6.93
A 575181
Epidemic Cholera-
JOSLIN WELLS.

BOERICKE & RUNYON
HOMOEOPATHIC
PHARMACISTS.
II WEST 42 PST.,
NEAR STAVENUE, NEW YORK.
...:
. . `·.····
**
S

H616.93
J83 (2)
HOMEOPATHIC TREATMENT
THE
EPIDEMIC CHOLERA.
By BV
THERAPEUTICS AND REPERTORY.
enj
OF
ranklin
F JOSLIN, M. D.,
shineas
With Notes and Additions by P. P. Wells, M. D.
THE HOMOEOPATHIC PHYSICIAN,
SUPPLEMENT No. 6,
LL.D.,
1885.
PREFACE,
INTRODUCTION,
CONTENTS.
CHAPTER I.-EARLY TREATMENT,
Including that of the Premonitory Symptoms, and of
the disease at its onset, with rules for the gen-
eral management,
Treatment of Premonitory Symptoms, etc.,
(C
at the Commencement of Cholera,
CHAPTER II.-HYGIENE AND PROPHYLAXIS.
Articles hurtful to persons taking medicines,
Rules of Regimen,
Rules for the management of a Cholera patient,
Prophylactics,
•
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13
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vii
viii
CONTENTS.
CHAPTER III.-SYMPTOMS AND TREATMENT OF THE
VARIETIES OF CHOLERA.
Law of cure, and repetition and magnitude of doses,
Symptoms of Diarrheic Cholera, first variety, .
Treatment of Diarrhoeic Cholera,
Symptoms of Gastric Cholera, second variety, ·
Treatment of Gastric Cholera, .
Symptoms of Spasmodic Cholera, third variety,
Treatment of Spasmodic Cholera,
Cuprum and Veratrum,
Symptoms of Dry Cholera, fourth variety,
Treatment of Dry Cholera,
•
Symptoms of Acute Cholera, fifth variety,
Treatment of Acute Cholera,
Symptoms of Dysenteric Cholera, seventh variety, .
Treatment of Dysenteric Cholera,
Symptoms of Gastro-Enteric Cholera, sixth variety, 60
Treatment of Gastro-Enteric Cholera,
Symptoms of Febrile Cholera, eighth variety,
Treatment of Febrile Cholera,
·
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First Stage, stage of Invasion,
Second Stage, stage of full Development,
Third Stage, stage of Collapse, .
Fourth Stage, stage of Reaction, .
&& 3 2 2 888
•
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63
65
CHAPTER IV.-SYMPTOMS AND TREATMENT OF THE
STAGES OF CHOLERA.
65
389 39
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71
CONTENTS.
CHAPTER V.-CHOLERA REPERTORY for SYMPTOMS
AND GROUPS, with the values of the medicines distinguished.
Explanation of the use of the Repertory,
Mental Symptoms, remedies for, .
Head, remedies for symptoms relating to the,
Eyes, remedies for symptoms relating to the,
Face, remedies for symptoms relating to the,
Tongue, remedies for symptoms relating to the,
Nausea and Thirst, remedies for, .
Vomiting, remedies for, .
Pains at the Stomach, remedies for,
Abdomen, remedies for symptoms relating to the,
Diarrhoea, remedies for,
Urine, remedies for symptoms relating to the,
Voice, remedies for symptoms relating to the,
Chest, remedies for symptoms relating to the,
Superior Extremities, remedies, etc.,
Inferior Extremities, remedies, etc.,
•
•
·
ix
Skin, remedies for symptoms relating to the,
Perspiration and pulse, remedies relating to,
General and miscellaneous symptoms, remedies for,
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UorM
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PREFACE.
In view of the fact that the most experienced
physicians fear our country will be visited the
coming summer by the Cholera, it was deemed
best to supply our subscribers with a reliable
and efficient guide to the homoeopathic treat-
ment of this dread scourge. In no disease has
Homœopathy shown better its wonderful curative
ability than in the treatment of Cholera. And it
will ever be so if our physicians will but be true to
themselves and to the better knowledge they
possess.
Of the value of Dr. Joslin's work, nothing need
be said; it has been tested and found reliable and
of great value. The notes and additions from Dr.
P. P. Wells add greatly to its usefulness. In the
text, most of Dr. Wells' notes have been brack-
eted, so as to be distinguished from the text of Dr.
Joslin.
xi
xii
PREFACE.
A word as to the doses recommended. It will
be observed that most of the medicines are used
in the lower potencies. At the time of the last
epidemic of Cholera, experience was not so ripe as
to the value of the higher potencies as it is now,
hence the use of these medicines in these cruder
preparations. Subsequent experience clearly de-
monstrates that we may safely trust our high
potencies in the treatment of Cholera, as we do
in all other diseases. Let each physician use
such preparations as he is accustomed to use; only
prescribe carefully, and there will be little to regret.
We hope this little volume may be of great use-
fulness, should it be needed.
3
E. J. L.
INTRODUCTION.
What is commonly called Asiatic, or malignant,
cholera first visited Western Europe in 1831 and
the United States in 1832. Its nominal," Asiatic,"
comes from the fact that the disease seems to have
had its origin in that continent, and the epidemic
which gave to European and American popula-
tions their first practical acquaintance with it was
easily tracked, in its progress to these shores in
1829-30, to its origin in Northeastern Hindoostan.
The alarm and excitement caused by its approach,
both in Europe and this country, were very great,
both with doctors and the general population,
by reason of the vast numbers of the dead it had
left along its pathway. The doctors, old school,
were in dead earnest to study its phenomena, that
when it should come before them for treatment
they, with their superior intelligence, might be
better able to cope with it than had been the semi-
barbarian doctors who had made so signal a fail-
ure in their endeavors for its arrest or cure. They
studied, these European doctors, their subject with
noble zeal and diligence, till they were familiar
with the habits of the epidemic, with its symptoms-
-
2
13
14
INTRODUCTION.
atology and pathology, as they had imagined it to
be, and to this study they brought the best learn-
ing and intelligence found among doctors at that
day; and to this was added the work of no mean
imaginations. And with the result in their minds,
they came to face the realities they had endeav-
ored so earnestly to prepare themselves to meet
successfully, that is, to cure the sufferers they had
to care for. And what was the result? Did they
cure a greater proportion of their cases than had
the barbarians they hoped to excel? Not at all.
They found themselves powerless before the rava-
ger, and all their labors left them, as healers of
cholera, just where they were when they began
their honest and earnest study. The result was
that more than fifty per cent. of those attacked
and treated by these learned gentlemen died. In
many places the mortality was much greater than
is here stated. In some all, or nearly all, at-
tacked died. They had complete knowledge
of the symptomatology of cholera. But what
then? They could make no practical use of this
knowledge by reason of their utter lack of any
means of connecting these symptoms with their
proper curing agents; so that, to them, symptoms
were only empty voices with no words in them,
and their pathology had its existence mainly in
the doctor's imagination, and with this cholera had
INTRODUCTION.
15
and would have little or nothing to do. It would
not respond to their best efforts, based, as these
were wholly, or so largely, on theories of their
own creation, with which cholera had nothing, or
very little, in common. Did they learn anything
then, or in subsequent experiences with cholera
epidemics, as to their defective mode of dealing
with the disease as students or teachers? Appar-
ently nothing at all; for in each succeeding epi-
demic old-school physic has only repeated its old
methods and old failures. And more than this,
and stranger than all, they have posed before the
world as the possessors of all it contains of knowl-
edge of “scientific" healing; and so persistent have
they been in claiming this as to cholera, that they
have ever refused, and do still refuse, to be taught
by those who know better. Have these gentlemen
no consciousness of the defects of their methods
and theories? It would seem that they have, by
their rush to accept and honor the discovery of
"microbes." They needed something more. They
acted as if they thought microbes the very thing
they needed. Were they not shown as the cause of
the whole trouble? And what had they to do
now but to destroy the cause, and then would not
the effect cease? Verily, the ugly problem of cure,
the solution of which had troubled them so much
and so long, and on which they had labored so
16
INTRODUCTION.
hard and so fruitlessly, was better than solved-so
much better as prevention is better than cure.
They had now but to destroy the cause, the
microbes," and there would be no more cholera
to cure. And so in the present epidemic they gave
themselves to experiments for both cure and pre-
vention on the basis theory of "microbes" as the
cause, and failed both to cure and prevent, and
the most remarkable thing about it is that they
were so long in finding out that they had failed.
They failed, as all efforts to these ends must fail
which are not directed and pursued under the
light and guidance of natural law.
46
These people rejected and derided the only known
natural law of relationship between sicknesses and
curatives, and, as a result, failure with them was
inevitable. What need had they of law? Had
they not, instead of this and better than this, their
painfully, ingeniously elaborated and boasted
pathology, and was not this equal to all their needs?
And, then, in this present epidemic, had they not,
in addition to their pathology, the now known
cause, and by the possession of both, surely now
they were to be the masters, and cholera must
yield to the combined power derived from both.
But did it yield? If one will be at the trouble to
compare the results of allopathic treatment of the
epidemics of 1831 and 1884, he may be interested
17
when he finds the rate of mortality of cases so
treated was substantially the same in the one as
in the other. In these more than fifty years of op-
portunity for study of cholera, which they have had
since the first epidemic, they have learned nothing
which has given them a treatment with better
results than a loss of more than one-half of those
treated. The discovery of microbes has not been
of the least benefit to doctor or patient. Are these
men, therefore, either wiser or more humbled by
this their last failure? Apparently they are
neither. They are now, as in 1831, the same con-
ceited, blinded, proud, confident rejecters of law,
of which they have no need. It is only too evi-
dent, if they have had no need of law, their pa-
tients have had a sore one. For it will be seen by
a comparison of cases treated under the guidance
of law with those treated under that of theory
and of a so-called pathology, that of every fifty
deaths under this last, thirty-four of them might,
and probably would, have been cured if they had
been treated under the guidance of law. Verily,
these patients had great need of law. It is not a
little interesting if we remember, while consider-
ing the results of cholera treatment with and with-
out law, that while in some places nearly all
attacked and treated in the latter method died, there
were other places where nearly or quite all treated.
INTRODUCTION.
-
18
INTRODUCTION.
in the former recovered! And more than this, in
many places where the means law had pointed
out as protectors against attacks of this fearful
epidemic were employed there were no cases to
treat, or only such as were so slight that no one
died of them. Does old-school physic know these
facts? Certainly. Or if not, then ignorance of
them must be willful and self-imposed. How
then, before these and the record of its own sad,
uniform, and multitudinous failures, can it say
by word or conduct it has no need of law? This
rather understates than overstates the difference of
results from the two methods of treatment. In
the epidemic which prevailed at Naples, Italy, in
1854-5, Dr. Rocco Rubini treated three hundred
and seventy-seven cases without a single death.
Most of these cases were treated in military or
other hospitals, and the facts are certified to by
the officers in command.* In this same city, in the
epidemic of this year, under treatment without
law more than seventy in every one hundred, so
treated, died.
We have spoken of treatment of this pest
under the guidance of law. We mean the law of
similars. We know of no other therapeutic law,
and certainly no other has been tested as this has
* See Am. Hom. Rev., Vol. VI, p. 403.
19
by the cholera problem. By obedience to this
law the best record, and much the best of successes,
has been made. To repeat the successes of the
past in the presence of any recurring epidemic of
the plague presupposes a repetition of this obe-
dience, and without this no practice is to claim its
promised rewards. Then the importance of the
answer to the question-In what does this obedi-
ence consist? is apparent. The reply is made up
of two elements-that which is to be done, and
that which is not to be done.
INTRODUCTION.
And first, what are we to do that under law
we may cure, not Asiatic cholera, but our patients
whom it may have attacked? In one word—do
what the law requires and do nothing else. The
first requirement of therapeutic law is, that we
gather all the morbid phenomena of each case posɛi-
ble, and then find the simillimum of these in the rc-
corded effects on the living, healthy organism of
some one drug agent. Give it as directed in the Orga-
non of Homœopathic Medicine, and have no med-
dling with its action by another drug or by any
restless anxieties of self or patient's friends. Cast
out every consideration from this second effort
except the question, What is most like?
If this be so, then where does the pathology, the
microbes, and the revelations of post-mortem dissec-
tions come in? They don't come in at all, in this
20
INTRODUCTION.
duty of finding the curing agent for the case in
hand. But what of the cause?-are we to have no
reference to this, when our endeavor is to cure its
effects? The first answer to this is: We are not
called by law to find a simillimum of the cause,
but of its effects. This found and given, and we
have done all the law requires for a cure, and all
which may be attempted in addition to this will
only damage our record as to the desired cure.
