases to the lungs. If external remedies are wanted, pure
water is preferable in all cases of inflammation, applied either
cold or warm, according to the feelings of the patient. In
cases of external injuries to the eye, the arnica lotion (ten
drops of Arnica tincture to half a teacupful of cold water)
must be used externally.
But, when erysipelas affects the eyes, nothing wet ought
to be applied, but warm bags filled with bran. (See "Erysipelas.")
When the inflammation of the eyes and face is caused by
the poison of the sumach, or other weeds, apply nothing outwardly, but give the internal remedies recommended for that
disease. (See "Poisoning by Sumach," page 42.)
(141)




142


AFFECTIONS OF THE EYES


1. INFLAMMATION OF THE EYELID AND ITS MARGINS.
a. Inflammation and Swelling of the Eyelid.
Aconite. In all cases where the inflammation and the pain
is great, attended with fever and restlessness, or where the
lids are swollen, hard, and red, with heat and sensation of burning and dryness, or when there is a copious secretion of mucus
in the eyes and nose, with dread of light, fever, and thirst;
after it Belladonna, Sulphur, or Hepar sulph., are often necessary. ((See these.)
Belladonna. If Aconite is not sufficient; or when there is
a feeling of burning and itching in the red and swollen eyelids, which stick together, and bleed easily when opened;
also, when the edges are turned to the outside, and feel as if
paralyzed (see Hepar sulph).
Hepar sulphuris. If there is a sensation of ulceration or
contusion in the red and swollen lids on touching them, with
sensitiveness to light, and spasmodic contractions of the
lids in the morning. In alternation with Aconite, Bellad.,
or Mercury, as the symptoms indicate     (see these remedies ), every three or six hours a dose ( four globules ), until
better.
Sulphur. Frequently in alternation with Aconite, when the
swelling and redness are very bad, with pressing, burning pains
in the eye and lids ( as if from sand in the eyes ), great secretion of mucus, and sensitiveness to light.  After it Calcarea carb. is frequently necessary.
Mercury. If there is a hard swelling, with cutting pain,
and difficulty of opening the lids, as if from contraction, ulcers
and scabs on the edges, worse in the night, and in the warmth
of the bed, with restlessness and perspiration, or if there is a
burning itching in the eyes,-worse in the open air, with great
dread of the light of the fire. After, or in alternation with
it, give Hepar sulph., every six hours a dose (four glob.)
until better.




INFLAMMATION OF THE EYELID, ETC.


143


Euphrasia. In cases where the eyelids are red and swelled,
their margins ulcerated, with itching in the day-time, sticking
together in the morning, constant catarrh, headache, heat in
the head and dread of light, with profuse secretion of mucus
and tears. In alternation with NVu vom., if the eyeball is very
red, and there is burning with the itching; if the patient is
very irritable, and feels worse in the open air; but in alternation with Pulsatilla, if he is of a. mild character, and feels
better in the open air.
Arsenic. Inflammation of the inside of the lids, with inability to open the eyes,, and violent burning pain.
Spigelia. In inflammation and ulcerations of the lids, with
biting soreness, difficulty of raising the lids ( as if from stiffness ), with burning in the eyes and pain in the head, worse
on the least motion.
Calcarea carb. Frequently after Sulph., when there are
cutting, burning pains, especially when reading, with red, hard,
and great swelling, and copious secretion of mucus, and the
lids. sticking together in the morning.
Hyoscyamus and Chamomile in alternation, when the eyelids
are closed spasmodically, with a sensation of heaviness or
pressure.
ADMINISTRATION.-Give every two, four or six hours a dose
(four globules) of the selected remedy, either alone or in
alternation with another, until the patient is relieved, or
another remedy is necessary; discontinue the medicine altogether, as soon as the patient is improving.
b. Inflammation of the Margins of the Lids.
The principal remedies in this disease, which frequently
appears without affecting the whole lid, are Bellad., Euphrasia, Pulsat., Nux vom., Mercury, Hepar sulph., and Chamomile.
(See the detailed symptoms of these remedies in the preceding article: "a. Inflammation of the Eyelids.")
15




144


AFFECTIONS OF THE EYES.


2. INFLAMMATION OF THE EYEBALL.    (Ophthalmia.)
In most cases, where the eyeballs are inflamed, the lids
will also be affected, and the remedies stated under "Inflammation of the Eyelids," will be beneficial. This is particularly the case, when Aconite, Bellad., and Euphrasia are indicated, which are the most important remedies in diseases of
the eyes, and to which we refer the reader, in the preceding
article. But frequently the eyeballs alone are implicated, especially when cold, together with a scrofulous or rheumatic
predisposition, is the cause.
The first remedy in this disease, particularly when it appears suddenly, is Aconite. When the eyes are very red,
with dark redness of the vessels, and intolerable burning,
stinging, or aching pains (worse on moving the eyes), dread
of light, copious flow of tears, yet with dryness of the eyelids
and fever.
Belladonna. When the white of the eye is very much inflamed, sensitive to light, either copious flow of burning hot
tears, or great dryness of the eyes, which ache all around, or
deep inside,with stitches proceeding from the eyes to the head
(worse on moving the eyes), and a severe cold in the head,
or a violent headache, with stupor and vertigo, sparks of black
spots before the eyes, and a short dry cough, it suits mostly
after Aconite; but frequently, too, after Hepar sulph., and
Mercury.
Euphrasia. Same as Bellad., and when this is insufficient;
or when the pain in and above the eyes, in the head, is more
pressing, and the cough not dry, but loose; also, with profuse
running at the nose; worse in the evening.
Nux vomica. When the eyes are bloodshot, smarting as if
from sand, with swelling and softening of the eye, irritable
temper, coated tongue, redness of the corners of the lids,
with stiffness and itching, acrid tears, dread of light in the
morning, headache every night, and stoppage of the nose.




CHRONIC INFLAMMATION OF THE EYES.


145


Ignatia. If the pain is more like pressure in the eyes,
which are not much inflamed, but with copious flow of tears
and nasal discharge, great sensitiveness to light, mild, quiet
disposition.
Pulsatilla is often effective, after Aconite has subdued the
worst inflammation, and severe pains remain (tearing, stitching, and cutting), in rheumatic inflammation of the eyes,
where there is sensitiveness to light; worse in the afternoon
and evening; the patient is fretful and inclined to weep.
Bryonia. After Pulsat., when the redness still remains,
the lids are swollen, with pain in the head when the eyes are
opened; worse at night.
Rhus. After Bryonia, or in alternation with it, in damp,
wet weather, or when the eye continues to burn and stitch,
with the running of water, or the eyelids are swollen as if
from erysipelas.
Spigelia. Aching, stitching, or boring pains, penetrating
into the head, and returning regularly at the same time of
day, with a sensation as if the eyeballs were too large. The
pain is at times insupportable.
Sulphur (See "1Inflammation of the Eyelid") is also necessary, after Mercury and Pulsatilla.
ADMINISTRATION the same as in the foregoing article.
DIET AND REGIMEN, in all diseases of the eye must be
light, as in fevers generally (see these). Rest and quiet in
the room are necessary. The room itself should be dry, airy,
and darkened.
3. CHRONIC INFLAMMATION OF THE EyEs.
The treatment of these inflammations varies according to
their causes, which are either hereditary or acquired.
a. From (Gout and Rheumatism.
For the severest symptoms use Aconite, Bellad., and Spigelia, as stated in the preceding article; also,




146


AFFECTIONS OF THE EYES.


Colocynthis. When there is violent burning and cutting, extending far back into the head and nose, with great anguish and
restlessness; or violent pressure in the forehead; worse when
stooping, or lying on the back; severe drawing pain in the
head, with vomiting.
Hepar sulph. If Bellad., or Spigelia, is: insufficient; or
when there is redness of the eyes and eyelids, with soreness;
when touched; sensitiveness to light, especially in the evening;
sight at times dim and obscured, at others clear; pressure in
the eyeball, as if it would start out of the head.
ADMINISTRATION, the same as under "Inflammation of the
Eyelids."
6. From Scrofula. (Scrofulous Sore Eyes.)
Scrofula frequently affects the eyes, after an inflammation
of the lids or eyeball has set in, from causes above stated, by
which complication such cases are rendered much worse, and
more difficult to. cure; for dimness of sight and ulcers on the
ball of the eye often remain; they require medical attention,
as the consequences of neglect, or faulty treatment, would be:
too serious; and the necessity for the eradication of scrofula
is, of itself, obvious.
In the beginning of such an attack, give Aconite and Belladonna, as stated under "Inflammation of the Eyelids" and
"Eyeball."   Also, all the other remedies mentioned there, if
they are required by the symptoms. Beside these,
Dulcamara is of use, when cold is the cause of the sore
eyes, and when they are made worse by reading, with dimness of sight, and a sensation as if sparks of fire were flying
out of the eyes; pain over the eyes; worse when at rest;
better when walking.
ADMINISTRATION the same as above.
For ulcers on the eyeballs, remaining after the inflammation
has subsided, give Euphrasia, Hepar sulph., and Silicea,
each remedy during one week; two or three times every




CHRONIC INFLAMMATION OF THE EYES.


147


evening a dose (four glob.). When Silicea is given, apply
externally a wash of twelve globules of Silicea in half a teacupful of pure cold water.   Make the application several
times a day.
For specks, give Fuphrasia, Hepar sulph., Silicea, Calcarea
carb., _Nitric acid, in the same manner as stated under " Ulcers
on the Eyeball."
DIET AND REGIMEN.-See "Inflammation of the Eyeball."
c.  From Syphilis, or Venereal Disease.
The eyes may be implicated in this disease, and become
inflamed, particularly when a gonorrhea is suppressed and
transferred, as it were, to the eyes, or when syphilis has penetrated the whole system. In the latter case, a homoeopathic physician must be consulted. In inflammation of the
eyes and lids from suppressed gonorrhea, administer at first
Aconite, as stated under "Inflammation of the Eyes;" after
it Pulsatilla, in the same manner; then wait two or three
days, and give, if necessary, Nitric acid, Mercury and Sulphur;
commencing with Nitric acid, and taking four doses the first
week; four doses of the next remedy, the second week; and so
on, until better.
In the real Syphilitic Eye-a#fections: Nitric acid,.Mercury,
and Thuja, are the principal remedies-to be given as
above.
DIET AND REGIMEN.-See "Inflammation of the Eye-ball,"
and "Syphilis."
d. From abuse of Mercury.
This drug, given in allopathic doses, frequently produces
severe affections of the eye; for which must be given, Hepar
sulph., Nitric acid, Pulsat., and Sulphur, in the same manner
as stated above, under "Syphilitic Eye-Affections."  Diet,
also, the same.




148


AFFECTIONS OF THE EYES.


4. STY ON THE EYELID.
A sty is a small boil on the eyelid, produced by the swelling of the Meibomian glands, which are imbedded all along
the margins of the lid.
The specific remedy in the commencement of this complaint is
Pulsatilla. A dose (four glob.) twice a day, until four
doses are taken; then discontinue two days; and if not better, or if suppuration appears, take Mercury in the same
manner, in alternation with Hepar sulph.
If no suppuration, but induration takes place, or hard
spots remain, and if the sties appear often, give Stapliysag.,
a dose (four glob.) two or three times, during one week; and
afterward, for two or three weeks, give each week two doses
of Calca. carb. (each dose four glob.), until better; and, if
not, Sul., for the same length of time, and in the same manner.
Externally, apply nothing; but bathe occasionally in warm
water.
DTET and REGIMEN.-The diet light; no animal food; and
regimen cool.
5. WEEPING OR WATERY EYES.
If this complaint arises, as is mostly the case, from an
obstruction of the lachrymal duct, or a swelling of its entrance, in the internal corner of the eye, a homceopathic
physician should be consulted. In the meantime, use the
following remedies:
Bellad., Pulsat., Calca. carb., Sili., Petrol., Sulph.; the first
two remedies alternately, every day a dose (four glob.) of
each, until the acute symptoms subside; the other remedies
each for four or six weeks, every week two doses (six glob.
each), until better.
But if the watery eyes arise from a general weakness of
the organ, Euphrasia and Spigelia in alternation, every two or




CATARACT - WEAKNESS OF SIGHT.


149


three days a dose (six glob.), will generally be found beneficial. Let this treatment be followed, at the end of two
weeks, by two doses of Sulphur, on two successive nights
(each dose six glob.).
DIET.-The usual homoeopathic diet must be observed
during the whole time.
6.  CATARACT. ( Glaucoma.)
This disease, which consists of the gradual darkening of
the lens in the eye (thus preventing the light from reaching
the optic nerve), is, in its commencement, curable by medicines, if carefully selected and applied. As this, however,
ought to be done by a homoeopathic physician, we will here
merely notice a few remedies, which may be taken in the beginning, until a physician can be consulted.
By this means, an operation for the cataract may frequently
be avoided.
Pulsatilla, Sulphur, Silicea, Conium, Phosphorus.
ADMINISTRATION.-Give each remedy for four or six weeks,
every three days one dose (six glob.), in the evening, until
better, or until the next remedy has to be taken.
DIET AND REGIMEN.-Light, without animal food; otherwise, the usual homceopathic diet.
7. WEAKNESS OF SIGHT. (Amblyopia.)
Blindness (sudden and incipient)--Amaurosis.
Short-sighted and far-sighted persons have not, strictly
speaking, weak eyes; this latter is a defect in the optic nerve
itself, which is weakened or paralyzed, in a greater or less
degree. If this nerve is not much paralyzed, so that only
dimness of sight exists, we call it amblyopia, or weakness of
sight; if the nerve is more or entirely paralyzed, it is incipient or real blindness-amaurosis.
This disease can be cured; but it must be taken in time,




160


AFFECTIONS OF THE EYES.


and a homceopathic physician ought to be consulted immediately, as delay in this case is very dangerous.
In the meantime take, for simple weakness of sight, Pulsatilla, Sulphur, Bellad., Calcarea carb., Phosphorus, and
Buta.
Administration the same as stated under " Cataract."
If Ruta shall be used, drop two drops of the tincture in
half a teacupful of water, and wash the eyes three times a
day with it; particularly when the weakness of sight resulted
from excessive reading, sewing, etc., everything appearing
dusky and foggy before the eyes.
For incipient blindness, give the same remedies as for simple weakness of sight.
Attacks of sudden blindness; if caused by congestion to the
head, and accompanied with pain in the head and convulsions, give Bellad. and Hyoscyamus in solution (twelve glob.
in half a teacupful of water), every fifteen minutes a teaspoonful, until better (see "Congestion of blood to the
Head"); but for sudden blindness, without an apparent cause,
give first Aconite; then Mercury; every two or three hours
a dose (four glob.), alternately, until better.
For night-blindness; Belladonna.
For day-blindness, where the patient can only see in the
evening; give Sulphur, and afterward Silicea.
DIET the same as in " Cataract."
8.  SHORT-SIGHTEDNESS. (Myopia.)
This affliction, if not of too long duration, may generally
be mitigated or cured by Pulsatilla; or, if caused by abuse
of calomel, give Carbo veg. and Hepar sulph.; if from debilitating causes and typhus fevers, Phosphoric acid.
These remedies to be administered in the same manner as
stated under "Cataract."
DIET AND REGIMEN, also, the same.




FOREIGN SUBSTANCES IN THE EYE.


151


9. FAR-SIGHTEDNESS.
This frequently occurs after excessive use of ardent spirits;
in which case Nux vom. must be given; every day a dose
(four glob.) for a week; followed by Sulphur, in alternation
with Lachesis; every week two doses of each, for four or six
weeks, or until better; followed by Silicea and Phosphorus
in lean persons, or Calcarea in fleshy persons. If not relieved,
consult a physician.
10. SQUINTING.   (Strabismus.)
A frequent cause of squinting, in young children, is that
from the position of their cradle, they constantly have the
light on the same side. To obviate this, alter the position of
the cradle so that the light will be directly in front.
If, however, squinting continues, notwithstanding, and the
heads of the children are hot, give Belladonna and Bryonia,
in alternation, every four or six days a dose (two glob.) until
six doses of each are taken, or the child is better. If not
better, consult a homoeopathic physician.
11. FALLING OF THE EYELIDS.     (Paralysis.)
If the upper or lower eyelid falls down, and cannot be
raised easily, give Spigelia, Belladonna, Sepia, Veratrum,
Opium, Cocculus, Nitric acid.
Administer the same as stated under "Cataract."
DIET and REGIMEN.-The usual homceopathic diet; bathe
the eyelids frequently in cold water.
12. FOREIGN SUBSTANCES IN THE EYE.
If dust enters the eye and causes irritation, washing with
cold water will be sufficient; but cream or sour milk will
answer better, if lime, ashes, or tobacco enters the eye.  If
a hard substance, or an insect has got into the eye, draw the
eyelids apart, and turn the upper one over the lower one a
couple of times, until it is felt that the substance is removed.




152             AFFECTIONS OF THE EYES.
If unable to remove it in this manner, do not rub the eye,
but lie down, and bathe it in a solution of Arnica (five drops
to half a teacupful of water). Internally, take Aconite, and
try to sleep.
If particles of iron have entered the eye, and are fastened
in the white or pupil, use Arnica, as above stated, and have
them extracted by a surgeon.
If the eye becomes very much inflamed, take. a few doses
of Aconite, and afterward Sulphur; and, if necessary, in a
few days after, Calcarea carb.




CHAPTER VIII.
AFFECTIONS OF         THE     EARS.
1. EXTERNAL EAR AND ITS SURROUNDING PARTS.
a. Eruptions and Swelling of the External Ear.
THE eruptions which appear on or behind the ear are various, and generally require a chronic treatment to eradicate
the disease entirely, which can be done only by a skillful
homoeopathic physician. To begin the cure, or if severe,
acute sufferings, as swelling and inflammation of the ear, appear with the eruption, select from among the remedies given
below, and read their symptoms in the " Materia Medica" at
the end of the book.
1. For scurvy eruption: Pulsat., Lycopodium, Lachesis,
Hepar sulph., Staphysag., Graphites.
2. For soreness: Lachesis, Mercury, Sulphur, Graphites.
3. For itching in or on the ears: Pulsat., Lycopodium,
Sulphur.
4. For swelling of the ear: Pulsat., MAercury, Lycopodium,
Sepia.
5. For ulcerated eruptions: Pulsat., JMercury, Ilepar sulph.
6. For humors: Graphites, Lycopodium, Calcarea carb.
ADMINIsTRATION.-Give each remedy for one week, every
other day one dose (four glob.) until better, or until the next
remedy has to be given.
DIET AND REOIMEN.-The usual homoeopathic diet; take
particular care not to drive the eruption away by getting cold
or by external applications.
(153)




154


AFFECTIONS OF THE EARS.


b. Mumps. (Parotitis.)
This disease consists in an inflammation of the great salivary glands, lying under and in front of the ear; children
are frequently subject to it, but it seldom attacks more than
once in a lifetime.
TREATMENT.-It is not a dangerous disease in its simple
form, and only requires to be kept warm by putting a handkerchief around it, and keeping the patient in the room. Internally give
Mercury, which is almost a specific for this disease; every
evening a dose.(four glob.), until three or four doses are
taken.
Sometimes the glands of the neck participate, and remain
swelled for three or four days. In this case, also, pursue the
above treatment.
But, if the iumps disappears suddenly, by striking in and
falling upon the brain, so tha the patient becomes delirious
and unconscious, give Belladonna in solution (twelve globules
in half atcacupful-of water), every hour a teaspoonful, followed by Hyoscy6mus, in a few-hours, if necessary. (See,
also, "Scarlet Fever," striking in.)
But, if in striking in, it falls upon the stomach, give Carbo
veg., in the same, manner as Belladonna above, and, if not
better in two or three hours, Arsenic, and after that Cocculus,
if necessary, in the same manner.
If it falls upon the testicles, creating a swelling in those
parts and inflammation, Pulsatilla, Mercury, -Nux vom., every
three or four hours a dose (three globules).
If fever, restlessness, and erysipelatous redness are combined with it, particularly in damp weather, give Belladonna
and Rhus in alternation, in solution (twelve globules of each
in separate teacups, each half full of water), a teaspoonful
every three or four hours, until four of each remedy are given,
or until better.
If the mumps is very obstinate and very hard, give Kali




INFLAMMATION OF THE EAR.


155


carb., every evening one dose ( six glob.) until three doses are
taken.
If a catarrhalic state is connected with it, particularly
hoarseness, give Carbo veg. in the same manner. This same
remedy suits if the patient has previously taken much calomel.
DIET AND REGIMEN.-The diet must be light and farinaceous; baked apples and stewed prunes, if desired, but neither
animal food nor soups. The patient must be kept warm, and
if feverish must stay in bed.
2. INTERNAL EAR.
a. Inflammation of the Ear.. (Otitis.)
This painful disease is generally caused by exposure to
cold and damp weather; sometimes, however, by the striking
in of eruptions.
It manifests itself by violent burning, stitching, beating
pains, deep in the ear, and finally by swelling and redness
of both in and outside of the ear; frequently, in very severe
cases, the brain is implicated, when, in children, convulsions
may ensue, with vomiting and cold extremities.
TREATMENT.-The principal remedy is
Pulsatilla. In solution (twelve globules in half a teacupful of water ), every hour a teaspoonful until better, or until
six teaspoonfuls are taken; then wait the same length of time
and give one dose ( four glob.) of Sulphur, after which, in two
hours, repeat the Pulsat. until better. But, if the brain
becomes affected, with or without convulsions, give
Belladonna. In alternation with Aconite, if the fever is
very high, every two or three hours a dose (four glob.);
then wait four or six hours and give Belladonna co. and Coffea C0', in the same manner, if great sensitiveness and restlessness remain. If an abscess is about to form, which is indio
cated by the continued beating pain ia the ear, give Mercury,
Lachesis and Hepar sulph., in alternation, every six hours a




156


AFFECTIONS OF THE EARS.


dose ( four glob.) until better, or until two or three doses of
each are taken.
DIET AND REGIMEN.-The same as in fever.
b. Earache. (Otalgia.)
Earache, commonly so termed, resembles the inflammation
of the ear in the-character of the pain, and is only different
in regard to its origin, as it mostly appears after taking cold
as a neuralgic and rheumatic affection, or in consequence of
previous inflammations of the ear. There is little or no fever
accompanying the attacks, which are generally of short duration, and relieved speedily by the application of the following remedies:
TREATMENT.-Pulsatilla is the first and principal remedy,
partictlarly if the pains are darting and tearing, as if something would press out through the ears; the outer ear is red, hot,
and swollen, or, there is stitching and tearing through the
whole side of the face, almost depriving the patient of reason,
particularly in females, or in persons inclined to chilliness and
disposed to cry.
Chamomile. The next best remedy, especially after taking
cold, or when a perspiration has been suppressed suddenly;
tearing, lancinating pains in the ear, which extend to the lobe
of the ear; the patient is very cross, cannot bear pain, and is
easily offended.
Mercury. After Pulsat. or Chamomile.    If these are insufficient, or if the patient perspires a great deal without relief; the pains are worse in a warm bed, and there is a chilly
sensation in the ears, with moisture; the pains extend to the
cheek and teeth.
Nux vomica. After Chamomile, in persons of a lively, passionate disposition; when the pains are tearing and stinging,
tending upward to the forehead and temples, and down into
the facial bones; worse in the morning.




EARACHE.


157


Arnica is more for sensitive, nervous persons, when the pain
returns on the slightest occasion, with sensitiveness to noise,
and pressing and stinging in and behind the ears, which feel
hot internally.
China suits frequently after Arnica or Pulsat.; if the tearing pains are felt more externally; are worse by touching the
ear, which is red, stings, and rings.
Belladonna. Similar to China, or as stated under Belladonna in "Inflammation of the Ear."
Hepar. After Belladonna, when the pain shoots into the
ear on blowing the nose, or when the pain is beating, throbbing, or roaring.
Spigelia. When there is a painful aching, as if a large
nail were sticking in the ear; with aching and tearing in the
cheek bones.
Dulcamara. When the pains increase during rest, especially at night, with nausea.
ADMINISTRATION.-Every hour or two hours a dose ( four
globules) until better.
If the above remedies allay the worst symptoms, but there
is still left a painfulness in the ear, particularly on the left
side, or the pains increase in the evening or before midnight,
give Sulphur, evening and morning, a dose ( four glob.); but
if worse on the right side, and after midnight, toward morning,
or during the forenoon, give Calcarea carb., the same as Sulphur.
In very small children, after Pulsat. and Chamomile (two
glob. each) have been given at intervals of one or two hours,
give Coffea and Belladonna in the same manner, and afterward Coffea c and Belladonna c-, every hour alternately, a
dose (two glob.) until better.
DIET AND REGIMEN.-The diet light; no meat, but fruit
and farinaceous substances. Externally use heated flannels
or bags, filled with heated bran or scorched flour.




158.


AFFECTIONS OF THE EARS.


c. Humming, Buzzing of the Ears.
As a symptom it invariably accompanies earache, running
of the ears and their inflammation, and will disappear with
them; but, when it appears alone, it is caused generally by
congestion to the head, from catching cold, or other diseases.
Pulsatilla relieves it, if worse in the evening.
Vux vomica, if worse in the morning.
Dulcamara, if worse at night.
Mercury, in persons inclined toperspire much.
Chamomile, in persons who do not perspire easily.
China, in persons who have taken much calomel, or where
the noise in the ear is more a hissing, singing, or ringing noise.
Carbo veg., if China does not relieve, or the noise is worse
in damp weather.
Sulphur, if Carbo veg. does not relieve, or the noise is combined with great sensitiveness to sounds, in which case it
ought to be alternated with Aconite.
ADMINISTRATION.-Of the remedy selected, must be given,
one dose (six glob.), on two successive evenings, and then
discontinued three days before selecting another remedy, if
no improvement has taken place.
DIET.-The usual homoeopathic diet.
d. Hardness of Hearing. Deafness.
This complaint is very frequent, and as it is often combined
with other chronic diseases of the ear, it ought to be treated
by a skillful homoeopathic physician. When it is of a recent
date it may be cured easily, but not so readily when of long
standing. Sometimes it is caused by the accumulation of
earwax, in which case have it removed by skillful hands. If,
after such an operation, great painfulness remains in the ear,
put a few drops of Arnica solution (two drops of arnica tincture to three tablesDoonfuls of water, well shaken), into the
ear and lie down.




HARDNESS OF HEARING--DEAFNESS.


159


If the earwax is very hard to remove, put, before its
removal, a few drops of warm milk or sweet oil into the
ear.
If there is a want of ear-wax, or too great dryness of the
ear, give Carbo veg., particularly after a suppression of fever
and ague by quinine, every other night one dose (four glob.)
three times; then discontinue eight days, and if not better,
give Graphites, particularly after suppression of an habitual
eruption, such as tetter, or where there is a humming or
thundering in the ears, especially at night; give it in the same
manner as Carbo veg.  If no better after GCraphites, try Lachesis, Nitric acid, and Petroleum, one after the other, in the
same manner.
If there is difficulty of hearing, with running of the ears,
select among the remedies prescribed for this complaint, especially Pulsat., Mercury, Sulphur, and Calcarea carb., to be
given in the same manner as above.
If it is in consequence of congestion to the head, give, in
preference, Belladonna, Cofea, NVux vomica, Sulphur, Silicea,
commencing with the first, evening and morning one dose
(four glob.), and wait two days before the next one is given.
If it appears after acute eruptions, such as measles etc.,
give,
If after measles, Pulsat., and Carbo veg.;
If after scarlet fever, Belladonna, and Hepar sulph.;
If after small-pox, Mercury and Sulphur--every other evening a dose (six glob.) alternately until better.
If it is caused by a cold in the head, or a chill of the whole
body, give the remedies for these complaints (see these articles), particularly, however, Chamomile, Arsenic, Lachesis,
Mercury, Sulphur, and Pulsat., in the same manner as there
prescribed.
If it arises from a suppressed cold (rheumatism) give
Bryonia and Rhus, every two hours a dose (four glob.), three
times each; and afterward Dulcamara and Sulpvur, if ne16




160


AFFECTIONS OF THE EARS.


cessary, every evening one dose (six glob.), for four or six
days.
Sometimes hardness of hearing ensues after intermittent
fevers have been suppressed by the use of quinine; in this
case give Carbo veg., Pulsat., Sulphur, and Calcarea carb.,
every week one remedy, on two successive evenings, one
dose (six glob.), until better.
If caused by the suppression of chronic eruptions, or ulcers
healed by salves, give Sulphur or Antimon. crud. (See
"Eruptions.")
If it is from swelled tonsils, give Mercury, Staphysag., Nitric
acid, and Aurum, every week one remedy, on two successive
evenings one dose (six glob.), until better.
If caused by the suppression of a discharge from the ears
or nose, give Pulsat., Mercury, Lachesis, Belladonna, and.fepar sulph., every two or three days one remedy (once a
day a dose, four glob.), until better.
N. B. Do not use any external means, such as oils, however much they may be recommended.
e. Running of the Ears. ( Otorrhcea.)
A running of the ears frequently remains after the inflammation has subsided, and is then beneficial in diminishing
local tension. In such a case, continue the use of the remedies for "Inflammation of the Ear; " after which it will generally soon disappear. The principal remedies are Pulsatilla,
Mercury, and Sulphur.
If it succeeds the measles, give Pulsatilla and Sulphur,
for four days; each remedy on two successive evenings (six
glob.), a dose.
If after scarlet-fever, give Belladonna, Mercury, and Hepar
sulph., in the same manner.
If after small-pox give Mercury, Lachesis, Sulphur, Calcarea
carb.; each remedy for six or eight days (on two successive
evenings one dose; six glob.), until better.




RUNNING OF THE EARS.


161


In regard to the quality of the discharged substance, give,
if it is
Purulent matter: Pulsat., Mercury, Hepar sulph., Calcarea
carb.
Bloody matter: Pulsat., Mercury, Lachesis.
Mucous liquid: Pulsat.,.Mercury, Sulphur, Bellad., Calcarea carb.
Very ofensive matter: Mercury, Hepar sulph., Lycopodium,
Pulsat., Sulphur.
ADMINISTRATION.-Give of the selected remedy, for six or
eight days, on two successive evenings, one dose, (six glob.),
until better.
The sudden suppression of a running of the ear may produce dangerous consequences, which must be attended to
immediately.
If, after such a suppression, the glands of the neck, or in
front of the ear, begin to swell or get hard, give Pulsat.,
Mercury, Bellad.; if severe headache or fever ensues, give
Bellad.; if not better in a few hours, Bryonia. If the suppression is caused by getting cold in damp weather, give
Dulcamara; and if not -better in three or four hours, Rhus
and Bellad., in alternation.
If, after a suppression, the testicles begin to swell, give
Pulsat., Arnica, Mercury, Nux vom.
ADMINISTRATION.- Give every two or three hours a dose
(four glob.), alternately, until better. If by these directions no relief is obtained, consult a homceopathic physician
as soon as possible.
DIET AND REGIMEN.-The same as in "Earache."
f. Polypus of the Ear.
These excrescences appear frequently, during a long continued running of the ear; particularly if accidental injuries
by ear-picks, etc., have taken place. They either have a
small or broad basis, whence they grow to a size, so as to




162


162        AFFECTIONS OF THE BARS.


fill up the whole internal ear. They are not painful, but
always discharge an offensive mucus, and bleed easily when
touched.
They are not so dangerous as they are annoying and obstinate; and require but a proper homceopathic treatment, by a
skillful physician. In no case is it advisable to extricate them
by force; we have remedies which will remove them. The
principal medicine is Calcarea carlA, of which every second
day, in the evening, a dose (six glob.) may be given, followed
by Staphysagria, in a like manner, until -medical aid can be
obtained.
If the polypus is very large, touch it twice a day with the
tincture of the gum of Opium, conveyed into the ear on a
sponge. Otherwise, keep the ear clean by frequent injections of milk and water.
g. Foreign Substances in the Bar.
Insects sometimes get into the ear; in such cases., drop
sweet oil into the ear. This kills the insect, and enables us
to take it out easily.
If a bean, or anything that will swell, gets into the ear.,
bend the point of a large and stout sewing needle a very
little, so as to form a fine hook; enter the ear with it cautiously, without touching the walls of the ear, 'and press it
into the side of the swollen substance, which is thus caught
by the hook, and may be slowly extracted. After such anl
operation, it is necessary to drop into. the ear a few drops of
an Arnica solution (two drops of the Arnica tincture to two
tablespoonfuls of water, and well shaken), and give internally.,
Arnica and Pulsat., in alternation, every two or three hours a
dose (four glob.). If there is fever and delirium, give Bellad., and Aconite, in the same manner.
If painfulness still remains, give, in a couple Of days afterward, Sulphur, evrening and morning a dose (four glob.).




CHAPTER IX.
AFFECTIONS          OF   THE     NOSE.
1. INFLAMMATION OR SWELLING OF THE NOSE.
The nose, from its position and function, is exposed to a
great many diseases and injuries.
a. Exterral in'juries, which may befall the nose, from the
slightest contusion to the severest blow or cut, require Arnica
internally, every four or five hours a dose (four glob.), and
externally, the same remedy in solution (twelve drops of the
tincture to a teacupful of water, well mixed).
Arnica will also stop the bleeding caused by severe blows
and other injuries of the nose.
b. Internal causes for inflammation and swelling of the nose
are scrofula, the abuse of ardent spirits and calonel, or the
congestion attending a cold.
In cases of scrofulous or erysipelatous inflammation of the
nose, give
Belladonna. If the nostrils are swollen and sore; with
heat, redness, and pain, outwardly and inwardly, attended
with a burning, pricking, and dryness; smelling sensitive, or
absent; pains as if bruised, on touching the nose; give,
evening and morning a dose (four glob.); and if not better,
after two days, give
Hepar sulph., in the same manner, until better; followed
by Mercury, in the same manner; and if this does not relieve,
give Bryonia, followed by ]?hus, in the same manner; particularly the latter, in cases of poisoning by weeds.
(163)




164


AFFECTIONS OF THE NOSE.


When caused by the excessive use of ardent spirits, give
Lachesis, Arsenic, Pulsat., Sulphur, Mercury, Bellad., and
Calcarea carb., one after the other, in the same manner, until
better.
If caused by abuse of calomel, give Aurum, Bellad., Lachesis, Hepar, in the same manner, until better.
If caused by cold, see "Cold in the Head."
Black spots frequently appear on the outside of the nose,
for which Sulphur, or else 6Graphites, may be taken, on two
successive evenings one dose (four glob.).
For red spots: Phosphoric acid, in the same manner.
When the end of the nose is red, give Rhus and Calcarea
carb., in the same manner.
If the redness on the end of the nose is copper-color, give
Arsenic and Veratrum, in the same manner.
When warts appear on the nose, give Caustic., every week
two doses (four glob.), and wash with the same externally,
until better.
DIET AND REGIMEN must be strictly homoeopathic, as laid
down in the introduction.
2. ERUPTIONS ON THE NOSE. - ITCHING ON THE NOSE.
a. Eruptions on the Nose.
The eruptions on the nose are generally of an herpetic or
tettery character, and require, for their radical and safe extinction, a long continued, careful, homoeopathic treatment.
The use of allopathic remedies, in the form of salves and
ointments, is, in the highest degree, dangerous, and ought to
be at once rejected; as they may cause the disease to disappear externally, and fall on the eyes or lungs. It is much
better to allow the eruption to stay where it is (as it can do
no harm there), than to endanger, with its repression, the life
of the patient. To commence its radical cure, however, give
Rhus, if the redness is on the point of the nose, with soreness to touch.




BLEEDING OF THE NOSE - EPISTAXIS.


165


Antimonium, if it is all over and around the nose, with
soreness in the corners.
Causticum, if it is on the point of the nose
Nitric acid, if the eruption is tettery, with stinging in the
nose, as if from splinters on touch; itching sensation; scabby
eruption.
ADMINSTRATION.-These remedies to be given every three
or four days a dose (six glob.), until better, or another one
is indicated.
b. Itching of the NVose.
Is merely a symptom of other diseases in the system; particularly in children, where it indicates an irritation near or
below the navel, either from worms, inflammation of the
bowels, or swelling of the glands in the abdomen.
For its treatment, see these diseases.
3. BLEEDING OF THE NOSE.     (Epistmris.)
Some persons are subject to this complaint constitutionally,
sometimes relieving, often injuring them very much. For
weak lungs, with tendency to bleeding at the nose, apply immediately to a homoeopathic physician. Meanwhile, take
Aconite and Sulphur alternately, every three or four days a
dose (six glob.), until better, or until four doses of each are
taken; afterward, if necessary, Sepia and Carbo veg., in the
same manner. If the bleeding appears in females periodically, every month, and the menses have ceased, restore the
latter by the proper treatment (see "Diseases of Females"),
and the former will cease of itself.
If it appears in the beginning of a typhoid or other fever,
or irregularly during its period, it is not considered a very
favorable sign; but if it appears on the critical days of such a
fever (say the third, fifth, seventh, ninth, thirteenth, eighteenth,
or twenty-first day), it is thought to be favorable, and ought
not to be interfered with immediately (see under "Fevers"),
except it becomes too profuse, when China will give relief.




166


AFFECTIONS OF THE NOSE.


If it results from determination of blood to the head, give
Aconite, and Bellad., as directed in "Congestion to the Head."
If it happens after a blow or cut of the nose, apply Arnica,
externally and internally, as stated under "Inflammation of
the Nose."
If it arises from the use of spiritous liquors, give Nux vorm.,
every two or three hours a dose (four glob.).
If it is from overheating, lie quietly, with the head elevated, and take Aconite and Bryonia alternately, every hour
or thirty minutes a teaspoonful, in solution (twelve glob. of
each in separate teacups half full of water).
If it is in consequence of great exertion, give Rhus, and
Carbo veg., in the same manner, until better,
If it occurs mostly during the night, give Jhus, Bryonia, and Belladonna, alternately, every evening a dose (six
glob.).
If in the morning: Nux vom., Bryonia, Carbo veg., in the
same manner.
If it occurs on the most trivial occasions, after eating, etc.,
give Silicea, Sulphur, Sepia, Calcarea carb., Graphites, Lycopodium, at intervals of from eight to ten days, each remedy
for four weeks (six globules for a dose), to eradicate the disposition to it.
Bleeding from the nose in children, from worms, requires
Cina and Mercury, in the same manner. During the attack,
and to allay the itching in the nose, give Cina00, every two
or three hours a dose (four glob.).
If it occurs during a cold in the head, Pulsat., and Arsenic
will be necessary, alternately, morning and evening a dose
(six glob.), until better.
If persons are naturally weak, or rendered so by loss of
blood from the nose, give China in solution (twelve glob. to
half a teacupful of water), every half hour or hour a teaspoonful, until better,,or afterward Ferrum, if necessary, in
the same manner.




COLD IN THE HEAD - CORYZA.           167
Externally use nothing but cold water or ice, on the root of
the nose, keep perfectly quiet, and do not remove the clots of
blood from the nose, if they form themselves.
Lint pressed tightly under the upper lip frequently stops
the severest bleeding of the nose.
The diet must be of a cooling nature; nothing should be
used in the least degree stimulating; no meat.
4. COLD IN TTH HEAD. (Coryza.)
Influenza, catarrhal fevers, and colds on the lungs, generally commence with affecting the mucous membrane of the
nose, whence the disease descends into the larynx and bronchia. We will here treat only this diseased condition of the
nose, which manifests itself mostly by sneezing, obstruction,
or running of the nose, with excoriations, headache, feverishness, and affections of the eyes. If the disease runs into
one of the above mentioned diseases, see their respective
chapters.
TREATMENT. - In all cases where persons are attacked
with a cold in the head, first give Nux vom. and ]M'ercury, in
alternation, every four or six hours a dose (four gldb.) for
twenty-four hours; and then, if not better, select one from
among the following remedies, which may be given three
times in twenty-four hours (four glob. in a dose). If the
patient is better, discontinue two days without giving any
medicine, observing the diet, however; and then give a dose
of Sulphur (four glob.) on two successive evenings, which,
will complete the cure.
Nux vomica must be given for the following symptoms:
either dryness and obstruction of the nose, with/heaviness in the
forehead and impatient humor; or running of the nose in the
morning, but dryness in the evening or during the night; with
dryness of the mouth, and constipation of the bowels; the
patient feeling better when exercising or warm.
17




168


AFFECTIONS OF THE NOSE.


Mercury.   Frequent sneezing, particularly when coming
from the cool air into a warm room, profuse running of the
nose, with swelling, redness, and excoriation of the nostrils;
itching, and aching pains on pressing the nose and cheekbones; soreness and pains in the limbs, copious perspiration
at night; great thirst; patient feels worse in the warmth, yet
cannot bear the cold.
Hepar. For persons who have already taken calomel, or
were not relieved entirely by the homceopathic Mercury; or
when every exposure to cold air renews the complaint, with
a headache; worse by movement; or where the cold attacks
only one nostril.
Dulcamara. If the slightest exposure renews the obstruction and the patient feels worse when at rest.
Euphrasia. When, with profuse running of the nose, there
is redness and soreness of the eyelids, with profuse flow of
tears, and confused sensation in the head.
Belladonna. If Hepar does not relieve, or when the smell
is alternately too acute or too dull.
Lachesis. Frequent sneezing, with profuse running of the
nose, with swelling and excoriation of the nostrils and lips:
or else, obstruction of the nose, humming in the ears, ill
humor, constipation, and unfitness for meditation. Particularly after Nux vom.
Arsenic. Obstruction of the nose, alternately with profuse
running and excoriation of the nostrils, with bleeding; restlessness and sleeplessness in the night; a desire to drink frequently, but little at a time; feels better in a warm air; suits
well after Nux vomica.
Chamomile. When the cold is caused by suppressed perspiration, as is often the case in children, with feverishness and
drowsiness; stupor; one cheek pale and cool, the other red
and hot; soreness of the nostrils; cracked lips and acrid,
smarting mucus in the nose.




SUPPRESSION OF THE CATARRH.


169


Pulsatilla. When the patient loses his appetite and smell,
and the nose secretes a yellowish, thick, offensive mucus, with
heaviness and confusion in the head; particularly when toward
night and in the warmth of a room the obstruction of the nose
increases; feels better in the open air, yet shivering; disposed to shed tears. It is beneficial before Lycopodium, and
follows well after Chamomile.
Lycopodium. Obstruction of the nose, especially at night;
with the sense of smell too acute; tearing pain in the forehead;
dryness of the mouth, without thirst; constipation of the bowels, with melancholy, sadness, and whining mood. Follows
well after Pulsatilla or Lachesis.
Sulphur. Obstruction and dryness of the nose, or profuse
secretion of thick, yellowish, puriform mucus; sneezing;
blowing of blood from the nose with excoriation and soreness of the nostrils; worse in the night and in wet weather.
Suppression of the Catarrh, or Cold in the Head.
If the running stops suddenly and headache ensues, give
Aconite a few doses, every two or three hours a dose (four
glob.); if not better, give Pulsat. and China, alternately,
every six hours a dose (four glob.). If hard breathing or
asthma ensues, give Ipecac. and Bryonia, every two hours a
dose (four glob.), alternately, until better, or until three doses
of each are taken; and if not relieved give Arsenic and Sulphur, alternately, every four or six hours a dose (four glob.),
until better. If the eyes are affected, give Belladonna, Lachesis, and Hepar, in alternation, every six hours a dose (four
glob.) until better. If inflammation of the windpipe or lungs
ensues, give Aconite and Bryonia, alternately, in solution
(twelve globules in half a teacupful of water), every two
hours a teaspoonful.
If a person is subject, on the slightest occasion, to cold in
the head, bathe the neck and breast frequently in cold water;




170


AFFECTIONS OF THE NOSE.


snuff cold water up into the nose when washing the face, and
take Silicea, every eight days a dose (six glob.).
N. B. We would remark here, that in the treatment of
children, where it is difficult to distinguish the symptoms with
sufficient clearness for the selection of a remedy, the alternate use of Chamomile and Belladonna should be adopted in
most cases, giving every three or four hours a dose (two
glob.), which removes the cold. If drowsiness sets in and
sleepiness, with eyes half open, the use of Belladonna and
Hellebor. is preferable, given in solution, as in "Dropsy of
the Brain." After a few days, Sulphur is frequently necessary to complete the cure.
DIET AND REGIMEN.-If there is fever, see the appropriate
diet in "Fevers;" if without fever, the usual homoeopathic
diet. During a cold in the head, abstain from the usual
bathing on feeling worse after it.
5. ULCERATION IN THE NOSE.
(Catarrh.  Ozcena narium.)
This is a chronic disease, where an ulcer has formed in
the upper part of the nose (extending sometimes to the frontal sinus), from which an offensive matter is discharged, frequently mixed with blood; as long as it discharges freely the
accompanying pain is inconsiderable, but when the ulcer suddenly stops running, feverishness ensues with headache,
swelling and redness of the nose, thirst, etc. All these symptoms cease as soon as the ulcer begins to run again. If this
disease is located in the nose, it is called ozcena narium; if in
the cavity of the cheek-bones, ozcena antri Highmori.
As both these diseases are difficult to cure, being caused
by scrofulous or syphilitic disorders, it is necessary to consult
a homceopathic physician; yet we will point out the remedies
with which the cure may be commenced.




POLYPUS OF THE NOSE -CANCER OF THE NOSE.     171
a. Ozcena narium.  Catarrh.
TREATMENT.-The cure may be commenced with Belladonna, every second evening a dose (six glob.), particularly in
females; continue this treatment for one week, followed by
Aurum, in the same manner, and this followed by Mercury
if necessary, after which take Sulphur in the same manner.
If, however, the ulcer does not discharge, and there is
fever and heat, give Belladonna and Aconite, alternately, in
solution (twelve globules in half a teacupful of water), every
two hours a teaspoonful.
b. Ozcena antri Highmori.
The same remedies as above, but if there are severe
pains in the cheek-bones, throbbing, splitting, or bursting,
give Arsenic in solution, every two hours a teaspoonful until
better.
If the discharge is thick and yellow, give Lycopodium,
every other evening a dose (four glob.), until better.
For a chronic ulceration in the lower part of the nose, and
scabs on the nostrils, take Mfercury, Lachesis, Calcarea, Lycopodium, Graphites, Sulphur, each remedy for two weeks,
every five days a dose (six glob.); after taking one remedy
in this manner for two weeks, wait one week before the next
remedy is commenced.   Continue this treatment until better.
DIET AND REGIMEN.-The usual homoeopathic diet. Frequent applications of cold water are recommended.
6. POLYPUS OF THE NOSE--CANCER OF THE NOSE.
The polypus of the nose is of frequent occurrence, and can
be cured by the application of the homoeopathic medicines,
as, also, that variety of this disease which consists in the
thickening or enlargement of the cartilages of the nose. As
these disorders, however, require medical advice, we merely
mention here such remedies as may commence the treatment
of both varieties with equal propriety.




172


AFFECTIONS OF THE NOSE.


TREATMENT.- Staphysag., Phosphorus, Calcarea, Silicea,
Sepia, each remedy (every five days a dose, six glob.) for
three weeks, and then discontinue for one week before the
next remedy is commenced, until better.
Cancer in the Nose.-The treatment of this disease ought
to be confined to the application of the proper internal remedies, as the cause of it lies in the system. By applying early
to a homoeopathic physician it is sometimes cured, while under
the allopathic treatment a cure is never effected.
The cure may be commenced with Arsenic and Sulphur,
in the same manner as above, under "Polypus of the Nose."
DIET AND REGIMEN.-As usual in homoeopathic treatment
of chronic diseases.
7. FOREIGN SUBSTANCES IN THE NOSE.
If a child has put a bean into its nose, let it draw in its
breath, then close its mouth, and make it force the breath out
through the nose; or tickle the nose with a feather to make
it sneeze. Sometimes the bean can be pushed back so as to
fall into the mouth, or it can be extracted with a needle, the
point of which is turned into a small hook. If this does not
succeed, apply to a surgeon. After the operation apply Arnica in water as usual, and give internally Arnica and Rhus,
alternately, every six hours a dose (four glob.). In a couple
of days give one dose (four glob.) of Sulphur.




CHAPTER X.
AFFECTIONS OF THE FACE, LIPS, AND JAWS.
1. INFLAMMATION AND SWELLING OF THE FACE.
a. Erysipelas of the Face and Lips.
FOR the treatment of this disease see "Erysipelas," under
the diseases of the skin. The principal remedies are Belladonna, Lachesis, and Rhus, to be given as there indicated.
b. Swelling of the Cheek,
Caused by toothache, is generally relieved by Chamomile,
Belladonna, and Mercury, in alternation, every three hours a
dose (four glob.) when the swelling is red, hot, and hard.
Bryonia and Nux vomica, in alternation, in the same manner, when it is pale. If the swelling is very painful, put a
bread-and-milk poultice on it. (See, also, "Toothache.")
DIET AND REGIMEN.-As in fevers.
2. ERUPTIONS OF THE FACE.
The face is, in common with the nose, liable to eruptions
in the shape of pimples, produced by various causes. (See
"Inflammation and Eruptions of the Nose," and "Inflammation of the Face.")
For the pimples (acne rosacea) in drunkards (commonly
called carbuncles), give Nux vomica, Lachesis, Arsenic, and
Sulphur, every eight days one dose (six glob.) of one remedy, and so on in alternation until better. The abstinence
from spiritous liquors during this time and afterward is, of
course, required.
S173)




174      AFFECTIONS OF THE FACE, LIPS, AND JAWS.
For pimples in the face, as they appear often in young persons, give Belladonna, Hepar, Carbo veg., and Sulphur, in the
same manner.
For all other eruptions, such as tetter, etc., see their respective heads, under "Skin Diseases."
For crusta lactea, or milk crust, see " Diseases of Chil
dren."
3. FACE-ACHE--NEURALGIA IN THE FACE.
( Prosopalgia - Tic douloureux.)
When this disease has been of a long standing or is constitutional, it requires medical advice and careful treatment to
eradicate it; but if of recent date the following remedies may
be used with benefit. For more information look under the
head of "Toothache," as the same remedies there stated will
be found to answer.
It appears, generally, in paroxysms of severe pain under
the eye and in front of the ear; shooting over the other parts.
of the face, most generally on one side only, and sometimes accompanied with spasmodic twitchings of the facial
muscles.
We give first the principal medicines in the different kinds
of face-ache, and afterward their details, which must be read
before a selection is made.
a. For face-ache of an inflammatory character (heat, redness of the face, and thirst): Aconite, Bryonia, Belladonna,
Thuja, Chamomile, INux vomica.
6. For rheumatic or face-ache from cold: Chamomile, Bryonia, Belladonna,.Mercury, Pulsat., Spigelia.
c. For gouty (arthritic) face-ache: Colocynth, Rhus, Spigelia.
d. For purely nervous face-ache (neuralgia in the face, tic
douloureux); Belladonna, Phosphorus, Capsicum, Spigelia,
Platina, Hyoscyamus.
e. For face-ache from    abuse of mercury:    Carbo veg.,
Hepar.




FACE-ACHE - NEURALGIA IN THE FACE.


175


SYMPTOMATIC DETAIL.-Aconite. Redness and heat of the
face, with crawling pains on one side, or pains as from ulceration; swelling of the cheek or jaws; feverish heat, thirst,
great exasperation, with agitation and tossing.
Belladonna. Pain following the nerve under the eye, and
easily excited by rubbing that part; or tearing, shooting pains
in the bones, jaws, or cheek-bones; rigidity of the nape of the
neck; twitching of the eyelids; spasmodic jerks of the facial
muscles and distortion of the mouth; heat and redness of
the face; chilliness and feverishness at the same time.
Bryonia. Red face, burning hot, with swelling on one side,
or under the eyes and on the root of the nose; pressing
pains in the face, relieved by external pressure; pains in the
limbs; chilliness followed by fever; thirst; tongue coated
yellowish.
Carbo veg. Tearing and drawing in the cheek-bones; swelling of the cheeks and face; night sweats; great weakness.
Colocynth.  Tearing and shooting pains, more on the left
side of the face, extending into the head, temples, nose, ears,
and teeth, with swollen face; or when the pains increase at
the slightest touch.
Chamomile. Puffed and swollen face, with hardness, bluish
color, and beating of the cheek; one cheek red, the other
pale; spasmodic twitchings of the facial muscles; greatly excited and sensitive, or drowsy with feverish inquietude; shivering, with internal heat; desire to lie down and not be
exposed to fresh air, particularly the wind.
Capsicum. Pains in the bones of the face, worse by being
touched, and when going to sleep; feeling of numbness of the
cheek-bone.
Hepar. Pains in the bones of the face; worse by touch, and
extending into the ears and temples; heat in the face during
the night.
Hyoscyamus. Pressing or cramp-like pains in the cheek
bones.




176     AFFECTIONS OF THE FACE, LIPS, AND JAWS.
Mercury. Tearing or shooting pains on one side, from the
temples to the teeth; worse at night and in the warmth of the
bed; too much saliva in the mouth and perspiration without
bringing relief; sleeplessness.
NVux vomica.  Tearing and drawing pains, with swollen
cheeks; redness of one or both cheeks; tingling in the face
with beating in the muscles of the face; worse by meditation
and from wine or coffee.
Arsenicum. Burning, pricking pain around the eyes and
temples, returning periodically, and so severe as almost to
drive the patient to despair; great anguish and prostration,
worse during repose, after fatigue, in the evening and after a
meal; temporary relief is obtained from the use of external
heat.
Phosphorus.   Tearing pains on the left side; worse by
moving the muscles of the face, when eating, etc.; also, by
contact.
Pulsatilla. Paleness alternating with redness of the face;
convulsive motions in the face; painful sensitiveness of the
skin of the face, as if sore; shivering on one side of the face;
no thirst.
Rhus. Pressing, cutting pains in the cheek-bones; with
heat and roughness of the skin of the cheeks; follows well
after Bryonia.
Platina.  Tingling, crawling pains, with numbness and
coldness of the cheek on one side; or spasmodic pain and
pressure in the cheek-bone; worse in the evening, when it
generally begins; very nervous; melancholy; with red face,
and thirst.
Spigelia.  Jerking, tearing, burning, and pressure in the
cheek-bones; worse by touch or motion; with shining swelling of the diseased part. Appears at a certain time of day;
worse on stooping.
Thuja. Pain in the cheek-bones, as if there was a boring;
relieved by touch; spasmodic twitching of the lips; follows




PARALYSIS OF THE FACE AND JAW.


177


"well after Belladonna; heat in the face, transitory; with perspiration in the face.
ADMINISTRATION.-Dissolve twelve globules of a remedy
in half a teacupful of water, and give every hour a teaspoonful, until three teaspoonfuls are given, or the pain is relieved;
then discontinue for two hours; after which, give the next
remedy, if necessary. If, on giving Belladonna, it relieves,
but not entirely, give afterward a couple of doses of Belladonna CO., until better.
N. B. In very severe cases of neuralgia in the face I have
seen the most beneficial effects from the tincture of Aconite
(three drops to half a teacupful of water, every fifteen or
twenty minutes a teaspoonful); in such cases its external application on the parts principally affected is also recommended.
Otherwise, apply nothing externally but cold water bandages.
DIET AND REGIMEN.-The usual homoeopathic diet. Abstain, even in health, from coffee and tea, and bathe frequently.
4. WARTS AND SPOTS ON THE FACE.-CANCER OF THE FACE.
For warts on the face, use first the remedies stated in the
article on warts, under "Skin Diseases;" and if these do not
succeed, use Caustic., Dulcnzara, and Sepia; each remedy
internally for four weeks, every week one dose (six glob.),
and externally, wet the warts every evening with a solution
of the same remedy (three glob. in a few drops of water).
Spots, yellow (hepatic), on the face, require principally the
use of Sulphur and Sepia, in the same manner as above.
Cancer of the face: see the remarks and treatment of " Cancer of the Nose."
DIET.-The usual homceopathic diet in chronic diseases.
5. PARALYSIS OF THE FACE AND JAW.
In this disease, the muscles of the face have lost their power
to act and be moved by the will; consequently, the affected
part of the face or jaw hangs down; it mostly results from




178     AFFECTIONS OF THE FACE, LIPS, AND JAWS.
attacks of apoplexy, rheumatism, loss of fluids, and consequent debility, or suppression of an eruption. For more
details, see the article, "Paralysis or Palsy." If it appears
in an aggravated form, it must be treated by a physician;
however, commence its treatment with the following remedies:
Belladonna, Graphites, and Caustic., every six or eight days
one remedy, every other day one dose (six glob.), until better.
In paralysis of the jaw (hangingjaw), Dulcamara, Arsenic,
and Lachesis, in the same manner.  Beside, apply cold water,
electricity, or galvanism, at the same time, if the patient is relieved by it.
DIET, as usual in chronic diseases.
6. LOCKJAW.    (Trismus.)  See page 20.




CHAPTER XI.


AFFECTIONS OF THE        TEETH, GUMS, MOUTH.
1. TOOTHACHE. (Odontalgia.)
THE proper culture of the teeth is important, in regard to
health and comfort; and, as they form a part of the digestive
system, their soundness depends a great deal on the healthy
state of the stomach and bowels; consequently, whatever may
derange these organs, will act more or less injuriously on the
teeth, and ought to be guarded against. The extremes of hot
and cold drinks should be avoided, and the teeth kept scrupulously clean; the best method for doing this is to brush them
gently with a soft brush dipped in cold water. All medicated
tooth-powders are more or less injurious. If tartar adheres
to the teeth, have it cautiously scraped off, by a competent
person; and if any damage is visible, externally, consult immediately a skillful dentist.; as he can easily repair it, while
an unskillful practitioner makes the evil worse. We cannot
be too careful in the selection of a dentist.
If habitually predisposed to toothache, consult a homoeopathic physician, who will be able to eradicate this complaint,
which has either a scrofulous or rheumatic basis.
But to commence such a cure, if the toothache is recent,
from cold, etc., take some of the following remedies, which
may afford speedy relief.
TREATMENT.-In most cases of toothache, try first the
following remedies, in this order: Chamomile, Bryonia, Mercury, Sulphur, if the patient is a male; and
(179)




180    AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
Chamomile, Belladonna, Mercury, and Sulphur, if a female
or child.
ADMINISTRATION.-Give, according to the severity of the
pain, from one to six hours a dose (four glob.), alternately,
until better. If, however, among the remedies given below,
one is found which will suit exactly, give this first of all.
In administering the following medicines, be careful not to
give another one, when the remedy previously given has
already afforded some relief; let it then have time to show its
effect; say from one to six hours. Do not use creosote, and
other medicines, such as opiates; as they are very injurious
to the general health, and to the teeth especially.
Neither allow the teeth to be extracted so very readily; as
frequently it does not relieve, and can be obviated altogether,
by the use of one of the following remedies. Select with
care, and give as a dose, four globules at a time.
Before taking any medicine, cleanse the mouth of everything which may have been used previously; particularly of
those things which have a smell, such as creosote, etc.
The principal remedies recommended in this article for
toothache are the following:
Belladonna, Chamomile, Mercury, Nux vom., Pulsatilla,
Sulphur, Bryonia, China, Hfyoscyamus, Ignalia, Rhus, Staphysag., Aconite, Carbo veg., Coffea, Hepar, Sepia, Silicea, Dulca.
Before we give their detailed symptoms, we will state a
few general indications, which are of great service in selecting the proper medicine.
First, look under the general indications, and on finding
there a head applying to the case, select the proper remedies
by reading their detailed symptoms below, and comparing
them with the present attack.
GENERAL INDICATIONS.- Toothache, in children: Aconite,
Belladonna, Chamomile, Cofea, Ignatia.
In females: Aconite, Belladonna, Chamomile, China, Cofea,
Bryonia, Ignatia, Pulsatilla, Sepia.




TOOTHACHE - ODONTALGIA.


181


In young girls of full habit: Aconite, Belladonna.
At the time of the menses: Carbo veg., Chamomile, Pulsatilla, Bryonia.
During pregnancy: Belladonna, Nux vom., Pulsatilla, Staphysag., Rhus.
During nursing: China.
In hysterical females: Ignalia, Sepia, Belladonna.
In sensitive and nervous persons: Aconite, Belladonna, Cofea,
Hyoscyamus, Ignatia, Nux vom.
When caused by abuse of cofee: Chamomile, Ignatia, Nusx
vomzica.
Of tobacco: Bryonia, China, Chamomile, Hepar.
Of mercury or calomel: Carbo veg., Hepar, Pulsal., Sulphur.
When in consequence of a chill: Aconite, Belladonna,
Chamomile, Cofea, Dulcamara, Ignatia, Mercury, iNux vom.,
Pulsat.
When caused by damp and cold air: NTux vom., Pulsat.
If it is of a rheumatic nature: Chamomile, Afercury, Bryonia, Bellad., Sulph., Pulsat., China, Rhus.
Of a nervous nature: Bellad., Cofea, Ignatia, Chamomile,
Nux vom., Hyoscyamus, Sulph.,
Of a congestive nature: Aconite, Bellad., Cihamomile, China,
Pulsat., flyoscyamus.
In  carious teeth:.ALercury, CNina, Pulsat., Staphysag.,
Chamomile, Bryon., Silicea, Sulph.
With affection of the bones of the face: Mercury, Sulph.
With pains up to the eyes: Pulsat.
To the ears: Charmomile, Mercury, Pulsat., Sulph.
To the head: C hamomile, iMercury,,Nue vomica, Pulsatilla,
Sulphur.
With a swelled face: Chamnomile, Mercury, Nux vomica,
Pulsat., Bryonia, Sepia.
With swelled gums: Aconile, Bellad. China, Hepar, Afercury, Nux vom., Sulphur.




182    AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
With swelled submaxillary glands: Carbo veg., Mercury,
Nux vom., Staphysag.
CONDITIONS, under which the toothache is relieved or aggravated.
TOOTHACHE RELIEVED:
By pressure: Bellad., Pulsat., China, Rhus.
By rubbing: Mercury.
When lying down: Mercury.
When lying on the painful side: Bryon.
When going to sleep: Mercury.
From warmth: Mercury, Nux vom., Sulph., Arsenic, Rhus.
In the open air: Pulsat., Bryon., Hepar.
By holding a cold hand to it: Rhus.
By applying cold water, temporary relief: Bryon.
From smoking: Mercury.
From cold air: Pulsat., Nux vom., Sepia.
When clenching the teeth: Cofea, China, Arsenic.
When the gums bleed: Bellad.
When sitting up in bed: Miercury, Rhus, Arsenic.
By cold drink: Bryon., Pulsat.
By warm drink: Lycopod., Nux mosch., Sulph.
TOOTHACHE AGGRAVATED:
By cold air: Bellad., Mercury, Staphysag., Sulph., Hyoscya.
By cold water: Bryon., Nux vom., Sulph., Antim. crud.,
Calcarea.
By cold washing: Mercury, Sulph., Calcarea.
By drawing cold air into the mouth: Bellad., Mercury,
Bryon., Nux vom., Sulph.
In the open air: Bellad., Staphysag., Nux vom., China,
Sulph., Rhus.
In a draught: China, Sulph., Calcarea.
In a room: Chamomile, Sulph., Antim. crud.
From smoking: Ignatia, Bryon., China.
From applying hot things: Bellad., Phosphoric acid.




TOOTHACHE - ODONTALGIA.


183


From applying warm things: Cofea, Pulsat., Bryon., Chamomile, Sulph.
From warm drinks: Mercury, Nux vom., Chamomile.
From eating anything warm: Bryonia.
In a warm room or bed: Pulsat., Hepar, Bellad., Mercury,
Bryon., Chamomile.
From drinking coffee: Ignatia, Bryon., China.
When pressing the teeth together: Hepar, Hyoscya., Rhus.
When touching the teeth by the tongue: Ignatia, Mercury,
China, Carbo veg.
When picking them: Pulsat.
During motion: Bryon., Nux vom., China.
When sitting: Pulsat., Rhus.
When lying down: Ignatia.
When lying on the painful side: Arsenic.
When lying on the sound side: Bryon.
When going to sleep: Arsenic.
Before midnight: Bryon.
After midnight: Mercury, Staphysag.
In bed: Mercury, Antim. crud.
When awaking: Bellad., Nux vom., Carbo veg.
In the forenoon: Pulsat., Sulph., Carbo veg.
In the afternoon: Mercury, Sulph., Nux vom., Pulsat.
Toward evening: Pulsat.
In the evening: Ignatia, Bellad., Mercury, Pulsat., Bryon.,
Nux vom., Sulph., Antim. crud., Rhus.
By noise: Calcarea.
By vexation: Rhus.
When thinking: Bellad., Nux vomica.
When reading: Ignatia, Nux vomica.
By salt things: Carbo veg.
SYMPTOMATIC DETAIL.-Aconite. Feverishness, with great
anxiety and restlessness, intense beating pains, with congestion to the head and intense burning in the face, which is
swollen, and very painful. Belladonna, Bryonia, and Chamo



184     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
mile suit very well after it; or in alternation with Coffea, if
the pain is intolerable (see Cofea).
Belladonna.  Great anguish and restlessness, or excessive
sadness, with tendency to shed tears; sensation of ulceration
in the teeth and gums; drawing, tearing, incisive, or shooting pains in the teeth, face, and ears, aggravated in the evening, after lying down at night; bleeding of the teeth on sucking
them; swelling of the cheek; dryness of the mouth and throat,
with great thirst; worse in the open air and when eating; heat
and redness of the face, with beating in the head and cheeks;
burning and redness of the eyes.
After it, Mercury, Hepar, Chamomile, Pulsatilla, suit.
Chamomile.   Violent jerking, drawing, and shooting pains,
almost insupportable; worse at night, when the patient is warm
in bed; with swelling and redness of the cheeks and irritability of mind; disposition to cry, during the pain; swelling
of the gums; enlargement of the submaxillary glands;
oftener on one side, or without knowing which teeth ache
most. Shooting or pulsative pains in the head, ears, and
face; worse after drinking anything hot or cold; particularly
after drinking cofee; one cheek red, the other pale; violent
agitation, and tossing about; yet great weakness, almost to
fainting.
After it, Bryonia, 3Mercury, Coffea, Sulphur, Belladonna,
follow well.
Coffea.  Violent pains, during which the patient is utterly
distracted; with trembling, tears, tossing, and agitation (in
alternation with Aconite).  Indescribable pains; worse at
night, or after a meal.
After it, Aconite, Belladonna, Hyoscyamus, Sulphur, suit
well.
Calcarea.  Toothache in pregnant females; pains in hollow
teeth or around loose stumps; throbbing, drawing, pricking
pains, with swelled, sore, easily bleeding gums; face full and
red, particularly during the night; pains caused by taking




TOOTHACHE - ODONTALGIA.


185


cold; worse by cold or draught of air; the patient bears
neither cold nor warm drinks; noise increases the pain.
Carbo veg. Drawing, tearing, or beating pains in the teeth,
with painful tendency to the touch, especially after eating;
the gums bleed easily; with a feeling of ulceration and
looseness of the teeth; worse in damp weather, or when hot,
cold, or salted things, are put into the mouth; or when Mercury has not relieved the pains.
China. When debilitated by loss of fluids, as after having
been bled, or during nursing, etc.; or when the pain is beating, drawing, jerking; dull pain in carious teeth; worse after
eating; at night, or when touched; mitigated by pressing and
clenching the teeth.
After it, Mercury, Pulsatilla, Sulphur.
Bryonia. Pains in carious teeth, and in the gums, as if
sore and excoriated, with the feeling as if the teeth were
loose: jerking and drawing pains, with a sensation as if the
teeth were loose or too long, but are not so; especially when
eating, or after a meal; the pains force one to lie down; are
worse at night; or on taking anything hot into the mouth;
ameliorated when lying on the side affected. It suits well
after Chamomile, or before Mercury; also, in alternation with
Rhus, in those toothaches which are caused either by wet
weather, or accompany bilious rheumatic attacks.  (.See this
article.)
Dulcamara. In toothache accompanied by diarrhea, from
cold or from a chill; suits well in such cases after Chamomile, when that remedy has proved insufficient; also, in
cases of toothache from cold, where it has fallen upon the
salivary glands, with salivation; where Belladonna and Mercury have proved insufficient.
Hepar.   Suits well for persons who have taken a great
deal of mercury; and when the toothache precedes the formation of gum-boils; in this case, in alternation with Silicea;
beside, it is suitable after Mercury or Belladonna, when there




186     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
are painful or erysipelatous swelling of the cheek, or jerking
and drawing pains in the teeth; worse on clenching the teeth,
when eating, in a warm room, or at night.
Hyoscyamus. The pains, when this remedy should be
used, are very violent; tearing; pulsation from the cheek to
the forehead, after taking cold, or in the cold air, with congestion to the head; red and hot face; clenching of the teeth;
convulsive jerkings of the fingers, hands, or arms; great nervous excitability; red and brilliant eyes, looking around
wildly; pains are so violent as to almost cause raving.
Ignatia. In persons of a sensitive temperament, yet of a
mild character; or, now lively and gay, and soon after, disposed to weep. The toothache for which this remedy should
be used, is distinguished by a sensation as if the teeth were
broken; caused by taking cold; by depressing mental suffering; or when the pains are worse after drinking coffee or
smoking tobacco; after lying down, or in the morning
on waking. It suits well after Chamomile, Nux vomica, or
Pulsatilla.
Mercury. One of the principal remedies for toothache in
children, or when there are shooting pains in the carious teeth;
and tearing pains in the roots of the sound teeth, through the
whole side of the face, into the ears; with swelling of the
cheek; painful on touch; swelling of the submaxillary glands;
salivation; worse at night; but particularly so, even insupportable, in the warmth of the bed; the pains are excited by
cool and damp air, or by eating or drinking anything cold. It
suits well after Belladonna or Dulcamara; or before Hepar,
Carbo veg., or Sulphur.
Nux vomica. Especially in persons who lead a sedentary
life, or indulge habitually in coffee or ardent spirits; pain as
from excoriation, or jerking, drawing, particularly in the carious teeth; swollen and painful gums, with pulsation as in an
abscess; worse at night, in the morning on waking, after dinner, or during a walk in the open air; irritable, quarrelsome,




TOOTHACHE - ODONTALGIA.                187
and peevish temper, with tendency to constipation and piles.
It suits well before Mercury or Sulphur.
Pulsatilla. Especially in persons of a mild, quiet, and
timid character, with tendency to shed tears; toothache from
cold, with earache and headache on one side, mostly on the
left; tearing, shooting, or jerking pain, as if the nerve were
tightened and suddenly relaxed; pulsation; gnawing pain, with
pricking in the gums; pains extending to the face, head, eyes,
and ears, mostly on one side, with paleness of the cheeks, heat
in the head, shivering in the body and difficulty of breathing;
worse in the afternoon or evening, or else after midnight; aggravated when warm in bed or when seated in a warm room;
mitigated by cool air or when out of doors. It suits well before
or after Mercury or before Sulphur.
Rhus. Particularly in rheumatic toothache in wet weather,
with pains in the extremities and head, shivering and restlessness; in such cases in alternation with Bryonia. (See
this remedy.)   Or tearing, jerking, shooting, tingling pains,
worse in the open air or at night, when it renders the patient
very restless; mitigated by external heat. It suits well after
Belladonna.
Sepia. Pulsative and shooting pains extending into the ears
and arms as far as the fingers; tendency to sick headache;
constipation and piles. It suits well after Belladonna.
Silicea. Shooting pains, with swelling of the jaw-bones,
which ache rather worse than the teeth; worse in the night;
fistulas or gum-boils. It suits well after Jfercury or Hepar.
Sulphur.   Tearing, jerking, and pulsative pains, particularly in the carious teeth, with swelling of the cheek; congestion and beating in the head; shooting pains in the ears;
constipation with tendency to piles; the toothache is worse in
the evening or at night, when warm in bed, or exposed to the
open air or a current of air; also from cold water. It suits
well after Aconite or Mercury.




188     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
Staphysag. When the toothache affects carious teeth, or
the teeth become so, and break off easily, with paleness,
whiteness, ulceration, swelling, and tenderness of the gums;
worse immediately after eating or drinking anything cold, or
by inhaling the cold air; also in the morning or at night.
2.  CARIES OF THE TEETH.    (Carious Teeth. )
For pains in carious teeth the principal remedy is.Antimon.,
Chamomile, or else Staphysag., VNux vomica, Mercury, China,
Pulsatilla, and Sulphur.  Give of these every three or six
hours a dose (four glob.), until relieved.
For a disposition to caries in the teeth, give first Staphysag.,
then Sulphur, then Calcarea carb., every week two doses of
one remedy, commencing with the first, each     dose six
globules.
Beside this treatment consult a good dentist, as teeth may
frequently be saved" by a simple operation, while without it
they would decay in a short time.
3. OFFENSIVE BREATH.
If it is from carious teeth, consult a good dentist immediately; or, if that is impossible, clean out the hollow teeth
yourself, with cotton or rolls of paper, and fill the cavities
with wax.
Offensive breath, caused by neglect in cleaning the teeth
from tartar or particles of food attached to them after eating,
can be removed only by the most careful attention to rinsing
the mouth frequently and using the brush freely.
Sometimes offensive breath is a symptom of other diseases,
such as swelling and inflammation of the gums and glands
from the abuse of Mercury.   (See this article.)  Where it
cannot be traced to any particular cause, however, try to relieve the patient by giving the following remedies:




BAD TASTE IN THE MOUTH.


189


If it appears only in the morning, give Arnica, Nux vom.,
Belladonna, Silicea, Sulphur.
If after a meal, Chamomile, Nux vomica, Sulphur.
If in the evening or at night, Pulsatilla, Sulphur.
If in young girls at the age of puberty, Aurum, Pulsatilla,
Sulphur, Bryonia, Belladonna, Sepia.
Administer every evening of one of the above remedies
indicated, one dose (six glob.) for one or two weeks, when
another remedy may be selected if necessary.
N. B. The smell caused by onions, garlic, or horse-radish,
may be destroyed by taking a little wine, or eating a pear or
boiled beets.
4. BAD TASTE IN THE MOUTH.
A great many diseases, such as fevers and disorders of the
stomach, have a bad taste in the mouth as an accompanying
symptom, which will disappear with the principal complaint;
this must be looked for in the proper chapters; but sometimes it appears as a solitary symptom, for which the following remedies may be given:
TASTE: Insipid-Bryonia, Rhus, Dulcam.; if after drinking,
China; if after a meal or in the evening, Thuja.
Coppery-Cuprum, Rhus, Cocculus.
Earthy- China, Pulsatilla, Sulphur.
Metallic-Lachesis, Mercury, NVux vomica.
Mucous or slimy-Mercury, Chamomile, Pulsatilla, Lycopodium, Belladonna, Rhus.
Putrid-Arnica, Bryonia, Rhus, Sulphur, Nux vom., Mercury, Pulsatilla, Sepia.
If worse in the morning--Rhus, Nux vom., and Sulphur.
If after a meal-Rhus.
Bitter, bilious-Bryonia, Pulsatilla, Arnica; Antimon. crud.,
Chamomile.
Acid-Pulsatilla, Mercury, Nitric acid, Sepia, Sulphur.
Szoeetish-Mercury, Pulsatilla, Sulphur.




190     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
Saltish-Mercury, Aux vomica, Tartar emet., Arsenic, Carbo veg.
For loss of taste-Belladonna, Hepar, Bryonia, Phosphorus,
Silicea, Natrum muriat.
ADMINISTRATION.-Take one dose (four glob.) of the appropriate medicine once a day for a couple of days, which
is generally sufficient. If very bad, take two or three times
a day.
5. INFLAMMATION AND SWELLING OF THE TONGUE.
( Glossitis.)
This disease is not of frequent occurrence. When it appears the tongue is swollen, either in part or wholly, often to
a great extent, so as to fill the whole cavity of the mouth,
thereby rendering it extremely difficult to speak, swallow, or
even breathe. The disease, if not checked in time by the
proper homoeopathic remedies, frequently runs into suppuration or hardening of the substance of the tongue, after which
the fever, which is generally very intense during the height
of the inflammation, gradually subsides, or it terminates in
gangrene of the tongue and surrounding parts.
CAUSES.-This disease is mostly caused by local injuries,
such as from the points of decayed teeth, the sting of a bee,
or by rheumatic and catarrhalic influences.
TREATMENT.-In the commencement of the disease, if the
tongue has been injured externally, give Arnica, rinsing the
mouth with a solution of ten drops of the tincture to a teacupful of water three or four times a day. If injured by
burning or scalding, give Urtica urens, in a similar manner.
But if real inflammation of the substance sets in, and there
is great fever, give first Aconite, in solution (twelve globules
in half a teacupful of water), every hour or two a teaspoonful until better.
Mercury is almost a specific after Aconite, particularly when
there is great swellin o                       -r rounding




CANKER OF THE MOUTH- STOMACACE.          191
glands; it may be given either alone, every three or four
hours a dose (four glob.), or alternately with Belladonna, if
the mouth is very dry and the pain excessive, with great
thirst and congestion to the head.
Pulsatilla is beneficial in cases caused by suppression of
gouty, or hemorrhoidal affections.
If indications of gangrene appear, -Arsenic and Lachesis are
the principal remedies, alternately to be given as above in
Belladonna and Mdercury.
If ulceration of the tongue takes place, see "Ulcers."
If the swelling has become so enormous, as to endanger
the life of the patient, make longitudinal incisions in the
tongue.
ADMINISTRATION, DIET, and REGIMEN-As in inflammatory
fevers.
6. CANKER OF THE MOUTH. (Stomacace.)
This disease consists in an inflammation and ulceration of
the inside of the mouth and surrounding parts, preceded by
general lassitude, loss of appetite, gastric derangement and
feverishness. The local affection soon makes its appearance
with heat, redness, and sensitiveness of the gums, which
swell, become spongy, and retract from the teeth; presently
small ulcers appear on the gums, spreading to the lips, tongue,
palate, and inside of the cheeks, smelling very offensively.
Sometimes the glands of the throat and mouth swell and
participate in the inflammation, secreting large quantities of
a putrid, acrid saliva, which runs constantly from the mouth.
In such a state the patient looks like one who has been deeply
salivated by the abuse of mercury; we find, also, the same
weakness and feverishness.
TREATMENT.-f-ercury must be given first, as it is almost
the specific in this disease, but not, of course, in those cases
which have been produced by its own abuse; in such cases
see "Diseases from the abuse of Mercury."
19




192    AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
ADMINISTRATION.- Dissolve twelve globules in half a teacupful of water, and give every three or four hours a teaspoonful until four or six are taken; if better the patient
needs no more medicine; if not better or about the same,
select one of the following remedies, preparing and giving it
in the same manner as the mercury.
Capsicum. Particularly in phlegmatic persons with a full
habit, leading a sedentary life; or where there are burning
blisters or vesicles on the tongue, and swelling of the gums.
Dulcamara. Where the patient has taken cold, or where
the glands of the neck participate, feel sore, and are swollen.
Arsenic. Ulcerations on the margins of the tongue, with
violent burning pain; swelling and easy bleeding of the gums;
great debility and restlessness, with a desire to drink frequently
but not much at a time.
Borax. Ulceration of the gums with thrush in the mouth
and on the tongue; bleeding easily, particularly in children.
ADMINISTRATION.-See "Thrush" in "Diseases of Children."
Carbo veg. Ulceration of the gums and tongue, with profuse bleeding; burning sensation, and excessive fetidness of
the ulcers, and difficult movement of the tongue. It suits
well after Arsenic, or where Mercury has caused salivation.
Nitric acid. If Mercury has proved inefficacious, or if the
gums are swollen, look whitish and bleed easily, with looseness
of the teeth; excoriations in the mouth; salivation and a putrid
odor of the mouth.
Nux vomica. In the worst cases, and then in alternation
with Arsenic; principally in lean persons, who lead a sedentary life; or where there is putrid and painful swelling of the
gums; fetid ulcers cover the whole inside of the mouth, which
smells very offensively; the face looks discolored, with hollow
cheeks, dull eyes; emaciation; constipation and irritability.
Sulphur. At the end of the cure, or when there is swelling of the gums with pulsative pains; thrush in the mouth




SCURVY-- SCORBUTUS.


193


and on the tongue; blisters which burn when eating; offensive and sour smell from the mouth, with a thickly coated
whitish or brownish tongue; constipation, or greenish, slimy
evacuations; restlessness at night. It suits well after Arsenic,
iMercury, or Nux vomica.
Externally use nothing but cold water, with which the
mouth should be frequently washed; sometimes lemon-juice
or sage tea is beneficial, at least not objectionable, when its
use can be borne.
DIET.- Only the mildest nourishment, such as- gruels, milk
and water, etc., is allowed; no meat or soup of meat until
the patient is decidedly convalescent.
7. INFLAMMATION OF THE PALATE.
See "Sore Throat."
8. ABSCESS IN THE GUMS.- GUM-BOILS.-SWELLING OF THE
JAW-BONE.
Before an abscess in the gums, or a gum-boil, is formed,
there is much inflammation and swelling in the parts affected,
which requires the use of Aconite and Belladonna in alternation, every three or four hours a dose (four glob.), until
better; or, if not better after twelve hours, Mercury and Hepar
in the same manner. If the boil has formed, give Silicea,
evening and morning a dose (four glob.), for three or four
days; and if not better in eight days, give Calcarea carb., in
the same manner, and after this Staphysag.
The same treatment is suitable for swelling and ulceration
of the jaw-bone, produced by carious teeth, or after the extraction of a tooth.
DIET light, and according to the homoeopathic rules.
9. SCURVY. (Scorbutus.)
This disease exhibits all the symptoms described in the
previous article, on "Canker of the Mouth."    It differs,




194'   AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
however, as regards its origin and progress, which is slow
and chronic.
The real scurvy principally affects persons who are in
circumstances which deprive them of fresh provisions (such
as sailors), and expose them to damp and cold. If, at the
same time, there is want of exercise, impure air, and uncleanliness, together with depression of spirits, the disease
will progress rapidly.
It begins with swelling of the gums, which become spongy,
discolored, and bleed easily; producing fetid breath; afterward the lower extremities begin to swell, and the skin shows
tettery and livid spots; face looks lead-colored and bloated;
urine is offensive, and the stools are extremely fetid; hemorrhages from the nose, teeth, tongue, and the urinary organs
now ensue; the general debility and melancholia increases,
and ulcers make their appearance on various parts; after
which, a general dissolution of the system takes place.
TREATMENT.--A great part of the cure of this disease lies
in the removal of its causes; and this should be done, if possible; substituting fresh provisions for salt; also, fresh fruits
and vegetables, oranges, lemons, cider, vinegar, spruce beer,
sour-crout, etc. Beside, give the following remedies:
Mercury. If this has not already been used to excess in
the disease (in which case Carbo veg. should commence the
cure), give it for the following symptoms:
Red, spongy, ulcerated, and easily-bleeding gums, with burning pains at night; looseness of the teeth; the whole inside of the
mouth covered with aphthae or thrush; fetid smell of the
mouth, and ulcers; profuse discharge of offensive or sanguineous saliva; loose, scalding evacuations; dark-red, fetid urine;
great exhaustion and debility, with inexpressible feeling of
depression of body and mind.
ADMINISTRATION.-Dissolve twelve glob. in half a teacupful
of water, and give every four or six hours a teaspoonful, for
six times; then discontinue the medicine for twenty-four or




SALIVATION -- PTYALISM.


