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Smith's Homceopathic Pharmacy,
No. I          BROADWAY,
J. T. S. SMITH,
Has for sale a large assortment of Homeopathic Triturations, Tinctures, Dilutions and Pellets, including theý
highest attenuations, both imported and of his own prepa-i
ration.
Cases for Physicians and Family use, of various sizes
and prices.
Pure Sugar of Milk, Alcohol, Distilled Water, and
and Unmedicated Pellets, constantly on hand.
Smith's Homeopathic Court Plaster, a substitute foi
the ordinary Court Plaster, and an excellent application
for Corns..    Country orders promptly and carefully executed.





HOM(EOPATHIC
DOMESTIC MEDICINE.
BY
J. LAURIE, M.D.
SENIOR PHYSICIAN TO THE WESTMINSTER AND LAMBETH
HOM(LOPATHIC MEDICAL INSTITUTION AND DISPENSARY.
ARRANGED AS A PRACTICAL WORK FOR STUDENTS.
CONTAINING
A GLOSSARY OF MEDICAL TERMS.
THIRD AMERICAN EDITION ENLARGED AND IMPOVED,
BY
A. GERALD HULL, M. D.
NE.W  YORK:
WILLIAM RADDE, 322 BROADWAY.
1846.





According to Act of Congress, in the year 1846,
BY WILLIAM RADDE,
In the Clerk's Office of the District Court for the Southern
Distriet of the State of New-York.





PREFACE TO THE AMERICAN EDITION.


THE editor recommends laymen who make use of this
book, to resort to lower dilutions in the treatment of acute
attacks of disease in preference to those set down in the
text.
For example, where Aconite, Belladonna or Chamomilla of the 24th or 30th attenuation are prescribed by
Dr. Laurie, the editor would put one drop, of the tincture
of either of these remedies in a tumbler full of water
and give a tablespoonful at a time; but in chronic maladies the editor earnestly recommends the doses set forth
in the text.
The editor considers the tinctures and the first and
second dilutions, when used in water, as nearly of the
same medical power; perhaps, however, it is best to put
two or three drops of these dilutions to the tumbler of
water when they are applied in place of the tinctures.
When the triturations are contained in a medicine chest,
instead of the higher dilutions, which are preferred to
them, one grain of any of them can be dissolved in a
tumbler of water and used as above indicated.
In general, it may be best to repeat the doses of these
solutions at the same intervals of time as are prescribed
in the work; but the editor respectfully suggests, that in
very severe cases of acute diseases, as in convulsions,
or rapidly exhausting diarrh(ea or hemorrhage, it is pro




iv


PREFACE TO THE AMERICAN EDITION.


per to make the intervals much shorter than the author
prescribes. It is quite probable that the water solutions
can be repeated at shorter intervals, cceteris paribus, than
the pellets or powders; and for this reason physicians
often dissolve the pellets themselves in water, and repeat
the spoonful doses twice or thrice as frequently as they
would give them dry.
The editor's mode of using this work in acute diseases
then, is, to put one drop of the tincture or two drops of
a first or second dilution, into a tumbler of water, and to
administer of this solution a tablespoonful to an adult and
a teaspoonful to a child, as a dose. Or, again, when a
trituration (a dry powder) is preferred, to stir one-third
of an ordinary penknife blade full (about equal to one
grain in weight) of it in a tumbler of water, and use the
same doses.
And finally, when the pellets are good, and are preferred by the prescriber, the editor recommends that five
or six of them be dissolved in a tumbler of water, and
"that they be repeated twice as frequently, as a general
rule, as the dry pellets are ordered in the text.
The water should be very pure and the glasses and
spoons should be scrupulously cleansed before using them
for medicines.


New York, March, 1846.
496 Broadway.





PREFACE.
IN offering to the public a Second Edition of this work, of
which an impression of upwards of one thousand copies has been
sold in less than eighteen months, the author feels that a few words
of explanation are required., On a comparison with the first edition, the reader will find a
great number of serious and acute affections added, some others
more deeply entered into, several alterations in the potencies prescribed, and more explicit directions given for the administration
and repetition of the different remedies.
When the author first committed this work to the press, it was
simply intended to be, what its name implied, a Treatise on
Domestic Medicine, by which individuals might be enabled to treat
themselves or their families in slight affections, or even, in case of
necessity, in more serious diseases, subject to the restriction mentioned in the preface to that edition. Since that time, however, the
homoeopathic system has been daily attracting more attention from
the medical world, and the want of a work which might serve for
a practice of Physic for blginners, has been repeatedly a subject
of complaint. In order partially to supply this want, the author
has materially added to the number of diseases treated, and prescribed the potencies found most useful in practice in the more
severe forms of disease; he has also given the book a more medical
character by the addition of the diagnosis of disease, causes, &c.,
and the employment of medical terms: but in order not to interfere with the utility of the work, a glossary has been added for the
non-professional reader.
The non-medical public who confine themselves to their proper
sphere, viz., the treatment of slight and ordinary aliments, will still
find this Treatise useful as a DOMESTIC MEDICINE; in such cases
the globules at medium and high potencies are amply sufficient.
It may be remarked, moreover, that the globules are much better
adapted for keeping than the tinctures, and, with proper precautions,
will retain their medicinal virtues for many years.
At the request of several friends directions have been given for
the administration and repetition of the medicines in each disease;
some remarks, also, are made upon this important point in the
Introduction, to which, and the article upon the Potencies of the
medicine, the attention of the reader is particularly requested.
J. L.
12, Lower Berkeley Street, Portman Square:
March, 1844.





PREFACE TO THE FIRST EDITION.
IN presenting this little work to the public, the author may be
allowed to state, as briefly as possible, the motives that have led him
to the undertaking.
Of these, the principal are, the present paucity* of homceopathic
practitioners; the refutation, by a plain statement of the treatment
of acute disease, of the too prevalent idea, that Homceopathy is
available only in Chronic affections; and the hope that this work
may, under proper restrictions, prove of service in cases of ordinary
derangement, or where the advice of a homceopathic physician is
unattainable; and by assisting in the selection of the proper remedy,
save many from having recourse to allopathic modes of relief, such
as aperients, &c., which are so calculated to undermine the strongest
constitution, and convertltrifling affections in permanent maladies.
From the first-mentioned motive, (the present want of homoeopathic practitioners,) the author has found himself compelled to
include many acute diseases, which fall more particularly within
the province of the physician: in so doing, he has given a range of
treatment that will meet a great variety of cases, and in almost all,
so far obviate immediate danger, and place the malady in such a
position as to give time, when imperatively necessary, for seeking
suitable advice.
In cases that require prompt and decided measures, such as
"Convulsions," " Croup," &c., the treatment has been pretty fully
gone into. In others, such as " Inflammation of the Brain and
Lungs," the course to be pursued to ward off all immediate danger,
has been briefly, but it is to be hoped, clearly pointed out. Other
acute or dangerous maladies, such as " Peurperal Fever," " Phlegmasia Alba Dolens," (puerperal tumid leg,) Epilepsy, Cancer, &c.,
have been either slightly glanced at, or wholly omitted; convinced,
that to do justice to their several treatments, would carry the work
far beyond its intended limits and purpose, and that an imperfect
sketch would be rather productive of injury than benefit.
* I have sincere gratification in remarking, that even since the first publication of this work, this want has been to some extent diminished by the
great number of medical converts who are daily joining our ranks, and
whose extensive practice, wherever they are settled, holds out most cheering
prospects for the future. Still, in many of the great towns and densely populated districts of this empire, as weUl as In our possessions abroad, a homaeopathic practitioner would be eagerly welcomed. Much has been, but more
remains to be done.-AUTHOR.





PREFACE.


vii


In many instances, Domestic Medicines do considerably more
harm than good, by inducing individuals to rely too fully upon
their own resources, and to omit having recourse to those who have
made the diseases of mankind their peculiar study; but still greater
injury results from an ill-regulated perusal of elaborately written
medical works, which require the previous education of the physician
fully to comprehend, and his practicl experience properly to apply.
To the Student, still at the threshold of our science-to the Allopathist, willing by fair experiment to put the system to the test-it
is hoped that this little work may prove peculiarly valuable.
It may be here remarked, that the beautiful simplicity, and harmonious uniformity of the homcepathic system, conjoined with its
invariable rule of administering only one medicinal substance at a
time, have misled many into the idea, that it is so much easier of
practice than the old system, as scarcely to require the qualification
of a medical education; acting upon these false premises, many
amatears, after having studied a few of the leading medicines,
although wholly destitute of other physiological or pathological
knowledge, imagine themselves qualified to prescribe for every
variety of ailments, and their presumption is generally in exact
ratio with their ignorance. No doubt, from the inherent excellence
of the system, some of these zealous individuals have cured diseases
that have defied the allopathic mode; but generally, from the
absence of a medical education, and of a perfect knowledge of the
Materia Medica, by a circutious route; whereas the practised mind
of the physician, frequently detecting the nature of the disease, by
the administration of a specific remedy, directs the vital energies
into their proper channel, and by so doing, saves the patient from a
course of needless suffering.
If such be the.case in Chronic, how much more so in severe and
complicated Acute diseases; such, it is evident, no individual not
fully competent, should take upon himself the serious responsibility
of treating, unless coerced by an imperious necessity, and then with
the closest attention to, and most minute observance of the symptoms.
Under such conditions, the Author hopes that this work may
prove useful; and when the symptoms are perfectly in accordance
with those given under the different medicines, the administration of
the latter will be always marked with decided benefit.
In conclusion, it may be observed, that from the unfair impressions
of the science, that have been so industriously propagated, Homaeopathy has been too frequently treated as a species of charlatanism
to which people resort only, when every other mode of promised
relief has utterly failed. After enduring with patience a long and
ineffectual treatment under the old system, they feel disappointed if
Homoeopathy does not work an immediate cure; nay, in acute
dieases, when danger appears to threaten, some individuals fall
back upon allopathic measures, and undo all that the Homoeopothist
has effected: perhaps again seeking his assistance, when the mischief has been rendered irremediable by their own fatuity. Others,
who have seen members of their families (whose diseases were
beyond the power of medicine,) die during homcoopathic treatment,





Yiii                     PREFACE.
reproach the science with failure; whereas, their minds would have
felt perfectly satisfied, had such a misfortune occurred under the
old system; forgetting that, in many instances, the patient only
sought Hoaeopathy as a last resource, in cases where the affection
was of its own nature incurable, or had been rendered so by a long
course of improper treatment.
What Homceopathy stands upon, is the simple fact of success in
thousands of cases, in which every other mode has signally failedupon the firm and irrefragable basis of a multitude of unimpeachable and incontroyertible proofs.





TABLE OP MEDWffINES.


REMEDIES.                 ANTIDOTES.
Acidum nitric,       calcarea carb., camphora, conium, hepar sulph.,
mezereum, petroleum, sulphur.
do  phosphor,     camphor, coffea.
do  sulphur,      pulsatilla.
Acoritum napell.,    wine, vinegar, nux vom., camph.
Agnus castus,        camphor.
Alumina,             bryonia, camphor, chamomilla, ipecac.
Ammonium carbon,     arnica, camphor, hepsr sulph.
Antimonium crud.,    hepar sulph., mercur., Vulsatilla.
Argentum,            mercur., pulsat.
Arnica montan.,      camphor, ignatis, ipecac.
Arsenicum alb.,      china, hepar sulph., ferrum, graphit., ipecac.,
kall carb., nux vom., sambucus, veratrum.
Assafmotida,         causticum, china.
Aurum,              -bellad., china, cuprum, mercur.
Baryta carbon.       camphor, (bellad., mercur., dulcamara.)
Belladonna,          coffea, hyoscyamus, hopar sulph., pulsat.
Borax,               chamom., coffea, natrum mur.
Bryonia,             aconit., chamom., ignatia, mix vom.
Calcarea carbon,     camphor, nitric acid, sulphur.
do   phosphor,    camphor, coffea.
Caiomel or Mercurius hepar suiph., acid. nitrum.
duicis,
Camphor,             opium.
Cannabis,           camphor.
Cantharides,,        camphor.
Capsicum,            camphor.
Carbo animal.,       camphor.
do veget.,        arsenic, camph., coffea, fux vom., lachesie.
Causticum,           colfea, colocynth, nux vom.
Chamonilia,          aconite, cocculus, coffes, Ignatia, nor vom., puliat.
Cicuta virosa,       arnica, (when poisoned by It: tabacwn.)
Cina,               ipecacuanha.
Cinchona or china,  arnica, arsenic, beilad., caic. carb., dlna, ferrum
met., ipecac., nux Tom., puisat., suiph., veratrum.
Cinnamon,            camphor.
Cocculus,            camphor, nux vom.
Coffea,              aconite, chamom., ignat., nux vom.
Colcbicum,        - cocculus, nux vom., pulsat.
Coiocynth,           camphor, caustic., chamom., coffea.
Conium macul.,      coifea, dulcami., nitr. spir.
CorrosiveSubI. or Mer- acid. nitrum., asafoet., champh., china  hop.
curius subi. corros., suip., mezereum, opium, sassapar., sulphiur.
Cuprum acet.,        ferrum.
do   met.,        bellad., china, cocculus, dulcamara, hepar. sulph.,
ipec., mercur., nux vom.
Daphne,              bryonia, digitali., rhus tox., sepia, aliWc., zinc.
Digitalis,           nux vom., opium.
Dulcamara,           camphor, ipecac., mercur.
Drosera,             camphor.
Elleb. or Helleborus,  camphor, china.
Euphorbium. nig.,    camphor
Euphrasia,           camphor, pulsatilla.
Forrum acet.,        camphor l
do  met,          arnica, arsenic, bellad., china, hepar, suiph., "pedo.,
mnrcur., pulsat., veratrum.
Filix mas.,          camphor.
Graphites,           arsonic., nux vom.
Hepar sulphuris,    bellad., chamom.
Hyoscyamus,          bellad., champhor china.
Hydrargyrur, or Mer- boiead., china,carbo veg.
cur. VIVus.,





x
REMEDIES.
Jalapa,
Ignatia,
Iodine,
Ip cacuanha,
ali carbon,
Kreosotum,
Lachesis,
Ledum palustres,
Lycopodium,
Magnesia carb.,
Manganum,
Mercurius corrosiv.,
do    solubilis,
do    vivus,
Mezereum,
Millefolium,
Moachus,
Natrum carb.,
do   muriat.,
Nux vom.,
Opium,
Oxalid acid,
Petroleum,
Phiosphorus,
Plainsa,
Plumb. metall.,
Pulsatilla,
Ranurnculus bulb.,
Riatanhia,
Rheum,
Rhus toricodendr.,
Sabadil sa,
Sabina,
Sambacus fig.,
Sapo comm.,
Sarsaparilla,
Secale corn.,
Senega,
Senna,
Sepia,
Silicea,
Spigelia,
Spon'ia,
SquilNa,
Stannum,
Staphysagria,
Stramonium,
Sulphur,
Tabacum,
Tartarus emit.,
Theridion,
urktva urens.,
tUra ursi.,
Valerian,
Veratrum alb.,
Verbascum,
Viola odor.
do tricol.
Zincum metallic.,


TABLE OF MEDICINES.
ANTIDOTES.
camphor.
arnica, camph. chamem, cocculus, coffea, pulsat.
arsenic., campii, china, coffe, hepar sulph., phosphor, spongis, sulphur.
arnica, arsenic, china, nux vom.
camphor, coffea.
arsenic, iodine, chai., nux vom.
alum, arsenic, bellad., phosphor. acid., rhus, sambuc., veratrum.
camphor.
camphor, pulsatilla.
nagnes., muriat.
coffea.
acid. nitr., arnica, asafoet., ballad., camphor, carb.
ve g., china, clematis, dulcam., hepar. suiph.,
lac h sis, lycopod., mezereum. opium, sepia, sitecia, rhus tox., sarsaparilla, staphysagria, sulphur.
do           do          do
do           do          do
camphor, mercur.
camphor.
camphor.
arsenic, camphor.
arsenic, camphor, dulcam., spirit nitr.
aconit., alcohol, camphor, chamom., coffea, coccul.,
pulsat., wine.
camph., calc. carb., conium, hepar. sulpb., mezereum, petrol., sulph.
magnesia carb.
aconit, nut vom.
camphor, coircf, nux vein., wine.
pulsatilla.
alumina, bellad., hyoscyamus, platina, stramonium.
chamom., collos, ignat., nux vom.
bryonis, camphor, pulsat., rhus tel.
camphor.
camphor, chamom., aux vom.
beliad., bryon., camphor, coffes, sulphur.
camphor, pulsat.
camphor.
arsenic, camphor.
camphor.
camphor, opium, solan. niger,
arnica, bellad., bryon., camphor.
chamomilla.
acetum, aconit., nitr. spir., vinegar.
camphor, hepax sulph.
aurum fol., camphor.
camphor.
camphor.
ambra, camphor.
acetum, ballad., nut vom., tabac.
coffea, pulsatilla.
aconit., camphor, chamom., china, mercur., nut
Yrom., pulsat.
acetum, camphor, ipecac., nux vom.
COCCul., ipecac., pulsat.
belladonna, camphor, coilea, nercur.
aconit., arsenic, camphor, ceffea, clhina, mercur.
camphor.
camphor.
camphor.
camphor, hepar sulph., ignatia.





INTRODUCTION.


THE principal points we have to notice id this part
are, the regimen to be observed under treatmeht-Clothing, and Habits-the Administration and Repetition of
the Medicines- and the Potencies in general use.
REGIMEN.
The excellence of the hommopathic rules oft regimen
has wrested approbation even from our opponents,
although at the same time they disingenuously make use
of it as a handle against the science itself, and ascribe
the cures effected to its observance, rather thaft to the
efficacy of the medicines employed.
To individuals, unacquainted with Homoeopathy, the
regimen is represented as extremely rigid: to that
assertion a plain statement of the course to be pursued
in general cases will prove the best refutation; and it
may also be observed, that at the first sight the self-denial
imposed seems more stringent than it will ptove on being
carried into effect, and that many individuals in the
Author's own experience have pursued the same system
of diet, after they have had no further occasion for medical assistance, thus continuing from choice what they
had begun from necessity.                       *
The homeeopathic regimen consiets merely of the
avoidan"e of medicinal and indigestible substances dining
treatment, both as calculated to interfere with the atiddos





xii


INTRODUCTION.


of the medicines, and the proper functions of the alimentary system. Consequently, among liquids, the articles
generally proscribed are tea, coffee, malt liquors, wine,
and stimulants of every description; cocoa, unspiced
chocolate, or in fact any non-medicinal beverage is allowable.*
In animal food, pork, young meats-such as veal, lamb,
&c.; and among poultry, ducks and geese, had better
be avoided, when derangement of the digestive function
exists. Beef, mutton, vension, and most descriptions of
game are allowable at discretion.
Fish is a wholsome article of diet, and may, in most
cases, be partaken of without scruple, with the exception
of the oleaginous species, such as eels, salmon, &c.,
which had better be avoided, or used with extreme
moderation.
Stimulating soups and made dishes, are so evidently
opposed to homceopathic regimen, as scarcely to require
further notice.
Among vegetables, all of a pungent, aromatic, or
medicinal description, are prohibited; such as onions,
garlic, eschalots, asparagus, radishes, horse-radish,
celery, parsley, mint, sage, &c.; but others free from
such qualities, such as potatoes, French beans, green
peas, &c., may be used with the needful precaution of
avoiding any particular article of diet, whether of the
animal or vegetable kingdom, that may seem to disagree
with the individual. Spices, acids, and the ordinary
condiments, such as pepper, mustard, pickles, &c., ought
r * The idiosyncrasies in some individuals in respect of diet are
very remarkable; as for example, some cannot take the smallest
quantity of milk without serious inconvenience; others throw out
a rash after partaking of fish; and, again, others loathe the very
sight of animal food.





INTRODUCTION.


Xiii


either to be sparingly partaken of, or entirely abstained
from, particularly by the dyspeptic.
Sub-acid or unripe fruits are clearly objectionable,
and even ripe fruits should be used in extreme moderation, and by dyspeptic individuals not at all. Cold fruits,
such as melons, and raw vegetables, such as cucumbers,
&c., are also inhibited. Most fruits possess a laxative
property, even when preserved or cooked, and are particularly objectionable when in combination with pastry.
These peculiarities should not only be attended to in
prescribing a suitable course of regimen, but should also
be tak6n into an account in the selection of the medicines.
To a physician possessed of a proper degree of tact such
indications are most useful.
During fevers and inflammatory affections, the patient
must of course be kept upon a low regimen; gruel,
barley-water, &c.; and at the commencement of convalescence a light pudding, with a little weak beef-tea or
mutton or chicken broth, should form the whole of the
nourishment given. Nature, however, is our best guide,
and when she takes away appetite, thereby intimates the
necessity of not'taxing the digestive functions.
CLOTHING AND HABITS.
Upon this first point it were scarcely worth while
entering into any observations, were it not simply to
remark upon the impropriety of wearing garments impervious to air, and fitting closely to the shape, and the
custom of exposing the extremities and chests of young
children to the chilling atmosphere of our peculiarly
variable and humid climate, under the absurd idea of
making them hardy. The evil consequences arising
from the check given to perspiration, by the first menb





xiv


INTRODUCTION.


tioned practice, are too well known to require any particular comment; but as the other is an error widely
prevalent, I consider it my duty to mention it; and feel
assured, that if mothers will only reform their system,
and clothe their children in a more rational manner, they
will make no slight advance towards the prevention of
serious affections, not only during childhood, but in after
life.
As regards habits, it may be briefly observed, that a
systematic course of life, avoiding late hours, dissipation,
over study, anxiety, and other mental emotion, and taking
sufficient air and exercise, are the best preservatives of
health.
Excessive warm or cold bathing are injurious, particularly the former. The idea that sea-bathing is almost
universally beneficial is exceedingly erroneous; there
are many constitutions on whom it produces far other
than a salutary effect. Medicated baths, either natural
or artificial, are, it is scarcely necessary to observe,
strictly forbidden under Homceopathy.   Bathing the
whole frame with a sponge, with cold or scarcely tepid
water, and the use of the flesh-brush, are by no means
opposed to treatment.
The use of any medicinal or aromatic substances in
the arrangement of the toilet, such as camphorated or
otherwise medicated dentifrices,* lip-salves, smelling
salts, or cosmetics, is detrimental to the action of the
medicines, and had therefore better be avoided.
The deleterious gas that flowers emit during night,
renders their presence in bed-chambers highly reprehensible.
* Mr. HEADLAND, Chemist, 15, Princes street, Hanover square,
prepares a dentifrice free from any medicinal properties.





INTRODUCTION.


XV


POTENCIES OF THE MEDICAMENTS.
In homosopathic practice there are three points which
merit the most particular attention; the first and principal is the cHOICE of the PROPER REMEDY; the second
the potency at which it should be exhibited, and the
third its administration and repetition. I shall now
proceed to the consideration of the second; the selection
of the potency, attenuation, or dilution, and give such
directions as may serve for a guide in general cases,
premising at the same time that much depends upon the
discrimination of the administrator, and that it is impossible in this case to give any rule to which there are not
many exceptions.
The principal points to be attended to are, the susceptibility of the patient to medicinal influence, how far
modified by circumstances, the age, sex, temperament,
and habits-the disease itself, and further, the nature of
the medicament employed.
As regards the first, the susceptibility of the patient,
we find four classes. First class: Those who are comparatively insensible to medicinal influence, particularly at
high potencies, upon whom the medicines show neither
marked action  or reaction.  Such individuals are
generally of what is denominated the leucophlegmatic
temperament; they require low potencies and frequent
repetition-such cases are not without their parallel in
allopathic practice. Also, in disease, we find some
persons who appear to enjoy a peculiar exemption from
infectious and even contagious influence. To this rule,
however, of giving the low potencies in such cases, there
are exceptions: I have found in practice, after a careful
study of the individual, and a selection of a remedy







INTRODUCTION.


suitable to temperament, a marked action and reaction
produced by a very high potency where a lower of the
same medicament had failed to elict any apparent effect,
and vice versa.
Second, Class. A marked susceptibility to medicinal
action without a corresponding reflex action: such
patients are generally of a highly nervous temperament,
exceedingly difficult to treat, and require particular study;
here the higher potencies are generally called for, although we sometimes find benefit in resorting to the
lower.
Third Class. Those in whom no marked or a scarcely
preceptible medicinal action declares itself, but a wellmarked reaction; in such cases we must be guided by
other indications in the selection of the potency; watch
the effect carefully, and avoid too frequent a repetition.
Fourth Class. Those in whom the medicines show
a well marked action and reaction; here, also, We must
be- guided by other circumstances in the selection of the
potency, so as to obtain the greatest possible benefit
without materially increasing the sufferings of the
patient.
We generally find a particular susceptibility to medicinal influence, at any potency in persons dwelling in the
country, of robust frame, simple habits and regular lives,
who are not subject to any peculiar dyscrasia. In
towns, particularly in large densely-populated cities, this
susceptibility is greatly developed, but the reaction less
evident; however, much depending upon the individual's
employment, habits, and pursuits, it is difficult to give
any fixed rule.
IWAGE. In infancy and early childhood, we find a
marked receptivity to medicinal influence, a decided
action and speedy reaction, consequently the higher





INTRODUCTION.


xvii


potencies are the most applicable in their diseases, and
they rarely require so frequent a repetition; however,
in acute diseases of any of the more noble organs, we
may exhibit lower potencies, even the sixth; of some
of the less energetic medicines, for example, Chamomilla, we may even use the third, a globule constituting
the maximum dose. Some further remarks upon this
subject have been made in Diseases of Infancy.
SEX. Females, for the most part, possess a higher
degree of susceptibility than males, in which they approach nearer to children; for them the higher and
medium potencies are generally most suitable; to this
rule, however, there are many exceptions, particularly in
those who are engaged in laborious employments.
TEMPERAMENTS. In the Sanguine temperament, there
is considerable susceptibility to all the potencies and a
speedy reaction. In the Nervous, we find great susceptibility, sometimes without an equivalent reaction: here
we should be cautious in administering and generally use
the higher potencies. In the Bilious, there is but little
susceptibility, but the reaction, when roused is powerful,
and prolonged; hence a necessity for low potencies
generally given at long intervals. The lymphatic being
the least susceptible of all temperaments, the medicines
may be given at low potencies, and frequently repeated
till some effect is produced.
Since these temperaments generally occur in a mixed
form, the rules above given must be modified accordingly.
I may observe that the remarks above made refer
principally to chronic and subacute diseases.
THE DISEASE. In severe acute diseases we should
generally resort to the low potencies as prescribed
throughout this work, and in tinctures, except in cases of
children, as already observed. In ordinary cases the
b*





Xvii1             INTRODUCTION.
best range is from the third to the twelfth potency; this
rule should, of course, be modified according to the
remedy itself, the disease, and the individuality of the
patient.
THE NATURE OF THE REMEDY. Medicaments which
in their crude state possess little or no appreciable medicinal property, but whose virtues have been developed
by trituration and segregation of particles, such as
Lycopodium, Natrum   muriaticum, Calcarea carbonica,
Sepia, Carbo vegetabilis, Silicea, &c., should generally
be used at the higher potencies. Others also which
have been found from experience to display considerable
efficacy, even when greatly attenuated, such as Phqsphorus, Sulphur, Lachesis, Acidum nitricum, Arsenicum,
&c. On the contrary, some which have a short-lived,
but well-marked action, may be used in some cases in
the original substance; for example, Moschus, Valerian,
and Camphor, but in exceedingly small doses. Others
again have been found most useful at the first, second, or
third potency, such as Tartarus emeticus, Ferruin, Ipecacuanha, Hepar sulphuris, Stannum, Rhus toxicodendron,
Opium, and in many cases Cinchona. Still, all these
remedies in peculiar cases act well at the higher.
Throughout this work I have given the potencies
which the nature of the affection treated of seemed to
require, and in severe acute cases have prescribed tinctures. Those, however, who may not possess the
tinctures, will find the globules sufficient in all ordinary
cases, and the treatment of serious diseases should be
intrusted to competent hands, in which case I entertain a
hope that this little work may afford some slight service,
particularly to the medical man commencing to apply the
homoeopathic system; for whose guidance I have also





INTRODUCTION.


xix


added a few of the medicines which he may find it useful
to study in complicated cases.
I take this opportunity of remarking upon the absurd
and senseless outcry which has occasionally been raised
against the employment of low potencies and tinctures in
acute diseases by some few of the homceopathic public
-amateurs in medicine-who arrogate to themselves a
right to dictate to men who have devoted their lives and
abilities to the attainment of a difficult art-the experience of the leading professors of our science upon the
continent, fully corroborates the view I have taken, and
their opportunities of treating acute diseases are far more
numerous than the most extensive homceopathic practice
in this country can boast. No one with a grain of
common sense can imagine that a drop of the third
potency, in other words the millionth part of a drop of
Arsenicum or Belladonna contains a quantity of poison
dangerous to human life. In highly perilous acute affections, our great point is to obtain as speedy an effect
with as little suffering as possible, and when the physician
succeeds in effecting this, he may rest satisfied with
himself, even although it was by the assistance of a low
potency, of a powerful drug, and given in drops. I
must, on the other hand, warn the tyro in our system not
to imagine that because with a small dose he has done
much, that by increasing it he may do more; the faults
of most beginners is to fly too hastily to very low
dilutions, and repeat too frequently-patience, coolness,
firmness, and attentive observation are necessary to make
a good homoBopathist. For my own part, I consider the
whole range, from the first attenuation to the thirtieth,
useful, according to the nature of the case, the great
point is their proper application, and moreover, that a rigid
adherence to any particular dilution in all instances





XX


TNTRODUCTION.


savours rather of the empiric than of the professor of a
liberal art.
ADMINISTRATION AND REPETITION OF
THE MEDICINES.
Upon this subject we will offer a few remarks, premising at the same time, that it is almost impossible to
give any general rule that will serve in all cases, much
more depending upon the discrimination of the administrator, and a careful observance of the symptoms than
routine.
However, throughout this work I have given directions
for the exhibition and repetition of each medicine; these
are intended, of course, to be modified according to
circumstances, not blindly adhered to; the following
observations may, therefore, prove useful:
In acute diseases, we must carefully watch the symptoms, and when we feel assured we have chosen the
proper remedy, if no preceptible medicinal aggravation
or amelioration declare itself, but the disease seems to
gain ground, repeat the medicine. In cases of high
inflammatory action, Aconite has sometimes to be repeated
every two hours, hour, or even ten minutes.
If a medicinal aggravation take place, followed by
amelioration, we must let the medicine continue its action,
until the amelioration appears to cease, and the disease
again make head; if new symptoms set in, we must then
have recourse to the medicine thereby indicated. Should,
however, no perceptible medicinal aggravation take place,
but an amelioration follow, we may safely await its
approach to its termination, ere we again administer. If
new symptoms arise, or some remain after the remedy
first selected has afforded only partial relief, we must have





INTRODUCTION.


xxi


recourse to the medicines which seem best fitted to meet
them.
In chronic and sub-acute cases, we may, when we feel
sure of the medicament being correctly chosen, allow it
to continue its action as long as improvement progresses.
The following medicines, however, possess a short-lived
action, and may consequently be followed by another, or
repeated, if necessary, at less protracted intervals; the
briefness of their action corresponds with the order in
which they are placed: Aconite, Opium, Rheum, Ipecacuanha, Chamomilla, and Coffea.
The distinguishing of the medicinal aggravation, from
that of the disease, being a point of material consequence, we will here give the peculiar characteristics of
each. The medicinal aggravation comes on suddenly and
without previous amelioration; the aggravation of the
disease more gradually, and frequently following an
amelioration. Moreover, in the former, several of the
medicinal symptoms, some of which we may meet under
tile indications for the remedy, and not before remarked,
declare themselves.
I feel I cannot lay too much stress upon the necessity
of carefully watching the effects of each dose, as in
addition to the temporary aggravation of the symptoms
which sometimes sets in, a development of collateral or
pathogenetic signs occasionally takes place, particularly
after frequent repetition of different remedies in susceptible patients; by a want of attention to this important
point, we may incur confusion, and may be unconsciously
treating a medicinal disease of our own creation. Such,
unhappily, but too frequently occurs in allopathic practice
from ignorance of the real properties of the drugs employed. We must also guard against falling into the





sxii


INTRODUCTION.


opposite extreme, and allowing the disease to gain head
unchecked.
In conclusion, when no good appears to result from
any particular remedy, we must select another, which
appears to cover any remaining symptoms.
Slight diseases are often removed by a single dose of
a well-chosen medicine, but more severe and deeplyseated disorders require a frequent repetition.
In acute affections, we may often repeat the same
medicine at the same dose, at regular intervals; but this
rule has many exceptions.           *
In all diseases, when a very striking improvement
takes place, we must wait a considerable time, and then
repeat, sometimes at a higher potency, but refrain from
changing the remedy as long as benefit results from its
employment.
In chronic cases, by a long-continued administration of
the same medicine, the patient often becomes less susceptible; in such instances, if the improvement remain
stationary, or progress slowly, we must gradually increase
the dose; if, on the other hand, decided amelioration
follows each administration, we should allow a longer
interval to elapse before repeating, by which means the
system gradually recovers itself, and the susceptibility to
medicinal influence returns.
In rare cases, this susceptibility increases; in such
instances a higher potency should be selected,-provided
the remedy still appears to be appropriate,-and the
intervals between the exhibitions lengthened.  This
occasionally occurs when the medicine has been frequently repeated, and given in solution.
In the SELECTION OF THE REMEDY, it is not necessary
that all the symptoms noted should be present; at the
same time taking care, that there are no symptoms not





INTRODUCTION.              xxiii
covered by the medicine, or more strongly indicating
another.
REMARK. When it is requisite to keep a medicine in
solution for some days, a few drops of proof spirit may
be added to the water, in order to preserve it from
decomposition.
It may be scarcely necessary to explain the PHARMACEUTICAL SIGNS used in this work, to signify
the potency and quantum of the dose; but as the book
may fall into hands otherwise wholly unacquainted with
the science, we do so as -a measure of precaution; it will
therefore be sufficient to remark, that BELLADONNA g8,
means two globules of the thirtieth potency, and the
same with any other medicine.





JI
mw





CONTENTS.
INTRODUCTION.
PAGE
Regimen.......     xi
Clothing and Habits........         xiii
Potencies of the Medicaments..    xv
Administration and Repetition of the Medicines..    xx
Pharmaceutical Signs.......  xxiii
PART I.
On the Symptoms, Character, Distinction, and Treatment
of Diseases.
FEVERS.
General consideration of Fever, &c.....      1
Causes.........       4
General Treatment and Diet......      5
Simple or Ephemeral Fever. Febris Simplex..      5
Inflammatory Fever. Synocha.....      7
Bilious or Gastric Fever......     10
Nervous Fever. Febris Nervosa. Typhus                    11
Congestive Fever.......         13
Putrid Fever, or Typhus. Typhus Putridus...     21
Contagious Fever, or Typhus. Typhus Contagiosus.     23
Accessory Treatment (during 7jyphus). Prophylaxes, &c.   24
Intermittent Fevers. Fevers and Ague. Febres lntetmittentes.......     26
ERUPTIVE FEVERS.
Scarlet Fever. Scarlatina..    36
Purples. Purpura Rubra (under Scarlet Fever)             41
Measles. Rubeola.......         46
Smallpox. Variola........,48
Chicken-pock. Variola Spuria, Varicella...    55
Miliary Fever. 1Miliaria.    56
Nettle Rash. Urticaria.......    59





xxvi                  CONTENTS.
DISEASES OF ORGANS CONNECTED WITH TH EDIGESTIVE SYSTEM.
Toothach.......................                     62
Sorethroat, or Q~uinsy. Angina  9      M66
Mumps. Parolitis. Angina Parotidea                  74
Bilious Complaints.................76
Indigestion. Dyspepsia..................6
Want of Appetite. Apcpsuz. Anorexia.               82
Derangement of the Stomach, E ractations, &cc       88
Flatulence......................90
S~pa~sm of the Stomach. Gastrodynia, Cardiatgia     93
Vomiting of Blood. Hemateniesis...........100
Constipation. Obstructio Alvi.............104
Piles. Hcmorrkoids................108
Protrusion of the Intestine. Prolapsws Anit1
Colic. E icralgia.................112
Looseness of the bowels. Diarrhcea                 116
Dysentery. Dy/sente-ia.............                121
Suppressed Dysentery...........                    127
Cholera, sporadica, &,c................128
- -Asiatica...............                     131
Cholerine....................134
Liver Compl~ints.................ib.
Acute Inflammation of the Liver. Hepatitis         138
Liver Complaint. Hepatitis Chronica                139
Jaundice. kcteru~s...................140
Inflammation of the Spleen. Spienitis.142
Inflammation of the Stomach. Gastrilis             145
Chronic ditto. Gaslritis ChrAc                    149
Inflammation of the Bowels. Enteritisi             150
Inflammation of the Peritoneum. Peritonitis        151
Inflammation of the Kidneys. Nephritis             153
Inflammation of the Bladder. Cyst itis             157
Worms. Hetminthiosis...............158
DISEASES OF     ORGANS     CONNECTED      WITH   THE
RESPIRATORY SYSTEM.
Catarrh, or Common Cold                            163
Hoarsenessq. Rasccitas...............165
Chronic Laryngritis. Larnygiis C'Aronica,          167
Cold in the Head              a........         168
Cough...................                           169
Hooping-congh. TNusis Convcl~siva.176
Croup. Angina Mlcmbranoacea.                    182
InfIpenza.....................M
Determination of Blood *to th~e Chest.  Congestio ad
Peclus.......    188





CONTENTS.


XXVIi


Inflammation of the Mucous Membrane of the Bronchial
Tubes. Bronchitis                            192
Bronchitis ChAronica.............197
Inflammation of the Lungs. Pneumionia, Peripncumonia, Pneumonitis................             198
Inflammiation of the Pleura. Pkurisij, Pleuritis.. 202
Spitting of Blood. Hemoptysis.                 205
DERANGEMENTS OF THE CEREBRAL SYSTEM.
Headach. Cephalalgi'a....214
Determination of Mlood to th Hiead. Con'gestio ad*
CaInet....               225
Apoplexy. Apoptezia................230
Inflammation of the Brain and its Tissues. Brain Fever.
Phirenitis, Enc-ophaI itis..............235
CUTANEOUS DISEASES.
St. Anthony's Fire. Rose. Erysipetas             240
Boil. 14urunculus.................243
Carbuncle. Anthrax. Furunculus Malignans. Pustula
Niqra......244
Chilblains. Perniones...............245
Corns. Clavi Pedis..............                 247
Whitlow. Fanaris. PaFonychia...........ib.
Irritation of the skin................248
GENERAL DERANGEMENT OF THE SYSTEM.
Gout. Arthritis..................250
-     Rheumatic..................252
Rheumatism. Rheumatismus.............ib.
Lumbago....................255
Inflammation-of the Psoas Musc~le. P'soicis     257
Sciatica.....................258
Inflammation of the Hiip-joint. &Coxa'lgia, Cox'agra*  260
Hip-diseas. iMorlits Coxarius...............263
Determination of Blood to the Abdomen. Congestio vircerum abdominis, Congestio ad abdomen..     266
Acute Inflammation of the Eyes. Ophthaimitis     267
Stye. Hordeoluim     a                          270
Inflammation of the Ears and Earach. Otit is, Otalgia  -271
Inflammation of the Tongue. Glossitis27
Offensive Breaih......274
CASUALTIES.
Braises, Sprains, and Wounds.   276
Buas and Scalds...............                  27$i





Xviii


CONTENTS%,


Fatigue.1                 280
Stings of Insects....ib.
-  of Nettles                          281
Sea-sickness.ib.
Hydrophobia.....   283
1irr the Dog..............      286
Poisons........293
Mental Emotions.................297
PART 11.
Treatment of Infants and Children, and of their peculiar
Affections.
Introductory remarks................301
Treatment after Birth.............      302
Asphyxia....................303
Swelling of the Hcad................305
Umbilical Hernia in Infants...............ib.
Meconium, Expulsion of...............306
Sucklingr of the Infant..................307
Choice of' a Nurse.................309
Diet during Nursing..............       310
Supplementary Diet of Infarts.............311
Duration of Suckling, and Weaning   -314
Sleep................... 0              316
Exercise..................             319
DISEASES OF INFANCY.
Inflammation. of the Eyes in New-born Infants  322
Hiccough..................              323
Cold in the Head..................ib.
Crying and Wakefulness..325
Regurgitation of Milk................326
Milk 6raasts...................327
Thrush, or Aphtba.................329
Constipation. Obstrucijo Alvi Neonatorum  -330
Bowel Complaints- Diarrlura A'eonatorumn  331
E4xcoridlion. Excorizitionev Nconatorum  -338
Jaundice. klctc' Nleonator-um  -         b.
induration of the Cellular Tissue. Erysipelas Neonatorrm....................339
Trismas and Tetanus  -341
Derangements during Teethinhg............342
Convulsions in Children34
Water in the Head. Hydrocephluzus  - -359
Asthma of Milar.................361 -VACCINATION.................            363







CONTENTS.                     XXix
'PART III.
Treatment of Females and of their peculiar
Affections.
Chlorosis....    367
Catamenia, Irregularities of.....    370
OBSERVATIONS ON PREGNANCY..   371
Air and Exercise........    374
Clothing     -.. ~......       376
Diet...        377
Employment of the Mind and Habits...    378
Influence of External Objects upon the unborn Infant     379
Mental Emotions........    ib.
Despondency.......   380
DERANGEMENTS DURING PREGNANCY.
Menstruation.........
Morning sickness..
Constipation.........    384
i   Diarrhaea........    ib.
Fainting and Hysteric Fits......    385
Toothach..             386
Swelled Veins. Varices......    387
Miscarriage. Abortus.......   388
TREATMENT BEFORE PARTURITION.
Preparation of the Breasts......    394
Remedies before Labour.....   395
False Pains........        396
Parturition and Labour Pains.....   398
Spasmodic Pains, Cramps, and Convulsions..   401
TREATMENT AFTER DELIVERY.                     403
"After Pains.........   405
Duration of Confinement...    *        406
DISEASES FOLLOWING PARTURITION.
Diarrhoea in Lying-in Women.....   407
Suppressed or excessive Secretion of Milk...    ib.
Perspiration after Delivery, Suppression or excess of.  409
Irregularities of the Lochial Discharge...   410
d





XXX


CONTENTS.


Abdominal Deformity....412
Falling off of the Hair....413
Leucorrhcea after Parturition...    ib.
Internal Uterine Swelling and Prolapsus                 414
Weakness after Delivery                                  ib.
Milk Fever......   415
OBSTACLES TO SUCKLING.
Disinclination of the Infant.....   417
Excoriation of the Nipples                               ib.
Inflammation of the Breasts...          419
Mental Emotions affecting the Milk...   421
Deficiency in the Secretion of Milk.    ib.
Deterioration and Discoloration of Milk...   422
MOTHERS NOT SUCKLING THEIR CHILDREN..         ib.
GLOSSARY........   425
Index.........    435
HOM(EOPATHIC MEDICINE.
WM. RADDE, No. 322 Broadway, New York, General Agent for
the Central 'Homoeopathic Pharmacy at Leipsic, for the United
States, respectfully informs the Homoeopathic Physicians and the
friends of the system, that he has always on hand a good assortment of HOM(EOPATHIC MEDICINES, in complete sets or
by single vials, in Tinctures, Dilutions, and Triturations; also
Pocket Cases of Medicines; Physicians' and Family Medicine
Chests, to Laurie's Domestic (59 remedies,) Epp's (54 remedies,)
Bering's (58 remedies.) Small pocket cases at $3, with Family
Guide and 27 remedies. Cases containing 415 vials with Tinc-,
tures and Triturations for Physicians; cases with 240 vials of
Tinctures and Triturations to Jahr's Manual in 2 vols. Pocket
cases with 60 vials of Tinctures and Triturations. Cases from
200 to 400 vials with low and high dilutions of medicated pellets;
cases from 50 to 80 vials of low and high dilutions, etc., etc. Refined Sugar of Milk, pure Globules, etc.; as well as Books, Pamphlets, and Standard Works on the system, in the English, French,
and German languages.





HOM(EOPATHIC
DOMESTIC MEDICINE.
PART      I.
ON THE SYMPTOMS, CHARACTER, DISTINCTION,
AND TREATMENT OF DISEASES.
FEVERS. Febres.
GENERAL CONSIDERATION OF FEVER.
CAUSES, TREATMENT, AND DIET TO BE OBSERVED.
PERHAPS no form of disease has more occupied the
attention of pathologists, or given rise to a greater number of theories than fever. Many authors consider fever
and inflammation as synonymous terms, others as mere
modifications of the same pathological state of the system. The investigation is certainly one possessing peculiar interest, but, fortunately in the homeopathic system, no theory can in the slightest degree affect the practice, since in the treatment of this class of disease, the
external phenomena present sufficient indications for the
selection of the proper remedies.
Acute diseases have always been considered as the
true touchstone of every system of therapeutics. ITomoopatby has been submitted to this test, and the reI





2


FEVERS.


suits have at once proved the bold assertion of its founder, that its principle was a law of natur.e,-the minute
doses in these cases act with a promptness and certainty
scarcely to be credited, except by tjaose who have either
witnessed or experienced their power: under this system the disease is brought to a salutary crisis before any
great expenditure of vital energy has taken place: from
this, and the absence of debilitating measures, the period
of convalescence is greatly shortened, and in many instances scarcely perceptible.
Although I shall carefully avoid entering into any of
the theories respecting fever and inflammation, I cannot
but render the tribute of my admiration to the gifted men
who have devoted so much of their time and energies to
the elucidation of this difficult point, since every new
pathological discovery serves to throw light upon the
specific action of medicinal substances.  Practically
speaking, when we find a medicine produce a change of
health resembling that present in fevers, we know that
in such fevers it is curative: still it would be a satisfaction to be enabled to trace the connexion more closely,
and to show the perfect affinity between medicinal and
morbid action. There is no doubt that, if a perfect
theory of fever be ever given to the world, it will be
found in perfect accordance with the homoeopathic law.
In all forms of acute disease fever is present; in fever, properly so called, there is generally functional disturbance, accelerated action of the vascular, with the
participation of the nervous system, and a tendency to
increased development of heat. The symptoms common
to most fevers are: at first, a feeling of coldness or
shivering, then heat, accelerated pulse, thirst, restlessness and languor. Fever also possesses the property
of passing from one species into another. Thus inflam




FEVERS.


3


matory fever may, by severe antiphlogistic measures, be
altered into a low typhus; or, on the other hand, a
simple fever, by injudicious treatment, into an inflammatory one, and that again assume the intermittent form;
also, one attack may present all these different phases.
Fevers terminating fortunately and running a regular
course, may be divided into five stages; the accession,
increase, crisis, decrease, and convalescence. When
the result is fatal, it may arise from a metastasis, the
disease assuming another form, the vital energy of the
patient being exhausted, or disorganization of some important function.
The belief in critical days is of very ancient origin,
though there is some difference in the calculations of
physicians upon that point; some counting from the day
the shiverings declared the onset, others from the first
hot fit: except in cases where a marked periodicity
exists, as in quotidian and other forms of ague, such
distinctions are of little value, inasmuch as the homceopathic treatment is directed to forwarding the crisis, and
thereby materially shortens the duration of the disease.
Statistics prove that the average continuation of acute
affections is much shorter under the homceophatic system
than it is where they are treated allopathically, or left to
nature; consequently, any calculations based upon other
modes of treatment are not to be depended upon, and the
best plan for the physician to follow is to watch attentively the disease before him, and apply the remedies
his knowledge and experience point out as best calculated
to conduct it to a satisfactory issue.
A crisis may declare itself by diarrhoea, profuso
perspiration or increase or alteration of other secretions,
or by the appearance of an eruption, after which, if salu




4


FEVERS.


tary, the skin becomes moist and resumes its functions,
and the pulse returns to its usual standard.
Fevers have been differently classified by various
medical writers. The arrangement we shall adopt is as
follows: simple irritative fever, inflammatory fever,
typhus, putrid, and gastric or bilious fevers, intermittent
fevers, and then eruptive fevers, such as scarlatina,
measles, &c.
Although this mode of classification is adopted for the
sake of convenience, the author has no intention of
generalizing disease: every febrile attack presents peculiar features, and is to be treated as an individual affection,
and according to the nature of the symptoms presenting
themselves, not by a blind adherence to the mere nomenclature of disease.
CAUSES OF FEVER. It cannot be denied but that there
exists in certain individuals, a particular pre-disposition
to acute diseases, and, as before remarked, in introduction, the sanguine, nervous, and bilious temperaments
possess this susceptibility in a far more marked degree
than the phlegmatic.
The exciting causes are numerous. Miasms, epidemic
influences, contagion, powerful mental emotions, derangement of some important organ, external lesions, excess
or errors in diet, heat or cold, or alterations of temperature, exposure to cold or damp, repercussed exanthemata
-in fact, anything that causes derangement of the
equilibrium of the system may produce fever.





5


GENERAL TREATMENT IN FEVER,
AND DIET.
The great essentials in the treatment of fever are:
Perfect rest, mental and bodily.
Pure air and a cool apartment, the temperature of the
patient's room should never exceed 55 degrees.
Feather-beds should be discarded and mattresses substituted when practicable, and the bed-clothes be light
but sufficient.
Nature herself generally prescribes the regimen to be
observed by taking away appetite, while the thirst present,
as an eminent medical writer has well observed, may be
considered as her voice calling for fluid. Water is the
best diluent; no solid food nor even broth should be
permitted in cases where the inflammation runs excessively high; even barley-water is forbidden, and the
utmost caution is to be observed in even allowing gruel
or weak broths during the decrease: an error in this
respect often causes irreparable mischief, and it is
always safer to err a little on the side of abstinence than
on that of indulgence.
A little toast-water, or weak barley-water, may be
allowed when the fever is somewhat abated, though then
we must still carefully avoid incurring the risk of a
relapse, by giving any aliment likely to tax, in however
slight a degree, the digestive powers.
SIMPLE OR EPHEMERAL FEVER.
Febris Simplex.
This disease seldom presents any distinct character,
and generally runs its course in twenty-four hours; ds,
however, it frequently forms the initiative of other more
1*





6


FEVERS.


serious disorders, it deserves attentiqn. Before attacks
of scarlatina, measles, smallpox, &c., it is generally
present, although occasionally showing itself as a distinct
affection.
DIAGNosIS. Shivering, followed by heat, restlessness,
thirst, accelerated pulse, general uneasiness and lassitude,
terminated by profuse perspiration.
In allopathic practice, unless they could trace the
immediate cause of the affection, for instance indigestion,
the treatment is occasionally hazardous; for, if the
simple fever was merely the commencement of an attack
of severe inflammation, they incurred the risk of increasing it by using stimulants, under the idea of its
being a precursor of typhus; or acting upon the opinion
of its being a forerunner of inflammation, of weakening
the constitution by antiphlogistic methods, if it should
unfortunately run on to the former. In this case the
safer plan was, to await quietly the development of the
affection to see if it would terminate in a crisis, or take
upon it a more virulent form, and so deal with it accordingly.
THERAPEUTICS.    Throughout this work we have
treated of the disease when arising from indigestion or
cold, and as the precursor of other affections; but when
"we find it present with the symptoms already detailed,
and cannot trace any particular exciting cause, and particularly when hot dry skin is present, we may administer*
ACONITE O o in a teaspoonful of water, which, if it is
simple fever properly so called, will speedily dissipate all
* In all cases where directions for the administration of a medicine is given, the attention of the reader is directed to the article on
that subject in the introduction.





* j~*~


INFLAMMATORY FEVER.,        7
the symptoms; and if it be the forerunner of any more
severe disorder, either at once check its further progress
or materially modify its malignancy. The former is more
peculiarly the case with purely inflammatory attacks: the
latter holds good as far as relates to typhus, exanthematic
diseases, and some other affections which run a regular
course.
INFLAMMATORY FEVER. Synocha.
DIAGNOSIS. Shivering or chill (generally considerable), followed by burning heat; pulse strong, hard,
and greatly accelerated; dryness of the skin, mouth,
lips and tongue, the latter generally of a bright red, in
some cases slightly coated with white; thirst; urine red
and scanty; constipation; respiration hurried, in accordance with the pulse, amelioration of symptoms as the
pulse assumes a more normal state. It runs its course
with rapidity, rarely exceeding fourteen days, and progressing with regularity to a crisis, which shows itself
in profuse perspirations, critical urine, diarrhcea or
hemorrhages, principally epistaxis. The period mentioned is its ordinary average of duration, but under
homoeopathic treatment, the perfect crisis is considerably
hastened, without the long convalescence entailed by the
usual antiphlogistic means.
It is peculiarly apt, if not carefully treated, to change
into typhus, or by metastasis to fix upon some important
organ.
CAUSEs. Sudden chill or check of perspiration, exposure to damp or wet, dry easterly winds, violent mental
emotion, high living, external injury or lesion, local
inflammation, and slight febrile attacks mismanaged.
Individuals of what is denominated a plethoric habit





8


FEVERS.


are particularly subject to this disease; it generally
attacks between the ages of 15 and 30 years.
Under the diagnosis we have given the pathognomic
symptoms of synocha; we, however, find it complicated,
in the majority of cases, with more or less cerebral disturbance, which we shall consider more in detail under
INFLAMMATION OF THE BRAIN OR ITS TISSUES.
THERAPEUTICS. Although throughout this work the
author has generally confined himself to pointing out the
remedies most valuable in disease, without entering into
any disquisition upon their efficacy, or the principle of
their employment, yet he cannot refrain in this instance,
from briefly noticing a medicament which has so successfully superseded all the antiphlogistic measures of
the old school, subduing inflammation without lowering
the vital energy. No one who compares the pathogenetic symptoms of ACONITE given in the Materia Medica
Pura of Hahnemann, and bears in mind the principle of
its application, can forbear being struck with the close
resemblance which they bear to those of pure inflammatory action; and by this powerful auxiliary the author
"has no hesitation in declaring that these terrible diseases
are brought so fully under the control of the physician,
as to be in a great measure divested of their malignancy,
and in no cases is the superiority of Homwopathy more
strongly evidenced.
ADMINISTRATION. When, therefore, the symptoms
above mentioned are present, we should at once administer ACONITE, one drop of the tincture at the third potency
in an ounce of pure water, a dessert-spoonful to be
administered every quarter of an hour, every half or
every two or three hours, according to the intensity of the
fever, and the pulse carefully watched, lengthening the





FEVERS.


9


intervals according to the effect produced, till marked
benefit result.
A slight degree of delirium is frequently present in
this affection, chiefly at night, which, unless it threatens
to run on to inflammation of the brain, Aconite is of itself
sufficient to subdue.- When, however, during the course
of the affection other symptoms besides those mentioned
develop themselves, we may find it necessary to have
recourse to different remedies, namely, Belladonna,
Bryonia, Nux vomica, in the instances which we shall
point out.
BELLADONNA 3. Great heat in the head, with violent
cephalalgia, particularly in the forchead; distention of
the arteries of the neck and temples; nocturnal sleeplessness, with furious delirium; eyes red, shining and fiery;
general internal and external heat; burning thirst, and
agonizing restlessness.
ADMINISTRATION. One drop of the potency named in
an ounce of water; a dessert-spoonful exhibited every
three hours until amelioration takes place, or we observe
unequivocal symptoms of medicinal aggravation; in
which latter case we must cease to prescribe altogether
until the reaction has taken place; and in the former,
lengthen the intervals of repetition as the improvement
advances.
BRYONIA 3. This medicament is indicated when, in
addition to the usual symptoms of inflammatory fever
already given, we find a heavy stupifying headach, with
a sensation as if the head were bursting at the temples,
much aggravated by movement, vertigo and giddiness on
rising up or moving; burning heat and redness of the
head and face, and swelling of the latter; delirium;
oppression at the pit of the stomach; excessive thirst,
sometimes followed by vomiting; constipation; aching





10


FEVERS.


or shooting pains in the limbs, dry cough, or cough with
adhesive phlegm tinged with blood, stitches in the chest
or side, and laborious breathing; when these latter
symptoms are present, we may infer that the pleura or
lungs are affected. In the latter case the practitioner
should test the diagnosis by auscultation.
It will be generally found safe practice, when the
inflammation runs high, to precede this remedy by
Aconite. Thus administered, these two medicaments act
with powerful effect, and in this disease, as in many
others, although Aconite is sometimes found sufficient,
by bringing the inflammation to a crisis, to restore the
equilibrium of the organism, when the constipation and
other sympathetic symptoms vanish of themselves -still,
in the majority of instances, the practitioner finds the
cure materially expedited by following it with Bryonia,
and in some cases by Nux vomica.
ADMINIsTRATION. Of BRYONIA, one drop of the
tincture'at the potency above named, may be added to an
ounce of water, and a dessert-spoonful given every four
or six hours; few cases are so particularly urgent as to
require more frequent administration of the remedy;
indeed, when the virulence of the disease has been subdued, a single dose is generally found sufficient, and no
further exhibition should take place as long as the patient
manifestly continues improving.
Nux VOMICA OT is particularly indicated when this affection, is complicated with gastric symptoms, presenting
itself in the form of what is generally denominated
BILIOUS or GASTRIC FEVER, when the Aconite has subdued, or at least lowered, the inflammation. It is also
particularly useful in preventing stomachic derangement
running on to fever-a property shared with many other





FEVERS.


11


medicines, for which the reader is referred to the article
Indigestion or Dyspepsia.
ADMINISTRATION. The dose above mentioned, in a
teaspoonful of water, when practicable in the evening,
and repeated in an hour or two hours if necessary; in
mild cases, it is often sufficient to repeat in twenty-four
hours. When the symptoms given under Dyspepsia
present themselves, whether as precursors of an attack,
during the disease, in combination with inflammatory
fever, or as sequelae of that affection, we must have
recourse to the medicines there mentioned, bearing in
mind the value of Aconite in the severe accesses of
fever. Nux vomica is also one of our best remedies in
inflammatory fever, arising from indulging in spirituous or
fermented liquors, and may advantageously be preceded
by Aconite.
When inflammatory fever seems to arise from a
primary inflammation of some important organ, such as
the Head, Lungs, Liver, or Stomach and Bowels, the
treatment will be found under the head of INFLAMMATION
of the function most evidently the seat of the disorder.
It is sometimes the result of severe lesion, in which
case the patient is to be treated as prescribed under
EXTERNAL INJURIES.
NERVOUS FEVER. Febris Nervosa.          TYPHUS.
It is sometimes extremely difficult, particularly when
it arises from some local affection of the more important
viscera, to discriminate at the commencement between a
nervous or inflammatory attack, so as to give a decided
prognosis. However, in such cases the marked advantages of the homoeopathic system is again shown: by
exhibiting medicines in accordance with the symptoms





12


FEVERS.


that declare themselves, we run no risk of weakening
the vital energies, should we err in diagnosis, and treat
it on its first appearance as an inflammatory attack, or
of stimulating the inflammlation by what is commonly
denominated an anti-nervous treatment, should the
precursory symptoms lead us to consider it Typhus, and
it afterwards assume the inflammatory form.
DIAGNosIs. Typhus rarely sets in with such marked
symptoms as announce the approach of inflammatory
fever-instead of severe chill or shiverings, we first
find a complaint of general uneasiness, a sensation of
chilliness, occasionally followed by a greater or less
degree of heat. The patient either complains but little,
or of pains in his head, chest, and abdomen, and frequently an unusual degree of drowsiness is present,
arising from a comatose state of the brain-there is also
occasionally a slight dyspnosa-after various alternations
of cold and heat, the former sensation predominates in
the feelings of the patient, while to those around him he
appears hot; the extremities, however, on examination
are found cold. Different character of pulse present
themselves; sometimes it is full and soft, at others
accelerated, frequently about the natural standard or
below it, or weak, or quick and weak, but not strong and
hard as in inflammatory fever: the difference between
the action of the pulse and heart is worthy of notice, the
former may be so weak as scarcely to be preceptible,
and the action of the latter strong; the pulse also may  *
be hurried and the respiration natural. As the disease
progresses, the tongue, at first moist, becomes thickly
coated, dry, glazed, and tremulous; there is faintness,
cephalalgia, giddiness and vertigo: the delirium, at first
slight, and manifesting itself only at night, becomes un




FEVERS.


13


intermitted and is characterized rather by wandering and
low muttering, than fury- and violence: we may also
meet with spasms and convulsions. All these symptoms, if the disease is allowed to gain ground, increase
in malignancy, the evacuations become involuntary, the
weakness and lassitude excessive, and the patient sinks
down to the bottom of the bed -an evidence of complete prostration of strength, while all endeavours to
rouse him are fruitless, and he is perfectly blind to all
around. A pain in the region of the ccecum is also
frequently present.
Some only of the above symptoms may be present, or
the fever may be complicated with others: when only a
few of the less virulent symptoms declare themselves, it
is called mild typhus; when complicated with considerable disturbance of the vascular system, great heat, and
quick hard pulse, inflammatory typhus: a distinction is
also found in the type, as in continuous and intermittent
typhus; in the accidental circumstances or exciting
causes present, as in the gastric and catarrhal complications, which, although generally treated as gastric or
catarrhal fevers, with typhoid symptoms, may be considered as modifications of this affection,-this difference
in arrangement can, however, make none in practice, as
we must be guided by the symptoms that present themselves in selecting our remedies.
The CONGESTIVE FEVER Of some authors may be
considered as a variety of typhus, in which, from the
balance of the circulation being destroyed, the blood is
determined to some particular organ-the external heat
of the body diminished, and the pulse becomes slow and
oppressed. The symptoms vary according to the organs
attacked. It may be remarked, that in most forms of
this malady, the course is extremely irregular,-the pre2





14


FEVERS.


cursory symptoms may precede the disease only a few
days or several weeks, and itseduration is also uncertain.
Death may take place from exhaustion of the vital
energies, paralysis of the whole system, or of the brain,
apoplexy, disorganization of some of the nobler viscera,
or a change to the putrid form.
CAUSEs. Densely populated neighbourhoods, where
a number of individuals are crowded into small apartments, and the air rendered impure by exhalations from
decomposed animal and vegetable matter, stagnant water,
and a want of circulation, are the very hotbeds of typhus;
deficiency and improper quality of food are often added
to the above, and are of themselves sufficient to produce
it: other causes are, over-exertion, either of body or
mind, or excesses of any kind, the prevalence of cold or
damp weather, mental emotions, and contagion.
In fact, anything tending to depress the vital energies
may be productive of typhus; it may consequently arise
after inflammatory fever treated by bloodletting or other
severe antiphlogistic measures, or even by the reaction
of the organism, or an imperfect crisis after the same
affection. We shall now proceed to consider the treatment of this malady, and under the indications for the
different medicaments used, will be found the symptoms
that declare themselves under all the various phases
which the disease presents.
THERAPEUTICS. At the commencement, where gastric symptoms set in, such as headach, giddiness, nausea, vomiting, &c., particularly when attended with
slight chills, alternately with heat or considerable shivering with slight heat, or marked heat with but little
shivering, we may administer




FEVERS.


15


IPECACUANHA 0~0 in a teaspoonful of water, and repeat
it in four hours if no amelioration takes place.
When inflammatory symptoms declare themselves
from the commencement, Aconite and Belladonna are the
best remedies: when the disease becomes more developed, and still retains the inflammatory character, Rhus and
Bryonia will generally be found more useful: when it
assumes the form of what is commonly denominated
Low Typhus, with depressed pulse and great debility,
Mercurius vivus may be had recourse to. For the
employment of Aconite, we have given the fullest indication under Inflammatory Fever, and in all cases when
these decided symptoms are present, it is imperatively
called for, and should be administered as there prescribed. The following symptoms indicate BELLADONNA:
Alternate heat and chills, or general heat externally
and internally, with redness, burning heat or bloated appearance of the face; redness, sparkling, and protrusion
of the eyes, with dilatation of the pupils, extreme sensibility to light and strabismus; singing or noises in the
ears to a greater or less degree; wild expression of the
countenance, with uneasy glancing around, as if from
fear, sometimes attended with a marked inclination to
run away; violent shooting pains in the forehead, or dull
heavy pain, causing the patient frequently to put his
hand to his head, furious delirium or loss of consciousness, silent delirium and carphologia, or spasmodic or
convulsive attacks; parched sensation and appearance of
the lips, soreness of the corners of the mouth, redness and
dryness of the tongue, which is sometimes also foul and
covered with a yellow coating; bitter taste in the mouth,
intense thirst, difficulty of deglutition, especially of
liquids, nausea, pressure at the pit of the stomach, cojistipation, scanty and red or amber-coloured urine, rapid





16


FEVERS.


respiration, pulse full and accelerated, or quick, hard,
and wiry.
STRAMONIUM may be given when, in addition to the
above symptoms, we find twitching of the muscles of the
face, subsultus, strabismus, trembling of the extremities,
tremulous motion of the tongue on protrusion, burning
heat of the body, suppression of the urine, fantastic
gesticulations, and risus sardonicus.
HYosCYAMus, with similiar symptoms, and moreover,
twitching of the tendons, strong full pulse, fullness of the
veins, burning heat of the skin, sensation of pricking all
over the body, and constant delirium.
ADMINISTRATION. Of the three last-mentioned remedies, one drop of the sixth, or in very severe cases of the
third, potency may be added to an ounce of pure water,
and a dessert-spoonful given every three to twelve hours,
according to the improvement that ensues, or the violence of the malady.
We will now proceed to the consideration of two
medicines, Rhus and Bryonia, whose value in typhus, in
the form in which it appeared in Germany in 1813, was
proved by Hahnemann's treatment of 183 patients, not
one of whom died, while thousands perished under the
means employed by the professors of the old system of
medicine. The two medicines above mentioned possess
many striking points of similarity, but also many of difference; they are also mutually antagonistic, but may
with great advantage in some cases, be administered alternately in the manner below described: for the several
employments the indications are as follows:
BRYONIA. Violent, stupifying headach, as from a blow,
with pain across the temples, as if the head would burst.
Aggravation of these sensations by movement-continued
delirium, foul, thickly-coated yellow tongue, with dry




FEVERS.


17


ness, nausea, inclination to vomit, or vomiting of mucous
and bilions matter, tenderness of the scrobiculus when
touched, general heat of the whole body, dryness of the
skin, redness of the face, and PROFUSE PERSPIRATION
during the fever.-A strong distinction between this
medicine and Rhus.-Constipation, urine of a deep orange
colour or bright yellow, with yellow sediment; sensation as of a plug in the throat, with difficulty of hearing; sleeplessness, fugitive heat and excessive restlessness, or continued drowsiness or coma, with startings and
unpleasant dreams; painful shootings and soreness of the
limbs, aggravated by movement, pulse quick and frequent,
or irregular, small and intermitting. Petechiae, IRRITABILITY, IRASCIBILITY, despair of recovery.
RHUS TOXICODENDRON. This medicine is more peculiarly suitable to the debile form or stage, as is Bryonia
to the inflammatory. The headach is generally of a
stupifying nature, with a feeling as from a bruise, but not
so severe as that of Bryonia; the tongue presents nearly
the same character, less nausea and inclination to vomit
exists, violent pain is present at the epigastrium, especially when touched. Constipation as in Bryonia, but
more particularly by loose sanguineous evacuations; the
symptoms of general heat, and those of the face resemble
those given under Bryonia, but without the perspiration,
or at most, a clammy feeling of the skin. The urine is
hot, dark coloured, or at first clear, and afterwards turbid,
the symptoms of the ears the same, sleep also the same,
dificult deglutition of solids, as if from contraction of the
throat and oesophagus; general trembling, debility and
prostration, almost amounting to paralytic weakness of the
different limbs, shooting pains in various parts of the
body, aggravated when at rest or at night, and momentarily relieved by moving the part affected; pulse quick
2*





18


FEVERS.


and small, or weak and slow. In the morale we may
notice; excessive anguish, anxiety, extreme lowness of
spirits, and inclination to weep. Petechima, as in Bryonia,
are frequently present.
ADMINISTRATION. As before remarked, Rhus is particularly suitable in the debile form or low typhus: we
may add one drop of the tincture at the third potency,
and administer one dessert-spoonful every four hours in
ordinary cases, lengthening the intervals as improvement
ensues, and then quietly awaiting its action. The Bryonia may be given in the same manner when it appears
indicated, and in many cases it will be found useful to give
these medicines alternately at twelve hours' interval, a
dessert-spoonful of the mixture above mentioned as a dose.
Nux VoMicA is indicated, when the spasms, which
not unfrequently accompany this disease, are confined to
the stomach and intestines, particularly the rectum, causing obstinate constipation with general nervous excitability, and with considerable gastric derangement; and
when we find painful pressure and tension in the epigastrium and hypocondria; sensation in the limbs as if
bruised, with  weakness, irritability, impatience and
peevishness, great nocturnal restlessness, with exacerbation of the symptoms in the early morning hours; slight
delirium occasionally showing itself.
ADMINISTRATION. A drop of the tincture at the third
potency, or in mild cases the sixth, may be added to four
dessert-spoonfuls of water, and, where practicable, one
dessert-spoonful given towards evening; if no relief
follow in from four to eight hours, it may be repeated.
MBRCURIUS is most suitable in the asthenic form of
abdominal typhus, when there exists headach, especially in the forehead and vertex, or a sensation of confusion in the head and vertigo, with a feeling as of a band





FEVERS.


19


across the forehead: tongue foul, or covered with thick
mucus, putrid and bitter or metallic taste in the mouth;
nausea and inclination to vomit, or slimy bitter vomiting;
great tenderness and soreness in the scrobiculus, region
of the liver, and abdomen: constipation, or yellow or
greenish diarrhoea (with tenesmus); deep coloured
brownish urine, dry burning skin, but more especially
profuse debilitating sweats; great debility, sleeplessness,
and but rarely delirium.
ADMINISTRATION. Of the above medicine we may
dissolve one grain of the third potency in two ounces of
water, and give a dessert-spoonful every hour for four
hours, then await six hours, unless the disease evidently
makes head; if the patient continue improving, we may
content ourselves with an occasional administration according to the exigences of the case.
ARSENICUM. This remedy is our sheet-anchor in
abdomnial typhus, sometimes restoring the patient when
almost beyond the reach of hope, and renoyating the vital spark. The chief indications for its employment are
extreme prostration OF STRENGTH,falling of the lower jaw,
open mouth, dull and glassy eyes, burning thirst, and
colliquative diarrhoea, pulse scarcely perceptible and intermittent.
ADMINISTRATION. One drop of the third potency may
be added to an ounce of water, and a 'dessert-spoonful
given every twenty minutes, until improvement is perceptible, when the intervals between the doses may be
extended.
CARBO YEGETABILIS is another remedy of extreme
utility in these desperate cases; it is indicated where
we find drowsiness with rattling respiration, face pinched, sunken, and deathlike, pupils insensible to light, pulse
scarcely perceptible, and rapidly sinking, cold perspira




20


FEYERS.


tion on the face and extremities, involuntary and offensive evacuations, deep red urine, with a cloud floating
in it or rising towards the surface.
ADMINISTRATION. One drop of the tincture at the
twelfth potency in the same quantity of water as the
preceding, administered in the same manner. An alternate administration of these two medicines, at intervals of
from four to eight hours, has been attended with the
most fortunate results.
ACIDUM PHOSPHORICUM. When at the very commencement of the disease, we find great exhaustation and
prostration, with wandering even when awake, burning
and itching eruption on the skin, and particularly continual purging.
ACIDUM MURIATICUM. Weakness, with a constant tendency to sink down in the bed, with groaning during sleep,
almost paralytic state of the tongue, rendering it almost
impossible for the patient to move, even when in a
collected state, and great dryness of the mouth.
ADMINISTRATION. These two last-mentioned medicines may be administered at the same potency and in
the same manner as Arsenicum above mentioned.
After severe cases of Typhus, a period of debility
generally supervenes of greater or less duration, according to the violence of the attack. In such instances
CINcHONA 00, in a single dose in a little water, repeated
in five days, followed by VALERIAN in about three days
to a week, according to the result produced. Of this
latter medicine, one drop of the tincture at the third
potency may be given in a glass of water, and repeated
every two days, if necessary.
An alternation of these two medicaments, at intervals of twenty-four hours, has also been found very useful in these cases.





FEVERS.


21


Should symptoms of deranged digestion remain after
the fever has been subdued, Nux vomica and Pulsatilla
will be found most serviceable according to the temperament of the individual, and the symptoms present (see
article INDIGESTION). A single dose of o~ will generally
be found sufficient in such cases. The other medicaments
mentioned under the head referred to, may also be advantageously consulted. Where a peculiar morbid state
of the constitution exists, denominated by some Homoeopathists, a psoric tendency, a drop of the third potency of the TINCTURE OF SULPHUR in three dessert-spoonfuls of water, one daily allowed to act from one to three
weeks, according to circumstances, may be administered.
DIET. In a disease that presents so many varieties,
it is difficult to give any rules upon this head applicable
to all cases. When a marked inflammatory character is
present, the same abstinence should be enjoined as already
noted under fevers; and in all cases, either during. the
progress of the disease or the period of convalescence,
the greatest possible care should be taken to avoid taxing the digestive function; the diet should be light and
simple, and the patient never allowed" to indulge the
appetite to its full extent.
PUTRID FEVER, on TYPHUS.
Typhus Putridus.
We have already alluded to this form of the disease
under Typhus, particularly in the indications given for
the employment of Arsenicum and Carbo vegetabilis;
but consider it of sufficient importance to be remarked on
separately although of course, except in cases of decided
emergency, no individual not properly qualified by a





22                   FEVERS.
medical education would think of treating so serious an
affection.
DIAGNOSIS. The symptoms of Typhus already given,
running on to the colliquative state; extreme debility, pulse
exceedingly small and weak, so as to be scarcely perceptible; a peculiar sensation of burning pungent heat, communicating itself to the hand when placed upon the body
of the patient, heavy cadaverous smell of the whole body,
putrid odour of the breath, perspiration, and secretion;
profuse oily and clammy sweats; involuntary evacuations;
colliquative or sanguineous diarrhoba; dark or bloody
urine, epistaxis, petechiae, and other marked tendencies
to organic dissolution. The patient is always found
lying on his back, and continually' shrinks down to the
foot of the bed, a sign of utter helplessness and prostration.
THERAPEUTICS. ARSENICUM corresponds closely to
the foregoing symptoms, and is, therefore, our principal
remedy when the disease assumes this form, particularly
when we find involuntary and sanguineous evacuations
and tenesmus. Carbo vegetabilis may also be with advantage alternated with it, when the symptoms already
given under Typhus for the exhibition of that medicine
are present; Mercurius is called for in case of great
tenesmus, and when the discharge of blood is principally
alvine, followed by Phosphorus should sanguineous diarrhoea continue.
ADMINISTRATION. When Arsenicum itself is found
called for, we may add one drop of the third potency to
an ounce of water, and administer a dessert-spoonful
every six hours, or even every hour if the patient seems
sinking, until an improvement takes place. If, however,
from the symptoms given under that medicine, an alternation with Carbo vegetabilis seem desirable, they may





FEVERS.


23


be thus exhibited at intervals of from six to twelve hours,
according to the urgency of the case, in some instances,
where Arsenicum does not produce all we could desire;
this mode has been adopted with success.
CINCHONA 0oo will be found useful when the more dangerous symptoms have been in a great measure subjugated, but at the same time great weakness remains from the
loss of humours; it is also useful when the little nutriment
the patient may have partaken of passes off undigested.
The above in a teaspoonful of water, and repeated every
four hours at first, and then at longer intervals, as improvement advances.
ADMINISTRATION. In those rare cases where Arsenicum and Carbo vegetabilis seem to fail, the employment of the Mother Tincture of Rhus, one drop in a teaspoonful of water every three hours, has, in a number of
instances, been found most efficacious.
CONTAGIOUS FEVER, OR TYPHUS.
Typhus Contagiosus.
DIAGNOSIS. The symptoms.of typhus caused by infection or contagion.
THERAPEUTICS is the same as already given under
Typhus. We may, however, here remark upon one
remedy of especial value in this form of the disease,
namely, OPri, indicated by drowsiness or coma,Coma somnolentum, especially,-stertorous breathing,
mouth partly open, eyes open or partially closed, loss of
speech, rigidity of the limbs, smallness or intermission
of the pulse, meteorismus, involuntary evacuations, or
constipation.
APMINISTRATION. We may mix a drop of the third





24


FEVERS.


potency with an ounce of water: give a dessert-spoonful
every six hours.
When in addition to the above-named paralytic affection, we find jerkings in individual limbs, we should have
recourse to Hyoscyamus or Stramonium, administered in
the same manner, choosing the remedy which most closely approximates to the symptoms we have given for
their individual use, under Typhus. ( p. 15.)
We may remark, that whenever the symptoms given
under Opium, and the other medicines, present themselves in Typhus, from whatever cause arising, the remedies are of course indicated.
ACCESSORY      TREATMENT-PROPHYLAXES,
4-c.
We need hardly insist upon'what every practitioner
knows to be essentially adjuvant in the treatment of this
affection, a constant supply of fresh and continually renewed air.
PROPHYLAXES, during the prevalence of Typhus.
Cool pure air, thorough ventilation, and the removal of
all causes generating the disease, such as stopped sewers, or collections of decaying vegetable and animal
matter: a plain wholesome diet, with a moderation in
the use of fermented liquors or wine, and total abstinence from spirits, avoiding late hours, intense study, an
excessive mental or corporeal exertion: exercise in
open situations, with proper precautions against exposure
to cold or damp; and above all, preserving a healthy tone
of mind and cheerful temper.
The absurd practice of keeping the bowels constantly
open by means of aperient medicines and the use of
sudorifics, cannot be too strongly reprobated; both these





FEVERS.                  25
practices weaken the system, and predispose to the
disease.
Cloths, steeped in vinegar and hung up in the apartments, have been recommended as disinfectants, and there
can be no objection to their use for that purpose, but
vinegar is not admissible to the sick room during
homoeopathic treatment.
Standing between a fire or open window and the bed
of the patient is to be avoided as unnecessarily increasing the risk of taking the infection.
The safest plan for the physician to pursue in epidenfic, or endemic typhus, is to form an aggregate of the
symptoms by carefully collating those of individual
sufferers, so as to present a perfect image of the existent
malady, and to choose his remedies accordingly, which
should be administered directly on the permonitory
symptoms declaring themselves, without waiting for the
further development of the disease.
It may be remarked, that Bryonia and Rhus cover a
great number of the symptoms of typhus, as met with in
this country; when, therefore, this point has been ascertained, they may be given alternately, BRYONIA %o and
RHus %P each in one dose, at intervals of twenty-four
hours, which will either check the malady at its outset, or
materially modify its virulence-in some cases one of
these remedies is of itself sufficient, according to the leading symptoms of the reigning epidemic; in a great variety
of instances, ARSENICUM may prove a valuable prophylaxis; but at the same time, the indications we have already given of the several medicaments, should be carefully consulted, as the same rule holds good for them all.
3





*


26
INTERMITTENT FEVERS-FEVER AND AGUE.
Febres Intermittentes.
We have now to enter upon a class of fevers differing
essentially from those already considered, in possessing a
marked character of their own, in the simplicity of their
form, the periodicity of the different stages, and the uncertainty of their duration.
DIAGNosIS. A chill or cold fit, followed by heat, and
terminating by perspiration, more or less profuse; these
three stages constitute a paroxysm; after which for a
certain period, called the Apyrexia, the patient is generally free from suffering.
These periods are generally of definite duration;-if
the paroxysms return at regular intervals of twenty-four
hours, the fever is termed a Quotidian, offorty-eight, a
Tertian, of seventy-two a Quartan; even longer intervals
have been observed between the attacks; hence the Octanae of some writers,-if two paroxysms take place
within each period, the ague is said to be doubled, as a
double Quotidian or Tertian.
These fevers are sometimes found existing in the
simple form above noted, and at others complicated with
other forms of disease, as in intermittent catarrhal or
gastric fevers.
They are exceedingly indefinite in duration, and frequently assume a chronic form. An individual once attacked with ague, is frequently liable to a return in afterlife, if the disease has not been radically cured at the
commencement; nay more, any attacks of disease he
may be hereafter subjected to, are peculiarly apt to assume the intermittent form.
Nervous or inflammatory fever may change into an in




FEVERS.


27


termittent, or the latter take upon itself, if it continue, the
character of either of the two former, or become remittent; this frequently happens in hot climates.
Ague is rarely dangerous in this country, except when
of long continuance, by the weakness it occasions and
the injury it inflicts upon the constitution; it may, however, lead to obstructions and indurations of the more
important viscera, particularly of the liver and spleen, or
induce dropsical affections.
But in hot climates or in low marshy countries, this
disease is exceedingly fatal; and on dissection, the brain
and its tissues, the mucous coat of the stomach and
bowels, the lungs, and peritoneum have been found
affected; in such instances, when the disease gains
ground, the patient loses strength and becomes emaciated, every fresh paroxysm entails an increase of suffering,
and the perspiration fails to relieve; he complains of a
senfse of weight in the hypochondria, particularly the
right, with griping pain in the bowels, flatulent distension of the abdomen, diarrhea, or constipation, and constant thirst; or of headach, cough, and dyspncea: the
tongue is furred, and dry at the tip; the skin hot, harsh,
and dry; the urine scanty,the abdomen tumid, the extremities become dropsical, and sleep is restless or broken.
Death may ensue from collapse in the cold stage, the
absence of perspiration, and the disease passing into
continued or remittent fever, or from disorganization of
some important function, such as the brain, lungs, spleen,
or liver.
We shall now proceed to a general consideration of
the three stages of the disease, premising that the va'
rious modifications of the symptoms will be found more
in detail under the medicaments when we enter into
the therapeutic treatment.





28


FEVERS.


Premonitory symptoms. Sense of languor, or general
uneasiness; yawning, headach, stupor, pains in the
limbs or dorsal region, the toes and fingers becoming
numb, and the nails blue.
- Cold Stage. Coldness of the extremities, with a
feeling as of a stream of cold water running down the. back, and extending itself to the chest and abdomen;
general prostration of strength, insupportable coldness,
external and internal tremors, chattering of the teeth, respiration laboured and hurried, with inability to draw a full
inspiration, and oppression at the chest, The head is
variously affected, sometimes with headach, at others
with coma, stupor, or delirium; the pain noticed in the
premonitory symptoms are generally present, and in some
instances the patient complains of pain all over; the
tongue is moist, the eyes are heavy and sunken, the
features pinched and the lips and cheeks livid; the rigors
sometimes run on to convulsions.
The pulse is weak and oppressed, sometimes slow,
at others quick, and frequently intermitting, and often
from the severity of the rigors, scarcely perceptible.
The heat of the body, except at the extremities, is
generally above the natural standard, while the patient
complains of cold.
Sometimes the patient feels only a slight degree of
cold, without tremors, but accompanied with symptoms
of functional derangement, and in a few hours the hot fit
declares itself. The duration of the cold stage is from
an hour to four hours; and it runs into the hot without
any marked interval.
The Hot Stage presents all the characteristics of a
modified inflammatory attack, with hot, dry skin, and
thirst, oppression at the chest, hurried and anxious
breathing, and acute pain in the head, region of the





FEVERS.


29


spleen, liver, &c.; there is also occasionally a degree of
cerebral disturbance, or even delirium.
The general duration of the hot fit is from four to
twelve hours, when it terminates in the sweating stage;
when this does not take place, it is apt to run on to continuous fever, or take the form of a remittent,-a not
uncommon issue of this disease in warm climates.
Sweating Stage. After the hot fit has continued a
longer or shorter period, profuse perspiration sets in,
commencing in the forehead and extremities, and quickly
diffusing itself over the whole body; as soon as it makes
its appearance, the uneasiness and other symptoms begin
to disappear and the patient, in simple ague, continues
free from suffering until the next paroxysm.
CAUSEs. Marshy districts are noted as being peculiarly liable to this malady; a continuance of fish or
farinaceous diet is also apt to produce it; it may, moreover, arise from taking cold, indigestion, internal obstructions, peculiar constitutional tendency, or local irritation.
The medicines should generally be administered in
the apyrexia or interval between the paroxysms.
THERAPEUTICS. The following remedies have been
found most appropriate in ordinary cases of this affection:
Cinchona, Arsenicum, Ipecacuanha, Nux vomica, Pulsatilla, Antimonium crudum, Bryonia, Veratrum album,
Cocculus, Sabadilla, Ignatia, and Carbo vegetabilis.
CINCHONA.   This well-known, but too frequently
abused remedy, is undoubtedly of the greatest efficacy
in those fevers which owe their origin to the influence
of marsh miasm, and are peculiarly prevalent at particular seasons of the year. It may be given as soon as the
precursory symptom; manifest themselves, when we find
*3  *,





30


FEVERS.


a degree of fever, with anxiety, palpitation of the heart,
headach, sneezing, great thirst, bulimy or nausea, and
pain in the bowels. It is also indicated when the fever
has set in by adypsia during the cold stage-but thirst
AFTER the heat and during the sweating. It is contraindicated when thirst exists during the hot stage.
ADMINISTRATION. When properly selected, a single
dose of this medicine (one drop of the second or third
tincture in a dessert-spoonful of water,) will generally
remove the fever; but in other cases frequent repetitions
will be found necessary.
ARSENICUM is indicated when the different stages are
not definitely marked, but the fever and heat, and shivering, appear simultaneously-or we find cold shuddering
alternately with heat, or a sensation of cold internally,
with external heat, or an imperfect development of the
paroxysms; or burning heat, as if molten lead were
coursing through the veins, communicating an unpleasant
sensation of heat (calor mordax) to the hand when placed
upon the body of the patient-great restlessness; and
excessive, almost insatiable thirst, obliging the sufferer
to drink constantly, although but little at a time; depression, marked prostration of strength and anxiety; nausea,
desire to vomit, retching, and even vomiting; severe and
burning pains in the stomach, and insupportable pains all
over the body,-especially in the limbs.
A marked characteristic of Arsenicum is, that all the
sufferings of the patient, pains in the limbs, &c., increase
in intensity during the paroxysm, and others develop
themselves; another is, its marked periodicity, generally either Tertian or Quartan, and the rigors generally
setting in towards evening.
It is therefore called for in these cases where we meet
with a well-marked periodicity of imperfectly developed
*





FEVERS.