The second answer is: We know very little of this
cause, and nothing at all as to its essential nature
-nothing whatever except what we may learn from
its effects. Then what about "microbes"? Only
this: We do not see that they have any place in
specific therapeutics as applied to the cure of chol-
era. It is certain the best record of successes
in the treatment of this pest has been made with
no reference whatever to them. And if, since their
proclaimed discovery, they have had a place in old-
school therapeutics, it is equally certain they have.
not improved its record. This remains, through
this last epidemic, as it was through the first, only
an unbroken series of mortifying, discouraging,
sad failures. "Microbes" have not helped it at all.
And by this time it ought to be clear to average
intelligence that nothing can help the record of a
therapeusis so wholly apart from and at variance
with the natural law of healing as is this.
INTRODUCTION.
<<
21
But then, are they not the cause of the disease,
and for this reason is not a knowledge of them of
utmost importance to us in our practical dealing
with their effects? We reply, These organisms are
not a proved cause of cholera at all. They have only
been accepted as such on the assertion of their dis-
coverer by a school of medical practitioners who,
now as ever, have been in only too great haste to give
attention and acceptance to any new thing, or to
anything, except God's law of healing, and with this
they will have nothing to do. This fact we accept as
an adequate explanation of the continuous failure
which has followed their labors, their applied
theories, their post-mortems, and their microbes,
from the beginning to the end. Have we not
heard ad plenam, for the last twelve months, of
these "germs," and of ceaseless efforts to "stamp"
these "out" by use of so-called "germicides" and
disinfectants," meaning agents which kill germs?
What are disinfectants? And who has ever
seen a well-marked disinfection of any mor-
bid cause from the use of
any so-called
germicide? And what has been the result of
it all? The progress of cholera has not, so far
as we know, been arrested by all this buzz and
bustle, in any one instance, and where present, the
number of attacks have neither been diminished
nor their fatal character in the least abated. If
22
INTRODUCTION.
were
these organisms were, as claimed, the cause of the
plague, there has been abundant opportunity to
show it. And yet it has not been shown. If
living organisms were the cause, these, it would
seem, might be destroyed. And yet in no instance
that we know has cholera been "stamped out,"
while surely there has been "stamping" enough
done to have given us at least one success, if this
whole idea of "germs" and "germicides,"
not false in principle. "Microbes" may safely be
dismissed from our thoughts in our clinical deal-
ing with cholera, and may be, also, from our study
of its etiology. Just what their importance is,
if any attaches to them in the cholera problem,
we are not, in the present state of our knowledge,
prepared to decide, but we can safely say too much
has been claimed for them when they have been
put forth as its essential cause. It is not a little
likely they sustain the same relation to this disease
as the green, busy flies do to the dead carcass they
so constantly seek and infest. No one accuses them
of having killed the horse.
The sum of it all is, old-school physic has failed
of success, not from want of diligence or careful-
ness on the part of its practitioners, but because
they sought it where, from the nature of the case,
it can never be found. They sought success out-
side and independent of law, and they failed to find
INTRODUCTION.
it. The new school will be equally sure of find-
ing what the old has not, only and just in the ratio
of their strict loyalty and obedience to God's law.
Let it do as this requires, and do nothing else, and
they will have few failures to mourn.
P. P. WELLS.
23
BROOKLYN, N. Y., Dec. 12, 1884.
CHOLERA.
CHAPTER I.
EARLY TREATMENT.
Domestic and Professional, including that of the
Premonitory Symptoms, and of the Disease at its
onset, with Directions for the General Man-
agement.
DOMESTIC
AND PROFESSIONAL TREATMENT OF
PREMONITORY SYMPTOMS AND THE SLIGHTER
ATTACKS.
During the prevalence of cholera in any locality,
every person should consult his physician for such
slight symptoms as often precede cholera. On such
application to the physician, if a true homoeopath-
ist, the disease may almost always be warded off,
or, if commencing in a slight form, immediately
cured, and prevented from advancing into the
form of cholera proper. The most usual premoni-
tory sympton is a focal diarrhoea, often so slight
that it would excite no apprehension in ordinary
25
26
CHOLERA.
times. Or the evacuations may be rather copious,
or in moderate quantity and milky, no other
symptoms being present. In any of these forms,
diarrhoea in the epidemic is called cholerine. It
will be again referred to as the first stage of the
first variety of cholera; yet the importance of an
early attention to it is so great, that, at the expense
of some repetition, a familiar account of its symp-
toms and first treatment are given in this place
for the convenience of such families as may use
this book and physicians hitherto unacquainted
with this practice.
Where there is diarrhoea without any special
indication for any particular remedy, give one
drop of spirits of Camphor on a lump of sugar or
in sugared water. Give another drop after one
hour-or earlier, if the diarrhoea returns-and
let it be followed by three doses of the third at-
tenuation (or the higher dilutions, the latter at
longer intervals) of Camphor at intervals of au
hour, or after each evacuation, if it occurs sooner;
after this, if the diarrhoea continues, Phosphorus30;
if the tongue sticks a little to the finger when ap-
plied to it, give Phosphoric acid; if it has a yel-
lowish coat, and there is colic or dizziness, give
Veratrum 30. Whichever medicine is given, it may
be repeated after each evacuation, if it is large, or
after every two, if they are small.
EARLY TREATMENT.
27
(For other symptoms consult the succeeding
chapters, including the Repertories.)*
The Camphor may also be used for a short time
with advantage for most other symptoms; but if
this is domestic treatment, there should be no
unnecessary delay in consulting a homoeopathic
physician, as the disease may reach a dangerous
height before the appropriate remedy is employed.
In giving pellets of any medicine in the dry
state a good general rule is: Put two or three
pellets in a small powder of pure sugar or sugar
of milk, fold the paper, then mash the pellets,
then open the paper, and mix them by moving
the paper without touching the powder. Then,
with the paper bent at an angle, place its edges
in contact with the upper lip or teeth, let the
powder slide on the tongue without touching it
with the paper. The patient should hold his
head back, his mouth open, and his tongue out,
and allow the powder to dissolve on the tongue
before swallowing it.
Where a number of doses of any one medicine
*The principal divisions of the Repertories are in
the order in which it would be most natural to examine
(from above downward) those different parts of the
body to which the symptoms belong; while the subor-
dinate arrangement, that of the different parts of each
section of the Repertory, is alphabetical.
28
CHOLERA.
are to be given in succession, it is more convenient
and equally effectual to dissolve five or six pellets
in a gill of water, and give one, two, or three tea-
spoonfuls according to the patient's age-at a
dose. This may be considered as applying to any
case, in this or any other stage.
DOMESTIC AND PROFESSIONAL TREATMENT AT
THE COMMENCEMENT OF CHOLERA IN ALL
ITS FORMS.
When there is a decided attack of cholera, we
resort for the first hour, or a longer or shorter
time, according to circumstances, to a treatment
for which, as well as for all the most successful
modes of preventing and curing this disease, the
world is indebted to Hahnemann.
Whatever may be the form of the attack, give
one drop of the tincture of Camphor, dropped on
a lump of sugar, and then dissolved in a table-
spoonful of cold water. Repeat this every five min-
utes, until there is a decided mitigation of the symp-
This will usually be after five or six
doses. One sign of its good effect is perspiration.
In proportion as the symptoms yield, let the doses
be at longer intervals, as an hour, two hours,
twelve, and even twenty-four hours. For these
toms.
EARLY TREATMENT.
29
later doses, the third attenuation would probably
be preferable. If the disease is taken in time, ten
or twelve doses of the tincture are ordinarily
sufficient. If the stomach will not retain the
Camphor, even in ice-water, then give, before and
after it, a bit of ice as large as a filbert, or reduce
the dose to one-quarter of a drop, if necessary.
In order to commence immediately, the first dose
may be a drop on a lump of sugar; but as soon as
there is time, dissolve it as hereafter directed.
The patient should continue in bed and be
covered for many hours, as exertion and check
of the perspiration excited by the Camphor would
both at first tend to prevent improvement, and
afterward to occasion relapse, even after the cure
had considerably advanced.
In the preparation of this spirits of Camphor,
Hahnemann recommended the proportion of one
ounce of solid Camphor (the gum, as it is called)
to twelve of Alcohol. Dr. Quin used the propor-
tion of one to six. The usual tincture of the
shops is suitable. The method which is most con-
venient and useful, and one which I have em-
ployed in many cases of severe cholera, is to put
twelve drops of camphorated spirits in a table-
spoonful of sugar, and dissolve it in twelve table-
spoonfuls of cold water in a tumbler, and give a
tablespoonful of this mixture every five minutes till
2*
30
CHOLERA.
relief is obtained. Where there is great difficulty
in retaining fluids on the stomach, let the medicine.
be so dissolved that a teaspoonful shall be a dose.
If the water were not rendered viscid by sugar,
much of the Camphor would rise to the surface,
and if the spirits were dropped into water first,
the Camphor would be precipitated at the sur-
face.
Families should be provided with the Camphor,
and in case of attack administer it immediately
before the arrival of the physician, who will judge
whether it is to be continued. In some cases of
severe spasms, it might perhaps be admissible to
give the Camphor every third minute, till there
was some mitigation. But the advantages of the
Camphor treatment cannot be secured by allo-
pathic doses, whether at short or long intervals.
[This remark should be always borne in mind in
dealing with so serious a sickness as malignant
cholera. In treating this and all other sicknesses
homœopathically, all of the drug given more
than the cure requires is only an additional cause
of disease. And, if it be the nature of the drug to
produce sick phenomena like to those we are
attempting to cure, this excess only intensifies the
already existing evil, and if the excess be inordi-
nate (allopathic) the aggravation may destroy
the curative effect of the best selected remedy. It
EARLY TREATMENT.
31
does not matter whether this excess be of quantity
given, or of too frequent repetition of doses, or of
too long a continuance of repetitions. Neither
does it matter whether this excess has been given
by an allopathic or a homeopathic physician or
by domestic administration. It is the one thing
to be remembered in all homœopathic prescribing,
by all doctors and laymen. Avoid the too much.]
In the former case, the disease would be aggra-
vated, and in the latter case, the medicinal action
would become exhausted: in both cases, the stom-
ach would be irritated. If one ignorantly
attempts to correct the last effect by combining
Opium or Laudanum with the Camphor, he, in a
great measure, destroys the efficacy of the latter,
besides doing direct and positive injury by the
opiate.
There is abundant testimony to the efficacy of
the pure Camphor treatment (by small doses) from
all parts of Europe.
Hahnemann states that at Berlin and Magde-
burg alone thousands of families, having followed
his instructions respecting the treatment by Cam-
phor, restored those of their members who were
attacked by the epidemic-restored them often in
less than a quarter of an hour. This method was
said to be employed with certainty of success in the
first hour; with probability in the following hours.
32
CHOLERA.
Now, it sometimes fails, oftener among children. I
recommend the trial of pellets, and not lower than
Camph.¹, even for adults. Probably the Camph.°
will soon be less used. (Vide note at bottom of
page 33.)
Hahnemann at first advised the external, in con-
nection with the internal, use of Camphor, but sub-
sequently found it unnecessary. Indeed, it not
only is useless, but fills the room with effluvia
which interfere with subsequent treatment.
But as it is often difficult to persuade the friends
of the patient to wait for the action of the remedy,
they may be allowed to rub with a flannel, either
dry or moistened with Alcohol, or-what is better
-with their dry hands. They may also be al-
lowed to place a warm brick at the feet of the
patient-if they are cold-although it is of no
positive use.
Though Camphor has not, on the whole, lost
any reputation in the epidemic of 1849, yet I have
been informed of several instances of its failure,
even when given under the above favorable cir-
cumstances, and apparently in cases to which it was
appropriate and have seen it and other remedies
fail, where Laudanum had been previously given,
and several hours had elapsed before the homoeo-
pathic physician was called.
From the general utility of the early employ-
33
ment of Camphor, it is not to be inferred that the
homœopathic physician will usually commence
with it, where the family, instructed in its use, has
given many doses of it previously to his arrival.
His course will be determined by a consideration
of the totality of the symptoms.
Though the Camphor should produce immediate
relief, it is not to be relied on for a permanent cure
where one or more other medicines are subsequently
indicated by the symptoms-as will often be the
case. After such improvement, the patient will
be safe with other appropriate treatment, but not
always without it.
Camphor is a remedy which is imperfectly
proved as to the symptoms which it is capable of
producing in the attenuated and even in the crude
state; and our school has more experience of its
use in cholera in the former than in the latter con-
dition. These are reasons for employing it in a form
less attenuated than that adopted for other medi-
cines.*
USES OF CAMPHOR.