195


thirty-six hours, and, if improving, for a longer time; if not,
however, select the next best remedy.
Carho veg. Particularly in persons who have taken much
mercury, or when there are burning ulcers in the mouth,
which bleed profusely at times, and discharge an acrid, fetid
matter; great weakness in body and mind.
NVux vomica. For the same symptoms as stated in "Canker
of the Mouth."  (See this article.)
Arsenic.  See "Canker of the Mouth."      Beside these
symptoms, it will mitigate the sufferings of the patient, in the
most severe forms of this disease; ulcers are either very
painful or not sensitive; look dark and livid; so does also,
the whole skin, which is bluish, cold, and extremely dry;
extreme restlessness, particularly at night.
vitric acid and Sulphur. See, "Canker of the Mouth."
Administration of these remedies, the same as Miercury,
above.
DIET.-As in " Canker of the Mouth."
10. SALIVATION. (Ptyalism.)
This disease is not always caused by the abuse of mercury;
but frequently occurs after taking cold, or accompanies attacks of fever, such as scarlet, etc. Sometimes it appears in
diseases of the reproductive system, as a critical discharge by
the action of nature; and is then very beneficial.
Salivation (a profuse discharge of saliva or spittle) is
only a symptom of that disease to which it has given its name.
The disease consists in an irritation, swelling, and inflammation of the glands of the mouth and throat; at times, of the
whole mucous membrane, which, in health, secretes the necessary saliva. It is evident and rational that, in order to
stop the salivation, we must remove the inflammation of the
gland, or mucous membrane, by the appropriate remedies;
which, if done, will of itself reduce the discharge of saliva to
its legitimate quantity.




196     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
All astringents which will directly diminish salivation
are injurious; being only harmless, when they produce no
effect. Mild washes, or gargles, such as milk and water, may
be used with benefit. Depend, however, principally upon
the following remedies:
TREATMENT.-If mercury or calomel is the cause, Hepar
sulph., Lachesis, Belladonna, Opium, Carbo veg., Dulcamara,
Nitric acid, and Sulphur, in alternation, every six or twelve
hours a dose (four glob.), until the patient feels relieved, if
not of the quantity of saliva discharged, at least of the ill
feelings generally experienced in the whole system. If caused
by cold, the first remedy to be used is almost always Mercury;
and if not better after twelve or twenty-four hours, give the
-above-named remedies in the same order. If salivation occurs in fevers, as a crisis, do not interrupt its flow, unless
it becomes very weakening and dangerous, in which case
use the above named remedies. Beside, compare " Stomacace."
DIET AND REGIMEN.-Diet of the mildest kind, gruels,
milk and water, rusks, crackers soaked in milk, etc.; no
meat.
11. PARALYSIS OF THE TONGUE.
Paralysis of the tongue is one of the symptoms by which
apoplexy shows itself; and in that case can only be cured by
the removal of the whole disease. See, in that case, "Apoplexy." But where the disease has only palsied the tongue
and made it useless, give Lachesis, if it is experienced more
on the left side of the tongue, and Belladonna, if more on the
right side.
Beside, Caustic, Hyoscyamus, Opium, Stramonium, Aconite,
Sulphur, in rotation, if necessary, one after the other, giving
every two or three days a dose (four or six glob.), until improvement begins.
DIET AND REGIMEN.-The usual homceopathic diet in.
chronic diseases.




STAMMERING--SWELLING UNDER THE TONGUE.


197


12. DIFFICULTY OF SPEECH.-STAMMERING.-STUTTERING.
A person may lose his speech in consequence of spasms or
paralytic strokes, and if this is the case see their respective
chapters. If it is the well-known stammering or stuttering,
medicines may be given to decrease the general sensitiveness
of the nervous system, and particularly of the nerves of
speech. Yet the treatment must lie principally in acquiring such habits of speech as will bring it completely within
the control of the speaker; reading aloud is of service,
intonating every word, and beating time with the fingers on anything near. If this is patiently persevered in for a length
of time, it will overcome the disease. A kind treatment
by parents and teachers is necessary, particularly where lessons are to be repeated, or messages received.
For diminishing the general sensitiveness of the nervous
system, give the following remedies, which will have, also,
a specific bearing upon the local disorder.
Lachesis, Belladonna, AMercury, Sulphur, Stramonium, Natrum muriaticum, Graphites. Give each remedy for six weeks,
every week one dose (six glob.), until better.
DIET.-Abstain from coffee and spices.
13. RANULA, OR SWELLING UNDER THE TONGUE.
This disease consists in a swelling of the salivary glands
under the tongue, where it appears as a bluish eminence, not
painful, but in its final growth impeding speech materially.
The principal remedies are Thuja, Mercury, Calcarea carb.,
and Sulphur; each remedy to be given for six weeks, every
week two doses (six glob. each), until better. These remedies may be used at the same time externally, by dissolving
a few globules in a little water, and keeping it in the mouth
for a minute once a day.
DIET AND REGIMEN.-Abstain from coffee and spices.




CHAPTER XII.


AFFECTIONS OF THE THROAT.
SORE THROAT.-QUINSY. (Angina faucium.)
a.  Common Sore Throat.
THIs well-known disease consists in an inflammation and
swelling of the back part of the throat, palate, and tonsils,
which impedes the respiration to a greater or less extent, and
occasions fever. It appears in different degrees of intensity,
from the slightest irritation of the throat, vanishing quickly,
to the highest degree, the formation of an abscess in the tonsils, or adjacent parts, which becomes very painful, and
obstructs respiration to an alarming extent.
The following list of medicines will exhibit the different
degrees of intensity in the symptoms, according to which the
remedy must be chosen.
TREATMENT.-I will first remark here, that perhaps in no
disease the beneficial effects of cold water are so evident as
in sore throat; and advise, therefore, its use in the beginning
of this complaint, if it is possible.
In the evening, when going to bed, put a wet bandage
around the throat, and cover it with a dry cloth; repeat the
same in the day-time, if remaining within doors; and at the
same time select the proper homoeopathic remedies, as the
application of the cold water will'not interfere with the action
of the medicine.
I would also advise sponging the throat and breast with
cold water, for persons who are habitually subject to quinsy,
(198)




O8RE THROAT - QUINSY.


199


in order to strengthen the weak parts. This ought to be done
regularly, every morning.
Another precaution which such persons ought to take, is
to avoid, as much as possible, long-continued or loud talking,
particularly when the weather is inclement, damp, and cold,
producing colds and rheumatism.
They should also strictly avoid any irregularity in diet
and habits, and take particular care not to overload the
stomach.
ADMINISTRATION OF THE FOLLOWING MEDICINEs.-Remember
that the patient always ceases taking any medicine, as soon
as he feels better, or is, at least, not worse. In the latter
case, take the last appropriate medicine at longer intervals,
from time to time, until entirely relieved.
Having selected a remedy, dissolve twelve globules of it in
half a teacupful of water, and give according to the severity
of the case; every one, two, three, or six hours a teaspoonful, until from three to six teaspoonfuls have been taken,
when either the patient is better, or another remedy is needed; if the latter, prepare and give this one in the same manSner as above.
If the patient cannot swallow, let him keep the medicine
for a minute on the tongue, and then spit it out again, as the
effect by that time is fully there; or give the medicine dry
on the tongue; in which case, do not repeat it as often, say
every two, three, four, or six hours a dose (four glob.).
Before giving the list of medicines and their symptoms, I
will state that in the commencement of most cases of sore
throat, Chamomile, Bryonia, and Belladonna, in alternation,
every four or six hours a dose, will be found sufficient, if
taken early. If, however, the disease still progresses, select
the more homoeopathic remedy from   among the following:
Aconite, Belladonna, Bryonia, Rhus, Chamomile, Lachesis,.Mercury, Pulsat., Nitric acid, Dulcamara, Ignatia, Carbo veg.,
Nux vom., Capsicum, Hepar, Silicea, Sulphur; or, if the




200


AFFECTIONS OF THE THROAT.


angina (sore throat) is caused by the abuse of mercury, look
principally for Belladonna, Carbo veg., Hepar, Lachesis, Lycopodium, Sulphur.
SYMPTOMATIC DETAIL.-Aconite. Particularly if at the beginning the patient has much fever, heat, thirst, swallows
with pain and difficulty; the throat inside exhibits deep redness, causing a pricking sensation, worse when speaking.
N. B. In inflammatory affections of the throat, Aconite
ought invariably to commence the treatment: after it a suitable remedy is
Belladonna. When there are excoriating pains, with sensation of scraping and enlargement; generally a dryness in
the mouth and throat; when swallowing, the pain shoots
into the throat and up to the ear; sometimes cannot swallow
at all; the drink escapes through the nostrils; violent thirst,
with dread of drinking; the throat itself inside shows a bright
redness without much swelling, or a deep intense redness with
considerable swelling of the tonsils, palate, and glands, with
tendency to the formation of abscess or ulceration. Sometimes
much slimy, whitish mucus in the mouth and throat; swelling of the muscles and glands of the neck and nape of the
neck, with violent fever; hot, red, and swollen face; red
eyes, with dread of light.
After it, lAfercury, Hepar, or Lachesis, will be suitable.
Bryonia.  Sensations of shooting, with dryness of the
throat and difficulty of speech; after getting cold in damp
cold weather, or after over-heating one's self, or drinking icewater; frequently with pains in limbs and head, chilliness
and thirst; in such cases, alternate with Rhus, every two or
three hours a dose (four glob.), until three doses of each are
taken, or until better.
Rhus. In most cases where Bryonia is indicated (see the
preceding "Bryonia"), or where there is obstructed swallowing as from contraction of the throat.
Chamomile. Especially in sore throats of children, or




SORE THROAT - QUINSY.                 201
where it is caused by checked perspiration; the glands of the
neck, under the chin, and the tonsils are swollen; in the
throat itself a feeling of enlargement, with deep redness of
the parts affected; inability to swallow solid food, especially
when lying down; tingling in the throat, with hacking cough,
hoarseness and rough voice. If fever is present toward evening; heat and shivering alternate with redness (especially
of one) of the cheeks; irritability, with cries and tears; the
child wishes to be constantly carried in the arms and wants
things which, upon receiving, it throws angrily away.
Lachesis. Swelling, redness, and feeling of excoriation of
the tonsils and palate; constant need to swallow, with a sensation as of a tumor or lump requiring to be swallowed; swallowing is obstructed, particularly of liq'uids, which often
escape through the -nostrils; worse in the afternoon and
morning, after sleeping, or from slight -pressure on the neck.
Sometimes it is necessary to give Lachesis after other remedies, particularly after Belladonna and Miercury have mitigated the symptoms, but there still remains burning and
dryness in the throat, extensive swelling, especially of the left
tonsil, with difficulty of breathing, or danger of suffocation;
or where there are small ulcers in the throat, or on the left
tonsil; in which case, the remedy should be given in alternation with L'ycopodium; particularly when the bowels are constipated, and on the tonsils in the throat appear very small
yellow eminences or tulbercles. (See " Ignatia.")
Mtercury. Suits frequently in the beginning of a sore
throat, when caused by taking cold, and, in addition to the
throat symptoms, there is a rheumatic drawing pain in the
head and -nape of the neck; perspiration which affords no
relief; the throat symptoms are, violent shooting in the throat
and tonsils, especially when swallowing, which extends to the
ears and glands of the face and neck; or there is a burning
in the throat, and pains as from excoriation, swelling and
great inflammatory redness of the parts affected; elongation of




202


AFFECTIONS OF THE THROAT.


the palate, difficult swallowing, especially of drinks, which
escape through the nostrils. In this case give it in alternation with Belladonna.  If an abscess in the throat cannot be
avoided, Mercury, in alternation with Lachesis and Hepar, are
the principal remedies to promote its maturation, and even
after it has broken, Mfercury is necessary, with Hepar and
Silicea, to promote its healing; particularly when the patient
feels worse at night, or in the evening, when he feels chilly
and hot at the same time; much saliva in the mouth, with perspiration, which affords no relief; tongue thickly coated.
Pulsatilla. Suits very frequently in females, or persons
of a mild phlegmatic character; after having taken cold,
and the throat feels swollen inside; tonsils and palate look
dark and red, and dark red veins appear in the throat, which
is covered with tough mucus; the patient feels chilly toward
evening.
Nitric acid. Is very suitable after Mercury has been given,
or in alternation with it where the throat is filled with small,
superficial ulcerations, of a whitish appearance, like thrush,
with bad mercurial smell; also, in that form of angina
caused by abuse of Mercury (see this article).
Carbo veg. Suits well after Mercury and Nitric acid, if
these remedies have not been sufficient against the ulcers in
the throat; or after Bryonia and Rhus have been given,, and
there yet remain severe burning and pricking pains, particularly in wet weather.
Nux vomica. Suits very well after Chamomile, or in persons of a bilious choleric character, when they have a soreness in the throat, with a feeling of rawness, hoarseness, particularly when inhaling cool air, or during the swallowing of
the saliva; or when the palate is elongated and swollen, with
constipation and thirst.  Nux vomica is a principal remedy for
ulcerated sore throat.  (See the next article.)
Ignatia. Sensation as of a plug in the throat, with shootings into the ear, especially when not swallowing; greater




SORE THROAT--QUINSY.


203


difficulty in swallowing liquid than solid food; the tonsils
swollen, indurated, or covered with small ulcers or tubercles.  Compare Chamomile, iVzx vomica, Pulsatilla, Lachesis,
Mercury.
Capsicum.   In cases where.kux vomica seemed to be indicated, or when there is a burning roughness in the throat,
with feeling of contraction and stiffness, beside sneezing and
running of the nose, also running of the eyes. In cases of
this kind it relieves very quickly.
Hepar.   Often after Belladonna, AMercury, Lachesis, or
when there are stitching pains in the throat, or in the swollen
tonsils; particularly when swallowing or coughing; violent
pressure in the throat, with danger of suffocation; necessary
in maturing abscesses. (See Mercury.)
Silicea. After an abscess has broken, Silicea, in alternation with Hepar, is recommended, until it has closed and
healed.
Sulphur.   Swelling of the throat and tonsils, with pain as
from excoriation; beside a feeling of constriction; follows well
after Mfercury or Ignatia.
DIET light. See " Inflammatory Fevers."
EXTERNAL TREATMENT.-Nothing but gargling with warm
water and milk; or for an abscess of the throat a warm linseed poultice, until it breaks.
Erysipelas of the Throat, as it appears mostly in scarlet
fever, measles, small-pox, etc., sometimes, however, independent of these diseases, requires, -in preference, Bellad., Aconite, iV~ux vomica, Mercury, Lachesis, Sulphur, Arsenic, Carbo
veg., Ignatia, as the detailed symptoms above may indicate.
For angina caused by syphilis or gonorrhea, give mostly
Mercury, Nitric acid, Thuja, Lachesis, or Sulphur.
If it arises from foreign substances in the throat, such as
splinters, etc., give first Aconite, as usual; but if, notwithstanding, swelling and heat make their appearance in the
wounded part of the throat, look above, under "Erysipelas




204


AFFECTIONS OF THE THROAT.


of the Throat," for the principal medicines, which in such
cases are preferred.
For constitutional or chronic angina, where a person is liable
to these attacks upon the slightest occasion, commence the
cure by selecting from Hepar, Lachesis, Lycopodium, Sulphur,
Bellad., Nitric acid, Nux vomica, Thuja; and take them  as
needed, but not oftener than once a day; and if the case is
not too urgent, as far apart as every two or three days one
dose (four or six glob.), until better.
b.  Ulcerated and Putrid Sore Throat. (Malignant Quinsy.)
(Angina Gangrcenosa.)
This is one of those dangerous diseases, the treatment of
which will seldom be attempted by domestic practice alone;
yet, as persons may be in circumstances where they could
not procure the aid of a homoeopathic physician, I will give
below the symptoms and treatment of this disease, as, plainly
and fully as it can be done in a work of this kind.
DIAGNOSIs.-This disease, in its most virulent form, appears
mostly as an epidemic among children, when scarlet fever is
raging, which it often supplants, or accompanies. In this
form, it is highly infectious.
In a milder form, it may occasionally attack any person,
child or adult, who, from derangement of the digestive
organs, or predisposition to throat diseases, is more subject
to it.
It commences with a chill or shivering, followed by fever;
great languor and oppression, with or without nausea; eyes
suffused, with a reddish hue; cheeks crimson; nostrils inflamed,
with a thin acrid discharge, causing excoriation of the nose
and lips; pulse weak and very quick, to indistinctness; beside,
the patient is very restless.
On examination, the palate and visible part of the throat
are found to be of a bright redness and swollen; which, together
with the tonsils, are soon covered with numerous ulcers, coated




ULCERATED AND PUTRID SORE THROAT.


205


with grayish-yellow crusts, which frequently separate in large
pieces. At this time, the whole interior of the mouth, and
even the lips, are involved in the destruction of the mucous
membrane. The fever and restlessness increase, as also the
difficulty of swallowing and breathing.
The breath becomes extremely offensive; the glands around
the neck swell, and the skin on the neck and face assumes a
shining, glossy appearance; finally, drowsiness sets in, and the
young patient, if not soon relieved, dies with symptoms of
apoplexy or suffocation.
The milder form exhibits the above symptoms, with less
severity, and terminates, in most cases favorably, on the third
or fifth day, by general perspiration; breathing then becomes
easier; the pulse less frequent and stronger; quiet sleep ensues, and the expression of the face grows more lively.
TRPEATMENT.---The typhoid character of this disease requires medicines for that class of fevers, such as Bellad.,
Laackesis, Arsenic, Carbo veg., Sulphur; and the peculiar affections of the throat, such as Afercury, Nitric acid, Jlkux vorn.
Belladonna. In the beginning of the disease, when there
is dryness of the throat and choking, fear, restlessness, even
delirium. For further indications and
ADMINISTRATION. - See "Belladonna," under "Scarlet Fever."
Mercury.   If profuse secretion of saliva makes its appearance, together with ulceration in the throat and mouth, which
must be carefully observed, give Mercury either alone, in the
same manner as Bellad., above referred to, or in alternation,
with Nitric acid,'in the same manner, if there is great sensitiveness in the ulcerated parts.
If these two remedies arrest the disease, causing diminution of saliva and a cleaner appearance of the ulcers, wait
patiently twenty-four or thirty-six hours, at which time one
dose (four glob.) of Sulphur will be sufficient to complete
the cure. But if the disease progresses,




206


AFFECTIONS OF THE THROAT.


Lachesis will be necessary to be given, in the same manner
as Bellad., above; particularly when the neck becomes much
swollen and glossy, and the gangrene of the ulcers still
continues.
If no change is perceptible from its use within twelve
hours, let it be followed by Arsenic; which is the principal
remedy, particularly when the weakness is very great. These
two remedies may be given in alternation, in the same manner, and, for at least twenty-four hours; if then not better, let
Nux vomica and Carbo veg. follow in the same manner.
If a drowsy sleepiness, with snoring, appears, give Opium,
three times every hour a dose (each dose four glob.), and
afterward Cuprum in the same manner; if the patient sleeps
with eyes half open, give 'Bellad., and Hellebor., as directed
under "Scarlet Fever."
After the patient is out of danger, but the ulcers do not
heal fast enough, give Nitric acid, evening and morning a
dose (four glob.), and in two or three days afterward, Sulphur, in the same manner.
DIET AND REGIMEN.- Diet as in " Scarlet Fever;" cleanliness and free ventilation are strongly recommended.
N. B. For the treatment of the milder form of this disease,
see also the preceding article on "Sore Throat or Quinsy."
INFLAMMATION AND SWELLING OF THE TONSILS
(Am-ygdalitis.)
This disease, in its acute form, is already treated of in the
article, "Sore Throat or Quinsy," to which we refer the
reader. In the chronic form, where the tonsils have become
enlarged and remain so, often for years, without seriously
endangering the life of the patient, it is extremely dangerous
to have the tonsils cut out; as frequently, after such an operation, the lungs become affected, and the patient dies of consumption.
The only safe way to cure these enlarged tonsils, is to put




SWELLING OR ELONGATION OF THE PALATE.


207


the patient under homoeopathic treatment; and, even though
it takes a long time (the nature of the disease does not admit
of a speedy reduction), it is still better than to expose the
patient's life to the greatest danger, by an operation.
Commence such a course by giving the patient the following remedies, in their order; of each remedy every four
days a dose (four glob.) for six weeks, until an amendment
is perceptible.
The remedies are: Belladonna, Calcarea carb., Lachesis,
ffepar sulph., Ignatia, Sulphur.
DIET.-As usual in the homoeopathic treatment for chronic
diseases.
SWELLING OR ELONGATION OF THE PALATE.
(Falling of the Palate.)
Some persons are troubled with this disease after the
slightest cold or indigestion; it consists in an inflammation
of the palate (uvula), which produces the feeling of falling by
its elongation. If it continues long, it becomes very annoying, and the cause of a tickling in the throat and an irritating
cough. The practice of cutting off the palate, in order to
take away its inflammation, is certainly radical enough, but
by no means rational, and always pernicious.
TREATMENT.-Nux vomica is the best remedy in all recent
attacks; evening and morning a dose (six glob.)    If not
better in forty-eight hours, take Mercury, Bellad., Calcarea
carb., and Sulphur, one after the other, in the same manner,
until better.
DIET.-Avoid meat, coffee, and spices; gargle the throat
with cold water, and externally apply cold water bandages.
(See "Sore Throat.")


20




CHAPTER XIII.


AFFECTIONS OF THE WINDPIPE AND CHEST.
1. HOARSENESS. (Raucitas, Aphonia.)
IF this complaint accompanies other diseases, such as
measles, croup, influenza, etc., its treatment will be found in
the respective articles; but if the hoarseness, which is an affection of the mucous membrane of the larynx, exists alone, or
only combined with a cough, we will state its treatment
here.
Hoarseness differs in regard to time and degree. It is recent (acute), or of long standing (chronic); also, sometime's
very slight, at others very severe, amounting even to a perfect aphonia, or loss of voice.
Catarrhs or colds in the throat frequently manifest themselves only as hoarseness, and should be treated as follows.
a. Acute Hoarseness..Nux vomica and Mercury (see "Influenza"), are the
principal remedies. Nux vomica for a rough, dry cough, with
soreness and tough mucus in the throat; the patient feels
alternately chilly, and hot; is impatient and morose.
Mercury.   Either after iNux vomica or Pulsatilla (see
below), or in alternation with them, particularly when with a,hoarse and rough voice there is a sensation of burning tickling in the windpipe, and disposition to easy and profuse perspiration, without relief; if with sneezing, etc.  (See "Influenza.")
(208)




ACUTE HOARSENESS.


209


Capsicum. Hoarseness with an unpleasant tickling in the
nose, which feels dry and obstructed; beside, a severe cough,
and pain in the head and bowels.
Carbo vegetabilis and  Phosphorus in  alternation; see
"Chronic Ifoarseness."
Chamomile. Particularly in children under similar symptoms as Nux vomica. Sometimes one cheek red and hot, the
other pale and cool; fever in the evening, and great irritability
of temper.
Drosera. Hoarseness with a very deep and hollow voice.
Sambucus. Hoarseness, with a deep, hollow cough; difficulty of breathing, which occasions profuse sweating.
Pulsatilla.  Stinging and soreness in the throat; voice
scarcely audible (aphonia), with a loose cough and pain in
the chest; running of thick, yellow mucus from the nose.
Suits well after Aconite, and is followed well by Sulphur.
Sulphur. Roughness and scraping in the throat; deep,
rough voice in damp weather, with difficulty of breathing,
particularly at night. Follows well after Mercury, Pulsatilla,
Bryonia, and Rhus, and is necessary in every obstinate case
of hoarseness, particularly at the end of the cure.
Bryonia, and -Rhus. In alternation, every two or three
hours a dose (four glob.), when there is soreness of the throat
and chest; worse after talking, with chilliness; pains in the
limbs and head; oppressed breathing, frequent sneezing, with
discharges from the nose. After it Mfercury and Sulphur suit
well.
ADMINISTRATION.-Take of the remedies indicated three
doses (four glob. each) in twelve hours (every four hours
one); then wait twelve hours, and if not better take the next
chosen remedy in the samine manner.
DIET.-No meat or coffee; drink freely of cold water, and
use the cold water bandages around the throat during the
night.




210


AFFECTIONS OF THE WINDPIPE AND CHEST.


b.  Chronic Hoarseness.
A hoarseness which has continued for some time is a symptom of the beginning of bronchitis, and ought to be attended
to immediately. If it cannot be cured by the following remedies, a homceopathic physician must be consulted.
Hepar sulph. If a person has been used to take large
quantities of calomel or other mercurial preparations, he
may commence the cure with Hepar, particularly if there
is a cough, worse at night, on lying in bed, or when any
part of the body gets cool. After or in alternation with Phosphorus.
Carbo veg. Chronic hoarseness; worse after talking;
in wet weather; in the evening and morning; also, after
measles.
Sulphur. See under "Acute Hoarseness."
Phosphorus. Chronic hoarseness, with roughness in the
throat; voice scarcely audible (aphonia) with dryness in the
throat and chest. Follows well after Hepar sulph., and Carbo
vegetabilis.
Causticum. In very obstinate cases, where the hoarseness
is worse in the evening and morning; great weakness in the
organs of speech, with a sore feeling in the throat and chest on
coughing.
ADMINISTRATION.-Take of the remedy indicated twice a
day one dose (four glob.) for two or three days, and then
wait four or six days for its effect; if then not better, take
the next chosen remedy in the same manner.
DIET AND REGIMEN.-Very little meat; no coffee or other
stimulating drink, but much cold water, and every night cold
water bandages around the throat. (See "Hydropathy.")
In no disease is hydropathic treatment of more benefit
than in the beginning of bronchitis, which is most always
prevented by it. Keep the feet warm, and do not converse
much.




BRONCHITIS - CROUP.               211
2. ULCERATION OF THE WINDPIPE, commonly called BRONCHITIS. (Phthisis laryngea.)
This disease consists in a chronic inflammation and final
ulceration of the larynx or windpipe; it is, consequently,
dangerous in its results, and ought to be treated by an experienced physician as soon as one can be procured.
It manifests itself by the following symptoms:
DIAGNoSIs.-Pain in the windpipe; difficulty of breathing,
and sometimes in swallowing; hoarseness more or less, with
frequent attacks of severe coughing; expectoration of a very
little mucus or matter, sometimes streaked with blood; finally
hectic fever; chilliness; burning in the hands, soles of the
feet, and cheeks; thirst during fever.
TREATMENT.-Before a physician can be obtained commence the cure with
Aconite. If there is fever and pain in the throat.
Spongia and Hepar sulph.   In alternation, if with soreness in the throat there is difficulty of breathing; sometimes
wheezing.
Lachesis. If there is a feeling in the throat as of something sticking in it, which cannot be removed by swallowing.
Phosphorus, Carbo veg., Causticum. See "Chronic Hoarseness."
ADMINISTRATION AND DIET. See " Chronic Hoarseness."
3. CROUP, AND CROUPY COUGH.
(Angina membranacea. Laryngitis Catarrhalis.)
Although these two diseases are very different in their
nature, they are frequently confounded and thought to be the
same, only different in degree. The real difference, however, is this.
Croup is a spasmodic, inflammatory disease of the windpipe (larynx), and in fatal cases consists in the formation of
a membrane, which closes up the windpipe. It occurs mostly
in dry, cold weather, with sharp northern winds.




212      AFFECTIONS OF THE WINDPIPE AND CHEST.
Croupy cough is a catarrhal inflammatory state of the windpipe, which may end, if not cured, in inflammation and congestion of the lungs. It occurs mostly in damp, wet, and cold
weather. Each may precede or follow the other; but as the
remedies are entirely different, it is necessary to know the
symptoms which distinguish them from each other.
In the real croup children are mostly attacked in the fore
part of the night, without much previous ailment, after an
apparently sound sleep; they are seized with sudden oppression for breath, which appears in hurried, difficult, and hoarse
respiration, accompanied by spells of coughing, with a squeaking, shrill, and grating, or metallic sound. These attacks
waken the child, which is very restless, and in more or less
agony during a spell of the cough, but after it, generally
sleeps sweetly, and without obstruction in breathing, at least
the first evening. Not so in croupy cough, where the breathing is labored, and the cough hollow and hoarse, even during
sleep. The child coughs without awaking, showing that no
local pain distresses it.
Croup belongs more to a northern climate; the farther
north, the more intense the croup; while croupy cough seems
to take its place in the more southern countries, where real
croup seldom occurs, except during long-continued storms
from the north.
In severe cases of croup, the intermission of the disease on
the second day, in the morning, is not sufficient to permit the
child to sit up and be cheerful for play, which it does in croup
of less intensity, where the hoarseness, cough, and fever
abate in the morning, to such an extent as to render the
young patient quite cheerful and playful; if, in such a case,
the same, or even severer symptoms appear on the second
evening, do not be discouraged, but give the same medicine
again which gave relief the night previous.
The mildest attack of croup, or croupy cough, is apt to
return for three nights, and parents ought to be particularly




CROUP AND CROUPY COUGH.


213


careful during the first three or four days not to allow their
little croup patients to come outside the room, or near the windows, where they could inhale the cold air; keep a flannel
around the neck, which must be removed gradually when the
patient is convalescent, by tearing a small strip from it every
evening.
TREATMENT OF CROUP. - Without going into elaborate
details on the treatment of croup, which would only confuse
the reader, I will state briefly that course which is pursued
invariably at first in every case of croup, coming under the
treatment of a homoeopathic physician, generally with the
greatest success, leaving only a few very severe cases to be
treated with other remedies, to select which requires the experience and skill of a physician.
The first remedy, under all circumstances, is Aconite,
twelve globules dissolved in half a teacupful of water, to be
given every fifteen minutes a teaspoonful until four teaspoonfuls are taken; then administer Spongia and Hepar, in alternation, each one prepared like Aconite, in separate cups, every
half hour a teaspoonful until the child is better; when it
sleeps do not disturb it to give the medicine; as soon as it is
better give only every three or four hours a teaspoonful alternately. If the patient gets very bad, breathing very quick
and labored, with a constant rattling in the breast and drowsiness (coma) of the head, prepare and give Tartar emet., and
Phosphorus, in alternation, in the same manner as Spongia
and Hepar, above. If not better in three hours give Opium
twice, every half hour a dose (three glob.), and then Cuprum,
in solution, as Aconite above, and if this does not succeed in
three hours, give Camphor and Coffea, in alternation for two
hours, prepared as above, and then Lachesis, in the same
manner as Aconite above.
TREATMENT OF CROUPY COUGH. -Give first one dose (four
glob.) of Aconite, and then in one hour afterward Chamomile,




214      AFFECTIONS OF THE WINDPIPE AND CHEST.
Bryonia, and Belladonna, in alternation, every two hours one
dose ( four glob.), until better.
DIET AND REGIMEN.-During the attack nothing but the
mildest nourishment, such as arrow-root, farina, milk-andwater, and water alone, if there is great thirst. Warm footand-hand-baths are recommended, with this precaution, that
the parts thus bathed should be covered with warmed flannels directly after the bath.
4. INFLUENZA.
This disease appears mostly as an epidemic, sometimes,
however, sporadic, and has, in addition to the symptoms of
common cold in the head (see this article), chilliness, followed
by flashes of heat, great debility and headache, which forces
one to lie down; rheumatic pains in the whole system; painful and red eyes, with great sensibility to light and difficulty
of breathing.
TREATMENT.-If most of the above symptoms are present,
give
Arsenic. Every three hours a dose (four glob.), until
three doses are taken; then discontinue for six hours, awaiting its effect, and, if not better, give one of the following
remedies, according to the symptoms:
Camphor. If the chilliness still continues, or there is great
difficulty of breathing and failing of strength; let the patient
either smell camphor or drop three drops of spirits of camphor in half a tumbler of water, and give every fifteen or
thirty minutes a teaspoonful, until better.
Mercury. Particularly in the commencement, when the
head symptoms prevail, such as sneezing and running of the
nose, with rheumatic pains in the head and body, red, watery
eyes, or when a loose cough, with profuse perspiration without relief, sets in; also, when there is a slimy diarrhea, with
straining like dysentery. Give it in the same manner as




INFLUENZA.


215


Arsenic above. This remedy is considered almost a specific
in this disease. (Compare also, "Materia Medica," at the
end of the book.)
Bryonia. In alternation with Aconite, every two or three
hours a dose (four glob.), if inflammatory symptoms appear;
fever; dry, hot skin, with a hard shaking cough, and stitches
in the chest.
Belladonna and Aconite, in the same manner, if the cough
is dry and spasmodic, with severe headache dnd dryness in
the mouth and throat.
Hepar, if the cold was better, but is worse again, or when
the patient had previously taken much calomel.
Euphrasia, when with a discharge of white mucus from
the nose, the eyes are sore and run water profusely.
Phosphorus and Tartar emet., in alternation, in the same
manner, if the lungs feel oppressed, weak, and sore; and
when coughing or breathing there is rattling in the chest.
Causticum.  If the feeling of excoriation in the chest is
prevailing, with a dry cough, so violent that the urine escapes
involuntarily; give twice a day a dose (four glob.).
Pulsatilla. After Mercury, or in alternation with it, every
three or four hours a dose, if the cough is loose, and the nose
discharges thick, yellow mucus; soreness of the chest in the
morning, after expectoration; foul tongue; disagreeable or
insipid taste in the mouth; no thirst.
Silicea, in chronic catarrh, which returns frequently, when
it is either running or causes obstruction.
Sudden suppression of the influenza sometimes produces
headache, for which give
Aconite, Pulsatilla, China; or,
Dificulty of breathing, for which Ipecac., and Bryonia, is
suitable, followed by a dose of Sulphur, if necessary.
ADMINISTRATION.-Every three or four days a dose (four
glob.), until better or another remedy is necessary. (Consult also the article on " Coughs.")
21




216      AFFECTIONS OF THE WINDPIPE AND CHEST.
DIET AND REGIMEN.-NO meat or coffee; for drink,.water
or lemonade, if there is no diarrhea; gruels and toast-water.
Keep the face from the direct influence of the fire in the
grate or stove; it is preferable to remain in bed, where a
gentle warmth may be maintained.
5. COUGH.
As cough is, in most cases, only -a symptom of some other
disease, such as pneumonia, bronchitis, influenza, hoopingcough, consumption, etc., we must refer the reader to their
respective chapters. Sometimes, however, a cough appears
isolated from any marked disease, and is either caused by
cold (catarrhal cough), or sympathy, or derangement of other
organs (nervous, spasmodic, and gastric cough); so that we
have to mention here their appropriate treatment.
a. Catarrhal cough, caused by a severe cold on the lungs,
is, in the beginning of the day, harsh and painful; afterward
it becomes loose, with heavy expectoration, relieving the chest
from pain and oppression.
TREATMENT.-If such a cold is combined with pains in the
head and limbs, chilliness, and thirst (commonly called
bilious), give Bryonia and Rhus tox., alternately, every two or
three hours a dose (four glob.), until better, or until three
doses of each are taken; then wait twelve or sixteen hours
before the next remedy is taken, which will suit the remaining
-symptoms of the cough. (See " Symptomatic Detail.")
When the cough is dry, without expectoration: Aconite,
Chamomile, Bryonia, Rhus tox., Belladonna, Hyoscyamus,
Capsicum, Ignatia, Nux vomica, Phosphorus, Hepar.
When the cough is loose: Pulsatilla, Mercury, Tartar emet.,
Phosphorus, Dulcamara, Stannum, Lycopodium, Sulphur.
b. Nervous and spasmodic cough, caused by nervous irritation or excitement, either original, or transferred to the lungs
from other organs; for instance, pain in the womb (neuralgia)
may cease suddenly, and, by being transferred to the lungs,




INFLUENZA.


217


creates here the hysterical cough. (See article "Hysteria,"
especially.) All the nervous coughs are dry; but they may
affect the stomach, and cause vomiting or retching; sometimes
spasms in the lungs may take place; fits of sufocation, which
are generally of not so much danger as they appear to be.
TREATMENT.-For nervous and spasmodic cough: Bellad.,
Hyoscyamus, Ipecac., Bryonia, Drosera, Hepar, Cina, Sulphur.
If accompanied by vomiting, retching: Ipecac., Mercury,
Bryonia, Tartar emetic, Pulsatilla, Sepia.
If by fits of suffocation: Ipecac., Tartar emetic, Opium,
Chamomile, Bryonia, Drosera, Hepar, Lachesis, Sulphur,
Arsenic, China.
Cough, caused by sympathy from other diseases, such as
worms, dentition (teething), dyspepsia; growing too fast causes
in young persons such coughs. Look for these in their respective chapters.
N. B. After having found the kind of cough in the above,
select the best remedy from those designated for such kind
of cough, comparing the symptoms.
SYMPTOMATIC DETAIL.- Aconite.     Violent, short cough;
sometimes with pains and anxious oppressions in the chest.
Chamomile.   Dry cough, from   constant tickling in the
throat and chest; worse after talking in the night; with fever
and coughing during sleep; particularly in children, when
they cough after crying, or a fit of anger or passion, or a
tickling cough, which ceases after the patient gets warm in
the bed; also when in the morning tough, bitter mucus is
thrown up. (Compare "Croupy Cough," "Cold in the Head,"
and "Hoarseness.")
Bryonia. Dry cough, from    irritation in the throat, or
with pain in the chest; worse in the open air; sometimes
from taking cold in damp, frosty weather; with rheumatic
pains in the head and limbs; also chilliness, followed by
fever and thirst (in alternation with R/huslox.); or a loose




218      AFFECTIONS OF THE WINDPIPE AND CHEST.
cough, with yellowish expectoration, or spasmodic cough
after eating or drinking.  (For children, see "Croupy
Cough.")
]Rhus tox. Short, dry cough, from a tickling in the chest;
worse in the evening, or before midnight; with weakness in
the breast, and shortness of breath; restlessness at night;
dry tongue (see Bryonia); worse in the air, better when exercising, or in the warmth; or cough, with a taste of blood in
the mouth; bloody saliva runs from the mouth during the
sleep.
Belladonna. Short, dry cough, particularly at night; worse
when moving; with dryness and tickling in the throat, and
redness of the face, dry, spasmodic cough, with retching,
mostly after midnight; dry cough day and night, with soreness
of the abdominal muscles, or in the region of.the hip, as of
falling of the womb; or when the attacks end with sneezing,
as if the person had taken a heavy cold.  (For children, see
"Croupy Cough.")
Hyoscyamus. Suits well when Bellad. has afforded only
partial relief, or when the cough at night is temporarily mitigated by sitting up in bed; much rattling in the throat and
tickling or dry hacking cough, with weak respiration; worse
by muscular action or motion; the patient can hardly walk up
stairs. (See "Consumption Beginning or Galloping.")
Capsicum. Particularly in persons of phlegmatical temperament; easily chilled after drinking cold water; cough worse
toward evening and nigdt; with pains in various parts of the
body; bursting headache; painful pressure, and aching in the
throat and ears; cough, with offensive breath and disagreeable taste in the mouth.
Ignatia. Dry cough, with running at the nose day and
night, in the same degree j.or short, hacking cough, as if from
a stricture in the throat, or the tickling of a feather; aggravated by the continuation of the cough; particularly in persons
who are easily affected by grief, or when the cough is worse




COUGH.


219


after eating, or on lying down at night, or on rising in the
morning.
Nux vomica is one of the most useful remedies for various
kinds of cough from  cold. (See "Influenza," "Cold in the
Head," etc.)   Tickling cough; worse early in the morning;
sometimes with catarrhal hoarseness, and scraping around the
palate; tough mucus in the throat and lungs, with an itching, tickling sensation in the throat, and chilliness; cough
worse by movement, reading, or meditation after meals; and
followed sometimes by retching or vomiting; or fatiguing
cough, with pains in the head, as if it would burst; or pains
in the pit of the stomach, as if from a blow or bruise; worse
in the night, or after lying down; cough dry during the after
part of the day and night, with oppression on the chest, as if
from  a weight; expectoration toward morning. Suits well
for persons of an energetic, sanguine, choleric temperament,
and for those who drink much coffee and ardent spirits.
Carbo vegetabilis. Cough, with hoarseness, worse toward
evening or in the morning, and by speaking; nervous, spasmodic cough, exciting vomiting in paroxysms throughout the
day. The cough is attended with burning pain and a sensation of scraping or excoriation in the chest; particularly
during  damp, cold weather. (In     alternation with Phosphorus. )
Phosphorus. Dry cough, from tickling in the throat, but
more in the chest; worse when laughing, talking, and drinking, hoarseness, and pains in the chest, particularly on the
left side, as if from excoriation; lying on the left side excites the
cough. (In alternation with Carbo veg., or Hepar sulph.)
Hepar sulph. In alternation with Phosphorus, in dry, hoarse
cough; worse after talking; or excited when any part of the
body becomes cool, particularly at night.
Tartar emetic. Loose cough, with much rattling on the
chest; quick breathing, almost amounting to suffocation; hot
and moist hands, with perspiration on the forehead; bluish




220      AFFECTIONS OF THE WINDPIPE AND CHEST.
lips (in alternation with Phosphorus, see "Inflammation of
the Lungs"); or cough, with vomiting of food after eating;
deep, hollow cough; expectoration of mucus in the night.
Dulcamara. Loose cough, after taking cold; spitting of
light red blood; hooping cough, excited by drawing a deep
breath; worse in a room, or when lying still; better when
moving and out of doors.
Stannum. Hard, dry cough in the evening; excited by
laughing, talking, and singing; also, a loose cough, with
much expectoration of mucous or sweetish matter, with feeling
of soreness of the chest after it (see "Consumption"); lying
on the right side excites the dry cough.
Lycopodium. Cough worse in the night, or after drinking;
or a tickling cough, excited by drawing a deep breath, with a
saltish expectoration, and stitches in the left side of the chest
(see "Consumption"); dryness of the tongue without thirst.
Sulphur. Dry cough, worse in the evening and during the
night, or when lying down; loose cough with expectoration of
thick mucus, and feeling of soreness in the chest (particularly suitable after Mercury); cough, with pain and stitches
in the chest or the head; also, a sensation of spasmodic constriction in the chest, as if caused by the vapors of brimstone.
Ipecac.  Nervous or spasmodic cough, sometimes with
nausea, retching, and vomiting; worse at night or when walking in the cold air; accompanied by oppression in breathing,
almost amounting to suffocation, as if from the accumulation
of mucus (congestion to the lungs), particularly in children;
when the face looks livid and dark, and the body becomes
rigid and stiff. (See "Hooping Cough.")
Drosera.   Dry, spasmodic cough, with retching; worse
immediately after lying down, in the night; chronic cough, and
hoarseness after measles; dryness, and a rough, scraping sensation, deep in the throat, which   causes coughing. (See
"Bronchitis," and "Hooping Cough.")




COUGCH.


221


Cina. Dry, spasmodic cough, with shortness of breath,
pale face and moaning, also in the night, with restlessness
and crying. (See "Worms," and "Hooping Cough.")
Pulsatilla. Severe shaking, dry cough mostly in the morning, with retching and inclination to vomit; or loose cough, with
much expectoration of a bitter, yellow mucus.
AMercury. Cough, with hoarseness (see "Influenza"), or
excited by tickling in the throat; shaking, dry cough, mostly
at night, or loose cough, with expectoration streaked with blood,
and an inclination to perspire easily, but without relief. In
children the cough is frequently attended by bleeding of the
nose, sickness at the stomach, hoarseness and diarrhea.
China. Severe cough, from ulceration of the lungs (see
"' Galloping Consumption"), after hemorrhage, or other losses
of blood; or asthmatic cough in the night, with acute pain in
the chest and the shoulder-blades.
Arsenic. When China only ameliorates, without curing;
or when there is dry cough after drinking; or cough, with
bloody expectoration in the night, with a burning sensation
over the whole body; asthmatical cough (see "Asthma").
Opium. Cough when swallowing or breathing, with anxious, heavy, and intermitting respiration, worse during repose;
full, red face (see " Congestion of the Lungs ").
Sepia. Dry cough in the evening in bed, frequently with
sickness at the stomach and bitter vomiting; or loose cough,
with much saltish expectoration, particularly in the morning
and evening ( see " Consumption").
Lachesis. Short, dry, szbfocating cough, as if from something sticking in the throat, with ineffectual efforts to expectorate.
ADMINISTRATION.-Of a remedy, having been carefully
selected, dissolve twelve globules in half a teacupful of water,
and let the patient take every two, three, or six hours a teaspoonful (children half a teaspoonful), until three or four




222      AFFECTIONS OF THE WINDPIPE AND CHEST.
doses have been taken; then wait from four to twelve hours,
according to the severity of the case; and if not better, select
and give the next best remedy in the same manner. This
will suit for recent attacks. In coughs of a longer standing,
give the remedy for two days, evening and morning a dose
(four glob.); then discontinue two or three days; if then
not better, take another remedy in the same manner. To
very small children, give the medicine in globules altogether,
if they cannot take it dissolved in water; one or two globules
at a time is a dose for them.
DIET AND REGIMEN.-If the cough is accompanied by fever
or biliousness, abstain from meat and butter; if not, these may
be used: otherwise, keep the diet prescribed in chronic diseases. If persons are habitually liable to take cold, they
ought to harden themselves against the changes in the atmosphere, by the systematic use of cold water, externally and
internally, as spoken of in the latter part of the book (see
" Hydropathy "); persons, however, with tubercular affections
must not use it. Another great dietetic rule is, that persons
liable to colds on the lungs ought to abstain from all spiritous liquors.
The bathing of children in cold water, when they have cold
on the lungs, may be suspended for the time (except when
allowed by a physician especially); as in many cases it might
not be admissible at all.
A patient with a cough should not occupy a damp room,
facing to the north; but a dry, airy chamber, exposed to the
midday sun, and susceptible of easy ventilation and even
temperature. If the cough at any time is very dry and painful, use, as a loosening drink, an infusion of the roots of althea
and liquorice, in equal parts, as freely as the patient finds it
necessary, cold or warm. In chronic coughs, where the expectoration is tinged with blood, no warm drinks are allowed.
In fall and winter, until summer, a plaster of Burgundy pitch




HOOPING COUGH --TUSSIS CONVULSIVA.


223


on the breast is recommended to those who have weak breasts;
but, after taking it off in the summer, they must wash and
rub the breast well.
HOOPING COUGH. (Tussis Convulsiva.)
This is one of those diseases which exclusively befall children, from the infant on the breast up to twelve or fourteen
years. It appears mostly as an epidemic, and is, as such, infectious.  In some seasons its attacks are milder than in
others: sometimes it commences immediately with hooping;
at other times, it is preceded by all the symptoms of an inflammation of the lungs, with great tendency to convulsive
and spasmodic affections. The real hooping seldom commences in the earliest stage.
DIAGNOSIS.-We recognize, generally, two stages for this
disease:
The first, or febrile stage, showing all the symptoms of a
heavy cold; running at the nose; watery, heavy eyes; sneezing; irritating and painful cough, with feverishness and difficult respiration. It is in this stage that congestions to the
head and lungs often occur, particularly when children are
teething at the time, which, of course, adds materially to the
danger of the case. The old practice is almost powerless in
such cases, while homoeopathy offers a safe and successful
treatment.
The second, or nervous spasmodic stage, begins as soon as
the feverishness diminishes, and the hooping commences; the
latter increases by degrees, until the paroxysms become, at
least in severe cases, really appalling.
The little patients dread the attack, and run, as it were, to
the mother for help, or hold fast to something, when they
feel the approach of it. In severe paroxysms, the face swells
and becomes livid, while quantities of mucus are forced from
the mouth, and frequently blood escapes from the mouth and
nose; respiration seems to cease for a minute, when a deep




224      AFFECTIONS OF THE WINDPIPE AND CHEST.
inspiration ensues, which ends the attack for the time, and
the patient recovers quickly; being, in the intervals, almost
always perfectly well, except, perhaps, a little fretful and
weak.
DURATION.-If this disease is not treated at all, or only by
allopathic medicines, its duration is left to its own natural
limits, and not shortened in the least; in such cases, the first
stage may last from three to eight, or even twenty-one days,
and the second stage, from the beginning to its hight, from
five to six weeks; from thence to its total disappearance, the
same length of time.  Frequently, the cough reappears in
those patients in the fall or winter, who had it in the preceding summer.
But under the proper homoeopathic treatment, its duration
is very much shortened; sometimes the disease is cut off in
its progress within five or six days. Very seldom has a person the hooping cough twice in his lifetime, except as above
stated.
TREATMENT.-In thze first stage, where the children apparently have a cold, select from those remedies recommended in
the articles on " Cough," and " Croupy Cough," by the use
of which the cough frequently entirely disappears. These
remedies are mostly Chamomile, Belladonna, Bryonia, etc.
Aconite. If the cough does not cease in a few days, but
becomes very dry and whistling; the child has fever, and
complains of a burning pain in the windpipe. Administer
as in Croup, until better, or some of the following remedies
are indicated.
Dulcamara. If the cough is loose and moist, with copious
expectoration of a thin mucus with hoarseness, apparently
brought on by exposure to wet or dampness, evening and
morning a dose (three or four glob.) for two days.
Pulsatilla. In the same manner, if there is a loose cough
with vomiting of mucus or food; also, a slimy diarrhea.
Ipecac. and Nux vomica, alternately, if the cough is dry,




HOOPING COUGH - TUSSIS CONVULSIVA.


225


accompanied by great anguish, strangling, and bluish face;
worse after midnight, until morning; with vomiting and bleeding at the nose. Give alternately every hour or two hours a
dose (three glob.), until better.
Tartar emetic and Phosphorus, in alternation, in the same
manner, is frequently necessary in this period, if there is rattling in the lungs, short breathing, great debility, drowsiness,
and thirst; also, retching, with diarrhea.
Carbo veg., is the principal remedy, when the cough exhibits
the first signs of hooping; particularly, when it is worse in the
evening, the patient complaining at the same time of sore
throat when swallowing; shooting pains in head and chest;
especially useful, when the weather is damp and cold. Give
it the same as Dulcamara, above.
In the second stage, when the hooping or spasms during
coughing have really commenced, the principal medicines are:
Drosera, Veratrum, Cuprum, Tartar emetic, Phosphorus,
Cina, Bryonia, Belladonna, Mercury, lodium, Opium, Hepar
sulph., Arnica, Sulphur, Hellebor.
Drosera. After the Carbo veg., when the paroxysms become
more violent, with real hooping, vomiting of food and mucus,
without or with fever, which is characterized by chilliness,
heat with thirst, hot perspiration in the night; the patient
feels better when moving about.
Veratrum. After Drosera, or in alternation with it, for
similar symptoms, only accompanied with great weakness;
small and quick pulse; slow fever, with cold perspiration on
the forehead; child is unable to hold up its head; miliary
eruption (prickly heat) over the whole body; apathy and
drowsiness, from weakness; child dislikes to move or speak.
Cina. If the child, during the hooping cough, exhibits
symptoms of worms-as picking at the nose, sudden pains
or gripings in the bowels, or itching at the anus-or if it becomes stff during a paroxysm of cough, after which a gurgling noise is sometimes heard, descending from the throat




226      AFFECTIONS OF THE WINDPIPE AND CHEST.
into the stomach. This remedy can be given in alternation
with Mercury (see "Mercury"), if there is bleeding from the
nose and mouth at the same time.
Cuprum.    If the paroxysms appear very often during
twenty-four hours, rendering the little patients rigid and unconscious; if with drowsiness and rattling of mucus in the
chest between the paroxysms, in alternation with Tartar
emetic (see "Tartar emetic;" compare, also, "Congestion to
the Head"). This remedy is particularly useful, when convulsions appear instead of the cough, and cease when the
paroxysms return; as if the paroxysm of the lungs had been
temporarily transferred to the brain. (See " Convulsions.")
Tartar emetic and Phosphorus. See page 225.
Belladonna. Before or after Cuprum, when the brain
becomes affected; patient cannot bear the light, noise, or
motion; head seems to ache; burning fever; thirst; restlessness; delirium; convulsions (see "Inflammation    of the
Brain"); in such cases, in alternation with hellebor.; paroxysms terminate in sneezing.
Hellebor. At any time during the hooping cough, when
symptoms of congestion to the head appear, particularly when
the patient sleeps with the eyes half open (see Belladonna,
above); it is of great service when children are teething, or
otherwise weakly and delicate.
Bryonia.  Sometimes in alternation with Hellebor., when
Belladonna was insufficient, for similar symptoms; or when
the paroxysms of suffocating cough appear more in the evening or at night; mostly, however, after eating or drinking,
which is vomited up.
Mercury. The principal remedy, when the child bleeds
profusely at the nose and mouth when vomiting, with copious
sweat at night, and great nervousness; also, if there are worm
symptoms (see "Cina").
Sulphur. At any period, if the paroxysms are accompanied by vomiting, which will not yield to other remedies.




INFLAMMATION OF THE LUNGS.


227


lodium. If the patient pines away, or has a chronic,
watery diarrhea, of lightish color.
Opium. If the best indicated remedies seem not to have
the desired effect, or if there is stupor (see 1"Congestion to
the Head"), with hot perspiration; irregular breathing, with
great anguish; constipation.
Hepar sulph.   When the cough is better, but yet hollow, hoarse, and dry, with retching and crying after a paroxysm.
Arnica. When the. child cries much after coughing,:or
coughs after crying (in alternation with Cinalc or Hepar).
ADMINISTRATION.-Whenever no reference is given to other
chapters, give the remedies as follows: Dissolve twelve globules in half a teacupful of water, and give for two days a teaspoonful, morning, noon, and night; then wait two or three
days for the effect; if the cough is slightly improved, wait
still longer; because the hooping cough needs, beside the
right medicine a little time, to disappear by degrees; but, if
no better, give the next remedy, in the same manner.
DIET AND REGIMEN.-In cases with fever, see the diet in
SCroupy Cough;" where there is no fever, give the usual
diet, without coffee and spices. A great deal of fresh air is
good for the young patients, if they have no feverish symptoms. The same holds good in relation to their usual bathing,
which must be discontinued, if fever is present.
INFLAMMATION OF THE LUNGS. (Pneumonia.)
This disease generally commences with chills, followed by
fever, with difficulty of breathing, and a short, dry cough;
pulse soft in the beginning, afterward hard, but always very
quick; dull pains in the chest at every deep respiration, with
great oppression; expectoration of a tough, lumpy mucus,
afterward mixed with blood; the patient generally prefers to
lie on -his back; is not inclined to speak or when speaking,
pauses after every articulation; is sometimes sullen, and




228      AFFECTIONS OF THE WINDPIPE AND CHEST.
wishes to be quiet; in some cases, the face turns to a bluish
purple, with red cheeks; tongue dry, parched; great thirst;
skin dry, hot. As soon as the skin becomes moist and natural, the oppression in breathing diminishes, and a thick mucus
is coughed up abundantly; the danger is over, and the patient
needs only good nursing and rest in bed during convalescence.
If this is not the case, however, the inflammation runs either
into the nervous or typhoid stage (see "Typhoid Fever"),
or into hepatization of the lungs (the air-cells are filled with
lymphatic matter); both very dangerous and critical situations
for the patient.
Causes of Pneumonia are, mostly, exposures to cold, north
or northeast winds; particularly, when at the time one is
over-excited by fast running, etc.; also, suppression of hemorrhages or habitual secretions; inhalation of obnoxious gases;
irritating treatment of catarrh (I have seen inflammation of
the lungs follow the use of hoarhound candy, in a simple
cold, and hooping cough). Pneumonia appears in its highest
inflammatory degree in the north, while toward the south it
gradually decreases in violence, but not in danger; because
here the bilious complication occurs more frequently (bilious
pneumonia), where bleeding is particularly injurious.
TREATMENT.-This disease requires quick and energetic
action; and the first remedy to be given, under almost all
circumstances, is
Aconite. In the chill, as well as the highest fever, in the
commencement (either alone, in water dissolved, twelve
globules to half a teacupful), every half hour a teaspoonful,
until the fever is broken, and the pain and oppression in the
chest are ameliorated; or in alternation with
Bryonia, when oppression and pain in the chest are very
severe (resembling pleurisy --see that article); worse by
every movement or cough; expectoration bloody, of a brickdust color; also, pains in extremities; tongue is coated, often
dry, with great thirst; constipation.




INFLAMMATION OF THE LUNGS - PNEUMONIA.


229


Administer the same as Aconite, only every hour or two
hours a teaspoonful.
If after these two most important remedies the disease still
seems unchecked, give, in six or eight hours afterward, if not
better,
Phosphorus, in alternation with Tartar emetic, dissolved in
water, the same as Aconite and Bryonia, every hour, or two
hours, a teaspoonful, until three or four teaspoonfuls of each
are taken; wait for the effect of these remedies, from eight
to twelve hours, as frequently their effects are not seen immediately. If necessary, repeat both the above prescriptions, or
choose among the following remedies, if the patient, in place
of being better, has run into the typhoid or hepatized stage of
the pneumonia.
The typhoid stage of pneumonia commences when the patient is restless, particularly at night; throws himself about
and becomes quite delirious, or lies motionless on his back in
a stupor; breathing quick and irregular; snoring with his
eyes half closed, and rattling of mucus in his lungs; tongue
dry, pulse quick and thread-like; skin dry, or covered with
clammy sweat (See "Typhus Fever").
TREATMENT.-In the beginning of this state give
China. Particularly if the patient, in the early part of the
disease, under allopathic advice, had been bled, or lost blood
by other means, such as hemorrhage, or a fall or blow (in the
latter case, in alternation with Arnica); or when the patient
complains mostly of a pressure in the chest, stitches in the
breast and sides, together with palpitation of the heart when
breathing or coughing; beside, great weakness, fine, quick
pulse and yellowish coated tongue. Administer two or three
times, every two or three hours a dose (four glob.); then
wait from four to six hours, after which recourse may be had
to Bryonia and Rhus tox., as prescribed in "Typhus Fever"
(see this article). If the disease still progresses, it will be
necessary to give




230      AFFECTIONS OF THE WINDPIPE AND CHEST.
Opium (see this remedy in " Typhus Fever "), or
Arnica, under similar symptoms, but without delirium, or
Hyoscyamus (See "Typhus Fever "), if the cough is spasmodic or very irritating.
Belladonna (see "Typhus Fever"), when the oppression
is very great.
Veratrum. If the pulse is very small and weak; extremities cold; delirium; vomiting and diarrhea; sinking; no
sleep whatever.
Camphor and Coffea, in alternate doses, in a similar state,
particularly if the patient is covered with cold perspiration.
Phosphoric acid. If, after the patient has been relieved by
the above remedies, there is yet diarrhea present. (See " Typhus Fever.")
Sulphur may be given once or twice, if the amelioration
brought about by previous remedies seems not to be permanent; then return to those medicines again, which previously
were the most efficacious.
Administration the same as in "Typhus Fever."
Hepatization, or the second stage in pneumonia, when infiltration of the lungs with coagulated lymph takes place, is indicated by greater difficulty of breathing, and a dull sound
by percussion of those parts of the breast where the pain
was the severest.
TREATMENT.-Sulphur has first to be given (twelve glob.
dissolved in half a teacupful of water, every two or three
hours a teaspoonful) four times; then wait from eight to
twelve hours, and, if not better, give
Lachesis, Lycopodium, Phosphorus, one after the other, in
the same manner as Sulphur, until better.
Arsenic and China, in alternation, in the same manner,
when fetid expectoration, of a dirty, green color, appears.
DIET AND REGIMEN.-AS in fevers generally; but particularly as in "Typhus."
After-Diseases.-If pneumonia threatens to become chronic,




INFLAMMATION OF THE LUNGS - PNEUMONIA.


231


or consumption ensues, see this article; when the patient expectorates clear matter, China, Mercury, Sulphur, Stannum,
Lachesis, Hepar, Lycopodium, are the principal medicines to
be given, as stated in " Consumption."
Pneumonia in infants and children up to two or three years
of age is very frequent; in fact, every cold on their lungs
affects them more or less in an inflammatory manner, and
ought not to be neglected for a moment.
Beside heat, fever, thirst, dry mouth, there is quick, oppressive breathing, with short cough, after which the child
always cries; these latter symptoms are a sure sign of inflammation of the lungs in children, and unless they are relieved
or disappear (particularly the respiration is slower and regular), we must not feel secure in regard to the safety of the
young patient.
TREATMENT.-The principal remedy is
Aconite. In solution or dry; half a teaspoonful, or two
glob., every two or three hours, three or four times, or until
better; after which, if necessary, give
Bryonia. In the same manner, if the cough is very bad; or
Belladonna. In the same manner, if the head is very hot
at the time. If these remedies do not relieve in from twelve
to twenty-four hours, give
Tartar emetic and Phosphorus, in alternation (ten glob. of
each, dissolved in two teacups, each half full of water), every
hour, alternately, half a teaspoonful, for twelve or twenty-four
hours, until better; discontinue for the same length of time,
and repeat afterward, if necessary; if, during that time, the
child is very sleepless and restless, give
Coffeaco, and Belladonna0", in alternation, a dose (three
glob.) every hour, until better. Continue with this treatment
for three or four days, and in the most severe cases it will
prove successful.
If convulsions, or congestions to the head occur, see these
articles, and treat accordingly.
22




22       AFFECTIONS OF THE WINDPIPE AND CHEST.
DIET AND REGIMEN.-Keep the patient as quiet as possible;
in a darkened chamber, if the head suffers; not too warm; if
the child does not take the breast, give cold water freely, if
thirsty; of solid food, crackers soaked in milk or water;
neither broth nor meat; gruels are good.
Pneumonia in Old People.  (Pneumonia notha.)
This disease shows itself in old people as follows: They
become at once prostrated, having symptoms of a common
cold, with a cough, chills, and fever; the cough is loose, and
the expectoration white, yellow, slimy, and streaked with
blood; the respiration quick and labored; pain in the breast,
when drawing a long breath, mostly on a small spot; fever is
not high; pulse soft but quick; cheeks slightly flushed; skin
generally moist at nighlt, without relief; during the day, the
patient feels tolerably comfortable; the voice, however, is
weak, almost in a whisper. As these symptoms do not seem
to indicate any danger, the disease is frequently left to itself,
but very often with the most fatal results; because paralysis
of the lungs soon ensues, and death is inevitable.
TREATMENT. - Aconite.  Every three hours a dose (six
glob.) will be first necessary, three or four times, during the
fever, after which give.fercury. In the same manner; wait twelve hours, and
then, if not better, in alternation with
-Belladonna. Particularly when the cough becomes short
and dry, and the breathing difficult and suffocating; if not
better, give
Sulplur once or twice; afterward repeat Mercury and
Belladonna.
Veratrum and Arsenic. If they sink very low; cold extremities, etc. (See "1Typhoid Pneumonia.")
Tartar ernet. and Phosphorus. If, with constant rattling in
the lungs, paralysis threatens; alternately every half hour a
dose (three or four glob.).




REMARKS ON PNEUMONIA -PLEURISY.


233


Compare, also, the remedies under "Pneumonia."
DIET AND REGIMEN.-The same as in "Pneumonia," only
more nourishing as soon as the inflammatory symptoms have
left in the least; the yolk of an egg with sugar; broth of
beef with rice, etc. After-diseases, see "1Consumption."
There is another disease, called galloping consumption, in
which the inflammation of the lungs forms the most important
part. This species of pneumonia occurs mostly in young
people of florid complexion, at the time of development, and
needs a separate article.  (See "4Galloping Consumption.")
It is evident, from the nature of pneumonia and the dignity
of the organ affected, that a good homceopathic physician
ought to be consulted, if he can be procured; but if this cannot be done, rely on the above rules and prescriptions.
REMARKS ON PNEUMONIA.
This disease may frequently be complicated with other diseases, such as inflammation of the pleura, heart, and brain;
also, with bilious, rheumatic, or gastric symptoms; the treatment, however, does not vary from the above; beside, consult the respective articles.
PLEURISY.  (Pleuritis.)
a. Real Pleurisy. (Pleuritis serosa.)
b. False Pleurisy.  (Pleuritis muscularis.)
a. Real Pleurisy.
If the sac around the lungs (called pleura) becomes inflamed, we call it real pleurisy; this can be the case with or
without inflammation of the lungs.   If complicated with
pneumonia or bronchitis, these articles must be consulted
together with this chapter.
DIAGNOSIS.-In real pleurisy the pain is preceded mostly
by a chill and fever, as in pneumonia, but it does not produce
so much general oppression in breathing as pneumonia; how



234      AFFECTIONS OF THE WINDPIPE AND CHEST.
ever, in pleurisy the pain is more severe on a fixed spot
(mostly in one of the sides of the chest), from which it radiates; increased often to intolerance by deep inspiration or
hard pressure between the ribs, where the pain is located; the
breathing is, on this account, short, and the lying on the
affected side impossible; if the back part of the pleura
toward the spine is inflamed, the pains increase by moving
the spine, and running up into the neck impede frequently
the swallowing of food, with inclination to vomit, or produce
real vomiting.
Fever is never wanting, but not so evident as in pneumonia; neither is the cough so distressing, but more a short and
dry one, very seldom, with much expectoration of mucus.
This disease terminates frequently in the formation of
lymphatic effusion, which result may be known by the following change of symptoms, different from the above real pleuritic ones: respiration becomes more anxious and short; the
patient cannot now lie on the well side either, or, if he does,
he feels in danger of suffocation, because the water presses
over toward the well lung; by turning, which is very difficult, he feels something moving within the chest, like water;
the fever becomes hectic; the urine is offensive, and has a
sediment.
This description will be sufficient to distinguish pleurisy
from pneumonia; but there is another form of pleurisy, the
so-called
b. IJhlse Pleurisy. (Stitch in the Side.)
Which resembles the true or real pleurisy very much, yet
is different in origin and location, as well as in termination.
DIAGNosIs.-This false or spurious pleurisy, is not an inflammatory, but a rheumatic affection of the intercostal muscles, and occurs mostly in persons subject to rheumatism; it
is preceded generally by pains in the neck, shoulders, and
throat, as if from cold, without much of a chill, fever, or




PLEURISY - REAL PLEURISY.


235


thirst; the pain in the side is worse by exhaling; in real pleurisy, worse by inhaling; slight pressure on the affected side
increases the pain in real pleurisy, while only hard pressure
with the fingers between the ribs increases it in false pleurisy,
which has a slight cough only; in real pleurisy the cough is
dry and painf2l.
TREATMENT. a. Of Real Pleurisy.-Aconite and Bryonia.
First of all, in the same manner as described in "Pneumonia," for so long a time as the pain is very intense; if not
better in thirty-six or forty hours, give
Sulphur. Twelve globules dissolved in half a teacupful
of water, every two or three hours a teaspoonful, until four
or six are taken, particularly if the fever continues with the
painful oppression on the chest, yet the skin has become a
little moist; this is the principal remedy, also, when effusion
of plastic lymph is feared, or has taken place; it is well
enough to give the patient even a dose (six glob.) of Sulphur,
if Aconite or Bryonia, or both, have restored him so far as to
be able to be out of bed. If Aconite ameliorates the pains,
do not be in haste to give Bryoia immediately, but wait until
the disease increases again; do the same in regard to Bryonia. In general, do not give another remedy as long as the
former has shown a decided beneficial effect.
If the patient is sleepless and restless at night, give at any
time Coffea c, and Belladonna ':, in alternation, every hour a
dose (four glob.), until better.
If the patient complains of lying hard on his side, in consequence of which he changes his position often; has cold
hands and feet, yet feels hot inwardly; or if a short, dry
cough troubles him very much, particularly by increasing the
stitching pain in his side, give Arnica once or twice, every
two hours a dose (four glob.).
If the real pleurisy is complicated with pneumonia (pleuropneumonia), give the remedies described under " Pneumonia," such as, Belladonna, Rhus tox., Lachesis, Sulphur,




236      AFFECTIONS OF THE WINDPIPE AND CHEST.
Phosphorus, Lycopodium, China, Sepia,* according to the
symptoms indicating their use.
N. B. As these pleuro-pneumonias are frequently of a bilious character, the remedies for bilious or bilious rheumatic
fever must be consulted.
TREATMENT. b. Of False Pleurisy (Stitch in the Side).
If there is any fever, give first once or twice a dose (four
glob.) of Aconite, every hour and a half one dose; after
which administer the principal remedy:
Arnica. Every two hours a dose (six glob.), and in alternation with
Pulsatilla. If the patient is not better in two hours; but
if he is relieved, scarcely anything more is needed, but rest
and perspiration in bed. In two or three days afterward
one dose of Sulphur (four glob.) may be given to complete
the cure.
Nux vomica. Stitch in the side, with painful sensibility of
the external parts of the chest on pressing between the ribs;
worse on taking a deep inspiration or by any movement.
If at any time the patient becomes feverish, with pains
in limbs, side, and head, give Bryonia and Rhus tox.  (See
"Rheumatic Bilious Fever.")
DIET AND REGIMEN. - As in fever generally. In false
pleurisy frequently a mustard draught, or some other heating substance-for instance, a bag of heated salt-will relieve,
and may be used with advantage.
DISEASES OF THE HEART.
a. Inflammation of the Heart. (Carditis.)
It is well that inflammation of the heart does not occur
NOTE.-Sepia once cured an old man of a most violent attack of
pleuro-pneumonia on the left side, caused by a metastasis of an inflammation of the liver, which had been subdued, but not cured, a few
days previous, by excessive allopathic blood-letting; China had preceded the Sepia, without decided effect.




DISEASES OF THE HEART.


237


frequently, as its course is very rapid and dangerous, and its
diagnosis difficult.. DIAGNOSIs.- The prominent symptoms are violent pains,
mostly burning or cutting, in the region of the heart and toward
the pit of the stomach; great oppression in breathing, which
shows itself in the distorted and anxious features of the patient; the pulsation of the heart is violent and irregular, while
the pulse on the wrist is small, frequent, and trembling; the
patient prefers lying quietly on the back; sometimes there is
delirium, difficulty of swallowing, fainting spells, vomiting,
starting in the sleep.
CAUSEs.-This disease is caused mostly by taking cold in
drinking cold water-when the body is heated; also, by
wounds, blows, etc.; the most frequent cause, however, is
acute rheumatism, particularly in the knees.  See "Rheumatism of the Heart."
It must be well understood that not every palpitation of the
heart is inflammation of the heart; the latter has always an
agonizing feeling of oppression and pain.
TREATMENT AND ADMINISTRATION.-In every case give first
Aconite, as directed in "1Pneumonia;" afterward Bryonia,
~Nux vomica, Cocculus, Arsenic, Pulsatilla, and Cannabis sativa,
at intervals of from two to four or six hours, until better;
each remedy, when used, may be dissolved in water (twelve
globules to half a teacupful), and every half hour a teaspoonful given; but, if possible, procure the advice of a
homceopathic physician immediately.
b. Palpitation of the Heart. (Palpitatio cordis.)
Young people in their growing years, as well as old persons of high age, are troubled with this disease; the former
from development and congestion, the latter from contraction,
ossification, and want of blood. Between these two extremes
of age, persons sometimes are taken with it by violent emo



238


AFFECTIONS OF THE WIWDPIPE AND CHEST.


tion of the mind, by the use of ardent spirits, or by constitutional predisposition, particularly when inclined to be affected
by rheumatism, which latter mostly causes the chronic palpitation of the heart. In pregnancy this disease is frequent,
as, also, in persons of a plethoric habit, and at the time of
change of life, or during floodings, in consequence of loss
of blood.
If it is dependent on organic disorders of the heart, as
polypus, ossification, etc.-as, also, in the chronic form-we
advise strongly to apply in time to a homoeopathic physician,
as frequently a permanent cure may be effected.
TREATMENT.-If caused by fright: Opium or Coffea.
By sudden joy: Coffea.
By fear or anguish: Veratrum.
By disappointment: Aconite, Chamomile, Ignatia, Nux vom.
By congestion of blood, or plethora: Aconite, Belladonna,
Coffea, Ferrum, Lachesis, Aurum, Phosphorus, Opium,
Sulphur.
By loss of blood, or other debilitating losses: China, Phosphoric acid, Nux vomica, Veratrum.
If it is present in nervous persons, hysterical females, etc.:
Coffea, Ignatia, Chamomile, Cocculus, Nux vomica, Lachesis, Pulsatilla, Veratrum.
In young, growing people: Aconite, Pulsatilla.
In old, decrepit people: Arsenic, Lachesis, particularly when
with temporary dimness of sight.
After the suppression of an eruption: Arsenic, Lachesis,
Sulphur.
For ameliorating the frequent attacks in chronic palpitation
of the heart, the most suitable medicines are, Pulsatilla,
Arsenic, Lachesis, Aconite, Sulphur, Phosphorus, Aurum.
ADMINISTRATION.-Dissolve of the selected remedy twelve
globules in half a teacupful of water, and take from one to
twelve hours a teaspoonful, according to the severity of the




RHEUMATISM OF THE HEART.              239
case; or, if traveling, take of the medicine a dose (four
glob.) from one to six or twelve hours; if not better after
from one to twelve hours, select another remedy.
DIET AND REGIMEN.-Diet as usual in chronic diseases.Sleep as quiet as possible during the administration of the
medicine; be careful always to have dry, warm feet; avoid
getting wet by exposure to rains, etc. Young people must
abstain from eating much in the evening, but drink freely of
cold water.
c. Rheumatism of the Heart. (Rheumatismus cordis.)
DIAGNOSIS.-In this disease the palpitation of the heart is
only one of the symptoms; the principal symptom is a sensation of weight in the region of the heart, with occasional stitches
through it; beside, tearing pains in the external muscles of
the chest and in those of the left upper-arm, either constantly or only periodically.  With the palpitation of the
heart and its violent action, the character of the pulse on the
wrist does not harmonize; the latter is invariably weak,
small, and contracted.
CAusEs.-This disease appears mostly in young persons of
both sexes at the age of development, at which time it is dangerous; if neglected or badly treated, the heart will inflame
or increase in size. It is also frequently caused by the translation of acute or inflammatory rheumatism (see this article)
to the heart; the treatment in this case remains the same; it
is favorable, if the rheumatic sypmtoms reappear in the
extremities.
TREATMENT.-The principal remedies are: Aconite, Arnica,
Belladonna, Bryonia, Spigelia, Pulsat., Arsenicum, Lachesis.
Aconite. Palpitation of the heart, with great anguish,
feverish heat, particularly in the face; the heart beats rapidly, while the pulse is slow and intermittent. Stitches and
oppressive aching in the region of the heart, as if from a
23




240      AFFECTIONS OF THE WINDPIPE AND CHEST.
heavy load; the patient cannot breathe well in an erect
position.
Arnica. Stitches in the heart from  the left to the right
side, With fainting fits, quivering of the heart, with a pain as
if it was squeezed together.
Belladonna.  Palpitation of the heart with intermitting
pulse; great anguish about the heart; tremor of the heart
with anguish and pain; oppression of the chest.    (After
Aconite or before Lachesis.)
Spigelia. Tumultuous pulsation of the heart with suffocative sensation and spasms of the chest, increasing in a sitting posture and bending the chest forward; tremulous
motion of the heart.  (In alternation with Pulsatilla.)
Pulsatilla. Palpitation of the heart with great anguish,
clouded sight and impeded respiration, particularly when
lying on the left side; anxiety, pressure, and burning sensation in the heart.
Bryonia.  Respiration impeded by stitches in the chest
with palpitation of the heart and violent oppression (after
Aconite, where acute rheumatism of the extremities had been
transferred to the heart).
Arsenicum. Violent palpitation of the heart with great anguish and restlessness; great heat and burning of the chest,
with cold extremities; in such cases, in alternation with Veratrum; or with Lachesis, when the pulse becomes weaker
and the pulsation irregular.
Lachesis. Irregularity of the pulsation; great anguish
about the heart with heaviness on the chest, in rheumatism;
very weak.
ADMINISTRATION.-Dissolve twelve globules of the selected
remedy in half a teacupful of water, and give every half
hour or hour a teaspoonful until relief is obtained; and if this
is not the case within one or two hours, select another remedy and give it in the same manner.     Externally apply a




CONGESTION OF THE CHEST.


241


mustard poultice on the breast, put the feet in hot water and
cover the patient well.
DIET AND REGIMEN, as in fevers. Apply to a homoeopathic
physician as soon as possible.
CONGESTION OF THE CHEST. (Plethora pectoris.)
Congestion or determination of blood to the chest is a frequent complaint in young people, during the time of the
development of their systems, and in persons of a phthisical
habit. It ought never to be treated by bloodletting, even if
this means relieves for the time, as it does not remove the
disposition or the bad consequences, in the system, but has a
tendency, if once resorted to for palliation, to augment the
difficulties for a final cure, rendering the lungs weaker by
each successive attack. The homceopathic remedies, on the
contrary, relieve in a different manner, and in a much shorter
time.
DIAGNOSIs.-Great fullness, weight, and pressure in the
chest; more or less palpitation of the heart, with oppression, short and sighing breathing; cold hands and feet, and
anxious look; sometimes a hacking, short cough.
TREATMENT. - Aconite. Particularly in plethoric females
during menstruation; violent oppression, with palpitation of
the heart; shortness of breath; dry cough; heat and thirst.
Belladonna. If Aconite does not suffice, and if the head is
congested at the same time. See " Congestion to the Head."
Nux vomica. Heat and burning in the chest, more at night,
with sleeplessness and agitation; or fullness and throbbing in
the chest, with palpitation; worse in the open air; clothes feel
too tight around the chest.
China.  In consequence of debilitating  losses, as of
blood, etc.; violent oppression, with great anguish; loss of
sight; palpitation of the heart; cannot breathe with the
head low.
Phosphorus. Violent oppression, with heaviness, fullness,




242      AFFECTIONS OF THE WINDPIPE AND CHEST.
and tension in the chest; palpitation of the heart, which is
felt in the throat.
Mercury. After Aconite, if there is anxious oppression for
breath, with a desire to take a long breath; heat and burning
in the chest; cough, with expectoration of mucus streaked
with blood.
Pulsatilla and Bryonia. In alternation, before menstruation, or when this has stopped suddenly; also, when the
piles have been suppressed; or when there is ebullition of
blood in the chest, with external heat.
Spongia.  When movement increases the anguish, and
produces danger of suffocation, nausea, fainting, and prostration; particularly in persons subject to sick-headache, or
other nervous affections of the head, which frequently attack
the chest in this manner.
Sulphur. After Ak~ux vomica or Pulsatilla, if necessary.
ADMIN'ISTRATION, DIET, and REGIMEN, same as in "1Palpitation of the Heart."
HEMORRHAGE OF THE LUNGS. (flcemoptysis, Pneumorrhagia.)
Spitting or coughking up of blood is generally considered by
persons such a dangerous and, for the life of the patient,
fatal symptom, that they lose, when it occurs, all presence
of mind, frequently incapacitating them for the right action
in the case; yet not all the hemorrhages of the lungs are
alike in their character; some are dangerous, it is true, but
most of them yield readily to the proper remedies, and some
even cease of themselves. It will be necessary to distinguish well between them, and act accordingly, not in too
great haste, but in the right manner; in this way, time is
saved. Moreover, we will see hereafter that the most dangerous kinds of bleedings from the lungs leave ample time to
provide means, while the milder forms take more by surprise,
thereby causing more fear than injury, with the exception of
one form, the so-called "Apoplexy of the Lungs," which is




HEMORRHAGE OF THE LUNGS.


243


easily distinguished by marked symptoms. Be careful to examine whether the blood coughed or hawked up is from the
lungs, or merely from the nose or palate.
DIAGNOSIs.-Without going into the distinction as to the
different places in the lungs and windpipe from whence the
blood may issue, as this would be without practical advantage, we will give now the qualitative difference of hamoptysis, which has the highest practical bearing. We distingu'ish two varieties:
1. The active or idiopathic hemoptysis, caused by congestion of the lungs, or mechanical injury; this is the most frequent and least dangerous.
2. The passive or symptomatic hamoptysis, caused by the
ulcerative process in consumption, which gradually consumes
the substance of the lungs (if not arrested), and causes the
rupture of larger blood-vessels; although this is the most dangerous form, as it is caused by a destructive and sometimes incurable disease, yet it does not occur frequently, and even then
its appearance may be expected and measures taken accordingly.
First. Active hemorrhage of the lungs depends always on
congestion of blood to the lungs, which is sometimes constitutional, at other times caused by external circumstances, such as
quick running, violent exercise of any kind, lifting, etc., the
frequent inhaling of injurious dust, such as from lime, gypsum, or plaster of Paris, tobacco, flour, or metal filings, or of
obnoxious gases, such as from nitric and sulphuric acid.
Beside these causes, it sometimes appears epidemically,
mostly at the time of the equinoxes, on account of the rapid
changes in the temperature of the atmosphere; the abuse of
spiritous liquors is a frequent cause of hemorrhage of the
lungs; also, suppression of discharges of blood from other
organs, as stoppage of the menses, sudden disappearance of
the piles, etc.; excessive growing and consequent weakness
of the chest predisposes to it, as in general young or middle



244      AFFECTIONS OF THE WINDPIPE AND CHEST.
aged persons are more liable to it. It occurs in attacks,
accompanied with more or less fever, frequently of an intermittent type, worse toward night.
This form of hemorrhage of the lungs presents itself in the
most various degrees, from the least spitting of blood to a
violent effusion; the highest degree, which really endangers
life immediately, is the apoplectic hemorrhage (apoplexia pulmon.) of the lungs, where all the symptoms of an apoplectic
fit are present; the patient loses his consciousness, looks as if
he was suffocated, eyes protrude out of their sockets, bloody
mucus issues from the mouth.
TREATMENT.-The first thing necessary in severe cases is
to let the patient keep as quiet as possible, in a half-sitting,
half-lying posture; he must remain perfectly quiet, without
speaking or being spoken to, except when it is indispensably
necessary; if no homceopathic medicine is at hand, give
every five or ten minutes a teaspoonful of table salt in water,
but cautiously, that it may not make him cough; or, if sulphuric acid is convenient to be had, drop five or ten drops
into a tumbler full of water, and give a teaspoonful every
five or ten minutes, until the severest bleeding ceases. If
homceopathic medicine is at hand, give directly
Aconite. Twelve globules dissolved in half a teacupful of
water, every ten or twenty minutes a teaspoonful, until the
severest bleeding ceases; afterward administer it at longer
intervals, from three to six hours. This remedy suits always
at first, but particularly when there is ebullition of blood in
the chest, with a fullness and a burning pain; palpitation of
the heart; anxious looks, with paleness of the face; profuse
expectoration of blood at intervals, provoked by a slight
cough.  Try this remedy at least for two hours; if not better, give
Ipecac. When there yet remains a taste of blood in the
mouth; frequent, short cough; expectoration of mucus,
streaked with blood; nausea and weakness; or,




HEMORRHAGE OF THE LUNGS.