31


paroxysms, with some or any of the symptoms above
mentioned.
ADMINISTRATION. Of this medicament -D-. given during the apyrexia, will be generally found a sufficient dose;
however, in some cases, when the vital energies of the
patient seem insufficient to rally, and the cold fit continues, two drops of the tincture of the third potency may
be added to an ounce of water, and a dessert-spoonful
given every four or two hours, or every twenty minutes,
according to the exigency of the case. Such cases are
happily rare in this country, but I have thought it advisable to touch upon the means to be employed when they
do occur; in such instances also, Veratrum (which see)
is occasionally useful.
IPECACUANHA. This remedy will be found useful in
most cases of this affection, for although it may not always prove competent to the entire removal of the
complaint, yet when administered at the commencement
it rarely fails to prove of considerable benefit, and in
many instances, when judiciously selected, it of itself
performs a cure,-the most marked results have been
derived from its ADMINISTRATION with Nux vomica in the
following mode: exhibit IPECACUANHA 9, and repeat it in
three hours: Nux VMICA ds twelve hours after, and if
possible, in the evening. Should, however, the apyrexia
take place towards evening, lengthen the intervals, giving
the Ipecacuanha every five hours, allowing twelve hours
to intervene, and administering,the Nux vomica in the
evening, and if the attack, be quotidian, repeating the
latter medicine in the apyrexia preceding it.
Either of these remedies is of itself sometimes found
sufficient to shorten the duration of the disease; the indications for IPECAcUANHA are as follows: much shivering, with but little heat, or vice vers; increase of the





32


FEVERS.


shivering by external warmth; oppression at the precordial region; adipsia, or at least little thirst; dryness of
the mouth, nausea, vomiting, and other symptoms of
deranged digestion.
For Nux vosICA. Giddiness, with feeling in the
head as if from intoxication, desire to lie down, with
trembling of the limbs, or a feeling of a paralytic weakness and prostration, with cramps in the different extremities, particularly the calves of the legs and feet,
difficulty of breathing, anxiety, irascibility, fear of death,
and even slight delirium; gastric derangements, such as
t anorexia; dislike to bread; bitter and sour eructations,
tension of the abdomen, or spasm of the abdominal
muscles, and constipation. During the fever: Coldness
and blueness of the skin, desire to be constantly covered,
even during the accesses of heat and perspiration; occasionally stitches in the side, shooting pains in the
abdomen, aching in back and limbs, and dragging pain
in abdomen during the rigors. During the hot-fit particularly, headach, buzzing in the ears, heat in head, face,
with redness of the cheeks, and thirst.
ADMINISTRATION. In most cases the dose before
mentioned will be found sufficient; jut when the disease
is violent, a drop of the tincture at the third potency
may be added to an ounce of water, and a table-spoonful
taken every night to the day a return is expected.
PULSATILLA, like the two remedies last mentioned
and Antimonium crudum, Bryonia and Ignatia, is an
excellent remedy in Agues complicated with gastric or
bilious symptoms, whenever the slightest dyspeptic
attack brings on a relapse; its more peculiar indications
are: adypsia all through the fever, or thirst only during
the hot fit; simultaneous heat and shivering-aggravated
in the afternoon or towards evening; shivering when un




FEVERS.


33


covered; anxiety and oppression of the chest during the
shivering. During the hot stage, redness and swelling
of the face, or redness of the cheeks only, and perspiration on the face. The presence of diarrhoea, and the
patient being of a mild disposition, are corroborative
indications for its employment.
ADMINISTRATION. In ordinary cases -p     may be
given in a dessert-spoonful of water during the apyrexia;
in very severe attacks, one drop of the third potency may
be added to an ounce of water, and a dessert-spoonful
given every twelve hours during the same period; or, in
many instances, the same quantity about three hours
before the expected attack.
ANTIMONIUM CRUDUM. The indications for this remedy closely resemble those of Pulsatilla, but it is
particularly called for when the perspiration breaks out
simultaneously with the accesses of heat, and then suddenly
disappears, leaving the skin dry and hot. It may be exhibited at the same potency and in the same manner as
Pulsatilla.
BRYONIA is indicated by headach and vertigo, with dry
heat preceding the attacks of shivering; by the predominance of cold or shivering, with redness of the cheeks,
heat in the head, and headach; or marked heat followed
by shivering; by stitches in the side, excessive thirst,
thickly coated tongue, bitter taste in the mouth, disgust
at the sight of food, nausea or vomiting, and constipation.
ADMINISTRATION. Bryonia may be exhibited at the
same potency and in the same manner as Nux vomica,
(which see,) with the distinction of administering it
when practicable in the morning, instead of at night.
"VERATRUM ALBUM is indicated by the predominance of
external coldness, with heat internally, cold clammy perspiration, especially on the forehead, or general coldness





34


FEVERS.


of the whole body; or by shivering followed by heat and
perspiration, and then relapsing into shivering; coldness,
great thirst, deep-coloured urine, diarrhcea with griping,
or constipation, sometimes nausea or vomiting and vertigo, and pains in the dorsal and lumbar regions.
ADMINISTRATION. This medicament may be exhibited in the same manner as Arsenicum, if the cold fit
continues beyond the usual time; or may be had recourse
to either singly or in alternation with that medicine, as
circumstances may point out.
CoccuLUs._   a single dose, when, in addition to the
usual symptoms of Ague, we find during the apyrexia,
symptoms of spasmodic affections, particularly of the
stomach and abdomen, such as cramp-like pains at
the epigastrium, or constrictive pinching, or tearing,
-burning, colic-like pains in the hypogastrium.
SABADILLA 9- has been found useful in cases where
the attacks return always at the same hour, with chills
of short duration, then thirst followed by heat; also
where thirst is present just at the close of the cold stage,
and in such affections as consist entirely of chills.
ADMINISTRATION, as given under Arsenicum.
IGNATIA is indicated when with heat of some parts of
the body there is coldness, chill, and shuddering of others,
also where the heat is only external. Its best characteristic is, when the chills are easily relieved by external
warmth, and attended with thirst, whereas no thirst is
present during the hot fit; the dyspeptic symptoms indicating this medicine, and which are frequently present
in this affection, will be found under article Indigestion.
ADMINISTRATION at the same potency and in the same
manner as Pulsatilla.
CARBO VEGETABILTS, in constitutions with a peculiar
morbid tendency, will be found a most useful remedy.





FEVERS.


35


The indications for its employment are similar to those
given under Ignatia, especially when thirst is present
only during the shivering.
ADMINISTRATION. Of it _. may be dissolved in a
wine-glass of water, and a dessert-spoonful given morning and evening during the apyrexia.
When the hot-fit continues long without perspiration
supervening, and the intermittent threaten to change into a remittent or inflammatory fever, we must have
immediate recourse to ACONITE, of which we may give
~P, and if no relief follows in three or four hours, add
two drops of the tincture at the third potency to an
ounce of water, and administer a dessert-spoonful every
hour until perspiration sets in, or the pulse is reduced.
The preceding are the medicines that have been found
useful in ordinary cases of this affection; but as the
disease is frequently found complicated with other
complaints, it has o4ly been found practicable to give a
general statement of the course to be pursued when met
with in its more simple forms, and merely to allude to
the others-there being scarcely a disease known that
may not assume the intermittent type, as there is scarcely
a proved medicine that does not also partake of the same
character. All the author has endeavoured to do, in the
preceding pages, is to give a clear idea of the treatment of ague, commonly so called, as generally met with;
as he feels it would be vain to attempt to enter upon the
many various forms and appearances which this malady
presents.





36


ERUPTIVE FEVERS.
UNDER this head, I intend to treat of those diseases
possessing the common property of febrile symptoms,
preceding an eruption which is present during a part of
their course, that eruption varying in character according to the nature of the affection.
Under this class are comprised scarlet fever, purples,
measles, smallpox, chickenpox, miliary fever, and nettlerash.
Purples being frequently found in complication with
scarlet fever, are mentioned under that malady.
SCARLET FEVER.
This disease, in its simple generic character, takes its
name from the scarlet appearance of the skin, which is of
a bright raspberry colour, or of a hue resembling a boiled
lobster, smooth and glossy, upon which the finger being
pressed leaves a white imprint, which almost immediately
disappears. However, in the present day, we seldom
meet with it in this simple form, but more frequently
accompanied with sore throat, and sometimes complicated with ulcerated sore throat, delirium, and congestive
or severe inflammatory symptoms.
DIAGNOSIs. Fever with extreme quickness of pulse;
generally a feeling of soreness or pain in the throat, and
in one or more days, the appearance of an eruption of the
colour above mentioned, in large indefinitely marked
patches, gradually growing paler towards-their margins,