*The prevalent opinion that Camphor is a medicine
which does not bear much attenuation has not been estab-
lished by experiments. Of the high attenuation, I know
of no other proving than the following:
In 1849, on Tuesday evening, February 224, at twenty
minutes of ten, I took a few dry pellets of Benning-
hausen's Camphor 200, and administered the same dose
34
CHOLERA.
[It may be questioned whether the notion that
Camphor is more reliable as a curative in cholera
or other diseases in the crude than in the potentized
form is well founded on fact or experience. Its
use in the crude form in cholera has probably
come from the notion that so violent and rapid a
disease requires a "strong" medicine, and from
this point of view, of course, the crude was
stronger" than the "attenuated.” The term
"attenuation" is a misleading and unfortunate
one, not expressing at all the fact of "potentiza-
tion." "Strength" which cures does not depend
on the quantity of the matter of the drug em-
ployed, but on its right selection, the proper degree
CC
to Dr. H. H. Cator and Mr. (now Dr.) Brown. In
twelve minutes I had cold perspiration, especially on the
forehead and chest. The same symptom was simulta-
neously experienced by the two other provers. In the
epidemic of the following summer, Dr. B. F. Bowers em-
ployed Camph. 200 with success in many cholera cases, and
was as well satisfied of the reality of its curative action
as of that of any other remedy. He frequently took it
himself when he experienced any premonitory symp-
toms, but never in any other form than the 200th, during
the epidemic. In the present month, April, 1854, I have
administered Camph.30 with immediate and complete
success for cholera diarrhoea with milky discharges.
The 30th and lower potencies of Camphor have been em-
ployed successfully by Drs. Barlow, Bayard, and Kirby.
-
USES OF CAMPHOR.
((
GO
of potentization, the employment of the right
quantity of this, and then on the right manage-
ment of the doses to be given. In these is the
strength" which cures.-For microbes see Intro-
duction.]
In conclusion I must add, that the large doses of
Camphor used in popular and allopathic practice,
dangerously oppress the stomach and brain and
frustrate the cure.
CHAPTER II.
HYGIENE.
ARTICLES WHICH SHOULD NOT BE USED BY PER-
SONS WHO ARE TAKING HOMⱭEOPATHIC MEDI-
CINES, EITHER DURING THE PREVALENCE OF
CHOLERA OR AT OTHER TIMES.
1st. Raw vegetables-such as celery, lettuce,
etc.;
2d. Unripe or sour fruits and acids in general;
3d. Food which has any medicinal qualities-
such as onions and tomatoes, and bread prepared
with soda;
4th. Coffee, green tea, and distilled and fer-
mented liquors;
5th. Condiments (except salt), as vinegar,
pickles, pepper, spices, and mustard;
6th. Camphor, hartshorn, cathartics, herb-teas,
and other medicines (whether external or internal),
except those prescribed by the physician;
7th. Tobacco in great quantities, especially by
chewing; and in any quantity unless the individ-
ual has been long accustomed to it.
None of the forbidden articles (except coffee,
36
37
and Camphor, and other medicines) need to be sud-
denly and totally abandoned if the individual has
been long accustomed to them. In that case, he
may, unless forbidden by his physician, use them,
though in great moderation. Great and sudden
changes in regard to the use of condiments should
not be made after the epidemic has actually com-
menced in the place. Let the reform commence
earlier.
HYGIENE.
IIYGIENIC RULES IMPORTANT TO BE OBSERVED BY
PERSONS IN GENERAL DURING THE PREVALENCE
OF CHOLERA, AND USEFUL AT ALL
TIMES.
OTHER
1st. Use warm clothing, and in cool or change-
able weather, flannel; but put a cotton or silk
garment under it, unless you have been accustomed
to flannel next the skin.
2d. Avoid taking cold or becoming chilled.
3d. Use no cold, nor hot, nor even tepid baths;
but use cool baths, those which feel like a summer
breeze, or sponge the body with water of such a
temperature. This, with different individuals and
different modes of using the water, may range
from 75 to 80° Fahrenheit.
4th. Remain in the water not longer than a
3
38
CHOLERA.
minute; and wash and wipe yourself dry as soon
as possible; and if in the least chilly, put on extra
clothing. Use this ablution once a week, or twice
in summer, and wash the feet and other more
sweaty parts of the body daily.
5th. Endeavor to encourage good temper, hope,
and cheerfulness in yourself and others.
6th. Use moderate and even active exercise, but
avoid great fatigue.
7th. Avoid all kinds of fasting when there is
appetite.*
8th. Let the diet consist partly of animal food,
and partly of good bread or some other prepara-
tion of wheat flour. Use a good proportion of
fresh beef, mutton, venison, or fowls, and if it
agrees with the stomach, soup made of one of these
meats. Fish, eggs, good milk, butter, sugar, and
molasses are not hurtful to persons in general
when used in moderation and with a due propor-
tion daily of some of the meats above mentioned.
9th. Avoid all indigestible food, everything
which you have found to oppress your stomach,
whether it be cabbage, turnip, or other succulent
<
* I will not deny that any man has a right to punish
himself by abstaining from hurtful luxuries; but he has
no right to punish himself by injuring his health.
This last, possessing considerable azote, has some
chemical similarity to animal food.
39
vegetables, and especially fibrous vegetables and
fibrous fruits, as some kinds of radishes and pine-
apples, also fresh bread, rich pastry, old or toasted
cheese, meat too fatty, veal or other young meats,
sausages, pork, geese, lobsters, shell-fish, eels, or
other fish which have not both fins and scales.
The articles enumerated in this paragraph are of
doubtful character for most dyspeptics at all
times, and for most persons when cholera
prevails.
10th. Eat with moderation; take care not to
overload the stomach with food of any kind.
11th. Masticate the food thoroughly. If pos-
sible, observe regular and early hours for eating
and sleeping. Avoid late suppers; but if com-
pelled to defer the evening meal till a late hour,
eat sparingly.
HYGIENE.
12th. Drink water, cocoa, pure unspiced choco-
late, toast-water, barley-water, or weak black tea.
13th. Avoid as far as possible all alcoholic
drinks, whether distilled or fermented, but espe-
cially the former. Use neither coffee nor green
tea.
14th. Keep your room properly ventilated, but
in such a manner as not to expose yourself to cur-
rents of air when sitting still.
15th. Do not continue long in small rooms that
are crowded with people.
40
CHOLERA.
16th. If practicable, avoid sleeping in basements,
or with many persons in the same room.
Peculiarities of constitution and inveterate hab-
its, and the disadvantages of making great and
sudden changes after the commencement of the
epidemic, will justify some modification in the
above rules by some individuals. In food, some
concessions must be made to taste.
DIRECTIONS FOR THE GENERAL MANAGEMENT
OF A CHOLERA PATIENT.
1st. Apply no Camphor externally, and use no cx-
ternal applications of any kind.
2d. Give no drinks but cold water, unless the
patient prefers warm toast water, which is the case
in but very few instances.
3d. Ice water may be taken as frequently as the
patient desires it. It is useful for extreme thirst,
cramps, colic, vomiting, and cold skin.
4th. The food should consist of mutton or
chicken broth, with no seasoning except a mod-
erate quantity of salt. Beef broth will answer.
Oyster soup is not allowed. Great care should
be used in regard to diet during convalescence.
5th. The patient should lie in bed, with com-
fortable coverings.
6th. If the weather is cool, there should be a
11
good fire, which will allow the windows to be kept
open for ventilation.
PROPHYLACTICS.
7th. The patient should not, however, be exposed
to cold air. If compelled to rise, he should be
covered, and the windows closed.
Sth. He should rise no oftener and move no more
than necessary, as motion is hurtful. He should,
if practicable, be provided with a bed-pan, in-
stead of being compelled to rise.
9th. No glass or spoon which has been used for
one medicine should be used for another, until it
has been rinsed with clean hot water (without
soap), then, while hot, wiped dry with a clean
towel, and allowed to stand till cool, and thus
become more perfectly dried by its own heat. Or
when convenient, it should be washed with hot
water and wiped, then heated near a fire, and
again allowed to cool before being used for an-
other medicine.
PROPHYLACTICS.
The homeopathic preventives of cholera are
Cuprum-m. and Veratrum-alb., taken alternately,
in doses of two or three pellets once or twice a week.
The method which Hahnemann recommended,
and which many employed with success, was to
take Cuprum, then wait one week, and take Vera-
trum 30; then, after a week, the Cuprum, and so on.
CHAPTER III.
SYMPTOMS AND TREATMENT OF THE
VARIETIES OF CHOLERA.
LAW OF CURE, AND REPETITION AND MAGNI-
TUDE OF DOSES.
The skillful homeopathic physician does not
neglect the teachings of clinical experience; but
he relies mainly on the law that any disease, in
its curable stage, can be cured by a medicine
which is capable of producing a sufficiently large
group of symptoms similar to those which the dis-
ease itself presents. Judgment is required in re-
gard to the relative importance of symptoms; but
it is important to consult repertories and materia
medicas with regard to a great number of the
symptoms of a case, and to combine as many as
possible, and thus eliminate the false remedies and
arrive at the true remedy for the whole group, and
consequently for the disease of which that group
is the index or exponent. The popular error, that
a knowledge of the name, essential nature, and
principal seat of the disease is prerequisite to a
successful treatment of it, is founded upon the
42
43
blind nature of allopathic therapeutics. [The
treatment, medicinally, of "Asiatic cholera," is
what a friend would certainly call a "fatal error,"
and he would be right. The name of a sickness
is not of the least importance to the specific pre-
scriber. He deals with his patient and with the
sick phenomena he presents, and adapts his means
to these, as the law requires, and this he may al-
ways
do with utmost indifference to names. Treat-
ing cholera in the recent epidemic in Naples re-
sulted in over seventy deaths in every hundred so
treated; while in a previous epidemic of this
disease in the same city, one physician, who
treated three hundred and seventy-seven patients
according to the law of therapeutics, lost not one!*]
Allopathy has no guide but the name, the sup-
posed nature, and the supposed seat of the malady;
and if any one who has received some homœo-
pathic light allows himself to be still led by the
blind, he will fall into the same ditch.
The usual intervals between the doses of atten-
uated medicines for the more severe varieties of
cholera are half an hour, one hour, and an hour
and a half, according to the violence of the dis-
ease. In some violent cases the medicine may be
repeated in fifteen minutes. [The frequency of the
repetition of the dose is to be decided by the
* Am. Hom. Rev., Vol. VI, p. 403 et seq.
THE LAW OF CURE.
44
CHOLERA.
}
severity of the attack. The more severe this is, the
shorter are the intervals between right managed
doses. The reason for this is, in these violent at-
tacks, the medicinal action of the given dose is
rapidly exhausted, and this in the ratio of this
violence. There have been cases where the inter-
vals were as short as three minutes, and the treat-
ment was successful. In these cases, however,
there should be no excited alarm, but only and
always the best care and judgment in deciding
how often and when to stop.] But we are not to
suppose that the good effect is ordinarily increased
by this greater frequency, or that too frequent a
repetition is harmless. Again, we are not to sup-
pose that the operation of an attenuated medicine
will be frustrated by the occurrence of vomiting
at the end of several minutes after it has been
swallowed. It is not like a crude drug. Some
portion of it has already gone to every part of the
body; and the portions which have entered the
circulation have nearly as much power as the
whole dose.
[This paragraph seems to have had its origin in
a notion prevalent when it was written, that it was
the matter of the drug which cured, and that the
known greater curing power of the drug as found
in the form employed by the homeopathists was
owing to the greater division of its particles, so
45
that a greater number of these were in a given
dose brought into contact with the living surfaces.
Hence, by the term "dilution" was meant a greater
number of active molecules in the dose, though it
actually contained less of the drug matter. This
was Dr. Joslin's idea. We do not now receive
this explanation, but believe the word “potentiza-
tion" better expresses the facts of experience.]
Vomiting after such an interval does not render
a repetition of the dose necessary. Neither are we
to suppose that the dose requires to be repeated on
account of the patient's having taken food or drink
which is slightly medicinal or antidotal. It is not.
probable that the action of an attenuated medicine
can be entirely frustrated by antidotes taken in the
crude form. The attenuations have peculiar power.
Every experienced and observant homoeopathic
physician knows that less than a billionth part of
a grain of common salt will manifest its specific
effects in an individual who is taking many grains
of crude salt at every meal. The rule of three
fails to explain the effect of such an infinitesimal
increase in the quantity. The inference is inevi-
table, that the homeopathic process has developed
immense power. The existence of great curative
power in the homeopathic attenuations is mani-
fested by their effects on cholera. The attenuations
used in former epidemics are, in most of them, the
REPETITION OF DOSE.