245


Arsenic. When there is yet palpitation of the heart, with
great anguish, dry heat, and desire to leave the bed; it is
particularly applicable for drunkards after Hyoscyamus has
been given.
Opium, Often in the most serious cases, especially in
persons addicted to spiritous liquors; or when there is expectoration of thick, frothy blood; cough worse after swallowing; oppression and anguish; weak voice, drowsiness, and
-anxious starts; cold extremities, and heat in the chest.
Nux vomica. Suits well after Opium, Ipecac., or Arsenic;
particularly when there is cough, affecting the head, caused
by tickling in the chest; or when the hemorrhage was caused
by a fit of passion, by taking cold, or suppression of piles.
Sulphur suits well after it.
China. If the patient has already lost much blood; or
when the cough is violent, hollow, dry, and painful, with
taste of blood in the mouth; shivering and flushes of heat;
weakness, faintness, cloudiness of sight, roaring in the head.
Ferrum. After China, if this has in severe cases relieved,
yet there is great fatigue after talking; slight cough, with expectoration of scanty, bright red blood, with pain between
the shoulder-blades; difficulty of breathing.
Hyoscyamus. Dry cough at night, with expectoration of
blood; frequent waking with a start; particularly in drunkards, after Opium and Nux vomica, and followed by Arsenic.
Dulcamara. Tickling cough, from cold; the hemorrhage
was preceded for some time by a loose cough.
Carbo veg. Hemorrhage, with violent burning pain in the
chest, in persons susceptible to changes of weather, or who
have taken much calomel.
Pulsatilla. In obstinate cases, when black and coagulated
blood is expectorated, more in the morning or night, particularly in timid persons, or in females when caused by suppression of the menses.
Arnica. In slight hemorrhages of black and coagulated




246      AFFECTIONS OF THE WINDPIPE AND CHEST.
blood, with stitching, burning pains and heat in the chest,
palpitation of the heart, difficulty of breathing; or caused by
mechanical injuries, fall, blow, lifting, leaning against a table
by studying, sewing; or when the expectoration is clear,
frothy, mixed with pure lumps of matter; hacking cough,
from tickling under the breast-bone; pains in the limbs, as if
they had been beaten. It is often administered in alternation
with Aconite.
Belladonna.  Cough from tickling in the throat, with hemorrhagre; sensation of fullness, as if from blood in the chest,
with pressing or shooting pains, worse when moving; is especially suitable for hemorrhages of the lungs in females of
full habit, at the change of life, and then in alternation with
Aconite.
In very serious cases, Aconite, China, Ipecac., and Opium
will be found most efficacious.
For the bad consequences of pulmonary hemorrhage, such
as weakness, cough, etc., give ('arho veg. and Chdna. If possible, procure the advice of a physician immediately.
ADMINISTRATIOIN of the above remedies, in very severe cases,
the same as in Aconite, stated above; in less severe cases, or
mere spitting of blood, give every six or twelve hours a dose
(four glob.) until better, or until another remedy is necessary.
DIET AND REGIMEN.-The patient must be kept cool; his
drinks, for two weeks, at least, must be cool, not spiritous or
exciting, but more slimy, such as rice and barley water,
water With raspberry syrup, lemonade, etc. If the feet are
cold, put them in warm water, mixed with ashes or mustard.
In apoplectic hemorrhage of the lungs, give Aconite immediately, same as above; if not better in twenty or thirty
minutes, Opium, and then Ipecac.; afterward, if necessary,
Belladonna or -Lachesis, in the same manner. Put the feet
in hot water, with mustard; also the hands, if they are cold.
Send immediately for medical aid.
Second. Passive hemorrhage of the lungs, or rupture of




ASTHMA.


247


a blood-vessel in tubercular consumption, requires principally
Aconite, China, Pulsatilla, Arsenic, Lycopodium, to be given
in the same manner as described under active hemorrhage.
See, also, "Pulmonary Consumption."
DIET AND REGIMEN the same as above.
ASTHMA.
As this disease is well known in regard to its symptoms,
we will only mention here that distinction in its character
which has a practical bearing. There are two kinds of asthma,
as regards the cough and expectoration of mucus in an attack;
it is either a dry or humid. The former is more sudden and
violent in its attacks; has only slight cough and expectoration, but great.difficulty of breathing. The attack of the
latter, or humid asthma, proceeds slowly-has a severe cough,
with gradually increasing and afterward copious expectoration
of mucus, which relieves greatly. Asthma, in itself, is not
a dangerous, but a very distressing disease, sometimes hereditary, but oftener acquired; its different causes will be enumerated below, with their respective remedies attached. In
general, it is curable, although it takes a comparatively longer
time than most other chronic diseases require, particularly
when it is constitutional. A radical cure must only be undertaken by a skillful homoeopathic physician. We subjoin below
the treatment for the attack itself, to alleviate temporarily,
advising the patient, at the same time, not to omit any favorable opportunity by which he may be allowed to place himself
under the care of a physician, for the final cure of the disease.
TREATMENT.-When caused by congestion of blood to the
chest (see this article ): Aconite, Bellad., Nux vomn., Phosphorus, Pulsat., Spongia, Sulph.
By derangement of the menstruation: Bellad., Cocculus,
Bryon., Pulsat., Veratrum, Sulph.
By vapors of Sulph. ( brimstone ): Pulsat.
By vapors of Arsenic or Copper: Ipecac., Hepar, Mercury.




248      AFFECTIONS OF THE WINDPIPE AND CHEST.
By a chill: Aconite, Ipecac., Bryon., Bellad.
By a fit of passion: Nux vom., Chamomile.
By fright: Opium, Ignatia, Aconite, Bellad., Veratrum.
By sudden joy: Coffea, Aconite.
By a suppressed catarrh, or sold in the head: Ipecac., Nux
voe., Arsenic.
By dust from stone or flour: Calcarea, Silicea, Sulph.
By suppression of piles: Nux vom., Sulph., Arsenic.
By flatulency: China, Chamomile, Nux vom., Sulph.
If it is present in children: Aconite, Bellad., Ipecac., Chamomile, Bryon., Tartar emet., Sambucus.
In hysterical women: Cofea, Ignatia, Pulsat., Ipecac., Chamomile, Bellad.
In aged persons: Arsenic, Lachesis, Opium.
When it is constitutional: Ipecac., Arsenic, Sulph.
When dry, or without much expectoration (similar to
cramps in the chest): Cocculus, Cuprum, Bellad., JNux vom.,
Sambucus.
When humid or moist, with considerable expectoration of
mucus: Ipecac., Arsenic, China, Pulsat., Sulph.
In-the above tabular view, we have arranged the different
kinds of asthma, as regards their origin and appearance; so
that, in search for a remedy, the number of remedies to be
looked for is reduced to very few.      Their distinguishing
symptoms are given in detail below, and their administration
at the end of the article. The principal and first remedy in
most all attacks is Ipecac., after the administration of which
one may proceed with more calmness to find out the next
best remedy, by comparing carefully its symptoms with those
of the case present.
SYMPTOMATIC DETAIL.-Ipecac.      Difficulty of breathing;
nocturnal paroxysms of suffocation, spasmodic constriction of the
throat, rattling in the chest, from an accumulation of mucus;
short, dry cough, great anguish, cries, agitation, fear of death;
alternately either redness and heat, or paleness, coldness, and




ASTHMA.


249


ghastliness of the face; sometimes nausea, with cold perspiration on the forehead; breathing at the same time anxiously
and rapidly, with moaning and rattling. After it follows well
Arsenic, Bryon., or Nux vom.
Arsenic. In all cases of acute or chronic asthma, with an
accumulation of thick phlegm; difficult breathing after a meal;
oppression of the chest and want of breath, rendered almost
intolerable by any motion, such as walking, going up stairs,
laughing, etc., constriction of the chest and throat; suffocating fits, more at night; panting, wheezing, as if dying, with
cold perspiration; these paroxysms grow lighter on the appearance of a cough, with expectoration of mucus, or of viscid saliva; the attacks render the patient very weak; burning pain in the chest. Suits well after Ipecac., and before
Sulphur.
Vux vomica.   Asthma, resembling that of Arsenic, only
the spasmodic constriction is felt worse in the lower part of the
chest, where even loose clothes seem to be too tight; short, dry
cough, sometimes with a little blood; congestion of the chest
(see this article)); asthma, better by lying on the back; occasionally turning, or sitting up; suits well for persons addicted to the use of spiritous liquors, or after Arsenic, or before
Sulph.
Pulsatilla. Asthma in children, after suppression of a
miliary eruption; in weak, timid females, after cessation of
menstruation, or after having taken cold; choking, as from
the vapors of Sulphur; paroxysm  of suffocation, with deadly
anguish, palpitation of the heart, and spasmodic constriction of
the throat or chest; worse at night, or when lying horizontally, or when moving; better in the open air; expectoration,
with much mucus, streaked with blood, which sometimes is
coagulated; with a feeling of fullness and pressure of the
chest.
China. Under similar symptoms as Pulsatilla. after which




250      AFFECTIONS OF THE WINDPIPE AND CHEST.
it suits well, if there is, with the asthma, great weakness, and
easy perspiration in sleep.
Sambucus. Asthma, similar to China, but more in children (see "Asthma in Children"); when there is much perspiration; suits well after Ipecac.
Sulphur. Almost in any acute or chronic attack of asthma,
if several other remedies were insufficient. After Sulphur,
if necessary, select carefully another remedy. It suits principally when there are paroxysms of asthma, almost suffocating, mostly at night, with fullness and weariness, burning, or
spasms in the chest; expectoration of white mucus, detached
with difficulty, sometimes bloody; constriction and pain in the
breast-bone; bluish redness of the face; short respiration,
and inability to speak.
Phosphorus.   Asthma worse in the evening or during
movement; attack of suffbcation in the night, as if from paralysis of the lungs (in alternation with Tartar emetic); congestion of blood to the chest, with stitches, and fullness or
sensation of heat to the throat, and palpitation of the heart
(in alternation with Belladonna); phthisical habit.
Tartar emetic. Asthma in old persons and children, particularly when there are choking, retching, and paroxysms of suffocation in the evening, with rattling in the chest, and wheezing
(in alternation with Phos., see "'Inflammation of the Lungs").
Aconite. Asthma in sensitive persons, young, and of plethoric habit, easily excited by mental emotions. In children,
especially, when they cough at night, spasmodically, as if they
would szuffocate; or with congestion to the head, with vertigo;
cough, with expectoration of blood.
Belladonna.  Asthma in children (see "Croupy Cough"),
or in plethoric women at the critical period; congestion to the
lungs, with stitches under the breast-bone, and fullness in
the chest; dry cough at night; anxious moaning; respiration,
sometimes deep, at other times short and rapid; constriction




ASTHMA.


251


of the throat, as if to suffocate, with loss of consciousness
and relaxation of all the muscles.
Bryonia. Asthma, worse by motion and in the night, with
pain in chest; breathing like that under Belladonna; suits well
after Ipecacuanha, or when it arises from suppressed eruptions.
Coffea. Asthmatical breathing from  sudden joy; short,
dry cough.
Opium. Suffocating cough, with bluish-red face; deep,
rattling, respiration, especially when fright was the cause.
Chamomile. Asthma in children, after taking cold (see
"Croupy Cough"), or when the hypochondriacal region is
swollen, painful to the touch; crying, and drawing up of the
thighs; asthma caused by passion.
Cocculus. Asthma of hysterical women, especially when
they complain of constriction of the throat and chest, with
oppression; worse at night;- congestion of the lungs in nervous persons (in alternation with Belladonna).
Ignatia. Asthma after fright or indignation, especially in
women; choking and constriction in the pit of the neck, as if
from the vapors of Sulphur; want of air in walking, and cough
when resting; short, spasmodic cough.
Spongia. Want of breath, and paroxysms of suffocation
after every movement, with fatigue; rush of blood to the
head and chest; heat in the face; respiration wheezing, deep,
or slow, as if from weakness (nervous asthma in persons who
are habitually addicted to neuralgic affections).
Cuprum. In hysterical women, after fright or anger, or
before or during the menses; spasms and oppression in the chest;
worse on speaking or going up stairs; short, spasmodic cough.
Veratrum. Paroxysm of suffocation when rising up, during
movement, especially before the menses; coldness of the face
and extremities; faint pulse and cold perspiration. Suits well
after Ipecac., Arsenic, or China.
Lachesis. Slow and wheezing, or short respiration; worse




252      AFFECTIONS OF THE WINDPIPE AND CHEST.
after eating; paroxysms of suffocation when lying down, especially in persons suffering from water on the chest. (Suits
well after Arsenic.)
Calcarea carb. In chronic asthma, with frequent dry cough;
worse at night; or caused by the habitual inhalation of dust.
Silicea. In chronic asthma, caused by the inhalation of
stone-dust; oppression worse when lying on the back, when
running, or coughing.
ADMINISTRATION.-Dissolve twelve glob. of the selected
remedy in half a teacupful of water, and give, in severe
cases, every half hour; in less severe cases, every two or
three hours, and in chronic cases, twice a day a teaspoonful,
until three or four are given. If better, discontinue until the
symptoms are worse again; if not better, prepare and give
the next remedy in the same manner. In very small children, give one or two glob. of the medicine at the same intervals, dry, on the tongue.
DIET AND REGIMEN.-Persons suffering from chronic asthma, ought to abstain from coffee, meat, and greasy substances almost altogether, and live mostly on farinaceous
diet, such as gruels, etc.
Sometimes, in very severe attacks, the burning of a piece
of paper, soaked in a solution of saltpeter, and filling the
chamber of the patient with its smoke, will relieve; or smoking tobacco, or gympsum-weed (stramonium).
Asthma of Millar.
See "Children-Diseases."
DROPSY IN THE CHEST. (Hydrothorax.)
This disease appears mostly in consequence of previous
diseases, either acute or chronic, and is too dangerous in its
course and results to be managed by domestic treatment
alone. Skillful medical aid is indispensable; yet we will




PULMONARY CONSUMPTION.


263


briefly notice its symptoms, and some few remedies which
mitigate its immediate distresses.
DIAGNOSIS.-We distinguish an acute and chronic dropsy
of the chest; the principal distinguishing feature of both
kinds is, the difficulty of breathing, when moving, particularly going up stairs, or lying with the head low; swelling of
the feet in the evening, and of the eyelids in the morning;
thirst for water, yet scanty urine.
The acute dropsy of the chest occurs mostly in young
people after eruptive fevers, such as scarlet fever, measles
(see these diseases), or after the suppression of other eruptions by salves, ointments, etc.
The chronic dropsy of the chest occurs mostly in old agre,
or in persons addicted to the habitual use of ardent spirits.
TREATMENT. - To alleviate the difficulty of breathing,
and render the patient more comfortable, give Arsenic
(twelve glob. dissolved in half a teacupful of water), every
hour a teaspoonful, until the judicious advice of a homceopathic physician can be obtained. Beside this remedy, Bryonia,
Carbo veg., Lachesis, Mercury, Spigelia, Aconite, Sulphur, are
beneficial.  (See their symptoms in "JMateria fedica.")
PULMONARY CONSUMPTION. (Phthisis Pulmonalis. )
We distinguish several forms of this disease, the most
frightful destroyer of human life and happiness; but, as its
treatment would be too complicated for a work of this kind,
we would advise our readers to apply, in time, to a homceopathic physician; as consumption, in its beginning, is in most
cases curable.
DIAGNOSIS.-If some of the following symptoms appear,
we advise to seek medical aid: constant hacking cough, either
dry, or with an expectoration of a frothy mucus; shortness
of breath, pain in the chest, derangement of the stomach,
hectic fever, chilliness followed by flashes of heat, burning in




254      AFFECTIONS OF THE WINDPIPE AND CHEST.
the hands and soles of the feet, night-sweats; circumscribed
redness of the cheeks during the fever, but pale cheeks at
other times.  The so-called tubercular consumption consists
in the softening" of the small tubercles, which are in the lungs
frequently for years, without disturbing health, when they
remain in their compact state; their softening', however, produces irritation and ulceration of the lungs. In the beginning, this process can be repressed, and the patient saved.
The galloping consumption is peculiar to young persons, in
their growing years, or after debilitating diseases, and requires the most careful attention of a physician. It is very
rapid, and is rightly called galloping; as it is most acute,
sometimes even infectious, on that account. Aconite, Hyoscyamus, are remedies, frequently useful in this species of
consumption, to allay the high fever and restlessness, and
particularly for the dry, short, irritating cough and shortness
of breath, with great weakness in the night.
Under scrofulous consumption, we understand an ulceration of the lungs, caused by the transfer of scrofulous affections from other parts of the system, such as swellings of
the glands of the neck, etc., and all other more specific diseases, such as syphilis, cancer, etc.; also, when eruptive
fevers fall with their fatal decision on the lungs, and there
produce ulceration.
As this subject is so extensive and important to all, we refer
our readers to a separate work, entitled "Consumption treated bomceopathically," by A. C. Becker, M. D.
CONTUSION OF THE CHEST BY A FALL OR BLOW.
When the chest, externally or internally, is injured by a
fall or blow, apply tincture of Arnica externally, as directed
under "1Sprains," and internally give Aconite and Arnica
alternately, in solution, as directed under "Hemorrhage of
the Lungs," until the patient is better; if, after two or three




CONTUSION OF THE CHEST BY A FALL OR BLOW.     255
days, the fever still continues, with an ulcerative pain in the
chest, give Pulsatilla; and in alternation with Mercury, if
there is a heavy, thick, yellow mucus expectorated; the latter
remedy, however, in exchange with China, if night-sweats
occur, and derangement of the stomach, bad appetite still
continues, with sleeplessness and fever.
DIET AND REGIMEN.-The same as under "External Injuries."


24




CHAPTER XIV.


AFFECTIONS OF THE STOMACH AND BOWELS.
1. WANT OF APPETITE. (Anorexia.)
MOST diseases, particularly those of the bowels and those
of an inflammatory character, produce loss of appetite, which,
in such cases, is more beneficial than otherwise; as it prevents the suffering system from being burdened with nourishment, at a time when the organs for its digestion and use
are out of order. This applies to most of the acute, and to
a great many of the chronic diseases.  When these have
disappeared by the use of proper remedies, the appetite
returns of itself. But sometimes persons complain of loss of
appetite without any apparent cause; in which case, it mostly
proceeds from a derangement of the nerves of the stomach.
For such patients, it is of no permanent advantage to use
stimulating drinks or food, such as bitters, mustard, or coffee.
These things only create an artificial appetite, never removing the cause of the disease. The best remedy, which is
applicable in almost all cases of loss of appetite, is cold water,
freely drank at any time in the day and evening; in large
quantities, before, during, and after meals, etc., with the precaution, not to be overheated at the time. Beside this dietetic
remedy, as it were, the following remedies are recommended:
to be used according to directions given in "Dyspepsia."These remedies are, iux vomica, Ch2amomile, China, Antimon.,
ipecac., Bryonia, -Lachesis, Hepar, Arnica, Sulphur.
(256)




MORBID APPETITE - DYSPEPSIA.


257


2. MORBID APPETITE.      (Bulimy.)
A morbid, craving, or voracious appetite, manifests itself
in consequence of another disease present in the system, such
as worm affections, dyspepsia, etc.; or it frequently is the
necessary result of severe loss of strength, after violent, debilitating diseases. In every case it consists in a weakness
and derangement of the nerves of the stomach, and is treated
inthe respective diseases of which it is generally a concomitant symptom.
We will here only indicate some of these affections, with
the remedies attached, which arrangement will be particularly useful. For their application and administration, see
the respective chapters of these diseases.
If there exists a craving for food in
Worm afections: Hyoscya., Cina, Mercury, Silicea, Spigelia.
Pregnant women: Nux vomica; Seia, Petroleum, Natrum
muriaticum.
Convalescence after violent diseases, or loss of fluids: China,
Veratrum.
Dyspepsia, where unnatural hunger is present: China, Veratrum,.Vux vomica, Sulphur, Bryonia, Ignatia, Mercury, Pulsatilla, Lachesis, Lycopodium.
In satisfying an unnatural appetite, care ought to be taken
not to overload the stomach. Frequent, but moderate meals,
are preferable.
3. DYSPEPSIA, OR WEAK STOMACH.
DIAGNOSIs.-Dyspepsia is generally characterized by weakness of digestion, with loss of appetite, slight or irregular
appetite, painful and disordered stomach, flatulency, sour
risings, ill humor, drowsiness after a meal, sometimes vomiting of acid, or mucus, secreted in great quantities in the
digestive organs.
CAUSEs.-The causes of this disease are as numerous as
the symptoms vary, under which it shows itself in different




258      AFFECTIONS OF THE STOMACH AND BOWELS.
constitutions and periods of life. A principal cause lies in
the irregularity of the diet: eating too much, too rich, or too
indigestible food; using   stimulating  drinks, tea, coffee,
liquors, to an excess, and at an unreasonable time; eating
too quickly, or fasting too long between meals; studying or
laboring mentally too intensely, or after a full meal; this is
particularly the case in our country, where merchants are in
the habit of confining themselves to their arduous business
too closely after full dinners, when a few hours' complete
rest, bodily and mentally, would be of the greatest benefit to
them; lastly the immoderate use of tobacco, especially in the
way of chewing, the use of such deleterious medicines as calomel, etc., by which weak stomach, or dyspepsia, is produced.
TREATMENT.-Avoiding the above-named causes of this
disease is the first indispensable requisite in its successful
cure; at the same time, the following remedies will be of the
greatest benefit, to be applied according to the symptoms.
The principal remedies for recent dyspepsia are Nux vomica
and Pulsatilla; for chronic dyspepsia, Hepar, Calcarea, Sulphur. (See their symptoms below.)
To facilitate the choice of the remedies, we classify the
disease according to its appearance and causes, with the remedies attached to each kind; before selecting a remedy, consult its details below.
If dyspepsia is present in children: Ipecac., Bryonia, Calcarea, Nux vomica, Sulphur.
In old persons: Antimon., Nux vomica, China, Carbo veg.
In hypochondriacal persons: Nux vomica, Sulphur.
In hysterical females: Ignatia, Pulsat., Sepia.
If the dyspepsia is caused by sedentary habits: Nux vomica,
Sulphur, Sepia.
By prolonged watching: Nux vomica, Arnica, Pulsatilla,
Veratrum, Carbo veg.
By excessive study: Nux vom., Sulphur, Lachesis, Pulsat.,
Calcarea.




4


DYSFEPSIA, OR WEAK STOMACH.              259
By debilitating losses, such as bleeding, purging, vomiting,
etc.: China, Carbo veg., Lachesis, Nux vom., Sulph., Calcarea.
By sexual excesses: Phosphoric acid, Nux vomica, Mercury,
Staphysag.
By the abuse of ardent spirits: Nux vomica, Sulphur, Lachesis, Arsenic, Carbo veg.
Of coffee: Nux vom., Ignatia.,Of tea: Thuja.
Of tobacco: Nux vom., Hepar, Cocculus, Staphysag.
By over-eating: China, Pulsatilla, Antimon.
By distressing emotion, such as grief, anger, etc.: Chamomile, Nux vom., Phosphoric acid, China, Staphysag.
By mechanical injuries, blow, fall on the stomach, etc.: Arnwca, Bryonia, Rhus tox., Sulphur.
If the dyspepsia is worse after partaking of almost anything:
Nux vom., Sulphur, Lachesis, Carbo veg., China.
After drinking cold water: Arsenic, China, Pulsatilla, Veratrum.
After drinking beer: Arsenic, Calcarea, Rhus tox., Sepia,
Sulphur.
After drinking milk: Bryon., Nux vom., Calcarea, Sulphur.
After using bread: iNux vom., Sulphur, Pulsatilla, Bryonia,
Mercury.
After using acids: Nux vomica, Sepia, Sulphur, Arsenic,
Lachesis.
After partaking of meat: China, Sulphur.
After partaking of fat substances: Pulsatilla, Sulphur,
China, Carbo veg.
If the dyspepsia is combined with diarrhea: Pulsatilla,
China, Phosphoric acid, Carbo veg., Veratrum, Arsenic, Merc.
With constipation: N ux vom., Sulphur, Bryonia, Lachesis.
With sour stomach: Pulsatilla, Sepia, Phosphoric acid, Nux
vomica, Calcarea.
With headache: See this article.
With piles: Nux vomica, Sulphur, Sepia.




260      AFFECTIONS OF THE STOMACH AND BOWELS.
SYMPTOMATIC DETAIL. - Nux vomica.       In most cases of
dyspepsia at the commencement, particularly in persons
with a tendency to piles (see this article) and habitual
costiveness; or when dissipation and late hours, the abuse
of ardent spirits, or exposure to cold, was the mmediate
cause of this disease; this remedy is especially indicated
for sour or bitter taste in the mouth, and if food, particularly
bread, tastes sour, bitter, or insipid; patient has not much
appetite, but a craving for beer, wine, or spirits, or he has
great hunger, but a little satisfies him; after eating he
is troubled with nausea, eructation, vomiting of food, vertigo,
hypochondriacal humor, or, after a meal, lassitude, sleepiness, drowsiness, distension, fullness and   tension in the
stomach, tender to the touch; around the waist a sensation of
tightness of the clothes; sour risings and belchings; waterbrash; sour stomach; makes the patient unfit for intellectual
labor; with constipation, and frequent heat and redness of the
face, restlessness, and irascibility. After it, Sulphur suits well.
Sulphur. Is in cases of long standing the principal remedy after INux vomica, or when there is no appetite for meat
and bread, but a craving for acids or wine; milk, acids, and
sweet substances disagree; after a meal, difficulty of breathing,
nausea, pain in the stomach, belching or vomiting of food, shivering, acidity and water-brash, with flatulency and constipation; sad, morose humor, with irascibility. After it, Calcarea carb. is often suitable.
Pulsatilla. In recent cases of dyspepsia, particularly those
caused by over-eating, or the use of fat or pork, or any greasy
substance, causing flatulency and indigestion (in such cases
in alternation with China); no thirst,; bitter or sour eructations; the taste of the food comes up again, water-brash, sadness, melancholy, inclined to loose bowels.  China or Sulphur
suits well after it.
China.   Dyspepsia from loss of blood or other humors, or
caused by exposure to miasms in marshy countries, near




DYSPEPSIA, OR WEAK STOMACH.


261


canals, etc. (see "Fever and Ague"); particularly if there
is indif'erence to food and drink, as if from satiety; craving
wine or acids; food tastes acid or bitter; after a meal uneasiness, drowsiness, fullness, distension; patient wants to lie
down, sensitive to draughts of wind, ill-natured and dislikes
everything. After it suits Bryonia, tRhus tox., Carbo veg.
Bryonia.  Dyspepsia especially in summer or damp weather;
or when there is headache, chilliness, pains in limbs, arms, and
small of the back, aversion to food; eructation of wind, pressure and pain in the stomach after a meal; cannot bear tight
clothes; vomiting of food, constipation, with restlessness and
irascibility. In alternation with Rhus or China.
Rhus tox. Always in alternation with Bryonia (see "Bilious Rheumatic Fever"), especially when there is great restlessness, thirst, and dry tongue during the night.
Carbo veg. Bitter taste in the mouth, aversion to food,
milk, or fat, with acidity in the mouth; frequent flatulency
and belching up, tasting the fat and food which had been
eaten; nausea in the morning, water-brash during the night;
heart-burn; hiccough during motion; pains under the shortribs, particularly on the left side, in the form of stitches, with
pressing and fullness; cannot bear the clothes around him
tight; worse in damp weather; o.fensive diarrhea.
Ipecac. Almost the same as Carbo veg., but especially
suitable for children after indigestion, when they have vomiting of food, drink, mucus or bile; retching, vomiting, with
coldness of the face and extremities; sinking at the stomach.
(See "1Cholera Morbus.")
Veratrum. After Ipecac., if this should be insufficient, or
there is still diarrhea, attended with griping in the bowels;
great thirst.
Antimon. crud. After Ipecac., if this has not removed the
nausea and vomiting, with a sensation of great fullness in the
stomach, and much flatulency.




262      AFFECTIONS OF THK STOMACH AND BOWELS.
Ignatia and Staphbysag.  See "Diseases of the Mind."
Hepar. One of the most useful remedies in this disease,
where a person has taken much calomel, and is easily taken
with indigestion, with a longing for stimulating things, wine,
or acids; nausea in the morning, with eructation or vomiting
of sour, bilious, or mucous substances; hard, light-colored,
difficult evacuations, or else whitish diarrhea. (In this case
alternate  with NVux vomica; otherwise with ]Mercury or
Lachesis.)
Calcarea. Sensation of coldness in the head, with inclination to sick-headache; acid stomach; water-brash; fullness
and swelling in the region of the stomach, with great tenderness
to touch; evacuations similar to those of Hepar, but the
diarrhea in children has a sour smell. Follows well after
Sulphur.
Sepia. In persons subject to habitual sick-headache, who
frequently suffer from dyspepsia when their heads feel comfortable; aversion to food, or else great craving; taste sour,
and after a meal acidity in the mouth, and swelling of the
abdomen, or else pressure, as if from a stone in the stomach,
with much belching, mostly sour or painful; inclined to constipation; suits well for nervous, hysterical persons, or those
who are subject to congestion of the head or bowels.
Arnica.  Frequent eructations, sometimes with a taste of rotten eggs; great sensitiveness and nervous excitement; tongue
dry, thick, yellowish coated; putrid, sour taste, hypochondriacal humor; inclined to diarrhea.
Phosphoric acid.   Great mental and physical debility,
caused by grief, unrequited love, or loss of bodily strength by
losing too much and too constantly animal liquid. In diarrhea, alternate with
China. After every meal pressure in the stomach, as if
from a load; perception of the taste of food, particularly of
bread, long after it is taken.




DYSPEPSIA, OR WEAK STOMACH.


263


Lachesis. Irregular appetite; repugnance to bread, with
craving for wine and milk; frequent nausea and eructation,
vomiting of food; uneasiness, indolence, heaviness, fullness
and pains in the stomach after every meal; constipation.Suits well before or after Mercury.
]Mercury. Putrid, sweetish or bitter taste in the morning;
repugnance to solid food and meat, with craving for cooling
things; inclined to diarrhea, with straining, or to perspiration; has much saliva in the mouth.
Cocculus. Sensation of emptiness and hollowness in the
stomach; sour taste, with aversion to acids; dryness of the
throat; nausea, even to fainting; constipation.
Phosphorus.  Vomiting after a meal; burning in the stomach; acidity and sour taste in the mouth.
Thuja. Weakness of the stomach after the abuse of tea;
rancid or bitter eructation, and throwing up of that which has
been eaten.
ADMINISTRATION.-In severe and painful cases of dyspepsia take of the selected remedy from one to six hours a dose
(four glob.), until better; but in chronic cases take only
every evening or every other evening a dose (six glob.)
until four doses are taken; then discontinue four days,
and, if not better, take the next medicine in the same
manner.
DIET AND REGIMEN.-Beside avoiding those excesses in the
diet and regimen which we have mentioned in the " Diagnosis," as so many causes of this disease, it must be borne in
mind that everything even allowed under other circumstances
must not be indulged in, as soon as it disagrees with the patient. Keep busy and cheerful; avoid fatigue and exposure;
the application of cold water, in a systematical way, externally and internally, is highly recommended. (See c" Hydropathy.")  Exercise freely in the open air; travel and mingle
in cheerful society.
25




264      AFFECTIONS OF THE STOMACH AND BOWELS.
4. WATER-BRASH. HEART-BURN. (Pyrosis.)
(Indigestion. Flatulency. Sour Stomach.)
These ailments are mostly comprehended under the name
of dyspepsia, of which they form some of the most distressing
symptoms; but where they occur more isolated their remedies may be found in the following tabular view; reference
to the details of these medicines may be had in the article
" Dyspepsia."
TREATMENT.-For water-brash: Vitux vomica, Arsenic, Carbo
vegetabilis, Sepia, Calcarea carb., Phosphorus, Lycopodium,
Sulphur.
For heart-burn: TNux vomica, Pulsatilla, China, Phosphoric
acid, Sepia, Sulphur.
For vomiting or throwing up,
a. Of food: Arnica, Bryonia, Carbo veg., Vux vom., Phosphorus, Pulsatilla, Sulphur.
b. Of indigested food (indigestion): China, Bryonia, Pulsatilla, Ignatia, Lachesis, Phosphorus. (See end of this article.)
c. Of acid: iYux vomica, Chamomile, Calcarea carb., China,
Phosphorus, Sulphur.
For flatulency, or frequent rising of wind: Arnica, Nux
vomica, Pulsatilla, Bryonia, Rhus tox., Sulphur, Carbo veg.,
Veratrum.
a. After eating flatulent food: China.
b. After eating pork or fat meat: Pulsatilla, China.
c. After drinking:  ux vomica.
d. Colic fromflatulency: See " Colic."
In regard to indigestion and its consequences, we will particularly remark here, that if it is caused by an overloaded
stomach, a cup of cofee, without milk or sugar, will remedy
most of its bad consequences; the remaining symptoms
require Pulsat., Nux vomn., Ipecac.
Indigestion from fat food, pork, pastry, etc., requires Pulsatilla, China, Carbo veg., Ipecac.




BILIOUSNESS --GASTRIC DERANGEMENT.


265


That which is caused by ice cream, fruit, or other things
which chill the stomach, requires Pulsatilla, Carbo veg.,
Arsenic.
If caused by the abuse of wine: ]Nux vom., Lachesis, Carbo
veg., Pulsatilla, Antimon. crud.
By acid wines: Antimon., Pulsat.
By sulphurated wines: Pulsat.
By vinegar, sour beer, and other acids: Aconite, Carbo veg.,
Arsenic, Hepar.
If tainted meat or fish causes indigestion, give first a little
pulverized charcoal in brandy; afterward China, or Pulsatilla.
If salt food causes indigestion: Carbo veg.
Indigestion frequently produces the following disorders,
which require the remedies attached to them:
Fever: Acon., Bryon., Antimon. (See "Gastric Fevers.")
Eruptions, like nettle-rash: Ipecac., Pulsatilla, Bryonia. (See
"'Nettle-rash.")
Diarrhea: Pulsatilla, Cofea, Ipecac., Niux vomica. (See
" Diarrhea.")
Colic: Pulsatilla,.Nux vomica.  (See "Colic.")
Flatulency: China, Pulsatilla, Carbo veg. (See "Flatulency" above.)
In regard to heart-burn or sour stomach, we would remark
that it will often be relieved by taking of a mixture of one
drop of Sulphuric acid in a teacupful of water, every hour
or two hours a teaspoonful; or by drinking lemon-water in
moderate quantities. This is particularly recommended to
pregnant women, who frequently suffer from acidity of the
stomach from constitutional causes.
ADMINISTRATION, DIET, AND REGIMEN, the same       as in
" Dyspepsia."
5. BILIOUSNESS.   GASTRIC DERANGEMENT.
Biliousness, or bilious complaints, as a popular term, comprises different disorders of the digestive organs, which




266      AFFECTIONS OF THE STOMACH AND BOWELS.
mostly have nothing to do with the bile or liver, but with the
stomach alone. For practical purposes we divide     these
diseases:
Into gastric affections, where the stomach alone is implicated; and,
Into gastric bilious affections, where the derangement of the
liver reflects its morbid consequences on the stomach.
These attacks occur without much fever.
1. Gastric affections (gastroataxia). This is a general name
for all those disorders of the stomach, which we have already
treated in the articles on "Dyspepsia," "Indigestion," "Heartburn," "Water-brash," and "Flatulency," to which we refer
the reader.
2. Gastric bilious affections (gastrodynia biliosa). This disease is characterized by an oppression and swelling in the pit
of the stomach, with inclination to vomit, and eructation of
wind, of an offensive smell, like rotten eggs or meat; no
appetite, and particularly *a dislike for meat; thirst great,
especially for acids; tongue thickly yellowish coated; either
constipation or looseness of the bowels, of dark (black)
offensive operations, with a great deal of wind. With these
really bilious symptoms are combined a yellowish color in the
face, around the nose and mouth; headache in the evening,
with a full pulse and a feeling of heat without much fever.
CAusEs.-Persons removing from the north to the south
are subject to this disease very often, which sometimes runs
into bilious fever. Otherwise, it is caused more by the imprudent use of too much meat and alcoholic drinks in warm
climates; also, by mental derangement, such as anger, grief,
etc. It is, frequently, the forerunner of bilious fever.
TREATMENT. -Similar to "Bilious remittent Fever," in, its
early stage. See page 104.
DIET AND REGIMEN. - Oatmeal gruel, with sugar and
lemon-juice; lemonade, in small but often-repeated quantities;
oranges; dry or milk toast; cold water. Meat, meat-soups,




NAUSEA -- VOMITING.


267


and eggs, are strictly forbidden. When recovering, a few
oysters are allowed. If the bowels are very loose, the acids
must not be used too freely, but very cautiously, if at all.
Cold baths are beneficial, particularly mornings and evenings. Exercise can be taken, on hills or dry places.
NAUSEA. VOMITING.
Nausea and vomiting seldom occur as solitary symptoms,
except when caused by errors in the diet; in which case, the
ejection of the noxious substances by vomiting is most beneficial, and ought rather to be fostered, by drinking freely of
lukewarm   water, than  checked by medicine. But when
nausea or vomiting is caused by, or connected with, other
diseases, their respective chapters must be consulted; where,
generally, these two, as prominent symptoms, are mentioned
and prescribed for.
We will, however, furnish the reader here with a list of
the most frequent diseases in which nausea and vomiting
exist, and attach the principal medicines thereto.
The principal remedies, useful in most cases of nausea and
vomiting, are: Antimon. crud., Ipecac., iMux vore., Arsenic, Veratrum, Tartar emet., Bryon., Pulsat., Arnica, Cuprum, Sulph.
Before time can be had, to select with care the proper
homceopathic remedy in a case of vomiting, it is of no disadvantage, to give at once:
Ipecacuanha, if the tongue is clear; or
Antimonium crud., if the tongue is much coated, white or
yellow.
Then proceed calmly to study the patient's case and select
the proper remedy from the following symptoms.
If nausea and vomiting is present:
In pregnant females: NYux vom., Ipecac., Arsenic, Veratrum.
(See "Diseases of Females.")
In drunkards: INuxy vom., Arsenic, Opium, Lachesis, Sulph.
In consequence of riding in a carriage, sailing, etc., Coc



268      AFFECTIONS OF TIE STOMACH AND BOWELS.
culus, Petroleum, Arsenic, IFerrum, Secale, Belladonna. (See
"Sea-Sickness.")
In consequence of worms: Cina, Aconite, Ipecac., Nux
vom., MIercury, Sulph., Lachesis, Carbo veg. (See "Worm
Disease.")
In consequence of overloaded stomach: Pulsat., Ipecac.,
Antimon., NVux vom., Arsenic, Bryonia, Rhus tox., Sulph.
(See "Indigestion.")
After drinking: Arsenic, Ferrum, China, Bryon., Chamomile, Aconite, Arnica, Silicea.
After eating: Pulsat., Nux vom., Bryon., Arsenic, Ferrum,
Sulphur. (See "Dyspepsia.")
In the morning: Vux vom., Arsenic, Drosera, Veratrum,
Hepar, Lycopod., Silicea.
In the evening, or at night: China, Arsenic, Ntux vom., Ferrum, Silicea, Sulphur.
After a fall on the head: Arnica, internally and externally.
(See "External Injuries.")
In connection with a cough: See "Hooping-Cough."
In connection with headache: See "Sick Headache."
In connection with diarrhea: See "Cholera."
Or, in regard to ejected substances,
If blood is vomited (hoematemesis): Aconite, Arnica, Ipecac.,
Nurx vom., Ferrum, Hyoscyamus, Bryon., China. (See "Inflammation of the Spleen," "Cessation of Menses," and
"hIemorrhoids.") Generally, medical aid is immediately
required, when blood is vomited. If the blood is very dark,
Black vomit (melaena), with discharge of similar blood by
the stool: Teratrum, Arsenic, China, Ipecac. (See "Diarrhea,
Typhus.")
If fcEcal matter is ejected: Opium, N ux vom.  (See " Constipation," and " Ileus.")
If bile is vomited, of greenish look and bitter taste: Chamomile, Ipecac.,,Nux vom., Pulsat., Antimon., Cuprum, Veratrum. (See "Biliousness," etc.)




SEA-SICKNESS.


269


If mucus of a sour taste or smell: China, Calcarea carb.,
Nux vom., Pulsat., Sulphur. (See "Dyspepsia.")
If watery substances: Bryon., Ipecac., Bellad., Pulsat,.
Sulphur. (See "Water-brash," etc.)
ADMINISTRATION.- Give the medicine either dry, every
hour or two hours, from three to six glob.; or, dissolved in
water (twelve glob. in half a teacupful), every half hour a
teaspoonful, until better, or until three or four doses of a
medicine are taken, when another remedy must be selected,
if the patient is not better.
DIET AND REGIMEN. -In feverish attacks, see "Fever."
In all others, see their respective chapters.
SEA-SICKNESS.
This distressing complaint depends greatly on constitutional
peculiarities, to which the remedy must be adapted. As the
cause (the motion of the vessel) continues, it is necessary to
repeat the medicine frequently. It will be of service to be
careful in the diet just before embarkation; especially to avoid
rich, fat food.
"TREATMENT.-The principal remedies are:
Cocculus.  In giddiness, headache, nausea; the patient
feels better when lying down.
Nux vomica. The same.     The patient feels better when
not in the open air.
Pulsatilla.  The patient feels better in the open air, on
deck.
Colchicum. After Pulsatilla, or when the smell of food or
the scent of the vessel sickens.
Tabacum.   If Pulsatilla or Colchicum are insufficient, or
when the patient sickens at the slightest movement of head or
body, with deadly paleness of the face.
Petroleum. In cases of great debility.
Arsenic. If the patient becomes very weak, and there is
violent retching.




270      AFFECTIONS OF THE STOMACH AND BOWELS.
Ipecac. If there is frequent vomiting, without feeling very
weak.
For constipation, during a voyage on sea, give Opium, Cocculus, Nux vomica, Lachesis, Sulphur.
When constipation is attended with a putrid taste and bloody
gums, give Staphysag.
When patients are constipated, and have a longing for acids
and something piquant, give Sepia.
N. B. It is well enough to provide one's-self on sea voyages with Scotch ale and herrings; also, lemons; as those
things are mostly desired by sea-sick patients.
ADMINISTRATION.-The same as in "Nausea and Vomiting."
It is beneficial to take as much exercise on deck as possible,
whatever the weather may be, although the patient may not
incline to do so at first.
SPASMS, AND PAIN IN THE STOMACH.
( Cardialgia, Gastralgia, Neuralgia of the Stomach.)
DIAGNOSIS.-Spasmodic pains and contractions in the pit
of the stomach, sometimes slight, sometimes of insupportable
violence, and spreading to the chest and back, exciting nausea
and vomiting; anguish; coldness of the extremities, and
even faintness; belching up of wind often relieves the patient
for a time, as, also, vomiting of an acid, limpid fluid, if acidity of stomach or a gouty disposition was connected with it.
CAUsEs.-Any derangement of the nerves of the stomach,
either sympathetic, from diseases of the liver, spleen, or pancreas, or more directly from long fasting, the habitual use of
ardent spirits, indtigestible food ( new bread, nuts, sweatmeats,
chesnuts, cherries, figs, cheese, etc.), cofee or tea, may cause
this disease; especially if, in addition to this, the person exposes himself to cold, damp weather, or if he is of a gouty
disposition, which then develops itself on the stomach in this
form (rheumatism and gout of the stomach). Females are
particularly liable to this disease, which, in them, appears




SPASMS AND PAIN IN THE STOMACH.


271


mostly with derangement of the menses, especially after their
cessation (neuralgia of the stomach), when it is sometimes
associated with fits of fainting, and may end in vomiting of
blood. In such cases, the periodical appearance of the disease is frequently observed.
TREATMENT.- Persons liable to spasms of the stomach
must avoid everything which could cause them directly,
as mentioned above.    Beside this, they should keep their
feet warm, and wear a woolen shirt or bandage, or in obstinate chronic cases, a Burgundy pitch plaster on the
stomach. Above all, however, we recommend to apply to a
homoeopathic physician, who, in most cases, is able to eradicate the complaint. For recent cases, or in the attack itself,
the following remedies will be found beneficial.
If a person is liable to attacks of this kind, he must be particularly careful in the diet; he must strictly avoid all crude,
uncooked vegetable substances, such as salads; also, new
made bread, sweet-meats, cherries, nuts, olives and chesnuts;
cheese must be avoided, also all kinds of stimulants, tea,
coffee, wine, brandies, beer; the use of cold water externally
and internally is recommended.
We give, first, a tabular view, to facilitate the choice of
the proper remedy.
Spasm in the stomach (gastralgia), from
Abuse of Chamomile tea: NIux vom., Ignatia, Pulsat.
Abuse of coffee: Nux vom., Ignatia, Cocculus, Chamomile.
Abuse of ardent spirits: Nux vom., Lachesis, Arsenic, Sulph.
Indigestion: Pulsat., Antimon. crud., Bryon., China, Carbo
veg., Nux vom.
Want of exercise, torpid bowels: Nux vom., Sulph.
Excess of mental emotions, as anger, indignation, etc.;
Chamomile, Colocynth, Nux vom., Staphysag.
Loss of animal fluids, causing excessive debility, such as
blood-letting, nursing, perspirations, excessive diarrheas:
China, Carbo veg., Phosphoric acid, Cocculus, Nux vom.




272      AFFECTIONS OF THE STOMACH AND BOWELS.
Rheumatism, and exposure to cold and damp weather: Chamomile, Bryon., Rhus tox., Carbo veg.
A gouty disposition, or where rheumatism or gout has fallen
upon the stomach; Ipecac., Bryon., Rhus, Nux vom., Sulph.,
Bellad., Calcarea.
Derangement of the menses, if they are too slight: Pulsat.,
Cocculus. If too profuse: China, Bellad., Platina, Calcarea
carb.
SYMPTOMATIC DETAIL.-NJVUX vomica.    This is one of the
most important remedies in this disease, and it is efficacious
almost in every spasm of the stomach, in the beginning; at
least there is no risk in giving directly one dose (two, three,
or four glob.), as it will procure time for cooler observation
and a more correct choice, according to the symptoms. If
NTux vomica does not give any relief, Chamomile or Cocculus
alternated, every half hour, if necessary, will be of great
benefit.  The pains requiring Nux vomica especially, are:
contracting, pressing, and spasmodic, with sensation of retraction or clawing in the stomach, with oppression of the chest,
as if it were compressed by a band, with pain extending
into the back and loins; nauseous accumulation of water in
the mouth, or vomiting of sour liquid or food during the pain,
worse after a meal, from using cofee and ardent spirits; from
over-study, creating thereby constipation, piles, hypochondria,
with irascible humor, hasty and passionate character. Such
persons generally are subject to nervous, pressing headache
on one side, with unfitness for exertion, palpitation of the heart
with anxiety.
Administration, see at the end of this article.
Cocculus.  Often very beneficial, when Nux vomica, or
Chamomile has given but temporary relief, or when there are
spasms in the stomach, mitigated by belching up of wind;
otherwise, similar to Yux vom.
Chamomile. Distension of the stomach, with pressure as
from a stone, or as if the heart were being crushed with oppres



SPASMS AND PAIN IN THE STOMACH.


273


sion and shortness of breath; pains are worse at night with
great anguish and tossing; momentary mitigation by drinking
coffee. The patient is peevish and irritable; pains drive him
out of bed. This remedy suits well to be given alternately
with Coffea, and if then no improvement takes place, try Belladonna.
Belladonna. Especially where Chamomile was of no avail,
although well indicated, mostly in women of a delicate, sensitive constitution, at the time of too profuse menstruation,
and then alternately with Platina, until better. Bellad."c,
alternately with Coffea0c, will be very beneficial in this disease, if the patient is decidedly better, but cannot sleep nor
lie quiet. Belladonna also suits in such violent pains as to
take away consciousness, and cause falling down; also great
thirst, but the pain gets worse after drinking.
Pulsatilla.  Is the principal remedy in mild, sad, tearful
dispositions, or where the menses are tardy, producing those
spasms. The pains are shooting; worse by walking and making a false step; spasmodic pains in the stomach, caused by
fasting, or overloading the stomach; with nausea, vomiting of
food; not much thirst; pains are worse in the evening, with
feeling of chilliness; frequently loose bowels.
Ignatia. Frequently after Pulsatilla, and when there are
pressing pains, as from a stone, especially after a meal or at
night; weakness, burning, emptiness in the pit of the stomach,
sensitive to touch; aversion to food and drink; cannot bear
tobacco; also, pains from mental causes, indignation, etc.; or
suits well for persons who have the pains from having fasted
too long.
China. Spasms from    indigestion, with swelling of, and
painful pressure in, the stomach, with rumbling of wind and
flatulency; spasms after loss of strength by blood-letting,
nursing, diarrheas, etc.
Carbo veg. Follows well after China, if the spasms were
caused after eating flatulent or spoiled food; also, spasms




274      AFFECTIONS OF THE STOMACH AND BOWELS.
occurring in damp and wet weather; particularly if there is
a painful, burning pressure, with anxiety, worse on touch or
at night; or contracting, spasmodic pain, forcing the patient
to bend double, with shaking; worse when lying down;
heart-burn; nausea; the very thought of food sickens him.
Lachesis. Pressing pains, ameliorated soon after a meal,
but renewed afterward, with constipation, dyspepsia, and
flatulency.
Lycopodium.   Compressive pains, ameliorated in bed during the night; worse in the morning, after a meal, and especially in the open air.
Arsenic.  Violent pains and anxiety in the cardia and the
stomach; burning and spasmodic pains in cardia and stomach; vomiting cfter drinking the smallest quantity of liquid;
suitable for spasms in old people, where cancer of the stomach may be supposed to exist, and in drunkards.
Sulphur. Pressing pains, as from. a stone, mostly after a
meal, with nausea, water-brash, or vomitinog; acidity; throwing up of food; disposition to piles, or accumulation of mucus
in the intestines; hypochondriacal, whining mood.
Antimon. crud. See " Indigestion."
Bryonia. Pressure as from a stone in the cardia, when
eating, or after a meal, with a sensation of swelling in the pit
qf the stomach; pains worse by any motion; constipation; rheumatic pains in the head and limbs. In alternation with
Rhus lo.. When the pressure in the stomach and cardia
obstructs the breathing, particularly after taking cold in damp,
cold weather. (Se " Bilious Rheumatic Fever.")
Staphysag. Spasms in the stomach after anger or indignation.
(alcarea carb. Suitable for plethoric persons, with full
red faces or for females who have their menses very profusely; or after Belladonna has given partial relief; especially when there is a sensation of clcacing and retraction in
1he stomach, worse after a meal, frequently with vomiting of




GRIPING COLIC- STOMACH-ACHE.


275


food; disposition to piles, constipation, and palpitation of the
heart.
ADMINISTRATION.-Dissolve of the remedy selected twelve
globules in half a teacupful of water, and give, every thirty
or forty minutes, a teaspoonful, until three or four are taken;
then wait thirty minutes, and, if not better, select another
remedy, and give it in the same manner, until better. This
is the mode of administration in the most urgent cases.When the pains are not so severe, give the medicine at longer
intervals; say, from one to two, three, or six hours, until
amelioration takes place. In real chronic cases of this disease, give the chosen remedy only evening and morning a
dose (four glob.), for two days, and then wait the same length
of time, before another remedy is given; if better during
that time, no more medicine is necessary.
DIET AND REGIMEN.-The same as in "Biliousness," and
"Gastric Derangement."
Externally, a mustard plaster, or other heating substances,
such as scorched flour, heated bran in small sacks, may be
laid on the stomach. The patient is advised to remain as
quiet as possible during the paroxysms.
GRIPING COLIC. (Colica; enteralgia.)  (Stomach-ache.)
DIAGNOSIS.-Pains in the intestines, more or less violent;
griping, pinching, tearing, or burning, mostly in the region
of the navel, yet often spread all over the bowels; severe
cases of colic are accompanied by anxiety and cold sweat;
stools either loose or confined; when the colic pain is seated
in one place of the abdomen for a length of time without
moving, danger of inflammation of the intestines ensues,
which is indicated by the pain, hitherto griping and pinching, becoming burning, and fever appearing (see "Inflammation of the Intestines"); vomiting of sour, bilious phlegm, or
distension of the abdomen, painful to the touch, often attend
the severest cases of colic.




276      AFFECTIONS OF THE STOMAOCH AND BOWELS.
CAUSES.-These are constitutional or acquired by circumstances; the latter are very many, such as colds, indigestion,
worms, constipation, mental emotions, and occupations which
require persons to work in deleterious metals, such as lead,
etc. According to these exciting causes, the three principal
varieties of colic are,
1. Bilious colic, with bilious vomiting, severe griping, or
shooting or twisting pain in the abdomen; at first relieved
by pressure, afterward tender to the touch, with painful distension, cold extremities, restlessness, yellowish cast of the
skin and eyes, the face expressing great anguish.
2. Flatulent or wind-colic, with frequent belching up of
-wind, with or without relief; swelling of the abdomen, which
is distended and painful in different places, as the wind accumulates and moves in different parts of the intestines; the
pains come in paroxysms, and are sometimes very severe.
3. Painter's or lead colic, which commences sometimes before an attack -with general lassitude, wandering pains in the
bowels and extremities, heaviness in the lower limbs, chilliness, and depression of spirits; the attack itself exhibits
the same symptoms as bilious colic, except there is not often
vomiting of bile, but greater pain and restlessness, during
which the, patient bends forward, pressing firmly against the
abdomen, his extremities feeling cold, and his pulse bein g
small and suppressed.
TREATMENT.-The first thing to be done in any colic, if
it is at all severe, is the application of a general warm bath,
during which the patient, sitting in a tub, the warm water
reaching up to the pit of the stomach, is covered with
blankets to confine the hot steam closely around him; after
ten minutes, he ascends from the bath and lays down with
the blankets, without being- dried off, and is covered with sufficient clothes; the warmth then may be kept up by putting
heated bricks or hot water flasks around the patient, on the
spots where hie complains the most; a profuse perspiration




GRIPING COLIC--STOMACH-ACHE.


277


will ensue, which relieves the cramp and makes the patient
feel easier at once; it must be kept up until every vestige of
pain has left for some time. The medicines to be prescribed
below may be given, however, from the commencement of the
pain, and continued until relief is obtained. We will now
give in a tabular view the principal kinds of colic, with their
remedies, the symptomatic details of which may be consulted
below.
a. Bilious colic: Nux vom., Colocynth, Chamomile, Bryon.
b. Flatulent or windy colic: Pulsatilla, China, Carbo veg.,
Cocculus, Nux vom., Colocynth, Lycopodium, Sulphur.
c. Painter's or lead colic: Opium, Belladonna, Platina.
d. Colic with obstinate constipation (see "Miserere"):
Opium, Nux vomica.
e. Colic caused by piles or hemorrhoids: Niux vom., Lachesis,
Pulsatilla, Colocynth, Carbo veg., Sulphur.
f. Colic from  an inflammatory state of the intestines (inflammatory colic): Aconite, Belladonna, Hyoscyamus, AMercury, Lachesis, Nux vomica, Arsenic, Sulphur. (See "Enteritis.")
g. Colic from  worms: Mercury, Cina, Sulphur.       (See
"Worms.")
h. Colic from  indigestion (gastric colic): Pulsat., China,
Nux vom., Bellad., Bryon., Carbo veg.
i. Colic from indignation or rage: Chamomile, Colocynth,
Staphysag., Sulphur.
k. Colic from a chill. Aconite, Chamomile, Colocynth, Alercury, Niux vom.
1. Colic from exposure to cold, damp weather: Pulsat., Bryonia, Rhus tox.
m. From bathing.- Nux vomica.
n. From external injuries, such as strains or blows: Arnica,
Bryonia, Rhus tox., Carbo veg., Lachesis.
o. Colic in children principally: Chamomile, Rheum, Coffea,




278      AFFECTIONS OF THE STOMACH AND BOWELS.
Aconite, Bellad., Cina, Sulphur.  (See "Diseases of Children.")
p. Colic in pregnant or lying-in women: Chamomile, Nux
vomica, Arnica, Bryonia, Pulsatilla, Sepia. (See "Diseases
of Women.")
q. In hysterical women (nervous colic of women): Ignatia,
3iix vom., Cocculus. (See the same.)
r. Colic at the time of the menses (menstrual colic): Pulsatilla, Coffea, Veratrum, Cocculus. (See the same.)
s. Colic in persons with low spirits: China, NVux vom., Sulphur, Calcarea carb., Stannum.
Select first, according to the character of the disease, one
of the above remedies, and then read its symptoms in the
following symptomatic detail. It will be seen above that
A     oux vom. and Colocynth are the principal remedies in almost
all kinds of colic, and consequently mostly to be used; we
recommend, therefore, the careful study of their distinguishing symptoms. Beside these two medicines, Pulsatilla and
Belladonna will be found of frequent application.
Administration of these remedies, see at the end of this
article.
SYMPTOMATIC DETAIL.-3 x vomica.     Constipation, hard or
difficult stool, with pressure in the abdomen as from a stone;
the colic pain is contractive or compressive, sometimes pinching
and drawing; pressure at the pit of the stomach, with distension and tenderness of the abdomen when touched; feeling
as if the clothes around the waist were too tight; flatulency
and severe griping, deeply seated in the abdomen, with cold
hands and feet, and sometimes sharp and severe pressure on
the bladder and rectum, as if wind were about to escape violently, forcing the patient to bend double; beneficial in almost
all kinds of colic, where constipation predominates, or the patient likes to be quiet, to sit doubly bent, or to lie down on
account of violent pains in the loins and head.




GRIPING COLIC- STOMACH-ACHE.


279


Colocynth.  This is the principal medicine for colic; violent, even the most violent cutting, pinching, clawing pains and
stitches as if from knives, with excessive restlessness, agitation
and tossing, sometimes cramp in the limbs, shivering, either no
inclination to stools or violent diarrhea and vomiting of bile or
food, immediately after eating; abdomen either swollen with
wind, flatulency, or feels very empty; however, very tender, as
from  a bruise. After it are suitable, Chamomile, MAercury,
Belladonna.
Belladonna. The colic pains are: swelling and protrusion
like a pod of the colon between the pit of the stomach and
the navel, relieved by pressing upon it or by bending double;
pain at the same place, as if the intestines were grasped by
the finger nails; or spasmodic constriction in the abdomen in
females, with a feeling of bearing downward as if something
would fall out, similar to the falling of the womb, or pains
connected with this disorder; general characteristic for Belladonna: congested hot head, red face, severe pain in the
head, aggravated by movement, cannot bear the light, feels
dry in the throat, etc.  (See "Materia Medica.")    After it
Mercury, Lachesis, or lHyoscyamus, is suitable.
Pulsatilla.  Shooting, beating pains in the pit of the
stomach; farther down in the abdomen a feeling of heaviness
and fullness, with disagreeable tension and distension, tenderness and pain as if from a bruise when touched; suffering
from flatulency (see this article), and consequent colic after
indigestion; worse when sitting, lying, or in the evening, with
shivering; patient feels better out doors, than within; is inclined to, or has diarrhea; pale face, with livid circle around
the eyes; pressure, tension, and aching in the head. After it
are suitable, China, Lycopodium,.Mercury, Sulphur.
China.  Excessive distension of the abdomen, as in tympanitis, with fullness and pressure, as if from hard bodies; or
spasmodic constriction; pain, with stoppage of wind and bearing toward the hypochondriacal region; worse at night, after
26




280      AFFECTIONS OF THE STOMACH AND BOWELS.
errors in diet, and in persons weakened by severe loss of
animal fluids, such as bleeding, too heavy perspiration, nursing, diarrhea, etc.  (See "Pulsatilla.")
Cocculus. One of the principal medicines, particularly in
spasmodic and windy colic, and in those colics of women
before or at the time of their menses (see "Female Diseases);
or when there are constrictive, spasmodic pains in the hypogastrium, nausea, difficulty of breathing, flatulency, and full,
distended stomach; or a feeling of emptiness in the abdomen,
with squeezing and tearing in the stomach; nausea; constipation; nervous excitability.
Cofea. Excess in pain, which drives to despair; great agitation, tossing, grinding of the teeth; coldness of the limbs;
moaning, and fits of suffocation.
Ignatia. Colic in the night, waking out of a sleep, with
shooting into the sides and chest; difficult, but relieving discharge of wind; suitable for sensitive and delicate women.
Hyoscyamus.   Spasmodic and griping pain, with vomiting;
cries; pain in the head; hardness and distension of the abdomen, and tenderness when touched.
Chamomile. Tearing, drawing pains, with great restlessness; nausea; bitter vomiting or bilious diarrhea; incarcerated
wind, with anguish, tension, pressure, fullness in the pit of the
stomach; one cheek red, the other pale; the colic appears
mostly at night, toward sunrise, or after a meal. (Pulsat.,
suits after it.)
Bryonia. Fullness and pressure in the abdomen after
eating; cutting and stitching pains in the bowels, particularly
after drinking warm milk; colic pains with diarrhea after
taking cold, or in the heat of summer. Alternately with
Rhus tox., in bilious rheumatic attacks.  (See this article.)
Rhus tox.  Pressure in the stomach and pit of the stomach;
pain in the abdomen at night; restlessness and diarrhea of
watery and slimy substances. (See Bryon.)
Sulphur. Against hemorrhoidal colic, when Carbo veg. or




GRIPING COLIC--STOMACH-ACHE.              281.ifercury has been given without effect; against bilious colic,
when Cliamomile or Colocynth was insufficient; against flatulent colic, after Chamomile, Calcarea carb., Mercury, or Carbo
veg. was administered; or against worm colic, after Mfercury
or Cina had been given.
Carbo veg. Distension and fullness of the abdomen; difficult belching up of wind; colic after riding in a carriage;
flatulent colic, with rumbling in the bowels; discharge of
wind of a putrid smell; either constipation, or diarrhea of a
putrid smell.
Arsenic.  Excessive pain, with great anguish in the abdomen;
intolerable burning, or sensation of cold in the abdomen; pains
are worse at night, after eating or drinking; watery or bilious
vomiting; diarrhea, with thirst, shivering, and excessive debility.
Veratrum.   Cutting as from knives in the abdomen, which is
very tender to touch; burning in the whole abdomen; flatulent colic, with noisy rumbling of wind, which is discharged
with difficulty. -(Alternately with Arsenic in severe cases, or
with Cojfe'a at the time of menstruation.)
Opium. Abdomen hard and distended; tympanitis, with
heaviness in the abdomen, as from a weight (lead or painter's
colic); obstinate constipation, with vomiting even of feces and
urine; or involuntary stools, of a dark color and fetid.
Lachesis. In spasmodic and inflammatory colic, when Colocynth, Belladonna, Chamomile, N/V   vom. have been administered without effect; in hemorrhoidal colic, and after mechanical injuries; after Carbo veg., when there is great weakness,
sinking feeling, small, quick pulse; or alternately with Lycopod., if there is great constipation left.  (See this article.)
I/ycopodium. In flatulent colic, swelling, fullness, and distension of the pit of the stomach, with colic pain, incarceration of wind, which is not discharged. (Is suitable after
Pulsat., or Lachesis; see these.)
Platina.  In consequence of fear or anger, or poisoning by
lead, after Opium and Belladonna; suitable principally for




282      AFFECTIONS OF THE STOMACH AND BOWELS.
females, or when the bodily sufferings disappear as soon as
the mental distresses begin, or vice versa; is afraid of dying;
cannot refrain from weeping; contracting pain in the abdomen;
pressure in the stomach after eating; also a contracting pain,
as if laced too tight; with a sensation of constant bearing
down.
Aconite. -Extreme tenderness of the abdomen; much anguish,
restlessness and tossing, particularly, when the pains are
located in the region of the bladder; when the bowels seem
to retract, with frequent but unsuccessful want to urinate.
Arnica.   Contusive pain in the sides of the abdomen in
pregnant females; pain from lifting in the abdomen; fullness
in the stomach, as if one had eaten too much; stitches in the pit
of the stomach, with pressure back to the spine, and an oppresswon on the chest, worse after eating, drinking, and touch;
stitches in the left hypochondrium, taking away the breath; distension and hardness of the abdomen, with soreness in the sides;
better after discharge of urine; diarrhea, watery, or from
indigestion.
Mercury.   Shooting or violent contracting pains in the abdomen, especially around the navel, with nausea; frequent
desire to evacuate, or slimy diarrhea; profuse quantity of
saliva in the mouth; shivering, with heat, especially in the
face; abdomen tender to touch; colic pains, worse in the
night; great lassitude.
Cina.   Colic pains from   worms, especially around the
navel, which is tender to the touch.  Cina~ o  in such cases,
every half hour repeated (the dose from two to four glob.),
is more effectual than the other preparation of Cina (see
"Worms").
Rheum. Particularly in infants, when the colic is accompanied by diarrhea of a sour smell and pressing down before
and after the stool; or when there are in adults cutting pains
in the abdomen, forcing one to bend over frequently soon after
eating; worse when standing.




GRIPING COLIC-STOMACH-ACHE.


283


Sepia. Colic pains in pregnant or lying-in women, or even
spasms, as if the intestines were turning over; cutting pains
after motion; burning and stitches in the abdomen, which is
hard and distended; pressure and sensation of heaviness in the
abdomen, with bearing down; rumbling of the bowels after eating; constipation; or greenish diarrhea, especially in children.
Calcarea carb.  Contractive, gnawing spasms, or cutting
pains in the abdomen; difficulty of discharging the wind,
with noisy rumbling of the bowels; cannot bear the clothes
tight around the hypochondria; acidity of the stomach, with
vomiting of food, especially in children when teething; lightish diarrhea.
Stannum. Spasms in the region of the diaphragm, as in
hysterical or hypochondriacal persons, with difficulty of ejecting the wind; constipation, or slimy diarrhea, and great
weakness. (Compare China.)
ADMINISTRATION.-Dissolve twelve glob. of the selected
remedy in half a teacupful of water, and give every fifteen or
thirty minutes a teaspoonful, for two or three times; then
wait the same length of time before giving another remedy,
if not better; but if the patient is better, do not repeat the
medicine as often. This is particularly the case with Colocynth, which is the most frequently needed remedy. In the
most agonizing pains, the alternate use of Coffea and Camphor,
in solution, given as above stated, affords temporary relief,
until other remedies may complete the cure. In cases where
the pains are not so excessive, the medicines must not be repeated as frequently; say, only from two, three, to six hours
a dose (four glob.) until better, or until another remedy is
needed.
DIET AND REGIMEN.-Persons subject to this complaint
must avoid all substances which produce it, such as kale
(kohl) and other green vegetables, acidulated drinks, veal,
etc. In an attack of colic, give only the mildest nourishment;




284     AFFECTIONS OF THE STOMACH AND BOWELS.
gruels, toast-water, toasted bread, etc.; no milk, except in
worm colic, when sweet, cold milk, will pacify the worms.
Keep the feet dry and warm, also in wet, cold weather a
flannel bandage around the bowels. In colic from indigestion, a cup of black coffee immediately taken is strongly recommended.
CONGESTION AND STAGNATION OF BLOOD IN THE ABDOMEN.
That process, by which disease is generated and grows,
depends upon certain laws, which in no case appear in more
constant regularity, than in producing the different kinds of
congestions. The three great divisions of the body-head,
breast, and abdomen-are, at certain periods of man's life,
successively, the places for congestions and stagnation. Thus
the head inclines to be congested in childhood, the breast in
youth, up to thirty or thirty five years (hence, in this period
most all lung-diseases occur), and, finally, the abdomen in
middle age, from thirty five to old age (hence in this period
so many bowel-diseases, such as hypochondria, piles, dyspepsia, etc., take place).  One of the most natural causes for
these diseases i8 the determination of blood to the abdomen. We
must not increase, by our mode of living, this natural tendency to congestion; as, if neglected or mistreated, its cure.
will be very difficult.
DIAGNOSIS.- Persons troubled with this disease have a
sensation of heat and burning in the stomach, together with
the feeling of heaviness, hardness, and tension in the lower
part of the abdomen.
TREATMENT. -)UX vomica and Sulphur, are the principal
remedies.
2Vitx vomica. Especially for persons who lead a sedentary
life, are constipated, have pains in the loins, hips, and back,
as if broken and very weak; hardness and tension of the abdomen; cannot bear the pressure of the clothing around the
waist.




INFLAMMATION OF THE DIAPHRAGM.


285


Sulphur. After.Nux vomica has relieved partially, in all
cases, even the most obstinate, where constipation, hypochondriacal and hemorrhoidal symptoms are present; Nux vom.,
alternately with Sulphur, every second or third day a dose
(four to six glob.), until four doses of each are taken, will
generally be sufficient to relieve; if not, repeat it, after an interval of from eight to fourteen days, during which time no
medicine must be taken.
Arsenic and Carbo veg. Administered in the same manner,
if there is great weakness, with tendency to diarrhea and
flatulency.
Capsicum. If the evacuations, are soft, trifling, slimy,
watery, give twice or three times a dose (four glob.), until
better.
Other remedies, to be used successively, but slowly, are:
Pulsatilla, Sepia, Belladonna, Mercury, Lachesis, Lycopodium.
DIET AND REGIMEN.-Exercise on foot and horseback;
the systematic use of cold water (see " Hydropathy"); regularity of all habits and cheerfulness of mind are necessary.
DIET.-See "Piles."
INFLAMMATION OF THE DIAPHRAGM. (Diaphragmitis.)
This disease resembles pleurisy very much; sharp, shooting pains under the short-ribs; worse on pressing between
or below the ribs, on sneezing, coughing, inhaling, or striking
the body; relieved by bending the body forward; frequently
there is hiccough present.
CAUSES.-The same as in pleurisy. We have only to add,
that external injuries, such as blows, falls on the ribs directly,
or a jarring of the diaphragm by a jump on the heels and
feet, or (as in little children it is often the case) a twisting or
unnatural turning of the body, are the most frequent causes
of this disease.
TREATMENT.-The same as in "Pleurisy."
The princiDal remedies are: Bryonia, Aconite, Nux vom.,




236      AFFECTIONS OF THE STOMACH AND BOWELS.
Chamomile. This latter, particularly in infants and children,
when they are swollen around the short-ribs, where the
slightest touch cannot be borne without screaming or stoppage
of breath (see, in "Diseases of Children," "Livergrown").
YVux vom., when Chamomile seems to be insufficient, and there
is extreme constipation.
If caused by external injuries, Arnica, externally, in solution, and internally, in alternation with Aconite, every hour
or two hours a dose (six glob.) must be used until better.
ADMINISTRATION, DIET, AND REGIMEN, the same as in
"Pleurisy."
ABDOMINAL INFLAMMATION.
We now proceed to the inflammations of those organs
which lie between the peritoneum, or that serous membrane
which envelops all the abdominal viscera. The inflammations of these organs have this one peculiar feature in regard
to the pulse, that the higher the inflammation runs, the
smaller and more suppressed the pulse appears; sometimes it
is only discoverable by hard pressure.
1. Inflammation of the Stomach. (Gastritis.)
DIAGNOSIS.- This is a dangerous disease, and ought not to
be treated by laymen; but, on account of its rapid course, we
feel the necessity of introducing it here, in order to enable every one to diminish, or take away entirely its danger,
by applying those remedies which have a specific bearing
upon it.
Gastritis is characterized by a constant, violent, burning,
and stitching pain in the gastric regions, increased by pressure, respiration, or taking any kind of food; beside this,
there are heat, swelling, and tension, with pulsation in the
region of the stomach; nothing will stay on the stomach, not
even pure water; although there is great thirst, yet water is
frequently rejected, because sometimes, beside other violent




INFLAMMATION OF THE STOMACH.


287


nervous fits and convulsions, hydrophobic symptoms occur,
with tetanic spasms, great and sudden prostration; fainting;
the pulse gets smaller, more wiry; extremities cooler, and
the restless anxiety greater, the higher the inflammation is.
Death takes place, either by gangrene (which is announced
by sudden cessation of all pain, small, remitting pulse, scarcely
perceptible, hands and feet icy cold), or by nervous paralysis, with spasms and fainting fits, together with symptoms of
the utmost debility. Signs of improvement are, when the
pulse becomes larger and broader, the pains less severe, without ceasing entirely, and the hands and feet warmer.
This disease may, after an improper treatment, pass into
chronic inflammation, induration, or ulceration of the stomach.
CAusEs.-Bilious diarrheas, if suddenly checked; acrid
poisons taken into the stomach; abuse of emetics and ardent
spirits; transfer of gout; suppressed secretions; external injuries; or drinking of ice water when heated.
TrEATMENT.-Aconite is the first remedy to be given, if the
pains are severe, and the heat great in the stomach, or when
a chill preceded the affection, or when it was caused by taking cold drinks when overheated.
ADMINSTRATION.-Dissolve twelve glob. in half a teacupful of water; give every twenty or thirty minutes a teaspoonful until ten spoonfuls are taken; if then not better, select
another remedy, which must be prepared and given in the
same manner, until better, or another remedy is necessary.
Bryonia.  Generally after Aconite or Ipecac.
Ipecac.  After Aconite, if vomiting predominates, and the
disease was caused by indigestion, but the tongue is clear.
Antimon. Under similar symptoms as Ipecac.; but the
tongue has a thick coating of white or yellowish mucus.
Pulsatilla. After Ipecac. or Bryonia, or when the disease
was caused by indigestion, or a chill in the stomach from
having taken ice.
Arsenic. For a similar condition, but there is a rapid failure
27




288      AFFECTIONS OF THE STOMACH AND BOWELS.
of strength, pale, sunken countenance, cold extremities; alternately with Veratrum.
Veratrum. For similar symptoms (see "Asiatic Cholera").
Belladonna and Hyoscyamus, alternately, if nervous, spasmodic, hydrophobic symptoms appear; drowsiness, delirium,
loss of consciousness.
Arnica. In case external injuries were the cause of the
disease.
Nux vomica and Lachesis, in alternation, if abuse of ardent
spirits caused the gastritis; after which,
Lachesis and Arsenic may be alternated with benefit.
Cantharis. In the most violent cases, particularly when
the burning pain is intolerable; alternately with China.
Opium and Camphor, alternately, if no remedy seems to
ameliorate the case; drowsiness and stupor, particularly in
drunkards; afterward give other suitable remedies which
will have a better effect.
For gastritis from acrid poisons, see " Poison."  After the
poison is removed, treat as above.
For the chronic form of the disease, see "Dyspepsia, Cardialgia, Spasms of the Stomach."
DIET AND REGIMEN.-AS during the height of the disease
nothing will stay on the stomach, it is better to offer the patient nothing but water; afterward the mildest gruel, made
of rice or flour, milk and water, buttermilk, gum-arabic
water, milk toast.  Continue this diet for some time before it
is changed for a stronger one; and then only soups and mild
vegetables.
Externally apply, if necessary, on the stomach, fomentations of hops, mustard draughts on the feet, and, if possible,
a lukewarm bath.
2. Inflammation of the Bowels. (Enteritis.)
This disease occurs in two varieties; either idiopathic, where
no other disease preceded it, or symptomatic, when it appears




INFLAMMATION OF THE BOWELS.


289


in consequence of other diseases, such as "Typhus," etc.
The former is. very acute, but of rare occurrence, and involves in its sphere the mucous membrane, as well as the
submucous tissue and peritoneal coat -a very painful and
dangerous disease; while the latter, not so acute in its course,
occurs more frequently, attacking the mucous membrane of
the intestines, mostly in portions; being, on that account, not
so painful and dangerous, but sometimes leading to ulcerations of the bowels.
DIAGNOSIS of the idiopathic or very acute form.-Violent
burning or pungent pain, permanently on one spot of the abdomen, generally in the region of the navel; increased by the
slightest touch or movement; with tension, heat, and bloatedness of the abdomen; obstinate constipation; vomiting of
slime or bile, finally of fmces (ileus miserere); violent thirst,
yet cold drinks do not agree; sobbing, anxiety; restlessness; pulse small, contracted as in gastritis; urine frequently
suppressed.
The fatal termination of this disease occurs under similar
symptoms as in gastritis by gangrene; the most violent pain
suddenly disappearing, pulse sinking, remittent, imperceptible; involuntary, cadaverously fetid stools.
The symptoms of recovery are the same as in gastritis. In
regard to the obstinate constipation which is such a constant
symptom in this disease, we would remark that this does not
constitute or cause the disease, but is its natural consequence,
and disappears as soon as the inflammation, by the proper
remedies, is reduced. Any violent attempt, by severe medicines, to effect a passage, would only add to the inflammation,
and hasten a fatal result. The best expedient for this purpose is, beside the medicines to be mentioned hereafter,
injections of tobacco smoke, which relieve the pain, or lukewarm baths, which destroy the spasms, often remaining after
the inflammation is subdued.




290      AFFECTIONS OF THE STOMACH AND BOWELS.
TREATMENT.-A.conite must be used first, as directed in gastritis. It is the principal remedy as long as the accompanying fever is intense and the skin very hot.
In severe cases, Ar-senic and Veratrum after it, in a similar
manner, as directed in gastritis.
In less severe cases, Lachesis, Belladonna, and Jfercury, in
alternation, will suffice, if the skin has become cooler, from
the application of Aconite, but there still remain great soreness of the abdomen and intense thirst.
These medicines must be separately dissolved in water
(twelve glob. to half a teacupful), and every two hours,
alternately, a teaspoonful given, until three or four teaspoonfuls of each are taken, or until better.
But in the severest cases, when vomiting of faeces appears
(ileus miserere),
Opium must be administered, every hour a dose (four
glob.), and if not relieved within six, eight, or twelve hours,
Plumbum, in the same manner. It is in this stage where
injections of an infusion of tobacco, or injecting tobacco
smoke, is of the greatest benefit; also a lukewarm bath, to
relax the whole system, and facilitate a decided reaction.
DIAGNOSIS of the symptomatic or subacute form. - This is
always a concomitant symptom in typhus, or other malignant
fevers; also in consumption of the bowels. The pain of
the abdomen consists of a soreness, aggravated by hard pressure, and after cold drinks and indigestible food; the tongue
is red, smooth, sometimes shining; loss of appetite; thirst
variable; constant dryness in the mouth and throat; nausea
and vomiting are more or less present, the more so, the
nearer the inflamed portions of the intestines are to the stomach. When the lower parts are more inflamed, which is indicated by the pain in that region, diarrhea of a slimy mucus,
often mixed with blood, is present as in dysentery. This is
particularly the case in the beginning. Consumption of the




INFLAMMATION OF THE LIVER.


291


bowels, such as nursing females are sometimes subject to, see
"Diseases of Females."
TREATMENT.-If this disease occurs in typhus or other malignant fevers, see their respective chapters. In the commencement of a typhus, if the pain in the abdomen is
excessive, give a few doses of Aconite, every two or three
hours one (four glob.); after which give Bryonia and Rhus
tox. (in a half a teacupful of water, twelve glob. dissolved),
every two hours, alternately, a teaspoonful. See " Typhus
Fever."
If it resembles a bloody dysentery, after the use of Aconile as above, give Belladonna and Mliercury in alternation
(dissolve of each twelve glob. in half a teacupful of water),
every hour a teaspoonful, until better; after which Nitic acid
generally suits, particularly if the patient has already taken
a good deal of calomel; or Colocynth, if bilious, green matter
is vomited or discharged by the dysenteric operation. For
the application of these medicines, and of Sulphur, which is
important in this disease, see"' Dysentery."
If worms are suspected to be the cause of the inflammation
of the bowels, or are complicated with it, see "Worms."
If the disease resembles or runs into consumption of
the bowels, see "1Diarrhea" and "1Diarrhea of lying-in
Women. "
The chronic form of this disease requires the same remedies, only administered not so often, because the symptoms
are less urgent.
In all severe cases of this kind, it would be indispensably
necessary to apply to a homceopathic physician, if one can
be had.
DIET, and REGIMEN, the same as in "Gastritis."
INFLAMMATION OF THE LIvER.    (Hepatitis.)
DIAGNosIs.-This inflammation differs according to its place
in the liver.




292      AFFECTIONS OF THE STOMACH AND BOWELS.
a. When the surface and the convex, or upper part of the
liver is inflamed, there are in the right hypochondrium sometimes stitches, at other times burning pains, often as violent
as in pleurisy, shooting to the breast-bone, the right shoulderblade, increased by deep respiration, frequently accompanied
with cough and vomiting; in this form the patient cannot lie
on the rigId side.
6. When the concave, or lower part, and the substance of
the liver is inflamed, there is not so much pain, but more a
feeling of pressing, heaviness, as of a bag lying in that region;
the color of the eyes and face becomes yellowish, as if jaundice were present; bitter taste, and vomiting; in this form
the patient cannot lie on the left side.
In both forms general inflammatory fever is present more
or less, and the region of the liver sensitive to pressure, and
apparently bloated and hot. The first form may be mistaken
for pleurisy, as the symptoms are very similar; but, as in
such a case the treatment would be the same, no danger can
result from such a mistake.
If hepatitis is not well treated, it has the tendency to pass
into the chronic state, forming ulcerations, which either appear externally or communicate internally with the intestines or the lungs, causing inflammation of these organs; indurations, adhesion, gangrene, are also issues of neglected
hepatitis.
CAUSES.-Summer heat and hot climate predispose to this
disease; also, the abuse of ardent spirits; beside, it is excited
by external lesions, concussion of the brain, suddenly suppressed diarrhea or dysentery, hemorrhoidal congestion, or
strong emetics or purgatives, the abuse of mercury, the
presence of stones in the gall-bladder, indigestion, violent
passion or anger, particularly when immediately followed by
drinking ardent spirits.
TREATMENT.-The following are the principal remedies necessary for the acute form of this disease: Aconite, Cham



INFLAMMATION OF THE LIVER.


293


omile, Bryon., China, Bellad., Mercury, Nux vom., Pulsat.,
Sulph., Lachesis.
For the species a. are more suitable: Aconite, Bellad.,
Bryon., ifercury, Lachesis, Sulph.
For the species b: Aconite, Chamomile, Mercury, Pulsat.,
China, iNux vom., Sulph.
For chronic affections, such as enlargement and induration
of the liver (liver complaint): Nux vom., Sulph.
( Other serious chronic diseases must be treated by a homceopathic physician.)
SYMPTOMATIC DETAIL.- Aconite.     At the commencement
of the treatment, when there are violent inflammatory fever,
shooting pain in the region of the liver, tossing about, fear of
death, and anguish; pain seems to be insupportable.
Belladonna.  Pressing pains extending to the chest and
shoulders; fullness in the pit of the stomach and around the
short ribs; difficult and anxious respiration; anxious tossing
and sleeplessness; thirst, dryness of the mouth and throat;
headache, with clouded sight, and vertigo, with fainting.
Suitable after Aconite, and alternately with Lachesis or Mercury.
Bryonia. Pressing pains, with fullness in the hypochondria; violent oppression of the chest; rapid and anxious breathing; tongue yellowish and thickly coated, followed by fever
and thirst; pains worse by movement; constipation. Suitable after Aconite or alternately with Mercury.
Mercury. Patient cannot lie long on the right side; pains
are pressing and shooting; bitter taste in the mouth; thirst
and shivering; skin and eyes yellowish. After it Lachesis
and Sulphur are suitable.
Lachesis.  If Belladonna or Mercury is insufficient, or when
the patient is in the habit of drinking ardent spirits.
Sulphur. In every case of hepatitis, either at the end of
the cure, or when the preceding remedies have produced no
perceptible amelioration within a few days.