"~d~a:ti rg
~~~~E~"1~ W~"~'';'::'"-' "?'"


ERUPTIVE FEVERS.              37
and often extending over entire limbs with an uniform
scarlet colour, the efflorescence disappears in five or six
days, when the skin desquamates, and comes off in large
pieces.
We sometimes find scarlet fever with scarce any, or
even no external redness, but at the same time marked
angina and bright redness of the tongue; in such cases
the disease, instead of showing itself on the skin, has
fixed upon the mucous membrane; and even the angina
and redness of the tongue present in most cases of this
disease may be considered as an internal scarlatina.
Scarlatina was formerly confounded with measles,
from the resemblance which the two eruptions bear to
each other at their commencement; but they are easily
distinguishable, even without taking into consideration
the peculiar appearance of the skin above mentionedcharacteristic of the disease,-by the eruption in scarlet
fever generally developing itself in from twenty-four to
forty-eight hours from the *commencement of the fever
whereas that of measles rarely sets in before the third or
fifth day; and moreover by the absence of catarrhal
symptoms, such as cough, sneezing, lacrymation, the
usual precursors of measles.. The greatly-accelerated
pulse, which denotes the approach of scarlatina, is also
never met with to the same extent in any other disease.
THERAPEUTICS. In those rare cases in which it appears in its simple form, BELLADONNA alone is a sufficient remedy. We may dissolve four globules of the
sixth potency in four teaspoonfuls of water, and administer one every six or even three hours, if the fever run
high, lengthening the intervals as it decreases in intensity, only repeating when a cessation of the amelioration
takes place. We ought to watch carefully after each
4





38


ERUPTIVE FEVERS.


administration, for if the fever increases soon after, we
may-conclude it is a medicinal action, and avoid aggravating it by a repetition of the dose. In cases of intense
fever we may substitute a drop of the tincture at the
third potency, added to an ounce of pure water for the
dose above mentioned, and give a dessert-spoonful at the
same intervals.
The next form which we shall treat of is, when the
scarlatina becomes a severe and dangerous disease,
when the throat is considerably affected and high fever or
congestive symptoms set in, which, if not properly treated, may assume the malignant type, attended with ulcerated sore throat, extension of the inflammation to the airpassages, delirium, spasm, &c.
The fever and sore throat increase with the eruption
in mild cases, they then cease, but in the more severe
continue; it is when the disease appears principally to
attack the head, throat, or abdominal viscera, that it becomes dangerous.
BELLADONNA should be administered as soon as the
eruption begins to declare itself, when the throat and
tongue become affected with dryness and burning; desire, but complete inability, to swallow even drinks, or
saliva, with sense of suffocation; throat bright red,
sometimes excoriated, with white specks, or stringy
mucus, or appearance like thrush, tonsils swollen, internally and sometimes externally, the tongue of a bright
fiery red, sometimes interpersed with dark red patches,
generally appearing later in the disease, if at all; also
when delirium is present.
ADMINISTRATION. We should dissolve a drop of the
third in six teaspoonfuls of water, and exhibit a teaspoonful every four hours; to a child under twelve years
of age, j in a teaspoonful of water repeated as above,





S   ERUPTIVE FEVERS.              39
which will generally be sufficient to bring about a speedy
amelioration.
If the disease have taken a favourable turn, we my"
allow th Belladonna to continue its action; but if we
clearly perceive an appearance of ulceration commencing,
with increase of mucus, and swelling of the throat, we
must have immediate recourse to MERCURIUS.
ADMINIsTRATION (3). One grain in six dessert-spoonfuls of water, one dessert-spoonful every four hours, unless the ulcers present a livid appearance about the
edges, emitting an offensive odour, with excessive thirst
or gastric derangements.
If great prostration of strength be present, we may exhibit ARSENICUM, AP every six or twelve hours, according to the effect produced, and follow it with Nux voMICA Q_, repeated the following night if necessary, if the
former fail to relieve the totality of the symptoms.
When the fever assumes a clearly inflammatory type,
and the pulse runs high, we may administer ACONITE,
at the same potency, and in the same manner as already
given under Inflammatory Fever, which see.
When the quickness of pulse and -other inflammatory
febrile symptoms are subdued, and the affection of the
throat again appears prominent, we may return to Belladonna.
OPIUM may follow the administration of Belladonna
"when there is burning heat of the skin, drowsiness, stupor, stertorous breathing, open mouth, eyes half closed,
restlessness with vomiting, or convulsions.
ADMINISTRATION. One drop of the tincture at the
third potency, added to an.ounce of water, a dessertspoonful every four hours; if, however, a marked improvementfollow the first dose, we may allow the remedy-to continue its action.


f





40


ERUPTIVE FEVERS.


We may here notice a remedy which has been found
particularly efficacious in a peculiar affection of the brain,
tl1at frequently declares itself in cases of repercussed exanthemata, and which if not speedily checked, may terminate in paralysis of that organ. We shall therefore
treat of this remedy here, and refer to this place, when
we may hereafter have occasion to allude to it. The
discovery of its value in such cases is due to Dr. Schmid
of Vienna, whose formula for its exhibition we shall give
herewith.
CUPRUM ACETICUM. When the eruption during efflo
rescence is suddenly repercussed, the result of which is
frequently fatal, this medicament may be almost considered specific; at least the substance with which the
greatest degree of certainty can save the patient; if in
thiq condition death should happen, it is in consequence
of paralysis of the brain.
Symptoms indicating its employment: Quick, small,
weak irregular pulse; temperature of the skin considerably reduced, in more severe cases chilly, and covered
with perspiration. Afections of the nervous system are
never absent; to this belong convulsive movements of
various parts of the body, distortion of the eyes, face,
mouth, head, &c., spasmodic affection of the chest,
sometimes even eclampsia; as well as great restlessness, frequent change of position, sopor, delirium, &c.
It displays its efficacy in reproducing the eruption,
when the cerebral affection disappears, and the disease
runs its usual course.
FORMULA. One grain of the Cuprum eceticum triturated with one hundred, one hundred and fifty, or two
hundred grains of sugar of milk previously triturated so
as to feel as fine as flour; the process should occupy
from twenty to thirty minutes. Of this preparation take





ERUPTIVE FEVERS.


41


from three to four grains, dissolve in a tumbler of pure
water, and administer in tablespoonfuls, every quarter,
half, one or two hours, according to the violence of the
disease.
This remedy will be again commented upon in different parts of this work. (See Tabular index of the Medicines.)*
PULSATILLA, when derangement of the stomach and
digestive organs is a prominent symptom, the face pale,
red, or bloated; also constipation-or looseness, especially at night,-occasionally with pains in the bowels,
and shivering; disposition fretful and sensitive, or melancholy.
ADMINISTRATION. We may exhibit to an adult Oo00
and repeat in six hours if no improvement takes place,
to a child one globule of the same potency.
We frequently find this affection in a complicated form,
distinguishable from pure scarlet fever by the absence of
the peculiar hue of the skin, of which we have spoken
at the commencement, and by the pressure of the finger
leaving no white imprint. In such cases we may have
recourse to the following remedies.
ACONITE. When the appearance of the skin closely
resembles PURPLES, (Purpura rubra,) when we find extreme sensibility to pain, sleeplessness from excitability,
tossing, and restlessness, quick pulse, hot and dry skin,
and disposition to tears.
ADMINISTRATION    %, and repeat in six hours;
should, however, the fever run very high, we must ex* The remarks made on this mediaino are taken from the translation of Dr. Schmid's paper, on the subject in that excellent and
useful medical periodical, the British Journal of Homoeopathy,
No. III, p. 233, to which the reader desirous of further information
is referred.
*4





42


ERUPTIVE FEVERS.


hibit the medicine in the mode recommended in Inflammatory Fever, which see. When the more severe symptoms are subdued, but considerable nervous excitability
remains, we may have recourse to COFFEA Oý0, in a dessert-spoonful of water; and in many cases of this nature
it will be found beneficial to alternate these two remedies at intervals of twelve hours.
IPECACUANHA. When there is distressing tightness
of the chest, and the fever heightens towards evening,
with symptoms of nausea, or even vomiting; diarrhoea
with colic, face sallow, rest broken, and agitated, moaning and disposition to weep; particularly if the clear
scarlatina hue is less defined, or the skin is studded with
small elevations, perceptible to the eye and touch.
ADMINISTRATION. One drop of the tineture, third potency, a dessert-spoonful every four hours in severe
cases, but when the attack is less violent ofo of the same
remedy, at twelve hours' intervals, will generally be
found sufficient.
In strumous habits or in instances when the disease
has been allopathically treated from the commencement,
many troublesome sequelae are frequently left. And we
may remark that even after the desquamatory process is
completed, the whole of the danger is not altogether
passed, any exposure to cold or infringement of dietetic
rules being likely to entail unpleasant and even dangerous consequences.
HELLEBORUS NIGER and ARSENICUM have been found
useful in hydrops following scarlatina.
ADMINISTRATION --, in four teaspoonfuls of water,
one morning and evening.
CHAMOMILLA may be employed with advantage against
rawness of the face, &c. and glandular swellings.





- ERUPTIVE FEVERS.


43


ADMINISTRATION. A drop of the tincture in six dessert-spoonfuls of water, one three times a day.
AuRUM. Against the offensive and purulent discharge
from the nose with soreness and swelling of the interior.
ADMINISTRATION. _V0- in half an ounce of water, a
teaspoonful taken morning and evening until finished.
MERCURIUS vIVUs against soreness of the face with
swelling of the submaxillary glands.
ADMINISTRATION. Halfa grain of the third trituration
in six dessert-spoonfuls of water, one three times a
day.
Against the following, Belladonna is extremely efficacious: Puffiness of the face, swelling of the hands and
feet, lingering fever in the evening, glandular enlargements, chaps about the mouth, severe headaches, stammering, &c. and may frequently be advantageously attended with the medicines just mentioned.
Dropsical swellings of the whole body is not an unfrequent sequela, requiring a most careful and discriminating treatment.
Scarlet fever is chiefly dangerous when a latent constitutional virus is called into activity, and associates
itself with the disease; in such cases, the allopathist
finds himself baffled by an evil against which he possesses no specific remedy, and the utmost skill of the
homoeopathic practitioner is called into play. Such, it
is evident, are far beyond the sphere of a work of this
nature, and were we to enter upon them, we might, with
the purest motives, commit irreparable mischief by inducing many to attempt the treatment of those dangerous
forms of this malady, which fall sb immediately within
the province of the experienced physician.
We may, however, remark that Ammoniacum carbonicum, Secale cornutpm, and Acidum phosphoricum have





44


ERUPTIVE FEVERS.


been found very useful in scarlatina, when it assumes
the typhoid form.
Belladonna is valuable as a preservative against pure
scarlatina when epidemic, and moreover greatly assists
in modifying the character of the disease, in such individuals as do not wholly escape its attacks; with children ji, in a teaspoonful of water, and with adults, or
robust children above ten years of age, YT every three
or four days, for from two to three weeks at farthest,
which will generally be found sufficient to obviate any
risk; should the disease continue to rage, the treatment
may in some instances be renewed: if the ruling epidemic be scarlatina in a complicated form, that is, not
possessing the clear scarlatina hue, we should alternate
this medicine with ACONITE (6) one or two globules,
according to the age, allowing the Aconite an action of
about twelve hours, and afterwards proceeding with the
Belladonna as before. While taking these medicaments,
the patient must adhere strictly to the homoeopathic diet,
particularly avoiding wine and acids. We must, in administering prophylaxes, carefully watch their effects, and
if a medicinal action set in, discontinue immediately.
DIET. During the course of this malady, the greatest
possible attention must be paid to this point, in the more
severe accesses of fever. No other nourishment must be
given than toast-water, or weak barley-water; and after
the fever has abated, every care must be taken, and a
return be gradually made to a more nourishing diet, as
negligence in this respect may be productive of the
most serious consequences. In mild attacks the patient
S  may be allowed gruel or weak broths.





,* s:i-~:4i~ilra
~. P 1:Tt-:1 *._ rh


45
MEASLES. Rubeola.
This disease generally reigns as an infectious epidemic, and for the most part confines its attack to children, in which cases it is seldom, when properly treated,
either severe or dangerous; although adults sometimes
suffer from its influence, when it generally assumes a
more critical character. It rarely attacks an individual
a second time.
Measles is not to be so much dreaded for itself, as
for the deleterious consequences it, under an improper
mode of treatment, frequently entails, or to use the technical term, the dregs it leaves after it, in many constitutions developing an inherent disposition to consumption.
DIAGNOSIS. Catarrhal symptoms, such as short dry
cough, lacrymation, with redness of the eyes, and a degree of fever, more or less marked preceding the eruption from three to five days, and generally continuing as
long after, or all through the disease.
Eruption of a number of small red spots (frequently
papular), the skin in the intervals between them generally preserving its natural colour, and sometimes exhibiting a faint reddish hue. We often find them in
the shape of small irregular arcs; the eyes of the sufferer are generally red and watery. They for the most
part make their first appearance on the face and neck,
beordie confluent, and extend themselves gradually
downwards over the rest of the frame, disappearing with
a bran-like desquamation of the epidermis, the distin.
guishing sign of this disease.
ACONITE has been regarded, in some instances, as almost specific against measles, and in its mild form will





46


ERUPTIVE FEVERS.


frequently be found sufficient, in a few doses, to conquer
the disease, or at least materially to shorten its duration;
it is particularly indicated when the fever assumes an
inflammatory form, attended with dry heat of the skin,
heat in the head, with confusion and giddiness, redness
of the eyes, intolerance of light, general weakness, and
prostration.
SADMINISTRATION. 0, or to very young children 0,
in a teaspoonful of water, every twelve hours, or in
severe cases, exhibit it as under Inflammatory Fever,
which see, and continue the treatment till we find an
amelioration, should none of the symptoms, hereafter
mentioned, indicate the necehsity of having recourse to
another reme dy.
SPULSATILLA is also very efficacious, and even specific
in this disease, and is frequently indicated in the commencement, from the strong resemblance which some of
its pathogenetic* properties bear to the catarrh attendant
upon measles, together with the characteristic exacerbation of the symptoms towards evening, &c.
ADMINISTRATION. One drop of the third potency in
an ounce of water, giving a dessert-spoonful every four
hours while the same indications continue, until amelioration sets in; or sometimes in alternation with Aconite,
which may always be considered indicated, when decidedly inflammatory symptoms declare  themselves.
Pulsatilla is also valuable when any gastric derangement is present.
BELLADONNA. When the inflammation attacks the
throat, presenting many of the throat symptoms we have
given for the medicine under scarlet fever, attended with
* Pathogenetict symptoms. Those caused by the action of a
medicine upon a healthy individual





ERUPTIVE FEVERS.


47


great thirst, which the patient is often prevented from indulging by the acute shooting or pricking pain in the throat
produced by swallowing, and further, when there is a
hoarse, dry, barking, and somewhat spasmodic cough,
worse at night, with restlessness and high nervous excitement; also in those cases of measles where no eruption
declares itself, but simply headach and catarrh, with inflammation of the eyes, which present a glassy appearance, are bloodshot, or streaked, and watery.
ADMINISTRATION as under Scarlet Fever, which see.
BRYONIA is an excellent remedy when the lungs and
chest seem affected, which discloses itself by shooting
pains, increased by respiration and extending themselves
between the shoulders.
ADMINISTRATION. In mild cases k  in a teaspoonful
of water, given when practicable in the morning, and
repeated in twenty-four hours: but in severe attacks,
we may find it requisite to add a drop of the tincture of
the third potency, to an ounce of water, and administer
a dessert-spoonful every six hours until improvement set
in.
This disease has frequently terminated fatally, from
the eruption being driven in by sudden exposure to cold
or change of temperature; in such cases, BRYONIA, administered as above, is generally found efficacious in reevolving the eruption, and preventing this disaster; if
diarrhoea, with mucous discharge, follow the suppression,
PULSATILLA is indicated; if the vomiting be the more
prominent symptom, IPECACUANHA sliuld be substituted.
ADMINISTRATION. The dose of Pulsatilla has been
already given in this article. Of Ipecacuanha, we may
add one drop of the tincture of the third potency to an
ounce of water, and give a dessert-spoonful every two
hours until the vomiting ceases. Should nervous symp




48


ERUPTIVE FEVERS.


toms perchance become developed, Cuprum aceticum, as
described under Scarlatina, p. 40.
For the treatment of coughs that measles, not carefully
treated, sometimes leave after them, see COUGHS.
For the diarrhcea remaining under similar circumstances, see DIARRH(EA.
As a precautionary measure against the attacks of
this disease, when epidemic, we may administer PULSATILLA V, in a little water, followed by ACONITE V,
three days after; allow the latter medicine to act for
twenty-four hours, and continue the alternation for a fortnight, renewing it when necessary at the termination of
a week or ten days. This treatment will frequently be
found sufficient in warding off this disease, or, if taken,
it will be an extremely mild form.
& DIET. In this respect we may follow the rules given
under Scarlet Fever.
SMALLPOX. Variola.
This disease is, by pathologists of the present day,
divided into two varieties-the distinct, when the pustules on the face are clearly defined, and do not run into
one another; the confluent, when they coalesce and form
one continuous whole.
When the symptoms are less severe than those properly characteristic of the disease, and the eruption on
face slight, it is caled the modified smallpox. We generally, find this description in such persons as have been
properly vaccinated, which precaution, although not always a preservative from the attacks of variola, greatly
lessens its virulence, and gives a milder character to the
complaint when taken.





.. ~bQ;?yo~ ~ ft~;; ":."~'~i ~;:,~~-;:~Sr~~cl'~:" ~~,c;i;Xi:B.i:_


SMALLPOX.                 49
DIAGNOSIS. This disease is frequently very sudden
in its attacks, commencing with chilliness and shivering,
followed by febrile symptoms, with severe pains in the
small of the back and loins; the patient also complains
of headach, oppression of the chest, and acute pain in
the pit of the stomach, increased by pressure. The
eruption makes its appearance at the close of the third
day, first on the face and hairy scalp, then on the neck,
and afterwards spreads over the whole body. Catarrhal
symptoms, sneezing, coughing, wheezing, and frequently
difficulty of breathing, accompany this disease, commencing when the pustules declare themselves the
second or third day from the commencement of the eruption, and also while they are coming out.
The eruption first appears in the shape of a small
hard-pointed red elevations, which become depressed in
the centre as they enlarge, and contain a semi-transparent
fluid with inflamed circular margin; about the sixth day,
the depression in the centre disappears from the lymph
in the pustule, changing into pus.
On the first day, a small lump like a millet-seed may
be felt in each of the elevations above noticed, distinguishing this eruption from all other exanthemata. The
pocks continue coming on the first three eruptive days,
and each pock runs its regular course: thus those which
first appeared are dying off, while the others are sup-  *
purating; and as the first dry and form into scab on the
eleventh day from the commencement of the,sease,
the seventh from the appearance of the eruption, me general desiccation happens on the fourteenth day.
When the pustules have attained their full development, they generally burst, in mild cases emitting an
opaque lymph, which dries into a crust and falls off; in
severe- ones, we find a discharge of puriform matter,
5  -





50              ERUPTIVE FEVERS.
forming scabs and sores, which leave, on their healing,
permanent marks or pits. Red stains, caused by increased vascular action, always remain for a while after the eruption; but if no ulceration has taken place,
they disappear in process of time.
In Confluent Smallpox, all the precursory symptoms
are more severe, the eruptive fever runs its course, the
pain in the pit of the stomach, and difficulty of breathing, are more complained of, and in children the eruption is frequently preceded by convulsions and delirium:
the latter symptom is frequently present with adults during the suppurative or secondary fever, which frequently
assumes a typhoid character, and if not properly treated
from the commencement, sometimes carries off the pa.
tient on the eleventh day; and all cases in which we
have a deeply-rooted morbid constitutional taint to contend against, require the utmost skill of the experienced
practitioner to ward off a fatal result.
Salivation, with soreness of the throat and aphtham or
pustules on the tongue and pharynx, frequently declares
itself in both forms of this disease, but more particularly
the confluent.
Before we come to the medicines to be administered
in the different stages of the disease, we may say a few
words upon the treatment of the patient.
*       Cool and fresh air are our best auxiliaries, the variolous virus is one which reacts upon the organism, and
warmth is calculated to increase in activity. So beneficial istool air found in this malady, that taking a child
to an open window when attacked with the convulsions,
frequently present, will generally be found to afford immediate relief.
When the vesicles declare themselves, and begin to
form into pustules, the room ought to be kept as dark as





6~ " j:):qy
"- "I`-"
(P4.i- rI r


SMALLPOX.                 51
possible, to aid in preventing the risk of disfigurement,
a precaution deducible from common experience, since
we find that the parts of the frame exposed to the action
of light are always those most strongly marked by the
ravages of the disease.
To avoid the cicatrices and consequent disfigurement
left by this disease, many physicians have adopted a
mask or plaster for the face, of different substances, such
as gum, mucilage, calamine, &c. We have, however,
in general course of practice, found the specific action
of the medicines, and the precaution above mentioned,
sufficient materially to obviate all evil consequences of
this nature.
THERAPEUTICS. In the first stage, that is, when the
eruption is coming out, the best medicaments to assist the
natural course of the distemper are Coffea and Bryonia.
COFFEA is valuable in allaying the nervous excitability generally present.
ADMINISTRATION. of in a dessert-spoonful of water,
repeated in four hours if necessary.
ACONITE may either follow or precede this medicine
when the fever runs high, and threatens visceral congestion. Administration as in INFLAMMATORY FEVER,
page 7, which see.
BRYONIA is especially intended to assist the natural
course of the eruption; it is also indicated when considerable symptoms of gastric derangement are present,
such as bitter taste in the mouth, foulness of the tongue,
headach, rheumatic pain in the limbs, increased by motion,
constipation and irritability of disposition,-and is useful
in the more advanced stages of the disease, when the
pustules have declared themselves; also when an inflammatory action of the respiratory organs seems


c r





52


ERUPTIVE FEVERS.


threatened, indicated by occasional shooting pains in the
chest especially during respiration.
ADMINISTRATION. In slight cases, oo in a teaspoonful of water, given every twelve hours, as the eruption
continues developing itself; in severe cases, two drops
of the tincture at the third potency to an ounce of water,
a dessert-spoonful every six hours; it may be preceded
or followed by ACONITE, should there be considerable
fever, with dry heat of the skin, the medicine being
administered as above ordered, until these symptoms are
abated.
BELLADONNA 00, in a teaspoonful of water. This
remedy may follow Aconite when the latter has been indicuted, should symptoms of cerebral disturbance have
set in, characterized by flushed countenance, intolerance
of the eyes to light, headach and delirium.
For further indication for the employment of this remedy, and the mode of exhibition, see INFLAMMATION
OF THE BRAIN AND ITS TISSUES.
OPIun 0 is useful when there are symptoms of stupor or strong inclination t6 somnolence. Should the gastric symptoms be attended with diarrhbea and severe
vomiting, we may administer IPECACUANHA 0~.    In
children, CHAMOMILLA Op, is frequently preferable to
Ipecacuanha, and is useful for the convulsions that
sometimes set in.
ADMINISTRATION. In general cases the above dose,/
given every three to four hours, will be found sufficient;
but in severe attacks, we may add a drop of the tincture
at the third potency to an ounce of water, and give a
dessert-spoonful every two hours, or even every hour until the violence of the symptoms has abated, when we
may gradually lengthen the intervals should not the indications that may arise demand another remedy.





SMALLPOX.                  53
PULSATILLA U0. When there is a gastric derangement with nausea, but the vomiting not so severe, and
when the symptoms are aggravated towards evening,
particularly when the patient is of a mild or phlegmatic
temperament.
ADMINISTRATION. The above dose repeated in twelve
hours, if necessary.
If Ipecacuanha do not succeed, and the vomiting increase considerably, with excessive thirst and dryness of
the mouth, the tongue very foul and dark, attended with
excessive prostration of strength, we may administer
ARSENICUM - in a teaspoonful of water, and repeat the
dose every two or three hours. The last symptom generally occurs after the maturation of tne eruption and secondary fever (when present), in which case we may
substitute the thirtieth for the twelfth potency, which
will generally sufficiently restore the vital energy without an injudicious alteration to nutritive diet, or having
recourse to wine or tonics.
An occasional dose of Stramonium O is useful when
some pustules are already formed, in forwarding the
eruption and shortening its duration.
During the filling up of the pocks, a secondary or suppurative fever frequently sets in, particularly when the
pustules are thick, and evince a disposition to run into
the confluent form;,when, moreover, there is swelling
of the head, inflammation of the eyes, throat, and nose,
with salivation; having, if called for, first attacked the
more prominent febrile symptoms with ACONITE, exhibited as above prescribed, we should administer on the
same day, MERCURIos, a grain of the third trituration in
half an ounce of water, a dessert-spoonful every six
hours, until amelioration declares itself.
While the disease is running its course, particularly
5*





54


ERUPTIVE FEVERS.


during the distension of the pustules, should no other
remedies be imperatively called for, and also towards the
Speriod of their bursting, we may safely administer an
occasional dose of Mercurius as above, in the latter case,
followed by SULPHUR in Tincture, to assist in the desiccation.
ADMINISrRATION. TINCTURE OF SULPHUR.        We
may exhibit a drop of the tincture of the third potency
in six dessert-spoonfuls of water, and give one morning
and evening.
During the period of desiccation, continual laving with
tepid water and bran, and gently drying it afterwards,
will be sufficient; cleanliness being then the great requisite, with a careful attention to diet.
REPERCUSSION OF THE ERUPTION. When this has
taken place, and the symptoms of cerebral disturbance
be given under the head of the medicine about to be
mentioned, (see Scarlet Fever, page 36,) set in, we must
have immediate recourse to Cuprum aceticum, and employ it as there directed. Some physicians in their
treatment of the affection divide it into distinct stages;
we have, however, contented ourselves, when necessary,
with slightly referring to them. To the practitioner
they are sufficiently well known; and the non-medical
administrator must be guided by the symptoms that present themselves from time to time, in the selection of.        the remedy, by which mode he is less likely to fall
S    into error, than he might be were he to act by mere
routine.
MODIFIED SMALLPOX is merely a mild description of
the above, and as we have before said, is the form the
disease generally assumes, when it attacks those who
have been properly vaccinated. We must regulate our
treatment according to the symptoms, being guided in





CHrCKEN-POX.                 55
the selection of the remedies, by the indications before
given.*
DIET should be regulated by the virulence of the
attack; but in all instances the beverages should be cold,
as a warm regimen and neglect of the precautions before
mentioned, may convert the mild into the malignant
form; and after recovery it is necessary that the patiedt
abstain for a considerable time from animal food.
It may be remarked that after recovery from an attack
of malignant smallpox, the patient's constitution frequently requires a thorough renovation, and that he
should be put under a course of medicines best calculated to attain that result.
CHICKEN-POCK. Variola spuria, Varicella.
DIAGNOSIs. A disease bearing a considerable resemblance in its external character to smallpox, but differing in its duration, and symptomatically, being considerably milder, generally requiring no medical assistance,
but merely attention to diet, and but rarely becoming
dangerous, except when it extends itself to the lungs or
brain. The fever, however, occasionally runs high.
When this affection attacks an individual, and smallpox is epidemic, which is not unfrequently the case, it
is often mistaken for that disorder, but it soon discovers
its real character, by the rapidity with which the erupSI have given in detail the treatment which has been generally
adopted by Homceopathists, and with great success. But the remedy now most in repute is Vaccine given internally, a recent mode
of administration, to which the most virllent cases of this malady
are reported to have yielded with a promptness and certainty that
afford another great proof, if such were needed, of the truth of
the hommeopathic law.





56


ERUPTIVE FEVERS.


tion declares itself; the ptstules (in many instances
closely resembling those of the smallpox) being generally fully matured by the third day, and the whole eruption
disappearing at the end of the fourth or fifth, without
leaving any mark.
THERAPEUTICS. When much fever is present we
should check it by the administration of ACONITE O0 repeated from time to time as required, or COFFEA 0% also
occasionally repeated if there is simply extreme restlessness and anxiety. When cerebral symptoms threaten,
BELLADONNA, for the employment of this medicine, see
INFLADMMATION OP THE BRAIN.    When attended with
convulsions in children, particularly during dentition,
see CONVULSIONS.
MERCURrUS 00, a dose every eight hours may be
given when the lymph of the pustules becomes converted into pus, as in the smallpox, and is also beneficial if
strangury be present. When the eruption has been
driven in, see REPERCUSSION OF THE ERUPTION IN
SMALLPOX. In anomalous cases, where other symptoms
supervene, more closely.resembling Smallpox, we may
consult the remedies mentioned under that disease.
MILIARY FEVER. Miliaria.
DIAGNOSIS. A   great number of exceedingly small
round transparent vesicles, afterwards becoming opaque,
and ending in scurf, irregularly scattered, of the size of
millet-seeds, (hence its name,) which, when the hand is
passed over the surface, feel as if there were small
grains of sand beneath the cuticle.
This affection is sometimes idiopathic, but more frequently associated with fever, and even occasionally





.i.?                          ~:;t: P~         ~.~4L: 1
iB- D -i.: -. ~i~
~;~~iC            ~--


M1LIARY FEVER.               57
present in various chronic diseases, in which latter instance it may generally be considered as an evidence of
some internal constitutional taint; it is also not uncommon with women at the period of confinement, arising
from the room being kept at too high a temperature-a
frequent cause of this malady. This, like other cutaneous affections of the same nature, is generally preceded
by febrile symptoms, the eruption appears on the fifth or
sixth day; from the commencement of the fever we find
profuse perspiration, with a putrid sour odour previous
to the vesicles evolving themselves, there is a tingling
or itching of the skin, occasionally attended with a sensation of burning, together with a numbness of the extremities; the patient complains of a sense of oppression
at the chest, sometimes with short dry cough and stitches in the side, and not unfrequently of severe, or fugitive rheumatic pains in the limbs and teeth. The skin
is sometimes dry, at others perspires profusely, with a
sour smell; low spirits are a frequent accompaniment
of this affection.
THERAPEUTICS. In consequence of the numerous
diseases with which it is complicated, it requires a variety
of medicaments. Wheni it app'ears in a simple and apparently idiopathic form, and is attended with anxiety
and restlessness, which seems to depend upon an accelerated circulation of the blood, with great internal and
external heat. ACONITE %0, is a specific remedy, and
when the above seemed more particularly to arise from
high nervous excitability, and the feeling of anxiety is
less, COFFEA 90, is indicated.
BELLADONNA %0, when the accelerated circulation is
attended with considerable determination of blood to the
head and delirium. ARSENICUM, when the eruption
is accompanied with excessive anxiety.





58


ERUPTIVE FEVERS.


When the disease is found conjoined with puerperal
or other fevers, and is preceded by oppression, lassitude,
anxiety, and a sense of weight about the chest, restlessness, sighing, &c.; it is generally speedily subdued by
IPECACUANHA 0?, or should the symptoms which precede the eruption be accompanied by constipation, or
shooting pains in the chest, BRYONIA % should be selected.
When this disease comes on in children, brought
about by the same cause, viz., excessive warmth, or
even errors in diet, attended with a greenish, or watery
yellowish diarrhoea, we may administer CHAMOMILLA 00
followed, if no alteration take place, by TINCTURE of
SULPHUR.
ADMINISTRATION OF THE MEDICINES. When this
disease appears in an idiopathic form it is rarely so severe as to require a very frequent repetition of the medicines if the accessory treatment about to be pointed
out be carefully attended to-in most cases the doses
above given, repeated from four to twelve hours according
to the intensity of the disease, will be found sufficient.
And in many instances a single dose will dissipate all
the symptoms, or at least so modify them that we may
safely trust to nature to perfect the cure.
REMARKS. When it exhibits itself in complication
with other affections, Miliaria may be either symptomatic or critical, and the physician should always bear
in mind that an improper treatment of other affections
may develop it. When symptomatic, it may be recognized by appearing either very early or late in the original affection which so far from being relieved by the
eruption, is frequently exacerbated by the excitement of
the nervous system  consequent on its appearance.





NETTLE-RASH.


59


Even when critical, in which case after the eruption has
been fully developed, amelioration takes place, it is still
dangerous from its liability to retrocede. When a proper attention is paid to keeping the patient cool by light
covering and the removal of feather beds, and allowing a
free supply of pure air, this troublesome concomitant will
rarely show itself. When, however, it appears critical,
we must be most careful not to check it, and a moderately warm temperature must be kept up.: REPERCUSSION OF THE ERUPTION. When this has
taken place, we must carefully watch the result, sometimes nature herself provides for it by an increase of
some other secretion, but when symptoms of cerebral
disturbance, &c. present themselves.  See Cuprum
aceticum article Scarlet fever, p. 36.
DIET. Same as already given for FEVER, modifying
it according to the violence of the symptoms; when repercussion threatens to take place, the patient's beverages should be given moderately warm.
NETTLE-RASH. Urticaria.
DIAGNOSIS. Spots or wheals, flat or prominent, and
of a dull white colour, like the sting of a nettle or redder than the surrounding skin) generally encircled with
a rosy areola, disappearing in warmth, and reappearing
when exposed to cold, evolved suddenly and continually
changing their situation.
This eruption is brought to the surface by various
causes, not unfrequently arising from indigestion, caused
by the use of improper articles of food. Befdre the
eruption discloses itself, the patient is affected with restlessness, languor, oppression, and want of appetite, de




60


ERUPTIVE FEVERS.


rangement of the digestive functions,and fever. When the
eruption breaks out the above symptoms become relieved,
but considerable suffering arises from heat and itching;
sometimes swelling of the parts affected; this disease,
in almost all cases arising from a constitutional cause,
requires for its total eradication a regular course of
treatment.
THERAPEUTICS. In acute cases the remedies found
most useful are Dulcamara, Aconite, Nux vomica,
Pulsatilla, Antimonium  crudum, Belladonna, Hepar
sulphuris, Rhus toxicodendron and Bryonia.
DULCAMARA (6) is almost specific; when the exciting
cause has been cold or damp, when the affection occurs
in wet weather, or when we find considerable fever with
bitter taste in the mouth, foul tongue, diarrhoea, pains in
the limbs, and extreme itching, with a burning sensation
after scratching.
ACONITE (6) when the febrile symptoms are more
intense, the pulse high, the skin hot and dry, great restlessness and anxiety present.
Nux VOMICA (6) when there is considerable gastric
derangement, particularly constipation, more especially
when arising from wine, stimulants, or indigestible substances; it may, if necessary, follow Aconite in eight or
twelve hours after the febrile symptoms are somewhat
modified.
PULSATILLA (6) deserves a preference under similar
circumstances when the bowels are relaxed, and the
patient of a quiet disposition and lymphatic temperament.
ANTIMONIOM CRUDUM (6) may follow Pulsatilla, should
the latter have failed to relieve the affection.
BELLADONNA (6) is indicated when the affection is attended with a severe throbbing headach, with redness of
the face.





NETTLE-RASH.


61


HEPAR SULPHURIS (6) when cold in the head is present has frequently been found useful.
RHUS TOXICODENDRON (6) when the affection has
apparently arisen from some idiosyncrasy of constitution,
in which the eruption has been thrown out by the use of
some particular article of food. See article on Diet in
Introduction.
ADMINISTRATION OF THE MEDICINES. In ordinary
cases we may dissolve four globules at the potencies
above given in six dessert-spoonfuls of water, and administer one morning and evening except in the case of
Aconite, which may be more frequently repeated when
the febrile symptoms seem to demand it.
In this, as in every other cutaneous eruption, great
care ought to be taken against driving in the eruption, by external applications or lotions; their sudden
suppression, as before noted under SCARLATINA and
SMALLPOX, being frequently attended with fatal consequences. When, however, from improper treatment we
have reason to dread this having taken place, we should
administer BRYONIA ly, repeated every four hours until
the eruption re-appears, which will generally be found
sufficient to bring back the rash, and prevent further
dangerous consequences. Should, however, marked cerebral symptoms declare themselves, see SCARLET FEVER,
Repercussion of the eruption.*
"The URTICA URENS has been recommended in this affection,
but it has not yet been sufficiently tested for me to recommend its
adpption.
6





62


DISEASES OF ORGANS
CONNECTED WITH
THE DIGESTIVE SYSTEM.
TOOTHACH.
WHEN we find a constant disposition to this distress-'
ing malady, on the slightest exposure to cold, without
any presumable cause, or what is generally called rheumatc toothach, we are warranted in concluding that some
taint lurks in the constitution, and until means are taken
for its eradication, even the remedies most clearly indicated under other circumstances fail for its relief, or at
most but temporarily alleviate its pangs. Another obstacle to the selection of the proper remedy is the difficulty
we find in obtaining from the patient a perfectly clear
description of his sensations. We shall, nevertheless,
mention a few of the remedies which have proved most
efficacious in the relief of toothach, and when the
symptoms of the sufferer approximate closely to the indications given for the medicine, they will, in very many
cases, afford a prompt relief.
THERAPEUTICS. Among these, Belladonna, Chamomilla, Mercurius, Nux vomica, Pulsatilla, Sulphur, Carbo vegetabilis, Hepar sulphuris, and Arsenicum, hold a
high rank.
ADMINISTRATION.    The medicine selected may be
dissolved in six teaspoonfuls of water, and one administered every half hour.





TOOTHACH.


63


BELLADONNA %, is particularly indicated when the
pains are very severe, of a drawing, tearing, or shooting
nature, extending to the face and ears; becoming aggravated in the evening, and especially at night, with gnawing
or boring pain in the carious teeth, swelling of the gums
and cheeks, dryness of the mouth with excessive thirst,
with or without salivation; renewal of the pains from
intellectual labour, or after eating; aggravation of suffering when masticating, also in the open air; congestion to
the head, with heat and redness of the face, also pulsation
in the head and cheeks.
CHAMIOMILLA 0, when there are severe drawing,
jerking, pulsative or shooting pains; heat and redness,
especially of one of the cheeks: the pain becomes almost
insufferable, especially at night in the warmth of the bed:
shooting and pulsative pains in the ear and side affected,
the pains are aggravated by eating or drinking anything
hot or cold, but especially the former; great agitation and
loss of sense from pain, or excessive weakness sometimes
amounting to fainting; great irascibility, and disposition
to shed tears during the paroxysms. Chamomilla is useful in cases of toothach which have arisen from abuse of
Coffee, in which affection Nux vomica and Pulsatilla are
also valuable when indicated by the symptoms.
MEROURIUS as, is particularly indicated when the
pains affect carious teeth, or exist in the roots of the teeth,
and consist of tearing, shooting pains, occupying the
whole side of the head and face of the part affected, and
extending to the ears; loosening of the teeth, and a
feeling as if they were too long; the pain becomes
almost insupportable towards evening, and especially at
night in the warmth of the bed; aggravated when eating
or drinking, particularly after anything cold, also by exposure to cold or damp air; swelling and inflammation of





64


DIGESTIVE SYSTEM.


the gums; nocturnal perspiration, peevishness, and inclination t& tears; it is especially useful in persons who
are subject to glandular swellings.
Nux vOMICA o, is useful for persons who are habituated to wine, coffee, or other stimulants, or addicted to
sedentary life or study; of lively or irritable temperament,
dark or florid complexion; sufferings increased by intellectual labour. The pains generally occur in carious
teeth, and are of a drawing and jerking or corrosive description, occasionally diffusing themselves to the head
and ears, sometimes attended with painful enlargement
of the submaxillary glands; gums swollen and painful,
accompanied with throbbing and pulsation. The toothach is more liable to come at night or on awaking in the
morning, sometimes also after dinner or in the open air.
PULSATILLA 2, is peculiarly adapted to persons of a
mild or phlegmatic disposition. The pains are digging
and gnawing, attended with pricking in the gums, extending to the face, head, eye, and ear of the side affected;
this remedy is particularly efficacious in toothach, attended with earach, with paleness of the face, and when
the toothach has been excited by taking cold, or where
we find shortness and dificulty of breathing; the pains
are sometimes of a drawing, tearing, shooting or jerking
description, and occasionally produce a sensation as if
the nerve was drawn tight, and then suddenly relaxed;
the pain is much aggravated in the evening or after midnight, generally increased by warmth and when at rest,
and mitigated by cold air or cold applications to the mouth.
TINCTURE OF SULPHUR    -. This remedy is particu.
larly valuable in strumous habits, with a tendency to constipation; pain sometimes attended with swelling of the
cheek and shooting pains in the ears, congestion of blood
to the head, and pulsative headach; the pain is of a





TOOTAAC.H.


65


tearing, jerking, pulsative description, affecting both
carious and sound teeth; pains are aggravatol in the
evening and at night, or by exposure to the open air, also
by the application of cold water or by mastication;
loosening, sensation of elongation, and setting on edge
of the teeth; the gums, are swollen, affected with pulsative pains, and bleed easily.
3RYONIA -i0 is also a useful remedy in this affection,
particularly with persons of a lively, choleric, and obstinate disposition. Its indications are loosening and sensation of elongation of the teeth, especially during or after
eating; shooting in the ears, with inclination to lie down,
pains aggravated by taking anything hot into the mouth,
mitigated by lying on the affected side or exacerbated by
the contrary position.
CARBO VEGETABILIS -   is indicated by toothach, with
dragging-tearing, or constrictive and throbbing pains excited by anything hot, cold or salt; chronic looseness of
the teeth; receding, ulcerated and suppurating gums
(particularly after the abuse of mercurial preparations
such as calomel, etc.) bleeding from the teeth and gums,
with tendency of the teeth to decay rapidly.
HEPAR SULPHURIS I gr. of the third trituration, is indicated by dragging jerking toothach, increased by approximating the teeth (clenching), by masticating, or from
sitting in,a warm room; swelling of the gums, with
tenderness on pressure, abscess in the gums.
ARsENICUM V.o%, by nocturnal pain, which extends
into the ear, cheek, bones of the face, and temple; aggravation of the pain on lying on the affected side;
amelioration from the warmth of the fire; aching in the
teeth so excessive as almost to drive to madness or distraction; sensation of elongation and looseness of the
teeth; grinding of teeth; and bleeding of the gums.
6*





66               DIGESTIVE SYSTEM.
Aconite, Belladonna, Chamomilla, Coffea, and Ignatia,
are usefit in affections of this nature with children.
ACONITE k-. When the pains are difficult of description, attended with great agitation, feverish sensation,
blood to the head, heat and redness of the face, and when
the pains are described as of a pulsative, throbbing
nature.
COFFEA -0. Against violent pains with great excitability and almost distraction in adults; also when the
patient is conscious that the excitement is disproportionate to the pain suffered.
For Chamomilla we have already given indications;
if it prove insufficient, has been caused by a chill, and is
attended with diarrhcea, we may substitute DULCAMARA
PH.
IGNATIA Q   is suitable to those cases presenting similar indications to those of Nux vomica or Pulsatilla, but
more particularly applicable to mild or sensitive dispositions with alternation of high and low spirits.
SORE THROAT, OR QUINSY. Angina.
DIAGNOSIS. Inflammation of the throat, denoted by
swelling and red colour of the back part of the throat,
accompanied with difficulty of swallowing, impeded respiration, alteration of the voice, and occasionally fever.
In the incipient stage of this affection, there is a sense
of constriction about the throat, with a feeling of soreness, and sometimes of obstruction in the act of swallowing the saliva; if it runs its course, the difficulty of
swallowing and breathing increases, the tongue swells
and becomes foul, the tonsils assume a redder hue, occasionally a number of small yellow eminences appear at
the back of the throat, and particularly on the tonsils;





O 8RE THROAT, OR QUINSY.


67


the patient complains of thirst, and the pulse is high,
strong, and frequent; sometimes the cheeks swell and
become florid, and the eyes inflamed, and in severe cases
delirium is not an unfrequent occurrence. This affection, occasionally, if not properly treated,-dangerous in
its simple form, becomes particularly critical when it
puts on the putrid type. In such instances, the attendant
fever generally assumes a typhoid character; when this
takes place, we may always infer a peculiar constitutional tendency.
THERAPEUTICS. When this affection is at the commencement attended with considerable fever, thirst, and
dry heat, deep redness of the parts affected, painful and
difficult deglutition, pricking sensation in the throat, with
aggravation of the symptoms when speaking, we should
have recourse to ACONITE.
ADMINISTRATION. This must be regulated by the
intensity of the inflammation; in many cases a dose of
Vt, repeated in three or four hours, if necessary, will be
found sufficient, but if the inflammatory symptoms are
very violent, we may add a drop of the tincture at the -
third potency to six dessert-spoonfuls of water, and
administer one every hour or half hour, according to the
urgency of the case. Should, however, deglutition of
liquids prove distressing, we may give.p  dry upon the
patient's tongue, at similar intervals. This rule will hold
good for the other remedies about to be mentioned in
this complaint.
SThe next medicament we shall mention, Belladonna,
as may have been observed in the treatment of Scarlatina, Measles, &c., is one of the best remedies we possess against inflammation of the thioat. When the
above symptoms have been subdued by Aconite, or should





68


DIGESTIVE SYSTEM.


the following symptoms have existed from the commencement, we should have immediate recourse to its
administration.
Pain in the throat, as if from excoriation, attended with
a scraping sensation of enlargement, and burning or
shooting pains, principally experienced during the act of
swallowing; these pains sometimes extend to the ears.
Other characteristic indications for this remedy aresense of spasmodic constriction or contraction of the
throat, with constant desire to swallow saliva; occasionally there is violent thirst, but a dread of drink from the
suffering it occasions. Sometimes a complete inability
to drink exists, and the liquid returns by the nostrils. On
examination, the throat presents a bright red colour, with
or without swelling of the palate, uvula and tonsils. In
severer cases this remedy also continues valuable; namely, when matter has gathered in the tonsils, and when we
observe small ulcers forming and spreading rapidly, also
accumulation of slimy whitish mucus in the throat and
on the tongue obliging the patient to spit frequently;
salivation, swelling of the muscles and glands of the neck,
severe headach, chiefly confined to the forehead, sometimes determination of blood to the head, and delirium.
ADMINISTRATION. The same as Aconite, but allowing a longer interval between the doses, say from four to
twelve hours, according to the violence of the affection.
This remedy frequently succeeds in speedily removing
the whole of the above group of symptoms, or, at least,
so far subdues them as to enable Mercurius to complete
the cure.
- MERcRIus, frequently valuable at the commencement
of the disease when so indicated, or in alternation with
Belladonna in troublesome cases, is one of the most valuable remedial agents; following that medicine, when


/





SORE THROAT, OR QUINSY.


69


necessary, to complete the cure. Its'indications are
violent shooting in the throat and tonsils, especially when
swallowing; these pains extend to the cars, and glands
before the ears, and under the jaw; inflammatory redness
of the affected parts of the throat, burning in the throat,
desire to swallow, attended with a sensation of an obstruction existing in the passage; accumulation of thick
and tenacious mucus in the throat, difficult deglutition,
especially of liquids, which sometimes escape through
the nostrils; swelling of the posterior part of the tongue,
occasional swelling of the gums; unpleasant taste in
the mouth, which is filled with saliva more or less inspissated; throbbing of, and matter forming in, the tonsils;
indolent ulcers in the throat; offensive odour from the
mouth, aggravation of symptoms at night, when speaking,
and in the evening; chills, and shivering, sometimes
alternated with heat.
ADMINISTRATION. Half a grain of the third trituration dissolved in an ounce of water, and a dessert-spoonful given every three to six hours, according to the
results; if an alternation with Belladonna seem advisable, we may allow from six to twelve hours to elapse
between the exhibition of the two medicines.
It may also be remarked, that in all cases in
which Belladonna and Mercurius appear indicated, yet
fail in completely subduing this disease, LACHESIS has
frequently proved succossful. One of the best indications for its exhibition is when the pain of the sore
throat becomes aggravated from the slightest external
pressure.
ADMINISTRATION. One drop of the tincture of the
sixth potency to an ounce of water, a dose every twelve
hours in ordinary cases; in the more virulent, at inter




70


DIGESTIVE SYSTEM.


vals of three to six hours, according to the effect produced.
Nux VOMICA.   This remedy is especially useful
when the sore throat appears to arise from or to be accompanied by symptoms of deranged digestion, and when
a sense of scraping or excoriation exists in the throat,
also when a feeling of contraction is experienced in the
upper part of the throat during empty deglutition; swelling
and elongation of the uvula, producing a constant desire
to"swallow; at times only a sensation of swelling, with
pressure and pains: or when cold has been the exciting
cause, and the affection is attended with dry cough and
headach, chiefly in the morning, -and pains under the
lower ribs during the cough. This remedy is also indicated likewise when there are small offensive ulcers of
the throat, or considerable debility is present.
ADMINISTRATION. Iy exhibited in the evening when
practicable; in severe cases repeated in six hours.
PULSATILl.A. When there are symptoms of gastric
derangement, and more particularly when a dark livid
redness of the throat and tonsils appears, with a sensation of, or sometimes actual swelling; a feeling of an enlargement of the upler part of the throat, also excoriation
and scraping, with dryness of the throat without thirst,
shooting- pains in the throat when not swallowing, aggravation of the symptoms towards evening, attended
with shivering; also accumulation of adhesive mucus in
the throat. This remedy is more particularly suitable
for females, or for individuals of a mild and phlegmatic
temperament.
ADMINISTRATION.    o repeated in twelve hours, if no
amelioration takes place within that interval.
CHAMOMILLA is a remedy particularly useful in the
sore throat occurring in children, and especially when





SORE THROAT, OR QUINSY.


71


the disease has been brought about by checked perspiration, when there are shooting or burning pains, with sensation of a swelling of the throat, deep re  ss of the
parts affected, inability to swallow solid fbod, especially
when lying down; thirst, with dryness of the mouth and
throat, swelling of the tonsils and glands before the ear
and under the jaw; cough excited by constant tickling
in the throat, attended with hoarseness; fever towards
evening, with alternate heat and shivering, redness of one
cheek, great excitability and tossing about.
ADMINISTRATION. 0O administered every six hours,
until amelioration take place.
IGNATIA is indicated when there is a sensation as of a
plug in the throat, with red and inflammatory swelling of
the tonsils, or palate: burning pains in deglutition, as if
a substance were passing over an excoriated surface, or
partially obstructed by some foreign body in the throat.
Liquids are more difficult to swallow than solids: there
are also shooting pains in the cheeks, thence extending to
the ears, when NOT performing the act of deglutition, induration of the tonsils or evolution of small pustules upon
them.
ADMINISTRATION. The same as Pulsatilla.
DULCAMARA. An almost specific remedy when the
sore throat has arisen from EXPOSURE TO WET. It may
be followed by Belladonna or Mercurius should it not
wholly remove the affection, and should any of the symptoms given under these medicines present themselves.
ADMINISTRATION. O9 repeated in twelve hours, and
if no alarming symptoms present themselves allowed an
action of thirty-six hours from the last exhibition, during which period a marked amelioration, if not a perfect
cure, sometimes preceded by a, temporary aggravation,
generally developes itself. This medicine, if taken im




72


DIGESTIVE SYSTEM.


mediately after a severe wetting, rarely fails in preventing any unpleasant consequences.
BRYONIA is indicated by sore throat, with difficult deglutition and hoarseness; pain in the throat as from excoriation; excessive dryness of the throat, and pressure.
in the throat as if caused by a hard angular body; pain
and pricking in the throat, which is also experienced on
external pressure or on moving the head; accumulation
of adhesive mucus in the trachea, temporarily removed
by coughing.
RHUS TOXICODENDRON. When the pains seem situated lower in the gullet, the disposition of the patient
depressed, or disposed to tears.
ADMINISTRATION. Of either of the two last-mentioned
remedies we may exhibit in ordinary cases of the medicine indicated o0. And repeat in twenty-four hours if
necessary; but if the symptoms present themselves in
a more severe form we may add one drop of the Tincture at the third potency to an ounce of water; and administer a dessert-spoonful every three to six hours, until improvement take place.
COFFEA CRUDA. This remedy is indicated by many
of the symptoms enumerated under Belladonna, with the
exception of the external swelling of the throat; and
also by a sensation as if the uvula were elongated or
loaded with mucus, causing a constant inclination to
swallow. One of the best indications for the employment of Coffea in this, as in other diseases, is an extreme
over-excitability of the nervous system, characterized by
sleeplessness, great restlessness, sensitiveness, disposition to weep and peculiar impressionability to external
agents.
"ADMINISTRATION. %0 repeated in four hours if necesary; we rarely when this medicine is indicated in





SORE THROAT, OR QUINSY.          73
this affection find it necessary to have recourse to the
tincture; should, however, the before-mentioned doses
only partially relieve, we may administer a drop of the
Tincture at the third potency, either in a dessert-spoonful of water, or if the difficulty of swallowing be considerable, added to a powder of Sugar of Milk, or of pure
starch, and placed upon the tongue.
VERATRUM ALBUM is indicated by constrictive and
suffocating pain in the throat, particularly during deglutition; sensation of contraction in the gullet; sense of
roughness and scraping, or of extreme dryness in the
throat; intumescence and burning in the gullet, sometimes attended with danger of suffocation.
ADMINISTRATION. 0O0 in four dessert-spoonfuls of
water, one every six hours or oftener, should the symptoms seem urgent.
CoccuLus, indicated by great dryness and sensibility
of the gullet, causing everything partaken of to seem pungent, acid, or too salt; by constriction or sensation of paralysis in the gullet, and noisy or clucking deglutition.
ADMINISTRATION. O- in a little water, repeated in
twelve hours.
ARSENICUM. The indications for the employment of
this remedy in malignant sore throat have been already
given under Scarlet Fever. (page 36.)
HEPAR SULPHURIS is valuable in bringing the matter
to a head, when the quinsy has attained to such a height,
that its bursting is inevitable.
ADMINISTRATION. One grain of the trituration third
potency, added to an ounce of water. One dessertspoonful every two hours until the quinsy burst, and
"then the intervals lengthened to four, eight, and twelve
hours, to encourage the flow of pus.
MERCURIU should follow the above medicine, to fa7





74


DIGESTIVE SYSTEM.


cilitate the healing. Half a grain of the trituration to an
ounce of water, a table-spoonful every twelve hours.
THE DIET of the patient must be regulated according
to the degree of inflammation present.
If required, the throat may be gargled with a little
warm water, and when much pain is present, inhalation
of the vapour from boiling water will often afford considerable relief, but at the same time, it may be observed,
that all medicinal gargles, blisters, leeches, or other topical applications are rendered unnecessary by proper
homccopathic treatment. While we thus free the patient
from a considerable degree of annoyance and needless
suffering, we, at the same time, by a careful attention to
the symptoms, and the exhibition of the proper remedy,
effect a speedy cure.
MUMPS. Parotitis, Angina Parotidea.
DIAGNOSIS. Inflammation with swelling of the parotid and submaxillary glands, sometimes running high,
and extending to the throat and tonsils, with danger of
suffocation.
This affection generally affects individuals under the
age of puberty, and frequently declares itself as an epidemic during the prevalence of cold damp weather.
When properly treated, it is rarely dangerous, but particularly apt, if not carefully attended, to attack some more
important organs by metastasis; for example, suddenly
disappearing in the glands mentioned, and painfully affecting those of the breast: these metastases may occur
either from fresh exposure to cold, or by the application
of saturnine, camphorated, or other repellent lotions.
This affection is generally ushered in by the ordinary
symptoms of mild catarrhal fever, after which the swel




V  -
MUMPS.                    75
ling declares itself, sometimes interfering with the motion of the jaw, and by the extension of inflammation to
the tonsils affecting the hearing and impeding inspiration.
THERAPEUTICS.    MERCURIUS, the specific remedy
in the idiopathic form of this disease.
ADMINISTRATION.    oo000 in four dessert-spoonfuls of
water, one given every six hours till finished.
ACONITE o., may, however, in most cases, advan.
tageously precede this remedy about twelve hours.
When through any neglect a metastasis to the brain
has taken place, characterized by a sudden disappearance of the swelling of the glands, followed by a loss of
consciousness, delirium, or other symptoms of Inflammation of the Brain, (which see,) we should have immediate recourse to Belladonna, Hyoscyamus, or Cuprum
aceticum, as there prescribed.
Should, however, the disease in the same manner be
transferred to the stomach, CARBO VEGETABILIS is our
most useful remedy.
ADMINISTRATION.   A drop of the tincture at the
twelfth potency, added to an ounce of water; a dessertspoonful every two hours, until improvement declares
itself.
During the treatment of this affection, every care
should be taken that the patient be kept moderately warm,
exposed neither to damp, cold draughts, or vicissitudes
of temperature, and the jaws should be protected by a
worsted or flannel bandage.





76


BILIOUS COMPLAINTS.
Bilious complaints have of late years become the popular term for almost all derangements of the digestive
functions; and by common consent, all these disorders
have been at once unhesitatingly ascribed to a superabundance or deficiency of the important secretion of the
liver. This opinion, although sufficiently plausible on
its first appearance, will, on a careful examination, be
found erroneous; for although in the disease which is
commonly denominated, in severe cases, liver complaint, this organ is powerfully affected, yet it is generally only by sympathy; and the real seat of the disorder
is in the stomach and bowels. When we succeed in
restoring them to a normal state, the liver will, in most
instances, again resume its natural functions.
Having premised thus much, we shall proceed to the
consideration of Dyspepsia, or Indigestion; under which
will be found all of the symptoms ascribed to the two
imaginary and opposite causes of derangement, inactivity
of the liver, and too great a secretion of bile.
INDIGESTION, oR DYSPEPSIA.
This disease appears in so many different phases,
that we shall simply content ourselves with an enumeration of some of the principal exciting causes, and refer
to the symptoms given under the different medicaments
for its DIAGNOSIS. The following are among the principal exciting causes:
Irregularities in diet-such as an over-indulgence in
the pleasures of the table, partaking of rich and indigestible food and stimulating soups, excessive use of wine,
malt and spirituous liquors, tea, coffee, and other stimu




INDIGESTION OR DISPEPSIA.         77
lants; imperfect mastication of food, irregularity of, or
too long fasting between meals, indolent or sedentary
habits, exhaustion from intense study, keeping late hours,
mental emotions, &c.
The foundation of this disorder is frequently laid in
early life, by the baleful practice of the administration
of large doses of calomel, and other deleterious drugs;
and the evil is perpetuated in more mature age, by a
continuance of the same absurd and dangerous system.
THERAPEUTICS. The principal homoeopathic remedies for the treatment of this affection are, Nux vomica,
Pulsatilla, Bryonia, Chamomilla, Ignatia, Carbo vegetabilis, and Cinchona. Of these Nux vomica and Pulsatilla are the chief.
ADMINISTRATION. In dyspeptic cases we may dissolve seven globules of each medicine, with the exception of Nux vomica, in fourteen teaspoonfuls of water,
taking one morning and evening for a week, and cease
its administration as long as we find manifest improvement, or if a medicinal aggravation come on, await the
result. Of Nux vomica, we may dissolve three globules
in seven teaspoonfuls of water, and take one each evening on going to bed; or when people are in the habit
of taking supper, from half an hour to an hour before
that meal. It will be found useful in many cases to
vary the potency of the medicines chosen, the high acting better upon some constitutions, and the low upon
others, but the principal point is the correct selection of
the remedy.
In some chronic cases, this derangement sometimes
takes a critical turn, vomiting becomes excessive, everything taken is returned from the stomach, the skin is hot
and dry, the patient becomes emaciated and the coun7*





78


DIGESTIVE SYSTEM.


tenance cadaverous. Such cases, we need hardly say,
require the aid of the physician.
An abuse of coffee and tea, is a frequent cause of
many descriptions of sick and nervous headach, attended
with excitement and dyspeptic symptoms, which will
frequently disappear of themselves on the disuse of these,beverages; however, should not these speedily be the
case, for the effects of coffee we may have recourse to
Nux vomica, Pulsatilla, Chamomilla, or Ignatia, under
which the sufferer will find his symptoms indicated.
Against the effects of tea, Cinchona will generally be
found an antidote. ADMINISTRATION. In such cases
we may substitute a drop of the tincture at the third potency for the number of globules above given.
Nux VOMICA covers the following symptoms     the
head confused with occasionally afeeling as if from intoxication, and giddiness, with sensation of turning and wavering of the brain; headach arising from, unfitting for,
and increased by, mental exertion; tearing, drawing, or
jerking pains in the head or cheeks, and pulsative pains,
and a sensation as if a nail were driven into the brain;
congestion of blood to the head, with humming in the
ears. The headaches are often deeply seated in the
brain, or in the back part of the head, frequently confined to one side, or over the eyes, and at the root of the
nose, coming on chiefly in the morning, after a meal, or
in the open air. EYEs, yellowness of the lower part of
the whites, with a mist before them; a sensation as if
one were about to fall; sparks, or small gray or black
spots before the eyes; short-sightedness. FACE pale or
yellowish, especially about the mouth and nose, frequent
headach, and redness of the face. TONGUE foul, dry,
white, or yellowish; thirst with water-brash, particularly
after acids or rich food, accumulation of slimy mucus, or





INDIGESTION OR DISPEPSIA.         79
of water in the mouth; bitter, putrid, sour, or sweetish
taste, chiefly in the morning, or after meals; bitter eructations, or continued nausea, especially when in the
open air. HEARTBURN, HiccoUOH, ACIDITY, FLATULENCE-frequent and violent vomiting of food, mucus, or
bile, or ineffectual efforts to vomit. Distension and fulness in the epigastrium, with excessive tenderness to the
touch; a feeling of tightness of the clothes round the
upper part of the waist; CRAMPS IN THE STOMACH; CONSTIPATION; sleep restless from suffering, with disagree.
able dreams. POTENCY 6-12.
One of the most distinctive indications for the employment of this remedy in preference to the next mentioned, is the temperament, which is restless, irritable,
lively, and choleric. A disposition to Hemorrhoids is
also a good indication.
For Pulsatilla we have nearly the same range of dyspeptic symptoms, with the difference that it is particu.
larly adapted for females, children, individuals with
light hair and a marked predisposition to purulent exudations of the cartilage at the edge of the eyelids or to
"styes," and for mild or phlegmatic dispositions.
Amongst the characteristics, we more frequently find a
want of thirst than thirst; a repugnance to fat and rich
meat, and suffering after taking pork and pastry; a great
difficultyin keeping the hands and feet sufficiently'warm;
frequent and loose, or difficult and loose, or slow evacuations. POTENCY 6-12.
BRYONIA. HEADACH, burning or expansive, particularly after drinking, attended with bewilderment of the
head and vertigo;-TONGUE dry, coated white and yellow;
sometimes the aversion to food is so strong, that the
patient cannot bear the smell of it; loss of appetite, alternately with unnatural hunger; great thirst, iniipid,





:'


80               DIGESTIVE SYSTEM.
clammy, putrid sweetish, or bitter taste in the mouth;
ACIDITY and FLATULENCE, or bitter risings after every
meal.  HICCOUGH, nausea, water-brash, vomiting of
food, or bile, particularly at night; tenderness of epigastrium to the touch, sensation of swelling in the pit of the
stomach; pressure, as if from a stone in the stomach,
especially after a meal, or on walking; sensation of
burning in the pit of the stomach, and especially when
moving. Constipation; temper restless, irascible, and
obstinate; also when anger has been the exciting cause
of the derangement. This dyspepsia is more apt to
manifest itself in summer, or in damp weather, and is
frequently accompanied with chilliness. POTENCY 6-30.
CHAMOMILLA. HEADACH, with sometimes semilateral,
pulling, shooting, and beating in the head: fulness, giddiness, and staggering in the morning when getting up;
oppressive heaviness, vertigo, and sensation of a bruise;
headach sometimes felt during sleep, with obscuration of
the EYES; and yellow colour of the whites; TONGUE dry
and cracked, with a thick and yellowish coating; mouth
dry, sometimes with frothy mucus; excessive thirst and
desire for cold drink; bitter taste of the mouth and of
food; want of appetite and dislike to food. ACIDITY or
sour risings, regurgitation of food, nausea, vomiting of
food, mucus and bile; acute, oppressive pain in the region of the heart, distension at the epigastrium, pit of the
S  stomach, and under part of the waist, chiefly after eating,
and at night attended with inquietude and terror; burning pain in the pit of the stomach, uneasiness and feeling of sinking in the stomach; CRAMPS IN THE STOMACH, especially when traceable to coffee; sometimes
constipation, but generally relaxation of the bowels. This
remedy is valuable in indigestion, brought on by afit of
passion, or suppressed perspiration. POTENCY 3-6.





INDIGESTION OR DISPEPSIA.


81


IPECACtrANHA. Headaches attended with nausea and
vomiting; shooting pains, with heaviness and painful
pressure on the forehead; FACE pale and yellowish,
tongue sometimes clean, at others coated white or
yellow; aversion to food, generally to fat things;
vomiting of food, drink, mucus, or bile, sometimes after
a meal; retching or easy vomiting, generally attended
with coldness of the face and extremities, and sometimes
alternating with watery diarrhea; sensation of emptiness, flaccidity and sinking of the stomach. Both this
and Pulsatilla are valuable remedies for indigestion in
children, arising from imperfect mastication or improper
food. POTENCY 3.
IGNATIA may sometimes follow Pulsatilla to complete
a cure, or even supersede it, when there is a tendency
to constipation, and particularly in temperaments alternating from high to low spirits, or vice vers; it is especially indicated when grief has been the inducing cause
of dyspepsia. POTENCY 6-30.
In chronic cases, these remedies, as indicated, are
chiefly valuable in the commencement of treatment, and
may be required to be followed by antipsorics. TINCTURE OF SULPHUR - or y-, is especially useful after
Pulsatilla and Nux vomica, in removing any symptoms
that may remain. We may also remark, that in cases
where Nux vomica seems indicated, but the disposition
is of a morose or hypochondriacal turn, CoccULUS y
may be substituted with effect; when the indications for
temperament are not sufficiently distinctive, Cocculus,
Nux vomica, and Pulsatilla, may be advantageously alternated. Finally CARBO VEGETABILIS y will frequently
remove any symptoms that may remain after Nux vomica.
CINCHONA - is a valuable auxiliary in the treatment of
this derangement, and particularly when we can trace it





82


DIGESTIVE SYSTEM.


to debilitating losses of fluids, such as to abstraction or
loss of blood, too great a drain upon the resources during
lactation, prolonged use of aperient medicines, &c., also
disorders arising from abuse of tea.
AccEssoRY TREATMENT AND DIET.        The patient
should as closely as possible regulate his regimen by the
rules laid down at the commencement of this treatise,
carefuilly avoiding all such articles as he may find disagree with him. H-e should generally abstain from
soups, and everything that has a tendency to distend the
stomach, such as taking large quantities of warm liquids;
he should not indulge his appetite to its full extent, avoid
late hours, unnecessary exposure, severe mental exertion
or anxiety, take sufficient exercise in the open air, and
as much as possible keep his mind from dwelling upon
his complaint, or on gloomy subjects.
WANT OF APPETITE.. Apepsia Anorexia.
Want of appetite being a concomitant symptom of
many diseases, is treated in this treatise as such when
present, but we now propose to look upon it as a separate affection, or as one of the leading symptoms of indigestion, and as such, deserving a particular notice. It
may in a great variety of cases be considered as attributable to an ill-regulated regimen, imperfect mastication
of food, sedentary habits, and the neglect of taking
sufficient exercise.
In many instances, removing the exciting cause will
cure this disorder. Sufferers from this inconvenience,
should carefully avoid creating an artificial appetite, or
partaking of the smallest quantity of food till a healthy
call from nature proves that the former has assimilated;
the habit of taking tea, and even as the expression is,
"making a meal of it," within a couple of hours after





WANT OF APPETITE.


83


moving from the dinner table, is a frequent cause of
apepsia and dyspepsia.
Another cause is the habit of drinking frequently, and
even copiously during meals, and thereby attenuating
the saliva and gastric juice, and rendering them less fitted
for the purpose of digestion.
Other causes are the customs of sleeping after dinner,
partaking in heavy suppers, before retiring to rest, and
indulgence in fermented vinous or spirituous liquors, or
in tea or coffee, particularly the latter.
An alteration in the hours of meals, aFt avoiding too
long fasts between them, will frequently remove this
affection.
When, however, we cannot trace this disorder to any
of the above, or some other probable cause, when every
attention to regimen, and even an alteration of diet according to individual peculiarities or idiosyncrasy has
failed to produce any good effect, we generally find the
want of appetite accompanied with other symptoms of
derangement of the digestive functions, which may prove
useful in aiding us to select a proper remedy to restore
the natural tone of the stomach; this will be found
among the medicines most useful in Dyspepsia and Cardialgia; namely, Nux vomica, Chamomilla, Pulsatilla,
Cincfona, Ipecacuanha, Antimonium crudum, Bryonia,
Arnica, Hepar sulphuris, Lachesis, Sulphur, and Calcarea.
ADMINISTRATION, the same as in DYSPEPSIA, (page 77,)
which see.
Nux VOMTCA is the principal remedy when the want
of appetite can be traced to late hours, the habitual use
of wine and coffee, sedentary and studious habits,-also
when the following symptoms are present: dryness of
mouth, tongue coated white with cracks or slimy mucus
in the mouth, agustia, pyrosis, or insipidity of aliments,





84


DIGESTIVE SYSTEM.


accumulation of water in the mouth, aversion to food,
vomiting or nausea, with pressure at the epigastrium, tension.in the abdomen, costiveness or constipation, confusion
in the head or giddiness, as if the results of intoxication,
amnesia, and difficulty of fixing the mind to a train of
application, weight in the occiput, tinnitus aurium, heaviness and aching in the limbs, uneasiness, and a feeling
of working or dragging of the tendons in the lower extremities, or cramps, restlessness, and general irritability
of disposition,-symptoms aggravated in the morning.
CHAMOMILL    is frequently found useful after Nux
vomica, when, although considerable benefit has been
derived, the whole train of symptoms are not removed..The following are its particular indications: restless
sleep, sensation of fulness and aching in the head, heat
and redness of the face, a degree of fever, and tongue
thickly coated, yellowish, rough and cracked, anorexia
and greenish diarrhoea, general sensibility of the nervous
system. This remedy is especially called for when a
bitter taste in the mouth, or vomiting of bile, or of greenish mucus ensues after eating, and is provoked by a fit
of passion.
PULSATILLA. This remedy is specific in the affections
arising from partaking of over-rich or greasy food or pork,
or pastry, or of aliments causing flatulence, such as vegetables, or of food in the preparation of which rancid
butter or lard has been used. The more immediate indications are, whitish tongue with cracks, bitter, salt, or
foul taste in the mouth, sliminess of the mouth, scraping
roughness or acidity at the pharynx, bitter eructations,
aversion to warm food or to meat, distension of the abdomen, and particularly a feeling of tension under the
false ribs, borborygmus, retarded or difficult defecation or diarrhota, drawing in the limbs resembling





WANT OF APPETITE.             85
that presentment in ague, exacerbation of symptoms
in the evening, in contradistinction to Nux vomica,
which is generally in the morning. This remedy is well
adapted to the mild lymphatic temperament, and also
when there is a peculiar sensibility, with a dislike to conversation, and valuable when imperfect mastication is the
cause of the affection. Finally, in cases where there is
a marked aversion to tobacco, even when accustomed to
its use. Moreover, this remedy will be frequently found
of benefit in some cases, where Chamomilla has only
temporarily relieved; but should a considerable degree of
nervousness or even irritability remain after Pulsatilla,
Nux vomica may be had recourse to.
CINcHONA in anorexia occurring during foggy weather
when the air is charged with unwholesome vapours, or in
the vicinity of marshy lands. The following are its indications: A sensation of constant satiety with general
indifference to food and adypsia; tongue cracked or
loaded with yellow or white coating; sensation of sinking and fluttering in the epigastrium (particularly when
this symptom can be traced to the effects of tea); eructation after eating, sometimes also vomiting of ingesta;
desire for highly-seasoned food, acids, pepper, and other
condiments; general weakness, with inclination to assume
the recumbent posture, and'inability to remain long in
one position; uncomfortable feeling of dry heat, or
shivering and sensitiveness in the open air; retarded
or interrupted sleep; general feeling of uneasiness, with
moroseness and peevishness.
IPECACUANHA is indicated by the following symptoms:
Nausea or vomiting, without foulness of the tongue, 'with
dislike to food. Tobacco-even to smokers-has a nauseous taste and causes vomiting. This remedy is also
8





86


DIGESTIVE SYSTEM.


useful when the affection has arisen from bolting the
food, particularly in the cases of children.
ANTIMONIUM CRUDUM, in cases when a great disposition to nausea and vomiting with foul tongue exists; anorexia, dryness of the mouth with great thirst, particularly
during the night; accumulation of phlegm in the throat
with continual hawking; or vomiting of slime and bile;
frequent rising soon after meals of the food last partaken
of; pain or disagreeable fulness at the epigastrium, frequently with sensibility to external pressure. In cases
of recent standing with the above symptoms it is very
speedily efficacious; and when relief does not quickly
follow, the next mentioned remedy should be had recourse to.
BRYONJA in recent derangement of the stomach with
anorexia. When we find thirst more during the day
than through the night; with a sensation of dryness in
the throat, extending down the cEsophagus; chilliness;
yellow, dark-brown, or white coated tongue, with cracks
and constipation.  When this medicine, after having
been repeated in the course of eight to twelve hours,
has not relieved, we should have recourse to Antimonium
crudum; these two remedies frequently being found
useful in assisting one another.
ARNICA. This remedy is valuable when the complaint has arisen from watchfulness; from not having
devoted a sufficient number of hours to the period of
rest; or from intense mental exertion, or from provocation or excitement. When from these causes the nervous
system is powerfully effected, tongue coated yellow;
taste foul, bitter, or sour, or nauseous or chalybeate, with
offensive smell from the mouth; with rising of the food
or eructations of the taste or smell of rotten eggs;
aversion to smoking and desire for acids; sensation of





WANT OF APPETITE.               87
fulness in the scrobiculus after meals, with inclination to
vomit; distension of the abdomen, withpinching colic,
relieved by doubling up the body, and renewed by drinking the smallest quantity of wine; passing off and then
coming on with inclination to evacuate the bowels;
stools watery and in small quantities, accompanied with
tenesmus and expulsion of flatus, which momentarily
relieves; also constipation with ineffectual urging to
stool; general irritability and an impossibility of fixing
the mind upon any subject; inclination to remain lying
down, which relieves a heavy stupifying headach, which
the least motion or even conversation increases.*
HEPAR SULPHURIS is useful in chronic cases of want
of appetite with indigestion from the slightest cause,
even with the most careful observance of diet. It is
indicated by desire for high-seasoned dishes, acids, and
wine; nausea, even inclination to vomit, particularly in
the morning; or vomiting of bile and mucus; constipation and colic. This remedy is one of our chief antidotes to Mercurius, and consequently one best adapted to
those affections arising from long continued use of Calomel.
ADMINISTRATION. One grain of the third trituration
in six dessert-spoonfuls of water, one daily fasting.
LACHESIS is a valuable remedy to follow Hepar sulphuris in  obstinate  cases, particularly when long.
continued constipation is present.
ADMINISTRATION.     - in the same manner as Hepar
sulphuris.
S Hahnemann speaks of this medicine as inapplicable in cases
of diarrhoea. Ruckert, however, mentions that he has cured some
peculiar cases of this affection with Arnica. A number of the
symptoms above given have been elicited by this medicine taken
in the mother tincture in water, under my own observation.





88               DIGESTIVE SYSTEM.
In addition to the two last-mentioned remedies we
may observe, that in the same class of cases the Tincture of Sulphur and Calcarea may be used with considerable advantage.
DERANGEMENT         OF   THE    STOMACH,
ERUCTATIONS, &c.
Under this head we intend treating of a disorder
which may arise in individuals of a generally unimpaired
digestion - the characteristics also of eructations will
serve to indicate the remedy for persons predisposed to
this unpleasant affection.
The ordinary causes of derangement of the stomach
are fat, greasy, indigestible or tainted food, flatulent vegetables, ices, stimulants, &c. and are so well known
that it is hardly necessary here to enter upon them, particularly as they will be more specially noted under the
different medicines.
THERAPEUTICS. When the symptoms of approaching
stomachic derangement declare themselves immediately,
or a few hours after a repast, a little strong black coffee
is frequently a sufficient restorative.
Should, however, this fail to relieve, and sick headach and inclination to vomit be present, we should assist
nature by tickling the fauces with a feather, and by giving tepid water to drink until the stomach has completely evacuated its contents. Should, however, on the
following morning symptoms of deranged digestion continue, such as nausea, inclination to vomit, or vomiting,
and disagreeable or offensive eructations, we should
administer ANTIMONIUM CRUDUM -n, one of our most
useful remedies in this affection, and which rarely fails
to at least afford soihe relief. It is peculiarly indicated





DERANGEMENT OF THE STOMACH, ETC.       89
when the affection has arisen from drinking sour or impure wine.
BRYONIA %P, a useful remedy in many cases of bitter eructations, also where constipation is present.
ARSENICUM QO, acrid and bitter eructations with nausea
and vomiting; also dry tongue, excessive thirst, salt
taste in the mouth, and burning or violent pressure in
the stomach, with diarrhaea or colic, and griping in the
hypogastrium, particularly when from fruit or stale vegetables. It may in many cases be advantageously followed by Garbo vegetabilis, which see.
Nux VOMICA 0 0, offensive eructations, constipation
and confused headach, particularly if arising from previous intoxication or even slight over-indulgence in wine
or stimulants; when possible, it should be taken the
same night, as taken in the morning, although eventually
relieving, it frequently causes an aggravation for a few
hours.
ARNICA Qo, Eructations resembling rotten eggs.
PULSATILLA QO, next to Antimonium crudum, the
most important remedy in recent cases of deranged digestion, with eructations of ingesta, and almost specific
when it has arisen from the effects of rich food; such as
pork or pastry, or tainted meat, or from the effects of
ices, cold fruits, or crude vegetables, particularly when
the tongue is coated with mucus.
ACONITE 0~0. When the affection owes its origin to
partaking of sour beer, vinegar, or other acids, particularly when we find pressive pain in the stomach, great
heat in the head, nausea, or actual vomiting of mucus,
or even of blood.
HEPAR SULPHURIS (O.     Sour vomiting, attended
with burning in the throat, colic, and diarrh(ea.
CARBO VEGETABILIS, although last mentioned, is
8*





90


DIGESTIVE SYSTEM.


not one of the least valuable remedies in this affection,
and is often found particularly useful after Pulsatilla and
Arsenicum, when indicated, in removing any symptoms
that may remain; it is particularly useful where great
susceptibility to the influence of the atmosphere, particularly to cold, exists, in sufferings arising from abuse of
wine, and is peculiarly valuable in obstinate and chronic
cases of deranged digestion when annoyance or inconvenience is felt after every meal, even amounting to
nausea and vomiting, and where the pit of the stomach
is tender on pressure.
ADMINISTRATION of the medicines. A single dose,
as above noted, is ordinarily all required; when, however, vomiting and other severe symptoms declare themselves, it may be better to dissolve four or five globules
in eight or ten teaspoonfuls of water, and give one from
time to time, according to the exigency of the case.*
FLATULENCE.
This affection, and the sufferings it entails, are generally found in individuals of weak digestion, and many
also suffer from it immediately on taking cold in the abdomen or feet; it is also, as well known, a common result of errors in diet, and the too frequent indulgence in
vegetables and fruits; in corpulent individuals the sufferings arising from this complaint, such as difficulty of
breathing, palpitation of the heart, trembling of the limbs,
confusion of the head, and swelling of the face, especially in hypochondriacal subjects, are most distressing.
* A small quantity of finely powdered charcoal in a little good
French brandy will be found an excellent corrective for any unpleasant effect arising from having partaken of tainted meat or
fish.







FLATULENCE.                  91
However, with a proper attention to regimen, and suitable ynedical treatment, it is rarely very difficult to reAs an accompaniment of deranged digestion, it has
also been noticed under Dyspepsia.
Against this complaint the most careful preservatives
are avoiding cold, exposure in cold damp weather, very
cold drinks, or distending the stomach with a large quantity of warm fluid, particularly strong tea or coffee: each
patient should also study his own digestion, and carefully refrain from partaking of any species of aliment
which experience has found liable to produce flatulency.
Sedentary habits, also, should be avoided, and a proper
portion of the day devoted to exercise in the open air.
THERAPEUTICS. In the treatment of this disease, the
following medicines have been found most frequently
called for: Cinchona, Arsenicum, Nux vomica, Pulsatilla, Colchicum, and Tincture of Sulphur. Of these
Nux vomica and Pulsatilla are most frequently required.
ADMINISTRATION.   Four globules dissolved in an
ounce of water, a dessert-spoonful every half hour till
relief ensues; after which a dose every four or five
days, to counteract the tendency to this affection.
CINCHONA -. When the affection can be traced to
tea or warm drinks, an hour or two after a hearty meal,
by which the process of indigestion has beeti interrupted, or to debility, loss of humours from venesection, or
the continued use of purgatives, or to deranged digestion
arising from flatulent food, with painful tension and distension of the abdomen, or when, on the occasional expulsion of flatus, a sensation of tension is felt in the umbilical region; another indication for this remedy is where
coldness or shuddering is experienced after drinking.





j^


92              DIGESTIVE SYSTEM.
ARSENICUM   -, where the  last-mentioned symptom
has not been relieved by the foregoing medicine.
Nux VOMICA 8-. In cases where the flatulence is
"attended with sensation of pressure at the pit of the
stomach, causing dyspncea and a feeling as if the clothing
were too tight, or a sensation of pressure as from a
stone, particularly when the affection arises from an
habitual use of coffee, or sedentary habits.
P, PULSATILLA -, when the affection has arisen from
having eaten of rich or greasy food, after which a copious draught of water has been partaken of, and the abdomen is swollen with a pain as from a bruise, with
borborygmus.
COLCHICUM T-, when from a considerable accumulation
of wind the abdomen is extremely distended, or as it
S might be expressed, inflated, amounting almost to tympanitis, and sounds like a drum on striking it with the
hand-without any marked pain, but with heat and difficulty of respiration.
When the flatulence occurs very frequently, in fact,
where a marked predisposition to it exists, we must have
recourse to TINCTURE OF SULPHUR -.
Although I have pointed out the remedies best suited
to the cases of this affection most ordinarily occurring,
and have also treated of the same subject under DysS pepsia and Colic, to which the reader is referred, I still
think it advisable to add a few medicines which bear
S particularly upon this disorder, and deserve a careful
study. They are Carbo vegetabilis, Belladonna, Lycopodium, Cocculus, Natrum, Natrum muriaticum, Zincum
foliatum, Magnetis polus arctus, Agnus castus, Ferrum,
Graphites.





93


SPASM OF THE STOMACH.
Gastrodynia. Cardialgia.
DIAGNOSIS. Contractive and spasmodic or gnawing
pains at the epigastrium, extending to the chest and
back, attended with anxiety, nausea, eructation or vomiting, with faintness and coldness of the extremities:
the patient is sometimes relieved by emission of ascending flatus, and when complicated with pyrosis, by a discharge of a quantity of limpid fluid, occasionally headach and constipation are present. In some cases the
pains are very slight, but there are always some, and a
degree of anxiety, with nausea, increased by taking
food; it seems generally to arise from an abnormal state
of the nerves of the stomach, and is generally accompanied by a disease of the liver, spleen, or pancreas, or
by scirrhus of the stomach or duodenum. Although the
real seat and nature of this disorder may be somewhat
obscure, yet upon one point we may rest perfectly satisfied, that even where it exists as a primary and idiopathic disease, the digestive function rarely fails to be
considerably impaired during its progress: it is also a
very frequent attendant upon gout. This disease very
rarely occurs before the age of puberty. The paroxysms last for a longer or shorter time, and return in
many instances periodically, and may be brought on by
partaking of improper articles of diet, or in severe cases,
by any solid food whatsoever.
The chief articles to be avoided by an individual suffering from this malady are-crude, uncooked vegetable
substances, such as salads, cheese, new bread, sweetmeats, cherries, nuts, olives, and roasted chesnuts;
and stimulants of all kinds, whether tea, coffee, alcoholic or fermented drinks.





94


DIGESTIVE SYSTEM.


The CAUSES are, long fasting between meals very hot
or cold drinks, an habitual use of ardent spirits, of indigestible food, worms, and in some instances, perhaps,
exposure to cold or damp weather.
It is a more frequent affection to the female than the
male sex, frequently occurring after the cessation of the
usual monthly discharge, or from any interruption of its
usual course; in such instances it is frequently accompanied with hysteria; syncope, and may pass on to
vomiting of blood.
Notwithstanding the usually intractable nature of this
affection, it has been treated with marked success by
the method about to be pointed out.
THERAPEUTICS. Nux vomica is the principal, and
in most cases, the most appropriate remedy against
spasms of the stomach, and particularly in cases where
this affection can be attributed to the long-continued use
of strong coffee, or to an excessive indulgence in spirituous liquors; it is, moreover, of essential service, in
|        many cases of the same disorder which have arisen
after the suppression of chronic or hemorrhoidal discharges; the following are the immediate symptoms
which call for the administration of this medicine: Constriction, pressure, squeezing, and spasm in the stomach,
accompanied with the sensation as if the clothes' were
too tight at the waist, or as if flatus were pent up in the
hypochondria. This sensation, as well as the pains
before mentioned, become generally increased after a
meal, or after partaking of coffee: in addition to which
a feeling of depression or constriction is experienced at
the chest, which, in many cases, extends to between the
shoulders and the lower part of the back. Frequently
also nausea, accumulation of clear water in the mouth, or





SPASMS OF THE STOMACH.


95


risings of sour bitter fluids, attended with a sensation
of burning in the throat and gullet (pyrosis); sour or
putrid taste in the mouth, vomiting of ingesta, flatulent
distension of the bowels, constipation, aching in the
forehead, palpitation of the heart, and anxiety. When
these symptoms become aggravated in the morning, or
when the patient is occasionally awakened out of his
sleep by the spasmodic attack, this remedy is still more
certainly indicated.
ADMINISTRATION. o0 in a dessert-spoonful of water,
given at night when practicable, and repeated in six
hours if necessary; or in chronic cases with a constant
pain, six globules of the same potency may be dissolved
in four dessert-spoonfuls of water, and a dose taken
every evening until finished. Of this, as of all the other
medicines, we may administer a dose from two to four
hours before an expected paroxysm, when the Cardialgia returns periodically, or when from some imprudence
in diet we have reason to apprehend an attack. This
precaution, if it fails altogether to check it, will nevertheless greatly modify it. Should Niux vomica merely
afford a temporary benefit, followed by renewed aggravation, and in cases where the disorder returns again
after it has been for a time suppressed by Nux, we should
repeat that remedy; and if it then fail to afford relief,
Carbo vegetabilis will generally complete the cure.
Should this fail, particularly where the affection is traceable to the suppression of some chronic eruption, Tincture of SULPHUR ought to be administered. This medicine, as well as Pulsatilla and Sepia, whose value in
such cases we shall notice under their several heads, is
particularly useful in gastrodynia in females, arising from
any disturbance of the menstrual function.
ADMINISTRATION. Of -the Carbo vegetabilis we may





96


DIGESTIVE SYSTEM.


dissolve z  in eight tea-spoonfuls of water, and give one
morning and evening until finished  Of the Tincture of
Sulphur 6 in the same manner.
In some cases also, where no improvement results
from the exhibition of Nux vomica, the following should
be consulted: Chamomilla, Belladonna, Cocculus, Ipecacuanha, Pulsatilla, Sepia, Ignatia amara, Cinchona,
Staphysagria, Stannum, Bryonia, Platina, Senega, Ratanhia, and Arnica montana. Of course, also, a preference should be'given from the first to that medicine
whose symptoms approach most closely to those under
which the patient is suffering.
CHAMOMILLA (3). For the employment of this remedy the principal indications are pressure, as if from
a stone in the pit of the stomach, or painful pressure at
the prcecordial region, as if the heart would be crushed,
flatulent distension at the same part, as also of the hypochondria and abdomen, with shortness of breath, anxiety,
and throbbing headach. Mitigation of the above symptoms on partaking of cofee (a distinguishing mark between the indications of this remedy and those of Nux
vomica.)
In obstinate cases, where Chamomilla fails, notwithstanding the apparent similarity of the symptoms, BELLADONNA (6) ought to be substituted for it; also when
we meet gnawing pressure, or spasmodic tension in the
pit of the stomach, relieved on bending backwards and
holding in the breath, further spasm of the stomach,
which recur daily during dinner, or else pain of so vio.
lent a nature as to deprive the patient of consciousness.
CoccULUS (6) in many cases of this complaint is particularly indicated, when in addition to the usual symptoms there are constipation and constructive pains over
the entire abdomen, with flatulency and accumulation of





SPASMS OF THE STOMACH.


97


water in the mouth, and alleviation of the sufferinigs
on the recurrence of the latter symptoms.
IPECACUANHA (3) is also useful in cases of this affection, when the paroxysms are accompanied with nausea, vomiting, dull darting pains in the pit of the stomach, and sensation of excessive uneasiness in the same
region.
PULSATILLA (6). In cases with shooting pains in
the stomach, which are aggravated by movement, and particularly by making a false step. Pulsatilla is also one
of the most appropriate remedies when the attacks are
followed by vomiting, or accompanjed by violent tension
and squeezing, or throbbing Ind sensation of anxiety
about the pit of the stomach, increase of pain after eating, or more particularly a feeling of pressure and pinching after dinner, with a relaxed state of the bowels, or a
disposition thereto. It is, as well as Sulphur and Sepia,
called for in cases of this affection, arising from suppressed menstruation.
SEPIA (12). Gastrodynia arising from suppressed or
difficult menstruation, and may in general cases advantageously follow Pulsatilla; it is indicated by most of the
sufferings that arise taking place after a meal, by pressure in the stomach as from a stone, and by a burning
pain in the epigastrium and scrobiculus; by restoring
singly, or in conjunction with Pulsatilla and Sulphur,
the menstrual flux, it frequently removes the Cardialgia
and hysteria consequent upon this derangement, or at
least places the affection in such a position that it is
easily cured by some other medicine, closely corresponding to the remaining symptoms.
IGNATIA AMARA (12) is indicated under nearly similar circumstances as the foregoing remedy, with the exception of the state of the bowels, the Ignatia being more
9





98


DIGESTIVE SYSTEM.


appropriate to cases attended with costiveness, and
where the inclination to vomit is absent, or when the
Oaffection has been caused by grief, anxiety, &c.
i CINCHONA (6) is of great service in most cases of
spasms of the stomach with general weakness, arising
from loss of humours, the result of bloodletting, or repeated hemorrhages, abuse of emetics or aperients, too
long-continued suckling, d-c.; further indicated by great
weakness of digestion, distension, and uncomfortable
weight, pressure, or pains in the stomach after eating,
so that the patient feels much easier when fasting; these
latter are the more immediate indications for the employment of this medicin&
STAPHYSAGRIA (6). This is useful in some cases of
this complaint, and is particularly applicable when there
is acute pressive tension and squeezing about the pit of
the stomach, which sometimes obstructs the breathing,
but which is relieved by bending the body forward. When
the pain partakes of a marked tensive character, and extends to the region of the navel; but when there is sensibility of the region of the stomach on external pressure,
with shortness of breath, anxiety, and nausea, STANNUM
(12) will be found more appropriate.
BRYONIA (12). This medicine is more particularly
adapted to the milder cases of cardialgia, with painful
pressure, or a feeling of disagreeable fulness in the stomach after a meal, which occasionally becomes converted into a feeling of constriction, and cutting or pinching,
which is relieved by eructation and external pressure.
This remedy is moreover still more clearly indicated
when the symptoms are generally accompanied with
severe headach, or painful pressure in various parts of
the head, causing a sensation as if the bones of the
cranium would be burst asunder; increase of the sufferings by movement, habitual costiveness.





~~-~ L


SPASMS OF THE STOMACH.           99
PLATrNA (30). Spasm of the stomach in females, occurring particularly at the monthly period, and especially
when the catamenia at the same time are generally very
copious and of too long duration.
SENEGA (6) will be found efficacious, in cases with
painful pressure and burning in the stomach, especially
at night.
RATANHIA (6). Spasm of the stomach, or painful
constrictive pain, relieved by eructation, with loss of
appetite, hiccough, distension of the abdomen, costiveness, and frequent micturition.
ARNICA MONTANA (6), in spasm or pains in the stomach, which have originated in the effects of a strain, or
from a blow, &c., will be found specific. It is, however,
also'an excellent remedy when there is a sense of pressure as from a stone, or of fulness in the stomach-and
in scrobiculus, constrictive pain in the stomach and
the prtcordial region, shooting pain in the pit of the
stomach, with painful pressure or aching, extending to
the back, ard tightness of the chest, increased by eating,
drinking, and external pressure.
ADMINISTRATION. In most cases these medicines
may be exhibited in the same manner as already noted
under Carbo vegetabilis and Sulphur. (See also remarks
upon Nux vomica.) In severe cases six globules of the
potency named after each medicine may be dissolved in
eight dessert-spoonfuls of water, and one given every
two, four, or six hours, according to the results obtained;
for example, in individuals of delicate organization it may
sometimes be needful to give a less number of globules,
and to select a higher potency, the thirtieth. And' in
many cases marked benefit has resulted from varying the
potency.
These are the principal remedies to be employed
against the ordinary cases of Cardialgia; in those of a





pU0             DIGESTIVE SYSTEM.
more complicated character, or with disease of some of
the neighbouring organs, such as the liver, spleen, &c.,
a homoeopathic adviser ought to be consulted.
VOMITING OF BLOOD. Hematemesis.
DIAGNOSIS. Blood evacuated by vomiting, sometimes
pure, (generally venpus,) pf a dark colour, but sometimes
of a bright red; it is occasioially mixed with bile, food,
&c.; the quantity varies; blood is also occasionally
discharged in coagula by stool.
Premonitory Symptoms. Weight, pressure, fulness or
tepsive pain or spasm in the hypogastric and hypochondriacal regions; griping and colic; burning heat in the
region of the stomach; anxiety, particularly on partaking
of food or drink, or on pressure on the stomach; saltish
taste in the mouth; impaired appetite and nausea; giddiness, syncope, cold perspiration; sometimes, also, an
intermittent pulsation is preceptible at the scrobiculus.
Some only of the preceding symptoms may be present
previous to the attack, and others during its course when
it has been very severe, or frequently renewed; we often
find wild delirium or wandering, accompanied with
spasms and a gradually increasing weakness and remission of pulse with frequent syncope.
The most frequent causes of this affection are the sudden suppression of any sanguineous discharge, and the
consequent determination of blood to the stomach; it is
consequently apt to declare itself after a stoppage of the
haemorrhoidal flux, and is a very common affection in
females from the suppression or cessation of the catamenia, in which case, as before remarked under that affection, it is frequently preceded by CARDIALGIA. Other
causes are scirrhus of the stomach, internal lesions or





VOMITING OF BLOOD.            101
injury of that organ from swallowing sharp substances,
or from worms; poisons, drastic purgative, or emetic
drugs, external contusion, obstruction of important viscera, or a change in the constitutent principles of the
blood itself; the direct cause is the bursting of some of
the vessels of the stomach.
The dangers arising from the use of powerful astringents are, inflammation or subsequent induration of the
stomach, or putrid gastric fever.
THERAPEUTICS. Although it is scarcely probable that
an individual, not properly qualified, would think of treating a severe case of this affection, yet it may be advisable
to point out such remedies as experience has proved to be
most servicable in it as ordinarily mbt with-premising,
however, that when it arises from any organic disease,
a different course may be necessary, although in such
instances of course a physician is requisite, who will
treat according to the existing cause when that can be
clearly ascertained.
When it occurs in females from the non-appearance
or suppression of the monthly discharge, or from its final
cessation, see articles CHLOROSIS, AMENORRH(EA, CESSATIO MENSIUM; from   worms, see HELMINTHIASIS.
Poisonous substances, see PorsoNs. Disease of the
spleen, consult SPLENITIS.
We may now proceed to the consideration of the remedies above alluded to.
ACoNITUM. When the premonitory symptoms above
given declare themselves, and particularly when a considerable degree of fever precede the attack.
ADMINISTRATION. In most cases a drop of the tincture of the sixth potency, but when the feyer runs high
the third, in an ounce of water, giving a dessert.spoonful,
9g





102             DIGESTIVE SYSTEM.
repeating in half an hour, and then every hour till the
fever abates: in this mode, if taken in time, we may
often, by calming the circulation, prevent an attack.
Nux voICA. In a decidedly plethoric constitution
with a marked stomachic or abdominal congestion, with
a tendency to constipation, particularly when arising
from suppression of hemorrhoids, or if the menstrual
flux, or from indulgence in vinous, spiritous or fermented
liquors, and still further indicated by irritability of
temper.
ADMINISTRATION _, repeated in from three to twelve
hours, according to the exigences of the case.
PULSATILLA. The value of this remedy is noticed in
the diseases of females above mentioned, it is also in
many cases found more suitable than Nux vomica for
males when of lymphatic temperament and mild disposition. Some of the best indications for this medicine will
be found under DYSPEPSIA, CARDIALG, and DERANGEMENT OF THE STOMACH. ADMINISTRATION the same as
Nux vomica.
CINCHONA. When a quantity of blood has been
already vomited, this remedy from its power of restoring
the energy of the system, after debilitating losses, is
clearly indicated; it should also be chosen when the
patient has had a severe attack of haematemesis, which
has ceased of itself, but still left great weakness.
ADMINISTRATION.._, after which, if a slight aggravation ensue, we must wait quietly until it passes off;.
and while improvement continues progressing, refrain
from repeating; and after forty-eight to seventy-two
hours, we may give a second dose; but if no marked
alteration of any kind declare itself, or if the disease advance, we may repeat in from four to six hours the same
dose.





VOMITING OF BLOOD.           103
ARNICA. One of our most important remedies in severe cases, apd especially when occurring in individuals
of a robust constitution, of a sanguine temperament, and
choleric disposition. It is fiurther indicated when the
patient complains of pains resembling the results of a
contusion in all the extremities.
ADMINISTRATION. In severe cases, a drop of the
tincture at the third potency in an ounce of water. A
dessert-spoonful every three hours, desisting if a medicinal action declares itself, and lengthening the intervals
according to the amelioration that takes place. In mild
attacks, 9!, repeated every six or even every twelve
hours, have been found sufficient.
TINCTURE OF SULPHUR is useful in strumous habits, or
when the affection has risen from suppressed haemorrhoids; its value, also, in cases of abnormal menstruation
will be pointed out in the proper place.
ADMINISTRATION.   OO, in four dessert-spoonfuls of
water, one morning and evening for two days, and if no
severe symptoms direct our attention to another remedy,
it should be allowed to continue its action for a week or
fortnight, as long as a gradual improvement is going on;
in fact, in such constitutions we should take every opportunity between the intervals of the attacks, of giving a
dose or two of this medicine, should no other better calculated to combat this tendency appear to merit a preference.
The following remedies also deserve a careful study:
Belladonna, Hyoscyamus, (when from a chill with spasmodic affection, &c.) Arsenicum and Secale cornutum
(scirrhus), Phosphorus, Carbo vegetabilis, Millofolium,
Cantharides, Calcarea carbonica, Lycopodium, Natrum
muriaticum, Zincum and Causticum, under peculiar circumstances and as tending to eradicate the predisposition to such affections.





9


104              DIGESTIVE SYSTEM.
"DIET. The rules already given under Cardialgia,
should be observed, but with still greater strictness; no
solid food must be partaken of; all drinks should be cold;
animal jellies, preparations of milk, light puddings, and
broths, merely tepid, may be allowed in cases where the
patient may require such nourishment-but nothing more
must be taken than is absolutely necessary for that purpose; immediately after an attack, no food should be
given for some hours, and then very cautiously, and in
small quantity. It is evident that in such cases, absolute rest, both mental and bodily, is essentially requisite.
CONSTIPATION. Obstructio Alvi.
We have now to treat of an affection which so frequently baffles the skill of the practitioners of the old
school; their leading cause of failure is their ignorance
of the great curative principle, and consequent proceeding upon a system opposed to the operations of nature.
This affection is generally sympathetic with some other
derangement of the organism, and, consequently, in
our treatment of different diseases, we have had frequent
occasion to allude to it. One of the leading causes of
aggravation and excessive obstinacy in the Constipation,
most closely approaching to an idiopathic form, is the
practice of flying to aperient medicines on the slightest
appearance of costiveness, under the absurd idea that
keeping the bowels open is a species of panacea against
disease of every description. Many mothers are so possessed with this idea, that they are continually administering physic to their children, without the slightest
apparent call for it, and thus lay the foundation of dyspepsia, and other visceral derangements in after-life.
S Many a slight case orcostiveness which, if left to nature,





CQoNSTIPATION.              105
would have disappeared of itself, leaving no ill consequences, has, by an ill-judged administration of aperients, been converted into obstinate Constipation, embittering existence and predisposing the constitution to a
variety of diseases in after-life. To prevent misconception upon this point, we may remark that we by no
means undervalue a regular state of the bowels; but
when costiveness shows itself we happily possess remedies calculated to restore the balance of the system; and
in obstinate cases do not content ourselves with simply
alleviating the symptoms, but mainly direct our attention
to the permanent removal of the affection.
Many of the principal pauses of this disorder, besides
that mentioned, are the same with those particularized
under INDIGESTION or Dyspepsia.
THERAPEUTICS. In trivial cases it will be found sufficient to pay proper attention to diet, to avoid too dry or
indigestible food, masticate properly, to partake of meat
only once a day, and to take sufficient exercise in the
open air. Should this course not have the desired effect,
we must choose one or more of the following remedies:
namely, Opium, Bryonia, Nux vomica, Pulsatilla, Platina, Natrum muriaticum, Plumbum metallicum, or Sulphur.
OPIUM is chiefly to be selected in recent cases when
Constipation is not habitual, but when there is a want of
power to relieve the bowels, with a feeling of constriction; pulsation and sense of weight in the abdomen, dull,
heavy pain in the stomach, parched mouth, and want of
appetite, determination of blood to the head, with redness
of the face, and headach.
ADMINISTRATION. 00. in a little water, repeated in
twelve hours if no benefit result.





106


DIGESTIVE SYSTEM.


BRYONTA is especially useful in constipation occurring in warm weather, and in persons of an irritable or
obstinate disposition, with a tendency to be easily chilled and subject to rheumatism; it is further indicated
when constipation arises from disordered stomach, and
is attended with determination of blood to the head, and
headach.
ADMINISTRATION. 0, in water, repeated in twentyfour hohrs, even if partial relief ensue.
Nux VOMICA. This remedy is particularly useful
when constipation results from too heavy a meal, indigestible food and stimulating liquids; or in chronic cases
arising from long-continued indulgence in vinous, fermented, or spirituous drinks, or coffee, or from sedentary habits or excessive study. It is peculiarly adapted
to persons of irascible and- lively temper, with determination of blood to the head, and headach, unfitness for exercise, disturbed sleep, and a feeling of general oppression or heaviness; frequent and ineffectual efforts to relieve the bowels, attended with sensation of stricture.
It is,as remarked under dyspepsia, particularly indicated for individuals subject to hemorrhoids.
ADMINISTRATION. 0, taken in a little water towards
evening, and repeated for two consecutive evenings,
unless a marked improvement declare itself. In chronic
cases y, in six teaspoonfuls of water, one each night
at bedtime.
PULSATILLA has nearly the same indications as Nux
vomica, with the characteristic distinction of temperament before noted under Dyspepsia. It is also partly
indicated in cases of indigestion brought about by rich
or greasy food, and when accompanied with moroseness and shivering.
ADMINISTRATION. OJ0O in four teaspoonfuls of water, one morning and evening.





CONSTIPATION.


107


PLATINA is a useful remedy when constipation has
been brought about by travelling, when opium has failed,
or especially when the constriction is attended with
straining.
ADMINISTRATION. o000 in the same manner as
Pulsatilla.
PLUMBUM METALLICUM. Obstinate constipation, with
ineffectual efforts; painful retraction and constriction of
the anus; or evacuation of tenacious, hard, bullet-shaped
faeces.
ADMINISTRATION. Same as Nux vomica,
NATRUM MURIATICUM. This remedy will sometimes
be found efficacious when many others have failed to
relieve, particularly in chronic and extremely obstinate
cases.
ADMINISTRATION. Same as Nux vomica.
SULPHUR is one of the best remedies in-the relief of
habitual constipation, and particularly when hemorrhoids
are present, or a disposition to them exists.
ADMINISTRATION. 5 in six dessert-spoonfuls of water. One to be taken morning and evening until finished.
VERATRUM. Constipation, chiefly from inactivity of
the rectum, with heat and headach.
ADMINISTRATION. Same as Sulphur.
ALUMINA. Constipation from an absence of peristaltic motion; faeces hard, dry, broken, evacuated with
considerable exertion of the abdominal muscles and forcing, and sometimes marked with blood.
There are several other remedies useful in obstinate
and complicated cases of this affection, the treatment
of which, however, requires considerable experience
and a good knowledge of disease, and of the Materia
Medica.





108
PILES. HEMORR        OIDS.
DIAGNOSIs. Varices or effusion of blood within the
cellular tissue of the rectum, either within of without
the anus; or protrusion and filling of one or more of the
inner foldings of the same intestine, (internal or external
piles,) and with or without bleeding, (open or blind
piles,) preceded or accompanied by pains in the back,
sacrum, and abdomen; sensation of itching, picking,
tickling, burning, or pressing at the rectum, sometimes
extending to the adjacent parts, with, in general, constipation and not unfrequently derangements of the urinary functions.
The predisposing cause is attributable to a constitu- -
tional taint; among the exciting causes are habitual costiveness, severe exertion on horseback, prolapsus, use
of drastic medicines, stimulating diet, the use of vinous,
alcoholic, and fermented drinks, and coffee, and suppression of long-continued discharges, sedentary habits, &c.
During the treatment of this affection it is of the utmost importance to attend strictly to the homoepathic
rules for diet. Strong or heating drinks, such as wines,
cofee, tea, and stimulating or highly-seasoned food of all
kinds are particularly to be avoided. Sedentary habits
and the use of soft cushions or chairs materially tend
to aggravate the affection. The painful practice amongst
surgeons of removing the hemorrhoidal excrescences by
means of the knife or ligature is much to be deprecated
for, indepeiident of the danger not unfrequently attending
the operation, it may occasion serious consequences by
metastasis of the congestion, to some of the noble viscera; and besides that in a great number of cases it
wholly fails, and the disease returns, and sometimes in
an aggravated form.





M


HEMORRHOIDS.                109
THERAPEUTICS. The medicines most used in this
affection are Aconitum, Nux vomica, Sulphur, Arsenicum,
Belladonna, Hepar sulphuris, Pulsatilla, Platina, Ignatia, Antimonium crudum, and Cinchona.
ADMINISTRATION, as follows, except where particularly specified to the contrary: six globules of the potency marked after each medicine, in six dessert-spoon -
fuls of water, giving one morning and evening until.
finished, and in ordinary cases allowing this exhibition
to continue its action for a week or ten days.
ACONITE, although not specific in its curative action,
is useful in allaying pain when considerable and distressing inflammation exists, and may in such cases precede
the administration of each of the following medicines,
which are among the principal remedial agents in this
disease:
ADMINISTRATION. ~00 in six teaspoonfuls of water,
one every six hours, until the inflammation abates;
twenty-four hours after which we may have recourse to
one of the other remedies mentioned.
Nux VOMICA yu, as we have before had occasion to
remark, is a most valuable remedy in this affection; it
is equally efficacious against both descriptions; it is
particularly indicated for individuals who lead a sedentary life, or who indulge in the use of coffee or stimulating liquids, and for females during pregnancy. When,
hemorrhoids are present, attended with shooting, burning, or itching pains; shooting and jerking pain, as if
from bruises in the loins, rendering it difficult to rise or
"walk in an erect position, and when they are accompanied by constipation and the other symptoms described
under INDIGESTION or DYSPEPSIA.
SULPHUR "y, may follow the administration of Nux
vomica, and an alternation at intervals of from a week to
10





110 "


DIGESTIVE SYSTEM.


ten days of these remedies frequently effects a cure in
cases of long standing.
ARSENICUM -T. Hemorrhoids accompanied by burning and shooting pains, heat and agitation, and sometimes
prostration of strength.
BELLADONNA   o. Moist hemorrhoids, with an insufferable pain in the sacral region, as if the back would
break or be rent asunder.
REPAR SULPHURIS may follow    Belladonna should
that medicine fail to, or only partially relieve these symp-i
toms.
ADMINISTRATION. Half a grain of the third trituration in six dessert-spoonfuls of water, one every six hours
until finished.
RHUS TOXICODENDRON r. When the violent pain
mentioned under Belladonna still continues severe, and
particularly if relieved by motion.
CAPsIcuM TI. When a burning sensation exists, attended with considerable itching and diarrhcea.
PULSATILLA T-y. Discharge of blood and mucus during stool, and at other times with painful smarting and
sensation of excoriation in the hemorrhoids, pains in the
back, pallid countenance and disposition to fainting.
PLATINA -, when there is frequent inclination to
go to stool, followed by a very scanty and difficult evacuation, succeeded by general shuddering and a feeling of
weakness in the abdomen; frequent creeping, itching, and
piercing at the anus, particularly in the evening; violent
dull pinching in the lower intestine, and discharge of
blood during stool, and at other times.
IoNATIA -. Itching and creeping, also sensation of
constriction and excoriation in the anus, and prickings
extending deep into the lower intestine; discharge of
blood or of bloody mucus, and rumbling noise in the ab




~ ~M:ik~rBLY~t~',;~J~i~ r;l;,~~,,"
e~i~:~~~c:l-:`~-i! ~~; I~.:;-~ ~


PROTRUSION OF THE INTESTINE.       111
domen, and protrusion of the lower intestine, accompanied with acute pain.
ANTIMONIUM CRUDU    "". Discharge of mucus and
of blood at every stool, followed by severe colic and pain
in the hemorrhoids, with throbbing, itching, and burning
j~t the anus, and discharge of viscous acrid moisture,
particularly at night; frequent determination to the head,
with bleeding at the nose; stiffness in the back, shooting pains in the loins, burning and rheumatic pains in
the limbs, flatulence and constipation.
CINCHONA o0, is valuable when there has been much
loss of blood, and consequent debility.
These are the principal remedies to be employed in
the treatment of hemorrhoids; and when judiciously selected, will be certain to afford the desired relief, provided the patient is careful to adhere strictly to the rules
we have laid down in our introductory remarks to this
affection. In severe cases, of long standing, much pa -
tience and perseverance is required before the disease
can be permanently removed.
PROTRUSION OF THE INTESTINE.
Prolapsus Ani.
By this term is understood the protrusion of a portion
of the mucous membrane of the lower intestine: it is
of much more frequent occurrence in children than
adults, and takes place during straining when at stool, or
when urinating. The reduction of the protruded portion
of intestine is easily effected by gentle pressure with the
thumbs, or thumb and forefinger, which have previously
been dipped in oil.
THERAPEUTICS. The principal remedies in this affection, are Ignatia, Nux vomica, Mercurius, and Sulphur.





112


DIGESTIVE SYSTEM.


ADMINISTRATION. The same as in hemorrhoids; in
children under ten years of age, one to two globules, in
the quantity of water stated.
IGNATIA T, is particularly efficacious in mild or sensitive temperaments, attended with constipation.
Nux vo0IcA, - i is indicated for persons of irritable,
or lively disposition, and addicted to high and stimulating
diet, with a tendency to hemorrhoids and constipation.
MERCURIUS -, is particularly suited for children, in
whom the disease is attended with hardness and swelling
of the abdomen, and where the straining is excessive.
SULPHUR is one of the best remedies for the permament removal of the disease. When the affection is
obstinate and a peculiar taint exists, we must have resource to a regular course of treatment.
ADIINISTRATION. -g repeated in five or six days.
COLIC. Enteralgia.
DIAGNosIs. Griping, tearing, gnawing, or shooting
pain in the bowels, chiefly confined to the region of the
navel, generally attended with a painful distension of the
abdomen with spasmodic contraction, and sometimes
accompanied with vomiting and costiveness, or diarrhoea.
The general exciting causes of this complaint are,
acid fruits and indigestible substances; cold in the feet,
drinking  cold beverages when heated, constipation,
worms, &c. It is frequently also a concomitant symptom of some other derangement, but occurs equally often
as the primary disease. We shall here content ourselves
with giving the symptoms under the medicines, without
"entering upon the different varieties of this affection. One
of the distinctive characteristics between this malady
and internal inflammation, is the pain being somewhat
relieved by pressure.





~r  L~~,atf~s"" ~~* cp.


COLIC.                  113
THERAPEUTICS. The principal remedies in its treatment are, Nux vomica, Pulsatilla, Chamomilla, Belladonna, Cocculus, Colocynth, and Cofea.
ADMINISTRATION.    Four globules at the potency
named, dissolve in six dessert-spoonfuls of water, one to
be taken every half-hour until relief is obtained, and
afterwards a dose given every four or five days, to combat the disposition to this affection when such exists.
Nux VOMICA -g is a valuable remedy in either flatulent
or hemorrhoidal colic, and is particularly indicated when
there is a sensation of fulness and tightness at thd upper
part of the waist; deep seated or cutting pains in the
abdomen, with acute and hard, pressive, and forcing-down
sensation, compelling the sufferer to bend double; violent
cutting pains in the hypogastrium; confused headach,
with occasional loss of consciousness; respiration short
and difficult; flatulence, aggravation of the pains on
the slightest motion, generally disappearing when at
rest; violent pain in the loins, and sensation of internal
heat and obstruction; cofstipation, coldness and numb.
ness in the hands and feet during the paroxysm; at the
monthly period in females, when we find weight or violent deep-seated aching pain in the abdomen, and aching
in the sacral region; dragging pains extending to the
thigh; aching and creeping sensation in the same part
when sitting; painful pressure towards the rectum.
PULSATILLA -, is more useful in the affection occurring in females, when coming on periodically in the
evening; also when there are present a disagreeable
tightness and distension of the abdomen and of the upper
part of the waist; pulsation in the pit of the stomach,
aggravation of the sufering when at rest or in the evening,
attended with shivering, which increases with the pains,
and is mitigated by motion; severe bruising pains in the
10*





114             DIGESTIVE SYSTEM.
loins, especially when rising up; when it has arisen
from overloading the stomach, or from rich greasy food,
with inclination to Vomit, flatulence, diarrhcea, paleness
of the face, livid circle round the eyes, and headach;
also in hemorrhoidal colic, with fulness of the veins of
the hands and forehead, restlessness anxiety, and sleeplessness.
CHAMOMILLA -. Sensation as if the intestines were
gathered into a ball, and as if the abdomen were empty,
with tearing and drawing pains, attended with excessive
anxiety and restlessness; distension under the lower ribs
and in the pit of the stomach; incarcerated flatulency,
sometimes nausea, bitter vomiting, followed by desire to
relieve the bowels, and bilious diarrhoea; livid circles
round the eyes, alternate paleness and redness of the
face; the pains come on particularly at night, at other
times early in the morning or after a meal. This remedy,
as before stated, is particularly adapted for children or
irritable temperaments. It is also useful when colic has
arisen from cold in the feet, or checked perspiration.
Although in most instances Chamomilla is of itself sufficient, it has been sometimes found useful to precede it
by a dose of Aconite.
BELLADONNA --, when there is protrusion of the transverse section of the great intestine, which becomes distended like a pad, attended with colic-like pain, doubling
up the body, which is relieved by pressure on the part;
also severe bearing-down pains, aggravated by motion;
at other times there is a sensation as if the above swelling had been removed downwards, deep into the abdomen,
with feeling of bearing-down of the whole intestines;
also spasmodic constrictions in the abdomen, with burning
pain lower down or in the small of the back; or pain
under the ribs, as if a number of nails were holding the





COLIC.


115


intestines; The symptoms are also attended with a liquid
or puriform species of diarrhoea, and swelling of the
veins of the head; the pains are sometimes so violent as
almost to deprive the patient of reason.
SCoccULus  - is indicated when there are severe constrictive or spasmodic pains in the lower part of the abdomen, with great flatulence, fulness, and distension of the
entire abdomen, with nausea and difficulty of breathing;
also when there is a sensation of emptiness, tearing and
burning pains in the intestines, sometimes with squeezing,
tearing and pulling pains, excessive anguish and nervous
excitement, and constipation.
COLOCYNTH g-. In the majority of violent and obstinate cases, we find this a valuable remedy; it is indicated when the pains are excessively violent, and of a
constrictive or spasmodic character, or resembling stabbing
and cutting, as if from knives; sometimes a sensation
of clawing and pinching, tenderness of the abdomen,
with a pain as from a blow; or distension of the abdomen; at other times a sense of emptiness is experienced,  "i
cramps and shivering, or tearing pains in the legs;
during the continuance of the attack, excessive restlessness, agitation, and tossing about from the violence of
the pain; when the pains come on, they continue without
any apparent intermission; after their disappearance, a
sensation of bruising remains, and,the sufferer feels as
though the intestines were held together by thin threads,
likely to break from the slightest motion. Both this
remedy and Chamomilla are particularly efficacious in
the so-called bilious colic, being indicated by the diarrhmaa and bilious vomiting attending it, and in cases
where poison has been the exciting cause.
ARSENICUM - in colic, arising from disordered stomach, with nausea, vomiting; diarrhoa, with green or





116             DIGESTIVE SYSTEM.
yellow evacuation, violent griping headach, paleness of
the face, and blue marks round the eyes.
COFFEA --, is valuable when we have to deal with colic
with excessive pains, attended with great agitation,
anxiety, and tossing about, grinding of the teeth, convulsions, suffocative, oppressive despair, acidity, coldness of
the body and extremities. It is also useful in some
kinds of menstrual colic, with a sensation as if the abdomen were rent asunder; or with fulness and pressure
in the abdomen and violent spasms which extend to the
chest. Cutting pains in the intestines as if divided by a
knife. The pains present so violent as almost to drive
the patient to distraction, and cause him to bend double,
and draw up his limbs; violent spasms in all his members.
In cases of colic, arising suddenly from indigestible
food, a cup of black coffee, without milk or sugar, will
frequently afford relief, by causing the stomach to free
itself from the cause of annoyance; in instances where
that article has not been made one of ordinary beverage.
For colic arising from worms, see WoRMs.
LOOSENESS OF THE BOWELS.
Diarrhoea.
DIAGNosis. Fluid discharge from the intestines in
increased quantity.
This affection is simply an increase of the peristaltic
action of the intestinal canal, and is so well known
ureder its different forms, that I shall simply allude to
the principal exciting causes, and then proceed to the
treatment.
-The exciting causes are acid, indigestible food, a
check of perspiration, sudden changes of temperature,





LOOSENESS OF THE BOWELS.


117


the prolonged use of powerful purgatives, which, although
still more frequently the cause of constipation, nevertheless, by producing irritation of the intestinal canal, predispose to its attacks; worms, &c.
Sometimes also diarrhcea is a salutary crisis, as
remarked under Fevers; here also the homoeopathic
treatment assists nature, and while it abridges the duration of the affection, and thereby obviates future debility,
does not rashly check its course.
THERAPEUTICS. The principal remedies in this affection are Dulcamara, Bryonia, Cinchona, Ferrum aceticum,
Chamomilla, Rheum, Mercurius, Pulsatilla, Nux vomica,
Arsenicum, Antimonium crudum, Rhus toxicodendron,
Opium, Acidum phosphoricum, and Phosphorus.
ADMINISTRATION. The dose mentioned, in a little
water, repeated in from six to twelve hours, as required.
DULCAMARA V, should be administered in Diarrhoea,
occurring in summer from cold, produced by wet feet or
exposure to rain. Particular indications for its exhibitions
are when the diarrhoea is attended with colic, or cutting
pain, chiefly in the region of the navel; when the evacuations are liquid, slimy and yellow, generally coming on at
night, and attended with nausea or vomiting; want of
appetite and great thirst, paleness of the countenance
and lassitude.
BRYONIA V-. In cases of diarrhoea arising from the
causes before mentioned, and with many of the symptoms noted under Dulcamara, when this medicine has
failed to afford the required relief in six or eight hours,
it should be given, particularly if any portions of undigested food are present in the motion. In hot weather,
when we cannot trace the causes to any errors of diet,
requiring other remedies, this medicine is. also indicated,





118


DIGESTIVE SYSTEM.


and particularly so in the following instances; Diarhoea from checked perspiration or being overheated; cold
drinks-a chill from remaining in any cold exposed
situation, or in draughts-or from biting, easterly winds.
When this affection has been produced by passion, particularly in individuals of what physiologists denominate a
bilious temperament, it is most useful-if any symptoms
remain after Chamomilla, which in such cases deserves a
preference. It may also be remarked, that the diarrhoea
arising from drinking impure water when heated has
frequently found relief in this medicine. When the
water is strongly impregnated with vegetable substances,
it may be advantageously followed by Cinchona. This
is a case which seldom occurs, but knowing it does occasionally, particularly with sportsmen on moors, and in
marshy ground, it has been judged advisable to add these
remarks.
CINCHONA _L, when the evacuations are very profuse,
and sometimes attended with but little pain, and when
the discharge comes on immediately after partaking of
food, or at night, evacuations liquid and brownish, sometimes containing portions of indigested food; it is in
some instances also indicated, when considerable spasmodic or colic.like pain is present, with flatulence, want
of appetite, thirst, and great weakness; it is also valuable after improper treatment of this affection, when considerable debility remains.
FERRUM ACETICUM 9 may be advantageously given in
alternation with Cinchona at intervals of twelve hours,
when the eyacuations are partly composed of undigested
food and pass without pain.
CHAMOMILLA -, is a remedy, as already stated, particularly useful in children, either at the time of teething,
or at a more advanced period, when the affection has





LOOSENESS OP THE BOWELS.


119


been excited by checked perspiration; it is further particularly indicated, when the evacuations are watery,
bilious, green, yellow, or slimy, or of a fetor resembling
rotten eggs; when there are fulness at the pit of the
stomach, severe colic or spasm, pain in the abdomen,
distension and hardness of the abdomen, bitter taste, in
the mouth, foul tongue, thirst, want of appetite, bilious
vomiting and flatulency in infants, attended with restlessness and screaming, and drawing up of the limbs towards
the stomach; in case of adults, Of.
RHEUM -0, when the symptoms, in a great measure,
resemble Chamomilla, but the pain is not so violent, and
the evacuations have a sour smell; paleness of the face
is also an indication for this medicine.
MERCURIxus -. When the diarrhoea is watery, slimy,
frothy, bilious, or greenish, or streaked with blood; also
when there is painful straining before, during, and after
evacuation; severe cutting pains, moreover, nausea and
eructation, cold perspiration-, trembling or shivering, and
shuddering, great lassitude, and disposition to syncope.
POLSATILLA 9-, is useful in diarrhoea arising from
errors of diet, such as indulgence in acids or fruits, attended with dyspeptic symptoms. Vide INDIGESTION.
Another remarkable indication for this remedy is one
evacuation differing from another in colour.
Nux vouMIA %&.  Scanty evacuations or motions,
consisting of slime and blood, attended with straining
and great weakness, flatulency, and violent cutting pains,
in the region of the navel: for some of the accompanying
symptoms the reader is requested to study the indications
given under this remedy, in Indigestion.
ARSENICUM 9. Diarrhoea arising from errors in diet,
acids, fruits, cold drink, or ices; the characteristic
symptoms for its employment are a violent colic, excessive





120


DIGESTIVE SYSTEM.


thirst, emaciation, and great weakness; and when more
liable to come on at night or after eating or drinking.
ANTIMONIUM CRUDUM --. Also in cases arising from
disordered stomach, see article upon this affeetion, particularly valuable in diarrhea alternating with constipation.
RHUS TOXICODENDRON 0t. Lumpy diarrhoea, coming
on only at night, preceded by colic, which disappears
after each evacuation.
OPIUM.__. Diarrhea arising from fright. For other
indications, vide MENTAL EMOTIONS.
SULPHUR.ot, is a most valuable remedy in diarrhoea
occurring in strumous habits, or in very obstinate cases.
In adults predisposed to hemorrhoids, or in children,
when the diarrhoea is attended with excoriation and
papular eruptions, it is particularly efficacious; also in
cases where the slightest cold brings on a relapse or an
attack.
ACIDUM PHOSPHORICUM B. Also in obstinate cases.
ADMINISTRATION. Three globules in three dessertspoonfuls of water, one daily; the prescription to be
continued until a marked benefit result, or an alteration in
the symptoms seem to demand some other remedy.
PHOSPHORUS y. In chronic, painless diarrhoea.
ADMINISTRATION.   Two globules in a little water,
repeated every five days, if necessary, with the above
limitations.
This article would scarcely be complete without a
few remarks upon the diet to be observed by individuals
suffering under or subject to attacks of this troublesome
disorder. Acids or acidulous wines, beer, coffee, strong
tea, and fruits, whether raw or cooked, should be carefully avoided. Solid food proscribed as tending to keep
up the intestinal irritation, and gruel, broths, and light
food substituted.





121
DYSENTERY. Dysenteria.
DIAGNOSIS. Cohstant urgency to evacuate the bowels, tenesmus, violent pains in the abdomen, a greater or
less degree of fever, and stools of mucus or blood, or
both. It differs from diarrhoea, it being a consequence
of a constipated state of the bowels rather than an increased peristaltic action of the intestinal canal.
It may appear suddenly, but is frequeritly preceded
some time by dull abdominal pains and diarrhea; after
a time no faces are discharged, but white mucus, which
may afterwards change to blood (bloody flux): stools,
particularly when fever is present, very frequent and
fetid; if not checked in time, the disease may terminate
in ulceration or gangrene, or the patient may sink from
exhaustion.
This affection is very frequently complicated with
rheumatic pains, which will be noticed under the different remedies, as an additional indication for their employment. The exciting causes are, checked perspiration, particularly in warm weather; low or marshy situations, local irritations, such as worms, scybala, &c. and
suppression of hemorrhoids, metastases, and sometimes,
in infants, difficult dentition.
THERAPEUTICS. The principal remedies found useful in treatment are Aconitum, Chamomilla, Pulsatilla,
Ipecacuanha, Colocynth, Mercurius vivus, Arsenicum
album, Carbo vegetabilis, Nux vomica, Cinchona, and.Sulphur.
ACONITUM.   This remedy is peculiarly adapted to
the fever frequently present, and in young and plethoric
patients is generally required in the commencement or
in the course of the disease. It is indicated by full and
hard pulse; severe pains, generally in one spot; ab11


*^







122             DIGESTIVE SYSTEM.
domen tense and painful when touched, denoting the
commencement of inflammation; also valuable when
we find pains resembling rheumatism in different parts
of the body, with shivering, or excessive heat and
thirst.
ADMINISTRATION. As in Inflammatary Fever, which
see.
CHAMOMILLA. If after the administration of Aconite,
we still find violent heat and thirst, rheumatic pains in
the head, and constant agitation and tossing. This remedy is also useful when this disease seems to take for
its proximate cause gastric impurities formed in the
primae vim. When we find foul tongue with clammy taste
in the mouth, bilious stools-and before tenesmus declare itself-this evidently points out the remedy as
most useful in the first or diarrhceal stage; it may be
followed by Pulsatilla, when the symptoms given under
that remedy present themselves.
ADMINISTRATION j, in a little water, repeated every
six hours, until improvement takes place, or indications
for another remedy present themselves.
PULSATILLA, when the gastric symptoms noted under
Chamomilla are present, but the stools consist entirely
of mucus striated with blood.
ADMINISTRATION, same as Chamomilla, but at the
sixth potency.    -
The three remedies above mentioned are also valuable in dysentery, arising from cold, or what is commonly
denominated rheumatic catarrhal dysentery, Rheumatismus Intestinorum.
IPECACUANHA. This remedy is serviceable when the
dysenteric affection seems fairly established-when the
stool consists of slimy matter containing white flocks,
followed by evacuations of sanguinolent mucus.





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`"''.~2;P
--~,.v^,l.?i. u~ *:').~":1~ ";--ii
_-I
':R~- i


DYSENTERY.                 123
ADMINISTRATION same as Chamomilla.
COLOCYNTH. In cases attended with violent colic and
excessive distension of the abdomen, shivering with
chills, apparently extending from the abdomen over the
whole body, excessive agitation and restlessness, tongue
coated white; slimy, and sometimes bloody evacuations;
it is sometimes found useful to follow Ipecacuanha.
ADMINISTRATION., in six teaspoonfuls of water,
one every hour until improvement declare itself, when
the intervals between the doses may be lengthened.
MERCURIUS vivus is always found specific in the
red dysentery or BLOODY FLUX, when we find severe
tenesmus or straining, with evacuation of pure blood
and increased urgency to stool after each evacuation.
ADMINISTRATION. A grain of the third trituration in
an ounce of water, a dessert-spoonful every three hours
until the symptoms are mitigated, when the intervals
may be lengthened.
[MERCURIUS SOLUBILIS is a specific in epidemic autumnal dysenteries. Indications: fever and excessive thirst,
dry and coated tongue, violent tenesmus before stools,
as if the intestines would be forced out, relieved by recumbent position, small discharges of blood and mucus or
of green masses or pure bile, after long straining, followed
by increased tenesmus and violent cutting pains in the
abdomen; aggravation at night; dysenteries of children
with fever, discharges of bright blood, or of slime, and
chopped green masses resembling cooked eggs; chronic
dysenteries attended with thickning of the intestines;
dysenteries attended with descent of the intestine. This
form of Mercury is advised after the previous use of
China and Nux vomica.
MERCURIUS CORROSIVUS. Indications   chills, heat,
thirst, anxiety and aggravated state of all the symptoms





124


DIGESTIVE SYSTEM.


recorded of the above remedy, (Mercurius snlubilis,) after
violent and lacerating tormena (twisting at the navel)
and tenesmus; forcible and very frequent discharges
(every 5 or 10 minutes) either of pure blood or of bloody
mucus; dysenteries of a bilious type, when the days are
hot and nights cold, discharges green, brown and of bilious matter, very fetid from the commencement, with
colic, tenesmus and vomiting which relieves; sporadic,
epidemic and autumnal dysenteries.
We have found very many cases of dysentery in our
practice to unite the symptoms of Mercury and Colocynth
and have given these remedies in alternation with the
most marked success. Our rule has been to give a dose
of Mercury in the evening, and of a solution of Colocynth
a spoonful every three or four hours during the day
until a sensible impression was produced.]
ARSENICUJM is our sheet-anchor, when great weakness
and even prostration exists from the commencement
"with burning pain in evacuating the bowels, thirst and
aggravation of the sufferings after drinking; or, on the
contrary, adipsia: also when the disease threatens to
assume the ulcerative or gangrenous character-oharacterized by previous severe pains, particularly burning,
which suddenly cease; hypocratic expression of countenance; rapid sinking of the vital energies; pulse small
and intermittent: coldness of the extremities; highly
offensive, putrid, and cadaverous smelling evacuations,
both of fmces and urine; unconscious passing of stools;
offensive breath and petechim in different parts of the
body.
ADMINISTRATION. A drop of the tincture at the third
potency in an ounce of water, a dessert-spoonful every
two, three, or six hours, according to the urgency of the
case, carefully watching the effects; also shortening or
lengthening the intervals accordingly.





DYSENTERY.                125
CARBO VEGETABILIS is a most useful remedy in these
desperate cases, when the breath is cold, and the patient
complains of severe burning pains; its indication closely
resemble those of Arsenicum, with the exception of the
thirst, and the aggravation caused by drinking. It may
be given with benefit when that remedy has failed, or
only partially relieved, and in this, as in other affections,
many instances might be cited where a judicious alternation of these two remedies has effected benefit-where
neither of them might have been singly adequate to the
exigency of the case.
ADMINISTRATION. A drop of the twelfth potency exhibited in the same manner as Arsenicum.
Nux VOMICA.    When Arsenicum has diminished
these symptoms and warded off the danger; but we find
that the fmeces still retain a highly putrid odour; also at
any period during the course of the disease, when the
following symptoms are present:-frequent scanty evacuations of sanguineous mucus, attended with violent
cutting or griping pains in the region of the navel; great
heat and excessive thirst.
ADMINISTRATION. Same as Pulsatilla.
CINCHONA. In cases where the disease has an endemic character, occurring in marshy countries, and in
many cases when a state of putridity remains in the
fmeces after the administration of.the remedies above
mentioned.
ADMINISTRATION. Same as Pulsatilla.
SULPHUR. When the more marked symptoms are
ameliorated by the use of the foregoing remedies, but
the Dysentery still continues obstinate; or when it has
from time to time been subdued, and afterwards returned
with greater or less violence; or even when the apparently best selected remedial agents have failed to check
11*





126             DIGESTIVE SYSTEM.
its course. It will frequently be found most efficacious
in all these cases, since when this occurs we may suspect some latent constitutional cause is baffling our efforts. In the instance first noted by its removal, the
affection is terminated; in the second the predisposition to a return of the attack is obviated; and in the
third, the constitutional taint alluded to being controlled,
the organism becomes susceptible to the specific action
of the other medicaments.
ADMINISTRATION. 00, in a little water, repeabed at
first every twelve hours until an effect is produced, then
discontinued for a time and allowed to act.
Rules of Conduct and Diet. In this affection it is of
great importance to keep up a moderate degree of warmth
around the abdomen, which is best obtained by flannel
worn outside the linen.
During the course of treatment cold drinks are to be
avoided, barely sufficient nutriment to keep up the
strength of the patient allowed; and the more severe the
inflammatory symptoms, the more strict must be the abstinence. No solids should on any account be given;
but the diet should consist principally of mucilaginous
or demulcent fluids, such as thirr-barley-wvater and gruel;
in comparatively mild cases weak chicken-broth or beeftea, at the discretion of the physician, may be allowed.
Even after convalescence this course of diet should be
for a short time observed, especially when the disease is
raging in an epidemic form, and a return to the usual
diet gradually brought about. Wine and alcohol are
absolute poisons in this affection.
Having thus given the best mode of treatment for this
disease ordinarily so fatal, we may remark that in an
oierwhelming  majority of  cases, the honosopathic





DYSENTERY.                127
Smethod checks it at its commencement, without allowing it to assume the more frightful forms portrayed in
the instructions for its treatment; and it passes off
leaving the patient in sound health: in the most violent
cases where it has already made head, and seems apSproaching a fatal termination, it is the only system which
offers a chance of salvation to the sufferer. And in strumous constitutions, where under the old mode of procedure the results are commonly so unfortunate, it gently
mitigates the violence of the symptoms, and safely conducts the patient through his perils.
Suppressed Dysentery. When the dysentric evacuations have been suddenly checked by powerful medicines, and a violent inflammatory or spasmodic action
declares itself, such as severe pains, anxiety, dyspnea,
nausea, and empty retchings, or distension of the abdomen; suppression both of feces and urine; coldness
of the face, tongue, and extremities; breath also cold;
with spasms of various kinds in different parts of the body,
which are renewed by any exertion, either of speech
or movement,-the following remedies will be found
useful:
ACONITUM. Againstany inflammatory symptoms that
may present themselves, to be repeated according to the
rule already given until relief follow,
CUPRUM ACETICUM. When spasms or cold sweats
predominate.
ADMINISTRATION. -q, in a little -water, repeated in
three to six hours, according to the effect produced.
BELLADONNA, against inflammatory colic, or if symptoms of abdominal inflammation set in, see article
ENTEarITI, and also COLIC, and administer accordingly.
COLOCYNTH. Violent colic and distension of the
abdomen, see COLIC.





128


DIGESTIVE SYSTEM.


"VERATRUM ALBUM. Coldness of the body and extremities, and retching.
ADMINISTRATION. One drop of the sixth potency in
an ounce of water, a dessert-spoonful every two to six
hours.
CARBO VEGETABILIS in extreme cases, with scarcely
perceptible pulse, and cold breath.
ADMINISTRATION, as already given in this article.
The use of clysters of warm water has in many instances been found serviceable in promoting an evacuation of the bowels, and bringing back the suppressed
discharge.
When the patient has escaped the sad consequences
above noticed, chronic complaints frequently are the
result of Suppressed Dysentery; the most frequent are
Dropsy, Paralysis, and Rheumatism.
CHOLERA.
By the term Cholera Morbus was formerly understood
a disease attended with nausea, griping, purging, and
vomiting, generally prevalent towards our summer
months, and at the season when fruit was plentiful.
But it has now become a generic term, under which are
included two varieties-the Cholera Morbus, properly
so called, and the Asiatic Cholera.
DIAGNOSIS. - The first named, sometimes called the
Sporadic Cholera, generally commences with a sudden
feeling of nausea and griping, followed by purging and
vomiting; in severe cases, accompanied with coldness
of the body, particularly the extremities, and anxious
and hurried breathings, excessive thirst, a feeling of
cramping in the legs, sometimes in the arms, with spasmodic contractions of the abdominal muscles, shrinking





CHOLERA.


129


of the features, and a hollow expression about the eyes;
pulse weak, sometimes scarcely perceptible, thin, watery, and fetid, or bilious evacuations, sometimes with
dark bilious vomiting, anxiety, and tenesmus.
CAUSES. The most frequent are worms, gallstones,
indigestible substances, fruits, or crude vegetables, alterations in temperature, moist or marshy situations, or
damp weather, dentition or parturition.
THERAPEUTICS. In the treatment of Cholera in its
sporadic form, (i. e. when the disease arises from occasional causes, such as cold, fatigue, &c.) the following remedies will be found to be the most efficacious:
Chamomilla, Ipecacuanha, Veratrum album, Arsenicum
album, Cinchona and Pulsatilla.
CHAMOMILLA is almost specific when the attack has
been excited by a fit of passion during the prevalence of
the disease.
The following are the symptoms which particularly
indicate its employment: acute colic-like pains, or heavy
pressure in the region of the navel, sometimes extending
to the heart, with excessive anguish; diarrhcea, cramps
in the calves of the legs; tongue coated yellow, and
sometimes vomiting of acid matter.
ADMINISTRATION. A drop of the tincture at the third
potency to half an ounce of water, a teaspoonful every
two to six hours, according to circumstances; in mild
cases o o repeated in twelve hours if necessary.
IPECACUANHA -, may be administered after the above,
should the attacks of vomiting become more prominent;
or it may be selected from the commencement, should
vomiting predominate, or at least assume as marked a
character in the complaint as the diarrLhea. Other indications are sensation of weakness, or softness, (flac




130


DIGESTIVE SYSTEM.


cidity,) coldness in the face and limbs, sense of shivering
in the abdomen; cramps in the calves of the legs, and
in the fingers and toes.
ADMINISTRATION. Same as CHAMOMILLA.
VERATRUM ALBUM.     Should the disease increase,
notwithstanding the administration of the preceding
remedy, and assume the following characteristics, violent
vomiting with severe diarrhoea, excessive weakness, and
cramps in the calves of the legs; eyes hollow or sunken,
countenance pale, and expressive of acute suffering and
intense anguish; coldness of the breath and tongue, excruciating pain in the region of the navel, tenderness of
the abdomen when touched; dragging pains and cramps
in the fingers, shrivelled appearance of the skin on the
palms of the hands. This is also one of the best remedies in both varieties of this disease.
ADMINISTRATION. A drop of the third potency to an
ounce of water, a dessert-spoonful every half, one, or
two hours, according to the severity of the symptoms;
when amelioration has taken place, lengthening the
intervals.
ARSENICUM is indicated when this malady assumes a
severe character from the beginning; but it is more particularly indicated when the disease is attended with
rapid prostration of strength, insatiable thirst, excessive
anxiety, loss of articulation, with fear of approaching
death, burning sensation in the region of the stomach,
almost constant discharge from the bowels, or renewal
of the discharge on every occasion that the desire for
drink is gratified; suppression of urine or scanty micturition, followed by a burning sensation; violent and painful vomiting, tongue and lips dry, cracked and blueish, or
black; hollow cheeks, pointed nose, pulse almost imperceptible, or small, weak, intermittent, and trembling:





sL;* i '" ~iLis.;as*';-"':
U:`~"rsS


CHOLERA.                 131
severe spasms in the fingers and toes; clammy perspiration,
ADMINISTRATION. Same as VERATRUM.
CINCHONA yT, is particularly indicated in cholera
with diarrhea, containing undigested food, with vomiting
of food, oppression of the chest and eructations, which
latter afford relief; severe pressure in the abdomen,
especially after partaking of the smallest portion of food;
great exhaustion, sometimes amounting to fainting.
This remedy is particularly marked when the disease
has been excited by indigestible substances, such as unripe fruit, &c., or by inhabiting a marsh situation.
ADMINISTRATION. Q00, repeated in from six to twelve
hours if required.
PULSATILLA, in cases where there is mucous diarrhcea
and dyspeptic symptoms (vide INDIGESTION). It is also
useful when the disease has been excited by the use of
indigestible articles of diet.
ADMINISTRATION. 0o, repeated from six to twenty
hours, according to circumstances.
ASIATIC CHOLERA. This disease generally commences by vertigo, headach with singing in the ears, a
sensation of flatulence in the stomach, with griping
pains, and a feeling of weight and oppression in the
region of the heart.
In some, but not all, cases of Asiatic Cholera, we find
the lips, nails, and sometimes the whole skin of a blue
colour, but in almost all the frame loses its power of
generating heat; the pulse and pulsation of the heart are
almost unfelt, and the circulation of the blood becomes
stagnant.
Patients who have escaped through the second stage
are frequently carried off by a typhoid fever in the third.





132


DIGESTIVE SYSTEM.


When the premonitory symptoms of this disease, as
above noted, exhibit themselves, the complete development of this disease is frequently prevented, by the administration of the SATURATED SOLUTION OF CAMPHOR,
one part of Camphor to twenty of spirits of wine.
ADMINISTRATION. One or two drops of the above
every five min'utes, until a cessation or amelioration of
the symptoms take place.
In many cases also we may succeed in checking the
disease at its commencement by the remedies already
mentioned under Sporadic Cholera, administering however more frequently, say every hour at first. But when
Cholera sets in in all its frighful forms, we should have
immediate recourse to VERATRUM; in many cases when
the symptoms we have given for that remedy are present, alternating it with ARSENICUM.
ADMINISTRATION.   Both at the potencies already
mentioned; the same dose, more frequently repeated,
say from twenty minutes to two hours, according to the
virulence of the disease. I cannot take upon me to give
any fixed rule for alternating them, as so much here
depends on the judgment of the exhibitor.
PSPOSHORUS, in desperate cases, when the symptoms
given for the employment of Arsenicum, increase in
intensity.
SECALE CORNUTUM has been found of extreme utility
against the cramps present in this disease.
ADMINISTRATION, as Veratrum and Arsenirum.
CRUPUM METALLICUM has been also used against the
convulsive movement of the extremities-but in most
cases the Secale cornutum seems to deserve a preference.
Although I have thus far noticed the medicines
generally most called for in this affection, in order that





.CHOLERA.                 133
no time may be lost at the commencement of the attack,
yet I would most earnestly dissuade any non-medical
individual from  attempting its treatment, unless the
extremity of the case imperatively demanded it.
The best preservative against infectifn is camphor, an
occasional dose of the preparation mentioned under that
medicine, avoiding excesses of all kinds, late hours,
exposure to night air, and melancholy thoughts, or fear,
"which are all strongly predisposing causes to attacks of
this malady. And if any premonitory symptoms do
declare themselves, an immediate recourse to a proper
remedy will generally disperse them, or at the very least
materially modify their violence.  It may also be
remarked that during the prevalence of this affection,
the clothing should be sufficient to preserve the body at
an equable, temperature, and care taken to avoid chills or
checked perspiration, or cold and wet feet: those who
are affected with considerable perspiration in their feet,
should change their stockings at least once daily; a flannel
bandage worn round the abdomen is also a useful
precaution, and it should not be hastily laid aside when
the danger seems to have passed away; also constant
exercise should be taken during the day in the open air.
Adherence to the homoeopathic rules is a sufficient
dietetic guide; raw vegetables and cold fruits, for
example, melons, should be carefully abstained from, and
even the more wholesome varieties and all cooked vegetables, except potatoes, be used in extreme moderation;
pure beer and non-acid wines are not objectionable for
individuals not attacked, with the same limitation. It
may appear almost supererogatory to observe that purity
of air and thorough ventilation is highly necessary; in
certain situations, or in populous neighbourhoods, the
chloride of lime may be employed with advantage.
12





134             DIGESTIVE SYSTEM.
The alternate employment of- Camphor, Veratrum and
Cupruin, a dose of each at four days' interval, as recommended in the first edition of this work, has also proved
of service as a prophylaxis.
AccEssoRY TREATMENT. The patient should be kept
in a room of a warm temperature, the bed should be
heated by artificial means. The observance of this rule
greatly facilitates the action of the medicine employed;
anything which might disturb the equanimity of the
sufferer, such as noise or contradiction, should be carefully avoided, and his spirits should be sustained as much
as possible. Cold water is the best drink, but the patient
should not be allowed to take too much at a time.
During the convalesence following this or any other
acute disease we must be careful not to indulge the
patient to the full extent of his appetite.
REMARtKS. When this disease is raging as an epidemic,
we not unfrequently find individuals suffering under many
symptoms bearing a marked resemblance to those of
cholera, but with constipation instead of diarrhoea, and
retching in place of vomiting; this affection being
closely analogous to Suppressed Dysentery, the reader
will find the treatment under that head; article Dysentery.
CHOLERINE.
This affection being merely diarrhoea, occurring during
the prevalence of cholera without any of the more
severe symptoms of the disease, consult that article for
its treatment.
LIVER COMPLAINT.
This disease is divided into the Acute and Chronic;
the latter generally goes by the name of Liver Complaint,





c,.a; ~;~.';",;~'.t:'~i- """U'~-~:;;PI~ r~t:a
~Pij~l~ y;~i~C-L~L II()_


ACUTE INFLAMMATION OF THE LIVER.     135
although a careful diagnosis will generally discover, that
the real disease is in the stomach and intestines;
however, in many cases, the liver itself-becomes much
affected from this cause, and in itself deserves considerable attention.
When the disease has been for a long time unchecked,
and the inflammation becomes deeply seated in the
substance of the liver, an abscess frequently forms,
bursting either externally or internally, in the latter case
not unseldom proving critical, or bringing on hectic fever.
ACUTE INFLAMMATION OF THE LIVER.
Hepatitis.
This disease is much more common in tropical climes
than with us. There, a high mode of living, exposure
to heavy dews or damps in the evening, and the powerful
rays of the sun by day are among its principal exciting
causes; but it may also arise from violent mental
emotions, the use of stimulating or alcoholic drinks,
suddenly suppressed evacuations, strong emetics or purgatives, the abuse of mercury, gall-stones, external
lesions, or injury of the brain.
DIAGNOSIS. This differs according to the seat of the
inflammation, when on the outer surface or convex side
the symptoms closely resemble those of pleuritis; there
is generally a violent pain in the right hypochondrium,
sometimes resembling stitches, at others burningshooting to the sternum, the right scapula, and point of
the shoulder, and even affecting the right foot, with
sensation of numbness or tingling in the arm of the same
side, the pain increased by inspiration: a short dry
cough, and the symptoms of inflammatory fever; bowels
irregular, generally constipated, and evacuations in most
Sinstances of an unnatural colour.





136


DIGESTIVE SYSTEM.


In this form the patient can only lie on the left side.
When the seat of inflammation is on the inner or
concave side of the liver, the pain is much less, and
the patient complains rather of a sensation of pressure
than actual pain, but the whole biliary system is much
more affected.  The eyes and countenance become
yellow, and sometimes complete jaundice declares itself;
the urine is orange coloured, the evacuations mostly hard
and generally of a whitish or gray colour. We also
find bitter taste in the mouth, vomiting, and considerable
distress-the patient can only lie on the right side.
Inflammatory fever is also present in this form, and in
both, the hypochondria, on examination will be found hot,
tumefied, and painful on pressure.
Inflammation of the liver, unless well treated, is apt
to assume the chronic form; it may also end in suppuration externally, or internally by a communication either
with the lungs or intestinal canal, or by a vomica in the
substance of the organ itself; or in indurations or other
alterations of structure, or in gangrene, or form adhesions.
The disease may terminate by resolution, critical
metastases, hemorrhoids, diarrhoea, epistaxes, or cutaneous, particularly erysipelatous eruptions.
THERAPEUTICS. The following remedies are those
"miost required in its treatment:
Aconitum, Belladonna, Mercurius, Bryonia alba, ChaSmomilla, Nux vomica, and Sulphur.
A CONITE is especially indicated in the commencement
of the attack, and may always precede the other remedies,
when there is violent inflammatory fever, attended with
insupportable shooting pains in the region of the liver,
with tossing, restlessness, and great anxiety and anguish.


i





ACUTE INFLAMMATION OF THE LIVER.      137
ADMINISTRATION. Same as in Inflammatory Fever,
which see.
BELLADONNA may be advantageously administered
after Aconite has subdued the preceding symptoms, or
from the commencement, when the following indications
present themselves: oppressive pains in the region of
the liver, which extend to the chest and shoulders,
distension of the pit of the stomach, sometimes extending
across the episgastrium, producing a sensation of tension,
with difficult and anxious respiration; determination of
blood to the head, with cloudiness and giddiness, sometimes causing faintness; great thirst, tossing about at
night and sleeplessness.
ADMINISTRATION. In severe cases a drop of the
tincture at the third potency to an ounce of water, a
dessert-spoonful every three to six hours, according to
the violence of the attack, being careful if a marked
medicinal action declare itself to allow it to pass off
before repeating the medicine, and also to lengthen the
intervals according to the amelioration produced. In
less violent attacks, when this medicine is indicated, we
may give H in a little water, and repeat it in twelve or
twenty hours, if required.
When Belladonna fails to remove the whole of these
symptoms, we frequently find that MERCURIUS will have
the desired effect; this medicament is too well known as
an allopathic remedy in the cure of this disease, and the
consequences produced by its abuse are frequently so great,
as to render the disease almost incurable. It is generally
administered, even when not indicated, until its marked
pathogenetic symptoms declare themselves, and consequently the patient, in addition to the original malady, has
frequently to contend with a medicinal disease. The
120





138


DIGESTIVE SYSTEM.


following are some of the principal indications for its
employment:
Painful sensations in the region of the liver, with
shooting: burning, or oppressive pains, not allowing the
patient to lie long on the right side; sometimes augmented
by movement of the body or part affected; bitter taste in
the mouth, want of appetite, thirst, and continual shivering, with well-marked yellow colour of the skin and
eyes; also when there are enlargement and hardness of
the liver, and where we have reason to suppose the
formation of matter.
ADMINISTRATION. A grain of the third trituration to
an ounce of water, a dessert-spoonful every three to six
hours, according to results, and with the precaution
specified under Belladonna.
BRYONIA, when the pains in the region of the liver
are mostly shooting, or oppressive, tensive, and burning,
increased by touch, coughing or respiration, and especially during inspiration; also much exacerbated by
movement; also when the symptoms are attended with
violent spasmodic oppression of the chest; rapid and
anxious respiration, bitter taste in the mouth, tongue
coated yellow; constipation present.
ADMINISTRATION. Same as Belladonna, in less severe
cases -o-.
CHAMOMILLA, when there are pressive pains, pressure
in the stomach, oppression of the chest, and a sensation
of tightness under the ribs; yellow colour of the skin,
pains not- aggravated by motion, &c.; tongue foul and
yellow, bitter taste in the mouth; paroxysms of great
anxiety. Chamomilla is also almost a specific when the
above symptoms have been brought on by a fit of passion.
ADMINISTRATION. Same as Bryonia.
Nux VOMICA   -, is particularly indicated when the





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-r:~".~i-::" ii~ i -. --:- rr;~, ~,
a~x L;:"~


LIVER COMPLAINT.             139
pains are shooting and pulsative, and attended with
excessive tenderness at the region of the liver to the
touch, pressure in the epigastrium and under the ribs,
with shortness of breath; also when enlargement and
induration occur; and in the chronic form, when there
are marked symptoms of gastric derangement. Vide
Nux vomica, art. INDIGESTION.
ADMINISTRATION. Same as Bryonia.
SULPHUR is valuable to follow any of the preceding
medicines, which, although apparently indicated, does
not speedily declare a decided action, or when the
disease continues, although in a diminished degree; it is
particularly efficacious after Nux vomica, to combat the
sequelae of the disease.
ADMINISTRATION. When to assist the action of the
medicines, a single dose - may be given, and followed
by the remedy judged most appropriate to the case in the
space of six or twelve hours, according to circumstances;
when employed to combat the sequelae of the disease,
four globules at the same potency may be dissolved in
four dessert-spoonfuls of water, and one exhibited morning and evening.
DIET. The same as under FEVERS, modified according
to the violence of the disease.
LIVER COMPLAINT, oR CHRONIC INFLAMMATION OF THE LIVER.
Hepatitis Chronica.
In this form of the disease we find many of the aforegoing symptoms, but in a modified degree; further, a
continued pain or uneasiness in the right side seldom
leaves the patient, who gradually falls off in flesh and
loses strength; and there is not unfrequently preSent an





140


DIGESTIVE SYSTEMf.


occasional cough with expectoration; sometimes considerable preceptible enlargement of the liver, either
continual or returning periodically, with a number of
dyseptic symptoms; high coloured or red urine, yellow
tinge of the skin and eyes, occasional febrile symptoms;
the pulse, except during these attacks, generally quick
but regular.
Nux voMIcA y and SULPHUR 5- are two of the
principal remedies in this affection, which, however,
frequently requires a careful discriminative treatment,
and all the acumen of the practised physician to conduct
to a happy issue.
For the indications for these remedies, see ACUTE
INFLAMMATION OF THE LIVER.
ADMINISTRATION. As in INDIGESTON, which see;
under which also the patient will find directions for
regulation of his DIET.
JAUNDICE. Icterus.
DIAGNOSIS. Yellow colour, varying in shade from a
pale saffron to a dark-brown yellow, first in the eyes,
then extending over the surface of the whole body; hard
whitish fteces; orange-coloured urine; symptoms of
deranged digestion, sometimes tensive pain or pressure
in the region of the liver.
In severe cases even the perspiration will impart a
yellow hue to the patient's linen.
The disease frequently declares itself without being
plainly referrible to any exciting cause; the principal are
affections of the liver, indigestion, poisonous substances,
taking cold, powerful mental emotions, emetics, or drastic
purgatives or internal obstructions, such as gall-stones,
or even worms obstructing the biliary duct.





_   rý  r m


JAUNDICE.                 141
Among the predisposing causes may be enumerated a
too sedentary or irregular mode of life, indulgence in
spirituous liquors, or a frequent use of aperients.
It may also be remarked that this disease frequently
assumes the intermittent type.
Jaundice is not of itself to be considered as a dangerous disorder, but rather as an indication of some internal
derangement, which, if neglected, may entail serious
consequences, for example, dropsy, hectic fever, or
general atrophy.
THERAPEUTICS. As this is a disease which requires
considerable tact and skill in its management, I shall
content myself with briefly touching upon the medicines
found most useful in ordinary cases.
MERCURIUS 1 and CINCHONA --, are two of the best
remedies in the treatment of the disorder, particularly the
former; but in cases when the patient has suffered from
the abuses of that mineral stance we give a preference to
Cinchona, especially when we can trace the disease to
have arisen from partaking of indigestible substances, or
where it appears in an intermittent form.
In cases which have been excited by a fit of passion,
as we have before noted-no unfrequent cause-we
should have recourse to CHAMOMILLA 1-1, or Nux vonICA n, should the bowels be confined, or alternately confined and relaxed.
Nux vomica is also indicated when sedentary habits, 9
over study, or indulgence in spirituous liquors appear to
be the predisposing, or partly the eiciting causes.
ADMINISTRATION. In general cases, four globules at
the potencies named, in four dessert-spoonfuls of water,
one exhibited morning and evening, with the exception
of Nux vomica, of which two globules may be given in





142


DIGESTIVE SYSTEM.


a little water, in one dose in the evening, and repeated.
in twenty-four hours; in cases of very young children
we may substitute one for four globules in the same
quantity of water. (See remarks upon this subject in
Introduction to Part II.)
Should Jaundice be accompanied with symptoms of
inflammation, and pain and pressure in the hepatic region,
see Acute Inflammation of the Liver; and that accordingly in the majority of such cases Aconite, followed if
needful by Belladonna, Mercurius, or Chamomilla, as best
indicated, will be found of essential service.
In very obstinate icterus the alternation of Sulphur,
Hepar sulphuris, and Lachesis has been found successful;
but as these cases frequently arise from obstructions,
atony, or a spasmodic or irritable state, they require
considerable skill and discrimination in their treatment.
INFLAMMATION OF THE SPLEEN.
Splenitis.
DIAGNOSIS. Sharp pressing or shooting pains in the
region of the spleen; in most cases a high degree of
fever with general derangement; sometimes enlargement
and tumefaction; and when very severe, hematemesis.
It is a rare disease in this country, but sometimes declares itself in hot seasons, when it is not unfrequently
mistaken for other affections. It may, however, arise in
individuals of delicate constitutions, or in children when
exposed to the influence of marsh miasms, particularly
when to that cause has been added insufficient clothing,
want of exercise, of proper nutriment, and long-continued
mental disquietude.
The value of Cinchona in this malady and the power
it displays of developing an affection closely similar,





INFLAMMATTON OF THE-SPILEEN.        143
affords a beautiful exemplification of the truth of the
homoeopathic law.
From our very imperfect knowledge of the physiology
of this viscus, and its relation to the other organs this
disease except when it presents itself in the tangible
form above mentioned, is extremely difficult to diagnose.
Its best characteristics are tenderness or sensibility on
pressure in the splenic region, with general debility;
paleness of the complexion, bloodless appearance of the
conjunctiva, languid circulation, and tendency of the extremities to become cold.
THERAPEUTICS. The chief remedies in this affection
are Cinchona and Arsenicum, which are useful not only
in its treatment, but against the tendency to dropsy,
which not unfrequently develops itself; this can but
rarely occur, however, where the proceedings of the
physician are guided by the homoeopathic law, inasmuch as the very remedies employed to combat the
disease itself, are the surest rreventives against such a
result.
The other medicines most frequently required are
Aconitum, Arnica montana, Nux vomica, and Bryonia
alba.
ACONITUM. Against the fever generally present, if
severe.
ADMINISTRATION. One drop of the tincture at the
third potency to an ounce of water, administering one
dessert-spoonful every half-hour, hour, or two hours,
accordinhg to the exigency of the case.
CINCHONA. When the inflammatory symptoms have
abated, or if no fever of any moment existed from the
commencement, particularly if the disease owes its origin to marsh miasm, or if- the accompanying fever pre




-t^sl^ll^*'^^


144             DIGESTIVE SYSTEM.
sent an intermittent type, in which case it should be
administered during the Apyrexia. Moreover, if impaired appetite and general derangement be present, see
this medicine under Apepsia. Also, if the patient have
been weakened by hematemesis or diarrhea, of-which
the presence of either (see these articles) are indications
of its employment.
ADMINISTRATION. In general cases we may dissolve
0o 0 in four dessert-spoonfuls of water, and give a dose
morning and evening.
ARSENICUM, also useful where the disease assumes
an intermittent character, or is complicated with that
affection (see Cinchona, and this remedy, article Intermittent Fever.) And further, when the patient complains of a violent burning pain in the region of the
spleen, and a constant pulsation at the scrobiculus, attended with great anxiety; also watery or sanguineous
diarrhoea, and burning at the anus; excessive u*akness,
and cedema of the feet.
ADMINISTRATION, same as Cinchona. In some cases
it has been found advantageous to alternate these two
remedies, giving a dose of the medicine selected morning and evening, allowing an action of one, two, or
three days, according to circumstances, and then exhibiting the other in the same manner.
ARNIcA, indicated by pressing pain in the left hypochondrium, causing dyspncea, and when the vomiting of
blood is very severe.
ADMINISTRATION. %V, repeated in six hours, if necessary, but when the last-mentioned symptom ismpresent,
exhibit as under Hematemesis.
Nux VOMIcA is chiefly indicated by the symptoms of
deranged digestion, constipation, &c., which remain after
the more threatening symptoms are removed.





->~: ~ "r-~-~


INFLAMMATION OF THE STOMACH.        145
ADMINISTRATION. 000, in a little water at night, repeated every twenty-four hours while necessary.
BRYONIA is found useful in milder cases, where an
aching, shooting pain is in the splenetic region, which
is much aggravated by the slightest movement, or when
the patient complains of a constant stitch in the side, or
the left hypochondriac region, and general gastric derangement with constipation exists.
ADMINISTRATION. Q0, in a little water, repeated as
the above until benefit results.
The preceding are the remedies which have been
found most useful in the treatment of the disease in the
acute form. Chronic enlargement and indurations of
the spleen require a long and judicious course of treatment for their removal, or even amelioration. I shall,
therefore, briefly direct the attention of the reader to
those remedies which have proved most successful in
these instances-namely, Sulphur, Calcarea, Carbonica,
and Baryta carbonica (particularly when the mesenteric
glands have become affected), and further, Lycopodium,
Carbo vegetabilis, Plumbum, Mezereum, Stannum.
INFLAMMATION OF THE STOMACH.
Gastritis.
As there is some difference among medical authors as
to the application of this term, it may be as well to state
clearly the disease intended to be treated of in this
place.
By gastritis is here meant inflammation of the mucous
membrane of the stomach, which frequently involves
the sub-mucous tissue, and sometimes the muscular coat.
DIAGNOSIs. Burning, pricking, or shooting pain in
the gastric region, increased by pressure, inspiration,
13





146             DIGESTIVE SYSTEM.
or the passage of food. Swelling, considerable heat,
and tension over the whole stomachic region, sometimes
with pulsation; nausea, inclination to vomit, retching,
vomiting, great thirst, increased or brought on by the
smallest quantity of food or drink; sometimes with hydrophobic symptoms (hydrophobia symptomatica); soreness of the throat, with inflammation of the fauces; hiccough, sobbing, great restlessnes, anxiety, and prostration
of strength; coldness of the extremities; tongue generally red at the tip and round the edges, foul, rough at
the centre and towards the root; frequently also syncope, violent spasms, convulsions, even tetanus; small,
sometimes scarcely perceptible, and remittent pulse;
aunken features, with expressions of anxiety, and generally constipation.
Death may ensue from gangrene, in which case the
pains suddenly cease, the coldness of the extremities
increases, and the pulse becomes scarcely preceptible
and remittent; or from paralysis of the nervous system
during the attacks of the spasms or syncope. When
this disease has been improperly treated if the patient
has the good fortune to escape with life, it may pass into
chronic inflammation, scirrhus, or ulceration of the
stomach.
CAUSEs. One of the most frequent is partaking of
cold drinks or ice-water when heated or during hot
weather, and also acid or poisonous substances taken
into the stomach; lesion from any rough pointed body
swallowed, external contusion, ardent spirits, suddenly
checked secretions or evacuations, abuse of emetics,
metastases.
THERAPEUTIcs. The principal medicines in this affection are Aconitum, Arsenicum, and Veratrum.





INFLAMMATION OF TEl STOMACH.        147
ARSENICUM is in fact the chief remedy; its wellknown property of specifically affecting the mucous membrane of the stomach affords another strong confirmation
of the homceopathic law; the other two are useful auxiliaries.
AcoNITUr. When strong synochal fever developes
itself.
ADMINISTRATION. Two drops of the tincture, third
potency, to an ounce of water, a teaspoonful every half
hour, lengthening the intervals as the improvement advances.
ARSENICUM. As soon as the severe inflammatory
fever is lowered, or even from the commencement should
the pulse present indications of rapid sinking, or the
prostration of strength of the patient be already apparent,
with marked burning pain and the other symptoms already given in the diagnosis; also at the latter part of
the disease when gangrene threatens or has taken place,
this remedy still offers a chance of saving the sufferer.
ADMINISTRATION. One drop of the tincture at the
third potency to an ounce of water, a dessert-spoonful
every hour at first, and then lengthening the intervals,
carefully watching the effects, and acting accordingly.
VERATRUM is called for if notwithstanding the administration the disease seems to advance, particularly
when there is great coldness of the extremities, and also
when that symptom has existed from the commencement.
ADMINISTRATION. Same as Arsenicum.
It may be remarked that these two medicines are frequently found useful in alternation; but in such cases
considerable discrimination is requisite in their employment.
Moreover in the treatment of this affection a due re




148


DIGESTIVE SYSTEM.


gard should be paid to the exciting cause. If lesion of
the stomach from having swallowed any rough or pointed
substance which has subsequently passed through the
intestines Arnica, and also, if from external contusion;
if from suppressed hemorrhoids Nux vomica, or Pulsatilla in most cases preceded by Aconitum; check of the
menstrual flux Aconitum and Pulsatilla; checked diarrhcoa or dysentery Aconitum; chill of the stomach from
drinking cold water or taking ices when heated Arsenicum. Ardent spirits Nux vomica, followed by Arsenicum, which last-mentioned remedies should also be
borne in mind in all the cases above mentioned.
When gastritis has arisen from Arsenic or any other
poisonous or acid substance being taken into the stomach,
the treatment to be followed will be found under the
head of POISONS.
The disease above mentioned is exceedingly rapid in
its course, and the promptest means must be taken to
prevent a fatal result, as if allowed to gain head it may
baffle the most skilful treatment. It is, however, much
more frequently met with in the sub-acute than the acute
form: in which also Arsenicum is the principal medicine,
but does not require so frequent repetition.
In certain cases the attention of the practitioner may
be directed to the following: Belladonna, in soreness of
the throat if not removed by Aconitum; the same medicine, Hyoscyamus and Stramonium    in convulsions,
and in addition to the above Lachesis in the symptomatic hydrophobia frequently present.
When we have reason to suspect the existence of
scirrhus, we may sometimes be obliged to have recourse
to Secale cornutum, if we do not obtain the desired result from Arsenicum.
Finally, besides those medicaments already alluded to,





CHRONIC INFLAMMATION OF THE STOMACH.    149
Ipecacuanha, Bryonia, Cantharides, Euphorbium, and
Ranunculus bulbosus may be found serviceable in some
cases.
CHRONIC INFLAMMATION OF THE STOMACH.
Gastritis Chronica.
This term has often been erroneously applied to all
those derangements of the stomach which are usually
known by the name of Dyspepsia. Still though many
cases of this disorder may be attributable to a greater or
less degree of sub-acute inflammation of the mucous
membrane of the stomach, yet this is by no means always the case; and such arbitrary and at the same time
dubious nomenclature of disease is to be carefully avoided, being liable to the reproach of laying the foundation
of confusion and uncertainty in practice, and of using
words to express ideas contrary to their simple and pure
signification. The symptoms of what some physicians
erroneously call Gastritis Chronica seem in most cases
to arise from a congestive state of the stomach, this is
no doubt also an occasional cause of Cardialgia, which
this affection so closely resembles, that a separate treatment here would answer no purpose of real utility. It
may, however, be remarked that when we have reason
to suspect a degree of inflammatory action of the mucous
membrane, or sub-mucous tissue, or muscular coat of
the stomach, scirrhus or cancer, we must always bear
in mind the great utility of Arsenicum, which may not
only aid in affecting a cure, but prevent the disease assuming the acute form.
13*





150


INFLAMMATION OF THE BOWELS.
Enteritis.
DIAGNOSIS. Acute, violent, burning, or pungent pain
in one spot of the abdomen, generally in the region of
the navel, i reased by the slightest pressure, with
tightness, heat, and distension of the abdomen; sobbing,
anxiety, and violent thirst; obstinate constipation; vomiting, first of slime and bile, and afterwards of excrements; (Ileus Miserere) small and contracted pulse, inflammatory fever.
The increase of pain by pressure, forms a distinction
between this disease and colic, even when the other
symptoms are absent, or at the commencement.
Unless resolution take place, it may terminate in induration of the intestines-laying the foundation of
chronic constipation-suppuration, or gangrene.
The signs of approaching gangrene, or of its having
set in, are the same as in gastritis, with the difference
of situation.
Among its exciting causes are cold in the feet and
abdomen, suppressed discharges, cathartics, worms,
metastases, and parturition.
THERAPEUTICS. Arsenicum is the principal remedy
in this disease, as well as in gastritis. Aconitum and
Veratrum are here, too, its chief auxiliaries--their indications are also the same with the difference of situation,
S   but Veratrum is especially called for by the obstinate
constipation present in this disease, and consequently
often deserves a preference.
OPIUM is the specific remedy against Ileus Miserere,
as noted in the Diagnosis.
ADMINISTRATION. A drop of the second potency in





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-~~      "-                         ~"~"~":I
~t "~..~.
5:~


INFLAMMATION OF THE PERITONEUM.      151
a table-spoonful of water, repeated in half an hour if the
vomiting do not diminish, but waiting if improvement
take place, and only repeating when called for by its
cessation. Pulsatilla, Nux vomica, and the other remedies mentioned under Gastritis may be resorted to in
cases where similar symptoms to those..already given
present themselves, and where the inflammation has implicated the stomach. When we have reason to suspect
worms as the cause of this affection, the patient must be
treated accordingly. See Worms.
It need hardly be remarked that the treatment of so
rapid and dangerous a disease requires to be placed in
experienced hands, and promptly attended to.
INFLAMMATION OF THE PERITONEUM.
Peritonitis.
DIAGNOSIS. Painful tension and tumefaction of the
abdomen with a sensibility to the touch even more acute
than that in Enteritis-so much so that the patient cannot bear the pressure even of a sheet upon the abdomen,
-frequently constipation or ischuria, and the symptoms
of enteritis.
CAUSEs. General causes of inflammation, and moreover external injury, parturition, chill of the abdomen,
and metastases.
THERAPEUTICS. In the first place it will generally
be found beneficial to administer three or four doses of
Aconitum at the third tincture; one drop in an ounce of
water, a teaspoonful exhibited at intervals of time varying
according to the exigency of the case, until the fever and
inflammation lower; this remedy has been found in many
I





152


DIGESTIVE SYSTEM.


cases sufficient of itself to remove the affection, and in
all it materially modifies its violence.
When the cause is external lesion, we should administer Arnica V., and repeat itin twelve hours, and at the
same timhe apply bandages wetted with a diluted tincture,
as given under External Injuries in cases of contusion.
THERAPEUTICS. Sometimes vomiting and other symptoms closely resembling those of Enteritis are present,
and frequently constipation and ischuria; and other times
merely the marked sensibility of the abdomen and tumefaction with gastric derangement-but, physiologically
considered, these symptoms arising from the intensity
and extent of the inflammation, and the sympathy of the
other organs, our chief care must be to lower the inflammation, which being in a great measure brought under
control by the medicines above noted, we will find
cchsiderable benefit from the employment of Nux vomica
and Mercurius to combat any remaining symptoms.
Nux voMIcA.    Where there is distension of the
abdomen with tendency to the predominance of gastric
symptoms and ischuria.
ADMINISTRATION. -, repeated in six to twelve hours,
if necessary.
MERCURIUS is more particularly suited to the advanced
stages of the disease, or in extreme cases, when it appears likely to terminate in induration or suppuration, or
even in external abscesses, forwarding a crisis and preventing too great an expenditure of vital power.
When the inflammation extends to the pleura and the
breathing becomes affected with acute shooting pain, we
should have recourse to BRYONIA (3), given in the
tincture.
SWhen the peritoneal coat, or upper portions of the





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INFLAMMATION OF THE KIDNEYS.       153
alimentary tube or of the stomach itself, becomes affected,
evidenced by an increase in the intensity of the disease,
the pain extending higher-vomiting--generally a rare
symptom-becoming severe and continual-collapse of
the features, small pulse, and a rapid sinking of the
vital energies, closely resembling gastritis-we should
have recourse to Arsenicum.
ADMINISTRATION. V, or in severe cases, administered
as in gastritis, which see.
In cases where there are evidences of the brain being
affected, Belladonna may be had recourse to.
As this is a disease whose care devolves more particularly upon the physician, I have contented myself with
stating the remedies most likely to be called for in
ordinary cases, without entering too fully upon the detail
of the repetition of the dose, a point in which the administrator must be guided by the intensity of the malady.
INFLAMMATION OF THE KIDNEYS.
Nephritis.
DIAGNOSIS.  Pressing, pungent pain in the renal
region, shooting along the urethra to the bladder, dysuria,
strangury, and ischuria (when both kidneys are affected)
hot and high-coloured or red urine; drawing up, swelling,
and pain of the testis on the affected side; numbness
and spasms of the foot on same side; nausea, vomiting,
colic, and tenesmus; lying on the part affected and motion
aggravate the pains.
CAusEs. Excessive use of stimulants; shocks of the
body, falls, or strains, external injuries; long lying on
the back, abuse of diuretics or cantharides, suppressed
hemorrhoids or menstruation, metastases or calculi.





154


DIGESTIVE SYSTEM.


THERAPEUTICS.    The principal remedies in this
affection are, Aconitum, Cantharides, Nux vomica, Pulsatilla, Belladonna, Hepar sulphuris, Cannabis, Mercurius,
Arnica montana.
ACONITE. In the inflammatory stage of this affection,
this remedy should be administered in repeated doses, in
the same manner as in Inflammatory Fever; after which,
in the majority of cases,CANTHARIDES will be found most efficacious in the
further treatment, and more particularly when the urine
passes off in drops or is tinged with blood, or when
micturition is exceedingly painful, with burning pain in
the urethra, and when the general symptoms of shooting,
cutting and tearing pains in the loins and region of the
"kidneys are present, or even in cases of complete
strangury.
ADMINISTRATION.   A drop of the tincture, third
potency, to an ounce of water, a dessert-spoonful every
one, two, or three hours till benefit result.
The proved value of this medicine, when used hommopathically, in the cure of this painful disorder is another
of the many beautiful exemplifications of the truth of
the homceopathic law, and its power of causing diseases
of the kidney, even when applied in the form of blister
is so well known, that in all medical works it has been
noted as an exciting cause of this affection.
Nux voMICA. When the affection can be traced to a
suppression of a hemorrhoidal discharge, determination
of blood to the abdomen, excess in wine or stimulants,
and sedentary habits, and where we find constipation,
feeling of faintness, nausea, bilious vomiting, distension
of abdomen, drawing up of the testes and of the spermatic cord.





INFLAMMATION OF THE KIDNEYS.       155
PULSATILLA. In females when arising from suppressed
menstruation.
ADMINISTRATIONr., of the last mentioned remedies,
repeated every twelve hours, while necessary.
BELLADONNA. When shooting pains in the kidneys
are present, extending to the bladder,--this medicine is
further indicated when nephritis is accompanied with
colic and cardialgia, heat and distension in the region of
the kidneys, scanty micturition of an orange yellow, or
sometimes of a bright red, depositing red or whitish
thick sediment; anixety, restlessness, and periodical
aggravation--constipation.
ADMINISTRATION. Same as Cantharides.
HEPAR SULPHURIS is useful when we have reason to
apprehend the formation of an abscess or the commencement of suppuration; here the diagnosis is difficult, and
the practitioner must be careful not to mistake the
apparent alleviation of suffering for the subjugation of
the disease. The following symptoms may serve as a
guide in these cases: cessation of the acute pains, a
sensation of throbbing and a sense of weight in the region of the kidneys; alternate chills and slight flushes
of heat and copious perspiration.
ADMINISTRATION. A grain of the third trituration to
an ounce of water, a dessert-spoonful every three to four
hours, lengthening the intervals according to results.
MERCURIUS is also valuable in this stage, but more
particularly when diarrhoea and tenesmus are present.
ADMINISTRATION. Same as Hepar sulphuris, at intervals of from six to twelve hours.
CANNABIS. When a dragging pain or sensation as if
from excoriation is experienced, extending from the
region of the kidneys down towards the groin.





156


DIGESTIVE SYSTEM.


ADMINISTRATION. Same as Cantharides, but at much
longer intervals.
COLCHICUM. When in addition to the usual symptoms
of this disease there is excessive nausea with tympanitic
distension of the abdomen, and painful and scanty emissioni
of bright red urine.
ADMINISTRATION. Same as Cantharides.
When this disease has assumed a chronic form and
induration of the kidneys has taken place, Mercurius -
will be found particularly useful, a dose once a week for
three or four weeks, followed by Aurum oo_, a dose once
a week, unless some marked indication call for the
employment of another medicine.
In Nephritis arising from   contusions or violent
concussions of the body, Arnica is the principal remedy.
ADMINISTRATION. 06, repeated in twelve hours, and
a lotion applied externally. (See External Injuries.)
In cases arising from the abuse of Cantharides in
blistering, one drop of the saturated solution of camphor
in a little water, and the inside of the thighs to be rubbed
with the same preparation.
OBSERVATION. This disease sometimes arises from
the presence of calculi in the kidneys-a subject to
which justice could not be done in a work like the
present, although in such cases the hommopathic treatment has been attended with the happiest results. We
will, however, give a few of the most important remedies,
whose utility clinical observation has confirmed; they are
Calcarea carbonica, Lycopodium, Cannabis, Phosphorus,
Sepia, Uva ursi, Sarsaparilla, Kali carbonicum, and
Graphitis.
Patients suffering from Nephritis should strictly avoid
wine, malt liquor and spirits.





157
INFLAMMATION OF THE BLADDER.
Cystitis.
Burning pain in the region of the vesica, with tension,
heat, pain when touched, and external tumefaction;
symptoms of micturition, tenesmus, and constipation;
fever, and sometimes vomiting, as in Nephritis. The
causes closely resemble those of Nephritis, but it also
occurs more frequently in parturition than the former
affection.
THERAPEUTICS. Nephritis. We should have recourse to AcoNITUM when a considerable degree of inflammatory fever is present, followed byCANTHARIDES, which here, as in the above-mentioned
disease, is the leading remedy.
Nux voMIcA. When attributable to an indulgence in
wine or spirituous liquors; this remedy, timeously administered, will in many instances check its further
progress; also, when it results from suppressed hemorrhoids or dyspeptic derangements.
PULSATILLA. Valuable in checking the development
of the affection when arising from suppressed menstruation.
HYOSCYAMUS.    When   difficulty of evacuation is
present, but the disease is not far advanced, particularly
when we have reason to suspect that this symptom arises
from spasmodic constriction of the neck of the bladder,
or when in fact it is more of a spasmodic than inflammatory character. Digitalis is also valuable when in
addition to the ischuria a constrictive pain in the bladder
is felt.
ADMINISTRATION Of the remedies, the same as in
Nephritis; Hyoscyamus and Digitalis, in the same man14





158


DIGESTIVE SYSTEM.


ner as Cantharides. When this disease arises from the
presence of stone or gravel, see remarks under
Nephritis.
WORMS. Helminthiasis.
The existence of these parasites in the intestinal canal
evidently arises from a peculiar constitutional taint; and
although no period of life is wholly exempt from their
presence, yet infants and children appear to be much
more subject to this affection than adults, on account of
the predominance of nutrition at that age. Weakness
of the digestive function, accumulation of mucus in the
intestines, an ill-regulated diet, and a degree of moisture
in the atmosphere also favour their generation.
The three species most generally met with in the human subject are, the ascaris, lumbricus, and tamnia or
tape-worm; of the latter there are two varieties, the
solitary tape-worm, composed of long and slender articulations, which has been known to exceed the length
of thirty feet; and the common tape-worm, which varies
from three to ten feet, seldom comes away entire, but in
joints, which are considerably broader and thicker than
those of the variety first mentioned. -
The presence of worms, unless when passed, is not
always easy of detection, since sub-acute inflammation
of the mucous membrane from other causes will frequently present nearly the same range of symptoms;
but here, (as in the treatment of many of the most serious
acute diseases,) Hommopathy presents two manifest advantages over the old system. In the first place, if acting upon the presumption of the existence of worms, we
administer a remedy specific to the affection. In the
next, when we are uncertain as to the true character of
the complaint, and select a medicament distinctly indi




woRMs.                   159
cated by the united symptoms, it will be found applicable
to the affection, from whatever cause it arises, and a
careful observance of the known pathogenetic powers
of the remedies selected, will materially assist us in
tracing the disease to its proper source.
DIAGNOSIS. Pallor and sickly appearance of the
countenance, livid circles round the eyes, headach or
vertigo, irregularity of appetite, foetidity of breath, nausea,
and foul tongue, tensive fulness of abdomen, with a sensation of gnawing and burning in the intestines; discharge of mucus from the rectum, bladder, and vagina;
itching at the anus: slight febrile symptoms, and nocturnal wakefulness, with low spirits or irritability of
temper, and gradual emaciation; we also generally
notice an inflammatory redness of the nostrils, with great
disposition to picking or boring at the -nose, especially
in children, with sudden screaming when waking, and
grinding of teeth. In addition to the above general
symptoms of this affection, we frequently meet 'vith
severe colic-like pains, with vomiting, and slimy and
bloody evacuations; convulsions in children, and epileptic attacks, combined with cerebral affections in adults.
In tania, in addition to the above, we find a sensation
as of something rising into the left side of the throat, and
then falling back; or a feeling of a lump on either side,
with an undulatory motion, feeling of suggilation in the
abdomen, creeping torpor and numbness in the fingers
and toes.
THERAPEUTICS. The hommopathic system combines
the palliative treatment or soothing the irritation of the
worms, with the radicab or the employment of means,
calculated to eradicate the tendency to their production





t


160              DIOESTIVE SYSTEM.
and increase. For these purposes we employ the following medicaments, Aconitum, Ignatia amara, Sulphur,
Calcarea carbonica, Ferrum metallicum, Cina, Nux
vomica, Mercurius, Spigelia, Silicea, Cicuta virosa, and
Flix mas.
ACONITUM.   When considerable febrile irritation
exists with xestlessness at night, fever, and irritability
of temper, continual itching and burning at the anus.
ADMINISTRATION. O 0, to an infant o, in a little
water, repeated in six hours if necessary; when it has
lowered the fever we must have recourse to some other
remedy. In most cases IGNATIA AMARA, which is also
particularly indicated by spasmodic twitchings in one of
the extremities or in individual muscles.
ADMINISTRATION. 0o0 in four dessert-spoonfuls of
water, one twice a day; for an infant Yof in the same
manner.
SULPeHUR, in case the annoyance still continues after
the lapse of a week.
ADMINISTRATION. - in an ounce of water, a teaspoonful morning and evening until finished: for infants
Sin the same manner.
CALCAREA cARBONICA. Should no marked amelioration ensue after a short time.
ADMINISTRATION. Same as SULPHUR.
FERRUM METALLICUM    may advantageously follow
the above.
ADMINISTRATION. A grain of the third trituration to
an ounce of water, a teaspoonful twice a day; for infants
Q- in the same manner.
This course of treatment persevered ini for a short
time has often proved successful in most obstinate cases,
by purifying the constitution and restoring the mucous
membrane to a healthy state. Still if considerable ir




*                       ý  n  _ _  "  "  "- *
WORMS.                   161
ritation is frequently present, we may administer an
enema of a dessert-spoonful of salt to a pint of water, of
which from one to four fluid ounces, according to age,
may be injected; if this act as a laxative, we may use a
mixture of vinegar and water in the proportion of one
fourth part of the former, discontinuing the medicines for
twenty-four hours.*
To return to the medicinal treatment.
CINA. When there is frequent boring at the nose,
great perverseness of temper, heat and irritation, constant
inquietude and restlessness, with, in children, a desire
for things which are rejected when offered; fits of crying
when touched, paleness of face, with livid circle round
the eyes; constant craving for food, even after a meal,
griping, distension, and hardness in the abdomen, with
discharge of thread and round worms, and loose evacuations; occasionally convulsive movements in the
limbs, weakness and lassitude. This medicine is particularly indicated for COLIC produced by worms.
ADMINISTRATION. Same as Ignatia.
Nux vosicC is a valuable adjunct in cases of worms,
in which considerable derangement of the digestive
function is present, with irritability of temper and constipation.
ADMINISTRATION. %0 at bedtime, repeated in twentyfour hours if necessary.
MERCURIUs. When we find diarrhea, induration and
distension of the abdomen, and hardness in the umbilical region, with increased secretion of saliva.
ADMINISTRATION. As Ignatia.
SPIGELIA in extreme cases, with colic, bulimy, diarrhaea and chilliness.
* Hering's Haswua rzt.
14*





162             DIGESTIVE SYSTEM.
ADMINISTRATION. As Ignatia.
SILICEA. Useful in worm fever in scrofulous subjects.
ADMINISTRATION.    Same as Sulphur, but at the
- thirtieth potency.
CICUTA VIROSA. Worm colic with convulsions.
"ADMINISTR&TION.  g0, in a little water, repeated in
a few hours, if necessary. In severe cases, a drop of
the third, in four dessert-spoonfuls of water, once every
half hour.
The treatment of tania, although similar to the abbve,
has some modifications. In most cases we may give
Aconitum, followed by Cina, after which considerable
relief is often experienced; and then have recourse to
FIL MAS, a drop of the third potency to an ounce of
water: a teaspoonful twice a day, until finished.
In chronic cases the following treatment has proved
successful: Nux vomica, Mercurius, and Sulphur, each
0, a single dose, alternated at intervals of from six to
eight days. Moreover, in this course Calcarea carbonica,
yo, may advantageously follow Sulphur, in scrofulous
habits, at an interval of ten days.





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- -


163
DISEASES OF THE ORGANS
CONNECTED WITH
THE RESPIRATORY SYSTEM.
CATARRH, OR COMMON COLD.
THIS term is given to an affection which consists of a
mild degree of inflammation of the lining membrane of
the nostrils, windpipe, and occasionally also of the ramifications of the latter; induced by exposure to sudden
changes of temperature, or to a damp or chilly atmosphere with INSUFFICIENT CLOTHING, PARTICULARLY AS
REGARDS CHILDREN. This complaint is characterized
by slight fever, impaired appetite, sneezing, HOARSENESS, and coUGH; generally preceded by transitory
chills or shiverings; there is also a slight degree of
wheezing and difficulty of breathing. When the disease
is confined to the nose and sinuses it is termed A COLD
IN THE HEAD; of which latter affection, and moreover
HOARSENESS and COUGH, I shall treat separately.
In many instances catarrh runs to a salutary termination in a day or two; but in others, and especially in
mismanaged cases, it is liable to entail serious consequences.
THERAPEUTICS.   The following are the principal
remedies employed in the majority of cases:
Nux vomica, Chamomilla, Cofea cruda, Belladonna,
Dulcamara, Arnica montana, Mercurius, Acidum phos




164


RESPIRATORY SYSTEM.


phoricum, Sulphur, Calcarea, Ipecacuanha, Arsenicum,
and Aconitum.
ADMINISTRATION. Each medicine in a little water,
at the dose specified; repeated in twelve hours, when
required.
Nux VOMICA 0, when the ordinary symptoms of
common cold declare themselves, will often check the
attack. It is also indicated by external pains in the head,
from the same cause. When practicable, it is preferable to administer the remedy towards evening.
CHAMOMILLA o. In the treatment of children this
medicine is generally preferable to Nux vomica in arresting the attack. It is extremely valuable in suppressed
perspiration, attended with colic-pains in the head, ears,
and teeth, thirst, ill humour, and impatience.
COFFEA CRUDA -g0. This remedy is indicated where
there is excessive sensibility, fretfulness, and sleeplessness, with general pains, frequently occurring in
young persons.
BELLADONNA g0, when there is throbbing, bursting
headach, attended with determination of blood to the
head, increase of the pain from movement or exposure
to cold air.
IULCAMARA 0y, when the pain is more of a passive
or aching description, and felt only in particular parts
of the head, with humming in the ears, and dulness of
hearing; pains in the limbs, increased when at rest, and
attended with a feeling of coldness, stiffness, and numbness; or when an offensive perspiration breaks out after an attack of cold; or when the affection has arisen
from a wetting or in damp weather.
ARNICA MONTANA o, when aching pains, or pains
as if arising from a bruise are felt in the limbs after exposure to cold, causing excessive restlessness and con




HOARSENESS.                165
stant disposition to change the position of the affected
parts, and increase of pain from the slightest touch or
movement.
MERCURIUS 00, when the pains in the limbs and
joints are accompanied with profuse sweating, which
affords no relief.
ACIDUM PHOSPHORICUM Q0. Aching pains, relieved
by movement.
SULPHUR Qo, in cases of swelling of the knee, or of
the joints of the hand and fingers, from taking cold. It
may, in many such cases, be followed by Calcarea carbonica in a week or ten days.
IPECACUANHA %P. Dyspncea, almost amounting to
suffocation, arising from having taken cold, followed byARSENICUM 00O, should no amelioration declare itself
in six or eight hours.
AcONITUM is generally called in for febrile attacks,
provoked by cold, when hot, dry skin is present, and,
when timeously administered, will frequently prevent tho
affection assuming a more serious form.
HOARSENESS. Raucitas.
The seat of this affection is in the mucous membrane
of the throat, which is extremely liable to be affected by
the common causes of Catarrh; hence it is a frequent
accompaniment of this disorder.
It may arise from other causes, but in those instances
is generally found in a chronic form, which it is not my
intention here to enter upon.
The remedies mentioned under CATARRH are those
which are generally found most useful in this complaint.
Amongst these, in cases of recent origin, the following
deserve particular notice; namely, Pulsatilla, Mercuriu,





166


RESPIRATORY SYSTEM.


Nux vomica, Capsicum, Rhus toxicodendron, Sambucus
nigra, Chamomilla, Carbo vegetabilis, Drosera, Sulphur,
and Hepar sulphuris.
The indications for the employment of these medicines
are as follow:
PULSATILLA Z. Almost %complete aphonia, particularly when accompanied with loose cough, or thick yellow coryza.
MERCURIUS -. This remedy will be found useful in
removing any symptoms remaining after the above, but is
to be preferred should the hoarseness, from the commencement be attended with thin coryza. And when a
sensation of burning or tickling is complained of in the
larynx, with the characteristic indication of Mercurius,
namely, a disposition to profuse sweating.
Nux VOMICA T-. Hoarseness, accompanied with a
dry, fatiguing cough, worse in the early hours of the
morning, with dry obstruction of the nose.
CAPSIcvUM. Hoarseness, and dry obstruction in the
nose, attended with an unpleasant sensation of crawling
and tickling in the nose; with a severe cough, worse
towards evening; with pains in other parts of the body,
such as the head and abdomen. It is also better suited
than Nux vomica for individuals of a lymphatic temperament.
RHUS TOXICODENDRON. Hoarseness, accompanied
with sensation of excoriation in the chest; oppressed
breathing, with frequent and violent sneezing unaccompanied by coryza, but occasionally by a great discharge
of mucus from the nose during the attacks of sternutation.
SAMBUCUS NIGRA 5-. Hoarseness with deep, hollow
cough; oppression at the chest; frequent yawning; restlessness, and thirst.
CHAMOMILLA S. Hoarseness, with accumulation of





HOARSENESS.


167


mucus in the throat; cough worse at night, continuing
even during sleep, and frequently with a degree of fever
towards evening, and great irritability of temper. This
remedy is frequently found specific in cases of children.
DROSERA --. Hoarseness, with very low, or deep
and hollow voice.
CARBO VEGETABILIS ST. Chronic hoarseness, worse in
the morning and towards evening.
SULPHURu -. Hoarseness, attended with roughness
and scraping in the throat; and of great value in obstinate cases, where the voice is low, and nearly extinct;
and particularly in cold damp weather.
HEPAR SULPHURIs -. An admirable remedy in chronic
hoarseness, -particularly in individuals who have taken
large quantities of mercurial preparations.
ADMINISTRATION OF THE REMEDIES. Dissolve four
globules, at the potencies mentioned, in four dessertspoonfuls of water, and exhibit one, morning and evening,
for two days; or in some cases; continue for three; being
guided by the result. Of HEPAR SULPHURIS half a
grain, in the same manner.
When we find individuals in whom this affection
occurs frequently at different seasons, or on the slightest
exposure to cold or damp, we may naturally infer that
there is a constitutional predisposition tp chronic laryngitis, a malady requiring a judicious treatment by an
experienced practitioner, as, if neglected, it may eventually end in Phthisis Laryngea.
"CHrONIC LARYNGITIS. This is a comparatively rare
disease, and, when present, there is generally a degree
of ulceration. The following are its principal symptoms:
pain in the larynx, and round the glottis; pain and
difficulty in swallowing; hoarseness, and difficulty of
respiration; frequent attacks of severe cough, with scanty,





168


RESPIRATORY SYSTEM.


and occasionally sanious expectoration; it sometimes
ends in hectic fever, which carries the patient off.
The medicines to which we would particularly direct
the attention of the practitioner in the treatment of this
malady, are, Hepar sulphuris, Lachesis, Phosphorus,
Carbo vegetabilis, Causticum, Acidum nitricum, Calcarea
carbonica, Arsenicum, and Spongia.
Aconite, with Spongia and Hepar sulphuris, and
frequently, also, Lachesis, are the most useful remedies
in this disease in the acute form.
The patient should, in both forms of this affection,
adhere rigidly to dietetic rules, avoid unnecessary exposure, and enter as little as possible into conversation.
COLD IN THE HEAD.
DIAGNOSIs. This affection is a very general attendant
upon Catarrh.
THERAPEUTICS. When it is the leading symptom, or
exists independently of those already mentioned, the
best medicines for its removal are Nux vomica, Pulsatilla,
Chamomilla, Mercurius, and Arsenicum.
ADMINISTRATION. Three globules of the potencies
named, to be dissolved in four teaspoonfuls, of water,
one to be taken morning and evening, unless otherwise
specified.
Nux VOMICA.    Dry obstruction, especially, during
night only, with pressive heaviness in the forehead, and
confusion in the head; heat in the face, increasing
towards evening. If in combination with other catarrhal
symptoms, see the indications already given for its
exhibition  under the several heads of CATARRI,
HOARSENESS, and COUGH. This direction equally applies
to the other medicaments here quoted.
ADMINISTRATION.   Two globules of the thirtieth





COUGH.


169


potency, to be dissolved in a teaspoonful of water, and
taken towards bedtime; to be repeated, if necessary, the
following evening.
PULSATILLA -. The discharge thick, fetid, or mixed
with clots of blood; loss of smell, headaches, sneezing,
chill, especially towards evening, disposition to weep,
lowness of spirits.
CHAMOMILLA yI. The affection having risen from
checked perspiration, acrid discharge from the nose,
causing redness of the nostrils, and excoriation or
soreness under the nose; chapped lips; shivering, with
thirst.
MERCURIUS z". Dryness of the nose, with obstruction; profuse discharge, producing excoriation, swelling
or redness of the nose. This is a valuable remedy in
the generality of ordinary cases of cold in the head.
ARSENICUM W-. Obstruction of the nose, with, at the
same time, discharge of thin, acrid, excoriating mucus.
Sufering relieved by heat; pain in the back, feeling of
general debility, or prostration of strength.
COUGH.
DIAGNOSIs. Forced and audible respiration without
fever, or a symptom in acute diseases, such as fever,
pneumonia, or phthisis, either dry or accompanied with
expectoration.
Cough although not dangerous of itself may become
so, or from an important feature of other diseases. As a
precursor of phthisis it is too frequently neglected.
It may arise from an irritation of the air-passages or
lungs; from cold or.other causes, or from disease of the
same organs, or be merely sympathetic in the consequence of derangements of other important viscera.
THERAPEUTICS. The following are the medicines
15
$*                                                       *





170


RESPIRATORY SYSTEM.


most useful in this affection: Dulcamara, Belladonna,
Nux vomica, Hepar sulphuris, Ignatia, Ipecacuanha,
Mercurius, Carbo vegetabilis, Capsicum, Bryonia, Rhus
toxicodendron, Arsenicum, Album, Drosera, Silicea, Lachesis, Causticum, Sulphur, Calcarea carbonica, Euphrasia, Sepia, Stannum, Verbascum, and Arnica montama.
DULCAMARA 00. The following are indications for the
selection of this remedy. Moist cough after exposure to
wet, or cough with expectoration of bright-coloured
blood; aggravation of the cough on movement or when
out of doors; alleviation in the recumbent posture or
when within doors.
BELLADONNA %0. Short dry cough at night in bed,
renewed by the slighest movement; dry cough day and
night with irritation or tickling in the pit of the throat.
Finally, this medicine is sometimes useful in cough with
expectoration of thick white mucus, coming on especially
after meals.
Nux voMICA 0%0. This is a valuahle remedy in many
cases, and is particularly efficacious where there is a dry,
hoarse, fatiguing, and sometimes spasmodic cough, which
occurs in an aggravated form in the MORNING, and occasionally also towards evening, and attacks more or less
during the day, but relaxes again at night. When,
however, it is occasionally supplanted by oppression at
the chest, on lying down or on awaking during the night,
accompanied with a feeling of heat and dryness in the
mouth, if there be any expectoration it consists merely
of a little mucus which is detached with great diffculty.
The cough is generally excited by a disagreeable tickling
or scraping, with a feeling of roughness or rawness in
the throat, sometimes attended with HOARSENESS and
feeling of roughness in the chest; it is frequently aggravated after meals, or by movement, not unfrequently also
by reading or meditation.





COUGH.


171


HEPAR SULPHURIS V--. Obstinate cases of violent dry
hoarse cough, sometimes attended with a dread of suffocation, and ending in lachrymation. The attacks are
frequently aggravated on any part of the body becoming
cold, and are generally worse at night; also dry deep
cough'excited by a feeling of tightness in the chest, or by
talking, stooping, or ascending stairs.
IGNATIA -O6. Shaking spasmodic cough, or short hacking cough, as if arising from the presence of dust or
feather-down in the throat, which becomes aggravated
the longer the paroxysm of coughing continues; dry
cough with coryza, occurring both day and night. This
remedy is further particularly efficacious when the attacks
of coughing become aggravated after eating, or on lying
down at night, or on rising in the morning, and when the
sufferer is of a mild and placid temper, or subject to
alternations of high and low spirits.
IPECACUANHA 9-.    Cough, particularly at night, attended with painful shocks in the head and stomach,
and followed by nausea, retching, and vomiting; or dry
cough, arising from tickling in the throat; or dry, shaking,
spasmodic cough, with  oppressed breathing, almost
amounting to suffocation. In the case of children this
remedy is frequently valuable when they appear to be
threatened with suffocation from the accumulation of
mucus, or where the paroxysm is so severe as scarcely
to afford time for respiration, causing the face to assume
a livid hue, and the frame to become quite rigid.
MERCURIUS.). Cough, with hoarseness, watery coryza,
and diarrhoea; or dry cough, excited by irritation in the
throat, or the upper part of the,chest, which becomes
particularly troublesome towards evening, and at night;
sometimes with slight prickings in the chest when
coughing or sneezing; increased by talking; cough in


0





172            RESPIRATORY SYSTEM.
children with discharge of blood from the nose, which
coagulates as it flows, vomiturition and headach; dry
spasmodic cough, with retching after the paroxysms and
expectoration of blood.
CARBO VEGETABILIS ". Cough excited by irritation
or a troublesome sensation of crawling in the throat, and
attended with burning pain and sensation as from excoriation in the chest; spasmodic cough, frequently followed
by inclination to vomit or vomiting, occurring in
paroxysms, throughout the day: cough with hoarseness,
especially towards evening, or morning and evening,
increased by speaking. Chronic cough with expectoration of greenish mucus, or even of yellowish pus-or
with expectoration of blood and burning sensations in
the chest (a characteristic indication for this remedy as
well as Arsenicum.)
CAPSICUM V-. This remedy is frequently very efficacious in cases of cough occurring in individuals of the
lymphatic temperament. It is particularly indicated when
the paroxysms are most severe towards evening and at
night, frequently attended with unsettled pains in various
parts of the body, and bursting headach; also painful
pressure and aching in the throat and ears; cough with
offensive breath, and disagreeable taste in the mouth.
BRYONIA.A. Cough occurring in winter during the
prevalence of frost and cold easterly winds, with aggravation of the fits of coughing on coming from the open air
into a warm room. The following are the general indications for its employment: Dry cough excited by constant
irritation in the throat, or as if caused by vapour in the
larynx and windpipe, with greatly accelerated respiration,
as if it were impossible to obtain sufficient air; spasmodic,
suffocating cough, after partaking of food or drinks, and
also after midnight; cough with prickings in the chest





COUGH.                   173
and violent bursting headach, especially at the temples,
also with prickings in the pit of the stomach, or in the
side: further, in cough with yellowish expectoration or
expectoration of blood, this remedy will frequently be
found of great service.
RHUS TOXICODENDRON %O. Short, dry cough, worse
towards evening and before midnight, excited by tickling
in the chest, attended with anxiety and shortness of
breath; cough on waking in the morning, or short cough
with bitter taste in the mouth, on lying down at night and
on waking in the morning. Cough with expectoration
of bright blood, with sensation of insipidity or exhaustion in the chest, or shooting pains in the chest and
sides.
ARSENICUM -, cough with oppression at the chest,
and tenacious mucus in the larynx and chest; cough
excited by a sensation of dryness and burning in the
larynx. Dry cough, chiefly in the evening after lying
down, often with difficult respiration and fear of suffocation, as if arising from inhaling the vapour of sulphur;
dry cough, excited by eating or " DRINK," or by ascending
stairs, or cough which arises as soon as the open air is
encountered; then acrid coryza; sneezing; periodic dry
cough-nocturnal cough with general burning heat;
cough with expectoration of sanguineous mucus.
DROSERA '0, in many cases of chronic cough with
hoarseness; or deep, hollow cough, with pain in the chest
and under the ribs, alleviated by pressing the hand on
the side; cough on lying down in the evening and during
the night. Matutinal cough, with bitter and nauseous
expectoration.
SILICEA %. Cough with oppressed breathing on
lying on the back, or cough attended with tightness and
oppression at the chest as if something stopped the res15*


e





174


RESPIRATORY SYSTEM.


piration while speaking or coughing. Fatiguing, or deep
hollow cough, day and night, aggravated by movement,
and sometimes attended with aching and sensation of
bruising in the chest; cough with copious expectoration
of transparent mucus, or of pus, sometimes streaked with
blood.
LACHESIs 10. Fatiguing cough excited by dryness or
tickling in the larynx, chest, or pit of the stomach, or by
the slightest pressure on the exterior of the throat; also
by talking, laughing, or reading aloud, or anything which
may tend to increase the dryness or irritation in the
throat; short, dry, suffocating cough, with ineffectual efforts to expectorate. Cough on rising from the recumbent posture, or attacks of cough always after sleeping,
on lying down to sleep, or at night during sleep; tickling
cough with a sensation as if a crumb of bread were sticking in the larynx.
CAUSTICUM   00. Dry, hollow  cough, which  even
awakes one from sleep; short cough excited by tickling,
crawling, or a feeling as if the throat were excoriated,
or by talking and cold, attended at times with burning
or a sensation of soreness in the chest, and rattling of
mucus; pain in the hip when coughing.
SULPHUR 00. -In some cases of chronic coughs, and
particularly in dry cough, which disturbs the patient at
night as well as during the day; the cough is frequently
excited after partaking of food, or during a deep inspiration, and is generally attended with a sensation of
spasmodic constriction in the chest, sometimes followed
by inclination to vomit, or pain as if from excoriation, or
pricking pains in the chest; headach, pains in the chest,
the abdomen, loins, and hips: also cough, with expectoration of thick, " WHTISH" or yellowish mucus, or of





COUGH.


175


a greenish yellow, fetid mucus, or pus, of a salt or sweet.
ish taste; feverish cough with spitting of blood.
CALCAREA CARBONICA %0. Dry cough, aggravated
towards evening, or at night, excited by tickling in the
throat or by a sensation as if there were a feather down
in the throat; also loose cough, with rattling of mucus
in the chest, and expectoration of offensive thick, yellow
mucus.
EUPHRASIA %O.   Cough, with violent coryza and
lacrymation; diurnal cough, with difficult expectoration
of mucus; or matutinal cough, with copious expectoration and oppressed breathing.
SEPIA T-. Cough, with copious expectoration of
mucus of a saltish taste, of a yellow or greenish colour;
also dry spasmodic cough, particularly at night, or on
first lying down, attended, in children, with crying, fits
of choking, nausea, retching, and bilious vomiting. This
remedy is especially adapted to individuals having a
constitutional taint, such as the scrofulous, scorbutic,
&c.; in chronic coughs, with thick, yellowish, greenish,
or even puriform expectoration, with a putrid taste, it is
a valuable remedy.
STANNUM    0. Cough, with copious expectoration of
a greenish yellow, of a sweetish or saltish taste, attended
with great weakness and disposition to sweats; or dry
shaking cough, worse at night or towards morning, occasionally followed by vomiting of ingesta.
VERBASCUM 0. This remedy is frequently of great
service in children, though less frequently so than
Chamomilla.  Indications: dry, hoarse cough, worse
towards evening and at night; occurring during sleep.
ARNICA V is of great value in coughs, attended with
bleeding from the nose and mouth; headach, pricking





'176


RESPIRATORY SYSTEM.


in the chest (pleurodynia), rheumatic pains in the loins
and extremities.
ADMINISTRATION of the remedies. The dose mentioned after each medicine repeated in twenty-four hours,
if necessary, in severe cases six globules in an ounce of
water, a dessert-spoonful every four hours until relief is
obtained.
These are the principal remedies to be had recourse
to in this disorder, but in severe or complicated cases
we may have to call in the aid of other medicaments.
HOOPING-COUGH. Tussis Convulsiva.
This is almost peculiarly a disease of childhood, and
one which few individuals escape during that period; it
generally appears as an epidemic; and is, by the majority of physiologists, acknowledged to be communicable by contagion; we seldom find an instance of a
person suffering a second time from its attacks.
Over many the affection passes lightly, but in the majority of cases it proves a distressing, and in some a
fatal malady, baffling all the ill-directed efforts of the allopathic physician to conduct it to a favorable termination.
Under the old practice, not only was a great deal of
valuable time lost in endeavouring to subdue inflammation
by antiphlogistic measures, but the patient's vital energies were weakned, and rendered less capable of contending with the disease, when it assumed the spasmodic type.
On the contrary, we have it in our power, by the administration of remedies specific to the affection, to check
the inflammation at its outset, subdue the other distressing attendant symptoms, and shorten the duration of the
complaint, without allowing it to leave after it any of





HOOPING-COUG H.


171


those evil consequences, such as debility and emaciation,
which oblige the patient to endure a tedious and protracted period of convalescence.
DIAGNOSIS. Paroxysms of rapid, violent, and incessant expirations, interrupted by long whistling inspirations, and loud shrill whoop, terminated by the expectoration of a quantity of mucus, or a fit of vomiting, after
which the attack ceases for some time. If the case is
severe the features swell and become livid; blood
escapes from the nose, mouth, and even from the ears.
A complete cessation of respiration and almost suffocation
takes place as if from spasm of the lungs, which lasts for
several minutes. The attacks return every three or
four hours, more frequently in severe cases; the least
excitement brings them on; they are more frequent and
violent at night. Respiration is free during the intervals, and the patient in every respect healthy except
being weak.
Pathologists generally consider this disease under
three stages; the distinction between the second andi
third is, however, not very clearly marked.
The FIRST or FEBRILE STAGE commences with the
symptoms of an ordinary catarrh, attended with slight
fever, which gradually increases, the breathing becomes
more difficult, and is accompanied with irritative cough
and pains in the chest.
In the second or spasmodic stage the febrile motions
disappear, and the cough and other symptoms of the disease develop themselves.
In the third or asthenic stage there are longer intermissions between the paroxysms, and increased weakness from the duration of the cough.





178


RESPIRATORY SYSTEM.


THERAPEUTICS. In the incipient, febrile, irritative,
or catarrhal stage of the cough, the most appropriate
remedies are to be found amongst those we have already
pointed out in the treatment of Common Cough, and
must be selected according to the indications there given,
and administered in the same manner unless otherwise
specified. By a careful selection of these remedies it is
frequently possible to check the disorder in the first
stage. Accordingly the most suitable medicaments for
this purpose are Dulcamara, Pulsatilla, Mercurius, Bel.
ladonna, Hepar sulphuris, Chamomilla, Nux vomica,
Arnica, Ipecacuanha, Aconite, Bryonia, and Phosphorus.
ADMINISTRATION. See Cough.
DULCAMARA 00. When the attack has apparently
been excited by exposure to wet (a thorough wetting,)
the cough loose, with copious and easy expectoration.
PULSATILLA %V. Cough loose, and accompanied with
lacrymation, weakness of the eyes, sneezing, thick discoloured coryza and slight hoarseness, and inclination
to vomit after coughing; occasional diarrhcea, especially,at night.
MERCURIUS Q0. Hoarseness, watery coryza, with
soreness of the nostrils; dry fatiguing cough.
BELLADONNA Q0 is one of the most important remedies in the catarrhal stage of hooping-cough, when there
is dry, hollow, or harsh and barking cough occasionally
at night, or which becomes materially aggravated at that
period. This medicine is also particularly well adapted
to the angina or sore throat, which is not unfrequently
concomitant at the commencement of the affection.
HEPAR SULPHURIS. Cough worse at night, but looser
than that indicating Belladonna. This medicine is also
useful in forwarding the secretory progress.
ADMINISTRATION. Half a grain of the trituration, at





HOOPING-COUGH.


179


the third potency, to half an ounce of water, a dessertspoonful twice a day.
CHAMOMILLA 00. Dry hoarse cough, or cough with
difficult expectoration of tenacious mucus, followed by a
feeling of soreness at the part from which the mucus
seems to have been detached. The paroxysms of
coughing are excited by an almost incessant irritation of
the larynx, and in the upper part of the chest.
Nux voMicA % is of great service when the cough
approaches the second stage. It is indicated by the following symptoms: Dry, fatiguing cough, attended with
vomiting, and occurring particularly from about midnight until morning, the paroxysms so protracted and
violent as to produce apparent danger of suffocation, with
blueness of the face, and occasionally bleeding from the
mouth and nose. (ARNICA is better adapted to this
latter symptom when it occurs with a copious discharge
of blood.)
IPECACUANHA 00 is, like the former, of great value
when the cough is attended with danger of suffocation,
and each inspiration appears to excite a fresh fit of
coughing. It is further indicated when the fits are attended with spasmodic stiffness of the body, and blueness of the face, great anxiety, and accumulation of
mucus in the chest.
ACONITE 09 may be had recourse to from time to
time, when febrile or inflammatory symptoms are present, bearing in mind that its action is of short duration,
and may be followed in a few hours by any other of the
remedies which appear more particularly indicated.
The last-mentioned remedy, Bryonia, and Phosphorus
are chiefly called for when the cough threatens to become associated with inflammatory action in the lungs,
&c.





180            RESPIRATORY SYSTEM.
SECOND OR SPASMODIC STAGE.-THERAPEUTICS. Drosera, Veratrum album, Cuprum aceticum, Arnica, Ferrum
metallicum, and Conium maculatum.
DROSERA is one of the principal remedies in the
treatment of this disease when it has reached this stage;
and in cases where the constitution has not been
enfeebled by the transmission of hereditary weakness
or other causes, it will speedily declare its beneficial
effects, and materially shorten this trying and painful
period of the disorder. The particular indications for
the use of this medicine are, violent paroxysms of cough,
occurring in such rapid succession as to threaten suffocation, and attended with the characteristic shrill sound
during inspiration; after each fit of coughing, vomiting
of food, or of stringy mucus.
ADMINISTRATION. 0 00, in six teaspoonfuls of water,
a teaspoonful after each paroxysm of coughing.
VERATRUM ALBUM is indicated when the child has
become reduced in strength and emaciated; suffers from
cold sweats, particularly on the forehead, with excessive
thirst, involuntary emission of urine, vomiting, and other
symptoms common to this stage; also pain in the chest
and inguinal region.. ADMINISTRATION. The same as Drosera.
CUPRUM ACETICUM. This has been found most useful in the nervous stage, particularly when convulsions
with loss of consciousnesss ensue after each paroxysm.
Also when we find vomiting after the attacks, and rattling of mucus in the chest, and wheezing at all times.
In almost all cases a marked benefit has followed the
employment of this remedy; sometimes it has been
found sufficient of itself to cut short the'disease, and in
others has so far modified it that other remedies which





HOOPING4-COUGH.             181
had before seemed to fail, have after its exhibition acted
with the most marked effect, and completed the cure.
ADMINISTRATION. According to the formula already
given in SCARLET FEVER, a dessert-spoonful after each
paroxysm.
ARNICA is useful as an intermediary medicine when
the epistaxis or hemorrhage from the mouth is considerable; and also in the affection itself when each paroxysm
is succeeded by crying.
ADMINISTRATION. In cases of hemorrhage a drop of
the tincture, at the second potency, and repeated after
the next paroxysm if necessary. When indicated by
the nature of the attack 0OJO~, in six teaspoonfuls of
water, one after each paroxysm.
FERRUM METALLICUM.    This remedy will be found
useful as an intermediate when vomiting comes on
immediately after eating.
ADMINISTRATION. A very small quantity, say about
a quarter of a grain of the third trituration in a dessertspoonful of water, once in twenty-four hours.
CoNIUM. When the paroxysms occur particularly at
night, and with great severity.
ADMINISTRATION. A globule of any potency, from the
ninth to the thirtieth, in a teaspoonful of water, night and
morning.
THIRD OR ASTHENIC STAGE.-THERAPEUTICS. The
same medicines as have already been given during the
first, according to the indications that present themselves; also if any of the more severe symptoms of the
second stage set in, we may resort to those there
mentioned.
16





182


CROUP. Angina Membranacea.
DIAGNOSIS.  Short, difficult, and hoarse respiration,
accompanied by a shrill whistling, squeaking, harsh,
rattling, or metallic sound, with cough of the same
character; the patient throws the head back; fever, and
sometimes comatose state of the brain.
This well known disease is one that requires the
promptest and most discriminating treatment, to avert the
danger. From the moment we are assured of the
nature of the complaint, recourse must be had to the
remedy most clearly indicated by the assemblage of the
symptoms, so that not an instant be lost in arresting its
further progress, since, if not skilfully kept in check, it
frequently runs to a fatal termination within twenty-four
hours; although in the generality of cases, when such
an event does take place it happens about the fourth or
fifth day.
Croup consists of a peculiar inflammation of the lining
membrane of the windpipe, causing the secretion of a
thick, viscid substance, generally opaque, of about the
consistency of the boiled white of an egg, which adheres
to the interior of the windpipe, and takes the form of
the parts it covers; when this, generally denominated the
false membrane, has been allowed to form, the case
becomes extremely critical.
That croup arises from inherent constitutional taint is
evident from the fact of some families having a peculiar
tendency to this disorder. It particularly affects early
childhood, from the great plasticity at that period of existence. The principal exciting causes seem  to be
exposure to cold or damp, and derangement of the
digestive functions, from a too nutritious or heating diet,





CROUP.                  183
too much animal food, or stimulants, such as wine or
coffee. It seldom attacks adults, though we occasionally
see exceptions to this rule, and is not unfrequently found
in complication with other affections of the lungs and
windpipe.
DIAGNOSIs. This complaint generally commences
with the symptoms of a common catarrh, such as cough,
sneezing, and hoarseness, with a greater or less degree
of fever; in a day or two the cough changes its character, and becomes shrill and squeaking, or deep, hoarse, or
sonorous, attended with a ringing sound during speaking
and respiration, as if the air were passing through a
metallic tube; as the disease progresses, the cough
becomes more shrill, and when long continued, resembles
the crowing of a young cock. There is seldom much
expectoration, and when any matter comes up in coughing,
it has a stringy appearance, resembling portions of a
membrane. After inflammation has set in, considerable
fever and restlessness continue, occasionally varying in
intensity, but never wholly remitting; the countenance
expresses great anxiety, and alternates from a red to a
livid hue; the paroxysms are followed by a profuse and
clammy perspiration of the whole body, more particularly
of the head and face. When danger threatens, the pulse
is hard, frequent, and occasionally intermittent; the
breathing, particularly during inspiration, difficult and
audible; the features become livid, and almost purple
from the sense of suffocation; the head is thrown back;
the cough assumes a veiled and husky tone; the voice
sinks to a whisper; the eye has a dull, glassy, or dilated
appearance, and the whole system seems in a state of
utter prostration.
THERAPEUTICS.   The medicines upo4 which the





184


RESPIRATORY SYSTEM.


greatest reliance is to be placed in the treatment of this
affection, are Aconite, Spongia, Hepar sulphuris, and
Lachesis.
ACONITE, from the febrile symptoms rarely absent at
the accession of this dangerous disease, should commence our treatment, may be exhibited as below specified,
until these symptoms begin to abate.
ADMINISTRATION.    -, in six teaspoonfuls of water,
one every half-hour to six hours, according to the
violence of the fever, taken when the first symptoms
show themselves, unless in very strumous habits, a single
dose of this medicine will frequently parry an attack.
Should this not be the case we may follow it withSPONGIA, when there is a hoarse, ringing, hollow, and
squeaking cough, with slow wheezing respiration, or fits
of choking.
ADMINISTRATION.    --, in six teaspoonfuls of water,
one every one, two, or three hours, according to the
intensity of the symptoms.
In many cases these two remedies will suffice to
effect a perfect cure.
HEPAR SULPHURIs. When the symptoms are partially
subdued by Spongia, and the cough moist or loose, with
accumulation of mucus in the respiratory organs.
ADMINISTRATION. One grain of the trituration, third
potency, to an ounce of water, a dessert-spoonful every
two hours. It may also be advantageously alternated
with Spongia at intervals of three or four hours, the
administrator carefully noticing the effects of each medicine.
PHosPHORUS is preferable to Spongia when the
inflammation threatens to extend to the air-passages and
lungs, or when the latter are implicated from the
commencement, and may also be given in alternation





CROUP.                   185
with that imedicine, or follow it; and may further, in
some instances, be advantageously alternated with Lachesis.
LACHESIS, in very serious and difficult cases, in
which there is a swelling and tenseness in the throat,
with hoarseness; great sensitiveness to the touch, the
slightest pressure affecting almost to suffocation; voice
very low and hollow, with a sound like that of a person
speaking through the nose; fainting; nausea; swooning;
loss of sense; rigidity of frame; great prostration of
strength, especially towards evening; cough unattended
with expectoration, and a feeling of mucus in the throat.
ADMINISTRATION. A drop of the tincture at the sixth
potency to an ounce of water, a dessert-spoonful every
half-hour, hour, or two hours, according to the intensity
of the symptoms, and their abatement.
After having subdued these threatening symptoms by
the administration of the last-mentioned remedy, we
may, if the disease is not wholly vanquished, again fall
back upon Spongia or Hepar sulphuris, according to the
indications given for those remedies.
There are many other remedies which afford valuable
assistance in the treatment of complicated cases; but
which require the judgment of the physician in their
selection.
It may, however, be mentioned that Tartarus emeticus
has been found valuable in some apparently hopeless
cases arising from paralysis of the lungs; and Arsenicum, Sambucus and Moschus in complications with
Asthma Millari; also Hepar sulphuris, Phosphorus, and
Lycopodium have been recommended as useful against a
predisposition to this affection.
* iodine has been much recommended in this affection.
16*





186


INFLUENZA.
DIAGNOSIS. Catarrh appearing in an epidemic form,
attended, in addition to the symptoms described at the
commencement at the preceding article, with extreme
oppression and "prostration of strength; sleepiness, followed by shuddering and general chilliness; rheumatic
pains in the head, back, and limbs; and slight redness
of the eyes, painful pressure, and sensibility to light.
THERAPEUTICS. The principal medicine in the treatment of this affection is ARSENICUM, and in most cases,
if not administered too late, it will be found specific.
The following are the characteristic indications for
its employment: Heaviness and rheumatic pain in the
head; profuse watery and corrosive discharge from the
nose, causing a disagreeable burning sensation in the
nostrils; violent sneezing; shiverings and shuddering,
with severe pains in the limbs; oppression at the chest;
difficulty of breathing; thirst; anxiety; restlessness:
GREAT PROSTRATION OF STRENGTH; with aggravation of
sufferings at night, or after a meal; inflammation of the
eyes, with sensibility to light. These symptoms may be
attended with a deep, dry, fatiguing cough, exacerbated
in the evening, at night, or after drinking, or sensations
of dryness and burning, with mucus in the throat, which
is difficult to detach.
ADMINISTRATION. , in a little water, repeated in
from six to twenty-four hours if required.
If this remedy is not sufficient to remove the disorder,
we may have recourse to the following medicines:
Aconitum, Nux vomica, Causticum, Mercurius, Phospho'rus, Belladonna, Pulsatilla.
AcoNITUM. When the disorder assumes an inflam




WNfrLEN1A.


187


matory character, with quickness of pulse, dry hot skin,
and short, harsh, shaking cough.
ADMINISTRATION. 0-, in a teaspoonful of water, repeated, if necessary, in from two to three hours.
Nux VOMICA. Obstruction of the nose, hoarse hollow cough, excited by tickling in the throat, and attended
with severe headach, confusion in the head, or giddiness,
want of appetite or sickness, thirst, aching pain in the
lower part of the back, constipation, pain in the chest
as if from excoriation.
ADMINISTRATION. 00, in a dessert-spoonful of water,
repeated for two or three evenings successively.
CAUSTICUM will generally be found of great value,
where Nux vomica has not produced the desired benefit,
especially where the patient is of a lympathic temperament.
ADMINISTRATION. Same as Nux vomica.
MERCURIUS. Dry or fluent coryza; pains in the
head and teeth; sore throat; violent shaking cough, excited by irritation in the throat and chest; shivering or
heat with profuse perspiration; aching in the bones and
slimy bilious diarrhoea, attended with tenesmus.
ADMINISTRATION. 0000, dissolved in four dessertspoonfuls of water, one to be taken night and morning.
PHOSPHORUS is frequently exceedingly useful after
Mercurius; it is particularly indicated when there is
excessive irritation in the larynx and bronchia, with
alteration of the voice, and pain during articulation.
ADMINISTRATION.   0oJ0, the same as Mercurius, but
when the pulmonary symptoms give evidence of a greater
degree of irritation, a drop of the third tincture should
be dissolved in six dessert-spoonfuls of water, one to be
taken every four hours.
BELLADONNA.    Dry, spasmodic cough, aggiravated





188


RESPIRATORY SYSTEM.


towards night; sore throat, excessive headach, increased by talking, moving, or bright light.
ADMINISTRATION. y, in a teaspoonful of water, to be
repeated in twelve hours, if necessary.
PULSATILLA.   Loose cough day and night, exacerbated by lying down, thick offensive coryza, tendency
to relaxation in the bowels, loss of appetite, foul tongue,
disagreeable or insipid taste in the mouth.
ADMINISTRATION. %0, in a dessert-spoonful of water,
for three or four successive mornings, fasting.
DETERMINATION OF BLOOD TO THE CHEST.
Congestio ad Pectus.
DIAGNOSIs. Sensation of great fulness, throbbing,
weight, or pressure in the chest; and palpitation of the
heart, attended with anxiety, short sighing respiration,
and dyspntea.
We find that the predisposition to affections of the
chest and lungs is greater during the period preceding
puberty, and for some years after than at any other epoch
of man's existence.
As remarked in the Diseases of Children in infancy
and during very early childhood, from the disproportion
between the cerebral system and the other portions of
the economy, the diseases which the physician has
chiefly to combat are those arising from over-excitements
of the nervous organization. In maturer years the tendency to abdominal congestion generally develops itself.
This is easily explained by entering into the physiology
of these different periods of human life; but as my object is rather the treatment of disease than the elucidation
of these interesting points, I shall here content myself
with briefly alluding to them.





DETERMINATION OF BLOOD 'I0 THE CHEST.   i89
There is no doubt, as already remnarked, but that a
particular period of human life is peculiarly liable to
chest affections, and, among others, to this disorder, but
too frequently the precursor of other more sdrious maladies. Some constitutions, however, particularly those
in which a hereditary phthisical taint exists, exhibit a
marked predisposition to pectoral congestion. Aniongst
the most frequent causes of this predisposition being
called into dangerous activity are, exposure to extretmet
of heat or cold; stimulants, such as alcoholic, vinous, di
fermented beverages, or coffee; the abuse of narcotic
drugs; violent exercise, such as running, dancing, &c.i
or over-exertion even of the voice either in speaking or
singing; sudden check of perspiration; cold or damp
feet; sedentary habits; metastases; repercussed cutaneous eruptions; or suppression of customary discharges,
such as the catamenial and hemorrhoidal flux,
THERAPEUTICS. Aconitum, Nux vomicc, Ipecacuanha,
Belladonna, Aurumfoliatumr, Mercurius, Pulsatilla, Spongia, Cinchona, and Sulphur are the best remedies in
general cases.
ACONITUM is especially indicated when there is violent oppression with great heat and thirst, palpitation of
the heart, great anxiety, and shaking cough. It will be
found particularly valuable for plethoric females of sedentary habits, who suffer considerably from congestion
before and during the catamenia. In such cases it may
be advantageously followed by Mereurius, to prevent a
relapse.
ADMINISTRATION.    0, repeated in twenty-four hourtj
if necessary, and the same symptoms continue. When
the congestion runs high it must be administered as in
Inflammatory Fever, which see.





190


RESPIRATORY SYSTEM.


Nux VOMICA. When the affection has been developed by sedentary habits or by habitual indulgence in
the stimulants already alluded to, or from hemorrhoidal
metastasis or suppression, in such cases this remedy itself frequently effects a cure.
ADMINISTRATION. 6., in the same number of teaspoonfuls of water, one each evening, at bedtime; adding thereto four or five drops of spirits of wine, to prevent its decomposition, and keeping the mixture protected from the air.
IPECACUlANHA will frequently complete the cure, when
Nux vomica has not removed the whole of the symptoms.
ADMINISTRATION. 0, in a little water, repeated, if
necessary, in twenty-four to forty-eight hours.
BELLADONNA. Oppression and throbbing at the chest,
with shortness of breath and strong palpitation of the
heart, extending into the head; short cough, chiefly at
night; internal heat; and considerable thirst.
ADMINISTRATION.   -, repeated in three days, in a
teaspoonful of water.
AURUM. Extreme oppression of the chest, as if suffocation impended, sometimes with loss of consciousness
and livid hue of countenance; palpitation of the heart;
and excessive anguish.
DosE. Half a grain of the third trituration, in half an
ounce of water, a dessert-spoonful every four, six, or
twelve hours, according to circumstances.
MERCURIUS, as already remarked, is valuable after
Aconitum, on certain occasions, (see that remedy;) and
also when there is heartburn and oppression at the chest,
and frequent desire to take a deep inspiration.
ADMINISTRATION. V, in a teaspoonful of water, repeated in twelve hours, after which we may lengthen





DETERMINATION OF BLOOD TO THE CHEST.   191
the interval, and only repeat again; should a cessation
of improvement take place, in many instances it may be
exhibited in the same manner as Nux vomica, but at the
potency above mentioned.
PULSATILLA. Ebullition of blood in the chest with
external heat; constriction in the chest with impeded
respiration; palpitation of the heart; anxiety and aggravation of the symptoms towards evening, also when
pectoral congestion has arisen in phlegmatic subjects
from hemorrhoidal suppression, or in females from stoppage of the menstrual flux.
ADMINISTRATION. -, in a teaspoonful of water, repeated in twenty-four hours, if necessary, but in the majority of cases it may be administered in the same manner as given under Nux vomica, with a difference in
time, taking a dose half an hour before breakfast.
SPONGIA TOSTA.   Ebullition of blood to the neck.
When the symptoms are provoked by the slightest exertion or even movement, and are attended with anguish,
sensation of threatened suffocation, nausea, and prostration, fainjing.
ADMINISTRATION. Same as Aurum.
CINCHONA. When we can trace the affection to debilitating losses with palpitation of the heart and oppressed breathing.
ADMINISTRATION. The same as Pulsatilla.
SULPHUR. Ebullition of blood, weight, fulness, and
pressure in the chest, aggravated by coughing, palpitation of the heart, dyspncea, chiefly on lying down at
night; it is also serviceable in suppressed hemorrhoids,
after Nux vomica or Pulsatilla, and after the latter remedy in checked catamenia.
ADMINISTRATION. -, repeated every five days until
a marked alteration for the better take place, or the





192


RESPIRATORY SYSTEM.


pymptoms assume another form, calling for the employment of some other more appropriate remedy.
Some one or more of the preceding remedies, if judiciously selected, and timeously administered, will generally check the disease, and prevent it assuming a more
dangerous form; for example, running into hemoptysis,
phthisis, pneumonia, carditis, &c.  The following,
among otherp, have also been found useful in peculiar
cases: Bryonia, Rhus toxicodendron, Sepia, Natrum
muriaticum, Phosphorus, Carbo vegetabilis, Acidum nitricum, Ammoniacum carbonicum, and Ferrum metallicum.
INFLAMMATION        OF   THE    MUCOUS      MEMBRANE OF THE BRONCHIAL TUBES.
Bronchitis.
This disease consists of a greater or less degree of
inflammation of the mucous membrane of the bronchi,
and is divided into acute and chronic. It is of the
former it is intended more particularly to treat.
DIAGNOSIS OF ACUTE BRONCHITIS. Chilliness, succeeded by fever, hoarseness, difficulty of respiration, and
dry cough; constriction at the chest with a feeling of
oppression; general weakness, foul tongue, and constipation, after some days expectoration; rapid pulse, increase
of the difficulty of respiration, which sometimes approaches to a feeling of suffocation; paleness of the lips,
cadaverous and anxious countenance, loud wheezing, and
on applying the ear to the chest a louder sound than the
natural respiration, either rattling, hissing, or harsh and
broken, according to the advance of the disease.
In many and the most dangerous cases of acute
bronchitis, alhough a degree of oppression at the cheat





BRONCHITIS.


193


be present, no particular pain, heat of skin, no fever may
exist; this is the most insidious form of the disease, in
which it is but too frequently neglected until beyond the
power of the physician's art: this occurs most frequently
in children who may apparently be only troubled with a
slight wheezing, of which scarcely any notice is taken
or any medical aid called in, until suddenly suffocation
threatens, or some other marked symptom of illness presents itself, when he frequently finds that the disease has
extended to the lungs, that disorganization of that organ
has taken place, so that an affection which might probably
have been easily subdued at the onset, is now beyond
his control.
The frequency of the disease in infancy and early life
deserves a particular notice. It generally commences,
as in adults, with the symptoms of a common catarrh;
the breathing becomes oppressed, and from the increased
action of the diaphragm, the abdomen becomes prominent; both the shoulders and nostrils are in continual
motion; the wheezing is often more marked than the difficulty of respiration; expectoration temporarily relieves
and occasionally the mucus is expelled from    the
air-passages by vomiting. When sore throat is also
present, coughing produces considerable pain, and the
child for that reason frequently endeavours to suppress it.
There is also impaired appetite with thirst, although
when the disease has advanced it is found difficult to
take a long draught from its impeding respiration: this
is very observable with children at the breast, who after
eagerly seizing the nipple, will bite it and discontinue
sucking, cry, and throw back the head, and after vomiting
up the phlegm, continue for some time in'that position.
If the disease runs its course unchecked, the difficulty
of breathing increases; the face becomes livid, the body
17





194


RESPIRATORY SYSTEM.


covered with chilly sweats, or cold, and suffocation
ensues.
Cerebral symptoms frequently also declare themselves
in this affection, which may sometimes, if neglected,
prove fatal. Headach is a common accompaniment.
In some cases, from the character of the voice and
cough, bronchitis has been mistaken for croup.
The tubes of one lobe, or of one lung only, may be affected, but sometimes those of both lungs participate.
The exacerbation of suffering at night is a very remarkable symptom of this complaint.
The causes are the same as those of common catarrh.
THERAPEUTICS. The remedies about to be pointed
out as most appropriate in ordinary cases of this affection are: Aconitum, Belladonna, Nux vomica, Bryonia
alba, Pulsatilla, Mercurius, and Rhus toxicodendron.
ACONITUM is the remedy upon which we must place our
chief reliance in the inflammatory stage of the disease,
and throughout its course, as long as a febrile character
exists. Its more marked indications are hot, dry skin,
with strong, hard, and accelerated pulse; hoarseness,
with roughness of the voice; short, dry, and frequent
cough, excited by tickling in the throat and chest; obstructed respiration, anxiety, restlessness, headach, and
thirst, with occasionally scanty expectoration of viscid
mucus.
ADMINISTRATION. One drop of the tincture at the
third potency, added to an ounce of water; a dessertspoonful every three hours, until relief be obtained, after
which we may either lengthen the intervals, or select
some other remedy more appropriate to the symptoms
present. It will also be found occasionally necessary
to return to this remedy, as above remarked," during the





BRONCHITIS.


195


course of the disease, particularly during the nocturnal
febrile exacerbations.
BELLADONNA. This remedy is useful when cerebral
symptoms set in, such as severe cephalalgia, materially
aggravated by coughing; oppression of the chest, with
rattling of mucus in the bronchi, with short, anxious,
and rapid respiration; dry, fatiguing cough, especially
at night, and thirst. Soreness of the throat, (see Sorethroat.)
ADMINISTRATION. The same as Aconite, only at intervals of four, six, or seven, instead of three hours.
Nux VOMICA. Dyspnoea, with excessive tightness of
the chest, particularly at night; hoarseness; dry cough,
worse towards morning, attended with a sensation as
from a blow, or a bruise, in the epigastric or hypochondriac regions; dryness of the mouth and lips, thirst, constipation, peevishness.
ADMINISTRATION. The same as Belladonna.
BRYONrA. Difficult and anxious respiration, with
constant inclination to make a deep inspiration; hoarseness; cough, attended with a sensation of burning, and
increased expectoration; dryness of the mouth and lips,
excessive thirst. When, moreover, the respiration is
impeded by shootings in the chest, and this affection
threatens to become complicated with pleurisy or pleuripneumony, this remedy is imperatively called for.
ADMINISTRATION. The same as Aconite.
PULSATILLA. Respiration short, accelerated, and impeded, attended with rattling of mucus, and anxiety;
hoarseness; shaking cough, worse towards evening,
at night, or in the morning, accompanied with considerable respiration of tenacious or thick yellowish mucus.
ADMINISTRATION. Same as Belladonna.
MEaRCURIs. This remedy may occasionally be found





196


RESPIRATORY SYSTEM.


useful when the symptoms of bronchitis are found accompanied by excessive perspiration; when the cough
is fatiguing, worse in the evening and at night, and excited by a tickling irritation, or sensation of dryness in
the chest, with oppressed breathing, and louder respiration than ordinary.
ADMINISTRATION.   l in an ounce of water; a dessertspoonful every four or six hours, until relief ensues.
RHUS TOXICODENDRON. Anxious oppression of the
chest, aggravated at night; hoarseness, and short dry
cough, excited by a tickling in the bronchial ramifications,
worse in the morning after awaking.
ADMINISTR ATION. Same as Belladonna.
CHAMOMILLA may also be mentioned as a useful remedy in cases of children, after the previous exhibition of
"Aconite. (For its indications and administration, see
CATARRH.)
There are some other remedies which have been
found of great value in the treatment of this affection,
namely, Spongia, Tartarus emeticus, and Arsenicum.
SPONGIA. This medicine will be found useful in those
cases where the sound of the voice and the cough resemble those of croup, the respiration wheezing, quick,
anxious, and very laborious; extreme hoarseness, sometimes amounting to aphonia.
ADMINISTRATION. O00, in six-teaspoonfuls of water,
one every two, three, or six hours, according to the severity of the symptoms.
TARTARUS EMETICUS is -chiefly found useful in
those extreme cases where suffocation threatens from
the tubes being clogged with mucus; when the cough
suddenly ceases either from weakness or other causes,
and no effort is made by vomiting or otherwise to clear
the air-passages.





BRONCHITIS.


197


ADMINISTRATION. A grain of the trituration at the
second or third potency in four dessert.spoonfuls of water,
one every quarter, every half, or every hour, according
to the severity of the symptoms or the effects produced.
ARSENICUM is found useful in restoring the vital energies when much lowered by the long continuance of the
disease.
ADMINISTRATION, 00, in four teaspoonfuls of water,
one to be given from time to time, as required.
SULPHUR is useful in winding up a cure, and preventing the disease running on to the chronic form, or when
the expectoration has increased in quantity and become
whitish and less viscid.
For the benefit of the medical reader, I may remark
that when the disease has been neglected at the commencement, or when from the phenomena that present
themselves, we have reason to dread an extension of the
inflammation to the substance of the lungs, we may employ Phospliorus, which is also an excellent remedy in
several forms of bronchitis.
CHRONIC BRONCHITIS: Bronchitis Chronica. This
complaint may be the result of the acute affection,
arising from a gradual inflammation of the mucous membrane of the bronchial tubes, or from the inhalation of
dust or other minute particles carried into the lungs; it
may also be coeval with diseases of the heart, or declare itself after eruptive fevers.
As this is a disease which requires a long and judicious treatment for its removal, and as practitioners
should be well acquainted with its phenomena, I shall
content myself with a brief enumeration of the remedies
hitherto found most useful in cases of this nature.
These are Sulphur, Calcarea carbonica, Carbo vege170





198


RESPIRATORY SYSTEM.


tabilis, Pulsatilla, Hepar sulphuris, Phosphorus, Stannum, Lycopodium, Natrum carbonicum, Natrum muriaticum, Lachesis, Causticum, Arsenicum, Silicea, Staphysagria, Kali carbonicum, Acidum nitricum, and Conium
maculatum.
DIET. As long as inflammatory symptoms continue
the patient must be kept on a low diet, such as toast and
water and thin barely-water; and after the period of
danger has passed away a return may be gradually made
to a more nutritious diet.
INFLAMMATION        OF  THE    LUNGS.
Pneumonia, Peripneumonia, Pneumonitis.
DIAGNOSIS. Shiverings and chills, followed by heat
or feve; dyspnoaa; respiration short, and hurried cough,
short, dry, continuous, and distressing at the commenceinent, afterwards attended with scanty expectoration of
viscid, gelatinous, and extremely tenacious mucus, generally intermixed with brick-dust sputa, (giving it a rusty
colour,) but occasionally of a bright red; sometimes a
dull pain in the chest, but more frequently rather a tightness than pain; pulse variable, but generally full and
strong and quick; but, when the inflammation has run
high, hard, wiry, and accelerated; tongue parched and
dark coloured. The patient generally in severe cases
lies upon his back.
In the first stage in many cases when not marked by
complication with bronchitis, on application of the stethoscope, or the ear to the chest, the crepitous rale may
be heard. As inflammation gains ground, and the substance of the lung becomes altered in structure, no sound
at all is perceptible, except in the sound portion of the





I
r~~
-*C


INFLAMMATION OF TH'E LUNGS.       199
lung, which is louder than natural in certain cases; also
bronchophony may be present.
I have remarked that the pulse was variable inasmuch
as it has been frequently the fashion to lay too much
stress upon that symptom; but the disease may run on
to a fatal termination without it being below the natural
standard. Neither is a hot dry skin a sure criterion,
inasmuch as in the congestive form of this disease from
the determination of the blood to the lungs, the surface
of the body is almost invariably cold. Suclf are the
general symptoms of pure Pneumonia, but in severe
cases it is often found combined with pleurisy, when the
pains of the chest are intense, and mostly of an acute
shooting character.
THERAPEUTICS. Aconite, Bryonia alba, Phosphorus,
Tartarus emeticus, Rhus toxicodendron, Belladonna.
ACONITE. When the disease sets in with severe inflammatory fever, whether or not accompanied or followed by severe shooting pains in the chest.
ADMINISTRATION.   The same as in Inflammatory
Fever.
BRYONIA is generally the best remedy to follow
Aconite, when the more severe febrile symptoms have
been lowered by that medicine; or from the commencement, when the following indications present themselves; cough, attended with expectoration of viscid or
tenacious mucus, streaked with blood, or of a brick-dust
colour, oppression at the thorax, and acute shooting pain
in the chest and sides, and constipation.
ADMINISTRATION. One drop of the tincture at the
third potency, a dessert-spoonful to be administered
every four, six, or eight hours, according to the severity
of the case.





200


RESPIRATORY SYSTEM.


PHOSPHORUS. This remedy has been lately almost
exclusively employed by Dr. Fleischmann,* of Vienna,
in every stage of Pneumonia under what form soever it
presents itself, and with the most marked success, even
in cases when the lung has been partly hepatized. Although the homceopathic treatment hitherto adopted with
Aconitum, Bryonia, &c. has proved eminently successful, yet this remedy which seems to have such a specific
influence over this serious disease deserves a more extensive trial.
ADMINISTRATION. A drop of the tincture at the third
potency added to four dessert-spoonfuls of water, one in
four hours, lengthening the intervals according to the
effects produced.
TARTARUS EMETICUS is chiefly valuable in promoting
resolution after hepatization has taken place, and may
be had recourse to when the preceding remedy has not
completely effected this desirable object.
ADMINISTRATION. One grain-of the second potency
in an ounce of water, a dessert-spoonful three times a
day.
TINCTURE OF SULPHUR may deserve a preference to
the last-mentioned remedy in similar cases, in strumous
habits, also where hepatization has advanced to some
extent or threatens, and where Phosphorus may have
only relieved, and also where constipation is present.
ADMINISTRATION. O0 or Oo, in   a teaspoonful of
water, repeated in from six to twelve hours, according
to circumstances, if an improvement ensue, allowing the
medicine to continue its action.
* Dr. Fleischmann's preparation is made with 10 drops to the 100,
administered at the third to the sixth potency, from four to eight
drops, in from two to four ounces of distilled water, a spoonful
three to six times a day. Hygaa, vol. viii.





INFLAMMATION OF THE LUNGS.


201


The preceding are the principal remedies used in the
majority of cases of this disease; but the following also
have been found excellent auxiliaries in some instances,
and merit a careful study. I shall therefore content
myself with pointing out their peculiar characteristics.
Rhus toxicodendron, when the affection puts out a
typhoid character, with extremely difficult and hurried
and low pulse, see this remedy under Typhus Fever.
Belladonna, where the fever has returned, after
having been apparently subdued by Aconite, and the
difficulty of breathing and pain continue, particularly
when the pain seems more at the sternum; the sputa
streaked with blood and difficult of expectoration, the
cheeks flushed, lips and tongue dry and scorched, leaving heat of the skin and incessant thirst.
Mercurius. When the fever has been lowered by the
employment of Aconite, but pain and difficulty of breathing remain, copious nocturnal sweats exhaust the patient's
strength, and the pulse is small and quick.
Arnica. Against effusion into the air-passages, with
local congestions and hemoptysis.
Lachesis has proved beneficial in those almost hopeless cases which threaten to turn to gangrene of the
lungs.
Acidum nitricum has been of service in some rare
instances, where after Aconite a cessation of pain has
taken place with increase of fever.
Finally, Nux vomica, Pulsatilq, Opium, Cannabis,
and Arsenicum have been found useful in removing the
sequelae of this affection.
It may be useful to add a few words respecting the
pectoral signs in this affection when progressing to resolution: if no hepatization have taken place, the crepitous Ale, at first audible, becomes gradually less per




202


RESPIRATORY SYSTEM.


ceptible, and the natural respiration is heard till at last
the former wholly disappears; if the lung have already
partly solidified but the disease is approaching a cure,
the crepitous rWle is first heard, then gradually yields to
the natural respiration; in fact, the disease, so to speak,
runs its course back again.
DIET. It is scarcely necessary to remark that during
the inflammatory period, an almost total abstinence
must be observed, since nature herself removes appetite;
but even during convalescence, the slightest error in
this respect may entail the fatal consequences.
INFLAMMATION OF THE PLEURA.
Pleurisy, Pleuritis.
DIAGNOSIS. Fixed severe pain in the side, like a
stitch, or as from a stab, remaining in one circumscribed
spot, interfering with breathing, increased by inspiration;
difficult and anxious respiration, but not so oppressed as
in pneumonia and bronchitis: cough, aggravating the
pain; thin and watery expectoration; quick hard pulse;
hot skin, particularly over the chest, or the seat of the
disease; dry tongue; scanty and high-coloured urine;
and occasionally cerebral symptoms.
Pleurisy seems to consist in a peculiar inflammation
in the pleura, with a disposition to effusion or to the secretion of plastic lymph; and the disease may run its
whole course without any of the symptoms above given
declaring themselves; and the stethoscope can but rarely
detect its existence until effusion has taken place to
some extent. In many cases at the commencement of
the disease the respiratory murmur is somewhat less
distinct; and where effusion has taken place there is





INFLAMMATION OF THE PLIURA.


203


dulness at the lower part of the thorax; and the voice
of the patient heard through the stethoscope is small,
sharp, and tremulous; and when the effusion is considerable, percussion gives an extremely dull sound.
THERAPEUTICS. The chief remedies in this affection
are Aconitum, Bryonia alba, Sulphur, and moreover
Arnica, Arsenicum, Carbo vegetabilis, Cinchona, and
Phosphorus.
AcONITUM. Principally against the symptoms of inflammation present, in which case it is most valuable.
ADMINISTRATION. One drop of the tincture at the
third potency to an ounce of water, a dessert-spoonful
every three hours.
BRYONIA ALBA should in general cases follow Aconitur when the fever has been somewhat allayed by that
remedy. It is more particularly indicated when respiration is impeded by acute shooting pains in the chest.
ADMINISTRATION.   The same as Aconite, but at
intervals of four hours.
SULPHUR may with advantage follow Bryonia when
the pain mentioned has been removed by that medicine,
and often completes a cure. It is also of value when
the fever continues after the administration of Aconite,
whose action we ought not to await longer than a few
hours. And when the affection has already lasted for
some days, and is complicated with pneumonia, it is our
chief stay in preventing solidification of the lung, and in
bringing the disease to a fortunate termination.
ADMINISTRATION. Two drops of the tincture in three
ounces of water, a table-spoonful every three hours, or
in very severe cases every hour.
ARNICA MONTANA.     Principally when pleuritis is
caused by external injury; but also in other cases when





204


RESPIRATORY SYSTEM.


the more inflammatory symptoms have been subdued by
Aconite, &c.; and pain in the chest, with opptessed respiration, only remain; also to promote absorption when
considerable effusion has taken place.
ADMINISTRATION.   One drop of the tincture of the
third potency to an ounce of water, a dessert-spoonful
every three or four hours.
ARSENICUM is our main dependence in those desperate cases where considerable effusion has already
taken place, and where the respiration is painfully
impeded and asthmatic, with extreme prostration of
strength.
ADMINISTRA'rON. A drop of the sixth in an ounce of
water, a dessert-spoonful every three or four hours, or
oftener if necessary.
CARBO VEGETABILIS is a good remedy when pleuritis
is complicated with chronic bronchitis; or at a more
advanced stage of the disorder, when the patient is
much emaciated and hectic at night. It is also valuable
in the crude, severe, or neglected cases.
ADMINISTRArION. A drop of the tincture at the twelfth
potency, to an ounce of water, a dessert-spoonful every
four, six, or twelve hours, according to the urgency of
the case.
CINCHONA is chiefly useful after severe depletion to
restore the energies of the patient.
ADMINISTRATiON. Q or 4, repeated in twelve hours
if necessary.
PHosPHoaRs. When pleurisy is complicated with
pneumonia or bronchitis. (See those articles.)
Squilla, Digitalis, Kali carbonicum, Hepar sulphuris,
Colchicum, Rhlis toxicodendron, and Lachesis may also
be found of service in some cases of this affection.





SPITTING OF BLOOD.


205


DIET. The same rules are to be observed as in
Pneumonia.
SPITTING OF BLOOD. Hemoptysis.
DIAGNOSIs. Expectoration of blood by coughing, in
greater or less quantity, attended by symptoms more or
less severe.
This disease presents itself in three varieties: first, an
effusion of blood from the mucous lining of the bronchial
tubes; secondly, from congestion of the lungs, with
engorgement of the parenchyma from effusions; and,
thirdly, the rupture of a bood vessel in the tubercular cavity of the lungs during the course of phthisis pulmonalis.
I however propose to deal generally with the subject, and
to point out the different remedies found useful in the
treatment, according to the symptoms present. We must
be careful not to confound this disease with affections of
the mouth or gums, or blood from the nose escaping
through the posterior nares and returned by the mouth.
It may present itself without any marked pains or
difficulty of breathing, and pass off with no return of
the attack; or be preceded by dry cough, oppression, or
tightness at the chest, shivering, and high pulse; and
be accompanied by hacking or husky and distressing
cough, anxiety, quick pulse, and pale and livid countenance; cease and then return in a few hours, and be
followed by difficulty of respiration and cough; in still
more severe cases, when a marked tendency to phthisis
exists, anxiety, oppression at the chest and febrile
symptoms are more severe; pure blood is coughed up,
and the paroxysms frequently return.
The rupture *of a blood-vessel is a rare occurrence,
although it sometimes occurs in phthisis. When a
18





206


RESPIRATORY SYSTEM.


blood-vessel of any consequence, included in a tuberculous excavation, gives way, the result is generally fatal.
CAUSES. Indulgence in spirituous beverages, overheating the body by immoderate exertion, or too great
external heat; blowing wind-instruments; contusion of
the chest or back; falls; lesion of the lungs; breathing
a vitiated atmosphere, or vapours charged with acrid
substances; colds or coughs; violent mental emotions;
diseased state of the lungs, whether from pneumonia or
phthisis: a general strumous habit; suppressed menstrual,
hemorrhoidal, or other discharged or repercussed cutaneous eruptions.
THERAPEUTTCS. The principal remedies in the treatment of this affection are Pulsatilla, Nux vomica, Sulphur,
Arnica montana, Aconitum, Ipecacuanha, Arsenicum,
Opium, Cinchona, Ferrum metallicum, Phosphorus, Sepia.
ADMINISTRATION. Unless otherwise specified, a drop
of the tincture at the potency mentiouQd after each
medicine, in an ounce of pure water, a dessert-spoonful
every three, fotrr, or six hours; but this being a disease
in which considerable judgment and tact are required in
the exhibition of the medicines, it is scarcely possible to
give rules in this treatise applicable to all cases.
PULSATILLA. In cases of females, arising from suppression of the monthly discharge, or in either sex, of a'
hemorrhoidal flux, particularly of leuco-phlegmatic temperament, and also in the other instances, with the
following symptoms: expectoration of dark coagulated
blood, attended with shivering, especially towards
evening, or at night, and great anxiety; pain in the
lower part of the chest; feeling of flaccidity in the
@piguatrium, and weakness. POTENCY 3.





SPITTING.OF BLOOD.


20.7


ADMINISTRATrON. When from the- causes first mentioned, if not particularly severe, 2 repeated in twelve,
or even twenty-four hours, will be found sufficient, but in
violent attacks exhibit according to the rule already
given.
Nvx vorMCA is adapted to individuals of an irritable
temper, in whom this affection owes its origin to a
hemorrhoidal suppression, a fit of passion, or exposure
to cold.- It is further indicated by dry cough, with
excessive tickling in the chest, and exacerbation of the
symptoms towards morning. POTENCY 3.
ADMINISTRATION.   In mild cases %P, repeated in
twenty-four hours; in severe, as already prescribed.
ARNICA MONTANA. Principally in cases arising from
external lesion, such as a severe blow in the chest, or
from lifting a heavy weight, or any other exertion, even
blowing wind instruments; but also when the stethoscope
detects effusion of blood into the parenchyma, attended
with a senisation of constriction, and bearing in the chest,
pain as from contusion in the scapular and dorsal region,
and dyspncea. Moreover profuse expectoration of dark
coloured blood or coagula, brought up without much
exertion, or bright frothy blood, mixed with mucus and
clots; general heat, great weakness, and syncope. PoTENCY 3.
AcONITUM is often found most serviceable in warding
off an attack by the great power it possesses in controlling
the circulation, and is indicated previous to the paroxysm
by the premonitory symptoms of shivering, with accelerated pulse, palpitation of the heart, a sensation of
ebullition of blood in the chest, with burning and fulness
in the same region; paleness and expression of anxiety
in the face; great anguish and anxiety, aggravated by
lying down, or during the attack when the expectoration





208


RESPIRATORY SYSTEM.


is profuse, coming on in gushes, and excited by a slight
dry cough. POTENCY 3.
IPECACUANHA, when a taste of blood remains in the
mouth;--after Aconitum, or when there is frequent
tussiculation, with expectoration streaked with blood.
POTENCY 3.
ARsENICUM. When the anxiety, anguish, and palpitation of the heart increases, notwithstanding the administratidn of Aconite; and when in addition we find extreme
restlessness and general dry burning heat.
AIMINISTRATION of this remedy with Ipecacuanha has
been found to succeed in many instances when neither
o of them severally might have been found sufficient to
^   conquer the disease. Giving an occasional dose of Nux
vomica to such individuals as have been in the habit of
indulging in spirituous, vinous, or fermented liquors, or
coffee. POTENCY 3.
OPIUM. In the chest, with sensation of heat, dyspncea,
and anguish; coldness, particularly of the extremities;
tremor in the arms; dry hollow cough, with expectoration of blood and frothy mucus, and sometimes also
weakness of the voice. It will be found useful in the
most serious cases, particularly in those addicted to
spirituous liquors; in the latter case it may be useful to
follow it with Nux vomica. POTENCY 3.
CINCHONA, as already mentioned in several places in
this work, is one of our best remedies in restoring the
vital energies of the patient after considerable loss of
fluids, whether blood or other secretions; it is therefore
particularly efficacious after a severe attack of this
affection, but is also indicated during its course, when
the spitting of blood takes place after a violent cough, or
when there is a continual taste of blood in the mouth, or
when we find shivering alternately with accesses of heat,





SPITTINCG OP BLODOD.


209


frequent and short-lived perspirations. tremor and confusion of vision, with a sensation of vacuity or lightness
in the head,' weakness and desire to remain constantly
recumbent.
ADMINISTRATION. Same as Pulsatilla.
FERRRFM METALLICUM. May be exhibited with advantage after the last-mentioned in severe cases, or may be
preferred if the expectoration follows a slight cough, and
is scanty, but consists of pure bright red blood, attended
with pain between the scapule, with inability to remain
long in a sitting posture, the patient feels the concomitant
symptoms relieved by movement; but is speedily fatigued, especially by conversation. It may in some
cases be advantageously alternated with Cinchona.
POTENCY Tl1 grain.
4SULPHUR. This remedy is frequently useful in preventing a relapse after the administration of other
medicines; and it is also particularly suitable for individuals disposed to hemorrhoidal affections, in derangement
of the menstrual flux, or hemeoptysis arising from
suppressed cutaneous eruptions, such as scabies, &c.
ADMINISTRATION. Q0, in a little water, repeated in
four days, for three or four successive times.
After hemoptysis has disappeared, besides having to
guard against a relapse, in which, as above stated,
Sulphur is our chief auxiliary, we have to take every
precaution lest inflammation arise in the part primarily
affected, or the disease degenerate into Phthisis, which
objects will be best attained by the administration oT
Phosphorus in combination with a strict observance of
an antiphlogistic regimen, and the other rules about to
be given for the conduct of patients suffering from this
affection.
The almost specific action of this medicine in changes
18*





I-r::       i


w-^"


210            RESPIRATORY SYSTEM.
of structure of the substance of the lungs, has been
already commented upon under Pneumonia; it may also
be remarked, that it is one of our chief remedies in
hemorrhages from  the lungs during   the course of
phthisis.
SEPIA is also useful in this affection occurring in
Phthisis, but when it is rather to be looked upon as one
of the general symptoms than forming a disease of itself;
by its power over the uterine economy, it is also of great
service in cases of hemoptysis, arising from derangements connected with that organ.
The following remedies may also be noted as worthy
the attention of the practitioner in peculiar cases: Belladonna, Bryonia, Carbo vegetabilis, Hyoscyamus, Ignatia,
Rhus, Dulcamara, Cocculus, Crocus, Conium maculatum,
Ladhesis, Acidum sulphuricum, Acidum nitricum, Ledu*
palustre, Lycopodium, Millefolium, Silicea, Staphysagria,
and-Cuprum metallicum, 4yc.
DIET, &c.    The rules given under Hematemesis
should be observed as" regards regimen; both mind and
body should be kept perfectly quiet; the patient should
speak as little as possible, be kept in a semi-recumbent
posture, or, if his strength allow, sit upright.





U.;1;
-II i:ili-l
~L~~~ r"" r L:
i "i:~~i~a- ~PU l-t
--
-~:


211
DERANGEMENTS
OF
THE CEREBRAL SYSTEM.
HEADACH. Cephalalgia.
(BY DR. HULL.)
Headach is one of the most frequent and annoying
ailments with which the human organism is afflicted. It
requires distinct consideration. Although it is generally
associated with or dependent on other maladies, it so often
predominates that its phenomena should no doubt occasionally control the selection of the appropriate remedy,
which should, however, include as far as possible the
totality of the suffering. It may also depend on accidental causes; still the remedy while antidotal to them
must carefully embrace all the existing symptoms.
Again, it may occur perfectly independent of any assignable cause, and thus render the following arrangement of
the remedies essential to the successful selection of the
therapeutical agent.
CONGESTIVE HEADACHES or those attended with pressure of blood to the head.  Examine carefully the
symptoms of Congestive Headach under the following
remedies: Aconite,!rnica, Belladonna, Bryonia, Coffea,
Ignatia, Mercurius, Nux vomica, and Pulsatilla,
CATARRHAL HEADACH. Examine Aconite, Belladonna,
Mercurius, Nux vomica, and Pulsatilla.
RHEUMATIC HEADACH.      See Aconite, Belladonna,





212


CEREBRAL SYSTEM.


Bryonia, Chamomilla, Mercurius, Nux vomica, and Pulsatilla.
NERVOUS HEADACH.    See Aconite, Arnica, Belladonna, Bryonia, Chamomilla, Coffea, Tgnatia, Nux vomica,
and Pulsatilla.
DIGESTIVE OR GASTRIC HEADACH. Antimonium crudum, Bryonia, Nux vomica, and Pulsatilla.
HEADACH FROM HEAT. See Aconite, and Bryonia.
HEADACHES FROM CHANGEABLE WEATHER, CURRENTS
OF AIR, COLD, COLD DRINKS, AND BATHING. See Aconite, Antimonium crudum, Belladonna, Bryonia, Chamomilla, Nux vomica, and Pulsatilla.
HEADACH FROM TOBACCO. See Aconite, Antimonium
crudum, and Ignatia.
HEADACH FROM SUPPRESSED ERUPTIONS. Antimonium crudum, and Sulphur.
HEADACHES FROM[ MECHANICAL INJURIES. See Arnica
and Belladonna.
HEADACHES FROM DEBAUCH AND SPIRITOUS DRINKS.
See Belladonna, Coffea, Nux vomica, and Pulsatilla.
HEADACH FROM COFFEE. See Chamomilla, and Nux
vomica,
HEADACH FROM ANGER. See Chamomilla, Ignatia,
and Nux vomica.
ACONITE.
ACONITE deserves attention in headaches connected
with Congestion to the head, Catarrh, Rheumatism,
Neuralgia and those caused by Heat, Currents of Air,
Cold, Bathing or Tobacco; and for females, children, and
nervous invalids. Aconite is indicated in Congestive
headaches, when a violent throbbing pain seizes the forehead and temples with a sensation of ardent heat through
the entire brain, red and bloated face; rednwss of the





HEADACB.                  213
eyes, visible pulsation of the neck, excessive sensibility
to the least noise or movement, and, sometimes, great
irritability or delirium.
When congestive headaches are habitual, the patient
should sponge the forehead and temples every morning
with cold water, or take a shower-bath and drink one
or two tumblerfuls of cold water on retiring and rising,
night and morning.
In Catarrhal headaches the indications are, dull,
pressive, and constrictive pains and heat in the forehead,
especially above the root of the nose, with flowing from
the eyes, running at the nose, but more frequently obstruction of the same, dry heat in the nose, buzzing in
the ears, colic, frequent chilliness, alternating with
feverishness, occasional cough; amelioration of the
symptoms in the morning, and in the open air; aggravation in the evening, and from speaking and exercise.
The Rheumatic headach is characterized by darling
or rending pains, sensitive to the touch, which fly from
one part of the head to another, as from the nape of
the neck to the ears, temples, vertex or forehead, are
sometimes connected with rheumatism of the neck and
shoulders, are attended with active fever, dry and hot
skin, thirst, redness or varying pallor and redness of the
cheeks, are insupportable at night with mental disquietude and vexation, are palliated by sitting and aggravated
or renewed by wine, stimulants, or great mental excitement.
The Nervous headach generally occurs- above the
root of the nose or on one side of the head. The pains,
which are intolerable, especially at night, are throbbing,
darting, and stinging, producing by their intensity, lamentations, inconsolable anguish, fear of death, and, at
times, temporary insensibility, and are attended by thirst,





2141


CEREBRAL. SYSTEM.


flushed cheeks, small, quick, weak and occasionally, intermittent pulse and intolerance of touch, light and sound.
Headach from exposure to Heat usually assumes the
characteristics of the Congestive, which are recorded
above. The headaches which arise from Currents of
Air, Cold or Bathing, are in every respect analogous to
the sufferings we have described as Catarrhal.
The Tobacco headach, whether from chewing or smoking, is very similar to the Congestive headach of Aconite, marked particularly by sensation of great weight on
the vertex and over the eyes, nausea and amelioration in
the open air. All the preceding forms of headach to
which Aconite is applicable, have the distinctive peculiarities of an increase of suffering from motion, rising
from a recumbent position, speaking and drinking; and a
diminution in the open air.
The Aconite may be repeated in severe forms of headach every two or three hours, in milder forms, from six
to twelve hours, increasing the intervals in proportion to
the improvement effected. We have acquired great
service from Aconite in acute paroxysms of headach by
using it as a precursor to, or in alternation with, Arnica,
Belladonna, Bryonia, Chamomilla, Nux vormica, Pulsatilla and Veratrum. Thus a single dose of Aconite may
precede the administration of these remedies some two
or three hours, or may be alternated with them every
three or four hours.
ANTIMONIUM CRUDUM.
ANTIMONIUMI cRtDUx has been used for headaches
dependent on Chills, Suppressed eruptions, Tobacco or
Indigestion. They are characterized by a. pain in the
forehead as if it would burst, or dull, boring, rending,
piercing, spasmodic pains in the forehead, temples and
vertex, with a sensation as if in the bones of the head




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5~"-:1";~:~~6,~~~ 'Cr:-"L-ri., -~L1.. i~* -9i
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IREADAHCI.                 215
especially of the vertex. The pains are increased by
ascending stairs and mitigated in the open air. If the
headach arise from Tobacco it is attended with dizziness.
If it depend on Indigestion it is frequently preceded by
nausea, want of appetite, aversion to food, eructation, and
efforts to vomit. It is sometimes followed by loss of
hair.
The Antimonium may be taken every twelve or twentyfour hours, and is often more efficient after the use of
Pulsatilla, especially for the headach of Indigestion.
ARNICA.
ARNICA is indicated in headaches connected with
Congestion to the head, Neuralgia, and in those caused by
Mechanical injuries. The Congestive headach is characterized by a spasmodic pressing in the forehead, as if
the brain were contracted into a hard mass, principally
when near the fire, whirling dizziness with nausea,
heat and burning in the head with coldness of the remainder of the body, and occasional prickling or numb
sensations in one or more of the extremities. The Nervous headach manifests itself by crawling, pricking, and
stinging pains in one or both temples, or on one side of
the head, which feel as if they had been bruised, or by
an intense pain, as if a nail had pierced the brain. The
headach which follows Mechanical injuries, such as
blows, falls, or strains, is the same as the Congestive,
attended at times, by pressive sore pain in the part injured or over one or other eye, and green vomiting.
This remedy is the more appropriate when the sufferings are aggravated at evening or night, after eating, or by
mental or physical exercise. Arnica follows and alternates
admirably with Aconite when the febrile action is prominent and may precede.he,use of Balladoann, Qalokre







216              CEREBRAL SYSTEM.
and Rhus. The rule of repetition is the same as that
given for Aconite.
BELLADONNA.
BELLADONNA obtains in headaches complicated with
Congestion to the head, Catarrh, Rheumatism, Neuralgia; and those from Heat, Spirituous drinks, Mechanical
injuries, Cold, and Currents of Air. It is especially
suitable for females, and children. It is appropriate in
Congestive headach when the indications given for this
form of suffering under Aconite, are not promptly or permanently relieved by that remedy; also if the pains are
more deeply seated, are violent, pressive, heavy and full,
as if the brain would protrude through the forehead or
side of the head, with pale, haggard face, drowsiness,
loss of consciousness, murmurs and delirium; or if this
form of headach develop itself after eating, with great
lassitude, drowsiness, painful stiffness of the nape of the
neck, imperfect speech, distortion of the face, especially
of the mouth, and other symptoms of Apoplexy. The
Catarrhal headach is marked by pressive aching in the
forehead and congestive feeling of the entire head, as if
it would split open, with sneezing, swelling, redness and
excoriation of the nose, profuse flow of acrid water from
the nose, or flowing from one nostril, or alternating with
stoppage of the nose, smell too acute, especially for tobacco smoke, or too obtuse, shivering or feverish heat,
thirst and pains in the limbs. (Hepar sulphuris or Mercury may precede or follow Belladonna for this variety
of Catarrhal headach.) Rheumatic headach is attended
by violent shooting and burning pains, especially of one
side of the head, congestion to the head, swelling of its
veins and visible pulsation of its arteries, redness of the
eyes and face and fever.  The Nervous headach is
characterized by burning shooting pains, generally of





~&~ ---"~rs~,a;s, J~'7   "~;~:  ':


HEADACH.                  217
one side of the head in the mildest form of attack, attended by sensitiveness of the scalp, distension of the
veins of the head and hands, roaring and buzzing in the
ears and clouded sight. In a severe form, the pains
become pressing, burning, shooting, rending and distracting, appearing on one side of the head or above the
eyes and nose, with a sensation as if water fluctuated
or undulated in the head. The neuralgic pain may also
commence very gently, increase in intensity though one
side of the head, producing irritability, lamentations and
delirium. The headach which arises from Heat is similar to the Congestive, and indicates Belladonna especially, when the head seems as if it would split open and
the suffering is increased by walking and mental excitement, and is attended by hot fever, thirst, vomiting,
sleepiness, anxiety, tears, lamentation, despair or rage,
and delirium.   Spirituous drinks produce pressing
aching in the forehead with congestive fulness of the
entire head, red and bloated face, loss of appetite, especially for meat, thirst and feverishness. The headach from Mechanical injuries is similar to the Congestive, and requires the Belladonna, most frequently, after
the previous use of Arnica. The. effects of Cold and
Currents of Air accord with the Catarrhal headach, at.
tended at times by imperfect vision, sore throat and indigestion. All these symptoms of Belladonna are aggravated chiefly at night, also about three or four o'clock in
the afternoon, and after sleeping, also by the warmth of
the bed, recumbent position, motion, especially that of
the eyes, the slightest touch, shock or noise, open air or
currents: of air, contradiction, even the slightest, and mental excitement; they are mitigated by flexing the head
backward and supporting it.
ADVrNISTRATION. Belladonna is frequently preceded
1 -,9





218


CEREBRAL SYSTEM.


by, and alternated with, Aconite and Mercury. Its rule of
repetition and alternation is the same as that directed for
Aconite.
BRYONIA.
BRYONIA is available in headaches associated with
Congestion to the head, Derangement of the stomach,
Neuralgia and Rheumatism, and those caused by Heat
and Changeable weather. Congestive headach is manifested by severe pain- in both sides of the head, pressing
from without inwardly, with a sensation as if the contents
of the skull would protrude through the forehead, especially on stooping, bleeding at the nose, affording no
relief, burning of the eyes, effusion of tears, and constipation. The Bryonia is of the greatest value if this
form of headach occur with Constipation of the bowels.
It is generally worse in the morning. For headaches
of the Stomach, see Indigestion, p. 76. Nervous headach has pressing, burning, rending and shooting pains,
as if a tumor were forming under the skin, and as if the
brain would press through the forehead, which seize the
forehead, dart to one or other side of the head, or extend
to the cheek-bone, shooting and pulsating at times violently; rheumatic and passionate patients suffer most
from this form of headach. Rheumatic headach is complicated with local or general rheumatism, manifested by
rending and shooting pains which fluctuate from the
nape of the neck, sides of the head, and forehead, attend-.
ed by coldness or shivering, or fever and perspiration of
the head or entire body and aggravated by the least
movement and at night. Headach from Heat is marked
by pressing pain and fulness of the entire head, attended
by want of appetite, especially in the morning, nausea,
vomiting and diarrhaoa, thirst, fever, agitation, trembling
and apprehension of the future. The Bryonia may be
used in alternation with Belladonna, when that remedy





HEADACH.


219


is not promptly efficient for headach from heat, as -described under Belladonna. Changeable weather frequently
excites the Rheumatic headach. The headaches of
Bryonia appear most frequently in the morning and after
meals, and are aggravated by motion, walking, stooping,
&c., and touch.
ADMINISTRATION, Nux vomica may be used after and
alternated with Bryonia. The repetition and alternation
of the dose the same as directed for Aconite.
CHAMOMILLA.
CHAMOMILLA is useful for Digestive, Nervous, and
Rheumatic headaches, and those caused by Coffee, Anger, and Cold; and for females, children, and persons
excited by the slightest pain. For Digestive headach,
see " Indigestion," p. 76. Nervous headach is characterized by drawing, rending and pulsative pains of one
side of the head which, extend to the jaw, sometimes attended by a benumbed sensation, or sensibility which
renders the touch intolerable; acute shooting pain in
the temples, heaviness and throbbing over the nose;
bloated face, redness of one cheek and paleness of the
other; hot perspiratiA of the head and scalp, and painful
and congested eyes. Rheumatic headach is similiar to
the above, occurring in persons of a rheumatic habit or
labouring under rheumatism. Headaches dependent on
Cofee and Anger are recognized by the same peculiarities. The headach from Cold is marked, in addition,
by weeping eyes, sore throat, hoarseness and catarrhal
irritation of the chest.
ADMINISTRATION. Chamomilla may be used after Aconite and Coffea,and may precede Belladonna andPulsatilla.
COFFEA.
COFFEA is applicable to  Congestive and Nervous
headaches, to those caused by Debauch or Spirituous
drinks, and to nervous persons and children. Conges




220


CEREBRAL SYSTEM.


tive headach may arise from excess of joy, is attended by lively exaltation of the mind, heaviness of the
head, with occasional violent pain of one side, redness of
the eyes and sleeplessness, and is exasperated by speaking. Nervous headach is marked by a sensation as if
the brain were bruised and rent, or by severe rending
pains of one side of the head, as if pierced by a nail,
which seem insufferable; frequently caused by Debauch
or Spirituous drink, meditation, vexation and influenza;
attended by extreme sensitiveness to noise and music,
by agitation, great anguish, tears, cries, distraction, throwing about, chilliness, aversion to fresh air and distaste for
coffee. Ignatia, Nux vomica and Pulsatilla, may precede
and Aconite and Chamomilla succeed the use of Coffea.
ADMINISTRATION. The Cofea may be repeated frequently, from half an hour to two and three hours, according to the relief afforded.
IG NATIA.
IGNATIA relieves Congestive, Hysterical, and Nervous
headaches, and those dependent on Grief, Anger, and
Tobacco, and of nervous persons and children. Congestive headach is characterized bl a painful sensation
offulness and expansion of the head, as if it would burst,
especially when conversing, reading or listening to another; also by a pulsative and deep seated pain, especially in the forehead, and above the root of the nose,
attended by trembling of the body, palpitation of heart
and great despondence. Hysterical headach is generally owing to a high degree of mental excitement, and
particularly Grief or excessive Anger, and is marked by
piercing, darting pains, which penetrate-the brain deeply,
either in the forehead or one side of the head, by alternations of extravagant gaiety, and laughter, and extreme
despondence and tears, imperfect sight, very red or pale
face, nervous agitation and physical restlessness. Ner




HEADACH.                 221
vous headach is attended by rending, boring, throbbing,
and lancinating pains, which seize the forehead as if a
nail were driven through it deep into the brain; or pressing pain in the forehead and above the nose, which progresses from without inwardly and is mitigated by stooping; paleness of face, nausea, darkness before the eyes,
intolerance of light, profuse colourless urine, fickleness of
disposition, sensitiveness, strong fears, laciturnity, sadness, mildness, &c. Ignatia may be used as an antidote to a headach caused by Tobacco, when the symptoms are similar to those we have given as characteristic
of Ignatia. The headaches of Ignatia are aggravated
by coffee, tobacco smoke, brandy, noise and strong
smells; aggravated or mitigated by stooping; mitigated
by lying down and change of position; and are renewed
after a meal, lying down in the evening and rising in
the morning. It may be used to advantage after Chamomilla, Pulsatilla and Nux vomica.
Rule of administration the same as for Aconite.
MERCURIUS SOLUBILIS OR VIVUS.
MERCURIUS SOLUBILIS OR VIVUS, is most efficient in
headaches connected with Catarrh, Congestion to the
Head, and Rheumatism. The Catarrhal headach frequently prevails epidemically, and is distinguished by
pressing, aching pain in the forehead, frequent sneezing,
profuse discharge of serous mucus, which is offensive at
times, redness and excoriation of the nose with itching
and aching pains on pressing the nose, chills or fever,
nocturnal perspiration, violent thirst, pains in the limbs,
and increased suffering from either heat or cold. (It
may precede or alternate with Belladonna in this form of
headach.)  Congestive headach has a full and crowded
feeling of the head as if the forehead would fly apart, or
as if the head were firmly bound by a band, especially
19'




'.^***'""s.;^'-^;;


222              CEREBRAL SYSTEM.
with aggravations at night, when the pains become boring, burning, rending and darting, and are attended by
easy, frequent and profuse perspiration, which affords no
relief. (Here it is useful after Belladonna and Opium.)
Rheumatic headach is attended by burning, shooting,
throbbing and rending pains, which affect one side ofthe
head, extending to the teeth and neck, with pulsatory
dartings in the ears. The pains seem to be imbedded in
the bones, and the external flesh is frequently tumefied.
It may be used before or after Belladonna or Bryonia. It is
a distinct peculiarity of the Mercurial headaches that they
are aggravated at night, towards morning, by the warmth
of the bed, damp and cold air, heat and touch; and are
attended by profuse perspiration, which affords no relief.
ADMINISTRATION.   The Mercury may be given in extreme cases every four hours, and in alternation with Belladonna every three or four hours. In ordinary cases it
is preferable to administer a single dose in the evening.
Nux VOMIcA.
Nux VOMICA is a very prominent agent of cure in
Catarrhal, Congestive, Gastric, Nervous and Rheumatic
headaches, and those dependent on Coffee, Spirituous
drinks, Intellectual labour, Anger, Chills or Currents of
air, Prolonged watching and Constipation.'  Catarrhal
headach is marked either by heaviness in the forehead or
shooting and rending pains; obstruction in the nose, or
elsefluent coryza of a mucus which is sometimes brown
and corrosive in the morning and dry in the evening or
at night, with parched mouth and absence of thirst;
bruised sensation throughout the body; burning heat and
* The Nut is most indicated in persons of a lively temperarnent, red face and full habit, who make a free use of Coffee and
Liqers, and especially in those that lead a sedentary life and suffer
from Constipated habit.





*.
i~:~::::::"0  ':!:i"-                 %*Ji.      ~:
~~~..,-:':"~