46
CHOLERA.
12th or 30th; but subsequent experience shows the
value of the higher. They may be given dry, in
loaf sugar or sugar of milk, or in solution in iced
water. Iced water is itself a remedy, and it may
be given to the patient in most cases. In regard
to the repetition of attenuated medicines, a rule
applicable to all cases of cholera is-discontinue
the administration of medicine as soon as there is
amendment and as long as this is progressive.
In the case of Camphor, as compared with other
medicines, the dose is large and the repetitions
frequent; for it is unlike all other medicines in not
requiring attenuation and in being exceedingly
transient in its action. Hahnemann directed one
drop of the tincture every five minutes, the tincture
being made by dissolving one cunce of Camphor
in twelve of Alcohol. Dr. Quin happened to use,
in his own case, two-drop doses of the tincture,
made in the proportion of one to six, and finding
it to succeed, used it for others. Hartmann re-
commends the proportion of one to twenty, and
the dose one or two drops, every two or five
minutes. The tincture directed by the allopathic
pharmacopoeias and found in the drug stores is
generally one to eight, sometimes one to sixteen.
There is probably no better rule than to dissolve one
ounce of Camphor in ten ounces (i. e., 2 gills) of Al-
cohol. The ordinary dose will be one drop every five
DIARRICIC CHOLERA.
47
minutes. In some cases the dose may be increased
to two drops, or the intervals reduced to two or
three minutes. Give the tincture in sugared
water, iced, or at least cold. As Camphor is one
of the most powerful and general antidotes to other
medicines, the patient must not take these from
any glass or spoon which has contained it, nor
must the odor of it be in the room after he com-
mences other medicines.
The forms described in this chapter are those
which the cholera most frequently presents. Some
of them are occasionally combined. The homœo-
pathic physician will know how to adapt his treat-
ment to the different shades and combinations of
these varieties. He will apply the materia medica
and the law similia similibus curantur. The
accompanying repertories will aid in the selection.
of the remedies.
SYMPTOMS OF THE FIRST VARIETY, CHOLERA DIAR-
RHCICA INTESTINAL, OR DIARRHEIC CHOLERA.
This is the form in which diarrhea is a promi-
nent symptom. At first there is a simple diar-
rhoea; lassitude in the legs; rumbling; tongue
moist, clean, or a little coated; sometimes it is
pasty, or gluey, so as to adhere to the finger when
applied to it. The evacuations, at first composed
48
CHOLERA.
of digested food or feculent matters, shortly be-
come yellowish-brown or watery; after a few
hours or a few days, they have the appearance of
barley-water, rice-water, or of whey with little
flocks of soap distributed through it, or of milk-
porridge mixed with water. The whiteness ap-
pears to depend on minute flocculi of whitish
mucus, with some larger lumps of the same, some-
times as large as a pepper-corn and of a yellowish-
white color. Each stool is preceded by great
noise and movements in the intestines. The noise
is sometimes like the rumbling of gas, at others
like that of a running liquid. There is a livid
circle around the eyes, or dark color of the whole
face, coldness of the hands or tongue, prostration
of muscular strength, and feebleness of pulse;
sometimes nausea or cramps. Some vomiting may
take place after the diarrhoea has continued a
considerable time without appropriate treatment.
If this form of cholera, although it should
amount only to a slight cholerine, is mistaken for
an ordinary diarrhoea and improperly treated,
there is great danger of its suddenly assuming a
much graver form; vomiting and violent spasms
may set in, and collapse and death close the scene.
This alarming revolution in the disease may occur
when the evacuations have not caused much de-
bility or interfered with the usual avocations. In
DIARRHEIC CHOLERA.
49
Europe and America, this diarrhoeic form is the
most frequent, especially in places and times in
which cholera does not rage in its greatest in-
tensity. The most perfect and severe forms give
no such warning, even in Europe and America.
In one sense, the premonitory diarrhoea is a part
of the diarrhoeic variety of cholera. If a line
can be drawn between them, it is probably where
the discharges change from the focal to the liquid
character. The treatment is similar.
TREATMENT OF DIARRIŒIC CHOLERA.*
If Camphor does not soon give relief, we are to
resort to other medicines, generally to Phosphorus,
Phosphoric-acid er Veratrum. I have employed
them all with success. The Phosphoric-acid is to
be preferred when there is a gluey matter on the
tongue, or cramps in the upper arm or fore-arm or
in the wrists or hands, or if the stools are yellow-
ish and the evacuations painless. Give Phospho-
rus when there is a white or brown coat on the
tongue and the evacuations attended with griping
or colicky pains, or with nausea. Give Veratrum
when the coat on the tongue is yellow and the
*See also chapter I, section 1st, p. 25, for the treatment
of its first stage.
50
CHOLERA.
diarrhoea painful. In some cases, Arsenicum,
Mercurius or Secale may be indicated.
However, Phosphor, Phosphoric-acid, or Verat.
generally cure; and they may often be given at
first, without the previous administration of Canı-
phor, in this form of cholera. When the evacua-
tions are very copious, liquid, and frequent, Cam-
phor should not be given so many times before
resorting to other medicines. Put two or three
globules of the thirtieth attenuation of Phosphorus,
or of the third attenuation of Phosphoric-acid, in
a little sugar of milk, and place them on the pa-
tient's tongue; or give them in solution, in the
manner described in chapter I. After two or
three doses of Phos-ac.³, if the indications for
Phos-ac. remain, it will often be useful to employ
the thirtieth. [Why the thirtieth after the third,
and not before it, or instead of it? There is a
seeming, in this direction, of an imagined greater
medicinal force in the third than in the thirtieth,
as if the more matter implied more force. This,
in potentized drugs, is certainly not true, especially
when the process of potentization has been carried
to the extent that predicating matter of them is no
less than absurd. And yet, such potencies cure,
and often cure surprisingly well. The idea seems
to have been, to avoid danger from excess of action,
in the continued use of the drug, still required for
51
the cure, by going from a greater to a less force
in the doses given. This is in accord with the old
view of the material nature of the drug force
which cures.
Dr. J. entertained this view, as did
most of our best minds at the time this treatise
on cholera was written. We have no hesitation,
in the light of more recent experiences and obser-
vations, in holding this view as an error, as these
have, to our mind, clearly established the dynamic
nature of that which cures, and that the develop-
ment of this nature by the process of potentization
has increased, rather than diminished, its power.
If this be the case, then why not give the higher
at the first? And then, when this treatise was
written, there was prevalent with many of our best
men the notion that acute diseases were best treated
with low numbers, and chronic by high ones. The
thirtieth was then the highest. This view, now so
well known to be erroneous, was the reason for
recommending the lower numbers to be given
first.] A dose of the appropriate remedy may be
given after each evacuation, if it is copious, or
every second evacuation, if they are small.
GASTRIC CHOLERA.
SYMPTOMS OF THE SECOND VARIETY, CHOLERA
GASTRICA, GASTRIC CHOLERA.
This form of cholera is characterized by fre-
quent or almost continual vomiting, but is often
52
CHOLERA.
accompanied by many symptoms of other varieties.
The matters at first thrown out consist of the
food which the stomach happened to contain, or
the liquids which had been swallowed. They are
usually thrown up with a sudden jerk, without
previous retching. The vomiting is sometimes
preceded for a short time by nausea. There is no
diarrhoea, or only one or two evacuations at the
onset. The urine is scanty. The gastric variety
of cholera is neither the most frequent nor the
most dangerous. When the epidemic prevails,
this form may be excited by flatulent vegetables
or other indigestible food.
TREATMENT OF GASTRIC CHOLERA.
The principal remedies are Camphor and Vera-
trum. Camphor will ordinarily be proper at the
onset; one drop every five minutes. If relief is
not soon obtained, give Veratrum, at the usual in-
tervals, unless some other remedy is more indi-
cated by the character, conditions, or concomitants
of the vomiting.* If, by the effect of the Veratrum
or Ipecac., the vomiting cease, but the other symp-
toms remain, and there is great weight at the
stomach and pains in the intestines and head, then
* Examine the repertories to decide between these, or
to determine whether some other remedy is preferable.
53
have recourse to Nux90. But if the disease is not
checked, give Verat.30, or other medicines accord-
ing to the indications. To cholera excited by
anger, and attended with either vomiting or diar-
rhoea, Cham.¹ is appropriate.
SPASMODIC CHIOLERA.
SYMPTOMS OF THE THIRD VARIETY, CHOLERA
SPASMODICA, SPASMODIC CHOLERA.
This form is especially characterized by cramps
and other spasms. The principal symptoms are
contractions and cramps in the toes and fingers;
afterward, cramps in the calves, or convulsive
movements in the muscles of the fore-arm, and
legs; then spasms in the upper arms and thighs,
and sometimes fixed spasms in the chest, neck, and
jaw, resembling those of locked jaw or tetanus.
The constriction of the chest is preceded by vom-
iting. Neither vomiting nor diarrhoea frequently
occur in this variety; but it may succeed a neg-
lected diarrhoea, and be ushered in by a single
copious vomiting, and attended by occasional
retchings.
In some cases there are first cramps in the calves
of the legs; then tonic spasms of the whole of both
inferior extremities, soon extending in succession
to the abdomen, stomach, chest, and throat; the
inferior limbs remaining spasmodically extended
A
3*
54
CHOLERA.
and extremely stiff and hard, and affected with
excruciating pain; a hard swelling at the stom-
ach; spasms of the muscles of the jaw, attended
with grating of the teeth; respiration almost ar-
rested; sense of extreme suffocation; apprehension
of impending dissolution; deglutition difficult,
sometimes impossible. The spasms at length relax,
and the patient for a few minutes is free from pain.
Then the spasms and the pain return with their
former severity.
TREATMENT OF SPASMODIC CHOLERA.
The principal remedies are Camphor, Cuprum,
and Veratrum. Give a drop of Camphor every
five minutes. During the paroxysms, if they are
extremely severe, we may give two drops at a dose,
or repeat one drop every two or three minutes.
The remedy next to be employed for removing the
remains of the spasms and preventing their return
is ordinarily Cuprum. Give it in solution, or
dry in doses of two or three globules, and repeat
it many times at intervals of half an hour, or an
hour, if its salutary effect is not manifested. If
necessary, then give Veratrum (12th then 30th)
in repeated doses, or other medicines according to
the different indications. Cuprum may be given
at the onset of the spasms, provided their charac-
55
CUPRUM AND VERATRUM.
ter and concomitants indicate its use decidedly
more than that of Camphor. Vide Cholera Reper-
tory.
[Cuprum and Veratrum are often mentioned as
curatives for cholera, and often in circumstances
somewhat similar, without such differentiation as
to enable one who is inexperienced to say which
he should give. The symptoms by which these
drugs are related to cholera are very similar.
Both have vomiting,* purging, cold sweat, cramps,
exhausted life-force, blue color of face, sunken
face and eyes.
But there are differences also.
Cold sweat is more profuse with Veratrum. It
may cover the whole body or be more copious on
the face. The cramps of Veratrum are more in
the extremities, those of Cuprum are more in the
chest and abdomen. The blue color is more in-
tense with Cuprum, though Veratrum has it, but
in less degree. The sunken features are with both,
but with copper it is more marked at the eyes,
which have blue rings around them; with Verat-
rum it is more of the cheeks, and the nose is
peaked. The differences of the two drugs should
be carefully studied, as notwithstanding their
* If the vomited matter be green give Cuprum, in a case
where other symptoms leave choice letween this and
Veratrum doubtful.
56
CHIOLERA.
great similarity it is not a matter of indifference
which shall be selected for a given case. If the
wrong one be given there may be no time to cor-
rect the error. With cholera, more than any other
disease, it is of the greatest importance that the
right remedy be given every time. So rapid is its
destructive course that it may give us no time to
mend a mistake. The first prescription must be
right, or there may be no opportunity to make a
second.
There is one fact often witnessed where cholera
atmosphere is present, which we think should be
incorporated with the premonitory symptoms of the
disease. We refer to the singular, panicky fear of
the disease, which often takes entire and irresisti-
ble possession of the mind of the unfortunate
individual, unfitting him for the duties and depriv-
ing him of the comforts of life. The fear is not
to be reasoned with, nor controlled by any other
consideration or interest: It is but too evidently
a part of the train of the morbid phenomena
which are soon to culminate in a fully developed
attack of the disease, and as such should be dealt
with medicinally, as other symptoms are. By
moral means it cannot be reached. If practicable,
a change of residence to an uninfested locality
should be advised, while at the same time proper
medication should not be neglected.