294      AFFECTIONS OF THE STOMACH AND BOWELS.
Chamomile. In hepatitis after taking cold; when caused
by violent anger, or when there are dull pressing pains, not
aggravated by movement, respiration, or external pressure; yellow color of the skin; pressure in the stomach; gastric bilious
state of the stomach; tongue coated; bitter taste in the mouth;
fits of anguish,
Pulsatilla. In hepatitis, from indigestion, alternately with
China; nausea, bitter taste in the mouth, tongue coated; oppression of the chest; tension around the short ribs; fits of
anguish in the night, with loose, greenish, and slimy evacuations.
China. After indigestion, or when there is shooting and
pressing, swelling and hardness of the hepatic region; pressing headache; bitter taste in the mouth and yellowish coat
on the tongue.
Vux vomica. After a fit of passion, or when there is shooting and beating under the short-ribs of the right side, excessively tender when touched; nausea, with sour and bitter
taste; fits of anguish; shortness of breath, thirst, vertigo, and
headache; suitable for drunkards, and in chronic liver affections, previous to Sulphur.
ADMINISTRATION.-Dissolve of the remedy selected, twelve
globules in half a teacupful of water, and give every two
hours a teaspoonful, until three or four spoonfuls are taken,
or until another remedy is indicated by the change of symptoms; as the patient gets better, lengthen the intervals; as
soon as greatly relieved, discontinue all medicine for fortyeight hours, when one dose ( four glob.) of Sulphur may be
administered to complete the cure.
In chronic hepatitis, give of the necessary remedy only once
in twenty-four hours a dose (four glob.), for two or three
days; then discontinue six or eight days before the next remedy is given.
DIET AND REGIMEN.--VO meal or meat soups of any kind,
but farinaceous substances; rice and oatmeal gruel, sweet



JAUNDICE.


295


ened and made palatable by lemon-juice, lemonade, cold or
warm, prunes sweetened or boiled in gruels, baked apples,
toasted bread, toast-water, cold water alone. Keep the patient quiet and comfortable as regards temperature.
JAUNDICE.   (Icterus.)
DIAGNosIS.-This disease, well known by the yellow color
it imparts to all the white parts of the body, is not to be considered dangerous of itself, but becomes only so by neglect,
when other serious disorders, hectic fever, dropsy, etc., may
follow. In most cases it is the result of neglected liver diseases, or is caused. by taking cold which affected the liver;
also, by worms or gall-stones, obstructing the gall-duct, or is
induced by excessive mental emotions. In jaundice the bowels become constipated, and if faeces pass, they are hard and
whitish; the urine is orange-colored, and the skin dry, or, if
moist, it is from weakness, and the perspiration imparts a yellow color to the patient's linen. Sometimes a slight fever accompanies these symptoms, which increases toward night,
remitting or even intermitting in the morning; this is the case
in the milder form. In the severer forms of this disease, accompanied with high fever, the brain becomes affected, which,
if not relieved soon, may cause the death of the patient (see
for the treatment of such a state, "Inflammation of the
Brain").
TREATMENT-.The principal object must be to increase, by
degrees, the healthy action of the skin; the patient, therefore,
ought to keep warmly covered in bed in a warm room, and
take, for the first three or four days, Mercury, morning, noon,
and night a dose ( four glob.); if not better at the expiration
of four days, give Ifpar, in the same manner; but if signs
of amelioration appear, give it at longer intervals; this course
generally removes the disease in eight or ten days, during
which time the patient must keep in an equal, warm temperature and perspiration. In very obstinate cases, Lachesis,




296     AFFECTIONS OF THE STOMACH AND BOWELS.
Nitric acid, Sulphur, may be given afterward in the same
manner.
Jaundice, caused by a fit of passion, requires Chamomile,
followed by NVux vom.
If it is caused by the abuse of Mercury or Calomel, give
China, Hepar sul2ph., Lachesis or Sulphur.
If a child becomes yellow from having taken rhubarb too
often or too much, give Chamomile or lMercury.
If persons are liable to jaundice upon every trifling occasion, give Lachesis and Sulphur, every week one dose (four
glob.), alternately, to eradicate the disposition.
If jaundice is complicated with fever, see "Inflammation
of the Liver."
DIET AND REGIMEN, as in "Hepatitis."
INFLAMMATION OF THE SPLEEN.   (Splenitis.)
DIAGNOSIS. - Sharp, pressing, or shooting pains in the
left side, below the short-ribs; the spleen on pressure is painful, and when pressed upward excites cough and nausea in
the stomach, sometimes vomiting of blood; if fever is present,
it is very high, with all the concomitant symptoms of inflammation of internal organs. The region of the spleen is enlarged and congested.
CAUSES.--Similar to those of inflammation of the liver,
beside the abuse of quinine or Peruvian bark; also, living in
a marshy region causes congestion of the spleen, and consequently inflammation, under otherwise trifling circumstances.
TREATMENT.--We have an acute and chronic form. For
the acute, Aconite, Bryonia, and China are the principal remedies, to be administered as directed in hepatitis.
If vomiting of blood is present, or sometimes even the
blood is discharged by the stools, Arnica, Rhus tox., and
Arsenic, followed by China, are necessary, one remedy after
the other, in the same manner as above.
For the chronic form, enlargement, induration of the spleen




WORMS.


297


(fever cake), Sulphur, Calcarea carb., Ferrum, Lycopodium,
Carbo veg. are the principal remedies; administration as
directed in the chronic form of hepatitis; but it is strongly
recommended to procure the aid of a skillful homoeopathic
physician for its treatment.
DIET AND REGIMEN, as in "Hepatitis."
WORMS.
Every part of the system   can, under favorable circumstances, create and sustain worms, or other imperfectly organized animals; thus, the skin, liver, lungs, kidneys, even the
brain and eyes, in some animals, are favorable places for
their generation, the species of animals varying according to
the organ attacked.  Worms are most frequently found in
the intestinal canal; there are three kinds of worms met
with, the Ascaris, or pinworms (ascaris vermicularis), Mawworms (ascaris lumbricoides), and the Tapeworm (taenia), of
which latter there are two varieties:
a. The broad one (tenia lata), varying from three to twelve
feet in length, seldom comes away entire, but in joints; and
b. The solitary tapeworm (toenia solium), with long and
slender joints, sometimes reaching the length of thirty feet.
DIAGNOSIS.--It is frequently not an easy matter to decide
positively on the presence of worms in the system, as most
all those symptoms which could lead to such a conclusion are
also met with in other diseases, save the one symptom, surest
of all, that is, the passage of some worms, or undoubted
pieces of them. This uncertainty in the diagnosis of the
worm disease is no less annoying and embarrassing for an
allopathic practitioner; as his prescriptions are dangerous, and,
in most cases, without good or decided result for the little
patient, as with the worms their cause is not always expelled.
Homceopathy, on account of its guiding principle, avoids
either of the two dangerous issues, and, prescribing for the
ostensible symptoms as they reflect the inward disease, cures




298      AFFECTIONS OF THE STOMACH AND BOWELS.
and eradicates this surely, safely, and mildly.' Merely expelling the worms, by remedies which have no speciflic bearing upon thc worm disease, is of no essential use, and requires
often enormous quantities of poisonous and dangerous stuff
before one of the worms is sickened, killed, or expelled. Yes,
I have seen the foundation of painful chronic diseases laid
by the over-medication in the presumed or real presence of
worms; there are even cases where children have died under
the operation of those drugs, which allopathists consider
necessary to apply in such dangerous doses. The most irrational, na~y, a real lottery business, is the use of those manifold
nostrums, in the shape of lozenges, sirups, etc., 'which generally contain one or more specific anti-worm remedies; for
instance, worm-seed, or pink-root, which given in small and;.aot
offensive doses would produce salutary effects, but in the
combination of dangerous purgatives expose the little patients to death or misery; at least, the smallest number
escape unhurt, most of them recciving injuries of the abdomen, the bad consequences of -which impede not a little the
future development of the child.
Worms, as such, are not dangerous. They have no teeth,
and consequently cannot eat children up alive. It is true,
they can and will disturb the quiet and rest of a child, and
make it pick at the nose, or cough, or cry out suddenly, or
even have fits, etc.; yet all this is only produced by the
worms having been made restless, by the presence of sickness
in the System, which causes them to touch the walls of the intestines, usually avoided by them-living in and of the mass of
mucus and other nutritive substances, with which the system
had been indiscriminately, and in too large quantities burdened. As soon ns the system recovers from its own disease,
either from cold or irregularity of diet, the worms return to
their usual, unobtrusive quiet again, giving no signs of their
existence, nor causing alarm. Every person, more or less,
has worrrc. without the least injury to the system. Neither




WORMS.


299


is it absolutely the quantity of them which is the most dangerous quality of this disease; a fewv worms can cause as
many fits, or other spasmodic symptoms, as whole clusters of
them. It depends altogether on the accompanying disease;
and this it is which we will have to treat, before we can expect the worms to leave the system (which I have seen
frequently, after a dose of homceopathic preparation of Sulphur), or to be absorbed (digested and reduced to mucus,
from which they originated). This latter is the most common result of homceopathic medicines in this disease. In
such cases, the children show signs of improvement, as soon
as their abdomen becomes reduced in size and hardness;
their complexion improves, they become more agile, grow
better in height, and sleep quiet.
And this result is always attained by the judicious use of
homoeopathic medicines in this disease, in whatever form it
may appear; for instance, as fits, diarrhea, scrofula, etc.
Fits, occasioned by worms, are not in the least dangerous,
and only become so by unwisely dealing with them.
The principal symptoms, by which the presence of worms
in the system is indicated, are the following: the complexion of the patient is pale and changeable; livid circles around
the eyes; accumulation of saliva in the mouth in the morning, and when not having taken nourishment for some time;
irregular appetite; nausea; fetid breath; great hunger; picking and boring at the nose, with sneezing; abdomen enlarged,
but not hard; frequent distressing pain in the stomach, in the
region of the navel, which forces the patient to draw up the
limbs against the abdomen, or lie on the stomach when going
to sleep; pupils of the eye dilated; bleeding at the nose; starting, as if from fright, during sleep, also grinding of the teeth;
disposition to spasms, and unusual emaciation. The surest
sign, however, is the discharge of worms, or parts of worms.
Signs of tapeworm, in particular, are: a sensation, as of
something suddenly rising from the left side into the throat




300      AFFECTIONS OF THE STOMACH AND BOWELS.
and falling back, or as if a lump in one or the other side was
making an undulatory motion; dizziness, particularly in the
morning, before eating.
Signs of ascarides, or pin-worms, especially, are: itching
in the anus, more in the evening or at night; difficulty of
making urine; tenesmus; apparent hemorrhoidal complaints;
discharge of mucus from the rectum, bladder, or vagina
(fluor albus).
Signs of maw-worm, or lumbricus, particularly, are: all the
above general symptoms of worms, but frequently stomachache, which is relieved after drinking sweet, cold milk..Diseases Caused by the Presence of Worms.
Infancy is the age, when, on account of the general predominancy of nutrition, laxity and weakness by accumulation
of mucus in the intestines preponderate; and consequently,
those remote causes for the generation of worms, which may
be favored even by circumstantial ones, such as flabby constitution of the child, damp habitation, and other epidemical
and endemical influences.
This variety of the remote causes of worms gives rise to an
equal variety of diseases, flowing from the same source (the
worms), yet different, according to their exciting causes.
Thus these diseases vary, from the most trifling illness, to the
most severe colics, and dangerous fevers. The worms create,
operating on the nervous system by sympathy, convulsions,
all kinds of spasms, epilepsy, St. Vitus' dance (chorea), somnambulism, periodical paralysis, insanity, fury.
On the vascular or blood system: fevers, congestions to
bowels, hemorrhages, eruptions on the skin, appearing in irregular blotches of a scarlet color.
On the reproductive system (the intestines themselves): pains,
spasms, increased secretion and accumulation of mucus, diarrhea, dysentery, worm colic.
TREATMENT.-The principal remedies for the diseases pro



DISEASES CAUSED BY WORMS.             301
duced by worms on the nervous system, as above stated, are:
Ignatia, Cina'c, Nux vomica, Hyoscyamus, Belladonna, Spigelia,
Sulphur.
On the vascular or blood system: Aconite, Belladonna, Hyoscyamus, Cina, Ferrum, Mercury, Sulphur, Silicea.
On the reproductive system, or the intestines: Aconite, Belladonna, Cina and Cina cc, Mfercury, Sulphur, Spigelia. (For
the detail of these medicines, see below.)
Especially against tape-worms, the most suitable remedies
are: Mercury, and Sulphur, to be given every four or six
days, alternately, a dose (six glob.), after which Calcarea carb.,
Graphites, Stannum, may be given in the same way, if necessary. If not then relieved, apply to a homoeopathic physician.
Against ascarides (pin-worms): Aconite and Ignatia, or
China and Mercury, or Calcarea carb., and Ferrum, or Cina
and Sulphur, alternately, every second or third evening a
dose, until better. An injection every evening of an ounce of
pure sweet oil (Olive oil), without any other admixture, is an
excellent adjunct against these troublesome worms. The
ascarides lodge never higher up in the abdomen than the rectum; therefore, can be expelled easily, or killed.
Against maw-worms, or worms in the intestinal canal, are
generally  appropriate: Aconite, Belladonna, Hyoscyamus,
Mercury, Cina, and Cina cc., Sulphur, Silicea, Spigelia, Ferrum, Ignatia, Nux vom.; but in particular diseases caused by
maw-worms, as follows:
a. For colic, with fever: Cina cC., Aconite, Belladonna, Hyoscyamus, Mercury.
b. For colic with convulsions: Cina c, Belladonna, Hyoscyamus.
c. For colic with diarrhea and voracious appetite: Spigelia,
Num moschata.
d. For fever: Aconite, Spigelia, Silicea.
For diarrhea, frequent but small stools, mostly at night,
pale face, and listlessness, require: Nuv moschata,




302      AFFECTIONS OF THE STOMACH AND BOWELS.
For slow fever, in scrofulous children: Silicea.
SYMPTOMATIC DETAIL.-Aconite. In the commencement of
all cases, where considerable fever exists; restlessness at
night; irritability of temper; also, in cases without fever,
when there is, from the presence of ascarides, continual itching and burning at the anus;;and then alternately with
Ignatia.
ADMINISTRATION.-In fever, every two or three hours a
dose (infant children above one year of age three glob.),
repeated two or three times, until the fever abates, when
another remedy will be necessary. In cases of ascarides,
alternately with Ignatia, every evening a dose (two or three
glob. ).
Ignatia. In pin-worms, or ascarides (see Aconite). In
maw-worms, when there are spasmodic twitchings in the muscles of the arms, as if the St. Vitus' dance was commencing.
In this latter case, alternately with Sulphur, every evening a
dose (two or three glob.).
Sulphur. At the end of every case of worm affection,
after other remedies have either subdued the fever, or mitigated the nervous symptoms. Give every evening one dose
(two or three glob.), for three evenings, and then wait from
six to eight days, before another remedy is applied, or the
same repeated, if necessary.
Cina. This is one of the most important remedies, particularly when there is boring at the nose, fever (after the
application of Aconite); irritability; restlessness at night;
desire for things which are rejected when offered; pale, bloated face, with livid circles around the eyes; craving for food,
even after a meal; the child wants bread, potatoes, and other
gross victuals; cholic; griping; distension and hardness of
the abdomen; discharge of pin and large worms; diarrhea;
weakness of the limbs; the child cannot stand any more on
its feet; spasmodic movements in the limbs.
Administration, see Aconite.




DISEASES CAUSED BY WORMS.


303


Cina0o. When the children are very nervous, cry out in
their sleep, or have severe colic pains, give every one or two
hours a dose (two or three glob.), until better, or another
remedy is necessary. Where children cry out in the night,
groan, and are restless, give every evening only one dose
(two or three glob.), until better.
Spigelia. In severe cases of worm colic, fever, and diarrhea, with craving appetite and chilliness, or where the symptoms appear regularly at the same time of the day.
Administration in acute cases, the same as Aconite in
fever. In chronic cases, every evening a dose (two or three
glob.).
Hyoscyamus. In worm fevers, when the patients are very
nervous, restless, cry out, -want to run off, and stool or urine
passes off involuntarily.
Administration as in Aconite.
Belladonna. Worm colic after the administration of Aconite, when great pains remain in the stomach, which are relieved by lying on the bowels, starting in the sleep, sensibility
to light, headache; on awaking, the child does not know
where it is, etc. Particularly useful in scrofulous children,
with distended abdomen and red cheeks, or where red
blotches, like erysipelas, appear on different parts of the body.
In such cases, in alternation with, Silicea.
Administration in acute and chronic cases, the same as
Aconite.
Mercury. In worm diarrhea, swelling and hardness of the
abdomen, and when there is unusual flow of saliva from the
mouth.
Administration as in Spigelia, after which it is suitable.
Niux vomica. Worm symptoms with constipation (the child
has frequent, but insufficient calls to stool), and irritability.
Administration as in Mercury.
China. In worm diarrhea, when it has already lasted
some time; distension of the abdomen; debility; great
28




304      AFFECTIONS OF THE STOMACH AND BOWELS.
appetite; pains in the stomach after every meal. Suits well
in alternation with Veratrum, particularly when the stools
are light colored.
Administration as in Mercury.
Ferrum. When there is vomiting and accumulation of
watery fluid in the mouth.
Silicea. If a worm fever assumes the slow, chronic form,
with or without diarrhea, particularly in scrofulous children.
Administration as in Sulphur.
DIET AND REGIMEN.-In worm fever, adhere to the diet
recommended for common fever. In severe worm colic, give
as a palliative, cold, sweet milk, from time to time. In diarrhea, avoid acids, fruits, and all indigestible articles; give,
rather, soups of mutton or lamb, with rice. Avoid, in chronic
worm diseases, heavy, gross nourishment, such as too much
bread and butter, potatoes, heavy puddings, pies, raw or
boiled vegetables; but meat-soups of any kind, meat, roasted
or broiled, plenty of cold water and milk, are good. Beside,
bathing in cold water, and exercise in the open air. (See
"Hydropathy.")
CONSTIPATION. COSTIVENESS.
This term must not always be taken in the absolute sense
as a diseased state of the bowels; as -there are persons who
naturally have only every two or three days an evacuationa habit which frequently promotes rather than disturbs general health, if the latter is not interfered with by an unwise
use of medicines, such as taking pills or aperients of a drastic or saline nature. As a general rule, we can consider it
the normal state of the bowels, to have one evacuation every
day. This ought to become a fixed rule and habit, as it frequently corrects costiveness of the bowels, without the use
of any medicine.
Some occupations of life predispose to costiveness, particularly those which allow but little. exercise. Persons, under




CONSTIPATION - COSTIVENESS.


305


such circumstances, must abandon these occupations, if possible, for a length of time, take a great deal of exercise in the
open air, change the diet (see below), and make use of cold
water, externally and internally, in large quantities (see
"Hydropathy").     Nothing is more injurious than the continued use of medicinal aperients. They render the bowels,
in time, more costive and torpid. The best expedient for
facilitating an immediate action on the bowels, if wanted, is
an injection, either of cold water, if the person otherwise is in
health or the patient prefers it, or lukewarm water, sweet oil,
or lard, and a small piece of castile-soap dissolved in it, if the
constipation has been very obstinate, or a quick evacuation is
wanted, as in children, when they have fits, etc.
In most cases of acute diseases, constipation is only one of
the many symptoms constituting the disease-not the disease
itself; because it disappears as soon as the whole complex of
symptoms has been taken away.*
If, however, constipation is the only or principal symptom
in a disease, as in miserere, lead colic, etc., we have remedies
* One of the most striking cases of this kind, showing in a high degree the truth of the above statement, presented itself to me a few years
ago, in a lady who had been persuaded to take castor oil, three days
after her confinement, although in former cases of this kind she always
had suffered very much after its use, from irritation of the intestines.
After the administration of the castor oil, a violent and painful diarrhea
appeared, threatening fearful consequences for the life of the patient.
This was, however, soon removed, by the exhibition of China, Mercury,
and Pulsatilla, and her health decidedly improved, from day to day,
her appetite and strength returned, and she moved about as if she was
well; yet there was no disposition for evacuating, until on the twentysecond day after the last evacuation, when it appeared, without any artificial means, in a perfectly healthy condition. During the eight days
previous to it, the patient had been allowed a good nourishing diet,
and enough of it, too.
I have frequently had cases where patients had no evacuations for
eight, ten, or twelve days; but I never have experienced their suspension for twenty-two days, except in the above case.




306      AFFECTIONS OF THE STOMACH AND BOWELS.
which combat it more safely and successfully than all the
aperients commonly used. Cases of this kind, however, must
be treated by experienced homoeopathic physicians.
TREATMENT.-We will now give first a tabular view of the
causes and complications of constipations, with their principal
remedies, the detailed symptoms of which follow below.These must be consulted before a selection is made.
Constipation in general, or a disposition for it: Bryonia, Nux
vom., Lachesis, Lycopodium, Sulphur, Sepia.
In persons who lead a sedentary life: Bryonia, Nux vomica,
Sulphur, Opium, Platina, Lycopodium.
In drunkards: Lachesis, Nux vom., Opium, Sulphur.
In old persons, or those of weakly constitutions, where
constipation often alternates with diarrhea: Antimon. crud.,
Conium, Opium, Phosphorus.
In pregnant women: Nux vom., Opium, Sepia.
In nursing infants: Bryonia, Nux vom., Opium, Sulphur.
In lying-in women: Bryonia, Nux vom.
In consumptives: Stannum, Silicea, Sulphur.
By traveling in a carriage: Platina, Opium.
During sea-voyages: Cocculus, Nux vom., Silicea.
From poisoning by lead: See "Painter's Colic."
From   abuse of purging medicines; Opium, Nux vomica,
Lachesis.
From abuse of quinine: Pulsatilla, Carbo veg., Veratrum.
SYMPTOMATIC DETAIL.--Bryonia. In all recent cases of
constipation during fevers or bilious attacks, where headache,
chilliness and rheumatic pains predominate; particularly,
also, in warm weather; the patient is of a nervous, irritable
temperament. After it, or in alternation with it, Nux vomica.
Nux vomica. Is of the most frequent application in hypochondriacal persons, or those suffering from piles; also, after
derangement of the stomach, when there is frequent but ineffectual efort to evacuate, or a feeling as if the anus were
closed or contracted; ill humor, fullness of the head, cannot




CONSTIPATION-- COSTIVENESS.


307


bear the clothes tight around the waist. After it, or in alternation with it, Sulphur.
Sulphur. In all cases of habitual costiveness, or where Nux
vomica was insufficient.
Opium. In all cases where there is great torpidity of the
bowels, and a feeling as if the anus were closed, but without
the frequent and ineffectual efforts to evacuate, as is the case
in Nux vomica; the patient only feels full in his bowels, has
congestion to the head, with dark redness of the face, slow
and full pulse; this remedy is of frequent application in children, old persons, pregnant women, drunkards, and hypochondriacal persons.
Sepia. In cases where there are, beside constipation,
flashes of heat, sick-headache, a pressing down, particularly in
pregnant women, or where Nux vomica, Opium, and Sulphur
have been insufficient.
Platina. In nervous females, and weakly hypochondriacal
persons, where the stool only appears in small pieces, followed by tenesmus and tingling in the anus; shuddering, and
a sensation of weakness in the abdomen; sometimes, also, a
constrictive pain in the abdomen, and ineffectual desire to
evacuate.  Compare NVux vomica.
Lachesis. A very useful remedy in obstinate constipations
during fevers, particularly where abscesses of internal organs
are existing or presumed to exist, as in the liver, mesenteric
glands, etc., or in alternation with
Lycopodium. Where an obstinate disposition to constipation is present, from constitutional causes, such as scrofula,
which had fallen on the bowels after it disappeared from the
skin, etc.; if, in such cases, these two remedies remove the
costiveness, but the disease attacks the lungs and produces
cough, which is worse when a part of the body gets cool by
exposure, give Hepar sulph. See "Dyspepsia."
Antimon. crud. In cases where constipation and diarrhea




308      AFFECTIONS OF THE STOMACH AND BOWELS.
alternate, if one ceases the other sets in; the stools are never
regular.
Phosphorus. If Antimon. is insufficient, or when the patient is of a consumptive habit, or has the consumption.
Stannum. If Phosphorus does not suffice, or when there
is frequent but ineffectual desire to evacuate, particularly in
consumptives.
Silicea. Same as Stannum, when this is insufficient, or in
children whose stomachs are distended and hard, indicating
worms or swollen glands; also, in dyspeptic persons, with
heart-burn, sour taste in the mouth, etc.
Cocculus. See "Sea-sickness" and " Colic."
Conium. For old and weakly persons, who are troubled
with frequent but ineffectual efforts to evacuate (after Nux
vomica); also, in scrofulous children, where the mesenteric
glands are swollen (after Silicea), particularly accompanied
with soreness of the abdomen.
Pulsatilla. In similar cases, where Nux vomica would suit,
but the temperament is mild and phlegmatic; or after derangement of the stomach by fat food, the patient appearing
morose and silent; also, after abuse of quinine, either with
or without the return of the fever and ague, and then in alternation with
Carbo veg. This remedy, particularly, when persons have
become very much debilitated, complain of rheumatism, piles,
or have the consumption.
Veratrum. After Opium, when there is great torpor in the
bowels, deficiency of expulsive power; or where the abdomen becomes very tender to the touch (and then in alternation
with Arsenic); see "Bilious gastric Fevers;" also, after
abuse of quinine, when there is great congestion to the head
and hypochondriacal feeling.
ADMINISTRATION.-In cases where constipation exists as the
only troublesome symptom, give the medicine selected in




DIARRHEA-LOOSENESS OF THE BOWELS.


309


quick succession and large doses; for instance, Nux vomica,
every three or four hours a dose (six to eight glob.) for one
or two days, until relief is obtained, or another remedy is
chosen; or Lachesis and Lycopodium, in alternation, three
times a day a dose (six glob.); but where constipation is
habitual or constitutional, the remedies must be administered
at longer intervals; for instance, Nux vomica, every evening a
dose (four glob.), for three or four days; then discontinue an
equal length of time without taking medicine, after which
either repeat it or select another remedy, if necessary, which
in most cases will be Sulphur.
DIET AND REGIMEN.-These are important agents in the
cure of constipation; first of all is the habit of attending to
the calls of nature carefully and regularly, at a certain time,
say after breakfast, though there should be no actual result
from it; secondly, the careful avoidance of all nourishment
which is confining in its character, such as salted meats, cheese,
rice, wheaten flour, except these things are mixed in a sufficient quantity with their opposites, such as have a loosening
quality, fresh meat, and soups made of it, green vegetables,
and fruits, except almonds or nuts. But the chief promoter
of a healthy action on the bowels is the frequent and liberal
use of cold water, internally and externally, with bodily exercise in the open air; see "Hydropathy."   The cold and
ice water can be drank freely during and after a meal, without
the least inconvenience, and ought to be preferred to the use
of wines, brandies, tea or coffee.
DIARRHEA. LOOSENESS OF THE BOWELS.
This complaint varies so much in regard to time of duration,
form, and cause, that we are obliged to give here a general
view of its varieties. It is either recent, lasting only for a few
hours or days, or is chronic, lasting for months or years. The
discharge itself may vary as regards consistency or character,
either watery, fluid, fecal, slimy, mattery, bilious, or bloody




310      AFFECTIONS OF THE STOMACH AND BOWELS.
(see "Dysentery"). Sometimes a diarrhea is dangerous; at
other times salutary, as in biliousness or after indigestion
(see'these articles). In general, however, the popular idea
of the harmless or beneficial nature of diarrheas, which the
common practice of the old school of medicine has freely
propagated, must be restricted, in so far as any diarrhea is
of itself an indication of a diseased state of the intestines, and
no disease ought to be created or wished for where we
can do without it. It has been, and is yet, to a great extent,
a common expression that a good cleansing of the bowels is
necessary, etc.; now, these ideas, when carried out in practice,
lead sometimes to awful consequences, while the good which
they may occasionally produce might have been obtained by
mild and rational means. See " Constipation" and "Biliousness." On the other hand, it is just as dangerous to stop a
diarrhea suddenly by violent means, such as brandy, paregoric,
or astringents generally, as thereby the disease is not cured,
but merely its natural outlet stopped; as if an ulcer could be
cured by covering it over to confine and hide the matter,
which it has to discharge. It is always fortunate if such a
diarrhea reappears.
TREATMENT.-We will now give first a general view of the
varieties of diarrhea, as regards causes, form, and appearances, with their principal remedies, whose detailed symptoms
may be found below, and must be consulted before a choice
is made.
Diarrhea without pain: China, Phosphoric acid, Ferrum,
Secale.
With griping or colic pain: Mercury, Colocynth, Chamomile,
Rheum, Pulsatilla, Bryonia, Rhus tox., Arsenic, Sulphur.
(See "Bilious colic.")
With tenesmus, during or after the discharge, in the anus:
Aloes, Ipecac., Mercury, Belladonna, NVux vomica, Sulphur. ( See "Dysentery.")




DIARRHEA - LOOSENESS OF THE BOWELS.


311


With vomiting: Ipecac., Veratrum, Arsenic, Rhus tox. ( See
"Cholera.")
With debility: China, Arsenic, Ipecac., Veratrum, Secale,
Phosphorus.   (See "Cholera Morbus" and "Asiatic
Cholera.")
Of mucus and blood: See "Dysentery."
Of bile: See "Bilious gastric Derangement;" beside, Aloes,
Bryonia, Rhus tox., Arsenic, Mercury, Pulsatilla.
Of watery (rice-water) liquid: see "Cholera Asiatica."
After eruptive fevers, such as small-pox, scarlet, measles,
etc.: Pulsatilla, China, Phosphoric acid, Arsenic, Sulphur.
After sudden mental emotions: after joy: Cofea, Aconite,
Pulsatilla; after fright: Chamomile, Veratrum; fear of
cholera, or other dangers: Chamomile; after grief:
Phosphoric acid, Ignatia; after anger: Colocynth, Chamomile, Nux vomica.  (See "Mental Diseases.")
After indigestion: from  partaking of milk: Bryonia, Sulphur; of acids or fruits: Lachesis, Pulsatilla, Arsenic;
of other indigestible substances, fat meats, etc., China,
Pulsatilla, coffee without milk.  (See "Indigestion.")
After the abuse of drugs: of Mercury or calomel: Hepar,
Pulsatilla, China, Carbo veg.,.Nitric acid; of magnesia:
Pulsatilla, Rheum; of rhubarb: Pulsatilla, Mercury,
Colocynth; of tobacco: Pulsatilla, Chamomile, Hepar, Veratrum; of quinine: Pulsatilla, Carbo veg.
After cold or iced drinks: Pulsatilla, Carbo veg., Arsenic.
After taking cold, cold on the bowels:.Dulcamara, Chamomile.
In summer: Bryonia, Mercury, Arsenic.
In autumn and spring, during the changeable weather:
Bryonia, Rhus tox., Dulcamara, Carbo veg.
In weak and exhausted persons: see "With Debility."
In consumptive persons: China, Phosphorus, Calcarea, Ferrum. (See "Consumption.")
29




312      AFFECTIONS OF THE STOMACH AND BOWELS.
In chronic diarrhea, of a scrofulous character: Iodine, Phosphorus.
In aged persons   Secale, Antimon. crud., Bryonia, Phosphorus.
In pregnant and lying-in females: Phosphorus, Antimon.
crud., Dulcamara, Pulsatilla, Sepia, Rheum.  ( See "Female Diseases.")
In children-by worms, teething, and scrofula: see these
articles.
SYMPTOMATIC DETAIL.-Antimon. crud. Watery diarrhea,
from disordered stomach, with foul tongue and nausea.
Aloes. Bilious papescent stools, the whole body becoming
hot during the evacuation, with a feeling of sickness in the
region of the liver; evacuations of fecal matter, bilious, not
watery, not very profuse, having a peculiar putrid smell.
Dulcamara.    In most all diarrheas from  taking cold, or
when there are greenish, or yellowish, slimy, or watery evacuations, particularly at night, with colic and griping pains in
the region of the navel; great thirst, nausea, debility, and
restlessness.
Colocynth. Bilious or watery diarrhea, with severe cramplike pains (see " Bilious Colic " and "Dysentery"); or after
Chamomile, when caused by anger or vexation.
Chamomile. Bilious, watery, or slimy diarrhea, of a green
(grass-green) or yellowish white, curdled appearance, like
scrambled eggs, with or without vomiting of bile (see "Biliousness"); griping, tearing colic; distension and hardness of
the abdomen; fullness in the pit of the stomach, and under
the short-ribs; bitter taste in the mouth; this medicine is particularly useful in diarrheas from cold, fear, anger, vexation,
and in those of infants (see "Diseases of Children"), when
they draw up the legs, cry, toss about, want to be carried, etc.
Rheum.    Sour smelling evacuations, with ineffectual effort
before and after, at the same time contractive colic in the abdomen, and shuddering when evacuating; gr-iyish brown




DIARRHEA - LOOSENESS OF THE BOWELS.          313
evacuations, mixed with mucus; very useful in diarrheas of
infants, particularly when they cry, toss about (see Chamomile), and in diarrheas of lying-in women.
Ipecac. Diarrhea of fomented evacuations, greenish, yellowish, putrid, bloody or slimy; dysenteric, when there are
discharges of white flakes, and great tenesmus (see this article), or diarrhea with vomiting (see " Cholera Infantum,"
"Cholera Morbus," and "Asiatic Cholera").
Veratrum. In all diarrheas resembling the different varieties of cholera (see these articles); or where there is great
debility or griping pains, as if knives were cutting the intestines,
which happens often in fevers.
Secale. In cholera, or when painless evacuations are attended by great weakness; in old people, particularlyfemales,
where drowsiness ensues, in alternation with Belladonna.
(See " Cholera Asiatica.")
Carbo veg. In cholera (see this article), or where there
are thin, light-colored evacuations, of a putrid or fetid smell,
particularly in children; or after taking cold in wet weather;
also, after abuse of quinine, in alternation with Pulsatilla.
Arsenic. Burning evacuations, with severe colic pains, alternately with Veratrum; or fetid, putrid, indigested diarrhea,
alternately with Carbo veg.; or watery, slimy, burning evacuations, principally after midnight, when Dulcamara or China
have afforded no relief; or in cholera (see this article).
Bryonia. Diarrhea from    the heat of summer (summer
complaint of children), or where bilious rheumatic (see this
article) symptoms accompany the bowel complaint, alternately with Rhus tox.
Rhus tox.   In cholera infantum (see this article); or in
bilious rheumatic disorders. See Bryonia.
Pulsatilla. In all diarrheas from indigestion or disordered
stomach, where, after some griping pain, watery, green, or
bilious slimy stools appear, particularly at night; sometimes
the color changes, frequently from yellow to white, or the




314      AFFECTIONS OF THE STOMACH AND BOWELS.
discharge is mixed with blood; bitter taste in the mouth, and
foul tongue; in diarrhea from abuse of quinine and calomel.
Mercury. In critical diarrhea after fevers or bilious states
of the stomach, when it threatens to become too debilitating
and irritating; this critical diarrhea generally commences
with griping pain and rumbling of the bowels, after which a
copious, bilious, slimy, and frothy evacuation of a very fetid
smell follows, with signal relief; yet this may recur in a short
time after, and finally, if not relieved by Mercury, run into a
dysentery. Mfercury suits for almost any diarrhea when accompanied with griping in the bowels before, and tenesmus
or burning in the anus after the discharge.
Nitric acid. Diarrhea after taking too much calomel or
mercury, particularly when the stools are bloody, with tenesmus at the anus, sometimes of a fetid smell.
Nux vomica.   Frequent but scanty evacuations of watery and
greenish, lightish substance, with colic and tenesmus, and
then in alternation with Mfercury.
Ignatia. Diarrhea of a bloody slime, with rumbling in
the bowels, or after continued grief.
Belladonna. Frequent, small evacuations of mucus, sometimes with fever heat in the head, pressing down (see "Dysentery"); or in those congestions to the head which follow
severe diarrheas, or accompany them in old persons, and
then in alternation with Secale. (See this remedy.)
Hepar sulph. In diarrheas of children, when they smell
sour, are lightish, greenish, yellowish, bloody, slimy, and like
dysentery; also, in those of nursing women. (See "Diseases
of Females.")
China. Diarrhea after eating (lienteria), or in the night;
also, when it is very debilitating, with rumbling in the abdomen. (See " Cholerina.")
Phosphoric acid. Diarrhea without pain. after grief and
distress of mind; or when it passes involuntarily. (See
"9 Cholerina.")




DYSENTERY- BLOODY FLUX.


315


Ferrum. Painless evacuations after eating and drinking,
or discharges in the night, with griping, flatulency, thirst,
pain in the stomach, back, and anus. (See "Ascarides.")
Hyoscyamus.   Watery diarrhea; involuntary discharges, particularly in the night.
Sulphur. In most cases where other remedies seem to
have failed, particularly when there are frequent stools at
night, with griping, of a slimy, watery, frothy substance, and
of a sour and fetid smell, or bloody; also, if a diarrhea returns easily on taking the least cold.
Phosphorus. In chronic diarrhea without pain, particularly in the diarrhea of consumptives.
Iodine. In chronic diarrhea of a whitish color, in scrofulous persons, and which will not yield to any other remedy.
ADMINISTRATION.- In recent cases dissolve twelve glob. of
the selected medicine in half a teacupful of water and take
after every evacuation a teaspoonful until better, or another
remedy is necessary; children half the quantity. In chronic
cases take every evening and morning a teaspoonful of such
a mixture, or if taken in the dry state three or four glob. at
a dose.
DIET AND REGIMEN.- Acids or acidulated drinks, fresh
vegetables, and fresh meat and meat soups are forbidden;
allowed are, rice, toasted bread, boiled milk, and gruels; no
coffee and spiritous liquors. Cold water can be drank, if it
is otherwise not injurious. Keep quiet as much as possible,
even to lying down.
DYSENTERY. BLOODY FLUX.
DIAGNOSIS.-This complaint is, properly speaking, not a
diarrhea; as no feeces are discharged, but only mucus and
blood, accompanied by constant urging to go to stool, violent
tenesmus in the anus and rectum, or severe pains in the abdomen, if the disease is located higher up in the intestines.
As lone' as this irritation or intlammation of the mucous




316      AFFECTIONS OF1 THE STOMACH AND BOWELS.
membrane of the intestines lasts, no fseces are discharged;
but when these make their appearance, even mixed with
bloody mucus, the dysentery may be said to be at an end, or
at least ameliorated.
Its causes and course vary; sometimes it appears suddenly, sometimes is preceded by diarrhea and other gastric rheumatic symptoms.
We distinguish a white dysentery, where only light-colored
mucus (scrapings of the intestines) are discharged; this is
soon followed by the bloody dysentery, when the blood comes
from the highly-inflamed mucous membrane. In such cases
more or less fever is always present. If the patient is relieved, the fever subsides, and gradually with it the pains, and
frequent urgency of the calls, the skin becomes moist, and
sleep and rest ensue. Death may come from gangrene and
exhaustion, but happens very seldom, under a judicious
homoeopathic treatment. Very severe cases of dysentery
ought to be treated by a skillful homoeopathic physician.
The causes of this disease may be local, by irritating the
intestines directly in eating and drinking, or general, by suppression of perspiration (hot days and cool nights promote
this cause), or by an epidemic influence, which affects in a similar manner the mucous membrane of the intestines, as the influenza-miasm attacks the nose and bronchia; also, low, marshy
regions, where intermittents prevail, incline to the propagation
of dysentery, which is sometimes very fatal at such places.
TREATMENT.-Principal remedies are: Aconite, Aloes, Belladonna, Mercury, Colocynth, Ipecac., Zvux vom., Bryonia, Rhus,
Sulphur, Nitric acid, Carbo veg., Arsenic.
Aconite. In all cases at the commencement, when there is
fever, pain in the head, neck and shoulders, heat and thirst
alternate with shivering. This is particularly the case when
we have cold nights and hot days.
Aloes. Discharge of mucus by the rectum, looking like
membranes; bloody stool, with violent colic; diarrhea, with




DYSENTERY-- BLOODY FLUX.


317


tenesmus; violent burning in the rectum; congestion of blood
to the abdomen.
Belladonna. After Aconite, or in the beginning, when there
is dryness in the mouth and throat, tenderness of the abdomen, and blood passing with the mucus; constant feeling of
bearing down.
Mercury. This is by far the most important medicine in
this disease, and beneficial in all stages, but particularly when
there is violent tenesmus before and after the evacuations, as
if the intestines would force themselves out, and yet nothing
but pure blood, sometimes streaked with white mucus or greenish matter appears; at other times the evacuation resembles
scrambled eggs. Concomitant symptoms are: violent colic,
nausea, shivering and shuddering, cold perspiration on the
face, great exhaustion and trembling of the limbs.  (It alternates well with Aconite or Belladonna, if there is fever, and
with Colocynth, if the discharges are mixed with green,
bilious matter.)
Colocynth. After Mercury, the principal medicine, when
the colic pain appears periodically, and is excessive; the discharges are mixed with green matter or lumps. In such
cases, alternate with Mercury, if this remedy had not been
given already.
Ipecac. Is also of great benefit in this disease, when it
occurs in the fall, or when the mucus or slime appears first,
afterward only mixed with blood. After, or in alternation
with it, give Colocynth, if necessary..ux vomica. Small, frequent evacuations of bloody slime,
with heat and thirst, mostly in summer; alternately with
Mercury, when there is great downward forcing.
Bryonia and Rhus. In alternation, under the same conditions as stated in the article on " Diarrhea."
Sulphur. In the most critical cases, where no other remedy seems to afford relief; after Mercury. It must be allowed




318      AFFECTIONS OF THE STOMACH AND BOWELS.
to have its effect at least thirty-six hours, before another
remedy is given.
Ckina. Dysentery in marshy countries, or when the discharges are very ofensive.
Nitric acid. One of the best remedies, after Belladonna
and Mercury have been given without effect, particularly when
the discharge is either mucus without blood or blood without
mucus; in either case, however, the tenesmus which follows,
is violent.
Carbo veg. and Arsenic. In alternation, if the discharges
become putrid in smell and involuntary; stupor ensues; red
or bluish spots appear on the skin; the patient is very weak,
and his breath begins to be cold; the pains in the bowels are
burning.  China may follow these two remedies, if the putrid
smell of the discharges will not change.
ADMINISTRATION. - Dissolve twelve glob. of the selected
medicine in half a teacupful of water, and give every hour or
half hour a teaspoonful, or, if the discharges are not so frequent, after every discharge a teaspoonful, until six, eight,
or ten teaspoonfuls are given, when the medicine must be
omitted for a couple of hours, to await its effect. If then
necessary, either repeat the same or select another remedy,
if the symptoms have increased. But as soon as an amelioration takes place, discontinue all medicine, even if there is
yet frequency of stool and violent pain at times. If very
restless at night, give Belladonna cC and Coffea c", every hour
a dose (four glob.), for four hours.
If the disease becomes more chronic, give the medicine at
longer intervals, say three times a day, finally only once a
day. Cold water injections are of the greatest benefit, if the
patient can bear them, and the dysentery is in its inflammatory stage.
DIET AND REGIMEN.-The patient ought to lie in or on the
bed constantly, even during convalescence, if possible, well




CHOLERA MORBUS.


319


covered, but not too much heated. For food, if wanted, toasted
bread, softened in water or black tea; for drink, toast-water,
or small quantities of warm lemonade, in the inflammatory
period, and when not taking Aconite at the time.
Gruels of oatmeal, rice flour, or farina, are allowed.Meats or soups of meat, eggs, and all animal food, are strictly
forbidden, even during convalescence. Wine and spirits are
real poison, in this disease, and long after it.
After diseases.-If dropsy, paralysis, or rheumatism follow
the dysentery, when it has either been treated badly, or was
suppressed by allopathic remedies, see these articles, or send
for a homoeopathic physician in time.
CHOLERA MORBUS.
This disease, well known under the above name, occurs
mostly during the summer, in all parts of the country, north
and south, resembling in its appearance the much dreaded
Asiatic cholera, from which, however, it entirely differs, in
character and result. (See "Cholera Asiatica.")
DIAGNOSIS.-Cholera morbus generally attacks suddenly,
without any precursory symptoms, with vomiting and purging, accompanied with pains in the stomach and bowels,
anxiety and tenesmus; sometimes the vomiting and urgency
to go to stool are very violent and incessant, at other times
less so. In very violent cases, exhaustion soon follows, pulse
becomes small, scarcely perceptible, extremities cold; finally
spasms and convulsions appear.
At first, the discharged substances consist of the contents
of the stomach and of bile; afterward of a watery, lymphatic
liquid; and finally nothing is thrown up; when violent retching and gagging, with urgency to go to stool, remain. The
discharges from the bowels consist first of faeces; afterward
of a watery, bilious liquid; each stool preceded and accompanied with violent; burning, cutting colic, especially in the
region of the navel.




320      AFFECTIONS OF THE STOMACH AND BOWELS.
CAUSES.-Intense heat in the summer; irritable temperament; teething in children (see " Cholera Infantum"); sudden suppression of habitual discharges, such as menstruation
or diarrheas, or of cutaneous eruptions and gout; errors in
diet, such as eating unripe, watery fruit, or drinking acrid,
sour liquids, beer, etc.
TREATMENT.-The principal remedies in this disease are:
Chamomile, Ipecac., Arsenic, Colocynth, Dulcamara, China,
Veratrum.
In the beginning, give Ipecac. (administration as below);
if not better within half an hour, give Veratrum and Arsenic,
in alternation, in the same manner; but if this treatment
does not succeed within one and a half or two hours, select
from among the remedies described below, one which is
more homoeopathically suitable, and give it as stated under
"Administration."
SYMPTOMATIC DETAIL. -Chamomile.    In the beginning of
the disease, or when the tongue is coated yellowish; colic in
the region of the navel; pressing pains from the stomach up
to the heart; great anguish; cramps in the calves of the
legs; watery diarrhea and sour vomiting; particularly after
fits of passion, and with an irritable temperament.
Ipecac. When vomiting predominates, alternately with painful diarrhea. It is generally always given in the beginning
of the disease, in alternation with Veratrum.
Arsenic.  Violent vomiting, and diarrhea of watery, bilious
or slimy, greenish, brownish, or blackish substances, with
severe pains in the abdomen, great restlessness, sudden prostration, cold extremities, and clammy sweat. In alternation
with Veratrum.
Veratrum. For the same symptoms as those mentioned
under Arsenic, only that the pains in the bowels, especially
around the navel, are violent, cutting as from knives; also,
pains or cramp in the calves of the legs; prostration is very
great. See "Ipecac." and "Arsenic."




ASIATIC CHOLERA - CHOLERA ASIATICA.


321


Colocynth.  Green vomiting, with violent colic; the stools
at first greenish and bilious, afterward become more colorless
and watery.
Dulcamara. In cholera morbus caused by iced drinks or
exposure to sudden changes of the temperature; frequent
greenish stools, with bilious vomitings; great debility and
severe pains in the abdomen.
China. Cholera morbus from indigestion; vomiting and
diarrhea after eating ever so little (lienteria); painful eructation, with oppression on the chest; rumbling in the bowels;
flatulency.
ADMINISTRATION.-Dissolve of the selected remedy twelve
globules in half a teacupful of water, and give every ten or
fifteen minutes a teaspoonful, until four teaspoonfuls are
taken, or another remedy is necessary, which must be prepared and given in the same manner.
Externally, apply nothing but a mustard poultice on the
stomach, and heated bricks, and warming bottles to the feet.
DIET AND REGIMEN.-For a drink, thin oatmeal gruel or
cold water; if wanted. After the diarrhea has ceased, and
reaction has taken place, and if the patient is feverish, give
gruels with lemon-juice. In general, treat as stated in "Bilious Fever."
Beside consult the article on "Asiatic Cholera."
ASIATIC CHOLERA. (Cholera Asiatica.)
This disease appeared hitherto among us as an epidemic.
Before it, the star of Allopathy grew pale, and is ever since
on its downward course; with it Homoepathy battled most
successfully, and ever since her banner floats unfurled in every
clime.
DIAGNOSIS.-Sudden prostration of strength; diarrhea of
watery substances (rice-water discharges, without smell or
color; similar, profuse vomitings, which follow each other
quickly. Although these evacuations may give the patient




322     AFFECTIONS OF THE STOMACH AND BOWELS.
a little relief, it is only momentary; his prostration increases
constantly until cramps appear in the feet, hands, limbs, and
arms, sometimes in the bowels and breast; insatiable thirst,
with a burning sensation under the sternum (in the region of
the heart). Agonizing restlessness precedes the last stagethat of collapse, in which to the above symptoms are added,
cessation of circulation of the blood in the extremities, which
assume an icy coldness, while the heart palpitates violently,
no pulse is perceptible; tongue and breath grow cold, agonizing oppression in breathing; hollow, hoarse, and shrill voice;
blue lips and nails; livid countenance; sunken eyes; shriveled skin on hands and feet. During all this time, the secretion of urine is stopped. Finally, the skin of the patient is
covered with a cold, clammy perspiration. Up to this time,
the patient was perfectly conscious, although feeble; but
now he sinks into stupor, with bloodshot, upturned eyes, and
expires.
Although Asiatic cholera presents itself in the form of a
diarrhea, yet it is not such; because no fecal matter is found
in the discharges; its nature consists in a decomposition of
the blood, produced by an unknown agent (miasm or animalcula), and aided by mental and physical debilities, such as
fear, care, overpowering sympathy, weakness of body and
mind by night-watching, exposure, etc. This decomposition
of the blood in its solid and liquid parts (congulum and
serum) may be the work of days, hours, or minutes. Generally, however, it commences in the early morning hours, at
which time most of the cholera attacks begin. The watery
part of the blood (serum) escaping from the blood-vessels,
passes into the stomach and bowels, whence it is ejected in
violent gushes, or runs from the bowels in streams. Thus
we see that the first appearances of cholera asiatica are those
of a hemorrhage of the white part of the blood; a view with
which the consequent symptoms in the following stages of the
disease can easily be harmonized. The cramps in the muscles




ASIATIC CHOLERA - CHOLERA ASIATICA.      323
of the extremities and bowels are caused by the cessation of
the action of arterial blood on the muscles, and cease immediately, as soon as the arterial irritation reaches them again.
It would carry us too far, to explain all the following symptoms of the disease; nor would it be of any practical use.This, however, we must state yet, that in that form of Cholera
Asiatica, called the sicca or dry cholera, where no discharge
from the stomach and bowels takes place, the disagreement
with the above theory is only apparent; because, by the suddenness of the attack, the decomposition of the blood is
rendered so general and great at once, that the cramps follow
immediately, before the serum has time to escape.
PREVENTION. -During a cholera epidemic, a person must
not give way to fear and despair, which debilitate the system
too much, allowing, thereby an easier entrance to the. enemy.
The best remedy against the weakening thoughts is a constant
and vigorous activity of body and mind, which draws our a-ttcntion away from disease. and death to our duties and objects
of life. Necessary, above all, is regularity in all our actions,
in sleeping and waking; moderation, but sufficiency in eating
and drinking. The most substantial nourishment is the best,
such as beef, mutton, potatoes and bread; the best drink is
cold water or ice-water, which, with dry bread in sufficient
quantity, is the best calculated to appease that craving and
gnawing appetite, and the rumbling of the bowels, which, in
time of cholera, almost every one feels daily. A flannel bandage, even in summer, covering stomach and bowels, is
strongly recommended. To be avoided, are: over-exertions
of body or mind, grief, anger, fear, as wvell as great muscular
labor, running, walking to exhaustion, and sexual excesses.
Beside these precautionary measures, every one ought to have
a firm reliance in the will of God, who has placed within
our reach a safe and sure remedy against this disease.
The best medicine for prevention is Sulphiur, which, in the
thirtieth dilution, may be takeii every week twice, six glob



324     AFFECTIONS OF THE STOMACH AND BOWELS.
ules each time in the evening. This remedy, more than any
other, destroys within the system the liability of attack, by
diminishing the psoric diathesis, more or less inherent in
every one.
Cure of an Attack of Asiatic Cholera.-Not every diarrhea,
in time of cholera, is real Asiatic cholera, yet it predisposes
to it; and we must, therefore, immediately and energetically
attend to it. The first and most imperious duty in such a
diarrhea is to lie down; as the horizontal position is indispensable to a speedy cure. With the rice-water discharges or
vomiting, commences the first stage of the disease, in which
Camphor is the specific remedy, having actually the power of
killing or destroying the animalcula or malignant agent
which has infested the system. The application of the Camphor must be efectual and immediate, in the following manner:
Cover the patient, up to the chin, well and abundantly, particularly his feet, do not allow his arms out of bed; then give
him quietly, without showing anxiety by unnecessary hurry,
of the tincture of Camphor,* every two, three, or five minutes
one drop, on a little piece of sugar; also, after fifteen or
twenty minutes, some brandy and water, if he can retain anything on the stomach. As soon as the patient begins to get
warm, and to perspire, give the doses less frequently, and
discontinue them altogether when he perspires freely. A few
doses of brandy and water will then do him good and strengthen
him. In this perspiration the patient must remain without
change for eight or ten hours, when he will generally have
a good appetite for a lunch of cold beef or mutton, with salt,
dry bread and cold water. If, however, the slightest indisposition yet remains, he must not leave the bed, as a relapse
might take place. During the reaction, following the use of
the camphor, frequently a headache ensues from congestion
to the head, which in children and middle-aged persons dis*The tincture of Camphor ought to be made out of one part of the
gum to five parts of alcohol.




ASIATIC CHOLERA- CHOLERA ASIATICA.


325


appears after the exhibition of one or two doses of Belladonna
(for children three glob.; for adults six glob.); in aged
persons, when stupor is combined with it, Secale corn. (thirtieth
dilutionf) is yet necessary, three hours after Belladonna is
given.
If costiveness follows the use of camphor, a cup of coffee
without milk, and twenty-four hours afterward a dose of Sulphur (six glob.) is indicated. If the diarrhea is not entirely
checked, but changed into a dysenteric one, with straining
and bloody tinge, Mercury will suffice, followed by Sulphur,
twenty-four or thirty-six hours afterward. If by the Mercury,
however, the dysenteric stool is changed into the choleroic,
the use of Camphor is necessary again, followed by one or
two doses of Veratrum alb. (twelfth dilution).
If, however, the cholera proceeds into the second stage,
where cramps appear in different parts of the body, Veratrum
and Cuprum are necessary; the former, when the cramps
are more in the extremities and bowels; the latter, when in
the breast, or when great oppression in breathing is present.
It is frequently best to give these two remedies alternately, in
the following manner: Dissolve of each remedy twelve or
sixteen globules, in four tablespoonfuls of water, and give
every fifteen minutes a teaspoonful (each remedy having its
separate teaspoon), giving less frequently as the symptoms
decrease in violence. In this stage, it is not so much the diminution of diarrhea or vomiting, which indicates an amelioration, but the greater regularity and less rapidity of the pulse,
which always will be followed by a discontinuance of the
cramps, although these may yet threaten to break out again.
If these remedies are not successful within four or six
hours, or if the cramps are more in the calves of the legs,
where the slightest motion will excite them, or when stupor
threatens, which is particularly the case in old persons, or
when the diarrhea still continues, Secale corn. must be given,
in the intervals of half an hour a teaspoonful, dissolved in




326      AFFECTIONS OF THE STOMACH AND BOWELS.
water like Veratrum and Cuprum. If a few doses are given,
wait an hour or two, if the case does not grow worse; if,
however, there is a great deal of nausea or retching, increased by motion.of head or body, Tabacum (six glob.) must
be given, at any time during the attack.
If in this stage congestions to the lungs and heart appear,
indicated by violent stitches in the side, almost preventing
respiration, and producing restlessness and great anguish,
give Cuprum and Hydrocyanic acid (Prussic acid), in alternation, every ten or fifteen minutes a dose ( dissolved in water,
a teaspoonful as a dose. N. B. Prussic acid must be given
in the second dilution).
The covering of the patient during the second stage ought
still to be warm, but already more according to the feeling of
the patient; his drink, cold or warm water, left to his choice.
Ice pills may be given to him freely, or injections of ice water
if the bowels are cramped; rub slightly the cramped parts
with the hands; warming bottles, and all the other known
apparatus heretofore applied, are not of much use, although
a homceopathist may allow them as not interfering with his
medicine.
If the disease should go into the third stage (collapse) the
scene and treatment change entirely. No pulse, livid countenance, hoarse voice, and sunken eyes characterize this period.
Yet our hope is not gone; particularly in cases which, up to
this stage, were treated strictly homoeopathically, or where
the disease ran quickly through the first stages.  This period
generally lasts much longer than any of the former, and
medicines must be given at longer intervals. The disease
frequently stays in this stage for two or three days, almost
unaltered; a slight improvement in the pulse is sometimes
perceptible only within two days. In such cases, the medicine must not be changed or repeated often. The principal
remedy is Carbo veg., in the thirtieth dilution, prepared as
Veratrum above, of which for the first six hours, every hour




ASIATIC CHOLERA - CHOLERA ASIATICA.


327


a teaspoonful should be given. If a great deal of burning
remains in the stomach, with drinking frequently, but little
at a time, Arsenic, thirtieth dilution, prepared similarly, may
be alternated with Carbo veg. But if thus four or six teaspoonfuls of each remedy have been given, their use should
be discontinued for ten or twelve hours-particularly if the
pulse has shown evidence of returning during that time. The
improvement of the pulse is, in this stage, the most important amelioration; the coldness of the surface is not of so
much importance, as it often remains for a longer time without
injury. If, after twelve hours, the patient's condition is not
much improved, the same remedies may be repeated, and in
this manner continued for a couple of days, when, in most
cases, a healthful reaction takes place.
The covering, in this stage, must be altogether left to the
feelings of the patient, and only so much put over him as
decency requires, as the patient generally refuses all covering, and is restless. To try to warm patients in this stage
by external means, is not only useless, but cruel; as they
actually complain of burning up internally; such means only
hasten dissolution. We rather recommend      to wrap  the
patient in a sheet, wrung in cold water, which may, after a
few hours, be repeated, if he desires it. But, in such a case,
the patient ought to be covered beside with a blanket or two,
to follow up the beginning reaction. Cold drinks, particularly
ice-water, are preferable in this stage.
In the period of convalescence, which is usually very short,
great care ought of course to be taken in diet and exerciserice and other gruels, afterward small quantities of broth,
meat, and vegetables.
If a typhoid fever appears, it must be treated accordingly.
In that torpor or stupor which sometimes succeeds a severe
attack of cholera, when the patient cannot easily be aroused,
is very weak, pulse slow, yet the expression of his countenance is natural, Spiritus nitri dulcis is of the greatest benefit,
-0




328      AFFECTIONS OF THE STOMACH AND BOWELS.
as laurocerasus is in those cases of stupor or lethargy, which
border on paralysis of the brain, or on exhaustion of the
nervous system, where the expression of the countenance is
indicative of great suffering, the patient very weak, pulse
slow, eyes half-closed, in continual lethargy, only broken by
deep sighs and moaning.
We must mention here yet a disease, called cholerina, which
often precedes and follows cholera. It is a diarrhea of fecal
matter, accompanied with rumbling of the bowels, generally
caused by the constitutionality of a cholera season, under debilitating influences of mind and body, such as fear and grief.
If caused by the latter, Phosphoric acid and China, in alternation, after every evacuation a dose (six glob.) will suffice;
if excited by fear, Chamomile (six glob.), a few doses; if,
however, attended with bilious rheumatic symptoms, tending
toward a typhoid state, such as headache, pains in the limbs,
arms, and back, with occasional chilliness, Bryonia and lRhus,
in alternation, two doses of each, every two hours one (six
glob. a dose), and then waiting twenty-four hours, will change
the symptoms, so that then either Sulphur will suit, or, if the
diarrhea still continues, China and Phosphoric acid, in alternation, as above stated.
Sulphur frequently takes away that disposition to diarrhea,
so common in times of cholera. It ought to be taken only
twice, on two succeeding evenings, or one evening and the
next morning a dose (six glob.); after which no medicine of
any kind should be taken for twenty-four or forty-eight
hours.
We would recommend to every one, to have with him, in
cholera times, a small bottle of Camphor, Veratrum, and Cuprum, in case of need; if not necessary, it certainly increases
the feeling of safety.*
* In the cholera epidemic of 1849, which raged in Cincinnati worse,
perhaps, than in any other city of the same size, every homceopathic
family was provided with a small case of four vials, containing Cam



PILES - HEMORRHOIDS.


329


PILES. HEMORRHOIDS.
DIAGNOSIS. - The piles form on the anus tumors or lumps,
which protrude externally (external piles), or remain inside
the rectum (internal piles). These lumps either bleed (open
piles) or do not bleed (blind piles).  The cause of the piles is
a constitutional taint, which breaks out at certain times in
this local affection of the rectum, and is then called the piles.
It becomes an important disease, when a bad, or mere external treatment suppresses the outward piles, without curing
the internal disposition. This latter, consequently, not unfrequently attacks more important organs, such as the lungs,
brain, etc., where it generates incurable diseases. Just as
detrimental to general health is the painful and abominable
practice of the surgeons, of cutting off these lumps or tumors.
It is a blessing, however, that in most cases such operations
are of no avail.
phor, Veratrum, Cuprum, and Sulphur, as the principal remedies for the
prevention and cure of cholera. Printed directions accompanying these
remedies enabled persons to make immediate use of them, when necessary; thus preventing entirely the application of allopathic medicines
before the homeopathic physician could arrive. These simple but
effective means kept the homanopathic practice free from many obstacles
and difficulties, and made its results so glorious, and, even in the
history of homceopathy, unrivaled. The average loss which was sustained by the homceopathic practice, in 1849, amounted to only three
and a half per cent., viz: of 2410 patients treated homceopathically,
85 were lost. In 1850 the attack of cholera in Cincinnati was not so
severe; the cases generated not so much by epidemic influence as by
indigestion, and other weakening causes. Such cases, however, were
more difficult to manage, as the exciting cause could not be so easily
removed, being of a material nature; yet the same homoeopathic medicines proved entirely successful; even more so, in the aggregate,
than the previous year. The loss of Drs. Pulte and Ehrmann was not
more than three per cent.; the ratio of other practitioners, as nearly as
could be ascertained, was about the same.
The above description and treatment of Asiatic cholera is carefully
made after our own experiences during these two epidemics, in which
nearly two thousand cholera patients were attended by us.




330      AFFECTIONS OF THE STOMACH AND BOWELS.
CAUSES.- The use of strong and heating drinks, coffee,
liquors, highly-seasoned food, sedentary habits, costiveness,
suppression of long-continued discharges, etc., are among the
exciting causes of this disease, and ought, consequently, to
be strictly avoided in its treatment.
Beside the medicines, use cold water externally, as a sitzbath, or washing, and drink of it freely and often.
TREATMENT.-In all cases of piles, begin the treatment
with
Nux vomica, as the principal remedy, which suits for all
varieties of this complaint. After it, particularly in chronic
cases, alternately with it, give
Sulphur. These two remedies are mostly sufficient to
effect a cure; given alternately, every evening a dose (four
glob.) until better. If they do not suffice, give of the following remedies, Ignatia, Sepia, Belladonna, Hepar, Colocynth,
one after the other, in intervals of twenty-four or forty-eight
hours.
The cure of chronic piles must be directed by a skillful
homoeopathic physician; as there are too many and too
various constitutional considerations to be observed, which
could not be given in a work like this.
DIET AND REGIMEN.-.The same as stated in the article
"Constipation."
ITCHING OF THE ANUS.
If it occurs in children, it is caused by the so-called pinworms (see "Ascarides"). In such a case give Aconite, Nux
vom., Cina, Cina co, Ferrum, Sulphur, Silicea, Calcarea, every
other evening a dose (three glob.) of one remedy for one
week, until better or another remedy is necessary. If this
course is insufficient, give the child every morning for several
days, a drop of the tincture of Urtica urens, in a little water.
If caused by piles, Nux vomica and Ignatia are the principal
remedies, given as stated   under the heading    "Piles."




FALLING OF THE BODY-RUPTURE.


331


Beside these medicines, the washing or sponging in cold
water, or even cold water injections are of the greatest benefit.
Sometimes sweet oil, used in the same manner as the water,
will be of use.                              *
FALLING OF THE BODY. PROLAPSUS ANI.
By this term is meant the protrusion of a portion of the
lower intestine or rectum. It occurs more frequently in
children than adults, caused by severe strainings when at
stool. The rectum can easily be brought back again by a
gentle pressure of the thumb and fore-finger, greased or oiled
for that occasion, the patient bending forward during the
operation, and reclining on his back after it. We have remedies which diminish the tendency to this troublesome disease.
TREATMENT.-Ignatia is the principal remedy, and must be
given once in twenty-four hours (four glob.) for six or eight
days; then discontinue eight days, and if not better, give
Mercury, in the same manner. After that, Naux vomica and
Sulphur, in the same manner, until better. Sepia, Lycopodium, Colocynth, are also suitable to be given, if necessary,
in the same manner.
Externally, wash with cold water, as in "Piles."
DIET AND REGIMEN.-As in "Diarrhea."      If this treatment is of no avail, consult a homoeopathic physician.
RUPTURE. HERNIA.
A protrusion or swelling in the inguinal region or groin,
generally indicates a rupture, by which the intestines descend
thus forming the outward swelling. As a disease of such consequence and importance is beyond the sphere of an exhausting
discussion in a domestic work, we must limit our remarks about
a few dangerous points, to which the disease may run at times,
leaving the treatment of the rupture itself to the combined
efforts of the surgeon and homoeopathic physician, who must
be consulted.




332      AFFECTIONS OF THE STOMACH AND BOWELS.
Sometimes an incarceration of the rupture takes place,
when the tumor becomes very painful, inflammation in the
surrounding parts ensues, with vomiting, quick and hard
pulse, and" fever. If the rupture cannot be brought back, or
the inflammation reduced by other means, mortification and
consequent death are unavoidable.
First, try the reduction in the following manner: place the
patient on his back on the bed, grasp the swelling with one
hand gently, and rub and press it with the fingers of the
other hand, pressing upward toward the body constantly,
sometimes even in a rotary manner. Continue these efforts
for half an hour; if the swelling is repressed, keep it in its
place with the palm of the hand for some time, giving, beside,
the following medicines:
Aconite. If the fever is very high.
NVux vomica, followed in two hours by
Opium. If the strangulation of the rupture continues, and
afterward in alternation with JNAux vomica until better.
Also, Lachesis, Belladonna, -Rhus, Arsenic, TVeratrum, can
be given in extreme cases, if necessary; one after the other,
every two hours one remedy, until better.
ADMINISTRATION.-Dissolve of the necessary remedy twelve
globules in half a teacupful of water; give every fifteen or
thirty minutes a teaspoonful, for two hours, or until better.
DIET AND REGIMEN.-As in fevers. Externally, the application of cold water or ice is recommended. This will do
when the parts are not inflamed too much; in which latter
case warm   water fomentations are preferable.  Complete
rest is indispensable, and a truss must not be worn until all
soreness has subsided.
DROPSY OF THE ABDOMEN. (Ascites.)
As this is one of those diseases which require a most skillful medical attendance, in order to secure a successful termination, we cannot pretend to give more than what is necessary




DROPSY OF THE ABDOMEN.


333


to a knowledge of its rise and progress. This will enable
persons to be aware of the danger in time to seek for help,
when it is yet possible to render it successfully.
DIAGNOSIS.-A swelling and tension of the abdomen, which
follows the position of the patient; a fluctuation inside the
abdomen is distinctly felt by the palm of one hand while clapping gently against one side, when the other hand presses the
opposite side of the abdomen, in the lowest part of which the
fluctuation is felt the strongest, while the patient is standing
erect. Urine is scanty, brown, like beer (peculiar to ascites);
stools are scanty and dry; also, the skin, tongue, and mouth
dry; when the water is collected in a sack (hydrops saccatus),
the swelling is unequal in the beginning; the urine less scarce
and brown. As the disease progresses, the feet and other
parts swell successively; fever and dry cough appear, which
consume the strength more and more, until death ends the
misery.
CAUSES.- As such, we find previous acute fevers, scarlet
or other eruptions, diseases of important abdominal organs,
especially the liver, badly treated, intermittents of too long
standing, which debilitate the absorbing vessels, gout, abuse
of spiritous liquors, mechanical lesions, such as blows on the
abdomen, falls, etc.
This disease sometimes lasts very long, according to the
causes, and the constitution of the patient.
A pregnancy, not closely watched in its progress, may be
mistaken for a dropsy of the abdomen; but, in such a case, a
skillful physician must decide.
TREATMENT.-As this disease can be cured, if early attended to in the right manner, we recommend every one to apply
immediately to a good physician. Until one can be procured, give,
Arsenic and Sulphur, in alternation, every four days one
dose (six glob.).
The tapping may be allowed in cases where the accumu



334      AFFECTIONS OF THE STOMACH AND BOWELS.
lation of water is very rapid; but no one must trust in it as a
curative means; the necessary internal treatment must therefore be continued, until cured entirely.
DIET AND REGIMEN.-AS in all chronic diseases, the usual
homceopathic diet.
EXTERNAL INJURIES OF THE ABDOMEN.
On receiving large wounds in the abdomen, do not despair
immediately, as a great many are cured who received the
severest cuts and shots in the abdomen, if only properly
treated. Clean the wound with lukewarm water, and replace
the intestines as soon as possible, handling them not with the
hands, but with clean linen cloths. If the patient is faint,
from loss of blood, give China; if frightened, Coffea, and
afterward Arnica. Sew up the wound carefully with a silken
thread waxed, leaving an opening on the lowest corner, which
must be covered it with scraped linen, dipped in a mixture of
Amica (twelve drops to a teacupful of water). If diarrhea ensues, give Colocynth alternately with China.
If a child has swallowed a button, or any other metal substance, do not give it aperient medicine, in the hope of purging it out of the system more quickly; this is impossible; on
the contrary, the substance will come out less quickly, as the
liquid state of the faeces prevents them from carrying it
along. In the meantime, observe carefully each stool, to be
sure that the substance has passed. If a needle is swallowed,
it may work itself through a different part of the body; in
such a case, give Silicea, every six days a dose (four glob.).
If live animals are swallowed, such as frogs, insects, etc.,
let the patient drink plenty of sweet oil.




CHAPTER XV.
AFFECTIONS OF THE URINARY AND GENITAL
ORGANS.
WE invite the special attention of our readers to the study
of the anatomical position and structure, as well as the
physiological bearing, of the organs named in the above heading, as it will be important for the true diagnosis of their
diseases, which are various and severe.
INFLAMMATION OF THE KIDNEYS.   (Nephritis.)
DIAGNOSIS.-In the region of the kidneys (on both sides
of the spine, above the hip, and below the short ribs), appears a pungent, pressing pain, shooting downward to the
bladder; difficulty of urination; stranguria, or ischuria, (the
latter only when both kidneys are inflamed, which rarely
ever occurs); the urine scanty, red, and hot,, sometimes
bloody; the testicle drawn near to the abdomen on the affected side, painful and swollen; the foot on the same side sometimes spasmodically affected and benumbed; in severer cases,
high fever, thirst, full hard pulse, constipation, vomiting;
colic pains; the pains in the kidney are worse when lying on
the affected part and the back; also when standing and
walking.
If this inflammation is not cured entirely, the kidney hardens and indurates, or suppuration takes place, which leads to
the formation of abscesses and their opening, either outside
through the skin, or inside in the intestinal canal. This
'3 1                                 (335)




336 AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
chronic affection of the kidneys requires medical skill for its
successful termination.
The principal causes are: stones or gravel in the kidney;
violent blows and concussions, or any other external injury
bearing on this part; excess in the use of wines and liquors;
lying on the back for a long time; lifting heavy loads; suppression of piles, and their congestion transferred to the kidney; the use of acrid diuretics and the abuse of Spanish fly,
sometimes even when only applied as a blister, externally.
TREATMENT.-Camphor, when the disease is caused by the
application or use of Spanish fly (canthiaris), or when no
urine passes or only in a slender stream very slowly, with
burning in the urethra and bladder. Give in such a case one
or two drops of Camphor spirits, on a lump of sugar, every
hour or two hours, until better.
Aconite. If the fever is high, give several doses (four glob.
each) of this remedy, every hour one, before the following
remedies are resorted to:
Cantharis is the principal medicine, when there are shooting, tearing, and incisive pains, with painful emission of afew
drops of urine only, or complete ischuria; sometimes urine
mixed with blood.
Belladonna. In most cases, where the pains are worse
periodically, shooting from the kidney down into the bladder,
with great anguish and colic; in fleshy women, at the time
of change of life (critical age), when the menses stop. (Hepar
sulph. will suit after Belladonna).
Niux vomica. When this disease is caused by suppressed
piles, or when there is any other abdominal congestion, with
tension, distension, and pressure in the kidney.
Pulsatilla. In delicate females, whose menses have stopped
or are very scanty; also, when the urine appears turbid,
leaving a purulent sediment.
Arnica, externally and internally, if caused by external
injuries; after it the above remedies may be resorted to.




INFLAMMATION OF THE BLADDER.


337


N. B. If nephritis is caused by the pressure of stones in
the kidneys, the fever which usually accompanies this disease
does not appear so quickly, but, instead of it, the foot and
thigh of the affected side become numb, and the testicle retracts; sure signs of stones in the kidneys or the ureter. In
such a case apply on the most painful spot, where the stone
is lodged, narcotic, warm fomentations of hops mixed with
tobacco leaves; as soon as the stone or gravel reaches, in its
descent, the bladder, the pains and inflammation caused by
them cease at once. Beside this external treatment, give the
patient the above medicines, as indicated.
If the kidney indurates, give Mercury, every evening a
dose (four glob.).
If suppuration takes place, give Lachesis and Hepar alternately, every evening a dose (four glob.), for eight days, or
until better; apply to a homceopathic physician.
ADMINISTRATION.-Dissolve, of the necessary medicine,
twelve globules in half a teacupful of water, and give every
half-hour, hour or two hours, a teaspoonful until better, or
until another remedy is needed.
DIET AND REGIMEN as in fevers generally; but particularly
wines, liquors, and beer are prohibited in convalescence.
INFLAMMATION OF THE BLADDER. (Cystitis.)
DIAGNOSIs.-Burning pains in the region of the bladder, with
external swelling; tension; heat and pain on touch; urine
red and hot; difficulty or inability of making water; constipation, with tenesmus; fever, with a hard pulse; in some cases,
vomiting and hiccough.
The issue of this inflammation is either resolution, indicated by a thick urine, or suppuration discharged with the
urine, or abscesses and fistulas from the bladder outside, or
induration, which leads to a thickening of the bladder, impeding, thereby, its action, and leading to various chronic disorders; or, if fatal, gangrene takes place.




338  AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
Its causes can be external injuries; suppressed piles and retarded menstruation; rheumatic, gouty, or syphilitic transfers;
stones in the bladder; pressure on the bladder in pregnancy,
or during the birth of the child; the use of irritating drugs,
as Cantharides, etc.
TREATMENT.-Beside the remedies recommended in "Inflammation of the Kidneys," give
Hyoscyamus, when spasms of the neck of the bladder set
in, impeding the flow of urine.
Carbo vegetabilis and Arsenicum, when the patient complains
very much of burning during urination, which Cantharides
failed to cure.
Dulcamara, when this disease returns on the slightest exposure to cold.
Sulphur and Calcarea, when the disease becomes chronic.
ADMINISTRATION, DIET AND REGIMEN, the same as in "Nephritis."
STRANGURY, DYSURY, ISCHURY, AND ANURY.
These four terms signify only different degrees of the same
affection.
In strangury, the discharge of urine is painful and difficult.
In dysury, dificult and incomplete.
In ischury and anury, it is totally suppressed.
Strangury and dysury are troublesome, but not dangerous
complaints, while the true ischury, or total retention of urine,
ranks among the most dangerous diseases, and kills, either by
gangrene or rupture of the bladder, effusing the urine into the
abdomen; in its chronic form, however, the urine can be absorbed and carried into the circulation, producing, thereby,
eruptions on the skin, and making the perspiration, saliva,
etc., smell urinous.
The causes of these affections are various. Mechanical
injuries or impediments, such as gravel, stones, callosities
and strictures, spasmodical, or caused by syphilitic disorders;




INCONTINENCK OF 19~RINqE.


339


tumors in these parts; falling of the womb, or its dislocation;
congestion of every kind; paralysis of the bladder; the use
of ardent spirits, Spanish fly, violent diuretics, etc.
TREATMENT.-FOr strangury, and dysury, if caused by the
abuse of ardent spirits, Nux vom., Pulsatilla, and Sulphur;
if by the use of Spanish fly, Camphor, Pulsatilla, and Aconite;
if by suppressed piles, Nux vom., Pulsatilla, Sulphur; if by
taking cold, wet feet, etc., Dulcamara, Ncux vom., Mercury,
Pulsatilla, Belladonna; if after a fright, Aconite; if after a
fall, blow, etc., Arnica; if in pregnant females. Cocculus, Pulsat., VNux vom.; if in children, Pulsat., Aconite, Bellad., Merc.
For ischury and anury, if it is spasmodic, Nux vom., Pulsatilla, Opium, Hyoscyamus; inflammatory, Aconite, Cantharides,
Belladonna, iVNux vom., Pulsatilla (see " Cystitis"); paralytic,
Hyoscyamus, Dulcamara, Arsenic, Lachesis.
ADMINISTRATION the same as in "Inflammation of the
Kidneys" (NTephritis).
DIET AND REGIMEN the same as in nephritis; beside this,
in strangury the drinking of large quantities of cold water, or
the moderate use of gum-arabic, dissolved in water, is strongly recommended. In cases of disease of the bladder, consult,
as soon as possible, a homceopathic physician.
INCONTINENCE OF URINE. (Enuresis, incontinentia urince.)
This troublesome disease exists in three varieties:
1. It is a complete or paralytic incontinence of urine (enuresis completa s. paralytica), when the patient is constantly
troubled with an involuntary dribbling of urine, owing to a
variety of causes, all having the tendency to paralyze, more
or less, the contractive power of the muscles around the neck
of the bladder. Instances of this kind are: apoplexy; consumption, and paralysis of the spine; too great distension of
the bladder by long retention of the urine; surgical operations on the bladder; paralysis, or weakness of the bladder,
particularly in old age; difficult and  hard   parturitions.




340 AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
This form of incontinence of urine requires the most careful
attention of a homoeopathic physician. We only mention
some of the principal remedies for this form of enuresis, with
which a treatment may be commenced: Hyoscyamus, Bellad.,
Causticum, Conium, Arsenic, Lachesis.
2. Or it is an incomplete or spasmodic incontinence of urine
(enuresis incompleta s. spastica), where the urgency to pass urine
is so sudden and great, that the patient is immediately forced
to yield. This form occurs very frequently, caused by continual irritation in the bladder, or some contiguous part, either
by stones, gravel, worms (ascarides), (see "Worms"); menstrual or hemorrhoidal congestion; gastric derangement, with
rheumatic or gouty complication; scirrhous tumors in the
bladder, rectum, prostate glands; ulcers, fistulas; also, from
mechanical pressure of the pregnant or dislocated uterus (see
"Diseases of. Females"); or, lastly, by the bad habit of
urinating too frequently, diminishing, thereby, the size of
the bladder.
The principal remedies for this complaint are: Bellad.,
Causticum, Cina, Hyoscyamus, Ignatia, Pulsat., Rhus, Lachesis,
JMercury. (Compare each remedy in "Materia Medica.")
ADMINISTRATION of these medicines as in nephritis.
3. The urine escapes involuntarily only in the night (wetting
the bed), (enuresis nocturna). This occurs mostly in children,
and depends on bad habits, uncorrected in early years, or on
local irritations, such as worms (see this article), or other
derangements, enumerated under the form No. 2 (see their
treatment). If it is a bad habit, try to correct it, by diminishing the quantity of drink allowed in the evening, by laying
the child on its side while asleep, by awakening it several
times during the night in order to pass urine, or even by
chastisement in the morning, the effects of which will be remembered, even in the sleep.    Beside, use the following
remedies: Silicea, every third evening a dose (three glob.),
for two weeks; if not better,




DIABETES.


341


Sepia in the same manner; if not better,
Sulphur, Arsenic, Carbo veg. in the same manner, one after
the other.
"DIABETES.
DIAGNosIS.-Any secretion of urine, the excessive increase
of which has a weakening, morbific effect on the whole system, may be called a diabetes; although the quality of the
urine be not altered, its appearance shows that it contains
more water, it being colorless (nervous urine); cases of this
kind either correct themselves, or are in connection with hysteric or hypochondriacal diseases, the cure of which will,
also, take away this form of diabetes. But where the urine
is not, or not much, increased in quantity, however changed
in quality, having a sweetish taste, and containing saccharine
(sugar) matter (diabetes melitus), as high as an ounce in a
pound, it is necessary to institute an early and earnest treatment for this disease, which, in its commencement, can be
cured easily, and only becomes fatal by neglect. But, as such
a complaint is too important in its progress and issue to be
treated domestically, we here only indicate the remedies, with
which a rational treatment may be commenced.
TREATMENT.-Phosphoric acid, Carbo veg., Conium, Mlercury,
Sulphur. The first of these medicines is almost a specific,
as also the two last ones, which may be given in alternation;
give, every evening, a dose (four glob.), for one week, and
then wait a week for its effect.
DIET.-Only bread, roasted meats, and soups of meat, are
allowed; no vegetables whatever; the patient must keep in
an even temperature, dry and warm; must wear flannels on
the skin if possible.
PILES OF THE BLADDER. (Hemorrhoides Vesicce.)
As the pile-disease consists in a congestion, which can tend
to any part of the system, and produce piles, where the nature
of the attacked organ admits of it, it is not strange to speak




342 AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
of piles of the bladder, because this organ allows the same
disorganization, in this respect, as the rectum. They are also
either blind, or open, running piles.
DIAGNOSIS.-If they are blind, or not running, they create
great difficulty in making water, strangury, ischury, sometimes spasms, and inflammations of the bladder (see these
articles), with consequent induration and suppuration.
If they are open, running piles, the blood coagulates in the
bladder, obstructs the passage of urine, and may contribute
to the formation of stones.
TREATMENT.-Consult a homoeopathic physician, if possible.
If not, use the following remedies: Nux vom., Pulsatilla,
Sulphur, beside all those recommended in the articles on
strangury and ischury, in the same manner as there stated.
POLYPUS OF THE BLADDER.
The neck of the bladder is the place most favorable to the
generation of this kind of fleshy excrescences, where they occasion frequent obstructions in urinating, producing similar
symptoms to those exhibited in piles, and stones of the bladder. Their existence, however, is rendered beyond doubt,
as soon as fleshy particles of a round form, with a stringy substance attached to them, pass from the bladder; females are
subject to them more than males.
TREATMENT.-If possible, consult a homceopathic physician
for this disease, as the cure depends too much on constitution
to make a prescription of remedies, for a domestic work of this
kind, possible. To commence the treatment, however, give
Calcarea carb., every third or fourth evening a dose (four
glob.), for four or six weeks.
N. B. I once cured polypus of the bladder with Clamomnile,
in a complicated case, where the concomitant symptoms
strongly advised its use. No other remedies were used in
this case; after the exhibition of Chamomile, the polypus
passed off altogether.