READACH,-                 223
redness of the cheeks; heat of the head and entire
body, and alternations of chills and fever, especially in
the evening; and hard faeces or constipation. Gastric
headach: vide Indigestion, p. 76. Congestive headach
is attended by excessive heaviness of the head, especially
on moving the eyes, and during mental exercise, with a
feeling as if the skull would fly apart; painful sensitiveness of the brain, either from motion or external pressure; pressure on the temples; imperfect sight, with desire to shut the eyes and inability to sleep; and aggravated in the morning and open air. Nervous headach
appears in the form of rending, shooting and jerking
pains, principally on one side of the head, as if pierced by
a nail, with nausea and vomiting of sour water; also,
pricking, stinging, or oppressive sensation of one side of
the head, which commencing in the morning, gradually
increases in intensity, until the patient becomes distracted and insensible; also, as if the brain were rent
asunder, with pale, haggard face, dizziness when walking, buzzing noise, excitation, &c. Rheumatic headach
is marked by tensive drawing pains affecting the forehead on one side of the head, attended by a bruised sensation of the head and similar pains in the back, loins
and joints, a sensation of torpor or paralysis in the parts
affected, with cramps and palpitation in the muscles; shivering and constipation.  (It is mainly indicated for
Rheumatic headach after Aconite, Chamomilla, Ignatia,
or Arnica.) The headaches dependent on Coffee, Spir.
ituous  drinks, Intellectual labour, Anger, Prolonged
watching, or Constipation, are Congestive or Neuralgic,
and require a careful study of their respective indications.
The headach from Chill or Currents of air, is Catarrhal,
which see. The Nux headach is aggravated in the
morning, after meals, by coffee, wine, tobacco smoke,