57
There can be no doubt that Colchicum will be
found a valuable curative of cholera. It should
not be forgotten in dealing with any epidemic of
the disease. Its place will probably be found im-
mediately after Camphor, if a case has in spite of
this passed to its second stage. It may in some
cases be called for at the beginning. For a pic-
ture of singular likeness to the symptoms of ma-
lignant cholera, see Am. Hom. Rev., vol. II, p. 124
et seq., cases of poisoning by Colchicum, from
Frank's Magazine.]
CHOLERA SICCA.
SYMPTOMS OF THE FOURTHI VARIETY, CHOLERA
SICCA, DRY CHOLERA.
There is no diarrhea nor vomiting. Sometimes
the attack is first manifested by a blackish color
of certain parts, as the ends of the fingers, whilst
the general strength is not seriously impaired. In
the severer forms, there is a sudden prostration of
the vital powers; the urine is suppressed; tongue
sometimes blue or blackish; the eyes upturned
and fixed; coldness of the surface of the whole
body, which becomes covered with a cold, sticky
sweat; the face and limbs have a violet blue color.
The voice and pulse fail. This variety requires
the most prompt attention.
58
CHOLERA.
TREATMENT OF DRY CHOLERA.
The first remedy, as in other varieties of cholera,
is Camphor. In this variety it is especially re-
quired for arousing the nervous system. Repeat
it in doses of one or two drops every five minutes.
Then, if necessary, give Veratrum every half hour,
or hour, or hour and a half. If the cramps and
vomitings have entirely ceased, if the patient is
cold, blue, and pulseless, i. c., collapsed-Carbo-v.3º,
two or three globules. In this state of complete as-
phyxia, some recommend Hydrocyanic acid, third
attenuation, every hour or two. We recognize the
effect of these medicines by the pulsations becoming
sensible, and sometimes by a return of the cramps,
vomitings, or diarrhea; symptoms which are then
to be treated by Veratrum or Cuprum, or some
other remedy, according to the indication.
SYMPTOMS OF THE FIFTH VARIETY, CHOLERA
ACUTA, ACUTE CHOLERA.
In this variety the nervous centres seem to be
effected in the first stage. Yet in its course it
simulates the form of some other varieties, and
like them, uuless checked, ends in asphyxia and
death.
The patient at first feels as if he were stunned
CHOLERA ACUTA.
59
or has a sensation of weight in the head, or vertigo,
oppression of the chest, numbness of the arms
and legs. Afterward there are rumblings in the
intestines, heat of the body, pulse rapid and feeble,
nausea, retching or vomiting, bilious or watery
diarrhoea, suppression of urine, tongue cold, voice.
altered; face yellowish, with a dark blue circle
around the eyes; prostration; spasms, at first in
the feet and hands, afterward extending to the
arms and legs, which become dark-blue and cold;
the eyes tarnished and sunk in their orbits. The
diarrhoea and cramps cease, and the disease in its
later stage runs into the form of dry cholera,
characterized by cold sweats, insensible pulse, and
general blueness-i. e., by collapse.
The above descriptions of the dry and acute
cholera are extracted mainly from the treatise of
Dr. F. F. Quin. In both, the strong impression
of the poison on the nervous system seems to pro-
duce an unusually great and early change in oxy-
genation and the constitution of the blood. There
is probably no impropriety in applying the term
acute to most of those cases which without being
dry, are sudden in their invasion and rapid in
their course. Such cases not unfrequently present
complications which prevent their being embraced
in any other single class, unless we should add a
new one to those here enumerated.
60
CHOLERA.
TREATMENT OF ACUTE CHOLERA.
*
Give Veratrum; at first the 12th, in persons of
vigorous constitution, and after three doses, the
30th, in the quantity and at the intervals before
described. In cases of persons of feeble constitu-
tion, give one dose of the 12th, and follow it by as
many of the 30th as shall be necessary.
If in this or in any other variety of cholera
there is severe burning in any part of the alimen-
tary-canal, with violent colic, and great weakuess
or restlessness, give Arsenicum. If the colic
proves obstinate, give an enema of ice water.
Though Veratrum is in general the grand remedy
for this somewhat complicated variety, yet it will
often be necessary to consult the repertory, and
determine the remedy by groups of symptoms.
SYMPTOMS OF THE SIXTH VARIETY, CHOLERA
GASTRO-ENTERICA, GASTRO-ENTERIC CHOLERA.
This is a kind of combination of the gastric and
diarrhoeic varieties; yet being not unfrequent in
its occurrence, it merits a distinct consideration.
It is characterized by vomiting and diarrhoea,
*See Note on p. 50.-Wells.
The treatment of the dry and acute varieties is taken
mainly from the treatise of Dr. F. F. Quin, of London.
61
almost simultaneous in their commencement and
nearly equal in their intensity and duration.
These evacuations from the stomach and intestines
agrce in another respect: viz., in consisting at first.
of the usual contents of those cavities respectively
(i. e, food being vomited and focal matter
dejected), and in soon becoming thinner, after-
ward watery, and ultimately assuming the rice-
water appearance. Although this combination of
upward and downward discharges is characteristic
of this variety, there may be some cramps, and
great coldness of the body, and the patient may
be, within a few hours after the attack, in the blue
and pulseless condition of collapse.
GASTRO-ENTERIC CHOLERA.
TREATMENT OF GASTRO-ENTERIC CHOLERA.
The principal remedy is Veratrum, in the doses.
and at the intervals before mentioned.* If a dose
or two of the 12th is given at first, the 30th should
be given subsequently.
If the treatment is commenced very early,
Camphor will be appropriate, and ordinarily suffi-
cient. Dose, one drop every five minutes. When
*See page 57. Colchicum will often be the remedy for
this variety. See Am. Hom. Rev., Vol. II, page 124 et seq.,
from Frank's Magazine,
4
62
CHOLERA.
the stools become exceedingly copious and liquid,
Veratrum is in most cases to be used. If there is
complication of other symptoms, the groups may
indicate some other remedy.
SYMPTOMS OF THE SEVENTH VARIETY, CHOLERA
DYSENTERICA, DYSENTERIC CHOLERA.
*
This variety commences with the symptoms of
diarrhoeic cholera, and gradually becomes more
dysenteric. The diarrhoea from the outset is
attended with pain in the abdomen. The stools
copious and watery, presently acquire the rice-
water character. After some time they diminish
in quantity, and present, in addition to the watery
and ricey portions, some mucus, which still later
becomes sanguineous, but is still accompanied by
ricey and watery portions. If the disease continue
some days, the ricey evacuations are replaced by
others of bloody mucus or blood. Cramps in the
feet may exist early in the second stage, and even
precede the attack as a premonitory symptom.
Many cases of dysenteric cholera occurred in
1849. They were distinguishable from dysentery
*Dr. Quin, from whom the above classification is in part
taken, comprises in "Dysenteric Cholera," what is here
named Diarrhoeic, if he does not restrict it to that.
63
(many cases of which also occurred in the same
epidemic) by the cholera symptoms which pre-
dominated in the earlier stages.
DYSENTERIC CHOLERA.
On account of the frequent occurrence of this
form as compared with all others of an inflamma-
tory character, and the peculiarity in the treatment
required, there is a practical advantage in giving
it a distinct consideration and name. It is there-
fore placed by itself in this edition. It is not usu-
ally in any remarkable degree a febrile disease;
the depression of the vital forces by the cholera
proper seems in many cases to overbalance the
general excitement which the associated inflamma-
tion of the mucous membrane of the large intestine
tends to produce. And this inflammation when
uncomplicated is seldom attended with as much
fullness of pulse and pains in various parts as char-
acterize many other inflammations and fevers. Yet
there are cases where this variety is complicated
with the succeeding. There may be similar com-
plications in the case of other varieties. I am not
insensible to the defects of this and all classifica-
tions of the disease, but deem it practically useful
to adopt one that is approximately correct.
TREATMENT OF DYSENTERIC CHOLERA.
The principal remedies for this variety are
64
CHOLERA.
Camphor, Veratrum, Mercurius-vivus, and Sulphur
-in the above order.
There being an inflammation of the mucous
membrane of the large intestine we should make
but a sparing and cautious use of Camphor.*
12
Give three or four doses of Camphor, at inter-
vals of a quarter or half an hour, or, if this is not
at hand, as many quarter-drop doses of the tinc-
ture; then Veratrum 22 or 30, until the evacuations
become small and bloody; then Mercurius 12, fol-
lowed after some time by Mercurius.† After
amendment of the dysenteric portion of the dis-
ease commences the cure is to be completed by
Sulphur 30.
Sometimes, when there is inflammatory fever,
two or three doses of Aconite will be required
before the Mercurius, or during a temporary sus-
pension of the use of the latter.
* I think a similar precaution in regard to Camphor is
advisable in treating children in cholera generally. Nearly
all the fatal cases which I have heard of as occurring after
an early use of Camphor, have been among children.
under twelve years of age. I would advise that in the
cases of children, Camphor be not employed lower than
the third dilution.
† See Note on p. 50.-Wells.
FEBRILE CHOLERA.
65
SYMPTOMS OF THE EIGHTH VARIETY, CHOLERA
FEBRILIS, FEBRILE CHOLERA.
In some instances cholera is complicated with
fever. This is distinguishable from other febrile
diseases by the watery and ricey evacuations or
the nausea vomitings and spasms; and from other
forms of cholera by the frequency, hardness, and
fullness of the pulse. The temperature of the body
is generally above the normal standard, that of
the hands and feet sometimes below. Pains in
the small of the back, hips, limbs, head, and
abdomen. Redness of the eyes, tongue, or fingers.
TREATMENT OF FEBRILE CHOLERA.
In febrile cholera give but little Camphor.
For a short time use Veratrum or other remedies
adapted to the purging vomiting, or cramps, if
either is severe. Then Aconitum 12 or 30 in solu-
tion, a dose once in two or three hours, if the
pulse is hard, full, and rapid, and there is a great
thirst and heat of the skin. Otherwise use Rhus-
radicans 30 for the rheumatic-like pains. This
last remedy will be especially indicated if the tip
of the tongue is red. Then Bell.", Bry.", or
Canth.30, according to the symptoms and the
organ affected. The accurate selection of the
66
CHOLERA.
remedy in these cases can be made only by a
homœopathic physician.
The foregoing varieties are in some cases well
marked, in others not. There is an advantage in
attending to them; though the homoeopathic
physician who prescribes for the symptoms will
not deem it necessary to designate the variety.
This will often be impracticable, especially if he
is called when the cases are so advanced as to
confound varieties which were originally distinct.
In one sense the variety may change with the
stage.
CHAPTER IV.
SYMPTOMS AND TREATMENT OF THE
STAGES OF CHOLERA.
A case of either of the foregoing varieties is not
usually divisible into distinct, well-defined stages;
but we may enumerate four stages; some of them
being oftener present or more distinct or durable
in one variety, and some in another, They are:
1st. The incipient Stage, Stage of Invasion: 2d.
The Active Stage, or Stage of Full Development: 3d.
The Stage of Collapse: and 4th. The Stage of
Reaction.
FIRST STAGE OF INVASION.
This is usually longest in the diarrhoeic variety;
in which it may continue from one hour to several
days.
The stools, though they may be watery and
whitish, are not profuse. In the gastric variety,
67
68
CHOLERA.
this stage may prescnt a transient nausea, or a few
loose fœcal stools; in the spasmodic variety, diar-
rhoea, or one or two vomitings; in the acute
variety, vertigo; in the gastro-enteric variety,
nausea.
When cholera prevails, the above symptoms are
generally due to the action of its poison. This is
evident from their general prevalence during the
epidemic, their amenability to cholera remedies,
and the formidable and unequivocal phases which
they frequently assume, when nature is unaided.
There are two modes of considering these symp-
toms-either as constituting a milder form, or an
earlier stage. The latter is here preferred. Some
of these cases would stop in this stage, others
become fully developed, and finally fatal. No
power of diagnosis could at first separate them
into two classes, founded on their inherent tenden-
cies. Could we distinguish those which would
spontaneously prove abortive we would exclude
them even from the first stage. But that distinc-
tion is impracticable. Without any assumption
in regard to their nature, the event under treat-
ment will subsequently decide whether they
assume a form more complicated and severe;
and as it requires a certain number and severity
of symptoms to constitute the disease in its more
formidable and popular sense, we never include in
69
our cholera reports the cases cured in this stage of
invasion.*
The principal remedies in the first stage are:
Camphor, Phosphorus, Phosphoric-acid, and Vera-
trum.
SECOND STAGE.
SECOND STAGE, STAGE OF FULL DEVELOPMENT.