HEMORRHAGE WITH THE URINE.


343


Staphysag. is recommended after Calcarea carb., in the same
manner.
GRAVEL AND STONE IN THE BLADDER.      (Calculus.)
DIAGNOSIS.-It is sometimes very difficult to be certain of
the existence of a stone in the bladder, as it produces all the
symptoms recorded under strangury, ischury, and piles of the
bladder. ( See these diseases.)
The only sure guide in establishing a true diagnosis; is the
examination by a competent physician or surgeon. In gravel,
the diagnosis is easier, as some of it will pass, from time to
time, clearly showing the nature of the disease.
TREATMENT.-The treatment for a stone in the bladder can
not be given here, as such a disease must not be left to domestic practice.
For gravel the best remedy is Sarsaparilla, either in a
homoeopathic preparation ( four glob.), or, if not at hand, of
the tincture of Sarsaparilla, every evening one drop on sugar,
until better. Beside this remedy, those stated under "Strangury" are recommended.
HEMORRHAGE WITH THE URINE.
(Hoematuria. Mictus cruentus.)
DIAGNOSIs.-The blood comes with the urine, either mixed
with it, like dark beer (then it proceeds from the kidneys,
hcematuria renalis), or it is separated from the urine, coagulated (then it comes from the bladder, hoematuria vesicalis), or
the blood comes alone, without urinating (then it proceeds
from the urethra, stymatosis). In the first case, pains are felt
in the region of the kidneys; in the second, the region of the
bladder is painful; and in the third case, the pains are in the
urethra.
CAUSES.--This disease occurs always in consequence of
another, already located there, to which we refer the reader.
These are: inflammation of the kidneys and bladder, and




344 AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
their causes, mechanical and external, stones and gravel,
strangury, etc.
TREATMENT.- The principal remedies are: China, Ipecac.,
Arnica, Pulsatilla, Lycopodium, to be given as stated under
"Strangury."
AFFECTIONS OF THE PENIS.
If the front of the penis-the glans and the prepuce-is
inflamed, red and swollen, give, when caused by friction, Aconite and Arnica, in alternation, every two or three hours a
dose (four glob., infants half a dose), until better; keep quiet
on the bed or a couch; abstain from all meat diet, and bathe,
if necessary with cold water alone, or water and milk; if
caused by want of cleanliness, give Aconite (four glob.) alone,
and bathe. If it was caused by the touch of poisonous
plants, give, in the same manner, Belladonna, and Rhus, after
Aconite has been given. If a burning discharge appears
from the urethra, give Miercury, and if not better in twentyfour or thirty-six hours, give Capsicum, and in a few days
after, Hepar; if the parts become hardened, callous, and
bluish, give Lachesis and Arsenic, in alternation.
DIET AND REGIMEN.-Nothing but milk and water, dry
toast, and gruels.
N. B. For syphilitic disorders, chancres, and gonorrhea,
see these articles.
AFFECTIONS OF THE TESTICLES.
Ibflammation, with painful swelling of the testicles, from
External injuries: Aconite and Arnica, as above under the
"Affections of the Penis;" Arnica, also, externally.
Gonorrhea suppressed: Pulsatilla, externally and internally,
as above; Mercury, Nitric acid.
Metastasis of the mumps: see this disease; Pulsatilla is the
principal remedy; also, Mercury and Nux vom.
Abuse of Calomel: Pulsatilla and Carbo veg., in alternation,
as above.




HYDROCELE - PRURIGO.


345


If necessary, give Sulphur after the above remedies have
ameliorated, but not altogether cured.
DIET AND REGIMEN as in "Affections of the Penis."
Hydrocele, or dropsy of the scrotum: if in infants shortly
after the birth, wash with a mixture of six drops of Arnica
tincture, in a teacupful of water, three or four times a day;
if in older children, the same, externally, and Pulsatilla,
every evening a dose (three glob.) internally; if in. adults,
Pulsatilla, Silicea, Sulphur, each remedy for eight or twelve
days, every fourth day a dose (four glob.) during that period,
until better, and if not, apply to a homoeopathic physician.
Diet and regimen as usual in chronic diseases, when treated
homoeopathically
SEMINAL WEAKNESS.
(Pollution. Impotence.  Onania.)
These diseases are very weakening, and frequently fatal to
happiness, health, and even life. As their introduction here
would carry us beyond the sphere of a domestic treatise, we
advise our readers not to neglect, for a single day, the above
complaints, which explain their nature in their names, but to
have the advice of a skillful homoeopathic physician at
once.
ERUPTIONS ON THE GENITAL ORGANS.
Eruptions on the glans: Bryonia, Rhus; on the hairy part,
Lachesis; on the penis, Graphites, Phosphoric acid; on the
prepuce, Sepia, Silicea; between the thighs, Petroleum.
Prurigo on the scrotum (tetter) requires, mostly, Sulphur,
Dulcamara, Nitric acid, Petroleum, Thuja.
ADMINISTRATION.-Every evening a dose (four glob.), and
thus every medicine used for four days, before another one is
commenced; if it is not better, wash with a solution (twelve




346   AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
glob. in half a teacupful of water) of the same remedy
during its internal use.
DIET AND REGIMEN as in chronic diseases.
Erysipelas of the scrotum  requires Belladonna, Rhus, and
Arsenic, in the same manner as stated under "Erysipelas."
(See "Diseases of the Skin.")
Diet and regimen as in " Erysipelas."
SYPHILIS.- GONORRHEA.
We can only mention here the commencement of the treatment for these complaints, as inveterate or chronic disorders
of this kind are so complicated and difficult of treatment,
as to require the utmost attention of a skillful homoeopathic
physician.
a. Syphilis.  Chancre.
If infection has taken place, and a slight soreness manifests
itself on the glans, with a pimple which soon becomes a small
ulcer, marked by its hard surface and elevated edges, take,
internally, Mercury, three times a day (six glob ), and wash,
externally, with a solution of Mercury (twelve glob. in half
a teacupful of water), until the advice of a physician can be
obtained.
b. Gonorrhea. Clap.    Gleet.
If, after infection, a soreness of the whole urethra ensues,
with inflammation of the glans in particular, take Aconite,
every two or three hours a dose (four glob.), for six or eight
times, and after it, if a running appears, Mercury, every three
hours a dose (four glob.), until medical aid can be procured.
Outwardly, use cold water bathing; to subdue pain and inflammation, keep perfectly quiet, and abstain from all meat diet.
DIET AND REGIMEN are alike for both complaints: no meat
whatever; but milk, water, and bread; the most perfect rest.




CHAPTER XVI.


DISEASES OF FEMALES.
THERE are diseases peculiar to the female sex, whose distinctive character is founded in the different physical organization of the female from the male. It shall be our endeavor
to be as minute in treating of them as the object of this work
will allow, although a great many of them must, and will,
always demand the especial attendance of a physician, on
account of their importance to life and difficulty of treatment;
yet a right knowledge of their nature will diminish fear, and
create confidence and trust-a great lever in surmounting
medical difficulties.
1. MENSTRUATION.
With the appearance of the menses (courses) the age of
puberty commences with the female, and various changes
take place in the mental and physical development; such as
change of voice, expansion of the chest, enlargement of the
breast, a marked reserve in manners, and an increased attention to outward decorum and appearance. This time generally comes, in northern climates, between the thirteenth and
fifteenth year; in southern, between the eleventh and thirteenth. The same difference of time is observed in the disappearance of the menstrual discharge, which takes place, in
the northern climates, generally between the forty-third and
forty-fifth year; in the southern, between the forty-first and
(347)




348


DISEASES OF FEMALES.


forty-third year.  The menses appear quite regularly in a
healthy female, every twenty-eight days (a slight deviation
of from two to three days earlier or later does not constitute
of itself disease), and last, at an average, five days, although
this is no absolute rule.
We cannot recommend too strongly a strict adherence to
the general principles of Hygiene, as the departure from these
lays, in most cases, the foundation to those derangements in
the menstrual functions which prove so fatal to the life and
happiness of a female. And here we may remark that, in
the course of a long practice, we have found the wearing of
thin-soled shoes to be the most fruitful source of the decay of
female beauty, and the decline of female health. The damage of tight lacing (although considerable) is nothing in
comparison with the fatal habit of appearing, in all kinds of
weather, in thin-soled shoes; the consequences of the latter
are beyond description, fearful, and destructive. Almost all
diseases which follow a stoppage of the menses, consumption,
fluor albus, etc., can be traced to this source. Let reform
set in!
Obstructions of the First Menses.
When the menses do not appear, although the time of puberty has come, the young girl will show signs of deranged
health which demand our immediate attention. She has,
perhaps, frequent bleeding at the nose, congestions to the
head, flushed face, constriction of the chest, palpitation of the
heart, etc.  If these symptoms manifest themselves, give
first,
Pndsatilla. If, beside other symptoms, she looks rather
pale, is slender and feeble, melancholy and sad; feels better
in the open air.
Bryonia. If she looks flushed in the face, her nose bleeds
frequently, inclined to constipation.
1eratrun?. If she is chilly, and inclined to diarrhea.




CHLOROSIS - GREEN DISEASE.            349
Sulphur. If either of the above remedies have not
)rought on the menses.
ADMINISTRATION.-Of the selected medicine, give every
evening a dose (four glob.) for four nights, then discontinue
four days, and give Sulphur in the same manner.    If not
better in four or six weeks consult a physician.
DIET AND REGIMEN.-Let the diet be simple, but nutritious; exercise as much as possible; apply warm foot-baths
before going to bed.
Chlorosis.  Green Disease.
-DIAGNOSIS.-Pale, white color of the skin, cheeks, and lips;
chilliness, lassitude, yet easily excited on the least exertion;
weak, slow pulse, difficulty of breathing, and palpitation of
the heart when exercising; swelling of the feet; no appetite,
but sometimes an immoderate desire for unusual things,
earthy substances, as chalk, etc. The blood is thin, watery;
if not cured, general dropsy and consumption, or nervous diseases can set in. It is mostly a disease appearing in young
girls, when the first menses do not appear, or after several
hemorrhages, or other diseases, carrying with them great loss
of life-sustaining fluid.
TREATMENT.-If it occurs in young girls, the treatment
mentioned for obstruction of the first menses in the preceding
article will suit; yet, after Sulphur, we would recommend
Calcarea carb.; if it occurs, however, after severe sickness, or
hemorrhages, give China and Carbo veg.; every other evening
a dose (six glob.), alternately, for at least five or six weeks.
In both cases, if the above medicines do not relieve, apply to
a skillful physician without delay.
DIET AND REGIMEN.-Let the diet be very nutritious, exercise plentiful, particularly in open air; if mineral springs
are chosen for a summer resort, give the preference to the
chalybeate, containing iron.




360               DISEASES OF FEMALES.
Suppression of the Menses, Amenorrhea.
Or their temporary cessation, when once well established.
This occurs either suddenly by taking cold (from wet feet
mostly), overheating, violent mental emotions, faults of diet,
etc., and often produces violent congestions to the chest, head,
or stomach, with cramps, convulsions, inflammations, etc.;
there is no disease which could not appear in consequence of
it; or the menses have gradually disappeared, without creating any immediate symptoms in the female economy, giving
rise to suspicion of pregnancy.
TREATMENT.-Beside the remedies recommended in " Obstructions of the First Menses," which will be of the greatest
benefit here, and of which Pulsatilla is the principal, we recommend
Aconite. In alternation with Bryonia, every hour or two
hours a dose (four glob.), in a sudden check of the menses,
producing congestions to the head and chest, or Cocculus, in
alternation with Veratrum, in the same manner, if severe
cramps in the abdomen are present.
Opium. If all the blood seems to have rushed to the head,
producing heaviness there, with a dark redness of the face, and
drowsiness, even convulsive jerks of the muscles.
Capsicum. In spasms of the chest, and in alternation with
Veratrum, if, also, the abdomen suffers; or with Opium, if
the head is congested.
If the menses have been checked by mental agitation or
depression, take those remedies recommended for fright, fear,
etc., in "Affections of the Mind." See this article.
ADMINISTRATION the same as in Aconite, above.
Painful M enstruation.  fenstrual colic. (Dysmenorrhea.)
The causes of these tormenting distresses of females are
generally laid in the early part of womanhood, and owing
chiefly to improper treatment of other diseases, suppression of
eruptions or habitual discharges, rheumatic disorders, colds, etc.




MENSTRUATION TOO EARLY.


351


The pains either appear before or during the flow of the
menses, sometimes resembling real labor pains, with bearing
down and forcing; at other times as a constant aching in the
loins, hips, and limbs. They generally diminish in violence
as soon as the regular flow has commenced, but not always.
TREATMENT.-If possible lie down, cover well, and take
Cofea, Pulsatilla, and Veratrum, in alternation, every half
hour a dose (four glob.) until better. If this does not suffice
take Nux vom., if the forcing pains predominate; Cocculus, if
colic pains in the abdomen appear, with shortness of breath;
Chamomile, if with discharge of dark colored blood, there are
pains like labor-pains, together with colic pains and tenderness of the abdomen.
If a profuse perspiration sets in while in bed, do not leave
it soon after the pains cease, nor cool off too quickly, else the
pains return. Avoid the use of heating substances, either
externally, or internally, save a warm brick on the feet or
stomach.
ADMINISTRATION.--As above under Cofea, etc.
DIET.-No coffee for the first two days.
Menstruation too Early.
If the menses appear too early, say every two or three
weeks, the disorders causing it are too complicated frequently
to be prescribed for in a domestic treatise; apply to a physician; yet the cure may be commenced with the following
remedies:
Ipecac. Almost a specific in all passive hemorrhages,
where feebleness, dullness, nausea, and coagulated discharges
prevail.
Ignatia. Where the menses return every two weeks, spirits
are depressed; in alternation with Ipecac., if its symptoms are
also present.
Belladonna. Heat and pains in the head, with cold feet and
dryncss of the throat; bearing down in the abdomen.
32




352


DISEASES OF FEMALES.


Calcarea carb. is almost a specific in this disease, where
with the menses a diarrhea or frequent discharges from the
bowels appear, with pains in the bowels; suitable after
Belladonna.
Sulphur. If the menstruation is too early and too profuse.
Ntatrum muriaticum. If Calcarea carb. is insufficient.
ADMINISTRATION.-Just before, or in the beginning of the
menses, one or two doses of the selected medicine every
three hours one dose (six glob.); after the menses are over,
take one more dose, and then wait until the next appearance
of the menses, and observe whether they are more regular as
regards time.
Menstruation too Late and too Scanty.
Pulsatilla is the principal remedy, when the above difficulty
exists, and also when the menses appear irregular, sometimes too late and too profuse (as this is the case particularly
at the critical period-change of life), sometimes too early
and too scanty. In the former, Lachesis alternates well with
Pulsatilla. In most all cases,
Sulphur is necessary, to complete the cure.
Compare, also, " Suppression of the Menses," "Obstruction of the First Menses."
ADMINISTRATION, DIET AND REGIMEN, the same as stated
there.
Menstruation too Copious. Flooding. (Menorrhagia.)
In cases of this kind, causes mental and physical may
operate, to enumerate all of which here, would be impossible.
We content ourselves in directing the reader to the various
sources, where he can find their remedies.
If mental causes, such as fright, fear, etc., exist, give the
remedies stated under "Affections of the Mind," for the
several exciting causes.
If external injuries, see this chapter. In cases of this kind,




MENSTRUATION TOO COPIOUS --FLOODING.


353


Ar'nica is the first remedy, after which others may be selected.
In general, however, Ipecac. is the principal remedy (see
"Menstruation too Early"), followed by China, if there is
great weakness, buzzing in the ears, faintness when raising
the head off the pillow; Belladonna, if there is downward
pressure; Pulsatilla and Lachesis, if it occurs during change
of life; also, in such a case, or in aged women, Ipecac. and
Secale.
Chamomile. If dark, clotted blood is discharged, accompanied by colic-like labor-pains, violent thirst, coldness of the
extremities, headache with clouded sight, and humming in the
ears.
Coffea and Camphor, in alternation, when there is, beside
the above symptoms, exceedingly painful colic.
Platina. After Belladonna or Chamomile, when the discharge is too profuse, or,of too long duration, of black and
thick blood, with great nervousness, sleeplessness, and constipation.
Secale. Particularly wit'h great weakness and coldness of
extremities.
If real flooding ensues, resisting the above medicines, the
application of cold water, or pounded ice, over the lower part
of the abdomen, externally, is necessary to coagulate the
blood in the vagina and uterus, which stops the hemorrhage.
There can be no fear of getting cold in doing this, if it is done
well; always keep the patient lightly but well covered. In
such a case, the patient must lie with the hips higher, at least
not lower than the shoulder. This treatment will be effectual
in the severest cases of flooding.
ADMINISTRATION.-Dissolve six glob. of a remedy in six
teaspoonfuls of water, and give every fifteen, twenty, or forty
minutes a teaspoonful, sometimes in alternation with another,
and lengthen the intervals as the patient gets better, when no
medicine is needed any more.




354


DISEASES OF FEMALES.


DIET AND REGIMEN.-Every drink must be cold and not
stimulating; except when faintness appears, with deadly paleness of the face, no pulse, and cloudiness of sight, give wine
and brandy, in frequent, small quantities.   Camphor and
China, in such cases, are of the greatest service. The patient
ought to lie perfectly quiet.
Menstruation of too long Duration.
Compare " Menstruation too Copious," and give of the selected medicine every evening and morning a dose (six
glob.) until better. (See, also, next article, on "Change of
Life, or Critical Period.")
DIET in such cases must be highly nutritious. It is best to
consult a physician early.
Critical Period.  Cessation of the Menses. ( Change of Life.)
This period, commencing about at the age of forty-five
years, forms one of the most important in the life of a female.
If not guided through this critical time by the counsel and
aid of a skillful physician, she gathers the seeds of endless
miseries, or even early death. This period may be a blessing
to her, as well as a source of great distress; as after it her
health either becomes more confirmed, or disorganizations in
internal organs are formed, which soon carry her off. Without enlarging further on the subject, we recommend the
early and constant advice of a skillful physician during this
time, which generally lasts from one and a half to two years.
First, an irregularity of the courses is experienced; they
stop for three months, then reappear with great violence,
then stop for four or six months, during which time the
woman shows more or less symptoms of congestions; piles
appear; the limbs swell; pruritus (violent itching of the
private parts) frequently sets in, also cramps and colics in
the abdomen; asthmas and palpitations of the heart; sickheadache; hysterics; apoplexy, etc. These maladies are so




PROLAPSUS UTERI -FALLING OF THE WOMB.       355
various, and continually changing and complicated, that they
require the constant, watchful care of a family physician.
Do not neglect them.
TREATMENT.-We can here only give general rules: eat
and drink moderately; sleep in airy, well-ventilated rooms;
avoid violent emotions or exercise, but contrive to be busy
mentally and bodily; shun exposure to inclement weather,
wet feet, etc. (See "Hygiene.")
Pulsatilla and Lachesis are, in this period, the principal
remedial agents, of which take every six days one dose (six
glob.) alternately, unless other remedies are necessary. If
diseases otherwise occur, see their respective chapters.
PROLAPSUS UTERI. (Falling of the Womb.)
A great deal of abuse has taken place, of late, with this
disease, which has almost become as fashionable, as neuralgia, etc., through the neglect and ignorance of practitioners,
who call every feeling of pressure which they cannot cure a
"falling or dislocation of the womb," supported by the
feelings of the patients, who really believe they have such a
complaint, while in the majority of cases, they have only the
peculiar sensation of forcing or bearing down, which results
often from congestion to the womb, caused by other inherent
chronic ailments. These ought to be ascertained and cured,
and the poor sufferer not tormented with endless and senseless supporters and bandages, explorations by speculums,
attempts to replace the womb, etc., by the practitioners who
frequently afterward assert that they have replaced the womb,
what really they could not have done, because it was not
dislocated. If after all the patient is not cured, and the
same feeling returns, it is said, "A relapse has taken place;
we must replace it again;" and so the poor sufferer, confiding in her medical attendant, never receives relief. There
are, undoubtedly, cases of falling of the womb, which require
manual replacement; but these occur mostly after mechanical




356


DISEASES OF FEMALES.


injuries, falls, blows, missteps, etc., or after severe labor in
childbirth, and an examination gives unequivocal signs of
dislocation. To such cases, the above remarks have no reference. I have seen frequent cases of the former kind, however,
which were pronounced and treated by eminent physicians
as prolapsus uteri, where no dislocation whatever existed; in
women, too, who never had children, and who had not suffered external injuries.  These patients were cured without
external helps of pessaries and supporters, and became entirely healthy by a rational internal treatment, after their several
chronic maladies, congestions to the womb, neuralgias, and
indurations of the womb, etc., had been removed. Yet they
frequently would, during the early part of the treatment, insist
upon it, that they had a falling or dislocation of the womb;
judging from their own feelings, and having been indulged
or strengthened in them by their former physicians.
TREATMENT.-If a falling of the womb, or its dislocation is
certain, from the preceding external injuries above stated,
and the consequent constant feeling of downward pressure,
less when lying, worse when moving or walking, compelling
her to lean forward; the patient ought to lie down, and remain
quiet, in a horizontal position, sometimes for weeks. During
that time, let her take,
Belladonna and Sepia, alternately, every other morning a
dose (six glob.) until better, or until one week has elapsed,
when the patient discontinues the medicine for one week, yet
remains lying; after which, she may repeat the same, or take,
Nux vomica. Afterward Calcarea carb. in the same manner.
Sometimes a dose of Platina, Cocculus, and Ignat. may be
given, if the patient exhibits great nervousness,with constipation.
DIET.- The usual homoeopathic diet in chronic diseases.
LEUCORRHEA. FLUOR ALBUS.      (Whites.)
This troublesome and weakening complaint consists of a
discharge of mucus, variously colored, and of different con



LEUCORRHEA - FLtOR ALBUS.


357


sistency, from the private parts. It occurs, generally, between
the age of puberty and the critical period, and is seldom seen
later than this, except when discharges of this kind are excited, in consequence of the disorganization of the womb. If
it manifests itself in children, or even infants, it is either on
account of want of cleanliness of these parts, or local irritations, such as porduced by pin-worms (ascarides), etc.
Weakly females, of a nervous, relaxed, or excited temperament, are more prone to it; and the more our present state
of society becomes over-civilized, with its legion of pleasures,
inactivity of body, idle and late hours, bad literature, and
immoderate use of tea, coffee, and spices of all kinds (we
mention here, only as an instance, the increased use of vanilla), the more easily will this disease be engendered.
It would carry us too far, to go into the practical detail,of
a disease which requires the most skillful attention of a medical
attendant; and we earnestly recommend an application to
him, in an early stage of the disease.
Beside this we recommend cold water, in all its various
applications, as the best means to restore the tone and strength
of the weakened parts of the system.
The principal medicines to be taken domestically, are:
Pulsatilla. Discharge thick, like cream, sometimes creating an itching around the affected parts.
Cocculus. Discharge of a reddish hue before and after
menstruation, with colic and flatulency.
Sepia. After Pulsatilla; parts become excoriated; discharge yellowish, greenish, fetid.
Calcarea carb.  Whitish, corrosive discharge in children; in
adults it is milky before menstruation or after lifting; particularly in fat, corpulent females.
Sulphur. If none of the above remedies should prove
sufficient.
ADMINISTRATION.- Four doses of a remedy selected, every
evening one dose (six glob.); then abstain from     taking




3.58


DISEASES OF FEMALES.


medicine for four days, and if not better at the end of
that time, select another remedy, and take it in the same
manner.
DIET AND REGIMEN.-Diet must be nourishing, but not
flatulent (see "Dietetic Rules"). Avoid the causes which
excite this complaint; particularly colds and excitements of
any kind.
PREGNANCr.
As this state of the female is an entirely physiological one,
it must not be considered abnormal of itself. It only becomes
so, by deviating from the rules of health. As regards diet, a
pregnant female may live as she has found it for herself most
beneficial heretofore. She must abstain, however, from excesses in diet, which previously would not have injured her, for
the sake of the welfare of a being, bound to her by the most
endearing ties; the moral and physical health of this expected
offspring depends upon its mother's actions.
Be careful in all things; careful in not making a misstep,
in not dressing too tight, in not sitting up too late at night;
in walking too great a distance, and in eating and drinking,
be careful and moderate. But enjoy life, as far as is possible within these conditions; and the reward will be the happiness of others.
Exercise in the open air is good and necessary, but it must
not be too violent; for instance, on horseback, etc.; walking
in the open air is the best. Do not walk out immediately
after dinner; but early in the morning or at night. Do not
take purgative medicines.
We will now consider the most common ailments.during
pregnancy.
DISEASES DURING PREGNANCY.
Pregnant females, even if ever so healthy otherwise, are
liable to diseases to which pregnancy, as such, predisposes.
These we will treat of in particular; while, for other ailments,




DISEASES DURING PREGNANCY.


359


we refer the reader to their respective headings, giving here
only the most suitable medicines:
For moral affections (see "Affections of the Mind"): Aconite, Pulsatilla, Belladonna, Platina, Lachesis, Stramonium,
Veratrum.
Headache: Belladonna, Bryonia, Nux vomica, Platina, Veratrum, Cocculus.
Toothache: Chamomile, Belladonna, Pulsatilla, Mercury,
Sulphur, Sepia.
Convulsions and spasms: Belladonna, Hyoscyamus, Ignatia,
Chamomile, Platina.
Dyspepsia: Nux vomica, Pulsatilla, Sepia, Phosphorus.
Constipation: Bryonia, Nux vomica, Opium, Lycopodium,
Sepia.
Dysury and strangury (scanty and painful urination): Nux
vomica, Pulsatilla, Cocculus, Sulphur.
Diarrhea: Antimon. crud., Phosphorus, Pulsatilla, Mercury, Sepia.
Piles (hemorrhoids): Nux vomica, Ignatia, Aconite, Sulphur.
Incontinence of urine: Pulsatilla, Belladonna, Stramonium.
China, Silicea.
Sleeplessness: Cofea, Belladonna, Nux vomica, Hyoscyamus,
Opium.
Fainting (hysterics): Ignatia, Pulsat., Aconite, Bellad.
Melancholy (low spirits): Aconite, Pulsatilla, Ignatia, Belladonna.
Piles or hemorrhoids: Nux vom., Sulphur, Ignatia, Sepia.
Cramps in the abdomen: Bellad., Nux vom., Pulsat.
Cramps in the back: Ignatia, Rhus tox., Kali carbonic.,
Bryonia, Belladonna.
Cramps in the hips: Colocynth, Rhus.
Cramps in the legs (calves): Veratrum, Secale.
Cramps in the feet: Calcarea carb.
Pain in right side (see article "Liver"): Chamomile, Aconite, Pulsatilla.
33




360


DISEASES OF FEMALES.


Heart-burn (sour stomach), Water-brash: Nux vomica, Phosphoric acid, Pulsatilla, Sulphur.
In all the above diseases, compare their respective chapters.
Nausea and Vomiting during Pregnancy.
This distressing complaint is present during pregnancy in
some females; in others it is wanting.   It begins usually
about six weeks after conception, and lasts up to the fourth,
fifth, even seventh month, more or less violently. It is of
a constitutional origin, and cannot be taken away easily, as
the exciting cause still exists. The same may be said about
the spitting of frothy saliva, with which some women are
troubled.
Exercise in the open air, cheerful society, strengthening
food, and refreshing drinks, such as ale, lemonade, or salt
fish, sardines, smoked herring, are frequently means to alleviate the sufferings.  The following medicines, also, often
have a good effect:
Ipecac: If bile is thrown up, coated tongue, loss of appetite.
Nux vomica. If with sickness at the stomach there is
headache, constipation, pressure in the stomach.
Arsenic. Vomiting after eating and drinking; great weakness.
Pulsatilla. Sour vomiting; white, coated tongue.
Petroleum. (See "Sea-sickness.")
Natrum muriaticum. Nausea and vomiting with loss of
appetite and taste: water-brash, acid stomach and painfulness
of the pit of the stomach.
ADMINISTRATION.-Give of the selected remedy three or
four doses (four glob. each) a day, for two or three days in
succession before the application of another remedy.
Pruritus.  (Itching.)
This distressing disease of the private parts often takes
away rest and comfort from the pregnant female, and must




MISCARRIAGE - ABORTION.             361
be removed as soon as possible. Try first, frequent washings with water, and if not better, wash with a solution of
borax and water, three or four times a day.
TREATMENT. - Bryonia, Carbo veg., Graphites, Mfercury,
Pulsatilla, Sepia, Silicea, Sulphur, Rhus, Sarsaparilla, are
the principal remedies.
See their application recommended under "Pruritus," in
"Diseases of the Skin."
Varicose Veins.
A complaint which consists in an extension of the veins on
the lower extremities, owing to the pressure of the pregnant
uterus on the large veins of the abdomen, impeding the
speedy return of the venous blood upward, creating, thereby,
stagnation. If they are not painful and large, frequent
washing in cold water is sufficient, as they speedily disappear
after the birth of the child. But when they are very large
and painful, the patient should lie down for a few days, and
apply beside, if necessary, a bandage or laced stocking, to
compress the extended veins. This bandage should be applied in the morning, when the least swelling is present.
The following remedies can be taken with benefit, every
three days one dose (six glob.), changing the medicines every
week, until better: Arnica, Nux vomica, Pulsatilla, Arsenicunm,
Lycopodium, Carbo veg., Lachesis.
Spots on the Face during Pregnancy.
Yellowish or brownish spots on the face, which often appear
in pregnant females, require the use of Sepia, every eight
days one dose (six glob.), for five or six weeks or until better;
if not, Sulphur in the same manner.
Miscarriage. (Abortion.)
Miscarriage can take place at any time between the first
and seventh month. If it occurs after the seventh, it is no




362


DISEASES OF FEMALES.


longer so called, but premature birth; as at this period the
child can be saved, and the object of pregnancy be gained,
to give birth to a living child. But if the child is born before the seventh month, it cannot live; thencc the name
"itmiscarriage." The more advanced the pregnancy is, the
less is the danger which might result from a miscarriage.
The oftener a woman has miscarried, the more her constitution inclines to new misfortunes of the same kind. Miscarriages are more liable to occur again at the same time of
pregnancy, at which the former or last one happened; if
once past that period, the danger to miscarry diminishes.
Miscarriage can become a habit; it sometimes appears epidemically, in so far, at least, as in certain seasons the uterine
congestlion generally increases ( menses appear more frequently and profusely, hemorrhages take place spontaneously, etc.), and in the same ratio, the possibility and occurrence
of abortion multiplies.*
If a woman approaches the time where formerly she had
miscarried, she must be careful not to provoke a return by
walking great distances, lifting, running down stairs, riding
over a rough road, etc. These practices might excite at any
* I observed this phenomenon, on the approach of the Asiatic cholera
in Cincinnati in December, 1848, when there was a sensible increase
of miscarriages and hemorrhages of every kind, increasing during the
spring of 1849, and being at its height in July and August, wben the
cholera was rag-ingr the most fearfully. Women miscarried at this time
Who never before had had any predisposition to it, although mothers
of many children; premature births occurred without any apparent
cause, bodily or mentally. After that time, the tide of the disease
turned, and with it the abortions decreased in number; also, other
kinds of hemorrhages. Undoubtedly, thle small quantity of positive
electricity in the atmosphere caused a. general debility in thle nervous
system, and consequent muscular and vascular laxity, which even involved, in its general effects, the uterus in all its functions. Hence the
epidemical appearance of abortions. Such facts must only be known
and recognized as such, and it becomes an easy task to prevent misfortune.




MISCARRIAGE - ABORTION.


363


time a miscarriage in females who never were predisposed to
it; certainly much more in those already predisposed. A
weakening, luxurious mode of living, late hours, great mental excitement, are causes of miscarriage, and must be strictly
avoided.
The premonitory symptoms of a miscarriage are: chilliness, followed by fever and pressing down sensation, which
afterward increases to labor-pains; cutting, drawing, mostly
in the loins and abdomen. A discharge of bright-red blood
either immediately issues from the vagina, or coagulated,
dark blood appears afterward in spells; frequent repetitions
of these efforts of nature are usually necessary to expel the
foetus; varying in duration from two hours to two days.
TREATMENT.-As soon as the above symptoms appear, even
if in a slighter degree, the patient must lie down and keep
perfectly quiet, without moving; if the attack is brought on
by mechanical injury, a fall, blow, misstep, or walking, lifting, etc., take
Arnica. Twelve globules dissolved in half a teacupful of
water, every fifteen or twenty minutes a teaspoonful, until
better, or until after one hour another remedy becomes
necessary.
Secale will be the next remedy to be given, in the same
manner as Arnica, particularly in females who have miscarried more than once; in older ones, or in those who have a
weak and exhausted constitution, when the discharge consists
of dark, liquid blood, and the pains are but slight.
China, in alternation with Secale, becomes necessary, when
the loss of blood is considerable, and weakness and exhaustion
evidently increases; buzzing in the ears; cloudiness of sight;
loss of consciousness; fainting when raising from the pillow.
Hyoscyamus, if the patient falls into spasms or convulsions
of the whole body, with loss of consciousness, discharge of
light, red blood, worse at night.
Crocus, if dark clotted blood is discharged, increased by




364


DISEASES OF FEMALES.


the least exertion, with sensation of fluttering or motion
around the navel. If other remedies fail, this sometimes
will help.
Ipecac. becomes a necessary remedy, in alternation with
Secale, if with flooding there is nausea, fainting, cramps.
Platina and Belladonna in alternation, either at the beginning or, after Ipecac. has failed to relieve, and the pains are
in the loins and bowels, severe bearing down, as if the intestines would be forced out; sensation in the back, as if it were
broken; very pale or flushed face; discharge of dark, thick,
clotted blood.
Administration the same as stated in Arnica.
DIET AND REGIMEN.-As in "Menstruation too Copious,"
"Flooding," which article may also be consulted, if the above
remedies are insufficient for the flooding. After the foetus
has passed away, treat the patient in the same manner as
would be necessary after a regular birth. The patient must
keep the bed for the same length of time as in regular childbed. This fact must be well remembered.
Do not neglect to procure a physician, if possible, immediately.
N. B. Premature birth, or a birth occurring after the
seventh, and during the eighth month, must be treated as a
regular birth; but frequently needs medical aid, which ought
to be procured.
PARTURITION. REGULAR BIRTH.
This is a physiological and healthy process, setting in at
the end of the ninth month of pregnancy, by contractions of
the womb, called labor-pain, which, at first slight, increases in
violence and strength, until the child is expelled. If labor
occurs after the ninth month (sometimes it delays for two
weeks), it becomes harder on account of the child becoming
larger, and its head more closed, consequently less compressible.




LABOR-PAINS - CRAMPS, ETC.             365
Labor-pains.
The following medicines will be of benefit to correct the
irregularity and painfulness of labor-pains:
For nervous trembling, fear and anxiety, before or during
labor-pain: Acon., Coffea, Bellad., Ignatia.
For inefectual or spasmodic pains; Cof., Chaam., LVux., Sec.
For the absence of labor-pains: Pulsatilla, Secale.
For excessively painful labor-pains: Coffea, Aconite.
For sudden cessation of labor-pain, with congestion to the
head, redness of the face, drowsiness: Opium.
ADMINISTRATION.-Every half hour a dose (four glob.)
until better, or another remedy is chosen.
During the progress of labor, and any time after delivery,
cold water may be drank freely by the patient, if she wishes
it. Decidedly objectionable, during this time, are all warm
drinks and alcoholic liquors, so frequently offered to the
patient with a view to assist labor.
Cramps.   Convulsions.  Spasmodic Pains.
These are nervous symptoms, which frequently appear
during labor, retarding the quick and successful delivery. In
such cases, give
Chamomile. If acute, cutting pains extend from the loins
to the hypogastrium, attended with spasms.
Belladonna. If the pains bear down most violently, so
that convulsive motions of the limbs ensue; great agitation,
constant tossing; red and bloated face; profuse sweating or
dry, heated face.
Hyoscyamus. Severe convulsions, with loss of consciousness, great anguish and cries, with oppression of the chest.
Stramonium. Trembling of the limbs and convulsions,
without loss of consciousness.
Ipecacuanha and Ignatia in alternation, when the patient
complains of a confused feeling in the head; sensation of
suffocation; convulsions.




366


DISEASES OF FEMALES.


Cocculus. If the whole body is cramped or convulsed,
particularly the lower part of the abdomen, with heat and
redness of the face; in alternation with Belladonna.
ADMINISTRATION.-Every fifteen, twenty, or thirty minutes,
one dose (three glob.) until better or another remedy is required; if the medicine is taken in water, dissolve twelve
globules in half a teacupful, and give every fifteen or twenty
minutes a teaspoonful.
ADHERENCE OF THE AFTER-BIRTH. (Placenta.)
When, within half an hour, after delivery, no more pains
appear, to expel the after-birth give Pulsatilla and Secale,
alternately, every fifteen or twenty minutes a dose (three
glob.), until new contractions ensue, after which, the placenta
will soon appear. If the patient's head is congested, full,
red, give of Belladonna four globules in preference to the
above remedies.
TREATMENT AFTER DELIVERY.
Perfect rest and sufficient covering are the first necessities
after delivery. No change of clothes or position ought to
take place within the first eight or ten hours after delivery;
during this time the patient generally enjoys a good sleep,
into which she may be allowed to fall one hour after delivery;
nothing restores the lost strength better than a good, quiet
sleep.
If flooding threatens, rub the region over the womb by
regular frictions with the hands, until the womb contracts
again, and after-pains appear, which diminish the danger of
flooding; or else give her Belladonna, if there is a great deal
of bearing down; Chamomile, if there is coldness of the
limbs and pains around the abdomen.
China and Ipecac., in alternation, in the worst cases, when
the above remedies do not succeed; or,
Pulsatilla, if the discharge of clotted blood appears at




DURATION OF CONFINEMENT.


367


intervals, ceases, and reappears; also, Crocus, Platina, and
Sabina. As the last remedy, apply cold water in wet bandages, which must be frequently renewed, or pounded ice on
the abdomen, which allays the flooding soon.  (See "Menstruation too Profuse, Flooding.")
AFTER-PAINS.
These are necessary evils, as their beneficial effect in contracting the womb more perfectly is too evident. Yet, they
sometimes become harassing and almost unbearable; in such
cases, use the following remedies:
Arnica; as the first medicine, to soothe the irritability of
the womb after such heavy exertions; next, or in alternation with it,
Pulsatilla, almost a specific for these pains; or, if not
better,
Chamnomile and VNux vomr., in alternation.
Secale, in weakly persons, or those who have already had
many children.
Coffea, if the pains seem to be so severe that the patient
almost despairs.
ADMINISTRATION.- Every half hour or hour a dose (four
glob.), until better.
DURATION OF CONFINEMENT.
If thus far this process is a perfectly healthy one (and neglect or mismanagement only can make it a source of suffering), its remaining part-that of confinement in bed after
delivery--passes off, generally, in the same healthy manner.
During this time, usually fourteen days, positively no visitors
should be admitted on any consideration. In the best case,
where nothing is wanting in regard to appetite, strength, or
milk, and other natural discharges, the patient must not be
allowed, before the fifth day, to sit up, and then, during the
next five or six days, only as long as is necessary to have the




368


DISEASES OF FEMALES.


bed made and aired. The reason is, to give the womb ample
time to reduce and replace itself in the proper location; and
that can safely be done only while lying. Attending to this
advice, literally, may save years of misery. The diet, in this
time, may be more substantial, if wished for, and if the
mother and child feel well otherwise.
BREASTS. NIPPLES. SECRETION OF MILK.
It is of the utmost importance for happiness and health,
that the greatest care should be bestowed upon the breasts
and their secretions, the milk, the fountain of life for a being
so dear to a mother. Months before the birth of the child,
the breasts, which sometimes already enlarge at that time.,
must be prepared for their future duty, by washing them
every day in cold water, particularly the nipples, so as to
harden them for the service to come.
Y3ilk-fever generally, if it is not too severe, passes off
without injury, and requires no other action on our part than
to watch the patient closely, day and night, attending scrupulously and kindly to her wants, because mental excitement,
at this period, often becomes fatal.
If, however, chilliness is followed by a very high fever,
flushed face, etc., give -Aconite in alternation with Coftea, if
great restlessness is present; every hour a teaspoonful of a
solution made of twelve globules in half a teacupful of water.
Bryonia, Belladonna, and Rhus are afterward necessary, one
after the other, every six or eight hours a dose (four. glob.),
if the pain and swelling in *the breast, still continue. The
child may continue to draw the breast, or it may be drawn
by the nurse or a breast-pump.
DIET very light; gruel, toast and tea.
Sore.Xipples.
The soreness and tenderness, even bleeding of the nipples,
require, at first, applications, of




AGUE IN THE BREASTL


369


Arnica tincture, six drops of it to half a teacupful of water;
wash with it every time after the child has nursed. If no
better in eight days, and the nipples inflame, swell, and threaten to ulcerate, give
Chamomile, particularly when the pains seem to be insupportable, like toothache; every four or six hours a dose
(four glob.), until better. If the nipples ulcerate or suppurate, dissolve of
Silicea, twelve globules in half a teacupful of water, and
wash three or four times a day, or after every nursing; if not
better in four or six days, take the following medicines, one
after the other, in the same manner as Silicea, until one
relieves, when all medicines must be discontinued until worse
again: -Mercury, Sulphur, Graphites, Lycopodium, Calcareacarb.
DIET as usual.
Ague in the Breast.  Gathered Breast.
Give immediately, Chamomile and Bryonia in alternation,
every hour a dose, four glob. for four hours; after which discontinue for four hours and let the fever pass off by perspiration, without giving any more medicine; if the fever will
not disappear, however, or returns, give
Aconite and Belladonna, particularly if the breasts are
swollen, hard, and very tender; externally, apply hot brandy
cloths. If lumps remain in the breast, rub with sweet oil, or
lay over the breast a plaster of beeswax and sweet oil.
If a gathering of the breast cannot be avoided, abstain from
putting on the warm poultices as long as possible, as they
only implicate a still larger part of the breast within the suppurating sphere; give, during this time,
Phosphorus and Hepar, in alternation, morning and evening one dose (four glob.), until better, or until four doses of
each are taken, after which discontinue the medicine, awaiting
its effects for at least three or four days; if no signs of improvement are visible, give




370


DISEASES OF FEMALES.


Mfercury and Lachesis in the same manner; and then again
Phosphorus and Hepar, until the abscess has opened, or the
swelling is diminished.
After the abscess has opened and discharged the matter,
give
Silicea, internally, every evening and morning a dose (four
glob.); externally, a wash on the breast, three times a day,
made of twelve globules of Silicea in half a teacupful of
water, well shaken. This remedy may be followed, in two
weeks, by
Sulphur, internally, same as Silicea, and in alternation with
it, until the breasts are healed.
DIET, nourishing, but not stimulating.
Deficiency of Milk.
Beside using drinks which have a tendency to increase
the milk, such as milk-punch (milk with brandy), beer and
milk, tea or coffee with milk, give
Pulsatilla, Causticumn, Calcarea carb., each one for a week,
every third night a dose (four glob.).
Suppressed Secretion of the Milk.
If the secretion of the milk is suppressed suddenly, either
by mental or physical causes, great injury is to be feared, if
the proper measures are not adopted immediately; one of
them is to take
Pulsatilla, twelve globules dissolved in half a teacupful of
water, every two or three hours a teaspoonful. If congestion
to the head, lungs, or abdomen takes place after the milk has
disappeared, give Belladonna, and Bryonia, in alternation, in
the same manner as Pulsatilla.
If mental emotions were the cause, give
Aconite, Coffea, Chamomile.  (See in "Diseases of the
Mind," for the consequences of fear, fright, etc.)
If taking cold was the cause, give Chamomile, Bryonia, and




WEANING--STATE OF THE BOWELS.


371


Rhus, particularly when the head and limbs ache, in the same
manner.
If diarrhea sets in, give Pulsatilla, Bryonia, Rhus, Belladonna.
Milk Bad, too thin, or repugnant to the Child.
Give the mother Cina, Mercury, Silicea, every third day a
dose (four glob.), each remedy for ten days; Silicea, particularly if the child vomits immediately after sucking.
Excessive Secretion and involuntary emission of Milk.
Weaning.
Internally, give Pulsatilla, Bryonia, Belladonna, Calcarea,
in succession, each remedy for thirty-six hours, every twelve
hours a dose (six glob.). Externally, wash with spirits of
Camphor, and wear constantly cotton batting. This is the
best external application which can be used to stop the secretion of milk at the time of weaning the child.
State of the Bowels.
On account of the great changes going on at this time in
the female organism, the secretion from the womb and breasts
whereby a great quantity of liquids are disposed of, the secretion in the bowels by the stool is retarded, and, consequently,
no evacuation designed by nature, f6r at least five days after
delivery; if any stool is forced, artificially, before that time,
it is that much liquid taken away from places where nature
needed it the most. If, after the lapse of five days, no motion on the bowels has appeared, give of
Bryonia, four doses every three hours one (six glob.), and
await its effects twenty-four hours, after which, give YVux
vomica in the same manner, if necessary.
Sulphur after that, if necessary, in the same manner. An
injection, either of lukewarm water, and two tablespoonfuls
of sweet oil, or the same with a little castile-soap dissolved in




372               DISEASES OF FEMALES.
it, may be given on the sixth day, if necessary, and as often
afterward as needed.
If diarrhea sets in, the principal medicines are: Rheum,
Phosphor. acid, China, Pulsatilla. For closer examination of
the symptoms and their exciting cause, see article "Diarrhea."
But there is one kind of diarrhea peculiar to nursing women, which is frequently connected with the nursing sore
mouth (see this below). The discharges from the bowels are
whitish, curdled, smelling sour and musty, being copious and
frequent, but not very painful. This diarrhea is the beginning of consumption of the bowels, and must be attended to
immediately. I have found the following remedies almost
specific in such cases:
Nux vomica, and Hepar, alternately, every three hours a
dose (six glob.), until better, or until six doses of each are
taken; at the same time the patient must lie on the bed or
couch.
DIET.-Black tea, dry toast, rice, afterward, beef-steak and
roasted mutton. (See, beside, "Consumption of the Bowels.")
Sore Mouth of Nursing Women.
In some females this complaint is constitutional; it is
caused by the peculiar irritation which nursing has upon
their digestive organs; if let alone, it sometimes becomes so
bad as to force us to discontinue nursing, or to send the patient to mountainous places (the higher the better), where
the digestive organs become stronger and more able to resist
this weakening influence, occasioned by the constant loss of
fluid (milk). The following remedies, however, will be used
with benefit:
MzAfrcury, Chiina, in alternation, every evening and morning
a dose (four glob.), for a week.
Nitric acid, every other evening a dose (four glob.), until
better, or for a week; and, afterward,




DISCHARGE FROM THE WOMB DURING CONFINEMENT.   373
Borax, Nux vom., Sulphur in the same manner. (Beside,
see article on " Stomacace.")
DIET AND REGIMEN. Diet nutritious, but not flatulent, as
frequently a diarrhea accompanies this complaint, which requires particular attention. See foregoing article.
Exercise in the cool, fresh air (but not fatiguing exertion
by walking), riding out in a carriage, etc., are beneficial;
also, cold bathing, or sponging.
DISCHARGE FROM THE WOMB DURING CONFINEMENT.
(Lochia.)
This bloody secretion from the womb is called the "Lochia," and lasts, generally, from nine to fourteen days, becoming gradually paler from the beginning, until finally a lightish,
mucous discharge is left, which diminishes in quantity, until
it also disappears.
This is the natural process; the deviations from it are abnormal, and require attention. If the discharge is suppressed
entirely, and fever, pain, and congestion follow, particularly
in the abdomen and head, give Bryonia, Pulsatilla, Hyoscyamus, Platina, Secale, Veratrum.
(Another means to make it reappear again is, to apply on
the womb warm fomentations of hops in a bag.)
If it is too profuse, or of too long duration, Ipecac., China,
Secale, Calcarea carb., Pulsatilla, Bryonia, Platina. If the
white lochia becomes bloody again, Rhus.
ADMINISTRATION the same as in "Menstruation too Profuse,
Flooding."
DIET AND REGIMEN, also, the same.
PAIN. INFLAMMATION IN THE ABDOMEN.
Metritis and Puerperal Fever.
If the abdomen becomes very sensitive to the touch or by
movement, shooting pains, fever, headache, give immediately Bryonia and Belladonna, twelve globules of each dissolved




374               DISEASES OF FEMALES.
separately in teacups half full of water, every two hours a
teaspoonful, alternately; send for the physician immediately;
if the lochia had stopped, apply, externally, a bag filled with
hops dipped in hot water and wrung out well. If perspiration ensues, encourage it until the pain has disappeared.
GENERAL COMPLAINTS DURING CONFINEMENT.
For sleeplessness: Cofea.
For colic: Chamomile, Bryonia, Pulsatilla, Sepia, Verat.
For convulsions (spasms): Ignatia, fyoscyamus, Platina.
For retention of urine: INux vom., Bellad., Pulsat.
For debility: China, Phosphoric acid, Veratrum, Calcarea
carb.
For falling of of the hair: Lycopodium, Calcarea, Natrum
mur., Sulphur.
For white swelling (milk leg): Belladonna, Rhus, Lachesis,
Arsenic, Sulphur.
N. B. For further information and the administration of
medicines in the above diseases, see their respective Chapters.




CHAPTER XVII.
TREATMENT OF CHILDREN.
APPARENT DEATH OF A NEW-BORN INFANT.
(Asphyxia.)
WREN a new-born infant, either from exhaustion or other
causes, does not breathe, or at least very imperfectly, order a
warm bath, and while that is being prepared, rub the spinal processes, from the Beck down to between the shoulders, up and
down, gently but firmly for some time, and blow the breath
gently into its mouth from time to time, if it does not breathe.
In the bath, pursue the same manipulations, and give a
few drops of a solution of Tartar emetic, one grain in half a
teacupful of water. If the child looks blue in the face
(strangled), give Opium, in the same manner prepared, on
the tongue, and by injection.
After the child revives, but looks pale and exhausted,giv~e
China, one glob., every two hours, fq~r six hours.
DIET OF A NEW-BORN INFANT.-After washing and dressing, the infant wants sleep, into which it falls as soon as it is
warm enough. Put it in the mother's bed; near her, if possible. After having slept for six or eight hours, lay it on the
breast, even if no milk were there, and feed it afterward with
molasses and water (under no circumstances bread and
water), or milk and water, half and half, and sweetened with
loaf sugar.
Wash its mouth after feeding every time with cold water;
it prevents the thrush.
34                                   (375)




376


TREATMENT OF CHILDREN.


COLIC. CRYING OF INFANTS.
Examine well whether pins, sticking the little sufferer, are
the cause.
If no cause is apparent but the universal one (colic), give
Chamomile and Belladonna, in alternation, every half hour or
hour a dose (one glob.) on the tongue.
If the child bends its body double while crying, and retracts
its thighs, give
Chamomile, when the face is red; or Belladonna, when the
face is pale. If the child has greenish stools at the same
time, give Clhamomile. If it has loose evacuations, of a sour
smell, give Rheum. If these will not suffice,
Ipecac. and Jalappa. All in the same manner. For great
restlessness, sleeplessness, and feverish heat, with crying,
give Coffeacc and Belladonnac", in the same manner.
ELONGATION OF THE HEAD.
This deformity of the infant's head is only temporary;
wash it with Arnica tincture and water (six drops to a teacupful); in a few days it will disappear.
SNUFFLES.   OBSTRUCTION OF THE NOSE. (Coryza.)
Give Nux vomica, one glob. in the evening, and Sambucus
the next evening, if not better; in that manner alternate,
until relieved.
If the nose runs water, give Chamomile; and if this does
not relieve, Calcarea, every other night one or two globules;
Carbo veg., when it is worse, every evening, and
Dulcamara, when worse in the open air;
Tartar emetic, when there is rattling of mucus in the chest,
worse at night.
SWELLING OF THE BREASTS OF INFANTS.
Do not press or handle rudely these delicate swellings; as
they contain nothing, the least of all milk, to be squeezed
out. It is an inflammation, and must be treated like any




INFLAMMATION OF THE EYES.


377


other inflammation of glands. First, we should try to reduce
the swelling; which can be accomplished, in most cases, by
covering it with a lint, dipped in sweet oil. If this will not
succeed, wash it several times with warm brandy and water,
and give the child internally Chamomile and Belladonna, alternately, every evening and morning a dose (one glob.). If it
still grows larger (I have seen them of the height of one
inch and more), keep on it a bread-and-milk poultice, and
after the gathering opens, treat it like any other abscess;
inwardly, give kiercury and He-par, every evening one glob.,
alternately.
RESTLESSNESS. SLEEPLESSNESS.
If without any apparent cause, the child cannot sleep, give
it Coffea~~ and Belladonna"c, alternately, every hour one glob.,
which in most cases will have the desired effect. If not, however, give
Chamomile, if the restlessness is attended by flatulency and
griping; the child starts and is feverish, with redness of one
cheek.
Pulsatilla and Ipecacuanha, if it arises from overloaded
stomach.
Opium, if the face of the child looks red and bloated.
INFLAMMATION OF THE EYEs.
This is a frequent complaint among infants. Do not expose
the eyes to a light too strong, nor to cold draughts of air
Drop a few drops of the mother's milk into the eyes several
times a day.  Beside, give Aconite and Belladonna, in alternation, three times a day one glob., for several days.
If this course does not succeed, give
Chamomile, when the eyelids are swollen and glued together
in the morning with yellow matter.
Mercury and Pulsatilla, in alternation, if small yellowish
ulcers are perceived on the margins of the eyelids, with diseharge of yellowish matter.




378             TREATMENT OF CHILDREN.
If not better, give Euphrasia and Rhus, in the same manner; and, at last, Sulphur, every other evening one glob., for
a week, particularly in scrofulous children.
THRUSH, OR SORE MOUTH OF INFANTS. (Aplttkce.)
This disease appears commonly in the first month after
birth, and consists in the formation of small, white flakes on
the tongue and around the gums. At first they are not very
numerous, but soon multiply and run together, covering sometimes the whole tongue and mouth and extending down the
throat.
CAusEs-.The principal cause of this disease is a constitutional taint, and not, as is frequently believed, the want of
cleanliness only, although the latter may contribute to its development.
If children are nursed by the bottle or spoon, the use of
improper food may give rise to it; consequently we see this
disease more frequently in sick infants than in those nursed
exclusively by the mother.
TREATMENT. -Wash immediately the mouth and tongue
with Borax, dissolved in water and sugar (do not rub with
the dry Borax); cleanse well all spots with a cloth dipped in
the solution, and then wash the mouth well with another
clean cloth, dipped in clean, cold water. If Borax is used
in the dry state, too much of it remains in the mouth, creating there the same disease which had to be cured; because
it is the true homceopathic remedy; in the above described
manner, however, cases of thrush have been cured, which
were previously treated for a length of time with pulverized
Borax, without the least beneficial effect. At the same time,
give the child Mercury and Sulp]hur, every three or four
days, alternately, one glob.
HEAT. RED GUM. HEAT SPOTS.
This is an eruption of red pimples on the face, neck, and




EXCORIATIONS - JAUNDICE-- ERYSIPELAS.     379
arms, sometimes over the whole body, caused mostly by
keeping the child too warm.
In most cases, this eruption disappears quickly, without
medicine, if the child is not kept too warm, and bathed
regularly.
If the child is restless, give Chamomile, Aconite, Bellad.,
Rhus, Arsenic, Sulphur, every evening one glob., and every
day another remedy, until relieved.
EXCORIATIONS. RAWNESS OF THE SKIN.
Belladonna, if it occurs in very fleshy infants, and when
there is fiery redness.
Chamomile, if the children are very restless. Every evening one glob., for three or four days; then discontinue the
medicine for four days.
IMercury, Sulphur, Lycopodium, Carbo veg., and Silicea,
in the same manner, if not better.
Wash often, and dry well; after which, use externally fine
wheaten starch, or a weak lotion of Arnica tincture.
JAUNDICE.
This disease sometimes occurs in children when they have
taken cold, or been purged too frequently with castor oil. In
such cases give
Chamomile and Mercury, in alternation, every evening one
glob., until better.
iVux vomica. In the same manner, if the child is restless
and costive.
Hepar. If the above remedies do not suffice, every other
evening one glob.
ERYSIPELAS.
(See "Erysipelas," under "Diseases of the Skin.")
This disease claims the attention of a homceopathic physician. Yet the following remedies may be given, until one
can be procured:




380


TREATMENT OF CHILDREN.


Belladonna and Aconite, alternately, every three or four
hours one glob.; after the fever has subsided
Belladonna and Rhus, in the same manner.
The parts affected must be kept dry by dressing them with
lint.
CONVULSIONS OR SPASMS.
Order immediately a warm bath, and while that is preparing,
select from among the following remedies that which is suitable.
Belladonna. In almost all spasms the first remedy. Give,
in preference, the Belladonna cC, in the following.manner: put
directly two glob. of it on the tongue of the child; then dissolve twelve glob. in four teaspoonfuls of water, mix well, and
give every fifteen minutes a few drops on the tongue.
After the bath (which may last from five to ten minutes),
wrap the child, without drying off, in heated flannel, and lay
it with its head higher on a pillow made of quilts, and, if
possible, covered with oil-cloth.
If the spasms will not cease, keep the child's feet and legs
in warm water, at the same time pouring a stream of cold
water on the crown of its head, until consciousness returns.
This process must be repeated frequently, although the first
attempts have proved inefficient; it has been tried with the
greatest success.
If by this time the child has not yet recovered from the fit,
order an injection to be made of lukewarm water, and a tablespoonful of sweet oil, together with a little soapsuds (castile soap
and water) to be given, and select another remedy, which administer in the same manner as BelladonnaCC.
Chamomile. Convulsive jerkings, moaning, eyes half open,
redness of one cheek.
Cina cc.. If worms are to be suspected.
Cofeacc. In weakly and nervous children, subject to frequent fits.
Ignatia. When the fits return in regular intervals, followed
by fever and perspiration.




TEETHING.


381


Ipecac. WheAi the breathing is short between the fits,
nausea, and frequent spasmodic stretchings.
Opium. In fits afterfright, when the breathing is labored,
the face dark, flushed, almost blue;
Hyoscyamus, in convulsions from sudden fright, the muscles
of the face twitch, and the mouth foams; in voluntary evacuations of faeces.
Stramonium, when the convulsions were caused by sudden
fright, or in fevers from repelled eruptions; and
Sulphur, when caused by repelled chronic eruptions.
If, after the fit, the child sleeps with its eyes half open, give
Hellebor., and Belladonna, as directed under " Hydrocephalus," page 383.
TEETHING. (Dentition.)
With seven months, the two middle teeth of the lower jaw
appear; shortly after, the two corresponding ones in the upper jaw. From this time, the little organism is constantly
putting forth teeth, until, at the end of two or two and a half
years, the first dentition, consisting of twenty teeth, is completed.
The process of teething excites in the little ones a variety
of diseases, which, if not well treated, too often prove fatal.
The mother can do a great deal, in directing the mode of her
living, in eating, drinking, and acting, so as not to make her
milk another source of suffering for the sickly sufferer. (See
"Hygiene.")
The gums swell and are painful; yet the child wants to
bite and press something hard on the teeth, to relieve the intolerable itching and irritation underneath the gums. Give
it an ivory ring. If fever appears, with restlessness, retching, etc., give Cofea o~- and Belladonna o, alternately, every
half hour or hour, half a teaspoonful (twelve glob. having
been dissolved in half a teacupful of water).
Chamomile and Belladonna.    If convulsive jerkings or
twitchings occur in the sleep.




382


TREATMENT OF CHILDREN.


Cina. If with teething it has a dry, spasmodic cough,
or signs of worms; rubbing at the nose.
Aconite. If the fever is high.
If a diarrhea of a yellowish color occurs, it is not objectionable at first; but if it becomes of a whitish, slimy color, and
curdled, give Coffea, Ipecac., Calcarea carb.; if of a greenish
or grass-green color, give Chamomile and Cuprum.
If convulsions ensue, treat as stated in that article, page 380.
If the teeth are tardy in breaking through, do not lance
them (it can only be of use where they are much swollen and
heated), but give Calcarea carb., every evening two glob., for a
week; then discontinue a week, and give Sulphur, in the
same manner.
If constipation occurs during teething, give Bryonia and
Nux vomica, alternately, every evening a dose (two glob.) for
six days.
CONSTIPATION.
It is a bad practice to give children physic, castor oil, etc.,
rather than to take the trouble to prepare an injection for
them, which is easily done; as it consists only of warm water
with a little piece of castile soap dissolved in it, and sweet oil.
This is much better to apply than to give children something,
which, if it for the present relieves them, renders them afterward more constipated than ever. First give them the following medicines:
Bryonia, NTux vomica, and Opium, in succession, each remedy for one day, and three doses (two glob.), of each in a
day. If not better, give Sulphur, in the same manner; and
then, if necessary, give the above injections.
Beside, allow as much cold water as they will take, and
rub their stomachs every evening well with sweet oil.
DIARRHEA OF INFANTS.
If it has a sour smell: Rheum.
If it looks greenish, even grass-green: Cham., Cuprum.




DROPSY OF THE BRAIN.


383


If with colic and a red face: Chamomile.
If with colic and a pale face: Belladonna.
If not relieved after these, give Sulphur.
If the diarrhea always appears in the heat of summer:
Ipecac., Nux vomica, Bryonia, Carbo veg.
If from cool weather: Dulcamara, Antimon. crud.
If with great emaciation and weakness: Arsenic, Carbo veg.
ADMINISTRATION.-After every operation, one glob. of the
selected medicine. For further information, see "Diarrhea."
FEVERS OF INFANTS.
Always give Aconite, two glob. first; in two or three hours
Chamomile and Coffea, in alternation, every one or two hours
two glob. (or in water, as usual); and lastly, Belladonna, in
the same manner.
By that time, the fever must have shown its character, or
the child will be well.
DIET.-Give a thirsty child as much cold water as it wants.
DROPSY OF THE BRAIN. (Hydrocephalus.)
Children with large heads, and of a scrofulous taint, are
more subject to this disease than others, as their brains are
more liable to congestions. The most trivial derangement of
the bowels, sudden change in the atmosphere, teething, eruptive and other fevers; in fact, all diseases which may befall
children, can, under certain circumstances, take their final
and fatal issue through the dropsy of the brain, if timely aid
does not prevent such a result.
DIAGNOSIS.-Whenever a child becomes drowsy, its head
hot, feet cold, with or without nausea and retching, and sleeps
with eyes half open, be careful and give it immediately the
following remedies:
TREATMENT.--Bellad. and Hellebor. (of each twelve glob.
in half a teacupful of water), every hour or two hours a teaspoonful, until four teaspoonfuls of each are given, or until
35




384


TREATMENT OF CHILDREN.


the child becomes more lively. If the same drowsiness
reappears, repeat the same medicine; if the third time, it appears, give Opium and Sulphur, in the same manner, and
afterward Bryonia and Hellebor., as above.
DIET must be light. Keep the feet warm, but the head
cold, with cloths dipped in ice-water.
It is evident, that in diseases of this kind, medical aid
should be obtained as soon as possible.
ASTHMA OF CHILDREN. (Choking fits. Asthma Millari.)
If little children seem almost to suffocate, fall into a
spasm, and have a bluish face, give Ipecac., one glob. every
ten minutes; and when it is characterized more by hard and
tight distension of the stomach and around the short ribs,
with shortness of breath, choking, anxiety, agitation and tossing, cries and retraction of the thighs, give Chamomile, one
glob. every twenty or thirty minutes, until better.
But if an asthmatic attack occurs suddenly and violently
in the sleep, with dry, dull cough (resembling croup), the face
and extremities become purple, spasms in the hands and feet
(asthma Millari), give Sambu., every five or ten minutes one
glob., until better. Send, however, for a physician directly.
If Sambucus should not relieve within two hours, and no
physician could be had, give Ipecac., Pulsatilla, Arsenic, Sulphur, Cuprum, Spongia, in succession, in the same manner
as Sambucus above.
DIET, of the lightest kind. No meats, but gruels.
REMITTENT FEVER OF INFANTS.
DIAGNOSIS.-Languor, irritability, nausea, want of appetite,
thirst, slight heat of the skin, and restlessness at night. This
is the beginning of the disease above named. Soon, the
symptoms increase; fever; constipation, or diarrhea of a
mucous, fetid substance, sometimes mixed with blood; heat
in the body and head; extremities cool; tongue coated, dry,




VACCINATION.


385


and red on the margins; drowsiness, listlessness in the day,
restlessness at night; hacking cough.
TREATMENT.-Ipecac. As the first remedy, every three or
four hours one glob., for one day; afterward, Bryonia and
Rhus, alternately, every three hours one glob. for two days;
then discontinue the medicine for one day; after which, if the
patient is better, Sulphur may be given once or twice, every
three hours one glob.; or, if the head suffers the most, give
Belladonna, every three or four hours one glob. for one day;
or Chamomile, if the fever continues, with one flushed cheek,
the other is pale; irritability; child does not know what it
wants; in the same manner as Belladonna; or give
Mercury. If a diarrhea with tenesmus is predominant, and
the tongue coated whitish; or
NVux vomica. When constipation is present, with frequent
but ineffectual desire.
Lycopodium. When the tongue is dry, yet the patient is
not thirsty; very petulant; does not want to see any one, or
talk to any one.
If head symptoms appear, see " Dropsy of the Brain."
DIET AND REGIMEN.-Gruels, toasted bread, soaked in milk
and water; no meat or broth; no eggs; keep them comfortably warm, always covered, particularly arms and limbs. If
perspiration appears, do not check it by exposure, as it frequently breaks the disease, and shortens its course.
In convalescence be careful in the diet, as relapses frequently take place from errors in the diet. See what is said about
it in " Typhus."
VACCINATION.
It is in accordance with the homoeopathic principle, that
vaccination can save from an attack of small-pox, the latter
being a similar (but not the same) disease to the former.
Through vaccination the triumphs of homceopathy have been
shown to the world by innumerable blessings, in arresting
such a loathsome disease as small-pox.




386


TREATMENT OF CHILDREN.


Vaccination, if salutary and truly protective, must not be
negligently applied.  The virus, or matter, ought to be taken
from the cow itself, or from a healthy child, whose parents
are healthy too, and in whose family skin diseases or scrofula
are not hereditary.
Persons can be vaccinated at any time, from the first hour
of their existence to any age after that.* The best age for
vaccination is from six months to one year; the best time in
the year is May or June, when the least sickness generally
prevails.
If a child has been vaccinated with bad matter, or scrofulous symptoms develop themselves, give Sulphur, every evening one glob., for eight days.
CHOLERA INFANTUM.
DIAGNOSIS.-Violent, copious vomiting, first of food, afterward of sour liquid; diarrhea mostly at the same time; restlessness, child tosses from one side of the bed to the other;
nausea; retching on the least movement, or after drinking
water, which is soon thrown up again; head hot; extremities
cool; thirst great, drinks greedily; very weak; eyes sunken,
and half open; eyelids heavy; pulse feeble or none at all.
This disease occurs, usually, in the summer, after errors
in diet and other weakening influences on the stomach.
TREATMENT.--- In nowise different from  cholera morbus in
adults.
Ipecac. and Veratrum (twelve glob. dissolved in half a teacupful of water), give every fifteen or thirty minutes a teaspoonful, until the severest symptoms have diminished, when
the intervals ought to be lengthened.   If not better after
two hours, give
* I was obliged, once, to vaccinate a child only half an hour old,
whose mother, at that time, was seriously ill with the varioloid; the
vaccination took well, without rendering the child more sick than common, saving it successfully from an attack of small-pox.




SUMMER-COMPLAINT.


387


Arsenic (prepared in the same manner) every half hour a
teaspoonful until better..Rhus, in alternation with Arsenic, if the child tosses about
in the bed, in the same manner.
If the cholera disappears, but drowsiness ensues, child
sleeps with eyes half open; head is hot; feet cold; treat as
tated under "Hydrocephalus," page 383.
DIET AND REGIMEN.- Cold water; gruel; in convalescence
great care must be taken in regard to diet.
SUMMER-COMPLAINT.
This disease is well known in the large cities, where it
creates a fearful mortality among children, which are yet
under allopathic treatment. Teething and the warm weather
are its prominent causes, which are sufficient to produce all
the subsequent changes, which make up the so-called summercomplaint. In general, careful attention to diet, bathing in
cold or salt water, cool, refreshing air, on hills, or mountains,
or in the high country, will do much to prevent or cure this
disease. But where it has begun, give the follow medicines:
Ipecac., for nausea, vomiting of food and bile; fermented
stools, with white flocks, tinged with blood; no appetite;
great thirst.
Bryonia. Diarrhea in hot weather; great thirst; vomiting
after eating; stools smell putrid, are white or brownish. (In
alternation with Ipecac.)
Carbo veg. after Bryonia, if the discharges are very thin
and offensive, with pain at the time.
Dulcamara. Diarrhea in cool weather.
Antimon. crud. Nausea; vomiting; tongue coated; stools
offensive; urinating frequently.
Tartar emetic. Nausea: gagging, tongue clean; stools
watery, offensive; child is very weak. (In alternation with
Bryonia.)
Mlercury.  Stools, with straining (like dysentery), and




388             TREATMENT OF CHILDREN.
colic pain, discharges greenish, bloody, slimy. (In alternation with Nux vom.)
Veratrum, if the disease assumes the character of cholera
infantum. (See this article.)
ADMINISTRATION of the above remedies. -Every six or
eight hours, four glob..Phosphor. acid and China, in alternation, after every evacuation two glob., if great weakness
predominates and the stools are frequent, yellowish, watery.
(See "9Cholerina.")
If the child becomes still weaker, and, finally, a thrush,
white sores appear in his mouth, give Mercury, every two
hours four glob., until better, and in a few days afterward,
Sulphur, two glob. evening and morning.
DIET AND REGIMEN. - Arrow-root, farina, sweet-potatoes,
sweet pickled pork, fried smoked herring; if possible, retire
with the child to a place in the country high and airy, where
the child can be carried out mornings and evenings under the
shade of the trees; here it will soon recover.




PART SECOND.
I. ANATOMY AND PHYSIOLOGY.
II. HYGIENE AND HYDROPATHY.
III. MATERIA MEDICA.
(389)








I. ANATOMY AND PHYSIOLOGY.
ANATOMY describes the mechanism and structure of the
parts of the human system, while
PHYSIOLOGY treats of the laws by which the organism is
governed, and the various functions in man are performed.
From the above it may be seen how closely these two
sciences are related to each other, and that it is almost impossible to treat of them separately, without great disadvantage.
They will appear, in this short treatise, interwoven with each
other, as the necessity of a clear exposition of their details
may require.
The study of anatomy and physiology must be interesting
to every one, who wants to know a little more of the wonderful creations and provisions of an aliwise Providence, than an
outside view of nature around him can give. But it is not
alone the thirst for increased knowledge which is satisfied by
studying the human system and its laws; this knowledge is
often highly beneficial to our physical welfare, and is particularly necessary for those who, from necessity or philanthropy,
undertake to minister to the sufferings of their fellow-beings:
and to this category not merely the professional physician belongs, in whose hands life and health are trusted, but all men,
if possible, should enrich their minds with the treasures of a
science whose teachings lighten, to so great an extent, the
burden and responsibility of the healing art; particularly as
no one knows whether he mighlt not be called upon, in some
'emergency, to practice medicine to the extent of his knowledge. Viewed in this light, it becomes the duty of every one
(391)




392


392        ANATOMY AND PHYSIOLOGY.


who prescribes at all in diseases, to make himself acquainted
with the human system and the laws of health, as this knowledge only enables him to decide competently where health
ceases and disease commences. For a successful and satisfactory use of the prescriptions laid down in a domestic physician., some knowledge of the anatomy and physiology of the
human system is indispensable, and we recommend, strongly,
a repeated and careful perusal of the following pages.` ý
STRUCTURE OF THE HUMAN ORGANISM.
The human body consists of fluids and solids, changing
constantly from one into the other; their proportion to each
other varies in different individuals and at different periods
of life. In youth, the fluids are more abundant than in advanced age. The liquids contain, as it were, the whole body
in its elementary particles, which, by organical attraction, are
formed into the different solid parts of the system. These
exist in different degrees of solidity~, as their different uses
require. The simplest form of organized animal substance
is a membrane, or tissue, composed of fibres interwoven like a
-net-work; all organs are formed by tissues, which are different, and adapted to their uses.
The mucous membranes line all the cavities which communicate with the air, as the mouth, nostrils, intestinal canal,
lungs, etc., and are covered with minute cells, which secrete
a viscid fluid, called mucus, to protect the inner surfaces of
the cavities from the contact with the air.
The serous membranes line cavities which do niot communicate with the air, as the skull, chest, abdomen, etc. A
serous membrane is a shut sac, with one layer opposed to the
wall of the cavity, and the other folded around the contents
* If a more extended acqu aintance is desired with these necessary
branches of practical medicine, it can satisfactorily be found in the
work of Calvin Cutter, M. D., on anatomy, physiology, and hygiene,
which we mostly followed in its admirable and popular arrangement.




STRUCTURE OF THE HUMAN ORGANISM.


393


of the cavity; which contents are outside of the sac. A
serous fluid is secreted between the sides of these sacs to keep
them moist and movable.
Areolar tissue, otherwise called cellular, is extensively distributed throughout the system, and is useful in enveloping
organs and parts of organs, especially where a considerable
degree of motion is required; which motion it never impedes,
being abundantly supplied with fluid.
The adipose tissue forms distinct bags or cells, filled with
fat, and is principally located beneath the skin, and around
the heart and kidneys.
The cutaneous membrane forms the outside covering of
the body, called the skin, and is similar in its structure
(although harder), to the mucous membrane, of which it
forms the external continuation. It secretes, constantly, a
fluid called perspiration, if it appears in larger quantities; it
exists mostly, however, in an imperceptible vapor, which, as
it were, constitutes the atmosphere of the body.
The fibrous tissue forms a thin, dense, strong membrane,
and is found where a strong protection is needed, as in the
lining of the internal surface of the skull, around the bones
and at the end of the muscles; here it constitutes the so-called
ligaments and tendons.
The cartilaginous tissue covers the ends of the bones, where
they concur in forming a joint, and is, on that account, firm,
smooth, and elastic.
The osseous tissue, which composes the bones, varies in different periods of life, as regards solidity and density.
The muscular tissue consists of many filaments, which
united, form fibres, each of which is inclosed in a fine layer
of areolar tissue, called sarcolemma. Muscles are composed
of bundles of these fibres.
The nervous tissue is composed of two distinct substances
one gray and vascular, the other white and fibrous. The gray
forms the external part of the brain, and the internal part of




394


ANATOMY AND PHYSIOLOGY.


the spinal cord; while the nerves are composed of the white,
inclosed in a sheath called neurilemma.
ELEMENTS OF THE HUMAN ORGANISM.
These are: first, inorganic (chemical); or, second, organic
(elementary products of the system itself).
1. The inorganic or chemical elements. These are:
a. Metallic substances, as Potash, Soda, Lime, Magnesia,
Alum, Silex, Manganese, Copper, and Iron.
b. Non-metallic substances, as Oxygen, Hydrogen, Carbon,
Nitrogen, Phosphor, Sulphur, Prussic acid, etc.
2. The organic elements are: Albumen, Fibrin, Gelatin,
Mucus, and Osmazome, etc.
ANATOMY OF THE BONES.
The bones, giving strength and solidity to the system, are
so united among themselves, and adapted to each other, that
they admit of the most numerous and various actions. The
elevations or protuberances of the bones are called processes, which generally form the points of attachment for the
muscles and ligaments. They are composed of earthy and
animal matter; the former giving strength, the latter vitality
At the earliest stage of formation, the bones are cartilaginous,
soft, and tender, and become hard and ossified as soon as
deposits of phosphate and carbonate of lime commence, at
certain points, called points of ossification.
The periosteum or fibrous membrane investing the bones,
except where they are tipped with cartilage, at certain points,
gives vitality and nutrition to the bone.
There are two hundred and eight bones in the human body,
beside the teeth. They are divided into four parts.
First. The bones of the head.
Second. Of the trunk.
Third. Of the upper extremities.
Fourth. Of the lower extremities.




ANATOMY OF THE BONES.


395


1. The bones of the head.  They consist of those of the
skull, ear, and face.
The bones of the skull, of which there are eight, consist of
two plates or tablets of bony matter, united by a porous portion of bone; the external tablet is fibrous and tough, the internal, dense, hard, and glossy. Thus, the skull is admirably adapted to resist the penetration of sharp instruments, or
diminish any vibration occasioned by falls and blows.
The skull is convex externally, and at the base much thicker
than at the top or sides; its bones are, as it were, sewed
together, united by sutures, whose rugged edges interlock
with each other, producing a union, called, by carpenters,
dovetailing.
In early infancy the bones are not united, leaving interstices of considerable extent, which fill up slowly with bony
matter; thus allowing, in the early time of infancy, sufficient
room for the expansion of the brain, which, in this time of
life, is particularly liable to destructive congestions. No part
of the human structure contributes more to the difference existing among the races of. mankind than does the skull; in this. too
are found those eminences and depressions which indicate to
the phrenologist the development of the brain.
In each ear are four very small bones, which aid in hearing.
In theface we count fourteen bones, some of them serving
for the attachment of powerful muscles for masticating food,
others to retain in place the soft parts of the face.  The face
forms the most interesting part of the human system, with its
rays of intelligence and joy, or its clouds of distress or sorrow;
and thus with its wonderful play of passional expression is
made the dial-plate of the inner man.
2. The trunk has fifty-four bones: viz., twenty-four ribs,
twenty-four bones in the spinal column (back-bone), four in
the pelvis (forming the hips), the breast-bone (sternum), and
the bone at the base of the tongue (os hyoides). They are




396


ANATOMY AND PHYSIOLOGY.


so arranged as to form, with the soft parts attached to them,
two cavities, called the thorax (chest) and abdomen.
The thorax is formed by the breast bone in front, the ribs
at the sides, and the twelve dorsal bones of the spinal column
in the back; this cavity contains the lungs, heart, and large
blood-vessels; its natural form is a cone, with its point above,
yet fashion often inverts this order boldly, but never without
paying the due penalty in diminution of life and happiness.
The breast-bone (sternum) consists of eight pieces, in a child,
which after uniting, form but three parts in adults; the lower
part of the sternum reaching over into the pit of the stomach,
remains cartilaginous and flexible until old age, when it is
often converted into bone.
The ribs are connected with the spinal column, and increase
in length as far as the seventh, where they become shorter.
The seven upper ribs are fastened to the sternum by cartilages to facilitate their motions in breathing; they are called
the true ribs. The next three are united to each other by
cartilages, not touching the sternum-therefore called false
ribs; while the latter two, or lowest ribs, are not connected
either with the sternum or the other ribs, therefore, called.floating ribs.
The spinal column contains twenty-four pieces of bone,
called vertebrce. Each of the vertebrle has seven projections,
called processes, four of which, called articulating processes,
join similar ones of the adjacent vertebrae to form the column; two of the remaining processes are called tranverse, and
the other the spinous process; these processes receive the
muscles of the back and neck, to allow a firm and elastic
motion to the spinal column in all directions.
A canal or tube runs through all the verbetrm in one continuous descent from the round aperture in the skull, to contain the spinal cord (medulla spinalis), the immediate continuation of the brain.
Between the vertebrae is a cartilaginous and highly elastic




ANATOMY OF THE BONES.


397


substance, which facilitates the movements of the spine, and
diminishes any shock in walking, running, or leaping, which
would otherwise hurt the spine or brain.
Thepelvis, or the bones forming the hip, consists of four
parts, two of which are called innominata or nameless bones;
these, in particular, form the hip, having externally, at each
side a deep socket like a cup, for the reception of the round
head of the thigh bone; internally these bones, in conjunction with the sacrum, form a cavity, which contains those organs called pelvic, as the bladder, rectum, sexual organs,
etc. The sacrum belongs to the pelvis, forming its posterior
part; it is placed between the hip-bones, to which it is bound
by ligaments; it is, in reality, the continuation of the vertebra,
and forms part of the spinal column, which is terminated,
finally, by a small appendix called coccyx, in youth, consisting of four pieces, uniting, however, in more advanced
age, into one bone, which, in females, is more movable
than in males, for a wise purpose.
3. The bones of the upper and lower limbs are enlarged at
each extremity, where tendons, muscles, and ligaments are
attached. The bones of the extremities are mostly in the form
of cylindrical and hollow shafts.
The upper extremities contain sixty-four bones, as the shoulder blade (scapula), collar bone (clavicula), upper arm bone
(humerus), two bones of the forearm (ulna and radius), the
wrist (carpus), the metacarpus (palm  of the hand), and the
fingers and thumb (phalanges).
The collar-bone (clavicula) is attached at one end to the
breast-bone, at the other to the shoulder bone: it is shaped
like the italic S, and its use is to prevent the arms from sliding
toward the breast; a fracture of this bone requires a more
complicated bandage to keep the broken parts together, than
any other within the range of surgery.
The shoulder-blade (scapula) lies on the upper and back
part of the chest, forming the shoulder, where the upper arm




398


ANATOMY AND PHYSIOLOGY.


bone inserts itself in a shallow (glenoid) cavity, surrounded by
a strong ligament (capsular); the shoulder-blade itself is a
thin, fiat, and triangular bone, covering the back, and remains
in its position, or moves in different directions, by numerous
muscles which adhere to its projections.
The upper arm (humerus) forms a connection, at the elbow,
with the ulna of the forearm, and at the shoulder, its round
head is applied to the glenoid cavity of the scapula, in which
it is firmly confined by the capsular ligament, thus forming
the most movable joint in the whole system.
The lower or forearm is composed of two bones, called
ulna and radius: the former articulates with the humerus at
the elbow, forming a perfect hinge-joint; this bone is located
on the inner side of the forearm, while the latter, the radius,
lies on the outside of the forearm (on the side where the
thumb is placed), and articulates with the bones of the wrist,
forming the wrist-joint; the ulna and radius, at their extremities, articulate with each other, so that the hand can
rotate, permitting its complicated and varied movements.
The wrist (carpus) consists of eight bones, ranged in two
rows, and firmly bound together, thus allowing only a small
amount of movement.
The palm of the hand (metacarpus) contains five bones,
four of which are joined with the first range of finger-bones,
and the other with the first bone of the thumb.
The fingers have three ranges of bones (phalanges), while
the thumb has but two.
N. B. The mechanism of the hand, with its wonderful
adaptation to all the various purposes of life, is one of the
many facts which indicate man's superiority over the rest of
the animal creation, and must excite in us the deepest interest
and astonishment at the Divine wisdom and power.
The lower extremities comprise sixty bones, analogous in
construction and form to the upper extremities; the thigh-bone
(femur); the cap of the knee (patella); the shin-bone (tibia);




ANATOMY OF THE BONES.