224             CEREBRAL SYSTEM.
noise, bright light, meditation, watching, and windy and
chilly weather; it is mitigated by sitting or lying down
without change of position.
ADMINISTRATION. The Nux may succeed Aconite, or
alternate with it every three or four hours in acute febrile conditions. It may precede or alternate with Bryonia or Pulsatilla by the same rule.
Administered singly, the interval of repetition should
vary from 4 to 24 hours, according to the severity of the
case.
PULSATILLA.
PULSATILLA applies to Catarrhal, Gastric, Congestive, Nervous, and Rheumatic headaches, and to those
caused by Debauch, Spirituous drinks, Intellectual labour,
Chill, Bathing, or Cold drinks. It is especially suited
to females and persons of phlegmatic temperament, mild
character and lymphatic constitution, with pale complexion, light hair, blue eyes, &c.  Catarrhal headach is
marked by dull heavy aching in the root of the nose,
forehead, or over one eye, or confusion of the head, and is
attended by loss of appetite, taste and smell; swelling
and obstruction of the nose; discharge of blood or of a
thick and offensive mucus, sometimes yellow, and sometimes green; and absence of thirst, with chilliness.
For Gastric headach see Indigestion, p. 76. Congestive headach manifests itself by wearying, debilitating,
and oppressive pains which seize one side of the head; or
progress from the occiput to the forehead or root of the
nose, or conversely proceed from the root of the nose to
the occiput; attended by heaviness of the head, dizziness, paleness of the face, agitation and inclination to
weep. Nervous headach offers rending pains, in single
spots or in every part of the head, which are augmented
toward evening; or throbbing, darting and pricking





@sl WI 4" _e~ T'": *::" C"
I;-,'~:a'lw-;rk*i-cs: ~;RC s-Uc rid


DETERMINATION OF BLOOD TO THE HEAD,    225
pains, after rising in the morning or lying down in the
evening; or jerking, rending, darting and pricking pains
in one side of the head only; attended by heaviness of the
head, frequent dizziness, obscure vision, intolerance to
light, sickness at the stomach, buzzing, darting, rending,
and pricking in the ears, paleness and varied expression
of the face, loss of appetite and thirst, agitation and chills,
bleeding at the nose and palpitation of heart. Rheumatic
headach is characterized by similar pains to those of
the Nervous; and are connected with rheumatic pains of
the body, which pass rapidly from one joint to another,
with sensation of torpor in the parts affected, dartings
and coldness on change of weather, and shiverings increasing in proportion to the intensity of the suffering.
For headaches arising from Debauch, Spirituous drinks
and Intellectual labour, carefully consult the indications
of Nervous and Congestive headaches; and from Chill,
Bathing, or Cold drinks, look to Catarrhal headach.
The Pulsatilla headach is aggravated or renewed in the
evening after lying down, or at night, or in bed in the
morning; at rest, especially when seated; and mitigated
in the open air, by movement, walking, external heat ani
firm pressure. ADMINISTRATION. Pulsatilla follows, and
is of great service in alternation with Aconite; may preede Bryonia and Nux, and succeed Chamomilla and Ignatia, with which it may occasionally alternate.
The repetition and alternation the same as advised
for the Aconite.
DETERMINATION OF BLOOD TO THE HEAD.
Congestio ad Coput.
This is an affection to which many individuals who
lead a sedentary life are subject: intense mental application and habitual indulgence in the use of spirituous





226


CEREBRAL SYSTEM.


or other stimulating liquids, such as coffee, etc., are also
frequent exciting causes, particularly in those who inherit a predisposition to the disorder.
DIAGNOSIS. Fulness of the vessels of the head and
neck, the pulsation of which the patient experiences
through the entire frame; heat, redness, and turgidity
of the face; repeated attacks of giddiness, paticularly
on sleeping, sitting in a warm, confined apartment, or an
exposure to the rays of the sun when exercising in the
open air; headach, generally above the orbits, and in the
forehead, increased by stooping or coughing; disturbed,
unrefreshing sleep.
THERAPEUTICS.    Aconitum  napellus,' Nux vomica,
Belladonna, Opium, Coffea, Chamomilla, Ignatia, Arnica,
Mercurius, Pulsatilla, Dulcamara, Cinchona.
AcONITUM. This is the principal remedy to commence with in all recent cases, and is alone sufficient
speedily to remove the affection, particularly in children
when fright and anger combined have been the exciting
causes.
ADMINISTRATION. -, in a teaspoonful of water,
repeated in six, twelve, or twenty-four hours, if necessary; for children or infants, 1~ or 0-, in half an ounce
of water, a teaspoonful every twelve hours until relief
is obtained.
Nux vOMICA.   As has already been repeatedly observed, this remedy is exceedingly efficacious in complaints arising from sedentary habits, intense study, or
that much more culpable habit, the excessive indulgence
in spirituous or vinous liquors, etc.; it is accordingly one
of the most useful remedies in determination of blood
to the head, induced by such causes; it is also very
serviceable in cases arising from a violent fit of passion,





DETERMINATION OF BLOOD TO THE HEAD.    227.
and is more particularly indicated when we meet with
the following symptoms: distension of the veins with
violent pulsation in the head; heat, redness of the face;
attacks of giddiness, violent headach, particularly in the
forehead, and over the orbits, aggravated by reflecting,
or by any attempts at mental application, also by stooping
or coughing; disturbed sleep; nervous excitability, and
disposition to be angry at trifles.
ADMINISTRATION. 6-, in as many teaspoonfuls of
water, one to be taken each night on retiring to rest.
Calcarea will frequently be found of signal benefit after
Nux vomica, in obstinate cases occurring in persons
addicted to indulgence in spirituous liquors.
BELLADONNA.    After a previous administration of
Aconite, when necessary, this is one of our most important remedies in the treatment of congestion to the head.
Indications: great distension of the vessels of the head,
attended with severe jerking burning pains in dne half
of the head, aggravated by the slightest movement or the
least noise; by bright redness and bloatedness of the
face, redness of the eyes, sparks before them, and
sometimes dimness of vision; darkness before the eyes;
diplopia; buzzing in the ears; attacks of fainting;
somnolency.
ADMINISTRATION. 9eQ, in a teaspoonful of water,
repeated in six, twelve, twenty-four hours, or at shorter
or longer intervals, according to the greater or less
severity of the symptoms, or the effects produced by the
preceding dose.
OPIUM is of speedy service in cases arising from
fright, but it is moreover a remedy of extreme value in
serious cases bf congestion, either arising suddenly from
the effects of a draught of cold or iced water, especially
when heated, with the following symptoms: vertigo,





228


CEREBRAL SYSTEM.


stupor, heaviness of the head, humming in the ears,
dulness of bearing; pressure in the forehead from within
outwards; or from the effects of a debauch, with redness
and bloatedness of the face, great depression, fugitive
heat; violent thirst; dryness of the mouth, acid regurgitations, nausea or vomiting.
ADMINISTRATION. -4, in a teaspooful of water, followed in six or eight hours by.%.
COFFEA. In cases arising from excessive joy, this
remedy will be found to exert a salutary influence;
excessive and incontrollable liveliness; great heaviness
of the head, or aggravation of the sensations when
speaking; sleeplessness.
ADMINISTRATION., repeated in twelve hours, if
necessary.
CHAMOMILLA. Congestion caused by vexation, or a
fit of passion, particularly in children, is speedily relieved by this remedy.
ADMINISTRATION. One or two globules of the sixth
potency in a teaspoonful of water.
IGNATIA, when induced by a stifled vexation, or harrowing, concentrated grief.
ADMINISTRATION.   6, in six teaspoonfuls of water,
one daily.
ARNICA. In cases arising from external violence,
such as severe falls or contusions, followed by obstupefaction, vertigo, sensation of pressure or coldness over a
small circumscribed space; tendency to close the eyes;
disposition to be frightened, and vomiting; the external
and internal administration of Arnica, when timeously
had recourse to, will frequently be found specific.
ADMINISTRATION. j, in a teaspoonful of water, and
a lotion of one part of the tincture to ten of water,
applied to the injured part.





DETERMINATION OF BLOOD TO THE HEAD.    229
MERCURI. - Congestion. with sensation of fulness,
or as if the head were compressed by a band; nocturnalaggravation with darting, piercing, tearing, or burning
pains; disposition to sweating.  After Arnica, Belladonna, or Opium, Mercurius is frequently found serviceable in completing the cure.
ADMINISTRATION. I, in six teaspoonfuls of water,
one every twenty-four hours, until decided benefit results.
Pulsatilla. This remedy, as will be found stated in
the proper place, is well adapted in many cases of
congestion occurring in young girls at the critical age,
or in all cases occurring in cold, lymphatic temperaments
with the following symptoms: distressing semi-lateral
pain in the head, particularly of a pressive character, or
if the pain in the head commences at the occiput and extends to the root of the nose, or invertedly. Amelioration of the symptoms from exercise, or from passing or
binding the head; exacerbation while sitting; sense of
weight in the head; vertigo; inclination to weep; anxiety; coldness, or shivering.
ADMINISTRATION:   The same as described under
Mercurius.
DULCAMARA.    Congestion attended with continual
buzzing in the ears, dulness of hearing, and particularly
when the affection has arisen from getting the feet wet,
or from a chill in cold, damp, weather.
ADMINISTRATION. I, in a teaspoonful of water repeated
in from twenty-four to thirty-six hours, if necessary.
CINCHONA.   Congestion occurring after repeated
bloodlettings, or hemorrhage in general, is generally
relieved by this remedy.
ADMINIT'TRATION. 1, in six teaspoonfuls of water a
teaspoonful daily.
After the completed action of Cinchnd, Sdlphut and
20





230


CEREBRAL SYSTEM.


Calcarea carbonica, Vo, at intervals of five or six days,
will materially tend to strengthen the impaired constitution when Cinchona is not of itself sufficient to effect
that desirable object.
Nux voMICA.   Veratrum and Valerian are also valuable remedies in particular cases arising from debilitating losses; the attention of the student or practitioner
may also be directed to the following remedies: Rhus
toxicodendron, Bryonia alba, Cicuta virosa, Hepar sulphuris, Silicea; the two latter, together with Sulphur
and Calcarea, are more particularly adapted to the treatment of chronic cases.
DIET. The homoeopathic regimen already given in
Introduction should be rigidly adhered to, and stimulants
of all kinds carefully avoided.
APOPLEXY. Apoplexia.
Few diseases offer a greater number of varieties in
form than the one above named; and there is scarcely
a single classification of the many that eminent medical
writers have given to the world, that is not more or less
liable to objection.
"It is also extremely difficult to diagnose clearly between the different varieties, the external symptoms not
always bearing a uniform relation to the internal injury;
thus all the indications of serous apoplexy may declare
themselves from sanguineous extravasation; and it is
not always possible to decide in apoplexy whether
effusion or simply congestion of the vessels of the brain
has taken place. After having given a general diagnosis of this affection, I shall treat of the premonitory
symptoms, and then for the use of the professional -
student briefly point out the homcwopathic remedies most
useful in the disease itself.





A-,


APOPLEXY.                231
DIAGNOSIS. Sudden or gradual loss of consciousness,
sensation, and motion, with greater or less disturbance
of the pulse and respiration.
PREMONITORY SYMPTOMS. Continued inclination to
somnolence, heavy profound  sleep with  stertorous
breathing, incubus, grinding of the teeth, shocks or
cramps, a general feeling of heaviness or disinclination
to the least exertion; frequent yawning and fatigue
after the slightest exercise. A  sense of weight and
fulness, and pains in different parts of the head.
Cephalalgia and megrim, or vertigo and fainting; pulsation of the temporal and carotid arteries with swel.
ling of the veins of the head and forehead; disturbance
of the cerebral system evinced by loss of memory, forgetfulness of words and things, irritability'of temper, or
mildness and indifference, despondency and weeping;
infiltration of the conjunctiva, dimness of vision, specks
or motes before the eyes, or flashes of fire or sparks
during darkness. Acuteness of vision or diplopia, sometimes also the words in a line appear to run into one
another; difficulty of opening or closing the eyes;
noises, humming, singing, &c. in the ears; dulness of
hearing, dryness of the nostrils, pinched appearance of
the nose with unpleasant odour, sneezing, and slight
epistaxis; stammering, and indistinct enunciation; difficulty of deglutition, numbness or torpor or pricking sensation in the extremities with occasional partial attacks
of paralysip in the face, distorting the features, and affecting the utterance, or in some of the muscles of the
limbs, pains in the joints; weak or unsteady mode. of
progression, difficulty of micturition, &c.
TARIR TREATMENT. Against the preceding, Homeopathy possees remedies by whose proper application





232


CEREBRAL SYSTEM.


the practitioner may, if consulted in time, succeed in
warding off the attack of this dreaded malady.
The following are the medicines most appropriate to
the treatment of the foregoing symptoms which are most
generally called for in the treatment of the disease itself,
or to determination of blood to the head; (see that
article and Opium), Aconitum, Belladonna, Nux vomica.
ACONITUM. In all cases where there are evident
symptoms of plethora, determination of blood to the
head, characterized by redness and fulness of the face,
distension of the veins of the forehead, quick full pulse,
restlessness, and anxiety.
ADMINISTRATION. 6, dissolved in six teaspoonfuls of
water, one every twelve hours.
BELLADONNA. Should the symptoms of congestion
not speedily yield to Aconite, or should only a partial
degree of amelioration have taken place; or further,
should the following symptoms present themselves:
redness and bloatedness of the face, injection of the
conjunctiva, violent beating of the carotid and temporal
arteries, and noises in the ears, darting pains in the
head, with violent pressure at the forehead increased by
movement, the least noise or bright light, or diplopia
and almost all the symptoms relative to the eyes already
mentioned; dryness of the nose with unpleasant smell
and epistaxis; difficulty of deglutition; slight attacks of
paralysis in the face; paralytic heavings in the limbs.
ADMINISTRATION. 6, in six teaspoonfuls of water,
one every twenty-four hours, or every six or twelve in
more alarming cases, taking care if the slightest symptoms of medicinal aggravation declare themselves, to discontinue the medicines for a time.
Nux VOMICA is particularly suited to cases in which
the apoplexy threatens individuals of sedentary habits





APOPLEXY.


233


addicted to the userof ardent spirits, or to too great an
indulgence in the pleasures of the table, and also when
the following symptoms present themselves: headach
with vertigo, confusion and humming in the ears, drowsiness, feeling of languor with great disinclination to
exertion, either mental or bodily, cramps of the limbs,
especially at night, and weakness in the joints; constipation and dysuria, irritability of temper, aggravation of
the symptoms in the morning, or after a meal, and also
in the open air.
ADMINISTRATION. The same as Belladonna.
OPIUM. When we find marked congestion to the
head, indicated by stupor, vertigo, heaviness in the head,
and violent pressure in the forehead, singing in the ears,
and obtuseness of hearing, sleeplessness or agitating
dreams, or frequent and almost overpowering drowsiness
during the day, redness of the face and constipation.
ADMINISTRATION. 6, in the same manner as Belladonna.
When any of the symptoms before noticed present
themselves, is the proper time to prevent the attack running on to apoplexy; sometimes the signs are so marked
that we can have but little doubt of the result, unless
timely precautions are taken; at other so slightly as to be
almost imperceptible; and in others again the attack
comes on suddenly without any marked premonitory
symptoms whatever.
A work of this nature is scarcely the place to enter
upon the many varieties of this dangerous and complicated
affection. When so much depends upon the tact and
promptness of the practitioner to do the subject the
justice it merits, would require almost a treatise of itself;
and I feel that a meagre sketch of a single variety and
its treatment might be calculated to mislead and cause
20*





234


CEREBRAL SYSTEM.


incalculable mischief. I shall therefore content myself
with pointing out the hommopathic remedies which have'
been most serviceable, namely, the four already mentioned under the premonitory symptoms, and in addition
Lachesis,. Stramonium, Hyoscyamus, Cocculus, Ipecacu.
anha, Pulsatilla, and Cuprum aceticum; and in some
cases Baryta carbonica, Coffea cruda, Antimonium crudum, Conium maculatum, Digitalis, Mercurius, and Tartarus emeticus; and in the paralysis resulting from
apoplexy, Belladonna, Baryta carbonica, Causticum, Nux
vomica, Cocculus, Stramonium, and Zincum metallicum.
I cannot conclude this article without giving expression to the gratification I, in common with the majority
of the most eminent of my homceopathic medical
brethren, feel at the gradually increasing distaste to
bloodletting upon the part of our opponents. Many have
renounced the use of the lancet altogether; and others,
while they do not wholly discountenance its employment,
surround the cases in which it ought to be had recourse
to with so many restrictions as almost to amount to a
prohibition. At all events, we may hope that the time
has already arrived, at least for the more enlightened
of our profession, when even those who still adhere to
its employment in particular cases will not rashly
prescribe bleeding in all instances of cerebral compression, where if had recourse to before a reaction has set
in it may destroy the patient, either by his sinking under
it, or by effusion, if that has not already taken place, or
by increasing it if it has.





235


INFLAMMATION       OF THE BRAIN       AND    ITS
TISSUES. BRAIN FEVER.
Phrenitis. Encephalitis.
DIAGNosIS. Coma, or constant delirium, or both,
with signs of determination of blood to the head; fulness
and redness of the face and eyes; beating of the carotid
and temporal arteries; sometimes attempts to grasp the
head.
When depending upon inflammation of the tissues the
pain is more acute than that arising from inflammation
of the substance of the brain. Paralysis also more
frequently accompanies the latter form.
In inflammation of the brain or of its membranes, the
symptoms are exceedingly diversified; the extent and
duration of the disease, the age, sex, and constitution of
the patient, assist in giving to the affection a variety of
character. Much assistance may be derived, in ascertaining whether the brain is affected or not, by examining
the eyes and general expression of the countenance.
The pupils in the first stages are commonly found more
or less contracted, but as the disease advances, they
often become dilated.  Occasionally the attack  is
preceded by premonitory symptoms, such as congestion
of blood to the head, attended with sensations of weight,
or stupifying, pressure, constrictive, and sometimes
shooting pains in the head. In some instances slight
feverish symptoms are complained of, with ringing in
the ears for about the space of a week; giddiness, and
a sense of weight on the crown of the head; pulse
rather quick, and the heat of the skin somewhat increased
at night, attended with restlessness and a difficulty of
lying long in one position; moreover, the patient is





236


CEREBRAL SYSTEM.


observed to be irritable and annoyed at trifles; anomalies
in the mental powers may next be observed, such as
obstupefaction, drowsiness, with mild delirium or a high
degree of excitement, in which the patient is affected by
the slightest noise, and the eyes have a brilliant and
animated expression, or are blood-shot, with fiery redness
of the face, and wild delirium. According to the seat of
the inflammation, or the constitution of the patient, the
accompanying fever is of greater or less intensity; the
pulse is very variable in the course of the same day; it
may be regular, intermitting, quick, and weak, or very
slow and strong. A very slow or a very quick pulse
generally indicates danger. The patient frequently complains of heat in the head, whereas the extremities are
cold. When there is stupor, or a tendency to it, the
eyes look heavy and void of all expression; vomiting
sometimes takes place and proves very intractable; the
stupor becomes more profound, convulsions appear,
and death sooner or later ensues. The peculiar and
dtlicate structure of the brain and its membranes in
children renders them much more susceptible to the
attacks of this serious disease, and great attention ought
to be paid to the following symptoms: heaviness of the
head, attended with pains, of which latter circumstance
we are sometimes made aware, in very young children,
by the little sufferer frequently raising its hands to the
head; alteration of temper; intolerance of light; nausea,
occasionally followed by vomiting; tendency to costiveness; drowsiness; wakefulness, or starting during sleep.
Secondly, continued boring of the head against the pillow;
a high state of excitement, in which the slightest noise,
or rays of light, throws the child into a fit of screaming,,
or a state of discontentment; heavy sleep; great heat in
the head; redness and swelling of the face, with precep




INFLAMMATIONM OF THE BRAIN.


237


tible throbbing in the vessels of the head and neck;
great agitation, with continued tossing about, especially
at night; eyes red, sparkling, convulsed, or fixed; pupils
immoveable, and generally dilated.
CAUSEs. Anything tending to irritate the brain, such
as extremes of heat or cold; the abuse of ardent spirits;
external injuries of the head; concussions from falls;
mental emotions, or over-exertion of the faculties; ex.
cesses of all kinds; sanguineous congestion; metastases;
contagious disease; repressed eruptions, &c.
THERAPEUTICS.. With regard to the treatment of this
disease, we should have immediate recourse to ACONITE
at the commencement of the attack when the skin is hot
and dry, and the pulse rapid, with the ordinary indications of pure Inflammatory Fever, which is especially
liable to be the case in young plethoric subjects.
ADMINISTRATION.   The same as in Inflammatory
Fever. After which we may have recourse to any of
the following remedies as indicated, namely, Belladonna,
Hyoscyamus, Opium, Stramonium, and Cuprum Aceticum.
BELLADONNA. This remedy seems to possess a certain specific influence over inflammation of the brain and
its meninges; and is generally the one we should select
when the following, among other symptoms, present
themselves: great heat of the head; redness and bloatedness of the face; with violent pulsation of the carotids;
burying of the head in the pillow, and increase of suffering
at the slightest noise, with extreme sensibility to light;
violent shooting and burning pains in the head; eyes red
and sparkling, with protrusion or owid expression; contraction or dilatation of the pupils; violent and furious





238


CEREBRAL SYSTEM.


delirium; loss of consciousness; sometimes low muttering; convulsions, occasionally symptomatic hydrophobia;
vomiting; involuntary evacuations of faeces and urine.
ADMINISTRATION. One drop of the tincture at the
third potency, in an ounce of water, a dessert-spoonful
every four to six hours, according to the intensity of the
symptoms and the effects produced.
HYoscYAMus is appropriate when there is drowsiness,
loss of consciousness, delirium about one's own affairs;
inarticulate speech; tongue coated white, with frothy
mucus about the lips; dilatation of the pupils; fixedness
of the vision; skin dry and parched; redness of the face;
and picking of the bed-clothes with the fingers.
ADMINISTRATION. Same as Belladonna.
OPIuM. When there is lethargic sleep, with stertorous
breathing; half open eyes and confusion or giddiness
after waking; complete apathy and absence of. complaint.
ADMINISTRATION. Two drops of the second potency
in an ounce of water, of which we may give a dessertspoonful every hour until relief takes place, unless some
other more specific remedy be called for by some
alteration in the symptoms.
STRAMONIUM, when there is starting or jerking in the
limbs; sleep almost natural, but followed by absence of
mind after waking; sometimes attended with moaning
and tossing about; vision fixed, and the patient frequently
appears in a state of dread, and utters cries; redness of
the face; feverish heat, with moisture of the skin; in
many of the symptoms it bears a close resemblance to
Belladonna, but with the exceptions of being indicated
by signs of more spasmodic character, and exhibiting
less acuteness of pain in the head.
ADMINIsTRATION. Same as Belladonna.





-~  Li,


r'A


INFLAMMATION OP THE BRAIN.        239
CUPRUM ACETICUM. The value of this remedy in
cases of repercussed exanthemata, and the consequences
therefrom arising, has been already noticed under Scarlet
Fever; under which also some of the symptoms indicating its employment are commented upon; it is also
called for in a peculiar sensitive rather than inflammatory
or irritable state of the brain, which not unfrequently
appears in children during the course of catarrhal fever
or difficult dentition, of which affection the following are
the symptoms; at the commencement crossness or
fretfulness, or apathy and indifference; sleep disturbed
and restless. As the disease gains ground drowsiness,
with inability to sleep; incapability of holding the head
erect, and flushing of the face; dryness of the mouth
without increase of thirst; disgust of food, nausea, even
vomiting; torpor of the bowels, seldom diarrhoea; shudderings, followed by heat, occasional burning; seldom
perspiration; pulse variable, generally rather accelerated
and full; exacerbations and fever (synocha) towards and
at night; subsultus tendinum, and grinding of the teeth
during the exacerbations.
ADMINISTRATION. As in Scarlet Fever.
CINA is useful in irritation of the brain in children,
apparently arising from helminthiasis.
ADMINISTRATION. As under Worms, which see.





240


CUTANEOUS DISEASES.
ST. ANTHONY'S FIRE. ROSE.
Erysipelas.
DIAGNOSIs.   The first local symptoms are heat,
tingling or pricking pains, with diffused swelling, tension,
and deep redness of the affected part. This is, ere long,
followed by pungent, burning, and sometimes tearing or
shooting pain, which is aggravated by motion or pressure;
the surface presents a shining appearance. On pressure,
the redness disappears for a moment, but immediately
returns on removing the finger.  The constitutional
symptoms vary according to the severity of the case;
they generally consist;of shiverings, succeeded by flushes
of heat; sleepiness, wandering pains, dry tongue, nausea,
oppression at the stomach, and headach; vesications
sometimes arise on the affected parts, attended with
increase of fever.  (Erysipelas Bullosum.) In a few
days the redness changes into a yellowish hue. When
the face is attacked, the features become much disfigured
by the swellings, and delirium supervenes. The disease
assumes a very serious aspect when it affects the face
and scalp, and accordingly requires the utmost attention
and discrimination in the treatment pursued.
CAUsES.   Derangement of the digestive functions,
exposure to cold or powerful mental emotions; occasionally it appears during menstruation; certain kinds of food
also provoke it in some idiosyncrasies; for example,
lobsters, oysters, or other shell-fish.





ERYSIPELAS.               241
THERAPEUTICS. The principal remedies in the treatment of the ordinary forms of erysipelas are, Aconite,
Belladonna, Bryonia, Pulsatilla, and Rhus toxicodendron.
ACONITE, only in case there be much fever, or hot: dry
skin.
ADMINISTRATION. t, in slight cases, but even during
the disease if the fever runs high or assumes a synochal
type, exhibit as under Inflammatory Fever, which see.
BELLADONNA, when the redness expands in rays, and
an acute shooting pain is experienced in the affected
part, which is aggravated by movement. In many instances Belladonna alone is sufficient to cut short the disease.
ADMINISTRATION. A drop of the tincture at the third
potency to an ounce of water, a dessert-spoonful every
six hours. In mild cases oj_, repeated in twelve to
twenty-four hours, if necessary.
BRYONIA is frequently useful when the disorder affects
the joints, and when the pain is exacerbated by the
slightest movement. Belladonna, however, is equally
appropriate in most affections of this nature.
ADMINISTRATION. Same as Belladonna.
PULSATILLA, when the disease frequently flies from
one part to another, and is also indicated when the
disease affects the internal and external ear, particularly
in vesicular erysipelas, after Rhus toxicodendron.
ADMINISTRATION. Q-a, in four dessert-spoonfuls of
water, one morning and evening until finished.
RHUS TOXICODENDRON is our best remedy in vesicular
erysipelas, and also appropriate in erysipelas with oedema,
particularly when it has a tendency to extend itself to
the brain and membranes; when the symptoms closely
resemble those developed in Encephalitis; in some
instances it is necessary to have recourse to Belladonna
and Hepar sulphuris to complete the cure.
21





242            CUTANEOUS DISEASES.
It may also be remarked that Rhus is especially suitable to erysipelas arising from particular kinds of food
in certain idiosyncrasies.
ADMINISTRATION. 0-, repeated in six or twelve hours,
if necessary, and in severe cases a drop of the tincture
of the third potency to an ounce of water, one dessertspoonful every four hours until benefit result, lengthening
the intervals or ceasing to exhibit according to results.
ARSENICUM when vesicles of a blackish hue with a
tendency to degenerate into grangrene present themselves; still more clearly pointed out if great prostration
of strength be present. This medicine may also be
advantageously alternated with Carbo. vegetabilis, but as
such cases fall especially within the province of the
physician, it will be needless to enter into the mode of
administration, which must be regulated by circumstances.
CUPRUM ACETICUM. The value of this remedy, upon
the testimony of Dr. Schmid, of Vienna, has been already
noticed in repercussed eruptions, when a marked metastasis to the brain takes place under SCARLET FEVER,
which see.
In some chronic forms of the complaint, Acidum
nitricum, Euphorbium, Sulphur, and Graphites may be
found serviceable.
The greatest care must be observed to avoid the risk
of taking cold even during convalescence; such an accident occurring during the disease is, as is well known,
frequently attended with the most dangerous results.
In conclusion, I may be allowed to remark, that by
the fortunate discovery of remedies perfectly homceopathic to most of the forms of erysipelas, we are now
enabled to treat this affection with the same facility and
certainty as we are other diseases curable by well-known
specifies.
#4





243
BOIL. Furunculus.
DIAGNOSIS. Round or rather cone-shaped hard elevations, of different sizes, slowly inflaming and suppurating, discharging matter generally at first tinged with
blood, but still retaining a portion of morbidly-altered
cellular tissue, which may form the nucleus of another
after the first has healed.
CAUSEs. A peculiar constitutional tendency; they
are, however, frequently critical, as in gout following
acute fevers, or eruptive diseases, and sometimes forming the termination of chronic exanthemata, such as
itch, &c.
THERAPEUTICS. The following are the remedies
most serviceable in this troublesome affection: Arnica
montana, Belladonna, Mercurius, Aconitum, and Hepar
sulphuris.
ARNICA is the best remedy in most cases of boils, and
will frequently prevent their return.
ADMINISTRATION. o0, repeated in three days, if
necessary; in other cases it may be found more advantageous to exhibit o0O in three teaspoonfuls of water,
taking one night and morning until finished.
BELLADONNA, should the boil have an inflamed, fiery,
or erysipelatous red appearance, or, moreover, should it,
if situated upon the extremities, be associated with
swelling and tenderness of the glands under the arm-pit,
or upon the groin.
ADMINISTRATION. Same as Arnica.
MERCURIus. Should the swelling refuse to yield to
that remedy after the inflammatory redness has been
subdued.


A1





244


CUTANEOUS DISEASES.


ADMINISTRATION. The same as Arnica.
ACONITUM, when the boil presents an extremely inflammatory appearance, and the affection is accompanied
with fever and restlessness, is promptly efficacious in
subduing these symptoms, and may precede a more
specific remedy.
When matter has already formed, HEPAR SULPHURTS
will be found conducive to bringing the tumour to a head,
and thereby curtailing suffering.
ADMINISTRATION. ~0, repeated in from six to twelve
hours, if necessary.
A tendency to frequent returns of this affection is often
obviated by a constant repetition of Arnica or Belladonna, but when from some innate taint these are not found
sufficient, this result is often attained by the employment
of Sulphur, and in some obstinate cases, of Lycopodium,
Nux vomica, Phosphorus, and Acidum nitricum.
CARBUNCLE.
Anthrax. Furunculus Malignans. Pustula Nigra.
DIAoNosts. A livid, bluish, or black spot upon an
extended surface, extremely painful, readily running to
gangrene, and proving fatal from the extension of mortification.
"THERAPEUTICS. The best remedies in this affection
are Lachesis, Silicea, and Arsenicum album.
LACHESIS. When the anthrax presents a livid appearance, and disposed to extend rapidly or to burrow.
ADMINISTRATION. 00o00, in four teaspoonfuls of water,
twice a day, exhibiting at longer intervals if improvement takes place.
SILICEA. When administered from the commence




CHILBLAINS.


245


ment in simple non-contagious carbuncle, is frequently
found sufficient to effect a perfect cure.
ADMINISTRATION. -U, in three dessert-spoonfuls of
water, one daily,-to be repeated if required.
ARSENICUM. When the carbuncle threatens to terminate in gangrene; it is also the most efficacious remedy when the disease has arisen from contagion.
ADMINISTRATION. One drop of the tincture at the
third potency to an ounce of water, a dessert-spoonful
every six, twelve, or twenty-four hours, according to the
emergency of the case.
In some cases Cinchona, Rhus toxicodendron, and
Pulsatilla may be found serviceable in completing the
cure after Arsenicum.
CHILBLAINS. Perniones.
This affection is too well known to require any particular description; the exciting cause is exposure to
transitions of temperature, from cold to heat, and vice
versa, but their origin is more deeply seated; the feet
are the part most generally attacked, but we frequently
find the hands also suffer. When they burst and become
ulcerated, they constitute an exceedingly painful affection.
Severe suffering from chilblains is an indication of
constitutional taint not to be neglected, and individuals
so afflicted should place themselves under a proper
course of treatment; for, until the system is completely
renovated, they are continually subject to their recurrence.
THERAPEUTICS. In the treatment of this affection,
the following medicines will be found valuable.
21'





246            CUTANEOUS DISEASES.
Nux vomica, Pulsatilla, Belladonna, Arnira, Chamomilla, Arsenicum, and Sulphurt.
Nux VOMICA -. is particularly indicated when the inflammation is of a bright red colour, with swelling, attended with itching increased by warmth, and when the
chilblains evince a tendency to burst.
PULSATILLA -6, when the inflammation, is of a livid
hue, with itching and beating in the part affected, and
when the suffering comes on, or is exacerbated in the
evening or towards midnight.
BELLADONNA T', when the inflammation is of a bluish
red, (but lighter than that indicating Pulsatilla), and very
considerable, attended with a creeping, tingling sensation.
ARNICA g-, vWhen the swelling is hard, shining, and
painful, attended with itching.
CHAMOMILLA p, when with the inflammation and
itching, a burning sensation is present.
ARSENICUM rT, when the pains are excessively violent, attended with severe burning, or when the chilblain bursts and becomes converted into an irritable
sore, with a tendency to fester. It may in some such
cases be advantageously attended with Carbo vegetabilis Tj.
SULPHUR   o, is a valuable remedy when the inflammation and itching are very severe, and the affection has
refused to yield to the foregoing.
ADMINISTRATION.   Two globules at the potency
given after each medicine, repeated every three days if
necessary. In the instance of Arnica we may also apply a lotion in the proportion of one part of the mother
tincture to five of water. In conclusion, the following
remedies may also be consulted: Acidum nitricum, Petroleum, Rhus toxicodendron, Bryonia, Ledum, Mercurius,
Cinchona, and Secale cornutum.





247
CORNS. Clavi Pedis.
That these troublesome excrescences not unfrequently
arise from an inherent vice of constitution, is evident
from tLe fact that many individuals, who wear tight
boots and shoes, which are unquestionably the principal
excitant, escaping them, while others, with every precaution, suffer severely; such being the case, the main
object must be, by a course of properly-selected internal
remedies, to eradicate the predisposing cause. Among
which Ammonium carbonicum, Antimonium crudum, Lycopodium, Petroleum, Sepia, Phosphorus, Acidum phosphoricum and Sulphur will be found useful. Great alleviation of suffering has, however, been found to result
from bathing the feet in a small quantity of warm water,
to which a little Arnica has been added, and an arnicated plaster-applied to the corn after its having been carefully pared.
While upon this subject it may be remarked that Nux
VOMICA has been found serviceable in cases of swelling
and redness of the heel, resembling chilblains, attended
with acute, burning, shooting pains, materially increased
by the pressure of the boot or shoe, or by walking.
Arnica may be recommended as above should not Nux
vomica be found to relieve.
WHITLOW. Panaris. Paronychia.
By this term is understood an abscess, more or less
deeply seated, forming at the end of the finger, near the
nail, attended with severe pain and considerable swelling; it has imuch tendency to reappear in individuals
who have once suffered from its attacks, which clearly





248


CUTANEOUS DISEASES.


demonstrates the advantage of treating it as a constitutional, and not as a merely local affection; in so doing
we may have recourse to the following medicines: Mercurius, Hepar sulphuris, Rhus, Sulphur, and Silicea.
THERAPEUTICS. We may generally commence the
treatment by MERCURIUS.
ADMINISTRATION. 0O0, repeated every twelve hours,
as long as necessary.
HEPAR SULPHURIS may follow, should the abscess
come to maturity, notwithstanding the exhibition of the
former medicament.
ADMINISTRATION. A grain of the third trituration in
an ounce of water, a dessert-spoonful every three to six
hours until the abscess burst.
RHus is more particularly indicated where there is a
considerable degree of erysipelatous inflammation.
ADMINISTRATION   0, in the same manner as Mercurius.
But-we must have recourse to the alternate administration of SULPHUR -g, and SILICEA J, at intervals of
eight days each, in cases where a constant tendency to
a recurrence of the complaint exists.
IRRITATION OF THE SKIN.
This affection is usually an accompaniment of other
diseases, and is to be treated accordingly, however, in
some cases it declares itself in an idiopathic form, and
is generally caused by scarcely perceptible colourless
elevations under the cuticle; at other times, however,
they are of a considerable size, soft and smooth, but
without desquamation, or any peculiar eruptive appearance.





IRRITATION OF THE SKIN.         249
THERAPEUTICS. Against this extremely distressing
irritation, SULPHUR is frequently the specific remedy,
particularly when exacerbation ensues on the evening,
or when the body is warm in bed, but in other and
more ordinary cases, the following remedies will be
found serviceable: Ignatia amara, Pulsatilla, Mercurius,
Rhus toxicodendron, Hepar sulphuris, Nux vomica, or
Arsenicum album.
IGNATIA AMARA. When the irritation is most severe,
after going to bed, and resembles flea-bites all over the
body, and after scratching,-which relieves-shifts
readily from one part to another.
POILSATILLA. When the irritation comes on in the
warmth of the bed and is aggravated by scratching.
MERCURIUS. When the irritation continues through
the whole night and Pulsatilla proves insufficient, also
in cases when the parts affected bleed readily after
scratching.
RHUS TOXICODENDRON. When the itching is accompanied by violent burning sensation, followed by
HEPAR SULPHURIS, if necessary.
Nux VOM[CA alternately with ARSENICUM, when the
irritation or itching appears on undressing.
ADMINISTRATION 0~O, in four dessert-spoonfuls of
water, one daily, to be repeated, if necessary. Of Mercurius and Rhus toxicodendron we may substitute the
sixth for the thirtieth potency.





250


GENERAL DERANGEMENT OF THE
SYSTEM.
GOUT. Arthritis.
THrs disease, 'particularly when it has assumed the
chronic form, requires a long and discriminating course
of treatment. The chief danger arises from its liability
to transfer its seat from the part first attacked, to some
of the principal internal organs, such as the head and
stomach; in such instances it assumes a peculiarly
critical character.
From some peculiar predisposition, it is often hereditary; until therefore this tendency is eradicated by a
proper mode of treatment, it is useless to expect a
permament cure.
DIAGNOSIS. Pains in the joints, with inflammatory or
chronic cold swelling, with symptoms of deranged
digestion.
These signs however may only partially declare
themselves, or be marked by some other chronic malady:
indeed there is scarcely any disease of that character
with which it may not be complicated.
Prior to the attack, we generally find symptoms of
"general derangement of the digestive function, with
slight access of fever; the veins of the feet become
swollen, and a sense of numbness, cramps, or twitching
is present, with a deficiency of perspiration. When the
attack comes on, which most frequently occurs in the





GOUT.


251


evening or during the night, it is generally with a feeling
of dislocation in the joints of the feet, and burning or
severe scalding pain in the part attacked, more or less
intense; after a time these sensations disappear, leaving
the part red and tumefied;- the fit occurs again at
intervals, generally diminishing in intensity; in many
instances considerable fever is present.
Among the exciting causes of gout may be numbered
the following; a luxurious mode of life; stimulating diet
or drinks; sudden check of perspiration; mental emotions; sedulous application to studious pursuits, and
neglect of taking proper exercise in the open air; and a
use of aperient medicines and tonics.  In plethoric
habits, the gout shows a considerable inclination to shift
its seat to the head, and in dyspeptic individuals to the
stomach and intestines.
THERAPEUTICS. In general cases of this affection,
the principal medicaments are Aconite, Pulsatilla, Nux
vomica, and Bryonia.
ACONITE in plethoric or corpulent habits, where there
is considerable inflammatory fever, with hard and quick
pulse.
ADMINISTRATION. -_ in a little water, repeated in
six hours if necessary; in very severe cases exhibited
as in Inflammatory Fever.
PULSATILLA, where the pains are of a shifting nature,
exacerbated towards evening or in bed, with paralytic or
torpid sensation in the part affected, and more particularly
when the dyspeptic symptoms given under this medicine
(see INDIGESTION or DYSPEPSIA) present themselves.
ADMINISTRATION. "V repeated in from six to twentyfour hours according to results.
Nux voMICA, when the pains are worse towards the





252


GENERAL DERANGEMENT.


morning; a paralytic and torpid sensation with cramps
and throbbings in the muscles; and moreover, when in
addition to other dyspeptic symptoms, we find constipation and hemorrhoids, or inclination to that affection, and
an irritable or choleric temperament; furthermore, when
indulgence in wine or fermented liquors has been the
inducing cause.
ADMINISTrRATION. Same as Pulsatilla.
BRYONIA when the affection has assumed the form of
RHEUMATIC GOUT; where the pains are increased by
the slightest motion; aggravation of suffering at night;
coldness and shivering, with general perspiration or
fever. For the dyspeptic symptoms present, see article
before alluded to.
ADMINISTR TI ON. Same as Pulsatilla.
Each of the medicines here mentioned may successfully follow Aconite, when the febrile symptoms have
been in some measure brought under by the administration of that medicament.
In chronic cases the following medicines should be
consulted: Lycopodium, Aurum, Sulphur, Calcarea carbonica, Colocynth, Hepar sulphuris, Colchicum, Phosphorus,
Conium maculatum, Daphne, and Manganum. Also, as
intermediate remedies, Arnica, Ledum, Palustre, and
Sabina.
RHEUMATISM. Rheumatismus.
DIAGNosIs. Pains in the muscular or membraneous
structure, generally with swelling of the adjacent cellular
tissue, with slight redness and increased generation of
heat, caused by taking cold.
This disease is of two kinds, the Acute and Chronic;
the former is accompanied by fever, preceded by rest




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RnHEUATISM.                253
lessness; heat alternating with chills; thirst; coldness
of the limbs and extremities; constipation and accelerated pulse, followed by pains in the large joints, generally
shifting their situation, leaving redness, swelling and
tenderness, of the parts affected; it is also frequently
attended with excessive perspiration and weakness. In
the latter, or Chronic Rheumatism, the swelling of the
parts, except in very severe cases, is commonly less
preceptible; sometimes there is present a feeling of
general stiffness or numbness, with little or no fever.
Other symptoms incidental to this complaint, we shall
notice more particularly under the head of the different
medicaments most efficacious in the treatment. The
principal exciting causes are damp, chill, or a sudden
check of perspiration. People who have resided long
in a tropical climate, or have been subject to continual
exposure to cold or wet, are very liable to suffer from
frequent attacks of rheumatism in the chronic form.
THERAPEUTICS. In the treatment of this affection
the following medicaments have been found particularly
useful: Aconitum, Belladonna, Bryonia, Chamomilla, Nux
vomica, Mercurius, Pulsatilla, and Rhus toxicodendron.
ACONITUM when we find high fever, dry heat, thirst,
and redness of the cheeks; excessive shooting or tearing
pains, extremely violent at night; occasionally redness
or shining swelling of the parts affected; aggravation
of pains by the touch; excessive irascibility of temper.
ADMINISTRATION. JQ, in a little water, repeated every
six hours, until the fever is lowered: in very severe cases
exhibited as in Inflammatory Fever, which see.
BELLADONNA is useful when the pains are of a shooting
or burning description, principally in the joints, aggravated by movement, and worse at night; when, the parts
22





254


GENERAL DERANGEMENT.


attacked are swollen, red and shining, and particularly
when there is fever, with determination of blood to the
head, with throbbing of the vessels of that part, and
redness of the face.
ADMINISTRATION. p9 in a little water, repeated every
twelve or twenty-four hours, according to circumstances.
BRYONIA may follow Aconite or the preceding medicine
with great benefit, or be administered independently.
The following are the more prominent symptoms.
severe shooting pains, much increased by motion of the
affected part, or by a cold draught of air; swelling of
the joints of the upper and lower extremities; headach,
gastric derangements, and constipation; pains aggravated
at night, particularly on the slightest irritation; irasciSbility and perverseness of temper; the pains seem
situated more in the muscles, and particularly about the
joints, than in the bones.
ADMINISTRATION. Same as Belladonna. In general
cases it is advisable to repeat the medicine in twenty-four
hours.
CHAMOMILLA when we find dragging or tearing pains,
with a sensation of numbness or of paralysis in the parts
affected; feverishness; great agitation and tossing;
desire to remain lying down; perspiration; exacerbation
of suffering at night.
ADMINISTRATION.   -, in the same manner as Belladonna.
Nux voMICA H, when there are: sensation of numbness, paralysis, or tightness in the parts affected, with
cramps and palpitation of the muscles; pains of a
dragging description, chiefly confined to the joints, trunk
of the body, back, loins, and chest, aggravated by cold;
gastric derangement; constipation; irritability of temper.
ADMINISTRATION. Same as Belladonna.





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i.TJMBAGO.                255
MERCURIUS is -indicated in cases where the pains are
increased by the warmth of the bed, or exposure to damp
or cold air, aggravated at night, and especially towards
morning; also where there is considerable puffy swelling
of the parts affected. This medicine is particularly
useful when the pains seem seated in the bones or joints;
profuse perspiration without alleviation of suffering, is
also a good indication for its employment.
ADMINISTRATION. Same as Belladonna.
PULSATILLA n-9, is useful in shifting rheumatic pains,
particularly if attended with a sense of torpor or paralysis,
relieved by exposure to cool air, worse at night or in the
evening.
ADMINISTRATION. Same as Belladonna.
RHUS TOXICODENDRON --6-, is indicated when there
are: sensation of torpor, dullness, and crawling, with
feeling of paralytic weakness or trembling of the extremities when attempting to move them; sensation of bruising
or of laceration, as if the flesh were torn from the bones,
or as of scraping of the bones; pains worse during rest,
relieved by motion; inflammatory or shining redness in
the joints, with stiffness, and sometimes a darting pain
when handled; aggravation of suffering in cold or damp
weather.  This medicament may sometimes follow
Bryonia with considerable advantage.
ADMINISTRATION. Same as Belladonna.
Obstinate cases of Rheumatism in the chronic form
frequently require a long, careful, and discriminative
treatment.
LUMBAGO.
DIAGNOSIS. Violent pain of a rheumatic character in
the lumbar region, either periodical or permanent, fre




256


GENERAL DERANGEMENT.


quently accompanied with a considerable.degree of
fever.
THERAPEUTICS. The medicines most valuable in its
treatment are, Aconite, Bryonia, Nux vomica, Rhus toxicodendron, Belladonna, Pulsatilla, and Mercurius.
ADMINISTRATION and POTENCIES of the remedies.
Same as in Rheumatism, which see.
-ACONITE may be given at the commencement if much
fever declare itself.
BRYONIA where the pains in the back are of a severe
pressive description, constraining the individual to walk
in a stooping position; aggravated by the slightest
motion, or a draught of cold air, and attended with a general sensation of chilliness.
Nux voMIc.A is particularly indicated when the pains
resemble those produced by a bruise, or by excessive
fatigue; also when they are much increased by motion
and turning in bed at night, and attended with considerable weakness; and moreover, when irritability of temper and constipation are present.
This is a valuable medicine in chronic cases, and
may follow Bryonia in acute lumbago with considerable
advantage.
RHUS TOXICODENDRON may be exhibited when the
same indications as those given under the preceding
medicine are present, with the distinction of the pains
being aggravated by rest. It is also a useful remedy in
chronic cases.
BELLADONNA, where the pains are deeply seated,
causing a sensation of heaviness, gnawing, or stiffness;
it may follow Aconite with considerable benefit, when
slight inflammatory symptoms are present.
PULSATILLA, when the pains, resembling those mentioned under Nux vomica, are moreover attended with





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INFLAMMATION OF THE PSOAS MUSCLE.    257
sensation of constriction; it is particularly indicated, as
remarked in other parts of this work, for females, or individuals of mild, sensitive, or phlegmatic temperaments.
MERCURIUS, when the pains are much of the same
description as those given under Nux vomica, but considerably aggravated at night, incapacitating the sufferer
from taking rest.
INFLAMMATION OF THE PSOAS MUSCLE.
Psoitis.
DIAGNOSIS. Pain in the renal region, hip, and downwards to the leg. The limb can neither be stretched or
drawn upwards without pain; in walking there is hobbling in the gait with the body inclined forward; turning
in bed or lifting any weight increases the pain. Occasionally, but seldom we find swelling of the psoas
muscle and in the region of the groin; it in some measure resembles Nephritis, from which, however, it is
distinguishable by the absence of disturbances of the
urinary system and of constipation.
This disease is generally more painful than dangerous; it may, however, prove fatal from matter forming
and discharging itself internally into the cavity of the
abdomen, but more frequently abscesses open in the
groins, anus, perineum, or thighs; it may also produce
caries.
THERAPEUTICS. The remedies given under Lumbago may be had recourse to in this affection; however,
as there is generally a greater degree of fever present
than in that affection, Aconitum followed by Belladonna
should generally form the commencement of our treatment.
22*.1
'i





258


GENERAL DERANGEMENT.


The following may be mentioned in addition:
COLOCYNTH. When there is a feeling of contraction
in the psoas muscles when walking.
ADMINISTRATION 0o, repeated in from   twelve to
twenty-four hours, according to circumstances.
MERCURIUS. When we have reason to apprehend
the formation of an abscess.
ADMINISTRATION. A grain of the third trituration to
an ounce of water, a dessert-spoonful every six, twelve,
or twenty-four hours, according to the effect produced.
See'repetition of the Medicines in INTRODUCTION.
HEPAR SULPHURIS. In case matter has already
formed in large quantity, and our object is to bring the
abscess to a head as quickly as possible, and thereby
relieve the sufferings of the patient, we may, after the
matter has been discharged, again return to Mercurius
to forward the healing of the sore.
ADMINISTRATION. A grain of the same trituration as
Mercurius, in the same quantity of water, a dessertspoonful every three hours until the abscess bursts.
SILICEA. When the-bones have become affected, or
when this disease assumes a chronic form; it may be
treated with the remedies given under Chronic Rheumatism.
STAPHYSAGRIA. When a discharge of peculiarly offensive sanies takes place from caries.
ADMINISTRATION 6, of the two last-mentioned remedies in six dessert-spoonfuls of water, one daily until
finished, unless any marked symptoms of medicinal
action or aggravation declare themselves.
SCIATICA.
DIAGNOSIs. Pain in the region of the hip-joint, which
frequently extends to the knee and foot following the





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SCIATICA.               259
course of the sciatic nerve. It often interferes with the
motion of the foot, causing stiffness and contractions.
THERAPEUTICS. The remedies are Aconitum, Arsenicum, Chamomilla, Ignatia, Nux vomica, Pulsatilla, and
Rhus toxicodendron.
ACONITUM. When considerable and constant disturbance attended with fever is present.
ADMINISTRATION. 00 in a little water, repeated every
six hours till the fever is lowered.
ARSENICOM. When burning pains are complained of,
or sometimes a sensation of coldness in the affected part
-acute dragging pains in the hips with great restlessness, obliging the patient to move the limb frequently in
order to obtain relief, occasional intermission of suffering
or periodical return; great weakness and inclination to
lie down-mitigation from the application of external
heat. It is also useful in those cases of marasmus or
emaciation arising from a long continuance of want of
rest, the result of the pain, and from derangement of the
digestive system.
ADMINISTRATION. O0, repeated in from twelve to
twenty-four hours, according to the results.
CHAMOMILLA. More particularly indicated when the
pains are frequent at night, attended with excessive sensibility and irritability of fibre; sensation of torpor in
the affected parts.
ADMINISTRATION. 00, in the same manner as Arsenicum.
IGNATIA. When the pains are of an incisive nature,
particularly on moving the limb, more particularly occuring in individuals of a low melancholic temperament,
or in dispositions disposed to alternations of extremely
high and low spirits.
ADMINISTRATION. Same as Arsenicum.





260


GENERAL DERANGEMENT.