This, in the diarrhoeic variety, is characterized
by the profuse or frequent rice-water evacuations;
in the gastric variety, by the vomiting of similar
matter; in the spasmodic variety, by severe
cramps or other spasms; in the dry variety, the
first two stages may be scarcely perceptible, unless
the first is, by the dark color of certain parts, or
the coldness of the tongue; in the acute variety,
there may be a livid appearance under the eyes,
vomiting, or rumblings and liquid stools. In the
gastro-enteric variety, there is profuse vomiting
and diarrhoea; in the dysenteric variety, pain and
tenderness of the abdomen, and watery, ricey, and
bloody-mucous discharges.
The stage of full development has usually one
*In an essay published in a former edition of this book,
this stage is designated by the convenient term Choleroid.
This term includes Cholerine, but has the advantage of
greater comprehensiveness,
70
CHOLERA.
of two terminations; viz., either collapse or con-
valescence.
In fully developed cholera, the principal reme-
dies are: Camphor, Veratrum, Cuprum, Phospho-
rus, Phosphoric-acid, and Arsenicum.
It is the commencement of this stage that is
alluded to in chapter I,* as "a decided attack."
For the details of its early treatment, the second
section of that chapter is to be consulted-also the
Repertories.
THIRD STAGE, STAGE OF COLLAPSE.
This stage of collapse may have the same char-
acter in every variety of cholera, and in its princi-
pal features it is similar in all varieties. The
term collapse is used to designate a certain collec-
tion of symptoms, including pulselessness; cold,
blue, and shriveled skin; the voice reduced to a
whisper; the urine and other secretions suppressed,
and the face presenting a certain appearance
called choleric. The term facies cholerica is used
to denote a face cold, livid, and shrunk, and often
anxious, the eyes sunk in the orbits, and upturned
or fixed as if in vacant staring. The vox chol-
erica, which belongs chiefly to this stage, is a
* Page 28.
FOURTH STAGE.
71
voice hoarse, feeble, whispering, or almost imper-
ceptible.
The duration of the third stage varies from two
hours to two days. It has one of three termina-
tions; viz., either death, convalescence, or a disease
which is inflammatory, congestive, or typhus.
When death occurs from cholera, it is usually at
the termination of the third stage, sometimes of
the fourth. The return of a perceptible pulse,
and of warmth, although attended with a renewal
of the vomiting and diarrhoea, are favorable
signs; though even after this partial reaction there
may be a relapse into asphyxia.
If the collapse is complete, the principal reme-
dies are Cuprum, Arsenicum, Carbo-vegetabilis,
Nicotine, and Secale. When the collapse is only in-
cipient or partial, Camphor and Veratrum. These
may also be required for a while in complete col-
lapse, if they have not been resorted to in an earlier
stage of the same case.
FOURTH STAGE, STAGE OF REACTION AND SEC-
ONDARY AFFECTIONS.
The secondary affections which ensue on re-
action are congestive, inflammatory, or febrile.
The fourth stage proper, i. e., reaction attended
with these serious diseases, has seldom any exist-
72
CHOLERA.
ence after a good homoeopathic treatment of
cholera proper; though there will, in some cases,
be dysuria. The affections to be most appre-
hended after allopathic treatment are inflamma-
tion or congestion of the brain, stomach, intestines,
or lungs, or typhoid fever.
So far as there is a partial reproduction of the
symptoms of the second stage, which had disap-
peared during the collapse, a recurrence to the
remedies of the second stage will be necessary in
the fourth. But for the new symptoms following
reaction use other remedies. For the irritation of
the bladder, attended with painful urination, use
Cantharis³, every hour or two, whilst the symp-
toms remain urgent.
In most of these inflammations, however, we may
give two or three doses of Aconite, at intervals of
an hour, and follow it by the remedy adapted to
the symptoms and the organ affected, repeating
this last medicine much less frequently. If it is
the brain that is affected, the remedy will generally
be Belladonna"; if the lungs, Bryonia 30, in some
cases followed by Rhus"; if the stomach or intes-
tines, Nux30, and sometimes Bry.30; if the bladder,
Cantharis. This last is also the remedy where
there is inflammation in the lower intestines, at-
tended with burning, tenesmus, and bloody stools.
For the typhus or typhoid fever, Bryonia and
73
sometimes Phosphoric-acid, may be used; but the
principal remedy is Rhus-radicans.*
RIIUS-RADICANS.
I will take this occasion to make a remark on a
topic, not discussed in either of the notes above
referred to. The Rhus-tox. which Hahnemann
tried, was an exotic, and hence probably did not.
possess as much power as a plant of the same
species found growing in its native soil in America.
Dr. Wallace, a scientific oculist of this city, informs
me that this is the case with Stramonium; and that,
on the other hand, the Belladonna of Europe is
more powerful in dilating the pupil than the ex-
otic Belladonna of America. Again, if the shrub
Rhus-tox. is a stunted variety of the same species.
as the vine Rhus-rad., there is an additional reason
for doubting whether it has as much activity;
* I deem it due to the profession as well as to myself,
to state that the Note on this plant, inserted without my
consent or knowledge, in the Appendix to the American
edition of Jahr's Symptomen-Codex, is grossly incorrect,
especially where it attempts to correct my botanical de-
scription of this plant in general, and of the particular
plant from which I obtained the specimen for trial. This
last part of the criticism is not only incorrect, but absurd;
inasmuch as the botanical character of those particular
leaves could be known only to myself and my respectable
medical colleagues who engaged with me in the provings,
and to whom the leaves were shown. I here re-affirm the
correctness of my description, as given in the Note in the
body of the same Symptomen-Codex, pages 671 and 672.
74
CHOLERA.
furthermore, the provings afford evidence that it
has not. So far as the clinical experience of many
physicians for some years can show, the Rhus-rad.
is as efficacious as Rhus-tox. or more so, in those
cases to which the latter is applicable. Like sev-
eral other physicians, I prefer it. Wherever in
the repertory, the generic term Rhus is used
alone, it may be considered as including both
Rhus-rad. and Rhus-tox.
If great debility follows the cholera, and there
are no other symptoms which require special at-
tention, the appropriate remedy is Cinchona.
The final remedy for the more complete restoration
of health will frequently be Sulphur, given in a
single dose, and allowed to act a long time without
repetition.
When a homeopathic physician is called in any
stage to any case of cholera which has been under
allopathic treatment, he is first to antidote the former
treatment by Camphor. Give it but a short time,
if there is any inflammation. He can judge if
other antidotes are necessary; as they frequently
will be in the course of the treatment; for calomel
and crude drugs-and even the undiluted colored
tinctures of the homoeopathic shops-are so durable.
in their mischievous action, as to require for their
correction something more durable in its curative
action than Camphor.
CHAPTER V.
REPERTORY.
CONTAINING THE IMPORTANT SYMPTOMS, AND
THE USUAL GROUPS AND THE MEDICINES
TYPOGRAPHICALLY DISTINGUISHED AS ΤΟ
THEIR RELATIVE VALUE IN CHOLERA.
Believing that the success of homœopathic
treatment in cholera is such that this book will be
used by many physicians who have had little or
no experience with this kind of practice, I deem
it proper to explain the best mode of using the
Repertory.
Select two important symptoms of the case to
be treated, and ascertain what remedies are com-
mon to both. If these be too numerous to be re-
tained in the memory, write them down. Then
compare this reduced list with the remedies as
given in the Repertory for some other important.
symptoms, and thus discover what remedies are
common to the three. Then select a fourth, etc.,
and continue this process until there is only one
remedy left. This will generally be the remedy
for the case, especially if the symptoms selected
are really the most important.
75
76
USE OF REPERTÓRY.
In using this method and this Repertory in the
treatment of cholera, it will generally save labor
to omit, at every step of the process, all those
medicines which are not emphasized in at least one
of the two lists. Such medicines will almost
always be eliminated before the above-described
process is completed. No medicine which is
printed either in Roman or in italics, in every
place in which it occurs in this Repertory, is, in
the present state of our knowledge, known to
have much power in the first three stages of non-
inflammatory cholera; and hence the use of such
medicines in cholera, except by a very skillful
practitioner, would be unsafe. If such remedies
should not all be removed by the process above
described, the only safe course (at least for a
beginner) would be to commence anew and repeat
this process with other important symptoms, com-
bining them with each other and with some of
those previously selected, and in general, the mak-
ing of various combinations and in various or-
ders will give greater security in the selection of
the remedy. If there be two remedies which
apply to all the known symptoms of the case, the
selection may be determined by the type in which
their names are here printed. If the remedy still.
be doubtful, and there is time for study, consult a
reliable work on the materia medica,
MENTAL SYMPTOMS.
77
One object in the construction of this Repertory
has been to save part of the above-described labor,
by occasionally combining the symptoms into such
groups (of two or three) as the disease more
frequently presents. The degree of emphasis has
been determined by the clinical experience of the
school in cholera. I have, however, italicized some
medicines which rank high for the symptoms in
general, but are not known to be useful in
cholera. The emphasis given to the medicines in
this Repertory has no reference to the fourth
stage, nor to the inflammatory variety, except
where it is so stated.
The concomitant symptoms in any one section
of this Repertory are generally arranged in the
same order as the sections themselves. Where
symptoms relating to different parts of the body
are in the same paragraph, those of the superior
parts are put first and the more general symp-
toms last.
The paragraphs are arranged alphabetically; but
where the same symptom (as cramp) refers to dif
ferent parts of the body, these parts are put in the
natural typographical order, from above downward.
MENTAL SYMPTOMS.
Anguish, anxiety, or inquietude: Acon. ant-t.
ARS. bell. bry. CAMPH. CARB-V. caus. cham. cie.
4*
78
HEAD.
coff. CUPR. dig. hyos. ign. ipec. kali. lach. laur. lyc.
merc. natr. natr-m. nitr-ac. nux-v. petr. PHOS. phos-
ac. puls. rhus. SECALE. sep. stram. sulph. VERAT.
Apathy, or indifference: Ars. bell. calc. cham.
chin. cic. hyos. lach. lyc. merc. natr-m. phos. PHOS-
AC. sep. staph. verat.
Fear of death, with internal burnings, and
tossing in the bed: ARS.
Taciturnity, or repugnance to conversation: ARS.
bell. bry. calc. cham. cic. coloc. cupr. ign. lach.
merc. natr-m. nux-v. phos-ac. puls. rheum. stann.
staph. sulph. sulph-ac. VERAT.
HEAD.
Confusion in the head: Acon. ant-t. ars. bell.
bry, calc. CAMPH. caus. chin. dig. merc. nux-v. op.
phos-ac. puls. rheum. rhus. secale. sep. sulph-ac.
VERAT.
Heaviness, or pressure in the head: Acon. ant-t.
arn. ars. bell. bry. cale. CAMPH, carb-v. cham.
chin.cic. dulc. ign. ipec. lach. laur. lyc. merc. natr-m.
nux-v. op. petr. PHOS. PHOS-AC. puls. rheum. rhus.
sep. sil. stann. sulph. VERAT.
Vertigo: Acon. ant-cr. ant-t. arn. ars. bell. bry.
calc. CAMPH. carb-v. caus. cic. cupr. dig. ferr.
graph. hepar. hyos. ign. ipec. kali. lach. laur. lyc.
mere. natr, natr-m. nux-v. op. petr. PHOS. PIIOS-AC.
EYES-FACE.
79
puls. rhus. SECALE. sep. sil. stram. sulph. sulph-ac.
thuja. VERAT.
Vertigo with nausea and thirst: VERAT.
Vertigo with stupor: Ant-t. ars. bell. bry. calc.
caus. kali. laur. lyc. merc. natr-m. nux-v. op. PHOS.
phos-ac. puls. rhus. SECALE. sil. spig. stram. sulph.
VERAT.
EYES.
Eyes sunk in the orbits, with livid semicircles
under them: ARS. calc. camph. cic. CUPR. kali. laur.
PHOS. PHOS-AC. SECALE. sulph. VERAT.
Eyes sunk in the orbits, with hoarse voice: Ars.
calc. camph. cic. CUPR. kali. laur. PHOS. phos-ac.
SECALE. sulph. VERAT.
Eyes upturned and fixed: CAMPH. cic. VERAT.
Pupils contracted: ARS. hell. cham. CAMPH. cicut.
nux-v. puls. SECALE. sep. VERAT.
FACE.
Bluish color of the face: Acon. ant-t. ARS. bell.
bry. CAMPH. cham. cic. con. CUPR. dig, dros.
hepar. hyos. ign. ipec. lach. lyc. merc. op. phos. puls.
samb. spong. staph. stram. VERAT.
Bluish and pale face: ANT-T. ARS. bell. bry.