399


the small bone of the leg on the outside of the tibia (fibula);
the instep (tarsus); the middle of the foot (metatarsus); and
the toes (phalanges).
The thigh-bone is the longest and strongest bone in the system, supporting the weight of the whole body. Its upper
part, a large round head, fills a corresponding cavity in the pelvis and forms the so-called hip-joint, thus admirably fitted, in its
mechanism, for its various offices requiring strength and motion.
The cap of the knee (patella) is a small bone in front of the
knee, connected with the thigh-bone by a strong ligament; it
acts like a pully, in the extension of the limb.
The shin-bone (tibia) is the largest bone of the lower part
of the leg, of a triangular shape, and considerably enlarged
at each extremity.
The small-bone of the leg (fibula) is of a similar shape
with the former, but smaller, and bound firmly to it at each
extremity. It lies on the outside of the leg.
The instep (tarsus) is formed of seven irregularly-shaped
bones, so firmly bound together by ligaments as to allow of
but little movement.
The palm of the foot (metatarsus) consists of five bones,
corresponding to the five toes, with which they articulate on
the front extremity, while on the hinder one, they articulate
with one range of the bones of the instep.
By this arrangement, an arch is formed, convex above and
concave below, which gives elasticity to the step, preventing
the jarring of the whole frame by any weight thrown upon
the feet, in their various uses.
The toes are composed of fourteen bones (phalanges); each
of the small toes has three, while the great toe has but two
ranges of bones.
The joints, which have such important functions to perform, are composed of the extremities of two or more bones,
lined and surrounded with cartilages, synovial membranes, and
ligaments.
36




400


400        ANATOMY AND PHYSIOLOGY.


The cartilage (gristle) is a smooth, solid, elastic substance,
of a pearly whiteness. It appears as a thin layer, on the
articular surfaces of the bones-thicker in the center upon
convex surfaces, while the opposite arrangement exists upon
concave surfaces.
The synovial membrane forms in a thin layer over the cartilages a closed sack, in the interior of which a constant
secretion. of a viscous fluid takes place, to facilitate the
movements of the joints.
The ligaments consist of numerous straight fibres, arrangred
into short bands of various breadths, or so interwoven as to
form a broad layer, which surrounds the joint, forming a
capsular ligament. They are white, glistening, and not elastic, and found mostly exterior to the synovial membrane.
PHYSIOLOGY OF THE, BoNxs.
The hones, by their solidity and form, retain every part of
the system in its proper shape. They rnot only afford points
of attachment for the muscles and ligaments, to hold the
body together and bring it into motion, but they protect, in
strong, bony cavities, all the important organs from external
injuries, such as the brain, the eyes, etc.
The bones grow and decay, like any other tissue, by new
particles being deposited from out the blood, and old, useless
matter removed, by the constant action of the absorbing vessels.  This has been tested thoroughly.  Some of the inferior
animals were fed with food containing madder. After a few
days, several'of these animals were killed, and their bones
exhibited an unusual reddish appearance. The rest of the
animals were for a few weeks fed on ordinary food, without
containing madder., and when killed their hones had the
natural color again.
The extremities of the bones are the best suited to form
joints; for which purpose their texture is more porous, consequently more elastic, and the external surface of the parts




THE MUSCLES.


401


immediately joining each other in a joint is covered with a
cushion of cartilage, to diminish jarring and grinding. The
contemplation of each minute particle, its uses and application in the system, its appropriate location, etc., the thousand
wonderful machines which can be observed, acting usefully
and quietly in our systems, reveal more and more the wisdom
and omnipotence of the great Architect. Wonder and adoration fills the heart of the beholder of such creations as the human body, in its detail and in its whole, as a complete and noble
machine, to run the errands of the holier part of man, the soul.
The bones serve, in the animal frame, as a proper basis; the
ligaments. hold the bones in their proper places firmly, as if
clasped by steel, yet with room to move. They surround the
joints like a hood, or extend from one bone to the other, in
the form of side layers. By these ligaments, the lower jaw
is bound to the temporal bones, and the head to the neck.
They extend the whole length of the spinal column, in strong
bands, on the outer surface, as well as within the spinal
canal, and from one spinous process to another.
The joints are different as regards movement and complexity of structure. Some permit motions in all directions,
as the shoulder; some in two directions, as the elbow, allowing flexion and extension; others -in three and more directions; others, again, have no movement at all, as the bones
of the skull, in adults.
THaEMUSCLES.
A muscle consists of bundles of fibres of different size, each
one inclosed in an areolar membranous sheath. Every bundle is composed of small fibres, and each fibre of numerous
filaments, each of which is inclosed in a delicate sheath. At
the end of the muscle, the fibrous substance ceases, and the
tendon (cord) commences, by which the muscle is attached to
the bone. The union is so firm, that the bone will sooner
break than permit the tendon to separate from its attachment.




402


402        ANATOMY AND PHYSIOLOGY.


The form of the muscles varies very much, according to
their uses. It is either longitudinal, having a tendon at each
extremity, or it diverges in the form of a fan, called a radiate
muscle. Others are penniform, converging, like the plumes
of a pen, to one side of a tendon; or bi-penniform, where
they thus converge on both sides of a tendon.
The color of a muscle is red; each fibre is supplied with arteries, veins, lymphatics, and nerves, both of sensation and
motion.
Where a great many muscles congregate around an organ,
they are inclosed in a fascia, a fibrous membrane, which
assists the muscles in their action, by keeping up a tonic
pressure on their surface.  Beside, it protects the parts underneath; as, for instance, in the palms of the hands or feet.
The separate muscles are also inclosed in fasciae, and arranged
in layers, as their use requires it. The interstices between
the different muscles are filled with fat, which gives to the
body roundness and beauty.
We may arrange the muscles into four parts; those,
1. Of the hzead and neck.
2. Of the trunk.
3. Of the upper extremnities.
4. Of the lower extremities.
As it is impossible to give an interesting detail of the
muscles of the body, their insertions and names, without illustrating them by plates, we content ourselves with the following general remarks.
There are more than five hundred muscles in the human
body, forming around the skeleton two layers, a superficial
and deep-seated one. Some muscles are voluntary, under
the control of the will, such as those on the fingers, limbs,
etc.; others are involuntary, as the heart. On the back, the
muscles are arranged in six layers, one above the other, for
the complicated movements which the back, neck, the upper
extremities, and the abdomen require.




THE MUSCLES.


403


The diaphragm is a muscle which needs particular explanation. It is located between the chest and abdomen, separating them completely; being penetrated only by the pipe
leading to the stomach, and by the great blood-vessels, leading from and to the heart. It may be compared to an inverted
basin, its bottom being turned upward into the chest, its edges
corresponding to the outline of the edges of the lower ribs
and breast-bone. Thus, the cavity of the abdomen is enlarged at the expense of that of the chest. Respiration,
however, changes the natural position of the diaphragm constantly, facilitating this process by its own action. During
inhalation, the diaphragm descends into the abdomen, enlarging the chest; during exhalation, the reverse takes place:
thus a constant and healthful action is given to both the respiratory and digestive organs. In this place, we should mention the great benefit which results from inhaling deep, to the
full extent of the lungs, which is greatly facilitated by exercising the abdominal muscles, causing them to swell out
when inhaling, and drawing them back when in the act of
exhaling. A little exercise in this way will soon show the
good results in the ease, and full extent to which the lungs
can be filled.
The action of the muscles, in performing their various
functions, can be explained only by the supposition of an inherent contractility, as a peculiar characteristic of the muscular fibre, which can shorten its substance when a sufficient
stimulus acts on it.  This stimulus is the nervous fluid,
directed to the muscle by the will, if voluntary actions shall
be performed, or, independently of the will, when the involuntary actions are wanted, such as the beating of the heart,
etc. The nature of this nervous influence may be analogous
to a galvanic or electrical current; as these agents, when
acting on the muscles, produce similar effects.
The rapidity with which the muscles move is truly astonishing, as any one can observe, in rapid speaking, or playing




404


ANATOMY AND PHYSIOLOGY.


upon instruments. It is not alone the size of the muscle
which determines its strength; but, also, the size of the
nerves which lead to it, and the size and activity of the brain,
which must supply the nervous fluid necessary as a stimulus
to action. Yet a great deal depends on training and exercise,
as these enlarge both the muscle and nerve. The blacksmith,
wielding the hammer daily and forcibly, will have a stronger
arm than the student, who merely exercises his muscles with
a pen. From this, it is evident that the muscles ought to be
educated or trained for the vigorous and healthful performance
of their duty. Strict and systematic rules are given for
this purpose, in an art called the gymnastic, which, to understand and practice diligently, we recommend strongly. It is
indispensable for the young, and not without advantage for
the middle-aged, to spend part of a day in systematic, healthful exercise of their muscles. The benefits are too great and
palpable to bring them forward here, singly. Washing in
cold water, also, invigorates the muscles.
THE TEETH.
The teeth differ from other bones in composition, nutrition,
and growth; while bones, when fractured, generally unite,
the teeth never do, when broken. They are divided into two
parts, crown and root; the former, protruding from the jawbone, is covered by the highly polished enamel, the root is
placed in the sockets of the jaw, consisting of bony matter,
through which several small vessels and nerves pass, giving
nutrition and vitality. The teeth, when beginning to grow,
are formed within dental capsules, inclosed within the substance of the bone, appearing as a fleshy bud or granule, from
the surface of which exudes the ivory on the bony part of
the tooth. In growing, it rises in the socket, which is formed
simultaneously around it, passing, finally, through the fleshy
part of the gum. The first teeth, called milk-teeth, are
twenty in number; they are temporary, and disappear from




ALIMENTARY ORGANS.


405


the seventh year upward; the last, or wisdom-teeth, do not
appear until a person is twenty years of age.
The four front teeth are called incisors; the next one on
each side is the eye-tooth (cuspid); the next two are bicuspids
(small grinders); and the next two are grinders (molars);
and the last one is called the wisdom-tooth. The incisors,
cuspids, and bicuspids have each but one root. The molars
of the upper jaw have three roots, while those of the lower
jaw have but two.
ALIMENTARY ORGANS.
These comprise the mouth and teeth, salivary glands,
pharynx, oesophagus ( stomach-pipe ), stomach, intestines, lacteals (milk, or chyle-vessels), thoracic duct, liver and pancreas.
The mouth contains the instruments of mastication and the
organs of taste. The preparation of food for digestion commences already in- the mouth, where it is masticated and
mixed with saliva from the salivary glands, of which there
are six, three on each side of the jaw. Their names and
positions are:
The parotid gland lies in front of the external ear, and
behind the angle of the jaw; its duct opens into the mouth,
opposite the second molar tooth of the upper jaw; this gland
is swollen and inflamed when children have the mumps.
The submaxillary gland lies within the lower jaw, anterior
to its angle. Its duct opens into the mouth by the side of
the string or bridle of the tongue (fraenum linguae), on each
side of which lies
The sublingual gland, of an elongated and flattened form,
lies beneath the tongue; it empties its saliva through seven
or eight small ducts into the mouth, by the side of the string
of the tongue; a disease called the "frog" consists in the
swelling of this gland.
The pharynx or throat is the continuation of the mouth, and
forms that cavity immediately below the palate where four




406


406        ANATOMY AND PHYSIOLOGY.


passages unite, two coming from the nose and mouth, the
other two going to the stomach and lungs.
The stomach-pipe (cesophagus) is a large membranous
tube, descending behind the windpipe, the heart and lungs,
through the diaphragm into the stomach; it has two membranes, an internal, or mucous, and an external, or muscular
coat; the latter consists of two sets of fibres, one circular, the
other longitudinal.
The stomach lies on the left side of the abdomen, immediately below the diaphragm, where the stomach-pipe enters
its upper part at an opening called the cardia; from this
point it enlarges into a sack, which lies with its larger end
on the left side, while its smaller end contracts gradually
toward the pit of the stomach, where it empties into the intestines; this opening in the stomach is called the pylorus.
The stomach has, beside the mucous and muscular coats, an
outer or serous coat, which is very tough and strong, of a
smooth and highly polished appearance, and confines the
stomach in its proper location. The stomach has a great
number of glands, to secrete the gastric juice.
The intestines, or alimentary canal, -are divided into two
parts, the small and large. The former, commencing at the
stomach, measures about twenty-five feet, while the large
intestine, ending at the rectum, is about five feet in length.
The latter is divided into three parts, the ccecum (the beginning of the large intestine), which lies near the right upper
hip-bone; the colon, which, from this point on the right side,
ascends to the region below the liver, then transversely
crosses the upper part of the abdomen, from below the liver,
to the lower part of the stomach on the left side, where it
bends again, descending to the left hip-bone, and entering
the cavity of the pelvis, being called here the rectum.
The small intestine, commencing at the stomach and ending
at the coccum, is also divided into three parts; the duodenum,
called so fr-om being generally twelve fingers long, com



ALIMENTARY ORGANS.                 407
mences at the stomach, ascends obliquely to the under surface of the liver, then descends perpendicularly (where it
receives the ducts from the liver and pancreas), and passes
transversely across the lower portion of the spinal column
behind the colon, terminating in the jejunun, its continuation;
and this, in its turn, is continued by the ileum, which empties
itself into the coecurn at the right hip, after the small intestines have made numerous windings. While the stomach
and intestines receive the food for digestion, and assimilate it,
various other secretions from the liver, pancreas, etc., enter
the alimentary canal to foster this process, and still other
vessels are ready to absorb the assimilated juice and carry it
into the circulation of the blood.  Of the latter are the lacteals or minute vessels, which commence on the mucous
membrane of the small intestines; from these they pass
between the membranes of the mesentery to small glands, out
of a collection of which larger vessels run to another range
of glands, and so on, throug'h several ranges of these glandular bodies, until they all empty themselves into one large
duct, called the left thoracic duct, which ascends from the
abdomen upward, lying in front of the spinal column, and
passes through the diaphragm to the lower part of the neck;
here it makes a sudden turn downward and forward, emptying itself into a large vein, which passes into the heart; its
diameter is equal to a goose-quill.
The liv;er is a gland, which lies under the short-ribs of the
right side below the diaphrao'm, and is composed of several
lobes; its upper surface is convex, its lower concave; it is
the largest organ in the system, weighinog about four pounds;
its use is to secrete the bile, a fluid so necessary for chylification. The gall-bladder, containing the surplus of bile not immediately necessary for the system, being, as it were, a reservoir, lies on the under surface of the liver, and empties into
the gall duct, which carries the bilious fluid to its destination
in theduodenum.
37




408


ANATOMY AND PHYSIOLOGY.


The pancreas is a long, flattened gland, similar to the salivary glands on the neck; it is about six inches long, weighs
three or four ounces, and lies transversely across the posternor wall of the abdomen, behind the stomach; its product,
a saliva or pancrealic juice (necessary for digestion), is carried
by a duct into the intestines in the duodenum, just where the
gall duct opens into the intestines.
The spleen (milt), of an oblong, flattened form, lies in the
left side below and touching the diaphragm, stomach, and
pancreas.  It is a reservoir capable of containing a great'
quantity of blood, ready for the purpose of the liver, to secrete the bile. The blood, in passing through, the spleen, loses
a portion of its red globules and thus becomes less stimulating.
The omnentum (caul) descending in four layers of serous
membrane from the stomach and transverse colon, contains
fatty matter, deposited around the vessels, which ramify
through its structure.  Its functions are: to protect the intestines from cold, and to facilitate their movements.
The whole digestive apparatus is supplied with arteries,
veins, lymphatics, and nerves; the latter chiefly from the
ganglionic system.  (See this.)
One of the most wonderful processes in the animal economy is that of the assimilation of food.
During its mastication (chewing) a considerable quantity
of saliva (spittle) is mixed with it, the object of which is, to
soften and moisten the food, preparing it for easy deglutition.
When it reaches the stomach, it is subjected to the powerful
action of the so-called stomach-juice (gastric juice), which is
secreted by the glands, immediately located in the substance
of the stomach. Beside, it is constantly in motion by the action of the muscles of the stomach, which brings the food into
contact with the mucous membrane, and thus it becomes
completely saturated with gastric juice, and at length dissolved into a pulpy, homogeneous mass of a creamy consistence, called chiyme, which passes, as fast as it is made, through




THE URINARY SYSTEM.


409


the pylorus into the duodenum. In the duodenum, the bile
and pancreatic fluid mix with the chyme, which, by their action, is separated into a creamy fluid (chyle) which is nutritious, and a reddish sediment, which is excrementitious; at this
point, the formation of the fecal matter commences.
From the above it is seen that the bile has no agency in the
change through which the food passes in the stomach. The
common belief, that bile is in the stomach, is erroneous. If
bile is ejected in vomiting, it merely shows that not only the
action of the stomach is inverted, but also that of the duodenum. Emetics will, generally, bring bile from the most
healthy stomach, by inverting the action of the stomach and
duodenum; the expression being bilious, having a bilious
attack, etc., is generally wrong, the bile having nothing to do
with these disorders, for which a better expression would be:
the stomach is out of order; if persons, generally, would
know this fact, a great deal of wrong and disastrous treatment would be avoided, as they would not force the stomach
to eject bile continually, where there is none located.
THE URINARY SYSTEM.
This system, whose duty it is to secrete and carry out of
the system the urine, is composed of the kidneys, the ureters,
and the bladder, with the urethra attached to it.
The kidneys, between four and five inches long, and two
and a half broad, lie in the lumbar region, behind the peritoneum, on each side of the vertebrae. Their texture is dense
and fragile, presenting, in its interior, two structures, an external (cortical), and an internal (medullary) substance.
The former contains the blood-vessels, which carry the blood
from which the urine shall be separated; the latter consists
of tubes, which conduct the urine away from the secreting
vessels. It is then received in the pelvis of the kidney, from
which it runs into the ureter, the excretory duct of the kidney, a membranous tube of the size of a goose-quill,




410


ANATOMY AND PHYSIOLOGY.


about eighteen inches in length; this runs down along the
posterior wall of the abdomen, behind the peritoneum and
crossed by the spermatic vessels, to the bladder in front, in
which it empties from behind and on the side.
The bladder is of an oblong, ovoid shape, situated behind.
the os pubis and in front of the rectum. It is the reservoir
for the urine, which is carried there by the two ureters from
the kidneys. It is retained in its positon by eleven ligaments,
supporting it on all sides. The bladder is composed of three
coats, an external, or serous, a muscular, and a mucous, or
internal coat.
The urethra is the membranous canal issuing from the neck
of the bladder. It is curved in its course, composed of two
layers, a mucous and an elastic fibrous coat. Through it
passes the urine out of the body.
THE RESPIRATORY AND CIRCULATORY ORGANS.
These organs are closely connected with each other. All
the blood must pass through the lungs, to receive there new
life and energy, by being exposed to the oxygen of the air.
For this and other reasons, we will treat of these organs, here
in connection.
After the nutrient portion of the food (the chyle-see page
409) is discharged by the thoracic duct into the left subclavian
vein, at the lower part of the neck, it is carried to the right
cavity of the heart, where it mixes with a large quantity of
venous blood. This mixture of fluid, as such, would not be
suitable to restore the lost powers of the body, unless subjected to a process, by which the chyle is converted into blood,
and the venous blood freed of its carbonic acid and water.
The respiratory organs consist of the windpipe (trachea),
the bronchia (continuations of the trachea), and the air-cells
(the extreme points of the bronchia). The lungs are composed of innumerable ramifications of the bronchial tubes,
ending in air-cells, lymphatic- vessels, and the pulmonary




RESPIRATORY AND CIRCULATORY ORGANS.


411


arteries and veins; their connections by cellular tissue, forms
the parenchyma of the lungs, or its substance. The lungs are
divided into two large parts, the left and right, each one of
which is inclosed in a layer of the serous sac, called the
pleura. Between the right and left lung, more to the left
side, lies the heart, separated from either by a serous membrane.
The trachea proceeds from the larynx, descending to the
pit of the neck, where it divides into two parts, assuming the
name of
Bronchia, which descend in numerous ramifications, into
the lungs, and form altogether a surface of twenty thousand
square inches, or about thirty times the surface of the human
body.
The air-cells are small bronchial tubes, and form the ends
of these ramifications, retaining the air, when once inflated,
except pressed out by force.
The trachea, bronchia, and air-cells are lined with the
mucous membrane, and supplied with arteries, veins, and
nerves.
The object of respiration is to free the system of carbon
and hydrogen, which accumulate in the system, and would
make an end to its existence, if not removed. For its removal, an allwise Providence has used the inhaling of air,
which contains oxygen, in sufficient quantity to form a combination with the carbon and hydrogen, which then is exhaled, in the form of carbonic acid and water. In this process, another wonderful provision was contained, which gives
life and motion to the whole system. It is the generation of
heat. The blood, in passing through the lungs, receives oxygen from the atmosphere. The oxygen thus obtained is carried to the minute vessels, called capillaries, where it unites
with the carbon and hydrogen of the decaying organs, as
well as with the same elements furnished by the food, and
thus maintains the heat throughout the entire system.




412


ANATOMY AND PHYSIOLOGY.


The circulatory organs are the heart, arteries, veins, and
capillaries.
The heart, placed obliquely, in the left cavity of the chest,
has the form of an inverted cone, the base of which lies upward and backward in the direction of the right shoulder, and
its apex points forward to the left side, about three inches, to
a space between the fifth and sixth ribs; below, it rests on
the tendinous part of the diaphragm. The sac, by which the
heart is surrounded, is called pericardium. This is lined by
a serous membrane, one layer of which invests the heart.
Between the lining and investing layer a serous fluid is
secreted, to facilitate the action of the heart. The dropsy of
the heart has its seat in this place.
The heart itself is a muscle, whose fibres run in different directions, but mostly in a spiral direction. It is divided into four
distinct compartments, the right and left auricle and the right
and left ventricle. Before the birth the auricles are united by
an opening.  After birth, this opening closes, preventing the
venous blood of the right auricle from passing directly into the
left. If this opening, by a fault of nature, remains unclosed,
a disease ensues, called the blue disease, because the child
looks bluish, on account of the venous blood of the right
heart entering the circulation of the arterial blood of the left
auricle. All vessels leading from the heart are called arteries; those leading to the heart, veins. The right heart sends
a pulmonary artery, filled with venous blood, to the lungs,
and the left heart receives pulmonary veins, filled with arterial blood, from the lungs; in this case only, such an exception exists.  Otherwise, all the arteries in the body carry red
or arterial blood, and all veins, dark or venous blood.
The venous blood, together with the chyle, is propelled
through the pulmonary arteries, by the right heart into the
lungs. Here it receives the oxygen of the air, is converted
into red blood, and carried by the pulmonary veins into the
left heart, which sends it through the great artery, called




RESPIRATORY AND CIRCULATORY ORGANS.


413


the aorta, in innumerable divisions, into all parts of the body.
In this way, two systems of circulation are formed; one
called the lesser or pulmonic circulation, where the blood
rushes from the right heart, through the lungs, and returns,
changed into red blood, to the left; the other, called the
greater, or systemic circulation, where the blood rushes through
all parts, and to the very confines of the body; and returns,
changed into dark blood, to the right heart. This double
circulation may be illustrated easily by the figure 8, the center of which is the place where the heart is located.
The arteries, which convey the blood from the heart to
every part of the system, are composed of three coats. The
external or fibrous, is firm and strong; the middle or musculo-fibrous, is contractile and elastic; the internal is a thin,
serous membrane, which gives the artery inside a smooth
polish. Communications between arteries are numerous..The veins, which return the blood to the heart, are thinner,
and more delicate in structure than the arteries. They are
composed, like these, of the same three coats, but each one
is more delicate and fine.
The capillaries form an extremely fine net-work of vessels,
between the ends of the arterial and the beginning of the
venous system.  Through these, all the blood must pass; and
in this point, the capillary system resembles the fine ramifications in the parenchyma of the lungs, where the blood
passes through infinitely small vessels.
The pulse is caused by the periodical action of the heart,
projecting the blood in jets. In infants, it beats in a minute
more than a hundred times; in adults, about seventy times;
in old persons, less than that, sometimes only sixty times.
The quantity of blood in a healthy individual varies very
much; fat persons have generally less. On an average, a
healthy adult has from twenty-five to thirty pounds.
The lymphatics are the vessels by which the process of absorption is carried on, to remove particles of useless or injurious




414


414        ANATOMY AND PHYSIOLOGY.


matter. They are extremely -minute at -their origin, and
are distributed upon the skin and other membranes as well
as upon the surface and in the substance of organs. As they
increase in size, they diminish in numbers.   At certain
points, they pass through soft bodies, cal]led lymphatic glands,
which are mostly located in the groins, arm-pits, on the neck,
in the chest, and the abdomen.    Sometimes these glands
swell, producing lumps known as kernels, etc.
The lactecds are vessels similar to the former, but designed
to absorb the chyle from the small intestines, where they are
located in great numbers. They transfer their contents to the
thoracic duct, and this conveys the chyle to the left subclavian
vein, at the lower part of the neck.
THE NERvous SYSTEM.
This system, by which life is distributed and sensation imparted, consists of two distinct parts, the brain, with its
spinal appendix, together with all the nerves leading from
these great nervous centers to all parts of the body, and the
ganglionic system of nerves, called, also, the sympathetic
nerve, located chiefly on each side of the spinal column, but
having its principal plexuses around the abdominal organs.
We give here a short anatomical synopsis of these most interesting parts of the body; requesting our readers, at the
same time, to peruse larger works on this subject, if their
time and inclination will permit.
The brain is located within the skull-bones (cranium), and
is divided into two hemispheres, the right and left. This is
the case in the upper part of the brain; below, the two hemispheres are connected by a dense layer of transverse fibres,
callcd the corpus callosum. In the interior of the brain, there
are several cavities, two of which are of considerable size,
called the lateral ventricles. Water collects in these cavities,
in that disease called "Dropsy of the Brain."
The substance of the brain is of a pulpy character, quite




THE NERVOUS SYSTEM.


415


soft in infancy and childhood; it gradually becomes more
consistent in advanced years.
It is divided into three parts, the large brain (cerebrum),
the small brain (cerebellum), and the medulla oblongata, or
that part of the spinal cord which lies within the skull, together with the pons Varolii.
These three parts of the brain within the skull are invested and protected by the three membranes of the brain: the
dura mater, a firm and fibrous membrane, next to the skull;
the arachnoid, a serous membrane, which envelops the brain
and spine, and is like the serous membranes of the heart and
lungs, a closed sac; this is the middle membrane of the
three; the pia mater, a vascular membrane, composed of innumerable vessels, held together by areolar tissue; this is
the nutrient membrane of the brain.
From the brain issue the cranial nerves, in twelve pairs, to
supply the organs of sense and motion with life and vitality.
They are arranged, as regards local origin, as follows: 1. The
olfactory; 2. The optic; 3. The motores oculorum; 4. The
patheticus; 5. The tri-facial; 6. The abducentes; 7. The
portio dura; 8. The facial; 9. The glosso-pharyngeal; 10.
The pneumogastric; 11. The spinal accessory; 12. The
hypo-glossal.
The spinal cord, its membranes, and the roots of the spinal
nerves, are contained within the spinal column. The cord is
continuous with the brain, or its lowest part, the medulla oblongata, and is divided in two lateral halves by an anterior
and posterior fissure. Each of the lateral halves is divided
by furrows into three distinct sets of fibres, called the anterior, lateral, and posterior columns; the posterior are the
columns of sensation; the anterior, those of motion, and the
lateral are divided in their functions between motion and
sensation.
From these divisions issue the spinal nerves, thirty-one pairs
in number, each one from two roots, an anterior and posterior,


k




416             ANATOMY AND PHYSIOLOGY.
combining the functions of motion and sensation. After the
two roots have united, which constitute the spinal nerve, it
passes through the opening between the vertebrae on the
sides of the spinal column, and distributes itself to its respective organs in innumerable ramifications.
The spinal nerves are divided from the head downward,
into eight cervical pairs, twelve dorsal, five lumbar, and six
sacral pairs.
The ganglionic system, or sympathetic nerve, consists of a
series of knots or ganglia, lying on each side of the spinal
column, united with each other by nervous threads. It connects itself with the brain and spinal nerves. Each ganglion
or knot may be considered as a distinct center, from which
branches issue in four direction~s, some for communication
with other ganglia, some for distribution. The latter accompany the arteries to the different organs, and form a net-work
around them, called plexuses, and named after the artery
)which they accompany; for instance, the mesenteric plexus,
hepatic plexus, etc. In this way all the internal organs of the
head and trunk receive branches from the sympathetic nerve,
which, therefore, is considered a nerve of organic life.
THE SKIN.
The skin covers the exterior of the body, and appears, to
the naked eye, as composed of one membrane only. By
closer examination, however, it is found to consist of two
distinct layers of membrane, the upper or scarf-skin (epidermis), and the real skin (cutis vera), which lies underneath
the former.
The upper-skin (epidermis) is thin, semi-transparent, like
a fine shaving of horn; it has no nerves or blood-vessels, and
is without sensation. The hair and the nails are of the same
nature.
The real skin (cutis -vera, or corion) consists of minute
fibres, interwoven with each other to a firm, strong and flex



THE SKIN.


417


ible web. This manner of composition permits innum~erable.
interstices or pores, which are finer or closer on the superficial part of the skin than on its lower surface. The upper
surface of the skin contains blood-vessels and nerves, looks,
therefore., more red or pinkish, and is sensitive; while the
lower strata of the skin connects with the fibrous web, in
which the subcutaneous fat of the body is deposited.
Beside, the skin is supplied with nerves; lymphatics also
exist in great numbers., The oil-glands are contained in
some parts of the true skin, in great abundance, as on the
face and nose, the head, etc.; they communicate with the
surface of the skin through small tubes, which penetrate the
skin, and open mostly at the roots of hairs. These glands
deserve our particular notice, as their usefulness is so great,
that neglect in cultivating their healthy action is felt very
severely. They appear in great distinction on the eyelids,
where their disease causes the so-called sty; they produce
in the ear-passages the so-called earwax: they impart oil to
the hair by infusing it into the sheath of each hair.
In some persons these oil-glands cannot discharge their
contents on the surface of the skin, on account of some diseased state.,-when it becomes dry and dense, appearing in
round, dark spots, produced by the presence of a minute
worm.
The perspiratory glands are oval shaped or globular balls,
lying in the deeper meshes of the real skin, from whence they
communicate with the surface through minute cylindrical
tubes, called "pores."  The quantity of these pores is truly
astonishing; they average about twenty-eight hundred in the
square inch of surface; and if an ordinary sized man has
twenty-five hundred square inches of surface, the whole
number of pores in the skin amounts to seven millions. How
important must be, therefore, the culture of the skin, ns an
organ for secretion and exhalation.




II.  HYGIENE        AND     HYDROPATHIY.
HYGIENE.
Hygiene comprises the knowledge of instituting such a
mode of living as is best calculated to preserve health. The
clearer this knowledge is, and the closer we follow the rules
of health, the surer the prevention of diseases will be. It is
certain, beyond doubt, that less misery, disease, and death
would mar the happiness of this fair world, if its inhabitants
would live more in accordance with the laws of nature, and
less after their own often mistaken notions and passions.
Reform, in this respect, has already commenced; and, with
a more rational method of healing, and the application of-a
more efficient and salutary tonic agent (the water), invalid
and enfeebled mankind can look forward to a happier, because
a healthier future.
In the following pages, we will notice briefly the most
important subjects affecting the physical well-being of an
individual. These are: food and drink, sleep, air, and exercise,
clothing and occupation.
In all our wishes and necessities of physical and mental
tihings, we must never forget two important principles: first,
to inquire whether they are really beneficial or useful, and if
so, to use them in moderation..*
1. FOOD AND DRINK.
The waste of bodily strength must be supplied by suitable
food and drink.   This is the greatest necessity of nature;
and if errors are committed in this respect, our injured system
* For more minute details on this subject, see Dr. Tarbell's sources
of Health.
(418)




FOOD AND DRINK.                     419
must suffer the bad consequences. It is, therefore, of the utmost importance to pay particular regard to the selection of
our daily food and drink, in order to escape disease, and often
premature death.
Suitable food must have two paramount qualities: it must
be nutritious and digestible. Not all nutritious food is digestible, and vice versa. A great many experiments have been
made, to test the relative digestibility of food, and from these
and the experiments on the sick bed, valuable knowledge in
regard to the choice of food has been collected. According
to these investigations, boiled rice is the most digestible, and
roasted pork, fat and lean, the most indigestible substance.
In order to give the reader a more comprehensive view of
the relative digestibility of food, we insert Dr. Beaumont's
results, as related in Dr. Tarbell's "Sources of Health."
H. M.
Rice..........................Boiled..... Digested in.....1
Pigs' Feet, soused................  ".................1
Tripe, soused.................  "....................... 1
Eggs, whipped..................Raw......................1  30
Trout, Salmon, fresh.............Boiled.....................1  30............... Fried......................1  30
Apples, sweet..................Raw......................1 30
Venison steak....................Broiled....................1  35
Brains..........................  Boiled.....................1  45
Sago..........................   ".................... 1  45
Tapioca...........................................2
Barley.........................2.  ".........
M ilk...........................................2
Liver, beef's, fresh..............Broiled...................2
Eggs, fresh.................. Raw.....................2
Codfish, cured, dry...............Boiled......................2
Apples, sour.................... Raw.....................2
Cabbage, with vinegar............  ".....................2
Milk................................................2  15
Eggs, fresh...................Roasted..................2 15
Turkey, wild..................   ".................. 2  18
Turkey, domestic................ Boiled.....................2 25
S.................Roasted...................2  30




420              HYGIENE AND HYDROPATHY.
H. M.
Gelatine...................... Boiled.Digested in..2 30
Goose......................... Roasted.................. 2  30
Pig, sucking........... *.........................230
Lamb, fresh.................... Broiled.................. 2  30
Beans, pod.................... Boiled................*..*92 30
Cake, sponge...........00.6qa0....Baked................... 2  30
Parsnips....................111. Boiled................... 2  30
Potatoes, Irish..............-Roasted............*....2  30
CC CC.......... Baked.....       a.*.........2  30
Cabbage, head................. Raw..................... 2 30
Spinal Marrow................. Boiled................... 2  40
Chicken....................Fricassee.............*.a...2  45
Custard....................... Baked.................... 2  45
Beef.......................... Boiled................... 2  45
Oysters..................     Ra.............Ra.....2  55
Eggs.......................... Soft Boiled................ 3
Beef, fresh, lean, rare............ Roasted........... *.....3
Beef-steak..................... Broiled.................. 3
Pork, salted................... Raw..................... 3
c (C...0..09.*.0.......Stewed.............a.@...3
Mutton, fresh...................Broiled.................. 3
ir  c............Boiled.........o.*.....3
Chicken soup......................................3
Dumpling, apple..................................**.3
Oysters....................... Roasted.............. *..e3  15
Pork-steak............Broiled................... 3 15
Pork, salted................... Broiled................... 3 15
Mutton........................ Roasted.................. 3  15
Bread, corn.................... Baked..........,-*e....3  15
Carrot........................ Boiled................... 3  15
Sausage....................... Broiled................... 3 20
Flounder...............      Fre.................e...3   30
Oysters....................... Stewed................... 3 30
Beef.......................... Boiled................... 3  30
Butter........................ Melted................... 3  30
Cheese, old.................... Raw..................... 3 30
Bread, wheaten, fresh........... Baked............330
Turnips....................... Boiled................... 3  30
Potatoes, Irish...........................*........ 3 30
Eggs...............Hard Boiled............... 3          30
ItIs...........Fried................. 3  30




DIGESTIBILITY OF FOOD.


421


H. M.
Green Corn and Beans........... Boiled..... Digested in.3 45
Beets....................................... *.......#3 45
Salmon., salted...................11*......... *.........*4
Beef..........................Fried.................... 4
Veal..... -.. -... -..o.......... Broiled......... o......... 4
Fowls, domestic........Bie.......... o........ 4..............Roasted..............4
Ducks., domestic.... o................................. 4
Heart, animal.................. Fried............ e...o4
Beef, old., salted........ o........Boiled.................4 15
Pork., salted................o. Fried...o. o..o.........4 15..11................. Boiled.................94 30
Veal.........................Fried.............4 30
Ducks, wild.................... Roasted.............  30
Suet mutton.......... o........Boiled...............o....4 30
Cabbage, with vinegar........                4 30
Suet, beef................................. oo.....5  3
Pork, fat and lean....o......... Roasted...........o...5 15
The above table is very explicit, as regards the digestibility
of certain substances, and wve can ask its particulars with confidence, whenever we wish to decide this point in the choice
of food; but, in relation to its nutritious qualities, whether
highly nutritious or less nutritious food is necessary, we must
follow the researches of Prof. Liebig, who first explained
satisfactorily the connection of digestion and respiration. He
showed -that the lungs receive a greater quantity of oxygen
in cold than in warm climates and seasons. A corresponding amount of carbon, which is contained in the food, is necessary to mix with the blood, and unite in the lungs with this
oxygen, to produce sucha deoree of aniahetassrquired by the external circumstances of the individual. The
colder the climate, therefore, the more carbon (or food containing carbon) is necessary, to produce animal heat; the
warmer the season or climate, the less of it is necessary. For
this reason, is fishi-oil the staff of life for the Greenlander;




422              HYGIENE AND ILYDROPATHY.
because it contains the greatest amount of carbon, for producing a great quantity of animal heat, which he needs in those
regions; while persons under the equator live principally
upon watery, vegetable productions, affording but little support to animal heat; as nature supplies this by the hot climate itself. Animal food, in general, is more nutritious than
vegetable; but the structure of our digestive organs, from the
teeth to the lowest part of the intestines, shows conclusively
that man was destined to partake of both kinds, animal as
well as vegetable. The latter must preponderate, however,
on account of the reasons above given, in warm seasons and
climates, while the animal food takes precedence in cold regions and seasons: in the high est latitudes, even to the exclusion of all vegetable diet. In temperate regions, a judicious combination of both kinds of food is necessary to sustain life harmoniously.
The digestibility of food varies according to individual
strength and habit. Pork may be completely indigestible to
the invalid and student, although it is highly nutritious,
while it is perfectly digestible for the wood-cutter and hunter
in wild regions.
-Animal food contains, principally, fibrine, albumen, gelatine,
oil, casseine, and osmazome.
Fibrine is digestible and nutritious.
Albumen is nutritious, but becomes indigestible when hardened too much by heat.
Gelatine, the substance which forms the so-called jelly, is
nutritious and readily digested; hut its digestibility is frequently impeded by improper ingredients mixed with it, particularly in the form of acids.
Oil sustains heat but is difficult of digestion; it requires
the action of bile in the intestines to assimilate it properly.
Casse-ine is both nutritious and digestible. It is contained
in the cheesy part of the milk.




DIGESTIBILITY OF FOOD.


423


Osmazome is that substance which imparts flavor to the
meat and the soups. Its presence shows the nutritious and
digestible quality of the meat.
According to the predominance of one of the above-named
substances, animal food has been divided into three classes:
1. Fibrinous class; comprising mutton, beef, pork, ducks,
geese, and venison.
2. Gelatinous class; to which belong veal, lamb, young
poultry, and most kinds of fish.
3. Albuminous class; containing oysters, eggs, brain and
liver, the sweet-bread in calves.
The digestibility of meat varies according to the mixture
of oil, or osmazome; for instance, ducks and geese, although
belonging to the fibrinous or best digestible class, are more
indigestible than beef; because they are of an oleaginous
nature.
Mutton and beef are among the most nutritious and digestible of meats.    The former is rather better for invalids,
dyspeptics in particular.  Venison, also, is very nutritious and
digestible.
Pork is difficult of digestion; because it is united to so
much oily or fat substance. Beside, its continual use causes
diseases of the skin and lymphatic system.
Veal and lamb belong to the gelatinous class; very nutritious, but not so easily digested, because they are not sufficiently matured or ripened, as it were.
Poultry differs, also, according to its age; the young
containing more gelatine, and requiring, in consequence,
not so much roasting or baking; the older ones containing
more fibrine, and requiring, therefore, more cooking and
roasting.
Among the fowls, there are none more suitable for invalids
than the wild fowls, such as partridges, pheasants, etc.
Eggs and oysters are very nutritious, and very digestible, in
their natural state; but to harden their albumen, by cooking
38




424


424       HYGIENE AND HYDROPATISY.


or stewing too much, renders them very objectionable for the
sick.  Clams are not so digestible.
Fish, in general, differ as regards their digestibility, in the
same proportion as they contain more oily substance. Marine fish generally contain more oil than fresh-water fish.
Fish without scales contain more oil, and are, therefore, more
indigestible than other fish.
Vegetable food contains, principally, starch (fecula), gluten,
mucilage, oil, and sugar.
Starch, like oil, furnishes carbon, and abounds in the grains,
in potatoes and other roots, as well as in arrow-root, sago,
tapioca, etc.
Gluten, the nutritious part of grain also, enables it to form
a tenacious paste by the mixture of flour with water; it is
similar to the animal fibrine.
Miucilage, or gum, is innutritious, but useful by furnishing
carbon and hydrogen to the oxygen -of the blood.
Sugar and oil serve the same purpose.
Rice is a digestible and nutritious vegetable, wholesome for
healthy and debilitated persons.
The potato ranks next, if roasted or baked, while it is less
digestible when boiled; the sweet-potato is less digestible
than the common potato.
-Arrow-root, sago, tapioca, farina, are both digestible and
nutritious.
Beets contain a good deal of sugar, and, on that account,
furnish considerable carbon and hydrogen; but, as the fibrous
part of the beet is entirely indigestible, invalids must abstain
from its use.
Onion, cabbagre, asparagus, and tomato, contain but very
little nutriment, and must not be indulged in by persons having, or being disposed to the diseases of the abdomen.
Fruits, in general, are refreshing and wholesome, but not
very nutritious. This latter quality makes them very desirable in diseases, where a nutritious diet otherwise would be




DIGESTIBILITY OF FOOD.42


425


detrimental. In the convalescence from fevers, apples, baked
or roasted, dried prunes stewed, etc., form a refreshing and
grateful di~t for the recovering patient; in the green state,
fruit produces flatulency, and must be avoided by patients,
although a moderate use of ripe fruit, for a well person, is
very good, except in seasons when bowel complaints predominate.
In order to enable the reader to distinguish between substances, as regards their nutritious quality, we subjoin here a
list of some of those most in use, as given -in Carpenter's
Physiology.- In this table humnan milk is taken as the standard of comparison= 100.'
NUTRITION TABLE.
Vegetable.
Rice..................... 81 Wheat............*s-o*... 119-144
Potatoes................... 84 Carrots.................... 150
Turnips................... 106 Brown Bread..........s--o..166
Rye....................s. *106 Peas......... 4....... 0.... 239
Maize................ 100-125 Lentils.................. 276
Barley.................... 125 Mushroom................. 289
Oats...................... 138 Beans.............320
White bread............... 142
Animal.


Human milk............... 100
Cow's milk................ 237
Oyster.................... 305
Yelk of eggs.............. 305
Cheese................ 331-447
Eel, raw................. 434
-   boiled........428
Mussel, raw................ 528
-boiled............. 660
Ox liver, raw.............. 570
Pork-ham, raw............. 539
boiled........... 807
Salmon, raw.............. 776
1boiled............. 610


Portable soup.........s.. *..764
White of Egg.............. 845
Crab, boiled..........0.....859
Skate, raw................. 859
Skate boiled............... 956
Herring, raw............... 910
boiled............. 808
m____iilt of............ 924
Haddock, raw.............. 920
1boiled............. 816
Flounder, raw.............. 898
_____boiled............954
Pigeon, raw................ 756
-boiled............... 827




426             HYGIENE AND HYDROPATHY.
Lamb, raw.................. 833 Veal, boiled............911
Mutton, raw...............773 Beef, raw.................880
boiled.............852 -   boiled................941
Veal, raw................... 873 Ox lung................... 931
Water is the only liquid which nature has furnished in
abundance for drink; without it, all living beings and organized forms would perish. How important it is, therefore, to
procure an article, so indispensable and necessary, in as pure
a state as possible. The best water for drink is, without
doubt, rain water, as it is free from admixtures of earthy
substances; yet, even rain-water frequently becomes impure
by falling through an impure atmosphere, particularly that
hanging over large towns, or by running on roofs of houses,
through unclean spouts before it reaches the cistern.
Equal to rain-water, in purity and taste, is the water procured by the melting of snow and ice, if the latter has been
formed in clean ponds or rivers.
But where rain water cannot be obtained in sufficient quantity or purity, it is generally taken from the rivers and lakes,
which furnish a better water than wells. The latter contains
more or less lime, salts, or other earthy impurities, which
render it neither palatable nor healthy.
Water, coming from marshy regions, is entirely unfit for
drinking; at least, not until, by boiling, the inherent organic
matter is destroyed.
A healthy person ought to habituate himself to a free use
of cold water. Beside using it externally in baths, he should
drink morning, noon, and evening, with his meals, a sufficient
quantity to dilute the food. But the water he drinks must
be cold, as it is this latter quality which offers to the stomach
a natural and strengthening stimulus for digestion; in summiner, and in southern latitudes, ice is necessary to render the
water fit for hygienic purposes. If a person is once used to
drink plenty of cold or ice-water at or after his meals, he
seldom suffers from indigestion, and needs not the use of




DIGESTIBILITY OF FOOD.             427
stimulating drinks; and every one can easily habituate himself to this practice.,It is a wrong idea, which seems yet to
prevail to a great extent, that it is unwholesome to drink
water at the meals; but experience has the advantage, and
one can soon test the matter for himself. The trial must only
be continued for some time, in order to allow the system to
accommodate itself to the new habit. Health and good
spirits will be the consequence of such a change in a person's
living.
It is also very proper to drink a tumbler of fresh water
when retiring in the evening, or on rising in the morning. In
doing this, the want of other drinks or beverages of a stimulating nature, such as coffee, or tea, is not felt so much, and
can be dispensed with easier by degrees.
Cofee, especially, is one of those enticing, palatable beverages which have laid the majority of the civilized world
under contribution; it is made nutritious by the addition of
cream and sugar; but the greatest part of its contents is
medicinal, and, consequently, not fit for daily consumption,
without creating artificial alterations in a person's healthy
condition. Hahnemann, the illustrious founder of Homceopathy, was the first who drew the attention of the coffeedrinking community to the destructive tendency their favored
article had on the constitution. He distinguished well between a moderate use of this drink and an immoderate
consumption in large quantities and strong decoctions. We
recommend our readers to read his admirable article on this
subject. It exhausts all that can be said in regard to it, and
is capable to cure the most inveterate coffee-drinker. Homceopathy forbids its use in most all diseases, and insists on a
more natural diet; in this important undertaking, she is supported by the rigorous system of hydropathy, which demands
the abolition of all stimulating drink, and allows nothing but
water.
But, if coffee cannot be abstained from, or if a person is only




428             HYGIENE AND HYDROPATHY.
using it moderately, without experiencing bad consequences,
it would be well to recommend a good preparation of the
bean, by roasting it but slightly, grinding it never long before
it is used, and adding to the decoction one-half of boiled milk.
In this way, coffee may be drank with comparative impunity.
Tea, as a daily drink, meets with the same objections as
coffee, and is only tolerated in its use for the sick, because
these have not been sufficiently estranged from such stimulants to do without it.
To healthy persons we would recommend to abstain from
its use entirely, as tea is neither nutritious, nor capable of
fostering the digestion.
If any tea shall be used, let it be black tea, as this contains less of the tannin, or the astringent principle, which
forms an ingredient of all kinds of teas.
Chocolate, or cocoa, is decidedly preferable to coffee or tea
as a daily drink, although it is, to some extent, an indigestible article, which needs good digestive powers and exercise
to render it wholesome. It is frequently allowed to patients
who have no abdominal diseases, or do not suffer from weakness of the stomach.
Milk is very nutritious, but not always digestible. Although
nature designed infants to subsist for some time on milk, it is
no stronger proof, on that account, of its greater digestibility;
as it is well known that an infant's stomach is not yet weakened by stimulating food or drink, and is better' prepared for
the digestion of milk than that of adults.
The practice of drinking milk at dinner is very injurious;
it is more wholesome toward evening, particularly in the
summer, and in the morning, when bread-and-milk forms a
good diet for healthy persons.
The reason why country people can eat and drink milk
with impunity, while persons living in cities dare not do the
same, lies simply in the constant exercise of the former, combined with less care and hasty pursuits of life.




SLEEP.                       429
After drinking milk, no sour articles must be drank. or
eaten, as an undue coagulation will ensue in the stomach, with
all its morbific consequences.
Buttermilk is a healthy beverage, but it must be used with,care, not allowing any acids or fruits to follow after it.
Spiritous liquors, wine, brandy, etc., must be considered.
as medicines, never as drinks, which might be adopted for
daily consumpion with impunity. And, in a medicinal capacity, they are truly beneficial, while, in the other, they have
proved to be the greatest curses of mankind.
But enough has' been said and argued on this point, and
it would be useless here to repeat the proofs, that the habitual
use of spiritous liquors ruins both body and soul.
As medicines they are prescribed by the physician; for
instance, brandy, after having eaten indigestible articles, or
as a stimulus in Asiatic cholera; wine after debilitating diseases, or after great loss of blood; and ale or porter for nursing women, etc. We advise strictly to adhere to the principle,
"Touch not, taste not, handle not."
SLEEP.
This interruption of the voluntary activity of the bodily
powers is as necessary for their renovation and strength as
food and drink; in sleep reparation is not counteracted by
waste as it is during the period of wakefulness. If we would
eat and fill our blood with nourishment, yet have not sufficient bodily exercise to exhaust strength, we would soon produce a disturbance of the equilibrium, which must exist in
our system between loss and supply. In the following order
we should regulate the hours of life; first, work (mental and
bodily exercise for every healthy individual, withiout exception); second, eating (the principal meal ought to be had
toward evening, after the labor is done); third, sleep (soon
after eating, in order to permit the nourishment in the blood
to crystallize into the different solids of the system).




430             HYGIENE AND HYDROPATHY.
The time which should be passed in sleep varies according
to age, occupation, and constitution. Children need more sleep
than those of a maturer age, where the growing, or solidification of the system is not so much required. Vigorous,
mental activity needs longer sleep to recruit than mere
bodily labor; because the nervous energy, which facilitates
solidification, becomes more exhausted by mental than bodily
fatigue. The lymphatic constitution needs more sleep than
the nervous and bilious, because the former having less
nervous energy, requires longer time to convert, during the
sleep, the blood into muscle, nerve, sinew, etc.
There is no normal quantity of hours to repose in sleep;
as a general rule, it may range from six to seven hours in
twenty-four; circumstances alter these, however, frequently;
every one must try to find out which number of hours will
suit for him.
The best time for sleep is, without doubt, from nine or ten
o'clock, before midnight, until three or four o'clock in the
morning. Early rising has so many advantages in point of
health and happiness, that it hardly needs a further recommendation here.
The place of sleep ought to be chosen from among the
best in a house. The lower floors are never fit to contain
bed-rooms, as the confined air, during the night, in the lower
part of a house, is unfit for respiration. The sleeping apartment should be the best located and the largest room in a
house; an eastern and southern exposure is the best; during
the day, its windows must be kept open, and the bed-clothing
aired; the best surface to repose on is the hair mattress,
which combines all the necessary requisites for this purpose.
During the sleep, the cover ought to be sufficient; if possible,
let it consist of quilts, whose number is regulated as to
comfort.
Some persons have the erroneous idea that,:to lie on the
back during sleep, is the most healthy position one can as



AIR AND EXERCISE.


431


sume; the most natural and healthy position is to lie on the
side, the very best is the right side.  But this varies as *to
habit, and, if so, does not signify disease.  By lying on the
back, the spine is pressed and heated, beyond what may be
good for it. Lie with the head supported, by one pillow,
slightly elevated above the rest of the body.
AIR AND EXERCISE.
The quality of the air which fills our lungs has the greatest influence on the healthy state of our system; as on it depends the thorough change which the blood must undergo,
from the venous to the arterial. The atmospheric air consists of one-fifth part of oxygen and nearly four-fifths nitrogen, and a small quantity of carbonic acid gas. The first,
or oxygen, is the only life-sustaining fluid, while the nitrogen
and carbonic acid gas, each by itself, are life-destroying; but,
in the above mixture of the three, the air becomes just
adapted to the wants of our physical existence. Alter this
proportion in the least, and sickness and death must be the
inevitable consequence. It is of the highest importance,
therefore, to have the air which we breathe as nearly like that
which nature has prepared for us as possible. This, however,
we can only accomplish by a thorough system of ventilation,
which carries off the vitiated air, and permits fresh air to
enter our apartments freely. The rooms for the sick are no
exception to this most necessary rule. The more air a patient
can have, the sooner he will recover. The only precaution
necessary in such cases, is to prevent a draught from passing
over the patient.
We direct the attention of our readers particularly to this
subject, and invite them to make themselves acquainted with
works treating extensively on the necessity and the art of
ventilation; as in many a situation in life, it will be of the utmost importance for them to carry the theories of ventilation
into practical execution; for instance, in building dwelling
39




432            HIYGIENE AND HYDROPATFIY.
houses, churches, halls for meetings, etc.  We would here
make one remark, in regard to churches, which receive their
ventilation at the sides, by opening the windows at the time
of meeting. This seems to me a practice fulfilling well
enough its immediate object-the ventilatio-n-but doing
harm in another direction, namely, creating a draught, which
passes over part of the assemblage, there by rendering their
seats very uncomfortable, and dangerous for health and life.
An edifice with high ceilings ought to be always ventilated
from the top of the ceiling, wbere the heated air will sooner
be found than at the side or below.
In short, we would advise everybody to try always to
breathe as pure and fresh air as possible; he may be in
health or in sickness.
Everything which has a tendency to deteriorate the air
must be avoided and removed. Exhalations from marshy
grounds, damp cellars, or any place where animal or vegetable decomposition is going on, are frequent sources of disease
and death. Everything must be avoided which renders the
air moist and damp, or prevents a free circulation all around
the places where we dwell. The more air, the better; particularly in childhood, where the healthy development of the
system depends so much on the lively stimulus which the
plentiful consumption of the oxygen gives to the energies of
the system. An infant, instinctively, wants to be carried
in the open air., where it delights to breathe the invigorating
fluid. Parents should send their children in the free, -open
air as often as possible; as nothing mnore contributes to health
and a good constitution than exercise in the open air.
Activity, Motion, exercise, is a principal object and fundamental condition of organic life. Without it., there is no energetic expressions of the functions of the organs, which become torpid, and act sluggishly.  Without exercise, the
muscle never will swell and become strong and well-formed;
the joint never will become supple. Without exercise, the




CLOTHING AND OCCUPATION.43


433


appetite never will be stimulated, the nerves invigorated, and
the blood system put in vigorous motion. Exercise, however,
brings life and energy to every part of the system. Look at
the blacksmith's arm-how muscular, strong, and healthy.
Bodily exercise and labor is required of every one; he may
be rich or poor, learned or ignorant, to keep healthy, and
become strong.,
It should be the particular care of parents, beside mental
culture, not to neglect the bodily education of their children.
The training in all the arts of life must have reference. to the
wants and necessities of the present and future well-being of
those dear ones, placed 'under our especial guardianship.
Gymnastic exercises now form a branch of the education of
our youth, and should be practiced regularly and constantly,
commencing with the lighter exertions, until the severer feats
can be performed with ease. Walking, and running at a
moderate gait, is perhaps the best and most suitable exercise
for adults, beside that exercise which the daily occupations
offer. It ought to be borne in mind, however, that no severe
exercise must be undertaken directly after meals; as a full
stomach, for digestion, requires suspension of muscular activity.
CLOTHING AND OCCUPATION.
In no department of civilized life has the fancy of man
committed so many errors, leading to destruction of health
and life, as in that which relates to the external covreringr of
the body. In choosing a garment, one must always first remember its purpose and -use, before he follows the dictates of
fashion. If fashion was directed more by the utility than by
the oddity and fancifulness of clothing, its reig-n migTht be
tolerated; but this is, unfortunately, not the. case. It is, for
instance, fashionable among ladies to wear thin-soled shoes;
yet there is no greater destroyer of human life than a thinsoled shoe-not even pestilence and vice.
The object of clothing the body, beside for decency, is to




434


HYGIENE AND HYDROPATHY.


shield it from the heat and cold of weather. To this purpose
all other considerations, as of beauty, convenience, etc.,
ought to yield the preference; and even healthy persons should
not easily depart from a rule so imperative and necessary.
Cotton, linen, and wool, manufactured into different kinds
of stuff, are the articles mostly used for clothing. Linen is
the best article for summer, and should not be laid aside in
winter, except by persons subject to rheumatism and frequent
colds.
Cotton has won its way almost into universal use, and its
applicability for summer and winter wear is generally admitted. Yet it is not a sufficient substitute for the woolen goods,
particularly flannel, when persons liable to rheumatic attacks
need, beside protection from cold, a covering which stimulates the skin to a higher degree of action, and absorbs at the
same time, its perspiration. This the woolen fabrics, especially flannel, etc., do, better than any other, and are, therefore, indispensable to persons of a tender skin, and to those
liable to great exposure to the extremes of cold and heat.
Wool is a bad conductor of caloric, and, therefore, the best
calculated to retain the heat generated within the body upon
the surface, as well as to protect it from external heat.
The quantity of clothing must be regulated according to the
seasons; but in such a manner that its change should never
be in advance of the coming season, but only after it has fully
set in. A change of under-clothes before June is seldom
without serious consequences; while the summer dress may
be retained until late in the fall and winter, without great inconvenience and detriment.
Clothing must be made so that it does not incommode the
body either in motion or rest.
The human system is so admirably constructed in all its
parts, that none presses or weighs heavily upon the other;
and in this way, only, the perfect harmony and healthy condition of all its functions is rendered possible; for the same




CLOTHING.AND OCCUPATION.


435


reason, however, does it not permit any external pressure, by
clothing, etc., without serious injury. If the boots or shoes
are too tight, painful corns appear, and imbitter the hours of
the sufferer; if the waist is laced too tight, lung complaints
are its fearful and destructive consequences. It would be
unnecessary to enlarge upon this subject; it is known too
well by every one, at the present time.
In general, keep the head and breast cool; the feet and
stomach, however, warm.    If the dress has become wet,
hasten to change it. Be not careless in this respect; as frequently negligence in undressing, after having become wet,
has been the cause of lingering diseases, or even death; particularly the feet require our whole attention in this respect.
Young girls, at the age of change, must be especially watched
well as regards the protection for their feet and abdomen.
After violent exercise, we must cool off by degrees, covering ourselves more, as we become cooler.
The occupation of a person has a great and increasing
effect on his health, mentally as well as bodily. That this is
undoubtedly the case, has been clearly proved by the statistical tables, carefully made for the purpose of showing the relative longevity of persons pursuing different avocations of life.
The following statistical table, made at Berlin, in 1834,
and taken from Dr. Tarbell's "Sources of Health," is very
instructive in this respect:
Of 100 Clergymen, attained the age of 70 years
and upward,................42
i  cc.Farmers,~...................          40
c  cc.Commercial men..................35
c  it.Military men...................33
SLawyers...................... 29
Artists,..............                28
"Teachers,...............                    7
Physicians,.............24




436


436        HYGIENE AND HYDROPATHY.


It is evident, from the above, that the quiet pursuits of life,
which require a constant and certain amount of mental and
corporeal activity, of not too exciting a character, such as
the professional labors of a minister of the Gospel, or the occupation of a farmer, are the most favorable to the attainment
of a high age; while the physician, the very opposite of these
two, as regards regularity and uniformity of action, is the
lowest in the scale of his years of life. There is no doubt that
the above table is correct; and if so, it teaches volumes to
every one who has either already chosen a pursuit of life, or
who has yet to do it. The former must adhere the more to the
strictest rules of health, if he has chosen a less favorable profession; the latter may benefit himself infinitely by selecting the
more healthy pursuit of life, if he has to choose between two.
A greater sense of duty, and a lesser degree of unchecked
ambition., might have saved many a valuable life from an
early grave. It is our duty to live as long and as usefully a,9
possible.
I{YDROPATSIY.
Hydropathy is the name for a method of curing diseases
by the application of cold water, in various ways, internally
and externally, as circumstances may require. Although the
advantage of cold water in disease was known in the earlier
times, yet its systematic use for that purpose was never looked
upon as an essential part of the healing art, and, therefore,
no decided results were elicited. To Prissnitz, a simple
farmer in Germany, belongs the honor of having first boldly
proclaimed, and sustained by facts, the high qualities of coldl
water, as a remedy for diseases. And so rapid was the
progress of this new and startling doctrine, that while its propounder is still enjoying his fame and fortune, his discovery
has already been adopted in almost every part of the world.
The appearance of Hydropathy, as an auxiliary branch of
medicine and hygiene, seems to have been providential in our
time; as it was never before more needed, and never would have,




HYDROPATHY.


437


been appreciated as much. Our generation, so weakened,
physically and morally, by a thousand influences which we
could hardly enumerate here, needed, with the change of
medicine which was consummated in the discovery and cultivation of Homoeopathy, a    system  of dietetic rules and
strengthening appliances, which should be as much according
to nature as those formerly prescribed had been against nature.
In this hygienic or preventive feature of the cold water lies
one of its greatest blessings; another one, however, presents
itself in its healing powers, for a number of diseases.
Although its healing effects are wonderful, and entitled to
all consideration and praise, yet its universal application, as
the only curative agent, superseding direct medication, is
impossible; because its principle is more negative in its effects
upon disease in general. The cold water, in strengthening
the powers of nature, prepares them to throw off disease, or,
in other words, to produce a crisis, which enables nature, in
a struggle with the disease, to throw it off. This principle
of Hydropathy is true in chronic as well as acute diseases;
but in the latter, its application is more limited, and this in
proportion to the acuteness and severity of the diseases. To
treat Asiatic cholera, for instance, or cholera infantum, with
cold water alone, might be, to say the least, a questionable
and hazardous undertaking. Neither would it be necessary
or right to trust, in the thousands of medical cases, to one healing agent alone, which at best only assists in keeping up
sinking nature, when we have the knowledge of other agents
which have a direct annihilating effect upon the disease itself.
And this is Homoeopathy, whose application in diseases does
not prevent the use of cold water; but, in most cases, prescribes its use, to strengthen nature, that the remedies may
destroy the disease in a direct or specific manner. These
two systems, properly combined and practiced together, will
form the most complete code of medical rule and action which
has existed, as yet. Allopathy and Hydropathy can never




438


HYGIENE AND HYDROPATHY.


act together; because the principle of the former, to break
down the natural strength, is too antagonistic to the objects
of the latter, which tries to elevate, and not to destroy
the strength of nature. There is no other alliance left, neither
could any other be conceived, as natural, harmonious, and
effective as that of Homceopathy and Hydropathy, each one
supporting and strengthening the doings of the other. Providence was evidently at work in permitting the former to be
discovered by the most learned and philosophic mind of the
age, the illustrious Hahnemann; and the latter to be practiced first by an unlearned, but unsophisticated peasant: the
first being the result of deep reasoning and research in matters
of nature, the latter of simple and clear observation. The power
of this double lesson, given to the medical world almost at
the same time, was too overwhelming not to arouse it from
perversion and affectation.
Hahnemann at first broke down, with a giant's strength,
the learned fetters which for ages had encompassed the best
minds among the medical profession. He opened and showed
the true way; a new era had begun, and men, liberated from
old prejudices, were willing to try anything offered with some
degree of plausibility, reserving for themselves the final
judgment.
After such changes were wrought in the mode of thinking,
it was possible that Mesmer could succeed and find followers,
and that Oertel and Prissnitz could draw the attention of
sufferers to the remedial powers of water.
The pretensions of Hydropathy to constitute a perfect
medical system, in which light some of its most modern practitioners have tried to establish it, must and will be abandoned,
as they have neither a theoretical basis or practical demonstration. In fact, efforts of this kind, if persisted in obstinately, must finally result in detriment to the good cause
itself, diminishing the reputation of the cold water, in those
spheres where its application is deservedly of the greatest




HYDROPATHY.


439


benefit. And this range of action is by no means so small
or so inferior as to make the exclusive friends of Hydropathy
seek for a larger dominion, even beyond the reach of its
principle or easy application. It needs but a slight acquaintance with the workings of Homoeopathy, in comparison with
Hydropathy, to come to the conclusion that the former could
sooner dispense with the assistance of the latter, than vice
versa, but that a judicious union of both insures the most
blessed results.
In a great many cases, the cold water may be applied alone,
without giving any medicines. This is particularly the case
in those chronic forms of diseases, which have been treated or
produced by allopathic medicines; such as chronic rheumatism and gout, syphilis, mercurial diseases, dyspepsias, chronic diarrheas, constipation, etc. But even in such cases a
recourse to a full use of Hydropathy is not necessary, if the
patient seems to possess yet a sufficient amount of natural
strength to produce a reaction. Homoeopathic medicine, rightly administered, will be found efficacious in a majority of
such cases, as the practice of thousands of homceopathic physicians proves daily.
But where the patient's constitution has been weakened by
the disease, strength and material power are necessary to overcome the disease. In such cases, the cold water is the only
agent which can safely and quickly accomplish that.
In many acute diseases, the cold water can be used to
mitigate the intensity of the symptoms, in subduing local irritation and fever, in softening hardened surfaces, and repelling congestions. In other acute diseases, it may be applied as
an accessory remedy, without interfering in the least with the
specific action of the homoeopathic medicines, as in sore
throat, inflammation of the brain and other organs. In acute
diseases of the skin, such as measles, scarlet, etc., the application of cold water on the diseased surfaces must not be
attempted, except prescribed and attended to by a physician,




440


HYGIENE AND HYDROPATHY.


as repressions of these eruptions on internal organs may take
place, followed by dangerous consequences.
We will mention here those diseases, in the treatment of
which cold water may be applied, as an accessory, without
hesitation. The mode, of application for each disease is explained further, below.
Inflammation of Internal Organs.
If there is inflammation of the brain, eye, throat, bowels,
liver, spleen, or kidneys, apply, beside giving the necessary
homoeopathic remedies for these diseases internally, cold
bandages externally, as near the organs affected as possible.
Their application is described below. In the commencement
of those diseases, the cold bandage applied in the evening is
very beneficial in its results. If applied after the disease has
taken too deep a hold on the system, it is of less benefit.
Congestions of the Head, Breast, and Abdomen.  (Piles.)
Are frequently mitigated by the application of the coldwater bandages, often changed, and foot-baths; the sitzbaths, if the abdomen is the seat of the disease.
Rheumatism in its various forms, Gout, Tic Douloureux, and
Sciatica.
Are diseases, where hydropathic applications may be used
beneficially with the homceopathic treatment. The mode of
applying the water varies in these diseases according to the
constitutionality of the patient and the severity of the case.
The cold-water bandage, wet sheet, and local baths are mostly
necessary, although sometimes warm or lukewarm applications of water may be found more serviceable.
Constipation and Chronic Diarrhea.
Allows of mitigation by hydropathy; the former by the
wet sheet, drinking of cold water, and a good deal of exer




ABLUTIONS.


441


cise; the latter by drinking cold water and using sitz-baths,
with exercise and a suitable diet.
Different Modes of applying the Cold Water.
In regard to this subject we prefer to lay before our readers what one of the most experienced hydropathists, Dr.
Weiss, of Freywaldau, has communicated in his Handbook
of Hydropathy:
1. Ablutions.
These may be local or general; they are performed in the
following manner: The naked hands, or, better, a large
sponge or woolen cloth is dipped into a vessel containing
cold water, placed upon a chair. The sponge is to be gently
pressed, and then conveyed, for some few minutes, rapidly
over the whole surface of the body; water may also, at the
same time, be poured over the head; but not every one is
able to bear the latter application, especially in the winter.
Another method of performing ablutions with cold water,
consists in wrapping a linen sheet, dipped into cold water,
round the body, and thus washing all the parts; this process
is more powerful, abstracting more heat from the body. In
pursuing this, or any other mode of ablution, it is advisable
to stand in a spacious vessel, so that the water which runs
off may not wet or soil the room in which the operation
is conducted.
The best time, undoubtedly, for these ablutions, is the
morning. They are to be performed immediately after rising
from bed, when the temperature of the body is raised by
the heat of the bed. The sudden change favors, in a great
measure, the reaction which ensues, and excites the skin, rendered more sensitive by the perspiration during the night, to
renewed activity. In some cases, and under certain conditions, more than one of these ablutions becomes necessary;
the same operation may then be repeated at different inter



442             HYGIENE AND HYDROPATHY.
vals. In most cases a second ablution, before going to bed,
will suffice.  Local ablutions will have to be repeated most
frequently, where we wish to produce increased reaction;
even in these cases, the temperature of the body, or its natural warmth, should be restored before proceeding to a second
ablution. To increase the beneficial effects of this washing,
it should be accompanied by friction during the process; this
is also essential immediately after it. Quite as necessary is
exercise in the open air, if circumstances will in any way permit it. Very great invalids only may be allowed, after washing, to retire to bed.
Ablutions are, for the most part, preparations for a more
powerful system of treatment, in order to accustom the body,
by degrees, to water which is absolutely cold; tepid ablutions are, therefore, to be recommended at first, especially to
irritable and weakly individuals, or such as have never
brought cold water in contact with their bodies.
Ablutions continued for a quarter of an hour, or longer,
act as a stimulant and refrigerant; those of a shorter duration have a strengthening and exhilarating effect, and also
the property of equalizing the circulation of blood, as may
readily be perceived after general ablution of the whole body.
Cold ablutions are fitted for all constitutions; they are best
adapted for purifying and strengthening  the body; for
women, weak subjects, children, and old age. Even in pulmonary complaints they produce alleviation, and even perfect
amendment, where these diseases have not made too great a
progress.
The room, in which the ablution is performed, may be
slightly heated, for debilitated patients, in winter, to prevent
colds, in consequence of too low a temperature of the apartment; this exception is, however, only admissible for very
weakly persons. Generally speaking, ablution may be performed in a cold room, especially where persons get through
the operation quickly, and can, immediately afterward, take




SHOWER-BATHS.


443


exercise in tlhe open air. After ablutions, as regards mildness of operation, follow
2. Shower-Baths.
These baths are taken in a machine, or box (Schneider's
bath), constructed for the purpose. The internal arrangement of this machine, or bath, is such, that, on opening the
cock closing the pipes which communicate with a reservoir,
the water is brought in contact with different parts of the
body at the same time, in the form of many fine streams.
Very weakly or irritable people may begin with tepid water,
and they will soon accustom themselves to cold water, as
these baths produce a very grateful impression. Those who
cannot obtain a proper machine, may stand in an empty bathing vat, or other vessel, sufficiently large, while an assistant,
standing on a chair, pours water over them from a common
watering-pot, which answers the purpose perfectly.
The action of these baths consists in a general shock to the
nervous system, and to the skin; in consequence of which,
the secretion and excretion are promoted, and the whole
economy benefited. They are to be recommended, chiefly,
in the diseases requiring repeated sweatings for their cure;
for patients who, in consequence of congestions, and diseases
of the chest, cannot bear the full baths after the process of
sweating. These baths deserve recommendation to families.
Children may be best accustomed to cold water in these machines, where the temperature can at first be raised, and then
gradually decreased.
3. Partial, or Half-Baths.
All baths, where the common bathing vats are half, or
three parts filled with water, are thus denominated. The
half-baths serve, frequently, as a preparation for the fullbaths (Vollbiader), or for a more active system of treatment;




444            HIYGIENE AND IIYDROPATHY.
they have, therefore, a higher temperature, between fifty-nine
and seventy-seven degrees of Fahrenheit. They should be
continued from five minutes to an hour, or more, according
to the purposes we have in view.  If these baths be intended as a preparation for more active treatment, they must
be of short duration, as also for persons who cannot bear
cold baths, or full-baths. If our object be to produce a derivative effect, to remove congestions from other organs, the
duration of these baths must be regulated by their effects.
The patient must remain in them until revulsion is produced.
Neither the temperature, nor the length of time, can be determined beforehand; this must be regulated always by the
constitution, the nature of the disease, or the obstinacy of the
case: generally speaking, a quarter, half, or a whole hour
will suffice,
If our intention be to call forth a higher degree of reaction, or even fever, by these baths, the temperature must be
lower, their duration extend from one to three hours. Baths
continued for so great a length of time must only be used
by the advice of a practical hydropathist, as they not only
considerably derange the organs of digestion, but produce sufferings with which the patient was unacquainted
before.
The whole time the patient is in these baths, he should
continually rub himself with the water contained in the vat,
extending the friction to the parts above and under the water,
that he may not take cold. If this mode of application be
intended as preparatory to the use of cold baths, or to produce
increased reaction, it is advisable to pour a few buckets of
cold water over the patient before he rises from the bath.
Neither half-baths, nor any other kind of bath, are to be
taken on a full stomach. Exercise, further, is especially to
be taken after long-continued half-baths; it must not, however,
be neglected after the use of cold water in any form.




FULL-DATHS.


445


4. Full-Baths
For these baths, spacious and deep receptacles are necessary; they should admit of freedom of motion, and fresh
water (if possible) should uninterruptedly flow into them.
That the body must be, in a certain measure, prepared for
their use, I have already mentioned; and even after a proper
preparation, as caution, it is desirable to wash the head, or
pour cold water over it before entering the bath.  This rule
is to be strictly observed where the patient has perspired for
a length of time, or where he is suffering from congestions
of the head and chest. The latter circumstance requires our
especial consideration, where these attacks are increased after
the first baths, notwithstanding the necessary preparation.
Such patients must be spared the further use of them, to prevent dilatation, or rupture of blood-vessels. Only young,
robust persons may, without injury, venture, after protracted
sweating, to plunge suddenly into the bath without washing
the head. It is, moreover, necessary that every patient should
enter the bath as soon as possible after gently and quickly
cooling his head and chest; for all unnecessary delay is attended with pernicious consequences.
The length of time the patient should remain in the bath
varies in different cases; half a minute, or one minute, is generally sufficient; an experienced hydropathist only may prescribe full-baths for a lengthened period. During the bath,
the patient must exercise the members of the body. Immediately after leaving the bath, he should quickly dry the
whole body, using friction to promote reaction. If possible,
he should perform the rubbing himself; and, where this is
impracticable, he should be aided by an assistant. Exercise,
after dressing, is next required, where circumstances will allow
it, in the open air, to further reaction also.
Cold full-baths are indicated in all those diseases where
augmented reaction, invigoration, or a shock to the nervous
system is to be produced, where the warmth of the whole




446            HYGIENE AND HYDROPATHY.
body is to be equalized; where all secreting and secerning
vessels are to be invigorated; where the circulation of the
blood is to be determined to the skin for the elimination of
morbid matter.
These baths are to be avoided, or used, at least, with caution, in all congestions, in inflammations of internal vital
organs, in diseases of the chest without exception, in certain
head affections, in cases where a very active crisis ensues, and
in all those where violent excitements or shocks would prove
injurious.
5.  General Plunging-.Baths.
The plunging-bath should be taken like the former bath, in
a large reservoir, or trough, filled with water. The patients,
generally such as cannot of themselves enter the bath, are
placed upon a chair above it, arranged by means of ropes
and pullies to move upward and downward, so that the patients in the sitting posture may be plunged into the water as
deeply and as often as is necessary. As a substitute for an
apparatus of this kind, the patient may be laid upon a sheet,
hcld by several persons, which is quickly plunged into the
water, and again withdrawn. The intention of these plungingbaths is pretty much the same as that of the former; but
their action is more stimulating, and the shock severer than
in those cases where the patient can enter the bath unassisted,
and use exercise while bathing. Hence one, for the most,
five plunges, suffice to cool the body; in obstinate nervous
fevers, however, they are occasionally to be repeated several
times in the course of the day.
6. Local-Baths.
By this term, we understand baths of tepid or cold water,
into which a portion of the body is immersed for a certain
period. Their action is more powerful than that of local ablutions. We will commence with




HEAD-BATHS.


447


7. Head-Baths.
They are applied, according to the object we may have in
view, to different parts of the head, in the form of eye-baths,
ear-baths, or derivative-baths. The use of these baths is attended with some inconvenience. A large dish or basin is to
be filled with water, and placed on the floor at the upper end
of a mattress. The patient lays himself at full length upon
the mattress, and immerses the pairt of the head to be bathed
into the water; e. g., if it be an eye-bath, the whole face is to
be introduced into the vessel filled with water. In this case,
it is necessary, moreover, to open and shut the eyelids frequently, in order to bring the water in contact with the eyeball. The duration of these cooling and strengthening baths
is from two to six minutes, but both their duration and temperature are subject to variations. In some diseases of the
eye, as we shall hereafter show, cold baths are not only inefficient, but they even augment the affection and sufferings
considerably. Under these circumstances, we must endeavor
to discover the temperature best adapted to the case, and
make use of other detersive baths as auxiliaries. These and
all other varieties of topical baths are to be repeated, according to circumstances, three to five times a day.
We use for these purposes, also, boat-shaped eye-baths resembling liquor-glasses, and adapted to the shape of the eye;
but baths in these vessels are less worthy of recommendation
than the former bath, inasmuch as they contain a less quantity
of water, and press, moreover, on the appendages of the eye.
The ear-bath is taken in a similar manner; the side affected, or, where both ears are diseased, both sides are to be
alternately immersed into the water, so that it may enter the
meatus. These baths should, with few exceptions, be cold;
their duration should extend from six to ten minutes. A more
protracted use of them is not advisable, because it would produce more injury than benefit. The same applies to all headbaths.
40




448             HYGIENE AND HYDROPATHY.
Where head-baths are used as derivatives for violent and
local pains of the head, the side of the head opposite to that
affected is immersed in the water for three or four minutes.
This may be repeated several times during the day, if necessary.
If the head-baths are to have an anodyne or soothing effect
in gouty or rheumatic affections, they should be used at a
temperature of fifty-nine degrees to seventy-two degrees of
Fahrenheit. One side, of the head, and then the occiput,
afterward the other side is to be plunged into the water, and
this proceeding is to be repeated several times, until the desired alleviation ensues. In cases of necessity, this process
may be repeated several times in the course of the day.
8.  Sitting-Batlhs. (Sitz-baths.)
For these baths we use water of various degrees of temperature. The vessel for this purpose is rather inconvenient,
but so constructed that the patient can remain for the necessary time in it in the sitting posture.  The dimensions of the
vessel should be the following: height of the pedestal, four
to five inches; the inner depth of the vessel, nine to ten
inches; height of the back, six to eight inches; whole breadth
of the vessel, twenty-two to twenty-four inches. These baths
are made of wood or tin; the latter, however, deserve the
preference. The vessel in which the bath is taken should be
filled with water, until it reaches the navel of the patient
when in the sitting posture. In especial cases, a greater or
less height of water may be requisite. During the bath, the
upper part of the body is to remain covered, the shirt should
be turned up, and the legs and feet are to be enveloped in a
woolen coverlet. While the person is in the bath, he should
rub the abdomen with a woolen cloth, to increase the action
of the skin, and to facilitate the passage of flatulent collections.  The action of sitting-baths varies, partly according to
the length of their duration, partly according to the tempera



SITTINTG-BATHS.


449


ture of the water. Where they are desired to have a tonic
action, the temperature should be from fifty to fifty-nine
degrees of Fahrenheit, and they should be continued from
ten to fifteen minutes.  Of course, they are to be repeated
frequently during the day.  To act as a stimulant, and to
produce more powerful reaction, they must be continued
for the same length of time; but their temperature must not
exceed forty-one degrees to forty-four degrees of Fahrenheit.
In summer, this temperature may be obtained by the aid
of ice.
Where the sitting-baths are to act as derivatives, determining the blood from parts which suffer from  congestion, the
patient must remain twenty minutes to half an hour in the
bath. It is sometimes necessary, during the bath, to adapt
cold applications (umschlage) to the parts affected; this is
the more necessary, if the congestions increase during the
bath.
If the sitting-baths be intended to produce a solvent effect,
a moderate temperature of fifty-nine degrees to sixty-eight
degrees of Fahrenheit, and rather a lengthened continuation
of them, say from half an hour to an hour or more, will be
required. It is, moreover, advisable, that patients suffering
from obstructions or hemorrhoids, should sit in deeper water;
it may, in this case, extend beyond the umbilicus.
For sitting-baths in rivers, a peculiar apparatus is necessary. A board with a round hole, about eight inches in diame-ter, is fixed about five or six inches below the level of the
water; on this aperture the patient is to sit. At a distance
of more than one fathom from this board the water is to be
confined by means of any suitable contrivance, so that it may
be made to flow with force against the abdomen during eight,
at the most, fifteen minutes. In all abdominal diseases, and
in debility of the organs of generation, these baths are of
extraordinary benefit.
Whatever object we may aim at in the use of these varie



450


450       HYGIENE AND HYDROPATiIY.


ties of sitting-baths, we must not lose sight of the rule, that
they are never to be taken immediately after eating (unless
especial cases call for an exception.), as they will otherwise
derange the digestion, and produce irregularities in the evacuations.  The best time for the use of these baths, is an hour
before dinner, or before going to bed. In the latter case, they
offer the advantage of securing a night's rest to the patient.
Generally speaking, two sitting-baths a day will suffice; in
particular oases, especially, if not persevered in for a long
time, five to six may be taken during the day. Exercise in
the open air is to be strictly recommended both before and
after these baths.
9. Foot-Baths
Are taken in a small tub, or in the same vessel as the sittingbaths. The temperature and volume of water must depend
on the action we wish to produce. If these baths are to act
as stimulants, they must be very cold, not exceeding forty-one
degrees of Fahrenheit. The water should have a depth of
one, at the most, two inches, and the bath must not be continued longer than five minutes.   They may be repeated
several times duringr the day, according to circumstances.
Rubbing, immediately after the baths, to promote speedy reaction, and also exercise after them, are indispensable. If
the object of the foot-bath be to determine from the head or
chest, the vessel must not be too large, in order that the water
may become somewhat warm during the bath, which may be
continued, in that case, from twenty minutes to one hour. In
this case, also, the water must not be as cold as for the former
purpose, and should cover the ankles. If congestion increase
during the bath, cold applications should be at the same time
applied to the parts affected. Friction and motion of the feet
are absolutely niecessary during and after the bath.
A variety of other partial baths, adapted to the different
members of the body, are brought into operation in a general




THE DROP-BATI-1.