Nux VOMICA. When the pain becomes aggravated
towards morning, and is attended with a sensation of
contraction so as to interfere with the motion of the foot
with stiffness and contraction, and also a sensation of
paralysis or torpor and chilliness in the parts affected,
and particularly in individuals of an irritable temperament.
ADMINISTRATION. Same as Arsenicum.
PULSATILLA. When the pains are aggravated towards
evening, and during the night, or when seated, and
somewhat relieved in the open air; this remedy is best
adapted for an individual of mild disposition and leucophlegmatic temperament.
ADMINISTRATION. Same as Arsenicum.
RHUS. This medicament is more peculiarly indicated
when the pains are aggravated by rest, relieved by
motion, or by warmth, suitable for individuals with disposition to melancholy sadness.
ADMINISTRATION. Same as Chamomilla.
INFLAMMATION OF THE HIP-JOINT.
Coxalgia, Coxagra.
DIAGNOSIS. A pain in the hip-joint dependent upon a
true gouty inflammation, almost universally of an acute
description, the pain is extremely violent, and extends
from the hip-joint to the neighbouring aponeuroses, the
periosteum, and the adjacent ligaments; consequently
sometimes reaches upwards to the back or downwards
to the thigh, rendering motion excessively painful, either
in walking, rising up, sitting down, or turning in bed.
When the pain is not deeply seated, there is generally
absence of either swelling or redness.
This species of gout usually assumes the irritable





INFLAMMATION OF THE HIP-JOINT.      261
character, runs its course quickly, and forms an active
local inflammation, which very rapidly terminates in
suppuration, particularly when unskilfully treated; it
occurs more frequently in the male than in the female
subject.
When suppuration supervenes, the pain becomes
more obtuse, pressing and throbbing; the inflammatory
fever assumes the suppurative character. (Febris Suppuratoria) indicated by shivering and shuddering, alternating with heat, to which a number of other. sufferings
become united, such as swelling, pains in the knee,
limping, luxatio spontanea, &c.
THERAPEUTICS. The following remedies have been
found most effective in the treatment: Mercurius, Rhus
toxicodendron, Aconitum, Belladonna, Pulsatilla, Hepar
sulphuris, Colocynth, and Acidum nitricum.
MERCURIUS is our most valuable remedy in most cases
of this affection, when the disease is attended with
halting in the gait and sharp cutting ordinary pains which
are materially aggravated at night and during every
movement, and also where exudation threatens or is
present.
ADMINISTRATION. A grain of the third trituration in
an ounce of water, a dessert-spoonful exhibited morning
and evening, and continued as long as advantage appears
to result from its employment.
RHUS TOXICODENDRON.    When darting, tearing, or
dragging pains are experienced in the hip-joint, attended
with tension and stiffness in the muscles, aggravated or
present during rest. Also painful sensibility of the joint
when arising from the sitting posture,
ADMINISTRATION. -, in six dessert-spoonfuls of water,
one every twelve hours until relief is experienced.





262


GENERAL DERANGEMENT.


ACONITUM. If the affection is attended with marked
febrile symptoms or considerable inflammation of the
joint itself exist from the commencement.,
ADMINISTRATION. I, in six dessert-spoonfuls of water,
one every two, four, or six hours, until the above symptoms are relieved.
BELLADONNA is particularly indicated in the inflammatory stage when attended with a marked redness of the
skin, and considerable pain on the slightest movement,
in such instances it may advantageously precede Mercurius.
ADMINISTRATION. -, in the same manner as Rhus
toxicodendron.
PULSATILLA is occasionally found serviceable in mild
cases of this disorder, partaking of a rheumatic character,
when the patient complains of wrenching pains in the
hip-joint, which are aggravated towards night, and even
when in a state of rest.
ADMINISTRATION. 6, in six teaspoonfuls of water, one
daily.
HEPAR SULPHURIS is chiefly useful in cases of
exudation, and may in such instances follow Mercurius
with advantage.
ADMINISTRATION. A grain of the trituration at the
third potency in an ounce of water, a dessert-spoonful
every three or six hours, according to the result.
ADMINISTRATION. The same as Belladonna.
ACIDUM NITRICUM. Wrenching pain in the hip-joint
with a feeling of dislocation, causing lameness.
ADMINISTRATION. Same as Belladonna.
The following remedies have also been found useful
in many cases: Sulphur, Colocynth, Graphites, Bryonia
alba, Calcarea carbonica, Digitalis, Argentum, Arsenicum,
Kreosotum, Asafatida, Aurum foliatum, Cantharides,





HIP-DISEASE.               263
Lachesis, Chamomilla, Staphysagria, S.pia, Silicea, Nux
vomica, Acidum phosphoricum, and Calcarea phosphorata.  See also the following article on Hip-disease,
where indications for some of the above-mentioned will
be found.
HIP-DISEASE. Morbus Coxarius.
" DIAGNOSIs. Chronic inflammation of the bones composing the hip-joint, particularly seated in the acetabulum,
frequently commencing only with pain or uneasiness in
the knee of the limb attacked, or a slight weakness of
the part affected, attended with limping; afterwards
emaciation, and elongation of the limb itself takes place,
and as the complaint progresses, a severe fixed pain is
felt behind the trochanter major, increased by pressure
on the front of the acetabulum, extending down to the
knee, ankle, and foot, which is accompanied with feverish
symptoms, restlessness, and flattening of that part of the
nates which is generally fullest and roundest, depression
of the crest of the ileum, and distortion of the spine.
This complaint is most frequently met with in
children, but no age, sex, or condition of life, is exempt from its attacks; it is peculiarly insidious in its
approach, the pain and uneasiness of the knee above
mentioned, being frequently the first symptoms denoting
its presence, hence it is not unfrequently mistaken for
some complaint of that joint, by inattentive or inexperienced practitioners; a most deplorable oversight, since
it is only in the incipient period of the disease, that a
favorable prognosis can be given; if no appropriate
relief be timeously administered, matter forms within the
joint, the acetabulum and sometimes the head of the
femur become destroyed by caries, luxation upwards and





264


GENERAL DERANGEMENT.


outwards takes place, and the limb, which had previously
been preternaturally elongated, now becomes contracted
and shortened; the sufferer is then either destroyed by
excessive:constitutional irritation, or recovers with an
anchylosed joint.
CAUSES. An inherent constitutional taint, such as
scorfula, is no doubt the principal predisposing cause,
but it is generally attributed to external violence or
exposure to damp or cold; lying down upon damp grass
in summer, or some other exposure to cold or damp.
THERAPEUTICS. Mercurius and Belladonna are our
principal remedial agents, but we may also find occasion
to have recourse in some cases, to the following: namely,
Rhus toxicodendron, Colocynth, Sulphur, Silicea, Calcarea
phosphorata, Pulsatilla, Sepia, and Staphysagria.
MERCURIUS. This remedy is of itself often found to
act as a specific in the early stage of this disease, it is
more particularly indicated when the patient is of a
scrofulous diathesis and sallow complexion, and when
no pain is complained of, but the disease is insiduously
advancing.
ADMINIsTRATION. A grain of the trituration at the
third potency to an ounce of water; a dessert-spoonful
night and morning, carefully watching the effect, and
discontinuing the medicine when any alteration in the
symptoms becomes perceptible; afteiwards either returning to its exhibition, or selecting another medicament according to the result.
BELLADONNA is more especially called for in the
inflammatory stage, when the patient evidences considerable pain.
ADMINISTRATION. A drop of the tincture at the sixth





A-~: -;.  I~~i~  _ 1I~1-~L; -:


HIP-DISEASE.               265
potency to an ounce of water, exhibited in the same
manner as Mercurius.
In some cases it may be found good practice to
alternate these remedies according to the symptoms that
present themselves.
RHUS TOXICODENDRON.      Darting or dragging or
tearing pains in the hip-joint, accompanied with tension
or stiffness of the muscles, most painful when in a state
of rest; and severe pain on arising from  a sitting  ve
posture.
ADMINISTRATION.   A drop of the tincture at the
third potency, exhibited in the same manner as Belladona.
COLOCYNTH. In chronic cases after Belladonna and
Mercurius, particularly when the hip feels bound with a
painful tightness, as if from the pressure of an iron
clasp, which pain extends down the limb, and is attended
with stiffness in the knee-joint.
SULPHUR is generally found called for in chronic cases,
particularly when arising from a scrofulous or psoric
metastasis.
ADMINISTRATION 6. In six dessert-spoonfuls of water
daily.
In cases of abscess or caries in this disease, Silicea
and Calcarea phosphorata, may be pointed out to the
attention of the practitioner, or if the abscess assume a
fistulous character, Pulsatilla.
Staphysagria has also been recommended in severe
cases of a similar nature.
23





266


DETERMINATION OF BLOOD TO THE
ABDOMEN.
Congestio viscerum abdominis. Congestio ad abdomen.
This derangement is characterized by a disagreeable
or painful sensation of weight, heat and burning, with
hardness and tension in the lower portion of the
abdomep.
Nux VOMICA is one of the most frequent sources of
relief in those who lead a sedentary life, or are much
addicted to over-indulgence in the pleasures of the table,
and particularly when the following symptoms are
complained of: hardness, tension, and fixed pain in the
abdomen, sense of great weakness or prostration, rendering it difficult or almost impossible to walk about;
constipation, with pain in the loins, spirits oppressed
and irritable.
ADMINISTRATION. %90, in a teaspoonful of water,
repeated in four days.
SULPHUR will frequently be found serviceable in
completing the cure after the above, or it may be selected
in preference in cases of long standing, when we meet
with the following indications: dull pains, and disagreeable sensation of distension in the abdomen, constipation,
tendency to obstinate hemorrhoidal attacks, extreme
dejection.
ADMINISTRATION. g-, repeated in five days.
CARBO VEGETABILIS, may be selected when the symptoms are accompanied with excessive flatulency, and
will frequently be found of great service in some obstinate cases when alternated with the two preceding
remedies,
ADMINISTRATION. Og, in three dessert-spoonfuls of





INFLAMMATION OF THE EYES.          267
water; a dessert-spoonful daily; repeated in the same
manner four or five days after.
ARSENICUM   will also be found useful, especially
when there is a disposition to diarrhea with extreme
weakness, orCAPSICUM, when these symptoms occur in individuals
of a lymphatic temperament.
The two latter remedies may be administered in the
same manner as is described under Carbo vegetabilis.
In particular cases the following will also be found
useful: Pulsatilla, Belladonna, Mercurius, Bryonia,
Chamomilla, Rhus, Varatrum, Toxicodendron. In consulting the article on Dyspepsia, and Hemorrhoids, the
reader will find further assistance i4 the selection of the
above remedies.
Daily exercise in the open air, together with a careful
attention to regimen must be observed by those who are
afflicted with this affection.
ACUTE INFLAMMATION OF THE EYES.
Ophthalmitis.
DIAGNOSIS. Redness, pain, and heat of the eye, generally with marked sensibility to the action of light either
with dryness or an increased sensation of ophthalmic
humours. When severe accompanied by cephalalgia
and febrile symptoms.
This affection may arise from a variety of causes,
such as exposure to extreme light, the strong heat of a
fire, particularly after coming out of an extremely cold
atmosphere, external injuries, or cold.
THERAPEUTICS. The following remedies are those
most generally required in the treatment of this affection,
according to the form in which it presents itself, and its





268


GENERAL DERANGEMENT.


proximate cause, namely, Aconitum, Belladonna, Nux
vomica, Cinchona, Digitalis, Euphrasia, Ignatia, and
Arnica montana.
ACONITUM. In general cases of non-catarrhal inflammation, when the affection has arisen from the first two
excitants, or without known cause, should the inflammation be considerable, particularly if attended with
fever.
ADMINISTRATION. 0_0, repeated in from six to twelve
hours, until the inflammation is lowered.
BELLADONNA if great sensibility to light remains.
Also in Catarrhal Ophthalmia the following symptoms
present themselves; redness in the conjunctive margin
of the eyelids and corner of the eyes, with a swollen
and tumid appearance; intolerance of, and pain increased by, light; great sensibility of the eyes and eyelids; decrease of vision; flashes of light, sparks, or
darkness before the eyes, with extreme dimness of vision
towards evening; objects appearing reversed or double;
moreover when there are the following catarrhal symptoms: severe cold in the head, with acrid discharge,
causing excoriation, and sometimes an eruption of pimples under the nose, and on and about the lips; periodical
return of short, dry, barking, spasmodic cough, aggravated towards night, and severe headach.
ADMINISTRATION. _0Q, in a little water, repeated in
twelve hours if required; a single dose frequently
suffices.
N. B. The same observation as regards Catarrhal
Ophthalmia applies to the following remedies.
Nux VOMICA, when there are burning pressive pain in
the eye; feeling as of sand in the eye, with smarting,
tickling, and itching; pressure on the eyes, and eye-balls
on attempting to open them; the eye streaked, blood.





INFLAMMATION OF THE EYES.


269


shot, and swollen, with adhesion of the eyelids; affection worse towards morning.                *
ADMINISTRATION. 0O, in a little water, repeated in
twenty hours, or sooner if required.
CINCHONA. When the inflammation is less intense,
but the motion of the eye painful, and the sensation
before noted as of sand in the eye with the distinction of
the affection exacerbating towards evening, when the
pains are of a burning or pressive nature, with headach
in the forehead, as if arising from suppression of the
nasal discharge.
ADMINISTRATION. Same as Nux vomica.
DIGITALIS. When there exists a burning pain and
pressure above the eyes, with redness and inflammation
of the conjunctiva, with great redness and swelling of
the lower lid, and adhesiveness of the eyelids.
ADMINISTRATION. Same as Nux vomica.
EUPHRASIA. For the exhibition of this medicine, the
particular indications are: white of the eye much inflamed; painful pressure in the eyes; profuse and acrid
flow of tears, excited or increased by exposure to cold;
secretion or flow of mucus, sometimes sanguineolent;
severe cold in the head with profuse fluent nasal discharge; violent headach, and aggravation of the symptoms towards evening.
ADMINISTRATION. Same as Nux vomica.
IGNATIA may be administered with advantage when
there are, pressure in the eyes, profuse flow of tears,
great intolerance of light, but with little or no perceptible redness of the eyeball.
ADMINISTRATION. Same as Nux vomica.
Chronic Cases of this affection frequently require a
long and careful course of constitutional treatment to
effect a perfect cure; one of our best remedial agents
23*





270


GENERAL DERANGEMENT.


for this end is Hepar sulphuris, which is also of great
service in acute attacks of individuals predisposed to
this affection. Among the other medicines which may
be consulted with advantage are: Sulphur, Calcarea
carbonica, Causticum, Graphites, Sepia, Spigelia, Acidum
sulphuricum, Petroleum, Lachesis, Acidum nitricum, Ferrum metallicum, Colocynth, and Arsenicum.
If the inflammation arise from external injury, caused
by a blow, or the entrance of any foreign body in the
eye, we may likewise exhibit Aconitum, and follow it in
about twelve or sixteen hours with ARNICA 0 o, bathing
the eye occasionally at the same time with a lotion of
Arnica; five drops of the tincture to an ounce of water.
HORDEOLUM. Stye.
DIAGNOSIS. This is, strictly speaking, an inflammation of the meibomian glands of the eye, appearing
like a small dark red boil, generally in the corner of
the eye, or upon the eyelids, frequently causing considerable pain and suffering.
THERAPEUTICS. The two most valuable medicines in
the.treatment of this affection are Pulsatilla and Aconitum.
PULSATILLA will, in most cases, suffice to remove
the stye if given on its first appearance.
ADMINISTRATION. 000, in four tea-spoonfuls of water,
one morning and evening. This medicine may be again
exhibited whenever an attack threatens.
ACONITUM. When inflammation runs high, attended
with considerable pain.
ADMINISTRATION. 00, in four tea-spoonfuls of water,
one every six hours, until the inflammation is reduced,
or in some instances Staphysagria may be found useful
to complete a cure, and in some scrofulous habits in addition Arsenicum, Sulphur, &c.





271


INFLAMMATION OF THE EARS AND EARACH.
Otitis. Otalgia.
OTITIS. DIAGNOSIS. Violent, frequently insupportable, pain in the ear, with sensibility, and even inflammation, of the meatus auditorius externus, and greater or
less fever.
The pain, when excessive, communicating with the
whole head, may bring on delirium, or even inflammation of the brain.
OTALGIA may exist either as the effect ofotitis again,
or if neglected may pass on to inflammation; in many
cases again it may arise by sympathy from toqphach, or
declare itself as a purely neuralgic affection.
THERAPEUTICS. The medicaments applicable to the
majority of cases of these troublesome and painful disorders are, Mercurius, Pulsatilla, Belladonna, Nux vom.
ica, Arnica, Dulcamara, and Chamomilla,
ADMINISTRATION. Six globules at the potency specified under each medicine, in an ounce of water, a dessert-spoonful every half-hour to six hours, according to
results, carefully watching the effect of each exhibition.
See remarks upon this important point in INTRODUCTION,
Article, ADMINISTRATION  AND REPETITION OF THE
MEDICINES.
MERCURIUs... When the pain is attended with a
sensation of coldness in the ears, and exacerbation of
suffering in the warmth of the bed; shooting or tensive
pains in the internal ear, extending to the cheeks and
teeth; inflammation and induration of the ear, with soreness of the orifice, and discharge.
PULSATILLA r, is a most valuable remedy in this affection. It is particularly indicated whern the external





272


GENERAL DERANGEMENT.


ear is much affected, and appears inflamed and swollen
with heat, shooting and tensive excoriating pain inter.
nally; side of the head also attacked. This medicament is particularly useful in cases of females, and in individuals of chilly habit.
BELLADONNA -, when determination of blood to the
head, with redness of the face, exists, with digging,
boring, tearing or shooting pains extending to the throat,
with extreme sensibility to the slightest noise; when the
pains are more severe internally, also when the pain
partakes of the inflammation, and delirium is present.
Nux VOMICA 6. When the pains are of a tearing,
shooting nature, extending to the forehead, temples, and
bones of the face, worse towards morning; and when
the affection occurs in persons of a lively, choleric disposition.
ARNICA -a, in individuals of nervous, excitable temperament, subject to be attacked from slight causes;
also, when great sensibility to noise is present.
DULCAMARA -, when the affection has arisen from a
chill or wetting, will, in almost all cases, prove sufficient for its removal; it is also indicated when the pains
increase at night, and are attended with nausea.
CHAMOMILLA -, when there are stabbing pains in the
ear, as from knives; great sensibility to noise, or even
to music, extreme sensitiveness, susceptibility, and irritability.
INFLAMMATION OF THE TONGUE.
Glossitis.
DIAGNosIs. Tumefaction, with heat and redness of
the tongue; the swelling is sometimes so great as to fill
the whole cavity of the mouth, rendering swallowing





rr+ris:~a,.3;lh.'ir;w s -


INFLAMMATION OF THE TONGUE.        273
impossible, and threatening suffocation; unless the resolution takes place it may terminate in induration, suppuration, or gangrene.
CAUSES. Besides a general strumous habit, local injuries, acrid substances, rheumatism, catarrh, and metastasis.
THERAPEUTICS. The following medicines will be
found most appropriate in the treatment of this affection,
according to the exciting cause: Arnica montana, Urtica
urens, Mercurius, Aconilum, Belladonna, Lachesis, and
Arsenicum.
ARNICA, in cases of lesion of the tongue from the
points of decayed teeth, &c., or of burns or scalds.
ADMINISTRATION. Ten drops of the matrix tincture
to an ounce of water, rinsing the mouth with the mixture
two or three times a-day.
URTICA URENS has been recommended in preference
to Arnica in burns and scalds of the mouth.
ADMINISTRATION. The part affected carefully touched with a soft brush dipped in the tincture.
MERCURIUS is almost specific when it presents itself
in the form of a disease of the tongue.
ADMINISTRATION. Half a grain of the third trituration to an ounce of water; a dessert-spoonful of the mixture every two, three, or twelve hours, according to the
violence of the disease.
ACONITUM may, with advantage, precede the above
remedy, should the inflammation be very intense.
ADMINISTRATION.   q9, if needful, repeated in two
hours, followed by Mercurius in from three to four
hours.
BELLADONNA. When, the affection does not speedily





274           GENERAL DERANGEMENT.
yield to Mercurius, or when the inflammation is of an
erysipelatous or active phlegmonous nature.
ADMINISTRATION. A drop of the tincture, at the third
potency, to an ounce of water: a dessert-spoonful every
three to six hours, until the inflammation abates; after
which we may, in many cases, return to Mercurius.
Against indications threatening gangrene, Arsenicum
and Lachesis are the principal remedies. They may
both be given at the sixth potency, and repeated according to results.
In some cases when, from great tumefaction of the
tongue, suffocation threatens, we must have recourse to
longitudinal incisions; and after having thus warded off
the more pressing danger, exhibit Cinchona, o0, and
then fall back upon the more specific remedies.
In some extreme cases of this nature where the disease
having made head before the arrival, it may be found
necessary to resort to tracheotomy. This is however a
dangerous mode of relief from the risk of consequent inflammation; exhibit Arnica both internally (00) and in
the form of lotion in the proportion of four minims of the
mother tincture to a hundred of water, which will materially diminish the risk of this taking place.
Such cases will, however, rarely, if ever, occur to the
hommeopathic practitioner, if the disease be taken in
time and his remedies judiciously selected.
OFFENSIVE BREATH.
The most frequent causes of this unpleasant affection
are, uncleanliness, leaving particles of food in the teeth,
an accumulation of tartar, carious teeth, a diseased state
of the gums, aphthe in the mouth, derangement of the
stomach, or an abuse of mercury. It is also present in





OFFENSIVE BREATH.


275


phthisis; but that being an effect of the disease itself it
is not my intention to enter upon it in this treatise.
MERCURIUS. When the affection has not arisen from
the abuse of this mineral, and we find the gums diseased,
pale, and bleeding easily, with increased saliva, or, further, when ulceration or inflammation of the mouth '
(stomacace) is the proximate cause, and the tongue and
gums are much coated.
ADMINISTRATION. o0, twice a-day, for two or three
days.
Nux voMCA. When the gums are swollen, painful,
or offensive; tongue foul, painful pimples and vesicles
on the mouth and tongue, with constipation and general
irritability; when the offensive breath  arises from
derangement of the stomach. The reader's attention is
directed to the article on that disorder. Some of the
remedies below mentioned will be found under DYSPEPSIA and.THRUSH. The symptoms there given will serve
as a guide in the selection.
ADMINISTRATION. 1, in six tea-spoonfuls of water,
one each night on retiring to rest.
Sulphur, Acidum sulphuricum, Arsenicum album, Bbrax, Carbo vegetabilis, Natrum muriaticum, Acidum nitricum, Staphysagria, Capsicum, Dulcamara, Hepar sulphuris, Sepia, Silicea, and Cinchona.
When offensive breath arises from an abuse of Mercury, it will require an anti-mercurial treatment.





276


CASUALTIES.
BRUISES, SPRAINS, AND WOUNDS.
'IN cases of injury arising from external violence,
Arnica is the specific remedy, and its timely administration in cases of contusion, will in most instances, if the
bruise be not very severe, suffice to remove all traces and
evil consequences of such misfortunes. We may administer internally two globules of the sixth potency, in a
teaspoonful of water, and bathe the injured part with a
lotion, in the proportion of one teaspoonful of tincture of
Arnica to a wine-glassful of water, four or five times a
day; should the swelling, pains, and other symptoms
increase, after one or two applications, we may temporarily discontinue the lotion, and will almost always find a
marked improvement follow such aggravation. Should
the skin be abraded, we may diminish the strength of
the lotion, by substituting ten or twelve drops for a
teaspoonful of the tincture, in the same quantity of
water.
SPRATNS.  In the treatment of these troublesome
casualties, the same procedure may be adopted at the
commencement, as that given under BRUISES; but should
the affection refuse to yield to Arnica, thus applied, we
may have recourse to RHUS TOXICODENDRON, O, which
is, properly speaking, more specific to this description
of external injury; should the sprain still continue
obstinate, we may exhibit AcIDUM SULPHURICOM, 9,
which will generally be found of essential service.





WOUNDS.                   277
ADMINISTRATION. Any of the above medicines may
be repeated in from six or twelve hours, according to
the severity of the case.
Both contusions and sprains are sometimes accompanied with other circumstances requiring medical assistance, such as sudden shock or fright; in such cases,
when arising from fright, OPIUM, %-, may precede
Arnica a few" hours, to remove the more threatening
symptoms, or if the accident be attended with other
MENTAL EMOTIONS, see the article on that subject.
WOUNDS. In the relief and cure of these injuries,
Arnica is again one of our most valuable remedial
agents; after the usual precautions of cleansing the
wound, &c. have been taken, it may be dressed with
bandages steeped in the weaker Arnicated lotion mentioned under BRUISES; at the same time the medicine
may be administered internally, as before directed.
If, notwithstanding the administration of Arnica, high
febrile symptoms are present, we may have recourse to
ACONITUM, and as soon as the indications of fever are
in a measure subdued, return to Arnica, as before.
ADMINISTRATION. -, in six teaspoonfuls of water,
one every hour, to six hours, until the fever lowers.
MERCURIUS. Should the wound show a disposition to
suppurate we may substitute this medicine.
ADMINISTRATION. A grain of the third trituration to
an ounce of water, a dessert-spoonful every four to six
hours.
HEPAR SULPHURIS. However, if matter be already
formed, and it be an object, by bringing it speedily to a
head, to hasten the cure, we should exhibit" this
medicine.
ADMINISTRATION. A grain of the same potency,
24





278


CASUALTIES.


exhibited in the same manner as the former, but at
shorter. intervals.
ARSENICUM is a most valuable medicament when
mortification threatens or has already set in. (There are
other medicines useful at this critical period of the
treatment, which imperatively call for the assistance of
the practitioner.)
ADMINISTRATION. A, in six dessert-spoonfuls of water,
one every two to twelve hours, watching the effect.
CINCHONA is particularly useful against the debility
ensuing from a great loss of blood.
ADMINISTRATION. OQ.-, in a little water, repeated in
six to twelve hours, if required.
During the administration of the above-mentioned
medicines the external application of Arnica must be
discontinued, and the wound protected by a simple
bandage.
BURNS AND SCALDS.
We shall here content ourselves with merely treating
of these lesions in their simple form. In slight burns or
scalds, the injured part should be held for a couple of
minutes to the fire; a temporary increase of pain will
be amply repaid by the prevention of future suffering
and annoyance. If, however, the injury be more severe,
we may bathe the affected part with heated alcohol, or
oil of turpentine, taking care to keep the surface continually moist, and well protected from the external air.
The application of raw cotton to the part is frequently
found very efficacious, particularly when the injury
presents a large surface, having previously punctured
any blisters that may have arisen, and bathed the sore
with tepid water, cover it with carded cotton or wadding,





-~56`" --;i~-- S;


BURNS AND SCALDS.             279
in three layers; when suppuration sets in, remove the
upper layer only, and substitute fresh. Exhibit at the
same time HEPAR SULPHURIS, a grain of the third trituration to an ounce of water, a dessert-spoonful every three
hours, desisting for twelve hours after the fourth administration.
SOAP, a remedy generally at hand, is extremely
serviceable in burns where not only the cuticle but the
true skin has been destroyed: pure white or curd soap
is the best for this purpose. The following directions
for its application may be found useful: Make a thick
lather or paste, by means of tepid water, and spread it
upon linen, in the form of a plaster; apply it to the
injured part, and secure by a bandage. Any blisters
which may have formed should, as before prescribed, be
carefully punctured, and any loose skin removed.
This application will, as in the instance of dry heat,
&c. at first increase the pain; but this temporary inconvenience will be superseded by a marked amelioration;
after a lapse of about twenty-four hours, the plaster may
be gently removed, and a fresh one substituted; generally
speaking, however, we must be guided by the feelings
of the patient, and renew it as often as a return of pain
is complained of; and so continue until the injury is
completely healed. SAPO COMMUNIS, 9~, may also be
given internally from time to time.
ACONITUM, 96, may be exhibited when we find considerable fever present; and repeated in a few hours, if
required.
OPIUM,      on the tongue, when the system has
received a severe shock from fright at the time of the
injury.
Urtica urens has recently come into repute as a
specific remedy in burns of every description; but. not





280


CASUALTIES.


having yet had an opportunity of proving its efficacy, I
cannot offer any testimony of its virtues in this respect.
The mode of application recommended is, applying linen
cloths, saturated with the mother tincture, to the injured
part.
FATIGUE.
When a feeling of contusion is experienced in all the
limbs, Arnica will generally be found the most appropriate remedy to afford relief.
ADMINISTRATION. 2, repeated in twenty-four hours,
should any of the symptoms remain. When the feet
have become swollen and painful, they ought to be
bathed in arnicated water.
Pain in the joints, &c., arising from lifting heavy
weights, or from violent physical exertion of any kind,
are speedily removed by Rhus toxicodendron.
ADMINISTRATION. Same as Arnica.
CINCHONA,.-, will frequently assist in renovating the
strength when there has been profuse perspiration.
VERATRUM, 0, when tendency to fainting ensues from
the effects of extreme fatigue; and
COFPEA 4, when abstinence from food, combined
with violent exercise has produced the state of exhaustion.
STINGS OF INSECTS.
The severe pain and febrile irritation which sometimes
ensue from the stings of insects, such as bees, wasps,
&c. is frequently speedily alleviated by the olfaction of
spirits of Camphor.   Should, however, considerable
inflammation with swelling supervene, Aconitum, p,
should be administered, and subsequently Arnica, inter




SEA-SICKNESS.


281


nally and externally, as described under WOUNDS.
Should the tongue or any part of the mouth be the part
where the sting has been inflicted-as occasionally
happens to children when biting a piece out of an apple
or pear, &c., into which a wasp may have greedily
inserted itself-the mouth ought to be rinsed with diluted
Arnica tincture; and should that not suffice, Belladonna
should be administered, as follows:.s9, in a wineglassful of water, a dessert-spoonful every hour, until
relief is experienced. In some instances it will be
found necessary to have recourse to Mercurius after
Belladonna.
ADMINISTRATION. o00, in the same manner.
The bites or stings of gnats require an Arnica lotion;
lemon-juice will likewise be found useful in relieving
the pain and itching caused thereby.
Immediate relief, when a person has been severely
stung by nettles, will be found by the application of a
lotion of Arnica, prepared according to the formula given
under BRUISES.
SEA-SICKNESS.
THERAPEUTICS. The medicaments found most useful
in the treatment of this distressing and pain l malady
are, Nux vomica, Cocculus, Tabacum, Arsentcum, and
Ipecacuanha.
Nux vOMrCA, 6, should be taken fasting, from six to
twelve hours before embarkation; this precaution will in
some cases prove sufficient to ward off the attack.
Should, however, a feeling of giddiness, or a sensation
of emptiness in the head be experienced, shortly after
going on board, attended with headach, nausea, and inclination to vomit, as the motion of the vessel increases,
240





282


CASUALTIES.


which is aggravated by standing erect, COCCULUS O,
may be had recourse to, and repeated every one, two, or
three hours, as those symptoms recur.
TABACUM 5.    Excessive giddiness, attended with
distressing nausea, headach an ddeadly paleness of the
face; or nausea, with sickness, or a sensation of burning
in the stomach, renewed by the slightest movement of the
head or body. This remedy is further indicated, when
the symptoms are somewhat relieved by exposure to the
fresh air.
ARSENICUM 1, is extremely valuable when the sickness becomes excessive, and is attended with a feeling
of utter prostration and helplessness, violent retching,
burning sensation in the throat, and the other severe
concomitants of this malady. It should be administered
between the paroxysms, and will rarely fail of relief.
This medicine may be followed by Tabacum or Cocculus,
to dissipate the symptoms of nausea and swimming in
the head that may supervene.
IPECACUANHA, - is useful in attacks of vomiting unattended with the great prostration of strength given under Arsenicum. Of course, in order to avoid interfering
with the action of the medicines, the homceopathic regimen should be carefully observed during the period of
their administration. Cocculus has been found extremely useful in sickness arising from TRAVELLING IN A
CARRIAGE.
THERIDION. This remedy, from the close analogy of
its symptoms to those of the ordinary forms of this dis"tressing malady, evidently deserves a trial.
ADMINISTRATION of the above remedies; six globules
of the medicament, at the potency mentioned, a teaspoonful every now and then until relief is experienced.





283


HYDROPHOBIA.
It is acknowledged that no allopathic cure has hitherto
been found for this disease when fully established. The
plans of treatment which have been reported to have
been successful in some few instances having generally
failed in all others; thus rendering it probable that in
these suppositious cases of success, the persons bitten
might have escaped without any treatment whatever.
But it is not to my purpose to enter into the multitude of
ineffectual remedies which have been recommended by
the Allopathists.
Hydrophobia is a disease which arises in consequence
of the bite of a rabid animal, and sometimes spontaneously, particularly in the course of some other disease;
in which form it is known under the term of symptomatic hydrophobia.
Ere proceeding to the homceopathic treatment, a few
remarks, desc5riptive of the disease as it appears in the
human subject, may not be misplaced. The first symptoms that show themselves in a person who has been
bitten, are usually, general uneasiness, anxiety, and disturbed sleep; the eyes are glassy, inflamed,, and sensitive to light; there are also ringing in the ears, giddiness, and paleness of countenance; frequent paroxysms
of chilliness; oppressed respiration, and quickness of
pulse, which latter is usually at the same time small,
contracted, and irregular; and loss of appetite. These
symptoms generally come on at some indefinite period,
occasionally after the bitten part seems quite- well. In
the second or convulsive stage, the wound, which may
have already become completely cicatrized or healed,
begins to assume a somewhat inflamed appearance, and





284


CASUALTIES.


a slight pain and heat, now and then attended with itching, are experienced in it. It now breaks out afresh,
and an ulcer, with elevated margins of proud flesh,
which secretes a dark-coloured and offensive discharge,
is subsequently formed; and wandering, drawing, and
shooting pains from the lacerated part upwards towards
the throat, present themselves. These symptoms, with
the state of testiness and anxiety, increase daily; and
the patient complains of a sense of confusion in the head,
or giddiness, with sparks before the eyes; is affected
with sudden startings, spasms, sighing, and is fond of
solitude; the pulse is small, irregular, and intermittent;
the breathing laborious and uneasy; the skin cold and
dry, and general chilliness, especially in the extremities,
is complained of; then hiccough, colic and palpitation
come on; the patient looks wild, and the eyes have a
fixed, glassy, and shining appearance; the act of deglutition is impeded by a sense of pressure in the gullet,
which occasionally renders every attempt to swallow
liquids impracticable; convulsions also take place in the
muscles of the face or neck. In this stage, however,
the deglutition of any solid substance is performed with
tolerable ease. In ordinary cases the sufferer remains
affected in the above manner for a few days, after which,
the disease passes into the hydrophobic stage, in which
it is utterly impossible for him to swallow the smallest
drop of liquid; and the moment that any fluid, especially
water, is brought in contact with the lips, it occasions
the individual to start back with dread and horror, although he may, at the same time, suffer the most excessive thirst; even the sight of water, or the very noise
produced by pouring it from one vessel into another, in
fact, anything that tends to remind him of that fluid, produces indescribable anxiety, uneasiness, convulsions,





QCU;Y~g ~


HYDROPHOBIA.                 285
and even furious paroxysms of madness; be dreads
even to swallow his own saliva, and is constantly spit.
ting; vomiting of bilious matter soon comes on, succeeded by intense fever, great thirst, dryness and roughness of the tongue, hoarseness, and fits of delirium or
madness, with disposition to bite and tear everything
within reach, followed at intervals by convulsive spasms.
These attacks commonly last for a quarter or half an
hour, and at their expiration, the patient is restored to
reason, but remains in a state of great despondency;
finally, the paroxysms come on more violently and frequently, and in some instances a fit of furious delirium
closes the. frightful scene; in others, nature sinks exhausted after a severe attack of convulsions. The disease may be communicated to the human subject, from
the bites of cats and other animals not of the canine
race, which have been previously inoculated with the
virus.
It may be remarked in this place, that the best and
most experienced of our writers upon this subject, consider the human species as the least susceptible of contagion from the hydrophobic virus; scarcely one out of
twenty, or even thirty, of those actually bitten by an animal in a state of rabies, suffering from its effects. I
consider it my duty, while making this statement, which
I hope may prove a means of relieving the minds of
many from painful apprehensions, to enforce at the same
time, the necessity of taking those precautions which
are about to be pointed out against the danger: before,
however, proceeding to the treatment of this affection,
it may be as well to say a few words upon it as appear.
ing in the canine species.* It would be foreign to my
* For the substance of the following remarks upon the disease





286


CASUALTIES.


purpose to enter here upon a dissertation on rabies in
the dog or the conflicting opinions of its origin; whether
it occasionally breaks out spontaneously or always arises
from a virus communicated by inoculation, but lying
dormant for an indefinite time; still I consider it as a
duty owing to humanity to endeavour, by a plain statement of the precursory symptoms of the malady in this
animal, at once to put individuals upon their guard, and
to disabuse the minds of my readers of some vulgar prejudices, which, notwithstanding the efforts of our best
writers upon Canine Pathology for their removal, still
retain their hold in public opinion. In the first place
the dread of water or Hydrophobia by no means forms
a pathognomonic symptom of the malady in the canine
species. This simple point clearly portrays the danger
that individuals may incur who imagine as long as a dog
drinks freely he is perfectly safe; it may be remarked,
however, that although in the early stages the animal
laps with avidity, sometimes in the later, from inflammation and paralysis of the larynx, there is considerable
difficulty, and sometimes, as in rabies taciturna, complete inability of deglutition, but still in place of avoiding water, the dog eagerly seeks it, even when from
the inflammation of the pharynx, the liquid is returned,
but no spasms, much less dread or convulsion, are observable.
I shall endeavour, as briefly as possible, to enumerate some of the more prominent precursory symptoms of
the malady in the canine race.
Change of the animal's usual habits, impatience of
restraint, restlessness, and watchfulness; in the smaller
kinds of dogs a disposition to pick up straws, paper,
as it appears in the dog, I am indebted to Mr. Wood, HomanpatAc Veterinarian of this City.





HYDROPHOBIA.


287


twine, &c., which on dissection are found conglomerated in the intestines; a continual licking on all possible occasions of the anus or genitals of another dog;
this is a distinct indication of approaching rabies-a fondness for licking anything cold; a frequent licking, biting,
and gnawing of a particular spot; which will be found
to be the wound whereby the virus was communicated;
a disposition to become irritated on the slightest cause
of offence, such as holding out a stick, and a readiness
to fly at it, an inclination to rove is also a marked symp.
tom, more manifest in the acute form, in which the animal appears actuated by a species of mischievous instinct to propagate the disease, attacking every dog that
comes in the path, and but seldom unless naturally of a
ferocious temper, interfering with other animals or the
human species, and frequently after an absence of some
hours returning home quietly; sexual excitement is also
no unusual forerunner of rabies. About two days after
the precursory symptoms a salivary discharge commences, which after the same period assumes a viscous
character, which the dog eagerly rubs off with his forepaws; the eyes will be observed to be peculiarly bright,
red, and dazzling, with a slight strabismus, as of a distortion from the natural axis of the eye; in dumb madness they are dull, secreting a puruleut discharge from
the inner angle. We also, in the first stage, occasionally meet with costiveness, and sickness, or vomiting,
which, however, seldom lasts through the course of the
disease; the change of voice and other symptoms ari.
sing in rabies, it is not my intention to touch further
upon; I have given sufficient indications to put individuals upon their guard, and that is enough for my purpose. When suspicion is aroused, it is easy to obtain a
competent opinion by calling in a qualified person.





288                CASUALTIES.
We frequently find in Rabies Taciturna a peculiar
mildness of disposition, so much so that any individual
who did not understand the indubitable pathognomonic
character of the disease would scarcely imagine rabies
to be present.
It may be remarked in conclusion, that the possibility
of the poison being communicated through the medium
of the epithelium is exceedingly questionable; but scarcely a doubt exists of the incapacity of the cuticle to absorb it. As many have been made wretched from having allowed a dog who has afterwards shown symptoms
of rabies to lick their hands, it may be stated with confidence that if no abrasion of surface exists, there is not
the slightest danger.
In the homceopathic treatment of this disease, and its
prevention, the following are the principal remedies employed: Belladonna, Lachesis, Hyoscyamus, Stramonium, and Cantharides.
When a person has been bitten by a rabid animal, the
wound should be held as close as the individual can
possibly bear it to a heated iron, and this process frequently repeated, at the same time recourse should be
had to the following remedy upon which I will say a
few words:*
BELLADONNA. HAHNEMANN, the noble founder
of our science, states in the introductory article to Belladonna, in his Materia Medica Pura, that he considers
the smallest dose of that medicine, repeated every three
or four days, to be the most certain preventive against
Hydrophobia; and when we refer to the pathogenetic
powers of that medicine, described in that work, it is
impossible not to be struck with the great resemblance
* The use of dry Aeat in this disease, and in the envenomed
wounds by snakes, is recommended by Dr. Hering of America.





HYDROPHOBtA.


q89


which many of them bear to the symptoms of that malady;
and it is from this circumstance, according to Hahnemann's doctrine of similia similibus,* that Belladonna is
found to be both a prophylactic and curative remedy.
ADMINISTRATION. A drop of the third tincture in an
ounce of water, a dessert-spoonful morning and evening,
for two days. These precautions taken, the patient may
be allowed to pursue his usual occupations, care being
taken by those around him to avoid making any allusion,
which may tend to remind him of his misfortune. Belladonna, in the same dose, should be given on the third
or fourth day, and subsequently at longer intervals. The
effect of each exhibition should be attentively watched,
and care taken that a fresh one be not given, as long as
any symptoms of the action of the previous dose are
preceptible.  Generally speaking, from two to three
administrations will be found sufficient to prevent the
outbreak of the disease; or, at all events, to modify it in
such a manner, as to render it less dangerous, and more
easy of removal, by one or more of the other remedies,
which must then be selected according to the symptoms
that present themselves.
LACHESIs, however, may generally be administered
at the commencement of the convulsions.
ADMINISTRATION.., repeated every two or three
hours until benefit result or decided symptoms of medicinal action make their appearance, but should this
remedy appear to exert no preceptible influence in
checking the progress of the malady, we must again
have recourse to
* The curing of a disease by the administration of a remedy
which has been found to possess the property of producing a train
of symptoms in a healthy person, SIMILAR to those observed in the
disease.


25





290


CASUALTIES.


BELLADONNA, particularly when the following characteristics are present: drowsiness, with constant but
useless efforts to sleep, chiefly in consequence of excessive anguish and great agitation; sense of burning;
great burning in the throat, with accumulation of frothy
mucus in the mouth or throat, frequent desire for drinks,
which are immediately pushed aside when presented, or
a suffocating or constricting sensation in the throat, on
attempting to perform the act of deglutition, or complete
incapability of swallowing, with glowing redness and
bloated appearance of the face; pupils immovable, and
generally dilated; great dread; occasionally desire to
strike, spit at, bite, or tear everything; inclination to run
away; continual tossing about; and great physical activity, with twitching in various muscles, especially those
of the face: ungovernable fury, with foaming at the
mouth; and tetanic convulsions.
ADMINISTRATION. The formula already given, a
dessert-spoonful every three hours with the same precaution as enjoined under Lachesis. See also remarks upon
this subject in the INTRODUCTION, Article-ADMINISTRATION and REPETITION OF THE MEDICINES.
HYosCYAMus is more particularly indicated either
before or after Belladonna, when the convulsions are
very severe, and of long duration; where there is not so
much inclinatili to bite or spit, but a desire to injure
those that stand around, in some manner or other.
The spasms in the throat are not so violent, but great
dryness and burning are complained of, attended with a
sense of shooting or pricking, which causes a difficulty
in swallowing, resembling a sensation of constriction in
the throat, and threatening to produce suffocation on
attempting to satisfy the thirst; dread of liquids in
consequence of the pain and difficulty that is experienced





HYDROPHOBIA.                291
in deglutition, with ejection of the sjiva from the same
reason; excessive convulsions, with loss of conciousness,
come on soon after the distressing act of swallowing has
been performed. There is, moreover, foaming at the
mouth, with constant raving; sometimes the patient
seems wrapped up in his own thoughts; or is full of
fear, and inclined to run away from the house, being
afflicted with a sort of Anthropophobia; there are also
attacks of excessive fury, attended with apparently
supernatural physical power; or excessive anguish and
fear, alternating with fits of trembling and convulsions;
the individual exhibits a peculiar dread of being bitten
by animals; the pupils are dilated; sleep much disturbed
by great nervous excitement, starts, and agonizing dreams.
ADMINISTRATION. Same as Belladonna.
STRAMONIUM is chiefly indicated in this disease, when
we observe severe convulsions taking place whenever the
eye becomes fixed on brilliant objects, or on whatever tends
to remind the patient of water; great thirst; dryness of
the mouth and throat, with horror of water and all liquids;
spasmodic constriction in the gullet, with foaming at the
mouth and frequent spitting; mania, with great loquacity
and gesticulations; fits of laughter and singing, sometimes alternately with acute fits of passsion and moaning;
the convulsions, when severe, are generally attended
with ungovernable fury, restless, agitatdesleep, sudden
shrieks, and starting up with wild gesturbs; insensible
and dilated pulpils; and great disposition to bite, or tear
every thing with the teeth.
ADMINISTRATION. Same as Belladonna.
CANTHARIDES. This medicine also possesses various
pathogenetic properties, that bear a close resemblance to
the symptoms.that are met with in many cases of this





292


CASUALTIES,


disorder,* and shoul be selected in preference to any of
the foregoing remedies, when we meet with the following
symptoms: great dryness and burning in the mouth and
throat, much aggravated on attempting to swallow; paroxysms of fury, alternating with convulsionis, which are
renewed by any pressure on the throat or abdomen, and
also by the sight of water; fiery redness and sparkling
of the eyes, which become prominent and frightfully
convulsed; spasms in the throat, excited by the pain
produced by the act of swallowing, especially fluids;
continual burning, titillation, and other irritating sensations in the lower part of the abdomen.
ADMINISTRATION. Same as Belladonna.
We have thus enumerated and described the characteristic indications for the  principal Homceopathic
remedies which have been successfully employed against
Hydrophobia;t others have also been strongly recommended, but those mentioned have generally proved
sufficient, when administered early, and exclusively adhered to throughout the course of the disease. Belladonna
has frequently been tried by the Allopathists, but the
cases in which it seemed to fail were evidently attributable to the improper manner in which it was administered.
We shall not treat of the several remedies which have
from time to time appeared, and have, by their inventors,
been so highl eulogised, as time and experience alone
* Drs. Hartlaub and Trinks consider Cantharides to be the most
certain prophylactic against hydrophobia, when admintstered
early; they recommended a drop of the 39th potency, to begiven
every three or four days, and are of opinion that the virus is not
eradicated as long as the cicatrized wound presents a livid Ave, and
is attended with indurations, but affirm the danger to be over as
soon as the part assumes a healthy and natural appearance. Vide
Hartlaub and Trinks, R. A. M. L., vol. i, p. 173
t Vide Hartmann's Therapie. acut. Krank. Vol. ii, p. 77, d ed.





POISONS.                 293
will prove whether they possess any virtue or not; it is
to be feared, however, that like many other once celebrated " specifies," (?) they will soon fall into oblivion.
In fact, no remedy can be confidently relied upon for the
cure of this or any other disease that has not been carefully tested by, and found in accordance with, THE GREAT
LAW OF SIMILARITIES.
POISONS.
When any poisonous substance has been taken into
the stomach, our first care must be its immediate evacuation by producing vomiting, or its neutralization by its
antidote, our next the removal of any injurious consequences that may remain after warding the more imminent
danger.
To promote a speedy evacuation of the contents of
the stomach, the stomach-pump should be immediately
put in requisition, particularly when any vegetable or
narcotic substance has been swallowed; but when the
poison is of a corrosive nature, an antidote which will
prevent its action upon the coats of the stomach, or
neutralize it by chemical affinity, should be forthwith
resorted to.
Vomiting should be promoted by the following means:
Swallowing large quantities of warm water, except in
cases of vegetable poisons, tickling the hroat or fauces
with a feather, and, if these fail, placing snuff or mustard
mixed with salt upon the tongue; or, still better-particularly with those who are habituated to the use of
tobacco--a tumbler of warm water, to which a teaspoonful of the flower of mustard has been added, should
be taken at one draught, and then again warm water, as
before. Finally, in extreme cases, the desired object
must be effected by means of a clyster of tobacco-smoke.
25*





294


CASUALTIES.


4 It is not my intention to enter at any length into this
subject, but merely to point out the means to be adopted
against the most common poisons, in order to give time
for proper assistance to be sent for.
MINERAL POISONS. The mineral poisons a-nd acids
are, almost without exception, of a corrosive nature.
When such have been swallowed by accident or design,
soap-water in large quantities, the carbonate of magnesia
-two to three drachms to half a pint of water, or the
same quantity of chalk in water, or common potash or
soda, should be swallowed; enemas of the same may be
also exhibited, particularly when the poison seems to
have effected the lower intestines. When the pain and
vomiting have ceased, mucilaginous drinks, such as
barley-water or milk, must be given in large quantities,
to lubricate the surface of the stomach.
After mineral poisons, when vomiting ensues, in consequence of the substance swallowed, we must promoteand sustain it by copious drinks of the same nature.
ARSENIC. If vomiting sets in, sustain it by the
means above mentioned, if not provoke it, and give soap
and water-white of egg in water-sugar and water, or
milk in large quantities; the specific action of Arsenic
being upon the stomach and rectum, inject also soap and
water. The various preparations of iron, so much lauded some time back, although, no doubt, possessing a
chemical affinity for this acid, and forming with it an arseniate of iron, are pronounced by the best Toxicologists to be extremely uncertain in their action.
OXALIC ACID. The best antidote to this powerful
poison is new milk in large quantities; if taken immediately, it rarely fails to neutralize its effect.
LEAD. Its antidotes are Epsom or Glauber salts; two





POISONS.                 295
drachms dissolved in half a pint of water, and the same.
remedies given under Arsenic, both by the mouth and in
the form of enema.
VERDIGRIS and CORROSIVE SUBLIMATE. The remedies given under Arsenic may be resorted to; moreover
for Verdigris, iron-fifings in vinegar, mixed with gum
water, have been recommended; for Corrosive Sublimate, in addition to the above remedies, starch, either in
a large quantity of water, or in the form in which it is
generall used for domestic purposes.
In tle After-Treatment, the following medicaments
will be  found useful. After ARSENIC, Ipecacuanha,
Cinchona, Nux vomica, and Veratrum.
ADMINISTRATION.
Ipecacuanha may first be exhibited to allay the irritation of the stomach, and the tendency to nausea and
vomiting.
Cinchona, if great irritability, with disturbed sleep
and febrile motions during the night.
Nux VOMICA. Worse during the day, and especially
after sleeping, with constipation or loose slimy evacuations.
Veratrum, if after Ipecacuanha there still remain
nausea, vomiting, heat, and coldness in the body, and
prostration of strength.
"VEGETABLE   AND NARCOTIC POISONS.     The substance must be dislodged from the stomach as soon as
possible, or if this be impracticable, among the best
means to counteract its effects, are camphor by olfaction,
sometimes spirits of ammonia, and strong black coffee
taken internally; the patient must be kept continually in
motion, and his attention roused by every means in our
power; electricity has also proved useful in many cases.


-.4
A





296


CASUALTIES.


MUSHROOMS, POISONOUS, provoke vomiting; give copious draughts of cold water, and administer charcoal in
sweet oil at the same time, applying sal volatile to the
nose of the patient.
After narcotic poisons have been evacuated from
the stomach, vegetable acids may be used with advantage.
ANIMAL POISONS.
SEBACIC ACID. This poison develops itself in the
rancid fat of pork, or hog's lard; against it vinegar diluted with an equal bulk of water, or the juice of a lemon
in strong black coffee, or better still, strong black tea,
are the antidotes.
If any dryness of the throat remain after the more immediate danger has passed off, we may have recourse to
BRYONIA, a drop of the third potency in a little water,
repeating it as often as the symptoms seem to require.
In some instances, also, benefit has been derived from
the employment of Acidum phosphoricum, Arsenicum and
Kreosotum.
MUSCLES: Antidote: charcoal mixed with sugar and
water; afterwards, camphor by olfaction, and strong
coffee without milk or sugar.
PoIsoNous FIsH. Antidote: charcoal in a small
quantity of brandy; if this does not speedily relieve,
strong coffee-and this failing, sugar and water in large
quantities; or again if it should not relieve, vinegar with
twice its bulk of water.
AFTER-TREATMENT. Belladonna, should an eruption or redness of the skin declare itself, particularly if
accompanied with swelling of the face and angina.





Ui~r~-~ru~e~~~:~~r~ii~7fI~ i~_ i:l -:aj
~hX
i: i!%9 i:, i-~ -~n~:r ~i.-zcs;: %~-c~~~~-~-1 " ",-V
'-"                                            * i
-r,
-'6"1::3


297     /
MENTAL EMOTIONS.
I shall conclude this part of the work with the consideration of those particular Mental Emotions which
exercise so great a control over the human organism,
among the more prominent and continually recurring of
which we find fright, passion, or anger, and concentrated grief.
THERAPEUTICS. The remedies found most serviceable for derangements of the system arising from the
above-mentioned causes are Opium, Aconitum, Pulsatilla,
Belladonna, Ignatia amara, Chamomilla, Nux vomica,
Staphysagria, Arsenicum album, and Bryonia.
OPIUM when the sufferer has been exposed to sudden
fright, with terror or horror, is generally efficacious in
restoring the patient, and obviating any evil consequences.
ADMINSTRATION. %y0, repeated in twelve hours if
necessary.
ACONITUM is the appropriate remedy when the system is labouring under the joint influence of fright and
passion.
ADMINISTRATION.    0, repeated in from six to twelve
hours if required.
PULSATILLA, in cases of fright, fear, or timidity, particularly where accompanied with an effect upon the
stomach; or passion in people of generally mild temper;
it is also suitable for highly nervous but not easily irritable temperaments.
ADMINISTRATION    -, repeated if required in from
six to twenty-four hours.
BELLADONNA *y-, where there is present, particular





298


CASUALTIES.


liability to be startled by trifles, or extreme general nervous excitement.
ADMINISTRATION. Same as Aconitum.
IGNATIA where the cause is gnawing, inward grief.
ADMINISTRATION. 020, every three   or four days,
watching the effect.
CHAMOMILLA, where suffering has arisen from vexation, or a disposition to irritability or great anguish and
mental depression, are present.
ADMINISTRATION. Same as Pulsatilla.
Nux VOMICA, suffering arising from a sudden fit, or
outbreak of passion or rage.
ADMINISTRATION. o0~, repeated    from  twelve to
twenty-four hours if necessary.
STAPHYSAGRIA y-. Anger and vexation, arising from
just cause.
ADMINISTRATION. Same as Nux vomica.
ARSENICiUM is useful where passion is followed by
great weakness and dangerous prostration of the vital
powers.
ADMINISTRATION. Same as Ignatia.
BRvoNIA 5y, is indicated where a fit of passion is
followed by coldness and shivering over the whole body,
great irascibility, want of appetite, nausea, vomiting and
bilious sufferings.
ADMINISTRATION. In the same manner as Pulsatilla.
In many cases the sequelae or consequences of this
affection are the best assistance in the choice of this
remedy.





4s
PART II.
TREATM'4                   ' rENT
OF
INFANTS AND CHILDREN,
AND OF
THEIR PECULIAR AFFECTIONS.


*





JIMA
K      7Np





PART      II.
TREATMENT OF INFANTS.
"INTRODUCTORY REMARKS.
THE homoeopathic system    of medicine possesses
many advantages in the treatment of the diseases of
infancy and childhood. In the first place, when any
constitutional taint exists, by the selection of suitable
remedies, it meets disease upon the very threshold of life,
and destroys it in the germ; it substitutes a rational mode'
of treatment for the nostrums of the nursery, since the application of the remedies requires even in the most trifling
cases a certain degree of education, and a careful study
of medicinal action. How many lives sacrificed by the
over-weaning self-confidence and prejudices of those
intrusted with the life of man, at the most precarious
period of his existence, might have been preserved had
this system been more extensively known and acted
upon.
As before remarked in the INTRODUCTION, to which
the reader is referred, the receptivity of the infant organism to the influence of homoeopathic remedies, has been
established by experience.  Here again our system
possesses the faculty of modifying the energy of the
remedial agents used, and to administer them of sufficient
26





302


TREATMENT OF INFANTS. '


power to overcome disease, without incurring the risk
of danger.
The tasteless nature of the medicaments is another
point of no small importance in affections of infants and
children, by which nausea and annoyance are avoided.
This has been touched upon in another part of this work.
In such complaints as occur at all periods of life, and
which have been treated in the First Part of this work,
we should be guided in the selection of the dose by the
age of the patient; with infants we may use the highest
potencies, and rarely ever in acute disease give more
than a single globule; children from four to eight years
of age may take about one fourth to one third of the dose
prescribed for an adult, and above that age one half to
two thirds.  A  great deal, however, depends upon
the constitution of the patient, whether delicate or robust,
and upon their susceptibility to medicinal influence, a
point only to be determined by experience; in very
acute diseases we may sometimes be called upon to
administer as low as the sixth potency, a single globule;
from the great receptivity, however, of the system above
remarked, we should be particularly careful in repeating
the medicines. In Domestic practice with children; the
safest plan is to adhere to the high dilution, but the
physician must be guided by the circumstances which
arise.
TREATMENT AFTER BIRTH.
As soon as the child is born, it should be wrapped in
fine flannel, with a piece of soft linen rag inside, the
flannel itself being too rough for its delicate skin; the
wrapper should be heated to a temperature of 98 degrees,
as it is only gradually that the infant becomes in!ired to





"iS~'4~"
~r~e~~~~D~c~~~~- "I*I -~; c
ii


ASPHYXIA.                303
the temperature of the surrounding atmosphere. The
skin should be gently washed with a little lukewarm water
and bran, applied with a sponge, taking care not to continue the first washing too long, for fear of irritation; soap
must on no account be used; the room should be kept
rather dark, and perfectly quiet, and all strongly scented
substances removed. After washing, the body ought to
be dried immediately, to avoid the risk of taking cold;
the child should be bathed twice a day, to keep up the
action of the skin, gradually lowering the temperature of
the water after weaning.
The best time for bathing the infant is in the morning,
when taken out of bed, and again on returning to it for
the night; immersing the whole body, with the exception
of the head, is preferable to any other mode of washing,
as the practice of placing it in a tub, with part of the
frame alternately laved with tepid water, and exposed to
the action of the atmosphere, is apt to bring on a chill.
Nothing can be more evidently opposed to nature, and
the dictates of commen sense-although like many of
the absurdities bearing the impress of custom,-than the
practice of swathing and bandaging the tender bodies of
infants, and loading them with a superfluity of clothing,
which, by its weight and length, presses upon their
lower extremities, and is the frequent-cause of deformity
and weakness in after-life; in this opinion we are fully
borne out by the corroborative testimony of the most
eminent practitioners of the old school.
ASPHYXIA.
The first danger that the infant incurs on its entrance
into life is Asphyxia.
DIAGNOSIS. Suspension of the functions of vitality of
respiration, circulation, and motion.





304


TREATMENT OF INFANTS.


CAUSEs. Natural debility; difficult parturition; injury
from the forceps; pressure of the umbilical cord round
the neck, tying the navel string too tightly; accumulation
of mucus in the throat; too sudden an alteration of
temperature-the respiratory action of the lungs not
having commenced. The usual mechanical means under
the direction of a competent person must, of course, be
instantly had recourse to; I shall therefore, simply content myself with pointing out the homoeopathic remedies
most useful in such cases.
They are Tartarus emeticus, Opium, Cinchona, and
Aconitum.
TARTARUS EMETICUS, ADMINISTRATION of. A grain
of the first trituration in eight ounces of water, a few
drops into the mouth of the child every quarter of an
hour.
OPIUM. If after half an hour no change for the better
take place, and the face is livid and bluish.
ADMINISTRATION. A few globules of the third, in a
wine-glassful of water, a few drops into the mouth of
the child every ten or fifteen minutes, until some effect is
produced.
CINCHONA. If the face be pale, also when the
infant is reviving and respiration commencing-if the
same indication present itself.
ADMINISTRATION. Same as Opium.
ACONITUJb. When the child is reviving and beginning
to breathe, if the face has been previously flushed red
or of a bluish tint.
ADMINISTRATION., on the tongue, repeated if necessary, after a shorter or longer interval, according to the
effects produced.





305,


SWELLING OF THE HEAD.
Immediately after birth, the head of the infant appears
more or less swollen; this is in most cases but a
trifling affection, and generally goes off of itself; the
immediate administration of ARNICA 0Q, to the mother,
acting through the medium of the milk, will materially
hasten its disappearance; should, however, the swelling
be at all excessive, bathe the part affected in a weak
lotion of three drops of the tincture of Arnica to a wineglassful of water.
Occasionally a considerable swelling in the larger
mould, (fontanel,) consisting of fluid, is observable; this
is of greater import than the other, though seldom
dangerous; if it dose not disappear in a day or two, we
may administer RHUS TOXICODENDRON. in globule to
the infant. Calcarea carbonica,,T repeated in six days,
in cases where the fontanel is long in closing.
UMBILICAL HERNIA IN INFANTS.
In cases where there is an evident tendency to Umbilical Hernia, we may take the half of a nutmeg, cover it
with very soft linen like a button, and sew it to a bandage,
with the base of the cone in the centre; then press the
apex into the umbilical opening and secure it there by
the bandage, which should be of sufficient length to pass
two or three times round the body of the child.* This
mechanical process will usually prove sufficient to effect
a cure, if not we must exhibit Nux voMICA -?, dissolving
it in six teaspoonfuls of water, and administering one,
* Gaosn. Verhalten der Mutter und des pauglings, p. 103.
26*





306


TREATMENT OF INFANTS.


which if no alteration takes place, may be repeated next
day; we may then wait a couple of days, and if no action
declare itself, again repeat, bearing in mind the directions
upon the repetition of medicines given in the introduction;
if, however, we discover no amelioration from  the
administration of Nux vomica, we may have recourse to
VERATRUM    _, in the same manner. Obstinate cases
are frequently found to yield to the application of the
NORTH POLE Of the MAGNET. All these remedies are
equally useful in those cases of inguinal hernia we
occasionally meet with, generally effecting a cure with
wonderful promptitude.
This disease, being frequently brought on by the
violent fits of crying that delicate children are subject to,
the bandage may be worn, and retained for some time
after the cure, as a precautionary measure against its
return. In case of soreness of the umbilicus remaining
after the falling off of the ligature, or even before, we
may give SULPHUR A, a single dose, and repeat in
six days. If, however, during that time no amelioration,
has been observable, we should exhibit SILICEA 0,
which if marked benefit resulted, may be at the same
interval repeated with advantage.
MECONIUM, EXPULSION OF.
After having been permitted to sleep for five or six
hours undisturbed, the infant should be applied to the
breast as soon as'the mother feels herself sufficiently recovered to permit it, which is generally from eight to
ten hours after delivery, and should never be deferred,
as we elsewhere observed, longer than twelve,; the milk
of the mother exciting a mechanical action of the alimentary canal, and assisting in the expulsion of the meco




SUCKLING OF THE INFANT.


307


nium. Here again we cannot too strongly reprobate the
too general practice of administering laxative medicines
for this purpose, possessing, as they do, a most deleterious effect upon the tender organism of the infant, and,
if not productive of jaundice-a too frequent consequence
of their administration-at least laying- the foundation of
bowel complaint, debility of the stomach, and a host of
diseases in after-life.
Mothers need not be under apprehension should a
temporary delay occur in the passing of the meconium;
far greater evil results from the violent methods taken
for its expulsion, than could possibly occur from its continuance in the alimentary canal for a few hours later
than ordinary.
Should, however, an unusually long period elapse,
and the child appear costive, which in many instances
arises from the mother having indulged in the use of
ptisans, such as chamomile tea, &c., or in coffee, the
administration of a few tea-spoonfuls of warm sugar and
water will generally answer every purpose; if it fail of
immediate relief, we may then make use of a lavement
of equal parts of sweet oil (or pure honey) and water;
if these simple means do not effect the desired object,
and the infant appear to suffer inconvenience, more particularly when the origin of the constipation seems to
be from the mother or nurse, we may administer, Nux
vomica, Bryonia, Tinctura sulphuris y%, or Opium & to
the female herself-for the indications of which medicines see CONSTIPATION.
SUCKLING OF THE INFANT.
While upon this subject, we shall quote the expressions
of a well-known- writer, in whose opinion, in this respect, we perfectly coincide.





0%

308           TREATMENT OF INFANTS.
" Unless very peculiar urgent reasons prohibit, a
mother should support her infant upon the milk she her-,
self secretes. It is the dictate of nature, of common
sense, and of reason. Were it otherwise, it is not probable that so abundant a supply of suitable food would
be provided to meet the wants of an infant, when it enters upon a new course of existence.
" It is difficult to estimate the mischief resulting from
infants being deprived of their natural nourishment; for,
however near the resemblance may be between food artificially prepared and breast milk, still reason and observation demonstrate the superiority of the later to the
former." (Conquest's Outlines of Midwifery, p. 193.)
And again:" As a further inducement, it should be remembered
that medical men concur in their opinion, that very
rarely does a constitution suffer from secreting milk;
whilst the health of many women is 'most materially improved by the performance of the duties of a nurse."
(Ibid. p. 194.)
Upon the same subject, he says in another place:
" But few mothers, comparatively, are to be found
who, if willing, would not be able to support their infants, at least, for a few months, and parental affection
and occasional self-denial would be abundantly recom.
pensed by blooming and vigorous children.
" Presuming that the laudable determination is formed
to indulge the child with that nutriment which is designed for its support, it becomes necessary to state,
that unless very strong objections should exist, twelve
hours should never ealpse before the infant has been
put to the breast. Instinct directs it what to do, and the
advantages of allowing it to suck soon after birth are
many and important, both to the mother and child.





CHOICE OF A NURSE.           309
S"By this commendable practice, the patient is generally preserved from fever, from inflamed and broken
breasts, and from the distressing and alarming consequences resulting from those complaints.
" If the breasts should not have secreted milk previous
to delivery, the act of sucking will encourage and expedite the secretion. Thus the mother will be saved
from much of the pain connected with distended breasts.
Besides which, if the infant be not put to the nipple till
the breasts become full and tense, the nipple itself will
sometimes almost disappear, on account of its being
stretched; and without much, and often ineffectual
labour on the part of the child, it cannot be laid hold of,
and even then the pain endured by the mother is exquisitely severe, and not unfrequently the cause of sore
nipples." (Ibid. p. 195.)
Having premised thus much upon the advantages resulting to both mother and child from following the law
of nature, which enjoins the female to nourish her own
offspring, and having, moreover, elsewhere noted some
of the causes which may prevent its being fully carried into effect, we shall now proceed to that important
point-for those who do not intend nursing their own
children-the choice of a nurse, and the regimen to be
observed, which is equally applicable to both parties.
THE CHOICE OF A NURSE.
In the selection of a nurse, the medical attendant
ought generally to be consulted; the following points
merit particular attention:
She should be apparently of sound health, full and
moderate plumpness, with a fresh complexion, and clear
eyelids, free from any appearince of redness, scurfiness,
or thickening. She should be thoroughly exempt from





310


TREATMENT OF INFANTS.


glandular enlargements; possess deep red lips without
cracks, sound white teeth; and well-formed, moderately
firm breasts, with nipples free from excoriation or appearance of eruptions; the child of the nurse is one of
the best criterions to judge by-its being plump and
healthy is a great point in her favour. We should also
endeavour to discover if she is free from any hereditary
taint; she should, moreover, be of a mild, patient, and
equable temper, not irritable, or disposed to fits of
passion, or nervous; of regular and temperate habits,
neat in person, and fond of children. She ought also to
be about the same age, and delivered about the same
time, or, at least, within three months of the same period
as the mother; with respect to the age, we must, of
course, avoid extremes. A woman, having given birth
to a child very late in life should choose a nurse several
years her junior, and fully qualified for her duties; the
reverse of the rule. applies to extremely young mothers.
DIET   DURING NURSING.
As regards her diet, it should be simple and easily
digested, and she ought to live upon a proper proportion
of animal and vegetable food. Nature generally provides
for the. increased call upon her powers, by the suppression of the menstrual discharge, and moderate increase of
appetite, which may be safely indulged; but all food of
a highly concentrated, nourishing nature is injurious,
causing the milk to become too rich, and unsuited to the
delicate digestion of the infant; the best guide is the
regular homoeopathic regimen, which may be consulted
with advantage.
I cannot too strongly repudiate the too prevalent, but
deeply erroneous idea, that women, during the period of
suckling, require stimulants to keep up their strength;





SUPPLE5MENIrARY DIET, jO1 ig1?ýANT. 1


311


under this impression both wine and malt liquors-and,
among the latter, more particularly porter-are frequently
resorted to. Porter is not only injurious from its stimulating properties, but the deleterious effect of the different
ingredients which enter into its composition have upon
the milk,'forms one of the most prolific causes of the
many evils that attack infancy. My opinions in this
respect are corroborated by the physicians of the old
school, though, I regret to say, not to the same extent.
I shall here content myself with a single quotation from
a well-known medical writer:
" There is an evil too generally prevalent, and most
pernicious in its consequences on individuals and society,
and by no means confined to mothers in the lowest
classes of the community, which cannot be too severely
reprobated; it is the wretched habit of taking wine or
spirits to remove the languor present during pregnancy
and suckling. It is a practice fraught with double mischief, being detrimental both to mother and child. The
relief afforded is temporary, and is invariably followed
by a greater degree of languor, which demands a more
powerful stimulus, which at length weakens, and eventually destroys the tone of the stomach, deteriorates the
milk, and renders it altogether unfit to supply that nutriment, which is essential to the existence and welfare of
the child."
SUPPLEMENTARY DIET OF INFANTS.
Unfortunately, some mothers do not possess sufficient
milk for the proper nourishment of their offspring; if
this arise merely from a deficiency in the secretion, and
the female is in other respects healthy, we must have
recourse to a supplementary diet, to make up for the diminished quantity of the natural nutriment.  Goats',





312


TREATMENT OF INFANTS.


asses', and cows' milk, are excellent substitutes, especially the latter, diluted with one third of water; goats'
milk being apparently objectionable from its peculiar
aroma. The milk, therefore, of the cow ought, when
possible, to be obtained, and, if given undiluted, boiled;
cows' milk being generally considered too heavy, which
boiling in a great measure obviates; it ought also to be
slightly sweetened, so as to resemble as closely as possible that of the nurse: it should, moreover, be about the
same temperature, say ninety-six to ninety-eight degrees,
a point less regarded than it should be, and easily determinable by the thermometer. If any constitutional taint
exist in the mother, the sooner the child is transferred
to another breast, the better for both parties; if a nurse
be not procurable, the above will generally prove sufficient nourishment until the front teeth appear, which is
a clear indication that the digestive organs are prepared
for more solid food; if, however, the milk diet appears
- to disagree with the infant, we may mix a little thin
arrow-root, rusk, or well-toasted bread in water, to which
the milk may be afterwards added; such alterations in
diet are, however, but rarely required.
We may remark, that no portion of the milk ought to
be retained for a subsequent meal, from the quickness
with which it becomes sour; the same remark applies to
any of the above preparations, in which milk forms the
principal ingredient.
In the cows' milk, which was at first diluted, we may,
after two or three weeks, gradually diminish the quantity
of water, as the digestive organs become stronger; but
we cannot too stringently press the point, that where
it is at all practicable, the child ought to derive as great
as possible a portion of its nutriment from the breast, as





SUPPLEMENTARY DIET OF INFANTS.


313


no food can efficiently supply the place of that which
nature intended for it at its birth.
When it is necessary to give supplementary nourishment, a suckling-bottle ought to be used, as the best
imitation of nature in giving the food slowly; particular
care being taken to observe the utmost cleanliness. The
child ought, in feeding, to be kept in a reclining, not
supine position, as the latter frequently causes it to incur
the risk of suffocation; and when it evinces disinclination to its food, no more should be offered. When the
front teeth appear, which is about the fifth or sixth month
in healthy children, an alteration may take place in the
diet; and a well made panado, diluted milk sweetened,
and thickened with a small quantity of arrow-root, sago,
semolino, or rusk, may be given twice a day. When
milk, even prepared with farinaceous substances, disagrees, barely-water, fine w'ell-boiled gruel, or weak
chicken-broth, and beef-tea, may be substituted, adhering
to that which seems best to agree with the infant, and
taking care to vary as circumstances require it, as too
long an adherence to barley-water may occasion looseness
in the bowels, while the animal diet is liable to lead, if
too long continued, to a contrary result; the best precaution in these cases, when the predisposition becomes
evident, is an immediate change of aliment.
The child should be accustomed to take its nourishment from each breast alternately; as, if this precaution
be not adopted, inflammation is likely to arise in the one
not used, and the child is apt to become crooked from
being always retained in the same position.
The physician is frequently asked, how often the
child ought to be applied to the breast? The best rule
is to give it when the infant appears to desire it, and to
withdraw it when it appears satisfied. As it increases
27





I


314           TREATMENT OF INFANTS.
in strength, it may easily be accustomed to regular hours,
giving it the breast late at night, and again early in the
morning; but during the first six weeks or two months,
three times during the hours of rest, late in the evening,
middle of the night, and early in the morning, will
generally be found sufficient.
DURATION OF SUCKLING, AND WEANING.
The period of suckling ought seldom to last longer
than forty weeks; but in this we must be guided, in a
great measure, by the constitution of the infant; weak
ill-conditioned children, in whom the teeth are long in
making their appearance, it has been recommended to
continue at the breast for eighteen months, or even a
longer period. Weaning ought, in fact, to be regulated
both by the constitution of mother and child; the full
developement of the front teeth, which in healthy children
is from nine to ten months, but in delicate or scorfulous
constitutions, is delayed for several months later, is the
best indication for weaning. If, however, the strength of
the mother appear unequal to the task, and the supply of
milk begin to fall off, the child may be gradually weaned,
even before the teeth appear; but if the infant is healthy,
a continuance of suckling beyond the tenth month is
injurious to both parent and child; the reappearance of
the monthly discharge is another indication for ceasing
suckling; if this take place early, the child ought to be
weaned, or a nurse provided, as if suckling be continued,
the injury will soon declare itself, by the child falling off
and becoming emaciated; if after the sixth or seventh
month, and the mother or nurse be otherwise healthy,
the secretion at these periods ought to be kept up by
the usual artificial means, and the child supplementarily





.~
~;:
~i:


DURATION OF SUCKLING.          315
nourished till the period is past, when it may be again
applied. Weaning should not take prace suddenly, but
the infant should be gradually accustomed to other food,
and a less frequent administration of the breast, till
entirely weaned; the time to commence this gradual
course, is from the first appearance of the front teeth, so
that the weaning terminate with their full development;
thereby the secretion lessens by degrees, preventing all
evil consequences of swollen or inflamed breasts, and
the child also becomes quietly reconciled to the depriva-  _
tion. Weaning ought not, however, to take place, if the
child suffers considerably from the irritation of teething,
or any acute infantile disease. When, however, it is
found absolutely necessary to wean, BELLADONNA 3          i
should be given, as a precautionary measure against the
inconveniences and not unfrequent dangers which sudden weaning entails. Among these may be mentioned
restlessness, sleeplessness, fretfulness, and excitability,
nay, even starting in sleep with a degree of irritability
sometimes amounting to inflammation of the brain. The
value of this remedy in affections of that organ has
already been commented upon in several parts of this
work. Although, perhaps, slightly out of place, it may
be remarked that PHosPHORUS is the remedy best calculated to prevent inflammation of the breasts consequent
upon a sudden cessation of suckling.*  See the articles
relative to this subject in Part III., TREATMENT of
Females and tlfeir peculiar Affections.
After the child has been weaned, his nourishment
should generally consist of the same simple food before
mentioned, with an occasional light pudding, without
spice or eggs, made from semolino, tapioca, or other


* Vide A. H. Z., p. 8, Nov. 23.





*  ~  ~ -*:*


316           TREATMENT OF INFANTS.
farinaceous substance. The transition to a more substantial diet ought to be extremely gradual and guarded, and
no material alteration made, till after the appearance of
the eye-teeth.
SLEEP.
The sleep of the child is the next consideration;
from the inability of the infant itself to maintain a proper
degree of warmth, it should sleep by its mother's or
nurse's side, for at least the first six weeks, particularly
during winter or early spring. Care must be taken not
to over-burthen it with bed-clothes, and to place it in
such a position as to prevent it slipping under them, and
thereby becoming exposed to the risk of breathing a
vitiated atmosphere, or even of suffocation; after six or
eight weeks, when the organism becomes stronger, and
able to preserve a proper degree of natural warmth,
placing it in a separate bed or cradle, will be more
conducive to its thriving; this change of arrangement
will be found beneficial to both parties-to the child, by
its breathing a purer air, and by the continual appetite
for the breast being diminished; and the mother, being
freed from the necessary watchfulness and restlessness
consequent upon its sleeping with her, will enjoy better
health, and be more likely to secrete good and nutritious
milk. Moreover, it is generally known, that sleeping
in the same bed with an adult is detrimental to the health
and proper developement, not only of infants, but even
of children; a child sleeping in the same bed with a
very old person, will very soon begin to exhibit signs of
falling off in its general appearance.
With regard to the kind of bed best suited for the
infant, the suspended cradle seems the most eligible; we





,iP~s~~
~-~                                                         i~ b-"'" ~-T-i~--lp:
wB:I:dif~~ "'?: '"':                   _~


SLEE~.                  317
must, however, be careful not to allow the nurse to abuse
its use by continual rocking, which frequently causes
irritation of the brain; it should not be closed up with
curtains, but the room may be a little darkened; in cases
where there is danger of draughts, a screen will answer
every purpose.
As to the length of sleep allowed, the chief business
of the first months of its existence being sleep and
nourishment, we may safely leave the point to nature, and
not attempt to coerce the inclinations of the child; if
the infant is lively on awaking, we may conclude it has
not slept too much; as it increases in vigour, with longer
intervals of wakefulness, we may proceed (recollecting
that night is the proper period for sleep) so to regulate its
habits of taking its food and rest, as to accustom it to a
uniform system, and particular hours. Children, up to
two years of age, require rest during the day, and the
nurse ought to endeavour to get them into the habit of
taking it in the forenoon, for if in the afternoon, it generally interferes with their night's sleep. Whether by
night or day, we must carefully exclude both light and
noise from the nursery, for although they may be insufficient to arouse the infant, still they cause its sleep to be
disturbed and unrefreshing, and by acting upon the
nervous sensibility, predispose it to convulsions or spasmodic attacks from slight accidental causes.
It is true, that during the first month, the infant sleeps
immediately on leaving the breast, and no evil consequences ensue; but it must be borne in mind, that it
takes but little at a time, and the tenuity of the milk is
at that time wisely adapted to its delicate digestion, but
as the secretion becomes richer, and suited to the increasing power of those organs, it is injurious to put the
child asleep immediately after a full meal; his rest is
27*





318


TREATMENT OF INFANTS.


then restless and disturbed, from the process of digestion
being interfered with, more particularly when nurses
foolishly endeavour to force nature, by resorting to the
baneful practice of rocking.
Nothing causes greater annoyance, and even anxiety
to the mother than a disposition to wakefulness on the
part of her infant. A healthy child should always be
prepared for its rest at the usual hours; if, instead
thereof, it appear restless, fretful, and disinclined for its
accustomed sleep, it is an evident indication of some
derangement of its general health; and if no other symptoms be present, the mother ought generally to lose no
time' in consulting a physician, as the cause may be too
remote and serious for other hands; frequently, through
ignorance, nurses, instead of attending to this warning
voice of nature, which by the sleeplessness of the infant
demands appropriate relief, endeavour to stifle it, and
sometimes to free themselves from a little temporary annoyance, administer opiates, which induce an unrefreshing slumber, and not unfrequently a deep stupor, mistaken for sleep, while the original evil still continues to
make head against the vital power. This baneful practice has not only been the ruin of many constitutions in
after-life, but to it, conjoined with diet, drinks, carminatives, and other quack medicines, together with the
highly erroneous practice -sanctioned though it be by
names of medical repute-of a frequent administration
of that active mineral preparation, calomel, in infant
maladies, to say nothing of laxatives, an infinite number
of diseases and deaths are annually attributable. Every
mother should not only caution her nurse against the
use of opiates, but use her utmost vigilance to detect
any breach of her injunctions, which should be visited
with the immediate discharge of the person so offending;





U1;~"""~"";~
141.


EXERCISE.                  319
for she must be truly unfitted for such an important trust
who, after being warned of its injurious tendency, will
persevere in a practice placing in jeopardy the life of
her infant charge.
EXERCISE.
For the first six or seven months the great business of
nature seems to be the proper development of the infant
organism, and of the respiratory and digestive functions.
During this period the cartilage is gradually forming into
bone, and its delicate muscles acquiring power and
strength. We find also that consciousness is yet indistinct, and the infant evinces no anxiety to indulge in voluntary motion, the muscles of the neck and back not
possessing sufficient power to support the head, or to
keep the body in an erect position; for this reason, children during this period, should, when carried in the
arms, be kept in a reclining position, so as to avoid an
undue pressure upon the vertebral column; a neglect of
this precaution, and a premature carrying of the infant in
an upright position, are a too frequent cause of deformities of the spine, and derangement of the internal
functiov in after life.
As its powers gradually develop, the infant seems inclined to exercise them, and evinces a desire to sit upright, which we may safely indulge, taking care that
they be not overtasked by keeping it sitting up during the
greater part of the time it is awake. A careful attention
to nature in this, as in all other cases, is the best guide.
The practice of dandling the child in an upright position, seems to rather proceed from the pleasure of indulging the feeling of parental affection, than from any benefit the child can, by any possibility, be expected to derive from it; in fact, it is highly injurious, even at a





320


TREATMENT OF INFANTS.


rather more advanced period, as exciting a premature
involuntary exercise of the muscles, and consequent deformity. The act of respiration bringing into play a
great variety of muscles, occasional crying seems sufficient active exercise during this period.
In mild spring and summer weather the child may,
after the first fortnight has elapsed, be carried out into
the air for a quarter of an hour, and the period of exercise gradually increased; in fact, if the weather be fine,
it&can scarcely be too much in the open air. Should its
birth occur in winter, advantage may be taken of a fine
day, after it is a month or five weeks old, as the frame
is gradually acquiring the power of generating heat; but,
at the same time, great care must be taken to prevent its
catching cold; and should it exhibit the slightest sign of
being affected by the coldness of the atmosphere, the
practice should be immediately discontinued, and it
should be carried up and down in a well-ventilated room,
the nurse moving it quietly in her arms from side to side.
Many children are lost through a foolish idea of making
them hardy, by accustoming them to endure cold; this
can occur only through ignorance, for nature, in very
early infancy, does not possess sufficient energy f reaction to overcome the power of a sudden or long protracted
chill. We may recommend an occasional gentle friction of the hand over the body and limbs, which materially assists in the promotion of the circulation of the
blood, and will, in unfavorable weather, serve in some
measure as a substitute for exercising the infant out of
doors.
In carrying the child, it should be from time to time
transferred to different arms, as a continuance on one
side is a frequent cause of deformity, and in some cases
of squinting.





EXERCISE.


321


The child, as the organization develops itself, seems
to evince a desire for independent movements, in which
it may very properly be indulged, by removing every
impediment in its dress, and allowing it to roll about, or
crawl upon a soft carpet. The practice of assisting
children to walk, or of exciting them to a premature exercise of their powers, is highly reprehensible, causing
curvature of the limbs, the bones not being yet sufficiently formed to bear the burden imposed upon them.
By allowing nature to act; the infant's powers will become more gradually, but at the same time, more fully
developed, its carriage will be firm and erect, and its
limbs straight and well-formed; moreover, it will walk
with greater confidence and independence by the expiration of the first year, than those who have been taught
to walk by the assistance of the nurse, leading-strings, or
mechanical inventions. When the period at which a
child should make attempts to walk is retarded by evident debility of constitution, Homoeopathy affords us the
means of obviating this evil, by acting against the constitutional cause. Dr. Gross has found CALCAREA -00,
very useful in a case of this nature; and Dr. Hartmann
has frequently administered CAUSTICUM  0, with great
effect.





322


DISEASES      OF   INFANCY.
INFLAMMATION OF THE EYES IN NEWBORN INFANTS.
A SUDDEN exposure to the strong light of day or the
glare of a fire, is the general cause of this affection;
and no doubt many children who are, what is vulgarly
denominated, born blind, owe their misfortune to the
neglect of those precautions which we have so strongly
enforced under the head of TREATMENT OF INFANTS, in
many cases the external indications of this affection
being so very slight as to escape observation.
As soon, however, as, on a careful examination, we
become aware of the existence of this evil, we should
administer ACONITE, which will generally be found
promptly efficacious in its removal.
When, from the constitution of one or either of the
parents, we have reason to suppose that the exposure to
light has been merely the exciting cause, but that the
real origin of the evil is more deeply seated, or if the
Aconite seems to produce no effect, and the disease continues to aggravate, we may have recourse to TINCTURA
ULPHURI, and in some cases CALCAREA 9, alternating them every eight to ten days, if we find it necessary to resort to the Calcarca. The Tincture of Sulphur
having been found in many cases to act as a specific.*
CHAMOMILLA A1, is useful some weeks after birth,


* Vide A. H. Z., No. 21.