CAMPH. cic. con. CUPR. dig. dros. hepar. hyos.
ign. ipec. lach. lyc. mere. op. PHOS. puls. samb.
spong. stram. VERAT.
80
FACE.
Bluish color about the eyes: ARS. calc. cham,
chin. CUPR. ferr. graph. hepar. ign. ipec. kali. lach.
lyc. merc. natr. nux-v. oleand. phos. PHOS-AC. rhus.
sabin, SECALE. sep. spig. staph. stram. sulph.
VERAT.
Blueness of the lips: Ang. ars. camph. caus. berb.
chin-sul. cupr. dig. lyc. phos.
Blueness of the lips, with corrugated and with-
ered appearance of the skin: ARS. CAMPH. CUPR.
lyc. phos.
Blueness under eyes; sleeps with eyes open :
ipec. PIOS-AC. sulph. VERAT.
Blueness of the face and lips; coldness of the
lips: ARS. cupr. VERAT.
Blueness of the face; vomiting after drinking;
pulse slow; sweat clammy: VERAT.
Cold perspiration on the face: Carb-v. rheum.
nux-v. rhus. verat.
Cold perspiration on the forehead during the
evacuation: VERAT.
Cold perspiration on the face and limbs: CARB-V.
Coldness of the nose: Arn. bell. plumb. verat.
Coldness of the nose and hands: Bell. VERAT.
Facies cholerica: ARS. camph. carb-v. CUPR. ipec.
laur. phos. phos-ac. rhus. SECALE. VERAT.
Face choleric; voice hoarse: ARS. camph.
CARB-V. CUPR. laur. PHOS. phos-ac. rhus. secale.
VERAT.
81
Spasm of the jaw: Bell. cham. CAMPH. cic.
CUPR. hydro-ac. lach. laur. op. rhus. SECALE.
VERAT.
TONGUE.
TONGUE.
Coats on the tongue.
Brown: Bell. CARB-V. hyos. PIIOS. rhus-rad.
sabin. sulph.
Mucous: Bell. cupr. dulc. lach. merc. PIIOS-AC.
puls. sulph.
Viscid: PHOS-AC.
White: Ant-cr. arn. bell. bry. calc. carb-v. cupr.
dig. ign. ipec. merc. nitr. nux-v. petr. puls. sabin.
secale. sep. sulph.
Yellowish Bell. bry, carb-v. cham. chin. coloc.
IPEC. nux-v. plumb. puls. rhus-rad. verat.
Coldness of the tongue: Ars. bell. camph. laur.
natr-m. secale. VERAT.
Coldness of the tongue and breath: Ars.
CARB-V. camph. VERAT.
Coldness of the tongue, with dryness of it and
of the mouth: ARS. bell. camph. -laur. SECALE.
VERAT.
Coldness of the tongue, with cold sweat on the
body: Ars. CAMPI. secale. VERAT.
The same symptoms in a more advanced state
of collapse: ARS. camph. carb-v. CUPR. SECALE.
VERAT.
/
.
}
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7
82
NAUSEA VOMITING.
Redness of the tongue: Ars. bell. bry. cham.
hyos. lach. nux-v. rhus. stann. sulph. verat.
Redness of the tip of the tongue, in the febrile
variety, or in the fourth stage: RHUS-RAD.
Tongue red, and coated yellow: Bry. cham.
nux-v. rhus-rad. VERAT.
Tongue red; pulse slow: Bell. rhus-rad. VERAT.
NAUSEA AND THIRST.
Nausea with thirst: Bell. Pños. VERAT.
Nausea with vertigo: CAMPH. merc. verat.
Nausea with continued pain at the pit of the
stomach: Acon. ant-t. ARS. bell. CAMPH. cham.
CUPR, merc. natr-m. nux-v. PHOS. puls. rhus. sulph.
VERAT.
Nausea with diarrhea: Ars. ipec. merc. PHOS.
Thirst, violent: Acon. ARS. bry. CAMPH. CARB-
v. cham. cic. CUPR. ipec. laur. merc. natr-m. nux-v.
phos. phos-ac. sECALE. stram. VERAT.
Thirst with nausea: PHOS. VERAT.
VOMITING.
Vomiting after a meal; blueness of the lips:
ARS. phos.
Vomiting after drinking; with blueness of the
face: ARS. VERAT.
Vomiting after drinking: Arn. ARS. bry. nux-v.
puls. VERAT.
V
STOMACH.
83
Vomiting frothy: VERAT.
Vomiting of a watery liquid, analogous to that of
the stools, with pieces of mucus: ARS. bell. camph.
CUPR. IPEC. JATROPH. secale. stram. VERAT.
Vomiting with pain in the stomach: Ant-t. ARS.
bry. camph. CUPR. IPEC. lach. Dux-V. PHOS. sulph.
stram. VERAT.
Vomiting with colic: Ant-t. ars. CUPR. nux-v.
PHOS. puls. stram. VERAT.
Vomiting with diarrhea: Ant-t. ars. cupr.
jatroph. IPEC. phos. secale. stram. VERAT.
Vomiting with colic and diarrhea: Ant-t. ARS.
CUPR. PHOS. stram. VERAT.
Vomiting with lassitude: Ars. camph. IPEC.
phos. VERAT.
PAINFUL SENSATIONS AT THESTOMACH
AND PIT OF THE STOMACH.
Anxiety, distention, and pressure at the pit of the
stomach: ARS.
Burning in the stomach: ARS. bell. bry. camph.
canth. CARB-V. cham. cic. jatroph. laur. merc.
nux-v. PHOS. phos-ac. SECALE. verat.
Burning in the pit of the stomach: Acon. ARS.
bell. bry. laur. merc. nux-v. PHOS. secale. VERAT.
Burning heat in the stomach or pit of stomach:
ARS. CAMPH. HYDRO-AC. PIIOS.
Burning sensation in the stomach and intestines,
84
STOMACH.
sometimes extending along the oesophagus to the
mouth: ARS.
Cramp in the stomach: Bell. bry. carb-v. cham.
CUPR. natr-m. nux-v. PHOS. SECALE. VERAT.
Pressure and anxiety at the pit of the stomach:
ARS. CAMPH. cupr. IPEC. NUX-VOM. verat.
Continued pain at the pit of the stomach with
nausea: Acon. ant-t. ARS. bell. CAMPII, cham. CUPR.
merc. natr-m. nux. PHOS. rhus. sulph. VERAT.
Pain in the stomach, with vomiting: ANT-T.
ARS. CAMPH. CUPR. IPEC. PHOS. VERAT.
Continued pain in the pit of the stomach with
rumblings in the intestines: Acon. ant-t. ars. bell.
camph. CARB-V. CUPR. jatroph. merc. natr-m. nux-v.
PHOS. PHOS-AC. puls. rhus. SECALE. sulph. VERAT.
Pressive or aching pain at the pit of the stomach
with liquid stools: Ant-t. ars. CAMPH. cupr. PIIOS.
secale. VERAT.
Pressive or aching pain at the pit of the stomach,
with cramps or other spasms in the extremities or
elsewhere: Ant-t. CAMPH. CUPR. phos. phos-ac.
natr-m. secale. VERAT.
Sensibility and swelling of the pit of the stomach:
Hepar. lyc. natr-m. sulph.
Painful sensibility of the pit of the stomach, with
spasms of the extremities: Ant-t. ars. CAMPH.
CUPR. natr-m. phos. phos-ac. VERAT.
ABDOMEN-DIARRHŒŒA.
85
ABDOMEN.
Pains in the abdomen, with diarrhea: Ant-t. ARS.
cham. IPEC. laur. merc. merc-c. natr-m. nux-v. phos.
rhus. stram. sulph. VERAT.
Rumblings in the intestines: Acon. ant-t. ars.
bell. bry. canth. CARB-V. cupr. jatroph. laur. lyc.
merc. natr-m. Nuc-v. PHOS. PHOS-AC. plumb. puls.
rhus. secale. stram. sulph. VERAT.
Rumblings in the intestines, with continued
pain in the pit of the stomach: Acon. ant-t. ars.
bell. camph. CARB-V. CUPR. jatroph. merc. natr-m.
NUX-V. PHOS. PHOS-AC. puls. rhus. SECALE. sulph.
VERAT.
Rumblings in the intestines, with liquid stools:
Ant-t. ars. jatroph. nux-v. petr. PHOS. PHOS-
AC. puls. rhus. secale. VERAT.
Throbbings in the abdomen: Ant-t. caps. ign.
op. plumb. sang.
DIARRHŒA.
Diarrhea, with a pasty tongue, which sticks to
the fingers: PHOS-AC.
Diarrhea with nausea: Ars.ipec. merc. PHOS.
Diarrhea with vomitings: Ant-t. ars. cupr.
jatroph. IPEC. PHOS. stram. VERAT.
Diarrhea, with vomiting of the food eaten, and
of watery liquid: ARS. cUPR. IPEC. PHOS.
VERAT.
5
86
DIARRHŒA-STOOLS.
Diarrhoea, with aching or pressure, at or near
the pit of the stomach: CAMPH. cham. CUPR. merc.
natr-m. PHOS. PHOS-AC. secale. VERAT.
Diarrhea, with pain in the abdomen: Ant-t.
ARS. cham. ipec. laur. merc. merc-c. natr-m. phos.
stram. sulph. VERAT.
Diarrhæa, occasioning great prostration of
strength: ARS. bry. chin. con. merc. PHOS. rheum.
SECALE. sep. sulph. verat.
Diarrhæa, occasioning great prostration of
strength, in aged persons; Con. SECALE.
Stools brown: Ant-t, ars. CAMPH. merc-c. sulph.
VERAT.
Stools greenish: ARS. bell. canth. cham. ipec.
laur. merc. nux-v. PHOS. PHOS-AC. sulph. VERAT.
Stools gray or slightly whitish: Acon. ars. bell.
carb-v. cham. lach. merc. PHOS. PHOS-AC.
puls. rhus. sulph. verat.
Stools liquid: Arn. ars. carb-v. chin. cic. jatroph.
lach. meph. PHOS. PHOS-AC. SECALE. VERAT.
Stools liquid and whitish: Ars. camph. cupr.
jatroph. PHOS. PHOS-AC. secale. VERAT.
Liquid and whitish stools, with white coat of
tongue: Cupr. PHOS. SECALE.
Liquid stools, with continued pain at the pit of
the stomach: Ars. CAMPH. chin. cupr. PHOS.
VERAT.
Liquid stools, with rumblings in the intestines:
DIARRHOEA-STOOLS.
87
Ant-t. ars. jatroph. nux-v. petr. PHOS. PHOS-AC.
puls. rhus. secale. sulph. VERAT.
Stools liquid; evacuation painful (attended with
colic) ARS. carb-v. PHOS. spig. staph. VERAT.
Stools liquid; evacuation painless: ARS. carb-v.
chin, cic. PHOS. PHOS-AC. secale. spig. VERAT.
Stools mucous and watery: Ant-t. ars. bell. chin.
ipec. nux-v. PHOS. PHOS-AC. puls. rhus. SECALE.
sulph-ac. VERAT.
Rice-water stools, or stools like whey or water,
with whitish or grayish flocks in it: Ars. CAMPH.
cupr. ipec. jatroph. PHOS. PHOS-AC. secale.
VERAT. (If there is inflammation, consult also,
acon. bry. and rhus.)
Rice-water stools, or watery, grayish, whitish, and
floculent stools, with great thirst: ARS. camph. cupr.
ipec. PHOS. PHOS-AC. VERAT. (If in the febrile
variety, or in the 4th stage: acon. bry. or rhus.)
Stools whitish: Acon. ars. camph. bell. cham.
chin. cupr. ipec. jatroph. merc. nux-v. PHOS.
PHOS-AC. secale. sulph. verat.
Watery and white flocky stools, with cramps and
thirst: Acon. ars. bry. CAMPH. CUPR. ipec. phos.
phos-ac. rhus. sECALE. VERAT.
Watery and white-flocky stools with clonic
spasms (spasmodic movements) and thirst: Acon.
ARS. bry. CAMPH. CUPR. ipec. phos. phos-ac.
SECALE. VERAT.
88
URINE-VOICE.
Whitish flocks in serous stools with pulse
scarcely perceptible: Acon. ARS. bry. CAMPH,
PHOS-AC. rhus. SECALE. VERAT.
Liquid stools with white flocks and grains, hav-
ing the consistence and color of tallow : PHOS.
Stools yellowish: Ant-t. ars. cham. ipec. merc.
PHOS. PHOS-AC. puls. verat.
Yellowish stools, especially in an early stage of
the disease: Ant-t. ars. cham. ipec. merc. PHOS.