451


course of' treatment by cold water.  The effect desired is obtained partly by the duration of the bath, partly by the temperature of the water, as I have before mentioned in speaking
of local baths in general. Where the baths are to act as
stimulants, the water must be very cold, not exceeding fortyone degrees of Fahrenheit; they may, however, be repeated
several times in the course of the day, if requisite. They
are to be continued from five to eight. minutes. By friction,
immediately after the bath, we arrive more speedily at the
desired end.
If the intention of these baths be to produce a soothing
effect, their temperature' must not be below fifty-nine degrees
of Fahrenheit; they may, however, be continued for a longer
period of time; fifteen to thirty minutes will, in most cases,
suffice; they may also be repeated on the return of tbe attacks
of pain. Where their action is to be derivative, the temperature should be from forty-six to fifty-nine degrees of Fahrenheit, and they should be continued for half an howr to one
hour or longer. If they are to produce this effect gradually,
and not rapidly, we frequently resort, at the same time, to
applications (umschhdge) to the part affected.  Cooling appl ications., frequently repeated, -will often lead to the desired
result, and, at other times, applications producing warmth
will be most serviceable; we should, therefore, consider
whether the object be to produce cold or heat.
10. The Drop-Bath.
This term is applied to single drops of water falling from a
height of several fathoms. For this form of bath, a vessel
is used, filled with very cold water, and furnished with a very
small aperture, through which the water passes in the form
of drops. The small aperture should be partly closed by a
plug, to prevent the drops from following each other in rapid
succession.  By these means, their operation is considerably
increased, and it becomes yet more potent if wve allow the




,152


'152       HYGIENE AND IIYDROPATHY.


drops to fall upon a particular part at certain periods, and
rub the part during the intervals. The reaction about tu
commence will, indeed, be thus interrupted, but will afterward make its appearance in a more powerful and energetic
form.
The violent excitement and irritation of the nervous system
produced by these baths, render it necessary to restrict the
use of them to half an hour; nor are they, indeed, adapted
for vital parts, or such as are abundantly supplied with
nerves.
They are often used with more effect in obstinate and
chronic cases of paralysis, than the douche or affusion, with
which they may alternate. Powerful and continued friction
with a horse-hair glove is never, in this case, to be neglected
after the baths.
11. 7The Douche.
This description of bath is prepared -with the aid of mechanical contrivances, by means of which a stream of water
is made to fall -upon the body with more or less force. In
many respects it is most advantageous to make use of a natural fall of water for this purpose; we can then conduct the
water simply into a channel, giving it a fall of twelve to
twenty feet, and to the stream a caliber of half an inch to five
inches.  These simple douches are far less disagreeable to
the. sensations of the patient than those of artificial construction. In the former, the patient can turn himself freely and
alter his position so as to expose any part of the body to the,stream.  Douche rooms, admitting, by their construction, of
the access of the air from above, produce an agreeable sensation, especially in summer, and are very beneficial in their
action. After the first time of using these baths, the dreadful ideas which many patients preconceive of them quickly
disappcar.
Our chief consideration, in the use of the douche, should be




THE D~tJOIJE.                 453
to guard against applying it to the body when quite cold, or
when in a state of perspiration after active exercise. The
patient, after undressing in a moderate temperature, steps
below the falling stream, attempting to receive it in the palms
of his hands, that the whole force and volume of the water
may not fall upon his body immediately, which is not, to say
the least, at all times agreeable. After having thus prepared
himself for the more potent shock, he must expose himself to
the full stream, and in such a manner that the whole column
of water will fall chiefly on the neck and spine. From time to
time he must equably expose the other members of the body
to the stream; but the affected parts chiefly, and for a greater
length of time. He should be careful not to allow the stream to
fall perpendicularly on the head, chest,, or on the region of the
liver, especially if these parts be weak, or affected with disease.
The duration of the douche must be regulated by the constitution of the patient, and the effect we wish to produce; it
should never be continued for less than one., nor more than
twelve minutes.
Where a natural douche is not to be obtained, we make use
of the well known machines resembling a fire engin emi shape
and construction. By means of these contrivances, we may
bring one or more streams of any given force into operation.
Our care must be directed to the selection of cold and fresh
water for this purpose; finally, the same rules are to be observed which we laid down for the use of the former douche.
The period of the day at which these different douches (excepting those for the eye and ear) are used, varies. They
are only to be taken, as an exception, fasting, or immediately
after sweating, and never on a full stomnach, nor oftener than
once or twice daily.
Rather active exercise should be taken after the douche,
until the peculiar sensation of reaction has totally disappeared,
or an uncomfortable sensation of cold, accompanied by headaches, fainting, etc., will be experienced, instead of an agree



454


HYGIENE AND HYDROPATHY.


able and beneficial glow. It is, moreover, not advisable to
drink cold water immediately after the douche, because a
rapid generation of heat is thus impeded, and inflammations
of the stomach and bowels might be caused.
The douche, the most powerful stimulant known in hydropathy, is always applicable where excitement is necessary, but
attention must be paid, in every case, to age, constitution,
and to the vital powers. Cases are not unfrequent, where
the nature of the diseases calls for this stiumlant to complete
the cure, but where it must be avoided in consequence of
pregnancy, pulmonic affections, etc. No mode of applying
cold water is more abused than the douche; in most hydropathic establishments, even at the present day, this is, unfortunately, too often the case. But very few experienced hydropathists regard it as a stimulant requiring caution. For
the most part, it is looked upon as a remedy indispensable to
every cure, is brought into use injudiciously, and without mature deliberation, and continued to the detriment of all organs;
the beneficial results, therefore, which a judicious use of it
would produce, are, necessarily, oftentimes frustrated.
12. Local Applications ( inschlige).  Wet Bandages.
By these applications, two different effects may be produced,
viz., that of cooling the part to which they are applied, or
that of raising its temperature. Where they are intended as
refrigerants or derivatives, the cloths must be of a size suited
"to the part inflamed; they should be folded six or eight times,
dipped into very cold water, gently pressed before application, and are to be renewed every four or ten minutes, according to the degrees of inflammation. If we cannot obtain
water sufficiently cold in summer-time, ice must be added to
it until its temperature sinks to forty-one or forty-four degrees
of Fahrenheit. This low temperature is especially necessary
in dangerous inflammations of important organs; e. g., of the
brain.  The bandages must then be continued without inter



WET BANDAGES.


455


mission, day and night, until danger is averted. Neglect in
changing the wet clothes (umschlage), at the proper time,
will cause fatal results. One omission of the change is sufficient to frustrate their beneficial operation; for violent reaction is only to be subdued by continual cold.
The warming applications of cold water consist of pieces
of linen folded two or three times, and dipped into cold water;
they must be well pressed out before application, and not
changed until they begin to dry-this is the indication for
their repetition. This variety of application must be not only
well adapted to the part, but it is to be further secured
against the access of the. air by a dry bandage, in oi-der that
the reaction it produces may generate a degree of heat in the
part covered exceeding the temperature of the body.  The
combined action of the moisture and heat thus produced is
that of a solvent or morbid matter, dispersing swellings and
indurations, which are thus rendered more fit for absorption
and elimination. These applications are not only well adapted for the removal of tumors, but may be applied also, with
great benefit, in various cases of affections of the abdomen.
Their efficacy, in all derangements of the digestive organs,
and diseases of the liver, etc., is proved.
The applications to the abdomen vary somewhat in form
from the former bandages. A piece of linen, two yards in
length, and rather more than one foot in breadth, is to be
doubled, sewn together, and furnished with strings, to enable us to adapt it closely to the body, and secure it in its
situation. In using the bandage thus arranged, about one
foot of it in length should be wetted with fresh water, well
wrung out, and applied round the body; thus, the wet portion will extend once, the dry part, twice round the body.
These abdominal belts are to be worn according to the urgency of the case, sometimes for several hours in the day, or
through the whole night; in some instances, again, for weeks,
both by day and night.
41




456


456        HYGIENE AND FTYDROPATHY.


13. Applications around one-half of the body, or around the
whole body.  Wet linen sheets.
For this purpose, the bed must be prepared in the same
manner as for the process of sweating. The wet sheet is
laid upon the extended blanket, the patient lays himself at
full length upon the former, whereupon it is folded around
him, so as to come in close contact with every portion of the
body. The patient is now to be enveloped in the blanket and
the bed covering (feather beds).
The wet sheets are of remarkable utility in all febrile diseases. In acute fevers they must he changed according to
the degree of heat, every quarter or half hour, until the dry,
hot skin of the patient becomes softer, and more prone to
perspiration. When this symptom is observed, the renewal
of the wet cloths may he delayed for a longer period, until
perspiration actually ensues. The patient must then remain
for several hours in this state, until uneasy sensations, and
other inconveniences, render it necessary to extricate him; but
it is more advisable to keep him in the loosened envelopment
until perspiration ceases spontaneously, when a tepid ablution,
or half-bath, should follow. In acute eruptions of the skin,
measles, scarlatina, small-pox, etc., the wet sheets are not less
serviceable, when the. eruption cannot make its way to the
surface in consequence of the dry state and heat of the skin,
and of the violence of the fever; or where the rash has receded suddenly, owing to other disturbances. In both cases,
the wet sheets are of essential service; one application of
them suffices, sometimes to re-establish the eruption. If -the
rash fail to make its appearance after the first or second
envelopment, cold affusion is to be preferred. There are
*cases in which the use of this remedy may be deemed objectionable, and a continuance of the wet sheets may appear
more proper; we must, then, examine the skin carefully
before every -changye, to see whether the eruption be nearer
the sur-face, the sk-in softer, and the heat abated. In the




SWEATING.


457


latter case, the applications are to be discontinued, that the
reaction of the skin may not be disturbed. The wet sheets,
followed by tepid ablutions, cannot be sufficiently recommended, in all diseases of children. Many severe complications are averted, or relieved, at least, by them; or, where
this is not the case, the disease itself is brought more speedily
to a favorable termination.
The envelopment in wet sheets is not only of great advantage in acute diseases, but is, also, an admirable remedy in a
variety of chronic cases, attended with an irritable, rouigh,
and inactive skin, and in a multitude of skin-diseases; but in
all those cases, a frequent change of the sheets is seldom
necessary. In using the envelopment, we generally raise
the temperature of the patient, and occasionally allow him to
perspire, according to the circumstances of the case. Determination to the head, during the process, must be removed
by cold applications to that part. If the feet remain cold for
a long time in the wet cloths, and show no disposition to
become warm, they are to be extricated and wrapped in the
dry blanket only.
14.  Sweating.
In the treatment by water, perspiration is brought about in
the following manner: The patient is undressed and laid
upon a woolen coverlet or blanket, extended on the bed. A
servant wraps first the one side of the blanket round the
'body of the patient, drawing it close in all directions; grasping now firmly with the one hand the portion in which the
patient is enveloped, he draws, with the other hand, the
blanket round the patient, and tucks this portion also closely
under him.   Care must be taken that the coverings be in
close contact with the body, especially at the neck, that the
heat given off by the body may be well retained, and not suffered to escape. It is the excess of caloric, thus confined, which
induces exhalation from the skin. Individuals who are to perspire for several hours, and cannot retain their urine long, may




458


468       FHYGIENE AND IIYDROPATIIY.


be furnished with an urinal, placed between the legs at the
time of wrapping them up. The head may be included in the
covering, or enveloped even in the pillow, so that the face
alone is free, provided the patients do not suffer from congestions. The head must remain uncovered, on the other hand,
if a disposition to congest be observed.  Slight excitement of
the vessels, before the outbreak of perspiration, generally
passes of spontaneously; but where this favorable termination does not ensue, a cooling bandage (umschl'dge) is to be
laid on the head of the patient, who must, at the same time,
drink a little cold water. Warmaing applications (u mschli~age)
are to be -wrapped round all parts affected with nodes, gouty
swellings, etc., before enveloping the patient. The use of
these auxiliaries is to allay pain, -which is generally more
violent before the appearance of perspiration, and to excite
a more copious exhalation from the parts to which they are
applied.
Patients who are very restless in the. blanket, and thus
loosen it, should be confined more closely in the encasement
by additional cloths and girths, as they would otherwise have
to remain w]rapped up during half a day or longer. Pcrsons
thus cnveloped being totally helpless, an assistant should be
always in attendance to open the windows as soon as perspiration ensues, and to administer, every ten or fifteen minutes,
as much cold water as is necessar~y to promote perspiration.
The action of the skin must be kept up uninterruptedly, and
the pcrspiration should pass off in form of vapor, or in drops,
as longy as the case requires it.
The result of this mode of treatment is pretty certain, but
the time necessary for the production of perspirntion is not
the same in all cases; for some individuals perspire sooner
than others. The season, and many other inevitable circumstances, exert, moreover, a considerable influence on the sk~in;
thus, some patients, especially in summer, will perspire in a
quarter of an hour, while others require three to five hours




SWEATING.45


459


for that purpose. In febrile and inflammatory diseases, we
frequently cannot produce perspiration in less than twelve or
twenty-four hours, although we changd the wet sheets' often,
and resort to other auxiliary means.
The best time for exciting perspiration, in chronic cases, is
in the early hours of the morning, from four to five o-'clock at
the latest. In acute diseases, the time depends on the fever
itself, or on renewed exacerbations; it must be produced,
therefore, when required, without reference to time. A repetition of the process twice on the same day, is only admissible and advisable as an exception. The indication for such
practice would occur more frequently in chronic than in acute
diseases; because in the latter perspiration should be kept
until it ceases spontaneously, or is interrupted by other circumstances. Two sweats daily can only be recommended
to the robust, and even these persons will not be able to endure the protracted sweating required in some few troublesome
cases, without injuring the skin and other important organs.
We cannot determine, a priori, how long each patient should
sweat. The ordinary duration, in chronic cases, is from half
an hour to three hours, daily; but moderate perspiration is
to be encouraged for a longer time in acute diseases.  Critical perspiration requires the longest duration, and should not
be disturbed; we should rather, in this case, do everything in
our power to aid and promote it, until it ceases spontaneously.
When the patient has remained in a state of perspiration
long enough, the woolen covering should b-e loosened about
his feet and legs, to enable him to walk. The attendant then
raises him in bed, and leads him to the place where he is to
bathe or wash. Sedan chairs or other contrivances, will be
necessary to convey patients quickly to the bath, in serious
cases. No danger is to be dreaded from the transition from
heat to cold (as experience in many thousand cases has
proved), if the necessary precautionary rules laid down for
the use of full-baths be duly observed; for, in this mode of




460


HYGIENE AND HYDROPATHY.


producing perspiration, important internal organs are not
excited.
After the bath, patients who can walk, or take other exercise, must not return to bed; but should dress quickly, go
into the open air, drink the quantity of water prescribed, and
afterward take their breakfast. Those patients, on the other
hand, who can take no corporeal exercise, must be rubbed,
after the bath, for some time, the friction extending over the
whole surface of the body. This peculiar mode of inducing
perspiration is to be brought into use in all diseases where
morbid matter is to be eliminated from the system, because
the skin, as daily experience teaches us, is the organ best
adapted for this purpose. At the commencement of the
treatment, the perspiration is clear and aqueous for some
time; at a later period it becomes more viscid, then varies in
color, and assumes a powerful odor. The urine, at the same
time, or later, in the course of treatment, assumes the same
properties in color and odor; open sores and the breath participate in this change. These symptoms usually make their
appearance at different intervals, in a protracted case.  Critical excretions seldom continue without intermission from their
first commencement, until all extraneous substances are removed from the body; it is true, that this phenomenon is
observed sometimes, but it is always a rare occurrence, and
the critical discharges will not then unfrequently continue two
to four months,
There can be no doubt that an incalculable quantity of
morbid matter is removed from the body in the act of perspiring; for it is often to be recognized by the organs of
sense, by its color and odor during the process. Most striking is, at times, the odor of valerian, turpentine, iodine, musk,
assafoetida, sulphur, and mercury. The colors observed are,
generally, confined to red and yellow; brown and blue are
less frequently met with: the latter occurs often in the deposits in the urine, which may assume, also, all other colors.




III. MATERIA MEDICA.


1. ACONITE.
ACUTE localinflammations; active, sanguineous congestions;
evil consequences of a chill in a dry, cold air; affections in
consequence of fright or of anger; measles; erysipelatous
inflammations; inflammatory fevers, even with bilious or nervous symptoms; mental alienations, with fixed ideas of approaching death; cerebral congestion, with dizziness; croup,
first period; hooping-cough, first period.
GENERAL SYMPTOMS.-Shooting pains, or rheumatic, which
are renewed by wine, or other heating articles; sufferings
which, particularly at night, seem insupportable; attacks of
pain, with thirst and redness of the cheeks; uneasiness, as
if in consequence of suppressed perspiration, or in consequence of a chill.
Skin. Skin dry and burning; scarlet rash; measles; nettle-rash.
Sleep. Sleeplessness from anxiety, with constant agitation
and tossing; starting in sleep.
Fever. Dry, burning heat, with extreme thirst, sometimes,
especially at the beginning of the disease, preceded by shiverings with trembling; heat, chiefly of the head and face,
with redness of the cheeks, shuddering over the entire body;
shivering, for the short time that they may be uncovered during the heat; pulse hard, frequent, and accelerated.
Moral Symptoms.-Great agitation and boasting, with anguish, discouragement that cannot be consoled, cries, tears,
groans, complaints, and reproaches; apprehensions and fear
of approaching death; a great disposition to be angry, to be
(461)




462


MATERIA MEDICA.


frightened; alternate paroxysms of laughter and tears; inquietude under disease, and despair respecting a cure; delirium, chiefly at night.
Iead. Weight and fullness in the forehead and temples,
with pressing outward, as if everything was going to issue
through them; congestion of blood to the head; aggravation
of the pains in the head by movement, by speaking, by rising
from a recumbent position, and by drinking; amendment in
the open air.
Eyes. Eyes red and inflamed, with deep redness of the
vessels, and intolerable pains.
Ears. Buzzing in the ears.
Nose. Bleeding from the nose.
Face. Red spots on both cheeks.
Throat. Pain in the throat, with deep redness of the parts
affected, and difficult deglutition; burning and pricking in
the throat, chiefly when swallowing.
Stomach. Sensation of swelling tension and pressure, as
from a weight in the pericordial region and in the stomach.
Abdomen. Tension and pressure in the hypochondriac
region; pressure in the hepatic region; painful sensitiveness
of the abdomen to the touch, and to the least movement.
Fceces. Loose, watery stools; white stools, with red urine.
Urine. Urine scanty, burning, dark red, and with a brickcolored sediment.
Larynx. A constant desire to cough, produced by an irritation or a tickling in the larynx; short and dry cough, principally at night; spitting of blood, with the cough; shootings
and pains in the chest when coughing.
Chest. Short breathing, chiefly during sleep, and on getting up; breathing difficult, anxious, and attended with
groans; painful stitches in the chest, chiefly when breathing,
coughing, and moving; stitches in the side; palpitation of
the heart, with great anxiety.
Trunk. Painful stiffness in the nape of the neck.




ANTIMONIUM CRUD. - ARNICA.


463


2. ANTIMONIUM CRUD.
Gastric and bilious sufferings; gastralgia; corns and callous indurations in the feet.
GENERAL SYMPTOMS.-Drawing, darting, and tension, principally in the limbs; the symptoms are aggravated in the
heat of the sun, after having drank wine, after a meal, night
and morning; amelioration during repose in the fresh air;
great sensibility to cold.
Head. Dizziness, with nausea.
Eyes. Red, inflamed eyelids; inflammation of the eyes,
with itching and nocturnal agglutination of the eyelids; redness in the corners of the eyes.
Ears. Deafness, as if one had a band over his ears.
AMouth. Tongue loaded with a white coating.
Appetite. Bitter taste; thirst chiefly in the night; loss of
appetite.
Stomach. Eructations, with taste of food.
Abdominal -Region. Inflation of the abdomen, with a sensation of fullness, chiefly after a meal; violent, cutting pains.
Fceces.  Diarrhea, with cutting pains, generally watery;
constant secretion of yellowish-white slime from the anus.
Urine. When coughing, involuntary emission of urine.
Larynx. Sensation as if a foreign substance were in the
larynx, with inability to expectorate.
Trunk. Rheumatic pains in the nape of the neck.
Arms. Rheumatic pains in the arms.
Legs.  Corns on the soles of the feet, and callous excrescences on the tips of the toes; callous excrescence under the
nail of the great toe.
3. ARNICA.
Affections in consequence of mechanical injuries (falls,
commotion, blows, etc.), wounds, principally those inflicted
by blunt instruments; bites; excoriation of bed-ridden patients; bruises, dislocations, sprains, and fractures; accidents




464


MATERIA MEDICA.


resulting from a strain; stings of insects; corns, by an external application of it, after having pared them.
GENERAL SYMPTOMS.-Pains, as from dislocation; faintingfit, with loss of consciousness, in consequence of mechanical
injuries; paralytic state, on the left side, in consequence of
apoplexy.
Skin. Red, bluish, and yellowish spots, as if from contusions.
Head. Whirling giddiness, with obscuration of the eyes,
chiefly when getting up, moving the head, or walking.
Eyes. Pain like excoriation in the eyes and eyelids, with
difficulty of moving them.
Pace. Face pale and hollow.
Mlouth. Tongue dry, or loaded with a white coating; putrid smell from the mouth in the morning.
Stomach. Vomiting of dark, coagulated blood.
Abdomen. Pain, as from contusion in the sides.
Anus. Involuntary stools, chiefly in the night.
Urinary Passages. Involuntary emission of urine; urine
of a brownish red, with brick-colored sediment.
-Respiratory Organs. Cough, with expectoration of blood;
even without cough, expectoration of black, coagulated blood
after every corporeal effort.
Chest. Respiration short, panting, difficult, and anxious;
shootings in the chest and sides, with difficulty of respiration,
aggravated by coughing, breathing deeply, and by movement; pain as of a bruise, and of compression of the chest.
Trunk. Pains, as from a bruise, and dislocation in the
back, in the chest, and in the loins.
A4rms. Pain, as of dislocation in the joints of the arms
and hands; want of strength in the hands, on seizing anything.
Legs. Pains, as if from fatigue or from dislocation; tension in the knee, as if from contraction of the tendons; inflammatory, erysipelatous swelling of the feet with pain, and




ARSENIC.


465


aggravation of the pain by movement; hot, painful, hard,
and shining swelling of the great toes.
4. ARSENIC.
GFNERAL SYMPTOMS.-Burning, chiefly in the interior of
the parts affected, or sharp and drawing pains; nocturnal
pains, so unbearable that they excite to despair and fury;
aggravation of suffering in the evening in bed, on lying on
the part affected, or during repose; mitigation by external
heat and movement of the body; want of strength, excessive
weakness, and complete asthenia, even to prostration.
Skin. Skin dry as parchment, or cold and bluish; ulcers
with raised and hard edges; fetid smell, ichorous suppuration, ready bleeding, putridity, and bluish or greenish color
of the ulcers.
Sleep.  Nocturnal sleeplessness, with agitation and constant tossing.
Fever. Coldness over the whole body, sometimes with
cold and clammy sweat; pulse irregular, or quick, weak,
small and frequent, or suppressed and trembling..Moral Symptoms. Anxiety, inquietude, and excessive anguish, principally in the evening in bed.
Face. Face pale, hollow, and cadaverous; lips bluish or
black, dry and chapped.
Mouth. Offensive smell from the mouth; tongue brownish
or blackish, dry, cracked, and trembling; ulceration of the
tongue on the anterior edge; thrush of the mouth.
Throat. Inflammation and gangrene of the throat.
Appetite.  Violent burning, choking, and unquenchable
thirst, with inclination to drink constantly, but little at a
time; want of appetite.
Siomach. Vomitings after drinking and eating; vomiting
of mucous, bilious, or serous matter, of a yellowish, greenish,
brownish, or blackish color; burning internal heat, diarrhea,
and fear of death; excessive pain in the epigastrium, chiefly




466


MATERIA MEDICA.


when touched; insupportable heat and burning in the pericordial region, and in the stomach.
Abdominal.Region. Swelling of the abdomen, as in ascites;
violent cutting pains, cramp-like pains in the abdomen; colic,
chiefly after eating and drinking, or in the night, and often
accompanied with vomiting or diarrhea, with coldness, internal heat, or cold sweat.
Fceces. Violent diarrhea, of greenish, yellowish, whitish
color, or brownish and blackish; burning in the rectum and
in the-anus.
Larynx. Dry cough, in the evening after lying down,
with a wish to rise; also, after drinking, with difficulty of
respiration.
Chest. Breathing short; difficult, stifling dyspnoea, and
attacks of suffocation, sometimes with cold sweat, spasmodic
constriction of the chest or of the larynx, anguish, great
weakness, coldness of the body, pain in the pit of the stomach, and paroxysms of cough; oppression of the chest when
coughing, when walking, and when going up stairs; violent
and insupportable throbbings of the heart, chiefly when lying
on the back, and especially at night.
5. AURUM.
Mercurial (and syphilitic) sufferings; inflammation and
caries of the bones, chiefly from the abuse of mercury.
GENERAL SYMPTOMS.- Hysterical spasms, sometimes with
alternate tears and laughter.
Moral Symptoms. Great anguish, which advances even as
far as a disposition to suicide.
Head. Fatigue of the head from intellectual labor.
Vose. Running from the nose, of a fetid, greenish-yellow
matter.
Face. Swelling of the bones of the forehead, of the upper
jaw and of the nose.




BELLADONNA.


467


6. BELLADONNA.
Scarlatina; sleeplessness; inflammatory fevers, with nervous, gastric, or rheumatic affections; erysipelas.
GENERAL SYMPTOMS. - The least contact, and sometimes,
also, the slightest movement, aggravates the sufferings; dread
of every movement, and of all exertion; over-excitement,
and too great sensibility of all the organs.
Skin. Swelling, with heat and scarlet redness of the whole
body, or of several parts, chiefly the face, the neck, the abdomen, and the *hands; red hot, and shining swelling of the
diseased parts.
Sleep.  Constant desire to sleep; nocturnal sleeplessness,
in consequence of excessive anguish or great agitation; when
sleeping, frequent starts, with fright, groans, cries; on waking, headache, and aggravation of sufferings.
Fever. Dry, burning heat; pulse strong and quick, or full
and slow, or small and slow, or small and quick, or hard and
tense; sweat of the parts that are covered only.
Head. Fullness, heaviness, and violent pressure on the
head, as if going to burst, with desire to lie down; dartings
into the head, as if from knives; strong pulsation of the arteries of the head; bending the head backward; boring with
the head into the pillow while sleeping.
Eyes. Aching pains in the eyes and the sockets, extending
into the head; inflammation of the eyes, with injection of the
vessels; dread of light.
Ears.  Piercing pressure, sharp pain, pinching, squeezing,
and shooting in the ears; swelling of the parotids.
Face. Face pale, sometimes suddenly alternating with red;
burning heat of the face; dark, or scarlet, or bluish redness
of the face; swelling of the sub-maxillary glands, and those
of the neck.
Teeth. Sharp and drawing pains, at night or in the evening; the touch and the open air aggravate the toothache.




468                 MATERIA MEDICA.
M" outh. Sensation of great dryness, or actual and excessive dryness and choking in the mouth; tongue red, hot,
shining, dry, and cracked, or loaded with whitish mucus;
redness of the edges of the tongue; paralytic weakness of
the tongue, with difficult and stammering speech.
Throat. Excoriating, scraping, and shooting pains in the
throat and in the tonsils, principally when swallowing; inflammation and swelling of the throat, of the velum palati,
of the uvula, and of the tonsils; suppuration of the tonsils;
complete inability to swallow, even the least liquid, which
frequently is forced out through the nostrils; sensation of
choking, and spasmodic constriction in the throat.
Appetite. Burning, excessive, and intolerable thirst, often
with dread of all drink; drinking with trembling precipitation.
Stomach. Spasmodic hiccough.
Abdominal Region. Cramp-like, contractive and constrictive pains in the abdomen, and especially around the navel,
with a sensation as if the parts were squeezed or seized with
the nails; the pains force one to bend himself, and are accompanied by vomiting or by inflation and protrusion of the
transverse colon in the form of a pad; soreness of the whole
abdomen, as if everything in it were excoriated.
Urine. Frequent discharge of urine, copious, pale, and
watery; difficulty of retention and involuntary emission of
urine.
Genital Organs.   Violent pressure toward the genital
parts, as if all were going to fall downward, principally
when walking or sitting upright; menses too copious and too
early.
Larynx. Loss of voice; cough chiefly at night, or in the
afternoon, in the evening in bed, "mostly dry, short, and sometimes convulsive; when coughing, cutting in the abdomen
the least movement, when in bed at night, renews the
cou'h.




469


BRYONIA.


Chest. Oppression of the chest, difficult respiration, dyspncea, and short breath, sometimes with anxiety; respiration
short, anxious, and rapid; pressure on the chest.
Trunk. Painful swelling, and stiffness of the neck and
the nape.
7, BRYONIA.
Rheumatic and arthritic affections, even with inflammatory
fever and swelling; local inflammations; inflammatory fevers,
with nervous, gastric, or bilious affection, and strong excitement of the sanguineous and nervous system; typhoid fevers,
in the inflammatory period.
GENERAL SYMPTOMS.-Tension, drawing pains, acute drawings, and stinging, especially in the limbs, and chiefly during
movement, with insupportable pains on being touched; red,
shining swelling of some parts of the body; aggravation of
the pains and sufferings, at night and from movement; amelioration during repose; desire to remain in a recumbent
posture.
Sleep. Restlessness, especially before midnight, caused by
heat, agitation of blood, and anxiety; sleep, disturbed by
thirst, with bitter taste in the mouth when waking; inability to remain lying on the right side.
Fever. Cold and shivering of the body, even in bed, accompanied by pains in all the limbs; shiverings; with trembling, often with heat in the head, redness of the face, and
thirst; before the shiverings, vertigo and headache; universal dry heat, external and internal, almost always with a
great desire for cold drinks.
Moral Symptoms. Irascibility and passion; delirium, with
ravings about the transactions of the day.
Head. Great fullness and heaviness of the head, with raking pressure toward the forehead, and when stooping, a sensation as if everything were going to fall out through the
forehead; headache, aggravated by movement.
N.ose. Swelling of the nose; frequent bleeding of the




470


MATERIA MEDICA.


nose, sometimes in the morning, or when the menses are suppressed, or even when sleeping.
Face. Face red and burning; swelling of the face, sometimes on one side only, or under the eyes, and at the root of
the nose; lips swollen and cracked, with bleeding.
Teeth. Toothache, with desire to lie down; mitigated by
lying on the parts affected; jerking, drawing toothache, with
a sensation as if the teeth were too long or loose.
Mouth. Dryness of the mouth, with burning thirst;-tongue
dry, loaded with a white, dirty, or yellow coating.
Throat. Sensation of dryness, and great dryness in the
throat.
Appetite. Bitter taste in the morning; repugnance and
disgust for food.
Stomach. Nausea and desire to vomit, especially after eating; vomiting, as soon as one has drank, and especially on
drinking after a meal; shootings in the stomach during movement; burning in the pit of the stomach.
Abdominal Region.-Pains in the liver, when touched, on
breathing or coughing; cramp-like pains, or cuttings and
shootings in the abdomen.
Fceces. Constipation; diarrhea in the summer.
Urine. Urine scanty, reddish, brownish, and hot.
Genital OgYans.-Menses suppressed; metrorrhagia of a
deep-red blood, with pain in the loins and in the head; swelling of the labium, with a black and hard pustule.
Larynx.  Cough, mostly dry, excited by a tickling in the
throat; cramp-like, suffocating cough, after having eaten or
drank, and often with vomiting of food; cough, with stinging
in the sides of the chest, or with aching pains in the head, as
if it were going to split; cough, with expectoration of mucus
of a dirty-reddish color.
Chest.  Respiration impeded by stinging in the chest;
stingings in the chest and in the sides, especially when
coughing or breathing deeply, allowing one to lie only on the




CALCAREA CARBONICA.


471


back, and aggravated by any movement whatever; heat and
burning pain in the chest, with anxiety and tightness; beatings of the heart, frequently very violent, with oppression.
Trunk. Pains in the loins, like a painful weight; shootings in the loins and in the back, aggravated by cough and
respiration; rheumatic heaviness and tension in the nape of
the neck, and in the neck.
Arms. Tractive pains in the joints of the shoulders and
the arms, with tension, stinging, and shining, red swelling;
pain of dislocation in the joints of the hands on moving them.
Legs. Drawing pains in the thighs; swelling of the legs,
extending to the feet; pain as of dislocation, in the foot,
when walking.
8. CALCAREA CARBONICA.
Muscular weakness, difficulty of learning to walk, atrophy
and other sufferings of scrofulous children; rickety affections
polypus; fistulous ulcers; delirium tremens; difficult dentition in children, with convulsions.
GENERAL SYMPTOMS.-Agitation of blood, mostly in plethoric individuals, often in the head and in the chest; epileptic
convulsions, with cries; the symptoms are aggravated after
washing and laboring in the water, in the evening, after a
meal, and every second day.
Skin. Nettle-rash, chiefly disappearing in the fresh air;
swelling and induration of the glands, with or without pain.
Sleep. Restlessness from flow of ideas, or in consequence
of frightful images, which appear as soon as the eyes are
shut; dreams, frequent, vivid, anxious, fantastic, frightful.
Fever. Excessive internal coldness; frequent attacks of
transient heat, with anguish and beating of the heart.
Moral Symptoms. Melancholy and disposition to weep and
to be frightened.
Head. Piercing in the forehead, as if the head were going
to burst, hammering pains in the head after a walk in the
42




472


MATERIA MEDICA.


open air; icy coldness in and on the head; falling off of the
hair: tumors in the hairy scalp.
Eyes. Ulcers, spots, and opacity of cornea; red and thick
swelling of the eyelids.
Ears. Purulent discharge from the ears; polypus in the
ears; cracking in the ears, when swallowing and chewing;
hardness of hearing; inflammatory swelling of the parotids..Face. Swelling of the upper lip; painful swelling of the
sub-maxillary glands.
Stomach. Regurgitation of sour substances; sour vomitings.
Abdominal Region. Swelling and induration of the mesenteric glands; enlargement and hardness of the abdomen.
Fceces. Evacuations like clay; diarrhea during dentition,
of a sour smell, fetid, or yellowish, in infants.
Genital Organs. Menses premature and too copious.
Larynx. Cough at night, violent and dry, sometimes even
spasmodic.
Chest. Pain as from excoriation in the chest, especially on
breathing and being touched; palpitation of the heart.
Trunk. Hard and painful swelling of the glands of the
neck.
Arms. Drawing pains in the arms, also at night; boils on
the hands and the fingers.
Legs. Drawing lancinations, or cutting, acute pains in
them; swelling of the knees; corns on the feet, with burning
pain as of excoriation.
9. CAMPHOR.
GENERAL SYMPTOMS.-Convulsions and cramps; tetanus;
attacks of epilepsy, with rattling in the throat, red and puffed
face, convulsive movements of the limbs and even of the
tongue, eyes, and muscles of the face, with hot and clammy
perspiration on the hairy scalp and forehead; after the fit,
drowsy sleepiness; sinking of all strength; fainting fits; the
majority of the symptoms appear during motion, or else at




CANTHARIS.


473


night, or are aggravated by cold, the open air, and touch;
often disappear as soon as attention is called to them.
Skin. Skin bluish and cold.
Fever. Coldness over the whole body, with deadly paleness of face.
Head. Congestion of the head; inflammation of the brain;
spasms which draw the head to one side.
Stomach. Vomiting and diarrhea, with failing strength;
sensation of burning and heat in the stomach.
-Abdominal Region. Cramps in the abdomen.
Urine. Retention of urine.
Genital Organs. Absence of sexual desire; impotence.
Trunk. Cramps in the calves of the legs.
10. CANTHARIS.
GENERAL SYMPTOMs.-Burning pains, as if from excoriation, in all the cavities of the body; the sufferings show
themselves chiefly on the right side, and are mitigated in a
recumbent posture; erysipelatous inflammations.
Moral Symptoms. Anxious inquietude, with agitation
which forces one to keep constantly in motion.
Teeth. Ulceration of the gums.
Mouth. Aphthaa in the mouth.
Throat. Sore throat, with burning in the throat in swallowing; inflammation and ulceration of the tonsils and the throat,
aggravated by drinking water.
Urine. Urgent and ineffectual effort to make water, with
painful emission, drop by drop; burning, smarting on making
water; sharp, tearing, and cutting pains, successive pullings
and pulsations in the urinary organs; inflammation and ulceration of the kidneys, of the vesica and of the urethra.
Genital Organs. Draggings in the spermatic chord when
making water; inflammation and gangrene of the genital
parts; sexual desire greatly increased, with erections painful,
frequent, and of long continuance.




474


MATERIA MEDICA.


Larynx. Inflammation of the larynx.
Chest. Shootings in the chest and in the sides; burning
pains in the chest.
GENERAL SYMPTOMS.-Repugnance to movement; the symptoms show themselves chiefly in the evening and at night, and
are aggravated by the open air, contact and cold., as well as
by beginning to move; great sensibility to fresh air., and to
a current of air.
Fever. Cold and shivering every time after drinking.
Head. Headache, as if the cranium were going to burst,
when walking or moving the head; attack of one-sided headache, pressive and shooting.
Face. Redness of the face; dull pressure on the cheekbone.
Throat. Burning blisters in the mouth and on the tongue;
sore throat, with painful deglutition and drawing in the
pharynx.
Larynx. Hoarseness; cough more violent in the evening
and at night, with pressure in the throat and ears.
Trunk and Extremities. Acute drawing pains in the bones.
12. GARBO, VEGETABILIS.
Evil effects from the abuse of mercury, or of cinchona;
sufferingrs caused* by warm and damp weather; sensibility to
changes of weather; intcrmittent fevers, even those which
the abuse of cinchona has rendered obstinate; Asiatic cholera,
with total absencee of pulse.
GENERAL SYMPTOMS.-Burning pains in the limbs and in
the back; the majority of symptoms appear while walking in
the open air; soreness of all the limbs., especially in the morning, when one has just risen; sudden prostration of the physical powers; liability to take cold.
Fever. Shivering and coldness in the body; cold sweat on
the limbs and face.




CAUSTICUM.


475


-Moral Symptoms. Inquietude and anxiety, especially in
the evening.
Head. Heaviness of the head.
Nose. Violent coryza, with hoarseness and raucity of the
chest.
Teeth. Opening, retraction, excoriation, and ulceration of
the gums; bleeding of the teeth and gums..Mouth. Dryness, or accumulation of water in the mouth.
Throat.  Scraping and burning pain in the throat, the
palate, and the gullet.
Appetite. Salt taste in the mouth and of food; after a
meal, great inflation of the abdomen.
Stomach. Rising of fat food; sour risings, after a meal.
Fbeces. Evacuations liquid, pale, or mucous; involuntary
evacuation.
Ur'ine. Diminution of the secretion of urine.
Larynx. In the morning and in the evening, hoarseness,
aggravated by prolonged conversation, and chiefly in cold and
damp weather.
Chest. Dyspncea on walking; pain as from excoriation of
the chest.
Trunk.    Rheumatic, drawing pains, acute pulling and
shootings in the back, the nape of the neck, and the muscles
of the neck.
Arms. Pullings, and acute drawing pains in the fore-arms,
the wrist, and the fingers: paralytic weakness of the wrists
and of the fingers.
Legs. Drawieg, and paralytic pains in the legs; cramps
in the legs, and in the soles of the feet.
13. CAUSTICUM.
Paralysis, especially that which manifests itself only on
one side, or that which is the result of a suppression of some
morbid secretion, or of some eruption, such as scabies, etc.
Eyes. Sight confused, as if a gauze or mist were before




476


MATERIA MEDICA.


it; darkness, which seems to dance before the eyes; lights
and sparks before the eyes.
oVbse. Eruption on the point of the nose; fluent coryza
with nocturnal cough, rough hoarseness, and headache.
Throat. Accumulation of mucus in the throat, and behind
the palate, with expectoration by hawking and gagging.
Stomach. Aching, squeezing as if from claws, with constriction and cramp-like pains in the stomach and the epigastrium..Fceces. Chronic constipation; itching in the anus.
Urine. Involuntary emission of urine, day and night, even
when coughing, when sneezing, and when walking.
Larynx. Rough hoarseness, morning and evening; cough
dry, hollow, shaking, with sensation of burning and pain as
from excoriation of the chest.
Chest. Palpitation of the heart; oppression of the heart,
with melancholy; stitches in the heart.
Trunk. Painful stiffness in the back, especially on rising
from the chair.
Arms.   Contraction and induration of the tendons of the
fingers.
Legs. Tensive stiffness in the joints of the legs and of the
feet.
14. CHAMOMILE.
Different affections of women and of children, chiefly lyingin women and new-born infants; bad effects from the abuse
of coffee and of narcotic palliatives; suffering in consequence
of a chill; affections arising from sudden grief or a fit of passion; convulsive and spasmodic attacks; excoriation of the
skin; disposition for every wound to ulcerate; bilious and
gastric affections; excoriation of the nipples; erysipelas on the
breasts; catarrhal cough, with hoarseness, chiefly in children.
GENERAL SYMPTOMS.-Rheumatic, drawing pains, chiefly
at night in bed; pains with thirst, heat and redness of one of
the cheeks; over-excitement, and excessive sensibility of the
nervous system, with great sensibility to pain.




CHAMOMILE.


477


Sleep. Nocturnal sleeplessness; when sleeping, starts with
fright, cries, tossing, tears, talking.
Fever. Burning heat and redness (often only in one) of
the cheeks, chiefly at night, with groaning, tossing.
Moral Symptoms. Disposition to weep and to be angry, with
great sensibility to offense; quarrelsome and choleric humor.
Head. Headache on waking in the morning, or while asleep.
Eyes. Eyes inflamed and red, with pressive pains, chiefly
on moving the eyes and on shaking the head; blearedness in
the eyes and nocturnal agglutination.
Ears. Shootings extending into the ears, with disposition
to be angry at trifles; buzzing in the ears; inflammatory
swelling of the parotids, as well as of the sub-maxillary
glands and of those of the neck.
Face. Face hot, red, burning, or redness and heat of one
cheek, with coldness and paleness of the other.
Teeth. Toothache, mostly of one side, and chiefly at night,
in the heat of the bed, with insupportable pains which almost
drive one to despair, frequently after eating anything hot (or
cold), and chiefly after having taken coffee.
Throat. Sore throat; deep redness of the parts affected.
Appetite. Bitter taste in the mouth and of food; excessive
thirst for cold drinks.
Stomach. Bitter, bilious vomiting.
Abdominal Region. Flatulent colic, with inflation of the
abdomen; excessively painful colic, pullings and cuttings in
the abdomen.
Anus and Fceces. Diarrhea at night, with slimy or greenish faeces, or mucus.
Urine. Menstrual colic, before the catamenia; pressure
toward the uterus, as if from the pains of child-birth; metrorrhagia, with discharge of deep-red blood and of clots, and
accompanied with labor-pains.
Larynx. Dry cough, produced by a constant titillation in
the larynx; anger excites cough (in children).




478


MATERIA MEDICA.


Chest. Attacks of flatulent asthma, with anxiety and fullness in the pericordial region.
Legs.  Cramps in the calves of the legs, chiefly at night.
15. CHINA.- CINCHONA.
GENERAL SIMPTOMS.-Pains or sufferings, excited or aggravated by touch, at night, or after a meal; great general weakness, with trembling; great tendency to perspiration when
moving and sleeping.
Skin. Yellow color of the skin.
Sleep. Painful, frightful dreams, which continue to produce agitation after waking.
Fever.  Shiverings, with shuddering, or feverish trembling,
commonly without thirst; the thirst generally takes place
only before or after the shiverings; easy perspiration during
sleep; nocturnal debilitating sweats.
Moral symptoms. Hypochondriacal dejection; excessive
irascibility, with pusillanimity.
Head. Headache as if from suppressed coryza; pain as
from a bruise in the brain; pressive headache; acute jerking or
pressive pains in the head; headache as if the head were going
to burst, congestion to the head; sensibility of the exterior of
the head, and even of the roots of the hair, when touched.
Eyes. Sparkling, black, dancing spots, and obscuration
before the eyes.
Nose. Bleeding of the nose and of the mouth.
Face. Complexion pale, earth-like, sometimes of a blackish yellow.
Teeth. Dull and distressing pains in the carious teeth.
Mouth.   Tongue with a yellow or white coating.
Appetite. Bitter taste of food and drink; desire for a
variety of food, and for dainties, without knowing exactly
which; great weakness of digestion.
Stomach. Eructations, with taste of food; pressure in the
stomach, with cramp-like pains, especially after having eaten.




CINA.


479


Abdominal Region. Hardness and swelling of the liver;
swelling and hardness of the spleen; piercing in the spleen;
dropsical swelling of the abdomen, with asthmatic sufferings
and fatiguing cough.
Fceces.  Slimy, watery, yellowish diarrhea; loose evacuations, with excretion of undigested food; loose evacuations,
chiefly after a meal or at night; crawling in the anus, as if
from worms.
Urine. Urine deep-colored, with sediment like brickdust.
Genital Organs. Congestion to the uterus; leucorrhea,
with cramp-like contraction.
Larynx. Violent, convulsive cough, sometimes even with
inclination to vomit; cough, with expectoration streaked with
blood.
Chest. Shooting in the chest, when coughing and breathing; stitches in the side; violent congestion to the chest.
Arms. Paralytic, jerking, tearings in the muscles and
bones of the upper and lower extremities, excited by touch.
16. CINA.
Scrofulous affections; acute hydrocephalus of children;
wetting the bed; hooping-cough; chiefly in scrofulous children or in those suffering from worms.
GENERAL SYMPTOMS.-Convulsions and distortion of the
limbs; epileptic convulsions, with cries, turning" on the back,
and violent movements of the hands and feet; external pressure aggravates or renews the sufferings.
Sleep. Nocturnal sleeplessness, with agitation, tears, cries,
heat and anguish.
Moral Symptoms.   Child cries when it is touched.
Eyes. Pupils dilated.
Nose. Desire to put the fingers into the nose; stoppage of
the nose.
Teelth.  Grinding of the teeth.
43




480


MATERIA MEDICA.


Appetite. Hunger a short time after a meal.
Fceces. Loose evacuations, of the consistence of pap;
discharge of ascarides and of worms by the anus; loose, involuntary, whitish evacuations.
Urine. Wetting the bed; urine soon becomes turbid.
Larynx. Cough, with sudden starts and loss of consciousness.
Extremities. Contraction and jerking of the hand and of
the fingers; cramp-like extension of the legs.
17. CoccuLus.
GENERAL SYMPTOMS.- Semi-lateral sufferings; aggravation
of the sufferings from sleep, conversation, drinking and
eating, especially from coffee or smoking tobacco.
Head. Vertigo, as if from intoxication, or when rising up in
the bed, with desire to vomit, which forces one to lie down again;
pain in the head, which is, as it were, empty and hollow.
Appetite. Excessive loathing of all food and drink.
Stomach. Attacks of nausea unto fainting; vomiting and
nausea from the motion of a carriage, or on the sea; violent,
cramp-like, and squeezing pains, as if from a claw, and cramps
in the stomach, sometimes a short time after a meal; pinchings in the epigastrium, with difficulty of respiration.
Abdominal Region. Sensation in the abdomen, as if it
were hollow and empty; contractive pinchings in the lower
part of the abdomen; flatulent, cramp-like colic, especially at
night, aggravated by coughing, or by stooping forward; disposition to protrusion of inguinal hernia.
Faxces and Urine. Hard and difficult evacuations; frequent desire to make water, also in pregnant women.
Genital Organs. Premature catamenia, with cramps in the
abdomen.
Chest.  Cramps in the chest; rattling, and sensation of
emptiness in the chest.
Arms. Paralysis of the arms and lower limbs.




COFFEA - COLCHICUM.


481


18. COFFEA.
Excessive nervous excitability; excessively painful neuralgia; sleeplessness from  nervous excitement; evil consequences of unexpected or excessive joy.
GENERAL SYMPTOMs.-Painful susceptibility of parts affected; mental and physical excitability; sleeplessness from excitement of the imagination, flow of ideas, and fantastic
visions; desire to lie down and to shut the eyes, without
being able to sleep.
Head and Throat. Pains in the head, as if the brain were
bruised; sore throat, with great and painful sensibility.
Stomach and FEeces.  Cramps in the stomach; abdominal
pains, which even drive one to despair, especially in women;
diarrhea, also, during teething.
19. COLCHICUM.
Rheumatic and arthritic affections; dropsical affections;
dysentery.
GENERAL SYMPTOMS.- Rheumatic and arthritic tearing in
the limbs, especially in warm weather; the sufferings are
aggravated by intellectual fatigue, by touch, too brilliant a
light, and from the commencement of the night until morning.
Stomach. Nausea, even to syncope, from the smell of fresh
eggs or fat meat; sensation of coldness or of burning in the
stomach.
Abdominal Region. Dropsical swelling of the abdomen.
Fceces. Dysenteric diarrhea of white, transparent, gelatinous mucus: discharge of much slime from the rectum; prolapsus recti.
Urine. Scanty discharge of urine of a deep color, with
tenesmus and burning.
Arms. Tearings in the upper and lower extremities.
Legs. Hot swelling of the legs; tingling of the toes, as if
they had been frozen.




482


MATERIA MEDICA.


20. COLOCYNTHIS.
Evil effects from mental emotions, with indignation and
mortification.
GENERAL SYMPTOMS.-Painful cramps and cramp-like contractions, in the internal or external parts.
Skin. Troublesome itching, with great restlessness in the
whole body, especially in the evening in bed, followed by
perspiration.
Head. Attacks of semi-lateral headache.
Stomach.  Colic and diarrhea, however little is eaten.
Abdominal Region. Inflammation of the abdomen, as if
from tympanitis: cramp-like pain and constriction in the intestines, especially after a fit of passion; excessively violent colic, with cutting, cramp-like, or contractive pains,
which compel one to bend double, with restlessness in the
whole body, and with a sensation of shuddering in the face,
which seems to proceed from the abdomen; coffee and tobacco
smoke diminish the colic.
Fceces. Loose evacuations of a greenish yellow; dysenterical evacuations, with colic.
Urine. Diminished secretion of urine.
21. CONIUM.
Affections of old men; inveterate affections resulting from
contusion, principally in the glands; tetters; scirrhous indurations and cancerous ulcers, especially when caused by contusion; cataract, caused by a blow; cancer in the lips; asthma, especially in old men.
GENERAL SvYMPTOMS.-Pains, as from fatigue, in the limbs
and joints, when in a state of repose; the symptoms appear
during repose, and by any movement; sensation of fatigue,
especially early in the morning in bed; want of energy and
nervous debility; great fatigue and other sufferings, from
walking in the open air.
Skin. Nettle-rash, in consequence of violent bodily exer



CROCUS.


483


cise; brown or red itching spots over the whole body, which
disappear and return.
Fever. Slow fever, with total want of appetite; pulse
irregular; nocturnal sweat.
Moral Symptoms. Ill-humor and moroseness.
Head. Vertigo on rising, on looking behind.
Eyes. Obscuration of the sight; black spots and colored
bands before the eyes in a room.
Face.  Cancerous ulcer on the lip.
Genital Organs. Swelling of the testes.
Larynx. Dry, convulsive cough; cough like hoopingcough, with sanguineous expectoration, or in violent fits, during the night.
Chest. Short respiration when walking; difficulty of respiration, also, in the morning on waking.
Arms. Shoulders painful, as if they had been bruised and
excoriated.
Legs. Weariness of the knees; coldness and strong disposition to chilliness of the feet.
22. CRocus.
GENERAL SYMPTOMS. - Discharge of black, slimy blood,
from different organs; striking alternation of the most opposite physical and mental symptoms.
Moral Symptoms. Strong tendency to sadness, sometimes
alternately with great gayety and joyous humor; severity and
mildness of character alternating.
Throat. Sore throat, as if caused by elongation of the
palate, or as if there were a plug in the throat, during deglutition, and at other times.
Abdominal Region. Movements in the abdomen, as if from
something alive.
Fceces. Metrorrhagia of black and slimy blood.
Chest. Movements, as if something alive were in the chest.
Arms.   Chilblains in the hands, and on the toes.




484                 MARIMEDICA.
23. CUPRM.
Spasmodic affections and convulsions; encephalitis; Asiatic
cholera; hooping-cough; spasmodic asthma.
GENERAL SYMPTOMS'.-Tonic spasms, with loss of consciousness, throwing of the head backward; the convulsions generally begin in the fingers and in the toes; convulsive startings
at night when sleeping; violent convulsions, with great display
of strength; symptoms which appear periodically, and in
groups.
Head. Whirling vertigo, as if the head were going to fall
forward; stupefying depression in the head, with crawling in
the vertex; pains in the occiput and nape of the neck, on
moving the head.
Eyes. Convulsions and restless movements of the eyes.
Face. Spasmodic distortion of the face; lips bluish.
Teeth and Mouth. Foam in the mouth.
Stomach. Violent vomitings, with cramps in the abdomen,
aggravated by touch and by movement.
Abdominal Region. Spasmodic colic.
Fceces. Violent diarrhea.
Chest. Respiration accelerated; short, difficult respiration,
with spasmodic cough and rattling in the chest; suffocating
fits; cramps in the chest, which interrupt the respiration and
the voice.
Trunk and Arms. Cramps of the fingers and of the toes.
24. DROSERA.
Catarrh and hoarseness; hooping-cough; affections of the
respiratory organs, in consequence of croup.
Larynx. Crawling in the larynx, which excites a short
cough and shootings as far as the throat; sensation of dryness or roughness, and of scraping in the bottom of the gullet, with inclination to cough; hoarseness and very low voice;
dry, spasmodic cough, with inclination to vomit; fatiguing
cough, like hooping-cough, with bluish face, wheezing respi



DULCAMARA - EUPHRASIA - FERRUM.


486


ration, attacks of suffocation, bleeding from the nose and
mouth, and anxiety; vomiting of food during the cough and
afterward.
Chest. Difficulty of respiration when coughing or speaking.
25. DULCAMARA.
Affections, in consequence of taking cold in general; tetters of different kinds nettle-rash.
GENERAL SYMPTOMS.- Aggravation of sufferings, chiefly
in the evening or at night, and during repose mitigated by
movement; swelling and induration of the glands; dropsical
swelling of the whole body, limbs, and face.
Skin. Dry, furfuraceous, humid, scaling, or suppurating
tetters; reddish tetters, bleeding after being scratched, with
painful sensibility to the touch, and to cold water.
Fceces. Diarrhea, as if after a chill, of greenish or brownish mucus; nocturnal, watery diarrhea with colic.
Larynx. Catarrh and hoarseness, as if from having taken
cold; moist cough.
Arms. Tettery eruption on the hands.
26. EUPHRASIA.
Catarrhal ophthalmia.
Eyes. Inflammation of the eyelids, with headache; abundant flow of corrosive tears.
VNose. Violent flowing of coryza, with abundant secretion
of mucus, excessive confusion of the head, and corrosive
tears in the eyes.
Chest. Cough in the morning, with flowing coryza, and
abundant expectoration of mucus.
27. FERRUM.
Congestion of blood and hemorrhagia; diarrhea, especially in children; ascarides.. GENERAL SYMPTOMS.- Dropsical swellings, with shooting




486


MATERIA MEDICA.


pains; the symptoms manifest themselves at night, are aggravated by being seated, and mitigated by gentle movement;
great lassitude and general weakness.
Sleep. Excessive and drowsy fatigue, with agitated sleep
at night.
Moral Symptoms. Anxiety, with beatings in the epigastrium; gayety, alternating with sadness.
Head.   Periodical hammering, and pulsative headache;
congestion of the head.
Face and Throat. Fiery redness of the face; lips pale;
spitting of blood.
Stomach. Vomiting of food, especially at night, or immediately after a meal; pressure in the stomach, especially after
eating meat.
Fceces. Aqueous and acrid diarrhea; undigested faeces.
Genital Parts.  Metrorrhagia; abortion; milk-like and
acrid leucorrhea.
Larynx. Spasmodic cough, ceasing immediately after a
meal; cough after a meal, with vomiting of food.
Chest. Difficulty of respiration; palpitation of the heart.
28. GRAPHITES.
Tetters of several kinds especially on the face; wens.
GENERAL SYMPTOMS.- Great disposition to take cold, and
fear of the open air and of currents of air.
Skin. Tetters, and other humid or scabby eruptions,
sometimes with secretion of corrosive serum, or with itching in the evening and at night; unhealthy skin, every
injury tends to ulceration; deformity and thickness of the
nails.
Eyes. Inflammation of the eyes, injection of the veins,
swelling and abundant mucous secretion from the eyelids.
Ears. Dryness of the internal ear; scabs, tetters, running
and excoriation behind the ears; hardness of hearing mitigated by the motion of a carriage.




HELLEBORUS.


487


Nose. Dry scabs on the nose; nostrils excoriated, cracked,
and ulcerated; fetid smell from the nose.
Face. Flushes of heat in the face; erysipelatous inflammation and swelling of the face, with eruption of vesicles;
one-sided paralysis and distortion of the muscles of thc
face, with difficult articulation; ulcers on the internal surface of the lips; scabby eruption on the chin and around the
mouth.
Throat. Sore throat, even at night, as if there were a
plug within it.
Appetite. Weakness of digestion; inflation of the abdomen after a meal.
Abdominal Region. Immoderate expulsion of fetid wind,
preceded by pinchings.
Faeces. Obstinate constipation,,with hard fieces; large
hemorrhoidal excrescences in the anus.
Urine. Wetting the bed.
Menses. Suppression of menses; in place of menses, flow
of blood from the anus.
Arms. Arthritic nodosities on the fingers; tettery excoriation between the fingers; thickness of the nails of the fingers.
Legs. Tetters on the thighs, hams, and tibia; cold feet,
even in the evening in bed; tettery excoriation between the
toes; thickness and deformity of the toe-nails.
29. HELLEBORUS.
Dropsical affections, especially some kinds of anasarca, and
chiefly those which proceed from the repercussion of eruptions, such as measles; scald-head, with obstruction of the
glands of the neck; acute hydrocephalus.
GENERAL SYMPTOMS.- Convulsions.
Sleep. Sleepiness, with eyes half open and pupils turned
upward.
Moral Symptoms. Dullness of the internal senses.
Head. Stupefying pain and sensation of a bruise in the




488


MATERIA MEDICA.


head; painful heaviness of the head; disposition to bury the
head in the pillow, when sleeping.
Fceces. Watery and frequent evacuations,
Chestl  Difficult respiration, as if from hydrothorax; constriction of the chest.
30. HEPAR SULPHURIS.
Evil consequences of the abuse *of murcury; scrofulous
affections; icterus; scald-head; eruptions and tetters on the
face; scrofulous catarrhal ophthalmia; ulcers on the cornea.
GENERAL SYMPTOMS.-Pains as if from    excoriation or a
bruise on different parts when touched; swelling, inflammation, and ulceration of the glands; aggravation of the pains
at night.
Skin. Eruption of pimples and tubercles, painful when
touched; unhealthy skin, every injury tends to ulceration;
suppurations.
Sleep. Jerking at night, as if from want of air.
Fever. Dry heat at night; great disposition to perspire in
the day-time.
Head. Pain in the head, as if a nail were driven into it;
pain, as if from  ulceration in the head, directly above the
eyes; tuberosities on the head, with pain as if from excoriation when touched.
Eyes. Stinging in the eyes; inflammation of the eyes and
eyelids, with pain as from a bruise and excoriation when
touched; specks and ulcers on the cornea; spasmodic closing
of the eyelids.
Ears. Heat, redness, and itching in the ears; scabs behind
and on the ears.
Nose. Pain as from a bruise and excoriation in the nose
when touched.
Face. Face burning and of a deep red; erysipelatous inflammation and swelling of the face; pains in the bones of
the face when touched.




HYOSCYAMUS.


489


Teeth. Toothache, with jerking and drawing pains, aggravated by closing the teeth, by eating, and in a hot room;
swelling and inflammation of the gums, which are painful to
the touch.
Mouth. Salivation; sore throat, as if there were a plug in it.
Appetite. Desire only for acid or pungent things.
Stomach. Eructations, with burning sensation in the throat.
Fceces. Whitish diarrhea, of an acid odor, especially in
children; dysenteric evacuations, greenish, or of a clay-color,
with evacuation of sanguinous mucus.
Urine. Wetting the bed; discharge of mucus from the
urethra.
Genital Organs. Flow of prostatic fluid, especially after
making water, and during a difficult evacuation; excoriation
between the thighs; leucorrhea, with smarting.
Larynx. Hoarseness; dry cough in the evening, from any
part of the body becoming cold,,or when lying on the bed;
attacks of dry, rough, and hollow cough, with anguish and
suffocation, often causing one to weep.
Chest. Anxious, hoarse, wheezing respiration, with danger
of suffocation when lying down.
Arms. Pain, as from a bruise, in the bones of the arm;
arthritic swelling of the hand, fingers, and joints of the
fingers, with heat, redness and pain, as from dislocation,
during movement; skin of the hands cracked, rough, and
dry; panaris.
Legs. Swelling of the knees; cracks in the feet.
31. HYOSCYAMUS.
Convulsions and other spasmodic affections, chiefly in pregnant or parturient women, as well as in children, and in consequence of worms; excessive nervous excitement, with
sleeplessness; encephalitis; acute hydrocephalus.
GENERAL SYMPTOMs.- Convulsions, with cries, great anguish.




490


MATERIA MEDICA.


Fever. Burning heat of the body, especially of the head.
Moral Symptoms. Desire to run away; loss of consciousness, with eyes closed, and raving about business; delirium;
perversion of all actions.
Head. Headache, as if from    concussion of the brain;
pressive and benumbing pain in the forehead.
Eyes. Eyes red,' fixed, convulsed, spasmodic closing of
the eyelids; nocturnal blindness, weakness of sight, as if from
incipient amaurosis.
Mouth and Throat. Redness of the tongue; constriction
in the throat and inability to swallow liquids.
Appetite and Stomach. Vomiting of food and drinks immediately after a meal.
Fceces. Involuntary evacuations.
Genital Organs. Metrorrhagia, of a bright-colored blood.
Larynx. Cramp-like cough at night, especially when lying
down, sometimes with redness of the face and vomiting of
mucus.
Chest. Pressure on the right side of the chest, with great
anxiety and shortness of breath when ascending stairs;
spasms in the chest, with short breathing.
Arms. Hands clenched, with retraction of the thumbs (in
the convulsive fits).
Legs. Painful cramps in the thighs and calves of the legs.
32. IGNATIA.
Spasmodic affections, especially in consequence of fright or
contradiction, and chiefly in hysterical women, or in children;
melancholy and other mental affections caused by affliction;
difficult teething of children, with convulsions; prolapsus
recti also, in children.
GENERAL SYMPTOMS.-Violent pain, merely on being touched; in different parts; attacks of cramp and of convulsions;
hysterical debility and fainting fits; the pains are removed
always by change of position.




IGNATIA.


491


Skin. Excoriation of the skin; itching when becoming
warm in the open air.
Sleep. Violent spasmodic yawnings, especially in the
morning.
Fever. Absence of thirst during the heat and perspiration..Moral Symptoms. Tenderness of character, and delicacy
of conscience; love of solitude.
Head. Pressive headache, especially above the root of the
nose, aggravated or relieved by stooping; the headaches are
aggravated by coffee, brandy, tobacco-smoke, noise, and
strong smell; headache as if a nail were driven into the
brain.
Eyes. Convulsive movements of the eyes and eyelids.
Face.  Convulsive jerkings, and distortion of the muscles
of the face; convulsive twitchings of the corners of the
mouth.
Throat. Sore throat, as if there were a plug in it; shootings in the throat, extending sometimes to the ear, chiefly
when not swallowing; inflammation, swelling, and induration
of the tonsils, with small ulcers; impeded deglutition. (of
drinks).
Appetite. Dislike to milk and tobacco-smoke; painful inflation of the abdomen after a meal.
Stomach. Hiccough every time after eating and drinking;
periodical attacks of cramp in the stomach, aggravated by
pressing on the part affected.
Abdomen. Shootings and pinchings in the abdomen, especially in the sides; flatulent colic, especially at night.
Fceces. Hard evacuations, with frequent ineffectual efforts;
prolapsus of the rectum during evacuation; itchinog and
crawling in the anus.
Catamenia. Cramp-like and compressive pains in the region
of the uterus, with attacks of choking.
Larynx. Short cough, as if from a feather in the throat,
becoming more violent the more one coughs.




492


MATERIA MEDICA.


Chest. Difficult respiration, as if hindered by a weight
upon the chest; choking with running; palpitation of the
heart at night.
Arms. Insupportable pains in the bones and joints of the
arms, as if the flesh were being loosened; convulsive jerkings
in the arms and in the fingers.
Legs. Convulsive jerkings of the legs.
33, IoDIUM.
Scrofulous and lymphatic affections; abdominal phthisis;
inflammatory swelling of the knee,
GENERAL SYMPTOMS. -Swelling     and induration  of the
glands; atrophy and emaciation until reduced to a skeleton.
Fever. Pulse quick, small, and hard.
Head. Congestion to the head, with beating in the brain.
Face. Complexion pale, yellowish; swelling of the submaxillary glands.
Teeth. Softening of the gums.
Stomach. Eructations, generally acid, with burning sensation.
Abdominal Region. Abdominal pains, which return after
every meal; enlargement of the abdomen, which renders it
impossible to lie down without the danger of suffocation.
Fceces: Loose, soft evacuations, alternating with constipation; violent, frothy diarrhea.
Catamenia.  Catamenia, at one time too late, at another
too soon.
Larynx.   Inflammation of the throat and trachea, with
contractive sore pain; copious secretion of mucus in the trachea, with frequent hawking; dry cough; cough in the
morning.
Chest. Difficulty of respiration when going up stairs.
Trunk. Swelling of the exterior of the neck; swelling of
the glands of the neck,.fiape, and armpits; hard and large
goitre.




IPECACUANHA - KALI CARBONICUM.


493


34. IPECACUANHA.
Gastric and bilious fevers; intermittent fevers; gastric uneasiness, especially when - caused by indigestion; Asiatic
and sporadic cholera; gastric affections, with vomiting and
diarrhea, asthmatic affections.
GENERAL SYMPTOMS.-Attacks of uneasiness, with dislike to
all food, and excessive and sudden debility.
Fever.  Coldness, especially of the hands and feet; thirst
only during the shivering or chill.
Head. Attacks of headache, with nausea and vomiting.
Appetite. Great repugnance and dislike to all food.
Stomach. Nausea; vomiting of drink and undigested food,
of bilious, greenish, or acid matter, and sometimes immediately after a meal; vomiting, with diarrhea.
Fceces. Loose evacuations like matter in a state of fermentation; diarrhea, with nausea, colic and vomiting; dysenteric
evacuations, with white flocks, and followed by tenesmus.
Genital Organs. Metrorrhagia, with discharge of bright-red
and coagulated blood.
Larynx. Cough, especially at night, with painful shocks
in the head and stomach, with disgust and inclination to
vomit and vomiting, or with fits of suffocation, stiffness of the
body, and bluish face.
Chest. Spasmodic asthma, with contraction of the larynx.
35. KALI CARBONICUM.
Ascites; tuberculous phthisis; dry cough at night.
Appetite. After a meal, desire to sleep, paleness of the
face, shivering, headache, ill-humor, nausea, sour eructations
and pyrosis, colic, inflation of the abdomen and flatulency;
hoarseness and roughness in the throat.
36. KALI HYDRIODICUM.
Face-Appetite. Toothache, aggravated by contact with
any cold, mitigated by hot things; gums swollen with lancinating pain, as from ulceration.




494                 MATERIA MEDICA.
Larynx-Extremities. Dry cough, excited by constant irritation in the trachea, with hoarseness.
37. LACHESIS.
Sufferings of drunkards, from the abuse of mercury; fainting fits; erysipelas.
GENERAL SYMPTOMs.-Great weakness of body and mind.
Skin.   Skin yellow, green, lead-colored, or bluish, or
blackish, chiefly around the wounds and ulcers.
Head. Vertigo, chiefly on waking in the morning; apoplectic fits, with blue face, convulsive movements of the
limbs; headache, with congestion of blood, sparkling before
the eyes; headache, every morning on waking, or after dinner, or else from every change of weather.
Mouth. Tongue shining, red, and cracked; painful excoriation and inflammatory swelling of the throat; constant desire to swallow, and a sensation on swallowing as if there
were a tumor, some foreign body, or a plug in the throat;
ulcers on the palate, back of the mouth and throat.
Appetite. Desire for wine.
Stomach. Excessive sensibility of the precordial region to
the slightest touch.
Abdominal Region.   Inflammation and softening of the
liver; pain and stitches in the region of the spleen; abdomen
hard and distended, with flatulent colic.
Foeces.  Obstinate constipation, with hard and difficult
evacuation; loose evacuations, principally at night, or after a
meal, or in warm (and damp) weather, or from having taken
fruits and acids.
38. LYCOPODIUM.
Obstruction of the glands; typhus fever; inertia of the
intestines and obstinate constipation; chronic pneumonia;
tuberculous phthisis.
GENERAL SYMPTOMS. - Excessive sensibility to fresh air;
great tendency to take cold.




LYCOPODIUM -MERCURIUS VIVUS.


495


Skin. Excoriation of the skin of children.
Moral Symptoms. Melancholy and disposition to weep;
aversion to speaking.
Face.  Frequent flushes of transient heat in the face;
swelling of the submaxillary glands.
Mouth. Dryness of the mouth-without thirst.
Throat. Dryness of the throat; inflammation of the throat
and palate, with shooting pain.
Stomach. Pressure in the stomach after every meal;
swelling of the epigastrium, with painful sensibility to the
touch.
Abdominal Jegion. Tension round the hypochondria, as
if caused by a hoop; induration of the liver; fullness and
distension of the stomach and abdomen; obstructed flatulency.
Fceces. Obstruction of the abdomen.
Genital Organs. Leucorrhea, milky, yellowish, reddish and
corrosive; excoriation and running sores of the nipples.
Larynx. Nocturnal cough, which affects the head, diaphragm, and stomach.
Chest. Short respiration during almost every exertion;
palpitation of the heart, especially during digestion; painful
eruption and liver spots on the chest.
Trunk. Swelling of the glands of the neck and shoulder,
with shooting pain.
Arms. Nocturnal aching pains in the arms; dryness of
the skin of the hands.
Legs. Swelling of the knees; ulcers on the legs; pain in
the soles of the feet when walking.
39. MERCURIUS VIVUS.
Swelling and inflammation of the glands; inflammatory
fevers, with disposition to perspire profusely; rheumatic or
oatarrhal headache; scrofulous, rheumatic, catarrhal (and
arthritic) ophthalmia; syphilitic ophthalmia; rheumatic and
44




496


MATERIA MEDICA.


catarrhal otalgia; rheumatic prosopalgia and toothache;
dysentery; mucous or bilious diarrhea; influenza.
GENERAL SYMPTOMS. - Rending or drawing, or stinging
pains in the limbs, principally at night, in the heat of the bed,
which renders the pain insupportable; nocturnal aching
pains; rheumatic pains, with profuse sweat, which affords
no relief; the whole body feels as if it had been bruised,
with soreness in all the bones; emaciation and atrophy
of the whole body; excitability and sensibility of all the
organs.
Skin. Enlargement, inflammation, and ulceration of the
glands, with pulsative and shooting pains, hard, red, and
shining swelling; violent and voluptuous itching over the
whole body, principally in the evening, or at night, augmented by the heat of the bed, and sometimes with burning after
being scratched.
Fever. Copious, excessive, and colliquative sweats, both
day and night, in the morning; sweat, with nausea and desire
to vomit; great fatigue.
Head. Vertigo, principally on getting up, or on raising up
the head; fullness and pressure in the head, as if the forehead were squeezed by a band, or that the cranium would
split; heat and burning, or tearing and drawing pains, or
stinging in the head, often only one-sided and extending to
the ears, teeth, and neck.
Eyes. Itching, tickling, and burning in the eyes; eyes red
and inflamed; eyelid red, inflamed, swollen, ulcerated on the
margins, and covered with scabs.
Ears. Tearing, stinging, and drawing pains in the ears,
increased by the heat of the bed; purulent otorrhea, with
tearing in the affected side of the head and in the face.
Face. Bloatedness and swelling of the face; tearing in
the bones and muscles (of one side) of the face; obstruction
and inflammatory swelling of the submaxillary glands, with
stinging or pulsative pains.




MERCURIUS VIVUS.


497


Teeth. Tearing, stinging, or pulsative pains in the carious
teeth, or in the roots of the teeth, often spreading as far as
the- ears, and in the entire cheek of the side affected, sometimes, also, with painful swelling of the cheek or of the submaxillary glands, with salivation and shivering; appearance
or aggravation of toothache, principally in the evening or at
night, in the heat of the bed, where it is insupportable; renewed by the fresh air, as well as by eating, and taking anything hot or cold into the mouth; retraction and swelling of
the gums, principally at night, with burning pain and sensation of excoriation on touching them and on eating; gums
livid, discolored, and very sensitive; ulceration of the gums.
Ml'outh. Putrid smell from the mouth; inflammatory
swelling of the inside of the mouth; burning pain, vesicles,
blisters, aphthae, and ulcers in the mouth; accumulation of
tenacious mucus; profuse discharge of excessively fetid.
saliva; tongue moist, coated with white and thick; inflammatory swelling and ulceration of the tongue, with stinging
pains; entire loss of speech.
Throat. Stinging pains in the throat and tonsils, principally when swallowing; inflammatory swelling and redness
of all the back parts of the mouth and throat; constant desire to swallow; inability to swallow the least liquid, which
escapes through the nostrils; the pains in the throat commonly extend as far as the ears, the parotids, the submaxillary glands and those of the neck: they are aggravated, for
the most part, by empty deglutition, as well as at night, in the
fresh air and when speaking, and they are accompanied with
salivation.
Appetite. Acid and mucous taste; dislike to all food, principally solid nutriment, meat.
Stomach. Violent, empty eructations; excessive tenderness of the stomach and precordial region; pressure as if
from a stone in the pit of the stomach.
Abdom. Region. Painful sensibility of the hepatic region




498


MATERIA MEDICA.


with stinging, burning pains; complete icterus; obstruction
and inflammatory swelling of the inguinal glands.
Fceces. Loose and dysenteric evacuations, principally at
night, with colic and cuttings; tenesmus and burning in the
anus; nausea and eructations; shivering and shuddering,
exhaustion and tremor of all the limbs; scanty evacuations
of sanguinolent mucus; evacuations which are mucous, or
bilious, or putrid, or acid, or of a greenish or brownish color;
evacuation of acrid and 'burning fecal matter; discharge of
blood or of mucus from the rectum; discharge of ascarides
and lumbrici.
Urine. Frequent, copious emission of urine, like diabetes;
corrosive and burning urine.
Larynx. Catarrh, with febrile shivering; continued hoarseness and loss of voice; pains in the head and chest when
coughing, as if these parts were about to burst.
Chest. Difficulty of respiration, with attacks of suffocation at night, or in bed, in the evening when lying (on the
left side) shootings in the chest and side, or extending as
far as the back, principally when breathing, sneezing, and
coughing; pain as from excoriation and of ulceration in the
chest.
Trunk. Obstructions and inflammatory swelling of the
glands of the neck.
Arms. Sharp pains in the shoulders and arms, principally
at night and when moving these parts.
Legs. Sharp and piercing pains in the hip-joints, as well
as the thighs, principally at night, and when moving; oedematous, transparent swelling of the thighs and legs.
40. NATRUM MURIATIOUM.
Intermittent fevers, also those which have changed their
character from strong doses of cinchona; chronic constipation.
Fever. Continual shivering and want of vital heat; fever,




NATRUM MURIATICUM.


499


with aching pains; yellowish complexion, headache, weakness, bitter taste in the mouth, ulceration at the angles of the
mouth, absence of appetite; the fever generally commences
in the morning, followed by heat and thirsts; typhus fever,
with debility, dryness of the tongue, and violent thirst; pulse
irregular and often intermittent.
Moral Symptoms. Irascibility; easily provoked.
Head. Headache in the morning, on turning and while
moving the body or the head, when running or in the cold
air, as if the head were to split, with nausea and vomiting;
abundant falling out of the hair.
Eyes. Inflammation of the eyes; the letters are confused
when reading; the sight is weak, as if from incipient amaurosis; black specks, luminous marks, and sparks before the
eyes.
Ears. Hardness of hearing; humming in the ears.
Nose. Loss of smell; dryness of the nose.
Face. Lips dry, chapped, cracked, or excoriated and ulcerated, with scurf, and burning and smarting eruption; tettery
eruption round the mouth; frequent swelling of the submaxillary glands.
Teeth. Piercing, boring, and pulsation in carious teeth;
fistula of the gums.
Mouth. Ulcers and vesicles on the tongue and in the
mouth, with burning, smarting, and pain, on coming in contact with food and drink.
Throat. A sensation, during deglutition, as if there were
a plug in the throat; inflammation of the throat, with stinging pain and ulceration.
Fceces.  Constipation; burning in the anus and rectum,
during and after the evacuations; painful and burning hemorrhoidal tumors about the anus.
Genital Organs.  Menses too early and too profuse, or
retarded and scanty.
Larynx. Cough excited by a tickling in the throat, or




500


MATERIA MEDICA.


in the epigastrium, day and night; pains in the head when
coughing, as if the forehead were about to burst.
Chest. Short breathing, especially when walking quickly;
anxious and violent palpitation of the heart from every movement of the body, but principally when lying on the left side;
irregular and intermittent palpitation of the heart.
41. NITRI ACIDUM.
Aching pains, inflammation, caries, and other affections of
the bones, especially from the abuse of mercury; syphilitic affections; mercurial ulcers; nervous excitability, especially
from the abuse of mercury; syphilitic and mercurial angina,
also with ulceration; chronic relaxation of the bowels.
GENERAL SYMPTOMS.-Stinging pains as if caused by splinters, especially when touched; pains from change of weather;
riding in a carriage mitigates the majority of the symptoms.
Face. Painful swelling of the sub-maxillary glands.
Mouth. Offensive and putrid smell of the mouth; salivation, sometimes from attacks of fever.
Throat. Ulcer with stinging pain in the mouth and throat;
inflammation of the throat, with stinging pains, especially on
swallowing liquids, as from excoriation.
Fceces. Loose evacuations, sometimes mucous or putrid,
sanguinolent, dysenteric evacuations, with tenesmus; swelling
of hemorrhoidal tumors about the anus, and which bleed at
every evacuation.
Genital Organs. Ulcers, like cancers, on the prepuce and
glands.
Larynx. Dry cough, especially in the evening on' lying
down; purulent, yellowish expectoration with the cough.
Chest. Short breath.
Trunk.   Stinging in and between the shoulder-blades;
swelling of the glands of the neck and axillae; suppuration
of the axillary glands.
Legs. Chilblains on the toes.




NUX VOMICA.


601


42. Nux VOMIcA.
Sufferings from the abuse of coffee, wine, or other spiritous or narcotic drugs; bad effects from passion or excessive
study, prolonged watching, or a sedentary life; periodical
and intermittent affections; gastralgia; gastritis; gastricomucous or bilious affections; dyspepsia, also with vomiting
of food; vomiting of drunkards, of pregnant women; incarcerated hernia; obstinate constipation; blind and bleeding
hemorrhoides.
GENERAL SYMPTOMs.-Repugnance to the open air; great
desire to remain lying down or sitting.
Sleep. Too short sleep, with difficulty in going to sleep
again after midnight, and inability to remain in bed after three
o'clock in the morning; on waking in the morning, pain in
the limbs as if they were bruised, great lassitude, with desire
to remain lying down, and fits of stretching and of convulsive
yawning.
Fever. During the shivering, skin, hands and feet, face or
nails are cold and bluish; during the heat, vertigo, headache,
shivering when moving in the least, or when uncovered in the
slightest degree, thirst.
Mioral Symptoms.   Hypochondriacal, sorrowful, and sad
humor; ill-humor, vexation, and anger; dislike to, and unfitness for, bodily and mental labor.
Read. Vertigo, with sensation of turning and of wavering
of the brain; heaviness, pressure, and sensation of expansion
in the head, as if the forehead were about to burst, especially
above the eyes.
Eyes. Eyes inflamed, with redness and swelling, also the
eyelids.
Nose.  Obstruction of the nose, sometimes on one side only,
and often with itching in the nostrils and discharge of mucus;
obstruction in the head, principally in the morning, or at night,
and dry coryza with heat and heaviness in the forehead, and
obstruction of the nostrils.




502


MATERIA MEDICA.