B
7~3t3 -i;r; ~.~~rr- ~r"i~~~~l~~-~~~-,: i: ~~-~~ c;.
t


HICCOUGH.                323
when the perceptive faculties are more developed, and
the child exhibits great intolerance of light; also when
redness, swelling, and agglutination of the eyelids, with
other indications, given under ACUTE INFLAMMATION OF
THE EYE, (Part I,) are present.
HICCOUGH.
This affection, though in itself of slight importance,
frequently causes no small degree of uneasiness to young
mothers; it generally arises from exposure of the body,
even in a warm room, to the atmospheric air, even during
the operations of dressing and undressing the new-born
child; wrapping it warmly in the bed, or, better still,
applying it to the breast, will frequently lead to its cessation; should it, however, continue, the administration
of a small quantity of white sugar, as much as will cover
the top of a spoon, dissolved in a tea-spoonful of water,
will effectually abate the evil.
COLD IN    THE HEAD.
This frequently arises from the same cause as the
above mentioned, but very generally fromf infection,
namely, from a person suffering under that affection
kissing the lips of the infant; other severe maladies may
be, we have little doubt, occasionally communicated to
children through the same medium, which should serve
a caution to mothers in being exceedingly careful whom
they allow to kiss their infants.
This affection frequently becomes exceedingly distressing to the infant, when it appears in the form of
an obstruction in the nose, impeding the action of the
suckling, by not allowing the breath to pass through the
nostril, obliging the infant to release the nipple frequent




324


DISEASES OF INFANCY.


ly in order to breathe, causing it to become fretful and
irritable, sometimes leading to irritation and excoriation
of the nipple, and thus, in its repeated efforts to suck,
causing suffering to both itself and the nurse.
Whilst this state continues, it operates considerably
against the infant's thriving, both by hindering it from
taking a sufficient quantity of nutriment, and by the impediment it causes to respiration, preventing the child
sleeping at night. When the nose is dry, and the secretion of mucus suspended, we may, while administering a remedy calculated permanently to remove the
evil, afford relief, by imitating the natural secretion by
the application of a little almond oil or cream to the interior of the nostrils with a feather.
This malady presents itself under many different
phases, which of course demand remedies suited to the
entire group of the symptoms. Among these, Nvx
voMICA, %Tj, has been most frequently successful, particularly when the following symptoms are present:Obstruction of the nose, with dryness, or nocturnal obstruction, with discharge during the day exists, with
irritability and peevishness.
SAMBUCUS NIGER, f0, has proved most effectual in
cases when there is an ACCUMULATION of viscid mucus
in the nostril; and if no amelioration quickly appear, we
may, without hesitation, have recourse to ~ of the same
medicine, and repeat the dose, if necessary, at the termination of twenty-four hours.
CHAMOMILLA, g, is very useful when there is cold
in the head, with a watery discharge from the nose, more
particularly when there are febrile symptoms, soreness
of the nostrils, and redness of one cheek.
ADMINISTRATION. The doses already given, repeated
in from one to four days, if required; which, however,
is rarely the case.





325


CRYING AND WAKEFULNESS OF NEWBORN CHILDREN.
As we have already remarked, the occasional crying
of new-born children is a wise provision to bring the
respiratory organs into play, and to expand the chest.
When, however, the crying becomes excessive, and
threatens to prove injurious, we must, in the first place,
endeavour to discover its origin, which frequently will
be found to be some mechanical cause, such as derangement of the infant's dress, or a pin sticking into its fleslh
THERAPEUTICS. When, however, no exciting cause
or guiding symptom of disease presents itself, and the
infant is peevish and irritable, with whimpering and
wakefulness, BELLADONNA, 0, will frequently be found
sufficient to remove the evil.
When a fit of crying comes from the child having
been irritated or excited by any cause, such as suddenly
rousing it from its rest, and when it seems willing to
sleep, but finds a difficulty in composing itself to slumber, COFFEA CRUDA, 0, will prove efficacious.
CHAMOMILLA,?-, is indicated when we can trace the
fits of screaming and wakefulness to a derangement of
the digestive functions, and the following symptoms
present themselves: when the child appears to suffer
from griping pains, and draws up its little limbs upon
the abdomen; and when a whitish, yellowish, or greenish, or watery and excoriating diarrhoea is present.
JALAPA, ), in similar cases, but with sanguineous
diarrhoea,
When the screaming and vigilance are attended with
colicky pains and flatulence, SENNA, 1, deserves a preference.,,
28





326


DISEASES OF INFANCY.


RHEUM, ý, is more appropriate when with screaming
and wakefulness are combined colicky pains, when
there are efforts to relieve the bowels; and with ineffectual and only occasional, scanty, sour smelling evacuations of grayish appearance, which seem to afford no
relief.
PULSATILLA, o0y, is very efficacious when it arises
from overloading the stomach, or improper food, and the
crying or wakefulness is accompanied with flatulence,
constipation, and sometimes diarrhea.
REMARKs. The milk of a nurse who has suckled forsome months previously is much too heavy for a newborn infant; here the only alternative is a change of
nutriment. When, however, the above-named or any
other infantile derangement arises from congenital weak.
ness of the stomach, the most useful remedies are Sulphur and Calcarea carbonica. (If diarrhcea be present,
see BOWEL COMPLAINTS.)
REGURGITATION OF MILK.
Children, in suckling, sometimes overload   their
stomachs, and regurgitate a portion of their milk; so far
mothers have no cause for uneasiness, nor is medical
assistance requisite; but when this changes into vomiting, and the whole of the nutriment is returned from the
stomach, at times followed by mucus and watery fluid,
and even bile, it must be looked upon as a disease, and
treated accordingly.
THERAPEUTICS.    IPECACUANHA, I, will generally
afford relief, and may be repeated, if not followed by a
speedy amendment, giving the medicine twenty.four
hours to allow time for its action.
Nux voMicA, z, in the same manner as the boew,





mILK-CRusTS.               327
and that failing BRYONrA, -Q, in case the disease is attended with constipation, uneasiness, or irritability.
CHAMOMILLA, same dose as described for Ipecacuanha,
when attended with convulsions, with diarrh/ea as described elsewhere under this medicine (see those articles) where the medicine has been mentioned.
Followed by ANTIMONIUM    CRUDUM  0, when the
Chamomilla has not given the required relief.
A single dose of Sulphur, I, followed by Calcarea
carbonica, 0, in from five to ten days, has proved- of
marked benefit in strumous habits.
MILK-CRUSTS.
This affection, as it occurs in infants at the breast,
usually consists of an eruption of vesicles filled with
transparent fluid, and appearing in clusters; these
vesicles generally show themselves, in the first instance,
on the face, and sometimes spread over the whole body;
the lymph therein contained soon becomes yellow, dark,
or even sanguineous, and on their bursting, forms into
crusts. Frequently there is considerable surrounding
redness and swelling, with distressing itching, which
renders the little patient excessively restless and fretful,
and causes it to keep continually rubbing the affected
parts, by which the discharge and crusts are repeatedly
renewed.
THERAPEUTICS. The following medicines have been
found serviceable in this affection: Aconitum, Rhus
toxicodendron, Viola tricolor, Sulphur, Belladonna, Hepar
sulphuris, and Euphrasia.
AcoNITE   p, should commence our treatment, when
we find excessive restlessness and excitability produced
by this affection, and when the skin around the parts is
red, inflamed, and itching.





328


DISEASES OF INFANCY.


SADMINISTRATION. One globule in a teaspoonful of
water.
RHUS TOXICODENDRON may sometimes succeed or
supersede Aconitum, particularly when a very slight
degree of fever is present.
ADMINISTRATION. 0~, repeated in five days, if the
same appearances remain.
As soon as we have found beneficial effects result from
the administration of the remedy, we may follow it up
with VIOLA TRICOLOR.
ADMINISTRATION. _-, in six teaspoonfuls of water,
administering one at intervals, of twenty-four or fortyeight hours, according to the effect produced; this
remedy is generally regarded as specific to this affection,
in its simple uncomplicated form.
In cases of peculiar hereditary tendency, however, we
must have recourse to medicaments more particularly
adapted to combat this taint. In general cases, we may
have recourse to SULPHUR.
ADMINISTRATION. g, in twelve teaspoonfuls of water,
one given every day an hour before a meal.- Sometimes
the eyes of the little patient present an appearance of
inflammation, in which case we may exhibit BELLADONNA.
SADMINISTRATION. -, dry upon the tongue, followed
by
HEPAR SULPHURIS, when the affection becomes obstinate. or EUPHRASIA, when,extensive lachrymation and
agglutination of the eyelids, with a tendency to ulceration
exist.
ADMINISTRATION of the two last-mentioned., in
four teaspoonfuls of water, one daily.





329


THRUSH, OR APHTHIE.
This disease commences by the formation of small
isolated, round, white vesicles, which, if not checked,
become confluent, and sometimes present an ulcerated
appearance, filling the whole of the cavity of the mouth,
and in severe cases extending to the throat. This affection, although of itself neither malignant nor dangerous,
frequently causes not only considerable suffering to the
child by preventing it from sucking, but great pain and
inconvenience to the mother by its being communicated
to the nipples, and causing excoriation, &c.
This disease is most generally produced by the want
of a proper attention to cleanliness, both as regards the
personal and constant laving of the infant; but especially
from the suckling-glass, when employed, not having
been carefully washed after use. Improper aliment is
another of the principal causes; thus we find that
children who are what is commonly called reared by
the hand, either partially or wholly, are more liable to
this affection than those whose sole nourishment has
been from the breast.
One of the remedies in this affection, although perfectly homoeopathic in its action, has long been in use,
in its external application, by practitioners of the old
school, namely, BRAX; and a weak solution applied to
the mouth with a brush has not unfrequently been found
efficacious. We would, however, prefer its internal
administration, which will frequently dissipate the affection without the necessity of having recourse to any
other medicament.
ADMINISTRATION: We may dissolve    j in an ounce
of water, and administer one teaspoonful morning and
28*





330


DISEASES OF INFANCY.


evening for a week; if at that period no amelioration has
taken place, we must have recourse to SULPHUR,
given dry.
In cases where there is much salivation and the thrush
indicates an inclination to ulceration, we may administer
MERCURIUS SOLUBILIS.0, followed by ACIDUM SULPHURICUM -0, if necessary. In very bad cases, when the
Aphthae assumes a livid, blue, or violent appearance,
attended with excessive weakness and diarrhoea, ARSENICUM o0, is specific.
When the disease frequently-notwithstanding every
precaution-reappears, we may safely infer that it arises
from some virus in the constitution of the mother or
nurse, who ought immediately to be put through a proper
course of treatment, under the direction of a medical
practitioner.
CONSTIPATION. Obstructio Alvi Neonatorum.
This affection generally appears in children who are
either wholly or partially reared by the hand, and also in
those whose mother or nurse are similarly disposed,
which if it arises from a peculiar diet or want of exercise, such as too much animal food, &c., on the part of
the last mentioned, may be removed by a proper attention
to these points; but in many instances it is necessary
for them also to have iecourse to proper remedial agents
at the same time with the infant.
THERAPEUTICS.    Nux vomica, Bryonia alba, and
Opium are the principal remedies, and in more obstinate
cases, Sulphur, Veratrum album, Lycopoctium, and Alumina.
Most of the medicaments have been already mentioned
under Constipation, (PART I,) which see.





BOWEL COMPLAINTS.


331


ADMINISTRATION. f0 of the three first-mentioned
remedies, every three to four days, and of the last, the
same dose at intervals of a week.
In some cases also, an enema of tepid water may be
occasionally had recourse to.
BOWEL COMPLAINTS OF INFANTS.
Diarrhoea Neonatorum.
Diarrhoea, like constipation, is to be regarded merely
as a symptom not as a disease; the real disease here
consists in irritation or inflammation of the mucous
membrane of the intestines, arising from the effects of
aperients, indigestible food, cold, fright, &c.
I have already mentioned (article MECONIUM,) that
much mischief is too often occasioned by the deleterious
practice of administering laxative medicines, and even
drastic purgatives! to the tender new-born infant, for the
purpose of hurriedly expelling the blackish green-looking
matter, technically known by the name of Meconium,
that collects in the large intestine of the foetus during the
last month or two of its uterine existence. This unwarrantable and extremelyreprehensible conduct is frequently
persevered in even for some time after the expulsion of
the first discharge has taken place, and is in many cases
the UNDOUBTED cause of fatal bowel complaints and other
sufferings in infants. I cannot therefore refrain from
again expressing a warm disapprobation on the subject,
and am convinced that in so doing, I but give utterance
to the conjoint opinion of every experienced and enlightened practitioner, even of the allopathic school.
The introduction of unappropriate, indigestible food,
such as thick gruel, &c., into the delicate stomach of the
new-born infant is another very frequent source of





332


DISEASES OF INFANCY,


intestinal derangement; this unpardonable error is not
unfrequently committed by ignorant nurses, in order, as
they say, to keep it from starving during the few hours
of necessary repose to which the mother is left after
delivery.
This disturbance is moreover likely to be excited in
those cases in which children, either from a deficiency
in the secretion of milk or other causes, it becomes incumbent to administer supplementary diet to make up for
the diminished supply, and again at the period of weaning,
when serious disturbances are occasionally produced in
the stomach and bowels, from want of proper attention
and caution in the selection and administration of the
food. (See art. SUPPLEMENTARY DIET OF INFANTS.)
Fright and exposure to cold are, as already noted, two
other most frequent exciting causes of the disorder.
THERAPEUTICS. A healthy infant at the breast soils
on an average, from four to six napkins in the twentyfour hours, but in some instances the evacuations are
more frequent, yet without in any degree affecting the
health of the child, (as is likewise often the case when
a constipated state of the bowels exists;) in such cases
then, little or no interference ought to be made so long
as the stools remain free from fetor, possessing merely
the slightly acid smell peculiar to the infantile state, and
are evidently unattended with pain, or any other abnormal
indication. When, however, the stools become green and
watery, or yellow and watery, brown and frothy, or white
and frothy as if fermented, mixed with mucus or consists
entirely of mucus, and emit an offensive odour, and are
generally preceded or accompanied by signs of suffering,
it becomes imperative to have recourse to remedial aid.
As already observed, the minuteness of the doses, and the
absence of all nauseous taste in the hommopathic medi




BOWEL COMPLAINTS.


333


cines, not to mention their other more important virtues,
render them peculiarly well adapted to the treatment of
children, and thereby spares many an affectionate and
anxious parent the pain and difficulty which is so frequently encountered in inducing the little sufferer to
swallow the nauseous allopathic drugs.
The following are the remedies employed in homoeopathic practice against this derangement, Aconitum, Belladonna, Chamomilla, Rheum, Pulsatilla, Ipecacuanha, and
also Mercurius, Nux vomica, Arsenicum album, Sulphur,
Sepia, Opium, and Veratrum album.
When there is inflammation, the constitutional symptoms are 'pretty clearly indicated by heat of the surface
of the body, quickness of pulse, and by rigors; in this
case, we must have immediate recourse to ACONITUM 0,
and follow it if necessary by
BELLADONNA; when the more acute symptoms have
been removed, but the infant continues to suffer much
and scream constantly.
ADMINISTRATION. 0-, in six teaspoonfuls of water,
one every six to eight hours, until relief is obtained.
CHAMOMILLA is one of the most invaluable remedies
in the treatment of the diseases of children, and particularly in bowel-complaints, whether arising from irritation caused by indigestible food, excited by a chill or
occurring during teething; when the following symptoms are apparent: redness of the face, or of one cheek,
hardness and tension, and fulness of the abdomen, attended by severe colic, which is indicated by the state
of peevishness, restlessness, constant crying, and drawing
up of the legs towards the abdomen, sickness, frequent
evacuations, of a bilious, watery, slimy, or frothy description, of a whitish, yellowish, or GREENISH colour, sometimes bearing a resemblance to beat-up eggs, of an





334


DISEASES OF INFANCY.


offensive odour, similar to that of rotten eggs. Chamin.
omilla may be preferred to Belladonna after Aconite in
cases of inflammation, when any of the above symptoms
present themselves.
ADMINISTRATION., in four teaspoonfuls of water;;a teaspoonful every six hours, until benefit results.
RHEUM is another remedy of great utility in the treatment of this affection, provided the disorder has not been
actually excited by frequent use of this medicine itself
in allopathic doses, in which case it will be necessary
to have recourse to Pulsatilla, Chamomilla, or Mercurius,
as antidotes according to the nature of the symptoms.
Rheum is particularly appropriate when acidity or bilious
derangement has been generated by indigestion, or has
arisen from the prolonged use of antacids, such as magnesia, &c., and when there is flatulent distension of the
abdomen, colic, crying, restlessness, tenesmus before
and after the evacuations which are either of the con.
sistence of pap, or watery and somewhat slimy, occasionally of a grayish, or of a brown colour, and when a
sour smell is emitted from the body of the infant. It is
sometimes necessary to give Chamomilla after Rheum.
ADMINISTRATION. g, in the same manner as Chamomilla, to complete the cure.
PULSATILLA.   Diarrhea arising from  " indigestion"
or from a chill, with watery, slimy, whitish, or bilious,
greenish-looking evacuations, occurring chiefly at night;
want of appetite, fretfulness. Pulsatilla, as stated, is
alao very serviceable in obstinate cases, where the affection has been brought on by the abuse of Rhubarb, or
by Rhubarb and Magnesia, when the symptoms are as
above described; it is further often efficacious under
similar conditions, when fright has been the exciting





BOWEL COMPLAINTS.


335


cause, and Opium has not sufficed, or has been administered too late.
ADMINISTRATION.    0, in six teaspoonfuls of water,
one every twelve hours, until improvement ensue.
IPECACUANHA is particularly valuable when-the diarrhea is excited at the period of weaning (weaning brash),
from the sudden change of food, which the stomach is
unable to digest; and when the following symptoms
result in consequence: bilious derangement, with repeated attacks of vomiting, paleness of the face, frequent
crying, diarrhoea with stools of a bilious, slimy, or
greenish yellow, sometimes blackish, or streaked with
blood, and of a putrid odour; on other occasions, evacuations resembling matter in a state of fermentation, or
containing substances like white flocks or flakes, followed by straining. When- this remedy is insufficient
to effect a complete cure, we should have recourse to
Pulsatilla or to Arsenicum, should the vomiting not
speedily subside.
ADMINISTRATION. -, in four teaspoonfuls of water, a
teaspoonful night and morning.
MERCURIUS.    This medicine will be found very
serviceable in some cases where the irritation owes its
origin to the abuse of aperients, such as Rheum, &c., or
when it has arisen from A CHILL. The following are
the principal indications: watery, slimy, or bilious
stools sometimes streaked, or mixed with blood, of a
blackish, " greenish," or of a whitish yellow colour:
frothy, or having the appearance of beat-up eggs; attended with symptoms of severe colic, and frequently
also with severe tenesmus and protrusion of the intestine.
ADMINISTRATION.   0j, in the same manner as Chamomilla. It is necessary to state, however, that the
employment of m-ewuryin the form of ~alomel or some





336


DISEASES OF INFANCY.


other mercurial preparation in allopathic doses, is a fruitfil source of bowel complaints in children; when the
complaint is therefore attributable to the abuse of that
powerful mineral the homoeopathic Mercurius must of
course be avoided, and its place supplied by an antidote,
which will generally be found in Hepar sulphuris, or
Acidum nitricum, should the former not suffice.
DULCAMARA. This is an admirable remedy in derangements of every description arising from exposure
to wet; and is indicated in cases of diarrhoea from this
cause, with the following-symptoms: Watery, bilious,
or slimy evacuations, of a greenish yellow colour, and
occurring chiefly at night.
ADMINISTRATION. -r, in four teaspoonfuls of water;
of which one teaspoonful may be given, and repeated in
twenty-four hours, if necessary.
Nux VOMICA is very useful in cases arising from a
chill, or from indigestible food at the period of weaning,
or earlier; it is also useful in some cases in which the
disorder has been created by the frequent employment
of laxative medicines.
Its indications are: very frequent but scanty evacuations of watery, slimy, whitish, or greenish stools, attended with colic and tenesmus, sometimes followed by protrusion of the intestine, extreme fretfulness. This medicine is also of great service in many cases when the
diarrhoea alternates with constipation.
ADMINISTRATION. f-O, in four teaspoonfuls of water,
one each night at bedtime.
ARSENIcUM. This medicine becomes indispensable
in neglected cases, or in those at an advanced stage of
the disorder, when there is reason to fear that it will
terminate in marasmus.
The following are its characteristic indications:





iii-1r ~"9~aV;-'i=~ 1-I '"";14jlt~ ",l.lJ '" "Y
-. c-.;-.`":.. *11'9..17C -I L. 1~_..
i


BOWEL COMPLAINTS.             337
Watery or slimy stools, of a greenish, whitish, dark, or
brownish colour, or of a putrid or gangrenous odour,
taking place chiefly during the night, or after drinking
or partaking of any kind of food, great thirst, sleeplessness, paleness of the face, sunken cheeks, and blue circles round the eyes, enlargement of the abdomen, with
extreme weakness, and excessive emaciation.
ADMINISTRATION. j q, in four teaspoonfuls of water,
one daily.
SULPHU is an invaluable remedy in protracted cases,
or in those occurring in children who are the offspring
of delicate parents; when there is great weakness, emaciation, distension of the abdomen, and excoriations between the thighs and neighbouring parts.
ADMINISTRATION. o3, in four teaspoonfuls of water,
one daily.
OPIUM, as has been stated in another part of the
work,* is a most valuable remedy, when immediately
employed, for averting the bad results which sometimes
arise in consequence of a sudden fright. When convulsions, with derangement in the stomach and bowels are
excited in children by such a cause, we ought to administer Opium, followed by Veratrum, should Opium prove
insufficient, and the vomiting and diarrhoea become excessive; or we may select a remedy from amongst those
above mentioned, in preference, such as Pulsatilla, &c.,
if the symptoms correspond.
DIRT. When the derangement can be traced to any
particular kind of food, an alteration in the diet becomes
imperative; at the same time the quantity of food or
drinks must be diminished until improvement sets in.


* Vide Mental Emotions.


29





338


EXCORIATION. Excoriationes Neonatorum.
Against this affection cleanliness is the best prevenStive; however, we frequently find it proceed to such an
extent as to require the aid of medicine for its removal.
CHAMOMILLA will be found, in most instances,
speedily effective, when we are certain that the disease
is not the medicinal effect of chamomile-tea taken by
the nurse or child, in which instance IGNATaA, PULSATILLA, BORAX, or CARBO VEGETABILIS, at the same
potency, should be given. In very obstinate cases we
may have   recourse to TINCTURA SULPHURIS, at the
same potency. ACIDUiM  ULPHURICUM and GRAPHITES
are also extremely valuable in this malady.
ADMINISTRATION. S-, repeated in four or five days,
if required.
MERCURIUS. When a yellow colour of the skin is
present, which Chamomilla has not removed.
ADMINISTRATION.  -32, in the same manner as the
other remedies.
LACHESIS, if the skin still retains its yellow colour, or
a hue approaching to a copper or bluish black tinge.
Although pointing out the most efficient remedies, we
would, at the same time, advise the mother when the
disease has attained to such a height as to threaten
danger, and particularly when it assumes an erysipelatous character, not to rely too implicitly upon her own
judgment, but to have, where possible, immediate recourse to medical assistance.
JAUNDICE. Icterus Neonatorum.
This disease, as we have before observed, frequently
takes its rise from the mischievous practice of adminis




INDURATION OF THE CELLULAR TISSUE.   339
tering aperients immediately after birth; exposure to
cold is also one of its exciting causes.
When it has arisen from the last mentioned, and
when there is, together with the distinguishing characteristic of the disease-a yellow hue of the skinconsiderable distension of the stomach, the administra,
tion of CHAMOMILLA will be found prompt in affording
relief. MERCURIUS may, in many cases, follow this
remedy if it has only partially relieved; after which, if
any symptoms still remain, we may exhibit CINCHONA.
Nux VOMICA, when the complaint is combined with
costiveness, and the little patient appears generally bf
irritable temper.
ADMINISTRATION. Of MERCURIUS, "P; of the other
remedies, 0, in six teaspoonfuls of water; one daily,
ceasing the moment we find an improvement or aggravation, and again repeating when the case seems to require it. (See remarks on this point in INTRODUCTION;
Article, ADMINISTRATION AND REPETITION OF THE
MEDICINES.)
for more particular indications for the medicines
above given, and further information, see article, JAUNDICE, in Part I of this work.
INDURATION OF THE CELLULAR TISSUE.
Erysipelas Neonatornm.
DIAGNOSIS. Fever with red spots, generally appearing first upon the nates but sometimes on the extremities,
afterwards upon the abdomen and genital organs, accompanied with induration of the skin and even of the maxillary muscles, which prevents the child from uttering
other than a dull sound; the skin at last becomes as dry
and hard as parchment. Sometimes, instead of fever,
the induration is accompanied with cold.





340


DISEASES OF INFANCY.


This affection generally presents itself in the first two
months of infancy; its duration is from four to fourteen
days, and if not promptly treated, it is generally fatal.
THERAPEUTICS. The remedies principally required
in this affection are Aconitum, Belladonna, Rhus toxicodendron, Arsenicum album, Lachesis, and Sulphur.
ACONITUM. At the commencement, when fever is
present.
ADMINISTRATION. 0O0, in four teaspoonfuls of water,
every two to three hours, until diminution of the febrile
symptoms ensues.
BELLADONNA may quickly follow the exhibition of
Aconitum, particularly when the spots present an erysipelatous appearance.
ADMINISTRATION. -, in a teaspoonful of water, allowing it to act from twenty-four to thirty-six hours, and
then repeating if the same indication continue; again, if
necessary, having recourse to this medicine but at a
still longer interval.
Raus TOXICODENDRON, if the appearance of the skin
exhibit a vesicular character.
ADMINISTATION. Same as Belladonna.
ARSENICUM, should the dryness and hardness of the
skin remain undiminished, or rather increased; should
we also find rejection of food from the stomach, evacuations green, watery acrid, and very offensive; moreover
when a tendency to gangrene exists.
ADMINISTRATION. 0- repeated in the same manner as
Belladonna.
LACHESIs will be found frequently called for after
Belladonna, when that remedy does not appear sufficient
to combat the malady, and in some cases, also, may be
advantageously exhibited in alternation with Arsenicum.
ADMINISTRATION -i, in the same manner as Belladonna.





TRISMUS AND TETANUS.


341


SULPHUR may be usefully employed against the sequelae of this affection, such as torpidity of the intestines,
and is also indicated where we have reason to suspect
some constitutional taint.
The body during this disease must be kept as dry as
possible, and lint applied to the parts affected; the infant
may also be allowed to suck frequently, but little at a
time, and when practicable, its only nourishment should
be from the breast.
TRISMUS AND TETANUS.
It is with some reluctance that I enter upon the treatment of this generally fatal disease, in which, however,
my own experience has proved the value of at least one
homoeopathic remedy, Nux vomica, which in a great
number of cases administered in time, may save the
little patient.
It occurs, generally, in the first few days of infant
life: at first the child vainly attempts to seek and even
if it:succeed, the milk is returned. On examination,
from stiffness of the masticator muscles, the lower jaw
cannot be depressed-the jaws gradually close, the
whole frame becomes rigid, and death ensues.
The duration of the disease is from two to four days.
CAUSES. Foul air; vitiated milk; taking cold; and
local irritation, for example, the umbilical cord being too
lightly tied.
THERAPEUTICS. We must in the first place remove
the causes where known, and exhibit in most cases Nux
VOMICA. If from local irritation, ARNIcA, bathing at the
same time the seat of the injury with a weak lotion, one
part of the tincture to twenty of-water, and when from
29*





342


DISEASES OF INFANCY.


cold or sudden chill, if Nux vomica has. not speedily
relieved, Belladonna.
ADMINISTRATION. 0, of the medicine chosen; of
Arnica, -, inserted if possible, between the gums, or
dissolved in a little water, of which a drop, or at most
two, may be let fall upon the joining of the gums, if
closely locked; repeat in from three to twelve hours,
according to results.
DERANGEMENTS DURING TEETHING.
As already stated, about the fifth to sixth month the
~ teeth generally begin to protrude.  Under a proper
system of treatment, if a due attention has been paid to
the rules for exercise and diet which we have already
laid down, and the child is free from any constitutional
infirmity, we may safely calculate upon the period of
dentition being exempt from much suffering.
Broths and jellies should, during the acute stages, be
wholly prohibited, and its food, if it take other nourishment than the breast, be of the lightest and simplest
description. The mother, or nurse, should pay particular
regard to her regimen, and avoid all substances of a
stimulating or indigestible nature. Here, again, we may
remark, that the indulgence in vinous or fermented
liquors, is, from their irritating properties, one of the
most frequent causes of the suffering of children during
this period.
During dentition there is always a tendency of blood
to the head, which from simple irritation may, if not
quickly checked, terminate in inflammation of the'brain;
the best preventive against this affection is keeping the
head perfectly cool.
In order, as much as possible, to allay the anxiety of





TEETHING.


343


parents, who may be led to mistake the natural symptoms
attendant upon dentition for those of disease, we shall,
in the first instance, briefly enumerate those which
frequently take place in healthy children, and may be
safely left to nature; and afterwards proceed to point
out in what cases, from any of the symptoms diverging
from the usual track, it may be necessary to have recourse to medicines, or to call in the assistance of the
physician.
During teething, the child is more restless than ustal,
especially at night; has flushes of heat alternating with
paleness; the gums gradually swell and become hot;
it evinces a difficulty in suckling, sometimes forcibly
bites, and frequently lets go the nipple; it drivels
at the mouth, and its bowels become relaxed; the two
latter symptoms may, in some measure, be looked upon
as a wise, precautionary measure of nature, to prevent a
congestion to the head and lungs, to which all children
are at this time more or less disposed; and the sudden
cessation of either, after having once set in, is a sign of
derangement of functions, demanding prompt attention.
When the child appears to suffer mIqh pain in the
gums, accompanied with redness, swelling, and burning
heat, and also when it is exceedingly restless and
feverish, we may administer ACONITE, 10, in a teaspoonful of water, repeated in twenty-four hours if necessary.
THERfAPEUTICS. The other medicine most generally
required are Cofea, Chamomilla, Nux vomica, Belladonna,
Cuprum aceticum, and Calcarea carbonica.
COFFEA, when the child is unable to sleep, irritable
liable to start, and difficult to soothe: if the symptoms
remain without alteration, we may have recourse to
Aconitum as above.
ADMINISTRATION. y0, repeated, if required; see





344


DISEASES OF INFANCY.


INTRODUCTION, Article ADMINISTRATION AND REPETITION OF THE REMEDIES.
CHAMOMILLA, when the excitability is very great; the
infant starts at the slightest noise; evinces great thirst;
spasmodic twitches or convulsions in the limbs during
sleep; short respirations, quick and loud, sometimes with
a hacking cough; excessive diarrhoea, with green, whitish,
or watery evacuations; and especially when the mother
has been in the habit of taking coffee, which we have
already so strongly reprobated as an article of diet to
women nursing.
ADMINISTRATION., in a teaspoonful of water, repeated at first in twenty-four then in forty-eight hours,
if called for.
When in the assemblage of these symptoms, constipation takes the place of diarrhoea, we may administer
Nux VOMICA -o, repeated in from two to three days if
necessary.
When strong symptoms of cerebral irritation exist, we
should have instant recourse to BELLADONNA, or
CUPRUM ACETICUM. When marked cerebral sensibility
declares itsi   and the child almost spasmodically
clenches the spoon or cup with its gums when drinking.
ADMINISTRATION, according to the formula given under
Scarlet Fever, one fourth of the dose there specified.
When the irritation seems to arise from ditfculty of
teething, we may administer CALCAREA za, repeating it
every eight days, which will materially assist the protrusion of the teeth.
When obstinate constipation is present, see that article
in this part of the work.





345


CONVULSIONS OF YOUNG CHILDREN,
(nY DR. HULL.)
In no case of infantile sufferings are the maternal sympathies more agonizingly excited than by the occurrence
of convulsive paroxysms. These maladies are frequently
developed completely in a very rapid manner. Almost
without a single instant of warning the transition from the
calm repose of the unwatched cradle, to the frightful contortions of a most perilous state, makes the awful appeal
to the mother, in whose bosom God has implanted the
most earnest will to protect, defend and soothe her offspring, for the immediate and most effective interpositions
of art. Ignorance of the few necessary and simple rules
of art for these dreadfil exigencies must, independently
of a fatal issue in any case, be productive of indecision
and helpless dismay, or lead to the adoption of violent,
inappropriate and even destructive measures. No mother of tolerable education can willingly remain unqualified for the discharge of the preliminary medical offices
which may be put into action before the physician can
be summoned to the charge of her little sufferer; and, as
in our mode of cure, there are certain steps which we
deem more efficacious than those of the ordinary practice, and which are certainly more in accordance with
our indispensable general maxims, we consider it our duty
to call the attention of those females who employ Homeopathic physicians to the following considerations and
practical expedients.
PREDISPOSITION.-Early childhood is peculiarly exposed to these maladies in consequepce of anatomical
and physiological peculiarities. Thus the relative volume of the brain and nerves is greater at this than at





346            DISEASES OF INFANCY.
any other period of life, and especially the nerves that
appertain to the most important part of the system
(technically designated, ganglionic.) The circulation of
the blood is exceedingly rapid; the pulsations of the infant approaching 120 in a minute, while those of the
adult average about 75.
The muscular system is delicate and acutely susceptible in consequence of the redundant vitality of the ner.
vous and circulatory systems. The infant system is on
these accounts very highly susceptible to impressions,
whether mental or physical; as is manifest in the sun.
shine of smiles and showers of tears-the swift-bounding
leaps and almost convulsive springs that alike gladden
and terrify. As long as this mobility of the infantile
system endures, so long are convulsive difficulties to be
apprehended, for its dependent susceptibility is only subdued in the ratio it matures as it approximates nearer
and nearer to the period of puberty.
Hereditary predispositions form a second consideration of importance. Numerous generations of particular
families have been observed to inherit convulsive habits
in conjunction with malformations of the head, nervous
irritable temperaments, and also, sometimes, lunacy.
Dr. Eberle observes that convulsions occur most frequently among the denizens of crowded cities, especially
in the luxurious and pampered classes, and proportionate
infrequency among the temperate and laborious who enjoy the free and uncontaminated air of the country. Dr.
North, who has investigated the phenomena of infantile
life with diligence and acuteness, has observed that the
offspring of parents who marry prematurely, or at an
advanced age, are more frequently subject to convulsive
disease than the children of those who are united at sexual maturity. An opinion which we think deserves the





CONVULSIONS OF YOUNG CHILDREN.


347


attention of those who are hastening mere children into
relations they are physically unfit to sustain.
EXCITING CAUSES OF CONVULSIONS.-These causes
deserve a more careful attention on the mother's part
than those of constitutional predisposition, which however should never be lost sight of. If any of these we
are about to enumerate exist during childhood, appropriate measures should be speedily adopted to arrest
their progress; for, if the paroxysms of convulsions are
not entirely suspended by the suppression of the causes
that frequently create them, they will be so far modified
by anticipatory treatment as to be quite mild, and certainly exempt from all danger. Again, if the development of the paroxysms is immediately dependent upon
one of these causes, the specific cause must never be forgotten in the selection of the remedies apposite to- the
occurrent symptoms.
1. Dentition.-This is one of the most frequent causes
of convulsions in children; either when the vascular
system seems crowded to excess in very healthy plethoric infants, or when the teething has been protracted
beyond the ordinary periods by tedious sickness or
immature constitutions.
2. Repelled Eruptions.-'-Experience has demonstrated
that, in acute eruptive diseases, as scarlet fever, measles, &c., the sudden repulsion of the eruption has been.
frequently followed by convulsions. The sudden and
quackish suppression of ulcers and chrohic diseases of
the skin, by external applications, has been followed by
the same results. We seize the present occasion to re-.
probate this pernicious and unscientific practice, which
every physician of any observation has known to prove
hurtful and even fatal.  We can recur to three marked
cases we have been called> to, where all the symptoms of





348


DISEASES OF INFANCY.


dropsy in the head supervened upon the suppression of
scaldhead disease through the external application of
unguents and washes-an immoral expedient adopted to
satisfy the demands of parents who required an immediate extinction of the disease because " it was unpleasant to the sight."
3. Irritating substances in the stomach and intestines.
-Irritating and poisonous substances, acrid and indigestible food, and the overloading and distention of the
stomach have been observed to engender convulsions.
The possibility of such results from these provocatives,
points emphatically to the adoption of a plain and rational diet for children, and to the avoidance of confectionary, cakes, pastry and coffee, with which their tender
stomachs are too often surfeited, abused and permanent-,
ly injured.
4. Worms.-Verminous irritation unquestionably produces convulsions. The existence of this cause should
not be too hastily decided upon, for with all the care
taken to elaborate its symptomatic phenomena, they so
closely, simulate those arising from other kinds of irritation, that no strong reliance can be placed upon this
discrimination, except when aided by the absolute presence of the worms in the evacuations either from the
stomach or intestines. This uncertainty should serve as
a salutary caution to the presuming, who are so fond of
deluging infants with pinkroot and other vermifuges, thus
producing or magnifying the very sufferings they aim to
relieve. The maw or thread worms, (ascarides vermiculares) small white worms that gather in countless numbers at the lower part of the intestinal canal; and the
common round worm, (ascarides lumbricoides) are the
two prominent species to be sought for as exciting causes
of convulsive difficulty in children.





CONVULSIONS OF YOUNG CHILDREN.       349
5. Mechanical injuries.-Falls and blows upon the
head and other parts of the body have produced convulsions both immediately and remotely. The mechanical
depression of a part of the #kullbone, or the presence of
a splinter in the fleshy part of the body, have been
known to excite convulsions until the bone was elevated
or the splinter removed.
6. Fright..-This is not an infrequent agent in the
production of spasms. Nurses who, having some ulterior views of comfort or occupation, were desirous of
silencing crying or fretful children, have been known to,
frighten the little sufferers into convulsions. Thoughtless children have pursued the same course with their
younger associates with similar results. Mothers, as
they value the future health and mental capacity, or the
very existence of their offspring, should guard against
such misconduct with extreme vigilance.
7. Various unknown causes.--Convulsions occasionally occur, and we find it quite impossible to recognize the
cause. When we feel assured that dentition or indigestion are the factors of the illness, we possess corresponding confidence in alleviating or removing the suffering; but when children, seemingly in perfect health, and
without the least premonition are seized with convulsions, there is reason to apprehend that some organic
conformation exists which may render all our efforts
hopeless and useless.
TREATMENT.-Directions preliminary to the use of Homceopathic Medicines.-1. PRESENCE OF MIND should
ever prevail with all females who have assumed the responsibilities of mothers, as its exercise, on the sudden
emergencies of the nursery, may save, or its absence
may sacrifice the lives in their custody. The mother's
affectioa should transform and concentrate her energies
30





350


DISEASES OF INFANCY,


into a " master spirit," competent to guide in the midst of
danger,and rising in magnitude and power in proportion
as new perils environ her offspring. She should adopt
a calm deportment and resolute firmness; and she will
have the satisfaction of inspiring those about her with
confidence in the pursuance of efficient measures of relief.  This self-command is to be acquired more readily by learning what may be safely and judiciously
done in case of accidental or other sudden dangers,
than by any merely moral discipline, although the latter
ought by no means to be neglected. Of course a messenger will be dispatched for the family physician on
the instant in which the signs of convulsions become at
all manifest.
2. On the access of a convulsion, let warm water be
ordered and procured as speedily as possible. The
lower extremities should be immersed in the same up to
the knees, from five to ten minutes, until the paroxysm
seems evidently subdued, when the patient should be
wiped dry and wrapped in a warm blanket. We will, at
this place, mention a rule in regard to the benefit that is
obtainable from warm water whenever needed for local
bathing-that the water should always be hot but not
scalding-if a decided and favourable impression is to be
anticipated. If the water and other means afford no
relief after the patient has been put into the warm wrapper, let the immersion be repeated, at the same time
pour a small stream of cold water on the crown of the
head until animation becomes apparent, and then renew
the dry envelope. The alternation of this course upon the
ffth trial has been found to restore convulsed children,
although the prior trials were perfectly inefficient.
3. Lavements or injections are auxiliaries of great
importance.  They are perfectly harmless under all





CONVULSIONS OF YOUNG CHILDREN.


351


circumstances, and at times absolutely necessary, if
irritating food or foreign material in the stomach and
intestines, are the known causes of the paroxysms.
When such causes exist the injection should precede the
foot bath; otherwise the intervals between the baths will
furnish the most suitable time for their application.' A
lavement of simple warm water or milk is generally
sufficient; if not, one of equal parts of sweet oil and
warm milk; or a composition of warm water, salt and
molasses.
4. If the arrival of the physician be protracted, or if
Homeopathic medicines be not at hand, weak camphorwater applied to the nostrils and forced into the mouth of
the patient, at occasional intervals, is perfectly admissible. Camphor in some instances has proved of great
value in relieving convulsions, but requires caution as to
its too abundant administration.
5. The administration of Homoeopathic remedies forms
a consideration of great moment, if they can be discriminatingly applied. It is a safe rule for every family to
possess a small pharmacon or medicine chest, with appropriate directions as to the mode of using the medicines,
not only for the disease in question, but for all the trifling
aliments that are constantly occurring in large families
of children. Effective relief, can thus be rendered,
serious diseases frequently anticipated, and, what is of
importance, substitutes at command which, it is to be
hoped, will banish from every house the pernicious
"simples," as paregoric, laudanum, cough syrups, panaceas, bilious pills, freckle and pimple lotions, (many
containing corrosive sublimate and arsenic,) plasters,
unguents, &c.
MEDICINES FOR CONVULSIONS AND THEIR SYMPTOMS.
-In offering instructions to laymen in regard to the





352            DISEASES OF INFANCY.
selection of medicines for disease, whether here or elsewhere, we feel satisfied that the intelligence of those
who extend their attachment to Homcopathia to a
provision of medicines, will guard them from an abuse
of these means by thoughtless prescriptions or random
experiments. The practice of Homcopathia by laymen,
in all acute and dangerous maladies, is unquestionably
hazardous, as our arguments in their proper place will
prove; but in particular cases, careful practice is not only
commendable but necessary. The present disease will
illustrate the propriety of this position, either when the
parent has become accurately familiar with the treatment
of special forms of convulsions by watchful experience
-or, when a physician cannot be procured-or, when
no resource is left beside, but application to Allopathic
physicians or measures.
The selection of remedies is to be made with reference to the causes. The symptoms in italics represent
the distinctive indications of their remedies in convulsive
diseases.
1. CONVULSIONS FROM   DENTITION.--Belladonna.This remedy is principally indicated for plethoric and
corpulent children and those of sanguineous temperaments.
Characteristics of the paroxysm: the child starts suddenly
while sleeping, seemingly under the impression of a
frightful dream, stares abdut wildly, the pupils are much
enlarged, the whole body or single limbs become
stiffly convulsed, the forehead and hands are dry and
burning, and occasionally there follows clenching of the
hands and involuntary urination. On returning conciousness the attacks will sometimes recurfrom the least touch.
Belladonna is applicable also when the spasms are
preceded or attended by smiles or laughter.
ADMINISTRATION. A teaspoonful of a solution, either





CONVULSIONS OF YOUNG CHILDREN.


353


of globules or liquids, should be given at the accession
of the convulsion, and repeated whenever it recurs. If
the spasm be followed by coma or stupid sleep with irregular respiration and coldness of the surface of the
body, OPIUM may be administered in same form as the
Belladonna every hour until a favourable change is affected.
Chamomilla is indicated for children of nervous, sanguineous temperaments, and endowed with extreme sensitiveness, and peevish, fretful irritability.  Characteristic
symptoms: the child is fretful, restless, and disposed to
drowsiness while awake; the eyes become half closed,
one cheek is red, the other pale; moaning for drink,
consciousness ceases, twitches of the eye-lids and
muscles of the face, with contortions of the eye-balls,
jerks and convulsions of the arms and legs, with clenched
thumbs, while the head is constantly rolling fromn side to
side.
The Belladonna and Chamomilla harmonize in alternation. If the Belladonna is first indicated and does
not promptly suppress the convulsion, it will frequently
modify the symptoms so that the group will be successfully controlled by Chamomilla, which, if does not, will
in its turn create a susceptibility, so that the repetition of
the Belladonna will remedy the predicament it primarily
failed to reach. If the Chamomilla is first indicated, the
converse also holds good as to its succeeding alternation
with Belladonna.
Ignatia.  This remedy applies to the melancholic
temperament-to pale and delicate infants of tame or
peevish dispositions-and to hysterical alternations of
vivacity and sadness in children, such as laughing and
crying at the same breath. Characteristic symptoms:
the child, while reposing in a moaning, light slumber,
30*





354


DISEASES OF INFANCY.


becomes suddenly and repeatedly flushed with burning
heat; awakes and springs with a convulsive start, the
most soothing attentions scarcely availing to quiet the
excitement; a tremor seizes the entire body, attended by
violent crying or agonizing shrieks, and the muscles or
single limbs become convulsed. The Ignatia is further
indicated when the spasmodic paroxysms occur every
day at a regular hour, followed by fever and perspiration;
or when they occur every other day at variable hours; or,
again, when the Belladonna and Chamomilla do not
appear to be efficient in teething convulsions.
ADMINISTRATION. Same as Chamomilla.
Cina best accords with the melancholic temperament.
It is especially suitable for children who are scorfulous;
have become debilitated and emaciated from continued
disease; are painfully sensitive to motion and society;
have hooping cough; or have had a tedious dry cough
resembling hooping cough; or who are having their
second teething, attended with picking at the nose, and
griping and itching at the fundament, both prior and
subsequent to the spasms; who have had previous convulsions from worms; and habitually wet their beds.
Distinctive symptoms: spasms of the breast, then of the
limbs, and finally paleness and rigid stiffness of the entire
body.
ADMINISTRATION. Same as Chamomilla.
Arsenic has been used with great benefit in the spasms
of dentition. As illustrative of its indications we refer
to a case in the Archives successfully treated by the
prior administration of Stramonium, the intermediate use
of Arsenic, and concluded by Belladonna. Collateral
indications: the child is irritable and restless; cries for
some particular thing, which, when offered, it rejects;
has an insatiable thirst; frequently throws off the little it





CONVULSIONS OF YOUNG CHILDREN.


355


"will scarcely eat; has a diarrhcea; often of indigested food;
constantly points with a painful expressisn of countenance to the lower part of the abdomen; tosses about at
night; and obtains short restless sleep toward morning
only. Paroxysms: they recur frequently; the child cries
as if from a perverse temper; stretches its feet out, and
hands convulsively backward (opisthotonos); then throws
his hands about and rolls over with violent shrieks;
alternates his position, convulsively bending forward
(emprosthotonos), with clenched fingers and extended
thumbs. All efforts to allay the spasmodic excitation by
soothing expressions irritate instead of allaying, so that
the child attempts to strike and bite those around him.
Stannum. This remedy has been advised when spasms,
occur upon the appearance of each tooth, every paroxysm
increasing progressively in violence. Characteristics:
burning heat of the skin with violent bounding pulse;
spasmodic twitches of the muscles of the face, eyes and
neck; and foecal and urinary evacuations in the midst of
the spasms.
ADMINISTRATION. Same as Chamomilla.
2. REPELLED EurPTIONS.-Belladonna is a specific
remedy in convulsions derived from suppressed Scarlet
Fever; also in alternation with Opium and Stramonium.
Its symptoms are detailed above.
Bryonia relieves spasms dependent upon suppressed
Measles. Bryonia is also indicated for the results of
some forms of Chronic eruptions. Characteristic symp.
toms: the child is seized with great lassitude and debility;
there is a great tremor of the entire body; the face
becomes very pale; the limbs flaccid; twitchings of the
muscles and of single limbs; and, finally, convulsions.
Occasionally the convulsions are preceded by deep and
violent coughing and oppressed respiration, especially if
owing to suppressed measles.





356


DISEASES OF INFANCY.


Stramonium is sometimes applicable to spasms arising
either from acute or chronic eruptions suppressed.
Symptoms: sudden flushes of heat, thirst, vomiting, and
watery diarrhoea; general tremor; foaming at the mouth;
the eyes fixed and the pupils dilated; the respiration
laboured and groaning; and rigid stiffness of the body.
A premonition, characteristic of this remedy, is occasionally witnessed-an extreme aversion or dread of water,
similar to that of hydrophobic sufferers.
Tartar Emetic has been a successful remedy in our
hands in the treatment of spasms arising from repelled
eruptions of the head, when the symptoms closely resembled those of dropsy in the head.
Sulphur, however, is to be esteemed one of our prominent agents when the spasms are directly attributable to
repelled chronic eruptions. If the symptoms indicate any
one of the previously named remedies, let it be administered at once; but if an immediate impression is not
obtained, apply the Sulphur speedily, and continue the
alternation until successful. After the paroxysm is past,
the Sulphur and other appropriate eruptive remedies
should not be spared until such a possible cause of peril
to children has been effectually eradicated.
ADMINISTRATION. Same as Chamomilla.
3. IRRITATION OF THE STOMACH, &c.-Nux vomica
is a remedy quite apposite to the infantile age, and also
to lively, sanguineous and nervous temperaments. It is
also peculiarly adapted to all spasmodic difficulties dependent upon derangements of the digestive system, as
acid eructations, colics, constipation, &c. Symptoms:
cough with expectoration of slime, and difficult hurried
respiration; gripings and distention of the abdomen;
constipation; violent spasms attended by shrieks, bending
the body backward, especially the head, fixed eyes and





CONVULSIONS OF YOUNG CHILDREN.


357


trembling of the limbs, The paroxysms are constantly
repeated, with much thirst and excessive perspiration
during the intervals.
Pulsatilla is suited to dull, phlegmatic or to mild,
merry temperaments, and to female infants. It answers
for such spasms as are directly traceable to an over.
loaded stomach. It also relieves the subjects of its pe.
culiar temperament when the Nux would be otherwise
indicated. It acts efficiently in alternation with Nux
when the temperament is questionable.
Coffea. This remedy will relieve spasms that arise
from the immoderate use of laudanum, paregoric, &c.,
given habitually to quiet the restlessness and cries of
infants. If it is not prompt in its action, follow its administration by Spirits of Camphor, every five or ten
minutes. If the spasms become frequent, consult the
indications of Mercury, Nux vomica and Belladonna.
Ignatia, the symptoms of which have been already
recorded, will be found to correct spasms that have
sprung from the domestic use of" Chamomile tea."
Ipecacuanha applies to convulsions preceded and attended by pale bloated face; frightful distortion of the
muscles of the face and twitchings of the extremities;
aversion to every thing but water; oppression of the
chest; nausea, vomitings and diarrhoea.
ADBIrNISTRATION. Same as Chamomilla.
4. WoRMs.-Hydrargyrum. This mineral forms an
admirable agent in the cure of verminous spasms. It is
prominently indicated when the attacks are developed
about evening and the skin is disposed to perspiration.
Paroxysm: the child is taken with painful eructations;
water drools or is ejected from the mouth; a watery di.
arrhoea sometimes succeeds; the limbs are thrown about
and become convulsed; stupefaction follows, attended





*


358            DISEASES OF INFANCY.
by fever and moist skin. Previous to, during and after
the fit, ths abdomen is distended and hard. After the
paroxysm the child will frequently lie for a long time
apparently exhausted and dying.
Cina is also applicable to convulsions from worms,
which correspond with the symptoms of this remedy
detailed under Dentition. It also succeeds when the
Hydrargyrum fails to effect its group, or materially aids
in alternation with this latter remedy, or with Hyoscyamus.
Hyoscyamus. The distinctive indications of this medicine point to spasms that occur periodically and immediately after meals. Paroxysm: the child sickens after
eating, and sometimes vomits, with evident suffering in
the pit of the stomach; or, else, suddenly shrieks and
becomes insensible; the limbs or entire body are moved
convulsively, and especially the muscles of the face; the
face is somewhat pale and bluish, or turgid and.fieryred; the eyes are exceedingly protruded and distorted;
grinding of the teeth and foaming at the mouth follow;
while the respiration is sonorous and oppressed.
Cicuta is pre-eminently serviceable, while during the
undoubted existence of worms, the child is first taken
with violent abdominal gripings and colic which persist
until they are merged in convulsions. Tremor of the
limbs, jerks like electric shocks and final insensibility,
constitute the paroxysm.
ADMINISTRATION. Same as Chamomilla.
5. MECHANICAL INJURiEs.-Arnica is the specific
for convulsions derived from contusions, &c., when
the presence of foreign bodies, or the derangements of
the bones, are not the causes, in which predicaments
surgical aid must mainly avail. But after appropriate
surgical assistance, this remedy can be depended upon
for efficient impressions of a favourable character.





CONVULSIONS OF YOUNG CHILDREN.


359


6. FRIGHT.-Opium is antidotal to'the effects of this
cause. Paroxysm: the child is taken with a general
tremor; throws his arms and legs about; a melancholy
expression of countenance is supplied by one of stupidity, during which he cries, seemingly unconscious;
finally becomes senseless; the body swells, and the
fecal and urinal evacuations are quite suppressed.
Ignatia avails according to its indications.
Stramonium is useful when the child becomes suddenly
convulsed and senseless from fright.
Secale answers when the Stramonium fails, and also
in alternation with it.
ADMINISTRATION. Same as Chamomilla.
7. UNKNOWN CAUSEs.-All the preceding remedies
may be administered when the causes are not discoverable, provided their symptoms coincide accurately with the
convulsive phenomena.
Aurum has been used by Rau in convulsions attended
with alternations of laughing and weeping.
Aconite. Dr. Hartmann values this medicine in spasmodic affections attended with high fever.
ADMINISTRATION. Same as Chamomilla.
Other remedies, as Cocculus, Cuprum, Cicuta, &c.,
have been recommended by some physicians, in consequence of their utility in convulsive difficulties of adults,
but, as the testimony is not explicit, and as children are
amply provided for by the medicines already enumerated,
we do not deem it necessary to enlarge on their effects at
the present time.
WATER IN THE HEAD. Hydrocephalus.
This fatal and frequent disease is liable to be excited
by a variety of causes, and is particularly prone to take





360            DISEASES OF INFANCY.
place in scrofulous children, who are born with unusually
prominent foreheads, and in whom the fontanels remain
long unclosed. The symptoms are sometimes so mild
and insidious, that parents are thrown off their guard, and
attribute the apparently slight indisposition of the little
patient, to some comparatively trivial circumstance; such
as teething, or gastric derangement. In other instances,
the symptoms are much more striking, and in many
respects strongly resemble those described under inflammation of the brain. In general, the skin is hot, pulse
rather quick, chiefly at night, and the child becomes
peevish whenever it is raised from the horizontal position;
at other times it is affected with fits of screaming;
grinding of the teeth; redness of the face and eyes;
peculiar expression of countenance;.convulsions and
stupor.
THERAPEUTICS. The most appropriate remedies are,
Aconite, Belladonna, Mercurius, Bryonia. The indications
for the two former have already been given under
INFLAMMATION OF THE BRAIN, PART I.
ADMINISTRATION.   Two globules at the thirtieth
potency in four teaspoonfuls of water, one daily; in
severe attacks every six to twelve hours, carefully studying the effects of each dose, and acting accordingly.
BRYONIA ", may be administered after Aconite or
Belladonna, if necessary, or may be given at the commencement, when there is heat in the head with redness
of the face, and great thirst; delirium; sudden starts,
with cries, or constant inclination to sleep; constant
movement of the jaws, as if engaged in chewing, and
constipation.
MERcURIUs "r, will frequently be found useful after
Belladonna, or previous to that remedy, when the bowels
are much relaxed.  Hyoscyamus, Opium, Cina, and





ASTHMA OF MILLAR.


361


Stramonium, will likewise prove valuable in cases
wherein the indications correspond with those described
in PART I., and in some cases Lachesis, particularly
when the disease has reached an advanced stage.
ASTHMA OF MILLAR.
This affection is by some denominated the Spasmodic
Croup, or Acute Asthma of infants; it bears a consider.
able resemblance to croup, yet differs from it in many
respects, by the extreme suddenness of the attack, while
that of croup is generally preceded one or two days, by
hoarseness and a slight cough, and by the cessation
from suffering the patient enjoys between the attacks,
while, when croup has once set in, the excitement is
permanent; moreover, this disease generally attacks in
the evening or at night, whereas croup in most cases
makes its first appearance during the day.
Croup, as we mentioned in the article upon that subject,
is an inflammation of the membrane of the windpipe,
exciting the formation of a peculiar secretion, which if
not checked, concretes into an abnormal membraneous
tissue, constituting what is technically called the false
membrane of croup; whereas, in the Asthma of Millar,
the suffering appears to arise from a spasmodic contraction
of the top of the windpipe, impeding the process of respiration.
This affection commences with a sudden spasmodic
inspiration, with a species of stridulous or crowing noise;
if the fit continues, the face becomes purple, and the
extremities partake of the same hue, frequently accompanied, as in convulsions, with a clenching of the thumbs
inside the palm, and spasmodic constriction of the toes,
giving an appearance of distortion of the foot; if proper
31





362


DISEASES OF INFANCY.


means are not promptly taken, these attacks recur frequently, and at short intervals, and occasionally the little
patient perishes during one of the paroxysms.
This affection rarely occurs except in infants of a
strumous habit, which due means should be taken to
eradicate by a proper course of treatment; it is a
frequent accompaniment of the period of dentition, and
excited by similar causes to those bringing on convulsions.
THERAPEUTICS. With regard to the treatment: when
there is considerable lethargy present, difficult respiration
and whistling; sense of suffocation, with constriction of
the chest; the face swollen, and livid or purple, and
especially when coming on at night, with cough and
weeping after each paroxysm, SAMBUCUS is almost
specific.
ADMINISTRATION. o0, every one or two hours, according to symptoms; and if no relief follow its first
administration, we may have recourse to the third
potency.
Should, however, the administration of Sambucus be
found ineffectual, we may have recourse to any of the
following medicines, that appear indicated by the symptoms: Aconite, Ipecacuanha, Arsenicum, Moschus, or
Pulsatilla.
ADMINISTRATION. The same as Sambucus, with the
difference of the dose, which is mentioned after each
medicine.
ACONITE.   o, when a suffocating cough comes on at
night, *ith shrillness and hoarseness of voice; respiration short, anxious, and difficult, more particularly if any
marked febrile symptom be present, or we have reason
to dread determination of blood to the head.
IPECACUANHA g, when there is rattling in the chest,





VACCINATION.


363


from an accumulation of mucus, with spasmodic constriction, and symptoms as from suffocation; anxious and
short, or sighing respiration, with purple colour of the
face, and cramps or rigidity of the frame; it may be
advantageously followed by
ARsENICUM   -, when many of the above symptoms
are still present, or in a measure subdued; also if we
find great anguish, cold perspiration, and considerable
prostration of strength, during and after the paroxysms;
when these last indications are particularly prominent,
Arsenicum may supersede Ipecacuanha at the commencement; in fact this remedy is more frequently called for
than any other, Sambucus included, in the form in which
the disease generally appears in this country.
MoscHUs -9, is frequently of value in cases that occur
at a more advanced period of life, when a constriction in
the larynx, as if caused by the vapour of sulphur, is complained of; difficult respiration and short breathing;
severe spasms in the chest, with inclination to cough, after
which (especially in children) the paroxysm becomes
much exacerbated.
PULSATILLA , will often be found successful in cases
in which the foregoing remedy fails in producing the
desired effect.
VACCINATION.
This is an operation purely homocopathic, and, one
which, from its efficacy in the prevention of a disease
exhibiting analogous symptoms, has been frequently
quoted by our Great Founder and his disciples, as one of
the best illustrations of the immutable law of SIMILIA
SIMILIBUS CURANTUR.
Vaccination, when the child is strong and healthy, may
be safely performed during the fourth or fifth month; but





364


364       DISEASES OF INFANCY.


when the smallpox is rife as an epidemic, we may have
recourse to this.prophylax with infants of a still more
tender age. If, however, we are allowed 'a choice oif
time, summer is the best period for performing the operation, as then the infant, after having taken the infection,
incurs least risk of catching cold.
It is of the utmost importance, to obtain the lymph
from a perfectly sure source, as experience has too -truly
proved, that other diseases, have, from a neglect of this
precaution, been freq~uently transmitted to healthy children'. For this reason, a child that has suffered from
eruptions of the skin, affections of the glands, or soreness
of the eyes, or one born of scorfulous parents, is an
unfit subject for taking the vaccine matter from, although
at the time apparently in health; as, however, in many
cases, notwithstanding every care, such symptoms develope themselves when the pustules are drying up, we
may, during that period, administer SULPHUR, -y-, as a
precautionary measure, dissolving two globules in eight
teaspoonfuls of water, exhibiting one, and repeating the
dose twice, at intervals of a fortnight; each time from
a fresh solution.





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PART III..~^MhM^NC^hn~HMMA^~^MAMAMNUC^M~YCrChVy


TREATMENT OF FEMALES,
AND
THEIR PECULIAR AFFECTIONS.


31*





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PART III.


TREATMENT OF FEMALES.
CHLOROSIS.
THIs complaint generally declares itself in young females about their fourteenth year. Its proximate cause
is an obstruction of the first menstruation; a disease
very similar may be produced by great loss of blood.
DIAGNOSIS.   Pale blanched complexion and lips
(sometimes with flushes of heat and redness), a depravityof appetite, a longing after innutritious substances,
such as chalk, &c., and a general languor both mental
and physical; the patient complains of weariness, lassitude, and debility, and becomes emaciated; the lower
extremities frequently assume an oedematous appearance, generally attended with cold in those parts, and
headach, with flatulent distension of the abdomen, particularly after meals, and in the evening; bowels irregularly confined; sometimes at a later period very easilyirritated and relaxed; a harsh harrassing cough, occasionally with periodical expectoration of dark coloured
coagulated blood, and hurried respiration, frequently declares itself, if the affection has been allowed to.proceed
unchecked; and to an inexperienced eye, the sufferer





368


TREATMENT OF FEMALES.


appears to be on the verge, or even passing through the
different stages, of a decline.
THERAPEUTICS. The predisposing causes of this
affection are very remote; we shall therefore be satisfied with confining ourselves to the treatment of this
complaint in its more simple stage, as when we find an
extremely obstinate case, we may feel confident that it
requires a regular course of treatment, or orginates in
some organic derangement. The medicines hitherto
found most useful in ordinary cases of this affection are,
Pulsatilla, Sepia, Bryonia, and Sulphur.
ADMINISTRATION. Six globules of the potency mentioned after each medicine, in six dessert-spoonfuls of
water, one daily, repeating in a week or ten days if
necessary, or choosing another remedy if such seems
called for.
PULSATILLA yT, is peculiarly efficacious when the
complaint has been the effects of dampness, or caused
by damp or cold air, or when it is accompanied by
frequent attacks of semi-lateral headach, with shooting
pains, extending to the head and teeth, sometimes shifting suddenly to the other side; also when we observe
aching in the forehead, with pressure at the crown of
S the head, and sallow complexion, alternating with flushes
of heat; difficulty of breathing, and sense of suffocation
after the slightest movement; palpitation of the heart;
coldness of the hands and feet, often changing to sudden
heat; disposition to diarrhoea and leucorrhma; pains in
the loins; sensation of weight in the abdomen; spasms
in the stomach, with nausea, inclination to vomit, and
vomiting; periodical expectoration of dark coagulated
blood; hunger, with repugnance to food, or want of appetite with dislike to food; great fatigue, especially in
the legs. This medicine is peculiarly adapted to fe




CHLOROSIS.


369


males of mild or phlegmatic disposition, disposed to sadness and tears.
SEPIA y-, is also a very valuable remedy in this affection, when many of the above symptoms are present,
with, at the same time, hysterical megrims; complexion
sallow, with dark-coloured spots; frequent colic and pain
as of a bruise in the limbs. It may, when the above
symptoms declare themselves, advantageously follow
Pulsatilla, if the latter have failed to relieve.
BRYONIA -g.   Frequent congestion in the head or
chest; bleeding at the nose; dry cough; coldness and
frequent shivering, sometimes alternated with dry and
burning beat; constipation or colic; bitter taste in the
mouth, tongue coated yellow; sense of pressure in the
stomach, as if from a stone; irascibility.
SULPHUR -a-, is more particularly indicated when
there is pressive and tensive pain in the back of the head,
extending to the nape of the neck; or, pulsative pain in
the head, with determination of blood; humming in the
brain; pimples on the forehead and round the mouth;
pale and sickly complexion, with red spots on the
cheeks; voracious appetite; general emaciation; sour
and burning eructation; pressivefulness and heaviness in
the stomach under the lower ribs and in the abdomen;
bowels irregular; difficulty of breathing; pain in the
loins and fainting; excessive fatigue, especially in the legs,
with great depression after talking; great tendency to
take cold; irritability, and inclination to be angry; or,
sadness and melancholy, with frequent weeping. In
some cases one or the other of the following medicines
may be chosen: Natrum muriaticum, Conium maculatum,
Graphites, Causticum, Kali carbonicum, Calcarea carbonica, Phosphorus, 4c.





370


CATAMENIA, IRREGULARITIES OP.
When a suppression takes place from the sudden effects of a chill we may have recourse to Pulsatilla,
when the symptoms generally correspond to those of
that remedy, as detailed under Chlorosis; the same rule
will apply for Sepia and Sulphur.
THERAPEUTICS.    Nux vomica, Platina, Pulsatilla,
Sepia, Sulphur, and Dulcamara are the medicines most
commonly employed in the derangements of this important function.
ADMINISTRATION.    Unless otherwise specified, six
globules of the potencies named, in six dessert-spoonfuls of water, one morning and evening.
Nux VOMICA a, when of too frequent occurrence, too
profuse, and of too long duration, preceded by drawing
pains in the nape of the neck, attended by spasms in the
abdomen; nausea with fainting, especially in the morning,
with other dyspeptic symptoms; determination of blood to
the head, with giddiness, pains in the limbs, constant
irascibility, restlessness, and despair; suitable for dark
complexions.
PLATINA 9-, when attended with painful pressure, or
bearing-down sensations; coagulations; sleeplessness at
nights; shortness of breath; excitability and constipation; or if Nux vomica has not given the required
relief.
DULCAMARA @-Q, when the complaint has arisen from
wet feet, or a severe wetting, if administered immediately, will generally obviate all evil consequences; if
it fail it should be followed by any of those mentioned
under CHLORosIs, that may correspond to the symptoms
present.





OBSERVATIONS ON PREGNANCY.        371
If from sudden mental emotion, especially from fright,
ACONITE   0, followed by LYCOPODIUM g-, if necessary;
for other cases, see MENTAL EMOTIONS. When symptoms of determination of blood to the head or chest declare themselves in consequence of a suppression of the
menstrual flux, see the ARTICLES on these points in
PART I.
OBSERVATIONS ON PREGNANCY.
THIS period may be looked upon as one of the most
interesting eras of a woman's life. She is now no longer acting for herself alone, but becomes invested with
a new and serious responsibility, and upon some of the
most apparently trifling of her actions may depend the
future health and happiness of a being bound to her by
the fondest ties.
From the mass of evidence, collected by careful observers of the operations of nature, we are warranted in
drawing the conclusion, that the actions of the mother
exercise a great influence over, not only the constitutional and physical, but also the mental organization of
her offspring. Keeping this fact in view, we will endeavour to point out the course that mothers, who prefer
the welfare of their future offspring to their own indulgence, should pursue, from which they will derive a
double benefit, an improvement in their own health, with
exemption from suffering, and the delight of seeing their
children pass safely through the perilous period of infancy, while in after life beholding them flourishing





372


372     OBSERVATIONS ON PREGNANCY.


around them, in the full enjoyment of health and vigour,
they will reap the rich reward of a slight temporary selfdenial, in the delightful consciousness of having performed their duty.
The leading causes of a weak and sickly offspring
are, ill health, or constitutional taint of both, or either of
the parents; very early or late marriages; great inequality between the ages of the parties; errors -in dress,
diet, and general habits of life; and lastly, powerful
mental emotions.
The first of these causes, medicine, under the present
enlightened system, possesses powers to obviate, not
only by destroying the hereditary taint in the parents,
but also by nipping it in the bud when transmitted to the
infants. While upon this subject, we may remark, that
in many families hereditary diseases are fostered, and
even exacerbated in virulence, by intermarriages between their different members, sometimes disappearing
in one generation, and again declaring themselves in the
next; but when Homcaopathy, as it must do eventually,
completely supersedes the present erroneous system, and
the habits and mode of life of communities become more
adapted to the natural law, we may safely calculate upon
the gradual extinction of all hereditary diseases; and so
far at least children shall not have to suffer for the follies and faults of their progenitors.
Females should seldom, at least in this country, enter
into the marriage bond before their twenty-first or isecond
year; prior to that period, their organization is scarcely
ever fully developed; those who marry at Sixteen or
eighteen years of age incur the risk of a severe aftersuffering themselves, and of giving birth to weak and
delicate children. How very often we see the first
children of such marriages perish in infancy, or, after





OBSERVATIONS ON PREGNANCY.        373
contending through a childhood of continued delicacy,
sink into a premature grave. Women who marry late
in life incur considerable personal risk and severe suffering, in giving birth to children, and the offspring is sel.
dom healthy.
The children of old men, although by a young wife,
are very often extremely delicate and susceptible to illness; they not unfrequently precede their father to the
grave or linger on earth but to drag on a miserable and
wearisome existence.
After having laid down as clearly as possible the
course which ought to be pursued during this important
epoch, with regard to dress, diet, habit, &c. we shall
proceed to mental emotions, and point out what remedies
our science affords us, of counteracting the ill effects
arising from such sources.
In concluding these observations we may remark that
so far is the period of pregnancy from being destined for
one of suffering or danger, that nature has taken every
precaution for the protection of the female and her future offspring. While pregnancy runs its equable and
uniform course, the expectant mother enjoys an almost
complete exemption from the power of epidemic or infectious diseases, and chronic complaints are frequently
suspended-in fact, with the exception of some slight
morning sickness, and occasional trifling uneasiness, a
well constituted organism should enjoy as good health
during pregnancy as at any other time; and many pass
through this period and give birth to vigorous children,
without even the most trifling inconvenience.
Though, as we have said, nature seems during this
period to adopt every possible precaution for the health
and preservation of the parent and her future offspring,
yet are her wise arrangements, in too many instances,
32





374


OBSERVATIONS ON PREGNANCY.


rendered nugatory by a direct contravention of her laws.
The expectant mother should, therefore, bear in mind,
that the incumbency of a regular and systematic course
of life, so essential to every individual, devolves upon her
with double force, since every neglect or breach of these
ordinances of nature upon her part, is frequently visited
with fearful energy upon her yet unborn infant.
AIR AND EXERCISE.
Nothing tends more to the preservation of health than
a proper attention to these two important points, and
yet, unfortunately, there are perhaps few more completely lost sight of. Neither air nor exercise is individually sufficient, and those of the more opulent classes
in this country, who merely take the air in their carriages, and shun the slightest physical exertion from
long-continued habits of acquired indolence, and who
feel any attempt of the kind at this period attended with
increased inconvenience, can scarcely expect to enjoy
the benefit that nature has annexed to the observance of
her laws in a course of pregnancy free from suffering,
and the production of a fully developed and healthy organized offspring.
During this epoch passive or carriage exercise is not
sufficient; walking brings not only the physical but the
whole of the organic muscles into play, and communicates the increasing vigour of the mother to her offspring; on the contrary, continual passive exercise in
a carriage has been found particularly injurious during,
and towards the end of, the second period of pregnancy;
and is frequently the cause of premature and abnormal
births: exercise on horseback, even not taking into consideration the risk of fright or accident to the rider, and





AIR AND EXERCISE.             375
the fearful consequences that may thence result, is still
more objectionable for many reasons.
A second class, that of thrifty h&sewives, take a
great deal of exercise, yet without a corresponding benefit, from their work occupying them wholly in-doors;
this is a strong proof of the inutility of exercise of itself,
unless combined with pure air. Moreover, these females, from too great activity of temperament, and others,
coerced by hard necessity, frequently overfatigue themselves, go to bed late, rise early, and sometimes unrefreshed, and thus in a manner deaden the energies of the
organic powers, to their own injury, and that of the unborn child.                                   %
A third class of females injure their health, and frequently induce miscarriage, through their excessive  o
levity and thoughtlessness, by unrestrained indulgence
in active exercise, riding on horseback, but more particularly excessive dancing. A female ought to recollect
that, if through her own folly she has brought on miscarriage, the greatest possible care is necessary to prevent its recurrence; that a second attack increases her
liability in future; and that she who has suffered twice
or thrice from this misfortune, even when she escapes
it, rarely attains her full time. Moreover, continued
casualities of this nature not unfrequently terminate in
premature death, from that serious and painful disease,
uterine cancer.
The best exercise, therefore, for a female during this
epoch is walking every day (when the weather permits
it) in the open air. In order to prove beneficial, and not
to interfere with the process of digestion, exercise ought
to be taken two or three hours after a moderate meal,
about mid-day, or in the afternoon, except during hot
weather, when the evening may be preferred, care being





376


OBSERVATIONS ON PREGNANCY.


taken to avoid the night damps, by not remaining out too
late.
SCLOTHING.
The dress of the female should of course be suited to
the season, and if she pass from a warm into a cold
atmosphere, she ought to have her neck and throat well
protected, so as to avoid any risk of taking cold: but a
point of far greater importance is the adaptation of her
clothing to the form, so as, as much as possible, to
preclude pressure upon any part of the frame, calculated
to interfere with the functions of those important organs
destined for the birth and nourishment of the infant;
therefore lacing, at all times most objectionable, is particularly so during this period, inasmuch as it cramps the
natural action of the body, and acting directly upon the
abdominal muscles, the blood-vessels, lymphatics, and
the whole intestinal economy, produces narrowness of
the chest, disturbed circulation, and induration or other
derangements of the liver, and exercises a most baneful
effect upon the breasts and uterus. We should bear in mind
that a pressure upon these organs during development, is
acting in direct contravention of the operations of nature.
Females, in their efforts to preserve the elegance of
their shape during pregnancy, are little aware that the
constringing force exercised upon the abdominal muscles,
destroyes their elasticity, prevents a proper retraction
after parturition, and thus proves one of the most common
causes of permanent abdominal deformity; moreover, to
the culpable vanity of their mothers, many thousands
owe their club-feet and other malformations; in addition
to these evils, this practice not unfrequently deranges
the position of the fcetus, which displacement, with the
consequent want of energy in the muscles, and the parts





DIET.


377


concerned, brings on protracted and painful labours,
metrorrhagia, and induration of the womb, frequently
terminating in cancer. Besides this, continual pressure
on the uterus is liable to produce premature labours. To
tight lacing also may be attributed the difficulty many
women of the present day experience in suckling their
offspring, from the incipient process for the subsequent
secretion of milk being deranged from the unnatural
pressure on the beautifully constructed mechanism of the
mammae; from this also result those dangerous indurations, cancers, and other affections of the breast, and
retraction and diminution of the nipple, from which the
act of suckling is rendered difficult, and in some places
impracticable.
Young girls of seventeen or eighteen are frequently
found with pendulous breasts, from the artificial support
having taken the office of the muscles, intended by
nature for that purpose, and throwing them out of employment.
GARTERS too tightly bound are generally injurious,
more particularly to pregnant females, for the pressure
thereby exercised upon the blood-vessels, encourages
the development of varicose vessels in the inferior
extremities (to which affection the system is already
sufficiently predisposed), which in many instances become
exceedingly painful and troublesome.
DIET.
The greatest simplicity should regulate the diet of the
pregnant female; she should avoid taking too great a
quantity of nourishment, because any excess in this
respect, besides causing dyspepsia and general uneasiness, has a bad mechanical effect upon the future
32'


I





378        OBSERVATIONS ON PREGNANCY.
offspring; and, moreover, the fcetus, shares in the derangemnents of the mother.
Much depends upon the quality of her food; nothing
should be taken that is not of a simply nutritive nature,
and every thing possessing a medicinal property avoided.
Coffee and strong tea should be laid aside. Wine,
liquors, malt, and other stimulating beverages are also
injurious. If the female has been long habituated to
wvine, it may be taken, if of good quality, in extreme
moderation and diluted with water; but better far if
stimulants Of every kind are altogrether avoided; indeed,
the usual homceopathic diet (for which see article REGIM EN, in Introduction) should be adopted as closely as
possible during pregnancy.
EMPLOYMENT OF THE MIND AND HABITS
DURING PREGNANCY..
It is not sufficient that the body may be in perfect
health; the mind must also be kept in a state of serenity.
An easy cheerfulness of temper is essentially necessary to the future well-being of the unborn infant.
Experience has presented us with many instances, in
which the predominant feeling on the mind of the mother
during pregnancy has influence on the future mental
organization of the child. This shows how essential it
is for females to keep their minds well employed during
this period, to avoid both improper meditation, dissipation,
and reading works not calculated to improve their
understanding. Nothing can act more effectually against
the future mental and corporeal health of the unborn
infant that an oscillatory state of intellect, in combination
with physical indolence; the late hours, turning day
into night, and other practices of fashionable life, injurious as they are to the most robust constitutions, are





MENTAL EMOTIONS.


379


doubly reprehensible on the part of the expectant
mother.
INFLUENCE OF EXTERNAL OBJECTS UPON
THE UNBORN INFANT.
The effect of any unpleasant or unsightly object upon
the imagination of the mother, and its transmission of
that effect to the offspring, evidenced in various mental
or physical peculiarities after birth, is a theory as old as
tradition; without entering upon the various arguments
brought forward both for and against it, we would simply
advise females to keep as much as possible out of the
way of such objects, to preserve both body and mind in
a state of health, which will lessen every fear of being
affected by such occurrences; and endeavour, as constantly as possible, to direct their attention to pleasing
subjects; as it must be perfectly evident that brooding
over such unpleasant impressions can scarcely fail of being
both physically and mentally injurious.
MENTAL EMOTIONS.
This subject has been already treated of in Part I, to
which the reader is referred, as the remedies there
mentioned are equally applicable to affections arising
from these scources in either sex.
Aware, however, not only of the dangerous consequences they not unfrequently entail upon the female
herself, but of the baneful effects they exercise upon
the future physical or intellectual development of the
unborn infant, we should feel deeply grateful to that
science which has placed in our hands the means of
successfully combating their deleterious influence.
A not unfrequent symptom during pregnancy, is great





380


OB8ERVATIONS*ON PREGNANCY.


DESPONDENCY OF MIND, and uneasiness about the future;
some females, whose spirits are generally good at other
times, suffer much from this affection during this period;
and with others, we find the same feeling and excessive
low spirits during the time of nursing; although not
permanent, and when commencing early in gestation,
usually disappearing before delivery, without material
injury to the general health.
THERAPEUTICS. As this affection is apt to create
some uneasiness, both to the sufferer herself and her
friends, we have thought it advisable to mention it, and
point out remedies which will frequently be found efficacious.
Such are Aconitum, Bryonia alba, Nux vomica, Natrum
muriaticum, Phosphorus, Calcarea carbonica, and Cinchona.
ADMINISTRATION.   Four globules of the potency
mentioned after each medicine in four dessert-spoonfuls
of water, one daily.
ACONITUM -. If the state of despondency is preceded
by one of excitement, marked by heat of skin, and
frequency of pulse, attended with apprehension and presentiment of approaching death.
BRYONIA -. Great inquietude and fear of the future,
attended with irascibility and derangement of the digestive functions.
Nux vOMICA U-". Morning sickness and melancholy,
with great uneasiness.
NATRUM MURIATICnM 5-. Melancholy, with weeping,
uneasiness about the future, also obstinate cases of
morning sickness, not yielding to Nux vomica.
When this affection comes on during lactation, arising
from an over-secretion of milk, so that this fluid escapes
involuntarily, and it is attended with great emaciation,





""MENTAL EJIOTIONS.                       381
melancholy, and apprehension of the future, we may
give PHOSPHORUS ^-y.
CALCAREA -8, is also efficacious when the above
symptoms present themselves, and more particularly so,
when there is excessive dejection with great lassitude.
CALCAREA is further very serviceable when there is
suppression of the secretion, and also excessive obesity,
or the individufal is of plethoric habit. Both these remedies are also valuable when there is a disposition to
consumption.
When there is lowness of spirits, attended with
dyspepsia, which may arise from the energies of the
mother being too severely tasked in the nourishment of
her offspring, either from keeping the child too long
unweaned, or from rearing twins, we may administer
CINCHONA   -. The practitioner will further find occasion
to select the following remedies in particular cases:
Belladonna, Pulsatilla, Veratrum, Stramonium, Platina,
Aurum, Cvprum, Lachesis, and Sulphur.





382


DERANGEMENTS DURING PREGNANCY.
MENSTRUATION.
VIRTUAL diseases during gestation are of rare occurrence, but when they do happen, they ought to be
treated accordingly.
A continuation of menstruation is not an actual disease,
but rather an exception to the general course of nature;
nor must we here mistake her operation for an indication
of the utility of the lancet, for neither in this, nor in any
other case, can the artificial supply the place of natural
bleeding; however, when the female appears to suffer
from the continuance of the menstrual flux, we must call
in the assistance of medicaments, among which the principal are, Cocculus, Phosphorus, and Platina.
ADMINISTRATION. oo~, repeated every twenty-four
hours until improvement takes place.
COCCULUS. A sanguineous mucous discharge, and
very severe spasmodic pains in the lower part of the
abdomen.
PHOSPHORUS.    Discharge of blood, with incisive
pains in the back, and occasionally vomiting.
PLATINA. Discharge very profuse, attended with a
severe pain and bearing down.
MORNING SICKNESS.
Morning sickness, nausea, vomiting, and heart-bum,
are the most distressing symptoms attendant on the course





MENSTRUATION.


383


of pregnancy; these troublesome complaints harass
women most upon their first rising from a horizontal
position in bed. They generally disappear soon after
quickening, but sometimes continue during the whole
period. The numerous palliative remedies recommended by Allopathists--leeches, cupping-glasses, blisters,
aperients, sedatives, &c. &c., unfortunately too often
fail of affecting their object; and in severe cases, when
the stomach becomes enfeebled, the hazardous resource
of artificially produced premature labour is resorted to.
THERAPEUTICS. The homceopathic treatment of this
derangement, at once simple, prompt, and efficacious,
has in almost all cases been stamped by the signet of
success. In instances free from complication, with a
tendency to relaxation of the bowels, IPECACUANHA is
generally sufficient.
ADMINISTRATION. 000 in four dessert-spoonfuls of
water, one mtorning and evening.
Nux VOMICA. When there is constipation, with irritability of the temper and system.
ADMINISTRATION. 000, dissolved in seven teaspoonfuls of water, and a teaspoonful taken every evening,
until relief is obtained.
NATRUM MURIATICUM, in more obstinate cases, without reference to the action of the intestines. These
remedies are also suitable for the longing of pregnant
women.
ADMINISTRATION. Same as Nux vomica.
ARSENIcuM. Excessive vomiting, after eating or drinking, with attacks of fainting, great weakness and emaciation.
ADMINISTRATION. Same as Ipecacuanha, but'at the
twelftltpotency.





384              CONSTIPATION.
MAGNESIA and PHOSPHORUS will also be found useful in particular cases.
When this affection shows itself in a mild form, it
may be left to nature, adopting at the same time the homceopathic rules for regimen, and be careful not to overload the stomach. In severe cases depending upon plethoric tendency, Aconitum is an excellent substitute for
the venesection, recommended by the old school.
CONSTIPATION.
Is a very common attendant upon pregnancy, and
those generally suffer most, who are naturally of a costive habit; when it does not arise from a mechanical
cause, active exercise in the open air, the avoiding of
coffee and other stimulating liquids, and of partaking of
unripe sub-acid fruits, are generally sufficient; and
when nature requires further auxiliary.
Nux VOMICA 0%o, taken at bed-time, will generally
answer; if, after the completion of its action, there still
remains some inconvenience, IGNATIA 0~pO, should be
given as an intermediate, followed by a lower potency of
Nux VOMICA oo0; in other cases, when Nux vomica
does not show a marked improvement, and the temper
continues irritable, BRYONIA 0o0, will sometimes cure,
or OPIUM 00, which is especially indicated to follow
Nux vomica when there appears to be a weight in the
stomach, dryness of the mouth, and deep flushing of the
face.
DIARRHOEA DURING PREGNANCY.
See DIARRHCEA, PART I, and DIARRH(EA IN LYINGIN WOMEN, in this part.