PHOS-AC. VERAT.
URINE.
Retention of urine: CAMPH. CANTH. lach. merc-c.
op. plumb. VERAT.
Retention of urine, with ineffectual desire to
urinate; at the commencement of the stage of
reaction: CANTH. verat.
Urine scantily secreted, or suppressed: Ars.
camph. CARB-V. CUPR. ipec. SECALE. stram. VERAT.
The same symptom in the consecutive fever:
BELL. carb-v. RHUS. stram.
Secretion of urine diminished; with cramps in
the calves of the legs: ARS. calc. CAMPH. cann.
carb-v. coff. coloc. con. CUPR. graph. hyos. lach.
lyc. merc. natr. nux-v. petr. rhus. secale. sep. sil.
sulph. VERAT.
VOICE.
Voice hoarse: Ars. bell. bry. calc. camph.
CARB-V. caus. cham. chin. cic. CUPR. dros.
89
graph. hepar. laur. merc. natr-m. nux-v. PHOS.
phos-ac. puls. rhus. secale. spong. sulph. VERAT.
CHEST.
Voice hoarse, face choleric: ARS. camph. CARB-V.
CUPR. laur. PHOS, phos-ac. rhus. SECALE. VERAT.
Voice lost (aphonia): Ant. bell. CARB-V.
caus. cham. chin. CUPR. dros. hepar. kali. lach.
laur. merc. natr-m. nux-v. petr. PHOS. puls. sep.
sil. spong. stann. sulph. VERAT.
CHEST.
Anguish in the chest: Acon. ARS. bell. bry.
camph. carb-v. cic. CUPR. hydroc-ac. ipec. jatroph.
laur. natr-m. phos. PHOS-AC. rhus. stram. VERAT.
Breath cold: CARB-V. (And, according to
some clinical observations: ars. camph. verat.)
Constriction (spasmodic) of the chest: CAMPH.
caus. CUPR. ferr. IPEC. lach. nitr-ac. nux-v. op.
PHOS. phos-ac. puls. spig. stram. sulph. VERAT.
Cramps or tonic spasms in the chest: Ars. bell.
CAMPH. caus. CIC. CUPR. ferr. graph. hyos. IPEC.
kali. merc. nux-v. op. PHOS. phos-ac. puls.
SECALE. sep. stram. sulph. VERAT.
Cramps in the muscles of the chest, with con-
tinual vomitings, and with the eyes turned upward:
CAMPH, CIC. VERAT.
Respiration laborious; cold and blue skin: ARS.
CAMPII. CARB-V. CUPR. ipec. secale. VERAT.
90
EXTREMITITIES.
SUPERIOR EXTREMITIES.
Cramps in the upper arms: Phos-ac. secale.
Cramps in the fore arms: Laur. phos-ac. secale.
Cramps in the wrist: Phos-ac.
Coldness of the hands: Acon. ant-t. bell. cham.
ipec. nat-m. nux. petr. phos. sulph. VERAT.
Cramps in the hands: Bell. calc. cann. coloc.
graph. laur. phos-ac. SECALE. stram.
Cramps in the fingers: Arn. ars. calc. cann.
coff. dros. ferr. lyc. nux-v. phos. phos-ac. SECAle.
stann. staph. sulph. VERAT.
Cramps in the fingers, with clamminess of the
tongue and skin: Pños-ac.
Cramps in the fingers, with clammy perspira-
tion: Ars. ferr. lyc. nux-v. phos. phos-ac. VERAT.
INFERIOR EXTREMITIES.
Coldness of the feet: Acon. ant-t. bell. calc. caus.
dig. graph. ipec. kali. lach. lyc. merc. natr. natr-m.
nitr-ac. petr. PHOS. plat. plumb. rhod. rhus-rad.
sep. sil. sulph. VERAT.
Cramps in the nates: VERAT.
Cramps in the hips: Coloc. phos-ac.
Cramps in the thighs: CAMPH. cann. hyos.
ipec. merc. petr. phos-ac. rhus. sep. VERAT.
Cramps in the hams:
Cramps in the legs:
JATROPH. phos-ac.
Calc. cann. phos.
Carb-v. coloc. CUPR.
91
Cramps in the calves of the legs: Ant-t. ars. bry.
calc. CAMPH. cann. carb-v. cham. coff. coloc.
CUPR. graph. hyos. JATROPH. lach. lyc. merc.
natr. nitr-ac. nux-v. petr. PHOS. rhus. secale. sep.
sil. sol-n. staph. sulph. VERAT.
Cramps in the calves of the legs, with burning
heat in the stomach, or pit of stomach: ARS.
CAMPH. PHOS.
SKIN.
Cramps in the calves of the legs, with diminished
secretion of urine: Ars. calc. CAMPH. cann.
carb-v. coff. coloc. CUPR. graph. hyos. lach. lye.
magn. merc. natr. nux-v. petr. rhus. secale. sep.
sil. staph. sulph. VERAT.
Cramps in the calves; coldness of the feet: Ant-t.
calc. graph. lach. lyc. merc. natr. nitr-ac. petr.
PHOS. rhus-rad. sep. sil. sulph. VERAT.
Cramps in the feet: CAMPH. caus. graph. lyc.
natr. nux-v. secale. stram. sulph.
Cramps in the feet, with burning in the stomach
or pit of stomach: CAMPH.
Cramps in the soles of the feet: Calc. carb-v.
coff. ferr. hepar. petr. phos-ac. plumb. secale. sil.
staph. sulph.
Cramps in the toes: Calc. ferr. hepar. lyc. merc.
nux-v. phos-ac. SECALE. sulph.
SKIN.
Blueness of the skin: Acon. arn. ARS. bell. bry.
calc. camph. CARB-V. CUPR. dig. lach. merc. natr-
92
SKIN.
m. nux-v. op. phos. phos-ac. plumb. puls. rhus.
SECALE. sil. spong. thuja. VERAT.
Blueness and withered appearance of the skin
in different parts: ARS. bry. calc. CAMPH. CUpr.
merc. nux-v. phos, phos-ac. SECALE. sil. spong.
VERAT.
Coldness of the skin: Acon. ant-cr. ant-t. arn.
ars. bell. bry. calc. CAMPH. cann. canth. CARB-V.
caus. cham. chin. cic. cupr. dros. dulc. ferr. graph.
hell. hepar. hyos. ign. IPEC. kali. lach. laur. lyc.
merc. mez. natr. natr-m. nitr-ac. nux-v. op. petr.
PHOS. phos-ac. plumb. puls. rhus. sabad. sabin. se-
cale. sep. sil. spig. spong. stann. staph. stram. sulph.
thuja. VERAT.
The medicines which correspond both to cold-
ness and blueness (of the skin) respectively or col-
lectively, are: Acon. arn. ARS. bell. bry. calc.
CAMPH. CARB-V. CUPR. lach. merc. natr-m. nux-v.
op. PHOS. PHOS-AC. plumb. puls. rhus. SECALE. sil.
spong. thuja. VERAT.
Skin cold and bluish, and covered with cold per-
spiration: ARS. camph. carb-v. CUPR. ipec. SE-
CALE. VERAT.
Coldness of the skin with mental indifference or
tranquillity: ARS. ipec. NATR-M. VERAT.
Withered or wrinkled skin: Ant-cr. ARS. bry.
calc. camph. cham. chin. CUPR. ferr. graph. hell.
hyos. iod. kali. lyc. merc. mur-ac. nux-v. phos.
93
PHOS-AC. rheum. SECALE. sep. sil. spig. spong.
stram. sulph. VERAT.
The medicines which correspond, respectively
or collectively, to blueness, coldness, and shriveled
state of the skin, are: ARS. bry. calc. CAMPH. CUPR.
merc. nux-v. PHOS. PHOS-AC. SECALE. sil. spong.
PERSPIRATION.
VERAT.
The medicines which, on the ground of clinical
experience, have been more especially recom-
mended for this combination of symptoms in the
stage of collapse in cholera, are: ARS. CAMPH.
CARB-V. CUPR. hydroc-ac. jatroph. SECALE.
VERAT.
PERSPIRATION.
Perspiration, cold: Acon. ant-t. ARS. bell. bry.
cale. CAMPH. canth. CARB-V. cham. chin, cin.
coff. CUPR. dulc. hell. hepar. hyos. ign. IPEC. lach.
lyc. merc. natr. nitr-ac. nux-v. op. petr. phos.
phos-ac. plumb. puls. rheum. rhus. sabad. SECALE.
sep. sil. spig. stram. sulph. thuja. VERAT.
Perspiration, viscid, clammy: ARS. camph.
carbo-v. daph. ferr. hepar. jatroph. lach. lyc. merc.
nux-v. phos. phos-ac. plumb. secale. VERAT.
Perspiration clammy, with slow pulse: CAMPI.
merc. VERAT.
Perspiration clammy, with spasmodic move-
ments of the jaw: CAMPH. merc. nux-v. phos.
plumb. SECALE. VERAT.
94
MISCELLANEOUS SYMPTOMS.
PULSE.
Pulse feeble and frequent: Ars. CARB-V. lach.
nux-v. rhus-rad.
Pulse feeble and slow in the 1st stage:
CAMPH. cann. dig. LAUR. merc. puls. rhus-rad.
VERAT.
Pulse feeble and slow in the 4th stage: Camph.
cann. dig. laur. merc. puls. RHUS-RAD. VERAT.
Pulse feeble and small: ARS. CAMPH. chin. dig.
LACH. Nux-v. PHOS-AC. puls. RHUS. VERAT.
Pulse scarcely perceptible, with watery and white-
flocky stools: Acon. ARS. bry. CAMPH. PHOS-AC.
rhus. SECALE. VERAT.
GENERAL AND MISCELLANEOUS SYMP.
TOMS.
Burning internally, and tossing, with fear of
death: ARS.
Burnings in the stomach and abdomen, with an-
guish and tossing: ARS. CAMPH.
Cholera followed by cerebral and abdominal
affections: BELL.
Collapse so complete that no vomiting, diarrhoea,
or spasms remain, though some or all of them
have existed previously: ARS. camph. CARB-V.
CUPR. HYDRO-CY. aur. NICOTIN. verat.
Collapse, without previous or present vomiting
95
or diarrhea: CAMPH. CARB-V. hydro-ac. laur.
VERAT.
Cramps or other spasms at night: Ars. camph.
calc. cina. CUPR. hyos. ipec. kali. lyc. merc. op.
SECALE.
Cramps in the stomach and extremities, with cold-
ness of the body in an early stage, with but little
diarrhoea: CAMPH.
MISCELLANEOUS SYMPTOMS,
Spasms, clonic (convulsions): Ant-t. ars. bell.
bry. cale. CAMPH. canth. carb-v. caus. cham. cic.
con. CUPR. hyos. ign, ipec. kali. lyc. merc. natr-m.
op. phos. phos-ac. plat. rhus. SECALE. sep. sil. stann.
STRAM. sulph. VERAT.
Spasms, severe and clonic, with but little diar-
rhoea or vomiting: Ars. CAMPH. CUPR. ipec. se-
cale. VERAT.
Spasms, tonic (tetanus cramps, etc.): Ars.
bell. caus. cham. CIC. CUPR. ign. ipec. lyc. merc.
petr. phos. plat. rhus. SECALE. sep. stram. sulph.
VERAT.
Spasms, severe and tonic, with but little diar-
rhoea or vomiting: CAMPH. CUPR. ipec. SECALE.
VERAT.
Spasms or cramps in the extremities or elsewhere,
with weight, pressive pain or aching, at the pit of
the stomach: Ant-t. CAMPH, CUPR. natr-m. phos.
phos-ac. secale. VERAT.
Spasms of the extremities, with painful sensibil-
96
TIME.
ity of the pit of the stomach: Ant-t. Ars. CAMPH.
CUPR. natr-m. phos. phos-ac. VERAT.
Spasms return at night: Cuprum. SECALE.
Excessive and sudden debility: Ars. carb-v.
CUPR. ipec. lach. laur. nux-v. PHOS. PHOS-AC.
secale. VERAT.
!
The patient worse after midnight, or early in the
morning: Acon. ant-t. ARS. bell. canth. CARB-V.
CUPR. kali. lach. merc. natr. natr-m. nux-v. petr.
PHOS. PHOS-AC. RHUS. secale. stram. sulph. VERAT.
The patient made worse by movement: Acon.
ant-t. ARS. BELL. bry. CAMPH. canth. carb-v. cic.
CUPR. dig. hyos. IPEC. kali. lach. laur. merc. natr-m.
nux-v. petr. PHOS. PHOS-AC. plumb. rhus-rad.
SECALE. stram. sulph. VERAT.
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