Teeth. Putrid and painful swelling of the gums.
Mouth.   Fetid, putrid, and cadaverous smell from  the
mouth; tongue loaded with a white coating, or dry, cracked,
brownish or blackish.
Throat. Swelling of the uvula; bitter taste of the mouth;
desire for brandy.
Stomach. Frequent, bitter, and acid eructations; violent
hiccough; vomiturition and violent vomiting of mucous and
sour matter, after drinking or eating, or in the morning; pressure in the stomach as if by a stone; tension and fullness in
the epigastrium; tight clothes are insupportable.
Abdominal Region. Flatulent colic, sometimes in the morning, after eating or drinking, with pressing pains, as if by
stones.
Fceces.  Frequent but ineffectual and anxious desire to
evacuate; obstinate constipation, as if from inactivity of the
intestines; incomplete evacuations; small, loose, aqueous or
mucous and sanguinolent evacuations; hemorrhoides, with
excoriating, stinging, burning pain, and pressure in the anus
and rectum.
Urine. Ineffectual desire to urinate; frequent emission of
watery and pale urine; burning pain in the neck of the bladder when making water.
Larynx. Catarrhal hoarseness and painfal roughness of
the larynx and chest; accumulation of tenacious mucus,
which it is impossible to detach; pains, as from excoriation in
the larynx when coughing.
Chest. Asthmatic constriction of the chest at night, in bed,
when going up stairs, choking, anxiety.
Trunk. Pains, like those caused by a bruise in the back
and loins; rheumatic, drawing, and burning pains in the back.
43. OPIUM.
Recent affections rather than those of long standing; nervous torpor, and want of vital reaction against the medicines




PETROLEUM - PHOSPHORUS.              503
that have been administered; sufferings of drunkards; affections of old men; bad effects of fright, with continued fear,
or of sudden joy; typhus; delirium tremens; ileus; constipation, principally that caused by torpor of the intestinal canal,
after frequent diarrhea, or from want of exercise, and especially in the case of vigorous persons, or those who are plethoric, or well fed, as well as in the case of children and pregnant women; tympanitis; suppressed or false and spasmodic
labor-pains.
GENERAL SYMPTOMS.- General insensibility of the whole
nervous system.
Sleep. Lethargy, with snoring and mouth open; excessive
desire to sleep, with absolute inability to go to sleep.
Fever. Pulse generally full, slow; fever, with lethargic
sleep, snoring.
Face.   Face dark  red, sometimes brownish, hot, and
bloated.
Stomach. Vomiting of fecal matter and of urine.
Abdominal Region. Abdomen hard and distended, as in
tympanitis.
Fceces.  Constipation, long continued; involuntary evacuations.
Chest. Noisy, stertorous, and rattling respiration; attacks
of suffocation on making an effort to cough.
44. PETROLEUM.
Gastric affections; sea-sickness; sufferings caused by the
motion of a carriage; chilblains on the hands and feet.
Appetite.  Repugnance to meat and fat; heaviness and
pressure in the stomach after a meal.
Stomach. Nausea from the motion of a carriage.
45. PHOSPHORUS.
Physical and' nervous weakness caused by protracted influences injurious to the vital economy; hemorrhage and con45




504


MATERIA MEDICA.


gestion of blood; cholerine; chronic and colliquative diarrhea; chronic laryngitis; disposition to croup.
GENERAL SYMPTOMS.-The majority of the symptoms manifest themselves morning and evening, in bed, as well as after
dinner, while several others appear at the beginning of a
meal and disappear after it.
Skin. Lymphatic abscesses, with fistulous ulcers, which
have callous margins, and secrete a fetid and colorless pus,
with hectic fever; copious bleeding from small wounds.
Sleep. Unrefreshing sleep; in the morning it appears as
if one had not slept enough; nocturnal heat; hectic fever,
with dry heat toward evening, especially in the palms of the
hands, sweat and colliquative diarrhea, circumscribed red
ness of the cheeks, etc.
Moral Symptoms. Anguish and uneasiness, especially when
alone.
Head. Vertigo, with nausea and pressing pains in the
head; congestion to the head, with beating; falling off of the
hair.
Eyes. Inflammation of the eyes; nocturnal agglutination
of the eyes; black spots before the sight..Nose. Unpleasant dryness of the nose; continual discharge
of yellow mucus from the nose.
Face. Face pale, wan, dirty, earthy, with hollow eyes,
surrounded by a blue circle.
Stomach. Sour regurgitations of food; nausea of various
kinds, especially in the morning; spasmodic pain and contraction in the stomach.
Abdominal Region. Spasmodic colic; sensation of coldness,
with heat and burning in the abdomen; flatulent colic, with
grumbling.
Fceces. Prolonged looseness of the bowels.
Larynx. Aphonia; cough excited by a tickling and itching in the chliest, or with hoarseness and sensation as if the




PLATINA.


505


chest were raw; cough, with purulent and saltish expectoration, or of blood.
Chest. Obstructed respiration of various kinds; congestion
to the chest; palpitation of the heart.
Arms. Trembling in the arms and hands.
Legs. Drawing and tearing in the knees; swelling of the
feet.
46. PHOSPHORI ACIDUM.
Phthisical and nervous weakness, caused by violent acute
diseases, by loss of the fluids and other debilitating causes,
especially when they have rapidly undermined a constitution
that was previously strong; bad effects from vexation, with
care and inquietude, or from disappointed love; epidemic
diarrhea.
Fever. Malignant fever with great weakness, apathy, stupidity, aversion to conversation, diarrhea.
Fceces. Purging, but not debilitating evacuations; loose,
serous, or undigested evacuation.
Urine. Frequent and profuse emission of aqueous urine,
which immediately deposits a thick and white sediment;
urine as in diabetes mellitus.
Larynx.  Cough, with vomiting of food, and headache.
47. PLATINA.
Different affections of females, and principally of irritable
women; hysteria; facial neuralgia; metrorrhagia, after accouchement, or caused by miscarriage; constipation of lyingin women.
GENERAL SYMPTOMS.-Affections caused by fright, by vexation, or by a fit of passion; the majority of the symptoms are
aggravated by repose.
Moral Symptoms. Sadness, with great inclination to weep;
involuntary weeping, with great fear of death, which is




506


MATERIA MEDICA.


believed to be very near; pride and self-conceit, with contempt for all others.
Face. Burning heat and glowing redness in the face;
torpor in the whole side of the face; cramp and tensive pressure in the zygomatic process.
Teeth. Toothache, with pulsative and digging pain.
Fceces.  Constipation, sometimes very obstinate.
Urine and Genital Organs. Sensation of bearing down toward
the genital organs, with pressure in the abdomen; metrorrhagia
of thick, deep colored blood, with drawings in the groins.
Chest. Short breath with constrictive oppression of the
chest; anxious palpitation of the heart.
48. PULSATILLA.
Affections of persons of mild character, inclined to pleasantry, and to laughter or weeping, with a mild countenance,
and of phlegmatic temperament, inclining to melancholy,
lymphatic constitution, with pale complexion, blue eyes, and
light hair, freckles, disposition to take a cold in the head, or
to other mucous discharges, etc.; bad consequences from the
abuse of sulphur-waters, of mercury, cinchona, chamomilla,
or from the fat of pork; rheumatic and arthritic affections,
with swellings; inflammatory otalgia; dyspepsia, with vomiting of food; mucous or bilious diarrhea; inflammatory
swelling of the testes; organic affections of the heart; inflammatory swelling of the legs and feet.
GENERAL SYMPTOMs.-Sharp, drawing, and jerking pains
in the muscles, aggravated at night, or in bed in the evening,
as well as by the heat of the room, mitigated in the open air,
and often accompanied by torpor, with paralytic weakness or
hard swelling of the parts affected; shifting pains which pass
rapidly from one part to the other, often with swelling and
redness of the joints.
a       Skin. Red spots like measles or nettle-rash; chilblains,
with bluish-red swellings, heat and burning, or pulsative pains.




PULSATILLA.


507


Head. Vertigo, as during intoxication; headaches in the
evening after lying down, or at night, compression sometimes
mitigates them.
Eyes. Pressive, or sharp, shooting pain in the eyes, with
inflammation; sties on the eyelids.
Ears. Shootings, with itching, or sharp, jerking pains and
contraction in and round the ears; the pains sometimes come
on by fits, attack the whole head, appear almost insupportable, and almost cause the loss of reason; inflammatory
swelling, heat, and erysipelatous redness of the ear and auditory duct, as well as the surrounding external parts; tingling,
roaring, and humming in the ears; hardness of hearing.
Nose. Obstruction of the nose and dry coryza, principally
in the evening and in the heat of a room.
Face. Face pale, and sometimes with an expression of
suffering.
Teeth. Sharp, shooting pains in the teeth, or drawing, jerking pains, as if the nerve were tightened, then suddenly relaxed, or pulsative, digging, and gnawing pains, often with
pricking in the gums, and shivering worse in the evening, or
afternoon, in the heat of the bed, or of a room, mitigated by
cold water or fresh air.
Mlfouth. Tongue loaded with a thick coating of a whitish
or yellowish color.
Throat. Pain, as if from excoriation in the throat, as if it
were all raw, with sensation as if these parts were swollen,
principally when swallowing, or accumulation of tenacious
mucus, which covers the parts affected.
Appetite. Bitter or sour taste in the mouth, immediately
after having eaten; sensation of derangement in the stomach,
similar to that caused by fat pork or rich pastry; after eating, nausea, and pressure in the pit of the stomach, and many
other sufferings.
Stomach. Nausea and vomitings take place in the evening
or at night, and after eating or drinking, with shivering,




508


MATERIA MEDICA.


paleness of face, colic; pressive, spasmodic, contractive, and
compressive pains in the stomach and precordial region, after
a meal or in the evening; pulsations in the pit of the stomach.
Fceces. Loose evacuations, with colic and cuttings, of
greenish, bilious, or watery matter; blind and bleeding hemorrhoides, with itching, smarting, and pain, as if from excoriation.
Genital Organs. Inflammatory swelling of the testes, and
of the spermatic cord (sometimes only on one side), with
pressive and drawing pains extending into the abdomen; metrorrhagia; black menstrual blood, with clots of mucus, or
discharge of pale and serous blood; menses irregular, too
tardy, or entirely suppressed, with colic, hysterical spasms in
the abdomen; nausea, and vomitings, shiverings, and paleness of face; leucorrhea thick, like cream.
Larynx. Shaking cough in the evening, at night, aggravated when lying down, accompanied with a desire to vomit,
or by a choking, as if caused by the vapor of sulphur; moist
cough, with expectoration of white, tenacious mucus, or of
thick yellowish matter.
Chest. Spasmodic constriction of the chest, or larynx, in
the evening, or at night when lying horizontally; frequent
and violent palpitation of the heart.
Trunk. Rheumatic, tensive, and drawing pain in the nape
of the neck.
-Arms. Sharp, jerking, and drawing pains in the shoulderjoint, as well as in the arms, hands, and fingers.
Legs. Pain, as from subcutaneous ulceration in the legs
and soles of the feet; swelling of the knees, with sharp,
drawing, and shooting pains; great fatigue in the legs and
in the knees, with trembling.
49. RHEUM.
Diarrhea in children; sourness, colic, sleeplessness and
cries of children.




RHIUS TOXICODENDRON.


509


Faeces. Loose evacuations of a sour smell, preceded and
followed by constrictive pinching in the abdomen.
50. RHUS TOXICODENDRON.
Rheumatic affections, with swelling; vesicular erysipelas;
bad effects from a strain, dislocation, concussion, and other
mechanical injuries, especially when attended with sufferings
in the joints and synovial membranes; gastric affections;
diarrhea and dysentery; coxalgia and spontaneous dislocation.
GENERAL SYMPTOMS.-Rheumatic and arthritic drawings,
tension and tearing in the limbs, increased to the highest degree during repose, in bad weather, at night, and in the heat
of the bed; red and shining swellings.
Sleep. Disturbed sleep, with anxious and frightful dreams.
Fever. Malignant fever, with loquacious delirium, violent
pains in all the limbs, excessive weakness, dry or black
tongue, dry, brownish or blackish lips, heat and redness of
the cheeks.
Head. Heaviness and pressive fullness in the head; beating and pulsations in the head, especially in the occiput; balancing and sensation of fluctuation in the head at every step,
as if the brain were loose.
Eyes. Inflammation of the eyes and lids; swelling of the
whole eye and surrounding parts.
Ears. Swelling and inflammation of the parotids, with
fever.
Face. Erysipelatous inflammation and swelling of the
face, with pressive and tensive shootings, and burning crawling; vesicular erysipelas, with yellow serum in the vesicles;
humid eruption and thick scabs on the face.
Mouth. A yellow and sometimes also a sanguinous saliva
flows from the mouth at night.
Appetite. Thirst from a sensation of dryness in the mouth.
Faeces. Loose sanguinous, serous, or slimy evacuations;
obstinate diarrhea.




510


MATERIA MEDICA.


Larynx. Cough, excited by a tickling in the ramifications
of the bronchi, short and dry.
Chest. Shootings and lancinations in the chest and its
sides.
Trunk. Pains in the loins, as if beaten; stiffness of the
nape and neck.
Arms. Warts on the hands and fingers.
51. RUTA.
Sufferings caused by mechanical injuries (contusion, fall,
diclocation, injury of the bones, or of the periosteum).
GENERAL SYMPTOMS.-Pains in the limbs, joints, and bones,
as if beaten, or as if caused by a contusion, fall, or bruise,
especially in the periosteum of the limbs.
52. SAMBUCUS.
Spasmodic asthma and cramps in the chest; asthma Milari; croup.
GENERAL SYMPTOMS.-Desire to sleep, without being able
to sleep; fever, with excessive perspiration, especially at
night.
Larynx -Chest. Attack of suffocating cough, with cries
in children; wheezing and quick respiration; spasmodic paroxysmi of suffocation at night, with tears, great agitation
and tossing of hands; great difficulty in breathing.
53. SANGUINARIA.
Arthritic and rheumatic pains.
GENERAL SYMPTOMS.-Pain in the tips of the fingers, as
from ulceration; sensation of heaviness in the head; pains in
the head which pass rapidly from one place to another, like
electric shocks.
54. SECALE.
Gastric and bilious affections; Asiatic and sporadic chole



SEPIA.


511


ra; diarrhea, especially in old men; metrorrhagia of weak
women.
Sleep. Great desire to sleep, and deep, lethargic sleep.
Eyes. Eyeballs sunk deep in the sockets.
Face and Teeth. Face pale, discolored, yellow, wan, with
the eyes hollow and surrounded by a blue circle.
Stomach. Excessively painful sensibility and anguish in
the pit of the stomach; burning sensation in the stomach and
abdomen.
Faeces. Loose, frequent evacuations, with serous or slimy
faeces, and sudden prostration of strength; involuntary evacuations.
Urine.  Metrorrhagia, of a black, liquid blood, flowing
especially during a slight movement; miscarriage.
Legs. Contraction of the legs and toes; troublesome
cramps in the calves of the legs and soles of the feet, especially at night; mortification of the toes.
55. SEPIA.
GENERAL SYMPTOMS. - The symptoms disappear during
every violent exercise, except on horseback, and are aggravated during repose, as also in the evening; uneasiness and
throbbing in all the limbs; violent ebullition of blood during
the night, with pulsation in the whole body; great tendency
to take cold, and sensitiveness to cold air.
Skin. Itching in different parts, which changes to a burning sensation; brown, reddish, and liver spots on the skin;
deformity of the nails.
Fever. Profuse perspiration from the slightest movement;
sadness and dejection with tears; susceptibility and peevishness.
Head. Attacks of headache, with nausea and vomiting
when shaking or moving the head, and also at every step;
semi-lateral headache; violent congestion of blood to the
head.




512                 MATERIA MEDICA.
-Eyes. Pressure on the eyeballs; inflammation, redness,
and swelling of the eyelids, with sties.
Ears. Shootings in the ears.
N1ose. Scabby and ulcerated nostrils.
Face. Yellow color of the face; yellow streak on the nose
and cheeks in the form of a saddle; yellow color and herpetic eruption round the mouth.
Teeth.  Toothache when compressing the teeth, when
touching them, and when speaking, as also from the slightest current of cold air.
Throat. Hawking up of mucus, especially in the morning.
Appetite. Putrid, or sour taste; repugnance and dislike to
food.
Stomach. Throbbing in the pit of the stomach.
Abdominal Region. Enlargement of the abdomen (in women who have had children).
Fceces. Ineffectual desire to evacuate; greenish diarrhea,
often with putrid or sour smell, or especially in children;
prolapsus recti; protrusion of hemorrhoides.
Urine. Wetting the bed during the first sleep.
Genital Organs. Bearing down in the uterus; prolapsus
uteri; leucorrhea, of a yellow or greenish red water.
Larynx. Dry cough, which seems to arise from the stomach, especially when in bed in the evening, and often with
nausea and bitter vomiting; cough excited by a tickling, and
accompanied with constipation, detached with difficulty.
Ch-est.. Dyspncea, oppression  of the chest, and short
breath when walking and ascending, as well as when lying
in bed, in the evening, and at night; ebullition of blood in
the chest, and violent palpitation of the heart.
56. SILICEA.
Obstruction, inflammation, induration, and ulceration of
the glands; inflammation, softening, ulceration, and other
diseases of the bones; ulcers, almost of all kinds; ulceration




SPIGELIA.


513


of the mammae; chronic coryza and obstinate disposition to
take cold in the head; panaritium.
Skin. Mild and malignant suppurations, especially in
membranous parts; carbuncles.
Head. Vertigo, with nausea, which mounts from the back
to the nape of the neck and head; tearing pains in the head,
often semi-lateral; moist scald-head.
Eyes. Redness of the eyes; swelling of the lachrymal
gland; black spots before the sight.
Ears. Hardness of hearing; swelling and induration of
the parotids.
Nose. Scabs, pimples and ulcers in the nose.
Face. Ulcers on the red part of the lip; herpes on the
chin; swelling of the submaxillary glands.
Appetite. After a meal, sour taste in the mouth; pressure
in the stomach, water-brash, vomiting.
Stomach. Nausea every morning.
Fceces. Constipation, and slow, hard feces.
Trunk. Inflammatory abscess in the lumbar region; swelling and deviation of the spine; swelling of the glands of the
nape of the neck, on and under the axillae, sometimes with
induration; suppuration of the axillary glands.
Arms. Burning sensation in the ends of the fingers;
panaritium.
Legs. Inflammatory swelling of the knee; caries in the
tibia; offensive smell from the feet.
57.  SPIGELIA.
Prosopalgia; vermiculous affections; diseases of the heart.
Head. Pains in the head, aggravated by the slightest
movement, or least noise.
Eyes. Pains in the eyes, as if the eyeballs were too large;
inflammation of the eyes, and ulceration of the eyelids;
hanging down of the eyelids, as from paralysis.
Face. Jerking tearings, burning sensation and pressure in




514                 MATERIA MEDICA.
the region of the zygomatic process, or violent pains which
cannot bear the slightest touch, or the least movement.
Teeth. Jerking toothache, or pulsative tearings, especially
in the carious teeth, aggravated by cold water, or by contact
with the open air; offensive exhalation from the mouth.
Fceces. Discharge of mucus from the anus, without faeces;
lumbrici and ascarides from the rectum; itching and sensation as if something were creeping in the rectum and anus.
Chest. Danger of suffocation from the least movement,
and especially when raising the arms; violent palpitation of
the heart, perceptible to the sight and hearing, often attended
with anxious oppression of the chest, aggravated by stooping the chest forward, and by sitting down.
58. SPONGIA.
Croup (before hepar, or alternate with it).
GENERAL SYMPTOMS.- Swellings and indurations of the
glands.
Face. Face bloated, red, or bluish, with anxious expression of countenance.
Larynx. Hoarseness; pain in the larynx, on touching it
and on turning the head; sensation of obstruction in the
larynx, with impeded respiration; hollow, dry, barking or
whistling  cough, day  and  night, increased  toward the
evening.
Chest. Wheezing respiration; respiration quick, anxious,
and difficult, sometimes with a fit of suffocation and mucous
rattling in the chest; ebullition of blood in the chest after the
slightest effort, and the least movement, with obstructed
respiration.
59. STANNUM.
Larynx. Hoarseness and roughness in the throat; dry,
violent, shaking cough; cough excited by lying on the right
side, with frequent expectoration of mucus, greenish, sweetish, or saltish.




STAPHYSAGRIA - STRAMONIUM.


515


Chest. Pain in the chest, as if from excoriation; sensation
of weakness in the chest, as if it were empty, especially
after speaking or expectorating.
60. STAPHYSAGRIA.
Bad effects from crosses, with anger and indignation, or
from vexation, with uneasiness.
MAoral Symptoms. Hypochondriacal humor, with indifference to everything; ill-humor, irascibility, and excessive anger,
so as to fling about violently whatever is at hand.
Eyes. Itching and biting, smarting in the internal canthi;
inflammation in the eyes, which are surrounded with pimples.
Ears and Nose. Coryza, with ulcerated nostrils.
Face. Painful swelling and induration of the submaxillary glands.
Teeth. Toothache, immediately after a meal, after cold
drinks, or inhaling cold air, worse in the morning.
61. STRAMONIUM.
Convulsions, St. Vitus's dance, and other spasmodic affections; hydrocephalus.
GENERAL SYMPTOMS.-Convulsive movements and jerks,
especially when touched, or from fixing the eyes on brilliant
objects (such as a candle, a mirror, or water), or else appearing periodically.
Sleep. Deep sleep, with snoring.
Fever. Small, quick pulse.
Moral Symptoms. Ungovernable fury, desire to bite, to
strike.
Head. Congestion of blood to the head, with heat in it.
Eyes. Eyes fixed and sparkling; cloudiness of the sight;
illusions of vision.
Face and Teeth. Face bloated and puffed up with blood;
grinding of the teeth.
Trunk and Extremities. Opisthotonus; convulsive movements of the arms, above the head; clenched fists.




516                 MATERIA MEDICA.
62. SULPHUR.
GENERAL SYMPTOMS.-Great sensitiveness to the open air
and to the wind; the majority of the sufferings are aggravated, or appear at night, or in the evening, and also during
repose, when standing for a long time, and by exposure to
cold air; they disappear when walking or moving the parts
affected, and also in the warmth of a room; but the heat of
the bed renders the nocturnal pains insupportable.
Skin. Itching in the skin, at night in bed; scabious eruptions, with burning itching; desquamation and excoriation
of the skin in several places; ulcers, with elevated margins,
surrounded by itchy pimples; inflammation, swelling, and
induration, or suppuration of the glands.
Fever. Frequent and profuse perspiration day and night;
aptness to perspire when working, partial perspiration, principally on the head.
Head. Fullness, pressure, and heaviness in the head, principally in the forehead; congestion of blood to the head, with
pulsative, clucking, hammering sensations, and feeling of heat
in the brain; quotidian, periodical, and intermittent headaches, appearing principally at night, or in the evening in bed,
or in the morning; movement, walking, the open air, and
meditation often excite or aggravate the headaches.
Eyes. Itching, tickling, and burning sensation in the eyes
and eyelids; inflammation, swelling, and redness of the sclerotica, conjunctiva, and eyelids; pustules and ulcers round
the orbits, as far as the cheeks; great sensitiveness of the
eyes to the light.
Ears. Obstruction and sensation of stoppage in the ears,
on one side only; humming and roaring in the ears.
Nose. Inflammation, ulceration, and scabs in the nostrils.
Face. Heat, and burning sensation in the face, with dark
redness of the whole face, circumscribed redness of the
cheeks.
Teethl. Appearance or aggravation of toothache, princi



TABACUM.


517


pally in the evening, at night, or in the open air, amnd also
from a current of air, from cold water, eating and masticating.
Mouth. Aphthae in the mouth and on the tongue.
Throat. Pressure, as if from a plug, or from a tumor in
the throat.
Appetite. Dislike to sweet and acid things.
Abdominal Region. Shootings in the abdomen, principally
in the left side when walking; pains in the abdomen, principally at night, or after eating and drinking, mitigated by
bending forward.
Fbceces.  Constipation, and hard, knotty, and insufficient
evacuations; hemorrhoidsGenital Orqans. Excoriation between the thighs and groins.
Larynx. Moist cough, with profuse expectoration of thick,
whitish, or yellowish mucus; when coughing, pain as if from
excoriation, or shootings in the chest.
Chest. Obstructed respiration, dyspnoe and attacks of suffocation, principally when lying down at night, and also
during sleep; periodical spasms in the chest; shootings in
the chest-or sternum, or extending as far as the back, or into
the left side.
Trunk.   Pinching and burning sensation between the
shoulder-blades.
63. TABACUM.
GENERAL SYMPTOMS.-Cramps in the limbs.
Stomach. Frequent nausea, especially when moving; the
vomiting is renewed from the slightest movement.
Fceces. Violent diarrhea, fetid, or yellowish green, also
at night, accompanied and followed by violent tenesmus, and
burning in the anus.
Arms. iCold perspiration on the hands; cramps in the
fingers.




518


MATERIA M-EDICA.


64. TARTARUS.
Varioloids; gastric and bilious affections; asphyxia of
new-born infants.
Skin. Eruption of pustules, like varioloids, with red areola,
afterward covered with a crust and leaving a scar.
Sleep. Invincible drowsiness, with deep and stupefying
sleep.
Fever. Pulse quick, weak, or full.
Head.   Chronic trembling of the head.
Appetite. Bitter taste in the mouth; excessive desire for
acid things.
Stomach. Continued nausea; much vomiting, with violent
efforts.
Fceces. Slimy diarrhea.
Larynx. Cough, with vomiting of food after a meal; hollow cough, with rattling of mucus in the chest.
Chest. Paralysis of the lungs; rattling of mucus in the
chest.
65. THUJA.
Rheumatic and arthritic affections; syphilitic and syotic
affections.
Head. Vertigo, when rising from a seat and when lying
down.
Eyes. Burning sensation in the eyes; inflammatory swelling of the eyelids, with hardness.
Face. Boring and digging pain in the face and cheekbones; gnawing in the (carious) teeth, with painful sensitiveness of the whole side of the head, greatly aggravated by
contact with cold things, or by mastication.
Mouth. Ranula, on both sides of the tongue, transparent,
bluish red, gray, and, as it were, gelatinous.
Urine. Sensation, as if a drop were flowing into the
urethra; burning sensation in the urethra during the emission of urine; itching in the urethra.




URTICA URENS--VERATRUM.


519


Genital Organs. Condylomata on the glans and prepuce,
moist, itching.
66. URTICA URENS.
Burns; dysentery; nettle-rash.
67. VERATRUM.
Sporadic or Asiatic cholera; diarrhea, of different kinds,
also those produced by cold drinks, when one is over-heated.
GENERAL SYMPTOMS.-Pains in the limbs, which are rendered insupportable by the heat of the bed, and disappear
completely, when walking; sudden, general, and paralytic
prostration of strength.
Fever. General coldness of the whole body, and cold,
clammy perspiration; fever, with external coldness; pulse
slow, and almost extinct.
Ifead. Attack of headache, with paleness of the face,
nausea, and vomiting; cold perspiration on the forehead.
lVose. Icy coldness of the nose..Face. Face pale, cold, hippocratic, wan, with the nose
pointed, and a blue circle round the eyes; cold perspiration
on the face; lips dry, blackish, and cracked.
Teeth. Grinding of the teeth.
Mouth. Sensation of coldness on the tongue; tongue dry,
blackish, cracked.
Appetite. Immediate vomiting and diarrhea, however little
is eaten.
Stomach. Violent nausea, with desire to vomit, with excessive. thirst; violent vomiting, with continued nausea, great
exhaustion and desire to lie down; vomiting of black bile and
blood; vomiting, with diarrhea.; the least drop of liquid and
the slightest movement excites the vomitings; burning sensation in the pit of the stomach.
Abdominal Region. Excessively painful sensitiveness of
the abdomen, when touched; cramps in the abdomen, and
46




520


MATERIA MEDICA.


cuttings, as if from knives; burning sensation through the
whole extent of the abdomen, as if from hot coals.
Fceces. Loose, blackish, greenish, brownish evacuations;
unnoticed evacuation of liquid faeces.
Urine. Retention of urine; urine diminished.
Genital Organs. Menses suppressed, with delirium.
Chest. Chest very much oppressed; cramp in the chest,
with painful constriction; violent palpitation of the heart,
which causes heaving of the chest.
Arms. Icy coldness of the hands; cramps in the fingers.
Legs. Violent cramps in the calves of the legs and feet;
icy coldness of the feet.
68. ALOES.
Congestion of blood to the head, chest, and especially the
abdomen. General heat of the body; accelerated     pulse;
anxiety.
Head. Periodical headache, alternating with pain in the
back; stitches in the left temple, worse when treading; dry
and chapped lips.
Stromach. Loss of appetite, violent thirst, bilious eructations.
Abdomen. Sensation of sickness, pressure, tension and
heat in the region of the liver, fullness, heat and distension of
the abdomen; violent cutting in the abdomen.
Fceces. Bilious papescent stools, with heat of the body
during the evacuations; stools not very profuse but of a putrid
smell.
Bloody stool with violent colic; violent burning in the rectum;
fistula and stricture of the rectum.
Urine. Scanty, hot urine.
Chest.  Oppression of the chest, with anxiety.
Back. Drawing and burning in the small of the back.




GLOSSARY OF MEDICAL TERMS.


ABORTUS. Miscarriage; abortion.
ABSCESS. A collection of pus seated in any particular organ or
tissue.
ADaESION. In surgery, the direct
union of parts, that have been
divided. This union is often attended by inflammation, which
is thence called
ADHESIVE INFLAMMATION, which attends the union of surfaces, separated by a wound; it is synonymous with union by the first
intention.
ADYPSIA. The absence of natural
thirst.
ALKALI. A substance which unites
with acids in definite proportions,
so as to neutralize their propertics more or less perfectly, and
to form salts. It changes vegetable blues to green.
ALLOPATHY. A term used by homceopathic writers to designate
the old practice of medicine in
contradistinction to their own,
now generally employed by both
parties; literally implies, curing
a disease with a medicine which
produces a dissimilar one.
AMENORRH(EA. Absence or stoppage of the menstrual flux.
ANASARCA. Dropsy of the cellular
tissue, or membrane, immediately under the skin.
ANGINA. Sore throat. The term
is also applied to diseases with
difficult respiration.
ANGINA MEMBRANAOEA. Croup.
ANGINA PAROTIDEA. Mumps.
ANGINA PHARYNGIA. Inflammation


of the membrane which lines the
pharynx.
ANOREXIA. Want of appetite.
ANTHRAX. Carbuncle.
ANTIPHLOGISTIC. Applied to remedies employed in the old system
against inflammation; literally,
against heat.
ANTRUM HeIGHMORI. The maxillary
sinus. A hollow or cavity above
the teeth of the upper jaw, in the
middle of the superior maxillary
bone.
ANus. The inferior opening of the
rectum.
APOPLEXIA. Apoplexy; a loss of
voluntary motion and consciousness. See Diagnosis under this
head.
APYREXIA. The intervals between
febrile paroxysms.
AlrTHITIS. Gout.
ASCARIS, plur. ASCARIDES.   Pinworms.
ASPHYXIA. Absence of pulsation.
ASTHENIC. Low; applied to disease; literally, want of strength
ASTRINGENTS.  Medicaments used
in the old practice to contract the
animal fiber.
AToNY. A want of tone or energy
in the muscular power.
ATROPHY. A morbid state of the
digestive system, in which the
food taken into the stomach fails
to afford sufficient nourishment.
A wasting of the whole, or of
individual parts of the body.
AUscULTATION. The detection of
symptoms by the ear in disease.
(521)




522


GLOSSARY OF MEDICAL TERMS.




BILIOUS. Connected with the secretion of bile.
BLEPHARITIS. Inflammation of the
eyelids.
BORBORYGMus. Rumbling in the
intestines, caused by flatus or
wind.
BRONCHIA; BRONCHI.   The tubes
into which the trachea or windpipe divides.
BRONCHITIS. Inflammation of the
ramifications of the windpipe.
BULIMY; BULIMIA. Canine, or excessive hunger.
CADAVEROUS. Resembling a corpse.
C.ECUM. The blind gut; so called
from its being perforated at one
end only.
CARCINOMA. Cancer, adj. Carcinomatous.
CARDIALGIA. Pain in the stomach.
CARDITIS.  Inflammation of the
heart.
CARIES. Ulceration of the bones.
CAROTIDS. The name of two large
arteries of the neck.
CARPOLOGIA. Picking at the bed
clothes.
CARTILAGE. Gristle.
CATAMENIA. The menstrual flux.
CATARRH. Cold; used, also, to express inflammation of the mucous
membrane.
CATARRHAL OPHTHALMIA. Simple inflammation of the conjunctiva.
CATHARTIC. Purgative.
CELLULAR TISSUE. The fine, netlike membrane enveloping or
connecting most of the structures of the human body.
CEPHALALGIA. Headache.
CEREBRAL.   Appertaining to the
brain.
CERVICAL. Belonging to the neck.
CESSATIO MENSIUM. Discontinuance
of the menstrual flux.
CHLOROSIS. Green sickness.
CHRONIC. Long continued, in contradistinction to acute.
CICATRIX. A scar 'left after the
healing of a wound, etc.
CLAVI PEDIS. Corns.
CLONIC SPAsM. A spasm which is


not of long duration. It is opposed to tonic spasm, which see.
COAGULA. Clots of blood.
COAGULABLE LYMPH.     The term
given to the fluid which is slowly
effused into wounds, and afterward forms the uniting medium
or cicatrice.
CoLIC. Griping in the intestines.
COLLAPSE. Failing of vitality.
COLLIQUATIVE. Excessive discharge
of any secretion.
COMA. Drowsiness.
COMA SOMNOLENTUM. Drowsiness,
with relapse thereunto on being
roused.
COMATOSE. Drowsy.
CoMPREss.   Soft lint, linen, etc.,
folded together so as to form a
pad, for the purpose of being
placed, and secured by means of
a bandage, on parts which require pressure.
CONGESTIO AD CAPUT. Determination of blood to the head.
CONGESTIO AD PECTUS. Determination of blood to the chest.
CONGESTION. Overfullness of the
blood-vessels of some particular
organ.
CONJUNCTIVA. The membrane lining the eyelids, and extending
over the forepart of the eyeballs.
CONTAGION. Propagation of a disease by contact.
CORNEA. The anterior transparent
portion of the eye. It is of a
horny consistence.
CORYZA. Cold in the head.
COXAGRA.   Inflammation of the
hip-joint. Literally, seizure or
pain in the hip.
COXALGIA. Literally, pain in the
hip; inflammation of the hipjoint.
CRANIUM. The skull.
CREPITATION.  Grating sensation,
or noise, such as is caused by
pressing the finger upon a part
affected with emphysema; by
the ends of a fractured bone
when moved; or by certain salts
during calcination.




GLOSSARY OF MEDICAL TERMS.


523




CREPITANT RHONCHUS, or RALE.The fine crackling noise heard
in consequence of the passage
of air through a viscidfluid. It
is heard in the first stage of inflammation of the lungs.
CREPITUS. Crackling or grating.
CUTANEOUS. Appertaining to the
skin.
CUTICLE. The outer or scarf skin.
CYSTITIS.  Inflammation  of the
bladder.
DEGLUTITION. The act of swallowing.
DELIRIUM.   Derangement of the
brain, raving.
DEPLETION.   Abstraction  of the
fluids; generally applied to venzesection.
DESICCATION. A drying up.
DESQUAMATION. Falling off of the
epidermis in form of scales.
DIAPHRAGMITIS. Inflammation of
the diaphragm (muscular partition between the thorax and abdomen).
DIAGNOSIS. Distinction of maladies.
DIARRHEA. Looseness of the bowels.
DIATHESIS. Constitutional tendency.
DIETETIC. Relating to diet.
DIPLOPIA. Affection of the eyes, in
which objects appear double or
increased in number.
DIURETIC. Medicines which increase the secretion of urine.
DORSAL. Appertaining to the back.
DRASTIC. Powerful purgatives.
DUODENUM.    The trst intestine
after the stomach, so called from
its length; the twelve-inch gut.
DYscRASIA. A morbid condition
of the system; adj. Dyscrastic.
DYSECOIA. Deafness.
DYSMENORRH(EA. Painful menstruation.
DYSPEPSIA. Indigestion; literally,
difficulty of appetite.
DYSrPNEA.  Difficulty of respiration. Shortness of breath.
DYSURIA.   Difficulty in passing
urine.


EFFUSION.   A   pouring out, or
escape of lymph or other secretion.
EMACIATION. A falling off in the
flesh.
EMETIC. Provoking vomiting.
ENCEPHALITIS.  Inflammation of
the brain and membranes.
ENDEMIC. Peculiar to a particular
locality.
ENDOCARDITIS. Inflammation of the
internal parts of the heart.
ENTERALGIA. Colic.
ENTERITIS.  Inflammation of the
intestines.
EPHEMERAL. Of a day's duration.
EPHIALTES. Nightmare.
EPIDEMIC. Diseases arising from
general causes.
EPIGASTRIUM.  The region of the
stomach.
EPILEPSY, EPILEPSIA. Falling sickness.
EPISTAXis. Bleeding from the nose
EPITHELIUM. The cuticle.
ERYSIPELAS.  St. Anthony's fire,
Rose. A disease of the skin.
ERYSIPELAS PHLEGMONODES. Phlegmonous erysipelas.
ERYSIPELAS CEDEMATODES. (Edematous erysipelas.
ERYSIPELAS EJRRATICUM. Wandering Erysipelas.
ERYSIPELAS GANGRENOSUM.    Gangrenous erysipelas.
ERYSIPELAS NEONATORUM.    Induration of the cellular tissue in
infants.
EXACERBATION.   Aggravation of
fever, etc.
EXANTHEMA. Eruption terminating
in exfoliation.
EXPECTORATION. Discharge of any
matter; phlegm; pus from the
chest.
EXUDATION.   Discharge of fluid
from the skin, etc.
FAECES. Alvine excrement.
FASCIAE. In anatomy, dense fibrous
expansions, which either attach
or invest muscles.
FAUCES. The throat.
FEBmIS. Fever.




524


GLOSSARY OF MEDICAL TERMS.




FEBRIS NERVOSA.  Nervous fever,
or typhus.
FEMUR. The bone of the thigh.
FIRST INTENTION.  See Union by
the.
FISTULA. An obstinate, tube-like
sore, with a narrow orifice; adj.
Fistulous.
FISTULA LACHRYMALIS. An ulcerated opening in the lachrymal sac.
FLATUS. Wind in the intestines.
Flatulency.
FCeTUS. The infant in the womb.
FOMENTATION. The application of
flannel wet with warm water.
FUNCTIONAL D   ARASES.  Those in
which there is supposed to be
only derangement of action.
FURUNOULUS. A boil.
FURUNCULUS MALIGNANS. Carbuncle.
GANGRENE. Incipient mortification.
Adj. Gangrenous.
GASTRALGIA. Pain in the stomach.
GASTRIc. Belonging to the stomach.
GASTRITIS.  Inflammation of the
stomach.
GASTRODYNIA. Vide Cardialgia.
GLAND. A small body met with
in many parts of the body, and
consisting of various tissues,
blood-vessels, nerves, etc.
GLOSSITIs.  Inflammation of the
tongue.
GLOTTIS. Opening of the windpipe. The superior opening of
the larynx.
GRANULATION. See Incarnation.
HEMATEMESIS. Vomiting of blood.
HEeMOPTwIs. Discharge of blood
from the lungs.   Spitting of
blood.
HEMORRHAGE. Discharge of blood.
HEMORRHOIDES. Piles.
HECTIC FEVER. Habitual or protracted fever.
HELMINTHIASIS. Worm disease.
HEMIPLEGIA. Paralysis of one side
of the body, longitudinally.
HEPATITIS.  Inflammation of the
liver.
HEPATIZATION. Structural derangement of the lungs, the result of
inflammation, changing  them


into a substance resembling the
liver; hence its name.
HERNIA. Rupture.
HERNIA CONGENITAL.   Congenital
hernia.  Literally, hernia from
birth.
HERPES CIRCINNATUS. Ringworm.
HORDEOLUM. Stye.
HYDROCEPHALUS.   Water in the
head.
HYDROPHOBIA SYMPTOMATICA.
Symptoms    resembling  those
arising from hydrophobic virus.
appearing during the course of
other diseases.
HYPERTROPHY. A morbid increase
of any organ, arising from excessive nutrition.
HIPPOCRATIC. Sunken and corpselike.
HYPOCHONDRIUM.   Region of the
abdomen, contained under the
cartilage of the false ribs.
HYPOCHONDRIASIS. Spleen disease;
great depression of spirits, with
general derangement; adj. Hypochondriacal.
HYPOGASTRIUM. The lower anterior portion of the abdomen.
HYSTERIA. Nervous affection; almost peculiar to females.
ICHOR. A thin, watery discharge
secreted from  wounds, ulcers,
etc.; adj. Ichorous.
ICTERUS. Jaundice.
ICTERUS NEONATORUM. Jaundice of
infants.
IDIOPATHIC. Original or primary
disease.
IDIOSYNCRASY. Individual peculiarity.
ILIUM. The haunch-bone; it, together with the pubis, sacrum,
and ischium, contributes to form
the pelvis.
ILEUS MISERERE. A form of colic,
a twisting pain in the region of
the navel.
INCARCERATED.  Strangulated  or
constricted; a term applied to
rupture.
INCARNATION. The process bywhich
abscesses or ulcers are healed;




GLOSSARY OF MEDICAL TERMS.


525




this takes place by means of
little grain-like fleshy bodies,
denominated granulations,which
form on the surface of ulcers or
suppurating wounds, etc., and
serve the double purpose of filling up the cavities and bringing
closely together, and uniting
their sides.
INCUBUS. The nightmare.
INFECTION. Propagation of disease
by effluvia.
INFILTRATION. Diffusion of fluids
into the cellular tissue.
INTEGUMENTS.   The coverings of
any part of the body. The skin,
with the adherent fat and cellular membrane, form the common
integuments.
INTENTION. See Union by the first.
IsoHIAs. Pain in the hip.
ISCHURIA. Suppression of urine.
LACHRYMATION. Tear-shedding.
LACTATION.  Suckling; also the
process of the secretion of milk.
LACTEAL. Appertaining to the process of the secretion of milk.
LACTIFEROUS. Conducting or conveying the milk.
LARYNGEAL. Belonging to the larynx.
LARYNGITIS. Inflammation of the
larynx.
LARYNX. Upper part of the windpipe.
LESIONS. Injuries inflicted by violence, etc.
LESION, ORGANIC.  Structural derangement or injury.
LEUCO-PHLEG MATIC. Torpid or sluggish; mostly applied to a temperament characterized by want
of tension of fibre; with light
hair, and general inertness of the
physical and mental powers.
LEUCORRH(EA. Female sexual weakness; vulg. wohites.
LOCHIA.   Discharge from   the
womb after delivery.
LUMBAGO. Rheumatism in theloins.
LUMBAR. Appertaining to the loins.
LuMBRmCus.   The round or long
worm.


LUXATION. Dislocation.
LYMPH. A colorless liquid, circulating in the lymphatics.
LYMPHATIC. As applied to temperament; same as leuco-phlegmatic.
LYMPHATICS.   Absorbent vessels
with glands and valves distributed over the body.
LYMPHATIC GLANDS.   CONGLOBATE
GLANDS.  These are composed
of a texture of absorbents, or
lymphatic vessels, connected together by a cellular membrane.
MAMMA. The breast in the female;
adj. Mammillary.
MANIA. Insanity; madness.
MARASMUS. A wasting away of the
body.
MATERIA MEDICA PURA. The title
of that splendid work of the immortal HAHNEMANN, in which the
true properties of medicaments
are given, as determined by experiment upon the healthy body.
MAXILLARY. Appertaining to the
jaws. The superior and inferior
maxillary bones from the upper
and lower jaws.
MEGRIM. A pain affecting only one
side of the head.
MEIBOMEAN GLANDS. Small glands
within the inner membrane of
the eyelids.
MENORRHAGIA. Excessive discharge
of blood from the uterus.
MENSES AND MENSTRUAL FLUX. The
monthly period.
MENINGITIS SPINALIS.  Inflammation of the spinal membranes.
METASTASIS. T he passing of a disease from one part to another.
METEORISMUS.  Extreme inflation
of the intestines.
METRORRHAGIA. Discharge of blood
from the womb.
MIASM, or Miasma (Marsh). Peculiar effluvia or emanations from
swampy grounds.
MICTURATION. Urination.
MILARIA.   Eruption of minute
transparent vesicles of the size of
millet seeds: miliary eruption.




526


GLOSSARY OF MEDICAL TERMS.


MILIARIA PURPURA. Scarlet-rash.   rangement or alteration of strucMORBUS COXARIUS. Disease of the   ture, are termed organic.
hip; hip-disease.             Os UTERI. The mouth or opening
Mucous MEMBRANE.     The mem-     of the womb.
brane which lines the sides of OSSICULA AUDITORIA. The small
cavities which communicate with  bones of the ear. They are situthe external air, such as that  ated in the cavity of the tympanwhich lines the mouth, stomach, - um, and are four in number:
etc.                            termed the malleus, incus, stapes,
Mucus. One of the primary animal  and os orbiculare.
fluids; secretion from the nos- OTALGIA. Earache.
trils.                        OTITIS. Inflammation of the ear.
MYELITIS.  Inflammation of the OTORRHEA.    A discharge, or runspinal-marrow.                  ning from the ear.
MYOPIA. Short sight; near-sighted- OZAENA. An ulcer situated in the
ness.                           nose. See Ozena.
NARcoTIc.  Having the property PALATE BONES. These are placed
of inducing sleep.              at the back part of the roof of
NASAL. Belonging to the nose.     the mouth, between the superior
NASAL CARTILAGES. The cartilages  maxillary and sphenoid bones,
of the nose.                    and extend from thence to the
NEPHRITIS.  Inflammation of the  floor of the orbit.
kidneys.                      PALPITATIO CORDIs. Palpitation of
NEURALGIA FACIALIS. Face-ache.    the heart.
NODOSITIES.  Swellings; nodes, a PANARIS.  Whitlow; panaritum;
swelling of the bone or thicken-  paronychia.
ing of the periosteum.        PANCREAS. A gland situated transNOTALGIA. Pains in the loins,     versely behind the stomach.
OCCIPUT. The posterior part of the PARALYSIS. Palsy.
head.                         PARALYSIS PARAPLEGICA. Paralysis
ODONTALGEA. Toothache.            affecting one-half of the body
CEDEMA. Swelling; dropsical swell-  transversely.
ing; adj. (Edematous.         PARENCHYMA. The connecting meOLFACTION. The act smelling.      dium of the substance of the
OMENTUM. The caul. The viscus     lungs.
consists of folds of the perito- PAROTITIS.  Inflammation of the
neum connected together by cel-  parotid gland; the mumps.
lular tissue; it is attached to the PARoxYSM. A periodical fit of a
stomach, lying on the anterior  disease.
surface of thebowels.         PARTURITION. The act of bringing
OPHTHALMIA. By this term is now   forth.
usually understood simple in- PATHOGENETIC. The producing or
flammation of the Conjunctiva.  creating of abnormal phenoCatarrhal Ophthalmia.           mena.
OPHTHALMIC NERVE.     The first PATHOGNOMIO.   Characteristic of,
branch given off from the Gasse-  and peculiar to, any disease.
rian ganglion of the fifth pair of PATHOLOGY. The investigation of
nerves; it divides into the lachry-  the nature of disease.
mal, frontal, and nasal nerves.  PECTORAL.  Appertaining to the
OPHTHALMITIS. Inflammation of the  chest.
entire ball of the eye.       PECTUS. The chest.
ORGANIC DISEASE. In pathology, PELVIS. The basin-shaped cavity
diseases in which there is de-  below the abdomen, containing




GLOSSARY OF MEDICAL TERMS.


527




the bladder and rectum, and
womb in woman.
PERCUSSION.  The act of striking
upon the chest, etc., in order to
elicit sounds to ascertain the state
of the subjacent parts.
PERICARDITIS. Inflammation of the
Pericardium (sac containing the
heart).
PERINAUM. The space between the
anus and the external sexual organs.
PERIOSTEUM. The membrane which
envelopes the bones.
PERITONJEUM.   The serous membrane which lines the cavity of
the abdomen, and envelopes the
viscera contained therein.
PERITONITIS. Inflammation of the
peritoneum.
PETECHIE. Spots of a red or purple hue, resembling a flea-bite.
PHAGEDENIC. A term   applied to
any sores which eat away the
parts, as it were.
PHARYNX. The throat, or upper
part of the gullet.
PHASE. Appearance, or change exhibited by any body, or by disease.
PHLEBITIS. Inflammation of the
veins.
PHLEGMATIC. Vide, Leuco Phlegmatic.
PHLEGMON. An inflammation of
that nature which is otherwise
termed healthy inflammation.
PHRENITIS. Inflammation of the
brain.
PHTHISIS (Pulmonalis). Consumption, abscess of the lungs.
PHYSIOLOGY. The branch of medicine which treats of the functions of the human body.
PLETHORA. An excessive fullness
of the blood-vessels.
PLEURA.   The serous membrane
which lines the cavity of the
thorax or chest.
PLEURITIS or PLEURISY. Inflammation of the pleura.
PLEURODYNIA. Pain or stitch in
the side.
47


PNEUMONIA, PNEUMONITIS, PERI
PNEUMONIA. Inflammation of the
parenchyma of the lung.
POLYPUS. A tumor most frequentmet with in the nose, uterus, or
vagina.
PORRIGO SCUTULATA.   Ring-worm
of the scalp.
PR2ECORDIAL REGION. The forepart of the chest.
PROGNOSIS. The act of predicting
of what will take place in diseases.
PROLAPSUS ANI. Protrusion of the
intestines.
PROSOPALGIA. Face-ache.
PRURIGO. Itching of the skin.
PsoAs MUSCLES.    The name of
two muscles situated in the loins.
PsoITis. Inflammation of the psoas
muscles.
PUBIS. The pubic or share-bone.
PUERPERAL FEVER. Appertaining
to child-bed.
PURIFORM.   Pus-like, resembling
pus.
PURULENT.   Of the character of
pus.
Pus. Matter. A whitish, bland,
cream-like fluid, found in abscesses, or on the surface of sores.
PUSTULE. An elevation of the scarfskin, containing pus or lymph,
and having an inflamed base.
PYRosIS. Heart-burn; water-brash.
QuINsy. Inflammatory sore throat.
QUOTIDIAN.   Intermittent, about
twenty-four hours intervening
between the attacks.
RABIES. Madness arising from the
bite of a rabid animal, generally
applied to the disease showing
itself in the brute creation.
RACHITIs. The rickets.
RAUCITAS. Hoarseness.
RECTUM. The last of the large intestines, terminating in the anus.
REMITTENT. A term applied to fevers with marked remissions, and
generally subsequent exacerbation.
REPERCUSSED. Driven in.
RESOLUTION. A termination of in



5


GLOSSARY OF MEDICAL TERMS.


flammatory affections without    posterior part of the left hypoabscess, mortification, etc. The  chondrium.
term is also applied to the dis- SPLENITIS. Inflammation of spleen.
persion of swellings, indurations, SPLINTS. Long, thin pieces of wood,
etc.                             tin, or strong pasteboard, used
RHEUMATIC OPIITHALMIA. Inflam-     for preventing the extremities of
mation of the tunica albuginea,  fractured bones from moving so
and of the sclerotica.           as to interrupt the process by
Rose. A term applied to erysipe-   which they are united.
las, from its color.           SPUTA. Expectoration of different
RUBEOLA. Measles.                  kinds.
SAcRUM. The bone which forms ST. ANTHONY'S FIRE.       Erysipelas.
the base of the vertebral column. STERTOROUS. Snoring.
SALIVA. The fluid secreted by the STOMACACE. Canker or scurvy of
salivary glands into the cavity  the mouth.
of the mouth.                  STRABISMUS. Squinting.
SANGUINEOUS. Consisting of blood. STRANGURY. Painful discharge of
SANIEs. A thin, greenish discharge  urine.
of fetid matter, from sores, fis- STERNUM. The breast-bone.
tulse, etc., adj. sanious.     STETHOSCOPE.   An instrument to
SCABIES. PSORA. Itch.              assist the ear, in examining the
SCAPULA. The shoulder blade,       morbid sounds of the chest.
SCIATICA.  A rheumatic affection STRICTURE.  A  constriction of a
of the hip-joint,                tube or duct of some part of the
SCIATIC NERVE.   A branch of a     body.
nerve of the lower extremity.  STRUMA. SCROFULA.    The king's
SoCiHnus. Indolent, glandular tu-   evil; adj. Sirumous.
mor, generally preceding cancer STY. An inflammatory small tuin an ulcerated form.            mor on the eyelid.
SCLEROTICA. The hard membrane SUB-rMAXILLARY. Under the jaw.
of the eye; it is situated im- SUB-MAXILLARY GLANDS.    Glands
mediately under the conjunc-     on the inner side of the lower
tiva.                            Jaw.
SconRBCULUs. Pit of the stomach. I SUn-mucous TISSUE. Placed under
SCOnBUTUS. Scurvy.                 the mucous membrane.
SCROFULOUS OPHTHALMIA. Inflam- SUDOnRIFcs. Medicines which promation of the conjunctiva, with  duce sweating.
slight redness, but great intoler- SUGILLATION. A bruise, orextravaance of light, and the formation  sated blood.
of pimples, or small pustules.  SUrPURATION. The morbid action
SECRETORY VESSELS, or ORGA.NS.     by which pus is deposited, in
Parts of the animal economy,     inflammatory tumor, etc.
which separate or secrete the vari- SYNCOPE. Fainting or swooning.
ous fluids of the body.        SYNOCHA. Continued inflammatory
SEMI LATERAL. Limited to one side.  fever.
SINUS. A cavity or depression.   SYNovIA.   A   peculiar unctuous
SOLIDIFICATION. Vide Hepatization.  fluid secreted within the joints,
SOMNOLENCE. Disposition to sleep.  which it lubricates, and thereby
SPECIFIC. A remedy possessing a    serves to facilitate their motions.
peculiar curative action in certain SYNOVIAL MEMBRANE.  The memdiseases.                        brane which lines the cavities of
SPLEEN. A spongy, viscous organ,   the joints, and secretes the synoof a livid color, placed on the  via.




GLOSSARY OF MEDICAL TERMS.


520


--------~


TENIA. Tape-worm.
TARTAR. A concretion incrusting
the teeth..EMPORAL. Appertaining to temples.
TENDON. The white and shining
extremity of a muscle.
TENESMUS. Painful and constant
urging to alvine evacuations,
without a discharge.
TETANUS, adj. Tetanic. A spasmodic
rigidity of the parts affected.
THERAPEUTICS.  That branch of
medicine describing the action
of the different means employed
for the curing of diseases and of
the application of those means.
THORAX. The chest, or that part
of the body situated between the
neck and the abdomen.
THRUSH. Numerous small, white
vesicles in the mouth.    See
Thrush.
Tic DOULOUREUX. Face-ache.
TINEA ANNULARIS. TINEA CAPITIS.
Ringworm of the scalp.
TINEA FACIEI. Milk-crust; milkscab.
TITILLATION. Tickling.
TONIC. Medicines which are said
to increase the tone of the muscular fibre when debilitated and
relaxed.
TONSILS.  The oblong, sub-oval
glands placed between the arches
of the palate.
TONSILITIS.  Inflammation of the
tonsils.
TRACHEA. The windpipe.
TRACHEOTOMY. An operation by
opening the windpipe.
TRAUMATIC.     Appertaining to
wounds; arising from wounds.
TREMOR. Trembling.
TRIsmus. Lock-jaw.
TRITURATION. The reduction of a
substance to minute division, by
means of long-continued rubbing.
TUBERCLE. A small, round, eruptive  swelling,  anatomically
speaking.  In pathology, the
name is applied to a peculiar
morbid product occurring   in


various organs or textures, in
the form of small, round, isolated
masses of a dull whitish yellow,
or yellowish gray color, opaque,
unorganized, and varying   in
shape and consistence according
to their stage of development
and the texture of the part in
which they are engendered.
TYPHOID. Applied to diseases of
a low character.
UMBILICAL CORD. The navel string.
UMBILICUS. The navel.
UNION BY THE FIRST INTENTION.
The healing of wounds by adhesion; the growing together of
the opposite surfaces of awound,
when brought into close approximation, without suppuration or
granulation. The latter process
of healing is sometimes designated the second intention.
URETHRA. The urinary canal.
URTICARIA. Nettle-rash.
UTERUS. The womb.
VARICELLA. Pimples, quickly forming pustules, seldom passing into
suppuration, but bursting at the
point and drying into scabs.
Chicken-pock.
VARIOLA. Small-pox.
VARIOLA.   SPURIA.   (Varicella.)
Chicken-pock.
VARIx, plur. Varices. Swelling or
enlargement of the veins.
VENESECTION. The abstraction of
blood by opening a vein.
VERTIGO. Giddiness, with a sensation as if falling.
VESICLE.  A small, bladder-like
eruption; an elevation of the cuticle containing a transparent,
watery fluid.
VICARIOUS. Acting as a substitute.
VIRUS. Contagion or poison.
VISCID. Glutinous and gelatinous.
Viscus, plur. Viscera. Any organ
of the system. A bowl.
VOMICA. An abscess of the lungs.
ZYGOMATIC PROCESS. A thin, narrow projection of bone, defining
the squamous portion of the temporal bone at its base.








INDEX.


PAGE
ABDOMEN, dropsy of the..... 332
"    external injuries of.
the....................    4 334
Abdominal inflammation.... 286
Ablutions................ 441
Abortion................ 361
Abscesses..................   78
Abscess in the gums........ 193
Acutedropsy......... 253
Adherence of the after-birth.. 366
Affections of the ears....... 153
" (    "   eyes.......  141
"(     "   face, lips, and
jaws.... 173
"    "    head.      117
"" (   "   mind.... 111
from fright and fear... 111
excessive joy......... 111
grief................  111
ome sickness........ 111
unhappy love........ 111
jealousy............111
mortification, insult... 111
contradiction and chagrin..............  111
violent anger........ 112
"    of the nose....... 163
".  "     penis...... 344
"    "     stomach and
bowels.... 256
"    ".. teeth, gums,
and mouth 179
"". "    testicles.... 344
""throat..... 197
".   (.  windpipe
and chest. 208
".."    urinary and
genital organs...... 335
After-birth, Adherence of the 366


PAGE
After pains................ 367
Agrypnia..................15
Ague in the breast.......... 369
Air and exercise........... 431
Alimentary organs, Anatomy
of...................... 405
Allopecia................ 140
Amaurosis...............149
Amblyopia............... 149
Amenorrhea................ 350
Amygdalitis............. 206
Anatomy and Physiology 389, 391
Anatomy of the bones...... 394
Anger..................  112
Angina faucium.......... 197
"c   gangrenosa........204
"    membranacea...... 211
Anorexia;................. 256
Anthrax..................  79
Anury................... 338
Anus, itching of the....... 330
Aphonia................. 208
Aphtha................... 378
Apoplexia................ 124
Apoplexy................. 124
Apparent death from hunger. 24
"    from drowning.... 24
"    from freezing...... 26
"    from hanging, choking, or suffocating
by burdens and
pressure........ 26
"    from noxious vapors 27
"    from a fall or blow. 27
"    of a new-born infant 375
Appetite, morbid.......... 257
"    want of.......... 256
Arachnoiditis.............. 125
A rthritis...................  6
Ascaris lumbricoides........ 297
(531)




532


INDEX.


532                  INDEX.


PAGE
Ascaris, vermicularis........ 297
Asiatic cholera............ 321
Asphyxia................. 375
Asthma................. 247
"  Millari............. 384
"  of Millar............ 252
"  of children............ 384
Backache..................  8
Bad taste in the mouth...... 189
Bedridden................ 69
Bedsore.................... 69
Biliousness.............. 265
Bilious colic............... 276
Bilious remittent fever...... 100
Bilious fever............... 100
Bilious rheumatic fever...... 91
Birth, premature.......... 364
"   regular.............  364
Bites and stings of insects.. 35
Bites of serpents........... 36
Black vomit..............94, 268
Bladder, inflammation of the. 337
" piles of the......... 342
Bleeding of the nose........ 165
Blindness...............,. 149
"    incipient......... 149
"    sudden......... 149
"    by night.......... 150
"by day.......... 150
Bloody flux............... 315
Boils..................... 79
Bowels, affections of the.... 256
"  inflammation of the.. 288
"  looseness of the...... 309
Breast....................  368
"  ague in the........... 369
"  gathered.............. 369
Breath, offensive........... 188
Bronchitis................. 211
Bulimy.................... 257
Burns and scalds........... 33
Buzzings of the ears........ 158
Calculus.................  343
Cancer.....................  80
"    of the face........... 177
"    of the nose......... 172
Canker of the mouth........ 191
Carbuncles............... 79
Cardialgia................ 270
Carditis................  236
Caries of the teeth.......... 188
Carious teeth............. 188


PAGE
Cataract...................  149
Catarrhal cough............ 216
"    dry...............  216
"    loose............. 216
Catarrh...................  170
Cessation of the menses..... 354
Chafing of bedridden patients 69
Chagrin.................... 111
Change of life.............. 354
Chancre................... 346
Chapped hands from working
in  water...............  70
Chest, affections of......... 208
"   congestion of the......241
'f  contusion of the...... 254
"   dropsy in the........ 252
Chicken-pox.............. 61
Chilblains.................  68
Children, treatment of...... 375
Chills and fever............ 104
Chlorosis.................. 349
Choking fits...,.........  384
Cholera Asiatica............ 321
"   infantum........... 386
"   morbus............. 319
Cholerina................. 328
Chorea....................  19
Chronic Angina............ 204
"  dropsy of the chest... 253
"  dyspepsia........... 258
"  eruptions............ 66
"  hoarseness........... 210
" inflammation of the eyes 145
Circulation of the blood.... 412
Clap.....................  346
Clavi pedis.................. 74
Clothing and occupation..... 433
Cold in the head............ 167
"  in the chest...........  6
"C in the stomach........  6
"  in the limbs...........  6
"  swelling..............  78
Colica.....................  275
Colic bilious............... 277
"  flatulent or windy..... 277
"c painter's or lead....... 277
"  with obstinate constipation................  277
caused by piles or hemorrhoids...............  277
"  inflammatory intestines. 277
"  from worms.......277, 301




INDEX.


533


INDEX.                  633


PAGE
Colic from indigestion....... 277
' from indignation, rage. 277
"from a chill........... 277
" from cold, damp weather 277
"from bathing.......... 277
"from external injuries.. 277
"in children............ 279
"in pregpnant. or lying-in.
women............ 278
"in hysterical women... 278
"at time of menses...... 278
"from low spirits....... 278
"during confinement.... 374
"griping-............275
"of infants............. 376
Common or ephemeral fever.. 84
"    sore throat........ 197
Concussions..........'. 32
Confinement, duration of.... 367
Congestio ad caput.......... 117
Congestion and stagnation of
blood in the abdomen.... 284
Congestion- of blood to the
head........... 117
"    of the chest....... 241
"    or determination of
blood to the head  117
"    from great joy..... 118
" fright or fear...... 118
"anger, violent...... 118
"anger, suppressed.. 118
"a fall or blow...... 118
"loss of blood...... 118
"    a cold............ 118
"constipation..... 118
"drinking liquors... 118
"sedentary habits... 118
"critical periods of
girls.......... 118
"    stoppage of menstruation....... 118
"    dentition in children 118
Congestive fever........... 91
Constipation............... 304
"c." of infants..... 382
Consumption, galloping..... 254
"      pulmonary.... 253
" C.   scrofulous.... 254
Contagious typhus............ 91
Contradiction.............. 111
Contusion of the chest, by a
fall or blow............ 254


PAGE
Convulsions or spasms of infants........ 380
"     in labor........ 365
Corns..................... 74
Coryza.................... 167
Coryza of infants........... 376
Costiveness................ 304
Cough..................... 216
"   croupy...........211, 212
"   hooping............. 223
Coughing up of blood....... 242
Courses................... 347
Coxagra...................  10
Coxalgia................. 10
Coxalgia infantilis.........  10
Cracked skin from cold...... 70
Critical period.............. 354
Cramp in the legs........... 13
Cramps in labor............ 365
Croup.................... 211
Croupy cough...........211, 212
Crustea lactea............. 72
Crying of infants........... 376
Cutaneous diseases......... 45
Cystitis....................  337
Deafness..................  158
Debility during confinement.. 374
Deficiency of milk.......... 370
Delirium tremens........... 18
Delivery, treatment after..... 366
Dentition................... 381
Determination of blood to the
head.................. 117
Diabetes...................  341
Diaphragm, anatomy and physiology of the........... 403
Diaphragm, inflammation of
the................... 285
Diaphragmitis.............. 285
Diarrhea................... 309
"  chronic............. 312
"  in lying-in females.. 312
"  of infants......... 382
" from worms......... 301
Different forms of typhus.... 87
Different modes of applying
cold water............. 441
Difficulty of speech......... 198
Discharge from the womb during confinement........ 373
Diseases caused by the presence of worms......... 300




534


INDEX.


534                 NDEX


PAGE
Diseases  consequent  upon
scarlet fever and scarlet
rash................  59
Diseases during pregnancy.. 358
"  of females.......... 247
"  of the heart........ 236
Dislocations of joints...... 30
Disposition to fester........ 69
Disorders consequent upon
measles................  53
Dizziness..................  121
Douche.................... 452
Drop-bath................451
Dropsy of the chest........ 252
"  of the abdomen...... 332
"' of the brain......128, 383
"' of the scrotum...... 345
Duration of confinement.... 367
Dysentery................. 315
Dysmenorrhea............ 350
Dyspepsia............... 257
"      recent.......... 258
Dysury.................... 338
Earache...................  156
Ears, affections of the....... 153
Ears, running of the........ 160
Elements of the human organism...................  394
Elongation of the head of infants..................  376
Encephalitis............... 125
Enlarged glands............ 78
Enteralgia................ 275
Enteritis................... 288
Enteropyra................ 100
Enuresis.................. 339
"  nocturna........... 340
"  spastica............ 340
Epilepsia..................  18
Epilepsy..................  18
Epistaxis................ 165
Eruptions and swelling of the
external ear............ 153
Eruptions of the face....... 173
Eruptions of the genital Lorgans..................  345
Eruptions on the nose....... 164
Eruptive fevers............. 45
Erysipelas bullosum........ 47
"     erraticum........ 48
"     cedematodes...... 50
"     of face and lips... 173


PAGE
Erysipelas of infants........ 379
"     of the nose....... 163
"     of the throat..... 203
"     on the scrotum... 346
"     or St. Anthony's
fire............  47
"     wandering....... 48
Excoriations...............  69
t"      of infants...... 379
Exercise................... 431
External injuries............ 28
"      "    of the abdomen..... 334
Eyes, affections of.......... 141
Face-ache.................. 174
Face, affections of.........  173
Fainting...................  22
Fall-baths................ 457
Falling off of the hair....... 140
during confinement..... 374
Falling of the body......... 331
"   of the eyelids........ 151
"   of the palate......... 207
"   of the womb........ 355
"   False pleurisy....... 234
Far-sightedness............ 151
Fatigue.................... 22
Fear....................  112
Febris intermittens......... 104
"   remittens............ 100
"   simplex............. 84
Felons.................. 75
Females, diseases of........ 347
Festering..................  69
Fever and ague............ 104
Fever-cake................. 297
Fever and chills............ 104
"   bilious............. 100
"   bilious remittent...... 100
congestive............  91
"   ephemeral or common.. 84
"   gastric.............. 100
"   nflammatory......... 85
"   intermittent.......... 104
"   irritative, inflammatory,
torpid.............  83
"   milk................  368
"   puerperal............ 373
"   remittent of infants.... 384
"   rheumatic............ 91
Fevers..................  81
"   of infants............ 383




INDEX.


535


PAGE                            PAGE
Fever, typhoid or nervous.... 86 Hardness of hearing........ 158
"   yellow...............  91  Headache.................  129
Flatulency................ 264     "    from abuse of toFlatulent or windy colic..... 276         bacco........... 135
Flooding................ 352       "    excess of bodily or
Fluor albus.............. 356            mental labor.... 135
Food and drink............ 418     "    grief............ 135
Foot-baths................ 450     "    anger............135
Foreign substances in the           "    changeable weather 135
eye.. 151      "    from bathing...... 135
Sin the ear. 162   "    suppressed erup" in the nose 172                   tions............ 135
Fractures of bones............ 28  "    mechanical injuries 135
French measles.............. 54     "    from  catarrh and
Frenzy.................... 116     "     cold in the head.. 131
Fright..................... 112    "    from congestion of
Frozen limbs............... 38           blood to the head. 131
Full-baths................. 445    "    from constipation.. 133
Galloping consumption.... 254      "    from drinking coffee 135
Gastralgia................. 270    "    from overheating.. 135
Gastric affections........... 266  "    drinking  ardent
"  bilious affections..... 266         spirits........... 135
"  colic.............. 277      "    loss of sleep....... 135
"  derangement......... 265      "    external causes.... 134
"  fever................ 100     "    gastric derangement 134
Gastritis................  286     "    nervous.......... 137
Gastroataxia.................. 266  "   from rheumatism.. 132
Gastrodynia biliosa........ 266    "    sick............ 135
Gathered breast............ 369 Head, affections of.......... 117
General complaints during      IHead-baths.............. 447
confinement.......... 374 Heart-burn................. 264
General inflammatory fever.. 85 Heart, diseases of.......... 236
General plunging-baths..... 446  "   inflammation of the... 236
Genital organs, affections of the 335  "  palpitation of the.... 237
" c     eruptions of the 345  "  rheumatism of the.... 239
Giddiness.................. 121 Heat of infants........... 378
Glaucoma................ 149 Heat spots............... 378
Gleet...:................ 346 Hemorrhage of the lungs.... 242
Glossitis................ 190 Hemorrhage with the urine.. 343
Goitre....................  15  Hemorrhoids.............. 329
Gonitis....................  12  Hemorrhoids vesica......... 342
Gonorrhea................ 346 Hepatitis......:........... 291
Gout......................  6  Hernia..............  331
Gravel.................. 343 Herpes circinnatus.......... 70
Green disease............. 349 Herpes.................. 70
Grief......................  111  Hip  disease................  10
Griping colic............. 275 Hives....................   46
Gunboils.................. 193 Hoarseness acute........... 208
Gums, affections of.......... 179   "      chronic......... 210
Hamaturia................ 343 Hmmatemesis............. 268
Hamaturia vesicalis........ 343 Hmmoptysis................ 242
Hanging jaw............... 178 Home-sickness............ 111




536


INDEX.


3E


PAGE
Hooping-cough............. 223
Humming of the ears........ 158
Humors in the ear.......... 153
Hydropathy.............. 436
Hydrocele................. 345
Hydrocephalus..........128, 383
Hydrops saccatus........... 333
Hydrophobia.............. 37
Hydrothorax............. 252
Hygiene.................. 418
Hygiene and Hydropathy.... 389
Hypochondria.............. 113
Hysteria.................  113
Icterus................... 295
Ileus miserere...........292, 293
Impotence................. 345
Incontinence of urine....... 339
Incontinentia urinm......... 339
Incubus....................  16
Indigestion.............. 264
Indurated glands.......... 78
Induration of the skin...... 74, 75
Inflammation, abdominal.... 286
"      in the abdomen
after delivery. 373
S   of the bladder. 337
"      of the bowels.. 288
"e     of the brain... 125
S   in children.... 127
of the   diaphragm..... 285
S   of the ear..... 155
S   chronic of the
eyes....... 145
of the eyeball.. 144
S   of the margins
of the lids.... 143
S   oftheeyelid and
the margins.. 142
"   of the eyelid.. 142
"      of the eyes from
abuse of mercury........ 147
S   of the eyeball.. 144
M      of the eyes from
scrofula...... 146
"      of the eyes from
syphilis or venereal disease. 147
S   of the eyes of
infants...... 377
of the face.... 173


PAGE
Inflammation of theart.... 236
"      of the kidneys. 335
("     ofthekneejoint 12
of the liver.... 291
("     of the lungs... 227
(      of the lungs, or
pneumonia in
children..... 231
"      of the nose.... 163
"      of the palate.. 193
"      of the penis... 344
"      of the spinespinal marrow   9
"      of the spleen.. 296
"      of the stomach. 286
"      of the testicles. 344
"      of the tongue.. 190
"      of the tonsils.. 206
Inflammatory colic........ 277
Influenza................  214
Insult.....................  111
Intermittent fever........... 104
Internal ear............... 155
Intertrigo.........        69
Irritation of the skin........ 66
Ischias....................  10
Ischury...................   338
Itch......................  71
Itching....................  66
"   of the anus.......... 330
"   in the ear........... 153
"   of the nose.......... 165
"'  on the private parts.. 360
Jaundice................ 295
"   of infants........... 379
Jaw-bone, swelling of...... 193
Jaws, affections of........ 173
Jealousy................. 111
Joy, excessive............. 111
Kidneys, inflammation of the 335
Labor-pains................  365
Laryngitis catarrhalis...... 211
Lead-colic............... 277
Lethargy..................  21
Leucorrhea................ 356
Lienteria................ 314
Lips, affections of.......... 173
Liver complaint........ 293, 296
"  grown................ 286
"  inflammation of the.... 291
Local applications......... 454
Local baths.............. 446




INDEX.


537


INDEX.                   537


PAGE
Lochia....................  373
Lockjaw...................  20
Loin-ache.................   8
Looseness of the bowels.... 319
Love, unhappy.........111
Lumbago.................   8
Lungs, hemorrhage of the.... 242
Malignant boils...........  79
Malignant quinsy.......... 204
M ania....................  116
"  apotu................  18
Materia Medica........ 389, 461
Maw-worms................ 297
M easles...................  51
Medicinal diseases.......... 43
Megrim....................  137
Melmna.................   268
Melancholia............... 116
Memory, weakness of'....... 123
Meningitis................  125
Menorrhagia............. 352
Menses, cessation of the.... 354
"   suppression of the... 350
Menstrual colic........ 278, 350
Menstruation............. 347
"      of too long duration...... 354
S   painful...... 350
"      too early..... 351
cc     too  late  and
scanty..... 352
"      too copious.... 352
Mental exhaustion.......... 22
Metritis...................  373
Mictus cruentus............ 343
Milk bad, too thin, or repugnant to the child........ 371
Milk-crust................  72
Milk, deficiency of......... 370
'excessive secretion of.. 371
"  fever................  368
"  leg..................  374
'  secretion  of.......... 368
"  suppressed secretion of 370
Mind, affections of the...... 111
Miscarriage............... 361
Morbid appetite.......... 257
Morbilli.................  51
Morbus Coxarius.......... 10
Mortification and insult.... 111
Mouth, affections of........ 179
Mouth, canker of.......... 191


PAGE
Mouth, ulceration of....... 191
M umps....................  154
Museles...................  401
Myelitis.................  9
Myopia.................. 150
Nausea..................  267
Nausea and vomiting during
pregnancy............. 360
Nephritis................. 335
Nervous and spasmodic cough
216, 217
"    colic of women.... 278
"    headache........ 137
"    or typhoid fever.. 86
"    system, anatomy of
the............  414
Nettle-rash................  46
Neuralgia in the face........ 174
S  in thehead...... 137
"    of the stomach.... 270
Nightmare................ 16
Nipples.................... 368
"   sore................368
Nose, affections of.......... 163
"   swelling of........ 163
Notalgia..................  8
Nursing women, sore mouth of 372
Nutrition Table.............. 425
Obstruction of the menses.. 348
"    of the nose in infants........  376
Occupation.............. 433
Odontalgia................  179
Offensive breath............ 188
Onania................... 346
Ophthalmia............... 144
Otalgia....................  156
Otitis.....................  155
Otorrhoea.................  160
Overheating................  22
Ozana antri Highmori..... 171
"   narium........... 171
Pain in the abdomen after delivery..................  373
Pain in the hip.......... 10
Pain in the stomach........ 270
Pains, rheumatic............  6
"   in the small of the back
and  loins..........  8
Painter's or lead colic...... 276
Palate, elongation, swelling of 207
falling of the........ 207




538


INDEX.


538                  INDEX.


PAGE
Palpitatio cordis............ 237
Palsy....................   17
Palpitation of the heart...... 237
Panaris....................  75
Paralysis..................  17
"    of the eyelids..... 151
"    of the face and jaw. 177
"    of the tongue..... 196
Partial or half-baths........ 443
Parotitis.................. 154
Part second.............. 389
Parturition................ 364
Penis, affections of the...... 344
"  inflammation of the..... 344
Phthisis laryngea.......... 211
"   pulmonalis........ 253
Physiology of the bones.... 400
Piles.....................  329
Piles of the bladder......... 342
Pimples on the face......... 174
Pin-worms...............297
Placenta, adherence of the... 366
Plethora pectoris.......... 241
Pleurisy..................  233
"   real...............  233
"   false..............  234
Pleuritis.................   234
"   muscularis......... 234
"   serosa............ 233
Pneumonia................ 227
"(   in infants and children............. 231
"    in old people...... 232
"    notha........... 232
"    remarks on........ 233
Pneumorrhagia............. 242
Podogra...................    8
Poisoned wounds........... 35
Poisons....................  39
"(  animal.............  42
"   vegetable........... 42
"   mineral............  42
Pollution.................  346
Polypus of the bladder...... 342
"   of the ear......... 161
"   of the nose........ 171
Pregnancy................ 358
Premature birth............ 364
Prolapsus ani.............. 331
Prolapsus uteri............. 355
Prosopalgia............... 174
Prurigo...................  68
0...~~~~~~~


PAGE
Prurigo on the scrotum...... 345
Pruritus..............66, 360
Pseudo -typhus, or biliousrheumatic fever.......... 91
Psoitis....................  13
Ptyalism.....................  195
Puerperal fever........... 373
Pulmonary consumption..... 253
Pyrosis.................. 264
Putrid sore throat.......... 204
Quinsy.................. 197
"  malignant......... 205
Rage.....................  116
Ranula...................  198
Rash......................  45
Raucitas...................  208
Rawness of the skin in infants 379
Real pleurisy.............. 233
Red gum................ 378
Red spots on the nose....... 164
Regular birth............... 364
Remarks on Pneumonia..... 233
Remittent fever............ 104
Remittent fevers of infants... 384
Respiratory and Circulatory
organs, anatomy of the.... 410
Restlessness of infants...... 377
Retention of urine during confinement................. 374
Rhagades................. 70
Rheumatic pains...........   6
Rheumatism...............1, 4
"    acute...........  2
"    inflammatory...    2
"  chronic..........  4
"    shifting or wandering............   3
"    of the heart...... 239
Ringwon................ 70
Ringworm of the scalp...... 73
Running of the ears........ 160
Rupture.................. 331
Salivation.................  195
Scabies...................  71
Scald-head...............   73
Scalds....................  33
Scarlatina.................  55
Scarlet-fever..............  55
"   " c malignant...... 58
Scarlet-rash............... 54
Sciatica...................  10
Scirrhus..................  80




INDEX.


539


PAGE
Scorbutus.................  193
Scrofulus consumption..... 254
Scrofulous sore eyes....... 146
Scrotum, dropsy of the.... 345
"    erysipelas on the.. 346
"    prurigo on the.... 345
"    tetter on the...... 345
Scurvy.................. 193
Sea-sickness................ 269
Secretion of milk........... 368
Seminal weakness......... 345
Ship  fever..................  91
Short-sightedness........... 150
Shower baths............... 443
Sick headache............ 135
Sitting baths.............. 448
Sitz baths................. 448
Skin, anatomy of the........ 416
Sleep...................   429
Sleeplessness............... 15
Sleeplessness during confinement.................. 374
Sleeplessness of infants..... 377
Small-pox.................  62
Snake-bitten..............  36
Snuffles.................. 376
Somnolency............... 21
Sore mouth of infants...... 378
"    " I of nursing women 372
"  nipples................  368
"  throat................  197
"  throat, chronic........ 204
Spasms in the stomach...... 270
Spasms of infants.......... 380
Spasmodic pains
"".    "C in labor... 365
"c      "   during confinement. 374
Specks on the eyes.......... 147
Spitting of blood........... 242
Spleen, enlargement of the... 296
Spleen, indurated........... 296
Spleen, inflammation of the. 296
Splenitis.................  296
Spontaneous limping....... 10
Spots on the face........... 177
Spots on the face during
pregnancy............ 361
Spots on the nose, black,
red................ 164
Sprains and concussions.... 32
Squinting................  151


PAGE
Stagnation of blood in the abdomen................. 284
Stammering................ 198
St. Anthony's fire........... 47
State of the bowels after delivery.................  371
Stinos of insects............. 35
Stitci in the side.......... 234
Stomacace................ 191
Stomach-ache............. 275
Stomach, affections of the.... 256
"    cold in the........  6
"    inflammation of the 286
"    neuralgia of the... 270
"  sour.............. 264
"spasms and pains
in the......... 270
"    weak........... 257
Stone in the bladder........ 343
Strabismus................ 151
Strangury.................  338
Structure of the human organism...................  392
Struma................... 15
Stuttering............... 198
St. Vitus's dance.......... 19
Stye on the eyelid......... 148
Stymatosis............... 343
Summer-complaint......... 387
Sunstroke................ 129
Suppression of the catarrh, or
cold in the head........ 169
Suppression of the menses... 350
Suppression of the milk..... 370
Sweating.................. 457
Sweating feet............... 14
Swelling of the breasts in infants............ 376
"    of the cheek....... 173
"    of the ear....... 153
"  of glands......... 78
"  of the jaw-bone.... 193
"  of the nose........ 163
"    of the palate...... 207
"    of the tonsils...... 206
"    under the tongue.. 198
Swooning................. 22
Syncope...................  22  *
Synocha...................  85
Syphilis................... 346
Taenia.....................  297
Tape worm............... 297




540


INDEX.


640                  INDEX.


PAGE
Tastes, different............ 189
Taste, loss of.............. 190
Teeth, affections of.......... 179
Teeth, anatomy of the....... 404
Teething............381
Testicles, affections of the.... 344
Tetanus...................  20
Tetter.....................  70
"   dry................  70
"   running.............  71
"   bleeding.............  71
"   ulcerating.........  71
"   on the scrotum....... 345
Throat, affections of......... 197
Throat, erysipelas of........ 203
Thrush....................  378
Tic douloureux............. 174
Tinea  capitis..............  73
Tongue, inflammation of.... 190
"    swelling of........ 190
"    swelling under the.. 198
"   ulceration of....... 191
Tonsils, inflammation of.... 206
Tonsils, swelling of......... 206
Toothache......... 179
Treatment after delivery..... 366
Treatment of children....... 375
Trismus...................  20
Tubercular consumption..... 254
Tumors....................  78
Tussis convulsiva.......... 223
Typhoid pneumonia...... 229
Typhus.......... 86
"    versatile...........  88
"    stupid............. 88
"    putrid.............  88
"    contagious......... 91
Ulcerated sore throat........ 204
Ulceration in the nose....... 170
Ulceration of the windpipe.. 211
Ulcers on the ear............ 153
Ulcers.....................  76
Ulcers on the eyeballs....... 146
Umschlkege................ 454
Urinary organs, affections of. 335
Urinary system, anatomy of.. 409
Urine, bloody.............. 343
Urine, incontinence of the.... 344
Urticaria...................  46
Vaccination................ 385
Varicella..................  61
Varicose veins.............  361


PAGE
V ariola....................  62
Varioloid, or modified smallpox...................  66
Variolois...................  66
Veins varicose.............. 361
Verrucce...................  75
Vertigo...................  121
"   from disordered stomach............ 121
"   from irritation of brain 121
"   from suppressed ulcers
and eruptions.... 121
"   from riding in a carriage............  121
"   from  congestion of
blood to the brain, 121
Vomiting................. 267
"     after a fall........ 268
"of blood......... 268
"bile............. 268
"of mucus......... 269
"     of water.......... 269
"     sour............. 269
Want of appetite........... 256
W arts.....................  75
Warts on the face........... 177
Warts on the nose...... -.... 164
Water-brash................ 264
Weakness of memory........ 123
Weakness of sight.......... 149
Weakness, seminal.......... 345
Weak stomach.............. 257
Weaning.................. 371
Weeping or watery eyes..... 148
Wetbandages............. 454
Wet linen sheets............ 456
Wetting the bed............ 340
W hites.....................  356
White swelling............. 10
"      c    during confinement.. 374
Whitlows on the fingers..... 75
Wind-colic................ 276
Windpipe, affections of...... 208
Windpipe, ulceration of the.. 211
Womb, falling of the........ 355
Worm-colic............... 301
Worm-diarrhea............. 301
Worm-fever............... 301
Worms....................  297
Wounds and bruises........ 30
Yellow fever............. 91












UNIVERSITY OF MICHIGAN
3 9015 00660 6282




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