385


FAINTING AND HYSTERIC FITS.
Many delicate and nervous females are frequently attacked with fainting fits during pregnancy. The attack
generally passes over easily and without deleterious con -
sequences; exercise in the open air, and attention to the
rules of regimen, are the best safeguards; but in cases
where these are insufficient, and the attacks proves distressing, we must endeavour to ascertain their origin;
if from tight lacing, warm rooms, or any other obvious
excitant, its simple removal is sufficient; should the
sufferer remain long insensible, the speediest means of
revival is sprinkling the face with cold water; when
arising from plethoric habit, returns of the attack may be
prevented by ACONITE, of which we have had occasion
to speak several times, as a general regulator of the circulation.
ADMINISTRATION. The dose given repeated every
two, three, or four days if called for, according to the
urgency of the symptoms, until relief is obtained.
CHAMOMILLA Qf0-, when the fainting is excited by
sudden fits of anger.
Nux voMICA Woo, when from general irritability of
system and consequent gastric derangement.
BELLADDNNA 000, when there is sudden determination of blood to the head, with simultaneous flushing.
of face and perceptible action of the arterial system.
CINCHONA --, when arising from general weakness,
and especially from loss of blood.
PULSATILLA ". General excitability and disposi.
tion to hysteria, with hypochondriasis and great general susceptibility.
IONATIA 10, when the patient suffers from  severe
33





386


DISEASES OF PREGNANCY.


headach, as if a nail were driven into the head; sadness;
concealed sorrow and continual sighing.
VIOLA ODORATA 8. Hysteria, with constant weeping, &c. &c.
ADMINISTRATION of the above remedies. A single
dose as given, repeated if necessary.
TOOTHACH.
Is a frequent affection with pregnant women, and is
sometimes too valuable an indication of some taint lurking in the constitution to be neglected; the female
should, as soon as she is in a proper state, put herself
under a course of treatment, as until this tendency is
eradicated, no remedies can prove otherwise than palliative. We must particularly caution females in this
situation against having teeth extracted, as the affection
frequently occurs in sound ones.
THERAPEUTICS. To relieve the sufferings the best
medicines are, Sepia, Calcarea, Alumina, and Magnesia
carbonica.
For the ADMINISTRATION of the remedies see Toothach, PART I.
SEPIA!-, is particularly indicated when there is pulsative shooting drawing toothach, with pain, extending to
the ears, or to the arms, and fingers, excited by compressing the teeth, or by cold air, and attended by impeded respiration, swelling of the cheek, and enlargement of the submaxillary glands.
CALCAREA IT, when it is excited or aggravated by
cold air, or anything hot or cold, and attended with painfil sensation of the gums, and pulsative gnawing or
shooting pains, which are aggravated by noise.
ALUMINA.r, when the pains are excited by mastication, or in the evening in bed, and when of a tearing





SWELLED VEINS.


387


nature, extending to the cheek bone, temple, and forehead.
MAGNESIA CARBONICA -S-.   Nocturnal pains in the
teeth, insupportable when lying down, and compelling one
to get up and walk; pains generally boring, burning,
drawing, tearing, and resembling those of ulceration, attended with swelling of the cheek of the side affected;
throbbing and shooting in the teeth after a meal; pain
aggravated by a cold. The above are the four leading
medicines, though there are others which are demonstrable by peculiar symptoms.
VARICES, OR SWELLED VEINS.
Many females suffer much during pregnancy from distension of the veins in the thigh and other parts, which
becoming more exacerbated, eventually cause great pain
and inconvenience. These varicose veins generally
arise from pressure of the gravid uterus upon the bloodvessels, but are also frequently a sure indication of the
existence of constitutional debility, particularly when
they occur in an aggravated form. These are too well
known to need description; they are much increased by
partaking of stimulating liquids, always to be avoided
under treatment.  Considerable alleviation is experienced by constant bathing with water, or with diluted
alcohol; also by bandaging from the foot upwards with
a gentle and equable pressure, and by preserving a re.
cumbent posture. In order to afford a considerable relief, we may have recourse to the following remedies:
Nux voMICA y-, when attended with irritability of
temper and constipation.
ARSENICUM W, when the veins are of a livid colour,
and are attended with severe burning pain.





388


DISEASES OF PREGNANCY.


CARBO VEGETABILIS -, where the former is not sufficient.
BELLADONNA 3-. Varices, with considerable erysipelatous inflammation.
PULSATILLA T9. One of the most important remedies in the treatment of this affection, particularly where
there is considerable pain and inflammation, or where
the veins are of a livid colour, which extends to the
whole limb.
ADMINISTRATION.   Four globules of the potency
named after each medicine, in six dessert-spoonfuls of
water, one to be taken daily.
For a permanent eradication, a course of treatment is
requisite, in which Sulphur, Graphites, Carbo vegetabilis,.d-c. are useful; hemorrhoidal affections require a similar treatment.
MISCARRIAGE. Abortus.
From the increasing number of homeopathic practitioners in this country, a point already alluded to in the
preface, we are justified in -looking forward to a period
not far distant when there will be no difficulty in obtaining professional assistance in misfortunes of this nature.
I shall here endeavour as briefly, but at the same time
as clearly, as possible, to point out the treatment best to
be pursued both in preventing its occurrence, and in obviating the consequences it entails, when medical aid
has been called in too late to avoid the evil.
Women who have once suffered from this affection
are exceedingly obnoxious to its recurrence, and this
liability is still further increased if the event have taken
place a second or third time. It may occur at any
period between the first and seventh month, but in the





MISCARRIAGE.


389


majority of cases takes place about the third, or the beginning of the fourth. When before or about this period
it is frequently attended with but little pain or danger, although repeated miscarriages, from the great discharge
that is generally present, break down the constitution,
and frequently develop severe chronic diseases. When
miscarriage takes place at a more advanced period, it
assumes a very serious complexion, and is often accompanied with a considerable degree of peril to the sufferer.
The premonitory and accompanying symptoms of
miscarriage vary much in their nature; sometimes the
discharge is exceedingly profuse, at others moderate or
inconsiderable; the pains, in many instances, extremely
severe and protracted, are in others very slight and of
short continuance.
Sudden mental emotions, or great physical exertion, a
luxurious mode of life, fashionable habits, powerful aperients, neglecting to take air and exercise, are a few of the
exciting causes of this affection, which is particularly apt
to occur in both highly plethoric or delicate and nervous
habits. An abnormal condition of the constitution is undoubtedly the predisposing cause.
Miscarriage is, in most cases, preceded and attended
by the majority of the following symptoms. A sensation
of chill, followed byfever, with more or less bearing
down, particularly when occurring late in pregnancy;
also severe pains in the abdomen, drawing and cutting
pains in the loins, or pains frequently bearing a olose
resemblance to those of labour; discharge of viscid
mucus, and blood sometimes of a bright red, not unfrequently mixed with coagula; at others dark and clotted,
followed by the emission of a serious fluid.  The
miscarriage generally takes place during this discharge,
33*





390


DISEASES OF PREGNANCY.


which occasionally continues, if not properly checked,
to flow for hours after, placing the sufferer in considerable
jeopardy. When the pains increase in intensity, and the
muscular contractions become generally established, with
their characteristic regular throes, and efforts to dilate
the mouth of the womb, miscarriage is almost inevitable.
THERAPEUTICS. As preventives of this affection the
principal remedies are Sabina and Secale cornutum.
When the premonitory symptoms of miscarriage declare
themselves, Chamomilla, Nux vomica, Ferrum metallicum,
Ipecacuanha, Sabina, and Calcarea. The same with the
additions of Hyoscyamus, Crocus, and Secale cornutum,
after the misfortune has taken place. Cinchona is also
valuable when the indications which we shall give for
that medicine are present.
In cases where there is an evident disposition to
miscarriage, or where, from a variety of reasons, it is
apprehended, the administration of SABINA A in the
early stage of pregnancy, will frequently prevent its
recurrence.
ADMINISTRATION. We may allow four or five days to
elapse between the first and second dose, and gradually
lengthen the interval for each successive administration,
until the period of danger be past, being careful,
however, in watching the effect of each dose, discontinuing the medicine whenever any indications of its action
on the system become apparent, and not repeating until
the symptoms attributable to the medicine have passedaway, and then only with increased caution, and at longer
intervals.
Hartmann* strongly recommends SECALE CORNUTUM
 as useful in similar cases, but particularly when this


* Therapie acut. Krank: form, vollii, p. 352, 2d edit.







MISCARRIAGE.-               391
misfortune has already occurred more than once; it
should be administered every fourteen days, commencing
immediately after the cessation of the monthly period, and
continuing until the period at which miscarriage usually
occurs, is past; one dose more, at the utmost, being
"allowed after this period.
Both-these remedies are also extremely valuable, after
miscarriage has taken place, the latter particularly in
weak or exhausted persons, or in those cases of hemorrhage in which the discharge consists of dark liquid
blood, and is followed by considerable debility; this remedy is also efficacious in cases of inevitable miscarriage,
attended with feeble expulsive efforti; the former, Sabina,
when there are dragging and forcing pains, extending
downwards from the back and -loins; profuse, bright
coloured hemorrhage; sensations of sinking or faintness
in the abdomen; frequent desire to relieve the bowels;
diarrhcea; nausea or vomiting; chilliness and heat, with
fever.
We shall now treat of miscarriage when the premOnitory symptoms have set in, giving under the same head
the indications for the use of the medicaments, where
the result is unavoidable, or has already taken place, as
even in these cases their administration is decidedly
beneficial in obviating further injurious consequences,
and in alleviating the sufferings of the patient. The
remedies in these cases are, in addition to the two above
mentioned, Chamomilla, Nux vomica, Ipecacuauha, Hyoscyamus, Belladonna, Crocus, Ferrum metallicum, and
Calcarea.
CHAMOMILLA -T, when there are present; excessive
restlessness, convulsions, twitching in the back and
limbs; severe pains in the loins and back, worse at night,
generally of a sharp cutting description, extending





392


DISEASES OF PREGNANCY.


downwards, strongly resembling those of labour; sometimes also abdominal spasms, with a species of sanguineous discharge; or, discharge of deep red, or dark
coagulated blood; frequent yawning; coldness and
shivering.
Nux VOMICA g. Obstinate constipation and swelling
of the veins; also when the patient has been accustomed
to a stimulating diet, and the use of coffee; severe
burning, or wrenching pains in the loins; painful pressure downwards, and mucous discharge.
IPECACUANHA -. Chill with heat; pressure downwards in the region of the groin; discharge of bright red
blood, or coagulation; cramp and rigidity of the frame;
sometimes convulsions; vomiting or desire to vomit; cutting pains in the umbilical region.
HYoscCYAMUs wz, when the convulsions are very
severe, with cries, great anguish, oppression of the chest,
and loss of consciousness.
BELLADONNA 6. Great pains in the loins and in the
entire abdomen, with severe central bearing down; pain
in the back, as if it were dislocated; discharge, if any,
of bright red blood. It is also particularly valuable in
cases of profuse hemorrhage of the above description,
after miscarriage.
FERRUM METALLICUM -, is a useful medicine in cases
of miscarriage attended with fever, labour-like pains,
and considerable sanguineous discharge.
CRocuS -, is especially indicated in cases which are
attended or followed by discharge of dark coagulated or
viscid blood, with a sensation as of something moving or
jumping about in the umbilical region. This remedy is
frequently useful in obstinate cases, after the employment
of one or more of the above-mentioned remedies.
CINCHONA -, is valuable in the restoring the exhausted





MISCARRIAGE.


393


energies, after the hemorrhage, or materially assists in
checking the discharge, should there be spasmodic pain
in the womb, or bearing-down sensation, with considerable discharges of blood at intervals.
CALCAREA -, is a remedy of considerable importance,
in the treatment of cases where the affection is apparently
induced by a varicose state of the veins. It is also of
value as a preventive, and especially where the patient is
of a plethoric habit, with a tender or irritable skin, and
other strumous appearances.
ADMINISTRATION. A few globules, or where necessary, one minim, in an ounce of water, a teaspoonful
every half hour, hour, or every three or four hours,
according to the nature of the case, lengthening the
intervals or discontinuing the medicine when decided
benefit or a stoppage of the hemorrhage is effected.
I have thus enumerated some of the principal homeopathic remedies which are employed in the different
stages of this misfortune, and have endeavoured to point
out the peculiar indications for the selection of the
proper medicament as succinctly, and at the same time
as fully, as it is possible to do, in a work like the present.
In concluding the subject, I shall briefly notify a few
precautionary measures that the patient ought to observe
while threatened with, or after having suffered from the
affliction.
When miscarriage is threatened, the individual must
assume the recumbent posture, and in some cases indeed,
should be strictly confined to bed, sleeping with few
bedclothes; the apartment should be kept cool, and
every means must be employed to ensure perfect tranquillity of mind.  The diet prescribed in cases under
bommopathic treatment should be closely followed, and
warm fluids generally avoided. When the misfortune





394      TREATMENT BEFORE PARTURITION.
has proved unavoidable, or has actually taken place,
before assistance has been sought, the patient ought still
to be confined to bed for a few days, lest a fresh discharge
be brought about by too early a change from a horizontal
to an upright posture; and on future occasions, when a
similar period comes round, great care should be taken
that the mishap may not again occur; in the attainment
of this desirable object, we feel confident that nothing
will tend so fully to ensure success, as a timely exhibition of one or other of the preventive remedies already
commented upon.
TREATMENT BEFORE PARTURITION.
PREPARATION OF THE BREASTS.
YOUNG mothers frequently find great difficulty in suckling their children, in consequence of organic defect, or
incapacity of the nipple. In every case, a preparation
of the breasts is necessary some weeks before delivery,
in order to prepare them for their future offices. In many
instances, the structure of the breasts is disorganized
from an ignorant nurse having compressed them in childhood, from the idea that such a process was needful for
the expulsion of some matter in the breasts of the child
-a vulgar error- a practice against which mothers ought
to be particularly watchful; the same inability of function
is likely to occur from the pressure of stays in after life,
by whichr the cuticle is rendered so tender, as to preclude
suckling.





REMEDIES BEFORE LABOUR.


395


The first too cases are beyond the power of art. If
suckling be attempted, induration of the nipple and
mamma ensue, attended with severe suffering; when,
however, a simple tenderness of the epidermis exists,
this evil is much alleviated when the nipples are bathed
with brandy twice a day, for several weeks anterior to
delivery. Another difficulty, frequently accompanying
this state, is a shortness or retraction of the nipple, so
that the infant cannot take hold of it; this defect is
frequently the cause of the first, from the ineffectual
efforts of the child to suck injuring the part; in this case,
appropriate shields of soft wood may be applied to
accustom the nipple to elongate, and protrude so as to
present sufficient hold for the infant, when the period for
suckling arrives, when the efforts of the child will still
further contribute towards the effecting of this object.
In this case also, bathing with brandy will naturally tend
to correct any tenderness of the skin, and prevent subsequent excoriation. It may also be here remarked, that
during the period of lactation, between the intervals of
the infant being applied to the breast, the shield should
be resumed, and the bathing continued, due care being
always taken to lave the nipple carefully with tepid
water, before it is again offered to the child.
REMEDIES BEFORE LABOUR.
Many things are recommended by the old school
previous to labour, such as frequent blood.lettings and
aperients; but these, instead of promoting the object
desired, have a contrary effect, by lowering the energies
requisite at such an eventful period, and by placing the
nervous system in an abnormal state of irritation and
excitement; when this loss of humour is brought about
in the first period of pregnancy, it defeats its own object,





396       TREATMENT BEFORE PARTURITION.
by what are commonly called plethoric symptoms, induced
by the reaction in the organism, to supply this uncalled
for waste, and this always taking place with a correspondent expenditure of vital power. It is a species of
infatuation to disturb the regular course of nature, by
the ill-directed efforts of art, where an evident plethoric
state exists; this object is much more safely and effectually attained, by the internal administration of a specific
remedy, such as a few doses of ACONITE g.
An artificial evacuation, previous to delivery, may be
obtained by a lavement of lukewarm water, with a small
quantity of linseed oil, when necessary.
FALSE PAINS.
Before I proceed to notice parturition, I may say a
few words upon the so-called, false, spurious, or intestinal
pains, brought about by congestion of blood to the uterus,
errors in regimen, emotions of the mind, effects of chill
in the abdomen, and a variety of other causes; they
sometimes precede labour but a few hours, but in many
cases come on some days, and even weeks, before delivery; they chiefly differ from labour pains in the irregularity of their recurrence, in being unconnected with uterine
contraction, and chiefly confined to the abdomen with
sensibility to touch and movement, and in not increasing in
intensity as they return; sometimes, from their close
resemblance, it is extremely difficult to discriminate
between them and the real labour pains, but in such
cases, we must be chiefly guided by the period of gestation; and our safest mode of procedure is, to endeavour
to mitigate the patient's sufferings, by the administration
of a proper remedy, as, if we allow them to proceed
unchecked, they not unfrequently continue till the moment





FALSE PAINS.


397


of delivery, rendering the labour much more painful and
difficult.
THERAPEUTICS. The following medicaments may be
had recourse to with effect: Bryonia, Nux vomica,
Pulsatilla, Dulcamara, and Aconitum, selecting the one
most suitable for the affection, according to the causes
and symptoms.
BRYONIA, when the pains in the loins resemble a
dragging weight, attended with constipation and irritability, much increased by motion, with abdominal pains
preceding those in the back.
ADMINISTRATION. I, in four dessert-spoonfuls of
water, one morning and evening, or oftener if necessary,
until relief is obtained.
Nox voMICA. Similar pains in the back and abdomen;
also when the pains resemble a bruise, and arise chiefly
at night, when the exciting cause appears to be constipation or mental irritation; a too luxurious mode of living,
stimulants, coffee, or spirituous liquors, or when attended
with profuse uterine discharge.
ADMINISTRATION. Ve, taken in a little water at bedtime,
repeating it in six, twelve, or forty-eight hours, according
to necessity.
PULSATILLA. 1. Similar abdominal pains; pains
in the Joins resembling those from continued stooping,
or a tight bandage, with a sense of rigidity; with either
constipation or relaxation, or both alternately; mildness
of temper or great sensibility. This remedy is particu* larly valuable when these pains appear to have arisen
from rich, indigestible food.
ADMINISTRATION. Same as Nux vomica.
DULCAMARA ff, is chiefly useful when the origin may
be traced to cold, and the pains are of a violent shooting
and drawing nature, situated in the small of the back,
34





398       TREATMENT BEFORE PARTURITION.
generally coming on at night. When they seem to arise
from emotions of the mind, we may consult MENTAL
EMOwIONS.
AcONITUM. When these pains occur in young plethoric subjects, attended with accelerated and strong
pulse, flushing of the face, and increased tempefature of
the skin.
ADMINISTRATION. -, in four dessert-spoonfuls of
water, one every six, twelve, or twenty-four hours,
according to the relief obtained or the violence of the
symptoms.
The employment of this remedy completely obviates
venesection.
PARTURITION AND LABOUR PAINS.
It is a very general, but exceedingly erroneous idea,
that nature ever destined this period for one of severe
suffering; the pain and danger, frequently its attendants,
arise, not from her ordinations, but from a long continued
course of offending against them. Were it not for the
acquired habits of civilized life-improper diet-the
proportions of the female frame being distorted by tightlacing, &c.,* and their regular functions thereby disturbed
-diseases generated by the want of proper air or exercise, or both-hereditary maladies, &c., parturition would
be comparatively free from pain and remote from danger,
as in fact it is, even at the present day, frequently found
amongst savages. We may here quote a few words from
an eminent writer, corroborative of this position.   4
SIt is to be regretted that the attention of mothers is notmore
particularly directed to the development of the female frame by
means of calisthenic exercise, instead of distorting its symmetry by
means of stays and tight lacing; health being destroyed for the,
sake of that fashionable and unnatural absurdity-a thin waste.





PARTURITION AND LABOR PAINS.


399


"Child-bearing is a natural, and not a morbid process,
and in the facility with which healthy regular women pass
through it, we have abundant evidence, that the Creator
did not design it to be necessarily a time of suffering and
danger."-Dr. A. Combe on the Management of Infancy,
2d ed., p. 99.
THERAPEUTICS. However, in cases in which the
labour is exceedingly severe, which frequently occurs
when the female is of a slender form, and delicate and
nervous habit of body, and more especially at the birth
of the first child; particularly if this event occur at an
advanced period of life, COFFEA CRUDA     is often
sufficient to relieve the sufferer, when not accustomed to
its daily use, or if it fail, ACONITE g-; in cases of the
abuse of coffee, Nux vonicA --, is more particularly to
be recommended, especially when the female complains
of a continual urgency to relieve nature, and straining.
When this proves insufficient, BELLADONNA -y, ought to
pe had recourse to, particularly with elderly females
giving birth to their first child, in which the suffering
principally arises from the rigidity of the muscles.
On otl occasions, we find the throes are insufficient
to accon h their object; in such instances, PULSATILLA -, is valuable where the labour-pains are almost
unfelt, and at long intervals, attended with acute pains in
the loins, and painful drawing sensation in the thighs,
which tend much to weaken the woman, without furthering the labour.
When Pulsatilla has not had the desired effect, and
when the labour-pains return every quarter of an hour,
not increasing in intensity, SECALB CORNUTUM -, ought
to be administered. Again, when we find the pain,
although powerful at first, suddenly cease, followed by a
tremor of the whole body, occasionally interrupted by





400      TREATMENT BEFORE PARTURITION.
violent jerkings, and when the patient falls into a sort of
lethargic slumber, with open mouth and stertorous breathing; the eyes half closed, with great diffculty in arousing
the sufferer, even by violent means, in such cases, OPIUM ,
is indicated.
ADMINISTRATION. A few globules of the remedy at
the potency mentioned, may be dissolved in about an
ounce of water, and a dessert-spoonful given between
each pain, until benefit results, or a marked action of the
remedy calls for a pause. When the -pains stiddenly
disappear, without other indications, one or two drops of
the Mother Tincture of Cinnamon will prove of service,
especially where the labour is far advanced.
We have now, in a great measure, treated of the
course to be pursued when nature seems to call for our
assistance to further her exertions; but we must, at the
same time, reprobate a rash and ill-advised interference
with her operations; and we cannot, in common with
most men of eminenee of the other school, too strongly
reprehend the practice of administering spirituous beverages, or stimulants, such as chamomile tea, and other
ptisans, coffee, and even opium, under the ab  d impression of thereby facilitating delivery.
Spirituous liquors are objectionable, from their accelerating circulation, and consequently producing difficult
labour, and too great a loss of blood; Coffee, from its
causing high nervous excitability; Chamomile, from its
pathogenetic property of producing, or creating a tendency to metrorrhagia; ptisans, whose peculiar properties we need not enter upon here, are all more or less of
a stimulative or irritative nature. Opium, given merely
as a palliative of the severity of the throes, materially
retards delivery.
As a general rule, every substance, possessing a me




0


SPASMODIC PAINS.             401
dicinal property, administered upon the false premises
above noticed, tends to injury, and must therefore be
carefully avoided.
With regard to the after-birth, when common mechanical means for its expulsion fail, we may have recourse
to Pulsatilla, Secale cornutum, or Opium, selecting by
the symptoms already mentioned.
When the parturition  is complete, the ADMINISTRATION of a few globules of ARNICA g, in a little water,
is always followed by the happiest results, preventing
much severe after-suffering, and we are convinced, that
many critical cases of inflammation, &c., might thereby
be warded off, and in instances when the labour has
been very protracted, the Arnica in lotion, one teaspoonful of the TINCTURE to an ounce of tepid water, applied
externally will be found to afford great relief.
SPASMODIC PAINS, CRAMPS, AND
-CONVULSIONS.
We sometimes, in complicated labours, find spasmodic
pains set in, which occasion considerable suffering without advancing the birth.
THERAPEUTICS. The principal remedies      against
these affections are Chamomilla, Belladonna, Hyoscyamus, Stramonium, Cicuta virosa, Ignatia, Ipecacuanha,
and Cocculus; with regard to their Administration, two
globules of the potedcy mentioned, may be administered
in a teaspoonful of water, and repeated after a shorter or
longer interval if necessary, according to the effects
produced, being guided in their selection by the following symptoms:
CHAMOMILLA, -, where there is great bearing down,
attended by spasmodic convulsions; redness of the face,
34*





402      TREATMENT BEFORE PARTURITION.
especially of one cheek; excessive sensibility of the nervous
system, and excitement.
BELLADONNA 1-, when the bearing-down is excessive,
as if the entire contents of the abdomen were about to be
protruded; convulsive movements in the limbs; great
agitation with continual tossing; occasionally throbbing
and distension of the vessels of the head; bloated redness
of the face, with profuse sweat.
HYOSCYAMUS --, when the convulsions are still more
severe, accompanied with great anguish and cries; oppression of the chest and loss of consciousness.
STRAMONIUM   T-, convulsions, without loss of consciousness, and trembling of the limbs.
IGNATIA yZ, cramp-like and compressive pains, with
sensation of sufocation; confused feeling in the head.
CICUTA VIROSA -y, general convulsions, or cramplike contortions of the limbs; pallor or sallow hue of the
face.
IPECACUANHA y, spasmodic convulsions; paleness or
bloatedness of the face, occasionally with desire to
vomit.
CoccULUs rz, cramps or convulsions of the limbs
and whole body, more especially in the lower part of the
abdomen, with heat, redness, and pufiness of the face.





403


TREATMENT AFTER DELIVERY.
AFTER the termination Df delivery, both body and
mind must be kept in a state of perfect repose; everything which may tend to arouse the excitability of the
patient, such as noise, strong light, and odour, must be
carefully avoided, and the room kept at a moderate temperature. After the birth, the female should be allowed
to enjoy that slumber, which in natural cases generally
follows, without interruption; but it is commendable to
feel the pulse from time to time, to ascertain if a healthy
action is going on. Sometimes this desirable state of
rest is kept off by great nervous excitement on the part
of the female, with incessant tossing in bed and restlessness. A few globules of COFFFA CRUDA -y, will often
suffice to dissipate these symptoms, and to procure a
refreshing slumber; should it fail, and any febrile symp.
toms be present, ACONITE will generally produce the
desired effect. When these remedies, which answer in
the majority of cases, fail of their accustomed success,
we must endeavour to trace the cause, and will generally discover symptoms, pointing out a different remedy,
which, if judiciously chosen, will, with almost absolute
certainty, afford a satisfactory result. The practitioner
will generally find but little difficulty in the selection of
the fitting medicament; but there are so many circumstances to guide his choice, that it would be wholly
foreign to our purpose, in a work of this kind, to enter





404         TREATMENT AFTER DELIVERY.
upon the several contingencies, applicable to individual
or isolated cases.
Here again, we must severely reprobate the practice
of administering stimulating, and even spirituous, beverages, to females after delivery, which, far from possessing a strengthening property, tend only to excite and.
irritate the whole nervous system. For some time after
parturition, nature calls for but little nourishment; it
should be given only when the female herself expressly
feels the want of it, and then be of the lightest and most
- digestible kind, and in very small quantities. It is
highly reprehensible to endeavour to induce a female to
partake of,food, under the absurd idea of strengthening
her. We must allow nature to pursue her own course,
which prescribes but little nourishment for the first five
or six days after delivery, and thereby avoids the necessity of calling the bowels into action, which state of
Constipation, (if it may be so called,) is ordained for the
wisest purposes, and attended with the most beneficial
results; while the temporary inactivity of the alimentary
canal is compensated by the vicarious action of the skin
(demonstrating itself by increased perspiration,) and the
balance of the system thus kept up. We cannot, therefore, sufficiently condemn the use of aperients, which
only tend to promote irritation, and bring on puerperal
fever, and other evil consequences; in many cases, also,
this artificial relaxation interferes with the proper secretion of milk. After the fourth or sixth day, nature
generally acts spontaneously, and when it appears necessary to afford mechanical assistance, we may do so
by the application of warm friction to the abdomen, or
the employment of a simple lavement, consisting of tepid
water, with a little linseed oil or thin gruel. When
this state, which seldom happens, continues so long as





AFTER-PAINS.


405


to cause inconvenience, Nux vomica, Pulsatilla, Bryonia,
and Opium, may be resorted to. (See article CONSTIPATION.) The remedy thus indicated by the symptoms
will afford the desired relief.
AFTER-PAINS.
In excitable temperaments, the After-pains are frequently very protracted and distressing, and deprive the
female of rest, in which case immediate relief is necessary; in many instances the previous administration
of Arnica, as before mentioned, is sufficient, being almost specific, and although given as a preventive in the
first place, it should be repeated as soon as these pains
come on; but when the pain still continues, and the
patient is highly excitable and sensitive, we should give
a few globules of CHAMOMILLA -, in a littte water; if
this fail, and the pain is of an insupportable intensity
and acute description, occasionally followed by convulsions, coldness, and rigidity of body, COFFEA CRUDA --,
ought to be selected. We may give PULSATILLA I, in
a teaspoonful of water, when the convulsions do not
supervene, the patient is of a mild and gentle disposition,
but sensitive and easily alarmed about herself. Again,
when the After-pains are very severe, and a continual inclination to relieve the bowels when in a recumbent
posture, passing away when rising, followed by spasmodic pains in the lower parts of the abdomen exists;
they are speedily subdued by Nux vOMICA.
ADMINISTATION. g-, in four teaspoonfuls of water, a
teaspoonful every half hour, every hour or every three
hours, according to circumstances, carefully watching
the effect of each dose, and discontinuing the medicine
as soon as marked relief is afforded; in many instances
a single dose will suffice.





406


TREATMENT AFTER DELIVERY.


In the event of hemorrhage, the following remedies
must be had recourse to, Crocus, Platina, or Sabina,
also, Belladonna, Chamomilla, in particular cases according to the symptoms. For indications vid. Miscarriage.
DURATION OF CONFINEMENT.
Even in strong and healthy females, during the first
five days the patient should remain in bed; in the four
following, if she feel herself perfectly strong, and desirous to rise, she may gradually accustom herself to
longer periods of sitting up; the great risk is from the
extreme susceptibility of the system to cold. After this
period, females who still find themselves weak and languid, should prefer the horizontal to the half-recumbent
posture; and if this prove wearisome, she may sit up
for an hour or two, but not so as to fatigue herself. The
diet should be extremely light, and not of a very nutritious quality, she ought only gradually to partake of
food of a more nourishing nature, never having recourse
to anything in the least degree stimulating, and all strong
odours from flowers, or other aromatic substances, are
to be carefully avoided, the mind kept in a state of perfect tranquillity, and the room dark.





407


DISEASES FOLLOWING PARTURITION.
DIARRH(EA IN LYING-IN WOMEN.
DIARRHCEA, during this period, is a state to be looked
upon as highly injurious, and immediate means should
be taken for its suppression, by the administration of
Dulcamara, Hyoscyamus, Rheum, Antimoniutn crudum,
Phosphorus, and Acidum phosphoricum.
The first remedy --, is generally indicated by the
cause, being the check of the natural increased perspiration in lying-in women, from a chill; and when timely
administered, it will generally be found sufficient to
answer the purpose required.
In painless and almost involuntary evacuations, HYosCYAMUS Ty, is most effectual.
RHnEM -, and ANTIMONIUM CRUDUM Ty, in watery
or putrescent evacuations; the former when they emit a
sour smell.
In very obstinate cases, when the discharge is watery,
almost involuntary, and painless, PHOSPHORUS -y., followed, if necessary, by AcIDUM PHOSPHORICUM -1.
(Vide also Diarrhwa, in the first part of this work, and
administer or repeat the remedies as there directed.)
SUPPRESSED OR EXCESSIVE SECRETION
OF MILK.
It is of paramount importance that the normal operations of the organism peculiar to this state, proceed with





408      DISEASES FOLLOWING PARTURITION
due regularity. Among these, the Secretion of Milk
takes a prominent position, and its sudden suppression is
apt to be followed by internal and local inflammation,
determination of blood to the head, and all the terrible
array of symptoms which form the disease commonly
denominated puerperal fever, which, however, also results
from internal injuries, consequent upon difficult or protracted labour; but if the precaution of administering
Arnica already enjoined has been taken, that source of
danger will have been effectually guarded against.
When, however, puerperal fever arises or threatens to
set in, from a sudden suppression of the lacteal secretion,
the immediate administration of PULSATILLA 0, in a
teaspoonful of water, repeated in six, twelve, or twentyfour hours, according to necessity, will frequently be
found sufficient to check it at the outset, restore the flow
of milk, and re-establish the equilibrium of the organism;
if any unpleasant symptoms still remain, they will, in
most cases, yield to the administration of CALCAREA Q~00,
followed by ZINCUM 000, if it appear called for.
If the suppression of the secretion arise from any
sudden mental emotion, we must consult that article for
the suitable remedy.
Should feverish symptoms, such as hot dry skin, &c.,
denoting internal inflammation, set in, ACONITE -, should
be dissolved in six teaspoonfuls of water, and a teaspoonful
given at short intervals, according to the intensity of the
symptoms:-when there is excessive restlessness along
with the above, considerable advantage will accrue from
the alternate use of Aconitum and coffea, but this is in
general by far too serious an affection to be treated by
non-professional Homceopathists, the assistance of a
medical professor of the art ought to be sought for as
speedily as possible.





PERSPIRATION AFTER DELIVERY.


409


We may here refer back to our remarks upon the evil
effects of aperients, which, by their action upon the
intestines, frequently cause a suppression of the lacteal
fluid, and the consequent fever.
Sometimes, on the other hand, it happens that too
abundant a secretion takes place, causing distension of
the breasts, and involuntary emission of milk, productive
of extreme emaciation, and sometimes development of
phthisis. CALCAREA -1-, will be found useful in this
affection; or should it fail to relieve, PHOSPHORUS S-g.
ADMINISTRATION. Six globules of the medicine at
the potency mentioned, may be dissolved in an ounce of
water, and a teaspoonful taken night and morning.
When the febrile symptoms evidently arise from distension of the breasts, induced by excessive secretion,
and indications of what is generally denominated milkfever (which, however, frequently arises from other
causes,) set in, we may, with great effect, administer
RHUS TOXICODENDRON 6, in six teaspoonfuls of water,
a teaspoonful night and morning.
ACONITE 0,, as a precautionary measure whefn there
is high febrile action of the whole system, and we are
ignorant of the exciting cause. The dose to be repeated
every six hours, or oftener, if necessary, until the rapidity
of the circulation is diminished, and the skin rendered
moist.
PERSPIRATION AFTER DELIVERY, SUPPRESSION OR EXCESS OF.The increased perspiration which takes place after
child-birth, is, as we have before observed, a substitute for
the suspended action of the alimentary canal; consequently its sudden suppression is unavoidably followed
35





410      DISEASES FOLLOWING PARTURITION.
with an injurious result, and not unfrequently perpetual
fever.
Exposure to cold, or a sudden chill, is the most frequent
cause of this affection; we consequently find that the
immediate administration of DULCAMARA0 9-a, will often
suffice to restore the action of the skin, and prevent
further injurious consequences. Should it fail, Nux
VOMICA -Vo, will generally be found efficacious: or
CHAMOMILLA -0-, in three teaspoonfuls of water, a teaspoonful every six hours; this latter remedy, particularly
when there is excessive, restlessness and excitability,
with colic and relaxation of the bowels.
On the other hand, an excessive perspiration is almost
equally prejudicial; it is generally brought about by
keeping the room of the female at too high a temperature,
too great a quantity of bed-clothes, or stimulating beverages; it is chiefly injurious from the extreme debility
and high susceptibility to taking cold it occasions. Our
first care must be a removal of the exciting causes; and
should the malady still continue, we may administer
SAMBUCUS NIGER, which will generally be found effectual
in its removal.
ADMINISTRATION. &, in six teaspoonfuls of water, a
teaspoonful every twelve hours, until the desired relief
is obtained.
IRREGULARITIES OF THE LOCHIAL
DISCHARGE.
This varies considerably in different females; with
some it continues for several weeks, in others only a few
days; sometimes it is thin and scanty, at others so profuse
and long continued, as imperatively to call for medical
assistance, which may be frequently traced to sitting up
too soon after confinement, to errors in regimen, keeping





DISEASES FOLLOWING PARTURITION.


411


the chamber of the female at too high a temperature, or
mental emotions. If, after nine days, the discharge
continues profuse, containing pure blood, whereby ani
abnormal state is indicated, Crocus, Bryonia, and Calcarea, are the principal remedies.
CRocus. When the blood is of a black or dark and
viscid consistency.
ADMINISTRATION. 6, in an ounce of water, a teaspoonful night and morning.
BRYONIA. When of a deep red, with internal burning
pains in the region of the uterus.
ADMINISTRATION., in the same manner as the
above.
CALCAREA is more particularly indicated when there
is an itching kind of sensation in the uterus.
ADMINISTRATION. y6, in six teaspoonfuls of water,
one night and morning.
When the lochia are suddenly suppressed, which they
frequently are, from a variety of external causes, such as
mental emotions, &c.; and from this cause puerperal
fever threatens, the danger may frequently be warded off
by the administration of PULSATILLA, QI1y, repeated in six,
twelve, or twenty-four hours, according to circumstances.
When the sudden suppression arises from fright, with
febrile symptoms, ACONITE.--, will generally be found
sufficient, or Opium ofo, when the indications given
under MILK FEVER or MENTAL EMOTIONS, are present.
When caused by exposure to cold or damp, DULCAMARA 9Q, will be found efficacious, and, may be advantageously followed by PULSATILLA -~.
On the other hand, when the discharge continues,
but becomes sanious, fetid, and offensive, BELLADONNA
D9f, in six teaspoonfuls of water, one daily, will generally
suffice to restore it to its normal state; if it prove ineffi




412      DISEASES FOLLOWING PARTURITION.
cient, we may administer CARBO ANIMALIS, in the
same manner; and if the occasion still seem to require
it, SECALE CORNUTUM JP, in a teaspoonful of water,
repeated every twelve hours until benefit results.
SILICEA, when pure blood follows with the lochia each
time that the infant is applied to the breast.
ADMINISTRATION.   6 in the same manner as directed
for Belladonna.-Platina, Hyoscyamus, Veratrum, Zincum and Rhus, will also be found useful in some cases.
ABDOMINAL DEFORMITY.
Although in natural cases, and healthy constitutions,
no abnormal derangements should follow parturition, still
we frequently find that a number of unpleasant symptoms,
generally arising from maltreatment, supervene. Among
these we may mention the thickening of the abdominal
coats, occasionally ending in a permanent malformation
and pendulous appearance. This affection is more commonly incident to females who have borne many children,
or who present a predisposition to corpulency; and is
found especially difficult of treatment, when tight stays,
which we have already remarked upon as one of the principal exciting causes, have relaxed the abdominal muscles, and by so doing, increased the existing bias. When,
however, it is caused by the natural strain upon these
muscles during pregnancy, the inconvenience may be
considerably alleviated by the internal and external use
of RHUS TOXICODENDRON.
The internal administration of SEPIA       C is recommended by Dr. Gross* as still more effectual, who at the
same time advises the adoption of an elastic bandage,
laced at the back, and exerting an equable pressure over
* Das Verhalten der Mutter und des Siuglings, p. 95.







LEUCORRH(EA AFTER PARTURITION.      413
the whole of the abdominal region. In some cases
where there is a tendency to this affection, particularly
in corpulent habits, we may, after delivery, have recourse
to mechanical aid, by transferring the weight from the
abdominal muscles to the shoulders, by the aid of a
properly constructed apparatus; but we must in the
strongest manner object to this or any other pressure
being exercised upon the abdominal region during pregnancy, as calculated to entail malformation, such as
club-feet, &c., upon the offspring.
FALLING OFF OF THE HAIR.
Another evil that some females, particularly those who
nurse their infants themselves suffer after confinement,
is the falling out of the hair of the head.
This arises from an innate delicacy of constitution,
against which the following medicaments have proved
particularly efficacious, and may be repeated every eight
days:
TINCTURA SULPHURIS, y62, NATRUM MURIATICUM,, 6
CARBO VEGETABILIS S6, SEPIA  T, and LYCOPODIUM,
and CALCAREA A". The latter, particularly in those
cases in which the lochial discharge has proved very
profuse, or in which the catamenia are generally too
abundant.
With regard to the medicines, we would in most instances recommend a commencement with Tinctura
sulphuris.
LEUCORRHCEA AFTER PARTURITION.
A third evil is Leucorrhcea, which, although at the
commencement, merely a consequence of the relaxation
of the internal uterine economy, after the completion of
the lochial discharge, and at first of an innocuous char.
35*





414      DISEASES FOLLOWING PARTURITION.
acter, frequently proves exceedingly troublesome, and
finally puts on a morbid appearance, becoming acrid,
and productive of excoriation. We generally find a predisposition to the disease in scrofulous, torpid, and leucophlegmatic temperaments; in some families this malady
is hereditary, and only to be removed by a careful course
of anti-dyscratic treatment. It is generally of too difficult and obstinate a nature to be treated otherwise than
by a regular practitioner; we may content ourselves
therefore, with mentioning, that when an acrid and excoriating discharge sets in, BovISTA has been recommended as specific.
INTERNAL UTERINE SWELLING AND
PROLAPSUS.
A swelling of the interior economy is frequently the
result of a difficult labour, and in some cases of mismanaged parturition; we sometimes find it complicated
with uterine prolapsus; if the precaution of exhibiting
ARNICA o0, which we have before noted, (page 401,)
have been taken, this will rarely occur; if, however,
symptoms of prolapsus set in, attended with a painful
burning sensation, and bearing down, a dose or two of
Nux VOMICA will generally remove the evil.
WEAKNESS AFTER DELIVERY.
We frequently find a high degree of weakness or exhaustion remaining after delivery; when it has been
caused by very considerable hemorrhage, during or after
that period, CINCHONA is particularly indicated, and will
generally be found efficient in restoring the vital energies.
ADMINISTRATION. %yO, in a teaspoonful of water, repeated in three or four days.





MILK-FEVER.


415


When, however, the arrangement depends upon nervous weakness, and is attended with restlessness and
want of sleep, we may administer ACONITE 0N, followed, if necessary, by COFFEA 0, or substitute VERATRUM 000, for the latter medicine, when the prostration of strength is excessive.
When the patient is of a psoric habit, we must have
recourse to KALI CARBONICUM Ta, and in some instances to SULPHUR or ACIDUI NITRICUM.
MILK-FEVER.
The secretion of milk must be looked upon rather as
an operation of nature than one requiring medical aid
for its regulation. Nevertheless, many females suffer
some slight uneasiness for a few days following confinement, during the first period of that process; when
any of the under-mentioned group of symptoms present
themselves, the affection is known by the name of milkfever, and appears to arise, in a great measure, from an
increased excitability of the vascular and nervous system.
Thirst, shivering, and heat, terminating in perspiration; the pulse, at first weak, changing to various
phases, sometimes quick and frequent, at others soft and
regular; in some instances, these symptoms are attended
with a drawing pain in the back, extending to the breast,
a disagreeable taste in the mouth, thirst, oppressed
breathing, anxiety, and headach; the exacerbation declare. itself regularly about evening, and towartls morning perspiration comes on, with alleviation of suffering,
or temporary termination of the attack, which not unfrequently recurs on the following day, but rarely rises to
such a height as to threaten danger; nature herself, if
not disturbed by improper treatment, will, in most cases,





416      DISEASES FOLLOWING PARTURITION.
suffice to restore the equilibrium of the system. When
the secretion is re-established, and the lochial discharge
resumes its normal course, the derangement generally
ceases; should, however, the. affection become aggravated, we may dread the setting in of puerperal fever.
When the symptoms are as above described, and medical assistance is required for their alleviation, we must,
if possible, in the first place, endeavour to discover the
exciting cause; when the affection is traceable to MENTAL EMOTIONS, we may consult.that article for the remedy.
PULSATILLA will be found particularly useful in severe
cases, especially when caused by taking cold, and bearing a closer approximation to a rheumatic affection, than
to the general symptoms of milk-fever; this medicament
is very efficacious in restoring the lacteal section, and
may be regarded as a prophylactic against puerperal
fever, especially when the precautionary measure of the
administration of Arnica has been neglected.
ADMINISTRATION. 10, in a teaspoonful of water, repeated every twelve or twenty-four hours, according to
the urgency of the symptoms, until benefit results.
ACONITE ~00, may be had recourse to in all instances
where inflammatory fever is present, or administered alternately every six hours, with coffea, when there is extreme restlessness, anxiety, and dread.
BRYONIA may with great advantage follow Aconite,
when the inflammatory symptoms are in a great measure
subdued, 'and is particularly indicated when constipation
is present, and the pain in the breast partakes of a rheumatic character.
ADMINISTRATION. 0~0o, in a teaspoonful of water, and
repeated in twenty-four hours.
BELLADONNA is very useful in particular cases; a





EXCORIATION OF THE NIPPLES.


417


reference to INFLAMMATION OF THE BREASTS, and other
places where that medicament is mentioned, will serve
to point out in what instances it is most likely to prove.-efficacious.
OBSTACLES TO SUCKLING.
DISINCLINATION OF THE INFANT.
WHERE there is a tendency to consumption in the
mother, or she is of a strumous habit, the infant ought,
for its own sake, to be reared with the spoon, or a nurse
provided; but even some healthy mothers find a difficulty, before they become accustomed to it, in nursing
their children, which a little perseverance will soon effectually overcome, but when (a rare instance, if applied
soon after delivery,) the child itself refuses to take the
breast, the administration of CINA g, followed, if not
speedily efficacious, by MERCURIUS SOLUBILIS 0, is
generally found to remove this repugnance in the
course of a few hours. SILICEA 0, is also an excellent
remedy in some cases, particularly when the child takes
the breast readily enough, but returns the milk almost
immediately after; the remedy selected ought to be
given to the mother as well as the child.
EXCORIATION OF THE NIPPLES.
In the majority of those cases in which no malformation of the parts is present, the main difficulty arises from
the nipples having become sore and cracked, which the





418


OBSTACLES TO SUCKLING.


efforts of the infant tear open afresh, and cause to
bleed.
This excoriation of the nipples is frequently prevented
by following up the treatment, of which we have already
spoken, under the head of PREPARATION OF THE
BREASTS, of course taking the precaution of laving
them with a little warm milk and water before the child
is applied to the breast; the shield before mentioned,
ought always to be worn during the intervals of suckling.
When there is a tendency, however slight, to rawness
or excoriation, great care must be taken lest the shield
adhere to the skin; it ought to be frequently removed,
and together with the nipple, kept perfectly dry; attention to these particulars will generally remove this difficulty. The mother ought, however, gradually to accustom herself to nourish the infant, using a sucking-glass,
which should be carefully washed every day. Should,
however, the nipples have already become very sore
and irritable, from the neglect of these precautionary
measures, it is necessary to have recourse to specific
remedies, without which, if suckling be persisted in,
suppuration frequently ensues.
In the first stage of the affection, ARNICA 0O0, should
be administered internally, and the breasts laved with a
weak lotion,* say two drops, of the Mother Tincture, to
one ounce of rectified spirits of wine. If this fail, we
must have recourse to anti-dyscratic remedies, as this
disease almost always arises from a constitutional cause,
females of healthy temperament being generally exempt
from it. Among these TINCTURA SULPHURIS g-, seems
* This lotion may also be applied with advantage in the PREPARATION OF THE BREASTS, when irritation or inflammation appears
to arise from the pressure of the shield.





INFLAMMATION OF THE BREASTS.


419


particularly indicated for most cases of this affection,
and a dose of one or two globules may be administered
every five or six days until improvement sets in, which
will generally be the case in the space of a few days;
and if this fail, CALCAREA n, administered in the same
manner, will in most instances suffice. We may also
mention GRAPHITES, SEPIA, and LvCOPODIUM, as remedies of much value in some obstinate cases. In the
choice of the fitting medicament in complicated cases,
the physician can be guided by the aggregate of the
symptoms.
INFLAMMATION OF THE BREASTS.
Another, and one of the greatest obstacles to a mother
nourishing her infant, is an erysipelatous inflammation
and swelling of the breasts, of which anything tending
to disturb the lacteal secretion, such as fright, passion,
cold, &c., serves for an exciting cause, although we
frequently find it present, without being able to trace its
origin; it not unfrequently arises from a too tardy administration of the breast to the infant, or from a sudden
cessation of suckling,-from the death of the child, or
other reasons,-causing a distension of the lactiferous
tubes. When a sudden suppression of the secretion occurs, the breasts become red, inflamed and indurated,
occasionally suppurating in some parts, which open and
discharge, while others remain still hard and inflammatory, finally either ending in suppuration, or the formation of obstinate nodosities.
This disease, if not checked, and but too frequently
under allopathic treatment, exhibits a variety of phases;
and the suppuration that takes place, leaves behind it
disfiguring cicatrices; frequently the breasts are so far
destroyed, as to be rendered ever after incapable of per




420


OBSTACLES TO SUCKLING.


forming their functions, and in many instances, the
foundation of cancer is laid.
The principal remedy in this affection before the inflammation becomes fully developed, is BRYONIA -, especially when the breasts are hard and tumefied, and the
secretion of milk suppressed. BELLADONNA -, when
the inflammation is more intense, and the erysipelatous
appearance of the skin clearly defined; after which
remedy, the disease is generally vanquished.
ADMINISTRATION. Six globules of the medicine selected, in as many teaspoonfuls of water, a teaspoonful
to be taken every six or eight hours, until improvement
follows.
When, however, a degree of induration still remains,
MERCURIUS SOLUBILTS 000, should be given and repeated from two to three days: in more severe cases,
ACIDUM PHOSPHORICUM should be resorted to, or HEPAR
SULPHURIS, when suppuration has already commenced.
ADMINISTRATION, of the latter, one grain of the third
trituration in an ounce of water, a dessert-spoonful to be
given three or four times a day, in order to forward the
suppurative process, when it becomes absolutely necessary to bring the matter to a head.
In instances in which we find a fetid and serous
discharge, which is frequently brought about by neglect
or by improper treatment, such as the application of
deleterious salves, &c., SILICEA -~00, repeated in five or
six days, will generally be amply sufficient to restore
the breast to its former condition; in some extreme
cases, however, it will be found necessary to follow up
the treatment with Phosphorus, Calcarea, or one or more
of the remedies above mentioned, such as Mercurius,
and Hepar sulphuris.
If this disease evidently arise from the effect of a





DEFICIENCY IN THE SECRETION OF MILK.  421
sudden chill, DULCAMARA P ought to be given immediately, and will frequently obviate all injurious consequences.
In cases where the disease has arisen from external
injury, ARNICA  -~ should be administered, and a lotion,
one part of the tincture to seven of pure water, locally
applied.
In strumous habits, TINCTURA SULPHURIS, CALCAREA
and GRAPHITES will occasionally be found necessary to
complete the cure after Belladonna has removed the
active inflammatory symptoms.
MENTAL EMOTIONS AFFECTING THE MILK.
It is a well known fact, confirmed by numerous examples, that Mental Emotions have a most powerful effect
upon this secretion, in a moment changing it from a
source of nutriment into a substance most injurious to
the infant. Mothers ought to bear this in mind, and
after having suffered from fright, passion, &c., should
desist from suckling until the mind be perfectly tranquil,
and ere the infant be again applied to the breast, draw
off a portion of the milk. Fortunately, for evils arising
from these causes, Homceopathy presents prompt and
efficacious remedies, (for which see MENTAL EMOTIONS,)
which, if at hand, should be administered immediately,
according to the cause and symptoms.
DEFICIENCY IN THE SECRETION OF MILK.
Sometimes a deficiency of milk is found to arise from
a want of energy, either functional or general. For
disturbance of the secretion arising from an inflammatory
action, vide INFLAMMATION OF TBH BREASTS.
When.he suppression arises from the first cause, the
36





422           OBSTACLES TO SUCKLING.
chief medicines useful in restoring a proper and healthy
flow of milk, are PULSATILLA, CALCAREA, and CAUSTICUM. The physician is the best judge in the application
of these remedies, as there are many minute symptoms
by which his choice must be guided in the selection-in
simple cases PULSATILLA will most frequently be found
efficacious--the others presume the existence of constitutional taint, and the patient consequently requires to
undergo a complete course of treatment, if she is anxious
to persevere in nursing, in which the two latter will be
found of great value.
DETERIORATION       AND DISCOLORATION
OF MILK.
If the milk becomes too clear and watery (or otherwise
deteriorated in quality, or is repugnant to the child,)
CINA &IQ, and MERCURIUS SOLUBILIS,--, ought to be
administered alternately every twenty-four hours for three
or four days; or SILICEA Ap., in obstinate cases, (and
particularly if the infant vomits immediately after suckling,) will frequently bring about an amelioration.
RHEUM will frequently be found of speedy efficacy
when the milk becomes thick and yellow, and disagrees
with the child, rendering it restless and fretful; a globule
of the third or sixth potency ought to be given to the
child while the mother is under the action of the same
remedy.
MOTHERS NOT SUCKLING THEIR CHILDREN.
In the present state of society, there are many
mothers who, from a variety of circumstances, find themselves necessitated to engage the services of a nurse for





AFTER-PAINS.


423


their offspring; in such cases, a female, who has the,slightest regard for her health, should be particularly
careful in her diet, and until the secreting process has
completely ceased, she should live as low as possiblethe application of dry cupping-glasses to the outside of
the arm, a little below the shoulder, or to the inferior
extremities, will materially hasten the suppression of the
lacteal secretion. At the same time material aid will
be derived from the internal administration of PULSATILLA; indeed, the employment of that remedy alone
will generally be found sufficient to stop the secretion.
A few globules of the sixth potency may be dissolved in
a wine-glassful of water, and a teaspoonful taken night
and morning. When suffering from inflammation ensues,
we may have recourse to PHOSPHORUS, BELLADONNA,
and BRYONA, for which indications are given under
INFLAMMATION OF THE BREASTS; CALCAREA is serviceable, when the breasts are considerably distended with
milk; these same directions will serve as a guide during
the period of WEANING.





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-                        - -zfr




GLOSSARY OF MEDICAL TERMS
EMPLOYED IN THIS WORK.
A.
ABRADE. TO excoriate.
ABRASION. Excoriation.
ABDOMEN. The cavity situated between the lower part of the
thorax and the region of the pelvis, containing the intestines;
the belly.
ABNORMAL. A deviation from the course of nature; in medicine,
unhealthy.
ABORTUS Miscarriage; abortion.
ABSCEss. A collection seated in any particular organ or tissue.
ACETABULUM. A cavity, of a cup-like form, receiving the head
of the femur or thigh-bone.
ADYPSIA. The absence of natural thirst.
AGGLUTINATION. Adhesion.
AausTIA. Loss of taste.
ALLOPATHY. A term used by homosopathic writers to designate
the old practice of medicine in contradistinction to their own,
now generally employed by both parties; literally implies
curing one disease by another.
ALVINE. From the stomach or intestines.
AMENORRH(CA. Absence or stoppage of the menstrual flux.
AMNESIA. Loss of memory.
ANCHYLosIS. Stiffening of a joint, either from deposit of ossific
or bone-forming matter, or contraction of the muscles or ligaments adhesion of the articulating surfaces.
ANOINA. Sore throat.
-   MEMBRANACEA. Croup.
-    PAROTIDEA. Mumps.
ANOREXIA. Want of appetite.
ANT-ACID. Substances possessing the property of neutralising
acidity.
ANTHRAX. Carbuncle.
ANTHROPOPHOBIA. A dread or horror of the human species.
ANTI-PHLOCGITIC. Applied to remedies employed in the old sys.
tem against inflammation; literally against heat.
ANus. The inferior opening of the rectum.
APPpIsA. Loss of appetite.
360





426                      GLOSSARY.
APHONIA. Loss of voice.
APoNEUROSIS, plur. APONEUROSES. Tendons expanded upon a
wide surface.
APOPLEXIA. Apoplexy; a loss of voluntary motion and consciousness. See Diagnosis under this head.
APYREXIA. The intervals between febrile paroxysms.
ARC. A segment of a circle.
ASCARIs, plur. ASCARIDES. Thread-worms.
ASTHENIC. Low; applied to disease; literally want of strength.
ASTRINGENTS. Medicaments used in the old practice to contract
the animal fibre.
ATONY. A want of tone or energy in the muscular power.
ATROPHY. A morbid state of the digestive system, in which the
food taken into the stomach fails to afford sufficient nourishment.
AuSCULTanoN. The detection of symptoms by the ear in disease.
B.
BILIARY. Connected with the secretion of bile.
BoRBORYOMuS. Rumbling in the intestines, caused by flatus or
wind.
BRONCHITIS. Inflammation of the ramifications of the windpipe.
-BRONCHOPHONY. The resonance of the voice heard over the
bronchial tubes.
BuLIMT, Bulimia. Canine, or excessive hunger.
C.
CADAVEROUS. Resembling a corpse.
CALAMINE. A preparation of zinc.
CALCULUS, plur. CALCULI. A concretion in the human body.
CARDIALGIA. Spasm of the stomach.
CARDrS. Inflammation of the heart.
CANINE. Belonging to the dog species.
CARIES. Ulceration of the bones.
CARMINATIVES. Medicaments used against flatulency.
CARPHOLOGIA. Picking at the bed-clothes.
CARTILAGE. Gristle.
CATAMENA. The menstrual flux.
CATARRn. Cold; used also to express inflammations of the mucous membrane.
CATHARTIC. Purgative.
CELLULAR TISSUE. The fine net-like membrane enveloping or
connecting most of the structures of the human body.
CEPHALALGIA. Headach.
CEREBRAL. Appertaining to the brain.
CESSATIO MrENSIM. Discontinuance of the menstrual flux.
CHLORosis. Green sickness.
CHOLERA. See article thereon.
CHOLERINE. A modified species of cholera.
CHRONIC. Long continued, in contradistinction to acute,
ClcAra J, plur. Cicatrice. A scar left after the healing of a
wound, &c.





GLOSSARY.


427


GLAVI PEDIS. Corns.
COAGULA. Clots of blood.
CECUM. The blind gut.
COLIC. Griping in the intestines.
COLLAPSE. Failing of vitality.
COLLIQUATIVE. Excessive discharge of any secretion.
CoMa. Drowsiness.
COMA SOMNOLENTIUM. Drowsiness, with relapse thereunto on
being roused.
COMATOSE. Drowsy.
CONGESTION. Over-fulness of the blood-vessels of some particular
organ.
CONJUNCTIVI. The membrane lining the eyelids, and extending
over the fore part of the eyeballs.
CONTAGION. Propagation of a disease by contact.
CoRYZA. Cold in the head.
COXAGRA. Inflammation of the hip-joint.
COXALGIA. Literally pain in the hip; inflammation of the hip.
joint.
CRANIUM. The skull.
CREPITOUS. Crackling or grating.
CUTANEOUS. Appertaining to the skin.
CUTICLE. The outer or scarf skin.
D.
DEBILE. Low.
DEFECATION. Alvine evacuation.
DEGLUTITION. The act of swallowing.
DELIRIUM. Derangement of the brain, raving.
DEPLETION. Abstraction of the fluids; generally applied to venesection.
DESICCATION. A drying up.
DESQUAMATION. Falling of the epidermis in form of scales.
DIAGNosIS. Distinction of maladies.
DIARRIHEA. Looseness of the bowels.
DIARRHIEA NEONATORUM. The same as the above in infants.
DIATHESIS. Constitutional tendency.
DIETETIC. Relating to diet.
DIPLOPIA. Affection of the eyes, in which objects appear double
or increased in number.
DIURETIC. Medicines which increase the secretion of urine.
DoRSAL. Appertaining to the back.
DRASTIC. Powerful purgatives.
DUODENUM. The first intestine after the stomach, so called from
its length; the twelve-inch gut.
DYSCRAIA. A morbid condition of the system, adj. Dyscrasic.
DYSPEPSIA. Indigestion; literally difficulty of'appetite.
DYSPNOEA. Difficulty ofrespiration.
DYSURIA. Difficulty in passing urine.
EPrrsxox. A pouring out or escape of lymph or other ecretion.
EMACIATION. A falling off in the feah.





428                    GLOSSARY.
EMETIC. Provoking vomiting.
ENDEMIC. Peculiar to a particular locality.
ENEMA. A clyster.
ENGORGEMENT. Swelling up of.
ENTERITIS. Inflammation ot the intestines.
EPHEMERAL. Of a day's duration.
EPIDEMIC. Diseases arising from general causes.
EPIGAsTRtlM. The region of the stomach.
EPILEPSY. Epilepsia. Falling sickness.
EPISTAXIs. Bleeding from the nose.
EPITHELIUM. The cuticle.
ERYSIPELAS. St. Anthony's fire. Rose. A disease of the skin.
ERYSIPELAS NEONATORUM. Induration of the cellular tissue in
infants.
EXACERBATION. Aggravation of fever.
EXANTHEMA, plur. Exanthemata. Eruption of the skin.
EXPECTORATION. Discharge of any matter; phlegm; pus from
the chest.
EXUDATiON. Discharge of fluid from the skin, &c.
F.
FECES. Alvine excrement.
FAUCES. The throat.
FEBRIS, tlur. Febres. Fever.
FEBRIS 4 ERVOSA. Nervous fever, or typhus.
FEMUR. The bone of the thigh.
FETOR. Stench.
FLATUS. Wind in the intestines.
FCETUs. The infant in the womb.
FISTULA. An obstinate tube-like sore, with a narrow orifice; adj.
Pistulous.
FONTANEL, plur. FontaneUa. The mould.
FURUNcuLus. A boil.
FURUNCULUS MALIGNANS. Carbuncle.
G.
GANGRENE. Incipient mortification: adj. Gangrenous.
"GASTRIC. Belonging to the stomach.
GAsrrITIS. Inflammation of the stomach.
GASTRODYNIA, vide, Cardialgia.
GESTATION. Pregnancy.
GLOTTis. Opening of the windpipe.
H.
H&MATMESIS, or Hematemesis. Vomiting of blood.
HmMoPTysIs, or Hemoptysis. Discharge of blood from the lungs.
HEMORRHAGE. Hemorrage. Discharge of blood.
HaMoRRHrnDS, or HemorrAoids. Piles.
HECTIC FEVER. Habitual or proctracted fever.
HESLMINTIASIS. Worm disease.
HEPATrZATION. Structural derangement of the lungs, the result of
inflammation; changing them into a substance resembling
the liver, hence its name.





GLOSSARY.


429


HERNIA. Rupture.
HORDEOLUM. Stye.
HYDROCEPHALUS. Water in the head.
HYDROPHOBIA SYMPTOMATICA. Symptoms resembling those arising from hydrophobic virus, appearing during the course of
other diseases.
HYPOCRATIC. Sunken and corpse-like.
HYPOCHONDRIUM. Region of the abdomen, contained under the
cartilage of the false ribs.
HYPOCHONDRIA'SIS. Spleen disease; great depression of spirits,
with general functional derangement; adj. Hypochondriacal.
HYPOGASTRIUM. The lower anterior portion of the abdomen.
HYSTERIA. Nervous affection; peculiar to females.
I.
ICTERUS. Jaundice.
IcTEuss NEONATORUM. Jaundice of infants.
IDIOPATHIC. Original, or primary disease.
IDIOSYNCRASY. Individual peculiarity.
ILIUM. The haunch-bone,
ILEUS MISERERE. A form of colic, a twisting pain in the region
of the navel.
INCARCERATED. Strangulated or constricted; a term applied to
rupture.
INcUBUs. The nightmare.
INPECTION. Propagation of disease by effluvia.
INFILTRATION. Diffusion of fluids into the cellular tissue.
INGESTA. Food; aliment.
INSPISSATED. Thickened.
INTUMESCENCE. Swelling; puffiness.
IscmHIU. Hip-bone.
IsCvURIA. Suppression of urine.
L.
LACRYMATON. Tear shedding.
LACTATION. Suckling; also the process of the secretion of milk.
LACTEAL. Appertaining to the process of the secretion of milk.
LACTIFEROUS. Conducting or conveying the milk.
LARYNGEAL. Belonging to the larynx.
LARYNGITIS. Inflammation of the larynx.
LARYNX. Upper part of the windpipe.
LESIONS. Injuries inflicted by violence, &c.
LEUCOPHLEGMATIC. Torpid or sluggish; mostly   applied to a
temperament characterized by want of tension of fibre; with
light hair, and general inertness of the physical and mental
powers.   "
LEUCORRHGMA. Female sexual weakness; vulg.   ihiles.
LocaiA. Discharge from the womb after delivery.
LUMBRanm s, plur. Lumbrici. The round or long worm.
LUXATION. Dislocation.
LYMPH. A colourless liquid, circulating in the lymphatics.
LYmPaTIc. As applied to temperament; same as Leuoophlegmatic.





430                     GLOSSARY.
LYMPHATICS. Absorbent vessels with glands and valves, distributed over the body.
M.
MAMMA. The breast in the female; adj. mammillary.
MANIA. Insanity; madness.
MARASMUS. A wasting away of the body.
MATERIA MEDICA PURA. The title of that splendid work of the
immortal HANEMANN, in which the true properties of medicaments are given, as determined by experiment upon the
healthy body.
MAXILLARY. Appertaining to the jaws.
MEATUS AUDIToRIUS EXTERNUS. The external passage of the ear.
MEcoNlUM. The excrementitious matter discharged from the intestines of the newly-born infant.
MEGRIM. A pain affecting only one side of the head.
MEIDOMIAN GLANDS. Small glands within the inner membrane of
the eyelids.
MENSTRUAL FLUX. The monthly period.
METASTASIS. The passing of a disease from one organ to another.
METEORISMUS. Extreme inflation of the intestines.
METRORRIIAGIA. Discharge of blood from the womb.
MIASM, or Miasma (Marsh.) Peculiar effluvia or emanations
from swampy grounds.
MICTURITION. Urination.
MILIARIA. Eruption of minute transparent vesicles of the size
of millet seeds; miliary eruption.
MINIM. The sixtieth part of a fluid drachm.
MORBUS COXARIUS. Disease of the hip; hip-disease.
Mucous MEMBRANE. The membrane which lines the sides of
cavities which communicate with the external air, such as
that which lines the mouth, stomach, &c.
Mucus. One of the primary animal fluids; secretion from the
nostrils.
N.
NARCOTIC. Having the property of inducing sleep.
NATES. The buttocks.
NODOSITIEs. Swellings; npdes, a swelling of the bone or thickening of the periosteum.
0.
OBsraucTio ALVI. Constipation.
OBSTRUCTIO ALVI NEONATORUM. Constipation in infants.
OccIPUTi. The posterior part of the head.
OCTANA. An intermittent fever which returns every eighth day.
(EDEMA. Swelling; dropsical swelling; adj. cedematous.
OLFACTION. The art of smelling.
P.
PANATRI. Whitlow; panaritium; paronychia.
PANCREAS. A gland situated transversely behind the stomach.
PARALYrIS. Palsy.





GLOSSARY.                     431
PARENCHYMA. The connecting medium of the substance of the
lungs.
PARONYCH1A. Vide Panaris.
PAROTITIS. Inflammation of the parotid gland; the mumps.
PAROXYSM. A periodical fit of a disease.
PARTURITION. The act of bringing forth.
PATHOGENETIC. The producing or creating of abnormal phenomena.
PATHOGNOMONiC. Characteristic and peculiar to any disease.
PATHOLOGY. The investigation of the nature of disease.
PECTORAL. Appertaining to the chest.
PECTUS. The chest.
PERCUSSION. The act of striking upon the chest, &c. in order to
elicit sounds to ascertain the state of the subjacent parts.
PERIN.EUM. Thespace between the anus and the external sexual
organs.
PERIOSTEUM. The membrane which envelopes the bones.
PERITONEUM. The serious membrane which lines the cavity of
the abdomen, and envelopes the viscera contained therein.
PERITONITIS. Inflammation of the peritoneum.
PERNIONES. Chilblains.
PETECHIE. Spots.
PHARYNX. The throat, or upper part of the gullet.
PHASES. Appearances, or changes exhibited by anybody, or by
disease.
PHLEGMATIC, vide LEUCO-PHLEGMATIC.
PHTHISIS. (Pulmonalis.) Consumption, abscess of the lungs.
PHYSIOLGaY. The branch of medicine which treats of the functions of the human body.
PLETHORA. An excessive fulness of the blood-vesssels.
PLEURA. The serous membrane which lines the cavity of the
thorax or chest.
PLEURITIS, or PLEURISY. Inflammation of the pleura.
PLEURODYNIA. Pain, or stitch in the side.
PNEUMONIA, PNEUMONITIS, PERIPNEUMONIA. Inflammation of the
parenchyma of the lung.
POSTERIOR NARES. The posterior nostrils, which open into the
fauces.
PRAECORDAL REGION. The fore-part of the chest.
PRIMAE Vii. The stomach, and intestinal tube. (The first passages.)
PROGNOSIS. The faculty of predicting what will take place in
diseases.
PROPHYLAXIS, plur. PROPHYLAXES. Means, or remedies, used as
preservatives against disease.
PeoAs MUSCLES. The names of two muscles situate in the loins.
PsoIms. Inflammation of the psoas muscle.
PTisANs. Domestic decoctions, such as of pearl-barley, &c.
PUERPERAL FEVER. Appertaining to child-bed.
PuniFORM. Pus-like, resembling pus.
PURULENT. Of the character of pus.
Pus. Matter.





432                     GLOSSARY.
PUSTULA. A pustule, an elevation of the scarf-skin containing
pus, and having an inflamed base.
PrRosIS. Heart-burn, water-brash.
C.
QUiNSY. Inflammatory Sore Throat.
QUOTIDIAN. Intermittent, about twenty-four hours intervening
between the attacks.
R.
RABIES. Madness arising from the bite of a rabid animal, generally applied to the disease showing itself in the brute
creation.
RALE. Sound in the chest, &c. on percussion, &c.
RECTUM. The last of the large intestines, terminating in the anus.
REMITTENT. A term applied to fevers with marked remissions, and
generally subsequent exacerbation. The yellow fever of
tropical countries.
REPERCUSSED. Driven in.
RESOLUTION. A termination of inflammatory affections without
abscess, mortification, &c. The term is also applied to the
dispersion of swellings, indurations, &c.
RiGORS. Coldness, attended more or less by shivering.
Risus SARDOmCUS. Involuntary spasmodic laughter.
ROSE. A term applied to erysipelas, from its colour.
RUBEOLA. Measles.
S.
SACRUM. The bone which forms the base of the vertebral column.
SALIVA. The fluid secreted by the salivary glands into the cavity
of the mouth.
SATURNINE. Preparations containing lead.
SANGUINEOUS. Consisting of blood.
SANIES. A thin greenish discharge of fetid matter, from sores,
fistula, &c.
ScAPULA. The shoulder-blade.
ScimaRus. Indolent, glandular tumour, generally preceding cancer in an ulcerated form.
SCIATICA. A rheumatic affection of the hip-joint.
SCIATIC NERVy. A branch of a nerve of the lower extremity.
ScRonicuLua. Pit of the stomach.
SEMI-LATERAL. Limited to one side.
SEQUELA, plur. SEQUELE. After-effects of disease.
SINUs. A cavity or depression.
SOLIDIFICATION, vide HEPATIZATION.
SOMNOLENCE. Disposition to sleep.
SPECIFIC. A remedy possessing a peculiar curative-action in certain diseases.
SPLEEN. A spongy viscous organ, of a livid colour, placed on the
posterior part of the left hypochondrium.
SPLENITIS. Inflammation of the spleen.
SPUTA. Expectoration of different kinds.





GLOSSARY.                    433
SuB-MUCous TISSUE. Placed under the mucous membrane.
SUBSULTus TENDINUTM. Convulsive'twitching of the tendons.
SUDORIFiCS. Medicines which produce sweating.
SUGILLATION. A bruise, or extravasated blood.
SUPPURATION. The morbid action by which pus is deposited,' in
inflammatory tumour.
SYNCOPC. Fainting or swooning.
SYNOCHA. Continued inflammatory fever.
ST. ANTHONY'S FIRE. Erysipelas.
STErNUTATION. Sneezing.
STERTOROUS. Snoring.
STOMACACE. Canker, or scurvy of the mouth.
STRABISMUS. Squinting.
STRANGURY. Painful discharge of urine.
STERNUM. The breast-bone.
STETHOSCOPE. An instrument to assist the ear in examining the
morbid sounds of the chest.
STRICTURE. A constriction of a tube or duct of some part of the
body.
STRUMA. The king's evil: adj. STRUMOUS.
STYE. An inflammatory small tumour on the eyelid.
SUB-MAXILLARY. Under the jaw.
SUB-MAXILLARi GLANDS. Glands on the inner side of the lower
jaw.
T.
TJENIA. Tapeworm.
TARTAR. A concretion encrusting the teeth.
TEMPORAL. Appertaining to the temples.
TENDONS. The white and shining extremity of a muscle.
TENESMUS. Painful and constant urging to alvine evacuations,
without a discharge.
TETANUS, adj. TETANIC. A spasmodic rigidity of the parts affected.
THERAPEUTICS. That branch of medicine which describes the
action of the different means employed for the curing of diseases, and of the application of these means.
THORAX. The chest, or that part of the body situated between the
neck and the abdomen.
THRUSH. Numerous small white vqsicles of the mouth.
TINNITUS AURIUM. Ringing in the ears.
TONIC. Medicines (which are said) to increase the tone of the
muscular fibre when debilitated and relaxed.
ToNSILt. The round glands placed between the arches of the
palate.
TOPICAL. Remedies applied to a particular part.
TITILLATION. Tickling.
TRACHEA. The windpipe.
TRACHEOTOMY. An operation, by opening the windpipe.
TREMOR. Trembling.
TaRIMus. Lock-jaw.
TRITURATION. The reduction of a substance to minute division,
by means of long-continued rubbing.
37





434


GLOSSARY.


TROCHANTER MlAJOP. One of the processes of the thigh-bone.
TUBERCULAR. A small, round, eruptive swelling.
TUMEFACTION. Swelling.
TUMEFIED. Swollen.
TUMID, vide TUMEFIED.
TYMPANITiC. An elastic distension of the abdomen, sounding
like a drum when struck with the hand.
TYPHOID. Applied to diseases of a low character.
U.
UMBILCAL CORD. The navel string.
UMBILICUS. The navel.
URETHRA. The urinary canal.
URTICARIA. Nettle-rash.
UTERUS. The womb.
V.
VARICELLA. Pimples, quickly forming pustules, seldom passing
into suppuration, but bursting at the point and drying into
scabs. Chicken-pock.
VARIOLA. Smallpox.
VARIOLA SPURI. Chicken-pock.
VAnRI, plur. VARICES. Swelling or enlargement of the veins.
VENESECTIoN. The abstraction of blood, by opening a vein.
VESBCCATIONS. An eruptive elevation of the cuticle, containing a
clear serous fluid.
VERTIGO. Giddiness, with a sensation as if falling.
VESICLES. A small, bladder-like eruption.
VIcARIOUS. Acting as a substitute.
VIRUS. Contagion, or poison.
VisclD. Glutinous and gelatinous.
Viscus, plur. VISCERA. Any organ of the system.
VOMICA. An abscess of the lungs.





*!:'.^-,^-:a^^^J*>*l^^?^C^ftKS^f^;-^X'


INDEX.
INTRODUCTION AND PART I.
PAGE                                  PAGI
Abdomen, Determination     of         Colic.   112
blood to..            266   Congestio viscerum   abdomiACcidity of the stomach. (See           nis. Ad abdomen              266
Indigestion.)                       Congestio ad Caput.  22M
Administration of the medi-           Congestio ad Pectus.        88
cines. Introduction..   xx    Congestive  fever (see   TyAgue..    26     phus)....      1
Angina..   66    Constipation..               104
Angina membranacea..182      -    See also Indigestion.
Angina parotidea..        74   Corns...  247
Anorexia..82                Cough...   169
Anthrax...       244   Coxalgia....  260
Apepsia...        82   Coxagra.....    b.
Apoplexia....   230   Cramp of the stomach. (See
Apoplexy.             ib.    Indigestion.)
Appetite, want of..      82   Croup...  182
Arthritis...               250   Cystitis..                    157
Asiatic cholera...  131   Derangement of the stomach      85
Bilious complaints..    76   Determination of blood to the
Bladder, Inflammation of..   157     abdomen     r.           266
Blood, vomiting of..   100           chest.    188
-      spitting of..  205      -    head..       225
Bloody fux.   122   Diarrhona.       116
Boil.   243   Dog, hydrophobia in            286
Bowels, inflammation of..   150   Dysenteria..              121
---       looseness of.       110   Dysentery.b.
Brain and its tissues, inflam-        -   -   red or bloody flux     123
mation of..               235   -   -   suppressed             127
Brain fever...   lb.   Dyspepsia..     76
Breath, offensive...274      Earach..    271
Bronchitis....   192   Ears, Inflammation of.        b.
--        chronica...   197   Emotions, mental.. 297
Bruises....   276   Encephalitis.. 226
Burns....   278   Enteralgia..    112
Carbuncle..       244    Entorills...  150
Cardialgia...        93   Ephemeral fever                  5
Catarrh.....   103   Eructations..         88
Chest,1   Determination    of         Erysipelas.. 240
blood to..   188   Eyes, inflammation of.      267
Chicken-pock...    55   Fatigue...   280
Chilblains....245      Febres intermittontes.       26
Cholera, Sporadica.   182   Febris simplex..
---     Aiatica.   131   Fever, causes of                 4
Cholerine...   134   -    diet in..     6
Clavi Pedis..      247    -    general consideration of    1
Clothing. Introduction..   xii   -   treatment during             5
Cold, common..   163   Fever, and ague.            6
Cold in the head...  158    -    brain..       sg





436


INDEX.


PAGE
Brain, congestive..  13
--   contagious typhus.       23
-    ephemeral..   5
-- gastric..       10
-- inflammatory                   7
-    intermittent...  26
-    miliary...  56
--   nervous..   11
-    putrid typhus.       21
-- scarlet.  36
-    typhus                      11
Flatulence (see also   Indigestion).....  90
Flux, bloody.. 123
Furunculus. 243
-   -     malignans.. 244
Gastritis.... 145
-   chronica... 149
Gastrodynia.  93
Glossitis..... 272
Gout..... 250
-- rheumatic... 252
Habits, &c. Introduction        xiii
Head, cold in                   168
-     determination  of   blood
to.... 225
Heartburn.   (See indigestion.)
Holminthiasis... 158
Hematemesis... 100
Hemoptysis. 205
Hemorrhoids. 108
Hepatitis..                138
--       chronica. 149
Hiccough. (See Indigestion.)
Hip-disease.. 236
Hip-joint, inflammation of      206
Hoarseness.. 165
Hooping-cough. 182
Hordeolum. 207
Hydrophobia.. 283
Ictorus... 140
Indigestion.  76
Inflammation of the
bladder... 157
brain, &c..... 235
bowels.... 150
oars.... 271
eyes.... 267
hip-joint. 278
kidneys. 153
liver... 138
lungs... 198
mucous membrane of
the bronchial tubes.. 192
peritoneum.. 151
pleura.... 202
psoas muscle. 257
spleen.    142
Inflammation of the
stomach.. 145
-    chronic... 149
tongue... 272
Inflammatory fever.   7
Influenza... 180


PAGE
Intermittents....   62
Irritation of the skin.. 248
Jaundice... 140
Kidneys, inflammation of.. 163
Laryngitis, chronic... 167
Liver complaints. 134
Liver, acute inflammation of.138
Liver complaint (so called). 139
Looseness of the bowels. 161
Lumbago.. 255
Lungs, inflammation of. 189
Measles                         45
Medicaments.    Potencies of.
Introduction....  xx
Medicines. Administration and
repetition of Int...      xx
Mental emotions.    297
Miliaria. Miliary fever..  56
Morbus coxarius. 263
Mumps.....  74
Nephritis.... 153
Nervous fever..              11
Nettle-rash...  59
Nettles, stings of... 281
Obstructio ali.      104
Ophthalmia... 267
Olalgia... 271
Otitis.....  ib.
Panaris..... 247
Parotitis..... 74
Paronychia... 247
Peripneumonia.. 198
Peritoneum, inflammation of. 151
Peritonitis.. ib.
Perniones.... 245
Phrenitis..... 235
Piles.... 108
Pleura, inflammation of.. 202
Pleurisy.... ib.
Pneumonia. Pneumonitis. 198
Poisons. 293
Potencies of the medicaments
Introduction.... xv
Prolapsus ani.. Ill
Prophylaxes against
cholera. 131
measles.... 47
scarlet fever. 41
typhus. 24
Protrusion rf _itesin esin     111
Psoas muscleW lammation of     257
Psostis.... ib.
Purples. Purpura rubra.      41
Pustula Nigra                  2 44
Putrid fever, or typhus         21
Quinsy.    66
Raucitas                       165
Regimen. Introduction           xi
Repetition of the medicines.
Introduction.
Rheumatic gout.         51
Rheumatism.     Rheumatismus..          252
Rose.....   240





INDEX.
PAGE
Ruboola..45                Stomach, spasm of
Scalds...       278  Stings of insects
Scarlatina. Scarlet fever.  36  -   -   nettles
Sciatica...       258  Stye
Sea-sickness..   281  Suppressed dysentery
Signs, pharmaceutical. In-        Synocha
troduction...      xxili  Tongue, inflammation of
Simple fever..         6  Toothach
Skin, irritation of.       248  Tussis convulsiva
Smallpox                      48  Urticaria
Sorethroat.    66  Varicella
Spasm of the stomach..    93  Variola
Spitting of blood..      205  Variola spuria
Spleen,   Inflammation  of.       Vomiting of blood
Splenitis...       139   Want of appetite
Sprains...   276  Whitlow
St. Anthony's fire..   240  Worms
Stomach, inflammation of.  145  Wounds
-   ditto chronic.     149
PART II.


437
PAGE
93
280
281
270
127
7
272
62
176
59.
55
48
55
100
82
247
158
276


Aphth...
Asphyxia..
Asthma of Millar
Birth, treatment after
Bowel complaints.
Brash, weaning
Cellular tissue, induration of
Choice of a nurse
Cold in the head
Constipation
Convulsions in children
Crying and wakefulness
Derangements during toothing..
Diarrhoea neonatorum.
Diet during nursing
Diet, supplementary of infants
Erysipolas neonatorum
Excoriation. Excoriationes
neonatorum
Exercise
Eyes, inflammation  of in
new-born infants
Head, cold in.
-   swelling of...
-   water in the.
Hernia umbilica in infants
Hiccough
Hydrocephalus


329  Icterus meonatorum..
303  Induration  of the cellular
361    tissue
302  Inflammation of the eyes in
331    new-born infants.
334   Jaundice
339  Meconium, expulsion-of
309   Milk crusts
323   Milk, regurgitation of
329   Nurse, choice of
345  Nursing, diet during
325   Obstructio alvi neonatorum
Regurgitation of milk.
342   Sleep
331   Suckling of the infant.
310    --- duration of
Supplementary diet of in311    fants.
339   Swelling of the head
Tetanus.
338  Thrush
319  Treatment after birth.
Trismus
322   Umbilical hernia in infants
323   Vaccination
305   Wakefulness.
359   Water In the head.
305  Weaning.
323  Weaning brash.
359
PART III.


338
339
322
338
306
327
326
309
310
330
326
318
307
314
311
305
341
329
302
341
305
303
325
359
314
330
370
307
379
406
384
401


Abdomen, deformity of         412   Catamenia, irregularities of
Abortus.     388   Chlorosis...
Afeor-pains-.            405   Clothing
Air aid exercise.        374   Confinement, duration of
Breasts, inflammation of      419   Constipation during pregnancy
preparation of        394   Convulsions
38





438


INDEX.


PAGE
Cramp                       401
Deficiency in the secretion of
milk.                     421
Deformity, abdominal.      412
Delivery, weakness after    414
Despondency.           380
Deterioration of milk.    422
DiarrhcBa during pregnancy  384
---     in lying-in women   407
Diet                        377
Disinclination of the infant
to suckling...   417
Duration of confinement     400
Emotions, mental            379
Employment of the mind and
habits..           378
Excess of perspiration after
delivery.           409
Excoriation of the nipples.  417
External objects, influence
upon the unborn infant.  379
Fainting and hysteric lits  385
Falling off of the hair.  413
False pains.           396
Fever, milk.              415
Inflammation of the breasts  419
Influence of external objects
upon the unborn intant     370
Internal uterine swelling, and
prolapaus.               414
Irregularities of the lochial
discharge                  410
Labour, remedies before.  395
Labour-pains..   398
Loucorrhcea after parturition  413
Lochial discharge, irregularities of.   410
Lying-in women, diarrhoa in  407
Mental emotions             379
-   do. affecting the milk.  421
Menstruation, during pregnancy                     382
----    irregularities of.  378
GLOSSARY of Medical Terms


PAGE
Menstruation, profuse..    378
- suppressed                ib.
Milk, deficiency in the secretion of                   421
-   deterioration of..    422
-   discoloration of..    ib.
-   fever...       415
-   mental emotions affecting...           421
-- suppression, or excess of  407
Mind,   employment   during
pregnancy                   378
Miscarriage                   388
Morning sickness.            382
Mothers not suckling their
children.                 422
Pains, after...    405
Pains, false...    896
Pains, spasmodic.   401
Parturition.                 398
-  -- leucorrha              413
Perspiration after delivery,
suppression or excess of.   409
Pregnancy, observations on     371
Preparation of the breasts.  394
Profuse catamenia..    370
Prolapsus..   414
Remedies before labour         395
Secretion of milk, deficiency
of.....    421
-   excessive...   407
Spasmodic pains.            401
Suppression of catamonia.   370
---- milk                     407
Suppression of perspiration
after delivery.   409
Swelled veins.   387
Swelling, internal uterine.  414
Toothach                      386
Uterine swelling              414
Veins, swelled.    387
Varices                  i. b.:..        425


FINIE.





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